{"id":26407,"date":"2024-04-16T14:42:02","date_gmt":"2024-04-16T12:42:02","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=26407"},"modified":"2025-04-24T13:29:26","modified_gmt":"2025-04-24T13:29:26","slug":"hovoriace-pero-audio-pen-na-rehabilitaciu-sluchu","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/sk\/hovoriace-pero-audio-pen-na-rehabilitaciu-sluchu\/","title":{"rendered":"Hovoriace pero (audio pen) na rehabilit\u00e1ciu sluchu"},"content":{"rendered":"

Sluchov\u00fd tr\u00e9ning s tiptoi\u00ae pre jednostranne nepo\u010duj\u00face deti s kochle\u00e1rnymi implant\u00e1tmi<\/h1><\/div>

Modern\u00e9 streamovacie technol\u00f3gie pre kochle\u00e1rne implant\u00e1ty umo\u017e\u0148uj\u00fa sluchov\u00fd tr\u00e9ning aj s jedn\u00fdm implantovan\u00fdm uchom. T\u00edm z nemocnice v St. P\u00f6lten poukazuje na to, ako m\u00f4\u017eu deti \u00faspe\u0161ne cvi\u010di\u0165 doma pomocou zvukov\u00fdch (audio) hra\u010diek.<\/strong><\/p>\n<\/div>

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Kochle\u00e1rne implant\u00e1ty (KI) s\u00fa overen\u00fdm rie\u0161en\u00edm pre obnovenie sluchu. S\u00fa efekt\u00edvne aj pre \u013eud\u00ed s jednostrannou \u0165a\u017ekou poruchou sluchu, resp. hluchotou (single-sided deafness: SSD). T\u00edto postihnut\u00ed maj\u00fa z KI ve\u013ek\u00fd \u00fa\u017eitok, najm\u00e4 pokia\u013e ide o vn\u00edmanie re\u010di v n\u00e1ro\u010dn\u00fdch posluchov\u00fdch podmienkach. Po implant\u00e1cii by sa v\u0161ak audit\u00edvny tr\u00e9ning mal realizova\u0165 bez zapojenia norm\u00e1lne po\u010duj\u00faceho ucha. Pou\u017e\u00edvatelia KI m\u00f4\u017eu priamo ovl\u00e1da\u0165 re\u010dov\u00fd procesor pripojen\u00edm zdroja zvuku cez k\u00e1bel alebo streamovan\u00edm do re\u010dov\u00e9ho procesora. M\u00f4\u017eu to taktie\u017e vyu\u017ei\u0165 na rehabilit\u00e1ciu svojho sluchu. Zvukov\u00e9 podnety sa n\u00e1sledne pren\u00e1\u0161aj\u00fa priamo do implantovan\u00e9ho ucha a vonkaj\u0161ie ru\u0161iv\u00e9 zdroje s\u00fa blokovan\u00e9. T\u00e1to met\u00f3da bola \u00faspe\u0161n\u00e1 u dospel\u00fdch, av\u0161ak deti maj\u00fa \u010dasto probl\u00e9m n\u00e1js\u0165 vhodn\u00e9 zvukov\u00e9 zdroje. T\u00edm KI z Univerzitnej nemocnice v St. P\u00f6lten preto vyu\u017e\u00edva pre deti hovoriace pero (audio pen) tiptoi\u00ae. Lek\u00e1ri ned\u00e1vno zverejnili svoje prv\u00e9 sk\u00fasenosti s de\u0165mi vo veku od p\u00e4\u0165 do dvan\u00e1s\u0165 rokov. S tiptoi\u00ae deti cvi\u010dia ka\u017ed\u00fd de\u0148 a u\u017e po mesiaci pravideln\u00e9ho tr\u00e9ningu dosiahli v\u00fdrazn\u00e9 zlep\u0161enie.\u00a0mo\u017eno si v\u0161imn\u00fa\u0165\u00a0v porozumen\u00ed re\u010di.<\/p>\n

