So wo nso wowɔ aso mu haw? Ebetumi ayɛ (Conductive Hearing Loss)!

Ɛtɔ mmere bi a, ɛyɛ den ma wo sɛ wobɛte nea wɔreka no pefee? Anaasɛ wote nnyigyei nketenkete bere nyinaa? Ebia wote nka sɛ w’ankasa wo nne yɛ den? Sɛ saa nneɛma yi abu so ma wo a, ɛho hia paa sɛ wobɛhunu saa tebea a yɛreka ho asɛm nnɛ yi, a wɔfrɛ no `(Conductive Hearing Loss)`. Mma ɛnhaw wo, eyi yɛ biribi a wobetumi asa na wɔasa wɔ nsɛm dodow no ara mu.

Dɛn ne ``(Conductive Hearing Loss)``? Momma yɛnte ase tiawa, ɛnte saa?

Sɛ yɛbɛka no tiawa a, Conductive Hearing Loss yɛ bere a akwanside bi ba ɔkwan a nnyigyei asorɔkye fa so fi w’aso akyi kɔ aso a ɛwɔ mu no mu. Fa no sɛ nsu paipu a esiw mfinimfini baabi na egyae sen. Nea ɛkɔ so wɔ ha ne sɛ nnyigyei ntumi nkɔ mu yiye.

Wɔakyekyɛ yɛn aso mu abiɛsa: akyi aso, mfinimfini aso, ne mu aso. Sɛnea ɛbɛyɛ na yɛate nnyigyei no, ɛsɛ sɛ nnyigyei asorɔkye no fa aso a ɛwɔ akyi no mu, wosow fa nnompe nketewa abiɛsa (a wɔsan frɛ no nnompe) a ɛwɔ aso mfinimfini no mu, na awiei koraa no edu aso a ɛwɔ mu no fã a ɛyɛ mmerɛw a wɔfrɛ no cochlea no. Conductive Hearing Loss ba bere a akwanside bi wɔ baabi wɔ nnyigyei kwan yi so, wɔ aso akyi anaa mfinimfini aso no mu. Eyi betumi ama nnyigyei a ano yɛ den no ayɛ nea wɔabɔ no ano anaasɛ wɔabɔ no mu den. Ɛtɔ da bi a, nnyigyei a ɛyɛ komm paa betumi akɔ a obiara nhu. Wɔsan frɛ eyi sɛ Conductive Hearing Impairment.

Saa tebea yi abu so kɛse wɔ mmofra nkumaa mu . Nhwehwɛmu bi hunuu sɛ mmofra a wɔadu sukuu mfeɛ mu bɛyɛ 19% wɔ aso a ɛyɛ den bi, na wɔn mu 93% firi ``Conductive Hearing Loss.`` Nanso ɛno nkyerɛ sɛ ɛnto mpaninfoɔ. Mpanyimfo nso betumi anya saa tebea yi. Ɛtɔ da bi a ɛyɛ bere tiaa mu de, ɛtɔ da nso a ɛyɛ daa. Na ebetumi afi nea emu nyɛ den so kosi nea emu yɛ den so. Nea eye sen biara ne sɛ mpɛn pii no wobetumi de ayaresa asa.

`(Conductive Hearing Loss)` ahodoɔ titire mmienu na ɛwɔ hɔ

Yebetumi ahu akwan titiriw abien wɔ eyi mu:

1. `Unilateral conductive hearing loss`: Eyi ka aso biako pɛ.

2. `Bilateral conductive hearing loss`: Eyi ka aso abien no nyinaa.

Dɛn ne `(Conductive Hearing Loss)` ho sɛnkyerɛnne? So wowɔ eyinom nso?

Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaa:

• Sɛ yɛte nka sɛ yɛnkari pɛ bere a yɛnantew (eyi fi ɔhaw ahorow a ɛwɔ `(Vestibular system)` a ɛwɔ yɛn aso a ɛwɔ yɛn mu no mu).
• Ɛyaw a wɔte nka wɔ aso mu .
• Nhyɛso anaasɛ emu yɛ duru a wɔte nka wɔ aso no mu.
• Nnyigyei a "ɛbɔ" wɔ aso mu, anaasɛ ɛte sɛ nea ɛrebɔ .
• Nnyigyei a wɔte wɔ aso biako anaa abien no nyinaa mu a ɛte sɛ nea wɔayɛ no ano na emu nna hɔ .
• Ɛte sɛ nea wubetumi ate w’ankasa wo nne denneennen bere a worekasa no.

Sɛ wowɔ saa sɛnkyerɛnne yi biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Adɛn nti na yɛnya `(Conductive Hearing Loss)`? Dɛn na ɛde ba?

Sɛnea yɛadi kan aka no, saa tebea yi ba bere a nnyigyei asorɔkye ntumi nkɔ `(Cochlea)` a ɛwɔ yɛn aso a ɛwɔ yɛn mu no. `(Cochlea)` no ne ade titiriw a ɛboa yɛn ma yɛte asɛm. Enti, ntease ahorow a ɛnyɛ den ne ntease ahorow a ɛyɛ den kakra nso wɔ hɔ a ebetumi asiw nnyigyei a wɔde fa kwan so yi kwan.

Nneɛma atitiriw a ɛde Conductive Hearing Loss ba no bi ni:

• Aso mu ntini a ɛsiw: Eyi yɛ ade a ɛtaa de ba. Sɛ aso mu nsu pii boaboa ano wɔ aso no mu na ɛyɛ den a, esiw nnyigyei no kwan.
• Ahɔho nneɛma (fremdkörper) a ɛbata aso mu: Saa tebea yi nso betumi aba bere a mmofra nkumaa, titiriw bere a wɔredi agoru no, de nneɛma te sɛ nhwiren anaa peas gu wɔn aso mu no.
• Aso mu yare: Aso mu yare, titiriw nea ɛtaa ba na ɛnsa (nea enni sabea) betumi ama nsu ayɛ kɛse wɔ aso mfinimfini, na asiw nnyigyei a ɛkɔ nipadua no mu no kwan.
• Aso mu akisikuru, akisikuru, anaa nneɛma afoforo a enyin te sɛ ``Cholesteatoma'': Saa nneɛma yi nso betumi asiw nnyigyei kwan bere a ɛba aso no mu no.
• Eustachian tube dysfunction: Saa tube yi na ɛka yɛn mfinimfini aso ne yɛn menewa bom. Sɛ ɛnyɛ adwuma yiye a, nhyɛso a ɛwɔ aso mfinimfini no betumi asesa na nsu betumi ayɛ kɛse.
• Nsu a ɛboaboa ano wɔ aso mfinimfini esiane nneɛma te sɛ atiridii nti: Sɛ nsu a ɛyɛ nwini boaboa ano a, nsu betumi aboaboa ano wɔ aso mfinimfini na asiw aso kwan.
• Otosclerosis: Eyi yɛ tebea a nnompe nyin a ɛnteɛ ba wɔ nnompe nketewa a ɛwɔ aso mfinimfini no ho. Eyi sɛe saa nnompe no wosow na ɛmma nnyigyei nkɔ baabiara.
• Aso a ɛpaapae: Aso no betumi apaapae bere a wɔabɔ aso no denneennen anaasɛ aso mu yare no mu ayɛ den no.

Nea ɛtaa de ba mmofra nkumaa so ne aso mu yare a wɔtaa nya ne nneɛma a wɔde hyɛ aso mu . Wɔ mpanyimfo mu no , mpɛn pii no aso a wɔapirapira anaa akwahosan tebea foforo na ɛde tebea yi ba .

