{"id":206,"date":"2020-06-02T16:51:02","date_gmt":"2020-06-02T14:51:02","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=206"},"modified":"2025-04-24T06:19:42","modified_gmt":"2025-04-24T06:19:42","slug":"vienpusio-kurtumo-klausos-sprendimai","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/lt\/vienpusio-kurtumo-klausos-sprendimai\/","title":{"rendered":"Vienpusio kurtumo klausos sprendimai"},"content":{"rendered":"

\u012evairi\u0173 klausos sprendim\u0173 palyginimas<\/h1><\/div>

\u017dmon\u0117ms, turintiems vienpus\u012f kurtum\u0105, si\u016blomi \u012fvair\u016bs klausos sprendimai. Pasirinkti gali pad\u0117ti Auk\u0161tutin\u0117s Austrijos Wels-Grieskircheno ligonin\u0117s atlikto tyrimo rezultatai.<\/strong><\/p>\n<\/div>

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Dabartiniai tyrimai rodo, kad \u017emoni\u0173, turin\u010di\u0173 gil\u0173 klausos praradim\u0105 viena ausimi (\u201evienpus\u012f kurtum\u0105\u201c), bendravimo geb\u0117jimai yra prastesni, nei tik\u0117tasi. Stipriausiais sutrikimais laikomi kryptin\u0117s klausos tr\u016bkumas ir ribotas kalbos supratimas triuk\u0161me, po to \u2013 ribota orientacija erdv\u0117je. Tyrimai taip pat parod\u0117, kad pacientai, sergantys vienpusiu kurtumu (sutrumpintai angl. SSD), jau\u010dia didelius suvar\u017eymus profesiniame gyvenime. Netgi naudojimasis telefonu normaliai girdin\u010dia ausimi jiems gali kelti problem\u0173.<\/p>\n

Idealios s\u0117d\u0117jimo vietos pasirinkimas susirinkime ar klas\u0117je yra pirmas \u017eingsnis siekiant palengvinti \u0161iuos sunkumus, taip pat \u012fvairi\u0173 pagalbini\u0173 klausymo ir bendravimo prietais\u0173 naudojimas[1]<\/a>. Norint rasti nuolatin\u012f sprendim\u0105, reik\u0117t\u0173 apsvarstyti galimyb\u0119 \u012fsigyti tinkam\u0105 technin\u012f klausos aparat\u0105. Kandidatams, turintiems vienpus\u012f kurtum\u0105, si\u016blomi CROS klausos aparatai, \u012fprastiniai klausos aparatai, kaulinio laidumo klausos implantai ir kochleariniai implantai.<\/p>\n

CROS (angl. Contralateral Routing of Signal) \u2013 kontralateralinis signalo nukreipimas<\/h2>\n

CROS \u2013 tai klausos aparato, esan\u010dio kur\u010dioje ausyje, kuris priima gars\u0105 i\u0161 tos pus\u0117s, ir antrojo klausos aparato, perduodan\u010dio gars\u0105 \u012f girdin\u010di\u0105j\u0105 aus\u012f, derinys. Garsas gali b\u016bti perduodamas per akinius arba \u2013 \u0161iuolaikini\u0173 technologij\u0173 d\u0117ka \u2013 belaid\u017eiu ry\u0161iu. \u0160is sprendimas naudotojams suteikia galimyb\u0119 gird\u0117ti vis\u0105 gars\u0105, sklindant\u012f \u012f kur\u010di\u0105j\u0105 aus\u012f. Ta\u010diau jie negali nustatyti, i\u0161 kur sklinda garsas. Kalbos supratimas triuk\u0161me yra \u012fvairus ir priklauso nuo konkre\u010dios situacijos: jei pokalbio partneris yra \u0161alia kur\u010diojo ausies, jis gali b\u016bti geriau girdimas. Jei pokalbio partneris yra \u0161alia girdin\u010diosios ausies, bet triuk\u0161mas sklinda i\u0161 kur\u010di\u0173j\u0173 pus\u0117s, naudojant CROS sprendim\u0105 supratimas bus apsunkintas.<\/p>\n

Naudotojai da\u017enai nepastebi teigiamos \u0161io sprendimo naudos. Particularly children often don\u2019t accept having to wear hearing aids in both ears.[2]<\/a> Bone-conduction systems are the further development of CROS systems.<\/p>\n

