Mɔkpɔkpɔ yeye na tokunɔwo! Mina míasrɔ̃ nusianu tso Auditory Brainstem Implant (ABI) ŋu!

Èkpɔ xexe aɖe si me gbeɖiɖi aɖeke mele o le susu me kpɔa? Lɔlɔ̃tɔ ƒe gbe, hadzidzi vivi aɖe, vidzĩ ƒe nukoko... Agbe si mese naneke o. Esesẽ be míasusui, alo? Gake, le ame aɖewo gome la, nyateƒeae nye esia. Ne woƒe to megate ŋu sea nu kura o, si fia be ne woƒe to megate ŋu sea nu o la, kadodo si le wo kple gbeɖiɖi ƒe xexeame dome la meganɔa wo dome o. Gake esi atikeŋutinunya va le ŋgɔ yim ta la, mɔ̃ɖaŋununya aɖe va li fifia si ate ŋu ana mɔkpɔkpɔ ame mawo tɔgbe. Emae nye nusi ŋu míele nu ƒom tsoe egbea.

Kpuie ko la, nukae nye Tome Ahɔhɔ̃meka (ABI) sia?

Esia hã nye tomemɔ̃. Gake mele abe tomemɔ̃ si nèkpɔna le to me zi geɖe ene o. Auditory Brainstem Implant (ABI) nye mɔ̃ si wotsɔa amekoko dea ametia me. Wotrɔ asi le eŋu be wòana ame si nye tokunɔ keŋkeŋ nase gbeɖiɖi ƒe seselelãme .

Esia le vevie ŋutɔ ne nusi gbɔ tosese ƒe kuxi tsoe nye tomeka (to ememetɔ) ƒe kuxi alo tomeka ƒe kuxi. Esia fia be ne "mɔ" si tsɔa gbeɖiɖi ƒe dzesiwo tso to me yia ahɔhɔ̃a me la gbã keŋkeŋ la, mɔ̃ sia toa mɔ ma si gblẽ la ŋu eye wòɖoa dzesiwo ɖe ahɔhɔ̃a ƒe akpa si kpɔa nusese dzi (ahɔhɔ̃ ƒe lãkusi) tẽ.

Viɖe vevi siwo ame kpɔna tso esia me enye:

• Be nàte ŋu anya gbeɖiɖi siwo ƒo xlã wò (e.g. ame aɖe si le nu ƒom, ʋu si le tetem ɖe ŋuwò, kple bubuawo).
• Ŋutete si le ame si be wòase nya si gblɔm wòle gɔme to ŋkuléle ɖe eƒe nuyiwo ŋu (nuyiwo xexlẽ) dzina ɖe edzi ne ele nu ƒom.
• Ɣeaɖewoɣi la, àte ŋu ade dzesi gbeɖiɖiwo, ase nyawo gɔme, kple nyagbewo gɔ̃ hã.

Aleke ABI-mɔ̃ sia le?

Akpa vevi eve le mɔ̃ sia ŋu: ɖeka nye esi wodona le ŋutilã godo, eye evelia si wotsɔa amekoko dea ŋutilãa me.

1. Processor: Esiae nye akpa si le wò ŋutilã ƒe gota gome. Edze abe mɔ̃ sue aɖe ene. Wodonɛ ɖe wò to dzi alo ɖe wò ta ƒe axadzi. Ezãa nuƒomɔ̃ tsɔ xɔa gbeɖiɖi siwo ƒo xlã wò. Emegbe etrɔa gbeɖiɖi mawo wozua elektrikŋusẽ ƒe dzesiwo eye wòɖoa wo ɖe akpa kemɛ si wotsɔ de wò ŋutigbalẽ te. Àte ŋu aɖe gotagome akpa sia ɖa esime nèle alɔ̃ dɔm.

2. Ememe Nudede: Esiae nye nusi ɖɔktawo dea amekoko me le ŋutilãa me. Akpa eve le esia hã ŋu:

• Receiver-stimulator: Wotsɔa esia dana ɖe wò ta ƒe ŋutigbalẽ te. Exɔa dzesiwo tso gotagome dɔwɔwɔ ƒe mɔ̃a gbɔ.
• Elektrode-ʋuʋudedi: Wotoa elektrikŋusẽnamɔ̃ sue aɖe dzi yia ahɔhɔ̃a ƒe tomemɔ̃ vevitɔ, si nye tomeka ƒe nucleus complex, si le ahɔhɔ̃a ƒe ke me tẽ.

