Ðe tosese ƒe kuxi aɖe le ŋuwòa? Alo ɖe kuxi sia tɔgbe le ame aɖe si nènya ŋua? Zi geɖe la, egbɔkpɔnu si mí katã míenyae nye be míazã tomemɔ̃. Gake ɖe nènya be menye amesiamee sɔ na tomemɔ̃ siawo oa? Ame aɖewo mate ŋu azã mɔ̃ siawo siwo wotsɔ dea to me le to me dɔlékuiwo, vidzidzi ƒe gbɔdzɔgbɔdzɔ aɖewo, alo atikewɔwɔ ƒe nɔnɔme bubuwo ta o. Egbea, míele nu ƒom tso mɔ̃ɖaŋununya si to vovo vie si va kpe ɖe ame mawo ŋu la ŋu. Woyɔa esia be BAHA (Tomemɔ̃ si Wotsɔna Sia Ƒumeŋui) .
Kpuie ko la, nukae nye BAHA?
Enyo, mina míalé ŋku ɖe alesi esia wɔa dɔe ŋu gbã. Nusi tomemɔ̃ si wozãna ɖaa wɔnae nye be wòdoa gbeɖiɖi si tso gota la ɖe ŋgɔ eye wòɖonɛ to míaƒe tomeka me yia titinato kple to ememetɔ me. Eyae nye be eto mɔ si dzi gbeɖiɖi zɔna le dzɔdzɔme nu la ke dzi.
Gake BAHA-mɔ̃a to vovo kura. Enye mɔ̃ aɖe si wotsɔa amekoko blaa taɖu ƒe ƒu . Ewɔa esia to gbeɖiɖi ƒe ƒutsotsoewo ʋuʋu to wò taɖu ƒe ƒuwo me tẽe eye wòɖoa wo ɖe to si le to ememetɔ ƒe akpa vevitɔ si kpɔa to la gbɔ. Ne míagblɔe tututu la, etoa gbeɖiɖi ƒe mɔ si sɔ la ŋu eye wòɖoa gbeɖiɖia ɖe to ememetɔ tẽ to mɔ kpui aɖe dzi. Ame aɖewo hã yɔnɛ be `Bone-Anchored Hearing Implant (BAI)`. Ŋkɔ eveawo siaa fia mɔ̃ ɖeka.
Zi geɖe la, akpa etɔ̃e nɔa BAHA-mɔ̃a ŋu:
- Titanium implant: Esia nye ga sue aɖe si wotsɔa amekoko dea taɖu ƒe ƒu me.
- External connector/Abutment: Esia nye akpa si do ƒome kple nusi wotsɔ de eme eye wòdzena vie tso ŋutigbalẽa dzi.
- Gbeɖiɖimɔ̃: Esiae nye akpa si léa gbeɖiɖi siwo tso gota, trɔa wo wozua ʋuʋudedi, eye wòɖoa wo ɖe ƒua to kaƒomɔ̃a dzi. Míate ŋu aɖe esia ɖa ahagbugbɔe akpe ɖe eŋu ɣesiaɣi.
Nukawoe nye BAHA ƒomevi veviwo?
Ƒu ƒe tomemɔ̃ ƒomevi vevi eve li. Wò ɖɔkta aɖo aɖaŋu na wò le ƒe si nèxɔ, atikewɔwɔ ƒe nɔnɔme, kple nusiwo nèlɔ̃ nu.
| BAHA ƒomevi | Nuɖᴐɖᴐ |
|---|---|
| BAHA (Woate ŋu ade ame me to amekoko me) . | Esiae nye mɔnu si bɔ wu. Amekola aɖe tsɔa titanium sue aɖe dea ƒu si le wò to megbe la me. Ne enya da gbe le eŋu ko la, woate ŋu atsɔ gotagome gbeɖiɖimɔ̃ aɖe akpe ɖe eŋu be wòate ŋu ase nu. Woate ŋu aɖe gotagome akpa sia ɖa ne èle alɔ̃ dɔm alo le tsi ƒum. |
| Tomemɔ̃ Siwo Mewɔa Amekoko O ( BCHA ) . | Zi geɖe la, wokafua nusiawo na ɖevi siwo mexɔ ƒe 5 haɖe o kple amesiwo medi be woawɔ dɔ na yewo o. Woate ŋu atsɔ nulénu aɖe abla mɔ̃ aɖewo ɖe ŋutigbalẽa ŋu tẽ. Woate ŋu abla bubuwo ɖe taɖa ŋu eye woado wo ne ehiã. Àte ŋu ate mɔnu sia hã kpɔ hafi awɔ dɔ na wò be nàkpɔ nusiwo ado tso eme ƒe susu. |
Toŋutinunyala (ENT) kple toŋutinunyala akpe ɖe ŋuwò nàtso nya me le mɔnu siawo dometɔ si nyo na wò ŋu.
