Zgjidhje t\u00eb ndryshme p\u00ebr d\u00ebgjimin krahasime<\/h1><\/div>P\u00ebr personat e shurdh\u00ebr n\u00eb nj\u00ebrin vesh, zgjidhje t\u00eb ndryshme p\u00ebr d\u00ebgjimin jan\u00eb t\u00eb disponueshme. Rezultatet nga nj\u00eb studim i Spitalit Austriak Wels-Grieskirchen mund t\u2019ju ndihmoj\u00eb t\u00eb b\u00ebni nj\u00eb zgjedhje.<\/strong><\/p>\n<\/div><\/div>![](\"https:\/\/lifelonghearing.com\/sq\/wp-content\/uploads\/sites\/17\/2020\/06\/thumb-hearingsolutions-ssd-1200x481-1.jpg\" "\\"thumb-hearingsolutions-ssd-1200×481\\"")
<\/span><\/div><\/div><\/div><\/div><\/div><\/div>Studimet aktuale d\u00ebshmojn\u00eb se aft\u00ebsit\u00eb e komunikimit t\u00eb personave me humbje t\u00eb thell\u00eb d\u00ebgjimi n\u00eb nj\u00ebrin vesh (shurdhimi n\u00eb nj\u00ebr\u00ebn an\u00eb) jan\u00eb shum\u00eb t\u00eb dob\u00ebta sesa pritej. Mungesa e d\u00ebgjimit drejtues dhe kuptimi i limituar i t\u00eb folurit midis zhurmave jan\u00eb konsideruar si d\u00ebmtimet m\u00eb serioze, ndjekur nga nj\u00eb orientim i limituar n\u00eb hap\u00ebsir\u00eb. Studimet kan\u00eb treguar po ashtu se pacient\u00ebt e shurdh\u00ebr n\u00eb njer\u00ebn an\u00eb ndihen mjaft t\u00eb kufizuar n\u00eb jet\u00ebn e tyre profesionale. Madje p\u00ebrdorimi i telefonit me nj\u00eb implant normal d\u00ebgjimi mund t\u00eb p\u00ebrb\u00ebj nj\u00eb problem p\u00ebr ato.<\/p>\n
T\u00eb zgjedh\u00ebsh pozicionin e vendit ideal n\u00eb nj\u00eb mbledhje apo n\u00eb klas\u00eb \u00ebsht\u00eb hapi i par\u00eb p\u00ebr t\u00eb leht\u00ebsuar k\u00ebto sfida siq \u00ebsht\u00eb p\u00ebrdorimi i ndihm\u00ebsve t\u00eb ndryshme t\u00eb d\u00ebgjimit dhe pajsisjeve t\u00eb komunikimit[1]<\/a>. P\u00ebr nj\u00eb zgjidhje t\u00eb p\u00ebrheshme duhet t\u00eb konsiderohet nj\u00eb pajisje e p\u00ebrshtatshme teknike p\u00ebr d\u00ebgjimin. P\u00ebr kandidat\u00ebt e shurdh\u00ebr n\u00eb nj\u00ebrin vesh , jan\u00eb t\u00eb p\u00ebrshtatshme pajisja ndihme e d\u00ebgjimit CROS, pajisje konvencionale, implante si dhe implantet kokleare.<\/p>\nCROS \u2013 trasmetimi kontralateral i tingullit<\/h2>\n
