{"id":479,"date":"2010-11-12T13:11:45","date_gmt":"2010-11-12T09:41:45","guid":{"rendered":"http:\/\/khosro.goorabi.ir\/?p=479"},"modified":"2016-07-09T13:54:44","modified_gmt":"2016-07-09T10:24:44","slug":"%d9%85%d9%82%d8%a7%d9%84%d9%87-%d9%be%da%98%d9%88%d9%87%d8%b4%db%8c-%d8%a7%d8%b1%d8%b2%db%8c%d8%a7%d8%a8%db%8c-%d8%a7%d8%ae%d8%aa%d9%84%d8%a7%d9%84%d8%a7%d8%aa-%d8%af%d9%87%d9%84%db%8c%d8%b2%db%8c","status":"publish","type":"post","link":"https:\/\/khosro.goorabi.ir\/?p=479","title":{"rendered":"\u0645\u0642\u0627\u0644\u0647 \u067e\u0698\u0648\u0647\u0634\u06cc \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u062f\u0647\u0644\u06cc\u0632\u06cc \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u062f\u0627\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u067e\u062a\u0627\u0646\u0633\u06cc\u0644 \u0639\u0636\u0644\u0627\u0646\u06cc \u0628\u0631\u0627\u0646\u06af\u06cc\u062e\u062a\u0647 \u062f\u0647\u0644\u06cc\u0632\u06cc"},"content":{"rendered":"

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(\u062f\u0631\u06cc\u0627\u0641\u062a \u0645\u0642\u0627\u0644\u0647: \u06f5\/\u06f7\/\u06f8\u06f8\u060c \u067e\u0630\u06cc\u0631\u0634: \u06f4\/\u06f3\/\u06f8\u06f9)<\/p>\n

\u0645\u0642\u062f\u0645\u0647<\/p>\n

\u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0627\u0645\u0631\u0648\u0632\u0647 \u0631\u0648\u0634 \u0627\u0646\u062a\u062e\u0627\u0628\u06cc \u0628\u0631\u0627\u06cc \u062a\u0648\u0627\u0646\u0628\u062e\u0634\u06cc \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 \u06a9\u0645\u00ad\u0634\u0646\u0648\u0627\u06cc\u06cc \u062d\u0633\u06cc \u0639\u0635\u0628\u06cc \u0634\u062f\u06cc\u062f \u0648 \u0639\u0645\u06cc\u0642 \u0627\u0633\u062a. \u062a\u06a9\u0646\u06cc\u06a9\u00ad\u0647\u0627\u06cc \u062c\u0631\u0627\u062d\u06cc \u0645\u0648\u0631\u062f \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0628\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u062f\u0631 \u0633\u0627\u0644\u00ad\u0647\u0627\u06cc \u0645\u062a\u0645\u0627\u062f\u06cc \u062a\u063a\u06cc\u06cc\u0631\u0627\u062a\u06cc \u06cc\u0627\u0641\u062a\u0647 \u0627\u0633\u062a(\u06f1\u0648\u06f2). \u062f\u0631 \u06a9\u0644\u060c \u0645\u06cc\u00ad\u062a\u0648\u0627\u0646 \u06af\u0641\u062a \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0631\u0648\u0634\u06cc \u0627\u06cc\u0645\u0646 \u0628\u0627 \u062d\u062f\u0627\u0642\u0644 \u062e\u0637\u0631 \u0628\u0631\u0648\u0632 \u0646\u0627\u0647\u0646\u062c\u0627\u0631\u06cc\u00ad\u0647\u0627 \u067e\u0633 \u0627\u0632 \u0639\u0645\u0644 \u0627\u0633\u062a. \u0628\u0627 \u0627\u06cc\u0646 \u0648\u062c\u0648\u062f\u060c \u0648\u0627\u0631\u062f \u06a9\u0631\u062f\u0646 \u0627\u0644\u06a9\u062a\u0631\u0648\u062f \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0628\u0647 \u062f\u0627\u062e\u0644 \u0641\u0636\u0627\u06cc \u067e\u0631 \u0627\u0632 \u0645\u0627\u06cc\u0639 \u062d\u0644\u0632\u0648\u0646 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0645\u0646\u062c\u0631 \u0628\u0647 \u0628\u0631\u0648\u0632 \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u062f\u0647\u0644\u06cc\u0632\u06cc \u0645\u062b\u0644 \u0633\u0631\u06af\u06cc\u062c\u0647 \u0648 \u0639\u062f\u0645 \u062a\u0639\u0627\u062f\u0644\u060c \u0628\u0647\u00ad\u0639\u0646\u0648\u0627\u0646 \u0627\u062b\u0631\u0627\u062a \u062c\u0627\u0646\u0628\u06cc\u060c \u0634\u0648\u062f. \u0627\u0632 \u0622\u0646\u062c\u0627 \u06a9\u0647 \u0644\u0627\u0628\u06cc\u0631\u0646\u062a \u063a\u0634\u0627\u0626\u06cc \u062d\u0627\u0648\u06cc \u06af\u06cc\u0631\u0646\u062f\u0647\u00ad\u0647\u0627\u06cc \u062f\u0647\u0644\u06cc\u0632\u06cc \u0646\u06cc\u0632 \u0645\u06cc\u00ad\u0628\u0627\u0634\u062f\u060c \u0648\u0627\u0631\u062f \u06a9\u0631\u062f\u0646 \u0627\u0644\u06a9\u062a\u0631\u0648\u062f \u0645\u06cc\u00ad\u062a\u0648\u0627\u0646\u062f \u0628\u0627\u0639\u062b \u0622\u0633\u06cc\u0628 \u0628\u0647 \u06af\u06cc\u0631\u0646\u062f\u0647\u00ad\u0647\u0627 \u0648 \u062a\u062f\u0627\u062e\u0644 \u062f\u0631 \u0633\u0627\u062e\u062a\u0627\u0631\u0647\u0627\u06cc \u062f\u0647\u0644\u06cc\u0632\u06cc \u0634\u0648\u062f(\u06f3).<\/p>\n

