{"id":250,"date":"2020-06-03T16:08:49","date_gmt":"2020-06-03T14:08:49","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=250"},"modified":"2025-05-09T10:26:19","modified_gmt":"2025-05-09T10:26:19","slug":"a-ketoldali-implantatum-elonyei","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/hu\/a-ketoldali-implantatum-elonyei\/","title":{"rendered":"A k\u00e9toldali implant\u00e1tum el\u0151nyei"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:10px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top:0px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:45;line-height:1.4;\"><span data-teams=\"true\">K\u00e9toldali implant\u00e1tumok, mint szabv\u00e1nyell\u00e1t\u00e1s hall\u00e1sk\u00e1rosod\u00e1sban szenved\u0151k r\u00e9sz\u00e9re<\/span><\/h1><\/div><div class=\"fusion-text fusion-text-1\"><p><strong>A s\u00falyos hall\u00e1sk\u00e1rosod\u00e1ssal sz\u00fcletett gyermekeknek, m\u00e1r \u00e9let\u00fck korai szakasz\u00e1ban cochle\u00e1ris implant\u00e1tumot \u00fcltetnek be mindk\u00e9t f\u00fcl\u00fckbe. A siket feln\u0151ttek gyakran bizonytalanabbak ennek sz\u00fcks\u00e9gess\u00e9g\u00e9t illet\u0151en. Azonban a k\u00e9toldali implant\u00e1tum m\u00e9g azok sz\u00e1m\u00e1ra is el\u0151ny\u00f6ket tartogathat, akik els\u0151 cochle\u00e1ris implant\u00e1tumukat \u00e9vekkel kor\u00e1bban megkapt\u00e1k.<\/strong><\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1400\" height=\"561\" title=\"thumb-dinner\" src=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dinner.jpg\" data-orig-src=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dinner.jpg\" alt class=\"lazyload img-responsive wp-image-32150\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271400%27%20height%3D%27561%27%20viewBox%3D%270%200%201400%20561%27%3E%3Crect%20width%3D%271400%27%20height%3D%27561%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dinner-200x80.jpg 200w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dinner-400x160.jpg 400w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dinner-600x240.jpg 600w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dinner-800x321.jpg 800w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dinner-1200x481.jpg 1200w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dinner.jpg 1400w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p>Manaps\u00e1g a mink\u00e9t f\u00fclbe be\u00fcltetett \u2013 k\u00e9toldali vagy bilater\u00e1lis \u2013 implant\u00e1tum s\u00falyos hall\u00e1sk\u00e1rosult betegek eset\u00e9ben m\u00e1r alapell\u00e1t\u00e1snak sz\u00e1m\u00edt. A cochle\u00e1ris implant\u00e1tumok bevezet\u00e9s\u00e9nek idej\u00e9n ez elk\u00e9pzelhetetlen volt. Csak az egy oldalon elv\u00e9gzett be\u00fcltet\u00e9st is rengeteg m\u0171t\u00e9t el\u0151tti vizsg\u00e1lat el\u0151zte meg. Ennek az volt az oka, hogy az orvosok meg akartak bizonyosodni afel\u0151l, hogy a hall\u00e1shoz felt\u00e9tlen\u00fcl sz\u00fcks\u00e9ges hall\u00f3ideg teljes m\u00e9rt\u00e9kben m\u0171k\u00f6d\u0151k\u00e9pes. Valamint a \u201ejobb\u201d f\u00fclet kerest\u00e9k.