Ðe tosese hã le ŋuwòa? Mina míasrɔ̃ nu tso (Sensorineural Hearing Loss) ŋu!

Ðe wòsesẽ na wò kpɔ be nàse ame aɖe ƒe nuƒoƒoa? Alo, ɖe wòva hiã be nàdzi television la ƒe gbeɖiɖi ɖe dzi kpɔa? Ate ŋu atso to ƒe kuxi aɖe gbɔ. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu, si nye `(Sensorineural Hearing Loss)` alo `(SNHL)`. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe.

Nukae Nye Sensorineural Hearing Loss?

Kpuie ko la, `(Sensorineural Hearing Loss)` nye tosese ƒe kuxi si tso wò to ƒe akpa si le eme ƒe gbegblẽ gbɔ (`(to ememetɔ)`) . Bu eŋu kpɔ, ɖa ƒe lãmenugbagbevi suesuesuewo (`(hair cells)`) le míaƒe towo me siwo léa gbeɖiɖi ƒe ƒutsotsoewo hetrɔa wo wozua dzesi siwo ahɔhɔ̃a ate ŋu ase. Esiawo wɔa dɔ abe nuƒomɔ̃ ene. Eyata, ne `(taɖa ƒe lãmenugbagbeviwo)` siawo gblẽ la, míesea gbeɖiɖi boo aɖeke o.

Nɔnɔme sia ate ŋu atso asrã kpata, abi si wòxɔ le ta, alo toɣliɖeɖe sesẽ aɖe, abe bɔmb si wotɔ ene, gbɔ. Ɣeaɖewoɣi la, tosese sia ate ŋu agblẽ ɖe edzi vivivi ne èle tsitsim. Azɔ hã, wodzia ame aɖewo kple nɔnɔme sia.

Ne SNHL le ŋuwò la, ɖewohĩ màte ŋu ase nyawo blewu o. Ne èse toɣliɖeɖe sesẽwo gɔ̃ hã la, ɖewohĩ màte ŋu ase wo nyuie o, eye àte ŋu aɖi toɣliɖeɖe gɔ̃ hã. Nublanuinyae nye be ɖa ƒe lãmenugbagbevi siawo siwo gblẽ mate ŋu agbugbɔ awɔ alo ada gbe le wo ŋu o . Eyata zi geɖe la, SNHL nyea dɔléle si nɔa anyi ɖaa . Gake mègatsi dzi o, ne tomemɔ̃wo kpe ɖe ŋuwò la, àte ŋu ana wò tosese nanyo ɖe edzi ŋutɔ eye nànɔ agbe si sɔ.

Ðe esia ƒomevi aɖewo lia?

Ẽ, `(Sensorineural Hearing Loss)` ƒomevi vevi geɖewo li. Na míakpɔ nusiwo wonye ɖa:

• `(Unilateral sensorineural hearing loss)`: Esia nye esime wò to me gblẽ le to ɖeka ko me .
• `(Bilateral sensorineural hearing loss)`: Le esia me la, to eveawo ƒe to me gblẽna .
• Asymmetrical sensorineural hearing loss: Le go sia me la, to eveawo megate ŋu sea nu nyuie o, gake to ɖeka nye tokunɔ wu evelia .
• `(Sudden sensorineural hearing loss)`: Esia nye atikewɔwɔ kpata . Esia nye ne kasia wò to megate ŋu sea nu o le gaƒoƒo 72 me le abi, dɔléle, alo toɣliɖeɖe sesẽ aɖe me (bu dzokeke ƒe ɖiɖi le Ƒe Yeyea me, tudada ŋu kpɔ). Ne edzɔ alea la, ele be nàyi ɖɔkta gbɔ enumake.

Aleke gbegbee nɔnɔme sia bɔe?

Sensorineural Hearing Loss, vevietɔ esi do ƒome kple ƒexɔxɔ, nye tosese ƒe kuxi siwo bɔ wu siwo wokpɔna le ame tsitsiwo ŋu la dometɔ ɖeka . Ebɔ ɖe amesiwo xɔ tso ƒe 50 va ɖo ƒe 70 dzi wu.

``Sudden sensorineural hearing loss'' nɔnɔme si míeyɔ va yi, si fia be ame ƒe to megasea nu kpata le ŋkeke ʋee aɖewo me la, gblẽa nu le ame abe ɖeka va ɖo ade ene le ame 5,000 me ƒe sia ƒe. Ema fia be ƒã vie.

