{"id":25017,"date":"2023-12-19T11:28:57","date_gmt":"2023-12-19T10:28:57","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=25017"},"modified":"2025-04-22T11:11:23","modified_gmt":"2025-04-22T11:11:23","slug":"pontos-hangok-ci-keszulekkel-az-sem-baj-ha-a-ful-xl-meretu","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/hu\/pontos-hangok-ci-keszulekkel-az-sem-baj-ha-a-ful-xl-meretu\/","title":{"rendered":"Pontos hangok CI-k\u00e9sz\u00fcl\u00e9kkel – az sem baj, ha a f\u00fcl XL m\u00e9ret\u0171!"},"content":{"rendered":"

Szem\u00e9lyre szabott gy\u00f3gym\u00f3d: megfelel\u0151 CI-elektr\u00f3d\u00e1k mindenkinek!<\/h1><\/div>

Ha a cochle\u00e1ris implant\u00e1tum elektr\u00f3d\u00e1ja t\u00fal r\u00f6vid, a CI-haszn\u00e1l\u00f3knak ak\u00e1r h\u00e1rom \u00e9vbe is telhet a hangmagass\u00e1g \u00e9rz\u00e9kel\u00e9s\u00e9nek elsaj\u00e1t\u00edt\u00e1sa \u2013 ha siker\u00fcl egy\u00e1ltal\u00e1n! Kiz\u00e1r\u00f3lag a MED-EL teszi lehet\u0151v\u00e9 a hangh\u0171 hall\u00e1st m\u00e1r a kezdetekt\u0151l: az OTOPLAN seg\u00edts\u00e9g\u00e9vel lehet\u0151s\u00e9g ny\u00edlik egyedi CI-elektr\u00f3d\u00e1k haszn\u00e1lat\u00e1ra, valamint az elektr\u00f3d\u00e1k tervez\u00e9s\u00e9re \u00e9s az anat\u00f3miailag megfelel\u0151 beilleszt\u00e9sre.<\/strong><\/p>\n<\/div>

<\/span><\/div><\/div><\/div><\/div><\/div>

El\u0151fordul, hogy a CI-k\u00e9sz\u00fcl\u00e9ket haszn\u00e1l\u00f3k cochle\u00e1ris implant\u00e1tumuk hangj\u00e1t \"sisterg\u0151\", \"robotszer\u0171\", \"visszhangos\" vagy \"f\u00e9mes\" jelz\u0151kkel \u00edrj\u00e1k le. Ezek a hangtorz\u00edt\u00e1sok akkor fordulnak el\u0151, ha az elektr\u00f3da csup\u00e1n a csiga egy r\u00e9sz\u00e9t fedi le; vagyis ha az elektr\u00f3da t\u00fal r\u00f6vid az adott bels\u0151 f\u00fcl csig\u00e1j\u00e1hoz.<\/p>\n

A term\u00e9szetes hall\u00e1s sor\u00e1n a hangmagass\u00e1got a csiga teljes hossz\u00e1ban \u00e9rz\u00e9kelj\u00fck. A cochle\u00e1ris implant\u00e1tumokn\u00e1l az al\u00e1bbi tonotopikus elrendez\u00e9st alkalmazz\u00e1k: az alacsony frekvenci\u00e1j\u00fa hangokn\u00e1l az elektr\u00f3da v\u00e9g\u00e9n tal\u00e1lhat\u00f3 \u00e9rintkez\u0151, a magas frekvenci\u00e1j\u00fa hangokn\u00e1l pedig a csiga bej\u00e1rat\u00e1n\u00e1l elhelyezett \u00e9rintkez\u0151 stimul\u00e1lja az idegeket.<\/p>\n

Egy\u00e1ltal\u00e1n nem mindegy milyen hossz\u00fa az elektr\u00f3da!<\/h2>\n

Egy r\u00f6vid CI-elektr\u00f3da nem fed le egy \u00e1tlagos csig\u00e1t k\u00e9tszer, vagyis 720 fokban. Ilyenkor m\u00e9g a csig\u00e1ban elhelyezett legt\u00e1volabb es\u0151 \u00e9rz\u00e9kel\u0151 sem \u00e9ri el a csiga cs\u00facs\u00e1t, ahol a m\u00e9ly hangokat halljuk, ez\u00e9rt a m\u00e9ly hangok stimul\u00e1l\u00e1sa m\u00e1shol, p\u00e9ld\u00e1ul a k\u00f6zepes hangmagass\u00e1g\u00fa hangok hely\u00e9n t\u00f6rt\u00e9nik. Ilyen megold\u00e1ssal nem biztos\u00edthat\u00f3 a megfelel\u0151 hangh\u0171s\u00e9g: a p\u00e1ciens mindent \u00fagy hall, mintha egy robot vagy Miki eg\u00e9r besz\u00e9lne.<\/p>\n

