{"id":32500,"date":"2026-03-27T08:42:58","date_gmt":"2026-03-27T08:42:58","guid":{"rendered":"https:\/\/lifelonghearing.com\/lv\/?p=32500"},"modified":"2026-03-27T08:42:58","modified_gmt":"2026-03-27T08:42:58","slug":"laba-dzirde-neskatoties-uz-parkaulosanos","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/lv\/laba-dzirde-neskatoties-uz-parkaulosanos\/","title":{"rendered":"Laba dzirde, neskatoties uz p\u0101rkaulo\u0161anos"},"content":{"rendered":"

K\u0101 kohle\u0101rie implanti un citi dzirdes implanti pal\u012bdz c\u012b\u0146\u0101 pret otosklerozi<\/h1><\/div>

10 l\u012bdz 15% cilv\u0113ku ar otosklerozi, ne dzirdes apar\u0101ti, ne stapedoplastikas oper\u0101cija neatgrie\u017e dzirdi. Vi\u0146iem dzirdes implanti ir laba alternat\u012bva, bie\u017ei vien tie ir kohle\u0101rie implanti.<\/strong>
\nEva Kola (Eva Kohl) un Ji Ge (Yi Ge)<\/em><\/p>\n<\/div>

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1893. gad\u0101 V\u012bnes otologs \u0100dams Policers(Adam Politzer) pirmo reizi aprakst\u012bja otosklerozi<\/em> k\u0101 patst\u0101v\u012bgu slim\u012bbu. T\u0101 parasti s\u0101kas p\u0101rej\u0101 starp vidusauss kaulu un iek\u0161\u0113jo ausi, starp pak\u0101pienu un ov\u0101lo logu. Ap to veidojas kaulaudiem l\u012bdz\u012bga kaulaudu masa, t\u0101d\u0113\u013c tiek lietots termins otospongioze. <\/em>\u0160is boj\u0101jums izplat\u0101s un p\u0101rkaulojas, un strukt\u016bra tur sastingst. Tas noved pie pieaugo\u0161a kondukt\u012bva dzirdes zuduma un ret\u0101k pie sensorineir\u0101la dzirdes zuduma. Da\u017ereiz \u0161\u012b att\u012bst\u012bba beidzas ar funkcion\u0101lu vai piln\u012bgu kurlumu.<\/p>\n

Bie\u017ei vien tradicion\u0101lie dzirdes apar\u0101ti vai k\u0101psl\u012b\u0161a aizst\u0101\u0161ana ar prot\u0113zi var atjaunot dzirdi. Tom\u0113r vienam no septi\u0146iem l\u012bdz pat desmit cietu\u0161ajiem tas joproj\u0101m nav veiksm\u012bgi: tad vi\u0146am joproj\u0101m ir pieejami akt\u012bvie dzirdes implanti.<\/p>\n

Otosklerozes pacientiem vid\u0113ji paiet 16 gadi no pirm\u0101 dzirdes zuduma l\u012bdz tiek ieteikts kohle\u0101rais implants. Kurluma ilgums ir iz\u0161\u0137iro\u0161s v\u0113l\u0101kam dzirdes uzlabojumam ar Kl. Lai gan slim\u012bbas progres\u0113\u0161ana nevar aptur\u0113t implant\u0113\u0161anu, tas saglab\u0101 dzirdes nerva funkciju. Jebkur\u0101 gad\u012bjum\u0101 cilv\u0113ki var sagaid\u012bt iev\u0113rojamus uzlabojumus no Kl pret saciet\u0113\u0161anu, jo \u012bpa\u0161i agr\u012bnas implant\u0101cijas gad\u012bjum\u0101.<\/p>\n

Otosklerozes izplat\u012b\u0161an\u0101s, gaita un ietekme<\/h3>\n

Tipisks otosklerozes slimnieks ir balt\u0101s rases p\u0101rst\u0101vis vecum\u0101 no 15 l\u012bdz 45 gadiem. V\u012brie\u0161iem un cilv\u0113kiem ar at\u0161\u0137ir\u012bgu \u0101das kr\u0101su ir maz\u0101ka iesp\u0113ja tikt skartiem. Pirmie simptomi var rasties hormon\u0101l\u0101s p\u0101rejas laik\u0101 - piem\u0113ram, gr\u016btniec\u012bbas laik\u0101 - p\u0113c infekcijas slim\u012bbas, piem\u0113ram, masal\u0101m, vai p\u0113c sp\u0113c\u012bgas trok\u0161\u0146a iedarb\u012bbas. Tiek apspriesta ar\u012b \u0123en\u0113tiska saist\u012bba. J\u0101atz\u012bm\u0113 ar\u012b fakts, ka devi\u0146i no desmit otosklerozes slimniekiem paliek piln\u012bgi bez simptomiem, neskatoties uz p\u0101rm\u0113r\u012bgu kaulu un audu aug\u0161anu galvaskausa kaul\u0101 ap vidusausi!<\/p>\n

