Manaʻo paha ʻoe i kekahi manawa ua haʻahaʻa loa ka leo o ke kīwī? A i ʻole pono ʻoe e nīnau "He aha kāu i ʻōlelo ai?" i kekahi mau manawa ke kamaʻilio kekahi? Hoʻohewa anei kou ʻohana iā ʻoe no ka hoʻōho nui ʻana i kāu kamaʻilio ʻana ma ke kelepona? ʻAʻole kēia he mau mea wale nō. Malia paha ʻo kēia ka hoʻomaka ʻana o ka emi mālie ʻana o ka lohe. ʻOiai paha e manaʻo ʻoe he mea kēia e hana wale ʻia i kou wā ʻelemakule, hiki ke hana ʻia i kēlā me kēia makahiki. No laila, mai makaʻu, e kamaʻilio ākea kākou e pili ana i kēia.
I ka ʻōlelo maʻalahi, he aha ka nalowale o ka lohe?
ʻO ka nalowale o ka lohe ʻana ke pilikia kāu ʻōnaehana lohe a ʻaʻole hiki iā ʻoe ke lohe pono i nā leo. Inā loaʻa iā ʻoe kēia ʻano, hiki ke paʻakikī loa ke hoʻomaopopo a komo i kahi kamaʻilio. ʻO ke kamaʻilio ʻana ma ke kelepona, ke komo ʻana i kahi hālāwai pūnaewele, a i ʻole ka hoʻomaopopo ʻana i ke kamaʻilio ʻana i ka wā e nānā ana i ke TV hiki ke lilo i mea paʻakikī.
Hiki i kēia kūlana ke hoʻopilikia i kāu hana, kou pilina me nā poʻe ʻē aʻe, a me kou hiki ke hauʻoli i ke ola. I ka manawa pinepine, he paʻakikī ke hoʻihoʻi loa i ka nalowale o ka lohe. Akā , mai hopohopo. Aia nā loea e hiki ke mālama a kōkua. Kāhea mākou iā lākou he Audiologists . He mau kauka lākou e nānā a mālama i nā pilikia lohe. Hiki iā lākou ke ʻōlelo i nā lāʻau lapaʻau e like me nā mea kōkua lohe a i ʻole nā mea hoʻokomo cochlear e kōkua iā ʻoe e hoʻihoʻi i kou lohe.
He ʻano maʻamau kēia ma mua o kou manaʻo. He miliona miliona ka poʻe a puni ka honua e ʻeha nei i kēia ʻano, no laila ʻaʻole ʻoe hoʻokahi.
He aha nā ʻano nui o ka nalowale o ka lohe?
Hiki ke hoʻokaʻawale ʻia ka nalowale o ka lohe i ʻekolu ʻano nui. Aia ia i ka ʻāpana o kou pepeiao i hōʻino ʻia. E nānā kākou i kēia ala e maʻalahi ai ka hoʻomaopopo ʻana.
| ʻAno o ka nalowale o ka lohe | Ua wehewehe maʻalahi ʻia |
|---|---|
| Poho lohe alakaʻi | Hana ʻia kēia ke ālai kekahi mea i nā nalu kani mai ka hele ʻana ma kou pepeiao waho (eardrum a me ke kahawai pepeiao) a i ʻole ka pepeiao waena. E noʻonoʻo iā ia me he alanui lā e ālai ʻia ana. ʻAʻole hiki i ke kani ke komo. |
| Poho lohe Sensorineural | Hoʻokumu ʻia kēia e ka hōʻino ʻana i kou pepeiao i loko i ka hala ʻana o ka manawa. ʻO ka hapa nui o ka manawa, hana mālie ia. Akā, he mea kākaʻikahi loa, hiki ke hana koke ʻia, i loko o kekahi mau lā. Kāhea mākou i kēia he Sudden Sensorineural Hearing Loss (SSHL). |
| Poho lohe hui ʻia | E like me ka inoa e hōʻike nei, he hui pū ʻana kēia o nā ʻano ʻelua i ʻōlelo ʻia ma luna. ʻO ia hoʻi, he mau pilikia kou me kou pepeiao waho a waena paha (conductive) a me nā pilikia me kou pepeiao i loko (sensorineural). |
Pehea e ʻike ai au inā e nalowale ana koʻu lohe? He aha nā hōʻailona?