<\/p>\n<p>Amennyiben a hall\u00e1svizsg\u00e1lat eredm\u00e9nyei hasonl\u00f3ak voltak mindk\u00e9t f\u00fcl eset\u00e9ben, \u00e1ltal\u00e1ban azt a f\u00fclet javasolt\u00e1k m\u0171t\u00e9tre, amelyn\u00e9l r\u00f6videbb ideje \u00e1llt fenn a hall\u00e1sveszt\u00e9s vagy amellyel a beteg jobban hallott. Ez a betegek sz\u00e1m\u00e1ra egy neh\u00e9z d\u00f6nt\u00e9s volt, hiszen az akkori id\u0151k be\u00fcltet\u00e9si \u00e9s m\u0171t\u00e9ti technol\u00f3giai elj\u00e1r\u00e1sai \u00e1ltal\u00e1ban a megmaradt hall\u00e1s elveszt\u00e9s\u00e9hez vezettek. V\u00e1lasztaniuk kellett a hall\u00e1sjav\u00edt\u00f3 prot\u00e9zis \u00e9s ak\u00f6z\u00f6tt, hogy tov\u00e1bbra is ragaszkodnak-e megmaradt hall\u00e1sukhoz. Az implant\u00e1tum haszn\u00e1l\u00f3i egyhang\u00falag arr\u00f3l sz\u00e1moltak be, hogy sz\u00e1mukra hatalmas megk\u00f6nnyebb\u00fcl\u00e9st jelentett mikor ism\u00e9t hallhattak, \u00e9s csal\u00e1dtagjaikkal valamint bar\u00e1taikkal folytatott t\u00e1rsas \u00e9let\u00fckben a megszokott m\u00f3don vehettek r\u00e9szt.<\/p>\n<h2>\u00datt\u00f6r\u0151k a haszn\u00e1latban<\/h2>\n<p>A gy\u00f3gyszer\u00e9sz Rolf egyike volt az els\u0151 betegeknek, aki rendk\u00edv\u00fcl el\u00e9gedetten hordta MED-EL Combi 40 cochle\u00e1ris implant\u00e1tum\u00e1t. Olyannyira, hogy a m\u00e1sik f\u00fcl\u00e9n is szeretett volna egyet. V\u00e9g\u00fcl, 1998-ban az ENT klinik\u00e1n teljes\u00edtett\u00e9k k\u00e9r\u00e9s\u00e9t. Ugyanebben az \u00e9vben, az akkor n\u00e9gy\u00e9ves kis Max k\u00f6vette ezt a p\u00e9ld\u00e1t \u00e9s \u0151 lett az els\u0151, k\u00e9toldali cochle\u00e1ris implant\u00e1tummal rendelkez\u0151 gyermek. A k\u00e9toldali CI haszn\u00e1lata a feln\u0151ttek k\u00f6r\u00e9ben annyira meggy\u0151z\u0151 eredm\u00e9nyeket hozott, hogy az orvosok \u00fagy d\u00f6nt\u00f6ttek, a k\u00e9toldali implant\u00e1tumokat gyermekek sz\u00e1m\u00e1ra is el\u00e9rhet\u0151v\u00e9 teszik.<\/p>\n<p>Az\u00f3ta is sz\u00e1mos k\u00f3rh\u00e1z k\u00edn\u00e1lja k\u00e9toldali implant\u00e1tumok be\u00fcltet\u00e9s\u00e9t az \u00fajonnan diagnosztiz\u00e1lt siket gyermekek sz\u00e1m\u00e1ra: ezt vagy egyszerre, egyetlen altat\u00e1ssal j\u00e1r\u00f3 m\u0171t\u00e9ttel v\u00e9gzik el mindk\u00e9t f\u00fcl\u00f6n, vagy r\u00f6vid, 6-18 h\u00f3napos k\u00fcl\u00f6nbs\u00e9ggel egym\u00e1st k\u00f6vet\u0151 be\u00fcltet\u00e9sek sor\u00e1n.<\/p>\n<h2>H\u00e9tv\u00e9gi tervek CI-vel<\/h2>\n<p>P\u00e9ntek, d\u00e9lut\u00e1n 3 \u00f3ra. Egy k\u00e9ts\u00e9gbeesett anyuka telefon\u00e1l: \u201eNiko nem hall! \u00c9s holnap lesz a bulija, amit a 7. sz\u00fclet\u00e9snapj\u00e1ra tartunk, m\u00e9g boh\u00f3c fell\u00e9p\u0151t is rendelt\u00fcnk, az \u00f6sszes bar\u00e1tj\u00e1t megh\u00edvtuk. El tudn\u00e1nk most menni \u00d6n\u00f6kh\u00f6z?!