{"id":32518,"date":"2026-04-29T11:51:11","date_gmt":"2026-04-29T11:51:11","guid":{"rendered":"https:\/\/lifelonghearing.com\/lt\/?p=32518"},"modified":"2026-04-29T11:51:11","modified_gmt":"2026-04-29T11:51:11","slug":"gera-klausa-nepaisant-sukaulejimo","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/lt\/gera-klausa-nepaisant-sukaulejimo\/","title":{"rendered":"Gera klausa nepaisant sukaul\u0117jimo"},"content":{"rendered":"

Kaip kochleariniai ir kiti klausos implantai padeda sergant otoskleroze<\/h1><\/div>

10\u201315 % \u017emoni\u0173, sergan\u010di\u0173 otoskleroze, nei klausos aparatai, nei stapedoplastika (kilpos operacija) nepadeda atkurti klausos. Tokiais atvejais gera alternatyva gali b\u016bti klausos implantai, da\u017eniausiai \u2013 kochleariniai implantai.<\/strong><\/p>\n

Eva Kohl ir Yi Ge<\/em><\/p>\n<\/div>

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1893 m. Vienos otologas Adamas Politzeris pirm\u0105 kart\u0105 apra\u0161\u0117 otoskleroz\u0119 kaip savaranki\u0161k\u0105 lig\u0105. Ji da\u017eniausiai prasideda per\u0117jimo vietoje tarp vidurin\u0117s ausies kauliuko ir vidin\u0117s ausies \u2013 tarp kilpos ir ovaliojo langelio. Aplink \u0161i\u0105 viet\u0105 formuojasi kaulinis audinys, kuris virsta \u017eel\u0117 primenan\u010dia mase, tod\u0117l vartojamas terminas otospongioz\u0117. Pa\u017eeidimas plinta, strukt\u016bros sukaul\u0117ja ir sustingsta. D\u0117l to palaipsniui atsiranda laidumo tipo klausos praradimas, re\u010diau \u2013 sensorineuralinis klausos sutrikimas. Kartais liga gali baigtis funkciniu ar visi\u0161ku kurtumu.<\/p>\n

Da\u017enai klausa gali b\u016bti pagerinta naudojant \u012fprastus klausos aparatus arba chirurgi\u0161kai pakeitus kilp\u0105 protezu. Ta\u010diau ma\u017edaug vienam i\u0161 septyni\u0173\u2013de\u0161imties pacient\u0173 \u0161ie metodai nepadeda \u2013 tuomet gali b\u016bti taikomi aktyv\u016bs klausos implantai. Otoskleroze sergantiems pacientams vidutini\u0161kai praeina apie 16 met\u0173 nuo pirm\u0173j\u0173 klausos praradimo simptom\u0173 iki rekomendacijos d\u0117l kochlearinio implanto. Kurtumo trukm\u0117 yra svarbi v\u0117lesnei klausos s\u0117kmei su KI. Nors ligos progresavimo implantas nesustabdo, jis padeda i\u0161saugoti klausos nervo funkcij\u0105. Bet kuriuo atveju pacientai gali tik\u0117tis reik\u0161mingo klausos pager\u0117jimo su KI, ypa\u010d jei implantacija atliekama anksti.<\/p>\n

Otoskleroz\u0117s paplitimas, eiga ir poveikis<\/h3>\n

Tipinis otoskleroz\u0117s pacientas yra baltosios ras\u0117s \u017emogus nuo 15 iki 45 met\u0173 am\u017eiaus; vyrai ir kit\u0173 rasi\u0173 \u017emon\u0117s serga re\u010diau. Pirmieji simptomai gali pasireik\u0161ti hormonini\u0173 poky\u010di\u0173 metu \u2013 pavyzd\u017eiui, n\u0117\u0161tumo metu \u2013 po infekcini\u0173 lig\u0173, toki\u0173 kaip tymai, arba po stipraus triuk\u0161mo poveikio. Manoma, kad svarb\u0173 vaidmen\u012f gali tur\u0117ti genetika. \u012edomu tai, kad devyni i\u0161 de\u0161imties \u017emoni\u0173, turin\u010di\u0173 perteklin\u012f kaulinio audinio augim\u0105 smilkinkaulyje aplink vidurin\u0119 aus\u012f, i\u0161lieka visi\u0161kai be simptom\u0173.<\/p>\n

Jei simptomai atsiranda, paprastai pirmiausia pablog\u0117ja \u017eem\u0173 da\u017eni\u0173 gars\u0173 gird\u0117jimas (laidumo tipo klausos praradimas), kuris per metus ar de\u0161imtme\u010dius progresuoja. B\u016bdingas rei\u0161kinys \u2013 parakuzija, pavadinta angl\u0173 gydytojo Thomaso Williso vardu: kalba geriau suprantama triuk\u0161mingoje aplinkoje nei tyloje. Iki tre\u010ddalio pacient\u0173 sukaul\u0117jimas v\u0117liau i\u0161plinta \u012f vidin\u0119 aus\u012f, sukeldamas mi\u0161r\u0173 arba sensorineuralin\u012f klausos praradim\u0105. Sunkus vidin\u0117s ausies sraig\u0117s (lot. cochlea) sukaul\u0117jimas vadinamas kochlearine osifikacija.<\/p>\n