Ua nalowale ka lohe o ka hapa nui o ka poʻe me ka lohi loa. No laila, ʻaʻole lākou e ʻike i ka wā mua. Akā inā ʻoe e ʻike nei i kēia mau mea, he hōʻailona paha ia o ka nalowale o ka lohe.
- Inā ʻoe e noi mau i nā poʻe ʻē aʻe e hana hou i kā lākou ʻōlelo, "He aha kāu i ʻōlelo ai?" ua lilo ia i mea maʻamau iā ʻoe e ʻōlelo?
- Inā pilikia ʻoe i ka hoʻomaopopo ʻana i kahi kamaʻilio ʻana, ʻoiai ke kamaʻilio ʻana ma ke kelepona a i ʻole ma kahi walaʻau e like me ka hale ʻaina.
- Inā manaʻo ʻoe e hāwanawana ana kekahi poʻe. Manaʻo anei ʻoe "ʻaʻole maopopo loa nā leo o kānaka i kēia manawa"?
- Inā ʻaʻole hiki iā ʻoe ke lohe i nā leo palupalu a kiʻekiʻe e like me ke mele manu.
- Inā pono ʻoe e hoʻokiʻekiʻe i ka leo ma kāu TV, kamepiula, a i ʻole papa me ka leo nui aʻe ma mua o ka maʻamau.
- Inā loaʻa iā ʻoe kahi leo kani (tinnitus) i loko o kou mau pepeiao.
- Inā ʻeha kou pepeiao .
- Inā manaʻo ka pepeiao ua piha i ka wai a i ʻole he kaomi.
- Inā he mau pilikia kaulike kou a i ʻole ka poniuniu i ka wā e hele ana .
He aha nā hōʻailona o ka maʻi i nā keiki liʻiliʻi a me nā pēpē?
He mea nui loa ka ʻike ʻana i kēia ma ke ʻano he makua. ʻAʻole maopopo i nā keiki liʻiliʻi ke ʻōlelo ʻoe ʻaʻole hiki iā lākou ke lohe.
E makaʻala i kēia mau hōʻailona i nā pēpē i kekahi mau mahina:
- Inā ʻaʻole ʻoe e makaʻu i kahi walaʻau nui koke.
- Ma hope o 6 mahina, inā ʻaʻole e huli ke poʻo o ke pēpē i kahi leo.
- ʻOiai i ka makahiki hoʻokahi, ʻaʻole hiki iā lākou ke ʻōlelo i nā huaʻōlelo maʻalahi e like me "mama" a me "pāpā".
- Inā ʻaʻole lākou e pane mai ke kāhea ʻoe i ko lākou inoa.
E nānā i kēia mau ʻano o nā keiki ʻelemakule iki:
- Inā ʻoe e nīnau mau "He aha?" "He aha?" (huh?) .
- Inā hoʻomaka ʻoe e kamaʻilio ma hope o nā keiki ʻē aʻe o ka makahiki like.
- Inā ʻaʻole maopopo nā huaʻōlelo i ka wā e ʻōlelo ai.
- Inā ʻaʻole i hahai pono ʻia nā kuhikuhi i hāʻawi ʻia (malia paha no ka mea ʻaʻole i lohe ʻia).
- Inā ʻoe e hoʻokiʻekiʻe nui i ka leo o ke TV.
No ke aha ʻoe i kuli ai? He aha nā kumu?
Nui nā kumu e hiki ai ke nalowale ka lohe. No ka laʻana, ʻo ka ʻike koke ʻana i ka walaʻau nui, e like me ka hele ʻana i kahi ʻaha mele, hiki ke hoʻopilikia i kou lohe no kekahi manawa. E wehewehe kākou i nā kumu.