\u0633\u0631\u06af\u06cc\u062c\u0647 \u0648 \u0645\u0646\u06af\u06cc \u0627\u0632 \u0639\u0644\u0627\u06cc\u0645 \u0634\u0627\u06cc\u0639 \u0648 \u0645\u0639\u0645\u0648\u0644\u0627\u064b \u06a9\u0648\u062a\u0627\u0647\u00ad\u0645\u062f\u062a \u067e\u0633 \u0627\u0632 \u0627\u0646\u062c\u0627\u0645 \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0647\u0633\u062a\u0646\u062f. \u0639\u0644\u0627\u0648\u0647 \u0628\u0631 \u0633\u0631\u06af\u06cc\u062c\u0647\u00ad\u0647\u0627\u06cc \u0646\u0627\u0634\u06cc \u0627\u0632 \u0639\u0645\u0644 \u062c\u0631\u0627\u062d\u06cc\u060c \u0628\u0633\u06cc\u0627\u0631\u06cc \u0627\u0632 \u0627\u0641\u0631\u0627\u062f \u06a9\u0627\u0634\u062a \u0634\u062f\u0647\u060c \u06a9\u0647 \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 \u06a9\u0645\u00ad\u0634\u0646\u0648\u0627\u06cc\u06cc\u00ad\u0647\u0627\u06cc \u0634\u062f\u06cc\u062f \u062a\u0627 \u0639\u0645\u06cc\u0642 \u0647\u0633\u062a\u0646\u062f\u060c \u062f\u0631 \u06a9\u0646\u0627\u0631 \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u0633\u06cc\u0633\u062a\u0645 \u0634\u0646\u0648\u0627\u06cc\u06cc\u060c \u062f\u0627\u0631\u0627\u06cc \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u0645\u0627\u062f\u0631\u0632\u0627\u062f\u06cc \u0633\u06cc\u0633\u062a\u0645 \u062f\u0647\u0644\u06cc\u0632\u06cc \u0646\u06cc\u0632 \u0647\u0633\u062a\u0646\u062f. \u062f\u0631 \u0645\u0642\u0627\u0644\u0627\u062a \u0645\u062e\u062a\u0644\u0641\u06cc \u0628\u0647 \u0628\u0631\u0631\u0633\u06cc \u0645\u06cc\u0632\u0627\u0646 \u0633\u0631\u06af\u06cc\u062c\u0647 \u0648 \u062f\u06cc\u06af\u0631 \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u062f\u0647\u0644\u06cc\u0632\u06cc \u067e\u0633 \u0627\u0632 \u0639\u0645\u0644 \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u067e\u0631\u062f\u0627\u062e\u062a\u0647 \u0634\u062f\u0647 \u0627\u0633\u062a. \u062f\u0631 \u0622\u0646 \u0645\u0642\u0627\u0644\u0627\u062a \u0634\u06cc\u0648\u0639 \u0633\u0631\u06af\u06cc\u062c\u0647 \u067e\u0633 \u0627\u0632 \u0639\u0645\u0644 \u0627\u0632 \u06f2 \u062a\u0627 \u06f4\u06f7 \u062f\u0631\u0635\u062f \u06af\u0632\u0627\u0631\u0634 \u0634\u062f\u0647 \u0627\u0633\u062a(\u06f4). \u0647\u0645\u0686\u0646\u06cc\u0646 \u0627\u062e\u062a\u0644\u0627\u0644 \u0639\u0645\u0644\u06a9\u0631\u062f \u0645\u062c\u0631\u0627\u06cc \u0646\u06cc\u0645\u00ad\u062f\u0627\u06cc\u0631\u06c0 \u062e\u0627\u0631\u062c\u06cc \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0622\u0632\u0645\u0648\u0646 \u06a9\u0627\u0644\u0631\u06cc\u06a9 \u0627\u0632 \u06f1\/\u06f3 \u062f\u0631\u0635\u062f \u062a\u0627 \u06f7\u06f7 \u062f\u0631\u0635\u062f \u06af\u0632\u0627\u0631\u0634 \u0634\u062f\u0647 \u0627\u0633\u062a(\u06f5). \u0628\u0631\u062e\u06cc \u0645\u0637\u0627\u0644\u0639\u0627\u062a \u0646\u0634\u0627\u0646 \u0645\u06cc\u00ad\u062f\u0647\u062f \u06a9\u0647 \u06a9\u0648\u06a9\u0644\u0626\u0648\u0633\u062a\u0648\u0645\u06cc \u0645\u06cc\u00ad\u062a\u0648\u0627\u0646\u062f \u0645\u0646\u062c\u0631 \u0628\u0647 \u0622\u0633\u06cc\u0628 \u06af\u06cc\u0631\u0646\u062f\u0647\u00ad\u0647\u0627\u06cc \u062f\u0647\u0644\u06cc\u0632\u06cc\u060c \u0627\u0632 \u062c\u0645\u0644\u0647 \u0633\u0627\u06a9\u0648\u0644\u060c \u0634\u0648\u062f(\u06f6).<\/p>\n

\u0628\u0647\u00ad\u0637\u0648\u0631 \u062e\u0644\u0627\u0635\u0647\u060c \u067e\u062a\u0627\u0646\u0633\u06cc\u0644 \u0639\u0636\u0644\u0627\u0646\u06cc \u0628\u0631\u0627\u0646\u06af\u06cc\u062e\u062a\u06c0 \u062f\u0647\u0644\u06cc\u0632\u06cc (Vestibular Evoked Myogenic Potential: VEMP) \u06cc\u06a9 \u067e\u062a\u0627\u0646\u0633\u06cc\u0644 \u0645\u0647\u0627\u0631\u06cc \u0627\u0633\u062a \u06a9\u0647 \u062f\u0631 \u067e\u0627\u0633\u062e \u0628\u0647 \u0645\u062d\u0631\u06a9\u0627\u062a \u06a9\u0644\u06cc\u06a9 \u0648 \u062a\u0646\u00ad\u0628\u0631\u0633\u062a \u0628\u0627 \u0634\u062f\u062a \u0628\u0633\u06cc\u0627\u0631 \u0628\u0627\u0644\u0627 \u0627\u0632 \u0639\u0636\u0644\u0647 \u0686\u0646\u0628\u0631\u06cc\u00ad\u0640\u00ad\u062c\u0646\u0627\u063a\u06cc\u00ad\u0640\u00ad\u0645\u0627\u0633\u062a\u0648\u0626\u06cc\u062f\u06cc (Sternocleidomastoid: SCM) \u062b\u0628\u062a \u0645\u06cc\u00ad\u0634\u0648\u062f. \u0628\u0647 \u0646\u0638\u0631 \u0645\u06cc\u00ad\u0622\u06cc\u062f \u0627\u06cc\u0646 \u067e\u0627\u0633\u062e\u00ad\u0647\u0627 \u0645\u0646\u0634\u0623 \u062f\u0647\u0644\u06cc\u0632\u06cc \u062f\u0627\u0631\u0646\u062f. \u062a\u062d\u0642\u06cc\u0642\u0627\u062a \u0645\u062e\u062a\u0644\u0641 \u0631\u0648\u06cc \u0627\u0646\u0633\u0627\u0646 \u0648 \u062d\u06cc\u0648\u0627\u0646 \u062a\u0648\u0644\u06cc\u062f \u0627\u06cc\u0646 \u067e\u062a\u0627\u0646\u0633\u06cc\u0644\u00ad\u0647\u0627 \u062f\u0631 \u0633\u0627\u06a9\u0648\u0644 \u0648 \u0627\u0646\u062a\u0642\u0627\u0644 \u0622\u0646 \u0627\u0632 \u0637\u0631\u06cc\u0642 \u0639\u0635\u0628 \u062f\u0647\u0644\u06cc\u0632\u06cc \u062a\u062d\u062a\u0627\u0646\u06cc \u0631\u0627 \u0646\u0634\u0627\u0646 \u0645\u06cc\u00ad\u062f\u0647\u062f. \u0622\u0632\u0645\u0648\u0646 VEMP \u06cc\u06a9 \u0631\u0648\u0634 \u0633\u0648\u062f\u0645\u0646\u062f \u0648 \u063a\u06cc\u0631\u062a\u0647\u0627\u062c\u0645\u06cc \u0628\u0631\u0627\u06cc \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0639\u0645\u0644\u06a9\u0631\u062f \u0627\u062a\u0648\u0644\u06cc\u062a \u0648 \u06cc\u06a9\u067e\u0627\u0631\u0686\u06af\u06cc \u0639\u0645\u0644\u06a9\u0631\u062f \u0639\u0635\u0628 \u062f\u0647\u0644\u06cc\u0632\u06cc \u062a\u062d\u062a\u0627\u0646\u06cc \u0627\u0633\u062a. \u0627\u0632 \u0644\u062d\u0627\u0638 \u0628\u0627\u0644\u06cc\u0646\u06cc \u0627\u0646\u062c\u0627\u0645 \u0627\u06cc\u0646 \u0622\u0632\u0645\u0648\u0646 \u0622\u0633\u0627\u0646 \u0628\u0648\u062f\u0647 \u0648 \u0628\u0647\u00ad\u0648\u0633\u06cc\u0644\u06c0 \u0627\u06a9\u062b\u0631 \u0633\u06cc\u0633\u062a\u0645\u00ad\u0647\u0627\u06cc \u062b\u0628\u062a \u067e\u062a\u0627\u0646\u0633\u06cc\u0644\u00ad\u0647\u0627\u06cc \u0628\u0631\u0627\u0646\u06af\u06cc\u062e\u062a\u0647 \u0642\u0627\u0628\u0644 \u0627\u062c\u0631\u0627\u0633\u062a(\u06f1\u06f0-\u06f7).<\/p>\n

