Ne wò to megate ŋu sea nu kura o hã la, ɖe nàte ŋu atrɔ ayi gbeɖiɖi ƒe xexea mea? - Mina míasrɔ̃ nu tso Auditory Brainstem Implant (ABI) ŋu.

Esesẽna be nàgblɔ blanuiléle kple kpekpeɖeŋumanɔamesi si nèsena le ɖokuiwò me ne wodzi ame aɖe si te ɖe ŋuwò, ɖewohĩ wò ŋutɔ viwò, tokunɔ, alo eƒe to megate ŋu sea nu kura o le dɔléle alo afɔku aɖe ta. Ɣeyiɣi aɖewo li siwo me nèsusuna be, "Ale aleae wòanɔ le wò agbemeŋkekewo katã mea?" Gake esi mɔ̃ɖaŋununya va le ŋgɔ yim ta la, mɔnu aɖewo li egbea siwo ate ŋu ahe kekeli vɛ na amesiwo ƒe to me gblẽ wu gɔ̃ hã. Ema nye mɔnu tɔxɛ siwo ŋu míele nu ƒom tsoe egbea la dometɔ ɖeka.

Kpuie ko la, nukae nye ABI?

ABI nye kpukpui na `Auditory Brainstem Implant`. Le Sinhalagbe me la, efia be `Auditory Brainstem Implant`. Esia nye mɔ̃ tɔxɛ aɖe si naa amesiwo ƒe to me gblẽ wu, si nye to ememetɔ ƒe akpa si léa gbeɖiɖi (`cochlea` alo to ƒe go) alo lãmeka si tsɔa gbeɖiɖi ƒe dzesi mawo yia ahɔhɔ̃a gbɔ (sese ƒe lãmeka) be woase gbeɖiɖi , alo mele eme tso wo dziɣi o.

Bu lãmeka si tsɔa gbeɖiɖi tso wò to me yia wò ahɔhɔ̃ me abe tɔdzisasrã ene. Ne tɔdzisasrã sia gbã la, gbeɖiɖi mate ŋu atso aɖaɖo ahɔhɔ̃a gbɔ o. Afi mae ABI-mɔ̃a gena ɖo.Etoa tɔdzisasrã (lãmeka) si gbã la ŋu eye wòɖoa dzesiwo ɖe ahɔhɔ̃a ƒe akpa si kpɔa nusese dzi (ahɔhɔ̃a ƒe ke) tẽ. Esia meɖi tosese si sɔ o, gake enaa mɔnukpɔkpɔ gã aɖe wò be nàgaɖo kadodo me kple gbeɖiɖi ƒe xexeame.

Aleke mɔ̃ sia le? Ðe akpa eve le emea?

Ẽ, akpa vevi eve le mɔ̃ sia ŋu. Wodoa ɖeka le ŋutilãa godo, eye wotsɔa amekoko dea evelia ŋutilãa me.

1. Processor: Esia nye akpa aɖe si wodona ɖe to dzi alo le ta ƒe axadzi, abe tomemɔ̃ ene. Ezãa nuƒomɔ̃ tsɔ xɔa gbeɖiɖi siwo ƒo xlã wò. Emegbe etrɔa gbeɖiɖi mawo wozua elektrikŋusẽ ƒe dzesiwo eye wòɖoa wo ɖe mɔ̃ si wɔa dɔ le ŋutilãa me. Ele be woaɖe gota gome sia ɖa ne èle alɔ̃ dɔm le zã me.

2. Ememe Nudede: Esiae nye akpa si amekoko dea ŋutigbalẽa te. Akpa eve bubuwo hã le eŋu.

• Receiver-stimulator: Akpa sia si wotsɔ bla ɖe ŋutigbalẽ te le ta ƒe axadzi la xɔa dzesiwo tso gota.
• Elektrode-ʋuʋudedi: Wotsɔa tɔdziʋu sue sia si le nusi xɔa nu ƒe nuwuwu la dana ɖe tome ƒe nucleus complex si le ahɔhɔ̃a me dzi nyuie. Esia ʋãa ahɔhɔ̃a tẽ eye wònana gbeɖiɖia sena le eɖokui me.

