{"id":22202,"date":"2022-11-15T15:28:19","date_gmt":"2022-11-15T14:28:19","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=22202"},"modified":"2025-04-19T04:54:53","modified_gmt":"2025-04-19T04:54:53","slug":"dzirdes-apmaciba-ar-kohlearo-implantu-kapec-kur-un-ka","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/lv\/dzirdes-apmaciba-ar-kohlearo-implantu-kapec-kur-un-ka\/","title":{"rendered":"Dzirdes apm\u0101c\u012bba ar kohle\u0101ro implantu: k\u0101p\u0113c, kur un k\u0101?"},"content":{"rendered":"

Kohle\u0101rais implants \u2013 tas joproj\u0101m nav \u201cIeliec un Lieto\u201d<\/h1><\/div>

Dzirdes apm\u0101c\u012bba ar kohle\u0101ro implantu: vai j\u016bs zin\u0101t, k\u0101p\u0113c t\u0101 ir svar\u012bga? Turpm\u0101k\u0101 kohle\u0101ro implantu tehnolo\u0123iju att\u012bst\u012bba nodro\u0161ina ne tikai dabisk\u0101ku ska\u0146u un lab\u0101ku runas izpratni, bet ar\u012b daudz \u0101tr\u0101ku dzirdes adapt\u0101ciju. Tom\u0113r p\u0113c implant\u0101cijas ir ieteicama dzirdes terapija, kas nodro\u0161ina v\u0113l lab\u0101kus rezult\u0101tus \u0161\u012bs dzirdes sist\u0113mas izmanto\u0161an\u0101.<\/strong><\/p>\n<\/div>

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Parastie dzirdes apar\u0101ti ska\u0146as pastiprina l\u012bdz zin\u0101mam l\u012bmenim, ta\u010du ar tiem nepietiek cilv\u0113kiem ar b\u016btisku dzirdes zudumu vai kurlumu. Kohle\u0101rie implanti tie\u0161i stimul\u0113 dzirdes nervu. Tas \u013cauj dzird\u0113t cilv\u0113kiem ar b\u016btisku dzirdes zudumu. \u0160\u0101d\u0101 veid\u0101 ieg\u016btais nervu impulss ir l\u012bdz\u012bgs dab\u012bgajam dzirdes sign\u0101lam, ta\u010du centr\u0101lajai dzirdes sist\u0113mai joproj\u0101m ir nepiecie\u0161ama piel\u0101go\u0161an\u0101s tam.<\/p>\n

P\u0113d\u0113j\u0101s desmitgad\u0113s dzirdes tehnolo\u0123ija ir iev\u0113rojami uzlabojusies. Tas izpau\u017eas k\u0101 dabisks ska\u0146as att\u0113lojums ar kohle\u0101ro implantu, k\u0101 ar\u012b lab\u0101ka un \u0101tr\u0101ka runas izpratne. Tom\u0113r kohle\u0101rais implants nepieder pie \u201ciespraud un lieto\u201d tehnolo\u0123ijas, pie k\u0101das esam pieradu\u0161i, izmantojot modern\u0101s datortehnolo\u0123ijas.<\/p>\n

K\u0101p\u0113c nepiecie\u0161ama dzirdes apm\u0101c\u012bba?<\/h2>\n

M\u016bsu dzirdes sist\u0113ma v\u0113l nedzimu\u0161ajiem b\u0113rniem darbojas jau no 24t\u0101s gr\u016btniec\u012bbas ned\u0113\u013cas. Ja b\u0113rns piedzimst nedzird\u012bgs vai v\u0101jdzird\u012bgs, pirms dzirdes sist\u0113mas sa\u0146em\u0161anas vi\u0146am b\u016bs j\u0101pieliek p\u016bles ne tikai runas att\u012bst\u012bb\u0101, bet ar\u012b pirmsdzemd\u012bbu att\u012bst\u012bbas proces\u0101. Protams, jo agr\u0101k tiek nodro\u0161in\u0101ta dzirdes apr\u016bpe, jo maz\u0101k nepiecie\u0161ama terapija. Pirmie komunik\u0101cijas vingrin\u0101jumi ir noder\u012bgi pat pirms dzirdes implant\u0101cijas.<\/p>\n

