{"id":9091,"date":"2026-06-23T12:00:00","date_gmt":"2026-06-23T10:00:00","guid":{"rendered":"https:\/\/audiotek.es\/sordera-unilateral-como-es-oir-por-un-solo-oido-y-que-soluciones-existen\/"},"modified":"2026-07-31T12:23:38","modified_gmt":"2026-07-31T10:23:38","slug":"sordesa-unilateral","status":"publish","type":"post","link":"https:\/\/audiotek.es\/ca\/sordera-unilateral\/","title":{"rendered":"P\u00e8rdua auditiva unilateral: com \u00e9s sentir per una sola orella i quines solucions existeixen"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Est\u00e0s en un dinar familiar i, sense pensar-ho, gires la cadira per deixar l'oida bona mirant cap a la taula. Ous el soroll, ous les veus, but no acabes d'entendre el que diuen. Quan alg\u00fa et crida des de l'altra banda, trigues un segon de m\u00e9s a saber qui ha estat. Si et reconegues en aquesta escena, \u00e9s possible que convisquis amb una p\u00e8rdua auditiva. <strong>hipo\u00fasia unilateral<\/strong> i mai li hagis posat nom.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Durant anys se li ha tret import\u00e0ncia. La frase de sempre \u00e9s all\u00f2 de \u00abb\u00e9, amb l'altra orella s'hi sent perfectament\u00bb. Tanmateix, qui ho viu sap que no funciona aix\u00ed. El cansament al final del dia, els malentesos i la sensaci\u00f3 d'anar mig pas per darrere en les converses s\u00f3n ben reals.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aqu\u00ed et comptem qu\u00e8 passa exactament quan una o\u00efda deixa d'aportar informaci\u00f3, per qu\u00e8 el cervell ho nota tant i quines opcions existeixen avui. Sense promeses m\u00e0giques, sin\u00f3 amb solucions concretes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Qu\u00e8 \u00e9s la sordera unilateral i en qu\u00e8 es nota<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Parlem de sordesa unilateral quan hi ha una p\u00e8rdua auditiva significativa en una oreja mentre l'altra conserva una audici\u00f3 normal o gaireb\u00e9 normal. Tamb\u00e9 la trobar\u00e0s amb altres noms, com ara hipoac\u00fasia unilateral o, en la seva forma m\u00e9s severa, sordesa d'un sol costat. El diagn\u00f2stic arriba a vegades per casualitat, despr\u00e9s d'anys tirant de l'orella sana sense saber-ho.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El mat\u00eds important \u00e9s aquest: no es tracta de sentir \u00abla meitat\u00bb. Les dues orelles no sumen, treballen en equip. Per tant, quan una s'apaga es perden funcions que el cervell nom\u00e9s pot fer comparant dos senyals. En la nostra guia sobre <a href=\"https:\/\/audiotek.es\/ca\/loida\/tipus-dhipoacusia\/\">els tipus d'hipoac\u00fasia<\/a> veur\u00e0s on encaixa segons el grau i la zona afectada.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>El tel\u00e8fon sempre al mateix costat<\/strong>ho fas de manera autom\u00e0tica, sense pensar-ho.<\/li>\n\n\n\n<li><strong>Col\u00b7locar-se estrat\u00e8gicament<\/strong>: busques sempre el lloc que deixa l'o\u00efda bona cap a la gent.<\/li>\n\n\n\n<li><strong>Demanar molt que et repeteixin les coses<\/strong>, sobre tot si hi ha m\u00fasica o converses creuades.<\/li>\n\n\n\n<li><strong>Evitar plans sorollosos<\/strong> sense recon\u00e8ixer del tot el motiu.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">L'efecte ombra del cap: sents que et parlen, per\u00f2 no entens<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El teu cap \u00e9s un obstacle f\u00edsic. Quan el so arriba des del costat de l'oula afectada, l'ha de vorejar per arribar a l'o\u00efda sana. Aix\u00f2 s'anomena efecte ombra del cap, i \u00e9s l'explicaci\u00f3 de la queixa m\u00e9s repetida a la consulta.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ara b\u00e9, no tots els sons l'envolten igual de b\u00e9. Els <strong>sons aguts<\/strong> s\u00f3n els que pitjor ho fan, i justament s\u00f3n els que porten la informaci\u00f3 que distingeix unes consonants d'unes altres. Per aix\u00f2 una persona amb sordesa unilateral sent perfectament que li parlen, per\u00f2 no aconsegueix desxifrar qu\u00e8 li diuen. No \u00e9s distracci\u00f3: \u00e9s f\u00edsica pura.