Ðe tosese me kuxiwo hã le fu ɖem na wòa? Ate ŋu anye (Conductive Hearing Loss)!

Ðe wòsesẽna na wò ɣeaɖewoɣi be nàse nya siwo gblɔm wole eme kɔ nyuiea? Alo ɖe nèsea gbeɖiɖi suesuesuewo ɣesiaɣia? Ðewohĩ èse le ɖokuiwò me be ye ŋutɔ yeƒe gbe sesẽ wua? Ne nusiawo bɔ ɖe ŋuwò la, ele vevie ŋutɔ be nànya nɔnɔme sia si ŋu míele nu ƒom tsoe egbea, si woyɔna be `(Conductive Hearing Loss)`. Mègatsi dzi o, esia nye nusi woate ŋu ada ahadae le go geɖe me.

Nukae nye ``(Conductive Tosese)``? Mina míase egɔme bɔbɔe, alo?

Kpuie ko la, Conductive Hearing Loss nye ne mɔxenu aɖe le alesi gbeɖiɖi ƒe ƒutsotsoewo zɔna tso wò to ƒe gota gome yia to ememetɔ me. Bu eŋu abe tsi ƒe pɔmpi si xe le titina ƒe teƒe aɖe eye wòdzudzɔ sisi ene. Nusi dzɔna le afisiae nye be gbeɖiɖi mate ŋu ato eme nyuie o.

Míaƒe to ma ɖe akpa etɔ̃ me: to gota, to titina, kple to ememetɔ. Be míate ŋu ase gbeɖiɖi la, ele be gbeɖiɖi ƒe ƒutsotsoeawo nato to gotatɔ me, woaʋuʋu to ƒu sue etɔ̃ (siwo woyɔna hã be ossicles) me le titinato me, eye mlɔeba woaɖo to ememetɔ ƒe akpa si sea nu gɔme si woyɔna be cochlea. Conductive Hearing Loss dzɔna ne mɔxenu aɖe le gbeɖiɖimɔ sia ƒe teƒe aɖe, le to gota alo titinato me. Esia ate ŋu ana gbeɖiɖi sesẽwo naɖi ʋeʋĩ alo aɖiɖi. Ɣeaɖewoɣi la, gbeɖiɖi siwo me ɖoɖoezizi le ŋutɔ ate ŋu adzo le ame ŋu. Wogayɔa esia be Tosese ƒe Dɔmawɔmawɔ nyuie.

Nɔnɔme sia bɔ ɖe ɖevi suewo dome ŋutɔ . Numekuku aɖe ɖee fia be ɖevi siwo xɔ ƒe siwo de suku la dometɔ siwo ade 19% ƒe tosese ƒomevi aɖe le wo ŋu, eye wo dometɔ 93% tso ``Conductive Hearing Loss.`` Gake ema mefia be medzɔna ɖe ame tsitsiwo dzi o. Ame tsitsiwo hã ate ŋu axɔ nɔnɔme sia. Ɣeaɖewoɣi la, enɔa anyi ɣeyiɣi kpui aɖe ko, eye ɣeaɖewoɣi la, enɔa anyi ɖaa. Eye ate ŋu atso esi nu mesẽ o dzi va ɖo esi nu sẽ dzi. Akpa nyuitɔ kekeakee nye be zi geɖe la, woate ŋu adae to atikewɔwɔ me.

`(Conductive Hearing Loss)` ƒomevi vevi eve li

Woate ŋu akpɔ mɔnu vevi eve le esia me:

1. `Unilateral conductive hearing loss`: Esia gblẽa nu le to ɖeka ko ŋu.

2. `Bilateral conductive hearing loss`: Esia gblẽa nu le to eveawo siaa ŋu.

Nukae nye `(Conductive Hearing Loss)` ƒe dzesiwo? Ðe esiawo hã le asiwòa?