Asiane Ahorow a Ɛma Asiane a Ɛwɔ Aso a Ɛma Aso a Ɛma Ntumi Nte Mu no Kɔ Anim

Nneɛma bi wɔ hɔ a ebetumi ama asiane a ɛwɔ hɔ sɛ obi benya ``Conductive Hearing Loss'' no ayɛ kɛse. Sɛ wɔansa saa tebea horow yi yiye a, ebetumi ama obi aso aso daa.

• Aso no mu nneɛma a ɛnkɔ yiye wɔ awo mu: Saa tebea yi betumi aba esiane awo mu ɔhaw ahorow te sɛ `(Microtia)` (aso no mu ntini a ɛnkɔ yiye) ne `(Atresia)` (aso no kwan a enni hɔ anaasɛ ɛnkɔ so yiye).
• Aso mu yare a enni sabea: Sɛ nsu boaboa ano wɔ aso mfinimfini na ɛkɔ so tra hɔ a ɛnsa a, asiane a ɛwɔ hɔ sɛ Conductive Hearing Loss no yɛ kɛse.
• Aso no nhyehyɛe a ɛsɛe: Nnompe nketewa abiɛsa (ossicles) a ɛwɔ yɛn aso mu a ɛde nnyigyei kɔ no betumi asɛe, esiane aso no a apira anaasɛ tebea bi te sɛ aso mu yare nti.

Ɔkwan bɛn so na nnuruyɛfo hu Conductive Hearing Loss?

Sɛ wowɔ aso mu haw a, ɛsɛ sɛ ade a edi kan a woyɛ ne sɛ wobɛkɔ aso, hwene, ne menewa ho oduruyɛfo (aso ne menewa ho oduruyɛfo) nkyɛn . Ɔbɛhwehwɛ wo mu. Obebisa wo yare no ho sɛnkyerɛnne ne sɛ ebia obi wɔ w’abusua mu anya ɔhaw a ɛte saa ara anaa. Sɛ nhwɛso no, ebia wobebisa wo nsɛm te sɛ:

• "Bere bɛn na wudii kan hui sɛ worehwere w'aso?"
• "So eyi sii mpofirim, anaasɛ ɛkɔɔ soro nkakrankakra?"
• "So ɔfã biako wɔ nkɛntɛnso kɛse sen ɔfã foforo?"
• "So woanya aso mu yare pɛn?"
• "So wote ɛyaw, nhyɛso, anaa nnyigyei bi nka wɔ w'aso mu?"
• "So obi wɔ w'abusua mu a ɔte asɛm yiye?"

Afei oduruyɛfo no bɛhwɛ w’aso akyi denam ne mu a ɔbɛhwɛ na ɔde ne nsa abɔ so no so. Ɔde adwinnade ketewaa bi a kanea wom a wɔfrɛ no otoscope bedi dwuma de ahwɛ aso no mu ahwɛ sɛ ebia aso no mu nneɛma asiw anaa biribiara a ɛnteɛ wɔ aso no nhyehyɛe mu anaa.

Nhwehwɛmu bɛn na wɔyɛ de hu tebea yi pɛpɛɛpɛ?

Sɛ wɔyɛ nipadua mu nhwehwɛmu wie a, otolaryngologist anaa aso ho ɔbenfo bɛka akyerɛ wo sɛ yɛ aso mu nhwehwɛmu pii . Ebi ne:

