{"id":4181,"date":"2021-06-07T16:42:06","date_gmt":"2021-06-07T14:42:06","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=4181"},"modified":"2025-04-21T08:03:40","modified_gmt":"2025-04-21T08:03:40","slug":"mrt-ar-dzirdes-implantiem","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/lv\/mrt-ar-dzirdes-implantiem\/","title":{"rendered":"MRT ar dzirdes implantiem"},"content":{"rendered":"

MRT dro\u0161\u012bba un dzirdes implanti<\/h1><\/div>

Katrs pacients ar implantu \u2014 dzirdes implantu vai g\u016b\u017eas prot\u0113zi \u2014 sa\u0146em atbilsto\u0161u implanta ID karti, kas \u0101rstam j\u0101uzr\u0101da pirms medic\u012bnisk\u0101s izmekl\u0113\u0161anas, un, ja tas ir iesp\u0113jams, jau re\u0123istr\u0113joties apmekl\u0113jumam. Tas \u0101rstiem un pacientiem dod pietiekami daudz laika, lai ieg\u016btu papildu inform\u0101ciju, kas vi\u0146iem var b\u016bt nepiecie\u0161ama par attiec\u012bgo implantu.<\/strong><\/p>\n<\/div>

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Medic\u012bnas speci\u0101listi bie\u017ei atrodas sare\u017e\u0123\u012bt\u0101 situ\u0101cij\u0101: vi\u0146i ne tikai ir atbild\u012bgi par savas diagnozes precizit\u0101ti un terapijas pan\u0101kumiem, bet vi\u0146i ir ar\u012b atbild\u012bgi par visu pacientu \u0101rst\u0113\u0161anas un slim\u012bbu, k\u0101 ar\u012b implantu, v\u0113stures iev\u0113ro\u0161anu. T\u0101d\u0113j\u0101di radiologam j\u0101zina ne tikai, k\u0101da veida uz\u0146\u0113mumu veik\u0161anu izmantot optim\u0101liem rezult\u0101tiem, piem., parastajam rentgenam, datortomogr\u0101fijai, MRT, ultraska\u0146as izmekl\u0113\u0161anai vai citai att\u0113lveido\u0161anai, bet ar\u012b, k\u0101da mijiedarb\u012bba ar implantu var rasties katr\u0101 gad\u012bjum\u0101.<\/p>\n

Parasti rentgena vai datortomogr\u0101fijas izmekl\u0113jumi, k\u0101 ar\u012b ultraska\u0146as izmekl\u0113jumi ir bezriska att\u0113lveido\u0161anas proced\u016bras dzirdes implantu lietot\u0101jiem, un implanti neietekm\u0113 to kvalit\u0101ti. Tom\u0113r MRT izmekl\u0113jumi j\u0101pl\u0101no laikus, jo dzirdes implanta un MRT savstarp\u0113j\u0101 ietekme ir atkar\u012bga no implanta veida un tas ir j\u0101\u0146em v\u0113r\u0101.<\/p>\n

Implantu MRT dro\u0161\u012bba k\u013c\u016bst arvien svar\u012bg\u0101ka. Prof. Ertls-V\u0101gners (Ertl-Wagner) 2015. gada apr\u012bl\u012b simpozij\u0101 skaidroja, ka katram piektajam v\u0101cietim ik gadu b\u016btu nepiecie\u0161ams t\u0101 d\u0113v\u0113tais \u0161\u0137\u0113rsgriezuma att\u0113ls, no kura aptuveni 45% b\u016btu MRT. Austrij\u0101, saska\u0146\u0101 ar prof. Dr. Volfa-D\u012btera Baumgartena (Wolf-Dieter Baumgartner), V\u012bnes LOR Universit\u0101tes kl\u012bnikas un CIA prezidenta teikto, aptuveni 10% no visiem CIA pacientiem V\u012bn\u0113 bija bijis nepiecie\u0161ams MRT p\u0113d\u0113jo 19 gadu laik\u0101. Vi\u0146\u0161 uzskata, ka dzirdes implantu MRT stiprums ir \u013coti svar\u012bgs, jo, k\u0101 vi\u0146\u0161 paskaidro, sl\u0113po\u0161anas laik\u0101 vai uz futbola laukuma var \u0101tri saraut menisku vai saites, un \u201cne katrs traumu \u0137irurgs sl\u0113po\u0161anas k\u016brort\u0101 zina, kas tas ir par \u2018vibrant soundbridge\u2019 \u201d. Regul\u0101ri MRT izmekl\u0113jumi ir b\u016btiski pacientiem ar multiplo sklerozi, NFII audz\u0113jiem vai taml\u012bdz\u012bg\u0101m blakusslim\u012bb\u0101m, uzsver prof. M\u0101rtins Kompis (Martin Kompis), M.D., Bernes universit\u0101tes slimn\u012bca. Vi\u0146\u0161 piebilst, ka ir ar\u012b laba doma pl\u0101not uz priek\u0161u \u201ctiem, kas nezina, vai vi\u0146iem b\u016bs vajadz\u012bgs MRT n\u0101kamajos 60 vai 70 gados\u201d, kas galu gal\u0101 ietver ikvienu pacientu ar implantu.<\/p>\n

