V\u010dasn\u00e1 kochle\u00e1rn\u00ed implantace je d\u016fle\u017eit\u00e1 pro to, aby se d\u00edt\u011b nau\u010dilo sly\u0161et a mluvit,“ \u0159\u00edk\u00e1 vedouc\u00ed rehabilita\u010dn\u00ed \u010d\u00e1sti Centra kochle\u00e1rn\u00edch implantac\u00ed u d\u011bt\u00ed FN Motol PhDr. Eva Vyml\u00e1tilov\u00e1.<\/p>\n
– P\u0159ibli\u017en\u011b t\u0159i z tis\u00edce nov\u011b narozen\u00fdch d\u011bt\u00ed nesly\u0161\u00ed. Kdo na vadu upozorn\u00ed jako prvn\u00ed?<\/p>\n
Jsou to obvykle rodi\u010de. N\u011bkdy se dokonce st\u00e1v\u00e1, \u017ee jim pediatr jejich podez\u0159en\u00ed vyvrac\u00ed s t\u00edm, \u017ee jsou zbyte\u010dn\u011b \u00fazkostn\u00ed. P\u0159itom je d\u016fle\u017eit\u00e9, aby byla spr\u00e1vn\u00e1 diagn\u00f3za stanovena co nejd\u0159\u00edve a aby byla co nejd\u0159\u00edve zah\u00e1jen\u00e1 logopedick\u00e1 p\u00e9\u010de. V\u010dasnost operace je pro vyu\u017eit\u00ed implant\u00e1tu velmi d\u016fle\u017eit\u00e1.<\/p>\n
– Jak se prov\u00e1d\u00ed diagn\u00f3za?<\/p>\n
Velikost sluchov\u00fdch ztr\u00e1t hodnot\u00ed foniatr. Tam, kde to dovoluje v\u011bk a ment\u00e1ln\u00ed \u00farove\u0148 d\u00edt\u011bte, se k vy\u0161et\u0159en\u00ed sluchu nejprve pou\u017e\u00edvaj\u00ed subjektivn\u00ed vy\u0161et\u0159ovac\u00ed metody. Ty jsou z\u00e1visl\u00e9 na spolupr\u00e1ci d\u00edt\u011bte, je\u017e reaguje na zvukov\u00e9 \u010di \u0159e\u010dov\u00e9 podn\u011bty. D\u016fle\u017eit\u00e9 jsou v\u00fdsledky objektivn\u00edch audiologick\u00fdch metod.<\/p>\n
– Je pro pr\u00e1ci s nesly\u0161\u00edc\u00edmi d\u011btmi nutn\u00e9 um\u011bt znakovou \u0159e\u010d?<\/p>\n
Je, a to zvl\u00e1\u0161t\u011b u nejmen\u0161\u00edch d\u011bt\u00ed. V prvn\u00edm obdob\u00ed \u017eivota d\u00edt\u011bte by m\u011bla b\u00fdt z\u00e1kladn\u00edm prost\u0159edkem dorozum\u00edv\u00e1n\u00ed u v\u0161ech kandid\u00e1t\u016f operace a je d\u016fle\u017eit\u00e1 i po z\u00e1kroku. Zvuky se d\u00edt\u011b nau\u010d\u00ed rozli\u0161ovat za 6 m\u011bs\u00edc\u016f po operaci, ale v pr\u016fm\u011bru 2 roky trv\u00e1, ne\u017e za\u010dne rozum\u011bt jednoduch\u00e9mu rozhovoru a pou\u017e\u00edvat kr\u00e1tk\u00e9 v\u011bty. Znakovou \u0159e\u010d lze vyu\u017e\u00edt i p\u0159i budov\u00e1n\u00ed \u0159e\u010di mluven\u00e9.<\/p>\n
– Jak je to s rehabilitac\u00ed?<\/p>\n
Rehabilitace v\u017edy mus\u00ed za\u010d\u00edt u\u017e p\u0159ed operac\u00ed. Je zam\u011b\u0159en\u00e1 nejprve na celkov\u00fd rozvoj d\u00edt\u011bte, jeho schopnost komunikovat. Kl\u00ed\u010dov\u00fdm \u00fakolem p\u0159edopera\u010dn\u00ed p\u00e9\u010de je v\u0161ak p\u0159\u00edprava d\u00edt\u011bte na spolupr\u00e1ci p\u0159i nastavov\u00e1n\u00ed \u0159e\u010dov\u00e9ho procesoru, k n\u011bmu\u017e poprv\u00e9 doch\u00e1z\u00ed 6 t\u00fddn\u016f po operaci, teprve pot\u00e9 se kochle\u00e1rn\u00ed implant\u00e1t st\u00e1v\u00e1 funk\u010dn\u00edm. Poopera\u010dn\u00ed p\u00e9\u010de pak znamen\u00e1 dlouhodob\u00fd proces, p\u0159i n\u011bm\u017e d\u00edt\u011b rozv\u00edj\u00ed schopnost sly\u0161et a mluvit.<\/p>\n
– Co v\u00e1s p\u0159ivedlo k rozhodnut\u00ed pracovat v Centru kochle\u00e1rn\u00edch implantac\u00ed u d\u011bt\u00ed?<\/p>\n
