Wan nyu op fɔ dɛf pipul dɛn! Lɛ wi lan ɔltin bɔt di Ɔditory Brainstem Implant (ABI)!

Yu dɔn ɛva imajin wan wɔl we nɔ gɛt sawnd? Wan pɔsin we yu lɛk in vɔys, fayn fayn siŋ, bebi in laf... Layf we nɔ yɛri natin. I at fɔ imajin, nɔto so? Bɔt, fɔ sɔm pipul dɛn, dis na di tru. We dɛn nɔ de yɛri igen, dat min se we dɛn nɔ de yɛri igen, dɛn nɔ gɛt kɔnekshɔn wit di wɔl we de mek sawnd. Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, wan tɛknɔlɔji de naw we go mek dɛn kayn pipul dɛn de gɛt op. Na dat wi go tok abaut tide.

Fɔ tɔk am simpul wan, wetin na dis Ɔditɔri Brenstɛm Implant (ABI)?

Dis na tin bak we pɔsin kin yuz fɔ yɛri. Bɔt i nɔ tan lɛk di tin we yu kin si na yu yes fɔ yɛri. Auditory Brainstem Implant (ABI) na wan tin we dɛn kin du ɔpreshɔn pan insay di bɔdi. Dɛn mek am fɔ mek pɔsin we dɛf at ɔl ebul fɔ fil sawnd .

Dis impɔtant mɔ if di tin we kin mek pɔsin nɔ yɛri fayn na prɔblɛm wit di kɔklia (insay yes) ɔ prɔblɛm wit di nerv we pɔsin de yɛri. dis min se if di "pat" we de kכri sawnd signal frכm di yes to di bren brok kכmplit, dis divays de baypas da brok pat de εn sεnd signal dεm dεn wan to di pat pan di bren we de rispansabl fכ yεri (di bren stεm).

Di men bɛnifit dɛn we pɔsin kin gɛt frɔm dis na:

• Fɔ ebul fɔ no di sawnd dɛn we de rawnd yu (e.g. pɔsin we de tɔk, motoka we de kam nia yu, ɛn ɔda tin dɛn).
• Di ebul fɔ ɔndastand wetin pɔsin de tɔk bay we i de wach in lip (lip-ridin) de bɔku we i de tɔk.
• Sɔntɛnde, yu kin no sawnd dɛn, ɔndastand wɔd dɛn, ɛn ivin sɛntɛns dɛn.

Aw dis ABI divays tan lɛk?

Dis divays gɛt tu men pat dɛn: wan we dɛn kin wɛr na do na di bɔdi, ɛn di ɔda wan we dɛn kin ɔpreshɔn insay di bɔdi.

1. Prɔsɛsɔ: Dis na di pat we de na do na yu bɔdi. I tan lɛk smɔl tin. Dɛn kin wɛr am oba yu yes ɔ na di sayd we yu de na yu ed. I de yuz maykrofon fɔ pik di sawnd dɛn we de rawnd yu. Dɔn i kin chenj dɛn sawnd dɛn de to ilɛktrik signal ɛn sɛn dɛn to di ɔda pat we dɛn put ɔnda yu skin. Yu kin pul dis pat we de na do we yu de slip.

2. Internal Implant: Dis na wetin dɔktɔ dɛn kin ɔpreshɔn insay di bɔdi. Dis gɛt tu pat bak:

• Risiva-stimulatɔ: Dɛn kin put dis ɔnda di skin na yu ed. I de gɛt signal frɔm di ɛksternal prɔsesɔ.
• ilektroyd padul: di signal dεm we de kכmכt frכm di risiva de kכmכt dεn wan dεm to di men hεri sεntr na di bren, di kכklia nyuklios kכmpleks, insay di bren stεm, tru wan sכm ilektroyd pad.

Fɔ tɔk am simpul wan, i kin pik sawnd dɛn we de kɔmɔt na do ɛn sɛn dɛn insay. Di insay de sɛn dɛn signal dɛn de dairekt to di bren.

Dis ABI na di sem wit di Cochlear Implant we wi kin yɛri bɔt bɔku tɛm?

