Kodi mumapeza zotani zomwe mumagwirizanitsa phokoso lachidziwitso chakumvetsera kwa thandizo lakumvetsera ndi kumveka kovuta kwa phokoso lachitsulo? Mumapeza chomwe chimatchedwa implatesar cochlear implant. Chokhazikika cha hybrid cochlear ndi chipangizo chopangidwa ndi opaleshoni chokhala ndi pulojekiti ya phokoso yomwe imagwira ntchito ndi chipangizo cha cochlear chomwe chimapanga chipangizochi ndipo imakhala ngati kumva kumvetsera kwa kuchepa kwa kumva kwache.
Kodi Zimagwira Ntchito Bwanji?
Mafonifoni pa pulogalamu ya phokoso yakunja amatenga phokoso, ndipo zizindikirozo zimatembenuzidwira ku chidziwitso cha digito. Izi zikumveka zimatumizidwa mwachindunji ku gulu la electrode mu cochlea .
Pa nthawi yomweyi, mawu othandizira kumva / kumva akumvetsera nyimbo zochepa, zimamveka bwino, ndipo zizindikirozo zimafalikira kudzera mumtsinje wa khutu ndi khutu la khutu.
Cochlea imatenga mfundo zochokera kumagwero onse ndikutumiza ku ubongo zomwe zimamveka bwino.
Kodi Wosankha Ndani?
Kupaka kwasakaniko kovomerezeka kumavomerezedwa kugwiritsira ntchito umodzi (khutu limodzi) kwa anthu azaka 18 ndi zaka omwe:
- amasiya kumva mobwerezabwereza komanso
- kwambiri mpaka kuthamanga kwambiri kwafupipafupi sensorineural kumva kumva ndi
- Kuperewera kwa kumva kwafupipafupi mukumvetsera koyenera kumakhala kwakukulu kapena kofanana ndi 75dBHL kwa 2000, 3000, ndi 4000Hz. Mosiyana, khutu liyenera kukhala lalikulu kapena lofanana ndi 60dBHL.
Zotsutsana Zina
Malinga ndi Nucleus Hybrid Guidelines, sikuti mumasankha kuti mupange izi ngati samva chifukwa cha mitsempha ya mitsempha yamtundu kapena pakatikati, ndikukhala ndi matenda a khutu la pakati (kapena mulibe dzenje mu eardrum), Musakhale ndi nkhono (mkati mwa khutu), kapena mwakhala mukuvutika kwambiri kumva kwa zaka 30 kapena kuposa.
Mawonekedwe Ochepa Pafupipafupi
Pachifukwa ichi, maulendo apansi amawoneka ngati akumveka ngati akuphatikizapo 500Hz. Maulendo apansi amamveka phokoso la vowel, monga "ah" ndi "oo". Amapereka chiyero ndi nyimbo zoyankhula ndikupereka chidziwitso cha voliyumu. Zitsanzo za phokoso lochepa-phokoso ndi mabingu, ngodya, kapena mau a munthu.
Zimveka Zowonjezereka
Maulendo apamwamba amamveketsa bwino ndikuwoneka bwino. Mawu omveka, monga "s" ndi "f" amathandizira kumvetsetsa mawu. Zitsanzo za phokoso lapamwamba kwambiri zimakhala mabelu, mbalame zikulira, ndi mluzu.
Ubwino Wophatikiza Chinyama Cochlear
Mitundu ya hybrid cochlear imapangitsa anthu omwe sanafune kuti apindule ndi kutchuka kwafupipafupi kuti asamveke ngati sangathe kuzimva pokhapokha ngati simunapereke nsembe zowonongeka. Ogwiritsanso ntchito amalankhulanso zowonjezereka ndi mawu phokoso ndi nyimbo zomveka bwino ndi hybrid implant versus hearing aids okha.
Kuipa kwa Kuphatikiza kwa Hybrid Cochlear
Njira yopaleshoni ndi yofunika kuti ipangidwe kwa cochlear implant, ndipo imayambitsa zoopsa zogonana ndi anesthesia. Katemera atayikidwa, njira zina zamankhwala monga MRI ndi mankhwala osakanikirana ndi electroconvulsive sizingatheke.
Mutu wachisoni ukhoza kuwononga kuyika. Uphungu wa nyimbo ukhoza kusokonezeka pokhapokha ngati pali zowonongeka, monga zotetezera, zipangizo zoyankhulirana, ndi ma radio awiri. Tiyeneranso kukumbukira kuti izi ndizatsopano zamakono, ndipo pali deta yochepa yomwe imapezeka pa ogwiritsa ntchito.
Kuti mudziwe zambiri, kapena kuti mudziwe ngati ndinu woyenera, funsani omvera anu.
Zotsatira:
Bungwe la FDA Pulezidenti Wowonjezerapo Wowonjezera, Nucleus Hybrid L24Implant System [Internet]. 2013 November 8 Kuchotsedwa pa August 31, 2015 kuchokera ku http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/MedicalDevices/ MedicalDevicesAdvisoryCommittee / EarNoseandThroatDevicesPanel / UCM373793.pdf
Ndi nthawi yobwereranso zomwe mwasowa ndi Hybrid ™ Kumva (nd) Zowonongedwa pa August 31, 2015 kuchokera ku http://www.cochlear.com/wps/wcm/connect/us/home/treatment-options-for- zopweteka kumva / zotayidwa / cochlear-implants / sound-processors