Amekawoe dɔdamɔnu sia sɔ na wu?

ABI mesɔ na amesiame si ƒe to me gblẽ o. Wotrɔ asi le eŋu koŋ na amesiwo ƒe to me gblẽ wu siwo mate ŋu akpɔ viɖe tso tomemɔ̃ alo tomeka bubu aɖeke me o.

Woto mɔ̃ɖaŋununya sia vɛ gbã na amesiwo ŋu domenyiŋusẽfianu ƒe dɔléle si mebɔ o si woyɔna be Neurofibromatosis 2 (NF2) le. Le dɔléle sia me la, dɔdzẽ (acoustic neuromas) dona le tomeka la ŋu. Dɔdzẽ siawo, ne wowɔ dɔ na wo gɔ̃ hã la, ate ŋu agblẽ nu le tomeka ŋu tegbee. Esia ate ŋu ana to eveawo nagate ŋu ase nu kura o.

Tsɔ kpe ɖe eŋu la, ABI ate ŋu aɖe vi na ame tsitsiwo, ɖeviwo, kple vidzĩ siwo ŋu dɔléle siawo le:

• Le amesiwo wodzi kple tosese (aplasia) gome.
• Le amesiwo ƒe tomeŋusẽ metsi nyuie o gome (`hypoplasia`).
• Le amesiwo ƒe to megate ŋu sea nu nyuie o le to ƒe akpa si le eme, si nye to ƒe akpa si nye to ƒe ƒu ƒe tsitsi (cochlear ossification) ƒe nuwɔametɔ aɖewo, tsitsi si mede blibo o, alo ƒu ƒe tsitsi (cochlear ossification) ta.
• Le amesiwo gblẽ nu le tomeŋusẽ ŋu le taɖu ƒe abi gã aɖe (temporal bone fracture) ta.
• Le amesiwo ƒe to me gblẽ vevie si womate ŋu atsɔ atike bubu aɖeke adae o gome.

Vovototo kae le ABI kple Tomeʋuʋu dome?

Togbɔ be wo ame evea siaa nye tomemɔ̃wo hã la, alesi wowɔa dɔe kple nɔnɔme siwo me wozãa wo le la to vovo kura. Àse esia gɔme bɔbɔe ne èlé ŋku ɖe kplɔ̃ sia ŋu.

Nukae dzɔna do ŋgɔ na amekoko kple emegbe?

Hafi woawɔ dɔ nɛ

Esi wònye nyametsotso gã aɖee esia nye ta la, woalé ŋku ɖe wò kple wò nɔnɔmea ŋu nyuie hafi woawɔ dɔ na wò. Esia alɔ dodokpɔ geɖe ɖe eme:

• Tomedodokpɔwo: Wotsɔa tomemɔ̃wo dzidzea wò tosese kple esiwo womezãna o.
• Dzeɖoɖo ƒe dodokpɔ: Nuƒoƒo ŋuti nunyala alé ŋku ɖe wò gbegbɔgblɔ ƒe tsitsi kple kadodomɔnu ŋu.
• Elektrikŋusẽ ƒe dodokpɔwo: Wowɔa dodokpɔ tɔxɛwo be woatsɔ anya afisi tututu tosese ƒe kuxia le kple afisi wòɖo.
• Scans: Woate ŋu abia tso asiwò be nàwɔ CT scan kple MRI scan atsɔ alé ŋku ɖe wò to ƒe akpa ememetɔwo, to ƒe lãmeka, kple wò ahɔhɔ̃ ƒe akpa siwo sɔ ŋu.
• Atikewɔwɔ ŋutinya: Wò ɖɔkta abia wò atikewɔwɔ ŋutinya bliboa kple wò tosese ŋuti nyatakakawo tsitotsito.