• Acoustic reflex test: Eyi sɔ sɛnea ntini ketewaa bi a ɛwɔ w’aso mfinimfini yɛ n’ade wɔ nnyigyei a ano yɛ den ho no hwɛ.
• Nnompe mu nhwehwɛmu: Eyi de nnyigyei kɔ w’aso a ɛwɔ mu no mu tẽẽ na ɛboa ma wuhu aso a ɛyɛ den ko a wowɔ.
• Otoacoustic emissions (OAEs): Eyi susuw wosow a ɛbata nnyigyei a efi w’aso mu ba ho de hwɛ sɛ ebia akwanside bi wɔ hɔ anaa.
• `(Pure-tone audiometry)`: Eyi betumi ahu nea ɛyɛ nnyigyei a ɛba fam koraa a wubetumi ate wɔ ɛnne ahorow mu.
• `(Speech audiometry)`: Eyi sɔ sɛnea wubetumi ahu nsɛmfua yiye ne nsɛmfua a ɛyɛ komm sen biara a wubetumi asan aka no hwɛ.
• Tuning fork sɔhwɛ ahorow: Sɔhwɛ ahorow te sɛ Rinne sɔhwɛ ne Weber sɔhwɛ betumi aboa ma woahu sɛ ebia wowɔ conductive hearing loss anaasɛ aso foforo bi a wɔfrɛ no sensorineural hearing loss.
• Tympanometry: Eyi kyerɛ sɛnea w’aso mu ntini no tu na ɛyɛ n’ade wɔ nnyigyei ho.

Wɔ aso mu nhwehwɛmu ahorow yi akyi no, ebia ebehia sɛ oduruyɛfo no yɛ nea edidi so yi nso:

• Cranial nerve nhwehwɛmu
• Ti ne kɔn mu nhwehwɛmu
• Scan te sɛ `(MRI (magnetic resonance imaging))` anaa `(CT scan (computed tomography scan))`.

Dɛn ne ayaresa ahorow a wɔde sa `(Conductive Hearing Loss)`?

Ayaresa a ɛfata wo no begyina nea ɛde w’aso a ɛyɛ den no so. Wobetumi de akwan a edidi so yi adi aso a ɛma obi te asɛm a ɛma wotumi te asɛm no ho dwuma a egyina wo tebea no so:

• Hwɛ a wɔde hwɛ nneɛma so denneennen: Ɛtɔ mmere bi a ebia wo duruyɛfo bedi kan akamfo akyerɛ sɛ "wɔntwɛn yiye." Eyi kyerɛ sɛ wɔbɛhwɛ w’aso bere tiaa bi. Sɛ w’aso yɛ den a, wɔbɛyɛ ayaresa nhyehyɛe.
• Mmoa a wɔde te asɛm: Mfiri a wɔde boa aso ne mfiri a ɛte saa a ɛboa no betumi aboa wo ma woate asɛm no yiye denam nnyigyei no a wobɛma ayɛ kɛse na woasakra no so.
• Nnuru: Sɛ ɔyare bi na ɛde w’aso a ɛyɛ den ba a, ebia ebehia sɛ wonom nnuru. Ebia wo duruyɛfo bɛkyerɛw eyinom wɔ aso mu aduru anaa nnuru a wɔde sa yare mu.
• Oprehyɛn: Sɛ akisikuru, akisikuru, anaa biribi foforo a enyin resiw nnyigyei kwan sɛ ɛnkɔ aso a ɛwɔ mu no mu a, ebia ɛho behia sɛ wɔyɛ oprehyɛn na wɔayi afi hɔ. Ebia ɛho behia nso sɛ wɔyɛ oprehyɛn de siesie nnompe nketewa (nnompe) a asɛe wɔ aso no mu.

Nea ɛho hia sen biara ne sɛ, ayaresa bi wɔ hɔ a wɔde sa tebea yi. Enti, ɛho hia paa sɛ wobɛhwehwɛ aduruyɛ mu afotu a wommɔ hu.

Dɛn ne daakye ma wɔn a wɔwɔ `(Conductive Hearing Loss)`? (Nsusuwii) .

Mpɛn pii no, tebea yi tu mpɔn bere a wɔsa yare no. Mpɛn pii no wobetumi de nnuru, mfiri a wɔde boa aso, anaa oprehyɛn asa Conductive Hearing Loss, anaasɛ anyɛ yiye koraa no, ama atu mpɔn kɛse.

So wobetumi asiw Conductive Hearing Loss ano?

