Ke loaʻa nei iā ʻoe nā pilikia lohe? Hiki paha ke lilo i (Conductive Hearing Loss)!

Ke pilikia nei ʻoe i kekahi manawa i ka lohe maopopo ʻana i ka mea e ʻōlelo ʻia nei? A i ʻole ke lohe mau nei ʻoe i nā leo liʻiliʻi? Manaʻo paha ʻoe ua ʻoi aku ka leo o kou leo ​​ponoʻī? Inā he mea maʻamau kēia mau mea iā ʻoe, he mea nui loa ia e ʻike i kēia kūlana a mākou e kamaʻilio nei i kēia lā, i kapa ʻia ʻo `(Conductive Hearing Loss)`. Mai hopohopo, he mea kēia e hiki ke mālama ʻia a ho'ōla ʻia i ka hapa nui o nā hihia.

He aha ka "(Conductive Hearing Loss)"? E hoʻomaopopo maʻalahi kākou, ʻeā?

I ka ʻōlelo maʻalahi, ʻo ka Conductive Hearing Loss ke loaʻa kahi mea keakea i ke ala e hele ai nā nalu kani mai ka ʻaoʻao waho o kou pepeiao a i ka pepeiao o loko. E noʻonoʻo e like me kahi paipu wai i paʻa i kahi ma waena a pau ke kahe ʻana. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole hiki i ke kani ke hele pono.

Ua māhele ʻia ko kākou pepeiao i ʻekolu ʻāpana: ka pepeiao waho, ka pepeiao waena, a me ka pepeiao o loko. I mea e lohe ai kākou i ke kani, pono nā nalu kani e hele ma o ka pepeiao o waho, e haʻalulu ma o ʻekolu mau iwi liʻiliʻi (i kapa ʻia hoʻi he ossicles) ma ka pepeiao waena, a hiki i ka ʻāpana koʻikoʻi o ka pepeiao o loko i kapa ʻia ʻo cochlea. Loaʻa ka Conductive Hearing Loss ke loaʻa kahi mea keakea ma kekahi wahi ma kēia ala kani, ma ka pepeiao o waho a i ʻole ka pepeiao waena. Hiki i kēia ke hana i nā leo nui e kani mālie a i ʻole e kani haʻahaʻa. I kekahi manawa, hiki ke ʻike ʻole ʻia nā leo mālie loa. Ua kapa ʻia hoʻi kēia ʻo Conductive Hearing Impairment.

He mea maʻamau loa kēia ʻano ma waena o nā kamaliʻi ʻōpio . Ua ʻike ʻia ma kahi o 19% o nā keiki kula e loaʻa ana kekahi ʻano o ka nalowale o ka lohe, a ʻo 93% o lākou ma muli o ka "Conductive Hearing Loss." Akā, ʻaʻole ia manaʻo ʻaʻole ia e hiki i nā pākeke. Hiki i nā pākeke ke loaʻa i kēia ʻano. I kekahi manawa he manawa pōkole ia, i kekahi manawa he mau loa ia. A hiki ke ʻano mai ka ʻoluʻolu a i ka koʻikoʻi. ʻO ka mea maikaʻi loa, hiki ke ho'ōla pinepine ʻia me ka lāʻau lapaʻau.

ʻElua ʻano nui o ka `(Conductive Hearing Loss)`

Hiki ke ʻike ʻia nā ʻano nui ʻelua ma kēia:

1. 'Pohō lohe alakaʻi unilateral': Hoʻokahi pepeiao wale nō kēia e pili ana.

2. 'Pohō lohe alakaʻi bilateral': Hoʻopilikia kēia i nā pepeiao ʻelua.

He aha nā hōʻailona o ka `(Conductive Hearing Loss)`? Loaʻa iā ʻoe kēia mau mea pū kekahi?