Nukawoe nye dzesiawo?

Ne `(Sensorineural Hearing Loss)` le ŋuwò la, kpɔe ɖa be dzesi siawo hã le ŋuwò hã:

• Ðe nèsena le ɖokuiwò me be ele bɔbɔe be yease nya siwo ame siwo ƒe gbe goglo la gblɔna wu amesiwo ƒoa nu kple gbe sesẽa?
• Ðe wòsesẽna be míase nya siwo wogblɔna le teƒe siwo amewo sɔ gbɔ ɖo, eye toɣliɖeɖe le la gɔmea? Le kpɔɖeŋu me, le keteke me, le bɔs me, alo le fiase me.
• Ne ame bubuwo le nu ƒom la, ɖe nèsea woƒe ɣlidodo, si me kɔ oa?
• Ðe gbeɖiɖi aɖe si le ɖiɖim (`(tinnitus)`) le dodom tso wò to mea ?
• Ne ame geɖe le dze ɖom ɖekae la, ɖe wòsesẽna be woakplɔ dzeɖoɖoa ɖoa?
• Ðe nu siwo nèsena la ɖina kpekpe, womekɔna o, eye womeɖea to oa?

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

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Nu vevitɔ si gbɔ `(Sensorineural Hearing Loss)` tsonae nye to ememetɔ ƒe gbegblẽ . Etɔxɛe la, etsoa ɖa ƒe lãmenugbagbevi suesuesuewo (`(taɖa ƒe lãmenugbagbeviwo)`) siwo le to ememetɔ ƒe akpa si woyɔna be `(cochlea)` si léa gbeɖiɖi, alo lãmeka (`(vestibulocochlear nerve)`) si tsɔa gbeɖiɖi ƒe dzesiwo yia ahɔhɔ̃a me la ƒe gbegblẽ alo tsɔtsrɔ̃ gbɔ.

Wodzia ame aɖewo kple nɔnɔme sia, abe le esi oxygen ƒe anyimanɔmanɔ le fugboea ƒe tsitsime ta ene. Ame bubuwo hã dzea eŋu le woƒe tsitsime, le dɔléle vovovowo, abixɔxɔ, toɣliɖeɖe sesẽwo ƒoƒo (le kpɔɖeŋu me, ame si le dɔ wɔm le dɔwɔƒe aɖe la nɔa mɔ̃wo ƒe ɖiɖi me ɣeyiɣi didi aɖe), alo le tsitsi si sɔ ta ko.

Nukawoe nye afɔku siwo le eme?

Afɔku nye nane si dzia mɔnukpɔkpɔ si li be woaxɔ dɔléle aɖe ɖe edzi. Afɔku geɖe li siwo ate ŋu akpɔ ŋusẽ ɖe SNHL ƒe dzɔdzɔ dzi:

• Acoustic neuroma: Esia nye dɔdzẽ si menye kansa o si dona le to me. Ate ŋu ade to ememetɔ dzi eye wòagblẽ nu le tosese ŋu.
• Tsitsi: Ne míele tsitsim la, ɖa ƒe lãmenugbagbevi nyui siwo le to me la gbɔdzɔna vivivi. Esia sɔ.
• Ménière ƒe dɔléle: Esia nye to me dɔléle si nɔa anyi didi si ate ŋu ahe dzesiwo abe vertigo (taɖuame) kple tinnitus (toɣliɖeɖe sese le to me) vɛ.
• Atike aɖewo (`(Ototoxicity)`): Atike aɖewo (le kpɔɖeŋu me, kansatike aɖewo, dɔlékuiwutike aɖewo) ate ŋu agblẽ nu le to ememetɔ ŋu abe eƒe nugbegblẽ le ame ŋu ene.
• Dɔléle ƒe nɔnɔme aɖewo (`(Systemic conditions)`):Dɔléle aɖewo, abe suklidɔ kple taɖuame ene, ate ŋu agblẽ ʋu ƒe sisi ɖe to ememetɔ me alo ana vestibulocochlear nerve navuvu.
• Ahɔhɔ̃ ƒe abi si nu sẽ: Ne woƒo ta vevie la, ate ŋu agblẽ nu le to ememetɔ ŋu, agblẽ ʋu ƒe sisi me, eye wòana nyaƒoɖeamenu si le taɖua me nadzi ɖe edzi. Esiawo katã ate ŋu ahe SNHL vɛ.

