{"id":5879,"date":"2021-08-06T10:30:27","date_gmt":"2021-08-06T08:30:27","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=5879"},"modified":"2025-04-16T12:42:38","modified_gmt":"2025-04-16T12:42:38","slug":"degjimi-me-nje-implant-koklear","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/sq\/degjimi-me-nje-implant-koklear\/","title":{"rendered":"D\u00ebgjimi me nj\u00eb implant koklear"},"content":{"rendered":"

D\u00ebgjimi n\u00eb dimensionin e kat\u00ebrt<\/h1><\/div>

Q\u00eb kur fillova t\u00eb punoja p\u00ebr kompanin\u00eb MED-EL, shpesh i b\u00ebja nj\u00eb pyetje vetes: \u201cSA natyrsh\u00ebm ndihet d\u00ebgjimi tek p\u00ebrdoruesit me implantet tona t\u00eb d\u00ebgjimit?\u201d Provat shkencore kan\u00eb arritur t\u00eb konfirmojn\u00eb se \u00ebsht\u00eb e mundur t\u00eb kuptosh t\u00eb folur\u00ebn n\u00eb m\u00ebnyr\u00eb perfekte. Por pyetja \u201cSE Si ata d\u00ebgjojn\u00eb?\u201d mbetet pa p\u00ebrgjigje.<\/strong><\/p>\n

DI Ewald Thurner, menaxheri i territorit p\u00ebr MED-EL, Vien\u00eb<\/i><\/p>\n<\/div>

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Para se nj\u00eb implant d\u00ebgjimi t\u00eb montohet, nevojiten t\u00eb kryhen n\u00eb fillim matje t\u00eb ndryshme audiometrike. Nj\u00eb metod\u00eb subjektive e matjes \u00ebsht\u00eb elektro-audiometria (EAM). P\u00ebr k\u00ebt\u00eb, kanali i jasht\u00ebm i d\u00ebgjimit mbushet me uj\u00eb fiziologjik, testimi i elektrod\u00ebs vendoset tek kanali i d\u00ebgjimit dhe vesh\u00ebt mbyllen. Pas k\u00ebsaj, n\u00eb m\u00ebnyre precize aplikohen impulse elektrike t\u00eb sikronizuara (ose shkarkesa) t\u00eb cilat munden t\u00eb shkaktojn\u00eb ndjesin\u00eb e d\u00ebgjimit. Kjo metod\u00eb mund t\u00eb p\u00ebrdoret p\u00ebr t\u00eb diagnostikuar munges\u00ebn e nervit t\u00eb d\u00ebgjimit. M\u00eb par\u00eb kjo ishte nj\u00eb rutin\u00eb, por sot kjo nuk zhvillohet p\u00ebr shkak t\u00eb munges\u00ebs s\u00eb e nervit q\u00eb \u00ebsht\u00eb e rrall\u00eb. P\u00ebr mua si nj\u00eb shkenc\u00ebtar dhe mjek i ri, ishte e r\u00ebnd\u00ebsishme t\u00eb zbuloja se si u ndiente dhe si ting\u00ebllonte kur vendosa k\u00ebt\u00eb elektrod\u00eb me krip\u00eb brenda veshit t\u00eb nj\u00eb f\u00ebmije dy vje\u00e7ar. K\u00ebshtu, n\u00eb dit\u00ebn e tret\u00eb ose t\u00eb kat\u00ebrt n\u00eb pun\u00eb, e shtypa elektrod\u00ebn brenda veshit tim dhe e testova vet\u00eb matjen. D\u00ebgjova nj\u00eb tingull t\u00eb past\u00ebr dhe delikat n\u00eb frekuenca t\u00eb ndryshme. Q\u00eb nga ai moment, isha absolutisht i bindur tek matja e EAM-s\u00eb (elektro-audiometria).<\/p>\n

\u00c7do gj\u00eb ndryshoi rr\u00ebnj\u00ebsisht p\u00ebr kompanin\u00eb time n\u00eb vitin 1994 sapo u prezantua sistemi i implantit MED-EL-C40. Ju papritmas mund t\u00eb p\u00ebrdorni strategji koduese t\u00eb shpejta t\u00eb shp\u00ebrndara n\u00eb shum\u00eb kanale dhe kjo m\u00ebnyr\u00eb p\u00ebrkoh\u00ebsisht harton shum\u00eb tinguj nga baza deri tek maja e k\u00ebrmillit t\u00eb veshit (koklea). Ishte gjithmon\u00eb e mundur t\u00eb stimuloje tinguj me frekuenca t\u00eb larta tek baza e k\u00ebrmillit t\u00eb veshit (koklea). Kjo do t\u00eb thot\u00eb q\u00eb MED-EL ishte dhe ende \u00ebsht\u00eb (!) kompania e par\u00eb n\u00eb bot\u00eb q\u00eb mund t\u00eb arrij gjithashtu t\u00eb stimuloj maj\u00ebn e kokleas dhe t\u00eb gjeneroj ndjesi t\u00eb tingullit me frekuenc\u00eb t\u00eb ul\u00ebt deri n\u00eb 100 Hz e cila filloi n\u00eb fillim me C40. Ve\u00e7 k\u00ebsaj, MED-EL ka optimizuar elektrodat n\u00eb nj\u00eb m\u00ebnyr\u00eb t\u00eb till\u00eb q\u00eb t\u00eb gjitha frekuencat e aplikuara n\u00eb m\u00ebnyre fisiologjike n\u00eb k\u00ebrmillin e veshit mund t\u00eb kontaktohen \u2013 dhe kjo me d\u00ebgjimin e mbetur.<\/p>\n

