{"id":42372,"date":"2023-10-03T07:22:07","date_gmt":"2023-10-03T05:22:07","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42372"},"modified":"2023-10-03T08:39:31","modified_gmt":"2023-10-03T06:39:31","slug":"novy-sluchovy-implantat-muze-pomoci-neslysicim","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42372","title":{"rendered":"Nov\u00fd sluchov\u00fd implant\u00e1t m\u016f\u017ee pomoci nesly\u0161\u00edc\u00edm\u00a0\u00a0"},"content":{"rendered":"\n

M\u016f\u017ee pomoci nesly\u0161\u00edc\u00edm<\/strong>, u kter\u00fdch selhaly b\u011b\u017en\u011b dostupn\u00e9 metody. Sluchov\u00fd kmenov\u00fd implant\u00e1t. Zat\u00edm ho m\u00e1 jedin\u00e9 d\u00edt\u011b v \u010cesku. Tade\u00e1\u0161 ho dostal p\u0159ed necel\u00fdm rokem a poprv\u00e9 tak sly\u0161el sv\u011bt kolem sebe. Te\u010f u\u017e s n\u00edm pracuje logopedka a Tade\u00e1\u0161 d\u011bl\u00e1 velk\u00e9 pokroky.<\/p>\n\n\n\n

\u010cT 24\u00a0– Ud\u00e1losti, koment\u00e1\u0159e
——————–
\u0160estilet\u00fd Tade\u00e1\u0161 od narozen\u00ed nesly\u0161el, te\u010f dok\u00e1\u017ee rozeznat zvuky r\u016fzn\u00fdch n\u00e1stroj\u016f a za\u010d\u00edn\u00e1 \u0159\u00edkat i prvn\u00ed slova.

Jitka Holmanov\u00e1, klinick\u00e1 logopedka
——————–
M\u00e1ma.

Tade\u00e1\u0161 , prvn\u00ed u\u017eivatel implant\u00e1tu
——————–
M\u00e1ma.

Kate\u0159ina Pol\u00e1kov\u00e1, redaktorka \u010cT
——————–
Tade\u00e1\u0161 m\u00e1 vrozenou vadu, m\u00e1lo vyvinut\u00e9 sluchov\u00e9 nervy, nepomohly mu ani kochle\u00e1rn\u00ed implant\u00e1ty, kter\u00e9 se zav\u00e1d\u00ed do vnit\u0159n\u00edho ucha. L\u00e9ka\u0159i mu proto loni na podzim voperovali p\u0159\u00edmo do mozku kmenov\u00fd implant\u00e1t.

Kate\u0159ina Schl\u00f6glov\u00e1, Tade\u00e1\u0161ova matka
——————–
J\u00e1 jsem m\u011bla o\u010dek\u00e1v\u00e1n\u00ed, aby aspo\u0148 t\u0159eba sly\u0161el, \u017ee za n\u00edm jede auto. U\u017e te\u010fko jako to je nad o\u010dek\u00e1v\u00e1n\u00ed, za\u010d\u00edn\u00e1 vlastn\u011b u\u017e se ot\u00e1\u010det i na jm\u00e9no, kdy\u017e na n\u011bj zavol\u00e1me.

Kate\u0159ina Pol\u00e1kov\u00e1, redaktorka \u010cT
——————–
L\u00e9ka\u0159i hodnot\u00ed v\u00fdsledky i na z\u00e1klad\u011b \u0161k\u00e1ly sluchov\u00fdch vjem\u016f, 0 znamen\u00e1, \u017ee nesly\u0161\u00ed v\u016fbec. A sedmi\u010dka \u00farove\u0148 sluchu, kdy pacient m\u016f\u017ee pou\u017e\u00edvat telefon.

Zden\u011bk \u010cada, p\u0159ednosta, Klinika u\u0161n\u00ed, nosn\u00ed, kr\u010dn\u00ed 2. LF UK a FN Motol
——————–
Kdy\u017e zhodnot\u00edm stav p\u0159ed operac\u00ed, tak m\u011bl hodnotu kolem 0, maxim\u00e1ln\u011b jedna, v sou\u010dasn\u00e9 dob\u011b po implantaci kmenov\u00e9ho implant\u00e1tu m\u00e1 hodnotu \u010dty\u0159i.