\u062f\u0631 \u062a\u0639\u062f\u0627\u062f\u06cc \u067e\u0698\u0648\u0647\u0634 \u0627\u0632 \u0622\u0632\u0645\u0648\u0646 VEMP \u0628\u0631\u0627\u06cc \u0628\u0631\u0631\u0633\u06cc \u0633\u06cc\u0633\u062a\u0645 \u062f\u0647\u0644\u06cc\u0632\u06cc \u0627\u0641\u0631\u0627\u062f \u062f\u0627\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u062f\u0647 \u0627\u0633\u062a(\u06f1\u06f1\u0648\u06f1\u06f2). \u0647\u062f\u0641 \u0627\u0632 \u0627\u06cc\u0646 \u0645\u0637\u0627\u0644\u0639\u0647 \u0628\u0631\u0631\u0633\u06cc \u0648\u0636\u0639\u06cc\u062a \u0633\u06cc\u0633\u062a\u0645 \u062f\u0647\u0644\u06cc\u0632\u06cc\u060c \u0628\u0647\u00ad\u062e\u0635\u0648\u0635 \u0633\u0627\u06a9\u0648\u0644\u060c \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u062f\u0627\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u067e\u0633 \u0627\u0632 \u0639\u0645\u0644 \u062c\u0631\u0627\u062d\u06cc\u060c \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0622\u0632\u0645\u0648\u0646 VEMP \u0645\u06cc\u00ad\u0628\u0627\u0634\u062f.<\/p>\n

\u0631\u0648\u0634 \u0628\u0631\u0631\u0633\u06cc<\/p>\n

\u062f\u0631 \u0627\u06cc\u0646 \u0645\u0637\u0627\u0644\u0639\u06c0 \u0645\u0642\u0637\u0639\u06cc \u06f3\u06f3 \u0628\u06cc\u0645\u0627\u0631 (\u06f2\u06f1 \u0645\u0631\u062f \u0648 \u06f1\u06f2 \u0632\u0646) \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 \u0627\u0641\u062a \u0634\u0646\u0648\u0627\u06cc\u06cc \u062d\u0633\u06cc\u00ad\u0640\u00ad\u0639\u0635\u0628\u06cc \u0639\u0645\u06cc\u0642\u060c \u06a9\u0647 \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0633\u062a\u0627\u0646 \u0627\u0645\u06cc\u0631\u0627\u0639\u0644\u0645 \u062f\u0627\u0646\u0634\u06af\u0627\u0647 \u0639\u0644\u0648\u0645 \u067e\u0632\u0634\u06a9\u06cc \u062a\u0647\u0631\u0627\u0646 \u062f\u0631 \u0628\u06cc\u0646 \u0633\u0627\u0644\u00ad\u0647\u0627\u06cc \u06f7\u06f3 \u062a\u0627 \u06f8\u06f2 \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0634\u062f\u0647 \u0628\u0648\u062f\u0646\u062f\u060c \u0628\u0647 \u0634\u06cc\u0648\u0647 \u063a\u06cc\u0631\u062a\u0635\u0627\u062f\u0641\u06cc \u0633\u0627\u062f\u0647 \u0627\u0646\u062a\u062e\u0627\u0628 \u0634\u062f\u0647 \u0648 \u0628\u0647\u00ad\u0639\u0646\u0648\u0627\u0646 \u06af\u0631\u0648\u0647 \u0645\u0648\u0631\u062f \u062a\u062d\u062a \u0628\u0631\u0631\u0633\u06cc \u0642\u0631\u0627\u0631 \u06af\u0631\u0641\u062a\u0646\u062f. \u0645\u062d\u062f\u0648\u062f\u06c0 \u0633\u0646\u06cc \u0627\u06cc\u0646 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u06f4\u06f5-\u06f1\u06f8 \u0633\u0627\u0644 \u0628\u0627 \u0645\u06cc\u0627\u0646\u06af\u06cc\u0646 \u06f9\u06f7\/\u06f1\u06f9 \u0648 \u0627\u0646\u062d\u0631\u0627\u0641 \u0645\u0639\u06cc\u0627\u0631 \u06f7\u06f1\/\u06f1\u06f5 \u0628\u0648\u062f. \u0647\u0645\u0686\u0646\u06cc\u0646 \u06f3\u06f0 \u0641\u0631\u062f \u0628\u0632\u0631\u06af\u0633\u0627\u0644 (\u06f1\u06f5 \u0645\u0631\u062f \u0648 \u06f1\u06f5 \u0632\u0646)\u060c \u06a9\u0647 \u0627\u0632 \u0634\u0646\u0648\u0627\u06cc\u06cc \u0647\u0646\u062c\u0627\u0631 \u0628\u0631\u062e\u0648\u0631\u062f\u0627\u0631 \u0628\u0648\u062f\u0646\u062f\u060c \u0628\u0647\u00ad\u0639\u0646\u0648\u0627\u0646 \u06af\u0631\u0648\u0647 \u0634\u0627\u0647\u062f \u062f\u0631 \u0646\u0638\u0631 \u06af\u0631\u0641\u062a\u0647 \u0634\u062f\u0646\u062f. \u0645\u062d\u062f\u0648\u062f\u06c0 \u0633\u0646\u06cc \u0627\u06cc\u0646 \u0627\u0641\u0631\u0627\u062f \u06f3\u06f5-\u06f1\u06f9 \u0633\u0627\u0644 \u0628\u0627 \u0645\u06cc\u0627\u0646\u06af\u06cc\u0646 \u06f2\u06f7\/\u06f2\u06f4 \u0648 \u0627\u0646\u062d\u0631\u0627\u0641 \u0645\u0639\u06cc\u0627\u0631 \u06f2\u06f7\/\u06f3 \u0628\u0648\u062f. \u062a\u0645\u0627\u0645\u06cc \u0627\u0641\u0631\u0627\u062f \u0645\u0648\u0631\u062f \u0645\u0637\u0627\u0644\u0639\u0647\u060c \u0646\u0633\u0628\u062a \u0628\u0647 \u0645\u0631\u0627\u062d\u0644 \u0627\u0646\u062c\u0627\u0645 \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u0622\u06af\u0627\u0647\u06cc \u06a9\u0627\u0645\u0644 \u062f\u0627\u0634\u062a\u0646\u062f \u0648 \u062f\u0631 \u0635\u0648\u0631\u062a \u062a\u0645\u0627\u06cc\u0644 \u0648\u0627\u0631\u062f \u0645\u0637\u0627\u0644\u0639\u0647 \u0645\u06cc\u00ad\u0634\u062f\u0646\u062f.<\/p>\n

