He pilikia lohe kou? A i ʻole he pilikia like ko kekahi āu i ʻike ai? I ka hapanui o nā hihia, ʻo ka hopena a mākou e ʻike ai, ʻo ia ka hoʻohana ʻana i kahi mea kōkua lohe. Akā, ua ʻike anei ʻoe ʻaʻole kūpono nā kānaka a pau no kēia mau mea kōkua lohe? ʻAʻole hiki i kekahi poʻe ke hoʻohana i kēia mau mea i hoʻokomo ʻia i loko o ka pepeiao ma muli o nā maʻi pepeiao, kekahi mau kīnā hānau, a i ʻole nā kūlana olakino ʻē aʻe. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻenehana ʻokoʻa iki i kōkua i kēlā poʻe. Ua kapa ʻia kēia ʻo BAHA (Bone-Anchored Hearing Aid) .
I ka ʻōlelo maʻalahi, he aha ka BAHA?
ʻAe, e nānā mua kākou pehea e hana ai kēia. ʻO ka hana a kahi mea kōkua hoʻolohe maʻamau, ʻo ia ka hoʻonui ʻana i ke kani e puka mai ana mai waho a hoʻouna iā ia ma o ko kākou eardrum i ka pepeiao waena a me ka pepeiao o loko. ʻO ia hoʻi, hele ia ma ke ala like me ke kani e hele mau ana.
Akā, ʻokoʻa loa ka hāmeʻa BAHA. He hāmeʻa ia i hoʻopili ʻia ma ke ʻoki ʻana i ka iwi poʻo . Hana ia i kēia ma ka hoʻoluliluli ʻana i nā nalu kani pololei ma o nā iwi o kou iwi poʻo a hoʻouna iā lākou i ka cochlea, ka ʻāpana nui o ka pepeiao o loko e kuleana no ka lohe. I mea e pololei ai, ke kāpae nei ia i ke ala maʻamau o ke kani a hoʻouna pololei i ke kani i ka pepeiao o loko ma o kahi ala pōkole. Kapa pū kekahi poʻe iā ia he 'Bone-Anchored Hearing Implant (BAI)'. Pili nā inoa ʻelua i ka hāmeʻa hoʻokahi.
ʻO ka mea hana BAHA ma ke ʻano laulā he ʻekolu mau ʻāpana:
- ʻO ka hoʻokomo ʻana o ka titanium: He ʻāpana metala liʻiliʻi kēia i hoʻokomo ʻia i loko o ka iwi poʻo ma ke ʻoki ʻana.
- Mea hoʻohui waho/Abutment: ʻO kēia ka ʻāpana i hoʻopili ʻia i ka implant a ʻike iki ʻia mai ka ʻili.
- Mea hana leo: ʻO kēia ka ʻāpana e hopu i nā leo e puka mai ana mai waho, hoʻololi iā lākou i mau haʻalulu, a hoʻouna iā lākou i ka iwi ma o ka mea hoʻohui. Hiki iā mākou ke wehe a hoʻopili hou i kēia i kēlā me kēia manawa.
He aha nā ʻano nui o nā BAHA?
ʻElua ʻano nui o nā ʻōnaehana hoʻolohe hoʻokele iwi. E ʻōlelo aku kāu kauka i ke ʻano kūpono loa iā ʻoe ma muli o kou makahiki, ke kūlana olakino, a me nā makemake.
| ʻAno BAHA | Wehewehena |
|---|---|
| BAHA (Hiki ke hoʻokomo ʻia ma ke ʻoki ʻana) | ʻO kēia ke ʻano hana maʻamau. Hoʻokomo kekahi kauka lapaʻau i kahi implant titanium liʻiliʻi i loko o ka iwi ma hope o kou pepeiao. Ke ho'ōla ʻia, hiki ke hoʻopili ʻia kahi mea hana leo waho iā ia e hāʻawi i ka lohe. Hiki ke wehe ʻia kēia ʻāpana waho ke hiamoe ʻoe a ʻauʻau paha. |
| Nā Mea Kōkua Hoʻolohe Hoʻokele Iwi ʻOle ʻoki ( BCHA ) | ʻO ka maʻamau, ua ʻōlelo ʻia kēia mau mea no nā keiki ma lalo o 5 mau makahiki a no ka poʻe makemake ʻole e hana ʻoki kino. Hiki ke hoʻopili pololei ʻia kekahi mau mea hana i ka ʻili me kahi mea hoʻopili. Hiki ke hoʻopili ʻia kekahi i kahi poʻo a hoʻokomo ʻia i ka wā e pono ai. Hiki iā ʻoe ke hoʻāʻo i kēia ʻano hana ma mua o ka hana ʻoki kino e loaʻa ai kahi manaʻo o nā hopena. |
E kōkua kekahi otolaryngologist (ENT) a me kekahi audiologist iā ʻoe e hoʻoholo i kahi o kēia mau ʻano hana kūpono loa iā ʻoe.