Gamifik\u00e1cia v tr\u00e9ningu sluchu<\/h2>\n
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Hudobn\u00e1 terapeutka Bianca Wirthner, MSc z t\u00edmu KI v St. P\u00f6lten m\u00e1 dobr\u00e9 sk\u00fasenosti s tiptoi\u00ae a streamovac\u00edm zariaden\u00edm MED-EL AudioLink \u00a9Julia Trinkl<\/p><\/div>\n

S vhodn\u00fdmi pokynmi od logop\u00e9dov a v\u010dasnou intervenciou m\u00f4\u017eu rodi\u010dia obojstranne implantovan\u00fdch det\u00ed s KI za\u010dleni\u0165 pravideln\u00fd sluchov\u00fd tr\u00e9ning do hry a ka\u017edodenn\u00e9ho \u017eivota v dom\u00e1com prostred\u00ed. Pri jednostranne nepo\u010duj\u00facich de\u0165och je to v\u0161ak n\u00e1ro\u010dnej\u0161ie, preto\u017ee po\u010das tr\u00e9ningu by muselo by\u0165 po\u010duj\u00face ucho manu\u00e1lne uzatvoren\u00e9 alebo pomocou \u0161tup\u013ea do ucha. Deti na to v\u0161ak v\u00e4\u010d\u0161inou nedaj\u00fa dopusti\u0165. Okrem toho m\u00f4\u017ee \u201eupch\u00e1vanie\u201c ucha sp\u00f4sobi\u0165 chybovos\u0165, pokia\u013e z\u00e1tkov\u00fd chr\u00e1ni\u010d sluchu nie je zvukotesn\u00fd. Jednostranne nepo\u010duj\u00faci dospel\u00ed pou\u017e\u00edvatelia KI v\u00e4\u010d\u0161inou vyu\u017e\u00edvaj\u00fa r\u00f4zne mo\u017enosti streamovania pre audit\u00edvny tr\u00e9ning s aktu\u00e1lnymi re\u010dov\u00fdmi procesormi. T\u00e1to prax v\u0161ak nie je bl\u00edzka ka\u017edodenn\u00e9mu \u017eivotu det\u00ed. Naopak logop\u00e9di radi vyu\u017e\u00edvaj\u00fa pre deti \u0161peci\u00e1lne po\u010d\u00edta\u010dov\u00e9 programy na precvi\u010dovanie po\u010d\u00favania s porozumen\u00edm. Pre deti je to z\u00e1bava, motivuje ich to a podporuje i proces u\u010denia. V kone\u010dnom d\u00f4sledku aj trochu \u010fal\u0161ieho tr\u00e9ningu m\u00f4\u017ee zlep\u0161i\u0165 sluch. Pr\u00e1ve z tohto d\u00f4vodu t\u00edm KI v St. P\u00f6ltene pou\u017e\u00edva digit\u00e1lne zvukov\u00e9 hra\u010dky primeran\u00e9 veku. Ke\u010f\u017ee mnoho det\u00ed u\u017e tak\u00e9to hra\u010dky pozn\u00e1 z domova, ka\u017edodenn\u00e1 prax je i \u013eah\u0161ie realizovate\u013en\u00e1.<\/p>\n

