Aleke gbegbe wòtena ɖe ame dzi be woanɔ agbe kple tosese ƒe kuxi aɖee? Ɣeaɖewoɣi la, tomemɔ̃wo zazã edziedzi gɔ̃ hã mate ŋu awɔ dɔ nyuie o, alo wo zazã ate ŋu asesẽ. Eya ta ne ènye amesiwo ŋu nɔnɔme sia le la dometɔ ɖeka la, mègana mɔkpɔkpɔ nabu o. Egbea míele nu ƒom tso mɔ̃ɖaŋununya tɔxɛ aɖe si ate ŋu anɔ vevie ŋutɔ na ame mawo tɔgbe ŋu. Emae nye tomemɔ̃ si kplɔa ƒu, alo abe alesi mí katã míenyae ene la, BAHA-mɔ̃.
Nukae nye tomemɔ̃ si wotsɔa ƒu wɔe (BAHA)?
Enyo, mina míagblɔ nya sia kpuie. Tomemɔ̃ siwo nèkpɔna zi geɖe la wɔa dɔ to gbeɖiɖi ɖoɖo ɖa to tomeka, to titinato me, kple to ememetɔ me. Gake mɔ̃ sia si woyɔna be BAHA ya to vovo vie. Kpuie ko la, enye mɔ̃ sue aɖe si wotsɔa amekoko dea wò tagbɔ ƒe ƒu si le wò to megbe la me.
Esia fia be le esi teƒe be gbeɖiɖi ƒe ƒutsotsoewo naɖo to wò titinato me la, woʋuʋuna to wò taɖu ƒe ƒuwo me tẽ eye woɖoa wo ɖe to si le to me, si nye to ememetɔ si le tsatsam si le vevie na tosese la gbɔ. Míeyɔa nuwɔna sia be "ƒu ƒe ʋuʋu." Ema fia be gbeɖiɖi zɔa mɔ to ƒuawo me.
Tso blema ke la, akpa etɔ̃e nɔa BAHA-mɔ̃a ŋu:
1. Titanium implant: Esia nye nu sue aɖe si wotsɔa amekoko dea taɖu ƒe ƒu me.
2. External connector/abutment: Esia nye akpa si do ƒome kple nusi wotsɔ de eme eye wòdzena vie tso ŋutigbalẽa dzi.
3. Gbeɖiɖimɔ̃: Esiae nye akpa si wodona le gota si xɔa gbeɖiɖiwo tso nutoa me, trɔa wo wozua ʋuʋudedi, eye wòtsɔa wo yia ƒua me.
Nukawoe nye BAHA ƒe ɖoɖo ƒomevi veviwo?
Woate ŋu ama ƒu ƒe tomemɔ̃ siawo ɖe hatsotso vevi eve me. Wò ɖɔkta akpe ɖe ŋuwò nàtia ƒomevi si sɔ na wò nɔnɔmea wu.
| Dɔwɔnuwo ƒe ƒomevi | Nuɖᴐɖᴐ |
|---|---|
| Amekoko si wotsɔ de BAHA me | Esiae nye mɔnu si bɔ wu. Amekola aɖe tsɔ titanium sue aɖe de ƒu si le to megbe la me. Ne ehaya vɔ la, woate ŋu atsɔ gotagome gbeɖiɖimɔ̃ aɖe aƒo ƒu ɖe eŋu be wòate ŋu ase nu. Woate ŋu aɖe gotagome akpa sia ɖa ne èle alɔ̃ dɔm alo le tsi ƒum. |
| BCHA si mewɔa amekoko o | Zi geɖe la, wokafua esia ƒomevi na ɖevi siwo mexɔ ƒe 5 haɖe o kple amesiwo medi be woawɔ dɔ na yewo o. Woate ŋu atsɔ nulénu tɔxɛ aɖe abla mɔ̃ aɖewo ɖe ŋutigbalẽa ŋu. Woate ŋu abla bubuwo ɖe taɖa ŋu eye woado wo ne ehiã. |
Aleke mawɔ anya ne esia sɔ nam?
Nu geɖee afia ne BAHA sɔ na wò. Wò ƒexɔxɔ, atikewɔwɔ ƒe nɔnɔme bubuwo, kple wò tosese ƒe nɔnɔme katã nye nu veviwo. ENT (to, ŋɔti, kple ŋɔti) ŋuti nunyala kple toŋutinunyala ate ŋu aɖo aɖaŋu na wò nyuie wu le esia ŋu.