\u062f\u0631 \u0627\u06cc\u0646 \u067e\u0698\u0648\u0647\u0634 \u0627\u0641\u0631\u0627\u062f \u062f\u0627\u0631\u0627\u06cc \u0645\u0634\u06a9\u0644\u0627\u062a\u06cc \u0646\u0638\u06cc\u0631 \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u0639\u0636\u0644\u0627\u0646\u06cc\u00ad\u0640\u00ad\u06af\u0631\u062f\u0646\u06cc \u0648 \u0647\u0645\u0686\u0646\u06cc\u0646 \u067e\u0627\u062a\u0648\u0644\u0648\u0698\u06cc\u00ad\u0647\u0627\u06cc \u0641\u0639\u0627\u0644 \u062f\u0631 \u06af\u0648\u0634 \u0645\u06cc\u0627\u0646\u06cc \u0648 \u062e\u0627\u0631\u062c\u06cc \u0627\u0632 \u0645\u0637\u0627\u0644\u0639\u0647 \u062d\u0630\u0641 \u0634\u062f\u0646\u062f. \u0628\u0631\u0627\u06cc \u0628\u0631\u0631\u0633\u06cc \u0648\u062c\u0648\u062f \u067e\u0627\u062a\u0648\u0644\u0648\u0698\u06cc\u00ad\u0647\u0627\u06cc \u0641\u0639\u0627\u0644 \u062f\u0631 \u06af\u0648\u0634 \u0627\u0632 \u0627\u062a\u0648\u0633\u06a9\u067e\u06cc \u0648 \u0627\u062f\u06cc\u0648\u0645\u062a\u0631\u06cc \u0627\u06cc\u0645\u06cc\u062a\u0627\u0646\u0633\u060c \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u062f\u0633\u062a\u06af\u0627\u0647 AZ26 \u0634\u0631\u06a9\u062a Intraacoustic \u06a9\u0634\u0648\u0631 \u062f\u0627\u0646\u0645\u0627\u0631\u06a9\u060c \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u062f. \u0633\u067e\u0633 \u0646\u0645\u0648\u0646\u0647\u00ad\u0647\u0627 \u062f\u0631 \u0628\u062e\u0634 \u0627\u0644\u06a9\u062a\u0631\u0648\u0641\u06cc\u0632\u06cc\u0648\u0644\u0648\u0698\u06cc \u062f\u067e\u0627\u0631\u062a\u0645\u0627\u0646 \u0634\u0646\u0648\u0627\u06cc\u06cc\u00ad\u0634\u0646\u0627\u0633\u06cc \u062f\u0627\u0646\u0634\u06a9\u062f\u0647 \u0639\u0644\u0648\u0645 \u062a\u0648\u0627\u0646\u0628\u062e\u0634\u06cc \u062f\u0627\u0646\u0634\u06af\u0627\u0647 \u0639\u0644\u0648\u0645 \u067e\u0632\u0634\u06a9\u06cc \u0627\u06cc\u0631\u0627\u0646 \u062a\u062d\u062a \u0622\u0632\u0645\u0648\u0646 VEMP \u0642\u0631\u0627\u0631 \u06af\u0631\u0641\u062a\u0646\u062f. \u067e\u0627\u0633\u062e\u00ad\u0647\u0627\u06cc VEMP \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u062f\u0633\u062a\u06af\u0627\u0647 EP25 \u0633\u0627\u062e\u062a \u0634\u0631\u06a9\u062a Intraacoustic \u06a9\u0634\u0648\u0631 \u062f\u0627\u0646\u0645\u0627\u0631\u06a9 \u062b\u0628\u062a \u0634\u062f\u0646\u062f. \u0628\u0631\u0627\u06cc \u062b\u0628\u062a VEMP\u060c \u0627\u0644\u06a9\u062a\u0631\u0648\u062f \u0646\u0627\u0648\u0627\u0631\u0648\u0646\u06af\u0631 \u0631\u0648\u06cc \u06cc\u06a9 \u0633\u0648\u0645 \u0641\u0648\u0642\u0627\u0646\u06cc \u0639\u0636\u0644\u0627\u062a SCM \u062f\u0648 \u0637\u0631\u0641\u060c \u0627\u0644\u06a9\u062a\u0631\u0648\u062f \u0648\u0627\u0631\u0648\u0646\u06af\u0631 \u0631\u0648\u06cc \u0627\u0633\u062a\u062e\u0648\u0627\u0646 \u062a\u0631\u0642\u0648\u0647 \u0648 \u0627\u0644\u06a9\u062a\u0631\u0648\u062f \u0632\u0645\u06cc\u0646 \u0631\u0648\u06cc \u067e\u06cc\u0634\u0627\u0646\u06cc \u0642\u0631\u0627\u0631 \u06af\u0631\u0641\u062a. \u0627\u0645\u067e\u062f\u0627\u0646\u0633 \u0627\u0644\u06a9\u062a\u0631\u0648\u062f\u0647\u0627 \u06a9\u0645\u062a\u0631 \u0627\u0632 \u06f1\u06f0 \u06a9\u06cc\u0644\u0648 \u0627\u0647\u0645 \u0628\u0648\u062f \u0648 \u067e\u0627\u0633\u062e\u00ad\u0647\u0627 \u06f5\u06f0\u06f0\u06f0 \u0628\u0631\u0627\u0628\u0631 \u062a\u0642\u0648\u06cc\u062a \u0634\u062f. \u0628\u0631\u0627\u06cc \u062b\u0628\u062a \u067e\u0627\u0633\u062e \u0627\u0632 \u0641\u06cc\u0644\u062a\u0631 \u0628\u0627\u0646\u062f \u06af\u0630\u0631 \u06f1\u06f5\u06f0\u06f0-\u06f1\u06f0 \u0647\u0631\u062a\u0632\u060c \u067e\u0646\u062c\u0631\u06c0 \u0632\u0645\u0627\u0646\u06cc \u06f5\u06f0 \u0645\u06cc\u0644\u06cc\u00ad\u062b\u0627\u0646\u06cc\u0647 \u0648 \u062a\u0639\u062f\u0627\u062f \u062a\u062d\u0631\u06cc\u06a9 \u06f5 \u0645\u062d\u0631\u06a9 \u062f\u0631 \u062b\u0627\u0646\u06cc\u0647 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u062f. \u067e\u0627\u0633\u062e\u00ad\u0647\u0627\u06cc \u0628\u0647\u00ad\u062f\u0633\u062a \u0622\u0645\u062f\u0647 \u06f1\u06f0\u06f0 \u0628\u0627\u0631 \u0646\u0645\u0648\u0646\u0647\u00ad\u06af\u06cc\u0631\u06cc \u0634\u062f. \u0645\u062d\u0631\u06a9 \u0645\u0648\u0631\u062f \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u062a\u0646\u00ad\u0628\u0631\u0633\u062a \u06f5\u06f0\u06f0 \u0647\u0631\u062a\u0632 \u0628\u0627 \u0632\u0645\u0627\u0646 \u062e\u06cc\u0632\/\u0627\u0641\u062a \u0648 \u067e\u0644\u0627\u062a\u0648\u06cc \u06f2-\u06f0-\u06f2 \u0633\u06cc\u06a9\u0644 \u0628\u0631 \u062b\u0627\u0646\u06cc\u0647 \u0628\u0648\u062f.<\/p>\n

