Pokud m\u00e1 \u010dlov\u011bk se sluchem probl\u00e9m, z\u00e1kladn\u00edm \u0159e\u0161en\u00edm jsou sluchadla, pokud je po\u0161kozen\u00ed sluchu v\u00e1\u017en\u011bj\u0161\u00ed, m\u016f\u017ee p\u0159ij\u00edt na \u0159adu kochle\u00e1rn\u00ed implant\u00e1t, a\u017e pak p\u0159\u00edpadn\u011b p\u0159ich\u00e1z\u00ed v \u00favahu implantov\u00e1n\u00ed p\u0159\u00edmo do mozku. Kochle\u00e1rn\u00ed implant\u00e1ty d\u00e1v\u00e1 pacient\u016fm doc. Jan Bou\u010dek.<\/p>\n\n\n\n
\u010cT 1\u00a0– Ud\u00e1losti
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Kolik lid\u00ed u n\u00e1s ro\u010dn\u011b dost\u00e1v\u00e1 kochle\u00e1rn\u00ed implant\u00e1t?
Jan BOU\u010cEK, Klinika ORL a chirurgie hlavy a krku 1. LF a FN Motol
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Mno\u017estv\u00ed pacient\u016f, kte\u0159\u00ed z\u00edskaj\u00ed ka\u017ed\u00fd rok kochle\u00e1rn\u00ed implant\u00e1t, se na\u0161t\u011bst\u00ed pomali\u010dku zlep\u0161uje, v lo\u0148sk\u00e9m roce to bylo v\u00edce ne\u017e 250 pacient\u016f. Co je ov\u0161em d\u016fle\u017eit\u00e9 zd\u016fraznit, je, \u017ee zhruba desetin\u00e1sobn\u00e9 mno\u017estv\u00ed pacient\u016f by mohlo s kochle\u00e1rn\u00edm implant\u00e1tem profitovat, pokud by se o n\u011bm dozv\u011bd\u011blo, nebo pokud by p\u0159i\u0161lo.
Daniel Stach, moder\u00e1tor \u010cT
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Poj\u010fme se na ten samotn\u00fd kochle\u00e1rn\u00ed implant\u00e1t pod\u00edvat, jak\u00e9 jsou jeho jednotliv\u00e9 \u010d\u00e1sti a jak\u00e9 maj\u00ed funkce?
Jan BOU\u010cEK, Klinika ORL a chirurgie hlavy a krku 1. LF a FN Motol
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Kochle\u00e1rn\u00ed implant\u00e1t m\u00e1 dv\u011b z\u00e1kladn\u00ed \u010d\u00e1sti, \u010d\u00e1st zevn\u00ed, kter\u00e1 tvo\u0159\u00ed \u0159e\u010dov\u00fd procesor, na kter\u00e9m jsou dva mikrofony, akumul\u00e1tor nebo baterie, kabl\u00edk, c\u00edvka a magnet. P\u0159es magnet, kter\u00fd je implantov\u00e1n v t\u00e9, zasazen do t\u00e9 vnit\u0159n\u00ed \u010d\u00e1sti, implant\u00e1t komunikuje a vys\u00edl\u00e1 informace do elektronov\u00fdch zakon\u010den\u00ed, kter\u00e9 jsou zavedeny do vnit\u0159n\u00edho ucha a stimuluj\u00ed zakon\u010den\u00ed sluchov\u00e9ho nervu.
N\u00e1\u0161 mozek z\u00edsk\u00e1v\u00e1 informace, kter\u00e9 vych\u00e1z\u00ed jako stimulace z toho implant\u00e1tu a u\u010d\u00ed se jim rozum\u011bt. Je to proces, kter\u00fd trv\u00e1 relativn\u011b dlouho, ale ve v\u00fdsledku vede k tomu, \u017ee se nau\u010d\u00edme znovu sly\u0161et.
Daniel Stach, moder\u00e1tor \u010cT
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D\u011bkuji za rozhovor.
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A pr\u00e1v\u011b tahle rehabilitace, to nastaven\u00ed, to nau\u010den\u00ed se pracovat s kochle\u00e1rn\u00edm implant\u00e1tem je d\u016fle\u017eit\u00e9. Pak se pacient\u016fm m\u016f\u017ee v\u00fdrazn\u011b zlep\u0161it \u017eivot.
pacientka
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J\u00e1 jsem byla \u00fapln\u011b nad\u0161en\u00e1, \u0161\u0165astn\u00e1, je to, je to nov\u00fd \u017eivot a docela m\u011b mrz\u00ed, \u017ee jsem takhle dlouho trp\u011bla s t\u011bma naslouch\u00e1tkama, proto\u017ee kdybych o tomhle, o t\u00fdhle cest\u011b v\u011bd\u011bla d\u0159\u00edv, tak nev\u00e1h\u00e1m a jdu.
