Cochlear implantation: He aha ia mea, ka mea e kōkua

Ma ka Russian Hui, e like me ka 'ikepili helu, e noho ma kahi o 12 miliona kanaka me kekahi hālāwai hoʻolohe manaʻo impairments. Paakiki o ka helu o nā pilikia hoolohe, a me ka poʻe me kulou malie lohe poho ka hoao ana i loko o ka maʻamau kela la i keia ola. Keia hoʻohaiki ana i ko lakou hiki, a komo i loko o ke ola lehulehu. Pakahi aku la ia hopena maikaʻi ma luna o ke kanaka hoike mai ai ia ia iho i loko o ua poe kanaka, ka poe i hanau me ka maʻamau lohe, a ma hope ma muli o ia kekahi kumu nō hoʻi ia moʻolelo kuli, a lohe iho la ia.

lohe kōkua iā ia, i papahana no ka kuli kanaka. Ka hapanui o nā mea maʻi hana ia, akā, i kekahi manawa e hana haawi loa uuku hopena. Ma ka hihia o sensorineural lohe poho nā mea maʻi e kōkua cochlear e kanu pūʻia. E maopopo pehea e hana, mua nana i ana i ka pepeiao hana a ke kumu mākou e lohe, e like me pokole i nāʻano a lohe me keia poho.

No ke aha la kakou i lohe?

Ke kani lawe ma ka pā, a waena pepeiao. Sound nalu kamakawiwoole hiki aku ai i ka eardrum. Eia, ia? Aaeaao keia kamakawiwo ole i ke kaulahao o auditory ossicles - ka hāmare, kua a me kuʻu kēpā.

Mai ka stapes, i ua Aia ma ka pau ana o ke kaula o ka wati waena pepeiao ossicles, ke kuekueni kekahi, i loko o ka lua o ka pā pepeiao. Ka mea, i ke kinona o ka hometa, a piha me ka wai. Ma keia lua, he mea sensory lauoho aeee e hoohuli mai ÿano kuekueni i loko o nā aʻalolo impulses. ua hoopakeleia lakou e ka lolo kēia mau lāʻau ikiʻai wale ma ka auditory nā aʻalolo, aia no i ke kahua a me ka pokole o ka mea kani kiʻi, ua lohe.

No ke aha la e lohe me keia poho?

Lohe pilikia ana, ina ma kekahi wahi i loko o ke kahua o ke kani ka haunaele mai ai. No laila, inā irreversibly poino sensory lauoho keena o ka pā pepeiao i ka hopena o kekahi ino a me ka maʻi e hoʻomōhala ana i piha pepeiao kuli. Ua hiki e postlingvalnoy ina i ke keiki i mua aʻoʻia, e olelo aku i ka manawa o ka pepeiao kuli a prelingvalnoy - ina ke'ōleloʻo ia i ole i ke kahu moku.

Ano o ka poho hālāwai hoʻolohe manaʻo

No lilo lohe i kā lākou mau Mea Maluna, a me ka nānā 'ke kaumaha ma muli o ka nui, wahi, a me ka hoouka kaua o ka pepeiao kuli.

E like me ke degere o ka lohe poho e puunaueia i nui pepeiao kuli, a lohe me keia poho, ina he mea no ka pokole o ke kaniʻana, akā, i mea pilikia. Lohe poho o:

• sensorineural;
• lawelawe;
• hui.

Sensorineural ka manawa i lohe pilikia mai ana aʻe 'ana i loko o ka pā pepeiao a auditory nā aʻalolo conduction. Ke degere o ka hoʻopilikia loli aʻe mai mehana i ke hoʻokō 'pepeiao kuli.

Lawelawe lohe poho ia lŘlŘ ma muli o ia ma muli o ia i conductivity kani kuekueni, a ua hakihaki ai ka nānaina i loaa ia, aole ia i mālama 'ia ma ka pā pepeiao pilikia pilikia ma mawaho paha konu pepeiao,. Ua hiki e poino eardrum, sulfuric pahu, etc.