Wontumi nsiw Conductive Hearing Loss ano bere nyinaa, titiriw sɛ efi aso nnompe a ɛnyɛ ne kwan so anaasɛ ɔhaw bi a wonya fi awo mu wɔ aso no nhyehyɛe ho a. Nanso, wubetumi ayɛ nea edidi so yi de atew asiane a ɛwɔ hɔ no so:

• Mfa biribiara nhyɛ aso no mu. Cotton swabs mpo nyɛ papa.
• Sɛ wunya aso mu yare a, hwehwɛ ayaresa ntɛm ara.
• Kɔ oduruyɛfo nkyɛn daa na ma wɔnhwɛ w’aso.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ eyinom mu bi a, ka kyerɛ oduruyɛfo ntɛm ara :

• Sɛ w'aso reyɛ kɛse nkakrankakra a .
• Sɛ wote aso mpofirim (titiriw wɔ aso biako mu).
• Wɔ aso mu haw akyi no, sɛ sɛnkyerɛnne afoforo te sɛ aso mu yaw, tiyɛ, akisikuru, ne mmerɛwyɛ wɔ hɔ a .

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wowɔ `(Conductive Hearing Loss)` a, ɛyɛ papa sɛ wobɛbisa wo duruyɛfoɔ nsɛm te sɛ yeinom:

• "Ayaresa bɛn na mihia?"
• "Dɛn na metumi ahwɛ kwan sɛ ebefi ayaresa no mu aba?"
• "Mpɛn ahe na ɛsɛ sɛ mesan ba ma nsrahwɛ a edi akyi?"
• "So m'aso betumi asɛe bere a bere kɔ so no?"
• "Nneɛma foforo bɛn na wokamfo kyerɛ?"

Conductive Hearing Loss betumi ama asetra ayɛ den kakra. Ebetumi ate nka sɛ dwom a w’ani gye ho anaa nnomaa a wɔrebɔ gyegyeegye wɔ abɔnten no nnyigyei reyera nkakrankakra. Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow, ehu, abufuw, ne abasamtu nka wɔ eyi ho. Nanso asɛmpa bi wɔ hɔ: Mpɛn pii no, wobetumi de ayaresa asa Conductive Hearing Loss. Dodow a wuhu nea ɛde ba ntɛm no, dodow no ara na hokwan a wowɔ sɛ wobɛsan ate asɛm no ayɛ kɛse. Sɛ wususuw sɛ ebia wo anaa wo ba no wɔ Conductive Hearing Loss a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti seesei wowɔ nteaseɛ pa wɔ `(Conductive Hearing Loss)` a yɛkaa ho asɛm nnɛ no ho. Nneɛma atitiriw a ɛsɛ sɛ wokae ni:

• Conductive Hearing Loss yɛ bere a wɔasiw nnyigyei kwan sɛ ɛnkɔ w’aso a ɛwɔ mu no.
• Nneɛma pii betumi aka eyi, te sɛ aso mu aduru, ɔyare mmoawa, biribi a ɛkɔ aso no mu, ne ɔhaw ahorow a ɛwɔ aso no nhyehyɛe mu.
• Eyi abu so kɛse wɔ mmofra nkumaa mu, nanso ebetumi aba mpanyimfo nso mu.
• Sɛ wote nka sɛ w’aso so tew, ɛyaw, anaa nhyɛso wɔ w’aso mu a, mmu w’ani ngu so.
• Nea ɛho hia ne sɛ ayaresa a etu mpɔn wɔ hɔ a wɔde sa tebea yi. Sɛ wokɔ aduruyɛ mu ntɛm a, mpɛn pii no wubetumi ho atɔ wo koraa.
• Mfa biribiara nhyɛ w’aso mu bere a worehohoro ho no. Sɛ wunya aso mu yare a, hwehwɛ ayaresa ntɛm ara.

W’aso som bo paa, enti hwɛ so yiye. Sɛ w’adwene mu yɛ wo naa wɔ biribi ho a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn.

` conductive hearing loss, aso a ɛyera, aso mu yare, aso mu yare, aso mu aso, mfinimfini aso, aso mu yare, aso mu yare