Na\u0161e pracovi\u0161t\u011b bylo v\u017edy zam\u011b\u0159eno na problematiku sluchov\u00fdch vad. Tehdy bylo t\u00e9m\u011b\u0159 nemo\u017en\u00e9 nau\u010dit nesly\u0161\u00edc\u00ed d\u011bti mluvit. Pak se objevily kochle\u00e1rn\u00ed implant\u00e1ty a s nimi mo\u017enost zm\u011bnit \u017eivot t\u011bchto pacient\u016f. Oslovilo m\u011b to, a tak jsem se z velk\u00e9 \u010d\u00e1sti pod\u00edlela na p\u0159em\u011bn\u011b odd\u011blen\u00ed na Centrum kochle\u00e1rn\u00edch implantac\u00ed u d\u011bt\u00ed. Jeho v\u00fdsledky jsou dnes srovnateln\u00e9 s v\u00fdsledky v\u00fdznamn\u00fdch zahrani\u010dn\u00edch center, n\u011bkdy dokonce i lep\u0161\u00ed. Je zde dob\u0159e zaji\u0161t\u011bna p\u00e9\u010de o kandid\u00e1ty i u\u017eivatele kochle\u00e1rn\u00edho implant\u00e1tu a pod\u00edlej\u00ed se na n\u00ed odborn\u00edci n\u011bkolika profes\u00ed. 66 procent d\u011bt\u00ed s kochle\u00e1rn\u00edm implant\u00e1tem dnes nav\u0161t\u011bvuje b\u011b\u017en\u00e9 z\u00e1kladn\u00ed \u0161koly, to mysl\u00edm mluv\u00ed za v\u0161e.<\/p>\n
– Jak prob\u00edh\u00e1 v\u00e1\u0161 pracovn\u00ed den a jak tr\u00e1v\u00edte voln\u00fd \u010das?<\/p>\n
Je opravdu pracovn\u00ed od r\u00e1na do pozdn\u00edho odpoledne. V\u011bnuji se nesly\u0161\u00edc\u00edm d\u011btem a jejich rodi\u010d\u016fm, diagnostice a psychoterapii u dosp\u011bl\u00fdch s poruchami hlasu a \u0159e\u010di. Dost \u010dasu v\u011bnuji administrativ\u011b. Relaxuji nejrad\u011bji u kn\u00ed\u017eky. V l\u00e9t\u011b chalupa\u0159\u00edm, cestuji, jezd\u00edm na kole. Velkou radost mi d\u011bl\u00e1 m\u016fj mal\u00fd vnou\u010dek, s nad\u0161en\u00edm pozoruji, jak rychle se u\u010d\u00ed mluvit. To zam\u011b\u0159en\u00ed na jeho \u0159e\u010d je z\u0159ejm\u011b tak trochu profesn\u00ed deformace.<\/p>\n
PhDr. Eva Vyml\u00e1tilov\u00e1<\/p>\n
Klinick\u00e1 psycholo\u017eka, vedouc\u00ed foniatrick\u00e9ho odd\u011blen\u00ed a rehabilita\u010dn\u00ed \u010d\u00e1sti Centra kochle\u00e1rn\u00edch implantac\u00ed u d\u011bt\u00ed p\u0159i Klinice u\u0161n\u00ed, nosn\u00ed a kr\u010dn\u00ed 2. LF UK a FN Motol. V sou\u010dasn\u00e9 dob\u011b se v\u011bnuje p\u0159edev\u0161\u00edm diagnostice nesly\u0161\u00edc\u00edch d\u011bt\u00ed a psychologick\u00e9mu poradenstv\u00ed i psychoterapii jejich rodi\u010d\u016f. Je autorkou \u0159ady p\u0159edn\u00e1\u0161ek a publikac\u00ed zam\u011b\u0159en\u00fdch na problematiku kochle\u00e1rn\u00edch implantac\u00ed u d\u011bt\u00ed. P\u016fsob\u00ed tak\u00e9 jako lektorka skupinov\u00e9 psychoterapie a je soudn\u00ed znalkyn\u00ed v oboru zdravotnictv\u00ed se specializac\u00ed na psychologii nesly\u0161\u00edc\u00edch.<\/p>\n
Kochle\u00e1rn\u00ed implant\u00e1t zprost\u0159edkov\u00e1v\u00e1 nesly\u0161\u00edc\u00edmu jedinci sluchov\u00e9 vjemy p\u0159\u00edmou elektrickou stimulac\u00ed sluchov\u00e9ho nervu uvnit\u0159 hlem\u00fd\u017ed\u011b vnit\u0159n\u00edho ucha. P\u0159\u00edstroj funguje na b\u00e1zi p\u0159enosu energie a sign\u00e1lu pomoc\u00ed elektromagnetick\u00e9 indukce.<\/p>\n
MF Zdrav\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"
V\u010dasn\u00e1 kochle\u00e1rn\u00ed implantace je d\u016fle\u017eit\u00e1 pro to, aby se d\u00edt\u011b nau\u010dilo sly\u0161et a mluvit,“ \u0159\u00edk\u00e1 vedouc\u00ed rehabilita\u010dn\u00ed \u010d\u00e1sti Centra kochle\u00e1rn\u00edch implantac\u00ed u d\u011bt\u00ed FN Motol […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":8720,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-15494","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15494","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15494"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15494\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/8720"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15494"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15494"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}