Yu gɛt prɔblɛm wit yu yɛri bak? I kin bi (Kɔndɔktiv Yɛri Lɔs)!

Sɔntɛnde, yu kin gɛt prɔblɛm fɔ yɛri wetin dɛn de tɔk klia wan? Ɔ yu kin yɛri smɔl smɔl sawnd dɛn ɔltɛm? Sɔntɛm yu kin fil lɛk se yu yon vɔys lawd pas am? If dɛn tin ya na kɔmɔn tin to yu, i rili impɔtant fɔ no bɔt dis kɔndishɔn we wi de tɔk bɔt tide, we dɛn kɔl `(Conductive Hearing Loss)`. Nɔr wɔri, dis na tin wae dɛn kin trit ɛn mɛn bɔrku tɛm.

Wetin na ``(Kɔndɔktiv Yɛri Lɔs)``? Lɛ wi ɔndastand am simpul wan, nɔto so?

Fɔ tɔk am simpul wan, Conductive Hearing Loss na we sɔntin de ambɔg di we aw sawnd wev dɛn de travul frɔm di ɔda pat na yu yes to di insay yes. Tink bɔt am lɛk wata paip we kin klos sɔmsay na di midul ɛn stɔp fɔ flɔ. Wetin kin apin ya na dat sawnd nɔ kin ebul fɔ pas fayn fayn wan.

Wi yes gɛt tri pat: di yes we de na do, di yes we de midul, ɛn di yes we de insay. fכ mek wi yεri sawnd, di sawnd wev dεm fכ travul tru di כta yes, shek tru tri sכm bon dεm (dεn kin kכl dεm bak osikl) na di midul yes, εn leta i fכ rich di sεnsitiv pat na di insay yes we dεn kכl di kכklia. Conductive Hearing Loss kin apin we sɔntin de ambɔg sɔmsay along dis sawnd path, ilɛksɛf na di ɔda yes ɔ di midul yes. Dis kin mek lawd sawnd dɛn sawnd we dɛn nɔ muf ɔ we dɛn nɔ muf. Sɔntɛnde, pipul dɛn nɔ kin notis sawnd dɛn we rili kwayɛt. Dɛn kin kɔl dis bak Conductive Hearing Impairment.

Dis sik kin rili kɔmɔn pan yɔŋ pikin dɛn . Wan stכdi sho se lεk 19% pan di pikin dεm we de go skul kin gεt sכm kayn we aw dεn de yεri, εn 93% pan dεm na bikɔs ɔf ``Conductive Hearing Loss.`` Bɔt dat nɔ min se i nɔ kin apin to big pipul dɛm. Big pipul dɛn kin gɛt dis sik bak. Sɔntɛnde, na fɔ shɔt tɛm nɔmɔ, sɔntɛnde i kin de fɔ ɔltɛm. Ɛn i kin bigin frɔm we i nɔ at to we i kin rili bad. Di bɛst pat na dat bɔku tɛm dɛn kin mɛn am wit tritmɛnt.

Tu men kayn `(Conductive Hearing Loss)` de

Wi kin si tu men we dɛn fɔ du dis:

1. `Unilateral conductive hearing loss`: Dis de afekt wan yes nכmכ.

2. `Bilateral conductive hearing loss`: Dis de afekt di tu yes dεm.

Wetin na di sayn dɛm fɔ `(Conductive Hearing Loss)`? Yu gɛt dɛn tin ya bak?

Si if yu gɛt ɛni wan pan dɛn sayn ya:

• fכ fil כf bεlε we wi de waka (dis kin kכz fכ prכblεm wit di `(Vestibular system)` na wi insay yes).
• Fɔ fil pen na yu yes .
• Fɔ fil se yu de prɛs ɔ yu de ebi insay yu yes.
• "klik" sawnd na di yes, ɔ wan ringing senseshɔn .
• Fɔ yɛri sawnd dɛn na wan ɔ ɔl tu di yes dɛn we tan lɛk se dɛn dɔn muf ɛn nɔ klia .
• I kin tan lɛk se yu kin yɛri yu yon vɔys lawd wan we yu de tɔk.

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, i go fayn fɔ mek yu go to dɔktɔ.

Wetin mek wi de divɛlɔp `(Kɔndɔktiv Yɛri Lɔs)`? Wetin na di tin dɛn we kin mek i apin?

as wi bin se, dis kכndyushכn kin apin we sawnd wev dεm nכ kin rich di `(Cochlea)` na wi insay yes. Di `(Cochlea)` na di men pat we de ɛp wi fɔ yɛri. So, simpul rizin dɛn de ɛn bak rizin dɛn de we kɔmpleks smɔl we kin ambɔg dis sawnd transmishɔn.