Le amekoko vɔ megbe

Ahiã be nànɔ kɔdzi ŋkeke eve va ɖo ene le amekokoa megbe. Ne wowɔ esia le ɣeyiɣi ɖeka me kple `NF2` ƒe dɔdzẽ aɖe ɖeɖeɖa la, kɔdzi nɔnɔ ate ŋu adidi wu.

Gake ɖo ŋku edzi be mɔ̃a mewɔa dɔ enumake le amekoko vɔ megbe o. Atikewɔlawo ƒe ƒuƒoƒoa awɔ mɔ̃a ŋudɔ le amekokoa megbe abe kwasiɖa 4 va ɖo 6 ene, ne abiawo haya nyuie. Le ema megbe la, ahiã be nàge ɖe eme ɣleti sia ɣleti le ƒe gbãtɔ me be nàtrɔ asi le mɔ̃a ƒe ɖoɖowo (ɖoɖowɔɖi) ŋu wòasɔ na wò.

Aleke emetsonuwo le? Ðe afɔku aɖewo lia?

Emetsonuwo kple viɖe siwo dona tso eme

Nu gbãtɔ si wòle be míagblɔe nye be ABI magagbugbɔ tosese si sɔ la aɖo anyi gbeɖe o. Gake viɖe siwo wòɖena fiana la ɖe dzesi ŋutɔ:

• Gbeɖiɖiwo nyanya: Èdzea egɔme dea dzesi gbeɖiɖi siwo le nuto si me nèle me (abe avu ƒe ɣlidodo, telefon ƒe ɖiɖi, ʋu si le tetem ɖe eŋu ene).
• Gbeɖiɖi siwo dea vovototo wo nɔewo dome:Àte ŋu ade vovototo nuwo abe ɖevi ƒe gbe kple ame tsitsi ƒe gbe ene dome ahade dzesi wo.
• Nuyiwo xexlẽ va nɔa bɔbɔe: Ne èlé ŋku ɖe ame aɖe ƒe nuyiwo ŋu kpe ɖe gbeɖiɖia ŋu ne ele nu ƒom la, wò ŋutete be nàse nya si gblɔm wòle gɔme la dzina ɖe edzi ŋutɔ.

Nusiwo dona tso eme la toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Wokpɔe be ɖevi siwo xɔ ABI le woƒe ɖevime (hafi woƒe to me gblẽ ɣeyiɣi didi) la te ŋu sea nyawo gɔme nyuie wu ame tsitsiwo.

Afɔkuwo kple kuxi siwo dona tso eme

Esi wònye be esia nye ahɔhɔ̃meka si sesẽ ŋutɔ ta la, afɔku siwo bɔ ɖe ahɔhɔ̃meka ɖesiaɖe me hã li. Ne atikewɔlawo ƒe ƒuƒoƒo bibi aɖee wɔe la, kuxi siwo ate ŋu ado mo ɖa la mebɔ kura o. Kuxi siwo ate ŋu ado tso eme dometɔ aɖewoe nye:

• Tsi si ƒo xlã ahɔhɔ̃a ƒe sisi (`Cerebrospinal fluid`).
• Mɔ̃a ƒe dɔmawɔmawɔ nyuie alo elektrikŋusẽ si wotsɔ de eme ƒe ʋuʋu.
• Abi ƒe dɔléle.
• Dɔlékuiwo abe taɖuame ene.
• Nusiwo gblẽ le mo ƒe lãmeka aɖe ŋu (`Facial nerve palsy`).
• Maseɖeamedzi le akpa bubu siwo medo ƒome kple tosese o ƒe ʋuʋu ta.

Wò atikewɔlawo ƒe ƒuƒoƒoa adzro nusiawo katã me kpli wò tsitotsito hafi woawɔ dɔ na wò.