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Per qu\u00e8 deixes de saber d'on ve el so<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El cervell localitza l'origen d'un so amb un truc elegant: compara les difer\u00e8ncies de temps i d'intensitat amb qu\u00e8 aquest senyal arriba a cada o\u00efda. \u00c9s un c\u00e0lcul autom\u00e0tic, i no el notes fins que deixa de funcionar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Amb una sola oreja operativa aquesta comparaci\u00f3 desapareix. A la pr\u00e0ctica, no saps qui t'ha cridat en una taula de vuit persones i gires el cap buscant. Tampoc no identifiques de quin costat ve un cotxe o una bicicleta. De fet, aquesta \u00e9s la conseq\u00fc\u00e8ncia que genera m\u00e9s inseguretat al carrer.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Soroll de fons i fatiga: el preu d'escoltar a mitges<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">L'infern dels llocs sorollosos<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Quan les dues orelles funcionen, el cervell compara tots dos senyals i separa la veu del soroll de fons. \u00c9s un filtre extraordinari i gratu\u00eft. Amb una oreja, en canvi, aquesta eina es perd. Per aix\u00f2 els restaurants, les reunions i les aules es tornen esgotadors per a algun amb sordesa unilateral, mentre la resta de la taula no nota res.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">La fatiga auditiva de la qual ning\u00fa no parla<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Escoltar deixa de ser autom\u00e0tic i passa a ser un esfor\u00e7 conscient i constant. Omplis buits tota l'estona: dedueixes paraules pel context, llegeixes els llavis sense adonar-te'n, vigiles qui parlar\u00e0. Al final del dia aix\u00f2 es nota, i molt. De fet, moltes persones ho descriuen com a esgotament mental, no pas com un problema d'o\u00efda.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Causes m\u00e9s freq\u00fcents de la sordesa unilateral<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L'origen condiciona molt el pron\u00f2stic i el tractament, aix\u00ed que trobar-lo \u00e9s el primer pas. Aquestes s\u00f3n les causes que apareixen m\u00e9s sovint:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hores mortes<\/strong>la audici\u00f3 cau de cop, a vegades en despertar-se.<\/li>\n\n\n\n<li><strong>Malaltia de M\u00e9ni\u00e8re<\/strong>, que sol combinar p\u00e8rdua auditiva, vertigen i ac\u00fafens.<\/li>\n\n\n\n<li><strong>Neurinoma de l'estat\u00e8gia \/ Neurinoma ac\u00fastic (or: Schwannoma vestibular) -&gt; *Schwannoma vestibular* is the medically preferred term, but *Neurinoma de l'ac\u00fastic* is also widely used. Let's provide the exact translation:\n\nNeurinoma de l'ac\u00fastic<\/strong> o schwannoma vestibular, un tumor benigne del nervi auditiu.<\/li>\n\n\n\n<li><strong>Traumatismes cranials<\/strong>, per accident o per un cop fort a la zona de l'o\u00efda.<\/li>\n\n\n\n<li><strong>Infeccions<\/strong> com la parotiditis o la meningitis.<\/li>\n\n\n\n<li><strong>Malformacions cong\u00e8nites<\/strong> de l'o\u00efda, presents des del naixement.<\/li>\n\n\n\n<li><strong>Otonegativitat<\/strong> per determinats f\u00e0rmacs.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Com veus, la llista \u00e9s variada. Per aix\u00f2 cap sordesa unilateral s'hauria de quedar sense estudiar. A m\u00e9s, <a href=\"https:\/\/www.who.int\/es\/news-room\/fact-sheets\/detail\/deafness-and-hearing-loss\" target=\"_blank\" rel=\"noopener\">l'Organitzaci\u00f3 Mundial de la Salut<\/a> insisteix en la detecci\u00f3 preco\u00e7 de qualsevol p\u00e8rdua auditiva.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Quan la sordera unilateral \u00e9s una urg\u00e8ncia<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hi ha un escenari que no admet espera: la sordesa sobtada. Si una o\u00efda deixa de sentir de manera brusca, v\u00e9s a urg\u00e8ncies o a l'otorinolaring\u00f2leg com m\u00e9s aviat millor. No ho deixis per a la setmana que ve, ni assumeixis que \u00e9s un tap de cera que ja se n'anir\u00e0 sol.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El motiu \u00e9s simple: com m\u00e9s aviat es tracti, millor \u00e9s el pron\u00f2stic. Si a m\u00e9s apareixen vertigen intens, dolor o p\u00e8rdua despr\u00e9s d'un cop, la consulta ha de ser immediata. Pots ampliar informaci\u00f3 sobre trastorns auditius a <a href=\"https:\/\/medlineplus.gov\/spanish\/hearingdisordersanddeafness.html\" target=\"_blank\" rel=\"noopener\">MedlinePlus<\/a>, tot i que cap lectura substitueix una valoraci\u00f3 presencial.