{"id":22229,"date":"2022-11-15T16:22:59","date_gmt":"2022-11-15T15:22:59","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=22229"},"modified":"2025-04-16T12:31:11","modified_gmt":"2025-04-16T12:31:11","slug":"si-te-zgjedhim-implantin-e-duhur-koklear","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/sq\/si-te-zgjedhim-implantin-e-duhur-koklear\/","title":{"rendered":"Si t\u00eb zgjedhim implantin e duhur koklear"},"content":{"rendered":"

Nj\u00eb baba rr\u00ebfen se si zgjodhi implantin e duhur koklear p\u00ebr vajz\u00ebn e tij<\/h1><\/div>

Dr. Christian Schmidt, babai i nj\u00eb vajze me nj\u00eb implant koklear, p\u00ebrshkruan s\u00eb cil\u00ebt ishin faktor\u00ebt vendimtar\u00eb per t\u00eb dhe bashk\u00ebshorten e tij kur zgjodh\u00ebn sistemin e implantit koklear p\u00ebr vajz\u00ebn e tyre.<\/strong><\/p>\n<\/div>

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

\u201c\u00c7far\u00eb tha doktori? Cilin implant rekomandoi? \u00c7far\u00eb n\u00ebnkuptonte duke th\u00ebn\u00eb se paralele e n\u00eb seri jan\u00eb e nj\u00ebjta gj\u00eb? P\u00ebrse ai nuk mori m\u00eb shum\u00eb koh\u00eb p\u00ebr t\u00eb na e shpjeguar n\u00eb detaje?\u201d Kur mor\u00ebm vesh diagnoz\u00ebn p\u00ebr humbjen e d\u00ebgjimit tek vajza jon\u00eb, ne filluam kalvarin n\u00eb xhungl\u00ebn e informacioneve plot\u00ebsisht t\u00eb reja dhe na duhej t\u00eb gjenim rrug\u00ebn ton\u00eb t\u00eb daljes.<\/p>\n

N\u00eb radh\u00eb t\u00eb par\u00eb, dua t\u00eb them q\u00eb MED-EL na bindi p\u00ebr implantet e tyre kokleare. K\u00ebto implante kan\u00eb 24 kontakte dyshe n\u00eb 12 pozicione t\u00eb ndryshme gjat\u00ebsore dhe nj\u00eb burim t\u00eb ndar\u00eb fuqie p\u00ebr secilin nga k\u00ebto kontakte. Duke q\u00ebn\u00eb se burimet e energjis\u00eb jan\u00eb t\u00eb pavarura, kjo do t\u00eb thot\u00eb q\u00eb \u00ebsht\u00eb e mundur si shifrimi n\u00eb seri e paralel. N\u00eb t\u00eb ardhmen, ne shpresojm\u00eb q\u00eb k\u00ebrkimi do t\u00eb krijoj strategji stimulimi gjithmon\u00eb m\u00eb t\u00eb rafinuara \u2013 implanti i vajz\u00ebs ton\u00eb \u00ebsht\u00eb gjithashtu i hapur p\u00ebr t\u00eb dyja qasjet e sistemit.<\/p>\n

\u00c7far\u00eb do t\u00eb thot\u00eb n\u00eb seri ose paralele?<\/h2>\n

Termat \u201cn\u00eb seri\u201d dhe \u201cparalele\u201d p\u00ebrdoren shpesh n\u00eb fush\u00ebn kompjuterike. Rryma elektrike q\u00eb trasmeton t\u00eb dh\u00ebnat dhe informacionet mund t\u00eb shkoj\u00eb si n\u00eb seri, nj\u00ebra pas tjetr\u00ebs p\u00ebrmes nj\u00eb kontakti, ose n\u00eb n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb paralelisht p\u00ebrmes disa kontakteve. Sa m\u00eb von\u00eb mund t\u00eb p\u00ebrshpetoj\u00eb trasmetimin e informacionit: m\u00eb shum\u00eb informacione n\u00eb pak koh\u00eb. N\u00eb kontekstin e implanteve kokleare (shkurtimisht IK) n\u00eb seri dhe paralele i referohen gjithashtu edhe rrjedh\u00ebs elektrike; m\u00eb sakt\u00eb, tek m\u00ebnyra n\u00eb t\u00eb cil\u00ebn impulset e vogla t\u00eb energjis\u00eb stimulojn\u00eb fijet nervore tek veshi i brendsh\u00ebm ose tek koklea (k\u00ebrmilli i veshit).<\/p>\n

