Je to p\u0159esn\u011b 7 let, kdy na opera\u010dn\u00ed s\u00e1l Kliniky otorinolaryngologie a chirurgie hlavy a krku FN Ostrava p\u0159ivezli prvn\u00ed nesly\u0161\u00edc\u00ed d\u011btskou pacientku vhodnou k implantaci kochle\u00e1ru. Opera\u010dn\u00ed t\u00fdm vedl p\u0159ednosta kliniky prof. MUDr. Pavel Kom\u00ednek, Ph. D., MBA. Od t\u00e9 doby u\u017e tady implantovali 100 t\u011bchto unik\u00e1tn\u00edch sluchov\u00fdch pom\u016fcek. Jak d\u011btem, tak dosp\u011bl\u00fdm.
Sou\u010d\u00e1st\u00ed Kliniky ORL a chirurgie hlavy a krku FN Ostrava je i Centrum kochle\u00e1rn\u00edch implantac\u00ed, kter\u00e9 poskytuje komplexn\u00ed p\u00e9\u010di nesly\u0161\u00edc\u00edm pacient\u016fm. Centrum se zab\u00fdv\u00e1 diagnostikou, ale i l\u00e9\u010dbou nedosl\u00fdchavosti, od p\u0159edepisov\u00e1n\u00ed sluchadel a\u017e po operace kochle\u00e1rn\u00edch implant\u00e1t\u016f. Centrum vede p\u0159ednosta kliniky, profesor Kom\u00ednek.<\/p>\n\n\n\n
„R\u00e1d bych p\u0159ipomn\u011bl, \u017ee jsme byli po Praze hned druh\u00fdm pracovi\u0161t\u011bm v \u010cesk\u00e9 republice, kter\u00e9 provedlo implantaci u d\u00edt\u011bte. Pracovi\u0161t\u011b se zab\u00fdv\u00e1 problematikou kochle\u00e1rn\u00ed implantace a n\u00e1sledn\u00e9 rehabilitace u d\u011bt\u00ed i dosp\u011bl\u00fdch. Operujeme d\u011bti, kter\u00e9 se bu\u010f narod\u00ed s oboustrannou t\u011b\u017ekou sluchovou vadou, zp\u016fsobenou ztr\u00e1tou vl\u00e1skov\u00fdch bun\u011bk ve vnit\u0159n\u00edm uchu, anebo d\u011bti ohluchl\u00e9 nap\u0159\u00edklad po z\u00e1n\u011btu mozkov\u00fdch blan,“ uvedl profesor Kom\u00ednek a z\u00e1rove\u0148 p\u0159ibl\u00ed\u017eil opera\u010dn\u00ed v\u00fdkon, jeho\u017e smyslem je, aby \u010dlov\u011bk sly\u0161el. <\/p>\n\n\n\n
„Do vnit\u0159n\u00edho ucha – hlem\u00fd\u017ed\u011b – zavedeme svazek elektrod, kter\u00fd nahrazuje funkci vl\u00e1skov\u00fdch bun\u011bk vnit\u0159n\u00edho ucha t\u00edm, \u017ee p\u0159\u00edmo vyd\u00e1v\u00e1 impulzy, kter\u00e9 jsou pak d\u00e1le vedeny sluchov\u00fdm nervem do sluchov\u00fdch center v mozkov\u00e9 k\u016f\u0159e.“<\/p>\n\n\n\n
Samotn\u00fd implant\u00e1t je slo\u017een\u00fd ze dvou \u010d\u00e1st\u00ed. Na vnit\u0159n\u00ed voperovan\u00fd d\u00edl se pomoc\u00ed magnetu p\u0159ipoj\u00ed zevn\u00ed \u010d\u00e1st (\u0159e\u010dov\u00fd procesor), kter\u00e1 zachycuje zvukov\u00e9 sign\u00e1ly a p\u0159en\u00e1\u0161\u00ed je do vnit\u0159n\u00ed \u010d\u00e1sti.<\/p>\n\n\n\n
Tento proces u\u017e je ale v rukou klinick\u00e9ho logopeda a klinick\u00e9ho audio in\u017een\u00fdra. Oba spole\u010dn\u011b implant\u00e1t nastavuj\u00ed podle individu\u00e1ln\u00ed pot\u0159eby pacienta.<\/p>\n\n\n\n
„My se s pacientem potk\u00e1v\u00e1me vlastn\u011b u\u017e p\u0159ed operac\u00ed, proto\u017ee mu zaji\u0161\u0165ujeme bal\u00ed\u010dek nutn\u00fdch p\u0159edopera\u010dn\u00edch vy\u0161et\u0159en\u00ed. Jejich v\u00fdsledek pak posoud\u00ed odborn\u00e1 komise a posledn\u00ed slovo maj\u00ed zdravotn\u00ed poji\u0161\u0165ovny, proto\u017ee je to pom\u011brn\u011b n\u00e1kladn\u00fd opera\u010dn\u00ed v\u00fdkon. Po operaci prov\u00e1d\u00edme poprv\u00e9 nastaven\u00ed \u0159e\u010dov\u00e9ho procesoru za 4 a\u017e 6 t\u00fddn\u016f.<\/p>\n\n\n\n