Amekae BAHA-mɔ̃ sia sɔ na?
Menye amesiamee ahiã esia o, gake eɖea vi na amesiwo ƒe to me gblẽ koŋ.
Kpuie ko la, ne wò to ememetɔ le dɔ wɔm nyuie, gake mɔxenu aɖe le gbeɖiɖi ƒe zɔzɔ tso to gotatɔ me yi to ememetɔ me la, BAHA ate ŋu anye egbɔkpɔnu nyui aɖe ŋutɔ.
Nɔnɔme vevi eve li siwo dze na esia:
- Tosese ƒe dɔmawɔmawɔ nyuie alo esi wotsaka: Esia nye kuxi si me gbeɖiɖi metoa to me nyuie o.
- Axa ɖeka ƒe tokunɔnyenye: Esia fia be to ɖeka te ŋu sea nu nyuie evɔ to evelia ya te ŋu sea nu sue aɖe ko alo mesea nu kura o.
Atikewɔwɔ ƒe nɔnɔme siwo ate ŋu ana ame ƒe to nasesẽ dometɔ aɖewoe nye:
- Titinato me dɔléle siwo nɔa anyi didi
- Cholesteatoma ƒe dɔléle
- Gbeɖiɖi ƒe ahɔhɔ̃mekawo ƒe dɔléle
- Ménière ƒe dɔlélea
- Aural atresia (to gotagome alo titina ƒe dɔmawɔmawɔ nyuie si wodzina) .
Ne dɔléle sia tɔgbe le ŋuwò la, àte ŋu aƒo nu kple wò ɖɔkta eye woaɖo wò ɖe to, ŋɔti, kple ŋɔti ŋuti nunyala gbɔ be wòadzro nya sia me ayi ŋgɔe.
Aleke wowɔa amekokoae?
Esia nye dɔdamɔnu bɔbɔe aɖe si xɔa miniti 30 va ɖo 60 zi geɖe . Nusiwo dzɔna le dɔa wɔwɔ me dometɔ aɖewoe nye esi:
1. 1. .Atike si naa alɔ̃dɔdɔ ame: Woana atike si naa alɔ̃dɔdɔ wò ale be màse veve aɖeke o. Ate ŋu anye nutoa me tɔ alo amehawo katã tɔ.
2. Lãɖeɖe sue aɖe: Woɖea lã sue aɖe ŋutɔ le ŋutigbalẽ si le to megbe la me.
3. Do le ƒu me: Wowɔa do sue aɖe ɖe `mastoid` ƒu, si nye taɖu ƒe akpa aɖe le to megbe.
4. Nusi wotsɔ dea ƒua me: Wotsɔa titanium si wotsɔ dea ƒua me, si ƒe lolome anɔ abe milimeta 3-4 ene (si ƒe lolome anɔ abe pea ƒe afã ene) la dea ƒua me.
5. Abutment la tsɔtsɔ de eme: Wotsɔa gotagome abutment dea nusi wotsɔ dea eme la ŋu. Esia adze vie ne ŋutigbalẽa nya haya ko.
6. Suturing: Wotua afisi wotsoe, woblae, eye wotsɔa aŋe si le dzadzɛ la dea eŋu.
Nu vevitɔ kekeake le amekoko megbe enye nuwɔna aɖe si woyɔna be osseointegration . Kpuie ko la, esiae nye esime wò ƒu tsina le dzɔdzɔme nu ƒo xlã titanium si wotsɔ de eme, eye wo ame evea va doa ka kplikplikpli abe ɖeka ene. Dɔ sia ate ŋu axɔ tso ɣleti ɖeka va ɖo etɔ̃ hafi woawu enu. Le ɣeyiɣi sia megbe la, wotsɔa gotagome gbeɖiɖimɔ̃a dea eme eye wowɔa eŋudɔ ɖe wò tosese nu.
Viɖe kple kuxi kawoe le BAHA ŋu?
Abe atikewɔwɔ ɖesiaɖe ene la, viɖe kple kuxi siaa le esiawo ŋu.