Kate\u0159ina Pol\u00e1kov\u00e1, redaktorka \u010cT
——————–
Pro Tade\u00e1\u0161e z\u016fstane dominantn\u00edm komunika\u010dn\u00edm prost\u0159edkem znakov\u00fd jazyk. Pokra\u010dov\u00e1n\u00ed v rehabilitaci ale m\u016f\u017ee p\u0159in\u00e9st dal\u0161\u00ed pokroky.

Jitka Holmanov\u00e1, klinick\u00e1 logopedka
——————–
J\u00e1 douf\u00e1m, \u017ee se n\u00e1m bude roz\u0161i\u0159ovat to, \u010demu bude rozum\u011bt, pot\u0159ebujeme hlavn\u011b, aby se orientoval v prost\u0159ed\u00ed, aby zareagoval na hlasy.

Kate\u0159ina Pol\u00e1kov\u00e1, redaktorka \u010cT
——————–
V\u00fdvoj \u0159e\u010di ust\u00e1v\u00e1 okolo \u0161est\u00e9ho roku. \u00dasp\u011b\u0161nost rehabilitace tak z\u00e1sadn\u00edm zp\u016fsobem ovliv\u0148uje v\u011bk d\u00edt\u011bte.

Zden\u011bk \u010cada, p\u0159ednosta, Klinika u\u0161n\u00ed, nosn\u00ed, kr\u010dn\u00ed 2. LF UK a FN Motol
——————–
Indika\u010dn\u00ed obdob\u00ed, kter\u00fd je nejide\u00e1ln\u011bj\u0161\u00ed pro kmenov\u00fd implant\u00e1t, se uv\u00e1d\u00ed mezi prvn\u00edm a druh\u00fdm rokem.

Kate\u0159ina Pol\u00e1kov\u00e1, redaktorka \u010cT
——————–
Kmenov\u00fd implant\u00e1t te\u010f m\u016f\u017ee pom\u00e1hat i dal\u0161\u00edm d\u011btem a stejn\u011b jako Tade\u00e1\u0161 by mohly poznat, jak\u00e9 to je sly\u0161et.

Jakub \u017delezn\u00fd, moder\u00e1tor \u010cT
——————–
A posledn\u00edm hostem tohoto t\u00fddne Ud\u00e1lost\u00ed, koment\u00e1\u0159\u016f je p\u0159ednosta ORL kliniky Fakultn\u00ed nemocnice v Motole a 2. l\u00e9ka\u0159sk\u00e9 fakulty Zden\u011bk \u010cada.
——————–
Pro\u010d pr\u00e1v\u011b Tade\u00e1\u0161 dostal tenhle nov\u00fd typ implant\u00e1tu?

Zden\u011bk \u010cada, p\u0159ednosta, Klinika u\u0161n\u00ed, nosn\u00ed, kr\u010dn\u00ed 2. LF UK a FN Motol
——————–
J\u00e1 kdy\u017e jsem nastupoval na kliniku, to jsou zhruba dva roky, tak jsem si dal za c\u00edl, \u017ee bysme m\u011bli v \u010cesk\u00e9 republice rozjet program kmenov\u00fdch implant\u00e1t\u016f. J\u00e1 jsem se dlouhodob\u011b ptal s\u00e1m sebe, pro\u010d vlastn\u011b nem\u00e1me v sou\u010dasn\u00e9 dob\u011b \u017e\u00e1dn\u00e9ho pacienta, kter\u00fd by kmenov\u00fd implant\u00e1t m\u011bl nebo se pl\u00e1noval. A na\u0161t\u011bst\u00ed se n\u00e1m poda\u0159ilo odchytit v podstat\u011b pacienta Tade\u00e1\u0161e, respektive jeho rodi\u010de, kte\u0159\u00ed byli \u00fa\u017easn\u00fd v tom a odv\u00e1\u017en\u00fd a ve velmi dobr\u00e9 spolupr\u00e1ci s n\u00e1mi se rozhodli tento kmenov\u00fd implant\u00e1t Tade\u00e1\u0161ovi d\u00e1t.

