{"id":206,"date":"2020-06-02T16:51:02","date_gmt":"2020-06-02T14:51:02","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=206"},"modified":"2025-04-19T13:14:02","modified_gmt":"2025-04-19T13:14:02","slug":"dzirdes-risinajumi-vienpusejam-kurlumam","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/lv\/dzirdes-risinajumi-vienpusejam-kurlumam\/","title":{"rendered":"Dzirdes Risin\u0101jumi Vienpus\u0113jam Kurlumam"},"content":{"rendered":"

Da\u017e\u0101du dzirdes risin\u0101jumu sal\u012bdzin\u0101jums<\/h1><\/div>

Cilv\u0113kiem ar vienpus\u0113ju kurlumu pieejami da\u017e\u0101di dzirdes risin\u0101jumi. Austrijas Aug\u0161\u0113j\u0101s slimn\u012bcas Vels-Grieskirhen\u0113 p\u0113t\u012bjuma rezult\u0101ti var pal\u012bdz\u0113t Jums izdar\u012bt izv\u0113li.<\/strong><\/p>\n<\/div>

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Pa\u0161reiz\u0113jie p\u0113t\u012bjumi liecina, ka cilv\u0113ku sazi\u0146as sp\u0113jas ar smagu dzirdes zudumu vien\u0101 aus\u012b (\u201cvienpus\u0113ju kurlumu\u201d) ir slikt\u0101kas, nek\u0101 var\u0113tu \u0161\u0137ist. Virziena dzirdes tr\u016bkums un ierobe\u017eota runas izpratne troksn\u012b tiek uzskat\u012bti par vissp\u0113c\u012bg\u0101kajiem trauc\u0113jumiem, kam seko ierobe\u017eota telpisk\u0101 orient\u0101cija. P\u0113t\u012bjumi ar\u012b liecina, ka pacienti ar vienpus\u0113ju kurlumu (sa\u012bsin\u0101jum\u0101 \u2014 SSD) sav\u0101 profesion\u0101laj\u0101 dz\u012bv\u0113 izj\u016bt iev\u0113rojamus ierobe\u017eojumus. Pat t\u0101lru\u0146a lieto\u0161ana ar norm\u0101li dzirdo\u0161o ausi var rad\u012bt probl\u0113mas.<\/p>\n

Ide\u0101l\u0101s s\u0113dvietas izv\u0113le san\u0101ksm\u0113 vai klas\u0113 ir pirmais solis ce\u013c\u0101 uz \u0161o probl\u0113mu atvieglo\u0161anu, t\u0101pat k\u0101 da\u017e\u0101du dzirdes pal\u012bgl\u012bdzek\u013cu un sakaru ier\u012b\u010du izmanto\u0161ana[1]<\/a>. Lai pan\u0101ktu past\u0101v\u012bgu risin\u0101jumu, j\u0101apsver iesp\u0113ja izmantot atbilsto\u0161u tehnisko dzirdes ier\u012bci. Kandid\u0101tiem ar vienpus\u0113ju kurlumu ir pieejami CROS dzirdes apar\u0101ti, parastie dzirdes apar\u0101ti un kaulu p\u0101rvades dzirdes implanti, k\u0101 ar\u012b kohle\u0101rie implanti.<\/p>\n