No wai kēia mea hana BAHA?
ʻAʻole pono nā kānaka a pau i kēia, akā he mea pono loa ia no ka poʻe me kekahi mau pilikia o ka lohe.
I ka ʻōlelo maʻalahi, inā e hana maikaʻi ana kou pepeiao o loko, akā aia kekahi mea keakea i ke hele ʻana o ke kani mai ka pepeiao o waho a i ka pepeiao o loko, hiki i ka BAHA ke lilo i hopena maikaʻi loa.
ʻElua mau kūlana nui e kūpono ai kēia:
- Pohō lohe alakaʻi a hui pū ʻia paha: He pilikia kēia kahi e hele pono ʻole ai ke kani ma ka pepeiao.
- Kuli ʻaoʻao hoʻokahi: ʻO ia hoʻi, hiki i kekahi pepeiao ke lohe maikaʻi ʻoiai ʻaʻole hiki i kekahi pepeiao ke lohe iki a ʻaʻole paha.
ʻO kekahi o nā kūlana olakino e hiki ai ke hoʻopilikia i ka lohe:
- Nā maʻi pepeiao waena mau loa
- Kolesteatoma
- ʻO ka neuroma leo
- ka maʻi o Ménière
- Aural atresia (ka hiki ʻole o ka pepeiao waho a waena paha ke ulu pono)
Inā loaʻa iā ʻoe kekahi kūlana like, hiki iā ʻoe ke kamaʻilio me kāu kauka a kuhikuhi ʻia i kahi loea pepeiao, ihu, a me ka ʻāʻī e kūkākūkā hou aku i kēia.
Pehea e hana ʻia ai ke ʻoki kino?
He hana maʻalahi kēia e lawe pinepine ʻia ma waena o 30 a me 60 mau minuke . Eia kekahi mau mea e hana ʻia i ka wā o ke kaʻina hana:
1.Anesthesia: E hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻeha. Hiki ke kūloko a i ʻole ma ke ʻano laulā.
2. ʻOki liʻiliʻi: Hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻili ma hope o ka pepeiao.
3. He lua i loko o ka iwi: Hana ʻia kahi lua liʻiliʻi i loko o ka iwi 'mastoid', ʻo ia kekahi ʻāpana o ke poʻo ma hope o ka pepeiao.
4. Ke kau ʻana i ka implant: Ua hoʻokomo ʻia ka implant titanium liʻiliʻi, ma kahi o 3-4 millimeters (ma kahi o ka hapalua o ka nui o ka pi), i loko o ka iwi.
5. Ke hoʻopili ʻana i ka abutment: Hoʻopili ʻia kahi abutment waho i ka implant. E ʻike iki ʻia kēia ke hoʻōla ʻia ka ʻili.
6. Humuhumu: Ua pani ʻia ka ʻoki, ua humuhumu ʻia, a ua kau ʻia kahi ʻaʻahu maʻemaʻe.
ʻO ka mea nui loa ma hope o ke ʻoki ʻana he kaʻina hana i kapa ʻia ʻo osseointegration . I ka ʻōlelo maʻalahi, ʻo ia ka wā e ulu maoli ai kou iwi a puni ka titanium implant, a pili pono nā mea ʻelua i hoʻokahi. Hiki i kēia kaʻina hana ke hala i hoʻokahi a ʻekolu mahina e hoʻopau ai. Ma hope o kēia manawa, hoʻokomo ʻia ka mea hana leo waho a hoʻonohonoho ʻia i kou lohe.
He aha nā pōmaikaʻi a me nā pōʻino o BAHA?
E like me nā lāʻau lapaʻau āpau, loaʻa i kēia ʻano nā pono a me nā hemahema.