| ʻAno kumu | Nā Laʻana |
|---|---|
| Nā kumu o ka nalowale o ka lohe ʻana | |
| Ka pale ʻana i ke kahawai pepeiao | - Ka hōʻiliʻili ʻana o ka ʻōpala pepeiao. - Ke paʻa nei kekahi mea i loko o ka pepeiao (e laʻa me ke keiki liʻiliʻi e paʻa ana ka pi i loko). - Pepeiao o ka mea ʻauʻau (otitis externa). |
| Nā pilikia pepeiao waena | - Hōʻiliʻili ʻana o ka wai i loko o ka pepeiao waena ma muli o ke anu a i ʻole nā mea maʻi ʻaleka. - Nā maʻi pepeiao waena (otitis media). - Ka haki ʻana o ka pahu pepeiao (ka pahu pepeiao i haki). - Nā puʻupuʻu ma ka pepeiao waena. - Nā pilikia o ka ʻōpū Eustachian. |
| Nā kumu o ka nalowale o ka lohe sensorineural | |
| Ka ʻelemakule a me ke ʻano o ka nohona | - Ka ʻelemakule ʻana (mea maʻamau i nā kānaka he nui). - Ka hoʻopili ʻia ʻana i ka walaʻau nui no ka manawa lōʻihi (e.g. hana ma nā hale hana, nā kahua kūkulu). |
| Nā maʻi ʻē aʻe | - Maʻi puʻuwai (maʻi ʻaʻa coronary), ke koko kiʻekiʻe (hypertension), nā hahau a i ʻole ka maʻi diabetes. - Kekahi mau kūlana olakino genetic (hoʻoilina). - Nā hahau nui i ke poʻo. |
| Nā lāʻau lapaʻau a me nā maʻi | - He mea ʻino kekahi mau lāʻau lapaʻau i nā pepeiao (Ototoxicity). - Ka hopena ma ka pēpē o nā maʻi e like me ka cytomegalovirus (CMV) i loaʻa e ka makuahine i ka wā hāpai. |
He aha ka mea e hana ai inā hoʻowahāwahā ʻia ka nalowale o ka lohe?
ʻAʻole wale ka nalowale o ka lohe e pili ana i ka hiki ʻole ke lohe i nā leo. Hiki iā ia ke loaʻa ka hopena nui i kou ola noʻonoʻo a me ka nohona.
- Manaʻo mehameha: Manaʻo paha ʻoe ua kaʻawale ʻoe mai ka nohona no ka mea ʻaʻole ʻoe maopopo i ka ʻōlelo a haʻi.
- Ka huhū a me ka hoʻonāukiuki: Hiki iā ʻoe ke huhū a hoʻonāukiuki maʻalahi no ka mea pono ʻoe e lohe hou i nā mea e ʻōlelo ʻia nei a ʻaʻole hiki iā ʻoe ke komo i ke kamaʻilio ʻana.
- Nā pilikia noʻonoʻo: ʻO ka poʻe me ka nalowale o ka lohe nui e pili ana i ka hoʻomohala ʻana i nā maʻi olakino noʻonoʻo e like me ka hopohopo a i ʻole ke kaumaha .
- Ka hopena i ka hoʻonaʻauao ʻana o nā keiki: Hiki i nā keiki me ka nalowale o ka lohe ke paʻakikī i ka hoʻomaopopo ʻana i nā haʻawina ma ke kula. Hiki i kēia ke hopena i nā helu hoʻokolohua haʻahaʻa.
- Ola kino o ka lolo i ka poʻe ʻelemakule: Ua ʻike nā noiʻi i kahi pilina ma waena o ka nalowale o ka lohe i ka poʻe ʻelemakule a me ka dementia, kahi maʻi nalowale o ka hoʻomanaʻo.
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia maʻi?
Inā kānalua ʻoe ua nalowale kou lohe, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i kāu kauka. E nīnau kāu kauka e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino, ʻoiai e nānā i nā maʻi pepeiao a i ʻole nā pilikia ʻē aʻe.
Inā ua loaʻa iā ʻoe kahi ulia ma kou pepeiao a i ʻole ke manaʻo nei ʻoe he puʻupuʻu, e noi ʻia paha ʻoe e hana i kahi CT scan a i ʻole MRI. Ma hope o kēlā, e kuhikuhi aku kāu kauka iā ʻoe i kahi loea, he audiologist, no nā hoʻokolohua lohe.
Eia kekahi o nā hoʻokolohua nui a kahi audiologist e hana ai:
- Hoʻāʻo leo maʻemaʻe: ʻO kēia ka hoʻāʻo maʻamau. Hoʻokomo ʻia ʻoe i nā headphone a hōʻike ʻia i nā leo o nā ikaika like ʻole. Hoʻoholo kēia i ke kani hiki ʻole iā ʻoe ke lohe iki. Hiki iā ia ke hoʻoholo i ke ʻano o ka nalowale o ka lohe āu.
- Hoʻāʻo hoʻokuʻu Otoacoustic (OAE): Hoʻāʻo kēia i ka hana o kou pepeiao i loko.