Na sɔm pan di men tin dɛm wae kin mek pɔrsin nɔr de yɛri fayn:

• Earwax blockage: Dis na tin we kin mek yu yɛri bad bad wan. We bɔku bɔku ia waks gɛda na di yes ɛn i kin at, i kin mek di sawnd nɔ pas.
• Fɔrin tin (fremdkörper) we stɔp na di yes: Dis sik kin apin bak we smɔl pikin dɛn, mɔ we dɛn de ple, put tin dɛn lɛk bidz ɔ pis na dɛn yes.
• Iya infεkshכn: Iya infεkshכn, spεshal wan dεm we kin apin bכku tεm εn we nכ de hεl (krכnik), kin mek wata bכku na di midul ia, we kin mek di sawnd transmishכn nכ de.
• di ia tכmכro, sist, כ כda tin dεm we de gro lεk ``Cholesteatoma'': dεn tin ya kin ambɔg sawnd bak we dεn fכm insay di yes.
• Eustachian tube dysfunction: Dis tכb de kכnekt wi midul ia to wi trot. If i nɔ wok fayn, di prɛshɔn na di midul yes kin chenj ɛn wata kin bɔku.
• Fluid we de bכku na di midul ia bikoz fכ tin dεm lεk kol: We mכkus de bכku, wata kin kכmכt na di midul ia εn i kin ambɔg di yεri.
• Otosclerosis: Dis na kכndyushכn we di bon dεm we nכ de gro de apin arawnd di sכm sכm bon dεm na di midul ia. Dis kin mek dɛn bon dɛn de shek ɛn i kin mek di sawnd nɔ ebul fɔ pas.
• Ruptured eardrum: Di eardrum kin brok wen yu blo lawd wan na di yes ɔ we di ia infɛkshɔn de wɔs.

Di tin dɛn we kin mek yɔŋ pikin dɛn gɛt infɛkshɔn na dɛn yes bɔku tɛm ɛn fɔ put tin dɛn na dɛn yes . Na big pipul dɛn , dis sik kin kam bikɔs dɛn gɛt injury na dɛn yes ɔ ɔda wɛlbɔdi prɔblɛm .

Risk Factor dɛm we de mek di risk fɔ kɔnduktiv yɛri lɔs

Sɔm tin dɛn de we kin mek di risk fɔ mek yu gɛt ``Kɔnductive Hearing Loss''. If dɛn nɔ trit dɛn fayn fayn wan, dɛn tin ya kin mek pɔsin nɔ de yɛri fayn fɔ ɔltɛm.

• di abnכmaliti dεm we dεn bכn wit di yes: Dis kכndyushכn kin apin bikoz fכ di prכblεm dεm we dεn bכn wit lεk `(Microtia)` (di divεlכpmεnt fכ di yes we nכ de divεlכp di rayt we) εn `(Atresia)` (we di yes kanal nכ de כ we nכ de divεlכp di rayt we).
• Infεkshכn na di yes we nɔr de mɛn: If wata bɔku na di midul ia ɛn i kɔntinyu fɔ de we i nɔ wɛl, di risk fɔ mek pɔsin nɔ yɛri fayn kin go ɔp.
• di strכkchכral damej to di yes: di tri sכm bon dεm (ossicles) na wi yes we de kכndukt sawnd kin pwεl, i kin bi fכ injuri na di yes כ wan kכndyushכn lεk otosclerosis.

Aw dɔktɔ dɛn kin no se pɔsin gɛt Conductive Hearing Loss?

If yu gɛt prɔblɛm wit yu yɛri, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ we de mɛn yu yes, nos, ɛn trot (we na dɔktɔ we de mɛn yu yes) . I go chɛk yu. I go aks bɔt yu sik ɛn if ɛnibɔdi na yu famili dɔn gɛt dis kayn prɔblɛm. Fɔ ɛgzampul, dɛn kin aks yu kwɛstyɔn dɛn lɛk:

• "Ustɛm yu fɔs notis se yu de lɔs yu yɛri?"
• "Dis tin apin wan wan, ɔ i bin de go ɔp smɔl smɔl?"
• "Wan sait get mo influens pas di oda wan?"
• "Yu don get ia infekshon bifo?"
• "Yu de fil ɛni pen, prɛshɔn, ɔ ring na yu yes?"
• "Ɛnibɔdi na yu famili gɛt prɔblɛm wit yu yɛri?"

Dɔn di dɔktɔ go chɛk di ɔdasay na yu yes bay we i de luk insay am ɛn palpat am. I go yuz wan smɔl tin we gɛt layt we dɛn kɔl ɔtoskɔp fɔ luk insay di yes fɔ chɛk if ɛnitin dɔn blok ɔ ɛnitin we nɔ fayn na di yes in strɔkchɔ.

Us tɛst dɛn kin du fɔ no dis sik kɔrɛkt wan?

