Hali n’i ka mɛnni tɛ i la pewu, yala i bɛ se ka segin mankan diɲɛ kɔnɔ wa? - An ka kunnafoni sɔrɔ Auditory Brainstem Implant (ABI) kan.

A ka gɛlɛn ka dusukasi ni dɛmɛnbaliya min sɔrɔ ni i gɛrɛgɛrɛ mɔgɔ dɔ, n’a sɔrɔla i yɛrɛ den, wolola tulogweren ye, walima ni a mɛnni tɛ pewu bana walima kasaara dɔw kosɔn, a ka gɛlɛn ka o fɔ. Waati dɔw la, i b’a miiri ko: “Yala a bɛna kɛ ten i ka ɲɛnamaya bɛɛ kɔnɔ wa?” Nka ni fɛɛrɛ kuraw yiriwara, fɛɛrɛ dɔw bɛ yen bi minnu bɛ se ka yeelen lase hali mɔgɔ minnu ka mɛnni gɛlɛya ka bon kosɛbɛ. O ye fɛɛrɛ kɛrɛnkɛrɛnnen dɔ ye an bɛ kuma min kan bi.

N’an y’a fɔ cogo nɔgɔman na, ABI ye mun ye?

ABI ye `Auditory Brainstem Implant` daɲɛ surun ye. Sinhalakan na, a kɔrɔ ye `Auditory Brainstem Implant`. Nin ye minɛn kɛrɛnkɛrɛnnen ye min b’a to mɔgɔ minnu ka mɛnni gɛlɛya ka bon kosɛbɛ, o kɔrɔ ye ko tulo kɔnɔna yɔrɔ min bɛ mankan minɛ (`cochlea` walima tulo-kɔnɔ-fɛn) walima nɛrɛ min bɛ o mankan taamasiɲɛw ta ka taa u kunkolo la (lamɛnnikɛlan) ka mankan dɔn , walima a tɛ yen kabini u bange waati.

Nɛrɛ min bɛ mankan ta ka bɔ i tulo la ka taa i hakili la, i ka miiri o la i n’a fɔ bɔrɔ. Ni o bɔrɔ in karilen don, mankan tɛ se ka tɛmɛ ka se kunsɛmɛ ma. O yɔrɔ de la ABI minɛn bɛ don, a bɛ tɛmɛn bridge (nɛrɛ) karilen fɛ, ka taamasiɲɛw ci ka ɲɛsin kunsɛmɛ yɔrɔ ma min bɛ mɛnni kɔlɔsi (sɔgɔsɔgɔninjɛ). O mankan tɛ i n’a fɔ mɛnni kɛcogo nɔgɔman, nka a bɛ cogo ɲuman di i ma ka jɛɲɔgɔnya kura don ni mankan diɲɛ ye.

Nin minɛn in bɛ cogo di? Yala a tilayɔrɔ fila b’a la wa?

Ɔwɔ, nin minɛn in yɔrɔba fila bɛ yen. Kelen bɛ don farikolo kɔkan, tɔ kelen bɛ don farikolo kɔnɔ opereli fɛ.

1. Processeur : Nin ye yɔrɔ ye min bɛ don tulo kan walima kunkolo kɛrɛ fɛ, i n’a fɔ mɛnnikɛminɛn. A bɛ baara kɛ ni mikro ye walasa ka i lamini mankanw ta. O kɔ fɛ, a b’o mankanw Yɛlɛma ka Kɛ kuran taamaʃyɛnw ye k’u Ci ‘porosesɛri ma farikolo ‘kɔnɔ. Nin kɛnɛma yɔrɔ in ka kan ka bɔ ni aw bɛ sunɔgɔ su fɛ.

2. Kɔnɔnafɛnw doncogo : Nin ye yɔrɔ ye min bɛ don fari kɔrɔ opereli fɛ. Yɔrɔ fla wɛrɛw fana b'a la.

• Jaabi-la-wulifɛn: Nin yɔrɔ in min bɛ nɔrɔ fari jukɔrɔ kunkolo kɛrɛ fɛ, o bɛ taamasiɲɛw sɔrɔ ka bɔ kɛnɛma.
• Elektɔri paddle (Electrode paddle): Nin paddle fitinin min bɛ sɔrɔbaga laban na, o bɛ bila ka ɲɛ ka tɛmɛ cochléaire nucléaire complexe kan sumaya la. O bɛ hakili Lawuli k’a ɲɛsin mankan ma.