P\u00ebrpara se t\u00eb prezantohej implanti C40, pacient\u00ebt d\u00ebgjonin vet\u00ebm tinguj t\u00eb frekuenc\u00ebs s\u00eb lart\u00eb. Kjo shkaktonte perceptim t\u00eb shtremb\u00ebruar dhe tingujt e perceptuar ngjasonin me z\u00ebrin e Mickey Mouse. Thjesht nuk mund ta pranoja k\u00ebt\u00eb gj\u00eb. Pyetja ime kryesore p\u00ebr t\u00eb gjith\u00eb p\u00ebrdoruesit e C40 gjithmon\u00eb q\u00ebndron: \u201cSi d\u00ebgjoni?\u201d Karl-Heinz Fuchs, drejtuesi aktual i kompanis\u00eb CIA-s (Cochlea Implantat Austria) \u00ebsht\u00eb i shurdh\u00ebr q\u00eb d\u00ebgjon p\u00ebrmes gjuh\u00ebs dhe \u00ebsht\u00eb n\u00eb gj\u00ebndje t\u00eb krahasoj\u00eb d\u00ebgjimin para shurdhimit dhe pas me nj\u00eb implant d\u00ebgjimi. Ai ishte pacienti i par\u00eb q\u00eb e b\u00ebri t\u00eb qart\u00eb sapo nd\u00ebrhyra tek nervat e tij, \u201cEwald, mos u shqet\u00ebso, d\u00ebgjoj normalisht. Gjithashtu z\u00ebrat e ul\u00ebta dhe t\u00eb larta, muzik\u00ebn dhe tingujt natyral. Dhe tani t\u00eb lutem, mjaft duke na besdisur me k\u00ebt\u00eb pyetje \u201cSI\u201d!\u201d<\/p>\n

N\u00ebse operacioni del me sukses dhe elektroda moderne MED-EL mbulon t\u00eb gjith\u00eb k\u00ebrmillin e veshit (koklean) \u2013 nga baza deri tek maja, at\u00ebher\u00eb nuk kemi pse t\u00eb shqet\u00ebsohemi. Kjo do t\u00eb thot\u00eb se d\u00ebgjimi normal do t\u00eb garantohet p\u00ebr pacientin ton\u00eb.<\/p>\n

Q\u00eb nga viti 1996, pacient\u00ebve t\u00eb par\u00eb u \u00ebsht\u00eb kryer implantimi n\u00eb t\u00eb dy vesh\u00ebt. N\u00eb at\u00eb koh\u00eb, isha i lumtur q\u00eb mund t\u00eb kryeja shum\u00eb testime vet\u00eb, por isha gjithashtu shum\u00eb mir\u00ebnjoh\u00ebs pacient\u00ebve ton\u00eb q\u00eb ishin t\u00eb gatsh\u00ebm t\u00eb merrnin pjes\u00eb n\u00eb testimet dhe studimet e ndryshme. Ishte s\u00ebrisht Karl-Heinz Fuchs q\u00eb gjat\u00eb nj\u00eb vozitje t\u00eb gjat\u00eb me makin\u00eb m\u00eb tregoi se sa mir\u00eb ai mundte t\u00eb shijonte muzik\u00ebn pas implantimit n\u00eb t\u00eb dy vesh\u00ebt. Por, nuk doja ti besoja atij, k\u00ebshtu e binda at\u00eb q\u00eb t\u00eb kryenim disa testime. Fishk\u00eblleva disa k\u00ebng\u00eb dhe n\u00eb t\u00eb v\u00ebrtet\u00eb Karl-Heinz i fishk\u00ebllonte melodit\u00eb n\u00eb m\u00ebnyre perfekte dhe u binda nj\u00eb her\u00eb e p\u00ebrgjithmon\u00eb.<\/p>\n