\u0628\u0631\u0627\u06cc \u0641\u0639\u0627\u0644 \u06a9\u0631\u062f\u0646 SCM \u0627\u0632 \u0627\u0641\u0631\u0627\u062f \u062e\u0648\u0627\u0633\u062a\u0647 \u0634\u062f \u062a\u0627 \u0631\u0648\u06cc \u06cc\u06a9 \u0635\u0646\u062f\u0644\u06cc \u0628\u062f\u0648\u0646 \u062d\u0645\u0627\u06cc\u062a \u0633\u0631 \u0628\u0646\u0634\u06cc\u0646\u0646\u062f. \u0633\u067e\u0633 \u0647\u0631 \u0641\u0631\u062f \u0633\u0631 \u062e\u0648\u062f \u0631\u0627 \u06f3\u06f0 \u062f\u0631\u062c\u0647 \u0628\u0647 \u0633\u0645\u062a \u062c\u0644\u0648 \u0648 \u06f3\u06f0 \u062f\u0631\u062c\u0647 \u0628\u0647 \u0633\u0645\u062a \u0645\u062e\u0627\u0644\u0641 \u0639\u0636\u0644\u0647 \u0645\u062f\u0646\u0638\u0631 \u0645\u06cc\u00ad\u0686\u0631\u062e\u0627\u0646\u06cc\u062f. \u0628\u0631\u0627\u06cc \u06a9\u0646\u062a\u0631\u0644 \u0627\u0644\u06a9\u062a\u0631\u0648\u0645\u06cc\u0648\u06af\u0631\u0627\u0641\u06cc \u0639\u0636\u0644\u06c0 \u0627\u0641\u0631\u0627\u062f \u0645\u0648\u0631\u062f \u0645\u0637\u0627\u0644\u0639\u0647 \u062f\u0631 \u0637\u0648\u0644 \u0622\u0632\u0645\u0627\u06cc\u0634 \u0648 \u0645\u06cc\u0632\u0627\u0646 \u0627\u0646\u0642\u0628\u0627\u0636 \u06cc\u06a9\u0633\u0627\u0646 \u062f\u0631 \u062f\u0648 \u0637\u0631\u0641\u060c \u0627\u0632 \u0631\u0648\u0634 \u0641\u06cc\u062f\u0628\u06a9 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u062f. \u062f\u0631 \u0627\u06cc\u0646 \u0631\u0648\u0634\u060c \u06a9\u06cc\u0633\u06c0 \u0647\u0648\u0627\u06cc \u06cc\u06a9 \u062f\u0633\u062a\u06af\u0627\u0647 \u0627\u0646\u062f\u0627\u0632\u0647\u00ad\u06af\u06cc\u0631\u06cc \u0641\u0634\u0627\u0631 \u062e\u0648\u0646 \u062a\u0627 \u06f2\u06f0 \u0645\u06cc\u0644\u06cc\u00ad\u0645\u062a\u0631 \u062c\u06cc\u0648\u0647 \u067e\u0631 \u0627\u0632 \u0647\u0648\u0627 \u0645\u06cc\u00ad\u0634\u0648\u062f \u0648 \u0627\u0632 \u0641\u0631\u062f \u062e\u0648\u0627\u0633\u062a\u0647 \u0645\u06cc\u00ad\u0634\u0648\u062f \u062a\u0627 \u06a9\u06cc\u0633\u0647 \u0631\u0627 \u0628\u06cc\u0646 \u062f\u0633\u062a \u0648 \u0686\u0627\u0646\u0647 \u062e\u0648\u062f \u0642\u0631\u0627\u0631 \u062f\u0647\u062f \u0648 \u0628\u0627 \u0641\u0634\u0627\u0631 \u0631\u0648\u06cc \u06a9\u06cc\u0633\u06c0 \u0647\u0648\u0627\u060c \u0639\u0642\u0631\u0628\u06c0 \u0641\u0634\u0627\u0631\u0633\u0646\u062c \u0631\u0627 \u0631\u0648\u06cc \u06f4\u06f0 \u0645\u06cc\u0644\u06cc\u00ad\u0645\u062a\u0631 \u062c\u06cc\u0648\u0647 \u062b\u0627\u0628\u062a \u0646\u06af\u0647 \u062f\u0627\u0631\u062f. \u0647\u0645\u0686\u0646\u06cc\u0646 \u0628\u0647\u00ad\u0645\u0646\u0638\u0648\u0631 \u062c\u0644\u0648\u06af\u06cc\u0631\u06cc \u0627\u0632 \u0645\u062e\u062f\u0648\u0634 \u0634\u062f\u0646 \u0646\u062a\u0627\u06cc\u062c \u0628\u0647\u00ad\u062f\u0644\u06cc\u0644 \u062e\u0633\u062a\u06af\u06cc \u062f\u0631 \u0639\u0636\u0644\u0627\u062a \u06af\u0631\u062f\u0646\u060c \u067e\u0633 \u0627\u0632 \u062b\u0628\u062a \u0647\u0631 \u0645\u0648\u062c\u060c \u06cc\u06a9 \u0627\u0644\u06cc \u062f\u0648 \u062f\u0642\u06cc\u0642\u0647 \u0628\u0647 \u0622\u0632\u0645\u0648\u0646\u00ad\u0634\u0648\u0646\u062f\u06af\u0627\u0646 \u0627\u0633\u062a\u0631\u0627\u062d\u062a \u062f\u0627\u062f\u0647 \u0634\u062f.<\/p>\n

\u0645\u0642\u0627\u062f\u06cc\u0631 \u0632\u0645\u0627\u0646 \u0646\u0647\u0641\u062a\u06af\u06cc p13 \u0648 n23 \u0648 \u062f\u0627\u0645\u0646\u06c0 p13-n23 \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0645\u062d\u0631\u06a9 \u062a\u0646\u00ad\u0628\u0631\u0633\u062a \u06f5\u06f0\u06f0 \u0647\u0631\u062a\u0632 \u062f\u0631 \u0633\u0637\u062d \u0634\u062f\u062a \u06f1\u06f2\u06f5 \u062f\u0633\u06cc\u00ad\u0628\u0644 peSPL \u062b\u0628\u062a \u06af\u0631\u062f\u06cc\u062f. \u062f\u0631 \u0647\u0631 \u0633\u0637\u062d \u0634\u062f\u062a\u06cc \u0628\u0631\u0627\u06cc \u0627\u0637\u0645\u06cc\u0646\u0627\u0646 \u0627\u0632 \u062a\u06a9\u0631\u0627\u0631\u067e\u0630\u06cc\u0631\u06cc \u0645\u0646\u0627\u0633\u0628\u060c \u062f\u0648 \u0645\u0648\u062c \u062b\u0628\u062a \u0634\u062f \u0648 \u0645\u06cc\u0627\u0646\u06af\u06cc\u0646 \u067e\u0627\u0633\u062e\u00ad\u0647\u0627 \u0645\u0648\u0631\u062f \u062a\u062c\u0632\u06cc\u0647 \u0648 \u062a\u062d\u0644\u06cc\u0644 \u0642\u0631\u0627\u0631 \u06af\u0631\u0641\u062a.<\/p>\n

\u0628\u0631\u0627\u06cc \u062a\u062c\u0632\u06cc\u0647 \u0648 \u062a\u062d\u0644\u06cc\u0644 \u0627\u0637\u0644\u0627\u0639\u0627\u062a \u0627\u0632 \u0646\u0631\u0645\u00ad\u0627\u0641\u0632\u0627\u0631 \u0622\u0645\u0627\u0631\u06ccSPSS \u0646\u0633\u062e\u06c0 \u06f1\u06f6 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u062f. \u0628\u0631\u0627\u06cc \u0622\u0645\u0627\u0631 \u062a\u0648\u0635\u06cc\u0641\u06cc \u0627\u0632 \u0645\u062d\u0627\u0633\u0628\u06c0 \u0634\u0627\u062e\u0635\u00ad\u0647\u0627\u06cc \u0645\u0631\u06a9\u0632\u06cc \u0648 \u067e\u0631\u0627\u06a9\u0646\u062f\u06af\u06cc (\u0645\u06cc\u0627\u0646\u06af\u06cc\u0646 \u0648 \u0627\u0646\u062d\u0631\u0627\u0641 \u0645\u0639\u06cc\u0627\u0631) \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u062f. \u062c\u0647\u062a \u0628\u0631\u0631\u0633\u06cc \u062a\u0648\u0632\u06cc\u0639 \u0637\u0628\u06cc\u0639\u06cc \u062f\u0627\u062f\u0647\u00ad\u0647\u0627 \u0627\u0632 \u0622\u0632\u0645\u0648\u0646 \u06a9\u0648\u0644\u0645\u0648\u06af\u0631\u0648\u0641\u00ad\u0640\u00ad\u0627\u0633\u0645\u06cc\u0631\u0646\u0641 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u062f. \u062c\u0647\u062a \u0645\u0642\u0627\u06cc\u0633\u06c0 \u0645\u06cc\u0627\u0646\u06af\u06cc\u0646 \u0645\u062a\u063a\u06cc\u0631\u0647\u0627\u06cc \u0645\u0648\u0631\u062f \u0645\u0637\u0627\u0644\u0639\u0647\u060c \u0634\u0627\u0645\u0644 \u0632\u0645\u0627\u0646 \u0646\u0647\u0641\u062a\u06af\u06cc \u0648 \u062f\u0627\u0645\u0646\u06c0 \u0627\u0645\u0648\u0627\u062c \u0628\u0627 \u062a\u0648\u062c\u0647 \u0628\u0647 \u0627\u06cc\u0646\u06a9\u0647 \u062a\u0648\u0632\u06cc\u0639 \u062f\u0627\u062f\u0647\u00ad\u0647\u0627 \u062f\u0627\u0631\u0627\u06cc \u062a\u0648\u0632\u06cc\u0639 \u0637\u0628\u06cc\u0639\u06cc \u0628\u0648\u062f\u0646\u062f\u060c \u0627\u0632 \u0622\u0632\u0645\u0648\u0646 t \u0645\u0633\u062a\u0642\u0644 \u0648 \u0628\u0631\u0627\u06cc \u0645\u0642\u0627\u06cc\u0633\u06c0 \u0646\u062a\u0627\u06cc\u062c \u0628\u06cc\u0646 \u062f\u0648 \u06af\u0648\u0634 \u0627\u0632 \u0622\u0632\u0645\u0648\u0646 t \u0632\u0648\u062c \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0634\u062f. \u0633\u0637\u062d \u06f0\u06f5\/\u06f0 \u0628\u0647\u00ad\u0639\u0646\u0648\u0627\u0646 \u0645\u0639\u06cc\u0627\u0631 \u0645\u0639\u0646\u06cc\u00ad\u062f\u0627\u0631\u06cc \u062f\u0631 \u0646\u0638\u0631 \u06af\u0631\u0641\u062a\u0647 \u0634\u062f.<\/p>\n

