{"id":32838,"date":"2024-01-26T11:32:54","date_gmt":"2024-01-26T11:32:54","guid":{"rendered":"https:\/\/lifelonghearing.com\/sk\/?p=32838"},"modified":"2025-04-28T14:40:02","modified_gmt":"2025-04-28T14:40:02","slug":"vplyv-hlbky-zavedenia-elektrod-kochlearneho-implantatu-na-vysledky-vnimania-reci","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/sk\/vplyv-hlbky-zavedenia-elektrod-kochlearneho-implantatu-na-vysledky-vnimania-reci\/","title":{"rendered":"Vplyv h\u013abky zavedenia elektr\u00f3d kochle\u00e1rneho implant\u00e1tu na v\u00fdsledky vn\u00edmania re\u010di"},"content":{"rendered":"

Vplyv h\u013abky zavedenia elektr\u00f3d kochle\u00e1rneho implant\u00e1tu na v\u00fdsledky vn\u00edmania re\u010di: Systematick\u00fd preh\u013ead<\/h1><\/div>

Ned\u00e1vno publikovan\u00e1 \u0161t\u00fadia hodnotila 215 vedeck\u00fdch \u010dl\u00e1nkov z rokov 1997 a\u017e 2022, v 23 z nich sa popisuje v\u00fdkonnos\u0165 re\u010di v z\u00e1vislosti od h\u013abky zavedenia elektr\u00f3dy do kochley.<\/p>\n<\/div>

<\/span><\/div><\/div><\/div><\/div><\/div>

V 7 z t\u00fdchto \u010dl\u00e1nkov sa nezistila \u017eiadna v\u00fdznamnos\u0165, ale v\u00e4\u010d\u0161ina 15 z t\u00fdchto vedeck\u00fdch \u010dl\u00e1nkov zaoberaj\u00facich sa h\u013abkou zavedenia uv\u00e1dzalo pozit\u00edvny a v\u00fdznamn\u00fd vplyv h\u013abky zavedenia na re\u010dov\u00fd v\u00fdkon pou\u017e\u00edvate\u013ea s implantovanou kochleou.<\/p>\n

\u00davod<\/strong><\/h2>\n

Kochle\u00e1rna implant\u00e1cia (KI) poskytuje elektrick\u00fa stimul\u00e1ciu sp\u00f4sobom, ktor\u00e9ho cie\u013eom je pokry\u0165 v\u00e4\u010d\u0161inu neur\u00f3nov\u00fdch elementov vo vn\u00fatri kochley. Dosahuje sa to fyzick\u00fdm umiestnen\u00edm elektr\u00f3dov\u00e9ho krytia \u010faleko za baz\u00e1lny z\u00e1vit. Kochle\u00e1rna implant\u00e1cia dok\u00e1\u017ee navr\u00e1ti\u0165 sluch nepo\u010duj\u00facim av\u0161ak v\u00fdsledky kvality po\u010dutia sa u jednotliv\u00fdch pacientov m\u00f4\u017eu l\u00ed\u0161i\u0165. Ako ve\u013emi sa v\u0161ak l\u00ed\u0161ia, to u\u017e z\u00e1vis\u00ed od r\u00f4znych faktorov. H\u013abka zavedenia elektr\u00f3d je jedn\u00fdm z faktorov. Hoci sa o tom na konferenci\u00e1ch in\u00fdch zna\u010diek KI diskutuje alebo sa to spochyb\u0148uje, vedeck\u00e9 spr\u00e1vy hovoria v prospech filozofie hlb\u0161ieho zav\u00e1dzania elektr\u00f3d. Rak\u00faska spolo\u010dnos\u0165 MED-EL poskytuje kochle\u00e1rne elektr\u00f3dy, ktor\u00e9 s\u00fa v\u00a0spom\u00ednanej \u0161t\u00fadii najldh\u0161ie.<\/p>\n

Vedeck\u00e1 Met\u00f3da<\/strong><\/h2>\n

V\u00a0r\u00e1mci v\u00fdskumu sme uskuto\u010dnili systematick\u00fd preh\u013ead literat\u00fary o vplyve h\u013abky zavedenia elektr\u00f3d kochle\u00e1rneho implant\u00e1tu na v\u00fdsledky vn\u00edmania re\u010di. Na anal\u00fdzu boli vybran\u00e9 \u010dl\u00e1nky na t\u00fato t\u00e9mu publikovan\u00e9 v rokoch 1997 a\u017e 2022 pod\u013ea vyhl\u00e1senia PRISMA.<\/p>\n

