{"id":704,"date":"2023-04-28T09:10:00","date_gmt":"2023-04-28T07:10:00","guid":{"rendered":"https:\/\/ocvision.eu\/?post_type=jaunumi&p=704"},"modified":"2025-03-27T15:06:09","modified_gmt":"2025-03-27T13:06:09","slug":"skalums-austinas-ir-risks-dzirdes-veselibai","status":"publish","type":"jaunumi","link":"https:\/\/ocvision.eu\/lv\/jaunumi\/skalums-austinas-ir-risks-dzirdes-veselibai\/","title":{"rendered":"Ska\u013cums austi\u0146\u0101s ir risks dzirdes vesel\u012bbai"},"content":{"rendered":"\n

Protams, ar\u012b darbos ne vienm\u0113r un ne visur ausis tiek pasarg\u0101tas, un ne katr\u0101 ra\u017eotn\u0113 vai b\u016bvobjekt\u0101 str\u0101dnieki lieto trok\u0161\u0146us sl\u0101p\u0113jo\u0161\u0101s austi\u0146as. Ta\u010du par dzirdes vesel\u012bbu der par\u016bp\u0113ties ar\u012b ska\u013cos koncertos, bet t\u0101da k\u0101 laikmeta tendence ir viedier\u012b\u010du austi\u0146as, kur\u0101s p\u0101r\u0101k liels ska\u013cums var nopietni kait\u0113t dzirdei, intervij\u0101 br\u012bdina audiologs Nauris Veits.<\/p>\n\n\n\n

K\u0101dos gad\u012bjumos, cik bie\u017ei, un kam ir nepiecie\u0161ama dzirdes p\u0101rbaude, un kur parasti to veikt?<\/strong><\/p>\n\n\n\n

Dzirdes p\u0101rbaude k\u013c\u016bst vair\u0101k aktu\u0101la cilv\u0113kiem ap 50 gadu vecumu un vec\u0101kiem. Dz\u012bves gait\u0101 m\u016bsu dzirdes org\u0101ns ir cietis no vides ietekmes \u2013 citiem vair\u0101k, citiem maz\u0101k, un tas ir norm\u0101ls process. Iesp\u0113jams, k\u0101ds ir str\u0101d\u0101jis ar trok\u0161\u0146ain\u0101m ier\u012bc\u0113m. Un p\u0113c 50 gadiem ir tas br\u012bdis, kad tie\u0161\u0101m ir j\u0101paskat\u0101s, vai dzirdam labi, un vai rodas k\u0101das gr\u016bt\u012bbas. Otra grupa audiologu uzman\u012bbas lok\u0101 ir b\u0113rni \u2013 \u012bpa\u0161i l\u012bdz skolas vecumam. Tas ir laiks, kad galvaskausa un deguna anatomija b\u0113rniem ir nedaudz sav\u0101d\u0101ka nek\u0101 pieaugu\u0161ajiem, un past\u0101v riski, ka var rasties probl\u0113mas. Tas ir tad, kad vec\u0101ki pamana, ka b\u0113rns vi\u0146us nedzird, kad rodas probl\u0113mas ar valodas att\u012bst\u012bbu un taml\u012bdz\u012bgi. T\u0101p\u0113c ar\u012b \u0161aj\u0101 vecum\u0101 b\u016btu j\u0101piev\u0113r\u0161 liel\u0101ka uzman\u012bba, bet p\u0101r\u0113j\u0101s vecuma grup\u0101s ar probl\u0113m\u0101m sastopamies ret\u0101k. Tad p\u0101rbaud\u0101m dzirdi p\u0113c nepiecie\u0161am\u012bbas. Ar dzirdi gan ir t\u0101da specifika, ka \u013coti veiksm\u012bgi m\u0113s varam dz\u012bvot ilgsto\u0161i ar izteikt\u0101m dzirdes probl\u0113m\u0101m, pa\u0161iem to nemaz nepamanot. T\u0101p\u0113c, ja reiz\u0113m \u0161\u0137iet, ka kaut kas pamain\u012bjies, dro\u0161i n\u0101kam uz dzirdes p\u0101rbaudi. Ir pat\u012bkami cilv\u0113kam teikt, ka viss ir k\u0101rt\u012bb\u0101, bet lab\u0101k ir par to p\u0101rliecin\u0101ties. P\u0113c pa\u0161a pieredzes varu teikt, ka ir biju\u0161i gados jauni pacienti, kam ir tikai aizdomas, ka varb\u016bt nedaudz slikt\u0101k dzird, tom\u0113r izr\u0101d\u0101s, ka ir krietni liel\u0101kas un nopietn\u0101kas probl\u0113mas.<\/p>\n\n\n\n