Digit\u00e1lne zvukov\u00e9 hra\u010dky s\u00fa multifunk\u010dn\u00e9<\/h2>\n

Tiptoi\u00ae hovoriace pero (audio pen) je ve\u013emi popul\u00e1rnou hra\u010dkou v rak\u00faskych \u0161k\u00f4lkach. Ide o zvukov\u00fd prehr\u00e1va\u010d s infra\u010derven\u00fdm senzorom, ktor\u00fd dok\u00e1\u017ee \u010d\u00edta\u0165 optick\u00e9 identifika\u010dn\u00e9 k\u00f3dy vytla\u010den\u00e9 na papieri. Okrem tiptoi\u00ae pera potrebuj\u00fa deti aj napr. jednu z tiptoi\u00ae kn\u00edh. Ak \u0165uknete hrotom pera na obr\u00e1zok ma\u010dky v knihe, m\u00f4\u017eete po\u010du\u0165 jej m\u0148aukanie. Kvalita zvuku zo vstavan\u00fdch reproduktorov je obmedzen\u00e1, ale sl\u00fachadl\u00e1 je mo\u017en\u00e9 pripoji\u0165 cez \u0161tandardn\u00fd audio konektor alebo streamovacie zariadenie, ak\u00fdm je AudioLink. To je tie\u017e hlavn\u00fd rozdiel medzi hrou a sluchov\u00fdm tr\u00e9ningom \u2013 pou\u017eitie streamovac\u00edch zariaden\u00ed, ktor\u00e9 \u0161pecificky precvi\u010dia implantovan\u00e9 ucho s KI. Rodiny, ktor\u00e9 s\u00fa v starostlivosti nemocnice v St. P\u00f6ltene, dostan\u00fa aj lacn\u00fd rozbo\u010dova\u010d, s jedn\u00fdm v\u00fdstupom pre zariadenie AudioLink a jedn\u00fdm pre sl\u00fachadl\u00e1. To umo\u017e\u0148uje rodi\u010dom sledova\u0165 interakt\u00edvne \u010d\u00edtanie ich die\u0165a\u0165a. Deti sa m\u00f4\u017eu hra\u0165 a rie\u0161i\u0165 hlavolamy a h\u00e1danky s tiptoi\u00ae. Existuje aj tiptoi\u00ae gl\u00f3bus. Pero mo\u017eno pou\u017ei\u0165 i ako zariadenie na prehr\u00e1vanie zvukov\u00fdch (audio) kn\u00edh alebo piesn\u00ed. Rodi\u010dia si m\u00f4\u017eu stiahnu\u0165 zvukov\u00e9 s\u00fabory do pera online. Za mal\u00fd pr\u00edplatok je pero tiptoi\u00ae dostupn\u00e9 aj s funkciou nahr\u00e1vania. Mnoh\u00e9 m\u00faze\u00e1 dokonca vyu\u017e\u00edvaj\u00fa technol\u00f3giu tiptoi\u00ae na prehliadky s vlastn\u00fdm sprievodcom pre deti.<\/p>\n

Hovoriace per\u00e1 (audio pens) \u2013 v\u00fdber<\/h2>\n
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Logop\u00e9d Philipp Sch\u00f6rg, BSc, MSc z t\u00edmu St. P\u00f6lten a \u010das\u0165 \u0161tudijn\u00e9ho t\u00edmu. \u00a9UK St. P\u00f6lten<\/p><\/div>\n