\u201d A sz\u00e1zadfordul\u00f3n egy ilyen telefonh\u00edv\u00e1s egy\u00e1ltal\u00e1n nem sz\u00e1m\u00edtott szokatlannak. A CI-t haszn\u00e1l\u00f3k \u00e1ltal\u00e1ban mindk\u00e9t f\u00fcl\u00fckre s\u00falyosan hall\u00e1sk\u00e1rosultak voltak, de legt\u00f6bbj\u00fck csak egy implant\u00e1tummal rendelkezett. El\u0151fordult, hogy a probl\u00e9m\u00e1t csup\u00e1n az akkumul\u00e1tor elhajlott \u00e9rintkez\u0151je vagy a processzor egy helytelen\u00fcl be\u00e1ll\u00edtott kapcsol\u00f3ja okozta. Ha az implant\u00e1tum haszn\u00e1l\u00f3i nem tudt\u00e1k megjav\u00edtani a meghib\u00e1sod\u00e1st, a h\u00e9tv\u00e9g\u00e9t teljesen hangok n\u00e9lk\u00fcl kellett t\u00f6lteni\u00fck, hacsak a MED-EL cochle\u00e1ris implant\u00e1tumokkal foglalkoz\u00f3 m\u00e9rn\u00f6kei gyorsan el nem h\u00e1r\u00edtott\u00e1k a hib\u00e1t. Ez a helyzet k\u00fcl\u00f6n\u00f6sen a gyermekek sz\u00e1m\u00e1ra volt ment\u00e1lisan megterhel\u0151, de a feln\u0151tteknek is neh\u00e9zs\u00e9geket okozott.<\/p>\n<p>Egyes esetekben m\u00e9g biztons\u00e1gi kock\u00e1zattal is j\u00e1rt. El\u0151fordult, hogy egy \u00e1ltal\u00e1nos iskolai tan\u00e1r \u00edgy panaszkodott: \u201eHa egy implant\u00e1tumot haszn\u00e1l\u00f3 gyerekn\u00e9l lemer\u00fclt a k\u00e9sz\u00fcl\u00e9kben az elem, a sz\u00fcl\u0151ket szoktuk felh\u00edvni. Att\u00f3l f\u00e9lt\u00fcnk, hogy a kisgyerek \u00fagy indul haza, hogy az utcai zajokb\u00f3l semmit sem hall.\u201d<\/p>\n<h2>K\u00e9t k\u00e9sz\u00fcl\u00e9k el\u0151nyei<\/h2>\n<p>Rolfnak teljesen igaza volt abban, hogy egy m\u00e1sik implant\u00e1tumot is be\u00fcltettetett. A m\u00e1sodik k\u00e9sz\u00fcl\u00e9k el\u0151nye nem csak biztons\u00e1gi tartal\u00e9kk\u00e9nt vagy a jobban funkcion\u00e1l\u00f3 f\u00fcl teljes bizonyoss\u00e1g\u00e1ban mutatkozik meg. A k\u00e9toldali implant\u00e1tumok legl\u00e9nyegesebb hozad\u00e9ka a hangok alapj\u00e1n t\u00f6rt\u00e9n\u0151 helymeghat\u00e1roz\u00e1s k\u00e9pess\u00e9ge, valamint a haszn\u00e1l\u00f3k azt is el tudj\u00e1k d\u00f6nteni, hogy a hangforr\u00e1s t\u0151l\u00fck balra vagy jobbra helyezkedik el.<\/p>\n<p>Az \u00f6sszes t\u00f6bbi el\u0151ny ebb\u0151l a kett\u0151b\u0151l sz\u00e1rmazik, hasonl\u00f3an a k\u00e9t t\u00f6k\u00e9letesen m\u0171k\u00f6d\u0151 f\u00fcllel, vagyis binaur\u00e1lis hall\u00e1ssal rendelkez\u0151 emberek eset\u00e9hez<a href=\"#_ftn1\" name=\"_ftnref1\">[1]<\/a>. A Wurzburg Egyetemi K\u00f3rh\u00e1z szak\u00e9rt\u0151i mindezt m\u00e1r a els\u0151 k\u00e9t, k\u00e9toldali CI-val rendelkez\u0151 beteg\u00fck eset\u00e9ben meg\u00e1llap\u00edtott\u00e1k. Tapasztalataikat egy tudom\u00e1nyos tanulm\u00e1nyban jelentett\u00e9k meg. A tanulm\u00e1nyban r\u00e9sztvev\u0151 \u00f6sszes beteg est\u00e9ben, a k\u00e9toldali CI haszn\u00e1lat\u00e1val jelent\u0151sen javult a h\u00e1tt\u00e9rzajb\u00f3l kisz\u0171rt besz\u00e9d\u00e9rt\u00e9s. Ezt a tanulm\u00e1nyt sz\u00e1mos, a besz\u00e9d\u00e9rt\u00e9sre \u00e9s hanglokaliz\u00e1ci\u00f3ra \u00f6sszpontos\u00edt\u00f3 kutat\u00e1s k\u00f6vette. A tud\u00f3sok minden kor\u00e1bbin\u00e1l jobban egyet\u00e9rtettek a k\u00f6vetkez\u0151ben: a mindk\u00e9t f\u00fcl\u00fckre siket betegek eset\u00e9ben a a k\u00e9toldali CI be\u00fcltet\u00e9se egy\u00e9rtelm\u0171 el\u0151ny\u00f6kkel j\u00e1r.