Over ka makahiki o ka hoouka kaua ana o kēia mau pilikia hiki e:

• hanau ana;
• prelingvalnye;
• postlingvalnye.

IIeEeAIEUAA pepeiao kuli i ke māhele i loko o kekahi pepeiao a elua, laila, ka mea, ua kapaia binaural lilo lohe.

Nāʻikepili no ka cochlear implantation

Cochlear implantation ua hoike mai ia ma ka mea i kēia hihia.

1. Me ka hohonu-kapakahi sensorineural pepeiao kuli.
2. At haahaa pokole paepae i loko o ka hihia o nā leo manao maalea me binaural lohe kokua.
3. I ka wa e kaawale aku o ka olelo pokole i loko o ka hihia o optimally i koho hālāwai hoʻolohe manaʻo kōkua iā ia, no na malama ekolu, a meʻeluaʻaoʻao kulou malie sensorineural lohe me keia poho.
4. I ka wa e kaawale aku o cognitive pilikia (kāna hana o ka noʻonoʻo haʻawina o kekahiʻano).
5. I ka wa e kaawale aku o ka noʻonoʻo 'pilikia.
6. I ka wa e kaawale aku oʻano o somatic ka maʻi.

Contraindications a hoʻokau '

Kēiaʻano o ka e kanu pūʻia mea ineffective i loko o ka hihia o ka lohe poho e mai ai i ka hopena o ka neuritis o ka auditory nā aʻalolo paha kahe ana ke koko ma ke kino a me kumu lobe o ka lolo. Cochlear implantation i loko o kēia mau hihia e ole lawe mai i ka i makemake i nā hualoaʻa.

Ua i ole ano, e hooponopono i ka hana ma ka hihia o cochlear calcification (kimu o ke kalipuna paʻakai) ai kona ossification (iwi germination).

Cochlear implantation Aʻole ole e hoohalike ina ka hoʻomanawanui iki mai me ka lohe poho no ka lōʻihi manawa (makahiki) noho i loko o loa ole loa. Ma keia hihia, no ka hana 'aʻole i lawe mai i ka mea i makemake ia aie i ka meaʻaʻole e ua hooloihi ae i ka nele o ka stimulation o ka auditory nā aʻalolo atrophy twigs, a hiki ola.

Eia hou kekahi, contraindications loaʻa:

• Li nui o ka waena pepeiao.
• Ke alo aku o ka perforation o ka eardrum.
• Palekana a me ka hana ana kūlana o ka lauoho keena, a me ka nānā 'ana i ke ano o otoacoustic hoʻomehana honua.
• I ka prelingvalnoy pepeiao kuli - o ka makahiki o ke keiki ma luna o 6 makahiki.
• I ka postlingvalnoy pepeiao kuli - pepeiao kuli manawa ka loihi o oi lohe maʻamau wā.

He aha mea he cochlear kanu pūʻia ana?

Ka'ōnaehana he o nā māhele a i interconnected e kekahi physical kāu kiʻina hana ka mea,ʻaʻole e pili ana. Kekahi hapa ua pili i loko o ka pā pepeiao, a he o ka mea hoʻolele leo a me ka unu lawelawe (i loko o ka mea, ua hui ke kālā no Ke Ana Hoʻohālike), e like me ka pono me ka lēkio leo, a ua pili i ka ili, e like me ka Mākēneki. Elua hapa - ka pahale loko, a ho i ka pa alima. Ua ua paa ia ma ka kino iwi. Maoli, me ka pa alima ua kau akula ma luna, a me ka hana - implantation o cochlear.

Pehea ke ano o ka'ōnaehana hana?