CROS \u00ebsht\u00eb kombinimi i nj\u00eb pajisje d\u00ebgjimi q\u00eb vendoset tek veshi i shurdh\u00ebr e cila kap tingujt n\u00eb k\u00ebt\u00eb vesh dhe nj\u00eb pajisje t\u00eb dyt\u00eb ndihm\u00ebse d\u00ebgjimi e cila trasmeton tinguj tek veshi q\u00eb d\u00ebgjon. Tingulli mund t\u00eb trasmetohet n\u00ebp\u00ebrmjet syzeve ose fal\u00eb tekonologjis\u00eb moderne \u2013 wireless. Kjo zgjidhje u siguron p\u00ebrdoruesve t\u00eb gjith\u00eb tingujt q\u00eb vijn\u00eb tek veshi i shurdh\u00ebr. Megjithat\u00eb, ata nuk mund t\u00eb lokalizojn\u00eb burimin se nga vjen tingulli. Kuptimi i t\u00eb folurit n\u00eb ambientet me zhurm\u00eb ndryshon dhe varet nga situata individuale: n\u00ebse bashk\u00ebbiseduesi ndodhet pran\u00eb veshit t\u00eb shurdh\u00ebr ai ose ajo mund t\u00eb d\u00ebgjoj\u00eb m\u00eb mir\u00eb. N\u00ebse bashk\u00ebbiseduesi ndodhet pran\u00eb veshit q\u00eb d\u00ebgjon por zhurma vjen nga ana e veshit t\u00eb shurdh\u00ebr, kuptimi i t\u00eb folurit mund t\u00eb kompromentohet me pajisjen ndihm\u00ebse CROS.<\/p>\n
P\u00ebrdoruesit shpesh i humbasin p\u00ebrfitimet pozitive t\u00eb k\u00ebsaj zgjidhje. Ve\u00e7an\u00ebrisht f\u00ebmij\u00ebt shpesh nuk e pranojn\u00eb t\u00eb vendosin ndihm\u00ebsen e d\u00ebgjimit n\u00eb t\u00eb dyja vesh\u00ebt.[2]<\/a> Sistemet me trasmetim kockor jan\u00eb zhvillimet e fundit t\u00eb sistemeve CROS.<\/p>\np\u00ebrdorimi i trasmetimit kockor p\u00ebr personat q\u00eb d\u00ebgjojn\u00eb n\u00eb nj\u00ebrin vesh<\/h2>\n
Sistemi i trasmetimit kockor bone conduction system is worn in the deaf ear where it picks up sound, converts it into vibrations and delivers them to the temporal bone of the skull. Kafka e tramseton tingullin tek veshi q\u00eb d\u00ebgjon n\u00eb an\u00ebn tjet\u00ebr t\u00eb kok\u00ebs. mund t\u00eb grupohen n\u00eb pajisje speciale t\u00eb d\u00ebgjimit dhe implante d\u00ebgjimit q\u00eb vendosen n\u00eb vesh. T\u00eb dyja sistemet kan\u00eb avantazhet dhe disavantazhet e tyre.<\/p>\n
N\u00eb p\u00ebrgjith\u00ebsi, kjo zgjidhje funksionon duke trasmetuar sinjalin e audios tek veshi i brendsh\u00ebm q\u00eb d\u00ebgjon, duke stimuluar efeket e CROS por vet\u00ebm me nj\u00eb pajisje d\u00ebgjimi. P\u00ebrdoruesit d\u00ebshmojn\u00eb d\u00ebgjim t\u00eb p\u00ebrmisuar, edhe pse ato nuk mund t\u00eb p\u00ebrfitojn\u00eb nga d\u00ebgjimi binaural ( tek t\u00eb dy vesh\u00ebt): Kjo ndodh sepse t\u00eb gjitha tingujt grupohen vet\u00ebm nga nj\u00eb an\u00eb e veshit.<\/p>\n
Implanti Koklear p\u00ebr rregullimin e plot\u00eb t\u00eb d\u00ebgjimit tek nj\u00ebri vesh i shurdh\u00ebr<\/h2>\n![\"SSD](\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27225%27%20height%3D%27300%27%20viewBox%3D%270%200%20225%20300%27%3E%3Crect%20width%3D%27225%27%20height%3D%27300%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\")