<\/p>\n<div id=\"attachment_252\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-252\" class=\"lazyload wp-image-252 size-large\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27410%27%20viewBox%3D%270%200%201024%20410%27%3E%3Crect%20width%3D%271024%27%20height%3D%27410%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"\/wp-content\/uploads\/sites\/4\/2025\/01\/thumb-dircetion-1024x410-1.jpg\" alt=\"A school boy crossing the street: the dangers of lacking sound localisation \" width=\"1024\" height=\"410\" \/><p id=\"caption-attachment-252\" class=\"wp-caption-text\">A k\u00e9toldali implant\u00e1tumok legl\u00e9nyegesebb el\u0151nye a hangalap\u00fa helymeghat\u00e1roz\u00e1s k\u00e9pess\u00e9ge \u2013 mely vesz\u00e9lyes helyzetekben k\u00fcl\u00f6n\u00f6sen fontos szerepet j\u00e1tszik.<\/p><\/div>\n<h2>A lehet\u0151 leghamarabb<\/h2>\n<p>A cochle\u00e1ris implant\u00e1tumok szak\u00e9rt\u0151i, Joachim M\u00fcller, Franz Sch\u00f6n \u00e9s Jan Helms, akik egyben a k\u00e9toldali cochle\u00e1ris implant\u00e1tumokr\u00f3l sz\u00f3l\u00f3 els\u0151 tanulm\u00e1ny szerz\u0151i is, arra a k\u00f6vetkeztet\u00e9sre jutottak, hogy a m\u00e1sodik implant\u00e1tum el\u0151nyei f\u00fcggetlenek az els\u0151 \u00e9s m\u00e1sodik be\u00fcltet\u00e9s k\u00f6z\u00f6tt eltelt id\u0151t\u0151l. Azonban, az idegi fejl\u0151d\u00e9si folyamatokr\u00f3l szerzett ismereteink ezt n\u00e9mik\u00e9pp m\u00f3dos\u00edtj\u00e1k. \u201eAz agyunkat az idegsejtek k\u00f6z\u00f6tti kapcsolatok, az \u00fagynevezett szinapszisok hat\u00e1rozz\u00e1k meg\u201d \u2013 magyar\u00e1zza Andrej Kral, a Hannoveri Orvosi Egyetem neurol\u00f3gusa a \u201eSchnecke\u201d magazinnak adott interj\u00faj\u00e1ban<a href=\"#_ftn2\" name=\"_ftnref2\">[2]<\/a>. Az emberi agy \u00e9s szinapszisai k\u00e9pl\u00e9kenyek, k\u00e9pesek a tanul\u00e1sra. A hall\u00e1s elveszt\u00e9se egyfajta tanul\u00e1si folyamatot ind\u00edthat el, mely az agy \u00e1trendez\u0151d\u00e9s\u00e9hez vezethet. Ez teszi lehet\u0151v\u00e9 a megmaradt hall\u00e1s hat\u00e9kony alkalmaz\u00e1s\u00e1t.<\/p>\n<p>Kral szerint \u201eA hall\u00e1sk\u00e1rosod\u00e1s k\u00fcl\u00f6n\u00f6sen gyerekkorban, az agy fejl\u0151d\u00e9s\u00e9nek id\u0151szak\u00e1ban fejt ki jelent\u0151s hat\u00e1st\u201d. \u201eA legt\u00f6bb szinapszis\u2026a hall\u00e1s alap\u00fa megtapasztal\u00e1st\u00f3l f\u00fcgg.\u201d A hall\u00e1si folyamat megtanul\u00e1sa feln\u0151ttk\u00e9nt sokkal nehezebb: \u201e\u00d6sszetett idegrendszert, komplex agyi ir\u00e1ny\u00edt\u00e1st k\u00edv\u00e1n. Csup\u00e1n abban az esetben fejl\u0151dhet ki, ha a hall\u00e1s folyamat\u00e1t m\u00e1r fiatalon begyakoroljuk. A fiatalon tapasztalt hall\u00e1st k\u00e9s\u0151bb, a fejl\u0151d\u00e9si folyamat kritikus szak\u00e1sz\u00e1nak lez\u00e1r\u00e1s\u00e1t k\u00f6vet\u0151en m\u00e1r soha nem lehet p\u00f3tolni. \u00c9ppen ez\u00e9rt a gyermekkori hall\u00e1sk\u00e1rosod\u00e1st a lehet\u0151 leghamarabb kezelni kell.