Nu nyuitɔ kekeakee nye be, àte ŋu ate BCHA-mɔ̃ sia si menye amekoko o la kpɔ le wò ɖɔkta ŋu hafi awɔ dɔ na wò. To mɔ sia dzi la, àte ŋu akpɔ alesi wò tosese anɔ le amekoko vɔ megbe la nyuie.
Nɔnɔme kawo tae wokafu BAHA-mɔ̃wo le?
Zi geɖe la, amesiwo ŋu tosese ƒe kuxi siwo gbɔna le ate ŋu akpɔ nu nyuiwo tso BAHA me:
- Tosese ƒe dɔmawɔmawɔ nyuie alo esi wotsaka: Esia fia be gbeɖiɖi mezɔna nyuie yia to ememetɔ me o le kuxi aɖe si le to gota alo titina ta.
- Axa ɖeka ƒe tokunɔnyenye: Ne to ɖeka sea nu nyuie eye to evelia mesea nu boo aɖeke alo mesea naneke kura o.
Nɔnɔme siwo ate ŋu ana ame ƒe to nasesẽ dometɔ aɖewoe nye:
- Titinato me dɔléle siwo nɔa anyi didi
- Cholesteatoma, si nye ŋutigbalẽ ƒe tsitsi le to me
- Dɔdzẽwo abe gbeɖiɖi ƒe ahɔhɔ̃mekawo ene
- Ménière ƒe dɔlélea
- Aural atresia ( to gota alo titina ƒe dɔmawɔmawɔ nyuie si wodzina ) .
Ne dɔléle sia le ŋuwò la, ƒo nu kple wò ƒomea ƒe ɖɔkta eye , ne ehiã la, nàɖo wò ɖe to, ŋɔti, kple ŋɔti ŋuti nunyala bibi aɖe gbɔ.
Aleke wowɔa amekokoae?
Esia nye amekoko bɔbɔe aɖe si xɔa miniti 30 va ɖo 60 zi geɖe . Nusiwo dzɔna le amekokoa me enye si:
1. Woana atike si naa alɔ̃dɔdɔ wò ale be màse veve aɖeke o. (Esia ate ŋu anye atike si naa alɔ̃dɔdɔ amewo katã alo atike si naa alɔ̃dɔdɔ le teƒea si naa teƒe si ŋu nya ku ɖo ko tsia dzodzodzoe).
2. Woɖea lã sue aɖe ɖe ŋutigbalẽ si le to megbe la me.
3. Wowɔa do sue aɖe ŋutɔ ɖe mastoid ƒu si nye taɖua ƒe akpa aɖe le to megbe.
4. Wotsɔa titanium si wotsɔ dea nu me la dea do ma me. Le nyateƒe me la, esia nye kakɛ sue aɖe si ƒe lolome anɔ abe pea ƒe afã ene.
5. Wotsɔa gotagome kadodo (abutment) aɖe dea nusi wotsɔ de eme la ŋu. Esia adze vie tso ŋutigbalẽa me ne ŋutigbalẽa nya haya ko.
6. Mlɔeba la, wotsɔa ka blaa abi la hetsyɔa edzi.
Le amekoko vɔ megbe la, ele be wò ƒua nawɔ ɖeka kple titanium si wotsɔ dea ƒu me (osseointegration). Abe alesi numiemie ƒe kewo léa anyigba ene. Zi geɖe la , esia ate ŋu axɔ tso ɣleti ɖeka va ɖo etɔ̃ . Ɣeyiɣi sia toa vovo le wò ŋutilã ƒe ŋutete be wòada gbe le ame ŋu nu. Ne wowu fusion sia nu vɔ ko hafi wotsɔa gotagome gbeɖiɖimɔ̃a doa ka kple mɔ̃a eye woʋua mɔ̃a.