A mea hoʻolele leo iluna ma ke kua o ka pā pepeiao, kaʻohiʻana i i leo, a hoouna mai ia i ka olelo ana unu lawelawe, Aia ma ka ia wahi. Ka unu lawelawe i loaa i encoded nā kani, a hoohuliia mai i loko o pou impulses. Ka mea hou ma ka lēkio leo pili ana ma luna o ka ili i lako i ka pa alima aia i loko o ke kino iwi. Mai laila ma luna o ka'ūholo uila i loko o ka cochlea ka mea hana a me ka hana ma luna o kaʻoni iho ganglion o ka auditory nā aʻalolo. Pela ka hoʻomanawanui mea hiki ke ike kani.

kāki o

Huina o na lilo o ka cochlear e kanu pūʻia, he anamanaʻo lawelawe 'ia ma keʻoki kino a me ka postoperative? Iaea hoʻoholo manaʻoi kēlā me kēia no ka hoʻomanawanui. I ka helu o ke koi 'ia ka nānā' ana hilinaʻi nui ma luna o ka 'inikua mōʻaukala, a me ka hoʻomanawanui ka mau kulana. No laila, no ka laʻana, no ka hoʻomanawanuiʻana i ka mōʻaukala, ka poe i loaa meningitis, pono iaʻume mākenēki resonance kiʻi, a e hooholo i ke kūlana o ke kino iwi. Other hoʻomanawanui iki mai ia keia hookolokolo ana i ke kāpae i. Nō hoʻi, i kekahi manawa (i pau) koi kūkā geneticist paha neurologist. Kēia a pau e loli ai i ka nui o ka mea e loaʻa cochlear implants. Kona kāki i ka hola o ka mea a 1 miliona 300 rubles. Akā, no ka kanaka o ka Russian Hui, keia hana hiki ke hanaia no ka noa ma lalo o ka mea palena piha.

Ke kāki o ka hospitalization a me ka haukapila noho ua uku kaawale, a hilinaʻi nui ma luna o lakou i ke kala o na koho kulanui.

Na ka nānā 'ana a me ka hana

1. Nana ENT.
2. otonevrologa kuka.
3. surdopedagogs kuka.
4. Audiometry.
5. Impedancemetry.
6. Promontorialny hōʻike.
7. Otoacoustic hoʻomehana honua.
8. Auditory evoked Loaʻaʻia.
9. Me tomography o ke kino iwi.
10. Maʻamau keʻena hoʻokolohua ho'āʻo like no kekahiʻoki kino (mau Ikepili o ke koko a me ka mimi ho'āʻo ma, ke koko monakō koko, ke koko biochemical ninaninau).

I ka hana i ka hola 1.5 hola. Ke kanu pūʻia ana ua paa i loko o ka wahi o ka mea kino iwi ma hope o ka pepeiao, a me na nā uila aʻa loloʻoe i loko o ka cochlea. Hoi e paa ana ia dressings, a ua wehe sutures i 7-10 lā.

Huli ma ka'ōnaehana hiki e 3-5 pule. Ke hoʻoponopono mua hiki ke i i mua o kekahi mahina ma hope oʻoki kino. He nui loa i ona lā mālie, a me ka mai i ka hoʻomanawanui i ka hopena maikaʻi 'Emotions i hoi mai ia ia i ke ao nei o ka leo.

Available-ke kahua cochlear implants i loko o nā pepeiao i kekahi manawa. Ma keia hihia, kēlāʻaoʻao i ke kaawale kūʻokoʻa cochlear kahua. Survey a me ka hoʻopulapula wā nō i ka ia me ia ma ka unilateral implantation.

hoʻopulapula

Ma hope o ka hana, "cochlear implants" hoʻopulapula mea he nui koe. Ma hope iho o ka olelo ana unu lawelawe ua pili, e pono e pono kau i, a ao aku i ka hoʻomanawanui, e ike leo, a ike i kēia mau manaʻo no laila, i ka mea hiki ke hana i ka 'ike no ka hooulu ana o ka olelo. Hoʻopulapula i ka mea nui, paʻakikī a me ka lōʻihi ke kahua.