\"\"

Szem\u00e9lyre szabott f\u00fcl-orr-g\u00e9g\u00e9szeti gy\u00f3gym\u00f3d - a MED-EL \u00e9s az OTOPLAN seg\u00edts\u00e9g\u00e9vel \u00a9MED-EL<\/p><\/div>\n

Kiz\u00e1r\u00f3lag a MED-EL rendelkezik az \u00e1tlagos csig\u00e1t lefed\u0151 hossz\u00fas\u00e1g\u00fa elektr\u00f3d\u00e1kkal. Ez pedig a Standard \u00e9s a Flex-Soft elektr\u00f3da. \u00daj\u00edt\u00e1sk\u00e9nt jelent meg a Flex34 elektr\u00f3da, mely a kifejezetten nagy m\u00e9ret\u0171 csig\u00e1val rendelkez\u0151 CI-felhaszn\u00e1l\u00f3k sz\u00e1m\u00e1ra k\u00e9sz\u00fclt. A m\u0171t\u00e9t megkezd\u00e9se el\u0151tt a seb\u00e9sz az OTOPLAN tervez\u0151szoftver seg\u00edts\u00e9g\u00e9vel v\u00e1lasztja ki a megfelel\u0151 elektr\u00f3d\u00e1t - a CI-technikus, illetve a logop\u00e9dus pedig a szoftverrel hat\u00e1rozza meg, melyik hangter\u00fcletet melyik \u00e9rz\u00e9kel\u0151vel stimul\u00e1lj\u00e1k.<\/p>\n

Egyedi kialak\u00edt\u00e1s\u00fa elektr\u00f3da a tonotopikus megfelel\u0151s\u00e9ghez<\/h2>\n

Ha egy \u00e1tlagos emberi cochle\u00e1t egyenesre ny\u00fajtan\u00e1nk, 32 millim\u00e9ter hossz\u00fa lenne. Ez a m\u00e9ret egy\u00e9nenk\u00e9nt ak\u00e1r 50 sz\u00e1zal\u00e9kkal is elt\u00e9rhet - a csiga hossza 25 \u00e9s 36 millim\u00e9ter k\u00f6z\u00e9 eshet! Sok CI-gy\u00e1rt\u00f3 k\u00fcl\u00f6nb\u00f6z\u0151 hossz\u00fas\u00e1g\u00fa elektr\u00f3d\u00e1kat k\u00edn\u00e1l, azonban a legt\u00f6bb gy\u00e1rt\u00f3 leghosszabb elektr\u00f3d\u00e1i kiz\u00e1r\u00f3lag a csiga els\u0151 fordulat\u00e1t fedik le. Az ilyen t\u00edpus\u00fa elektr\u00f3d\u00e1kkal \u00e9vekbe telhet, mire a k\u00e9sz\u00fcl\u00e9k haszn\u00e1l\u00f3ja megszokja a hangokat - ha egy\u00e1ltal\u00e1n valaha eljut erre a pontra.<\/p>\n

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Egy \u00e1tlagos m\u00e9ret\u0171 csiga teljes lefed\u00e9se Flex-Soft elektr\u00f3d\u00e1val \u00a9MED-EL<\/p><\/div>\n

Ez k\u00fcl\u00f6n\u00f6sen azokat a felhaszn\u00e1l\u00f3kat zavarhatja, akiknek a hall\u00e1sa a m\u00e1sik f\u00fcl\u00fckkel j\u00f3 vagy azzal hagyom\u00e1nyos hall\u00f3k\u00e9sz\u00fcl\u00e9ket haszn\u00e1lnak. Az USA-ban, a f\u00e9loldali sikets\u00e9ggel rendelkez\u0151 CI-haszn\u00e1l\u00f3kkal v\u00e9gzett\u00a0friss tanulm\u00e1ny<\/a>\u00a0eredm\u00e9nyei szerint a hangoknak ez a term\u00e9szetellenes \u00e9rz\u00e9kel\u00e9se a CI-k\u00e9sz\u00fcl\u00e9k aktiv\u00e1l\u00e1s\u00e1t k\u00f6vet\u0151en ak\u00e1r \u00e9vekig fenn\u00e1llhat.<\/p>\n