E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Ke kaumaha nei ke kaulike i ka wā e hele ana (ua loaʻa kēia i nā pilikia me ka `(Vestibular system)` i loko o ko kākou pepeiao i loko).
• Ke ʻeha nei i ka pepeiao .
• Ka manaʻo o ke kaomi a i ʻole ke kaumaha i loko o ka pepeiao.
• He leo "kāomi" i loko o ka pepeiao, a i ʻole he manaʻo kani .
• Ke lohe ʻana i nā leo ma kekahi a i ʻole nā ​​pepeiao ʻelua e like me ka leo hāmau a maopopo ʻole .
• Me he mea lā hiki iā ʻoe ke lohe i kou leo ​​ponoʻī me ka leo nui ke ʻōlelo ʻoe.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

No ke aha mākou e loaʻa ai i ka `(Conductive Hearing Loss)`? He aha nā kumu?

E like me kā mākou i ʻōlelo ai ma mua, hiki mai kēia ʻano ke hiki ʻole i nā nalu kani ke hiki i ka `(Cochlea)` i loko o ko kākou pepeiao i loko. ʻO ka `(Cochlea)` ka ʻāpana nui e kōkua iā kākou e lohe. No laila, aia nā kumu maʻalahi a me nā kumu paʻakikī iki e hiki ke hoʻopilikia i kēia hoʻoili leo.

Eia kekahi o nā kumu nui o ka nalowale o ka lohe conductive:

• Ka paʻa ʻana o ka pehu pepeiao: He kumu maʻamau loa kēia. Ke hōʻiliʻili ka nui o ka pehu pepeiao i loko o ka pepeiao a paʻakikī, e ālai ana ia i ke kahe ʻana o ke kani.
• Nā mea ʻē (fremdkörper) i paʻa i ka pepeiao: Hiki ke hana ʻia kēia ʻano ke hoʻokomo nā keiki liʻiliʻi, ʻoiai ke pāʻani nei, i nā mea e like me nā momi a i ʻole ka pi i loko o ko lākou pepeiao.
• Nā maʻi pepeiao: ʻO nā maʻi pepeiao , ʻoiai nā mea e hana pinepine ʻia a ʻaʻole e ho'ōla (mau loa), hiki ke hoʻoulu i ka hōʻiliʻili ʻana o ke wai i loko o ka pepeiao waena, e ālai ana i ka hoʻoili ʻana o ke kani.
• Nā puʻupuʻu pepeiao, nā cysts, a i ʻole nā ​​​​​​mea ulu ʻē aʻe e like me ka "Cholesteatoma": Hiki i kēia mau mea ke hoʻopilikia i ke kani ke hana ʻia i loko o ka pepeiao.
• Ka hana pono ʻole o ka ʻōmole Eustachian: Hoʻopili kēia ʻōmole i ko mākou pepeiao waena i ko mākou puʻu. Inā ʻaʻole ia e hana pono, hiki ke loli ke kaomi ma ka pepeiao waena a hiki ke hōʻiliʻili ka wai.
• Hōʻiliʻili ʻana o ka wai i loko o ka pepeiao waena ma muli o nā mea e like me ke anu: Ke hōʻiliʻili ka mucus, hiki i ka wai ke hōʻiliʻili i loko o ka pepeiao waena a hoʻopilikia i ka lohe.
• ʻOtosclerosis: He ʻano kēia e ulu ai ka iwi maʻamau ʻole a puni nā iwi liʻiliʻi ma ka pepeiao waena. Hoʻopilikia kēia i ka haʻalulu o kēlā mau iwi a hoʻopilikia i ka hoʻoili ʻana o ke kani.
• ʻO ka pahu pepeiao i haki: Hiki ke haki ka pahu pepeiao i ka wā e pā nui ai ka pepeiao a i ʻole i ka wā e ʻoi aku ai ka maʻi pepeiao.

ʻO nā kumu maʻamau i nā keiki ʻōpio, ʻo ia ka maʻi pepeiao pinepine a me ke kau ʻana i nā mea i loko o ka pepeiao . I nā pākeke , ʻo kēia ʻano maʻamau ke kumu ʻia e kahi ʻeha pepeiao a i ʻole kekahi ʻano olakino ʻē aʻe .