Kaul\u0173 laidumo naudojimas SSD<\/h2>\n

Kaulinio laidumo sistema d\u0117vima kur\u010dioje ausyje, kur ji priima gars\u0105, paver\u010dia j\u012f vibracijomis ir perduoda \u012f kaukol\u0117s temporalin\u012f kaul\u0105. Kaukol\u0117 perduoda gars\u0105 \u012f prie\u0161ingoje galvos pus\u0117je esan\u010di\u0105 aus\u012f. Kaul\u0173 laidumo sistemas galima suskirstyti \u012f specialius klausos aparatus ir kauluose \u012ftvirtintus klausos implantus. Abi sistemos turi sav\u0173 privalum\u0173 ir tr\u016bkum\u0173.<\/p>\n

Apskritai \u0161is sprendimas veikia perduodant garso signal\u0105 \u012f girdin\u010di\u0105j\u0105 vidin\u0119 aus\u012f, imituojant CROS efekt\u0105, ta\u010diau naudojant tik vien\u0105 klausos aparat\u0105. Naudotojai prane\u0161a, kad j\u0173 klausa pager\u0117jo, nors jie negali naudotis binauraline klausa: Taip yra tod\u0117l, kad visas garsas yra sujungiamas ir pateikiamas tik vienai pusei.<\/p>\n

Kochlearinis implantas visi\u0161kam klausos atk\u016brimui SSD<\/h2>\n
\"SSD

Vienpusi\u0161kai kur\u010di\u0173 \u017emoni\u0173, turin\u010di\u0173 klausos implant\u0105, gyvenimo kokyb\u0117 labai pager\u0117ja. \u00a9MED-EL<\/p><\/div>\n

Kochlearinis implantas (CI) apeina neveikian\u010di\u0105 vidin\u0119 aus\u012f ir tiesiogiai stimuliuoja klausos nervo neuronines strukt\u016bras. Kad kochlearinis implantas duot\u0173 visapusi\u0161k\u0105 naud\u0105, rekomenduojama klausos reabilitacija, o vaikams \u2013 ankstyvas klausos lavinimas su logopedu.<\/p>\n

Vienpus\u012f kurtum\u0105 turintiems CI naudotojams gali prireikti \u0161iek tiek daugiau laiko, kol j\u0173 centrin\u0117 klausa teisingai supras garso signal\u0105. Taip yra d\u0117l to, kad klausos ausis per\u0117m\u0117 vis\u0105 klausos darb\u0105. \u017dmoni\u0173, ilgai sirgusi\u0173 vienpusiu kurtumu, smegen\u0173 \u017eiev\u0117s sritys[3]<\/a> gal\u0117jo persitvarkyti. Tai gali pailginti klausos reabilitacijos proces\u0105. Jei iki kurtumo prad\u017eios binauralini\u0173 geb\u0117jim\u0173 nebuvo, rekomenduojama atlikti specialius gars\u0173 lokalizacijos ir kalbos supratimo triuk\u0161me pratimus. Did\u017eiausias kochlearinio implanto prana\u0161umas, palyginti su sistemomis, naudojan\u010diomis kaulin\u012f laidum\u0105, yra tas, kad jis gali elektroniniu b\u016bdu atkurti kur\u010dios ausies klausos geb\u0117jimus, taip suteikdamas pagrind\u0105 visi\u0161kam dvibalsiam gird\u0117jimui.<\/p>\n

Sistem\u0173 palyginimas \u2013 pirmasis tyrimas<\/h2>\n

2015 m. Welso-Grieskircheno (Austrija) LOR klinikos specialistai, vadovaujami vyriausiojo gydytojo Tomo Georgo Keintzelio[4]<\/a>, atliko tyrim\u0105, kuriame palygino vienpus\u012f kurtum\u0105 turin\u010dius pacientus, naudojan\u010dius CI, su SSD pacientais, naudojan\u010diais pusiau implantuojam\u0105 kaulin\u012f klausos implant\u0105 \u201eBONEBRIDGE\u201c. Pacientams buvo tikrinama, ar jie supranta kalb\u0105 triuk\u0161me ir nustato garso viet\u0105. Be to, specialiame klausimyne buvo vertinamas subjektyvus gyvenimo kokyb\u0117s pager\u0117jimas implantavus implant\u0105.<\/p>\n