Nj\u00eb sistem i IK-s\u00eb \u00ebsht\u00eb i p\u00ebrb\u00ebr\u00eb nga nj\u00eb implant i paduksh\u00ebm dhe nj\u00eb pro\u00e7esor audio i cili vendoset nga jasht\u00eb. Pro\u00e7esori audio mund t\u00eb jet\u00eb nj\u00eb pro\u00e7esor n\u00eb nj\u00ebsi t\u00eb vetme n\u00eb form\u00ebn e nj\u00eb disku t\u00eb shesht\u00eb ose nj\u00eb (BTE) \u2013 pro\u00e7esori pas veshit q\u00eb duket pothuajse si nj\u00eb pajisje normale p\u00ebr d\u00ebgjimin. Pro\u00e7esori mbledh tingujt zanor\u00eb me mikrofonin, duke p\u00ebrpunuar k\u00ebshtu n\u00eb m\u00ebnyr\u00eb elektronike k\u00ebto informacione analoge dhe ia trasmeton implantit n\u00ebp\u00ebrmjet nj\u00eb bobine. Implanti p\u00ebrgatit sinjalet p\u00ebr kontaktet e elektrodave ku shp\u00ebrndahen si impulse t\u00eb vogla elektrike tek veshi i brendsh\u00ebm.<\/p>\n

Sipas prodhuesit, jan\u00eb nga 16 deri n\u00eb 24 kontakte p\u00ebr elektroda t\u00eb lidhura tek grupi i elektrodave, \u201ckabulli i elektrodave\u201d q\u00eb shkon nga implanti te koklea tek veshi i mesit. Kjo elektrod\u00eb futet zakonisht p\u00ebrmes t\u00eb ashtuquajtur\u00ebs dritare rrumbullake tek skala timpani, kanali i timpanit e k\u00ebrmillit t\u00eb veshit (koklea). Af\u00ebr skala timpani \u00ebsht\u00eb organi i Kortit, organ i v\u00ebrtet i d\u00ebgjimit. Tek veshi i sh\u00ebndetsh\u00ebm, ky organ furnizon nervin e d\u00ebgjimit me stimuj. Me implantin koklear, k\u00ebta stimuj z\u00ebv\u00ebnd\u00ebsohen nga impluse t\u00eb vo\u00e7kla rryme nga elektroda e implantit. Tek implantet kokleare konvencionale, kjo b\u00ebhet n\u00eb seri, nj\u00eb impuls pas tjetrit; por me teknologjit\u00eb m\u00eb t\u00eb fundit t\u00eb implanteve kokleare disa impluse d\u00ebrgohen paralelisht.<\/p>\n

Elektroda: Krahasimi midis prodhuesve t\u00eb ndrysh\u00ebm<\/h2>\n

Duke u bazuar broshur\u00ebs s\u00eb tyre, prodhuesi austriak i implanteve kokleare MED-EL p\u00ebrdor 24 kontakte p\u00ebr elektroda, dy m\u00eb shum\u00eb n\u00eb krahasim me prodhuesin australian Chochlear. N\u00eb m\u00ebyr\u00eb rigoroze, implantet e MED-EL kan\u00eb 24 kontakte n\u00eb 12 pozicione t\u00eb ndryshme gjat\u00eb grupit t\u00eb elektrodave me p\u00ebraf\u00ebrsi 31 milimetra t\u00eb gjat\u00eb. K\u00ebto tregohen si kontakte dyshe secila me kabullin e saj t\u00eb karikimit. Nga ana tjet\u00ebr, Cochlear ka 22 kontakte n\u00eb pozicione t\u00eb ndryshme por jo t\u00eb gjith\u00eb p\u00ebrdoren brenda nj\u00eb seance stimulimi.<\/p>\n