Implanti i d\u00ebgjimit ka p\u00ebrmisuar duksh\u00ebm cil\u00ebsin\u00eb e jet\u00ebs tek personat e shurdh\u00ebr n\u00eb t\u00eb dy vesh\u00ebt. \u00a9MED-EL<\/p><\/div>\n
Nj\u00eb implant koklear (IK) shmang mos funksionimin e veshit t\u00eb mes\u00ebm dhe stimulon strukturat e neuroneve tek nervi i d\u00ebgjimit drejtp\u00ebrs\u00ebdrejti. P\u00ebr t\u00eb p\u00ebrtituar plot\u00ebsisht nga nj\u00eb implant koklear, rekomandohet rehabilitimi i d\u00ebgjimit dhe p\u00ebr f\u00ebmij\u00ebt nj\u00eb trajnimi i hersh\u00ebm p\u00ebr d\u00ebgjimin dhe terapi me logopedistin.<\/p>\n
P\u00ebr p\u00ebrdoruesit e implanteve kokleare q\u00eb nuk d\u00ebgjojn\u00eb nga nj\u00ebri vesh mund t\u00eb zgjas\u00eb pak derisa d\u00ebgjimi q\u00ebndror i tyre t\u00eb jet\u00eb n\u00eb gj\u00ebndje t\u00eb kuptoj\u00eb n\u00eb m\u00ebnyr\u00eb korrekte sinjalin e tingullit. Kjo ndodh p\u00ebr faktin se veshi q\u00eb d\u00ebgjon merr p\u00ebrsip\u00ebr t\u00eb gjith\u00eb pun\u00ebn e d\u00ebgjimit. Tek personat q\u00eb paraqesin shurdh\u00ebsi t\u00eb gjat\u00eb nga nj\u00ebri vesh, zonat kortike t\u00eb trurit[3]<\/a> ndoshta mund t\u00eb riorganizohen. Kjo mund t\u00eb zgjas\u00eb pro\u00e7esin e rehabilitimit t\u00eb d\u00ebgjimit. N\u00ebse aft\u00ebsit\u00eb binaurale nuk ishin t\u00eb pranishme para fillimit t\u00eb shurdhimit, rekomandohen ushtrime t\u00eb ve\u00e7anta p\u00ebr lokalizimin e tingullit dhe kuptimit t\u00eb folurit n\u00eb ambientet me zhurm\u00eb. Avantazhi i madh i implanteve kokleare mbi sistemet e tjera q\u00eb p\u00ebrdorin p\u00ebr\u00e7ueshm\u00ebrin\u00eb kockore \u00ebsht\u00eb aft\u00ebsia e tyre t\u00eb rivendos elektronikisht aft\u00ebsit\u00eb e d\u00ebgjimit tek veshi i shurdh\u00ebr, duke siguruar k\u00ebshtu baz\u00ebn p\u00ebr nj\u00eb d\u00ebgjim binaural t\u00eb plot\u00eb.<\/p>\nNdryshimi i sistemeve \u2013 studimi i par\u00eb<\/h2>\n
Tek nj\u00eb studim t\u00eb vitit 2015, ekspert\u00ebt tek klinika e ORL-s\u00eb n\u00eb Wels-Grieskirchen (Austria), kryesuar nga fizikanti Thomas Georg Keintzel[4]<\/a>, b\u00ebn\u00eb krahasimin tek pacient\u00ebt e shurdh\u00ebr nga nj\u00eb vesh me implante kokleare dhe pacient\u00ebt e shurdh\u00ebr nga nj\u00eb vesh me implantin BONEBRIDGE (Ura Kockore, implant d\u00ebgjimi ) Pacient\u00ebt u testuan p\u00ebr t\u00eb kuptuarin e t\u00eb folur\u00ebs n\u00eb ambientet me zhurm\u00eb dhe lokalizimin e tingullit. Gjithashtu, p\u00ebrmisime subjektive tek cil\u00ebsia e jet\u00ebs s\u00eb tyre me implantin ishin vler\u00ebsuar tek nj\u00eb pyet\u00ebsor special.