| Viɖewo | Nusiwo gblẽ le eŋu |
|---|---|
| Akɔfafa: Efa ŋutɔ elabena mehiã be woatsɔ naneke ade to me abe tomemɔ̃ siwo wozãna edziedzi ene o. Afɔku si le ŋutigbalẽ ƒe nulɔdɔ ŋu mesɔ gbɔ o. | Ebia be woawɔ dɔ na ame: Nusi gblẽ le eŋu vevitɔe nye be esia bia be woawɔ dɔ na ame. Togbɔ be amekoko sue aɖee esia nye hã la, afɔku aɖewo le amekoko ɖesiaɖe me. |
| Gbeɖiɖi ƒe nyonyome deŋgɔ: Esi gbeɖiɖia yia ƒua gbɔ tẽ evɔ metoa ŋutigbalẽa me o ta la, gbeɖiɖia dea ŋgɔ ŋutɔ. | Afɔku siwo le amekoko me: Togbɔ be ƒã ŋutɔ hã la, dɔlékuiwo, vuvu, alo nusi wotsɔ de ame me ƒe kpododonu ate ŋu adzɔ. |
| Ŋutete be nàgblɔ emetsonuwo ɖi: Hafi woawɔ dɔ na wò la, àte ŋu ate BCHA si menye amekoko o la kpɔ eye nàkpɔ nusiwo ado tso eme ƒe susu. | Nuveviwɔame le ta me: Ne ame aɖe si wotsɔ ta na ame aɖe ƒo ta sesĩe la, afɔku li be dɔlékuiwo naxɔe alo agblẽ nu le nusi wotsɔ de eme ŋu. Eyata ele vevie ŋutɔ be nàdo gakuku ne èle keke dom, dzokeke dom, eye nèle kamedefefe siwo me wodoa ka kple ame nɔewo le wɔm. |
Ɣekaɣie woakpɔ ɖɔkta le amekoko vɔ megbe
Le amekokoa megbe ŋkeke ʋɛ gbãtɔwo (ŋkeke 3-7) la, àte ŋu ase veve kple abi aɖe le teƒe si wodoe ɖo la ŋu. Esia sɔ. Gake ne èkpɔ dzesi siwo gbɔna dometɔ aɖe la, ele be nàte ɖe wò ɖɔkta ŋu enumake .
- Tsi si le abe ʋuʋudedi ene, vuvu, alo dɔlékui ƒe dzesiwo le teƒe si wodoe ɖo.
- To ƒe vevesese sesẽ si nu metsina le atike nono vɔ megbe o.
- Asrã si ƒe ŋutilã ƒe dzoxɔxɔ wu Celsius 38.3 (101 Fahrenheit).
Ðe BAHA kple Cochlear Implant nye nu ɖeka?
Esia nye nusi tɔtɔa ame geɖe. Togbɔ be wo ame evea siaa nye tomemɔ̃ hã la, wowɔa dɔ eye wosɔ na nɔnɔme eve siwo to vovo kura.
- BAHA: Esia wɔa dɔ to gbeɖiɖi ƒe ʋuʋu to taɖu ƒe ƒuwo me ɖoɖo ɖe to ememetɔ (cochlea) si wɔa dɔ nyuie me . Esia fia be esɔ na amesiwo ƒe to ememetɔ ŋu kuxi aɖeke mele o.
- Tomemɔ̃ si Wotsɔ Dea Tome: Esia toa to ememetɔ si gblẽ alo si mewɔa dɔ nyuie o la ŋu keŋkeŋ eye wòʋãa tomeka si sea nu la tẽ.
Kpuie ko la, BAHA le abe tɔdzisasrã si kpena ɖe gbeɖiɖi ŋu wòzɔna yia to ememetɔ me ene. Gake Cochlear Implant nye ɖoɖo si ɖoa elektrikŋusẽ ƒe dzesiwo ɖe lãmeka si yia ahɔhɔ̃a me tẽ na amesi ƒe to ememetɔ mele dɔ wɔm o.
Tosese ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbe dzi. Ate ŋu anye dziɖeleameƒo kple nuteɖeamedzi. Vevietɔ ne tomemɔ̃ siwo wozãna edziedzi mewɔa dɔ o. BAHA nye atikewɔwɔmɔnu si ate ŋu ana ame siwo ŋu nɔnɔme aɖewo le ƒe to nagaɖo to, eye eƒe dzidzedzekpɔkpɔ sɔ gbɔ ŋutɔ (si wu 90%). Ne èdi be yeanya nu geɖe tso esia ŋu la, àte ŋu aƒo nu kple wò ɖɔkta akpɔe ɖa be èdze hã.
Gbedasi si Wotsɔ Yi Aƒeme
- BAHA (Bone-Anchored Hearing Aid) nye egbɔkpɔnu nyui aɖe na amesiwo ƒe to me gblẽ eye womesɔ na tomemɔ̃ siwo wozãna edziedzi o.
- Esia nye mɔnu si dzi woato atsɔ gbeɖiɖi ayi to ememetɔ me to ʋuʋu to taɖu ƒe ƒuwo me, to gbeɖiɖi ƒe mɔ si sɔ le to me dzi.
- Esia bia be woawɔ dɔ sue aɖe, gake enye atikewɔwɔ si kpɔ dzidzedze ŋutɔ eye wòle dedie.
- Ne tosese hã le ŋuwò la, ele vevie be nàdzro eme kple to, ŋɔti, kple ŋɔti (ENT) ŋuti nunyala bibi aɖe be nàkpɔe ɖa be atikewɔwɔ sia sɔ na wò hã.
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