Kpuie ko la, efɔa gbeɖiɖiwo tso gota heɖoa wo ɖe eme. Ememe ɖoa dzesi mawo ɖe ahɔhɔ̃a tẽ.

Ðe ABI sia sɔ kple Cochlear Implant si ŋu míesea nu tsoe zi geɖea?

Ao, togbɔ be wo ame evea siaa nye mɔ̃ siwo wotsɔ amekoko dea ame me siwo kpena ɖe ame ƒe to ŋu hã la, alesi wowɔa dɔe kple ame siwo sɔ kplii la to vovo. Bu eŋu ale: toe nye agbo, eye tomeŋusẽ nye mɔ si tso agbo nu yi aƒea me (ahɔhɔ̃).

• Wozãa tomeka si wotsɔ dea to me na amesiwo ƒe agbo ɖeka kolia (`tomeka` si le to me) gbã, gake woƒe mɔ si dzi woto yina (tomeka) me gblẽ o. Tomeka si wotsɔ dea tome la to agbo si gbã la ŋu eye wòɖoa dzesiwo ɖe mɔa (tomeka) tẽ.
• Ame siwo ƒe agbo (cochlea) kple mɔa (tomeka) siaa gblẽ, alo esiwo si mɔ aɖeke mele kura o koe zãa ABI . Le nɔnɔme ma me la, viɖe aɖeke mele dzesiwo ɖoɖo ɖe mɔa dzi o. Nusi ABI wɔnae nye be wòto agbo la kple mɔa siaa ŋu eye wòɖoa dzesiwo ɖe aƒea (ahɔhɔ̃a ƒe ke) tẽ.

Vovototo sia adze na wò wu ne èlé ŋku ɖe kplɔ̃ si le ete ŋu.

Amekae ABI ƒe amekoko sia sɔ na?

Woto mɔ̃ɖaŋununya sia vɛ gbã na amesiwo ŋu domenyiŋusẽfianu ƒe dɔléle si mebɔ o si woyɔna be `Neurofibromatosis 2 (NF2).` Le dɔléle sia me la, dɔdzẽwo dona le tomeka la ŋu. Amekoko be woaɖe dɔdzẽ siawo ɖa ate ŋu agblẽ nu le tomeka ŋu. Emegbe woƒe to megate ŋu sea nu le to eveawo siaa me o. Le nɔnɔme sia tɔgbe me la, tomemɔ̃ alo tomeka si wotsɔ dea tomenuwo me makpe ɖe ame ŋu o. Esia tae ABI kpena ɖe ame mawo tɔgbe ŋu koŋ ɖo.

Gake fifia, menye amesiwo ŋu NF2 le ɖeɖeko o, ke amesiwo ƒe to ƒe lãmeka alo to ememetɔ mewɔ dɔ nyuie o le susu bubu geɖe ta hã ate ŋu akpɔ viɖe tso mɔ̃ɖaŋununya sia me. Le kpɔɖeŋu me:

• Ðevi sue siwo wodzi kple tomeŋusẽ si mele o (`aplasia`) alo metsi bliboe o (`hypoplasia`).
• Ame siwo ƒe to megate ŋu sea nu o le nusiwo gbɔ wòtso abe to ememetɔ ƒe nɔnɔme ƒe gbagbã (cochlea), tsitsi si mede blibo o (cochlear hypoplasia), akpa aɖewo ƒe wɔwɔme ƒe anyimanɔmanɔ (cochlea aplasia), alo ƒu ƒe tsitsi (cochlear otosclerosis alo cochlear ossification) ta.
• Amesiwo ƒe tome ƒe lãmeka gblẽ le ta ƒe abi sesẽwo ta (e.g. temporal bone fractures).
• Na amesiwo nye tokunɔwo le susu bubuwo ta eye womate ŋu asee kple mɔ̃ bubu aɖeke o.

Nukae wòle be nàwɔ hafi awɔ dɔ na wò?

Esi wònye amekoko gã aɖee nye esia ta la, woawɔ dodokpɔ geɖe atsɔ asrɔ̃ nu tso wò nɔnɔmea ŋu nyuie do ŋgɔ.