Kpɔe ɖa be dzesi siawo dometɔ aɖe le ŋuwò hã:

• Sese le mía ɖokui me be míeda sɔ o ne míele zɔzɔm (esia tso kuxi siwo le ``Vestibular system'' si le míaƒe to ememetɔ me gbɔ).
• Vevesese le to me .
• Nyaƒoɖeamenu alo kpekpeme ƒe seselelãme le to me.
• Gbeɖiɖi si nye "clicking" le to me, alo gbeɖiɖi si le ɖiɖim .
• Gbeɖiɖiwo sese le to ɖeka alo evea siaa me siwo dze abe ɖe wotɔ eye womekɔ o ene .
• Ewɔna nam abe ɖe nàte ŋu ase wò ŋutɔ wò gbe sesĩe wu ne èle nu ƒom ene.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ.

Nukatae míetua `(Conductive Hearing Loss)` ɖo? Nukawoe gbɔ wòtsona?

Abe alesi míegblɔe va yi ene la, nɔnɔme sia dzɔna ne gbeɖiɖi ƒe ƒutsotsoewo mete ŋu ɖo `(Cochlea)` si le míaƒe to ememetɔ me o. `(Cochlea)` nye akpa vevitɔ si kpena ɖe mía ŋu míesea nu. Eyata, susu bɔbɔewo kpakple susu siwo sesẽ vie siwo ate ŋu ado kplamatse gbeɖiɖi sia ƒe kaka hã li.

Nu vevi siwo gbɔ Conductive Hearing Loss tsona dometɔ aɖewoe nye esi:

• Tome ƒe ʋuʋu: Esia nye nusi gbɔ wòtsona zi geɖe ŋutɔ. Ne tomeka geɖe ƒo ƒu ɖe to me eye wòsesẽ la, exea mɔ na gbeɖiɖi ƒe zɔzɔ.
• Dutanuwo (fremdkörper) siwo tsi to me: Nɔnɔme sia ate ŋu adzɔ hã ne ɖevi suewo, vevietɔ ne wole fefem, tsɔ nuwo abe dzonu alo peas ene de woƒe to me.
• To me dɔlékuiwo: Tomedɔlélewo , vevietɔ esiwo dzɔna enuenu eye womehayana o (siwo nɔa anyi didi) ate ŋu ana tsi naƒo ƒu ɖe to titina, si axe mɔ na gbeɖiɖi ƒe kaka.
• To me dɔdzẽ, ƒunukpeƒetetedɔ, alo tsitsi bubuwo abe ``Cholesteatoma'': Nu siawo ateŋu ado kplamatse gbeɖiɖi hã ne wole to me.
• Eustachian tube ƒe dɔmawɔmawɔ nyuie: Tube sia doa ka kple míaƒe titinato kple míaƒe ŋɔti. Ne mewɔ dɔ nyuie o la, nyaƒoɖeamenu si le to titina ate ŋu atrɔ eye tsi ate ŋu aƒo ƒu.
• Tsi ƒe ƒoƒo ɖe to titina le nuwo abe vuvɔ ene ta: Ne ʋuʋudedi ƒo ƒu la, tsi ate ŋu aƒo ƒu ɖe titinato me eye wòado kplamatse tosese.
• Otosclerosis: Esia nye nɔnɔme si me ƒu ƒe tsitsi si mesɔ o dzɔna le ƒu sue siwo le titinato me ŋu. Esia gblẽa ƒu mawo ƒe ʋuʋu me eye wòdoa kplamatse gbeɖiɖi ƒe kaka.
• Tomeka si gbã: Tomeka ate ŋu agbã ne woƒo to sesĩe alo ne tomedɔléle aɖe nu sẽ ɖe edzi.

Nusiwo gbɔ ɖevi suewo tsona wue nye to me dɔléle enuenu kple nuwo dede to me . Le ame tsitsiwo gome la , zi geɖe la , to ƒe abi alo lãmesẽkuxi bubu aɖe gbɔe nɔnɔme sia tsona .