\u06cc\u0627\u0641\u062a\u0647\u00ad\u0647\u0627<\/p>\n

\u067e\u0627\u0633\u062e VEMP \u062f\u0631 \u062a\u0645\u0627\u0645\u06cc \u0627\u0641\u0631\u0627\u062f \u06af\u0631\u0648\u0647 \u0634\u0627\u0647\u062f \u062f\u0631 \u0647\u0631 \u062f\u0648 \u06af\u0648\u0634 \u0628\u0627 \u062f\u0627\u0645\u0646\u0647 \u0648 \u0645\u0648\u0631\u0641\u0648\u0644\u0648\u0698\u06cc \u0645\u0637\u0644\u0648\u0628 \u062b\u0628\u062a \u06af\u0631\u062f\u06cc\u062f. \u0632\u0645\u0627\u0646 \u0646\u0647\u0641\u062a\u06af\u06cc \u0627\u0645\u0648\u0627\u062c p13 \u0648 n23 \u062f\u0631 \u0647\u0631 \u062f\u0648 \u06af\u0648\u0634 \u0627\u0641\u0631\u0627\u062f \u06af\u0631\u0648\u0647 \u0634\u0627\u0647\u062f \u062f\u0631 \u0645\u062d\u062f\u0648\u062f\u06c0 \u0647\u0646\u062c\u0627\u0631 \u0642\u0631\u0627\u0631 \u062f\u0627\u0634\u062a. \u062c\u062f\u0648\u0644 \u06f1 \u0645\u06cc\u0627\u0646\u06af\u06cc\u0646 \u0632\u0645\u0627\u0646 \u0646\u0647\u0641\u062a\u06af\u06cc \u0648 \u062f\u0627\u0645\u0646\u06c0 \u0627\u0645\u0648\u0627\u062c VEMP \u062f\u0631 \u0627\u0641\u0631\u0627\u062f \u0647\u0646\u062c\u0627\u0631 \u0631\u0627 \u0646\u0634\u0627\u0646 \u0645\u06cc\u00ad\u062f\u0647\u062f.<\/p>\n

\u0645\u0642\u0627\u06cc\u0633\u06c0 \u0645\u06cc\u0627\u0646\u06af\u06cc\u0646 \u0632\u0645\u0627\u0646 \u0646\u0647\u0641\u062a\u06af\u06cc p13 \u0648 n23 \u0648 \u062f\u0627\u0645\u0646\u06c0 \u06a9\u0645\u067e\u0644\u06a9\u0633 \u0627\u0648\u0644 \u0627\u0645\u0648\u0627\u062c VEMP \u0628\u06cc\u0646 \u062f\u0648 \u06af\u0648\u0634(\u06f5\/\u06f0=p) \u0648 \u0628\u06cc\u0646 \u0632\u0646\u0627\u0646 \u0648 \u0645\u0631\u062f\u0627\u0646 \u062a\u0641\u0627\u0648\u062a \u0645\u0639\u0646\u06cc\u00ad\u062f\u0627\u0631\u06cc \u0631\u0627 \u0646\u0634\u0627\u0646 \u0646\u062f\u0627\u062f(\u06f4\/\u06f0=p).<\/p>\n

\u062f\u0631 \u06af\u0631\u0648\u0647 \u0645\u0648\u0631\u062f\u060c \u0627\u0632 \u062a\u0639\u062f\u0627\u062f \u06f3\u06f3 \u0628\u06cc\u0645\u0627\u0631 \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0634\u062f\u0647\u060c \u062c\u0631\u0627\u062d\u06cc \u062f\u0631 \u06f1\u06f7 \u0646\u0641\u0631 \u062f\u0631 \u06af\u0648\u0634 \u0686\u067e \u0648 \u062f\u0631 \u06f1\u06f6 \u0646\u0641\u0631 \u062f\u0631 \u06af\u0648\u0634 \u0631\u0627\u0633\u062a \u0627\u0646\u062c\u0627\u0645 \u0634\u062f\u0647 \u0628\u0648\u062f. \u062f\u0631 \u0627\u06cc\u0646 \u0645\u0637\u0627\u0644\u0639\u0647\u060c \u06f1\u06f6 \u0646\u0641\u0631 \u0627\u0632 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0648\u0631\u062f \u0627\u0631\u0632\u06cc\u0627\u0628\u06cc \u062f\u0631 \u0647\u06cc\u0686\u00ad\u06a9\u062f\u0627\u0645 \u0627\u0632 \u06af\u0648\u0634\u00ad\u0647\u0627 \u067e\u0627\u0633\u062e \u0645\u0634\u062e\u0635\u06cc \u0631\u0627 \u062f\u0631 \u062f\u0648 \u06af\u0648\u0634 \u0646\u0634\u0627\u0646 \u0646\u062f\u0627\u062f\u0646\u062f. \u062f\u0631 \u06f3 \u0646\u0641\u0631 \u0627\u0632 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u067e\u0627\u0633\u062e VEMP \u062f\u0631 \u0647\u0631 \u062f\u0648 \u06af\u0648\u0634 \u062b\u0628\u062a \u0634\u062f \u0648 \u062f\u0631 \u06f1\u06f4 \u0646\u0641\u0631 \u0646\u06cc\u0632 \u0627\u06cc\u0646 \u067e\u0627\u0633\u062e \u062a\u0646\u0647\u0627 \u062f\u0631 \u06af\u0648\u0634 \u062c\u0631\u0627\u062d\u06cc \u0646\u0634\u062f\u0647 \u062b\u0628\u062a \u0634\u062f. \u062c\u062f\u0648\u0644 \u06f2 \u0645\u06cc\u0627\u0646\u06af\u06cc\u0646 \u0632\u0645\u0627\u0646 \u0646\u0647\u0641\u062a\u06af\u06cc \u0648 \u062f\u0627\u0645\u0646\u06c0 \u0627\u0645\u0648\u0627\u062c \u0631\u0627 \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u062f\u0627\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0646\u0634\u0627\u0646 \u0645\u06cc\u00ad\u062f\u0647\u062f.<\/p>\n