<\/p>\nRezultatet tregojn\u00eb se p\u00ebrdoruesit e t\u00eb dy sistemeve kan\u00eb p\u00ebrfituar nga p\u00ebrmisimi i kuptimit i t\u00eb folur\u00ebs n\u00eb ambjentet me zhurm\u00eb dhe nj\u00eb rritje t\u00eb cil\u00ebsis\u00eb s\u00eb jet\u00ebs me implantet e tyre t\u00eb d\u00ebgjimit. Studimi v\u00ebrejti nj\u00eb ndryshim t\u00eb duksh\u00ebm tek d\u00ebgjimi drejtues. P\u00ebrdoruesit me implant koklear dhan\u00eb pik\u00eb m\u00eb shum\u00eb se sa grupi me implantet e p\u00ebr\u00e7ueshm\u00ebris\u00eb kockore. T\u00eb dyja grupet raportuan nj\u00eb cil\u00ebsi t\u00eb p\u00ebrmisuar e t\u00eb qart\u00eb t\u00eb jet\u00ebs s\u00eb tyre.<\/p>\n
Zgjidhjet p\u00ebr d\u00ebgjimin: eksperienc\u00eb<\/h2>\n
Kur t\u00eb zgjidhet nj\u00eb sistem implanti p\u00ebr nj\u00eb pacient, Thomas Keintzel rekomandon q\u00eb t\u00eb vler\u00ebsohet se q\u00ebllimi \u00ebsht\u00eb \u201d thjesht p\u00ebr t\u00eb vler\u00ebsuar kuptimin e t\u00eb folurit n\u00eb ambientet me zhurm\u00eb ose orientimin e d\u00ebgjimit n\u00eb hap\u00ebsir\u00eb\u201d.<\/p>\n
Suksesi me implantin Bonebridge p\u00ebr p\u00ebrdoruesit q\u00eb nuk d\u00ebgjojn\u00eb nga nj\u00eb vesh k\u00ebrkon d\u00ebgjim t\u00eb mir\u00eb tek veshi kontralateral. Nj\u00eb p\u00ebrpjekje e vog\u00ebl rehabilitimi dhe nj\u00eb p\u00ebrmisim i qart\u00eb p\u00ebr t\u00eb kuptuarin e t\u00eb folurit n\u00eb ambjentet me zhurm\u00eb jan\u00eb argumentet p\u00ebr pajisjen Bonebridge dhe d\u00ebgjimi drejtues i limituar flet t\u00eb kund\u00ebrt\u00ebn.<\/p>\n
Thomas Keintzel shpjegon: \u201cT\u00eb arrish suksesin me nj\u00eb implant d\u00ebgjimi tek nj\u00eb vesh i shurdh\u00ebr, fillimi i shurdh\u00ebsis\u00eb nuk duhet jet\u00eb m\u00eb shum\u00eb se 10 vite. Pacient\u00ebt duhet t\u00eb jen\u00eb t\u00eb vendosur t\u00eb kryejn\u00eb rehabilitime dhe duhet t\u00eb ken\u00eb pritshm\u00ebri realiste. N\u00ebse ato pranojn\u00eb k\u00ebto kushte, pacient\u00ebt e shurdh\u00ebr nga nj\u00eb vesh t\u00eb pajisur me nj\u00eb implant koklear me siguri do t\u00eb shikojn\u00eb p\u00ebrmisimet tek kuptimi i t\u00eb folurit n\u00eb ambientet me zhurm\u00eb t\u00eb larta. P\u00ebr m\u00eb tep\u00ebr, ato mund t\u00eb rifitojn\u00eb s\u00ebrish d\u00ebgjimin drejtues dhe t\u00eb p\u00ebrfitojn\u00eb nga p\u00ebrmisimi i t\u00eb d\u00ebgjuarit n\u00eb hap\u00ebsir\u00eb.<\/p>\n