Afɔku Siwo Dzia Afɔku Si Le Tosese ƒe Dɔmawɔmawɔ Nyuie Me Dzi Ðe Edzi

Nu aɖewo li siwo ateŋu adzi afɔku si le ``Conductive Hearing Loss'' xɔxɔ me ɖe edzi. Ne womewɔ atike na nɔnɔme siawo nyuie o la, ate ŋu ana ame nase nu tegbee.

• To ƒe dɔmawɔmawɔ nyuie si wodzina: Nɔnɔme sia ateŋu atso kuxi siwo wodzina abe `(Microtia)` (to ƒe tsitsi si mesɔ o) kple `(Atresia)` (to ƒe ʋuʋu ƒe anyimanɔmanɔ alo tsitsi si mesɔ o) gbɔ.
• To me dɔlékui siwo nɔa anyi didi: Ne tsi ƒo ƒu ɖe titinato me eye wònɔa anyi evɔ meda gbe le eŋu o la, afɔku si le Conductive Hearing Loss me dzina ɖe edzi.
• To ƒe wɔwɔme ƒe gbegblẽ: Ƒu sue etɔ̃ (ossicles) siwo le míaƒe towo me siwo tsɔa gbeɖiɖi yia to la ate ŋu agblẽ, le abi si woxɔ le to ŋu alo nɔnɔme aɖe abe to ƒe ʋuʋu ene ta.

Aleke ɖɔktawo wɔa dea dzesi Conductive Hearing Loss?

Ne tosese ƒe kuxi aɖe le ŋuwò la, ele be afɔɖeɖe gbãtɔ nanye be nàyi to, ŋɔti, kple ŋɔti ƒe ɖɔkta (to kple toŋutinunyala) gbɔ . Ado wò kpɔ. Abia nya tso wò dzesiwo kple nenye be wò ƒomea me tɔ aɖe to kuxi mawo tɔgbe me hã ŋu. Le kpɔɖeŋu me, woate ŋu abia nyawo abe:

• "Ɣekaɣie nède dzesii zi gbãtɔ be yeƒe to megale to ɖom o?"
• "Ðe esia dzɔ kpataa, alo ɖe wòdzi ɖe edzi vivivia?"
• "Ðe akpa ɖeka kpɔa ŋusẽ ɖe ame dzi wu akpa kemɛa?"
• "Ðe to me dɔlékuiwo nɔ ŋuwò kpɔ?"
• "Èse veve, nyaƒoɖeamenu, alo ɖiɖi aɖe le wò to mea?"
• "Ðe ame aɖe le wò ƒomea me si ƒe to me gblẽa?"

Emegbe ɖɔktaa ado wò to ƒe gota gome kpɔ to eƒe eme kpɔkpɔ kple asikaka eŋu me. Azã dɔwɔnu sue aɖe si me akaɖi le si woyɔna be otoscope atsɔ alé ŋku ɖe to la me akpɔe ɖa be to ƒe wɔwɔme xe alo nane si mesɔ o hã.

Dodokpɔ kawoe wowɔna be woatsɔ anya dɔléle sia pɛpɛpɛ?

Le ŋutilãmedɔdada vɔ megbe la, toŋutinunyala alo toŋutinunyala abia tso asiwò be nàwɔ tomedodokpɔ geɖe . Wo dometɔ aɖewoe nye:

• Acoustic reflex test: Esia doa alesi lãmeka sue aɖe si le wò titinato me wɔa nui ne gbeɖiɖi sesẽwo ɖii la kpɔna.
• Ƒu ƒe ʋuʋu dodokpɔ: Esia ɖoa gbeɖiɖi ɖe wò to ememetɔ tẽ eye wòkpena ɖe ŋuwò nènyaa tosese ƒe kuxi ƒomevi si le ŋuwò.
• Otoacoustic emissions (OAEs): Esia dzidzea ʋuʋudedi siwo do ƒome kple gbeɖiɖi siwo tso wò to ememetɔ me be woakpɔe ɖa be mɔxenu aɖewo li hã.
• `(Pure-tone audiometry)`: Esia ateŋu anya gbeɖiɖi si bɔbɔ wu si nàteŋu ase le gbeɖiɖi vovovowo me.
• `(Nuƒoƒo ƒe odiometry)`: Esia doa alesi nàte ŋu ade dzesi nyawo nyuie kple nya siwo nye nya siwo me ɖoɖoezizi le wu siwo nàte ŋu agbugbɔ agblɔ la kpɔna.
• Tuning fork dodokpɔwo: Dodokpɔwo abe Rinne dodokpɔ kple Weber ƒe dodokpɔ ene ate ŋu akpe ɖe ŋuwò nànya ne conductive hearing loss alo tosese ƒe kuxi bubu aɖe, si woyɔna be sensorineural hearing loss, le ŋuwò.
• Tympanometry: Esia dzidzea alesi wò tomeka ʋãna kple alesi wòwɔa nu ɖe ​​gbeɖiɖi ŋui.