CROS \u2013 Kontrlater\u0101ra Sign\u0101la Virz\u012b\u0161ana<\/h2>\n

CROSS ir dzirdes apar\u0101ta kombin\u0101cija nedzird\u012bgaj\u0101 aus\u012b, kas uztver ska\u0146u \u0161aj\u0101 pus\u0113, un otrs dzirdes apar\u0101ts, kas p\u0101rraida ska\u0146u uz dzird\u012bgo ausi. Ska\u0146u var p\u0101rraid\u012bt ar bri\u013c\u013cu pal\u012bdz\u012bbu vai \u2013 pateicoties modernaj\u0101m tehnolo\u0123ij\u0101m \u2013 ar bezvadu pal\u012bdz\u012bbu. \u0160is risin\u0101jums nodro\u0161ina lietot\u0101jiem visu ska\u0146u, kas sasniedz nedzird\u012bgo ausi. Tom\u0113r vi\u0146i nevar noteikt, no kurienes n\u0101k ska\u0146a. Runas izpratne troksn\u012b ir daudzveid\u012bga un atkar\u012bga no konkr\u0113t\u0101s situ\u0101cijas: ja sarunas partneris atrodas blakus nedzird\u012bgajai ausij, vi\u0146\u0161 vai vi\u0146a var tikt lab\u0101k sadzird\u0113ts. Ja sarunas partneris atrodas blakus dzird\u012bgajai ausij, bet no nedzird\u012bg\u0101s puses n\u0101k troksnis, sapra\u0161ana ar CROS risin\u0101jumu b\u016bs apdraud\u0113ta.<\/p>\n

Lietot\u0101ji bie\u017ei palai\u017e gar\u0101m \u0161\u012b risin\u0101juma pozit\u012bv\u0101s priek\u0161roc\u012bbas. It \u012bpa\u0161i b\u0113rni bie\u017ei nepiekr\u012bt, ka ab\u0101s aus\u012bs j\u0101n\u0113s\u0101 dzirdes apar\u0101ti.[2]<\/a> CROS sist\u0113mu t\u0101l\u0101ka att\u012bst\u012bba ir kaula p\u0101rvades sist\u0113ma.<\/p>\n

Kaula p\u0101rvades izmanto\u0161ana SSD gad\u012bjum\u0101<\/h2>\n

Nedzird\u012bgaj\u0101 aus\u012b ir iestiprin\u0101ta kaula p\u0101rvades sist\u0113ma, kur t\u0101 uztver ska\u0146u, p\u0101rv\u0113r\u0161 to vibr\u0101cij\u0101s un p\u0101rnes to uz galvaskausa deni\u0146u kaulu. Galvaskauss p\u0101rnes ska\u0146u uz funkcion\u0113jo\u0161o ausi galvas pret\u0113j\u0101 pus\u0113. Kaulu p\u0101rvades sist\u0113mas var iedal\u012bt speci\u0101los dzirdes apar\u0101tos un kaulam piesaist\u012btos dzirdes implant\u0101tos. Ab\u0101m sist\u0113m\u0101m ir savi plusi un m\u012bnusi.<\/p>\n

Kopum\u0101 \u0161is risin\u0101jums darbojas, raidot ska\u0146as sign\u0101lu uz dzirdes iek\u0161\u0113jo ausi, imit\u0113jot CROS efektu, bet izmantojot tikai vienu dzirdes ier\u012bci. Lietot\u0101ji zi\u0146o par uzlabotu dzirdi, lai gan vi\u0146i nevar g\u016bt labumu no binaur\u0101las dzirdes: tas ir t\u0101p\u0113c, ka visa ien\u0101ko\u0161\u0101 ska\u0146a tiek nodota tikai caur vienu pusi.<\/p>\n

Kohle\u0101rais implants pilnai dzirdes atjauno\u0161anai SSD gad\u012bjumos<\/h2>\n
\"SSD

Dz\u012bves kvalit\u0101te iev\u0113rojami uzlabojas vienpus\u0113ji nedzird\u012bgiem cilv\u0113kiem ar dzirdes implantu. \u00a9MED-EL<\/p><\/div>\n

Kohle\u0101rais implants (CI) apiet nefunkcion\u0113jo\u0161o iek\u0161\u0113jo ausi un tie\u0161i stimul\u0113 dzirdes nerva neironu strukt\u016bras. Lai g\u016btu labumu no kohle\u0101r\u0101 implanta piln\u012bb\u0101, ir ieteicama dzirdes rehabilit\u0101cija un b\u0113rniem agr\u012bna dzirdes apm\u0101c\u012bba ar runas valodas terapeitu.<\/p>\n