Vai m\u0113s instinkt\u012bvi piel\u0101gojamies? Piem\u0113ram, ja cilv\u0113kam pasliktin\u0101s dzirde, vi\u0146\u0161 s\u0101k ska\u013c\u0101k run\u0101t, izv\u0113las ska\u013c\u0101ku ska\u0146u ier\u012bc\u0113s\u2026<\/strong><\/p>\n\n\n\n

T\u0101 ar\u012b notiek, m\u0113s tie\u0161\u0101m piel\u0101gojamies. Un regul\u0101ri n\u0101kas sastapties ar to, ka cilv\u0113ks saka, \u2013 man jau viss ir k\u0101rt\u012bb\u0101, es visu labi dzirdu. Labs indikators ir tad, kad k\u0101ds atn\u0101k l\u012bdzi \u0161im cilv\u0113kam, un m\u0113s uzpras\u0101m otram, vai tie\u0161\u0101m p\u0101rbaud\u0101mais n\u0101c\u0113js dzird labi. Otrs saka, \u2013 paties\u012bb\u0101 n\u0113, televizors ir ska\u013c\u0101k. Apk\u0101rt\u0113jie tie\u0161\u0101m var pateikt, ka kaut kas ir izmain\u012bjies. Jo smadzenes mums ir elast\u012bgas, un m\u0113s piel\u0101gojamies dzirdes izmai\u0146\u0101m diezgan labi.<\/p>\n\n\n\n

K\u0101das<\/strong> ir tagadnei rakstur\u012bg\u0101s probl\u0113mas, tendences vai p\u0101rmai\u0146as, kam vajadz\u0113tu piev\u0113rst uzman\u012bbu?<\/strong><\/p>\n\n\n\n

Dzirdes vesel\u012bbas liel\u0101 probl\u0113ma vienm\u0113r ir trok\u0161\u0146i, un \u0161aj\u0101 zi\u0146\u0101 daudzus gadus mums bijusi v\u0101ja darba dro\u0161\u012bba. P\u0113d\u0113j\u0101 laik\u0101, protams, ir lab\u0101k, jo ar\u012b ielu remontdarbos ir pat\u012bkami paman\u012bt, ka ir aizsargbrilles un ir dzirdes aizsardz\u012bba. Bet, es dom\u0101ju, v\u0113l k\u0101du laici\u0146u m\u0113s redz\u0113sim, ka cilv\u0113ki n\u0101k ar trok\u0161\u0146u rad\u012btiem dzirdes boj\u0101jumiem. Savuk\u0101rt gados jaun\u0101kai sabiedr\u012bbas da\u013cai \u0161\u012b darba dro\u0161\u012bbas probl\u0113ma varb\u016bt vairs neb\u016bs tik aktu\u0101la, ta\u010du, lecot n\u0101kotn\u0113 pa k\u0101diem 30 gadiem, iesp\u0113jams, m\u0113s redz\u0113sim visus, kuri ir n\u0113s\u0101ju\u0161i m\u016bzikas austi\u0146as, kuras var uzgriezt \u013coti ska\u013ci ar\u012b tad, ja apk\u0101rt\u0113jie to nedzird. Un, klausoties m\u016bziku ilgsto\u0161i ska\u013ci, ar\u012b ir iesp\u0113jams saboj\u0101t dzirdi. Protams, tam m\u0113s neredzam rezult\u0101tu tagad un uzreiz, bet m\u0113s to parasti redzam p\u0113c daudziem \u2013 desmit divdesmit \u2013 gadiem. Iesp\u0113jams, t\u0101s b\u016bs n\u0101kotnes tendences, ta\u010du censties izvair\u012bties no \u0161\u012bm probl\u0113m\u0101m vajadz\u0113tu tie\u0161i tagad un past\u0101v\u012bgi. <\/p>\n\n\n\n

Darbi ra\u017eotn\u0113s, b\u016bvlaukumos ir viens, bet otrs \u2013 koncerti ar iev\u0113rojamu ska\u0146as jaudu. Vai par sevi j\u0101padom\u0101 ar\u012b, piem\u0113ram, ska\u0146u tehni\u0137iem vai gaismot\u0101jiem, un, protams, ar\u012b publikai?<\/strong><\/p>\n\n\n\n