- ʻO ke ana ʻana o ka tympanometry:Ana kēia hoʻāʻo i ka neʻe ʻana o kou pahu pepeiao. Hiki iā ia ke ʻike inā ua pohā kou pahu pepeiao, aia ka wai i loko o ka pepeiao waena, a ua paʻa paha ka wax pepeiao.
He aha nā lāʻau lapaʻau?
ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano o ka nalowale o ka lohe āu e loaʻa ai a me kona kumu.
| ʻAno o ka nalowale o ka lohe | Nā ʻano lapaʻau |
|---|---|
| Alakaʻi | - Nā lāʻau antibiotic no nā maʻi pepeiao. - Ke ʻoki kino e hoʻoponopono ai i ka eardrum ( tympanoplasty ). - Ke wehe ʻana i ka lepo a i ʻole kekahi mea i paʻa i loko o ka pepeiao. - ʻO ke ʻoki kino e wehe ai i ka cyst. |
| ʻO ka sensorineural | - Nā lāʻau lapaʻau e like me corticosteroids i ka wā e pehu ai nā hunaola pepeiao ma muli o ka walaʻau nui. - Ke komo ʻana i nā mea kōkua hoʻolohe . - ʻO ke ʻoki kino hoʻokomo cochlear . |
| Hui ʻia | No kēia, pono paha e hoʻohana pū ʻia kekahi a ʻoi aku paha o nā lāʻau lapaʻau i luna. Na kāu kauka e hoʻoholo i kēia. |
Hiki ke pale ʻia ka nalowale o ka lohe?
ʻAʻole hiki iā mākou ke pale aku i kekahi mau kumu, e like me ka ʻelemakule, akā ʻo ke kumu nui o ka nalowale o ka lohe, ʻo ia ka walaʻau nui. No laila, he nui nā mea hiki iā mākou ke hana e pale aku i ka pōʻino i hoʻoulu ʻia e ka walaʻau.
- E pale i kou mau pepeiao: E komo i nā pani pepeiao a i ʻole nā pale pepeiao i ka wā e hele ai i nā wahi me nā pae walaʻau kiʻekiʻe (nā ʻaha mele, nā wahi e hana ana nā mīkini).
- E hoʻēmi i ka leo: Ke hoʻolohe nei i ke mele ma o nā headphone a i ʻole nā earphone, e hoʻohaʻahaʻa i ka leo e lohe ai nā poʻe a puni ʻoe. Mai hoʻolohe i ke mele ma mua o 80% o ka leo nui loa no nā minuke he 90 i ka lā.
- Mai hoʻokomo i kekahi mea i loko o kou pepeiao:Mai hoʻokomo i nā mea e like me nā ʻūpā pulupulu a i ʻole nā pine lauoho i loko o kou pepeiao e hoʻomaʻemaʻe iā ia. Hiki i kēia ke hoʻokuke i ka pehu pepeiao i loko a hōʻino i ka pahu pepeiao.
- Mai puhipaka: Hoʻopilikia ka puhipaka i ke kahe koko, hiki ke hōʻemi i ke kahe koko i nā ʻāpana palupalu o ka pepeiao a hoʻopilikia i ka lohe.
- He nohona olakino: ʻO ka kaohi ʻana i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe a me ka hoʻoikaika kino mau he mea maikaʻi nō hoʻi ia no ke olakino pepeiao.
E hoʻomanaʻo, he ʻōkana waiwai nui kou mau pepeiao. ʻO kou kuleana ke pale iā lākou.
Leka Lawe-Home
- ʻAʻole wale ka nalowale o ka lohe he maʻi e hoʻopilikia ai i ka poʻe ʻelemakule, akā hiki ke hoʻopilikia i kekahi.
- E makaʻala i nā hōʻailona e like me ka paʻakikī o ka hoʻomaopopo ʻana i ka ʻōlelo, ka hoʻokiʻekiʻe ʻana i ka leo o ke TV, a me ke kani ʻana o nā pepeiao.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai makaʻu a hilahila paha, e ʻike koke i kāu kauka .
- Hiki i nā mea hana e like me ke kōkua hoʻolohe ke kōkua nui i ka hoʻihoʻi ʻana i kou ola i ka maʻamau.
- Hiki iā ʻoe ke pale i kou mau pepeiao ma ka pale ʻana i nā walaʻau nui a me ka pale ʻana i ke kau ʻana i nā mea ʻē i loko o kou mau pepeiao.
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