\"\"<\/p>\n

V\u00fdsledky<\/strong><\/h2>\n

Do tohto systematick\u00e9ho preh\u013eadu literat\u00fary bolo zaraden\u00fdch 23 \u010dl\u00e1nkov. V p\u00e4tn\u00e1stich \u010dl\u00e1nkoch sa uv\u00e1dzala pozit\u00edvna korel\u00e1cia\/trend medzi h\u013abkou zavedenia elektr\u00f3d a v\u00fdsledkami re\u010di. P\u00e4\u0165 \u010dl\u00e1nkov neuviedlo \u017eiadnu korel\u00e1ciu, zatia\u013e \u010do 1 \u010dl\u00e1nok uviedol negat\u00edvnu korel\u00e1ciu. Ni\u017e\u0161ie n\u00e1jdete odkaz, na ktorom si m\u00f4\u017eete pre\u010d\u00edta\u0165 cel\u00fd ned\u00e1vno uverejnen\u00fd \u010dl\u00e1nok.<\/p>\n

https:\/\/journals.lww.com\/onojournal\/fulltext\/2023\/12000\/effect_of_cochlear_implant_electrode_insertion.6.aspx?context=latestarticles<\/a><\/p>\n

Diskusia<\/strong><\/h2>\n

Neprekvapilo n\u00e1s, \u017ee aj v pr\u00edpade tenkej modiol\u00e1rnej elektr\u00f3dy od spolo\u010dnosti Cochlear implantovanej skupine pacientov bola pozorovan\u00e1 jasn\u00e1 pozit\u00edvna korel\u00e1cia medzi h\u013abkou zavedenia elektr\u00f3dy (rozsah: 350\u00b0-450\u00b0) a sk\u00f3re sluchu. To dokazuje, \u017ee bez oh\u013eadu na zna\u010dku KI alebo typ elektr\u00f3dy, ak sa elektrick\u00e1 stimul\u00e1cia poskytuje hlboko v kochlei, tak pacient poci\u0165uje lep\u0161iu kvalitu sluchu. T\u00fdmto hlbok\u00fdm vlo\u017een\u00edm sa sa z\u00edskava viac neuron\u00e1lnych elementov pokr\u00fdvaj\u00facich \u0161irok\u00fd rozsah frekvenci\u00ed a\u00a0to prin\u00e1\u0161a pacientom najlep\u0161\u00ed pr\u00ednos zo zariadenia. To je to, \u010do naz\u00fdvame pr\u00ednosom \u00fapln\u00e9ho kochle\u00e1rneho pokrytia. Na podporu n\u00e1\u0161ho tvrdenia je v literat\u00fare dostatok spr\u00e1v o distrib\u00facii teliesok \u0161pir\u00e1lov\u00fdch gangli\u00ed a\u017e do 680\u00b0 uhlov\u00e9ho zasunutia.<\/p>\n

Z\u00e1ver<\/strong><\/h2>\n

H\u013abka zavedenia elektr\u00f3dy kochle\u00e1rnych implant\u00e1tov mus\u00ed by\u0165 vn\u00edman\u00e1 ako posudzuj\u00faci faktor, ktor\u00fd prispieva k\u00a0lep\u0161iemu vn\u00edmaniu re\u010di a po\u010dutiu.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Vplyv h\u013abky zavedenia elektr\u00f3d kochle\u00e1rneho implant\u00e1tu na v\u00fdsledky vn\u00edmania re\u010di: Systematick\u00fd preh\u013ead Ned\u00e1vno<\/p>\n","protected":false},"author":4,"featured_media":32839,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[418],"tags":[],"class_list":["post-32838","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veda-sk"],"yoast_head":"\nVplyv h\u013abky zavedenia elektr\u00f3d kochle\u00e1rneho implant\u00e1tu na v\u00fdsledky vn\u00edmania re\u010di - Slovak<\/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\/sk\/vplyv-hlbky-zavedenia-elektrod-kochlearneho-implantatu-na-vysledky-vnimania-reci\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vplyv h\u013abky zavedenia elektr\u00f3d kochle\u00e1rneho implant\u00e1tu na v\u00fdsledky vn\u00edmania re\u010di - 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