Implantation koko: he aha te mea te reira, e ka tauturu i

I roto i te Russian Federation, kia rite ki tatauranga, ora e pā ana ki 12 miriona iwi ki rerekē hauā rongo. Hard o rongo me te iwi ki te wheako rongo mate hohonu te maha o fifi i roto i te ora noa rā. E whakaiti ana tēnei i to ratou kaha me te whai wāhi i roto i te ora tūmatanui. Ngā pānga kino i runga i te tuakiri faaite ake i roto i te hunga iwi e whanau ki te whakarongo noa, a muri e tika ana ki te tahi mau huru he tino turi, ranei hinga rongo koi.

E hangaia taonga rongo hoki te iwi turi. whakamahi te nuinga o tūroro ratou, engari i ētahi wā whakamahi ratou homai iti rawa pānga. I roto i te take o sensorineural tūroro rongo mate kia tauturu i ētehi koko. Ki te mārama me pēhea te mahi i te reira, titiro tuatahi i pehea mahi te taringa, me te aha e rongo tatou, me te poto i nga momo o rongo mate.

He aha tatou e rongo?

kawea te reo i roto i te waho, me te taringa waenga. arata'i wiri poipoi Sound ki te torino. I tua atu, whakawhiti reira tenei wiri ki te mekameka o ossicles māna - he hama, paepae me te tarapu.

Mai i te stapes, kei nei i i te mutunga o te mekameka o te ossicles taringa waenga, te wiri haere ki te kōhao o te taringa roto. He te āhua o te ngata, me te ki tonu i te wai. I roto i tenei kōhao i reira he pūtau makawe rongo e tahuri wiri pūkaha ki ponana io. Kua tukua ēnei ngātere ki te roro i te io rongo, i reira ko te hanganga me te tirohanga o te whakapakoko tangi, whakarongo tatou.

He aha te rongo mate?

raruraru rongo puta, ki te i etahi wāhi i roto i te hanganga o raruraru tangi puta. Na, ki te pakaru irreversibly pūtau makawe tairongo o te taringa roto rite ki te hua o tetahi whara mate ranei e whakawhanake turi oti. E nehenehe te reira postlingvalnoy ki te mea kua ako kē te tamaiti ki te mea i te wa o te turi prelingvalnoy ranei - kahore i ki te i te korero ano taukei ia.

Ngā momo o rongo mate

Rawa rongo mate i to ratou ake whakarōpū, e te takoto i runga i te whānuitanga, wāhi, me te tīmatanga o te turi.

E ai ki te tohu o te rongo mate e wehea ki katoa turi, me te rongo mate, ki te mea i reira ko te perception o te tangi, engari ko te reira uaua. Rongo mate ko:

• sensorineural;
• conductive;
• whakauru.

Sensorineural he tika ki rongo raruraru hua i maumaui i roto i te taringa roto āriponga io rongo ranei. Ko te tohu o te waimaerotanga rerekē i ngawari ki te whakaoti i te turi.

puta conductive mate rongo e tika ana ki ngā raruraru tūpono i roto i te taringa waho waenga ranei, e tika ana ki nei e pakaru wiri kawe ia tangi, me te kore e whakahaere ki te taringa roto mio'i riro ranei. kia pakaru ai tenei torino, taupoki pungatara, me ētahi atu

Neke atu i te te tau o te tīmatanga o enei raruraru e taea e:

• whanau;
• prelingvalnye;
• postlingvalnye.

kia tohaina localization turi i roto i te kotahi taringa e rua, ka, huaina te mea mate rongo binaural ranei.

Tuhinga mō te implantation koko

whakaaturia implantation koko te i roto i te wā e whai ake nei:

1. Ki te turi sensorineural hohonu-taha.
2. I paepae perception iti i roto i te take o ngā pūrere oro ki taonga whakarongo binaural.
3. I roto i te ngaro o te perception kupu i roto i te take o taonga whakarongo optimally tīpakohia mō te toru marama, me më hohonu mate rongo sensorineural.
4. I roto i te ngaro o ngā raruraru hinengaro (disorders o mahi hinengaro o te huru rerekē).
5. I roto i te ngaro o ngā raruraru hinengaro.
6. I roto i te ngaro o rerekē momo o mate somatic.