Noteikti j\u0101! Trok\u0161\u0146i boj\u0101 dzirdi. Protams, tas atkar\u012bgs ar\u012b no t\u0101, cik ska\u013c\u0161 ir tas koncerts. Un reiz\u0113m, ja san\u0101k b\u016bt pa\u0161\u0101 priek\u0161\u0101, ir tik ska\u013ci, ka paties\u012bb\u0101 pietiek pat ar vienu reizi, lai kaut k\u0101d\u0101 noteikt\u0101 frekvenc\u0113 saboj\u0101tu dzirdi neatgriezeniski. Protams, ja regul\u0101ri un ilgsto\u0161i iet uz koncertiem un ja \u012bpa\u0161i pat\u012bk st\u0101v\u0113t priek\u0161\u0101, tad ir j\u0101padom\u0101 par dzirdes aizsardz\u012bbu. M\u016bsdien\u0101s tam ir daudz un da\u017e\u0101di varianti, piem\u0113ram, univers\u0101lie ausu ieliktn\u012b\u0161i l\u012bdz pat individu\u0101li veidotai dzirdes aizsardz\u012bbai.<\/p>\n\n\n\n

Ir dzird\u0113ts ieteikums tur\u0113t va\u013c\u0101 muti, ja non\u0101c liel\u0101 troksn\u012b\u2026 Tas ir m\u012bts vai tas tom\u0113r darbojas?<\/strong><\/p>\n\n\n\n

J\u0101 un n\u0113. Teor\u0113tiski tas var pal\u012bdz\u0113t tad, kad ir p\u0113k\u0161\u0146as sp\u0113c\u012bgas ska\u0146as, piem\u0113ram, k\u0101ds spr\u0101dziens. Tad spiediens izl\u012bdzin\u0101sies varb\u016bt veiksm\u012bg\u0101k. Tas attiecas uz ekstrem\u0101liem gad\u012bjumiem, bet praktiskaj\u0101 ikdien\u0101 un t\u0101s realit\u0101t\u0113 \u2013 n\u0113, tas nedarbosies. Ja k\u0101ds kaut ko grie\u017e vai z\u0101\u0123\u0113, tad vajag dzirdes aizsardz\u012bbu. Vai t\u0101s ir austi\u0146as vai auss aizb\u0101\u017e\u0146i, bet atv\u0113rta mute tad nel\u012bdz\u0113s. Var m\u0113\u0123in\u0101t ar rok\u0101m aizspiest ausis, bet ar\u012b tas nav tik efekt\u012bvi. <\/p>\n\n\n\n

Kad <\/strong>b\u016btu j\u0101dodas pie otolaringologa jeb LOR \u0101rsta un k\u0101dos gad\u012bjumos var pal\u012bdz\u0113t audiologs?<\/strong><\/p>\n\n\n\n

T\u0101s ir at\u0161\u0137ir\u012bgas profesijas, otolaringologs jeb t\u0101 saucamais ausu \u0101rsts vair\u0101k nodarbojas ar \u0101rst\u0113\u0161anu, savuk\u0101rt audiologa darbs, ir vair\u0101k tehnisks \u2013 p\u0101rbaud\u012bt dzirdi un skat\u012bties, k\u0101di ir risin\u0101jumi. Jebkur\u0101 gad\u012bjum\u0101 var s\u0101kt ar audiologu, jo reiz\u0113m varb\u016bt ir gr\u016bt\u0101k tikt pie LOR. Ja m\u0113s redzam, ka ir nopietn\u0101ka probl\u0113ma, tad m\u0113s klientu s\u016bt\u0101m pie atbilsto\u0161\u0101 speci\u0101lista. Savuk\u0101rt uzreiz pie LOR jeb otolaringologa b\u016btu j\u0101dodas tad, ja ir, piem\u0113ram, nep\u0101rejo\u0161as ausu s\u0101pes, aizdomas par ausu infekciju. Uzreiz pie ausu \u0101rsta \u2013 ar\u012b tad, ja gad\u012bjies kas ak\u016bts, piem\u0113ram, traumas vai kaut kas ir iespr\u016bdis aus\u012b, un pa\u0161i \u0101r\u0101 neko nevelkam. Tad jau ir cita kompetence. Ak\u016bt\u0101 situ\u0101cij\u0101 LOR ir prim\u0101rais speci\u0101lists, bet saist\u012bb\u0101 ar dzirdes kvalit\u0101ti lab\u0101k atn\u0101kt pie audiologa.<\/p>\n\n\n\n