\u0645\u0642\u0627\u06cc\u0633\u06c0 \u0632\u0645\u0627\u0646 \u0646\u0647\u0641\u062a\u06af\u06cc \u0627\u0645\u0648\u0627\u062c VEMP \u0628\u06cc\u0646 \u06af\u0631\u0648\u0647\u00ad\u0647\u0627\u06cc \u0634\u0627\u0647\u062f \u0648 \u06af\u0648\u0634 \u06a9\u0627\u0634\u062a \u0634\u062f\u0647(\u06f2\/\u06f0=p) \u0648 \u06a9\u0627\u0634\u062a \u0646\u0634\u062f\u0647(\u06f1\/\u06f0=p) \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u062f\u0627\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646\u06cc \u062a\u0641\u0627\u0648\u062a \u0622\u0645\u0627\u0631\u06cc \u0645\u0639\u0646\u06cc\u00ad\u062f\u0627\u0631\u06cc \u0631\u0627 \u0646\u0634\u0627\u0646 \u0646\u062f\u0627\u062f. \u0647\u0645\u0686\u0646\u06cc\u0646 \u062a\u0641\u0627\u0648\u062a \u0645\u0639\u0646\u06cc\u00ad\u062f\u0627\u0631\u06cc \u0628\u06cc\u0646 \u0632\u0645\u0627\u0646 \u0646\u0647\u0641\u062a\u06af\u06cc \u062f\u0631 \u06af\u0648\u0634\u00ad\u0647\u0627\u06cc \u06a9\u0627\u0634\u062a \u0634\u062f\u0647 \u0648 \u06a9\u0627\u0634\u062a \u0646\u0634\u062f\u06c0 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0634\u0627\u0647\u062f\u0647 \u0646\u06af\u0631\u062f\u06cc\u062f(\u06f0\u06f7\/\u06f0=p). \u062f\u0631 \u0645\u0642\u0627\u0628\u0644\u060c \u062f\u0627\u0645\u0646\u06c0 \u0627\u0645\u0648\u0627\u062c VEMP \u062f\u0631 \u06af\u0648\u0634 \u06a9\u0627\u0634\u062a \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u062f\u0627\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u06a9\u0627\u0647\u0634 \u0645\u0639\u0646\u06cc\u00ad\u062f\u0627\u0631\u06cc \u0631\u0627 \u0646\u0633\u0628\u062a \u0628\u0647 \u06af\u0631\u0648\u0647 \u0634\u0627\u0647\u062f \u0646\u0634\u0627\u0646 \u062f\u0627\u062f(\u06f0\u06f2\/\u06f0p=). \u0647\u0645\u0686\u0646\u06cc\u0646 \u0627\u06cc\u0646 \u0627\u062e\u062a\u0644\u0627\u0641\u0650 \u062f\u0627\u0645\u0646\u0647 \u0628\u06cc\u0646 \u06af\u0648\u0634\u00ad\u0647\u0627\u06cc \u06a9\u0627\u0634\u062a \u0634\u062f\u0647 \u0648 \u06a9\u0627\u0634\u062a \u0646\u0634\u062f\u06c0 \u06af\u0631\u0648\u0647 \u0645\u0648\u0631\u062f \u0645\u0639\u0646\u06cc\u00ad\u062f\u0627\u0631 \u0628\u0648\u062f(\u06f0\u06f4\/\u06f0=p).<\/p>\n

\u0646\u0645\u0648\u0646\u0647\u00ad\u0627\u06cc \u0627\u0632 \u067e\u0627\u0633\u062e VEMP \u062f\u0631 \u06cc\u06a9 \u0628\u06cc\u0645\u0627\u0631 \u062f\u0627\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u062f\u0631 \u0633\u0645\u062a \u0631\u0627\u0633\u062a \u062f\u0631 \u0634\u06a9\u0644 \u06f1 \u0646\u0634\u0627\u0646 \u062f\u0627\u062f\u0647 \u0634\u062f\u0647 \u0627\u0633\u062a. \u067e\u0627\u0633\u062e VEMP \u0628\u0627\u0644\u0627\u06cc \u0634\u06a9\u0644 \u0645\u0631\u0628\u0648\u0637 \u0628\u0647 \u06af\u0648\u0634 \u0686\u067e (\u062c\u0631\u0627\u062d\u06cc \u0646\u0634\u062f\u0647) \u0627\u0633\u062a \u06a9\u0647 \u0628\u0627 \u062f\u0627\u0645\u0646\u0647 \u0648 \u0645\u0648\u0631\u0641\u0648\u0644\u0648\u0698\u06cc \u0645\u0646\u0627\u0633\u0628 \u062b\u0628\u062a \u0634\u062f\u0647 \u0627\u0633\u062a. \u067e\u0627\u0633\u062e VEMP \u062f\u0631 \u067e\u0627\u06cc\u06cc\u0646 \u0634\u06a9\u0644 \u0645\u0631\u0628\u0648\u0637 \u0628\u0647 \u06af\u0648\u0634 \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0634\u062f\u0647 \u0627\u0633\u062a \u06a9\u0647 \u067e\u0627\u0633\u062e \u062f\u0631 \u0622\u0646 \u06a9\u0627\u0645\u0644\u0627\u064b \u062d\u0630\u0641 \u0634\u062f\u0647 \u0627\u0633\u062a.<\/p>\n

\u0628\u062d\u062b<\/p>\n

\u062d\u0644\u0632\u0648\u0646 \u0648 \u0627\u0646\u062f\u0627\u0645\u00ad\u0647\u0627\u06cc \u062f\u0647\u0644\u06cc\u0632\u06cc \u0627\u0632 \u0644\u062d\u0627\u0638 \u0622\u0646\u0627\u062a\u0648\u0645\u06cc\u06a9 \u0628\u0627 \u0647\u0645 \u062f\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0647\u0633\u062a\u0646\u062f. \u0622\u0646\u0647\u0627 \u0633\u0627\u062e\u062a\u0627\u0631 \u0644\u0627\u0628\u06cc\u0631\u0646\u062a \u063a\u0634\u0627\u0626\u06cc \u0648 \u0633\u0644\u0648\u0644\u00ad\u0647\u0627\u06cc \u06af\u06cc\u0631\u0646\u062f\u06c0 \u0645\u0634\u0627\u0628\u0647\u06cc \u062f\u0627\u0631\u0646\u062f. \u0628\u0646\u0627\u0628\u0631\u0627\u06cc\u0646 \u0622\u0633\u06cc\u0628 \u06af\u0648\u0634 \u062f\u0627\u062e\u0644\u06cc \u0645\u06cc\u00ad\u062a\u0648\u0627\u0646\u062f \u0647\u0645 \u0628\u0631 \u0631\u0648\u06cc \u0634\u0646\u0648\u0627\u06cc\u06cc \u0648 \u0647\u0645 \u062d\u0633 \u062a\u0639\u0627\u062f\u0644 \u062a\u0623\u062b\u06cc\u0631 \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u062f.<\/p>\n