K\u00ebshtu, situata e d\u00ebgjimit mund t\u00eb p\u00ebrmisohet nga plot\u00ebsisht i shurdh\u00ebr deri n\u00eb t\u00eb kuptuarit e t\u00eb folurit fal\u00eb implantimit t\u00eb nj\u00ebansh\u00ebm (nj\u00eb vesh). N\u00eb var\u00ebsi t\u00eb pacientit, d\u00ebgjimi mund t\u00eb shkoj\u00eb deri n\u00eb nj\u00eb qind p\u00ebrqind. P\u00ebr p\u00ebrdoruesit e Implanteve Kokleare (IK) nevojitet m\u00eb shum\u00eb v\u00ebm\u00ebndje p\u00ebr t\u00eb ndjekur nj\u00eb bised\u00eb sesa p\u00ebr nj\u00eb person pa d\u00ebmtim d\u00ebgjimi. Por kjo tejet i fokusuar, d\u00ebgjimi i v\u00ebshtir\u00eb \u00ebsht\u00eb plot\u00ebsisht i leht\u00ebsuar nga montimi n\u00eb t\u00eb dyja an\u00ebt e vesh\u00ebve sipas klient\u00ebve tan\u00eb. Montimi n\u00eb t\u00eb dyja an\u00ebt redukton stresin e d\u00ebgjimit dhe nuk \u00ebsht\u00eb m\u00eb e nevojshme p\u00ebr t\u00eb qen\u00eb plot\u00ebsisht i p\u00ebrqendruar.<\/p>\n

S\u00eb fundmi, s\u00ebrisht p\u00ebrdora p\u00ebrvoj\u00ebn time tek sistemet e stereos HiFi. Gjithmon\u00eb kam qen\u00eb nj\u00eb adhurues i muzik\u00ebs dhe babai im kishte nj\u00eb magnetefon t\u00eb madh dhe t\u00eb vjet\u00ebr. Mund t\u00eb rregjistroje kaseta me dy mikrofona menj\u00ebher\u00eb. Si adoleshent, kaloja shum\u00eb koh\u00eb me k\u00ebt\u00eb pajisje dhe provoja shum\u00eb gj\u00ebra. Butoni \u2018mono\u2019 ishte nj\u00eb karakteristike e ve\u00e7ant\u00eb e k\u00ebsaj pajisjes. Ti mund t\u00eb ndizje sinjalin STEREO tek MONO vet\u00ebm me nj\u00eb shtypje. Rezultati i ndjesis\u00eb s\u00eb d\u00ebgjimit ishte kaq e fuqishme p\u00ebr mua saq\u00eb kjo dukuri m\u00eb t\u00ebrhoqi p\u00ebrgjithmon\u00eb. N\u00eb modalitetin stereo, mund t\u00eb mbyllja syt\u00eb e mi dhe virtualisht shikoja orkestr\u00ebn p\u00ebrball\u00eb meje. Dhe pastaj, shtypja butonin \u2018mono\u2019. Papritmas, bota rreth meje me t\u00eb v\u00ebrtet\u00eb u zvog\u00eblua dhe ndjesia e tingullit u reduktua n\u00eb nj\u00eb linj\u00eb d\u00ebgjimore pik\u00ebrisht n\u00eb qend\u00ebr t\u00eb kok\u00ebs time. Ky perceptim ishte me t\u00eb v\u00ebrtet\u00eb madh\u00ebshtore.<\/p>\n

P\u00ebr njer\u00ebzit q\u00eb d\u00ebgjojn\u00eb, d\u00ebgjimi n\u00eb stereo \u00ebsht\u00eb gj\u00ebja m\u00eb natyrale n\u00eb bot\u00eb. N\u00eb momentin kur dikush shtyp butonin \u2018mono\u2019 n\u00eb jet\u00ebt tona, ne mund t\u00eb humbasim plot\u00ebsisht tredimensionin akustik. Dhe pohoj n\u00ebse do t\u00eb kishte nj\u00eb buton \u2018vet\u00ebm nj\u00eb an\u00eb\u2019 ne mund t\u00eb humbasim m\u00eb shum\u00eb se sa me \u2018mono\u2019. Me \u2018mono\u2019 i gjith\u00eb d\u00ebgjimi \u00ebsht\u00eb i radhitur por gati gjysma e d\u00ebgjimit mungon kur ju d\u00ebgjoni vet\u00ebm me nj\u00ebr\u00ebn an\u00eb. \u00cbsht\u00eb sikur t\u00eb lidh\u00ebsh vet\u00ebm nj\u00eb fol\u00ebs tek nj\u00eb sistem stereo dhe t\u00eb lesh an\u00ebn e dyt\u00eb pa e p\u00ebrdorur.<\/p>\n