| Nā Pōmaikaʻi | Nā mea ʻino |
|---|---|
| ʻOluʻolu: ʻOluʻolu loa no ka mea ʻaʻohe pono e hoʻokomo i kekahi mea i loko o ka pepeiao e like me nā mea kōkua lohe maʻamau. ʻOi aku ka liʻiliʻi o ka pilikia o nā maʻi ʻaleka ʻili. | Pono ke ʻoki kino: ʻO ka hemahema nui, ʻo ia ka pono o ke ʻoki kino. ʻOiai he ʻoki kino liʻiliʻi kēia, aia kekahi mau pilikia me kekahi ʻoki kino. |
| ʻAno kani kiʻekiʻe: No ka mea, hele pololei ke kani i ka iwi me ka ʻole o ka hele ʻana ma o ka ʻili, kiʻekiʻe loa ke ʻano o ke kani. | Nā pilikia o ke ʻoki kino: ʻOiai he mea kakaikahi loa, hiki ke loaʻa ka maʻi, ka pehu ʻana, a i ʻole ka hāʻule ʻana o ka implant. |
| Ka hiki ke wānana i nā hopena: Ma mua o ke ʻoki ʻana, hiki iā ʻoe ke hoʻāʻo i kahi BCHA ʻoki ʻole a loaʻa kahi manaʻo o nā hopena. | Nā ʻeha poʻo: Inā loaʻa i kekahi me kahi implant kahi hahau ikaika i ke poʻo, aia ka pilikia o ka maʻi a i ʻole ka hōʻino ʻana i ka implant. No laila, he mea nui loa ke kau ʻana i ka mahiole i ka wā e holo paikikala ai, nā mokokaikala, a me ka pāʻani ʻana i nā haʻuki pili. |
I ka manawa hea e ʻike ai i ke kauka ma hope o ke ʻoki ʻana
I nā lā mua ma hope o ke ʻoki kino (3-7 lā), hiki iā ʻoe ke ʻike i kekahi ʻeha a me ka ʻulaʻula a puni kahi i hoʻokomo ʻia ai. He mea maʻamau kēia. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka .
- He wai e like me ka pus, ka pehu ʻana, a i ʻole nā hōʻailona o ka maʻi ma kahi i hoʻokomo ʻia ai.
- He ʻeha pepeiao nui ʻaʻole e nalowale ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
- He kuni me ka mahana o ke kino ma luna o 38.3 kekelē Celsius (101 Fahrenheit).
He like anei ka BAHA a me ka Cochlear Implant?
He mea kēia e huikau ai nā kānaka he nui. ʻOiai he mau mea kōkua hoʻolohe nā mea ʻelua, hana lākou a kūpono no nā kūlana ʻelua like ʻole.
- BAHA: Hana kēia ma ka hoʻouna ʻana i nā haʻalulu kani ma o nā iwi o ke poʻo i kahi pepeiao o loko e hana pono ana (cochlea) . ʻO ke ʻano kēia he kūpono ia no ka poʻe i loaʻa ʻole nā pilikia me ko lākou pepeiao o loko.
- Hoʻokomo Cochlear: Ke kāpae nei kēia i kahi pepeiao o loko i hōʻino ʻia a hana ʻole paha a hoʻoulu pololei i ke aʻalolo auditory.
I ka ʻōlelo maʻalahi, ua like ʻo BAHA me ke alahaka e kōkua ai i ka hele ʻana o ke kani i ka pepeiao o loko. Akā, ʻo ka Cochlear Implant kahi ʻōnaehana e hoʻouna pololei i nā hōʻailona uila i ke aʻalolo e hele ana i ka lolo no kekahi kanaka nona ka pepeiao o loko e hana ʻole ana.
Hiki i ka nalowale o ka lohe ke loaʻa ka hopena nui i kou ola. Hiki ke hoʻonāukiuki a hoʻoluhi. ʻOi loa aku hoʻi i ka wā ʻaʻole hana nā mea kōkua lohe maʻamau. He ʻenehana lapaʻau ʻo BAHA e hiki ke hoʻihoʻi i ka lohe i ka poʻe me kekahi mau kūlana, me ka nui o ka holomua (ma luna o 90%). Inā makemake ʻoe e ʻike hou aku e pili ana i kēia, hiki iā ʻoe ke kamaʻilio me kāu kauka a ʻike inā kūpono ʻoe.
Leka Lawe-Home
- He hopena maikaʻi loa ʻo BAHA (Bone-Anchored Hearing Aid) no nā poʻe me kekahi mau pilikia lohe i kūpono ʻole i nā mea kōkua lohe maʻamau.
- He ʻano hana kēia no ka hoʻoili ʻana i ke kani i ka pepeiao o loko ma o ka haʻalulu ʻana ma o nā iwi o ke poʻo, e pale ana i ke ala maʻamau o ke kani i loko o ka pepeiao.
- Pono kēia i kahi ʻoki liʻiliʻi, akā he lāʻau lapaʻau holomua loa a palekana hoʻi.
- Inā loaʻa iā ʻoe ka nalowale o ka lohe, he mea nui e kūkākūkā me kahi loea pepeiao, ihu, a me ka puʻu (ENT) e ʻike ai inā kūpono kēia lāʻau iā ʻoe.
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