Jakub \u017delezn\u00fd, moder\u00e1tor \u010cT
——————–
Jak vlastn\u011b prob\u00edh\u00e1 ta samotn\u00e1 operace, jak se zav\u00e1d\u00ed ten implant\u00e1t? Proto\u017ee p\u0159edpokl\u00e1d\u00e1m, \u017ee to je tedy za prv\u00e9 multioborov\u00e1 z\u00e1le\u017eitost, p\u0159i t\u00e9 operaci to mus\u00ed b\u00fdt mimo\u0159\u00e1dn\u011b slo\u017eit\u00e9, za druh\u00e9 jde o d\u00edt\u011b, tak\u017ee to asi v\u017edycky i sebezku\u0161en\u011bj\u0161\u00ed l\u00e9ka\u0159 c\u00edt\u00ed, \u017ee je to n\u011bco specifick\u00e9ho. Tak to zkuste n\u00e1m laik\u016fm popsat, vy jste p\u0159inesl i model.

Zden\u011bk \u010cada, p\u0159ednosta, Klinika u\u0161n\u00ed, nosn\u00ed, kr\u010dn\u00ed 2. LF UK a FN Motol
——————–
J\u00e1 jsem p\u0159inesl model, proto\u017ee kmenov\u00e1 implantace se dost \u010dasto srovn\u00e1v\u00e1 s klasickou kochle\u00e1rn\u00ed implantac\u00ed a p\u0159i kter\u00e9 se zav\u00e1d\u00ed ten kochle\u00e1rn\u00ed implant\u00e1t, respektive elektroda do hlem\u00fd\u017ed\u011b. Nicm\u00e9n\u011b existuje situace, p\u0159i kter\u00e9 nefunguje hlem\u00fd\u017e\u010f nebo je n\u011bjak\u00fdm zp\u016fsobem alterovan\u00e9 vnit\u0159n\u00ed ucho, nap\u0159\u00edklad nen\u00ed vyvinut\u00e9 nebo nen\u00ed vyvinut\u00fd nerv, kter\u00fd odv\u00e1d\u00ed informace z vnit\u0159n\u00edho ucha. A v t\u011bchto p\u0159\u00edpadech se mus\u00ed, se d\u00e1 vlastn\u011b indikovat kmenov\u00fd implant\u00e1t, ten vlastn\u011b p\u0159emost\u00ed to vnit\u0159n\u00ed ucho a ten nerv a stimuluje pomoc\u00ed speci\u00e1ln\u00ed elektrody, kter\u00e1 vypad\u00e1 takto, p\u0159\u00edmo \u010d\u00e1sti mozku, kter\u00e9 jsou d\u016fle\u017eit\u00e9 pro sluch. Tak jak jste u\u017e nazna\u010dil, jedn\u00e1 se o, \u0159ekn\u011bme, daleko slo\u017eit\u011bj\u0161\u00ed operaci ne\u017e klasick\u00e1 kochle\u00e1rn\u00ed implantace a je to multioborov\u00e1 spolupr\u00e1ce, p\u0159edev\u0161\u00edm co se t\u00fdk\u00e1 samotn\u00e9 operace s neurochirurgy a s klinick\u00fdmi in\u017een\u00fdry, kter\u00e9 n\u00e1m m\u011b\u0159\u00ed b\u011bhem operace n\u011bkter\u00e9 faktory pro to, abysme spr\u00e1vn\u011b zavedli tu elektrodu.

Jakub \u017delezn\u00fd, moder\u00e1tor \u010cT
——————–
Samotn\u00e9 operaci p\u0159edch\u00e1zela ro\u010dn\u00ed p\u0159\u00edprava, operovalo se v p\u016flce \u0159\u00edjna. Pozd\u011bji jste ten p\u0159\u00edstroj nastavili a pak Tade\u00e1\u0161 poprv\u00e9 usly\u0161el n\u011bjak\u00e9 zvuky, jak\u00fd vy jste z toho m\u011bl pocit? D\u00e1 se to v\u016fbec popsat?