MRT un dzirdes implanta mijiedarb\u012bba<\/h2>\n

MRT noz\u012bm\u0113 \u201cmagn\u0113tisk\u0101s rezonanses tomogr\u0101fija\u201d, vai MR sa\u012bsin\u0101jum\u0101. \u0160aj\u0101 proces\u0101 tiek rad\u012bti sp\u0113c\u012bgi main\u012bgi magn\u0113tiskie lauki, kas rada atbilsto\u0161u sp\u0113ku uz implanta magn\u0113tiskaj\u0101m da\u013c\u0101m. Tagad dzirdes implantu sist\u0113mu \u0101r\u0113j\u0101s da\u013c\u0101s ir ne tikai neliels magn\u0113ts, kas izmekl\u0113jumu laik\u0101 vienm\u0113r b\u016btu j\u0101\u0146em nost, bet ar\u012b sist\u0113mas implant\u0113taj\u0101 da\u013c\u0101 ir magn\u0113ts. \u0160\u012b implant\u0113t\u0101 magn\u0113ta mijiedarb\u012bbas ar MRT ier\u012bces magn\u0113tisko lauku d\u0113\u013c implants att\u0113lveido\u0161anas laik\u0101 tiek pak\u013cauts sp\u0113kam, kas var izrais\u012bt t\u0101 pagrie\u0161anos vai nob\u012bdi.<\/p>\n

Savuk\u0101rt implanta magn\u0113ts var zaud\u0113t savu magn\u0113tisko sp\u0113ku. Turkl\u0101t magn\u0113tisko lauku mai\u0146a var\u0113tu rad\u012bt sign\u0101lus, radot nev\u0113lamas, iesp\u0113jams, nepat\u012bkamas dzirdes saj\u016btas, un pat cilv\u0113ka audu sakar\u0161ana apvid\u016b ap implantu var\u0113tu b\u016bt MRT sekas. Tom\u0113r magn\u0113tisk\u0101 lauka rad\u012btais sp\u0113ks ir galvenais no riskiem implantam.<\/p>\n

Turkl\u0101t uz rad\u012bt\u0101 att\u0113la ir redzams ne tikai implants ar vis\u0101m t\u0101 da\u013c\u0101m, bet tas ar\u012b met \u0113nu tie\u0161i implanta zon\u0101, un rada izkrop\u013cojumus apk\u0101rt\u0113j\u0101 zon\u0101. Tas noz\u012bm\u0113, ka \u0161aj\u0101 zon\u0101 galvaskausa MRT laik\u0101 samazin\u0101s att\u0113la informat\u012bv\u0101 v\u0113rt\u012bba.<\/p>\n

