{"id":20575,"date":"2022-07-04T08:00:33","date_gmt":"2022-07-04T06:00:33","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=20575"},"modified":"2025-04-23T12:36:45","modified_gmt":"2025-04-23T12:36:45","slug":"klausos-aparatas-ar-klausos-implantas","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/lt\/klausos-aparatas-ar-klausos-implantas\/","title":{"rendered":"Klausos aparatas ar klausos implantas?"},"content":{"rendered":"

Kada klausos implantai yra geresnis sprendimas nei klausos aparatai?<\/h1><\/div>

Klausos implant\u0173 ir \u012fprastini\u0173 klausos aparat\u0173 naudojimo rezultatai nuolat ger\u0117ja, o \u0161i\u0173 skirting\u0173 sistem\u0173 naudojimo ribos nuolat kinta.<\/strong><\/p>\n<\/div>

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\u201eMa\u017edaug 19 proc. gyventoj\u0173 ken\u010dia nuo klausos praradimo, kur\u012f reikia gydyti\u201c, \u2013 ai\u0161kina Wels-Grieskircheno klinikos LOR skyriaus vyriausiasis gydytojas Thomas Keintzel. \u201eGydymas klausos aparatu \u010dia vis dar yra auksinis standartas.\u201c \u012eprastiniai klausos aparatai sustiprina gars\u0105 (priklausomai nuo garso auk\u0161\u010dio ir garsumo), kad naudotojas gal\u0117t\u0173 j\u012f geriau suvokti. Ta\u010diau naudotojai netur\u0117t\u0173 sustoti: \u201eBe prietais\u0173 palaikymo, mokymas tapo esminiu s\u0117km\u0117s veiksniu.\u201c<\/p>\n

Ta\u010diau yra tam tikr\u0173 medicinini\u0173 b\u016bkli\u0173, d\u0117l kuri\u0173 sunku arba ne\u012fmanoma s\u0117kmingai naudoti \u012fprastini\u0173\u00a0klausos aparat\u0173<\/a>. Pavyzd\u017eiui, susiaur\u0117j\u0119s arba nuolatinis ausies kanalo u\u017edegimas, vidurin\u0117s ausies kaul\u0117tumas arba vidurin\u0117s ausies kaul\u0173 nykimas. Kai kuriais atvejais gali pad\u0117ti operacija, ta\u010diau 75 proc. vis\u0173 problem\u0173 tenka naudoti klausos aparat\u0105, teigia Prim. Keintzel. \u201eTa\u010diau kaulinio laidumo ir aktyv\u016bs vidurin\u0117s ausies implantai tapo vertinga alternatyva \u012fprastiniams klausos aparatams.\u201c<\/p>\n

Kai vien stiprinimo nepakanka<\/h2>\n

Audiologiniu po\u017ei\u016briu \u012fprasti klausos aparatai pasiekia savo ribas, kai stipriai pa\u017eeid\u017eiama vidin\u0117 ausis. Vidin\u0117 ausis ne tik paver\u010dia garso virpesius nerviniais signalais, bet ir atlieka funkcij\u0105, kuri beveik prilygsta i\u0161ankstiniam \u201estiprintuvui\u201c. Tai vadinama vidin\u0117s ausies suspaudimu. Praradus sensorin\u0119 klaus\u0105, \u0161is geb\u0117jimas palaipsniui prarandamas. Tod\u0117l klausos aparatai turi labiau sustiprinti \u0161velnius garsus nei garsius.<\/p>\n

\u0160is suspaudimo praradimas sutrikusios klausos ausyje sukelia \u201edinamin\u012f susilpn\u0117jim\u0105\u201c. Skirtumas tarp \u0161velniausio garso (kuris vos girdimas) ir stipriausio garso (skausmo pli\u016bpsnis) tampa vis ma\u017eesnis. D\u0117l to prarandamas kontrastas tarp skirting\u0173 akustini\u0173 signal\u0173: naudotojas vis dar visk\u0105 girdi su stiprintuvu, ta\u010diau tam tikri garsai, kalbos supratimas ir pokalbiai tampa vis labiau varginantys, nepaisant klausos aparato.<\/p>\n