Nin furakɛli in bɛnnen don jɔn ma kosɛbɛ?

ABI tɛ bɛn mɔgɔ bɛɛ ma minnu tɛ mɛnni kɛ. A dabɔra kɛrɛnkɛrɛnnenya la mɔgɔ minnu kama, mɛnni gɛlɛya jugumanba bɛ minnu na, minnu tɛ se ka nafa sɔrɔ mɛnnikɛminɛn wɛrɛ la walima mɛnnikɛlan wɛrɛ la.

Nin fɛɛrɛ in dabɔra fɔlɔ mɔgɔw kama minnu ka jamu bana dɔ man ca, n’o bɛ wele ko Neurofibromatose 2 (NF2). Nin bana in na, tumuw (acoustic neuromas) bɛ bɔ mɛnnikɛlan sira fɛ. Nin kuru ninnu, hali ni u bɔra opereli fɛ, u bɛ se ka tiɲɛni banbali kɛ mɛnnikɛlan na. O bɛ se ka kɛ sababu ye ka tulo fila bɛɛ ka mɛnni tiɲɛ pewu.

Ka fara o kan, ABI bɛ se ka nafa lase balikuw, denmisɛnw ani denmisɛnninw ma minnu ka bana ninnu bɛ u la:

• Minnu bangera ni mɛnni gɛlɛya ye (aplasia).
• Minnu ka lamɛnnikɛlan ma yiriwa ka ɲɛ (`hypoplasia`).
• Minnu tɛ mɛnni tiɲɛ ka a sababu kɛ tulo kɔnɔna yɔrɔ dɔw sɔgɔsɔgɔninjɛ ye, u yiriwali dafalen tɛ, walima u kolo falenni (cochléar ossification) tulo kɔnɔna na, o ye tulo ye.
• Minnu ye tulolabanaw tiɲɛ ka a sababu kɛ kungolo jogin juguman ye (kolo kari waati kɔnɔ).
• Mɔgɔ minnu ka mɛnni gɛlɛya jugumanba bɛ u la, furakɛli wɛrɛ tɛ se ka furakɛ.

Danfara jumɛn bɛ ABI ni Cochléaire Implant cɛ?

Hali n’a y’a sɔrɔ u fila bɛɛ ye mɛnnikɛminɛnw ye, u baaracogo n’u bɛ baara kɛ cogo minnu na, olu tɛ kelen ye fewu. Aw bɛna o faamu nɔgɔya la ni aw ye nin tabali in lajɛ.

Mun bɛ kɛ sani opereli ka kɛ ani opereli kɔfɛ?

Sani opereli ka kɛ

Ikomi nin ye desizɔnba ye, aw ni aw ka bana bɛna sɛgɛsɛgɛ kosɛbɛ sani opereli ka kɛ. O bɛna kɛ ni sɛgɛsɛgɛli damadɔw ye:

• Lamɛnni sɛgɛsɛgɛliw : Aw ka mɛnni hakɛ bɛ jateminɛ ni mɛnnikɛminɛnw ye ani ni u tɛ a la.
• Kumaɲɔgɔnya jateminɛ: Kumafɔla dɔ bɛna i ka kan yiriwali n’i ka kumaɲɔgɔnya kɛcogo sɛgɛsɛgɛ.
• Kuranko sɛgɛsɛgɛliw : Sɛgɛsɛgɛli kɛrɛnkɛrɛnnenw bɛ kɛ walasa ka a dɔn tigitigi mɛnni gɛlɛya bɛ yɔrɔ min na ani fo ka se hakɛ min ma.
• Scan: A bɛ se ka ɲini i fɛ i ka CT scan ni MRI scan kɛ walasa ka i tulo kɔnɔna yɔrɔw lajɛ, i ka mɛnnikɛlan, ani i kunkolo yɔrɔ minnu bɛ bɛn o ma.
• Furakɛcogo tariku: Aw ka dɔgɔtɔrɔ bɛna aw ɲininka aw ka furakɛli tariku dafalen na ani aw ka mɛnni tiɲɛni ko la.