Vai audiologs ir tas, kur\u0161 pal\u012bdz izv\u0113l\u0113ties dzirdes apar\u0101tus vai, piem\u0113ram, tos p\u0101rbauda?<\/strong><\/p>\n\n\n\n

J\u0101, t\u0101 ir audiologa b\u016bt\u012bba. Standarta gad\u012bjumos, kur ir dzirdes zudums t\u0101p\u0113c, ka dzirdes org\u0101ns ir nolietojies, iz\u0101rst\u0113t neko nevar, un dzirdes apar\u0101ts ir lab\u0101kais risin\u0101jums. Ar to m\u0113s ar\u012b str\u0101d\u0101jam un piemekl\u0113jam lab\u0101ko risin\u0101jumu, pal\u012bdzam \u0161aj\u0101 proces\u0101. Tas nav tikai t\u0101 \u2013  iedod dzirdes apar\u0101tu, un m\u0113s \u0161o cilv\u0113ku vairs neredzam. M\u0113s ar cilv\u0113ku str\u0101d\u0101jam ilgsto\u0161i, b\u016bt\u012bb\u0101 visu dzirdes apar\u0101ta lieto\u0161anas laiku. Cilv\u0113kam nepiecie\u0161ams iem\u0101c\u012bties atkal pareizi dzird\u0113t, lietot apar\u0101tu, veikt tehnisk\u0101s lietas, ja kaut kas nefunkcion\u0113 labi. M\u0113s visu salabojam. Dzirdes apar\u0101ti m\u016bsdien\u0101s ir pieejami \u013coti gudri, un m\u0113s visu p\u0101rprogramm\u0113jam, piel\u0101gojam un pieregul\u0113jam, ja ir nepiecie\u0161ams. Tehnisk\u0101 puse ir audiolo\u0123ijas b\u016bt\u012bba, LOR nodarbojas ar \u0101rst\u0113\u0161anu.<\/p>\n\n\n\n

K\u0101da visp\u0101r ir saist\u012bba optik\u0101m ar dzirdes p\u0101rbaudi?<\/strong><\/p>\n\n\n\n

Pa\u0161ai dzirdei ar redzi nav tie\u0161as saiknes, bet Latvij\u0101 sav\u0101 zi\u0146\u0101 t\u0101 ir inov\u0101cija. Citviet t\u0101 pier\u0101d\u012bjusi sevi k\u0101 \u0113rta un izdev\u012bga savien\u012bba, kur ir gan optika, gan dzirdes apar\u0101ti, gan optometrists, gan audiologs. Klientiem t\u0101 ir viena pieturvieta, kur\u0101 atrisina vair\u0101kas probl\u0113mas. Un liel\u0101k\u0101 da\u013ca pacientu, ko m\u0113s redzam, ir vec\u0101ka gadu g\u0101juma \u013caudis. Ar\u012b m\u016bsu kaimi\u0146iem lietuvie\u0161iem \u0161\u0101da kombin\u0101cija jau vair\u0101kus gadus str\u0101d\u0101 \u013coti veiksm\u012bgi. <\/p>\n\n\n\n

T\u0101tad dzirdes apar\u0101tam var aizmirst gar\u0101s pieraksta rindas polikl\u012bnik\u0101s?<\/strong><\/p>\n\n\n\n

Tie\u0161i t\u0101, un, piem\u0113ram, \u201cVision Express\u201d optik\u0101 Br\u012bv\u012bbas iel\u0101 90, R\u012bg\u0101 pie audiologa var tikt, vienk\u0101r\u0161i ien\u0101kot pie mums. Internet\u0101 ir pieejama m\u016bsu m\u0101jaslapa dzirdesparbaude.lv. Tas ir jaunums Latvij\u0101, bet cit\u0101s valst\u012bs jau ap 2000.gadu ieviesa praksi, ka audiologs darbojas un pie\u0146em cilv\u0113kus optik\u0101, t\u0101 teikt, redzes un dzirdes vajadz\u012bbas apvienojot vien\u0101 punkt\u0101. Praks\u0113 jau esam p\u0101rliecin\u0101ju\u0161ies, ka cilv\u0113ki bie\u017ei un labpr\u0101t n\u0101k pie audiologa ar\u012b optik\u0101.<\/p>\n\n\n\n

Piesakies dzirdes p\u0101rbaudei!<\/strong><\/a><\/p>\n\n\n\n

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