Kohle\u0101r\u0101 implanta lietot\u0101jiem ar vienpus\u0113ju kurlumu var paiet nedaudz ilg\u0101ks laiks, l\u012bdz to centr\u0101l\u0101 dzirde sp\u0113j pareizi saprast ska\u0146as sign\u0101lu. Tas skaidrojams ar to, ka dzirdo\u0161\u0101 auss p\u0101r\u0146em visu dzirdes darbu. Cilv\u0113kiem ar ilgu vienpus\u0113ju kurlumu smadze\u0146u kortik\u0101l\u0101s zonas [3]<\/a> var\u0113tu b\u016bt p\u0101rk\u0101rtoju\u0161\u0101s. Tas var paildzin\u0101t dzirdes rehabilit\u0101cijas procesu. Ja pirms kurluma iest\u0101\u0161an\u0101s nav biju\u0161as binaur\u0101las sp\u0113jas, ieteicams veikt \u012bpa\u0161us vingrin\u0101jumus ska\u0146as virziena noteik\u0161anai un runas izpratnei troksn\u012b. Kohle\u0101r\u0101 implanta liel\u0101 priek\u0161roc\u012bba sal\u012bdzin\u0101jum\u0101 ar sist\u0113m\u0101m, kas izmanto kaula p\u0101rvadi, ir t\u0101 sp\u0113ja elektroniski atjaunot dzirdes sp\u0113jas nedzird\u012bgaj\u0101 aus\u012b, t\u0101d\u0113j\u0101di nodro\u0161inot pamatu piln\u012bgi binaur\u0101lai dzirdei.<\/p>\n

Sist\u0113mu sal\u012bdzin\u0101jums \u2013 pirmais p\u0113t\u012bjums<\/h2>\n

2015. gada p\u0113t\u012bjum\u0101 eksperti, kas bija iesaist\u012bti LOR kl\u012bnik\u0101 Vels-Gr\u012bzkirhen\u0113 (Austrij\u0101), kuru vad\u012bja galvenais \u0101rsts Tomass D\u017eord\u017es Keincels \/Thomas Georg Keintzel\/[4]<\/a>, sal\u012bdzin\u0101ja pacientus ar vienpus\u0113ju kurlumu, kas izmanto kohle\u0101ro implantu ar vienpus\u0113ja kurluma pacientiem, kuri lietoja da\u013c\u0113ji implant\u0113jamu kaula stiprin\u0101juma BONEBRIDGE dzirdes implantu. Pacientiem p\u0101rbaud\u012bja runas izpratni troksn\u012b un ska\u0146as virziena noteik\u0161anu. Turkl\u0101t subjekt\u012bvi uzlabojumi vi\u0146u dz\u012bves kvalit\u0101t\u0113 ar implantu tika v\u0113rt\u0113ti \u012bpa\u0161\u0101 anket\u0101.<\/p>\n

Rezult\u0101ti liecina, ka abu sist\u0113mu lietot\u0101ji ar dzirdes implantiem ir ieguvu\u0161i lab\u0101ku runas izpratni troksn\u012b un augst\u0101ku dz\u012bves kvalit\u0101ti ar dzirdes implantiem. P\u0113t\u012bjum\u0101 bija nov\u0113rojama iev\u0113rojama at\u0161\u0137ir\u012bba virziena noteik\u0161an\u0101 ar dzirdi. Lietot\u0101jiem ar kohle\u0101ro implantu bija iev\u0113rojami lab\u0101ki rezult\u0101ti, nek\u0101 grupai ar kaulam piesaist\u012btiem dzirdes implantiem. Abas grupas zi\u0146oja par ac\u012bmredzamu dz\u012bves kvalit\u0101tes uzlabo\u0161anos.<\/p>\n