Nɔ, pan ɔl we dɛn ɔl tu na tin dɛn we dɛn kin yuz ɔpreshɔn fɔ mek pɔsin yɛri, di we aw dɛn de wok ɛn di pipul dɛn we dɛn kin wok wit difrɛn. Tink bɔt am dis we: di yes na di get, ɛn di ɔditory nerve na di rod frɔm di get to di os (di bren).

• dεn de yuz kכklia implant fכ pipul dεm we dεn wan get (di `koklia` insay di yes) brok, bכt dεn rod fכ go os (di כditory nεv) nכ de. di koklia implant de baypas di get we brok εn i de sεnd signal dεm dεn wan to di rod (di כditory nεv).
• Na pipul dɛn nɔmɔ we gɛt ɔl tu di get (kɔklia) ɛn di rod (ɔditory nerve) we dɔn pwɛl, ɔ we nɔ gɛt rod atɔl, de yuz ABI . If na so i bi, i nɔ gɛt ɛni bɛnifit fɔ sɛn signal to di rod. Wetin di ABI de du na fɔ baypas ɔl tu di get ɛn di rod ɛn sɛn signal dairekt to di os (di bren stem).

Dis difrɛns go klia to yu we yu luk di tebul we de dɔŋ ya.

Udat dis ABI ɔpreshɔn fit fɔ?

dis tεknכlכji dεn bin fכs divεlכp fכ pipul dεm we gεt wan rare jεnεtik kכndishכn we dεn kכl `Nyurofibromatosis 2 (NF2).` Insay dis sik, tכmכro dεm de divεlכp along di כditory nεv. We dɛn du ɔpreshɔn fɔ pul dɛn tɔŋ ya, dat kin pwɛl di ɔditɔri nɛv. Dɔn dɛn nɔ de yɛri na dɛn tu yes igen. If na so i bi, ɛnitin we de ɛp pɔsin fɔ yɛri ɔ tin we dɛn kin put insay pɔsin in kɔklia nɔ go ɛp. Na dat mek ABI kin ɛp dɛn kayn pipul dɛn de mɔ.

Bɔt naw, nɔto di wan dɛn nɔmɔ we gɛt NF2, bɔt di wan dɛn we dɛn ɔditory nerve ɔ insay yes nɔ wok fayn fɔ bɔku ɔda rizin dɛn kin bɛnifit frɔm dis teknɔlɔji. Fɔ ɛgzampul:

• yכŋ pikin dεm we dεn bכn wit wan כditory nεv we nכ de (`aplasia`) כ we nכ fulכp divεlכp (`hypoplasia`).
• Pipul dεm we dεn nכ de yεri bכku bכku tin dεm lεk difכmiti na di shep fכ di insay yes (cochlea), divεlכpmεnt we nכ kכmplit (cochlear hypoplasia), we dεn nכ de fכm pat dεm (cochlea aplasia), כ bon dεm we de gro (cochlear otosclerosis כ cochlear ossification).
• di wan dεm we gεt damej pan di כditory nεv bikoz fכ siriכs ed injuri (e.g. tεmporal bon frakshכn).
• Fɔ di wan dɛn we dɛf bikɔs ɔf ɔda rizin ɛn dɛn nɔ ebul fɔ yɛri wit ɛni ɔda divays.

Wetin yu fɔ du bifo dɛn du yu ɔpreshɔn?

Bikɔs dis na big ɔpreshɔn, dɛn go du bɔku tɛst dɛn fɔ stɔdi gud gud wan bɔt yu sik bifo tɛm.

• Bihayvya tɛst: De mɛzhɔ yu yɛri lɛvɛl.
• Kɔmyunikeshɔn ɛvalueshɔn: Wan pɔsin we de stɔdi bɔt aw pɔsin de tɔk ɛn tɔk to pɔsin go chɛk yu langwej skil ɛn di we aw yu de tɔk to pipul dɛn.
• Ilektrophysiologic testing: Dɛn kin du spɛshal tɛst fɔ no ustɛm ɛn to us mak di pɔsin we de yɛri dɔn pwɛl.
• Imej tɛst: Dɛn tin ya na CT skan ɛn MRI skan fɔ chɛk di insay yes, di ɔditory nerve, ɛn di strɔkchɔ dɛn we de rawnd di bren.
• Mɛdikal histri: Yu dɔktɔ go aks bɔt yu mɛdikal kɔndishɔn ɛn histri bɔt yu yɛri prɔblɛm.

