{"id":41352,"date":"2021-07-11T01:37:39","date_gmt":"2021-07-11T00:37:39","guid":{"rendered":"https:\/\/radioljubuski.ba\/?p=41352"},"modified":"2021-07-11T01:37:39","modified_gmt":"2021-07-11T00:37:39","slug":"pregled-sluha-kod-djece-i-odraslih-na-sto-treba-paziti-kod-provodenja-pretrage","status":"publish","type":"post","link":"https:\/\/radioljubuski.ba\/index.php\/2021\/07\/11\/pregled-sluha-kod-djece-i-odraslih-na-sto-treba-paziti-kod-provodenja-pretrage\/","title":{"rendered":"Pregled sluha kod djece i odraslih: Na \u0161to treba paziti kod provo\u0111enja pretrage?"},"content":{"rendered":"\n

Ispitivanje sluha kod djece ili audiometrija provodi se kako bi se uo\u010dilo o\u0161te\u0107enje sluha, tip o\u0161te\u0107enja sluha te kako bi se otkrio uzrok gubitka sluha kod djece i odraslih.<\/strong><\/p>\n\n\n\n

Testovi kojima se mo\u017ee vr\u0161iti ispitivanje sluha su audiometrija, timpanometrija, akumetrija, tonska i govorna audiometrija, snimanje pobu\u0111enih potencijala mo\u017edanog debla te otoakusti\u010dka emisija.<\/p>\n\n\n\n

O\u0161te\u0107enje sluha kod djece i odraslih<\/strong> danas je \u010desta pojava koja mo\u017ee izazvati pote\u0161ko\u0107e s govorom, neugodu, bol i daljnja o\u0161te\u0107enja, pi\u0161e N1.<\/p>\n\n\n\n

Tko treba pregled sluha?<\/strong><\/h2>\n\n\n\n

Uzrok o\u0161te\u0107enja ili degradacije sluha<\/strong> mogu biti odre\u0111ene bolesti, infekcije, traume ili o\u0161te\u0107enja, uro\u0111ene mane ili godine. O\u0161te\u0107enje mo\u017ee biti na vanjskom zvukovodu, bubnji\u0107u ili srednjem uhu, unutarnjem uhu ili kod mo\u017edanog \u017eivca. Sluh s godinama slabi pa ga je va\u017eno \u0161to prije \u0161tititi u ranijim godinama, posebice kod djece.<\/p>\n\n\n\n

Na pregled sluha kod djece i odraslih obi\u010dno se upu\u0107uju bolesnici s ovim simptomima:<\/p>\n\n\n\n

  • gubitak sluha<\/li>
  • nesvjestica<\/li>
  • bol u uhu<\/li>
  • opstrukcija u uhu<\/li>
  • perforacija bubnji\u0107a<\/li>
  • jednostrani gubitak sluha<\/li>
  • napadi gubitka sluha<\/li><\/ul>\n\n\n\n

    Pregled sluha kod djece i odraslih<\/strong><\/h2>\n\n\n\n

    Pretrage<\/strong> sluha<\/strong> namijenjene su otkrivanju razine o\u0161te\u0107enja, a po\u010dinju s orijentacijskim pregledom kod lije\u010dnika. Tek nakon pregleda, razgovora i obja\u0161njavanja simptoma, lije\u010dnik pacijenta mo\u017ee uputiti na neku od mogu\u0107nosti pregleda sluha kod djece i odraslih.<\/p>\n\n\n\n

    Ovo su naj\u010de\u0161\u0107i pregledi sluha.<\/p>\n\n\n\n

    Timpanometrija<\/strong><\/h3>\n\n\n\n

    Timpanometrija ispituje podatljivost bubnji\u0107a, a osobito je va\u017ena kod male djece jer poma\u017ee u dijagnozi seroznog otitisa ili teku\u0107ine u srednjem uhu. Ovim pregledom mo\u017ee se dijagnosticirati pove\u0107ani tre\u0107i krajnik koji dovodi do nagluhosti kod djece. Timpanometrijom se provjerava tlak u srednjem uhu te se tako mo\u017ee otkriti upalu srednjeg uha, postojanje teku\u0107ine u srednjem uhu, tumor, problem s Eustahijevom cjev\u010dicom te probu\u0161eni bubnji\u0107. Ovaj pregled sluha kod djece je kratak i bezbolan te nema rizika.<\/p>\n\n\n\n

    Ure\u0111aj za timpanometriju mo\u017ee se koristiti i za odre\u0111ivanje stapesnog refleksa. Ovime se pregledava reakcija malog mi\u0161i\u0107a u srednjem uhu koji se refleksno sti\u0161\u0107e kad se u uho pusti zvuk odre\u0111ene jakosti. Pregledavanje ovog refleksa pokazuje je li o\u0161te\u0107enje iznad ili ispod tog mi\u0161i\u0107a. Ovaj pregled slu\u017ei za odre\u0111ivanje mjesta na kojem je sluh o\u0161te\u0107en.<\/p>\n\n\n\n