Jauna dzirdes implantu paaudze<\/h2>\n

T\u0101 rezult\u0101t\u0101 j\u0113gpilni MRT att\u0113li no galvaskausa implant\u0113t\u0101s puses ar liel\u0101ko da\u013cu dzirdes implantu nav iesp\u0113jami. Tom\u0113r MED-EL jaun\u0101k\u0101s SYNCHRONY paaudzes kohle\u0101ro implantu lietot\u0101ju att\u0113li sniedz j\u0113gpilnus att\u0113lus pat no \u0161\u012bm ipsilater\u0101laj\u0101m strukt\u016br\u0101m galvaskaus\u0101, kad magn\u0113ts tiek no\u0146emts \u0161im nol\u016bkam, k\u0101 nesen k\u0101d\u0101 p\u0113t\u012bjum\u0101 demonstr\u0113ja Dr. Omids Majdans (Omid Majdani) no Hannoveres Dzirdes centra.<\/p>\n

\u0112valds Turners (Ewald Thurner), MED-EL Vienna direktors, skaidro: \u201cAr visiem m\u016bsu kohle\u0101rajiem implantiem, k\u0101 ar\u012b ar Bonebridge un jauno Vibrant Soundbridge VORP503, MRT att\u0113lveido\u0161ana l\u012bdz 1,5 Tesla lauka stiprumam ir iesp\u0113jama bez dro\u0161\u012bbas riska, ja tiek iev\u0113rotas ra\u017eot\u0101ja instrukcijas. Vec\u0101kais Vibrant Soundbridge VORP502s ir vien\u012bgais iz\u0146\u0113mums \u0161aj\u0101 zi\u0146\u0101.\u201d Ne visiem ra\u017eot\u0101jiem ir \u0161\u0101da sader\u012bba ar MRT. P\u0113d\u0113j\u0101 laik\u0101 palielin\u0101s ne tikai MRT diagnostikas gad\u012bjumu kop\u0113jais bie\u017eums, bet arvien vair\u0101k MRT izmantotas iek\u0101rtas ar lauka stiprumu l\u012bdz pat 3 Tesl\u0101m.<\/p>\n

\u201cAr 3 Teslu jaudu radiologiem ir viegl\u0101k uz\u0146emt labus att\u0113lus,\u201d skaidro Minhenes radiolo\u0123e prof. Dr. Birgita Ertla-V\u0101gnere (Birgit Ertl-Wagner). Tie\u0161i t\u0101p\u0113c apm\u0113ram 20 procenti no visiem jaunuzst\u0101d\u012btaj\u0101m MRT ier\u012bc\u0113m V\u0101cij\u0101 ir tie\u0161i 3T sist\u0113mas, vi\u0146a saka. Ar da\u017eiem kohle\u0101rajiem implantiem iesp\u0113jams veikt att\u0113lus ar\u012b ar 3T, ja implanta magn\u0113ts tiek iepriek\u0161 iz\u0146emts. Tom\u0113r magn\u0113ta no\u0146em\u0161anai ir nepiecie\u0161ama neliela \u0137irur\u0123iska proced\u016bra, un t\u0101 ir saist\u012bta ar br\u016bces dz\u012b\u0161anu, pirms implantu atkal var piln\u012bb\u0101 lietot. Prof. Baumgartners (Baumgartner) nor\u0101da uz magn\u0113ta no\u0146em\u0161anas izmaks\u0101m: \u201cJa \u0146em v\u0113r\u0101 da\u017e\u0101dus provizoriskos izmekl\u0113jumus, tad \u0101das inc\u012bzija universit\u0101tes slimn\u012bc\u0101 sasniedz pat 5000 eiro.\u201d No t\u0101da viedok\u013ca, ja ir nepiecie\u0161ama MRT diagnostika, implants, ar kuru testus var veikt, iepriek\u0161 neno\u0146emot magn\u0113tu, liecina par daudz\u0101m priek\u0161roc\u012bb\u0101m. \u201cMED-EL SYNCHRONY ir vien\u012bgais kohle\u0101rais implants pasaul\u0113, kas ir sp\u0113j\u012bgs MRT iztur\u0113t l\u012bdz 3 Tesl\u0101m, neno\u0146emot magn\u0113tu,\u201d Turners (DI Thurner) lepni skaidro.<\/p>\n