Tsɔ kpe ɖe tomedodokpɔ siawo ŋu la, ahiã be ɖɔktaa nawɔ nu siwo gbɔna hã:

• Tagbɔ ƒe lãmeka dodokpɔ
• Ta kple kɔ dodokpɔ
• Scanwo abe `(MRI (magnetic resonance imaging))` alo `(CT scan (kɔmpiuta tomography scan))`.

Nukae nye atikewɔwɔ na `(Conductive Hearing Loss)`?

Atikewɔwɔ si sɔ na wò anɔ te ɖe nusi gbɔ wò tosese ƒe kuxia tso dzi. Le wò nɔnɔmea nu la, woate ŋu ada to ƒe dɔmawɔmawɔ nyuie le mɔ siwo gbɔna nu:

• Kpɔkpɔ nyuie: Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu akafui gbã be “wòalala nyuie.” Esia fia be woalé ŋku ɖe wò tosese ŋu hena ɣeyiɣi aɖe. Ne wò tosese gagblẽ ɖe edzi la, woawɔ atikewɔwɔ ƒe ɖoɖo.
• Tomemɔ̃wo: Tomemɔ̃wo kple kpekpeɖeŋunu mawo tɔgbe ate ŋu akpe ɖe ŋuwò nàse nu nyuie wu to gbeɖiɖia dodo ɖe ŋgɔ kple asitɔtrɔ le eŋu me.
• Atikewo: Ne dɔlékui aɖe gbɔe wò to me gblẽ la, ahiã be nàno atike. Wò ɖɔkta ate ŋu aŋlɔ nusiawo na wò le tomeka alo atikekuiwo ƒe nɔnɔme me.
• Amekoko: Ne dɔdzẽ, ƒunukpeƒetetedɔ, alo tsitsi bubu aɖe le mɔ xem na gbeɖiɖi be wòagaɖo to ememetɔ gbɔ o la, ahiã be woawɔ dɔ nɛ be woaɖee ɖa. Ate ŋu ahiã hã be woawɔ dɔ na ame be woatsɔ aɖɔ ƒu sue siwo gblẽ (ossicles) siwo gblẽ le toa me ɖo.

Nu vevitɔ kekeakee nye be atike aɖe li na dɔléle sia. Eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo vɔvɔ̃ manɔmee.

Nukae nye etsɔme na amesiwo ŋu `(Conductive Hearing Loss)` le? (Nukpɔsusu) .

Zi geɖe la, nɔnɔme sia nyona ɖe edzi ne wowɔ atike nɛ. Zi geɖe la, woate ŋu ada Tosese si kplɔa ame, alo ana wòanyo ɖe edzi ŋutɔ ne mede ɖeke o la, ne wozã atikewo, tomemɔ̃wo, alo amekoko.

Ðe woate ŋu axe mɔ ɖe Tosese ƒe Dɔmawɔmawɔ nyuie nua?