Ja simptomi att\u012bst\u0101s, parasti s\u0101kas kondukt\u012bvs dzirdes zudums zemas frekvences ska\u0146\u0101m, un p\u0113c tam pak\u0101peniski k\u013c\u016bst aizvien slikt\u0101k gadu un gadu desmitu laik\u0101. P\u0101rsteidzo\u0161i ir ang\u013cu \u0101rsta Tomasa Villisa (Thomas Willis) v\u0101rd\u0101 nosauktais paracusis: <\/em>valoda trok\u0161\u0146ain\u0101 vid\u0113 ir lab\u0101k saprotama nek\u0101 mier\u0101. L\u012bdz pat vienai tre\u0161da\u013cai cilv\u0113ku osifik\u0101cija v\u0113l\u0101k non\u0101k iek\u0161\u0113j\u0101 aus\u012b, izraisot kombin\u0113tu vai sensorineir\u0101lu dzirdes zudumu. Iek\u0161\u0113j\u0101s auss osifik\u0101cija, lat\u012b\u0146u: Cochlea, \u012bpa\u0161i smaga, sauc par kohle\u0101ru osifik\u0101ciju.<\/p>\n

Otoskleroze parasti skar abas ausis, bet ne vienm\u0113r ir tik smaga. Vairumam cilv\u0113ku att\u012bst\u0101s ar\u012b zvan\u012b\u0161ana aus\u012bs, ko sauc ar\u012b par tin\u012btu. Aptuveni 40% ir ar\u012b viegls vertigo. No 10 l\u012bdz 15% cilv\u0113ku vidusauss kauli\u0146i paliek mobili<\/p>\n

tom\u0113r audu aug\u0161ana rada vielas, kas boj\u0101 iek\u0161\u0113jo ausi un izraisa sensorineir\u0101lu dzirdes zudumu: to sauc par iek\u0161\u0113jo ausu otosklerozi.<\/p>\n

\"\"

Ji Ge, MD, MED-EL vec\u0101kais mened\u017eeris medic\u012bnas jaut\u0101jumos: \"Ja ne dzirdes apar\u0101ts, ne stapedektomija nevar atjaunot dzirdi, otosklerozes slimnieki parasti var veiksm\u012bgi izmantot da\u017e\u0101das implantu sist\u0113mas.\" \u00a9private<\/p><\/div>\n

Implanti - svar\u012bgas alternat\u012bvas terapij\u0101!<\/strong><\/p>\n

\u0100rst\u0113jo\u0161ie LOR \u0101rsti bie\u017ei iev\u0113ro otosklerozes pacientu nov\u0113ro\u0161anas nogaid\u012b\u0161anas strat\u0113\u0123iju. Parastie dzirdes apar\u0101ti ir paredz\u0113ti, lai kompens\u0113tu vieglus dzirdes trauc\u0113jumus. Pacientiem ar iev\u0113rojamu kondukt\u012bvu dzirdes zudumu, <\/em>stapedektomija bie\u017ei sasniedz labus rezult\u0101tus, <\/em>tostarp: stapektomija<\/em>: Stirrup, lat\u012b\u0146u: Stapes, <\/em>ir tr\u012bs vidusauss kauli, kur parasti s\u0101kas p\u0101rkaulo\u0161an\u0101s. Stapektomijas gad\u012bjum\u0101 tos<\/em> da\u013c\u0113ji vai piln\u012bb\u0101 aizst\u0101j ar prot\u0113zi \u2014 to sauc ar\u012b par pas\u012bvo vidusauss implantu<\/em>.<\/p>\n