Nā Kumu Pōpilikia e Hoʻonui ai i ka Pōpilikia o ka Pohō Lohe Alakaʻi

Aia kekahi mau mea e hiki ai ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka "Conductive Hearing Loss". Inā ʻaʻole mālama pono ʻia, hiki i kēia mau kūlana ke alakaʻi i ka nalowale mau loa o ka lohe.

• Nā ʻano ʻē o ka pepeiao hānau: Hiki ke loaʻa kēia ʻano ma muli o nā pilikia hānau e like me `(Microtia)` (ka ulu pono ʻole ʻana o ka pepeiao) a me `(Atresia)` (ka nele a i ʻole ka ulu pono ʻole ʻana o ke kahawai pepeiao).
• Nā maʻi pepeiao mau loa: Inā hōʻiliʻili ka wai i loko o ka pepeiao waena a hoʻomau me ka ʻole o ka ho'ōla ʻana, piʻi aʻe ka pilikia o ka Conductive Hearing Loss.
• Ka hōʻino ʻana o ke kūkulu ʻana i ka pepeiao: Hiki ke hōʻino ʻia nā iwi liʻiliʻi ʻekolu (ossicles) i loko o ko kākou mau pepeiao e hoʻokele i ke kani, ma muli paha o kahi ʻeha i ka pepeiao a i ʻole kahi maʻi e like me ka otosclerosis.

Pehea e ʻike ai nā kauka i ka Conductive Hearing Loss?

Inā he pilikia kou i ka lohe ʻana, ʻo kāu hana mua e ʻike i ke kauka pepeiao, ihu, a me ka ʻāʻī (he kauka otolaryngologist) . E nānā ʻo ia iā ʻoe. E nīnau ʻo ia e pili ana i kāu mau hōʻailona a inā paha ua loaʻa i kekahi o kou ʻohana nā pilikia like. No ka laʻana, hiki ke nīnau ʻia ʻoe i nā nīnau e like me:

• "I ka manawa hea ʻoe i ʻike mua ai ua nalowale kou lohe?"
• "Ua hana koke ʻia anei kēia, a ua piʻi mālie paha?"
• "ʻOi aku ka mana o kekahi ʻaoʻao ma mua o kekahi?"
• "Ua loaʻa anei iā ʻoe nā maʻi pepeiao ma mua?"
• "Ke ʻeha nei ʻoe, ke kaomi, a i ʻole ke kani ʻana i kou pepeiao?"
• "Aia kekahi o kou ʻohana me ka pilikia o ka lohe?"

A laila e nānā ke kauka i waho o kou pepeiao ma ka nānā ʻana i loko a me ka pā ʻana iā ia. E hoʻohana ʻo ia i kahi mea hana liʻiliʻi i hoʻomālamalama ʻia i kapa ʻia he otoscope e nānā i loko o ka pepeiao e nānā i kekahi mau mea i pale ʻia a i ʻole kekahi mau mea ʻē i loko o ke ʻano o ka pepeiao.

He aha nā hoʻokolohua e hana ʻia e ʻike pololei ai i kēia maʻi?

Ma hope o ka hoʻokolokolo kino, e noi aku kahi otolaryngologist a audiolog paha iā ʻoe e hana i kekahi mau hoʻokolohua lohe . ʻO kekahi o lākou:

• Hoʻāʻo reflex acoustic: Hoʻāʻo kēia i ke ʻano o ka pane ʻana o kahi ʻiʻo liʻiliʻi ma kou pepeiao waena i nā leo nui.
• Hoʻāʻo hoʻoili iwi: Hoʻouna pololei kēia i ke kani i kou pepeiao o loko a kōkua i ka hoʻoholo ʻana i ke ʻano o ka nalowale o ka lohe āu.
• Nā hoʻokuʻu Otoacoustic (OAEs): Ke ana kēia i nā haʻalulu e pili ana me nā leo e puka mai ana mai kou pepeiao i loko e ʻike inā he mau mea keakea.
• `(Pure-tone audiometry)`: Hiki i kēia ke ʻike i ke kani haʻahaʻa loa āu e lohe ai ma nā leo like ʻole.
• `(Speech audiometry)`: Hoʻāʻo kēia i ka maikaʻi o kou ʻike ʻana i nā huaʻōlelo a me nā huaʻōlelo mālie loa hiki iā ʻoe ke hana hou.
• Nā hoʻokolohua ʻō hoʻonohonoho: Hiki i nā hoʻokolohua e like me ka hoʻāʻo Rinne a me ka hoʻāʻo Weber ke kōkua i ka hoʻoholo ʻana inā he pohō lohe conductive a i ʻole kekahi ʻano pohō lohe ʻē aʻe, i kapa ʻia ʻo ka pohō lohe sensorineural.
• Tympanometry: Ke ana kēia i ke neʻe ʻana o kou eardrum a me ka pane ʻana i ke kani.

