Iwe unowana chii chaunobatanidza nechepasi-frequency acoustic kukurudzira kwekubatsirwa kwekunzwa ne-high-frequency sound access ye cochlear implant? Iwe unowana izvo zvinonzi hybrid cochlear implant. Iko inoshandiswa ye hybrid cochlear inogadziriswa inogadzirwa nemutambo wekunze unonzwika iyo inoshanda pamwe chete nechinhu chinogadzirisa chikamu chechigadziro uye inoshumira senzwi rekunzwa kwekunonoka kwekunzwa kurasikirwa.
Chinoshanda sei?
Mikrofoni iri kunze kwepurogiramu inonzwika inotora mhere, uye iyo inzwi inotendeuka kuhuwandu hwemagetsi. Izvi zvinonzwika zvinoparidzirwa zvakananga kune electrode array mu cochlea .
Panguva imwecheteyo, acoustic / hearing aid chikamu chinotora pasi-kutinhira mhere, inokurudzira, uye izvo zvinonzwika zvinopfurikidza kuburikidza nenzwi remunzwi kusvika munzeve yekunzwa uye nzeve yomukati.
Ikoki inotora ruzivo rwakanaka kubva kune zvose zviripo uye inovatumira kuuropi iyo inonzwisisika yezvinonzwika.
Ndiani Akasarudzwa?
Iko inoshandiswa yehubhoni yechitsva inogamuchirwa kune unilateral (imwe nzeve) inoshandiswa kune vanhu vane makore gumi nemakore nemakore vanove:
- vakagara pasi-kuruzhinji rwekunzwa uye
- rakaoma kusvika pakadzika-refu-sensor sensorineural kunzwa kurasikirwa ne
- kubatsirwa kwakakwana kune zvakakodzera kukwanisa kunzwa manzwiro. Zvimwe zvakanyanya, kunzwa kwakadzika-pasi kunofanirwa kubva pamiganhu yepamusoro kusvika pakuenzanisa kurasikirwa kwekunzwa (zviri nani kudarika 60dBHL) .Kutaura nepamusoro kwekuteerera kwekunzwa munzeve inogadzirisa inofanira kuva nehuwandu hukuru kupfuura kana hwakaenzana ne 75dBHL 2000, 3000, uye 4000Hz. Mune nzeve inopesana, iyo yepamusoro inofanira kuva yakakura kudarika kana yakaenzana ne 60dBHL.
Zvimwe zvinopesana
Maererano neNucleus Hybrid Guidelines, iwe hausi mukana wokugadziriswa uku kana matsi yako ichibva pachirwere (s) yemajosi emagetsi kana pakati penzira yepamusoro, ivai nehutachiona hwepakati chenzeve (kana kuti pasina gomba mueardrum), haana chechlea (nzeve yomukati), kana kuti akave akaoma zvakanyanya kurasikirwa kunzwa kwemakore makumi matatu kana kupfuura.
Low-Frequency Sounds
Muchiitiko ichi, mafunguro akaderera anotorwa seanzwika akaenzana kusvika uye anosanganisira 500Hz. Pasi pfupi zvinosanganisira mazwi ezwi, se "ah" uye "oo". Vanopa rwiyo uye rwiyo rwekutaura uye vanobudisa mashoko evhu. Mienzaniso yekutinhira-kutinhira inzwi ndeyekutinhira, tambo dhesi, kana inzwi rakadzama remunhu.
High-Frequency Sounds
Mafambiro akakwirira anowedzera kujekesa uye kubwinya kune unhu hwakanaka. Misoni mutsindo, yakadai se "s" uye "f" inobatsira kunzwisisa mutauro. Mienzaniso yeinzwi-refu inotinhira inosanganisira mabhero, shiri dzinoridza, uye mhere.
Kubatsirwa kweHybrid Cochlear Implant
Iko inonzi hybrid cochlear implant inobvumira avo vakanga vasati vasarudzwa kare kuti vabatsirwe kubva ku-high-frequency kugona kwemashoko asingakwanisi ne rubatsiro rwekunzwa asi kwete kupa zvibayiro zvakasara zvakasara zvishoma mukichlea pamusana pfupi shoma electrode array. Vashandi vanotaura zvakare kugutsikana nekutaura muruzha uye mimhanzi inonzwika zvakanaka ne hybrid implant versus hearing aid chete.
Kukanganisa kweHybrid Cochlear Implant
Nzira yekuvhiya inofanirwa kuiswa kweiyo cochlear implant, uye iyo inoisa njodzi dzinobatanidzwa nehutachiona uye anesthesia. Kamwe iyo inogadziriswa yakaiswa, dzimwe nzira dzokurapa dzakadai seMRI uye thero-electroconvulsive therapy haigoni kuitwa.
Musoro unotambudza unogona kukuvadza iyo inogadzirwa. Unhu hwakanaka hunogona kunge huchikanganisa zvakanyanya apo kune dzimwe nzvimbo dzinopindira, dzakadai sehutachiona, mafoni ekukurukurirana, uye dzimwe nzira mbiri. Inofanirawo kuonekwa kuti iyi ndiyo inyanzvi itsva yekombiyuta, uye kune nguva shoma yenguva yakawanikwa pane vanoshandisa.
Kuti uwane mamwe mashoko, kana kuti uone kana iwe uri mubatiro, taura neanotologi yako.
Sources:
FDA Panel Mushandi Wekutsvaga Nhepfenyuro, Nucleus Hybrid L24Ikugadzirisa System [Indaneti]. 2013 November 8 Yakadzorerwa musi waAugust 31, 2015 kubva pa http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/MedicalDevices/ MedicalDevicesAdvisoryCommittee / EarNoseandThroatDevicesPanel / UCM373793.pdf
Inguva yekudzoka izvo zvawave usiriko neHybrid ™ Hearing (nd) Yakadzorerwa musi waAugust 31, 2015 kubva pa http://www.cochlear.com/wps/wcm/connect/us/home/treatment-options-for- kunzwa-kurasika / cochlear-implants / sound-processors