Tom\u0113r 10 l\u012bdz 15% pacientu neatg\u016bst v\u0113lamo dzirdes sp\u0113ju nedz ar dzirdes apar\u0101tu, nedz \u0161\u012bs oper\u0101cijas vai abu kombin\u0101cijas rezult\u0101t\u0101. \"Diem\u017e\u0113l v\u0113l nav vienpr\u0101t\u012bbas par to, k\u0101 \u0161\u0101dus pacientus visefekt\u012bv\u0101k \u0101rst\u0113t,\" skaidro Ji Ge, MD, implantu ra\u017eot\u0101ja MED-EL vec\u0101kais mened\u017eeris medic\u012bnas jaut\u0101jumos. \"Vairum\u0101 gad\u012bjumu \u0161ie pacienti var g\u016bt optim\u0101lu labumu no da\u017e\u0101d\u0101m implantu sist\u0113m\u0101m.\"<\/p>\n

Paties\u012bb\u0101 starp otosklerozes slimniekiem ir labi kandid\u0101ti gandr\u012bz ikvienai implantu sist\u0113mai. BONEBRIDGE<\/em> kaulu p\u0101rvades implants ir \u012bpa\u0161i piem\u0113rots lielai cilv\u0113ku grupai ar t\u012bru vai p\u0101rsvar\u0101 kondukt\u012bvu dzirdes zudumu. <\/em>Bet, tikl\u012bdz dzirdes zudums aus\u012b atbilst KI krit\u0113rijiem, tas k\u013c\u016bst par visdaudzsolo\u0161\u0101ko alternat\u012bvu.<\/p>\n

Ar\u012b otosklerozei: Savlaic\u012bga implant\u0101cija ir svar\u012bga!<\/strong><\/p>\n

Otoskleroze ietver p\u0101rm\u0113r\u012bgu m\u012bksto audu, ko sauc par fibrozi,<\/em> un kaulu, ko sauc par osteo\u0123en\u0113zi,<\/em> aug\u0161anu. <\/em>Tas var k\u013c\u016bt par \u0137irur\u0123isku izaicin\u0101jumu, ievietojot Kl elektrodu. Tas padara unik\u0101lo OTOPLAN<\/em> pl\u0101no\u0161anas r\u012bku v\u0113l noder\u012bg\u0101ku, ar kuru \u0137irurgi var pl\u0101not MED-EL dzirdes sist\u0113mu implant\u0101ciju un pat noteikt optim\u0101lo elektrodu nes\u0113ja garumu. Liel\u0101 elektrodu izv\u0113le \u013cauj optim\u0101li piel\u0101goties v\u0113l nep\u0101rkauloju\u0161\u0101s glieme\u017ea da\u013cas individu\u0101lajam garumam:<\/p>\n

\u0160\u0101d\u0101 veid\u0101 var nodro\u0161in\u0101t v\u0113rt\u012bgus resursus v\u0113l\u0101kai runas izpratnei ar Kl.<\/p>\n

Otoskleroze ir progres\u0113jo\u0161s process, t\u0101pat k\u0101 t\u0101s rezult\u0101t\u0101 rodo\u0161ies dzirdes trauc\u0113jumi. Kohle\u0101rie implanti, piem\u0113ram, dzirdes apar\u0101ti vai citi dzirdes implanti, ir paredz\u0113ti, lai uzlabotu mati\u0146u un runas uztveri. Tom\u0113r tie nevar pal\u0113nin\u0101t vai aptur\u0113t p\u0101rm\u0113r\u012bgu kaulu aug\u0161anu. Slim\u012bba fon\u0101 var progres\u0113t l\u0113ni, un laika gait\u0101 t\u0101 var ar\u012b ietekm\u0113t dzirdi ar Kl. Tom\u0113r elektrisk\u0101 stimul\u0101cija pal\u012bdz saglab\u0101t dzirdes nerva funkciju un nov\u0113rst t\u0101 turpm\u0101ku de\u0123ener\u0101ciju.<\/p>\n

Otosklerozes slimnieki ir pier\u0101d\u012bju\u0161i labus dzirdes izn\u0101kumus ar kohle\u0101rajiem implantiem.4\u00b75 Lai gan kohle\u0101rie implanti padara dzirdes paradumus un rehabilit\u0101ciju par nepiecie\u0161amu, p\u0113t\u012bjumu rezult\u0101ti liecina, ka pat ja t\u0101 ir noz\u012bm\u0113ta, t\u0101 izraisa iev\u0113rojami liel\u0101ku apmierin\u0101t\u012bbu otosklerozes slimniekiem nek\u0101 skavu rekonstrukcijas. ~ Ietekm\u0113jo\u0161ie faktori labai dzirdei ar Kl, \u0161\u0137iet, ir t\u0101di pa\u0161i k\u0101 citiem Kl lietot\u0101jiem, neatkar\u012bgi no pamatslim\u012bbas otosklerozes. Cita starp\u0101, jo \u012bs\u0101ks laiks, kad skart\u0101 auss nevar\u0113ja dzird\u0113t neko, jo lab\u0101ki pan\u0101kumi. T\u0101p\u0113c ir gr\u016bt\u0101k saprast, k\u0101p\u0113c otosklerozes slimniekiem j\u0101gaida vid\u0113ji 16 gadi, l\u012bdz Kl beidzot izved ausi no klusuma.<\/p>\n