Undergo i ka wā o ka hoʻopulapula ka hoʻomanawanui kōkua he okoa hui o ka poe akamai i, i ka loaʻa o otohirurgi, surdopedagogs, audiologists, psychologists. Classes ma kūikawā 'ana i kūpono a me ka lōʻihi-tuning Ahaolelo, e like me kukakuka ana i kēia mau' Oihana. I ka wā e hiki mai, ka mea pono e ua hoʻonānā ma ke ola ana o ka hoʻomanawanui. Eia hou, i ka olelo ana, oia unu lawelawe e kekahi manawa pono e reprogrammed.

I ka lohe ana kōkua iā ia,. kumukūʻai

No ka poʻe me ka haahaa nui o ke kani pokole ua ulu nui maalea - lohe kōkua iā ia, i hiki ke kōkua i ke hakuloli i ka nohona kaiapuni. BTE lohe kōkua iā ia, i, a i kaa hope o ka pepeiao, a ma-ka - ka mea, e hoonoho iho i loko o ka hoʻomanawanui ka pepeiao Canal, a ua i ke kauoha. Currently i kuai nei a me ka kikohoʻe Ke Ana Hoʻohālike.

Eia hou, eia CIC hālāwai hoʻolohe manaʻo kōkua iā ia, i ka. Ka mea, i ke aupuni 'o ka pepeiao Canal, loa uuku ka nui, a kokokeʻike makaʻole i ka' ē aʻe. Akā, ua manaʻo i contraindicated no na keiki ma lalo o 12 makahiki.

Ke kāki o ka lohe kōkua iā ia, loli aʻe, akā, ka mea, kŘpa a uuku. He mau hiʻohiʻona nō he nui helu o nā mea maʻi e hoʻohana lohe kōkua iā ia,. Prices i loa affordable. No laila, BTE Ke Ana Hoʻohālike hiki ke kuai mai 4,5 a hiki i 17 tausani. Rubles. Ma-na manao maalea i oi pipiʻi.

Lapaʻau o ka poho hālāwai hoʻolohe manaʻo

Inā 'oe i ka lilo hālāwai hoʻolohe manaʻo, ka iapaau ana, e hilinaʻi ma luna o nā kumu ke kumu āna i ua kiiia. Mawaena o ka hiki koho:

1. Removal o cerumen - keia ua hanaia ma ka mea o ka holoi ana, i kekahi manawa, hoʻohana i kekahi kupaianaha mea paahana.
2. Ka hoʻohana a lohe kōkua iā ia,. Eia BTE, ITE a me glubokokanal'nykh, hiki ke hoʻohana 'lohe kōkua iā ia,, kaa ma kekahi eyeglass ponoi paha eke, e like me ka headband, a hiki ma ka palapala o ka pepeiao. I kekahi, e hoopii i kekahi hoomanawanui, kukakuka ka audiologist.
3. Cochlear implants - ka mea i oleloia ma keia Haawina.

Kāohiʻana o ka poho hālāwai hoʻolohe manaʻo

Lohe poho hiki ke kauoha ae la ia e ka maʻi, e hana ma ka walaʻau hana kūpono 'ole loa kahi lilelile i loko o ka walaʻau wahi. Ka lohe ana, e emi iho, a me ka hoʻopiʻi i ka makahiki hou.

Inā i ka hana e pili me ka walaʻau-i? Iecaianoaaiiuo, ka mea, ua waiho ia ma ka wahiʻoihana hoʻohana nā pihi lohe 'ole' ē aʻe manaʻo, e hoomalu iho i ke alo o ka leo haalulu nui, e like me kūikawā pepeiao kuʻina koʻo.

Mau E ke kulana kupono lohe i na kanaka pili me ka hooloihi ae i noho ma ka walaʻau wahi. Kēia e kōkua kuhikuhi lohe poho kakahiaka ma luna a me ka manawa e lawe hana, pela pale hou lilo o ka hoolohe, a me ka lohe poho paha pepeiao kuli.

Paleʻoi aku ka leo ino i ka aiiia, a mai e hoolohe i ka loa ka leo mele, a ma ka liʻiliʻi loa mai ka manawa i ka manawa e lawe mai hemo mai.