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Quines solucions existeixen avui en dia per a la sordesa unilateral<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La bona not\u00edcia \u00e9s que hi ha m\u00e9s alternatives que fa vint anys. La menys bona \u00e9s que cap \u00abarregla\u00bb l'o\u00efda: et retornen l'acc\u00e9s a la informaci\u00f3 que estaves perdent. Conv\u00e9 saber amb honestadesa qu\u00e8 aporta cadascuna.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Audi\u00f2fon convencional<\/strong> a l'o\u00efda afectada, sempre que conservi una resta auditiva aprofitable. \u00c9s la primera opci\u00f3 quan resulta viable, perqu\u00e8 mant\u00e9 les dues o\u00efdes en joc.<\/li>\n\n\n\n<li><strong>Sistemes CROS i BiCROS<\/strong>un micr\u00f2fon a l'o\u00efda que no sent envia el so de manera sense fils a l'o\u00efda que s\u00ed que sent, tal com expliquem en aquesta guia sobre <a href=\"https:\/\/audiotek.es\/ca\/que-es-el-sistema-daudiofons-cros-bicros\/\">Com funcionen els audi\u00f2fons CROS i BiCROS<\/a>.<\/li>\n\n\n\n<li><strong>Implants osteointegrats<\/strong>, que condueixen el so per via \u00f2ssia fins a la c\u00f2clea del costat sa.<\/li>\n\n\n\n<li><strong>Implant coclear<\/strong>, indicat en casos seleccionats i sempre despr\u00e9s de la valoraci\u00f3 de l'especialista.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Triar b\u00e9 exigeix mesurar abans. Un estudi audiol\u00f2gic diu qu\u00e8 queda a cada o\u00efda i quina tecnologia t\u00e9 sentit. Si mai t'han explorat, comen\u00e7a pel nostre <a href=\"https:\/\/audiotek.es\/ca\/prova-daudicio\/\">test auditiu gratu\u00eft en l\u00ednia<\/a> i demana despr\u00e9s una valoraci\u00f3 en cabina.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Qu\u00e8 fan i qu\u00e8 no fan els sistemes CROS<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Aqu\u00ed conv\u00e9 ser clar, perqu\u00e8 es generen expectatives equivocades. Un CROS <strong>no retorna l'audici\u00f3 a l'o\u00efda afectada ni recupera la localitzaci\u00f3 espacial<\/strong>. Segueixes escoltant amb una sola orella; el que canvia \u00e9s d'on li arriba la informaci\u00f3 a aquesta orella.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ara b\u00e9, el que s\u00ed que fa \u00e9s molt valu\u00f3s: elimina l'efecte ombra del cap. \u00c9s a dir, et pares de perdre el que passa al teu costat dolent. En una reuni\u00f3 o al cotxe, aix\u00f2 marca una difer\u00e8ncia enorme. La variant CROS s'utilitza quan l'altra orella \u00e9s normal; la BiCROS, quan l'orella bona tamb\u00e9 t\u00e9 p\u00e8rdua i necessita amplificaci\u00f3. Un exemple habitual als nostres centres \u00e9s <a href=\"https:\/\/audiotek.es\/ca\/producte\/phonak-cros\/\">el sistema CROS de Phonak<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nens amb sordesa unilateral: qu\u00e8 passa a l'aula<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Durant molt de temps es va treure import\u00e0ncia a l'assumpte perqu\u00e8 \u00abamb una o\u00efda senten b\u00e9\u00bb. Avui sabem que no \u00e9s tan senzill. Un nen amb sordesa unilateral pot veure afectat el seu rendiment escolar i la seva atenci\u00f3 a classe, sobretot en aules sorolloses, on el professor competeix amb cadires, converses i passadissos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per sort, hi ha mesures senzilles i efica\u00e7os. Asseure l'alumne al lloc adequat, amb l'o\u00efda sana orientada cap a la classe, ja canvia bastant. A m\u00e9s, els sistemes de micr\u00f2fon remot envien la veu del professor directament a la seva o\u00efda, per sobre del soroll de l'aula. A la nostra secci\u00f3 de <a href=\"https:\/\/audiotek.es\/ca\/loida\/audiologia-pediatrica\/\">audiologia infantil<\/a> expliquem com valorem aquests casos.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Llista de comprovaci\u00f3: qu\u00e8 pots fer des d'avui<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Gira l'orella bona cap a la conversa<\/strong>. Arribar abans al restaurant i triar lloc no \u00e9s mania, \u00e9s estrat\u00e8gia.