\n[1]<\/a> Lieu J. E. C., Management of Children with Unilateral Hearing Loss, Otolaryngol Clin N Am, 2015, http:\/\/dx.doi.org\/10.1016\/j.otc.2015.07.006.<\/p>\n[2]<\/a> like1<\/sup><\/p>\n
P\u00ebr personat e shurdh\u00ebr n\u00eb nj\u00ebrin vesh, zgjidhje t\u00eb ndryshme p\u00ebr d\u00ebgjimin jan\u00eb t\u00eb disponueshme. Rezultatet nga nj\u00eb studim i Spitalit Austriak Wels-Grieskirchen mund t\u2019ju ndihmoj\u00eb t\u00eb b\u00ebni nj\u00eb zgjedhje.<\/strong><\/p>\n<\/div> Studimet aktuale d\u00ebshmojn\u00eb se aft\u00ebsit\u00eb e komunikimit t\u00eb personave me humbje t\u00eb thell\u00eb d\u00ebgjimi n\u00eb nj\u00ebrin vesh (shurdhimi n\u00eb nj\u00ebr\u00ebn an\u00eb) jan\u00eb shum\u00eb t\u00eb dob\u00ebta sesa pritej. Mungesa e d\u00ebgjimit drejtues dhe kuptimi i limituar i t\u00eb folurit midis zhurmave jan\u00eb konsideruar si d\u00ebmtimet m\u00eb serioze, ndjekur nga nj\u00eb orientim i limituar n\u00eb hap\u00ebsir\u00eb. Studimet kan\u00eb treguar po ashtu se pacient\u00ebt e shurdh\u00ebr n\u00eb njer\u00ebn an\u00eb ndihen mjaft t\u00eb kufizuar n\u00eb jet\u00ebn e tyre profesionale. Madje p\u00ebrdorimi i telefonit me nj\u00eb implant normal d\u00ebgjimi mund t\u00eb p\u00ebrb\u00ebj nj\u00eb problem p\u00ebr ato.<\/p>\n T\u00eb zgjedh\u00ebsh pozicionin e vendit ideal n\u00eb nj\u00eb mbledhje apo n\u00eb klas\u00eb \u00ebsht\u00eb hapi i par\u00eb p\u00ebr t\u00eb leht\u00ebsuar k\u00ebto sfida siq \u00ebsht\u00eb p\u00ebrdorimi i ndihm\u00ebsve t\u00eb ndryshme t\u00eb d\u00ebgjimit dhe pajsisjeve t\u00eb komunikimit[1]<\/a>. P\u00ebr nj\u00eb zgjidhje t\u00eb p\u00ebrheshme duhet t\u00eb konsiderohet nj\u00eb pajisje e p\u00ebrshtatshme teknike p\u00ebr d\u00ebgjimin. P\u00ebr kandidat\u00ebt e shurdh\u00ebr n\u00eb nj\u00ebrin vesh , jan\u00eb t\u00eb p\u00ebrshtatshme pajisja ndihme e d\u00ebgjimit CROS, pajisje konvencionale, implante si dhe implantet kokleare.<\/p>\n CROS \u00ebsht\u00eb kombinimi i nj\u00eb pajisje d\u00ebgjimi q\u00eb vendoset tek veshi i shurdh\u00ebr e cila kap tingujt n\u00eb k\u00ebt\u00eb vesh dhe nj\u00eb pajisje t\u00eb dyt\u00eb ndihm\u00ebse d\u00ebgjimi e cila trasmeton tinguj tek veshi q\u00eb d\u00ebgjon. Tingulli mund t\u00eb trasmetohet n\u00ebp\u00ebrmjet syzeve ose fal\u00eb tekonologjis\u00eb moderne \u2013 wireless. Kjo zgjidhje u siguron p\u00ebrdoruesve t\u00eb gjith\u00eb tingujt q\u00eb vijn\u00eb