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 naneke meli woatsɔ ade tomeka me abe tomemɔ̃ si wozãna edziedzi ene o. Afɔku si le ŋutigbalẽ ƒe nulɔdɔ ŋu mesɔ gbɔ o. | Ebia be woawɔ dɔ nɛ: Nusi gblẽ le eŋu vevitɔe nye be ehiã be woawɔ dɔ nɛ hafi aɖɔe ɖo. Togbɔ be amekoko sue aɖee wònye hã la, afɔku sue aɖewo li, abe alesi wòle le amekoko ɖesiaɖe gome ene. |
| Gbeɖiɖi ƒe nyonyome nyui: Gbeɖiɖia ƒe nyonyome de ŋgɔ elabena gbeɖiɖia metoa ŋutigbalẽa me o, ke boŋ yia ƒua me tẽ. | Afɔku si le kuxiwo me: Ƒã ŋutɔ hafi dɔlékuiwo, vuvu, alo nusi wodo ɖe lãme na ame ƒe kpododonu ate ŋu adzɔ le afisi wodoe ɖo. |
| Nusiwo dona tso eme nyanya do ŋgɔ: Hafi woawɔ dɔ na ame la, àte ŋu akpɔ mɔ̃ aɖe si menye amekoko o, ale be nàte ŋu akpɔ emetsonuwo nyuie. | Ta ƒe abixɔxɔ:Ne ame aɖe si do BAHA la ƒo ta (e.g. afɔku aɖe) la, afɔku li be dɔlékuiwo naxɔe alo agblẽ nu le nusi wotsɔ de eme ŋu. Eyata ele vevie ŋutɔ be nàdo gakuku ne èle kamedefefe wɔm alo le keke/dzokeke dom. |
Eƒe hayahaya kple ɣeyiɣi si wòle be woakpɔ ɖɔkta
Le ŋkeke 3-7 gbãtɔ siwo le amekokoa megbe la, vevesese kple abi aɖe ate ŋu anɔ teƒe si wodoe ɖo. Esia sɔ.
Nu vevitɔ kekeake: Màte ŋu azã BAHA la le amekoko vɔ megbe teti o. Abe alesi míegblɔe va yi ene la, ele be nàlala vaseɖe esime ƒua nawɔ ɖeka kple ƒu si wotsɔ de eme la keŋkeŋ.
Ne nusi wotsɔ de eme la haya vɔ la, wò ɖɔkta alo toŋutinunyala atsɔ gbeɖiɖimɔ̃ si le gota la asɔ, atrɔ asi le eƒe ɖoɖowo ŋu wòasɔ na wò, eye wòafia alesi nàɖee ahagbugbɔe ade eme la wò.
Ne ehiã be nàƒo ka na ɖɔktaa enumake
Ne èkpɔ dzesi siwo gbɔna le amekokoa megbe la, na wò ɖɔkta nanya enumake:
- Dɔlékuiwo, vuvu, alo tsi si le abe ʋuʋudedi ene si le dodom tso teƒe si wodoe ɖo.
- Tomeve si medzona le vevesesenutsitikewo nono vɔ megbe o.
- Asrã si wu Fahrenheit 101 (Celsius 38.3) ƒe amesinɔnɔ .
Vovototo si le BAHA kple Cochlear Implant dome
Togbɔ be nusiawo evea siaa nye tomemɔ̃ siwo wotsɔ dea ame me hã la, alesi wowɔa dɔe la to vovo kura.
- BAHA: Woɖoa gbeɖiɖi ƒe ʋuʋu to taɖu ƒe ƒuwo me yia to ememetɔ me .
- Cochlear Implant: Wozãa esia na amesiwo ƒe to ememe gblẽ vevie. Esia toa to ememetɔ ŋu keŋkeŋ eye wòʋãa tomeŋusẽa tẽ .
Eyata ɖɔktawo nɔa te ɖe wò tosese ƒe kuxia ƒe nɔnɔme dzi tsoa nya me le eveawo dometɔ si sɔ ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- BAHA nye mɔ̃ɖaŋununya si kpɔ dzidzedze si wozãna na tomekuxi ƒomevi aɖewo siwo mewɔa dɔ nyuie le tomemɔ̃ siwo wozãna edziedzi me o.
- Esia wɔa dɔ to ʋuʋu to taɖu ƒe ƒuwo me, le esi teƒe be wòaɖo gbeɖiɖi to tomeka me.
- Wole ƒomevi vevi eve: amekoko kple esiwo menye amekoko o.
- Togbɔ be esia bia be woawɔ dɔ sue aɖe hã la, eƒe dzidzedzekpɔkpɔ sɔ gbɔ ŋutɔ (wu 90%).
- Mɔ nyuitɔ kple ɖeka kolia si dzi nàto anya ne esia sɔ na wòe nye be, .Aɖaŋuɖoɖo kple to, ŋɔti, kple ŋɔti ŋuti nunyala bibi (ENT).
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