Loaʻa iā ʻoe kekahi pohō lohe? E aʻo kākou e pili ana i ka (Sensorineural Hearing Loss)!

Ua paʻakikī anei iā ʻoe ke lohe i kekahi e ʻōlelo ana? A i ʻole, ua pono anei ʻoe e hoʻokiʻekiʻe i ka leo ma ke TV? Hiki paha ma muli o ka pilikia pepeiao. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano maʻi, ʻo ia hoʻi ʻo `(Sensorineural Hearing Loss)` a i ʻole `(SNHL)`. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia.

He aha ka nalowale o ka lohe sensorineural?

I ka ʻōlelo maʻalahi, ʻo `(Sensorineural Hearing Loss)` kahi hemahema o ka lohe i hoʻokumu ʻia e ka hōʻino ʻana i ka ʻaoʻao o loko o kou pepeiao (`(inner ear)`) . E noʻonoʻo, aia nā hunaola lauoho liʻiliʻi (`(hair cells)`) i loko o ko kākou mau pepeiao e hopu ana i nā nalu leo ​​a hoʻololi iā lākou i mau hōʻailona e hiki ai i ka lolo ke hoʻomaopopo. Hana kēia mau mea e like me ka microphone. No laila, inā hōʻino ʻia kēia mau `(hair cells)`, lohe mākou i ka leo liʻiliʻi.

Hiki ke hoʻoulu ʻia kēia kūlana e ke kuni koke, ka ʻeha o ke poʻo, a i ʻole ka ʻike ʻia ʻana i kahi walaʻau nui, e like me ka pahū ʻana o kahi pōkā. I kekahi manawa, hiki i kēia nalowale o ka lohe ke ʻoi aku ka ʻino i kou wā ʻelemakule. Eia kekahi, ua hānau ʻia kekahi poʻe me kēia kūlana.

Ke loaʻa iā ʻoe ka SNHL, ʻaʻole paha ʻoe e lohe i nā mea i ʻōlelo mālie ʻia. ʻOiai ke lohe ʻoe i nā leo nui, ʻaʻole paha ʻoe e lohe maopopo iā lākou, a hiki paha iā ʻoe ke kani leo ʻole. ʻO ka mea kaumaha, ʻaʻole hiki i kēia mau hunaola lauoho i hōʻino ʻia ke hana hou a ho'ōla paha . No laila, he maʻi mau loa ka SNHL. Akā, mai hopohopo, me ke kōkua o nā mea kōkua lohe, hiki iā ʻoe ke hoʻomaikaʻi nui i kou lohe a ola i ke ola maʻamau.

Aia kekahi mau ʻano o kēia?

ʻAe, aia kekahi mau ʻano nui o ka `(Sensorineural Hearing Loss)`. E nānā kākou i ke ʻano o lākou:

• `(Unilateral sensorineural hearing loss)`: ʻO kēia ka wā e pilikia ai kou lohe ʻana ma hoʻokahi pepeiao wale nō .
• `(Bilateral sensorineural hearing loss)`: Ma kēia, ua hemahema ka lohe ʻana ma nā pepeiao ʻelua .
• Ka nalowale o ka lohe sensorineural asymmetrical: I kēia hihia, ua hemahema ka lohe ma nā pepeiao ʻelua, akā ʻoi aku ka kuli o kekahi pepeiao ma mua o kekahi .
• `(Pohō lohe sensorineural koke)`: He pilikia olakino kēia. ʻO kēia ka wā e nalowale koke ai kou lohe i loko o 72 mau hola o kahi ʻeha, maʻi, a i ʻole ka ʻike ʻia ʻana i kahi walaʻau nui (e noʻonoʻo i ke kani o nā mea puhi ahi i ka wā o ka Makahiki Hou, nā pū kī). Inā hana ʻia kēia, pono ʻoe e ʻike koke i ke kauka.

Pehea ka maʻamau o kēia kūlana?

ʻO ka nalowale o ka lohe sensorineural, ʻoi aku hoʻi ke ʻano e pili ana i ka makahiki, ʻo ia kekahi o nā hemahema lohe maʻamau i ʻike ʻia i nā pākeke. ʻO ia ka mea maʻamau i nā poʻe ma waena o 50 a me 70 mau makahiki.