tek veshi i shurdh\u00ebr. Megjithat\u00eb, ata nuk mund t\u00eb lokalizojn\u00eb burimin se nga vjen tingulli. Kuptimi i t\u00eb folurit n\u00eb ambientet me zhurm\u00eb ndryshon dhe varet nga situata individuale: n\u00ebse bashk\u00ebbiseduesi ndodhet pran\u00eb veshit t\u00eb shurdh\u00ebr ai ose ajo mund t\u00eb d\u00ebgjoj\u00eb m\u00eb mir\u00eb. N\u00ebse bashk\u00ebbiseduesi ndodhet pran\u00eb veshit q\u00eb d\u00ebgjon por zhurma vjen nga ana e veshit t\u00eb shurdh\u00ebr, kuptimi i t\u00eb folurit mund t\u00eb kompromentohet me pajisjen ndihm\u00ebse CROS.<\/p>\n P\u00ebrdoruesit shpesh i humbasin p\u00ebrfitimet pozitive t\u00eb k\u00ebsaj zgjidhje. Ve\u00e7an\u00ebrisht f\u00ebmij\u00ebt shpesh nuk e pranojn\u00eb t\u00eb vendosin ndihm\u00ebsen e d\u00ebgjimit n\u00eb t\u00eb dyja vesh\u00ebt.[2]<\/a> Sistemet me trasmetim kockor jan\u00eb zhvillimet e fundit t\u00eb sistemeve CROS.<\/p>\n Sistemi i trasmetimit kockor bone conduction system is worn in the deaf ear where it picks up sound, converts it into vibrations and delivers them to the temporal bone of the skull. Kafka e tramseton tingullin tek veshi q\u00eb d\u00ebgjon n\u00eb an\u00ebn tjet\u00ebr t\u00eb kok\u00ebs. mund t\u00eb grupohen n\u00eb pajisje speciale t\u00eb d\u00ebgjimit dhe implante d\u00ebgjimit q\u00eb vendosen n\u00eb vesh. T\u00eb dyja sistemet kan\u00eb avantazhet dhe disavantazhet e tyre.<\/p>\n N\u00eb p\u00ebrgjith\u00ebsi, kjo zgjidhje funksionon duke trasmetuar sinjalin e audios tek veshi i brendsh\u00ebm q\u00eb d\u00ebgjon, duke stimuluar efeket e CROS por vet\u00ebm me nj\u00eb pajisje d\u00ebgjimi. P\u00ebrdoruesit d\u00ebshmojn\u00eb d\u00ebgjim t\u00eb p\u00ebrmisuar, edhe pse ato nuk mund t\u00eb p\u00ebrfitojn\u00eb nga d\u00ebgjimi binaural ( tek t\u00eb dy vesh\u00ebt): Kjo ndodh sepse t\u00eb gjitha tingujt grupohen vet\u00ebm nga nj\u00eb an\u00eb e veshit.<\/p>\n Implanti i d\u00ebgjimit ka p\u00ebrmisuar duksh\u00ebm cil\u00ebsin\u00eb e jet\u00ebs tek personat e shurdh\u00ebr n\u00eb t\u00eb dy vesh\u00ebt. \u00a9MED-EL<\/p><\/div>\n Nj\u00eb implant koklear (IK) shmang mos funksionimin e veshit t\u00eb mes\u00ebm dhe stimulon strukturat e neuroneve tek nervi i d\u00ebgjimit drejtp\u00ebrs\u00ebdrejti. P\u00ebr t\u00eb p\u00ebrtituar plot\u00ebsisht nga nj\u00eb implant koklear, rekomandohet rehabilitimi i d\u00ebgjimit dhe p\u00ebr f\u00ebmij\u00ebt nj\u00eb trajnimi i hersh\u00ebm p\u00ebr d\u00ebgjimin dhe terapi me logopedistin.