P\u00ebrmes testeve t\u00eb ndryshme, u llogarit se rreth 12 kontakte formojn\u00eb nj\u00eb distanc\u00eb m\u00eb t\u00eb mir\u00eb midis pikave t\u00eb ve\u00e7uara t\u00eb stimulimit. P\u00ebr arsye fizike \u00e7do impuls n\u00eb qarkullim sado i vog\u00ebl, mund t\u00eb jet\u00eb nj\u00eb subjekt i nj\u00eb nj\u00ebfar\u00eb shp\u00ebrb\u00ebrje. Rezultati \u201cfusha elektrike\u201d stimulon jo vet\u00ebm pik\u00ebn e sakt\u00eb t\u00eb kontaktit, por edhe k\u00ebrmillin e veshit m\u00eb gjer\u00ebsisht. K\u00ebshtu, m\u00eb shum\u00eb se 12 kontakte t\u00eb elektrod\u00ebs nuk mund t\u00eb sjellin asnj\u00eb p\u00ebrmisim dom\u00ebth\u00ebn\u00ebs.<\/p>\n

Sa tinguj mund t\u00eb d\u00ebgjoj?<\/h2>\n

Kur mb\u00ebshtillet, kanali i timpanit ku elektroda e implantit koklear shtrihet \u00ebsht\u00eb i gjat\u00eb 31 milimetra. Veshi i brendsh\u00ebm i sh\u00ebndetsh\u00ebm ka rreth 30.000 qeliza me qime n\u00eb organin e Kortit t\u00eb cilat jan\u00eb p\u00ebrgjegj\u00ebse p\u00ebr prodhimin e impulseve nervore gjat\u00eb d\u00ebgjimit. Me nj\u00eb implant koklear, n\u00eb maksimum jan\u00eb rreth 24 elektroda t\u00eb disponueshme, ndonj\u00ebher\u00eb m\u00eb pak se 31 milimetra. N\u00eb krahasim me 30.000 kjo mund t\u00eb duket e pamjaftueshme.<\/p>\n

Me 30.000 qeliza me qime, nj\u00eb vesh i sh\u00ebndetsh\u00ebm mund t\u00eb dallohet mes m\u00eb shum\u00eb sesa nj\u00eb mij\u00eb ton. Me nj\u00eb implant koklear m\u00eb shum\u00eb se 100. Megjithat\u00eb, sipas perspektivave p\u00ebrkat\u00ebse t\u00eb marketingut, \u00ebsht\u00eb e mundur t\u00eb arrihet \u201cm\u00eb shum\u00eb\u201d me nj\u00eb implant koklear me t\u00eb ashtuquajtur\u00ebn \u201ckontakte virtuale\u201d t\u00eb cilat krijohen n\u00ebp\u00ebrmjet teknologjis\u00eb n\u00eb seri ose paralele.<\/p>\n

M\u00eb shum\u00eb tinguj p\u00ebrmes elektrodave virtuale<\/h2>\n

Ekspert\u00ebt flasin p\u00ebr nje elektrod\u00eb virtuale kur ajo nuk ekziston fizikisht si kontakt i elektrod\u00ebs. Krijohet duke mbivendosur fushat elektrike e dy kontakteve af\u00ebr.<\/p>\n

P\u00ebr shembull, le t\u00eb hedhim nj\u00eb sy tek dy kontaktet af\u00ebr A dhe B: n\u00ebse tek pika A shkon \u201crryma elektrike\u201d, fijet nervore (ose qelizat ganglion ) do t\u00eb stimulohen tek zona e kontaktit dhe do t\u00eb d\u00ebgjohet tingulli p\u00ebrkat\u00ebs. Nd\u00ebrsa, n\u00ebse stimulohet pika B, do t\u00eb stimulohet zona rreth k\u00ebtij kontakti dhe do t\u00eb d\u00ebgjohet toni p\u00ebrkat\u00ebs. Por n\u00ebse ne aktivizojm\u00eb t\u00eb dyja kontaktet n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, fusha elektrike e t\u00eb dyja kontakteve do t\u00eb mbivendosen. Me t\u00eb nj\u00ebjt\u00ebn p\u00ebrhapje midis fushave, formohet nj\u00eb maksimum i fush\u00ebs p\u00ebraf\u00ebrsisht qendr\u00ebs s\u00eb dy kontakteve. P\u00ebrsa i p\u00ebrket stimulimit nervor formohet nj\u00eb e ashtuquajtur elektrod\u00eb virtuale. N\u00ebse nj\u00eb prej kontakteve stimulohet m\u00eb shum\u00eb se tjetri, at\u00ebher\u00eb i fundit zhvendsoset n\u00eb drejtimin e atij kontakti. P\u00ebrs\u00ebri kjo krijon nj\u00eb elektrod\u00eb t\u00eb re virtuale ose nj\u00eb tingull t\u00eb ri.<\/p>\n