Ez a tanulm\u00e1ny igazolja kor\u00e1bbi tanulm\u00e1nyok eredm\u00e9nyeit, melyek szerint CI-k\u00e9sz\u00fcl\u00e9kkel \u00e9vekbe telhet a k\u00fcl\u00f6nb\u00f6z\u0151 hangmagass\u00e1gok elsaj\u00e1t\u00edt\u00e1sa - ez az \u00fajratanul\u00e1si folyamat azonban nem mindenkin\u00e9l egyforma.<\/p>\n

Term\u00e9szetes hangz\u00e1s a csiga m\u00e9ret\u00e9t\u0151l f\u00fcggetlen\u00fcl!<\/h2>\n

Az osztr\u00e1k MED-EL az egyetlen CI-gy\u00e1rt\u00f3, amely kell\u0151en hossz\u00fa \u00e9s rugalmas elektr\u00f3d\u00e1kat k\u00edn\u00e1l. Ezek az elektr\u00f3d\u00e1k k\u00e9t fordul\u00f3t fednek le a csig\u00e1ban \u00e9s el\u00e9rnek eg\u00e9szen a csiga cs\u00facs\u00e1ig. A MED-EL m\u00e1r 1994 \u00f3ta gy\u00e1rt 32 millim\u00e9ter hossz\u00fa elektr\u00f3d\u00e1kat!<\/p>\n

Ezzel megoldhat\u00f3 egy \u00e1tlagos m\u00e9ret\u0171 csiga megfelel\u0151 tonotopikus stimul\u00e1l\u00e1sa. A kisebb m\u00e9ret\u0171 csig\u00e1val rendelkez\u0151 p\u00e1ciensek sz\u00e1m\u00e1ra r\u00f6videbb elektr\u00f3d\u00e1k is el\u00e9rhet\u0151k. A MED-EL m\u00e1r t\u00f6bb mint 25 \u00e9ve k\u00e9pes k\u00f6zel term\u00e9szetes hangmagass\u00e1g-\u00e9rz\u00e9kel\u00e9st biztos\u00edtani a CI-k\u00e9sz\u00fcl\u00e9k haszn\u00e1lat\u00e1t tervez\u0151 p\u00e1ciensek 95 sz\u00e1zal\u00e9k\u00e1nak. Ez a mindennapi \u00e9letben a CI-k\u00e9sz\u00fcl\u00e9kkel jobb hall\u00e1st \u00e9s optim\u00e1lis hall\u00e1s\u00e9rz\u00e9kel\u00e9st ny\u00fajt.<\/p>\n

Elektr\u00f3dasor XL m\u00e9ret\u0171 csig\u00e1hoz<\/h2>\n

2023 elej\u00e9n a CI-k\u00e9sz\u00fcl\u00e9k haszn\u00e1lat\u00e1t tervez\u0151 p\u00e1ciensek marad\u00e9k 5,1 sz\u00e1zal\u00e9ka sz\u00e1m\u00e1ra a MED-EL bevezetett egy, az addigiakn\u00e1l m\u00e9g hosszabb elektr\u00f3d\u00e1t. Ez a FLEX 34! 34 millim\u00e9ter hossz\u00fas\u00e1g\u00e1val ez az elektr\u00f3da k\u00e9pes m\u00e9g az XL m\u00e9ret\u0171 csig\u00e1k eset\u00e9ben is a tonotopikusan megfelel\u0151 ingerl\u00e9sre. A CI-m\u0171t\u00e9teket v\u00e9gz\u0151 seb\u00e9szek\u00a0hat, 20 \u00e9s 34 millim\u00e9ter hossz\u00fas\u00e1g k\u00f6z\u00f6tti FLEX elektr\u00f3da<\/a>\u00a0k\u00f6z\u00fcl v\u00e1laszthatj\u00e1k ki a p\u00e1ciens sz\u00e1m\u00e1ra optim\u00e1lis hossz\u00fas\u00e1g\u00fa elektrodasort. A folyamat sor\u00e1n az OTOPLAN tervez\u0151szoftver ny\u00fajt seg\u00edts\u00e9get a seb\u00e9szeknek.<\/p>\n

\"\"

10 cochlea l\u00e1gysz\u00f6vetei 3D ortografikus n\u00e9zetben. Az alaph\u00e1rtya frekvencia t\u00e9rk\u00e9pei Greenwood t\u00e9tel\u00e9nek megfelel\u0151en (1961)<\/p><\/div>\n

Az implant\u00e1tumot igaz\u00edtsuk a p\u00e1cienshez \u00e9s ne ford\u00edtva!<\/h2>\n