<\/p>\n P\u00ebr p\u00ebrdoruesit e implanteve kokleare q\u00eb nuk d\u00ebgjojn\u00eb nga nj\u00ebri vesh mund t\u00eb zgjas\u00eb pak derisa d\u00ebgjimi q\u00ebndror i tyre t\u00eb jet\u00eb n\u00eb gj\u00ebndje t\u00eb kuptoj\u00eb n\u00eb m\u00ebnyr\u00eb korrekte sinjalin e tingullit. Kjo ndodh p\u00ebr faktin se veshi q\u00eb d\u00ebgjon merr p\u00ebrsip\u00ebr t\u00eb gjith\u00eb pun\u00ebn e d\u00ebgjimit. Tek personat q\u00eb paraqesin shurdh\u00ebsi t\u00eb gjat\u00eb nga nj\u00ebri vesh, zonat kortike t\u00eb trurit[3]<\/a> ndoshta mund t\u00eb riorganizohen. Kjo mund t\u00eb zgjas\u00eb pro\u00e7esin e rehabilitimit t\u00eb d\u00ebgjimit. N\u00ebse aft\u00ebsit\u00eb binaurale nuk ishin t\u00eb pranishme para fillimit t\u00eb shurdhimit, rekomandohen ushtrime t\u00eb ve\u00e7anta p\u00ebr lokalizimin e tingullit dhe kuptimit t\u00eb folurit n\u00eb ambientet me zhurm\u00eb. Avantazhi i madh i implanteve kokleare mbi sistemet e tjera q\u00eb p\u00ebrdorin p\u00ebr\u00e7ueshm\u00ebrin\u00eb kockore \u00ebsht\u00eb aft\u00ebsia e tyre t\u00eb rivendos elektronikisht aft\u00ebsit\u00eb e d\u00ebgjimit tek veshi i shurdh\u00ebr, duke siguruar k\u00ebshtu baz\u00ebn p\u00ebr nj\u00eb d\u00ebgjim binaural t\u00eb plot\u00eb.<\/p>\n Tek nj\u00eb studim t\u00eb vitit 2015, ekspert\u00ebt tek klinika e ORL-s\u00eb n\u00eb Wels-Grieskirchen (Austria), kryesuar nga fizikanti Thomas Georg Keintzel[4]<\/a>, b\u00ebn\u00eb krahasimin tek pacient\u00ebt e shurdh\u00ebr nga nj\u00eb vesh me implante kokleare dhe pacient\u00ebt e shurdh\u00ebr nga nj\u00eb vesh me implantin BONEBRIDGE (Ura Kockore, implant d\u00ebgjimi ) Pacient\u00ebt u testuan p\u00ebr t\u00eb kuptuarin e t\u00eb folur\u00ebs n\u00eb ambientet me zhurm\u00eb dhe lokalizimin e tingullit. Gjithashtu, p\u00ebrmisime subjektive tek cil\u00ebsia e jet\u00ebs s\u00eb tyre me implantin ishin vler\u00ebsuar tek nj\u00eb pyet\u00ebsor special.<\/p>\n Rezultatet tregojn\u00eb se p\u00ebrdoruesit e t\u00eb dy sistemeve kan\u00eb p\u00ebrfituar nga p\u00ebrmisimi i kuptimit i t\u00eb folur\u00ebs n\u00eb ambjentet me zhurm\u00eb dhe nj\u00eb rritje t\u00eb cil\u00ebsis\u00eb s\u00eb jet\u00ebs me implantet e tyre t\u00eb d\u00ebgjimit. Studimi v\u00ebrejti nj\u00eb ndryshim t\u00eb duksh\u00ebm tek d\u00ebgjimi drejtues. P\u00ebrdoruesit me implant koklear dhan\u00eb pik\u00eb m\u00eb shum\u00eb se sa grupi me implantet e p\u00ebr\u00e7ueshm\u00ebris\u00eb kockore. T\u00eb dyja grupet raportuan nj\u00eb cil\u00ebsi t\u00eb p\u00ebrmisuar e t\u00eb qart\u00eb t\u00eb jet\u00ebs s\u00eb tyre.