Z\u00e1le\u017e\u00ed na tom, jak se mu zhoj\u00ed opera\u010dn\u00ed r\u00e1na. Spole\u010dn\u011b s klinick\u00fdm audio in\u017een\u00fdrem nasad\u00edme za ucho venkovn\u00ed \u010d\u00e1st implant\u00e1tu a napoj\u00edme ji k po\u010d\u00edta\u010di. Technik pak podle reakc\u00ed nastavuje intenzitu procesoru,“ vysv\u011btluje klinick\u00e1 logopedka Mgr. et Mgr. Bc. Veronika \u0160v\u00e9d\u00edkov\u00e1. Podle jej\u00edch zku\u0161enost\u00ed n\u011bkte\u0159\u00ed pacienti zareaguj\u00ed na zvuk ihned po p\u0159ipojen\u00ed, n\u011bkte\u0159\u00ed novou situaci vst\u0159eb\u00e1vaj\u00ed postupn\u011b, za pomoci speci\u00e1ln\u00edch logopedick\u00fdch cvi\u010den\u00ed.<\/p>\n\n\n\n
Lid\u00e9 s implant\u00e1tem doch\u00e1zej\u00ed do ambulance klinick\u00e9ho logopeda nejd\u0159\u00edve ka\u017ed\u00fdch 14 dn\u016f a u\u010d\u00ed se s kochler\u00e1em vn\u00edmat zvuky. Postupem \u010dasu se intervaly n\u00e1v\u0161t\u011bv prodlu\u017euj\u00ed.<\/p>\n\n\n\n
N\u011bkte\u0159\u00ed dosp\u011bl\u00ed pacienti pak absolvuj\u00ed jednou m\u011bs\u00ed\u010dn\u011b i speci\u00e1ln\u00ed sluchovou reedukaci. Tam se ve schopnosti sly\u0161et postupn\u011b zdokonaluj\u00ed.<\/p>\n\n\n\n
„Nez\u0159\u00eddka se u dosp\u011bl\u00fdch pacient\u016f, kte\u0159\u00ed p\u0159i\u0161li o sluch postupn\u011b, p\u0159\u00edpadn\u011b n\u00e1sledkem nemoci, poda\u0159\u00ed d\u00edky kochle\u00e1rn\u00edmu implant\u00e1tu doc\u00edlit toho, \u017ee rozum\u00ed \u0159e\u010di i bez nutnosti odez\u00edrat, mohou \u010dasto i telefonovat. Jinak zdrav\u00e9 d\u011bti nemaj\u00ed obvykle s jeho p\u0159ijet\u00edm \u017e\u00e1dn\u00fd probl\u00e9m a berou ho jako svoji sou\u010d\u00e1st,“ dodala zku\u0161enost z praxe magistra \u0160v\u00e9d\u00edkov\u00e1.<\/p>\n\n\n\n
Prvn\u00edmu implantovan\u00e9mu d\u00edt\u011bti bylo v dob\u011b operace 14 m\u011bs\u00edc\u016f. Dnes chod\u00ed Emilie do druh\u00e9 t\u0159\u00eddy klasick\u00e9 z\u00e1kladn\u00ed \u0161koly a to, \u017ee se narodila bez schopnosti sly\u0161et, u\u017e nikdo nepozn\u00e1. „Je naprosto za\u010dlen\u011bn\u00e1, spolu\u017e\u00e1ci o jej\u00edm hendikepu v\u011bd\u00ed, ale Emilie \u017e\u00e1dn\u00e9 \u00falevy nepot\u0159ebuje,“ vzk\u00e1zala matka prvn\u00ed pacientky Veronika Po\u0161tulkov\u00e1 a dodala, \u017ee cel\u00fdch 7 let od operace funguje p\u0159\u00edstroj naprosto bez probl\u00e9m\u016f.<\/p>\n\n\n\n
Brunt\u00e1lsk\u00fd a Krnovsk\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/bruntalsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Je to p\u0159esn\u011b 7 let, kdy na opera\u010dn\u00ed s\u00e1l Kliniky otorinolaryngologie a chirurgie hlavy a krku FN Ostrava p\u0159ivezli prvn\u00ed nesly\u0161\u00edc\u00ed d\u011btskou pacientku vhodnou k […]<\/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":[9],"tags":[],"class_list":["post-35228","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/35228","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=35228"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/35228\/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=35228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=35228"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=35228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}