Zden\u011bk \u010cada, p\u0159ednosta, Klinika u\u0161n\u00ed, nosn\u00ed, kr\u010dn\u00ed 2. LF UK a FN Motol
——————–
Popsat se to ani moc ned\u00e1. j\u00e1 jsem z toho m\u011bl opravdu velmi dobr\u00fd pocit. Je t\u0159eba je\u0161t\u011b \u0159\u00edct, \u017ee Tade\u00e1\u0161 je rok po operaci, co\u017e je\u0161t\u011b nen\u00ed \u00fapln\u011b podle literatury to obdob\u00ed, kdy bychom mohli o\u010dek\u00e1vat maxim\u00e1ln\u00ed vyu\u017eit\u00ed toho implant\u00e1tu. Podle literatury a podle zku\u0161enost\u00ed ze zahrani\u010d\u00ed m\u016f\u017eeme o\u010dek\u00e1vat maxim\u00e1ln\u00ed efekt kmenov\u00e9ho implant\u00e1tu zhruba druh\u00fd a\u017e t\u0159et\u00ed rok p\u0159i spr\u00e1vn\u011b veden\u00e9 rehabilitaci. Tak\u017ee j\u00e1 je\u0161t\u011b douf\u00e1m, \u017ee se bude st\u00e1le zlep\u0161ovat.

moder\u00e1tor \u010cT
——————–
\u010clov\u011bka by nenapadlo, \u017ee situace, kdy vid\u00ed n\u011bjak\u00e9 d\u00edt\u011b, kter\u00e9 se vlastn\u011b lekne n\u011bjak\u00e9ho zvuku, mu ud\u011bl\u00e1 radost, proto\u017ee kdy\u017e to \u010dlov\u011bk vid\u00ed, tak je to n\u011bco neuv\u011b\u0159iteln\u00e9ho. Vy jste s\u00e1m \u0159ekl, \u017ee va\u0161\u00edm osobn\u00edm c\u00edlem je, aby v\u016fbec n\u011bco sly\u0161el, aby sly\u0161el m\u00e1mu, t\u00e1tu. Je to re\u00e1ln\u00e9? Up\u0159\u00edmn\u011b.

Zden\u011bk \u010cada, p\u0159ednosta, Klinika u\u0161n\u00ed, nosn\u00ed, kr\u010dn\u00ed 2. LF UK a FN Motol
——————–
Je, j\u00e1 jsem \u00fapln\u011b p\u016fvodn\u00ed c\u00edl m\u011bl, aby sly\u0161el v\u016fbec n\u011bjak\u00fd zvuk, j\u00e1 jsem si v\u017edycky \u0159\u00edkal, aby sly\u0161el t\u0159eba auto, kter\u00fd jede a troub\u00ed, aby v\u011bd\u011bl, \u017ee prost\u011b se n\u011bco d\u011bje.
A Tade\u00e1\u0161 naprosto p\u0159ed\u010dil moje o\u010dek\u00e1v\u00e1n\u00ed, proto\u017ee on byl docela implantovan\u00fd pozd\u011b, p\u011bt let je hranice, kdy byl, kdy jsou indika\u010dn\u00ed krit\u00e9ria, horn\u00ed hranice. A on byl v p\u011bti letech implantov\u00e1n, tak\u017ee jsem si \u0159\u00edkal, jak\u00fd v\u016fbec bude ten efekt a v sou\u010dasn\u00e9 dob\u011b, jak jste s\u00e1m \u0159ekl, vlastn\u011b je schopn\u00fd \u0159\u00edct, i v t\u00e9 report\u00e1\u017ei to bylo uvedeno, \u0159\u00edk\u00e1 m\u00e1ma, t\u00e1ta, co\u017e je naprosto \u00fa\u017easn\u00e1 v\u011bc.