Dati liecina, ka ar\u012b pieaugu\u0161ie nedzird\u012bgie p\u0113c kohle\u0101r\u0101s implant\u0101cijas g\u016bst iev\u0113rojamu labumu no dzirdes rehabilit\u0101cijas. Atsaucoties uz k\u0101du sen\u0101ku p\u0113t\u012bjumu, kas veikts Koblencas-Montabauras kl\u012bnik\u0101. [1]<\/a>, Dr. Rolands Zehs (Roland Zeh), vado\u0161ais terapeits Kohle\u0101r\u0101s Implant\u0101cijas Rehabilit\u0101cijas Centr\u0101 Bad Noiheim\u0101, V\u0101cij\u0101, un Prof. Dr. Uve Baumans (Uwe Baumann), audiologs un kohle\u0101r\u0101s implant\u0101cijas speci\u0101lists Universit\u0101tes slimn\u012bc\u0101 Frankfurt\u0113, V\u0101cij\u0101 piebilda sekojo\u0161o: \u201cLai nodro\u0161in\u0101tu optim\u0101lus \u0101rst\u0113\u0161anas pan\u0101kumus, stacion\u0101r\u0101s rehabilit\u0101cijas pas\u0101kumiem j\u0101b\u016bt neat\u0146emamai visaptvero\u0161as \u0101rst\u0113\u0161anas pieejas da\u013cai un, ja iesp\u0113jams, tiem j\u0101notiek pirmaj\u0101 gad\u0101 p\u0113c implant\u0101cijas.\u201d<\/p>\n

K\u0101di ir ieguvumi no dzirdes apm\u0101c\u012bbas?<\/h2>\n

Prof. Baumans un Dr. Zehs p\u0113t\u012bjum\u0101 [2]<\/a> kur\u0101 piedal\u012bj\u0101s 1355 kohle\u0101ro implantu lietot\u0101ji, p\u0113t\u012bja, k\u0101di faktori ietekm\u0113 \u0161\u0101das stacion\u0101r\u0101s dzirdes rehabilit\u0101cijas pan\u0101kumus. Vi\u0146i secina, ka \u201cvid\u0113ji [in the hearing and speech comprehension tests after three to five weeks of inpatient rehab] bija v\u0113rojams 20 procentpunktu pieaugums, sal\u012bdzinot ar iest\u0101\u0161an\u0101s p\u0101rbaud\u012bjumiem\u201d. P\u0101rsteidzo\u0161i bija tas, ka ar\u012b gados vec\u0101kiem pacientiem, kuriem implant\u0101cija tika veikta p\u0113c ilg\u0101ka kurluma perioda, un ar\u012b pacientiem ar ilggad\u0113ju kohle\u0101ro implantu pieredzi, rehabilit\u0101cijas pas\u0101kumu rezult\u0101t\u0101 tika nov\u0113roti iev\u0113rojami uzlabojumi.<\/p>\n

Iepriek\u0161 veiktie p\u0113t\u012bjumi liecin\u0101ja, ka vid\u0113ji p\u0113c aptuveni se\u0161u m\u0113ne\u0161u ilga kohle\u0101r\u0101 implanta lieto\u0161anas perioda t\u0101 lietot\u0101jiem runas izpratne vairs neuzlabojas. Tom\u0113r Zeham un Baumanam izdev\u0101s pier\u0101d\u012bt, ka \u201cvislab\u0101ko iesp\u0113jamo atbalstu [\u2026] nevar pan\u0101kt tikai ar ilg\u0101ku kohle\u0101r\u0101 implanta izmanto\u0161anu\u201d.<\/p>\n

Pat ja \u0161ie faktori ietekm\u0113 dzirdes uzlabo\u0161an\u0101s \u0101trumu un apjomu terapijas laik\u0101, vi\u0146i piebilst, ka \u201cvisas pacientu grupas guva iev\u0113rojamu labumu no terapijas neatkar\u012bgi no vecuma, kurluma ilguma vai kohle\u0101r\u0101 implanta lieto\u0161anas ilguma. [\u2026] kohle\u0101r\u0101 implanta uzst\u0101d\u012b\u0161ana var uzlabot aktivit\u0101ti, l\u012bdzdal\u012bbu un dz\u012bves kvalit\u0101ti. Bez intens\u012bvas rehabilit\u0101cijas past\u0101v risks, ka \u0161ie rezult\u0101ti nesasniegs iesp\u0113jami liel\u0101ko apm\u0113ru.\u201d<\/p>\n

Kas ir dzirdes apm\u0101c\u012bba?<\/h2>\n

Dzirdes att\u012bst\u012bba (re)habilit\u0101cijas kontekst\u0101 notiek piecos vienk\u0101r\u0161os posmos, turkl\u0101t atsevi\u0161\u0137us posmus var ar\u012b izlaist atkar\u012bb\u0101 no individu\u0101l\u0101s runas izpratnes:<\/p>\n