<\/p>\n Kur t\u00eb zgjidhet nj\u00eb sistem implanti p\u00ebr nj\u00eb pacient, Thomas Keintzel rekomandon q\u00eb t\u00eb vler\u00ebsohet se q\u00ebllimi \u00ebsht\u00eb \u201d thjesht p\u00ebr t\u00eb vler\u00ebsuar kuptimin e t\u00eb folurit n\u00eb ambientet me zhurm\u00eb ose orientimin e d\u00ebgjimit n\u00eb hap\u00ebsir\u00eb\u201d.<\/p>\n Suksesi me implantin Bonebridge p\u00ebr p\u00ebrdoruesit q\u00eb nuk d\u00ebgjojn\u00eb nga nj\u00eb vesh k\u00ebrkon d\u00ebgjim t\u00eb mir\u00eb tek veshi kontralateral. Nj\u00eb p\u00ebrpjekje e vog\u00ebl rehabilitimi dhe nj\u00eb p\u00ebrmisim i qart\u00eb p\u00ebr t\u00eb kuptuarin e t\u00eb folurit n\u00eb ambjentet me zhurm\u00eb jan\u00eb argumentet p\u00ebr pajisjen Bonebridge dhe d\u00ebgjimi drejtues i limituar flet t\u00eb kund\u00ebrt\u00ebn.<\/p>\n Thomas Keintzel shpjegon: \u201cT\u00eb arrish suksesin me nj\u00eb implant d\u00ebgjimi tek nj\u00eb vesh i shurdh\u00ebr, fillimi i shurdh\u00ebsis\u00eb nuk duhet jet\u00eb m\u00eb shum\u00eb se 10 vite. Pacient\u00ebt duhet t\u00eb jen\u00eb t\u00eb vendosur t\u00eb kryejn\u00eb rehabilitime dhe duhet t\u00eb ken\u00eb pritshm\u00ebri realiste. N\u00ebse ato pranojn\u00eb k\u00ebto kushte, pacient\u00ebt e shurdh\u00ebr nga nj\u00eb vesh t\u00eb pajisur me nj\u00eb implant koklear me siguri do t\u00eb shikojn\u00eb p\u00ebrmisimet tek kuptimi i t\u00eb folurit n\u00eb ambientet me zhurm\u00eb t\u00eb larta. P\u00ebr m\u00eb tep\u00ebr, ato mund t\u00eb rifitojn\u00eb s\u00ebrish d\u00ebgjimin drejtues dhe t\u00eb p\u00ebrfitojn\u00eb nga p\u00ebrmisimi i t\u00eb d\u00ebgjuarit n\u00eb hap\u00ebsir\u00eb.<\/p>\n [1]<\/a> Lieu J. E. C., Management of Children with Unilateral Hearing Loss, Otolaryngol Clin N Am, 2015, http:\/\/dx.doi.org\/10.1016\/j.otc.2015.07.006.<\/p>\n [2]<\/a> like1<\/sup><\/p>\n<\/span><\/div>CROS \u2013 trasmetimi kontralateral i tingullit<\/h2>\n
p\u00ebrdorimi i trasmetimit kockor p\u00ebr personat q\u00eb d\u00ebgjojn\u00eb n\u00eb nj\u00ebrin vesh<\/h2>\n
Implanti Koklear p\u00ebr rregullimin e plot\u00eb t\u00eb d\u00ebgjimit tek nj\u00ebri vesh i shurdh\u00ebr<\/h2>\n
Ndryshimi i sistemeve \u2013 studimi i par\u00eb<\/h2>\n
Zgjidhjet p\u00ebr d\u00ebgjimin: eksperienc\u00eb<\/h2>\n
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