ʻO ke kūlana "Pohō lohe sensorineural koke" i ʻōlelo mua ʻia, ʻo ia hoʻi ka nalowale koke o ka lohe i loko o kekahi mau lā, e pili ana i hoʻokahi a ʻeono mau kānaka i loko o 5,000 i kēlā me kēia makahiki. ʻO ia hoʻi, he mea kakaikahi iki ia.

He aha nā hōʻailona?

Inā loaʻa iā ʻoe ka `(Sensorineural Hearing Loss)`, e nānā inā loaʻa iā ʻoe kēia mau hōʻailona:

• Manaʻo ʻoe he ʻoi aku ka maʻalahi o ka lohe ʻana i ka ʻōlelo a ka poʻe me nā leo hohonu ma mua o ka poʻe e ʻōlelo ana me nā leo kiʻekiʻe?
• He mea paʻakikī anei ke hoʻomaopopo i ka mea e ʻōlelo ʻia nei ma nā wahi piha kanaka a walaʻau paha? Eia kekahi laʻana, ma ke kaʻaahi, ma ke kaʻa ʻōhua, a i ʻole ma kahi hale kūʻai.
• Ke kamaʻilio nā poʻe ʻē aʻe, lohe anei ʻoe iā lākou e ʻōhumu ana, ʻaʻole maopopo?
• He leo kani paha kou (`(tinnitus)`) mai loko mai o kou mau pepeiao ?
• Ke kamaʻilio pū ana kekahi poʻe, he paʻakikī anei ke hahai i ke kamaʻilio ʻana?
• Ke kani kaumaha nei anei nā mea āu e lohe nei, maopopo ʻole, a he leo haʻahaʻa?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻO ke kumu nui o ka `(Sensorineural Hearing Loss)` ʻo ia ka hōʻino ʻia ʻana o ka pepeiao o loko . ʻO ke kikoʻī, ua hana ʻia ia e ka hōʻino ʻia a i ʻole ka luku ʻia ʻana o nā hunaola lauoho liʻiliʻi (`(hair cells)`) ma ka ʻāpana o ka pepeiao o loko i kapa ʻia ʻo `(cochlea)` e hopu ana i ke kani, a i ʻole ke aʻalolo (`(vestibulocochlear nerve)`) e lawe ana i nā hōʻailona kani i ka lolo.

Ua hānau ʻia kekahi poʻe me kēia maʻi, e like me ka nele o ka oxygen i ka wā o ka ulu ʻana o ka fetal. Loaʻa i kekahi poʻe ma hope o ke ola, ma muli o nā maʻi like ʻole, nā ʻeha, ka ʻike ʻana i nā leo nui (no ka laʻana, ua ʻike ʻia ke kanaka e hana ana ma kahi hale hana i ke kani o nā mīkini no ka manawa lōʻihi), a i ʻole ma muli wale nō o ka ʻelemakule maʻamau.

He aha nā kumu pilikia?

ʻO kahi mea pilikia kahi mea e hoʻonui ai i ka manawa kūpono o ka loaʻa ʻana o kahi maʻi. Aia kekahi mau mea pilikia e hiki ke hoʻopilikia i ka ulu ʻana o SNHL:

• ʻO ka neuroma acoustic: He puʻupuʻu ʻaʻole ia he maʻi kanesa e ulu ana i loko o ka pepeiao. Hiki iā ia ke kau i ke kaomi ma ka pepeiao o loko a hoʻopilikia i ka lohe.
• Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, e nāwaliwali mālie ana nā hunaola lauoho lahilahi i loko o ka pepeiao. He mea maʻamau kēia.
• ʻO ka maʻi o Ménière: He maʻi pepeiao mau kēia e hiki ai ke hana i nā hōʻailona e like me ka vertigo (vertigo) a me ka tinnitus (kani ʻana i nā pepeiao).
• Kekahi mau lāʻau lapaʻau (`(Ototoxicity)`): Hiki i kekahi mau lāʻau lapaʻau (no ka laʻana, kekahi mau lāʻau lapaʻau maʻi kanesa, kekahi mau antibiotic) ke hōʻino i ka pepeiao o loko ma ke ʻano he hopena ʻaoʻao.
• Kekahi mau maʻi (`(Nā kūlana ʻōnaehana)`):ʻO kekahi mau maʻi, e like me ka maʻi diabetes mellitus a me ka meningitis, hiki ke hoʻopilikia i ke kahe koko i ka pepeiao o loko a i ʻole ke kumu o ka pehu ʻana o ke aʻalolo vestibulocochlear.
• ʻEha lolo traumatic: ʻO kahi hahau nui i ke poʻo hiki ke hōʻino i ka pepeiao o loko, hoʻopilikia i ke kahe koko, a hoʻonui i ke kaomi i loko o ke poʻo. Hiki i kēia mau mea āpau ke hana i ka SNHL.

