Thaum koj hais lus, koj tus menyuam puas zoo li tsis meej pem? Cia peb tham txog Auditory Neuropathy Spectrum Disorder (ANSD)!

Koj tus me nyuam puas tsis mloog zoo thaum koj tham? Los yog koj puas xav tias nws tsis meej pem txog yam koj hais? Tej zaum yuav muaj qee qhov txawv ntawm txoj kev uas cov me nyuam hnov ​​​​​​suab. Hauv cov xwm txheej zoo li no, ib qho mob hu ua Auditory Neuropathy Spectrum Disorder, lossis (ANSD) luv luv, yuav yog qhov ua rau. Tsis txhob txhawj, cia peb tham txog qhov no yooj yim.

Qhov no yog dab tsi (Auditory Neuropathy Spectrum Disorder - ANSD)?

Hais yooj yim xwb, peb lub pob ntseg yog yam uas cia peb hnov ​​cov suab nyob ib puag ncig peb. Tom qab ntawd, lawv hloov cov suab ntawd mus ua cov lus uas lub hlwb nkag siab thiab xa mus rau lub hlwb. Txawm li cas los xij, qee zaum cov lus no sib xyaw thaum lawv mus txog lub hlwb, lossis lawv tsis mus txog qhov ntawd kiag li. Qhov ntawd yog yam uas peb hu ua Auditory Neuropathy Spectrum Disorder, lossis (ANSD).

Nov yog qee yam uas yuav tshwm sim rau cov menyuam yaus uas muaj tus mob no (ANSD):

• Nws yuav nyuaj rau paub qhov txawv ntawm ib lub suab los ntawm lwm lub.
• Tej zaum koj yuav tsis nkag siab meej tias ib tug neeg hais li cas.
• Nws yuav zoo li koj hnov ​​ib lub suab thiab tom qab ntawd mam li ploj nws mus .
• Tej zaum yuav zoo li yam koj hnov ​​ib hnub tsis yog yam koj hnov ​​hnub tom qab, uas txhais tau tias yam koj hnov ​​hloov pauv .

Tiam sis muaj xov xwm zoo. Txawm tias cov menyuam yaus uas muaj tus mob no (ANSD) tuaj yeem txhim kho lawv cov kev txawj hais lus thiab sib txuas lus zoo nrog lwm tus los ntawm kev siv cov khoom siv kho mob, kev kho mob, thiab cov txheej txheem sib txuas lus pom (piv txwv li, cov txheej txheem sib txuas lus siv cov cim pom).

Vim li cas qhov no (ANSD) thiaj tshwm sim? Dab tsi yog cov ua rau?

Qhov ua rau muaj tus mob (ANSD) no yog kev puas tsuaj rau qhov chaw ntawm cov hlab ntsha auditory , qhov ntawm peb lub pob ntseg sab hauv hu ua cochlea (uas sau cov suab thiab tsim cov lus) thiab lub hlwb.

Cov menyuam yaus zoo li no feem ntau yuav mob (ANSD):

• Rau cov menyuam mos uas yug ua ntej hnub yug (cov menyuam yug ua ntej lub sijhawm).
• Yog tias leej twg hauv tsev neeg tau muaj tus mob no (ANSD) ua ntej.
• Yog tias mob ntshav qab zib loj heev tshwm sim thaum yug los.
• Yog tias tsis muaj oxygen txaus ua ntej lossis tom qab yug los ((oxygen tsawg)) .
• Muaj qee cov tshuaj uas ua rau cov qhov rhiab heev hauv pob ntseg lossis cov hlab ntsha hnov ​​​​​​lus puas tsuaj. Yog tias tus menyuam tau txais cov tshuaj no .
• Yog koj muaj tej yam mob caj ces lossis tej yam mob ntawm lub paj hlwb , xws li kab mob Charcot Marie Tooth.
• Yog koj raug mob taub hau loj heev .

Koj paub li cas yog tias koj muaj (ANSD)? Cov tsos mob yog dab tsi?

Cov tsos mob no tuaj yeem pib thaum twg los tau. Txawm li cas los xij, feem ntau cov menyuam mos yug los muaj tus mob no (ANSD).Nws muaj peev xwm sib txawv ntawm qhov me me mus rau qhov hnyav heev. Qhov xav tsis thoob yog tias qee tus menyuam yaus tuaj yeem hnov ​​​​​​cov suab zoo li qub tab sis lawv nyuaj rau nkag siab txog yam uas tau hais meej.

Cov menyuam mos no yuav dhau qhov kev kuaj mob pob ntseg rau cov menyuam mos, tab sis tsuas yog lub sijhawm dhau mus lawv mam li paub tias lawv muaj teeb meem pob ntseg.

Saib xyuas cov no thaum koj tus menyuam thawj xyoo.