pacient
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A kdy\u017e v\u00e1m to zapnou, tak vlastn\u011b, to jako kdybyste z\u00edskali n\u011bjakej novej jako vjem.
pacientka
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Pro m\u011b to je benefitem a velk\u00fdm plusem na kochle\u00e1rn\u00edm implant\u00e1t\u016f je to, \u017ee kdy\u017e telefonuju, tak mi to jde p\u0159\u00edmo do toho, do t\u00fd hlavy, do toho procesoru, kterej je zabudovanej v t\u00fd hlav\u011b.
pacientka
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Hlavn\u011b mi pomohlo to, \u017ee j\u00e1 se fakt dob\u0159e sly\u0161\u00edm, tak\u017ee mo\u017en\u00e1 to te\u010fka nen\u00ed, ale opravdu se mi zlep\u0161ila ta \u0159e\u010d, dok\u00e1\u017eu mluvit v\u00edc nahl\u00e1s, v\u00edc modulovat.
Daniel Stach, moder\u00e1tor \u010cT
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Jestli je tato varianta vhodn\u00e1 pro konkr\u00e9tn\u00edho pacienta, rozhodnou l\u00e9ka\u0159i na z\u00e1klad\u011b test\u016f, t\u00edm z\u00e1kladn\u00edm je test sluchu. Na n\u011bj by m\u011bl j\u00edt \u010dlov\u011bk hned, pokud m\u00e1 pocit, \u017ee s\u00e1m za\u010d\u00edn\u00e1 \u0161patn\u011b rozum\u011bt ostatn\u00edm, nebo pokud ho lid\u00e9 z okol\u00ed opakovan\u011b varuj\u00ed, \u017ee mus\u00ed n\u011bco \u0159\u00edkat t\u0159eba hned n\u011bkolikr\u00e1t a tak\u00e9 se st\u00e1v\u00e1, \u017ee senio\u0159i za\u010dnou najednou \u0159\u00edkat, \u017ee vnou\u010dat\u016fm nerozum\u00ed, \u017ee \u0161patn\u011b formuluj\u00ed nebo \u017ee huhlaj\u00ed, to nemus\u00ed b\u00fdt zn\u00e1mka toho, \u017ee vnou\u010data mluv\u00ed \u0161patn\u011b, m\u016f\u017ee to b\u00fdt zn\u00e1mka hor\u0161\u00edc\u00edho se sluchu.
moder\u00e1tor \u010cT
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Na z\u00e1klad\u011b vy\u0161et\u0159en\u00ed odborn\u00edci doporu\u010d\u00ed nejlep\u0161\u00ed postup. Pozor na to, \u017ee se velmi \u010dasto objevuj\u00ed podvodn\u00edci. Tvrd\u00ed, \u017ee jejich l\u00e9\u010div\u00e9 p\u0159\u00edpravky zajist\u00ed, \u017ee budou l\u00e9pe fungovat, nebo dokonce dorostou vl\u00e1skov\u00e9 bu\u0148ky. Nen\u00ed to pravda, zat\u00edm neexistuje l\u00e9k, kter\u00fd by vr\u00e1til sluch, jsou jen pom\u016fcky, kter\u00e9 dok\u00e1\u017eou \u010d\u00e1ste\u010dn\u011b nebo \u00fapln\u011b sluch nahradit. V\u011bda se ale posouv\u00e1 d\u00e1l. O nejnov\u011bj\u0161\u00edm postupu, kter\u00fd pomohl mal\u00e9mu Tade\u00e1\u0161ovi, bude v dne\u0161n\u00edch Ud\u00e1lostech, koment\u00e1\u0159\u00edch mluvit Zden\u011bk \u010cada, kter\u00fd u samotn\u00e9 operace jako vedouc\u00ed t\u00fdmu p\u0159\u00edmo byl.<\/p>\n","protected":false},"excerpt":{"rendered":"
Pokud m\u00e1 \u010dlov\u011bk se sluchem probl\u00e9m, z\u00e1kladn\u00edm \u0159e\u0161en\u00edm jsou sluchadla, pokud je po\u0161kozen\u00ed sluchu v\u00e1\u017en\u011bj\u0161\u00ed, m\u016f\u017ee p\u0159ij\u00edt na \u0159adu kochle\u00e1rn\u00ed implant\u00e1t, a\u017e pak p\u0159\u00edpadn\u011b p\u0159ich\u00e1z\u00ed […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":32223,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42374","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\/42374","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=42374"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42374\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/32223"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42374"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42374"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}