Zatia\u013e \u010do sa Tonie etablovalo medzi audio boxmi, existuje v\u00e4\u010d\u0161\u00ed v\u00fdber hovoriacich pier (audio pens), z ktor\u00fdch niektor\u00e9 po kr\u00e1tkom \u010dase mizn\u00fa z trhu. Okrem tiptoi\u00ae s\u00fa u\u017e nejak\u00fd \u010das na trhu aj BOOKii a Tellimero. Existuj\u00fa pre ne tie\u017e \u0161peci\u00e1lne knihy, ale v\u010faka funkcii nahr\u00e1vania a audio n\u00e1lepk\u00e1m sa m\u00f4\u017eu i be\u017en\u00e9 knihy premeni\u0165 na zvukov\u00e9 hra\u010dky. Anybook pero m\u00e1 tie\u017e funkciu nahr\u00e1vania a audio n\u00e1lepky, pri\u010dom bolo navrhnut\u00e9 ako u\u010debn\u00e1 pom\u00f4cka pre z\u00e1kladn\u00e9 \u0161koly a logop\u00e9diu. Av\u0161ak je drah\u0161ie ako ostatn\u00e9 a v\u017edy vy\u017eaduje, aby bola pr\u00edslu\u0161n\u00e1 kniha pripraven\u00e1 vo verzii Anybook. Na tr\u00e9novanie implantovan\u00e9ho ucha musia by\u0165 hovoriace pero alebo audio box pripojen\u00e9 priamo k pr\u00edslu\u0161n\u00e9mu re\u010dov\u00e9mu procesoru alebo prostredn\u00edctvom streamingov\u00fdch doplnkov. T\u00fdmto sp\u00f4sobom sa m\u00f4\u017ee implantovan\u00e9 ucho rovno stimulova\u0165 a z\u00e1rove\u0148 sa eliminuje \u0161um pozadia. Napr\u00edklad, BOOKii sluchov\u00e9 pero nie je vhodn\u00e9 pre audit\u00edvny tr\u00e9ning, preto\u017ee nem\u00e1 jack konektor (audio jack). T\u00edm KI v St. P\u00f6lten m\u00e1 dobr\u00e9 sk\u00fasenosti s tiptoi\u00ae a streamovac\u00edm n\u00e1strojom MED-EL AudioLink. \u201eMateri\u00e1ly tiptoi\u00ae s\u00fa na\u0161im de\u0165om s KI obvykle u\u017e zn\u00e1me,\u201c vysvet\u013euje muzikoterapeutka Bianca Wirthner, MSc. Ona spolu s logop\u00e9dom Philippom Sch\u00f6rgom, BSc, MSc boli s\u00fa\u010das\u0165ou \u0161tudijn\u00e9ho t\u00edmu. \u201eManipul\u00e1cia je im u\u017e jasn\u00e1. Syst\u00e9my s\u00fa u\u017e\u00edvate\u013esky nen\u00e1ro\u010dn\u00e9 a pon\u00fakaj\u00fa \u0161irok\u00fa \u0161k\u00e1lu cvi\u010den\u00ed.\u201c V\u00fdrobca Ravensburger navrhol syst\u00e9m pre deti vo veku od dvoch do desiatich rokov. Z\u00fa\u010dastnen\u00e9 deti na \u0161t\u00fadii si mohli vybra\u0165 knihu tiptoi\u00ae. \u201eRodi\u010dia na\u0161ich det\u00ed s KI s\u00fa ve\u013emi anga\u017eovan\u00ed a dbaj\u00fa na motiv\u00e1ciu svojich det\u00ed k u\u010deniu,\u201c hovor\u00ed muzikoterapeutka. V pr\u00edpade potreby si rodi\u010dia mohli knihy aj vymeni\u0165. \u201eCvi\u010denia sme v\u0161ak starostlivo vyberali,\u201c dod\u00e1va Sch\u00f6rg. \u201eNa jednej strane i\u0161lo o materi\u00e1l na t\u00e9mu rozpozn\u00e1vania zvuku, napr\u00edklad zvukov na farme. Na druhej strane i\u0161lo o cvi\u010denia na porozumenie jazyka: najprv jednotliv\u00e9 slov\u00e1, n\u00e1sledne porozumenie cel\u00fdch viet.\u201c V s\u00fa\u010dasnosti neexistuje v tiptoi\u00ae \u017eiadny \u0161pecifick\u00fd cvi\u010debn\u00fd materi\u00e1l pre audit\u00edvny tr\u00e9ning.<\/p>\n

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\u201eV\u00fdzvou pre jednostranne nepo\u010duj\u00facich \u013eud\u00ed je integrova\u0165 prirodzen\u00fd sluch v jednom uchu a elektronick\u00fd sluch v druhom.\u201c Chirurg Priv.-Doz. Dr. Astrid Magele, MBA<\/p>\n<\/blockquote>\n