Saib seb koj tus menyuam puas teb tau zoo rau cov teeb meem kev hnov ​​lus no hauv thawj xyoo ntawm lub neej. Yog tsis ua li ntawd, nws yog ib lub tswv yim zoo los tham nrog kws kho mob.

• Menyuam mos : Puas yog nws dhia lossis "qaug" thaum nws hnov ​​​​​​lub suab nrov?
• Kwv yees li 3 lub hlis : Koj tus menyuam puas paub nws niam lossis nws txiv lub suab? Lawv puas tig lawv lub taub hau mus rau sab ntawd?
• Thaum muaj li ntawm 6 lub hlis : Koj tus menyuam puas tig nws lub qhov muag lossis lub taub hau mus rau sab ntawd thaum lawv hnov ​​​​​​lub suab tshiab? Puas yog lawv rov hais dua cov suab zoo li "uh" thiab "ah"?
• Thaum muaj li ntawm 12 lub hlis (ib xyoos) : Koj tus menyuam puas ua suab me me, tsis muaj lub ntsiab lus (suab hais lus tsis meej)? Koj tus menyuam puas teb thaum koj hais nws lub npe? Koj tus menyuam puas sim ua raws li cov lus? Koj tus menyuam puas hais ob peb lo lus, xws li "niam" thiab "bye-bye"?

Thaum koj tus menyuam loj hlob tuaj me ntsis, saib seb lawv puas muaj cov tsos mob no.

Thaum koj tus menyuam loj hlob tuaj, lawv yuav pom cov tsos mob zoo li no yog tias lawv muaj teeb meem hnov ​​lus:

• Kev hais lus tsawg, tsis meej, lossis tsis hais li .
• Koj puas xav tias tsis muaj leej twg mloog koj los yog koj tsis ua raws li cov lus qhia ?
• Koj puas tsis teb thaum lawv hais lus rau koj li qub, los yog koj puas teb tsis muaj qab hau ?
• Thaum muaj suab nrov ntau nyob ib puag ncig koj, koj puas yooj yim raug cuam tshuam ?
• Koj puas xav kom lub TV nrov nrov heev ?
• Koj puas muaj teeb meem kev kawm ?

Yog koj muaj lus nug txog koj tus menyuam txog tej yam zoo li no, koj yuav tsum nrog kws kho mob tham. Qhov ntawd yog qhov zoo tshaj plaws ua.

Koj paub tseeb li cas tias koj muaj (ANSD) xwm txheej?

Tus kws kho mob pob ntseg yog tib tug neeg uas tuaj yeem kuaj mob ANSD tau zoo. Nws yog tus uas ua cov kev kuaj tshwj xeeb thiab pab cov neeg uas muaj teeb meem pob ntseg. Muaj ntau qhov kev kuaj tseem ceeb uas tuaj yeem pab kuaj mob ANSD:

Cov kev ntsuam xyuas no yog dab tsi?

• Kev kuaj Otoacoustic emission (OAE) : Qhov no kuaj seb qhov ntawm pob ntseg sab hauv hu ua cochlea ua haujlwm zoo npaum li cas. Qhov no ua thaum tus menyuam pw tsaug zog lossis zaum twj ywm. Cov pob ntseg me me raug muab tso rau hauv pob ntseg thiab lub suab maj mam, xws li lub suab nyem, raug tso tawm. Tom qab ntawd, cov lus teb los ntawm pob ntseg sab hauv raug ntsuas nrog cov ntawv nplaum me me hu ua electrodes.
• Kev ntsuam xyuas kev hnov ​​​​​​lus teb ntawm lub hlwb (ABR)Qhov no sim seb lub suab los ntawm sab hauv pob ntseg mus raws cov hlab ntsha auditory mus rau lub hlwb, uas nyob ntawm lub hauv paus ntawm lub hlwb zoo thiab meej npaum li cas. Yog tias cov ntaub ntawv tsis mus rau lub hlwb kom meej, qhov kev xeem no yuav qhia nws. Feem ntau, yog tias qhov kev xeem (OAE) yog qhov zoo li qub, thiab qhov kev xeem (ABR) muaj tsawg heev lossis tsis muaj kev teb, ces nws xav tias muaj feem ntau ntawm (ANSD).
• Kev kuaj mob pob ntseg nruab nrab (MEMR) : Muaj ib cov leeg me me hauv peb lub pob ntseg uas nws yuav nruj thaum peb hnov ​​lub suab nrov. Yog vim li ntawd nws thiaj hu ua (MEMR). Hauv qhov kev kuaj no, ib lub taub roj hmab me me raug ntxig rau hauv pob ntseg thiab lub suab nrov raug xa mus. Lub tshuab siv los saib seb cov leeg no teb li cas rau lub suab. Hauv rooj plaub ntawm ib tug menyuam uas muaj (ANSD), qhov kev tsis haum no tsis tshwm sim rau lub suab nrov, lossis nws yuav tsum muaj lub suab nrov dua li ib tus neeg ib txwm kom tau txais qhov kev tsis haum.