Ma waho aʻe o kēia mau hoʻokolohua hoʻolohe, pono paha ke kauka e hana i kēia mau mea:

• Hoʻokolohua aʻalolo cranial
• Hoʻokolokolo poʻo a me ka ʻāʻī
• Nā scan e like me `(MRI (magnetic resonance imaging))` a i ʻole `(CT scan (computed tomography scan))`.

He aha nā lāʻau lapaʻau no ka `(Conductive Hearing Loss)`?

ʻO ke ʻano lapaʻau kūpono nou e pili ana i ke kumu o kou nalowale o ka lohe. Ma muli o kou kūlana, hiki ke mālama ʻia ka nalowale o ka lohe conductive ma nā ʻano penei:

• Nānā pono: I kekahi manawa e ʻōlelo mua paha kāu kauka i ka "kali makaʻala." ʻO ke ʻano kēia e nānā lākou i kou lohe no kekahi manawa. Inā e ʻino aʻe kou lohe, e hoʻomohala lākou i kahi hoʻolālā lapaʻau.
• Nā mea kōkua hoʻolohe: Hiki i nā mea kōkua hoʻolohe a me nā mea kōkua like ke kōkua iā ʻoe e lohe maikaʻi ma ka hoʻonui ʻana a me ka hoʻololi ʻana i ke kani.
• Nā lāʻau lapaʻau: Inā loaʻa kou pohō lohe i kahi maʻi, pono paha ʻoe e lawe i ka lāʻau lapaʻau. Hiki i kāu kauka ke kuhikuhi i kēia mau mea ma ke ʻano o nā kulu pepeiao a i ʻole nā ​​​​​​pila.
• ʻOki kino: Inā he puʻupuʻu, cyst, a i ʻole kekahi mea ulu e ālai ana i ke kani mai ka hiki ʻana i ka pepeiao o loko, pono paha ke ʻoki kino e wehe iā ia. Pono paha ke ʻoki kino e hoʻoponopono i nā iwi liʻiliʻi i hōʻino ʻia (ossicles) i loko o ka pepeiao.

ʻO ka mea nui loa, aia kahi lāʻau lapaʻau no kēia maʻi. No laila, he mea nui loa ka ʻimi ʻana i ke kōkua lapaʻau me ka hopohopo ʻole.

He aha ka wā e hiki mai ana no ka poʻe me ka `(Conductive Hearing Loss)`? (Outlook)

Hoʻomaikaʻi pinepine kēia kūlana me ka mālama ʻana. Hiki ke ho'ōla pinepine ʻia ka nalowale o ka lohe ʻana, a i ʻole hoʻomaikaʻi nui ʻia, me ka lāʻau lapaʻau, nā mea kōkua lohe, a i ʻole ke ʻoki kino.

Hiki ke pale ʻia ka nalowale o ka lohe ʻana?