I kekahi manawa, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kūpono no kēia. I ia mau hihia, ua kapa ʻia ʻo ia he "idiopathic SNHL".

Pehea ʻoe e ʻike ai i kēia?

Inā manaʻo ʻoe he pilikia kou i ka lohe ʻana, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike ʻana i ke kauka, ʻoiai hoʻi he loea pepeiao, ihu, a me ka ʻāʻī (he otolaryngologist a he kauka ENT paha).

E hoʻopā mua ke kauka a puni kou pepeiao a nānā i loko . A laila, e nānā lākou i loko o kou pepeiao me kahi mea liʻiliʻi i hoʻomālamalama ʻia i kapa ʻia ʻo "otoscope." Hiki i kēia ke kōkua i ka ʻike ʻana i kekahi mea ʻē i loko o ka pepeiao e hoʻopilikia nei i kou lohe.

Eia kekahi, hiki i ke kauka ke nīnau iā ʻoe i nā nīnau e like me:

• Ua nalowale koke anei kou lohe a i ʻole ua lohi paha?
• Inā he mālie, i ka manawa hea i hoʻomaka ai kēia?
• Ke lohe maikaʻi nei ʻoe i kekahi pepeiao ma mua o kekahi?
• Ua maʻi anei ʻoe i kēia mau lā iho nei? Ua loaʻa anei iā ʻoe kahi ʻeha poʻo?
• Aia kekahi o kou ʻohana i loaʻa ka pilikia o ka lohe?

He aha nā hoʻokolohua e hana ʻia?

ʻO ka mea aʻe, pono ʻoe e hana i kahi loea hoʻolohe (audiologist) i kekahi mau hoʻokolohua hoʻolohe kūikawā e ʻike pono ai pehea kou lohe. Hiki i kēia mau hoʻokolohua ke kōkua i ka hoʻoholo ʻana inā he SNHL kou a i ʻole kekahi ʻano pohō lohe ʻē aʻe.

Eia kekahi mau hoʻokolohua:

• Hoʻāʻo reflex acoustic: Hoʻāʻo kēia i ka ikaika o ka ʻūlū ʻana o kahi ʻiʻo liʻiliʻi ma waenakonu o kou pepeiao (ka ʻiʻo stapedial) i ka pane ʻana i kahi leo nui.
• Ka pane ʻana o ka lolo pepeiao: Pili kēia i ka hoʻopili ʻana i nā electrodes liʻiliʻi i kou poʻo, e hōʻike ana iā ʻoe i nā leo like ʻole, a me ke ana ʻana pehea e pane ai kāu mau nalu lolo iā lākou.
• Hoʻāʻo hoʻokele iwi: Hoʻouna pololei kēia i ke kani i loko o kou pepeiao i loko. Kōkua kēia 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 puka mai ana mai loko mai o kou pepeiao, e pili ana i ke kani. Hiki i kēia ke hōʻike inā he paʻa i loko o ka pepeiao a inā he nalowale ka lohe.
• `(Pure-tone audiometry)`: ʻO kēia kahi e ʻike ai ʻoe i nā leo āu e lohe ai ma nā ikaika like ʻole (`(frequencies)` a i ʻole nā ​​pitches).
• `(Speech audiometry)`: Hoʻāʻo kēia i kou maopopo ʻana i nā huaʻōlelo a me ka lohi o kou hiki ke hana hou i ka mea e ʻōlelo ʻia nei.
• Nā hoʻokolohua ʻō hoʻonohonoho:Nā hoʻāʻo e like me ka `hoʻāʻo Weber` a me ka `hoʻāʻo Rinne`. Hiki ke hana ʻia kēia mau mea e kahi loea pepeiao, ihu a me ka ʻāʻī. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he `sensorineural` a `conductive` lohe paha kou (ka nalowale o ka lohe i hoʻokumu ʻia e kahi pilikia ma ka pepeiao waho a waena paha).
• Tympanometry: ʻAe kēia i ke kauka e ʻike i ka neʻe ʻana o kāu mau eardrums i ka pane ʻana i nā leo.