Tom\u0113r aprakst\u012btie att\u0113la krop\u013cojumi ap implantu rodas. T\u0101p\u0113c, ja v\u0113laties prec\u012bzi saskat\u012bt audus \u0161aj\u0101 zon\u0101, magn\u0113ts b\u016bs j\u0101no\u0146em. Turners (DI Thurner) koment\u0113: \u201cTas ir iesp\u0113jams ar\u012b ar SYNCHRONY.\u201d Turkl\u0101t ir iesp\u0113jams samazin\u0101t artefaktus ar noteiktiem MRT ier\u012b\u010du iestat\u012bjumiem, t\u0101 sauktaj\u0101m met\u0101la sl\u0101p\u0113\u0161anas sekvenc\u0113m. P\u0113t\u012bjum\u0101 par MRT artefaktiem Dr. Majdani atkl\u0101ja, ka SYNCHRONY ir vien\u012bgais kohle\u0101rais implants, kur\u0101 MRT izmekl\u0113jumi nodro\u0161ina j\u0113gpilnus att\u0113lus pat implant\u0113taj\u0101 pus\u0113.<\/p>\n

Visu citu att\u0113lu uz\u0146em\u0161anai, kas atrodas t\u0101l\u0101k no galvaskausa, magn\u0113ts var palikt implant\u0101. \u201cNo mugurpuses nav nek\u0101du probl\u0113mu,\u201d skaidro prof. Dr. Matiass Tis\u010ds (Matthias Tisch), LOR \u0137irurgs V\u0101cijas Bru\u0146oto sp\u0113ku slimn\u012bc\u0101 Ulm\u0101. No turienes var ieg\u016bt labas kvalit\u0101tes att\u0113lus bez artefaktiem.<\/p>\n

Ko dar\u012bt?<\/h2>\n

Izv\u0113loties dzirdes implantu, cilv\u0113kiem j\u0101piev\u0113r\u0161 uzman\u012bba ar\u012b tam, kuri pa\u0161reiz\u0113jie implanti ir MRT-dro\u0161i un k\u0101d\u0101 m\u0113r\u0101. Ja MRT ir nepiecie\u0161ams, radiologam j\u0101b\u016bt inform\u0113tam par implantu jau pie\u0146emot pieteikumu viz\u012btei. Turkl\u0101t j\u0101noskaidro, vai MRT iek\u0101rtas ar nepiecie\u0161amaj\u0101m att\u0113lu sekvenc\u0113m un lauka stiprumiem ir atbilsto\u0161as attiec\u012bb\u0101 uz attiec\u012bgo implantu un vai radiologam nepiecie\u0161ama papildu inform\u0101cija no implanta ra\u017eot\u0101ja. \u0160\u0101du inform\u0101ciju var ieg\u016bt no runas procesora lietot\u0101ja rokasgr\u0101matas, implanta identifik\u0101cijas kartes, ra\u017eot\u0101ja t\u012bmek\u013ca vietnes vai tie\u0161i no ra\u017eot\u0101ja. MED-EL ir pieejama ar\u012b inform\u0101cijas lapa, kur\u0101 ir visi nepiecie\u0161amie dati. MRT gaid\u012b\u0161anas laiks Austrij\u0101 var b\u016bt pat 14 ned\u0113\u013cas, k\u0101 skaidro Dr. Fr\u012bdrihs Vorbeks (Friedrich Vorbeck), Bundesfachgruppe Radiologie priek\u0161s\u0113d\u0113t\u0101js; priv\u0101taj\u0101 sektor\u0101 tas b\u016bs nedaudz \u0101tr\u0101k. T\u0101p\u0113c j\u0101sagatavojas visam, lai norun\u0101to viz\u012bti var\u0113tu sekm\u012bgi veikt.<\/p>\n