Sutrikusi ausis taip pat patiria laiko skiriamosios gebos poky\u010dius (vadinam\u0105j\u012f \u201eklausos maskavim\u0105\u201c), kai vyraujantis garsas u\u017ego\u017eia \u0161velnesn\u012f gars\u0105. Visi \u0161ie poveikiai kartu rei\u0161kia, kad nuo ma\u017edaug 50 decibel\u0173 klausos praradimo kalba triuk\u0161mingoje aplinkoje tampa vis ma\u017eiau ai\u0161ki, net ir naudojant klausos aparatus.[1]<\/a><\/p>\n

\u0160iuolaikin\u0117s technologijos \u012fprastiniuose klausos aparatuose padeda<\/h2>\n

\u012eprastiniai klausos aparatai \u012fvairiais triukais pagerina akustin\u012f kontrast\u0105, o pagrindinis d\u0117mesys visada skiriamas kalbos supratimui. Da\u017eni\u0173 filtrai naudojami siekiant nuslopinti garsus, kurie n\u0117ra b\u016btini kalbai panaikinti arba kuriuose gali b\u016bti daug foninio triuk\u0161mo. Triuk\u0161mo slopinimas tiria kiekvien\u0105 garso auk\u0161\u010dio segment\u0105, ar jame n\u0117ra kalbos signal\u0173, ir atitinkamai j\u012f sustiprina arba nutildo. Kryptini\u0173 mikrofon\u0173 sistemos apdoroja garsus numanoma pa\u0161nekovo kryptimi. Visos \u0161ios funkcijos taip pat integruotos \u012f klausos implant\u0173 garso procesorius.<\/p>\n

Nuolat tobul\u0117jan\u010dios kalbos gerinimo technologijos leid\u017eia net ir tiems naudotojams, kuri\u0173 vidin\u0117s ausies funkcija labai sutrikusi, suprasti kalb\u0105 naudojant klausos aparatus. Tam tikru metu net ir dabartiniai geriausi klausos aparatai pasiekia savo ribas. Prim. Keinzel turi patarim\u0105 pacientams, kurie nebesijau\u010dia geriau: \u201eTokiu atveju, norint pagerinti kalbos supratim\u0105, galima naudoti tiesiogin\u0119 elektrin\u0119 stimuliacij\u0105 per kochlearin\u012f implant\u0105.\u201c<\/p>\n

Svarbiausia suprasti kalb\u0105!<\/h2>\n

\u201eBe nuolatinio techninio klausos aparat\u0173 ir klausos implant\u0173 tobulinimo, pasikeit\u0117 ir indikacij\u0173 ribos\u201c, \u2013 apib\u016bdina Prim. Keintzel. Jei kalbos supratimas, bendravimas ir gera gyvenimo kokyb\u0117 \u012fmanomi naudojant klausos aparatus, operacija ma\u017eai pateisinama. Be to, norint gird\u0117ti su klausos implantu (arba KI), reikalingas pratyb\u0173 etapas: centrin\u0117 klausos sistema turi i\u0161mokti atitinkamai konvertuoti techni\u0161kai generuojamus signalus.<\/p>\n

\u201eEsminis sprendimo kriterijus gali b\u016bti kalbos supratimas su klausos aparatu.\u201c Apskritai, jei kalbos supratimas su gerai pritaikytais klausos aparatais yra prastesnis, nei b\u016bt\u0173 galima tik\u0117tis su KI, rekomenduojama implantacija. Ta\u010diau pirmiausia reikia \u012fsitikinti, kad klausos aparatas yra optimaliai pritaikytas ir tinkamas naudotojui.<\/p>\n

Jei KI naudotojas vis dar naudoja kitos pus\u0117s klausos aparat\u0105, gydytojas patars implantuoti antrosios pus\u0117s implant\u0105, jei klausos aparatas nepadeda geriau suprasti kalbos.<\/p>\n

Vaik\u0173 klausos ir kalbos raida yra lemiamas veiksnys. \u201eKalbant apie vaikus, kurie gim\u0117 kur\u010dnebyliais arba kur\u010dnebyliais tapo prie\u0161 i\u0161mokdami kalb\u0105, priimant \u0161\u012f sprendim\u0105 reikia atsi\u017evelgti \u012f daugel\u012f veiksni\u0173, toki\u0173 kaip vaiko raidos etapas, komunikaciniai geb\u0117jimai ir kt.\u201c, \u2013 pabr\u0117\u017eia Prim.Keintzel. \u201eBet kokiu atveju vienpusi\u0161kai kurtiems vaikams, gimusiems vienpusi\u0161kai kurtiems, t\u0117vai tur\u0117t\u0173 \u017einoti apie vienpus\u0117s klausos tr\u016bkumus \u2013 prastesn\u012f kalbos supratim\u0105 triuk\u0161mingoje aplinkoje, kryptin\u0117s klausos nebuvim\u0105 ir visa tai jautriu kalbos \u012fsisavinimo laikotarpiu.\u201c<\/p>\n