Contraindications me whāititanga

Ko koretake i roto i te take o te rongo mate e puta rite ki te hua o te neuritis o te io rongo toto i roto i te taupa pae tino ranei aukati o te roro ranei tenei momo o te rawatia ētehi. implantation koko i roto i enei take e kore e kawea ki te hua e hiahiatia ana.

hanga te reira i kore tikanga ki te whakahaere i te mahi i roto i te take o te calcification koko (rerenga o tai konupūmā) ranei tona ossification (wheua germination).

e kore e implantation koko hanga tikanga, ki te te tūroro ki rongo mate mo te wa roa (tau) ora i roto i te puku tino. I roto i tenei take, e kore e te mahi kawe i te pānga e hiahiatia ana e tika ana ki te meka e kore e taea te whakahokia mai te kore auroa o te whakaongaonga o te manga karere atrophy māna, me te.

I tua atu, contraindications ngā:

• Mumura o te taringa waenga.
• Ko te aroaro o te perforation o te torino.
• Haumaru me te mana whakahaere o nga pūtau makawe, takoto nei i te tikanga o te pira otoacoustic.
• A, no te turi prelingvalnoy - te tau o te tamaiti i runga i 6 tau.
• A, no te postlingvalnoy turi - wā Deafness tonu atu wā rongo noa.

He aha te mea he ētehi koko?

Kei o rua nga wahi i, e toaati e tetahi tikanga tinana kore e hono ana te pūnaha. piri Kotahi wahi i roto i te taringa waho, me te ngā o te hopuoro me te pūtukatuka (i roto i e ngā tauira hou), me te he tuku, piri nei ki te kiri, rite te aukume. wahi Tuarua - te roto, me te tohu i te kaiwhiwhi. Kei te whakaritea te reira i roto i te wheua pae tino. Mau, whakaturia te kaiwhiwhi kei te ake me te mahi - implantation o koko.

Kia pehea te e mahi i te pūnaha?

He hopuoro eke muri te taringa waho, mauria ake oro, me ka tukua ratou ki te pūtukatuka kupu, kei roto i te wahi kotahi. Ko te pūtukatuka riro e whakawaeheretia nga tangi me tahuri ki ponana hiko. Ratou atu i roto i te tuku piri i runga i te kiri e tukua ki te kaiwhiwhi kei roto i te wheua pae tino. Mai i reira i runga i te kawehiko ki te koko mahi ratou me te mahi i runga i te ganglion tōrino o te io rongo. Ko te kupu e taea ki te kite oro te manawanui ko te.

utu o

utu Tapeke o te ētehi koko, he rangahau whakahaere e pokanga me te ako postoperative takoto mō ia manawanui. Ko te maha o inspections hiahiatia tei runga i te hītori hauora me te huru whānui o te manawanui. Na, mo te tauira, mō ngā tūroro ki te hītori nei i i meningitis, tika whakaritea atahanga te kōwarotanga autō, i e whakatau te tūnga o te wheua pae tino. kia Ētahi tūroro pare taua whakamātautau. Ano, i ētahi wā (kore te katoa) e rapu kōrero geneticist toketā neave ranei. pānga tenei katoa te nui o e utu reira implants koko. Ko āhua o te tikanga o te 1 miriona 300 moni tōna utu. Ko mo tangata o te Russian Federation, e taea te mahi i tenei mahi mō te kore utu i raro i te motunga.

utua te utu o te hohipera, me te hōhipera noho te wehe, me te tei runga i nga utu o te pūtahi tīpakohia.

inspections tika me te mahi

1. Inspection Tuhinga.
2. kōrero otonevrologa.
3. surdopedagogs kōrero.
4. Audiometry.
5. Impedancemetry.
6. whakamātautau Promontorialny.
7. tukunga Otoacoustic.
8. whītiki māna moe.
9. tomography computed o nga wheua pae tino.
10. whakamātautau taiwhanga Paerewa rite mo tetahi pokanga (tātari whānui o ngā whakamātautau toto me te mimi, kūhuka i te toto, te toto whakamātautau matüora).

Ko te mahi e āhua 1.5 haora. whakaritea te rawatia ētehi i roto i te rohe o te wheua pae tino i muri te taringa, a ka kua whakaurua nga electrodes ki te koko. I tua atu puritia ranu me e nekehia sutures i 7-10 ra.