Protams, da\u017ek\u0101rt ir j\u0101apsver alternat\u012bvas p\u0101rbaudes metodes. Dr. Majdani run\u0101 par kontrastvielas datortomogr\u0101fiju da\u017e\u0101du jaut\u0101jumu gad\u012bjum\u0101, un prof. Ertls-V\u0101gners (Ertl-Wagner) k\u0101 iesp\u0113jamo alternat\u012bvu ar\u012b min datortomogr\u0101fiju. Vi\u0146\u0161 nekav\u0113joties noraida argumentu par liel\u0101ku starojuma iedarb\u012bbu datortomogr\u0101fij\u0101: \u201cTaisn\u012bba, ka ir j\u0101piev\u0113r\u0161 uzman\u012bba devai, bet datortomogr\u0101fija pirms desmit gadiem vairs nav m\u016bsdienu datortomogr\u0101fija.\u201d R\u016bp\u012bgi noregul\u0113jot, vi\u0146\u0161 saka, ka ekspoz\u012bcija ar datortomogr\u0101fiju ir apm\u0113ram t\u0101da pati k\u0101 ar MRT. \u012aslaic\u012bgai kaulu datortomogr\u0101fijai, kas att\u0113lo \u012bpa\u0161i kritisko zonu ap dzirdes implantu, starojums ir 0,11 miliz\u012bverti, kas ir ekvivalents radi\u0101cijas iedarb\u012bbai lidojum\u0101 no Minhenes uz Sanfrancisko.<\/p>\n

Ja l\u0113mums par MRT jau ir pie\u0146emts, lietot\u0101jam j\u0101no\u0146em dzirdes sist\u0113mu \u0101r\u0113j\u0101s da\u013cas p\u0101rbaudei. MED-EL iesaka spiedo\u0161u p\u0101rs\u0113ju implanta viet\u0101. Pacientam j\u0101gu\u013c uz muguras un izmekl\u0113\u0161anas laik\u0101 nedr\u012bkst kustin\u0101t galvu.<\/p>\n

MRT Garantija dzirdes implantu lietot\u0101jiem<\/h2>\n

No 2021. gada janv\u0101ra MED-EL pied\u0101v\u0101 savu implantu lietot\u0101jiem\u00a0vispasaules garantijas pagarin\u0101jumu<\/a>. \u0160\u012b garantija attiecas uz iesp\u0113jamiem implanta boj\u0101jumiem, kas var rasties MRT d\u0113\u013c un kas ietver implanta boj\u0101jumus, implanta magn\u0113ta dislok\u0101ciju, implanta magn\u0113ta demagnetiz\u0101ziju utt. Lai gan \u0161\u012bs sekas ir \u013coti maz ticamas, pacienti var sa\u0146emt jaunu implantu vai magn\u0113tu bez maksas no ra\u017eot\u0101ja, ja rodas \u0161\u0101das probl\u0113mas. Visu inform\u0101ciju par MED-EL MRT Garantiju skatiet\u00a0\u0161eit<\/a>.<\/p>\n

MED-EL ir vien\u012bgais ra\u017eot\u0101js, kas \u0161\u0101du garantiju pied\u0101v\u0101. Uz\u0146\u0113mumam ir desmitiem gadu pozit\u012bva pieredze ar \u0161\u0101diem izmekl\u0113jumiem un nor\u0101da uz \u0161\u0101du izmekl\u0113jumu noz\u012bmi un neatliekam\u012bbu: \u201c\u0100tra pieeja MRT izmekl\u0113jumiem samazina nepareizas diagnozes risku.\u201d<\/p>\n<\/div>

Uzziniet vair\u0101k<\/span><\/a>

MRT un Kohle\u0101rie Implanti\n<\/h2>
K\u0101p\u0113c Ir B\u016btiska MRT Dro\u0161\u012bba?\n<\/div>
\n

Uzziniet vair\u0101k par bezprobl\u0113mu MRT<\/p>\n<\/div>

<\/div>Uzziniet vair\u0101k<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Katram dzirdes implanta lietot\u0101jam pirms MRT j\u0101inform\u0113 medic\u012bnas komanda par implanta veidu, jo tas dod pietiekami daudz laika pareizi sagatavoties.<\/p>\n","protected":false},"author":4,"featured_media":31999,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411],"tags":[509,422,412],"class_list":["post-4181","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veseliba","tag-ci-examinations","tag-hearing-implant-reliability","tag-hearing-implants"],"yoast_head":"\nMRT ar dzirdes implantiem - Latvian<\/title>\n<meta name=\"description\" content=\"Svar\u012bgs temats ir MRT dro\u0161\u012bba dzirdes implantu lietot\u0101jiem, jo pieaug to pacientu skaits, kuriem nepiecie\u0161ama MRT diagnostika.\" \/>\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\/mrt-ar-dzirdes-implantiem\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MRT ar dzirdes implantiem - 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