Kjo metod\u00eb nuk mund t\u00eb klasifikohet si d\u00ebgjim natural. Me p\u00ebrjashtim, n\u00ebse kombinoni n\u00eb m\u00ebnyr\u00eb tjet\u00ebr fuqi t\u00eb ndryshme t\u00eb impulseve tek kanalet e v\u00ebrteta, \u00ebsht\u00eb e mundur t\u00eb nxirrini disa elektroda t\u00eb ndryshme virtuale midis dy kontakteve dhe t\u00eb krijoni tinguj t\u00eb reja d\u00ebgjimi.<\/p>\n

Kanale virtuale: n\u00eb seri ose paralele<\/h2>\n

N\u00eb stimulimin paralel rryma elektrike aplikohet n\u00eb t\u00eb nj\u00ebjtin koh\u00eb n\u00eb t\u00eb dyja kontaktet ngjitur. P\u00ebr nj\u00eb lidhje elektrike efikase, duhet t\u00eb jet\u00eb nj\u00eb num\u00ebr p\u00ebrkat\u00ebsisht i lart\u00eb t\u00eb burimeve t\u00eb rrym\u00ebs elektrike.<\/p>\n

N\u00eb stimulimin me seri, sistemi i elektrodave virtuale arrihet duke stimuluar kontaktet e ngjitura n\u00eb m\u00ebnyr\u00eb sekuenciale \u2013 nj\u00ebra pas tjetr\u00ebs. M\u00eb pas, nj\u00eb tingull stimulohet nga nj\u00eb puls i dyfisht\u00eb. Dy pulse tek kontaktet af\u00ebr verifikohen n\u00eb vazhdim\u00ebsi t\u00eb shpejt\u00eb t\u00eb ndar\u00eb n\u00eb mikrosekonda.<\/p>\n

Ju mund t\u00eb mendoni k\u00ebt\u00eb efekt si i ngjash\u00ebm me filmat e vjet\u00ebr ose librat me imazhe kur syri jon\u00eb i percepton imazhet me shpejt\u00ebsi nj\u00ebra pas tjetr\u00ebs si nj\u00eb imazh l\u00ebviz\u00ebs.<\/p>\n

Sa kanale duhet t\u00eb d\u00ebgjojm\u00eb?<\/h2>\n

Metoda e stimulimit n\u00eb seri p\u00ebr implantin koklear p\u00ebrfshin mbivendosjen e fushave n\u00eb seri t\u00eb shpejt\u00eb. Rryma aplikohet n\u00eb fillim tek kontakti A i cili m\u00eb pas \u00e7aktivizohet s\u00ebrisht. Menj\u00ebher\u00eb pastaj, aplikohet stimulimi tek kontakti B. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, gjenerohet nj\u00eb fush\u00eb maksimale n\u00eb mes t\u00eb dy kontakteve fizikisht ekzistues q\u00eb nga ana e saj krijon nj\u00eb elektrod\u00eb virtuale vet\u00ebm me nj\u00eb vones\u00eb t\u00eb leht\u00eb.<\/p>\n

Studime t\u00eb holl\u00ebsishme t\u00eb kryera tek p\u00ebrdoruesit e rritur me implante kokleare kan\u00eb treguar se midis 127 dhe 161 tinguj t\u00eb ndrysh\u00ebm mund t\u00eb perceptohen n\u00eb m\u00ebnyr\u00eb seriale. N\u00eb qasjen paralele numri i tingujve varet nga numri i dy kontakteve t\u00eb mundur dhe nga numri i nivelit t\u00eb tingujve aktual. Studimi ka treguar deri m\u00eb 460 tinguj; n\u00eb praktik\u00eb, sipas strategjis\u00eb s\u00eb kodimit \u00ebsht\u00eb konfirmuar nj\u00eb aft\u00ebsi deri m\u00eb 250 tinguj.<\/p>\n