Tahuri i runga i te pūnaha e taea e 3-5 wiki. Ka taea e kore mua atu i te kotahi marama e hanga te whakatikatika tuatahi i muri i te pokanga. He mea tino nui ki a ia ata, a kahore e meinga kare kino o te manawanui i hoki mai a ia ki te ao o ngā oro.

Wātea-wā implants koko i roto i nga taringa e rua i te wā kotahi. I roto i tenei take, hoatu ia taha he pūnaha koko motuhake motuhake. Rangahau me te wā whakanohonoho ko te taua rite i roto i te implantation unilateral.

whakaauraki

I muri i te mahi, "implants koko" whakanohonoho ko te taahiraa faufaa. I muri hono te pūtukatuka kupu te, me tika whakaturia ake, ka whakaako i te manawanui ki te kite oro, me mohio ki enei ongo kia e taea e ia te whakamahi i taua mōhiohio mō te whanaketanga o te reo. Rehabilitation e te atamira tino nui, uaua, me te roa.

Waha te wā o whakanohonoho tauturu te manawanui he kapa katoa o tohunga, e ngā otohirurgi, surdopedagogs, audiologists, kaimātai hinengaro. Karaehe i runga i ngā rautaki motuhake me te wātū roa-kita, me te kōrero o enei ngaio katoa. I roto i te heke mai, me te aroturuki ratou puta noa i te ora o te manawanui. I tua atu, ka wā me reprogrammed te pūtukatuka kupu.

Taonga whakarongo. utu

No te iwi ki te taumata iti o te perception tangi kua whakawhanakehia maha nga whakaaro i - taonga rongo e taea te āwhina ki te urutau ki te taiao pāpori. Mē taonga whakarongo e, e kua eke muri te taringa, me i-te - kua whakanohoia e ratou i roto i te awa taringa o te manawanui, me te e meinga ki te tono. I tēnei wā i runga i te hoko he me tauira mamati.

I tua atu, i reira e he whakarongo taonga CIC. E tū ana i roto i te awa taringa, rawa rahi iti, me te ngā kitea ki ētahi atu. Ko e contraindicated taua whakaaro mō ngā tamariki i raro i 12 tau.

Ko te utu o te rongo taonga rerekē, engari he āhua iti. Tenei e āhei te maha nui o tūroro ki te whakamahi i taonga rongo. He tino utu Prices. Na, e taea te hokona mē tauira i 4,5 ki 17 mano. Moni. I roto i-te he atu te utu whakaaro.

Maimoatanga o te rongo mate

Ki te whai koe i te mate rongo, ka whakawhirinaki te maimoatanga i runga i nga take he aha i karanga ia. I roto i te kōwhiringa ka taea:

1. Tangohanga o cerumen - mahi tenei e te tikanga o te horoi, i ētahi wā te whakamahi i te taputapu motuhake.
2. Ko te whakamahi o rongo taonga. I tua atu, kia whakamahia ai mē, sai'ia me glubokokanal'nykh rongo taonga, e noho ana i roto i te tāpare eyeglass pute ranei, me te he tipare, a tae noa i roto i te puka o whakakai. E tetahi e hāngai he manawanui ngā, kōrero he tākuta.
3. implants koko - e whakahuatia ratou i roto i tenei tuhinga.

Prevention o rongo mate

Rongo mate e taea te meinga e te mate, mahi i te reira i roto i ngā taiao hoihoi noho roa ranei i roto i te wahi e ngangau. Rongo kia whakaiti, a e tika ana ki ngā huringa tau.

Ki te hono te mahi i te production ngangau, e tūtohu ana i roto i te wāhi mahi mā te whakamahi i taringa atu whakaaro ranei ki te tiaki ki reo nui, pērā i ngā kōhao taringa motuhake.

Wā kia tirohia rongo te iwi katoa e pā ana ki noho auroa i roto i te wahi e ngangau. E tauturu i tenei tautuhi rongo mate wawe i runga, me te wā ki te tango i mahi, ko te kupu te ārai mate atu o rongo me o rongo mate turi ranei.

A ape i reo nui rawa i roto i nga hararei, me te kore e whakarongo ki te tino nui waiata, ranei i te iti rawa i te wa wa ki te tango i ngā wehenga ki.