Otoskleroz\u0117 da\u017eniausiai pa\u017eeid\u017eia abi ausis, nors ne visada vienodai. Daugumai \u017emoni\u0173 atsiranda spengimas ausyse (tinitas), o apie 40 % patiria lengv\u0105 galvos svaigim\u0105. 10\u201315 % atvej\u0173 klausos kauliukai i\u0161lieka judr\u016bs. Tta\u010diau audini\u0173 augimas i\u0161skiria med\u017eiagas, kurios pa\u017eeid\u017eia vidin\u0119 aus\u012f ir sukelia sensorineuralin\u012f klausos praradim\u0105 \u2013 tai vadinama vidin\u0117s ausies otoskleroze.<\/p>\n

Implantai \u2013 svarbi gydymo alternatyva!<\/strong><\/h2>\n
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Yi Ge, MED-EL medicinos klausim\u0173 vyresnioji vadov\u0117: \u201eJei nei klausos aparatas, nei stapedektomija nepadeda atkurti klausos, otoskleroze sergantys pacientai da\u017eniausiai gali optimaliai pasinaudoti skirtingomis implant\u0173 sistemomis.\u201c \u00a9 privatus<\/p><\/div>\n

Gydantys LOR gydytojai otoskleroze sergantiems pacientams da\u017enai taiko steb\u0117jimo ir laukimo strategij\u0105. \u012eprasti klausos aparatai skirti lengvam klausos sutrikimui kompensuoti. Pacientams, turintiems ry\u0161k\u0173 laidumo tipo klausos praradim\u0105, stapedektomija da\u017enai duoda ger\u0173 rezultat\u0173: kilpa (lot. stapes<\/em>), viena i\u0161 trij\u0173 vidurin\u0117s ausies kauliuk\u0173, paprastai yra vieta, kur prasideda sukaul\u0117jimas. Atliekant stapedektomij\u0105 ji i\u0161 dalies arba visi\u0161kai pakei\u010diama protezu \u2013 dar vadinamu pasyviu vidurin\u0117s ausies implantu.<\/p>\n

Vis d\u0117lto 10\u201315 % pacient\u0173 nepavyksta atkurti norimos klausos nei su klausos aparatais, nei po operacijos ar j\u0173 derinio. \u201eDeja, kol kas n\u0117ra bendro sutarimo, kaip tokius pacientus gydyti efektyviausiai\u201c, \u2013 ai\u0161kina \u201eMED-EL\u201c medicinos klausim\u0173 vyresnioji vadov\u0117 Yi Ge, MD. \u201eDaugeliu atvej\u0173 \u0161ie pacientai gali optimaliai pasinaudoti skirtingomis implant\u0173 sistemomis.\u201c<\/p>\n

I\u0161 ties\u0173, tarp otoskleroze sergan\u010di\u0173 \u017emoni\u0173 galima rasti tinkam\u0173 kandidat\u0173 beveik kiekvienai implant\u0173 sistemai. Kaulin\u0117s laidumo implantas \u201eBONEBRIDGE\u201c ypa\u010d tinka didelei grupei pacient\u0173, turin\u010di\u0173 gryn\u0105 arba vyraujant\u012f laidumo tipo klausos praradim\u0105. Ta\u010diau jei klausos praradimas atitinka kochlearinio implanto (KI) indikacijas, jis tampa perspektyviausia alternatyva.<\/p>\n

Otoskleroz\u0117s atveju svarbi savalaik\u0117 implantacija!<\/strong><\/p>\n

Otosklerozei b\u016bdingas perteklinis mink\u0161tojo audinio (fibroz\u0117) ir kaulinio audinio (osteogenez\u0117) augimas. Tai gali apsunkinti KI elektrod\u0173 \u012fvedim\u0105 operacijos metu. Tod\u0117l ypa\u010d naudinga planavimo priemon\u0117 \u201eOTOPLAN\u201c, leid\u017eianti chirurgams i\u0161 anksto suplanuoti \u201eMED-EL\u201c klausos sistem\u0173 implantacij\u0105 ir net nustatyti optimal\u0173 elektrod\u0173 laikiklio ilg\u012f. Platus elektrod\u0173 pasirinkimas leid\u017eia individualiai pritaikyti implant\u0105 pagal dar nesukaul\u0117jusios sraig\u0117s dalies ilg\u012f \u2013 taip galima i\u0161saugoti svarbius i\u0161teklius b\u016bsimam kalbos supratimui su KI.<\/p>\n