Avantazhet e stimulimit paralel dhe kritere t\u00eb tjera vendimtare<\/h2>\n

Sistemet e implanteve kokleare me stimulimin paralel lejojn\u00eb m\u00eb shum\u00eb \u201ckanale virtuale\u201d t\u00eb nj\u00ebhershme. Mund\u00ebsojn\u00eb gjithashtu kodifikimin q\u00eb p\u00ebrdor sistemi paralel n\u00eb gam\u00ebn mesatare dhe t\u00eb ul\u00ebt dhe bazohet tek sistemi serial tek gama me frekuenz\u00eb t\u00eb lart\u00eb. Kjo lejon t\u00eb imitoj\u00eb d\u00ebgjimin natural. Burimet e rryn\u00ebs paralele gjithashtu i japin sistemit nj\u00eb besueshm\u00ebri t\u00eb madhe me siguri shtes\u00eb. P\u00ebr mendimin tim, kapaciteti i stimulimit paralel \u00ebsht\u00eb elementi diferencues m\u00eb i r\u00ebnd\u00ebsish\u00ebm midis implanteve t\u00eb ndryshme kokleare.<\/p>\n

Faktori i dyt\u00eb i r\u00ebnd\u00ebsish\u00ebm p\u00ebr vendimin tim ka qen\u00eb natyra dhe gjat\u00ebsia e elektrod\u00ebs. Kjo gjat\u00ebsi \u00ebsht\u00eb edhe p\u00ebrgjigja e pyetjes gjithashtu: \u201cP\u00ebrse disa p\u00ebrdorues t\u00eb implanteve kokleare si Miushi, nd\u00ebrsa t\u00eb tjer\u00ebt e d\u00ebgjojn\u00eb n\u00eb m\u00ebnyr\u00eb relativisht t\u00eb qart\u00eb?\u201d Natyrisht, ka gjithashtu edhe faktor\u00eb t\u00eb tjer\u00eb t\u00eb mundsh\u00ebm e t\u00eb ndrysh\u00ebm p\u00ebr nj\u00eb vendim, por k\u00ebto vijn\u00eb n\u00eb fund t\u00eb klasifikimit tim personal, si p\u00ebr shembull Bluetooth apo aplikacionet e iPhone.<\/p>\n

P\u00ebrsa na rezulton, prodhuesi Cochlear funksionon akoma me stimulimin serial dhe ka 22 kontakte tek nj\u00eb elektrod\u00eb m\u00eb t\u00eb shkurt\u00ebr me vet\u00ebm nj\u00eb ushqyes elektrik. MED-EL ka 24 kontakte dyshe n\u00eb 12 pozicione gjat\u00ebsore mbi nj\u00eb elektrod\u00eb m\u00eb t\u00eb gjat\u00eb por furnizon nj\u00eb furnizim t\u00eb ve\u00e7ant\u00eb p\u00ebr \u00e7do secilin prej k\u00ebtyre kontakteve. Dhe kjo lejon edhe stimulimin paralel.<\/p>\n

K\u00ebshtu, ne kemi zgjedhur mbi t\u00eb gjitha nj\u00eb implant koklear MED-EL sepse \u00ebsht\u00eb aktualisht i vetmi sistem me mund\u00ebsin\u00eb e stimulimit paralel.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Dr Christian Schmidt MBA, babai i nj\u00eb vajze me nj\u00eb implant koklear, p\u00ebrshkruan s\u00eb cil\u00ebt ishin faktor\u00ebt vendimtar\u00eb per t\u00eb dhe bashk\u00ebshorten e tij kur zgjodh\u00ebn sistemin e implantit koklear p\u00ebr vajz\u00ebn e tyre.<\/p>\n","protected":false},"author":4,"featured_media":31890,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[415],"tags":[423,422],"class_list":["post-22229","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-jeta","tag-ci-users","tag-hearing-implant-reliability"],"yoast_head":"\nSi t\u00eb zgjedhim implantin e duhur koklear - Albanian<\/title>\n<meta name=\"description\" content=\"Babai i nj\u00eb vajze me nj\u00eb implant koklear p\u00ebrshkruan s\u00eb cil\u00ebt ishin faktor\u00ebt vendimtar\u00eb per t\u00eb dhe si t\u00eb zgjidhte implantin e duhur koklear bazuar n\u00eb disa kritere.\" \/>\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\/sq\/si-te-zgjedhim-implantin-e-duhur-koklear\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Si t\u00eb zgjedhim implantin e duhur koklear - 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