Ko tik\u0117tis i\u0161 kochlearinio implanto<\/h2>\n

KI apeina vidin\u0117s ausies defektus ir tiesiogiai stimuliuoja klausos organo nervin\u0119 strukt\u016br\u0105. Klausos centras turi i\u0161mokti interpretuoti \u0161iuos dirbtinius signalus, tod\u0117l naudotojui reikia reabilitacijos ir praktikos. 2021 m. Austrijos LOR kongrese Prim.Keintzel pademonstravo s\u0117kming\u0105 kochlearin\u0119 implantacij\u0105. [2]<\/a> Po vieneri\u0173 met\u0173 nuo KI aktyvavimo trys ketvirtadaliai vis\u0173 naudotoj\u0173 supranta taip pat gerai, kaip ir tipi\u0161ki klausos negali\u0105 turintys asmenys, kuri\u0173 klausos praradimas yra 50 decibel\u0173. \u201eTaigi kalbos supratimo praradimas, kurio galima tik\u0117tis pritaikius KI, yra ne didesnis nei vidutinio laipsnio klausos praradimo atveju\u201c, \u2013 taip pat ir asmenims, kurie anks\u010diau buvo visi\u0161kai kurtieji.<\/p>\n

Tame pa\u010diame renginyje Erlangeno LOR universitetin\u0117s ligonin\u0117s vyresnysis gydytojas Prof. Dr. Ulrichas Hoppe (Ulrich Hoppe) parod\u0117 KI ir klausos aparat\u0173 naudotoj\u0173 kalbos supratimo palyginim\u0105. Dauguma KI naudotoj\u0173 supranta kalb\u0105 triuk\u0161mingoje aplinkoje taip pat, kaip ir pacientai, turintys 25-50 decibel\u0173 klausos praradim\u0105 su klausos aparatais. Ties\u0105 sakant, visi KI naudotojai supranta geriau nei tipi\u0161ki klausos aparat\u0173 naudotojai, kuri\u0173 klausos praradimas yra 65 decibelai.<\/p>\n

Kandidatui \u012f KI visada svarbu kruop\u0161\u010diai apsvarstyti jo kandidat\u016br\u0105, ta\u010diau taip pat svarbu greitai priimti sprendim\u0105. Patyr\u0119s LOR specialistas Keintzel paai\u0161kina, kod\u0117l: \u201eAnkstyva kochlearin\u0117 implantacija sutrumpina reabilitacijos laik\u0105 ir yra susijusi su geresniais veiklos rezultatais bei reik\u0161mingai geresne gyvenimo kokybe.\u201c<\/p>\n

Daugiau audiologin\u0117s informacijos ir i\u0161sami\u0173 kriterij\u0173 \u0161ia tema \u017er: Keintzel T, Limits of conventional hearing aid provision, Jatros Pneumologie & HNO, Universimed-Verlag, 01\/2022, p. 34-36.<\/em><\/p>\n

\n

[1]<\/a>\u00a0Wardegna et al, 2015<\/p>\n

[2]<\/a>\u00a0Daten nach Reichell 2015, aus: Kie\u00dfling et al; Versorgung mit H\u00f6rger\u00e4ten und H\u00f6rimplantaten; Thieme-Verlag 2018; ISBN 978-3-13-240200-3<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

Klausos implant\u0173 ir \u012fprastini\u0173 klausos aparat\u0173 naudojimo rezultatai nuolat ger\u0117ja, o \u0161i\u0173 skirting\u0173 sistem\u0173 naudojimo ribos nuolat kinta.<\/p>\n","protected":false},"author":4,"featured_media":31917,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[418],"tags":[417,421,412],"class_list":["post-20575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mokslas","tag-ci","tag-ci-and-hearing-aid","tag-hearing-implants"],"yoast_head":"\nKlausos aparatas ar klausos implantas? - Lithuanian<\/title>\n<meta name=\"description\" content=\"Pasiekimai, susij\u0119 su klausos aparatais ir klausos implantais, nuolat kinta. 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