    Tonska i govorna audiometrija<\/strong><\/h3>\n\n\n\n

    Ovaj pregled sluha kod djece zna\u010di odre\u0111ivanje najmanje glasno\u0107e \u010distog tona kojeg ispitanik \u010duje. Za pregled se koristi tonski audiometar sa slu\u0161alicama dok pacijent sjedi u tihoj komori. Provodi se na nekoliko frekvencija od najni\u017eih do visokih tonova. Rezultati se spajaju te se dobiva grafi\u010dki prikaz sluha pacijenta. Ovime se ukazuje mjesto te ja\u010dina o\u0161te\u0107enja sluha.<\/p>\n\n\n\n

    Govorna audiometrija mjeri postotak razabiranja rije\u010di s i bez pozadinske buke. Za razliku od \u010distog tona kod tonske audiometrije, u govornoj se koristi rije\u010d koju ispitanik ponavlja. Govorni audiogram bilje\u017ei razabirljivost rije\u010di u postocima, a u decibelima intenzitet podra\u017eaja. Svaka krivulja prikazuje tip nagluhosti. Ovim pregledom sluha kod djece se ispituju vi\u0161e razine slu\u0161nog puta.<\/p>\n\n\n\n

    Akumetrija<\/strong><\/h3>\n\n\n\n

    Ovim se pregledom vr\u0161i ispitivanje sluha kod djece i odraslih uz pomo\u0107 glazbenih uga\u0111alica. Cilj je utvr\u0111ivanje stanja sluha te odre\u0111ivanje lokacije na kojoj se nalazi o\u0161te\u0107enje. Izvodi se pokus zra\u010dne vodljivosti te se ispituje i uspore\u0111uje prag \u010dujnosti kod oba uha.<\/p>\n\n\n\n

    Snimanje pobu\u0111enih potencijala mo\u017edanog debla<\/strong><\/h3>\n\n\n\n

    Da bi se ispitao sluh kod djece i odraslih te funkcija slu\u0161nog puta od uha prema mozgu koristi se ovaj pregled. Pretraga se izvodi u zamra\u010denoj i tihoj komori dok pacijent le\u017ei te mora biti miran i opu\u0161ten sa slu\u0161alicama na glavi. Pacijentu se namje\u0161taju elektrode na oba uha ili iza njih, na \u010delo te ispod ruba kose. Kod ovog snimanja koriste se glasni zvukovi kako bi se izmjerilo vrijeme potrebno da impuls iz slu\u0161nog \u017eivca do\u0111e do odre\u0111ene jezgre.<\/p>\n\n\n\n

    Ovaj pregled sluha \u010desto se koristi kod djece jer ona obi\u010dno ne mogu sura\u0111ivati pa se dijete na pregled treba pojaviti umorno, uspavano.<\/p>\n\n\n\n

    \/HMS\/<\/p>\n","protected":false},"excerpt":{"rendered":"

    Ispitivanje sluha kod djece ili audiometrija provodi se kako bi se uo\u010dilo o\u0161te\u0107enje sluha, tip o\u0161te\u0107enja sluha te kako bi se otkrio uzrok gubitka sluha kod djece i odraslih. Testovi kojima se mo\u017ee vr\u0161iti ispitivanje sluha su audiometrija, timpanometrija, akumetrija, tonska i govorna audiometrija, snimanje pobu\u0111enih potencijala mo\u017edanog debla te otoakusti\u010dka emisija. O\u0161te\u0107enje sluha kod […]<\/p>\n","protected":false},"author":2,"featured_media":41353,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"h5ap_radio_sources":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-41352","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bihiregija"],"yoast_head":"\nPregled sluha kod djece i odraslih: Na \u0161to treba paziti kod provo\u0111enja pretrage? - RADIO LJUBU\u0160KI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/radioljubuski.ba\/index.php\/2021\/07\/11\/pregled-sluha-kod-djece-i-odraslih-na-sto-treba-paziti-kod-provodenja-pretrage\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pregled sluha kod djece i odraslih: Na \u0161to treba paziti kod provo\u0111enja pretrage? - RADIO LJUBU\u0160KI\" \/>\n<meta property=\"og:description\" content=\"Ispitivanje sluha kod djece ili audiometrija provodi se kako bi se uo\u010dilo o\u0161te\u0107enje sluha, tip o\u0161te\u0107enja sluha te kako bi se otkrio uzrok gubitka sluha kod djece i odraslih. 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