1.2.3<\/p>\n

1 Kopelovich JC, et al., Intrakohle\u0101r\u0101 elektrisk\u0101 stimul\u0101cija nom\u0101c apoptotisko signaliz\u0113\u0161anu \u017eurku spir\u0101lveida ganglija neironos p\u0113c aps\u0101rtuma in vivo. Otolaringola Galvas Kakla Surg. 2013. gada nov.;149(5):745-752. doi: 10.1177 \/0194599813498702.<\/p>\n

2 Chen 1, et al. Kohle\u0101r\u0101 implanta medi\u0113tas elektrisk\u0101s stimul\u0101cijas ietekme uz spir\u0101lveida ganglija \u0161\u016bn\u0101m iedzimti kurliem baltiem ka\u0137iem. J. Assoc Res Otolaryngol. 2010. gada decembris;11 (4):587-603. doi: 10.1007\/s10162-010- 0234-3.<\/p>\n

3 Fallon JB, et al. Hroniskas kohle\u0101ras elektriskas stimul\u0101cijas ietekme p\u0113c ilgsto\u0161a dzi\u013ca defic\u012bta uz prim\u0101ro dzirdes garozas organiz\u0101ciju ka\u0137iem. Eiropas Neirozin\u0101tnes V\u0113stnesis. 2014. gada marts; 39(5):811-820. doi: 10.1111 \/ejn.12445<\/p>\n

4 Skarzynski PH, et al. Kohle\u0101r\u0101s implant\u0101cijas rezult\u0101ti pacientiem ar t\u0101lu progres\u0113jo\u0161u otosklerozi, kuriem iepriek\u0161 veikta stadijas oper\u0101cija. J Int Adv. 2024;20(2):101-107. doi:10.5152\/iao.2024.231332<\/p>\n

5 Assiri M, <\/strong>et al. Kohle\u0101r\u0101 implant\u0101cija pacientiem ar otosklerozi: sistem\u0101tisks kl\u012bnisko raksturlielumu un izn\u0101kumu p\u0101rskats. J\u016bsu Arka Otorinolaryngol. <\/em>2022;279(7):3327-3339. doi:10.1007\/s00405- 021-07036-5<\/p>\n

6 Kondo M, et al. Kohle\u0101r\u0101 implant\u0101cija t\u0101lu progres\u0113jo\u0161\u0101 otoskleroz\u0113: sistem\u0101tisks p\u0101rskats un metaanal\u012bze. Laringoskops. <\/em>2023;133(6):1288-1296. doi: 10.1002\/lary.30386<\/p>\n

Varb\u016bt j\u016bsu pa\u0161a info lodzi\u0146\u0161 atkal par daudz\u0101m zemsv\u012btras piez\u012bm\u0113m?<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

10 l\u012bdz 15% cilv\u0113ku ar otosklerozi, ne dzirdes apar\u0101ti, ne stapedoplastikas oper\u0101cija neatgrie\u017e dzirdi. Vi\u0146iem dzirdes implanti ir laba alternat\u012bva, bie\u017ei vien tie ir kohle\u0101rie implanti.<\/p>\n","protected":false},"author":10,"featured_media":32538,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411],"tags":[],"class_list":["post-32500","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veseliba"],"yoast_head":"\nLaba dzirde, neskatoties uz p\u0101rkaulo\u0161anos - Latvian<\/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\/lv\/laba-dzirde-neskatoties-uz-parkaulosanos\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Laba dzirde, neskatoties uz p\u0101rkaulo\u0161anos - Latvian\" \/>\n<meta property=\"og:description\" content=\"10 l\u012bdz 15% cilv\u0113ku ar otosklerozi, ne dzirdes apar\u0101ti, ne stapedoplastikas oper\u0101cija neatgrie\u017e dzirdi. 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