Ɣeaɖewoɣi la, ɖɔktawo mete ŋu kpɔa nusi tututu gbɔ esia tso o . Le nɔnɔme siawo tɔgbe me la, woyɔnɛ be ``idiopathic SNHL''.

Aleke nèwɔ de dzesi esia?

Ne èsusu be tosese ƒe kuxi aɖe le ye ŋu la, nu gbãtɔ si wòle be nàwɔe nye be nàyi ɖɔkta gbɔ, vevietɔ to, ŋɔti, kple ŋɔti ŋuti nunyala bibi (to kple tomedɔdala alo ENT-dɔdala).

Ðɔktaa ase le wò to me gbã eye wòalé ŋku ɖe ememe . Emegbe la, woatsɔ dɔwɔnu sue aɖe si me akaɖi le si woyɔna be ``otoscope'' akpɔ wò to me .

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu abia nyawo abe:

• Ðe wò tosese ƒe kuxia dzɔ kpata loo alo vivivia?
• Ne vivivi la, ɣekaɣie esia dze egɔme?
• Ðe nèsea nu nyuie wu le to ɖeka me wu evelia?
• Ðe nèdze dɔ nyitsɔ laa? Ðe wòxɔ abi le ta me kpɔa?
• Ðe ame aɖe si ƒe to me gblẽ le wò ƒomea mea?

Dodokpɔ kawoe wowɔna?

Eyome ahiã be nàna toseŋutinunyala (toŋutinunyala) nawɔ tosese ƒe dodokpɔ tɔxɛ aɖewo be wòanya alesi tututu wò tosese le. Dodokpɔ siawo ate ŋu akpe ɖe ŋuwò nànya ne SNHL alo tosese ƒomevi bubu aɖe le ŋuwò.

Dodokpɔ mawo dometɔ aɖewoe nye esi:

• Acoustic reflex test: Esia doa alesi lãmeka sue aɖe si le wò to titina (si nye stapedial muscle) ƒoa sesĩe le gbeɖiɖi sesẽ aɖe ta.
• Ahɔhɔ̃ ƒe dɔwɔwɔ le to me: Esia bia be woatsɔ elektrikŋusẽnamɔ̃ suesuesuewo abla wò ta, ana nàse gbeɖiɖi vovovowo, eye nàdzidze alesi wò ahɔhɔ̃mekawo wɔa nu ɖe ​​wo ŋui.
• Ƒu ƒe ʋuʋu dodokpɔ: Esia ɖoa gbeɖiɖi ɖe wò to ememetɔ me tẽ. Esia kpena ɖe ŋuwò nènyaa tosese ƒe kuxi ƒomevi si le ŋuwò.
• Otoacoustic emissions (OAEs): Esia dzidzea ʋuʋudedi siwo tsoa wò to me, si do ƒome kple gbeɖiɖi. Esia ate ŋu afia nenye be to aɖe xe alo ne to me gblẽ.
• `(Pure-tone audiometry)`: Afi siae nèkpɔa gbeɖiɖi siwo nàte ŋu ase le sesẽme vovovowo (`(frequencies)` alo gbeɖiɖi ƒe sesẽme).
• `(Nuƒoƒo ƒe odiometry)`: Esia doa alesi nèse nyawo gɔme nyuie kple alesi nàte ŋu agbugbɔ nya si gblɔm wole blewu la kpɔna.
• Tuning fork dodokpɔwo:Dodokpɔwo abe `Weber ƒe dodokpɔ` kple `Rinne dodokpɔ`. To, ŋɔti kple ŋɔti ŋuti nunyala ate ŋu awɔ esiawo. Esia ateŋu akpeɖe ŋuwò nànya nenye be `sensorineural` alo `conductive` tosese (tosese ƒe kuxi si tso kuxi aɖe si le to gota alo titina gbɔ) le ŋuwò.
• Tympanometry: Esia wɔnɛ be ɖɔktaa kpɔa alesi wò tomekawo ʋãna nyuie le gbeɖiɖiwo ŋu.