Opereli kɔfɛ

Aw bɛna a ɲini ka to dɔgɔtɔrɔso la tile fila fo tile naani opereli kɔfɛ. Ni o kɛra waati kelen na ni `NF2` kuru bɔli ye, dɔgɔtɔrɔso sigili bɛ se ka mɛn.

Nka aw hakili to a la ko minɛn tɛ baara kɛ o yɔrɔnin bɛɛ opereli kɔfɛ. Dɔgɔtɔrɔso jɛkulu bɛna minɛn in baara dɔgɔkun 4 fo dɔgɔkun 6 ɲɔgɔn opereli kɔfɛ, ni joginda kɛnɛyara ka ɲɛ. O kɔfɛ, i bɛna don kalo o kalo taamaw la san fɔlɔ kɔnɔ walasa ka minɛn in sigicogo (porogaramu) ladilan walasa ka bɛn i ma.

O nɔ bɛ kɛ cogo di? Yala farati dɔw bɛ yen wa?

A nɔfɛkow ni a nafaw

Fɛn fɔlɔ min ka kan ka fɔ, o ye ko ABI tɛna mɛnni kɛcogo kɔrɔ lasegin abada. Nka, a bɛ nafa minnu lase mɔgɔ ma, olu ka bon kosɛbɛ:

• Mankanw dɔnni : I bɛ daminɛ ka mankanw kɔlɔsi i sigida la (i n’a fɔ wulu bɛ ka wuluwulu, telefɔni bɛ pɛrɛn, mobili bɛ gɛrɛ a la).
• Mankan minnu bɛ danfara Bɔ ɲɔgɔn na:Aw bɛ se ka fɛnw faranfasi ani k’u dɔn i n’a fɔ denmisɛnnin kan ni baliku kan.
• Dawolo kalanni bɛ nɔgɔya: Ni i ye mɔgɔ dɔ dawolo lajɛ ka fara a mankan kan n’a bɛ kuma, i ka se ka a ka kuma faamuya, o bɛ bonya kosɛbɛ.

O nɔ bɛ danfaraba don mɔgɔ ni mɔgɔ cɛ. Denmisɛn minnu bɛ ABI sɔrɔ u denmisɛnman (sanni u ka mɛnni gɛlɛya ka mɛn), a jirala ko u bɛ se ka daɲɛw faamuya ka ɲɛ ka tɛmɛ balikuw kan.

Faratiw ni gɛlɛyaw

Ikomi nin ye kunsɛmɛ opereli ye min ka gɛlɛn kosɛbɛ, farati minnu bɛ sɔrɔ kunsɛmɛ opereli suguya bɛɛ la, olu fana bɛ yen. Ni a kɛra dɔgɔtɔrɔso jɛkulu dɔ fɛ min bɛ se kosɛbɛ, gɛlɛyaw sɔrɔli ka dɔgɔn kosɛbɛ. Gɛlɛya minnu bɛ se ka sɔrɔ olu dɔw ye:

• Ji min bɛ kunsɛmɛ lamini (`Cerebrospinal fluid`) o bɔli.
• Minɛnw baarakɛbaliya walima elekitorode minnu donna a kɔnɔ, olu lamagacogo.
• Joginda banakisɛ.
• Banakisɛw i n’a fɔ ɲɛgɛnɛsiralabanaw.
• Tiɲɛni bɛ kɛ ɲɛda nɛrɛmuguma dɔ la (`Facial nerve palsy`).
• Dusukunnata min bɛ sɔrɔ yɔrɔ wɛrɛw lawulili fɛ minnu ni mɛnni tɛ kelen ye.

Aw ka dɔgɔtɔrɔso jɛkulu bɛna baro kɛ nin bɛɛ kan ni aw ye ka ɲɛ sani opereli ka kɛ.