P\u00ebr mua, d\u00ebgjimi natyral do t\u00eb thot\u00eb t\u00eb p\u00ebrceptosh natyr\u00ebn me tingujt e saj t\u00eb ndrysh\u00ebm. Forma m\u00eb e lart\u00eb e t\u00eb b\u00ebrit k\u00ebshtu \u00ebsht\u00eb d\u00ebgjimi n\u00eb hap\u00ebsir\u00eb.<\/p>\n

Ne tek kompania MED-EL besojm\u00eb se objektivi i fundit i \u00e7do implanti d\u00ebgjimi duhet t\u00eb siguroj tek p\u00ebrdoruesit eksperienc\u00ebn m\u00eb t\u00eb mir\u00eb t\u00eb mundshme t\u00eb d\u00ebgjimit. N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, zhvillimi jon\u00eb \u00ebsht\u00eb fokusuar n\u00eb tre fusha ky\u00e7e. S\u00eb pari, elektrodat duhet t\u00eb jen\u00eb sa m\u00eb t\u00eb gjat\u00eb e mundur me q\u00ebllim p\u00ebr t\u00eb stimuluar k\u00ebrmillin e veshit (koklearin) gjat\u00eb gjat\u00ebsis\u00eb s\u00eb tij. N\u00ebse kjo ka sukses, at\u00ebher\u00eb ne flasim p\u00ebr Mbulim t\u00eb Plot\u00eb t\u00eb K\u00ebrmillit t\u00eb Veshit (MPKV). S\u00eb dyti, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb kesh ve\u00e7an\u00ebrisht elektroda t\u00eb lehta dhe fleksib\u00ebl. Kjo mund\u00ebson futjen jo tramautike brenda k\u00ebrmillit t\u00eb veshit, n\u00eb m\u00ebnyr\u00eb q\u00eb sa m\u00eb pak e mundur t\u00eb preken strukturat. Gjithashtu, \u00ebsht\u00eb e mundur t\u00eb ruash d\u00ebgjimin e mbetur n\u00eb shum\u00eb raste me k\u00ebt\u00eb m\u00ebnyr\u00eb. Kjo ve\u00e7ori quhet Parandalimi i Struktur\u00ebs ose shkurt PS. S\u00eb fundmi, strategjia koduese sigurisht luan nj\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb p\u00ebrceptimin e d\u00ebgjimit natyral. Struktura jon\u00eb e vog\u00ebl koduese ( D\u00ebgjimi i Shk\u00eblqyer ose DS) b\u00ebn t\u00eb mundur q\u00eb t\u00eb trasmetoj\u00eb ndryshimet e tonaliteteve e audio sinjalit tek strukturat e neuroneve, ve\u00e7an\u00ebrisht n\u00eb tingujt e ul\u00ebta. K\u00ebto tre aspekte \u2013 MPKV, PS dhe DS p\u00ebrmblidhen n\u00eb nj\u00eb term t\u00eb vet\u00ebm Trefunksione. E fundit por jo pak e r\u00ebnd\u00ebsishme, d\u00ebgjimi natyral p\u00ebrfshin d\u00ebgjimin me dy vesh\u00eb po ashtu. K\u00ebshtu, ne do t\u00eb shtojm\u00eb nj\u00eb tjet\u00ebr komponent Trefunksionit p\u00ebr p\u00ebrdoruesit ton\u00eb \u2013 d\u00ebgjimi n\u00eb t\u00eb dy vesh\u00ebt.<\/p>\n

Duke vepruar k\u00ebshtu, ne ndjekim Ajnshtajnin \u2013 dhe hyjm\u00eb n\u00eb dimensionin e kat\u00ebrt!<\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

Provat shkencore kan\u00eb arritur t\u00eb konfirmojn\u00eb se \u00ebsht\u00eb e mundur t\u00eb kuptosh t\u00eb folur\u00ebn me nj\u00eb implant koklear n\u00eb m\u00ebnyr\u00eb perfekte. Por pyetja “SA natyrsh\u00ebm ndihet d\u00ebgjimi tek p\u00ebrdoruesit” mbetet pa p\u00ebrgjigje.<\/p>\n","protected":false},"author":4,"featured_media":31969,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[418],"tags":[445,422,413],"class_list":["post-5879","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shkenca","tag-development","tag-hearing-implant-reliability","tag-music-and-ci"],"yoast_head":"\nD\u00ebgjimi me nj\u00eb implant koklear - Albanian<\/title>\n<meta name=\"description\" content=\"Shkenca pohon se kuptimi i t\u00eb folurit me nj\u00eb Implant Koklear mund t\u00eb jet\u00eb perfekte por si mund ta p\u00ebrshkruaj\u00eb dikush rid\u00ebgjimin me nj\u00eb implant koklear n\u00eb m\u00ebnyre korrekte?\" \/>\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\/degjimi-me-nje-implant-koklear\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D\u00ebgjimi me nj\u00eb implant koklear - 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