Rezultatai parod\u0117, kad abiej\u0173 sistem\u0173 naudotojai geriau suprato kalb\u0105 triuk\u0161me ir pagerino gyvenimo su klausos implantais kokyb\u0119. Tyrimo metu pasteb\u0117tas ry\u0161kus kryptin\u0117s klausos skirtumas. Naudotojai, turintys kochlearinius implantus, surinko gerokai daugiau ta\u0161k\u0173 nei grup\u0117 su kauliniais klausos implantais. Abi grup\u0117s prane\u0161\u0117 apie akivaizd\u017eiai pager\u0117jusi\u0105 gyvenimo kokyb\u0119.<\/p>\n

Klausos sprendimai: klinikin\u0117 patirtis<\/h2>\n

Renkantis implant\u0173 sistem\u0105 pacientui, Thomas Keintzelis rekomenduoja \u012fvertinti, ar siekiama \u201etik pagerinti kalbos supratim\u0105 triuk\u0161me, ar ir kryptin\u0119 klaus\u0105 bei orientacij\u0105 erdv\u0117je\u201c.<\/p>\n

S\u0117kmingai naudojant \u201eBonebridge\u201c implant\u0105 SSD naudotojams reikia gerai gird\u0117ti prie\u0161inga ausimi. Nedidel\u0117s reabilitacijos pastangos ir ai\u0161kus kalbos supratimo triuk\u0161me pager\u0117jimas yra argumentai \u201eBonebridge\u201c naudai, o ribota kryptin\u0117 klausa kalba prie\u0161 j\u012f.<\/p>\n

Thomas Keintzel paai\u0161kina: \u201eKad SSD kochlearinis implantas b\u016bt\u0173 s\u0117kmingas, kurtumo prad\u017eia turi b\u016bti ne senesn\u0117 nei prie\u0161 de\u0161imt met\u0173.\u201c Pacientai turi b\u016bti pasiry\u017e\u0119 reabilituotis ir tur\u0117ti reali\u0173 l\u016bkes\u010di\u0173. Jei jie sutiks su \u0161iais kriterijais, tik\u0117tina, kad SSD pacientams, turintiems CI, akivaizd\u017eiai pager\u0117s kalbos supratimas triuk\u0161mingoje aplinkoje. Be to, jie gali atgauti kryptin\u0119 klaus\u0105 ir geriau orientuotis erdv\u0117je.<\/p>\n

\n

[1]<\/a> Lieu J. E. C., Vaik\u0173, turin\u010di\u0173 viena\u0161al\u012f klausos praradim\u0105, valdymas, Otolaryngol Clin N Am, 2015, http:\/\/dx.doi.org\/10.1016\/j.otc.2015.07.006.<\/p>\n

[2]<\/a> kaip1<\/sup><\/p>\n

[3]<\/a> \u017dr. Geros klausos, implantuojam\u0173 klausos sistem\u0173 tyrimai \u2013 pokalbis su prof. dr. Andrej Kral, paimtas i\u0161: Schnecke, 82 leidimas, p. 2013 m. gruod\u017eio 11 d<\/p>\n

[4]<\/a> \u017dr. straipsn\u012f leidinyje\u00a0hear to read<\/em>, specialusis leidinys, 2015 m. balandis, p. 30 ir toliau.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

\u017dmon\u0117ms, turintiems vienpus\u012f kurtum\u0105, si\u016blomi \u012fvair\u016bs klausos sprendimai. Pasirinkti gali pad\u0117ti Auk\u0161tutin\u0117s Austrijos Wels-Grieskircheno ligonin\u0117s atlikto tyrimo rezultatai.<\/p>\n","protected":false},"author":5,"featured_media":32090,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[418],"tags":[419,412,420],"class_list":["post-206","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mokslas","tag-bilateral","tag-hearing-implants","tag-unilateral-hearing-loss"],"yoast_head":"\nVienpusio kurtumo klausos sprendimai - Lithuanian<\/title>\n<meta name=\"description\" content=\"\u017dmon\u0117ms, turintiems vienpus\u012f kurtum\u0105, si\u016blomi \u012fvair\u016bs klausos sprendimai. 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