Otoskleroz\u0117 yra progresuojanti liga, tod\u0117l laikui b\u0117gant progresuoja ir sukeliamas klausos sutrikimas. Kochleariniai implantai, kaip ir klausos aparatai, kilpel\u0117s (stapeso) operacijos ar kiti klausos implantai, yra skirti klausai ir kalbos supratimui pagerinti. Ta\u010diau jie negali sul\u0117tinti ar sustabdyti perteklinio kaulinio audinio augimo. Liga gali ir toliau l\u0117tai vystytis bei tur\u0117ti \u012ftakos ilgalaikiams klausos rezultatams su KI. Nepaisant to, elektrin\u0117 stimuliacija padeda i\u0161saugoti klausos nervo funkcij\u0105 ir u\u017ekirsti keli\u0105 tolesnei jo degeneracijai.\u00b9\u207b\u00b3<\/div>\n

Sergantieji otoskleroze pasiekia ger\u0173 klausos rezultat\u0173 naudojant kochlearinius implantus.\u2074\u207b\u2075 Nors kochleariniai implantai reikalauja priprasti prie gird\u0117jimo ir reabilitacijos, tyrim\u0173 rezultatai rodo, kad KI, kai jie yra indikacij\u0173 pagr\u012fsti, netgi suteikia gerokai didesn\u012f pasitenkinim\u0105 otoskleroze sergantiems pacientams nei kilpel\u0117s (stapeso) rekonstrukcijos. Veiksniai, lemiantys ger\u0105 klaus\u0105 su KI, atrodo tokie patys kaip ir kit\u0173 KI naudotoj\u0173 atveju, nepriklausomai nuo pagrindin\u0117s ligos \u2013 otoskleroz\u0117s; be kita ko, kuo trumpiau pa\u017eeista ausis buvo visi\u0161kai negirdinti, tuo geresni rezultatai. Tod\u0117l sunku suprasti, kod\u0117l otoskleroze sergantys \u017emon\u0117s vidutini\u0161kai turi laukti net 16 met\u0173, kol KI pagaliau i\u0161veda j\u0173 aus\u012f i\u0161 tylos.<\/p>\n

__________________________________________________________________________________________________________<\/p>\n

1 Kopelovich JC, et al., Intracochlear elektrin\u0117 stimuliacija slopina apoptozin\u012f signal\u0105 \u017eiurki\u0173 spiraliniuose ganglijos neuronuose po kurtinimo in vivo. Otolaringolas Galvos Kaklo Sergas. 2013 m. lapkritis; 149(5):745-752. doi: 10.1177 \/0194599813498702.<\/p>\n

2 Chen 1, et al. Cochlear-implant sukeltos elektrin\u0117s stimuliacijos poveikis spiralin\u0117ms ganglijos l\u0105stel\u0117ms \u012fgimtai kur\u010dioms baltoms kat\u0117ms. J Assoc Res Otolaryngol 2010 gruodis; 11 (4):587-603. doi: 10.1007\/s10162-010- 0234-3.<\/p>\n

3 Fallon JB, et al. L\u0117tin\u0117s gaubtin\u0117s \u017earnos elektrin\u0117s stimuliacijos poveikis kat\u0117ms po ilgo gilaus tr\u016bkumo laikotarpio pirminei klausos \u017eiev\u0117s strukt\u016brai. Europos neuromoksl\u0173 leidinys. 2014 m. kovo m\u0117n. 39(5):811-820. doi: 10,1111 \/ejn.12445<\/p>\n

4 Skarzynski PH, et al. Toli i\u0161plitusia Otoskleroze sergan\u010di\u0173 pacient\u0173, kuriems anks\u010diau buvo atlikta kamien\u0173 operacija, Cochlear implantacijos rezultatai. J Int Adv Otol 2024;20(2):101-107. doi:10.5152\/iao.2024.231332<\/p>\n

5 Assiri M, <\/strong>et al. Cochlear implantacija pacientams, sergantiems otoskleroze: sisteming\u0105 klinikini\u0173 charakteristik\u0173 ir rezultat\u0173 per\u017ei\u016br\u0105. Tavo Arkos Otorinolaringolas. <\/em>2022;279(7):3327-3339. doi:10.1007\/s00405- 021-07036-5<\/p>\n

6 Kondo M ir kt. Cochlear Implantacija sergant toli pa\u017eengusia oskleroze: Sistemin\u0117 ap\u017evalga ir metaanaliz\u0117. Laringoskopas. <\/em>2023;133(6):1288-1296. doi: 10.1002\/lary.30386<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

10\u201315 % \u017emoni\u0173, sergan\u010di\u0173 otoskleroze, nei klausos aparatai, nei stapedoplastika (kilpos operacija) nepadeda atkurti klausos. Tokiais atvejais gera alternatyva gali b\u016bti klausos implantai, da\u017eniausiai \u2013 kochleariniai implantai.<\/p>\n","protected":false},"author":10,"featured_media":32586,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411],"tags":[],"class_list":["post-32518","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sveikata"],"yoast_head":"\nGera klausa nepaisant sukaul\u0117jimo - Lithuanian<\/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\/lt\/gera-klausa-nepaisant-sukaulejimo\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gera klausa nepaisant sukaul\u0117jimo - Lithuanian\" \/>\n<meta property=\"og:description\" content=\"10\u201315 % \u017emoni\u0173, sergan\u010di\u0173 otoskleroze, nei klausos aparatai, nei stapedoplastika (kilpos operacija) nepadeda atkurti klausos. 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