    \n
  1. Ska\u0146u uztver\u0161ana, at\u0161\u0137ir\u0161ana un klasific\u0113\u0161ana.<\/li>\n
  2. Runas atpaz\u012b\u0161ana, v\u0101rdu un teikumu izpratne; b\u0113rniem \u2013 ar\u012b run\u0101\u0161ana.<\/li>\n
  3. Sare\u017e\u0123\u012bt\u0101kas valodas vien\u012bbas: jauni un sare\u017e\u0123\u012bt\u0101ki v\u0101rdi, gramatisk\u0101s strukt\u016bras, st\u0101stu st\u0101st\u012b\u0161ana un sazi\u0146a (mutiski) ikdienas dz\u012bv\u0113.<\/li>\n
  4. Strat\u0113\u0123ijas sazi\u0146ai \u012bpa\u0161i sare\u017e\u0123\u012bt\u0101s klaus\u012b\u0161an\u0101s situ\u0101cij\u0101s<\/li>\n
  5. T\u0101 sauktaj\u0101m binaur\u0101laj\u0101m funkcij\u0101m \u2013 sapra\u0161anai troksn\u012b un ska\u0146as lokaliz\u0101cijai \u2013 ir nepiecie\u0161ama abpus\u0113ja dzirde. Ar\u012b ausis tiek tren\u0113tas atsevi\u0161\u0137i.<\/li>\n<\/ol>\n

    Turkl\u0101t da\u013ca no rehabilit\u0101cijas ir ar\u012b nor\u0101d\u012bjumi par to, k\u0101 r\u012bkoties ar dzirdes apar\u0101tu un r\u016bp\u0113ties par to. Stacion\u0101r\u0101s dzirdes rehabilit\u0101cijas gad\u012bjum\u0101 ir iesp\u0113jams ar\u012b citu terapeitu, k\u0101 ar\u012b psihoterapeitu un soci\u0101lo darbinieku atbalsts. Turkl\u0101t tiek veicin\u0101ta dzirdes trauc\u0113jumu skarto personu sakaru veido\u0161ana.<\/p>\n

    Kur es varu atrast dzirdes apm\u0101c\u012bbas pied\u0101v\u0101jumus?<\/h2>\n

    B\u016bt\u012bb\u0101 var praktiz\u0113t jebk\u0101du dzirdes saj\u016btu. Eksperti iesaka klaus\u012b\u0161an\u0101s vingrin\u0101jumus veikt ikdien\u0101. Struktur\u0113tas dzirdes terapijas laik\u0101 logop\u0113di nov\u0113rt\u0113 attiec\u012bg\u0101 lietot\u0101ja pa\u0161reiz\u0113jo dzirdes st\u0101vokli, par\u0101da vi\u0146am un vi\u0146a praktiz\u0113\u0161an\u0101s partneriem, k\u0101 turpin\u0101t vingrin\u0101ties m\u0101j\u0101s, un nodro\u0161ina ar piem\u0113rotiem treni\u0146u materi\u0101liem.<\/p>\n

    \u0160eit varat sazin\u0101ties ar mums un uzzin\u0101t vair\u0101k par dzirdes rehabilit\u0101cijas un agr\u012bn\u0101 atbalsta iesp\u0113j\u0101m j\u016bsu valst\u012b. Turkl\u0101t dzirdes apar\u0101tu un dzirdes implantu ra\u017eot\u0101ji cita starp\u0101 pied\u0101v\u0101 padomus un praktiskos materi\u0101lus, k\u0101 ar\u012b \u012bpa\u0161as viedt\u0101lru\u0146u, plan\u0161etdatoru un datoru lietotnes priek\u0161 praktiz\u0113\u0161an\u0101s.<\/p>\n

    \n

    K\u0101 lab\u0101k saprast vienam otru<\/h2>\n

    Padomi un vienk\u0101r\u0161i nosac\u012bjumi lab\u0101kai sazi\u0146ai ar un bez dzirdes probl\u0113m\u0101m<\/strong><\/h3>\n

    Da\u017eas situ\u0101cijas, piem\u0113ram, saruna trok\u0161\u0146ain\u0101 vid\u0113, liel\u0101k\u0101s diskusiju grup\u0101s vai sve\u0161valod\u0101, var b\u016bt patie\u0161\u0101m izaicin\u0101jums. Esam apkopoju\u0161i da\u017eus principus, k\u0101 atvieglot sazi\u0146u ikdienas dz\u012bv\u0113.<\/p>\n

    Skol\u0101 klases telp\u0101, biroj\u0101, dz\u012bvojam\u0101 istab\u0101 vai cit\u0101s koplieto\u0161anas telp\u0101s ir lietder\u012bgi optimiz\u0113t telpas akustiku. Cietas, gludas sienas rada atstaro\u0161anos, t\u0101d\u0113j\u0101di palielinot trok\u0161\u0146u l\u012bmeni un apgr\u016btinot sarunas. Sarunu situ\u0101cij\u0101 pal\u012bdz vienk\u0101r\u0161i nosac\u012bjumi:<\/p>\n