Az OTOPLAN<\/a> egyszerre haszn\u00e1lhat\u00f3 DICOM megjelen\u00edt\u0151k\u00e9nt \u00e9s m\u0171t\u00e9ti tervez\u0151szoftverk\u00e9nt a cochle\u00e1ris implant\u00e1tumokhoz \u00e9s a BONEBRIDGE implant\u00e1tumokhoz. A sv\u00e1jci CASCINATION c\u00e9g gy\u00e1rtja. A DICOM megjelen\u00edt\u0151 egy olyan program, amely komputertomogr\u00e1fi\u00e1s (CT) radiol\u00f3giai keresztmetszeti k\u00e9peket, illetve m\u00e1gneses magrezonanci\u00e1s (MR) k\u00e9peket keresztmetszeti n\u00e9zetben \u00e9s 3D n\u00e9zetben mutat meg.<\/p>\n

Az OTOPLAN t\u00f6bb ilyen jelleg\u0171 MR \u00e9s CT k\u00e9p adatait egyetlen kijelz\u0151n jelen\u00edti meg. A cochle\u00e1ris implant\u00e1tum be\u00fcltet\u00e9s\u00e9hez az OTOPLAN tervez\u0151 fel\u00fclet\u00e9t k\u00fcl\u00f6nleges funkci\u00f3kkal eg\u00e9sz\u00edtett\u00e9k ki: Ennek seg\u00edts\u00e9g\u00e9vel a seb\u00e9sz m\u00e9g a m\u0171t\u00e9t megkezd\u00e9se el\u0151tt meghat\u00e1rozhatja az implant\u00e1tum legmegfelel\u0151bb hely\u00e9t, valamint az elektr\u00f3da optim\u00e1lis hossz\u00e1t.<\/p>\n

Szem\u00e9lyre szabott megold\u00e1sok a CI-rendszer aktiv\u00e1l\u00e1sa sor\u00e1n<\/h2>\n

Amennyiben a be\u00fcltet\u00e9st k\u00f6vet\u0151en ism\u00e9t k\u00e9sz\u00fclnek CT- vagy MR-felv\u00e9telek, az OTOPLAN automatikusan felismeri az elektr\u00f3da \u00e9rz\u00e9kel\u0151inek helyzet\u00e9t. Ezt az inform\u00e1ci\u00f3t automatikusan tov\u00e1bb\u00edtja a CI-rendszer illeszt\u0151programj\u00e1hoz, \u00edgy a hangmagass\u00e1gok stimul\u00e1l\u00e1sa minden egyes k\u00e9sz\u00fcl\u00e9khaszn\u00e1l\u00f3 eset\u00e9ben a megfelel\u0151 helyen t\u00f6rt\u00e9nik.<\/p>\n

A megfelel\u0151en kiv\u00e1lasztott elektr\u00f3da az automatikus illeszt\u00e9ssel k\u00f6z\u00f6sen a MED-EL cochle\u00e1ris implant\u00e1tum\u00e1t haszn\u00e1l\u00f3 p\u00e1ciensek sz\u00e1mra lehet\u0151v\u00e9 tesz egy term\u00e9szetesebb frekvencia\u00e1tvitelt \u00e9s egy term\u00e9szetesebb hanglek\u00e9pez\u00e9st.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Szem\u00e9lyre szabott gy\u00f3gym\u00f3d: megfelel\u0151 CI-elektr\u00f3d\u00e1k mindenkinek! Ha a cochle\u00e1ris implant\u00e1tum elektr\u00f3d\u00e1ja t\u00fal r\u00f6vid,<\/p>\n","protected":false},"author":3,"featured_media":31789,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[418],"tags":[],"class_list":["post-25017","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tudomany"],"yoast_head":"\nPontos hangok CI-k\u00e9sz\u00fcl\u00e9kkel - az sem baj, ha a f\u00fcl XL m\u00e9ret\u0171! - Hungary<\/title>\n<meta name=\"description\" content=\"Ha a cochle\u00e1ris implant\u00e1tum elektr\u00f3d\u00e1ja t\u00fal r\u00f6vid, a CI-haszn\u00e1l\u00f3knak ak\u00e1r h\u00e1rom \u00e9vbe is telhet a hangmagass\u00e1g \u00e9rz\u00e9kel\u00e9s\u00e9nek elsaj\u00e1t\u00edt\u00e1sa - ha siker\u00fcl egy\u00e1ltal\u00e1n!\" \/>\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\/pontos-hangok-ci-keszulekkel-az-sem-baj-ha-a-ful-xl-meretu\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pontos hangok CI-k\u00e9sz\u00fcl\u00e9kkel - az sem baj, ha a f\u00fcl XL m\u00e9ret\u0171! 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