Ɣeaɖewoɣi la, ahiã be ɖɔktaa nado wò tagbɔ ƒe lãmekawo kpɔ alo awɔ nɔnɔmetatawo dodokpɔ, abe MRI alo CT scan ene.

Nukawoe nye atikewɔmɔnuawo?

Atike vovovowo li na sensorineural tosese ƒe dɔmawɔmawɔ nyuie. Atikewɔwɔ si asɔ na wò la anɔ te ɖe wò nɔnɔmea ƒe sesẽ kple nusi gbɔ wòtso dzi.

• Tomemɔ̃wo: Esiawo le abe nuƒomɔ̃ suewo ene. Wodoa gbeɖiɖi siwo le gota la ɖe ŋgɔ eye wònana wò sese nɔa bɔbɔe na wò. Tomemɔ̃ deŋgɔ ŋutɔ, suewo, kple esiwo womekpɔna o la li fifia.
• Tomemɔ̃: Esiawo nye mɔ̃ siwo wotsɔ amekoko dea ame me siwo wɔa mɔ yeye aɖe na gbeɖiɖi ƒe dzesiwo be wòazɔ ayi ahɔhɔ̃a me tẽ, eye woato to ememetɔ si gblẽ la ŋu. Esia ɖea vi ŋutɔ na amesiwo ƒe to me gblẽ vevie.
• Atikewo: Ne to me dɔdzẽ alo nɔnɔme bubu aɖe gbɔe wò SNHL tso la, ke wò ɖɔkta ate ŋu aŋlɔ atikewo abe corticosteroids ene na wò.
• Tomemɔ̃ siwo wotsɔa ƒu wɔe (BAHA): Wodea esiawo hã tagbɔ ƒe ƒu me to amekoko me. Wotoa ʋuʋudedi dzi tsɔa gbeɖiɖi yia to ememetɔ me. Woate ŋu aɖe vi vevietɔ na amesiwo ƒe tosese le akpa ɖeka ƒe seselelãme ƒe ahɔhɔ̃mekawo ƒe tosese me.
• Kpɔkpɔ nyuie: Ɣeaɖewoɣi, vevietɔ ne wò SNHL mesẽ boo o la, wò ɖɔkta ate ŋu akafui be "wòalala nyuie." Esia fia be woalé ŋku ɖe nɔnɔmea ŋu atike aɖeke manɔmee.

Nukae nye mɔkpɔkpɔ na hayahaya? (Nukpɔsusu) .

Le nusianu me la, ŋutete si le ame si be wòahaya tso SNHL me nɔ te ɖe nusi gbɔ wòtso kple alesi gbegbe tosese ƒe kuxia nu sẽe dzi. Zi geɖe la, SNHL nyea dɔléle si nɔa anyi ɖaa. Eyae nye be esesẽna be woadae keŋkeŋ.

Gake mègana mɔkpɔkpɔ o! Àte ŋu ana wò tosese nanyo ɖe edzi ŋutɔ ne èzã tomemɔ̃ alo tomeka siwo wotsɔ dea tome, si ana nàse vivi na agbe evɔ màtso xexe si ƒo xlã wò gbɔ o.

Ne seselelãme ƒe ahɔhɔ̃mekawo ƒe to me gblẽ kpata la, ele vevie be nàyi atikewɔƒe kaba ale si nàte ŋui . Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàkpɔ nu nyui aɖe.

Ðe woate ŋu axe mɔ ɖe esia nua?

Ne míagblɔe tututu la, womate ŋu axe mɔ ɖe SNHL nu ɣesiaɣi o. Nu siwo dzi míate ŋu aɖu o, abe tsitsi ene hã kpɔa ŋusẽ ɖe edzi. Gake nu geɖe li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Ne èle atike aɖewo zãm la, ƒo nu kple wò ɖɔkta tso woƒe nugbegblẽ le ame ŋu ŋu . Atike aɖewo ate ŋu agblẽ nu le to ŋu.
• Lé ŋku ɖe wò to ŋu edziedzi ale be nàte ŋu ade dzesi kuxi ɖesiaɖe kaba.
• Zã tomeka alo tomeka ne èle teƒe siwo gbeɖiɖi sesẽ le. Le kpɔɖeŋu me, le kɔnsɛtwo, xɔtuƒewo, alo ne wole dɔ wɔm le dɔwɔƒewo. Ðo ŋku edzi be toɣliɖeɖe sesẽ ƒe tosese nye nusi woate ŋu axe mɔ na 100%!