<\/li>\n\n\n\n<li><strong>Demana la paret a la teva esquena<\/strong> i el soroll lluny, mai al costat de la barra.<\/li>\n\n\n\n<li><strong>Digues-ho en veu alta<\/strong>. Avisar a familiars i companys estalvia molt\u00edssims malentesos.<\/li>\n\n\n\n<li><strong>Es creuen amb la mirada<\/strong>. Com que no et pots fiar de l'o\u00efda per localitzar vehicles, mira-ho dues vegades.<\/li>\n\n\n\n<li><strong>Protegeix l'o\u00efda sana<\/strong>. \u00c9s el teu actiu m\u00e9s valu\u00f3s: fes servir protecci\u00f3 en concerts i obres.<\/li>\n\n\n\n<li><strong>Revisa't cada any<\/strong>, tot i que et fixis en el costat bo estable.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Preguntes freq\u00fcents<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Es pot recuperar la sordesa unilateral?<\/strong> Dep\u00e8n de la causa. En la sordesa sobtada, el tractament preco\u00e7 millora el pron\u00f2stic, d'aqu\u00ed la insist\u00e8ncia a no esperar. En altres casos la p\u00e8rdua \u00e9s permanent i es treballa a compensar-la amb la tecnologia adequada.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Cal fer alguna cosa si sento b\u00e9 de l'altra orella?<\/strong> Val la pena valorar-ho. Tot i que te'n surtis, perds localitzaci\u00f3 espacial, comprensi\u00f3 en el soroll i energia cada dia. A m\u00e9s, revisar-s'ho permet vigilar l'o\u00efda sana, que sost\u00e9 tota la teva comunicaci\u00f3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Un CROS em retornar\u00e0 l'o\u00efda perduda?<\/strong> No. Trasllada el so del teu costat dolent a l'o\u00efda que hi sent i elimina l'efecte ombra del cap, per\u00f2 no restaura l'audici\u00f3 a l'o\u00efda afectada ni recupera la capacitat de localitzar sons.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A qui he d'acudir primer, a l'otorrinolaring\u00f2leg o a l'audioprotesista?<\/strong> Davant d'una p\u00e8rdua brusca, dolor o vertigen, primer al metge. Per mesurar l'audici\u00f3 i estudiar solucions, al centre auditiu. Ho detallem en aquest article sobre <a href=\"https:\/\/audiotek.es\/ca\/audioleg-especialista-vs-otorinolaringoleg-especialista-a-qui-hem-de-veure-i-quan\/\">a qui acudir, audioprotesista o otorrino<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Els nens amb sordesa unilateral necessiten adaptaci\u00f3?<\/strong> Cada cas es valora de manera individual, but la ubicaci\u00f3 a l'aula i els micr\u00f2fons remotos solen aportar molt. El important \u00e9s no donar per fet que \u00abja s'espavila\u00bb.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">A Audiotek estudiem el teu cas sense comprom\u00eds<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A Audiotek portem m\u00e9s de 20 anys treballant amb persones que hi senten per una sola banda. Els nostres audioprotesistes titulats fan una avaluaci\u00f3 auditiva sense comprom\u00eds i t'expliquen qu\u00e8 queda a cada o\u00efda i quines alternatives s'ajusten al teu dia a dia. Res de vendre per vendre.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I com que una soluci\u00f3 per a la sordesa unilateral nom\u00e9s es pot jutjar utilitzant-la, la pots provar durant 30 dies als teus entorns reals: a la feina, al cotxe i al dinar de diumenge. Si vols comen\u00e7ar, <a href=\"https:\/\/audiotek.es\/ca\/contacte\/\">demana cita a qualsevol dels nostres centres auditius<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>La sordera unilateral cansa m\u00e9s del que sembla: efecte ombra, p\u00e8rdua de localitzaci\u00f3 i soroll. Causes, urg\u00e8ncies i solucions com els sistemes CROS.<\/p>","protected":false},"author":7,"featured_media":9090,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"pgc_sgb_lightbox_settings":"","footnotes":""},"categories":[19],"tags":[],"class_list":["post-9091","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-consejos-de-salud"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sordera unilateral: s\u00edntomas, causas y soluciones<\/title>\n<meta name=\"description\" content=\"La sordera unilateral cansa m\u00e1s de lo que parece: efecto sombra, p\u00e9rdida de localizaci\u00f3n y ruido. 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