\u201d<\/p>\n<p>Kral egy kutat\u00f3t\u00e1rsa, Angelika Illg, eredm\u00e9nyeire hivatkozik: A Hannoverben tal\u00e1lhat\u00f3 DHZ n\u00e9met hall\u00e1sk\u00f6zpontban v\u00e9gzett kutat\u00e1sai sor\u00e1n Illg \u00e9s csapata \u00fagy tal\u00e1lta, hogy azok a k\u00e9toldali sikets\u00e9ggel sz\u00fcletett gyermekek, akik a m\u00e1sodik implant\u00e1tumukat j\u00f3val az els\u0151 be\u00fcltet\u00e9s\u00e9t k\u00f6vet\u0151en kapt\u00e1k meg, a m\u00e1sodik implant\u00e1tummal lassabban fejl\u0151dtek.<\/p>\n<h2>K\u00e9sleltetett kezd\u00e9s \u2013 m\u00e9gis sikeres eredm\u00e9ny<\/h2>\n<p>A fenti \u00e9s hasonl\u00f3 tanulm\u00e1nyok alapj\u00e1n, azok a gyerekek, akik m\u00e1r j\u00f3val r\u00e9gebben megkapt\u00e1k az els\u0151 implant\u00e1tumukat nem sz\u00e1m\u00edthattak a m\u00e1sodik be\u00fcltet\u00e9s\u00e9re. Annak ellen\u00e9re sem, hogy a Wurzburgban m\u0171k\u00f6d\u0151 kutat\u00f3csoport sikeres eredm\u00e9nyeket mutatott fel azokban az esetekben is, ahol a k\u00e9t be\u00fcltet\u00e9s k\u00f6z\u00f6tt hosszabb id\u0151szak telt el. Andrej Kral, aki Hannoverben az audiol\u00f3giai neurol\u00f3gia eln\u00f6ki tisztj\u00e9t t\u00f6lti be, egy 2013-as interj\u00faban kifejtette, hogy egy k\u00e9s\u0151bb be\u00fcltetett m\u00e1sodik implant\u00e1tumhoz sz\u00fcks\u00e9ges binaur\u00e1lis, vagyis mink\u00e9t f\u00fclet haszn\u00e1l\u00f3, k\u00e9szs\u00e9geket besz\u00e9d- \u00e9s nyelvter\u00e1pi\u00e1val lehet jav\u00edtani.<a href=\"#_ftn3\" name=\"_ftnref3\">[3]<\/a><\/p>\n<p>Kor\u00e1bban \u00fagy v\u00e9lt\u00e9k, hogy a hangalap\u00fa helymeghat\u00e1roz\u00e1s egyike volt azon speci\u00e1lis binaur\u00e1lis k\u00e9pess\u00e9geknek, melyet csup\u00e1n \u00e9let\u00fcnk korai szakasz\u00e1ban tudtunk elsaj\u00e1t\u00edtani. Egy 2018-as tanul\u00e1m\u00e1ny\u00e1ban, a tud\u00f3s Catherine Killian ezt a felt\u00e9telez\u00e9st k\u00e9toldali CI be\u00fcltet\u00e9ssel rendelkez\u0151 gyermekek est\u00e9ben k\u00f6zelebbr\u0151l is megvizsg\u00e1lta <a href=\"#_ftn4\" name=\"_ftnref4\">[4]<\/a>. A kutat\u00e1s sor\u00e1n Killian \u00e9s munkat\u00e1rsai t\u00f6bb, mint 100 olyan gyermeket vizsg\u00e1lt meg, akinek a k\u00e9toldali implant\u00e1tumok els\u0151 \u00e9s m\u00e1sodik be\u00fcltet\u00e9sei k\u00f6z\u00f6tt ak\u00e1r 12 \u00e9v is eltelt.<\/p>\n<p>&#8220;\u201eA k\u00e9toldali, s\u00falyos hall\u00e1sk\u00e1rosod\u00e1ssal rendelkez\u0151 gyermekek est\u00e9ben a be\u00fcltet\u00e9sek k\u00f6z\u00f6tt eltelt id\u0151t a minim\u00e1lisra kell cs\u00f6kkenteni\u201d \u2013 Killian \u00edgy \u00f6sszegezte a kutat\u00e1s eredm\u00e9nyeit. Ezt az al\u00e1bbival magyar\u00e1zta: a be\u00fcltet\u00e9sek k\u00f6z\u00f6tt eltelt hossz\u00fa id\u0151szak \u2026 a hangforr\u00e1son alapul\u00f3 helymeghat\u00e1roz\u00e1s vonatkoz\u00e1s\u00e1ban rosszabb eredm\u00e9nyeket mutatott a k\u00e9toldali cochle\u00e1ris implant\u00e1tumot haszn\u00e1l\u00f3 gyermekekn\u00e9l. A kutat\u00e1s eredm\u00e9nyei alapj\u00e1n elmondhatjuk, hogy a gyerekekn\u00e9l a m\u00e1sodik CI be\u00fcltet\u00e9se m\u00e9g abban az esetben is el\u0151ny\u00f6kkel j\u00e1rt, ha t\u00f6bb, mint 10 \u00e9v telt el az els\u0151 implant\u00e1tum be\u00fcltet\u00e9se ut\u00e1n.