• Nuwɔna dodokpɔ: Edzidzea wò tosese.
• Dzeɖoɖo me dzodzro: Nuƒoƒo kple gbegbɔgblɔ ƒe dɔléleŋutinunyala aɖe alé ŋku ɖe wò gbegbɔgblɔ ƒe ŋutetewo kple kadodomɔnu ŋu.
• Electrophysiologic testing: Wowɔa dodokpɔ tɔxɛwo be woatsɔ anya afisi tututu nusi gblẽ le tomeŋusẽ ŋu le kple afisi wògblẽ nu le.
• Nɔnɔmetatawo dodokpɔ: Esiawo dometɔ aɖewoe nye CT scan kple MRI scan be woatsɔ ado to ememetɔ, tosese ƒe lãmeka, kple ahɔhɔ̃a ƒe wɔwɔme siwo ƒo xlãe kpɔ.
• Atikewɔwɔ ŋutinya: Wò ɖɔkta abia wò atikewɔwɔ ƒe nɔnɔmewo kple tosese ƒe kuxiwo ŋutinya.

Viɖe kawo, afɔku, kple emetsonu kawoe le amekoko sia me?

Ne míele nu ƒom tso esia ŋu la, ehiã be míase nɔnɔme si le mía si ŋutɔŋutɔ gɔme.

Viɖe siwo le eŋu:

Togbɔ be emetsonuwo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ hã la, le goawo katã me la, nuwo abe nuƒoƒo ƒe dzesidede kple nuyi xexlẽ ene nyona ɖe edzi ŋutɔ. Vevietɔ numekukuwo ɖee fia be ɖevi siwo wowɔ dɔ sia le woƒe ɖevime (hafi woƒe tosese nadidi ɣeyiɣi didi) la te ŋu sea nyawo gɔme nyuie wu ame tsitsiwo.

Afɔkuwo Kple Kuxi Siwo Le Eme:

Esia nye ahɔhɔ̃medɔ sesẽ ŋutɔ, eyata afɔku aɖewo le eme. Gake ne ɖɔkta bibi aɖe si bi ɖe amekoko sia ƒomevi me wɔe la, kuxi siwo ate ŋu ado mo ɖa la mebɔ kura o. Wò ɖɔkta aɖe nusiawo katã me na wò hafi woawɔ dɔ na wò. Kuxi siwo ate ŋu ado tso eme dometɔ aɖewoe nye:

• Ahɔhɔ̃ me tsi si dona le lãme na ame.
• Nusiwo wotsɔ dea lãme na ame ƒe kpododonu.
• Dzimaɖitsitsi si tsoa lãmeka siwo menye tosese o ƒe ʋuʋu gbɔ.
• Dɔlékuiwo abe taɖuame ene.
• Nusiwo gblẽ le mo ƒe lãmekawo ŋu (`Palsy of your facial nerve`).
• Dɔlékuiwo ƒe gege ɖe abi si wowɔ dɔ na la me.

Nukae dzɔna le amekokoa megbe?

Ahiã be nànɔ kɔdzi ŋkeke eve va ɖo ene le amekokoa megbe. Ne wowɔ dɔ sia na wò le ɣeyiɣi ma ke me esime woɖe NF2 dɔdzẽ aɖe ɖa la, ke ɖewohĩ wò kɔdzi nɔnɔ adidi wu.

Ne wonya de mɔ̃a me ko la, axɔ kwasiɖa ene va ɖo ade hafi wòawɔ dɔ. Le ema megbe la, àwɔ ɖoɖo kple wò toŋutinunyala zi geɖe. Ɣesiaɣi la, woawɔ ɖoɖo ɖe mɔ̃a ŋu be wòawɔ dɔ nyuie na wò. Dɔ sia ayi edzi anɔ abe ƒe gbãtɔ ene.

Ɣekaɣie wòle be nàkpɔ wò ɖɔkta?

Le amekoko vɔ megbe la, ne asrã alo veve sesẽ aɖe dze dziwò la, ele be nàna wò ɖɔkta nanya enumake. Atikewɔlawo ƒe ƒuƒoƒoa alé ŋku ɖe ŋuwò nyuie hã be woaxe mɔ ɖe kuxiwo nu. Le amekoko vɔ megbe la, ele vevie ŋutɔ hã be nàyi wò toŋutinunyala gbɔ le ŋkeke siwo woɖo ɖi dzi be nàtrɔ asi le mɔ̃a ƒe ɖoɖowo ŋu.

Menye amesiame tɔe nye Tome Ahɔhɔ̃meka (ABI) o. Gake le ame aɖewo siwo si tiatia bubu aɖeke mele o eye wonye tokunɔwo keŋkeŋ gome la, enaa mɔnukpɔkpɔ vevi aɖe wo be woagaɖo kadodo me kple gbeɖiɖi ƒe xexeame. Mɔ nyuitɔ si dzi nàto anya ne esia sɔ na wò alo ame aɖe si nènyae nye be nàƒo nu kple eŋutinunyala bibi aɖe.