Digit\u00e1lne hra\u010dky pre audit\u00edvny tr\u00e9ning<\/h2>\n

Pod\u013ea logop\u00e9da Sch\u00f6rga, pokia\u013e chce rodina pou\u017e\u00edva\u0165 hovoriace pero (audio pen) alebo audio box na audit\u00edvny tr\u00e9ning, mus\u00ed si potrpie\u0165 na dobr\u00fa kvalitu zvuku danej techniky a kni\u017en\u00e9ho materi\u00e1lu. Obsah by mal by\u0165 tie\u017e \u201evhodn\u00fd pre aktu\u00e1lne prostredie die\u0165a\u0165a\u201c. Obaja odborn\u00edci ve\u013emi pozit\u00edvne hodnotia mo\u017enos\u0165 nahr\u00e1vania vlastn\u00fdch posluchov\u00fdch cvi\u010den\u00ed. \u201ePon\u00faka sa tak mo\u017enos\u0165 e\u0161te individu\u00e1lnej\u0161ie reagova\u0165 na potreby ka\u017ed\u00e9ho die\u0165a\u0165a. Na to s\u00fa vhodn\u00e9 najm\u00e4 detsk\u00e9 riekanky, ale aj pr\u00edbehy z prostredia, v ktorom s\u00fa zakomponovan\u00e9 men\u00e1 kamar\u00e1tov \u010di pr\u00edbuzn\u00fdch. V z\u00e1vislosti od veku det\u00ed by tu mohli by\u0165 zakomponovan\u00e9 tie\u017e jednoduch\u00e9 rozpr\u00e1vky a pr\u00edbehy.\u201c Av\u0161ak, hoci die\u0165a \u010dasto vyu\u017e\u00edva svoju zvukov\u00fa hra\u010dku, tieto kr\u00e1tke tr\u00e9ningov\u00e9 sekvencie nedok\u00e1\u017eu nahradi\u0165 v\u010dasn\u00fa intervenciu pod odborn\u00fdm doh\u013eadom alebo logop\u00e9diu! \u0160pecifick\u00e9 binaur\u00e1lne funkcie, ak\u00fdmi s\u00fa n\u00e1jdenie zdroja zvuku a porozumenie viacer\u00fdm hovoriacim v hlu\u010dnom prostred\u00ed, sa nedaj\u00fa cvi\u010di\u0165 pomocou tr\u00e9ningu s hovoriacim perom alebo audio boxom a mali by sa cibri\u0165 dodato\u010dne. Napriek tomu s\u00fa autori \u0161t\u00fadie presved\u010den\u00ed, \u017ee tr\u00e9ning s hovoriacim perom je u\u017eito\u010dn\u00fd: \u201eAk sa pou\u017e\u00edvaj\u00fa detsk\u00e9 hra\u010dky, tr\u00e9ning mo\u017eno za\u010dleni\u0165 do ka\u017edodenn\u00e9ho \u017eivota a nevy\u017eaduje si dodato\u010dn\u00e9 pl\u00e1novanie. Prax je teda konzistentnej\u0161ia a v\u00fdsledok lep\u0161\u00ed.\u201c<\/p>\n<\/div>

Pom\u00e1ha v\u010dasn\u00e1 implant\u00e1cia \u2013 aj pri jednostrannej \u0165a\u017ekej poruche sluchu, resp. hluchote (single-sided deafness: SSD)<\/h2>\n
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Priv.-Doz. Dr. Astrid Magele, MBA je ved\u00facou lek\u00e1rkou na klinike ORL Univerzitnej nemocnice St. P\u00f6lten. \u00a9private<\/p><\/div>\n

