Ufumana ntoni oko udibanisa ukukhuliswa kwe-acoustic ephantsi kwe-aid hearing kunye nokufikelela okuvakalayo okuvakalayo kwe-implant cochlear? Ufumana oko kuthiwa yi-hybrid cochlear implant. Ukufakela kwe-hybrid cochlear yinkqubo eqhutywe ngokugqithiseleyo eneprojekthi yomsindo wangaphandle osebenza kunye nesahlulo sokutshintshela i-cochlear yefowuni kwaye isebenza njengoncedo lokuphulaphula ukulahlekelwa kwindlebe.
Ingaba isebenza kanjani?
Iimfowuni kwiprojekthi yomsindo wangaphandle zithatha izandi, kwaye ezo zandi ziguqulwa kwiinkcukacha zedijithali. Ezi zandi zithunyelwa ngqo kwi-electrode array kwi- cochlea .
Ngexesha elifanayo, inxalenye yenkxaso ye-acoustic / hearing hearing iphakamisa izandi ezisezantsi, iyakhulisa, kwaye ezo zandi zithengiswa ngendlebe yomlomo kwiindlebe zomlomo kunye nendlebe yangaphakathi.
I-cochlea ithatha ulwazi oluvakalayo kwimithombo yomibini kwaye luyithumela kwingqondo eyenza ingqiqo yezinto ezivakalayo.
Ngubani Umviwa?
Ukufakelwa kwe-hybrid cochlear kuvunyelwe ukuba kusebenzisane (indlebe enye) kubantu abaneminyaka eyi-18 nangaphezulu aba:
- ukuva kwe-frequency hearing and
- ezinzima ukuya kwi-frequency-frequency hearing sensority loss hearing
- Inzuzo eyingcipheko ekuncedeni ngokufanelekileyo izixhobo zokuvalelwa kwindlebe.Kodwa ngokukodwa, ukuvavanya ukuvavanywa kwexesha eliqhelekileyo kufuneka kuvela kumda oqhelekileyo ukuya kumodareyithwa ukulahlekelwa kwindlebe (okungcono kunama - 60dBHL) .Ukuva kwiindlebe eziphakamileyo kwiindlebe zokufakelwa kufuneka kube nomlinganiselo ophezulu kunokuba ulingane no-75dBHL 2000, 3000, kunye no-4000Hz. Kwindlebe ephikisanayo, loo myinge kufuneka ibe mkhulu kunokuba ilingane no-60dBHL.
Olunye ulingano
Ngokwezikhokelo ze-Nucleus Hybrid Guidelines, awuyena umviwa kulo mhlaba xa ukuvala kwakho kungenxa yesifo (s) se-acoustic nerve okanye indlela ephakathi yokuphicothiweyo, isifo se-ear ear active (ngaphandle okanye umgodi kwi-eardrum), ayinayo i-cochlea (indlebe yangaphakathi), okanye unzima kakhulu ukulahlekelwa kwindlebe iminyaka engama-30 okanye ngaphezulu.
Imisindo eViyo-eViweyo
Kule meko, ii-frequencies eziphantsi zibhekwa njengezandi ezilinganiselwe kwaye ziquka 500Hz. Iifom ephantsi ziquka izandi zeseyile, njenge "ah" kunye "oo". Banikeza isigqi kunye nomculo wokuthetha kwaye badlulise ulwazi lwevolumu. Imizekelo yesandi esezantsi-ntlawu iyindudumo, ingqungquthela yebhasi, okanye ilizwi elisezantsi lomntu.
Iimvumi eziphezulu
Iimfono eziphakamileyo zongeza ukucaca kunye nokukhwabanisa kumgangatho ozwakalayo. Izandi ezixhamlayo, ezinjenge "s" kunye "f" zibangela ukuqonda intetho. Imizekelo yezivakalisi eziphakamileyo eziphezulu ziquka iintsimbi, iintaka ezibethekayo kunye neempondo.
Izinzuzo ze-Implant Cochlear Implantation
Ukufakelwa kwe-hybrid cochlear kuvumela abo abangazange baphumelele ngaphambili ukuba bazuze kwi-high-frequency detection of sounds not possible with hearing help while not sacrificing frequencies frequencies in the cochlea ngenxa ye-electrode efutshane. Abasebenzisi baphinda banelise ukwaneliseka ngakumbi ngentetho ngomsindo nomculo umgangatho wezwi kunye ne-hybrid implant versus hearing aid kuphela.
Iingxaki ze-Implanted Hybrid Cochlear
Inkqubo yokucwangcisa iyimfuneko yokubekwa kwe-cochlear implant, kwaye leyo ithatha ingozi ejongene nosulelo kunye ne-anesthesia. Emva kokufakelwa, ezinye iinkqubo zonyango ezifana ne- MRI kunye neyonyango ye-electroconvulsive ayikwazi ukwenza.
Intlungu yesifo ingaphazamisa ukufakwa. Ubungakanani bomsindo buya kuphazamiseka ngokukhawuleza xa ujikeleze imithombo ethile yokuphazamiseka, njengeenkqubo zokukhusela, izixhobo zonxibelelwano zeselula, kunye namayeza angama-2. Kufuneka kwakhona kuqatshelwe ukuba le nto iteknoloji entsha, kwaye kukho ixesha elide elide elitholakalayo kubasebenzisi.
Ukufumana ulwazi oluthe vetshe, okanye ukufumanisa ukuba ungumviwa, qha ga mshelana ne-audiologist yakho.
Imithombo:
I-FDA Inkcazo yeSigqeba esiLawulayo, iNucleus Hybrid L24Imveliso yokuPhuhlisa i-Intanethi [Intanethi]. Ngo-2013 Novemba 8 I-Agasti 31, 2015 ibuyiswe ngomhla we-http: //www.fda.gov/downloads/Izicwangciso zeeKomidi / iiKomidiMeetingMaterials/MedicalDevices/ MedicalDevicesI-AdvisoryCommittee / EarNoseandThroatDevicesPanel / UCM373793.pdf
Ixesha lokubuyisela into oyilahlekileyo nge-Hybrid ™ Hearing (nd) Ebuyiswe ngomhla we-Agasti 31, 2015 kwi-http: //www.cochlear.com/wps/wcm/connect/us/home/treatment-options-for- ukulahlekelwa kwintetho / ukulahlekelwa kwezinto / i-cochlear-implants / ipropy-processors