<\/p>\n<blockquote>\n<p><strong>A k\u00fcl\u00f6nbs\u00e9g a technol\u00f3gi\u00e1ban rejlik!<\/strong><\/p>\n<p>K\u00e9t tud\u00f3s, Bradford \u00e9s Leeds, kutat\u00e1suk <a href=\"#_ftn5\" name=\"_ftnref1\">[5]<\/a> sor\u00e1n azt is hangs\u00falyozt\u00e1k, hogy ezekn\u00e9l a gyerekekn\u00e9l a sikeres hangon alapul\u00f3 helymeghat\u00e1roz\u00e1s jelent\u0151sen f\u00fcgg az implant\u00e1tum t\u00edpus\u00e1t\u00f3l. A MED-EL cochle\u00e1ris implant\u00e1tumot haszn\u00e1l\u00f3 betegekn\u00e9l a helymeghat\u00e1roz\u00e1s pontosabb \u00e9s ak\u00e1r azokat az eredm\u00e9nyeket is el\u00e9rheti, amely a be\u00fcltet\u00e9sek k\u00f6z\u00f6tt eltelt \u00f6t\u00e9ves id\u0151szak eset\u00e9ben jellemz\u0151.<\/p>\n<\/blockquote>\n<hr \/>\n<p><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a> Tov\u00e1bbi cikkeink: <a href=\"\/hu\/tudomany\/az-egesz-tobb-mint-a-reszek-osszessege\/\">More than the sum of its parts<\/a><\/p>\n<p><a href=\"#_ftnref2\" name=\"_ftn2\">[2]<\/a>Research for good hearing, implantable hearing systems \u2013 interj\u00fa Prof. Dr. Andrej Krallal, forr\u00e1s: Schnecke, 82. kiad\u00e1s, 11f o., 2013. december<\/p>\n<p><a href=\"#_ftnref3\" name=\"_ftn3\">[3]<\/a>hivatkoz\u00e1s: Research for good hearing, implantable hearing systems \u2013 interj\u00fa Prof. Dr. Andrej Krallal, forr\u00e1s: Schnecke, 82. kiad\u00e1s, 11f o., 2013. december<\/p>\n<p><a href=\"#_ftnref4\" name=\"_ftn4\">[4]<\/a> Killian C, Scally A, Killian E, Totten C, Raine C, Factors Affecting Sound-Source Localization in Children with Simutaneous or sequential bilateral cochlear implantation. Ear Hear. 5 Doi: 10.1097\/AUD.0000000000000666<\/p>\n<p><a href=\"#_ftnref5\" name=\"_ftn1\">[5]<\/a>Killian C, Scally A, Killian E, Totten C, Raine C, Factors Affecting Sound-Source Localization in Children with Simutaneous or sequential bilateral cochlear implantation. Ear Hear, 2018. okt\u00f3ber 5. Doi: 10.1097\/AUD.0000000000000666<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A k\u00e9toldali implant\u00e1tum m\u00e9g azok sz\u00e1m\u00e1ra is el\u0151ny\u00f6ket tartogathat, akik els\u0151 cochle\u00e1ris implant\u00e1tumukat \u00e9vekkel kor\u00e1bban megkapt\u00e1k.<\/p>\n","protected":false},"author":5,"featured_media":32150,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411],"tags":[419,417],"class_list":["post-250","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-egeszseg","tag-bilateral","tag-ci"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A k\u00e9toldali implant\u00e1tum el\u0151nyei - Hungary<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lifelonghearing.com\/hu\/a-ketoldali-implantatum-elonyei\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A k\u00e9toldali implant\u00e1tum el\u0151nyei - 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