\u062a\u0623\u062b\u06cc\u0631\u0627\u062a \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0628\u0631 \u0633\u06cc\u0633\u062a\u0645 \u062f\u0647\u0644\u06cc\u0632\u06cc \u062f\u0631 \u0645\u0637\u0627\u0644\u0639\u0627\u062a \u0645\u062e\u062a\u0644\u0641 \u0645\u0648\u0631\u062f \u0628\u0631\u0631\u0633\u06cc \u0642\u0631\u0627\u0631 \u06af\u0631\u0641\u062a\u0647 \u0627\u0633\u062a. \u0639\u0644\u0627\u06cc\u0645 \u062f\u0647\u0644\u06cc\u0632\u06cc \u062f\u0631 \u0645\u0642\u0627\u0644\u0627\u062a \u0645\u062e\u062a\u0644\u0641 \u0628\u06cc\u0646 \u06f3\u06f3\/\u06f0 \u062a\u0627 \u06f7\u06f0 \u062f\u0631\u0635\u062f \u06af\u0632\u0627\u0631\u0634 \u0634\u062f\u0647 \u0627\u0633\u062a(\u06f1\u06f3). Ito \u0648 \u0647\u0645\u06a9\u0627\u0631\u0627\u0646 (\u06f1\u06f9\u06f9\u06f8) \u0628\u0627 \u0645\u0631\u0648\u0631\u06cc \u0628\u0631 \u0645\u0642\u0627\u0644\u0627\u062a \u0686\u0627\u067e \u0634\u062f\u0647 \u0627\u0644\u06a9\u062a\u0631\u0648\u0646\u06cc\u0633\u062a\u0627\u06af\u0645\u0648\u06af\u0631\u0627\u0641\u06cc \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646\u06cc \u0646\u0634\u0627\u0646 \u062f\u0627\u062f\u0646\u062f \u06a9\u0647 \u067e\u0627\u0633\u062e\u00ad\u0647\u0627\u06cc \u06a9\u0627\u0644\u0631\u06cc\u06a9 \u062f\u0631 \u06f7\u06f1 \u0628\u06cc\u0645\u0627\u0631 (\u06f3\u06f8%) \u0648 \u067e\u0627\u0633\u062e\u00ad\u0647\u0627\u06cc \u0631\u0641\u0644\u06a9\u0633 \u062f\u0647\u0644\u06cc\u0632\u06cc\u00ad\u0640\u00ad\u0686\u0634\u0645\u06cc \u062f\u0631 \u06f4\u06f0 \u062f\u0631\u0635\u062f \u0627\u0632 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u06a9\u0627\u0647\u0634 \u06cc\u0627\u0641\u062a\u0647 \u0628\u0648\u062f(\u06f1\u06f4). Melvin \u0648 \u0647\u0645\u06a9\u0627\u0631\u0627\u0646 \u0646\u06cc\u0632 \u0686\u0646\u06cc\u0646 \u0646\u062a\u0627\u06cc\u062c\u06cc \u0631\u0627 \u062f\u0631 \u0633\u0627\u0644 \u06f2\u06f0\u06f0\u06f9 \u0628\u0627 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u0622\u0632\u0645\u0648\u0646\u00ad\u0647\u0627\u06cc ENG \u0648 \u0646\u06cc\u0633\u062a\u0627\u06af\u0645\u0648\u0633 \u0646\u0627\u0634\u06cc \u0627\u0632 \u062a\u06a9\u0627\u0646 \u062f\u0627\u062f\u0646 \u0633\u0631 (Head Shaking Nystagmus: HSN) \u062f\u0631 \u0627\u06cc\u0646 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u06af\u0632\u0627\u0631\u0634 \u06a9\u0631\u062f(\u06f1\u06f5).<\/p>\n

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\u0646\u062a\u06cc\u062c\u0647\u00ad\u06af\u06cc\u0631\u06cc<\/p>\n

\u0628\u0647 \u0646\u0638\u0631 \u0645\u06cc\u00ad\u0631\u0633\u062f VEMP \u0627\u0628\u0632\u0627\u0631 \u0645\u0646\u0627\u0633\u0628\u06cc \u0628\u0631\u0627\u06cc \u0628\u0631\u0631\u0633\u06cc \u0639\u0645\u0644\u06a9\u0631\u062f \u0633\u0627\u06a9\u0648\u0644 \u062f\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646\u06cc \u0627\u0633\u062a. \u0633\u0627\u06a9\u0648\u0644 \u062f\u0631 \u0628\u06cc\u0634\u062a\u0631 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u062f\u0627\u0631\u0627\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0645\u06cc\u00ad\u062a\u0648\u0627\u0646\u062f \u0628\u0647\u00ad\u062f\u0646\u0628\u0627\u0644 \u062c\u0631\u0627\u062d\u06cc \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646 \u0622\u0633\u06cc\u0628 \u0628\u0628\u06cc\u0646\u062f \u0648 \u0645\u0646\u062c\u0631 \u0628\u0647 \u062d\u0630\u0641 VEMP \u0634\u0648\u062f. \u062a\u0648\u0635\u06cc\u0647 \u0645\u06cc\u00ad\u0634\u0648\u062f \u0622\u0632\u0645\u0648\u0646 VEMP \u062f\u0631 \u0645\u062c\u0645\u0648\u0639\u0647 \u0622\u0632\u0645\u0648\u0646\u00ad\u0647\u0627\u06cc \u062a\u0634\u062e\u06cc\u0635\u06cc \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u06a9\u0627\u0634\u062a \u062d\u0644\u0632\u0648\u0646\u06cc \u0642\u0628\u0644 \u0648 \u067e\u0633 \u0627\u0632 \u0639\u0645\u0644 \u06af\u0646\u062c\u0627\u0646\u062f\u0647 \u0634\u0648\u062f.<\/p>\n

\u0633\u067e\u0627\u0633\u06af\u0632\u0627\u0631\u06cc<\/p>\n

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REFERENCES<\/p>\n

1. Laszig R, Aschendorff A, Schipper J, Klenzner T. Current developments in cochlear implantation. HNO. 2004;52(4):357-62. German.<\/p>\n

2. O\u2019Donoghue GM, Nikolopoulous TP. Minimal access surgery for pediatric cochlear implantation. Otol Neurotol. 2002;23(6):891-4.<\/p>\n

3. Kempf HG, Tempel S, Johann K, Lenarz T. Complications of cochlear implant surgery in children and adults. Laryngorhinootologie. 1999;78(10):529-37. German.<\/p>\n

4. Kubo T, Yamamoto K, Iwaki T, Doi K, Tamura M. Different forms of dizziness occurring after cochlear implant. Eur Arch Otorhinolaryngol. 2001;258(1):9-12.<\/p>\n

5. Buchman CA, Joy J, Hodges A, Telischi FF, Balkany TJ. Vestibular effects of cochlear implantation. Laryngoscope. 2004;114(10 Pt 2 Suppl 103):1-22.<\/p>\n

6. Licameli G, Zhou G, Kenna MA. Disturbance of vestibular function attributable to cochlear implantation in children. Laryngoscope. 2009;119(4):740-5.<\/p>\n

7. Basta D, Todt I, Ernst A. Normative data for P1\/N1-latencies of vestibular evoked myogenic potentials induced by air- or bone-conducted bursts. Clin Neurophysiol. 2005;116(9):2216-9.<\/p>\n

8. Jongkees LB. The caloric test and its value in evaluation of the patient with vertigo. Otolaryngol Clin North Am. 1973;6(1):73-93.<\/p>\n

9. Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1990;116(4):424-7.<\/p>\n

10. Enrietto JA, Jacobson KM, Baloh RW. Aging effects on auditory and vestibular responses: a longitudinal study. Am J Otolaryngol. 1999;20(6):371-8.<\/p>\n

11. Todt I, Basta D, Ernst A. Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg. 2008;138(1):8-12.<\/p>\n

12. Jin Y, Nakamura M, Shinjo Y, Kaga K. Vestibular-evoked myogenic potentials in cochlear implant children. Acta Otolaryngol. 2006;126(2):164-9.<\/p>\n

13. Steenerson RL, Cronin GW, Gary LB. Vertigo after cochlear implantation. Otol Neurotol. 2001;22(6):842-3.<\/p>\n

14. Ito J. Influence of the multichannel cochlear implants on vestibular function. Otolaryngol Head Neck Surg. 1998;118(6):900-2.<\/p>\n

15. Melvin TA, Della Santina CC, Carey JP, Migliaccio AA. The effects of cochlear implantation on vestibular function. Otol Neurotol. 2009;30(1):87-94.<\/p>\n

16. Tien HC, Linthicum FH Jr. Histopathologic changes in the vestibule after cochlear implantation. Otolaryngol Head Neck Surg. 2002;127(4):260-4.<\/p>\n

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