Cov kev pab cuam kuaj mob pob ntseg rau cov menyuam mos siv tau cov qauv yooj yim ntawm cov kev kuaj no (OAE) thiab (ABR). Txawm li cas los xij, txhawm rau kom kuaj tau tseeb (ANSD), cov kev kuaj no yuav tsum tau ua tiav tag nrho.

Yuav tsum tau muaj lwm yam kev ntsuam xyuas dab tsi ntxiv?

Tom qab kuaj pom tias muaj (ANSD), tus menyuam yuav tsum tau kuaj ntau yam ntxiv:

• Kev kuaj MRI (MRI) : Txhawm rau saib seb puas muaj teeb meem dab tsi sab hauv pob ntseg thiab seb puas muaj cov hlab ntsha hnov ​​lus hauv ob lub pob ntseg.
• Kev kuaj mob caj ces : Txhawm rau saib seb qhov mob (ANSD) no puas yog ib feem ntawm kev mob caj ces.
• Kev kuaj mob hlwb : Tshawb xyuas lwm yam teeb meem ntawm lub paj hlwb.
• Kev kuaj pom kev : Teeb meem hnov ​​lus thiab teeb meem pom kev feem ntau tuaj yeem mus ua ke. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho qhov muag yog tias tus menyuam muaj ANSD raug kuaj pom.

Yuav kho tus mob (ANSD) li cas?

Cov menyuam yaus uas muaj ANSD raug kho los ntawm ib pab pawg kws tshwj xeeb . Qhov no txhais tau tias tus kws tshwj xeeb hnov ​​​​lus (audologist), tus kws tshwj xeeb pob ntseg, qhov ntswg thiab caj pas (ENT), tus kws kho kev hais lus (speech-language therapist), thiab tus kws tshwj xeeb kev kawm ua haujlwm ua ke los tsim txoj kev npaj kho mob zoo tshaj plaws.

Kev kho mob nyob ntawm ntau yam, suav nrog tus menyuam lub hnub nyoog, qhov twg ntawm cov hlab ntsha hnov ​​​​​​lus tsis ua haujlwm zoo, thiab qhov teeb meem hnov ​​​​​​lus hnyav npaum li cas.

Feem ntau, cov menyuam no tau txais txiaj ntsig zoo los ntawm kev siv cov khoom siv pab mloog lus. Nrog rau cov khoom siv no, kev txuas ntxiv kev kho mob hais lus kom txhim kho tus menyuam txoj kev hais lus thiab kev mloog lus yog txoj hauv kev zoo tshaj plaws los ua tiav cov txiaj ntsig .

Cov khoom siv pab tau no yog dab tsi?

• Cov txheej txheem hloov kho zaus (FM)Lub tshuab (FM) no txo ​​qhov suab nrov tsis xav tau nyob ib puag ncig koj thiab ua rau lub suab ntawm tus neeg hais lus (piv txwv li, tus xib fwb) hnov ​​​​​​lus meej thiab nrov nrov. Tus neeg hais lus hnav lub microphone me me thiab lub (transmitter). Lub (transmitter) no xa lub teeb liab hluav taws xob mus rau lub (receiver) uas tus menyuam hnav hauv lawv lub pob ntseg lossis txuas ncaj qha rau lub (lub tshuab pab hnov ​​​​​​lus). Qhov no muaj txiaj ntsig zoo heev hauv chav kawm thiab lwm qhov chaw nrov nrov vim tias nws tuaj yeem nqa mus los.
• Cov khoom pab hnov ​​lus : Qhov no yog siv los ua kom lub suab nrov uas ncav cuag pob ntseg. Qee tus menyuam uas muaj ANSD tuaj yeem tau txais txiaj ntsig los ntawm cov khoom pab hnov ​​lus, tshwj xeeb tshaj yog thaum siv ua ke nrog lub kaw lus FM uas tau hais ua ntej. Txawm li cas los xij, cov khoom pab hnov ​​lus ib leeg tsis pab tau rau cov menyuam uas muaj ANSD , vim tias lawv tsuas ua kom lub suab uas twb tsis hnov ​​lus zoo lawm nrov dua.
• Kev cog pob ntseg Cochlear : Rau qee tus menyuam uas muaj ANSD, tshwj xeeb tshaj yog cov neeg uas tsis tau txais kev pab txaus los ntawm cov khoom siv pab hnov ​​lus, kev cog pob ntseg cochlear yog ib qho kev xaiv zoo. Qhov no yog ib lub cuab yeej uas tau phais cog rau hauv pob ntseg . Nws hla dhau cov qhov ntawm pob ntseg uas tsis ua haujlwm zoo thiab ncaj qha txhawb nqa cov hlab ntsha hnov ​​lus. Nrog kev cob qhia zoo thiab kev kho mob tas mus li, cov menyuam uas muaj kev cog pob ntseg cochlear tuaj yeem kawm hnov ​​lus zoo thiab hais lus meej.