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èkpɔ dzesi siawo dometɔ aɖe la, yi ɖɔkta gbɔ godoo:

• Ne èse le ɖokuiwò me be taɖuame (`(vertigo)`) alo kuxiwo le wò dadasɔ ŋu (`(dadasɔ)`) .
• Ne mète ŋu sea nuwo nyuie le teƒe siwo toɣliɖeɖe le o, alo ne ame geɖe le nu ƒom zi ɖeka, alo ne esesẽ be nàɖo wo gbɔ.
• Ne gbeɖiɖi aɖe si le ɖiɖim (`(tinnitus)`) le wò to me.
• Ne èdi ɣesiaɣi be yeadzi TV alo radio ƒe gbeɖiɖi ɖe edzi wu tsã.
• Ne kasia nède dzesi tɔtrɔ gã aɖe le wò to me .

Nya kawoe wòle be nàbia ɖɔktaa?

Ne wokpɔe be SNHL le ŋuwò la, anyo be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• Nuka tae nye to megate ŋu sea nu nyuie o?
• Ðe mɔnukpɔkpɔ li be nye tosese nanyo ɖe edzi le eɖokui sia?
• Atikewɔwɔmɔnu kawoe le asinye?
• Nuka ƒomevie mate ŋu akpɔ mɔ na tso atikewɔwɔa me?
• Zi nenie wòle be magava kpɔ wò ake (`(sasrãkpɔ siwo kplɔe ɖo)`)?

Agbenɔnɔ kple sensorineural hearing loss (SNHL) ate ŋu asesẽ. Ðewohĩ gbeɖiɖi siwo nèlɔ̃na tsã la magadze ƒã abe tsã ene o. Enye nusi sɔ be nàlé blanui, atsi dzimaɖi, eye nàvɔ̃ le esia ŋu, vevietɔ ne èle ɖokuiwò biam be ɖe yeƒe tosese anyo ɖe edzi gbeɖeka hã. Gake mègana mɔkpɔkpɔ o. Atikewɔwɔwo abe tomemɔ̃wo kple tomekawo ene ate ŋu akpe ɖe ŋuwò nàse nu nyuie wu eye nànɔ kadodo me kple xexeame. Ne èsusu be SNHL ate ŋu anɔ ye alo ame aɖe si nèlɔ̃ la ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Nu vevitɔ kekeake siwo dzi nàɖo ŋkui (Take-Home Message) .

Enyo, eyata mina míaɖo ŋku nu siwo ŋu míeƒo nu tsoe la dometɔ aɖewo dzi na wò.

• Sensorineural Hearing Loss (SNHL) nye tosese ƒe dɔmawɔmawɔ nyuie ƒomevi aɖe si nɔa anyi ɖaa zi geɖe eye ɖa ƒe lãmenugbagbevi siwo le to ememetɔ ƒe gbegblẽ gbɔe wòtsona.
• Esia ate ŋu atso tsitsi, toɣliɖeɖe sesẽwo, dɔléle aɖewo, abixɔxɔ, kple atike aɖewo gbɔ.
• Dzesiawo ate ŋu anye towo ƒe ɖiɖi (tinnitus), nuƒoƒo sese sesẽ, kple tomesese sesẽ le teƒe siwo toɣliɖeɖe le.
• `(Sudden SNHL)` nye nɔnɔme kpata aɖe si me wò to megate ŋu sea nu nyuie o zi ɖeka. Ne edzɔ alea la, ele be nàyi ɖɔkta gbɔ enumake.
• Woate ŋu ana tosese nanyo ɖe edzi ne wozã atikewo abe tomemɔ̃wo kple tomeka siwo wotsɔ dea tomenuwo me ene.
• Wò towo takpɔkpɔ tso toɣliɖeɖe sesẽwo me ate ŋu aɖe SNHL ƒe afɔkua dzi akpɔtɔ.

Eya ta, ne ɖikeke suetɔ kekeake gɔ̃ hã le mewò le wò tosese ŋu la, mègaŋe aɖaba ƒu edzi o. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Emae nye nu nyuitɔ kekeake si nàte ŋu awɔ.

` Sensorineural tosese, SNHL, tomedɔ, tomemɔ̃, tomeka si wotsɔ dea tome, tome ƒe ʋuʋu