I kekahi manawa pono paha ke kauka e nānā i kou mau aʻalolo cranial a hana paha i nā hoʻokolohua kiʻi, e like me ka MRI a i ʻole CT scan.

He aha nā lāʻau lapaʻau?

Aia kekahi mau lāʻau lapaʻau no ka nalowale o ka lohe sensorineural. ʻO ka lāʻau lapaʻau kūpono iā ʻoe e hilinaʻi ia i ke koʻikoʻi o kou kūlana a me ke kumu.

• Nā mea kōkua hoʻolohe: Ua like kēia me nā mea hoʻolele leo liʻiliʻi. Hoʻonui lākou i nā leo o waho a maʻalahi iā ʻoe ke lohe. I kēia manawa, aia nā mea kōkua hoʻolohe holomua loa, liʻiliʻi, a ʻike ʻole ʻia.
• Nā mea hoʻokomo cochlear: He mau mea i hoʻokomo ʻia ma ke ʻoki kino kēia e hana i kahi ala hou no nā hōʻailona leo e hele pololei i ka lolo, e pale ana i ka pepeiao o loko i hōʻino ʻia. He mea pono loa kēia no ka poʻe me ka nalowale nui o ka lohe.
• Nā lāʻau lapaʻau: Inā hana ʻia kāu SNHL e ka mumū i ka pepeiao a i ʻole kekahi ʻano ʻē aʻe, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me corticosteroids.
• Nā mea kōkua hoʻolohe i hoʻopaʻa ʻia i ka iwi (BAHA): Hoʻokomo ʻia kēia mau mea i loko o ka iwi o ke poʻo. Hoʻoili lākou i ke kani i ka pepeiao o loko ma o nā haʻalulu. Hiki iā lākou ke lilo i mea pono loa no ka poʻe me ka nalowale o ka lohe sensorineural unilateral.
• Nānā pono: I kekahi manawa, ʻoiai inā ʻaʻole koʻikoʻi loa kāu SNHL, hiki i kāu kauka ke ʻōlelo aku i ka "kali makaʻala." ʻO ke ʻano kēia o ka nānā ʻana i ke kūlana me ka ʻole o ka lāʻau lapaʻau.

He aha ka manaʻolana no ka hoʻōla hou ʻana? (Manaʻo)

Ma keʻano holoʻokoʻa, ʻo ka hiki ke hoʻōla mai ka SNHL e pili ana i ke kumu kumu a me ke koʻikoʻi o ka nalowale o ka lohe. I ka hapanui o nā hihia, he kūlana mau loa ka SNHL. ʻO ia hoʻi, he paʻakikī ke ho'ōla loa.

Akā, mai hoʻōki i ka manaʻolana! Hiki iā ʻoe ke hoʻomaikaʻi nui i kou lohe me nā mea kōkua lohe a i ʻole nā ​​​​​​mea hoʻokomo cochlear, e ʻae iā ʻoe e hauʻoli i ke ola me ka ʻole o ka ʻoki ʻia ʻana mai ke ao a puni ʻoe.

Inā loaʻa koke iā ʻoe ka nalowale o ka lohe sensorineural, he mea nui e ʻimi koke i ke kōkua lapaʻau . ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou loaʻa ʻana o kahi hopena maikaʻi.

Hiki ke pale ʻia kēia?

ʻO kaʻoiaʻiʻo, ʻaʻole hiki ke pale ʻia ka SNHL i nā manawa a pau. Hoʻopilikia ʻia hoʻi e nā mea hiki ʻole iā mākou ke kāohi, e like me ka ʻelemakule. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ko lākou mau hopena ʻaoʻao . Hiki i kekahi mau lāʻau lapaʻau ke hōʻino i nā pepeiao.
• E nānā pinepine i kāu hoʻolohe i hiki iā ʻoe ke ʻike koke i nā pilikia.
• E hoʻohana i nā pani pepeiao a i ʻole nā ​​pale pepeiao ke noho ʻoe ma nā wahi walaʻau nui. Eia kekahi laʻana, ma nā ʻaha mele, nā kahua kūkulu, a i ʻole ke hana ʻana ma nā hale hana. E hoʻomanaʻo, hiki ke pale ʻia ka nalowale o ka lohe mai ka walaʻau nui!

