**6. Possibilities of the presbycusis prophylaxis**

At the moment, the presbycusis is irreversible; therefore, the prevention of age-related hearing loss must be paid attention to. First of all, it is necessary to educate the population about harmful factors affecting hearing throughout the life, such as ototoxic drugs, noise exposure, vibrations, and others. Audiological care in case of SNHL should be aimed at the enhancement of nonspecific resistance of excitable structures of the auditory analyzer to general pathological damaging factors—tissue hypoxia, oxidative stress, and extinction of the action of endogenous neurotrophic factors [30, 83].

Due to the fact that with age-related hearing loss, it is impossible to obtain gains in tonal hearing, and special emphasis is done on means of improving the auditory attention (the functions of the central auditory pathways), which allows to compensate for the lack of auditory acuity and enhance the efficacy of the hearing aid. If CAPD causing poor speech intelligibility is detected, the auditory training is appropriate.