Jakub \u017delezn\u00fd, moder\u00e1tor \u010cT
——————–
No, to znamen\u00e1, \u017ee te\u010f je ve f\u00e1zi, kdy se bude muset asi hodn\u011b u\u010dit. P\u0159edpokl\u00e1d\u00e1m, \u017ee to asi bude na odborn\u00edc\u00edch, na logopedech, nebo co ho vlastn\u011b te\u010f \u010dek\u00e1, kdy\u017e u\u017e m\u00e1 ten implant\u00e1t zaveden\u00fd, aby se, jak vy l\u00e9ka\u0159i \u0159\u00edk\u00e1te, zlep\u0161oval?

Zden\u011bk \u010cada, p\u0159ednosta, Klinika u\u0161n\u00ed, nosn\u00ed, kr\u010dn\u00ed 2. LF UK a FN Motol
——————–
J\u00e1 v\u017edycky \u0159\u00edk\u00e1m, \u017ee pacienti, a\u0165 u\u017e po kochle\u00e1rn\u00ed implantaci, nebo te\u010fko Tade\u00e1\u0161 po kmenov\u00e9 implantaci, \u017ee daleko d\u016fle\u017eit\u011bj\u0161\u00ed ne\u017e ten samotn\u00fd v\u00fdkon, by\u0165 tady v tomto p\u0159\u00edpad\u011b je velice slo\u017eit\u00fd a n\u00e1ro\u010dn\u00fd, tak je d\u016fle\u017eit\u00e9 ta poopera\u010dn\u00ed p\u00e9\u010de. \u010cili spr\u00e1vn\u011b veden\u00e1 rehabilitace pomoc\u00ed logoped\u016f, pomoc\u00ed foniatr\u016f, klinick\u00fdch in\u017een\u00fdr\u016f. A pakli\u017ee chceme dos\u00e1hnout maxim\u00e1ln\u00edho efektu u Tade\u00e1\u0161e, ale i u dal\u0161\u00edch pacient\u016f eventu\u00e1ln\u00edch, tak mus\u00ed b\u00fdt velmi dobr\u00e1 spolupr\u00e1ce nejenom s t\u011bmito specialisty, s rodi\u010di, ale tak\u00e9 se \u0161kolou.

Jakub \u017delezn\u00fd, moder\u00e1tor \u010cT
——————–
No, posledn\u00ed v\u011bc, cht\u011bl jsem se v\u00e1s pt\u00e1t i na jednoho z va\u0161ich legend\u00e1rn\u00edch p\u0159edch\u016fdc\u016f, pana docenta Kabelku, proto\u017ee to je \u010dlov\u011bk, kter\u00fd byl u n\u00e1s hodn\u011b spojen s t\u011bmi klasick\u00fdmi, dnes u\u017e m\u016f\u017eeme \u0159\u00edct klasick\u00fdmi kochle\u00e1rn\u00edmi implant\u00e1ty. Berete to tak, \u017ee jdete tro\u0161i\u010dku v jeho stop\u00e1ch? J\u00e1 p\u0159ipom\u00edn\u00e1m, \u017ee je to u\u017e skoro 10 let, co tragicky zahynul.

Zden\u011bk \u010cada, p\u0159ednosta, Klinika u\u0161n\u00ed, nosn\u00ed, kr\u010dn\u00ed 2. LF UK a FN Motol
——————–
Pan docent kabelka byl dlouhodob\u00fd p\u0159ednosta na\u0161\u00ed kliniky, j\u00e1 jsem zat\u00edm dva roky, netroufal bych jsem si \u0159\u00edct, \u017ee jsem jeho n\u00e1stupce hned. To je\u0161t\u011b asi n\u011bjakou dobu potrv\u00e1, abych si toto troufnul \u0159\u00edct, ale r\u00e1d bych v tom pokra\u010doval.

<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u016f\u017ee pomoci nesly\u0161\u00edc\u00edm, u kter\u00fdch selhaly b\u011b\u017en\u011b dostupn\u00e9 metody. Sluchov\u00fd kmenov\u00fd implant\u00e1t. Zat\u00edm ho m\u00e1 jedin\u00e9 d\u00edt\u011b v \u010cesku. Tade\u00e1\u0161 ho dostal p\u0159ed necel\u00fdm rokem a […]<\/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-42372","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\/42372","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=42372"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42372\/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=42372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}