Dzirdes risin\u0101jumi: kl\u012bnisk\u0101 pieredze<\/h2>\n

Izv\u0113loties implantu sist\u0113mu pacientam, Tomass Keincels \/Thomas Keintzel\/ iesaka izv\u0113rt\u0113t, vai m\u0113r\u0137is ir \u201ctikai uzlabot runas izpratni trok\u0161\u0146ainos apst\u0101k\u013cos vai ar\u012b tiekties p\u0113c virziena dzirdes un telpisk\u0101s orient\u0101cijas\u201d.<\/p>\n

Veiksm\u012bgai Bonebridge implanta lieto\u0161anai vienpus\u0113ji kurliem lietot\u0101jiem ir nepiecie\u0161ama laba dzirde kontrlater\u0101raj\u0101 aus\u012b. Neliels rehabilit\u0101cijas darbs un skaidra runas sapratnes uzlabo\u0161an\u0101s trok\u0161\u0146ain\u0101 vid\u0113 ir argumenti par labu Bonebridge un ierobe\u017eota virziena dzirde ir pret to.<\/p>\n

Tomass Keincels \/Thomas Keintzel\/ skaidro: \u201cLai sasniegtu pan\u0101kumus ar kohle\u0101ru implantu SSD, kurlumam nevajadz\u0113tu b\u016bt biju\u0161am ilg\u0101kam par desmit gadiem. Pacientiem ir j\u0101b\u016bt ap\u0146\u0113m\u012bbas pilniem veikt rehabilit\u0101ciju, un vi\u0146iem ir j\u0101apzin\u0101s re\u0101listiskas cer\u012bbas. Ja vi\u0146i pie\u0146em \u0161os krit\u0113rijus, SSD pacientiem ar kohle\u0101ro implantu, visticam\u0101k, b\u016bs skaidri redzami uzlabojumi runas izpratnes zi\u0146\u0101 ska\u013c\u0101 vid\u0113. Turkl\u0101t vi\u0146i var atg\u016bt savu virziena dzirdi un g\u016bt labumu no uzlabotas telpisk\u0101s orient\u0101cijas.<\/p>\n

\n

[1]<\/a> Lieu J. E. C., B\u0113rnu ar vienpus\u0113ju dzirdes zudumu vad\u012bba, Otolaringolo\u0123ijas kl\u012bnika N Am, 2015, http:\/\/dx.doi.org\/10.1016\/j.otc.2015.07.006.<\/p>\n

[2]<\/a> tas pats, kas\u00a01<\/sup><\/p>\n

[3]<\/a> Skat\u012bt \u201cP\u0113t\u012bjums par labu dzirdi, implant\u0113jamas dzirdes sist\u0113mas\u201d \u2013 intervija ar Prof. Dr. Andreju Kralu \/Andrej Kral\/, \u0146emts no : Schnecke, izdevums 82, p. 11f, 2013.gada decembris<\/p>\n

[4]<\/a> Skatiet Rakstu\u00a0dzird\u0113t lai las\u012btu<\/em>, atsevi\u0161\u0137ais izdevums 2015.gada apr\u012blis, p. 30ff.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Cilv\u0113kiem ar vienpus\u0113ju kurlumu pieejami da\u017e\u0101di dzirdes risin\u0101jumi. Austrijas Aug\u0161\u0113j\u0101s slimn\u012bcas Vels-Grieskirhen\u0113 p\u0113t\u012bjuma rezult\u0101ti var pal\u012bdz\u0113t Jums izdar\u012bt izv\u0113li.<\/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-zinatne","tag-bilateral","tag-hearing-implants","tag-unilateral-hearing-loss"],"yoast_head":"\nDzirdes Risin\u0101jumi Vienpus\u0113jam Kurlumam - Latvian<\/title>\n<meta name=\"description\" content=\"Cilv\u0113kiem ar vienpus\u0113ju kurlumu ir pieejami da\u017e\u0101di dzirdes risin\u0101jumi. 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