Womate ŋu axe mɔ ɖe Tosese ƒe Dɔmawɔmawɔ nyuie nu ɣesiaɣi o, vevietɔ ne to ƒe ƒuwo ƒe tsitsi si mesɔ o alo kuxi aɖe si wodzina le to ƒe wɔwɔme ŋu gbɔe wòtso. Gake àte ŋu awɔ nu siwo gbɔna be nàɖe wò afɔkua dzi akpɔtɔ:

• Mègatsɔ naneke de to me o. Kotoklobo gɔ̃ hã menyo o.
• Ne to me dɔlékui aɖe dze dziwò la, di atike nɛ enumake.
• Kpɔ ɖɔkta edziedzi eye nàna woalé ŋku ɖe wò to ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne esiawo dometɔ aɖe le ŋuwò la, gblɔe na ɖɔkta enumake :

• Ne wò tosese le gbegblẽm ɖe edzi vivivi la .
• Ne wò to megate ŋu sea nu o zi ɖeka (vevietɔ le to ɖeka me).
• Tsɔ kpe ɖe tosese ƒe kuxiwo ŋu la, ne dzesi bubuwo abe to ƒe vevesese, taɖuame, lãmetutudɔ, kple gbɔdzɔgbɔdzɔ ene li .

Nya kawoe wòle be mabia nye ɖɔkta?

Ne `(Conductive Hearing Loss)` le ŋuwò la, anyo be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• "Atikewɔwɔ ka ƒomevie mehiã?"
• "Nukae mateŋu akpɔ mɔ na tso atikewɔwɔa me?"
• "Zi nenie wòahiã be matrɔ ava hena sasrãkpɔ siwo akplɔe ɖo?"
• "Ðe nye tosese ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbea?"
• "Nu bubu kawoe nèkafu?"

Tosese ƒe Dɔmawɔmawɔ nyuie ate ŋu ana agbea nasesẽ vie. Ate ŋu ase le eɖokui me abe ha si nèlɔ̃ wu alo xeviwo ƒe ɣlidodo le gota ƒe ɖiɖi le vɔvɔm vivivi ene. Enye nusi sɔ be nàlé blanui, vɔvɔ̃, dziku, kple dziɖeleameƒo le esia ta. Gake nya nyui aɖe li: Zi geɖe la, woate ŋu ada Tome ƒe Dɔmawɔmawɔ nyuie to atikewɔwɔ me. Zi alesi nènya nusi gbɔ wòtso kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be wò tosese nagaɖo ŋuwòe. Ne èsusu be Conductive Hearing Loss ate ŋu anɔ ye alo viwòa ŋu la, ke yi ɖɔkta gbɔ enumake.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata fifia èse `(Conductive Hearing Loss)` si ŋu míeƒo nu tsoe egbea gɔme nyuie. Nu vevi siwo dzi wòle be woaɖo ŋkui lae nye esi:

• Conductive Hearing Loss nye ne woxe mɔ na gbeɖiɖi be wòagaɖo wò to ememetɔ gbɔ o.
• Susu geɖewo ate ŋu akpɔ ŋusẽ ɖe esia dzi, abe tomeka, dɔlékuiwo, nane si gena ɖe to me, kple to ƒe wɔwɔme ƒe kuxiwo ene.
• Esia bɔ ɖe ɖevi suewo dome ŋutɔ, gake ate ŋu adze ame tsitsiwo hã dzi.
• Ne èse le ɖokuiwò me be yeƒe nusese dzi ɖe kpɔtɔ, vevesese, alo nyaƒoɖeamenu le yeƒe to me la, mègaŋe aɖaba ƒu edzi o.
• Nu vevitɔe nye be atike nyuiwo li na dɔléle sia. Ne èyi atikewɔƒe kaba la, zi geɖe la, àte ŋu ahaya keŋkeŋ.
• Mègade naneke wò to me ne èle eŋu kɔm o. Ne to me dɔlékui aɖe dze dziwò la, di atike na wò enumake.

Wò towo xɔ asi ŋutɔ, eyata lé be na wo. Ne ɖikeke aɖe le mewò le nane ŋu la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi me o.

` conductive hearing loss, tosese ƒe dɔmawɔmawɔ nyuie, to ƒe dɔléle, tomemɔ̃, tomeka, titinato, to ƒe dɔlékui, tomemɔ̃