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• Inā manaʻo ʻoe ua poniuniu (`(vertigo)`) a i ʻole he pilikia kou kaulike (`(balance)`) .
• Inā ʻaʻole hiki iā ʻoe ke lohe pono i nā mea ma nā wahi walaʻau, a i ʻole i ka wā e kamaʻilio ana kekahi poʻe i ka manawa hoʻokahi, a inā paʻakikī ke hopu aku.
• Inā he leo kani (`(tinnitus)`) kou i loko o kou mau pepeiao.
• Inā makemake mau ʻoe e hoʻonui i ka leo ma ke TV a i ʻole ka lekiō ma mua o ka wā ma mua.
• Inā ʻike koke ʻoe i kahi loli nui i kou lohe ʻana .

He aha nā nīnau āu e nīnau ai i ke kauka?

Inā ua ʻike ʻia ʻoe me SNHL, he mea maikaʻi ke nīnau i kāu kauka i nā nīnau e like me kēia:

• He aha ke kumu o koʻu nalowale ʻana o ka lohe?
• Aia kekahi manawa e hoʻomaikaʻi koke ʻia ai koʻu lohe?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā hopena e hiki iaʻu ke manaʻo mai ka lāʻau lapaʻau?
• ʻEhia pinepine e pono ai iaʻu ke hele hou aku e ʻike iā ʻoe (`(nā kipa hahai)`)?

Hiki ke paʻakikī ke noho me ka nalowale o ka lohe sensorineural (SNHL). ʻO nā leo āu i aloha ai ma mua, ʻaʻole paha e maopopo hou e like me ka wā ma mua. He mea maʻamau ke kaumaha, hopohopo, a makaʻu hoʻi no kēia, ʻoiai ke noʻonoʻo nei ʻoe inā e hoʻomaikaʻi hou ʻia kou lohe. Akā, mai hoʻokuʻu i ka manaʻolana. Hiki i nā lāʻau lapaʻau e like me nā mea kōkua lohe a me nā implants cochlear ke kōkua iā ʻoe e lohe maikaʻi a pili i ke ao nei. Inā manaʻo ʻoe he SNHL paha ʻoe a i ʻole kekahi āu e aloha ai, e ʻike pono i ke kauka.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo aku kākou iā ʻoe i kekahi o nā mea a kākou i kamaʻilio ai.

• ʻO ka Sensorineural Hearing Loss (SNHL) kahi ʻano nalowale o ka lohe e mau loa ana a ma muli o ka hōʻino ʻia ʻana o nā hunaola lauoho palupalu i loko o ka pepeiao o loko.
• Hiki ke hana ʻia kēia e ka ʻelemakule, nā walaʻau nui, kekahi mau maʻi, nā ʻeha, a me kekahi mau lāʻau lapaʻau.
• Hiki i nā hōʻailona ke komo pū me ke kani ʻana o nā pepeiao (tinnitus), ka paʻakikī i ka lohe ʻana i ka ʻōlelo, a me ka paʻakikī i ka lohe ʻana i nā wahi walaʻau.
• ʻO ka `(Sudden SNHL)` he kūlana pilikia ia e nalowale koke ai kou lohe. Inā hana ʻia kēia, pono ʻoe e ʻike koke i ke kauka.
• Hiki ke hoʻomaikaʻi ʻia ka lohe me nā lāʻau lapaʻau e like me nā mea kōkua lohe a me nā implants cochlear.
• ʻO ka pale ʻana i kou mau pepeiao mai nā walaʻau nui hiki ke hōʻemi i ka pilikia o SNHL.

No laila, inā he kānalua iki kou e pili ana i kou lohe ʻana, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana.

ʻO ka nalowale o ka lohe sensorineural, SNHL, maʻi pepeiao, kōkua lohe, implant cochlear, tinnitus