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معجزه گفتار درمانی - مشاوره هایی برای کاشت حلزون شنوایی
معجزه گفتار درمانی
زبان آیینه روحیات انسانی است .گوتفرید ویلهلم
سه شنبه 27 مهر 1389

مشاوره هایی برای کاشت حلزون شنوایی

سه شنبه 27 مهر 1389

نوع مطلب :

 

مشاوره ها ، مراقبت ها و آموزشهای بعد از عمل

حدود یک ماه  بعد از عمل جراحی شما ، پردازنده سیگنالها ، میکروفون و دستگاه تفسیر و معنی کننده  اصوات در خارج از گوش شما قرار داده می شود و تنظیم میگردد . به شما یاد می دهند که چگونه از این دستگاهها مراقبت کنید و چگونه از این طریق به صداها گوش فرا دهید . بعضی از کاشتها زمان طولانی تری برای تنظیم شدن و آموزش مربوطه نیاز دارند . همچنین ممکن است تیم توانبخشی از شما بخواهند تا برای انجام معاینات دوره ای و در صورت لزوم تنظیم دوباره پردازنده گویایی به کلینیک مراجعه کنید   .

* توجه   : دستگاه کاشت حلزون شنوایی نمی تواند شنوایی کاملاً عادی شما را بازگرداند و میزان مفید بودن آن از فردی به فرد دیگر فرق می کند   . بیشتر استفاده کنندگان به این نتیجه رسیده اند که این دستگاه به آنها کمک می کند تا با کمک لب خوانی تکامل یافته تری بتوانند ارتباط بهتری برقرار سازند   .

البته بیش از نیمی از انها قادر شده اند که بدون نیاز به نشانه های بینایی صحبتها را تشخیص دهند و بچه هایی که در اطراف سن ? سالگی کاشت حلزون شنوایی شده اند ، شنوایی بهتر و نزدیک تری به حالت طبیعی داشته اند   .

* عوامل گوناگونی هستند که میزان استفاده مفید از این دستگاه را در کاربردهای مختلف مشخص می کنند  :

·         مدت زمانی که شخص ناشنوا بوده است .

·         تعداد رشته های عصب شنوایی موجود

·         انگیزش بیمار برای یادگیری شنیدن

تیم جراحی شما برایتان توضیح خواهند داد که چه انتظارات معقول و منطقی می توانید از این دستگاه داشته باشید . قبل از اینکه بدانید آیا دستگاه شما خوب کار می کند یا نه ، لازم است که به روشنی بدانید که شما چقدر وقت صرف کنید تا به نتیجه برسید . این دستگاه برای تعداد معدودی از بیماران مفید نبوده است .

1- سن 18 ماه یا بیشتر
2- افت شنوایی عمیق دو طرفه
3- عدم استفاده مطلوب از سمعك و یا دیگر وسایل كمك شنوایی
4 - عدم هرگونه ممنوعیت پزشكی
5- انگیزش بالا و داشتن انتظارات معقول
6- شركت در برنامه های آموزشی تربیت شنوایی با تكیه برمهارتهای شنیداری و گفتاری
چه عواملی در تعیین كاندیداتوری فرد مورد نیاز است ؟
ارزیابی های پیش از كاندیداتوری عبارتند از :
1- ارزیابی های شنوایی شناسی

2- استفاده آزمایشی از سمعك
3- معاینات پزشكی
4- مشاوره روانشناسی
میزان سودمندی عمل كاشت حلزون چه اندازه است ؟
1- افزایش آگاهی از اصوات محیطی
2- بهبود شناسایی اصوات گفتاری
3- تولید و افزایش مهارتهای لبخوانی
اگرچه سطح موفقیت یك فرد نمی تواند قابل پیش بینی باشد ؛ اما استفاده دراز مدت از توانبخشی شنوایی میتواند سبب بالا بردن موفقیت گردد. ضمنا باید یاد آور شد كه سودمندی كاشت حلزون در میان دریافت كنندگان متفاوت است.
عمل كاشت حلزون چگونه عملی است و عوامل خطر كدامند؟

عمل جراحی برای كاشت اجزای داخلی دستگاه در حدود سه ساعت طول میكشد و معمولا طی یك مرحله انجام میشود . برای هر عمل جراحی ؛ خطرات بالقوه ای وجود دارد كه آگاهی از آنها مهم می باشد. در این میان عوارض جانبی مختصری برای دریافت كنندگان كاشت حلزون گزارش شده است .
بعد از عمل چه مراحلی لازم است؟

قسمتهای خارجی كاشت شده ؛ 4-6 هفته بعداز عمل متصل میگردند و سیستم كاشت شده بر اساس نیازهای هر فرد برنامه ریزی میشود. آموزشهای تربیت شنوایی تا زمان حصول نتیجه از وسیله كاشت باید ادامه یابد.
دستگاه كاشت حلزون از چه قسمتهایی تشكیل شده است؟

1-صدا از طریق میكروفون در یافت میشود 2-صدا از طریق میكروفون وارد آنالیز كننده گفتار می شود .3-آنالیز كننده صداها را آنالیز و دیجیتالی كرده و به كدهای مشخصی تبدیل میكند. 4- سیگنالهای كدبندی شده از طریق سیم مربوطه به انتقال دهنده خارجی منتقل میگردد.
5-انتقال دهنده اصوات دیجیتالی را از طزیق پوست به انتقال دهنده داخلی ارسال میكند.
6- قسمتهای داخلی دستگاه ؛ اصوات دیجیتالی رابه اصوات الكتریكی تبدیل میكند

7- سیگنالهای الكتریكی از طریق الكترودهای دستگاه به فیبرهای عصبی منتقل میشود.
8- سینگلهای منتقل شده از طریق عصب شنوایی به مغز انتقال می یابد.




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