\u201eV pr\u00edpadoch dedi\u010dnej bilater\u00e1lnej hluchoty odpor\u00fa\u010dame implant\u00e1ciu KI \u010do najsk\u00f4r. Vedeck\u00e9 d\u00e1ta poukazuj\u00fa na fakt, \u017ee kochle\u00e1rna implant\u00e1cia okolo desiateho a\u017e dvan\u00e1steho mesiaca veku vytv\u00e1ra ide\u00e1lne podmienky na dosiahnutie \u010do najlep\u0161ieho porozumenia re\u010di,\u201c vysvet\u013euje Priv.-Doz. Dr. Astrid Magele, MBA, ved\u00faca lek\u00e1rka na klinike ORL Univerzitnej nemocnice St. P\u00f6lten. Jednostrann\u00e1 \u0165a\u017ek\u00e1 strata sluchu, resp. hluchota (single-sided deafness: SSD) je term\u00edn, ktor\u00fd odborn\u00edci pou\u017e\u00edvaj\u00fa na opis \u0165a\u017ekej a\u017e ve\u013emi z\u00e1va\u017enej straty sluchu v jednom uchu v kombin\u00e1cii s norm\u00e1lnym sluchom na druhom uchu. Sk\u00fasen\u00fd chirurg KI to \u010falej vysvet\u013euje: \u201ehoci sa re\u010d u t\u00fdchto det\u00ed vyv\u00edja norm\u00e1lne, jednostrann\u00e1 hluchota im s\u0165a\u017euje porozumenie re\u010di v hlu\u010dnom prostred\u00ed aj v zlo\u017eitej\u0161\u00edch posluchov\u00fdch podmienkach a pri po\u010d\u00favan\u00ed r\u00f4znych hlasov. Okrem toho je zhor\u0161en\u00e1 schopnos\u0165 lokalizova\u0165 zdroj zvuku alebo re\u010di a koncentr\u00e1cia. Preto odpor\u00fa\u010dame kochle\u00e1rnu implant\u00e1ciu e\u0161te pred n\u00e1stupom die\u0165a\u0165a do \u0161koly.\u201c V minulosti bola intervencia jednostrannej hluchoty obmedzen\u00e1 na prenos sign\u00e1lov z hluch\u00e9ho ucha do po\u010duj\u00faceho ucha. Bolo to umo\u017enen\u00e9 bu\u010f pou\u017eit\u00edm konven\u010dn\u00fdch na\u010d\u00favac\u00edch pom\u00f4cok (tzv. CROS nastaven\u00ed: CROS fiting) alebo pou\u017eit\u00edm technol\u00f3gie kostn\u00e9ho vedenia. To v\u0161ak znamen\u00e1, \u017ee v\u00fdhody binaur\u00e1lneho po\u010d\u00favania sa v podstate str\u00e1caj\u00fa. V roku 2003 sa ako s\u00fa\u010das\u0165 \u0161t\u00fadie v Belgicku uskuto\u010dnila prv\u00e1 kochle\u00e1rna implant\u00e1cia pri jednostranne nepo\u010duj\u00facom jedincovi. Sk\u00fasenosti s t\u00fdm m\u00e1 tie\u017e t\u00edm Univerzitnej nemocnice St. P\u00f6lten: \u201ePrv\u00e9 jednostranne nepo\u010duj\u00face die\u0165a sme implantovali v roku 2013. Chlapec mal vtedy p\u00e4\u0165 rokov.\u201c V s\u00fa\u010dasnosti je kochle\u00e1rna implant\u00e1cia rutinn\u00fdm z\u00e1krokom pre jednostranne nepo\u010duj\u00facich jedincov v\u0161etk\u00fdch vekov\u00fdch kateg\u00f3ri\u00ed v Rak\u00fasku, ako aj v mnoh\u00fdch \u010fal\u0161\u00edch krajin\u00e1ch. Doz. Magele dod\u00e1va: \u201eV\u00fdzvou pre jednostranne nepo\u010duj\u00facich jedincov je kombinova\u0165 prirodzen\u00fd sluch v jednom uchu a elektronick\u00fd sluch v druhom.\u201c Z in\u00e9ho uhla poh\u013eadu, pou\u017e\u00edvatelia by mali vyu\u017e\u00edva\u0165 svoje binaur\u00e1lne schopnosti, napr\u00edklad s\u00fastreden\u00e9 po\u010d\u00favanie a po\u010d\u00favanie v hlu\u010dnom prostred\u00ed, a to vz\u00e1jomne s KI a druh\u00fdm, po\u010duj\u00facim uchom.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Sluchov\u00fd tr\u00e9ning s tiptoi\u00ae pre jednostranne nepo\u010duj\u00face deti s kochle\u00e1rnymi implant\u00e1tmi Modern\u00e9 streamovacie<\/p>\n","protected":false},"author":4,"featured_media":31726,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[411],"tags":[],"class_list":["post-26407","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravie"],"yoast_head":"\nHovoriace pero (audio pen) na rehabilit\u00e1ciu sluchu - Slovak<\/title>\n<meta name=\"description\" content=\"Modern\u00e9 streamovacie technol\u00f3gie a n\u00e1stroje, ako je hovoriace pero (audio pen) pre KI, umo\u017e\u0148uj\u00fa tr\u00e9ning sluchu aj s jedn\u00fdm implantovan\u00fdm uchom.\" \/>\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\/sk\/hovoriace-pero-audio-pen-na-rehabilitaciu-sluchu\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hovoriace pero (audio pen) na rehabilit\u00e1ciu sluchu - 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