Wetin na di bɛnifit, prɔblɛm dɛn, ɛn di tin dɛn we kin apin we dɛn du dis ɔpreshɔn?

We wi de tɔk bɔt dis, wi nid fɔ ɔndastand di rial tin we de apin.

Di bɛnifit dɛn we yu kin gɛt:

Pan ɔl we di rizɔlt kin difrɛn frɔm wan pɔsin to ɔda pɔsin, in jɔnal, tin lɛk fɔ no aw pɔsin de tɔk ɛn fɔ rid in lip kin bɛtɛ pasmak. Na mɔ, risach dɔn sho se pikin dɛn we dɛn du dis ɔpreshɔn we dɛn yɔŋ (bifo dɛn nɔ yɛri fayn fɔ lɔng tɛm) kin ɔndastand wɔd dɛn bɛtɛ pas big pipul dɛn.

Risk ɛn Kɔmplikɛshɔn dɛn:

Dis na ɔpreshɔn we dɛn kin du na di bren we rili kɔmpleks, so sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Bɔt we wan tim we sabi du dɔktɔ dɛn we sabi du dis kayn ɔpreshɔn, di chans fɔ mek dɛn gɛt prɔblɛm dɛn kin rili smɔl. Yu dɔktɔ go ɛksplen ɔl dis to yu bifo dɛn du di ɔpreshɔn. Sɔm pan di prɔblɛm dɛn we kin apin na:

• Fluid we de na di sεribrospεnal de lik.
• Implant we nɔ de wok fayn.
• Diskɔmfɔt we kin kam bikɔs ɔf di stimuleshɔn fɔ ɔda nerv dɛm pas fɔ yɛri.
• Infεkshכn dεm lεk mεningayt.
• Damej pan di fes nεv dεm (`Palsi fכ yu fes nεv`).
• Infekshɔn na di wund we dɛn du di ɔpreshɔn.

Wetin kin apin afta di ɔpreshɔn?

Yu go nid fɔ de na ɔspitul fɔ tu to 4 dez afta di ɔpreshɔn. If yu bin gɛt dis ɔpreshɔn di sem tɛm we dɛn pul wan NF2 tumbu, yu kin de na ɔspitul fɔ lɔng tɛm.

We dɛn dɔn fit di divays, i go tek 4 to siks wiks fɔ mek i wok. Afta dat, yu go gɛt sɔm apɔntinmɛnt wit yu ɔdiɔlɔjis. Ɛnitɛm, dɛn go program di divays fɔ wok fayn fɔ yu. Dis prɔses go kɔntinyu fɔ lɛk di fɔs ia so.

Ustɛm yu fɔ go to yu dɔktɔ?

Afta dɛn dɔn du di ɔpreshɔn, if yu gɛt fiva ɔ yu de fil bad bad wan, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Di mɛdikal tim go de wach yu gud gud wan bak fɔ mek yu nɔ gɛt prɔblɛm dɛn. Afta dɛn dɔn du di ɔpreshɔn, i rili impɔtant bak fɔ go to yu ɔdiɔlɔjis di de dɛn we dɛn dɔn sɛtul fɔ ajɔst di sɛtin dɛn fɔ di divays.

Ɔditɔri Brenstɛm Implant (ABI) nɔto fɔ ɔlman. Bɔt fɔ sɔm pipul dɛn we nɔ gɛt ɔda tin fɔ du ɛn we dɛf atɔl, i de gi dɛn wan fayn chans fɔ kɔnɛkt bak wit di wɔl we de mek sawnd. Di bɛst we fɔ no if dis fayn fɔ yu ɔ pɔsin we yu sabi na fɔ tɔk to spɛshal pɔsin.