Koj xav paub dab tsi ntxiv?

Ntxiv rau kev siv cov khoom pab hnov ​​lus, cov menyuam uas muaj ANSD kuj tseem tuaj yeem kawm cov txuj ci sib txuas lus pom kev, uas yog cov hau kev sib txuas lus siv yam lawv pom nrog lawv lub qhov muag.

Cov kev sib txuas lus pom no yog dab tsi?

• Lus Qhia : Qhov no yog ib hom lus sib cais. Nws muaj nws tus kheej cov qauv sau ntawv, cov lus, thiab cov qauv kab lus. Nws yog tsim los siv hloov lus hais.
• Kev Hais Lus Cued : Qhov no suav nrog tus neeg hais lus ua tes taw ncig lub qhov ncauj. Cov tes taw no pab tus mloog paub qhov txawv ntawm cov tsiaj ntawv uas zoo sib xws (piv txwv li, 'ব' thiab 'প', lossis 'ম' thiab 'ব'). Kev Hais Lus Cued siv tau rau txhua hom lus, thiab muaj txiaj ntsig zoo rau cov tsev neeg uas hais ob hom lus.
• Kev Kos Npe Lus Askiv Tseeb (SEE) : Qhov no yog ib txoj kev siv lus piav tes uas siv tib yam lus Askiv uas hais tib yam, ib lo lus rau ib lo lus. Nws kuj muaj cov ntsiab lus ntawm lus piav tes, tab sis cov qauv kab lus thiab cov qauv sau ntawv yog qiv los ntawm lus Askiv.

Ob qho tib si Cued Speech thiab SEE txhais cov lus hais ncaj qha. Ob qho tib si yog tsim los siv ua ke nrog cov lus hais kom pab koj nkag siab meej txog tej yam uas kev nyeem daim di ncauj xwb ua tsis tau.

Cov niam txiv muaj lub luag haujlwm tseem ceeb heev hauv kev qhia lawv cov menyuam uas muaj ANSD kom sib txuas lus thiab tham nrog lwm tus. Cov txiaj ntsig zoo tshaj plaws tuaj yeem ua tiav los ntawm kev ua haujlwm ze nrog pab pawg kho mob.

Koj tuaj yeem nrhiav tau cov ntaub ntawv ntxiv thiab kev txhawb nqa ntawm cov vev xaib zoo li no:

• CDC: Kev Hnov Lus Tsis Zoo thiab Koj Tus Menyuam (Lub Vev Xaib ntawm Chaw Tswj Kab Mob hauv Tebchaws Meskas)
• Tes thiab Lub Suab (lub network rau cov niam txiv thiab cov kws tshaj lij)

Cov lus tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li cia peb rov qab qhia koj txog qee yam uas peb tau tham txog uas koj yuav tsum nco ntsoov.

• Kab mob Auditory Neuropathy Spectrum Disorder (ANSD) yog ib qho mob uas cov lus suab los ntawm pob ntseg mus rau lub hlwb raug cuam tshuam lossis mus tsis tau zoo.
• Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no thaum ntxov . Yog tias koj xav tias koj tus menyuam muaj kev hloov pauv lossis qeeb hauv lawv lub pob ntseg, mus ntsib kws kho mob tam sim ntawd.
• Tus mob no tsuas yog kuaj tau raws li qhov tseeb los ntawm kev kuaj tshwj xeeb xws li (OAE) thiab (ABR).
• Tsis txhob txhawj, cov khoom siv xws li (FM) systems, (cov khoom pab hnov ​​lus), (cochlear implants), kev kho kev hais lus, thiab kev sib txuas lus pom kev tuaj yeem txhim kho koj tus menyuam lub peev xwm hais lus .
• Ua niam txiv, koj txoj kev txaus siab, kev mob siab rau, thiab kev ua haujlwm ua ke nrog pab pawg kho mob yog lub zog zoo tshaj plaws rau koj tus menyuam .

Nco ntsoov tias, txhua tus menyuam txawv, yog li nws yog ib qho tseem ceeb kom nrhiav kev kho mob thiab kev txhawb nqa uas haum rau koj tus menyuam.

Kev Mob Hnov Lus, ANSD, Teeb Meem Hnov Lus, Kev Noj Qab Haus Huv Rau Menyuam, Kev Ntsuas Hnov Lus, Cochlear Implants, Kev Kho Mob Hais Lus