ʻAʻole hiki ke pale ʻia ka nalowale o ka lohe ʻana i nā manawa a pau, ʻoiai inā ua ulu ia ma muli o ka ulu ʻana o nā iwi pepeiao a i ʻole kahi pilikia hānau me ke ʻano o ka pepeiao. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• Mai hoʻokomo i kekahi mea i loko o ka pepeiao. ʻAʻole maikaʻi nā ʻūpā pulupulu.
• Inā loaʻa iā ʻoe kahi maʻi pepeiao, e ʻimi koke i ka lāʻau lapaʻau.
• E ʻike pinepine i ke kauka a e nānā i kou lohe.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau mea, e haʻi koke aku i ke kauka :

• Inā e ʻoi aku ka ʻino o kou lohe ʻana .
• Inā nalowale koke kou lohe (ʻoi aku hoʻi ma kekahi pepeiao).
• Ma waho aʻe o nā pilikia lohe, inā he mau hōʻailona ʻē aʻe e like me ka ʻeha pepeiao, ka ʻeha poʻo, ka maneʻo, a me ka nāwaliwali .

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā loaʻa iā ʻoe ka `(Conductive Hearing Loss)`, he mea maikaʻi ke nīnau i kāu kauka i nā nīnau e like me kēia:

• "He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?"
• "He aha nā hopena e hiki iaʻu ke manaʻo mai ka lāʻau lapaʻau?"
• "ʻEhia mau manawa e pono ai iaʻu e hoʻi hou mai no nā kipa ʻana?"
• "Hiki paha i koʻu lohe ke lilo i mea ʻino aʻe i ka hala ʻana o ka manawa?"
• "He aha nā kumuwaiwai ʻē aʻe āu e paipai nei?"

Hiki i ka Conduction Hearing Loss ke hoʻolilo i ke ola i mea paʻakikī iki. Hiki ke manaʻo ʻia e like me kāu mele punahele a i ʻole ke kani ʻana o nā manu e ʻūlū ana ma waho e nalowale mālie ana. He mea maʻamau ke kaumaha, makaʻu, huhū, a hoʻonāukiuki ʻia e pili ana i kēia. Akā aia ka nūhou maikaʻi: Hiki ke ho'ōla pinepine ʻia ka Conduction Hearing Loss me ka lāʻau lapaʻau. ʻO ka wikiwiki o kou ʻike ʻana i ke kumu o ia mea, ʻoi aku ka maikaʻi o kou manawa e hoʻihoʻi i kou lohe. Inā manaʻo ʻoe he Conduction Hearing Loss paha kāu a i ʻole kāu keiki, e ʻike koke i ke kauka.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, i kēia manawa ua maopopo iā ʻoe ka `(Conductive Hearing Loss)` a mākou i kamaʻilio ai i kēia lā. Eia nā mea nui e hoʻomanaʻo ai:

• ʻO ka nalowale o ka lohe ʻana he mea ia e ālai ʻia ai ke kani mai ka hiki ʻana i kou pepeiao i loko.
• Nui nā kumu e hiki ke hoʻopilikia i kēia, e like me ka kopa pepeiao, nā maʻi, kahi mea e komo ana i loko o ka pepeiao, a me nā pilikia me ke ʻano o ka pepeiao.
• He mea maʻamau loa kēia i waena o nā keiki ʻōpio, akā hiki ke ulu pū i loko o nā pākeke.
• Inā ʻike ʻoe i ka emi ʻana o ka lohe, ka ʻeha, a i ʻole ke kaomi i loko o kou mau pepeiao, mai hoʻowahāwahā iā ia.
• ʻO ka mea nui, aia nā lāʻau lapaʻau kūpono no kēia ʻano. Inā ʻoe e ʻimi koke i ke kōkua lapaʻau, hiki iā ʻoe ke ho'ōla piha.
• Mai hoʻokomo i kekahi mea i loko o kou pepeiao i ka wā e hoʻomaʻemaʻe ai. Inā loaʻa iā ʻoe kahi maʻi pepeiao, e ʻimi koke i ka lāʻau lapaʻau.

He mea waiwai loa kou mau pepeiao, no laila e mālama pono iā lākou. Inā he kānalua kou no kekahi mea, mai hoʻokaʻulua i ka ʻike ʻana i ke kauka.

` pohō lohe alakaʻi, pohō lohe, maʻi pepeiao, nā mea kōkua lohe, pahu pepeiao, pepeiao waena, maʻi pepeiao, nā mea kōkua lohe