Afta di fyzikal ɛgzamin, wan dɔktɔ we de mɛn yu yay ɔ ɔdiɔlɔjis go aks yu fɔ du sɔm tɛst dɛn fɔ mek yu yɛri . Sɔm pan dɛn na:

• Akostik riflεks tεst: Dis de tεst aw wan sכmכl mכsul na yu midul yes de ansa we yu de mek lawd sawnd.
• Bɔn kɔndukshɔn tɛst: Dis kin sɛn sawnd dairekt to yu insay yes ɛn i kin ɛp fɔ no us kayn we yu nɔ de yɛri fayn.
• Otoacoustic emissions (OAEs): Dis de mekɔp di vaybreshɔn we gɛt fɔ du wit sawnd dɛn we de kɔmɔt na yu insay yes fɔ si if ɛnitin de we de ambɔg yu.
• `(Pure-tone audiometry)`: Dis kin no wetin na di sawnd we smɔl pas ɔl we yu kin yɛri na difrɛn pitch dɛn.
• `(Speech audiometry)`: Dis de tɛst aw yu kin no wɔd dɛn ɛn wetin na di wɔd dɛn we kwayɛt pas ɔl we yu kin ripit.
• Tכning fכk εgzam: Tεst lεk di Rinne tεst εn Weber in tεst kin εp fכ no if yu gεt kכnduktiv yεri כ כda kayn yεri lכs, we dεn kכl sensorineural hεri lכs.
• Tympanometry: Dis de mek yu no aw yu ia drɔm de muv ɛn aw i de ansa to sawnd.

Apat frɔm dɛn tɛst ya fɔ yɛri, di dɔktɔ kin nid fɔ du dɛn tin ya bak:

• Kranial nerve egzam
• Ɛd ɛn nɛk ɛgzam
• skan dεm lεk `(MRI (magnεtik rεsכnans imej))` כ `(CT skan (kכmpyuta tכmografi skan))`.

Wetin na di tritmɛnt dɛm fɔ `(Conductive Hearing Loss)`?

De tritmɛnt wae fayn fɔ yu go dipen pan de tin wae de mek yu nɔr de yɛri fayn. Dipen pan yu kɔndishɔn, dɛn kin trit kɔnduktiv yɛri lɔs dɛn we ya:

• Aktiv sɔvɛlayshɔn: Sɔntɛnde yu dɔktɔ kin fɔs se yu fɔ "watchful waiting." Dis min se dɛn go de wach aw yu de yɛri fɔ sɔm tɛm. If yu yɛri wɔs, dɛn go mek wan tritmɛnt plan.
• Di tin dɛn we yu kin yuz fɔ yɛri: Di ​​tin dɛn we yu kin yuz fɔ yɛri ɛn ɔda tin dɛn we tan lɛk dat kin ɛp yu fɔ yɛri fayn bay we yu de mek di sawnd big ɛn chenj am.
• Mɛrɛsin: If na infɛkshɔn mek yu nɔ de yɛri fayn, yu go nid fɔ tek mɛrɛsin. Yu dɔktɔ kin gi yu dɛn tin ya lɛk yes drɔp ɔ pils.
• Ɔpreshɔn: If tumbu, sist, ɔ ɔda tin we de gro de mek sawnd nɔ go rich na di insay yes, dɛn kin nid fɔ du ɔpreshɔn fɔ pul am. Dɛn kin nid ɔpreshɔn bak fɔ mek di smɔl bon dɛn (ɔsikul) dɛn we dɔn pwɛl na di yes.

De tin wae impɔtant pas ɔl na dat, tritmɛnt de fɔ dis sik. So, i rili impɔtant fɔ go to dɔktɔ we yu nɔ fɔ panik.

Wetin na di fiuja fɔ di wan dɛn we gɛt `(Conductive Hearing Loss)`? (Autluk) .

Dis sik kin bɛtɛ wit tritmɛnt. Bɔku tɛm, dɛn kin mɛn di we aw pɔsin kin yɛri we i de yɛri, ɔ at ɔl i kin bɛtɛ pasmak, if dɛn tek mɛrɛsin, ɛp fɔ yɛri, ɔ ɔpreshɔn.

Yu tink se dɛn kin mek dɛn nɔ gɛt Kɔndɔktiv Hiaring Lɔs?

Kכnduktiv Yεri Lכs nכ kin כltεm fכ bכn, spεshal wan if i kכz fכ abnכmal divεlכpmεnt fכ di yes bon dεm כ wan prכblεm we dεn bכn wit di strכkchכ fכ di yes. Bɔt yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:

• Nɔ put ɛnitin insay di yes. Ivin kɔtɔn swab nɔ fayn.
• If yu gɛt infɛkshɔn na yu yes, go to tritmɛnt wantɛm wantɛm.
• Si dɔktɔ ɔltɛm ɛn mek dɛn chɛk yu yɛri.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn tin ya, tɛl dɔktɔ wantɛm wantɛm :

• If yu yɛri de wɔs smɔl smɔl .
• If yu nɔ de yɛri igen wantɛm wantɛm (espɛshali na wan yes).
• Apat frɔm di prɔblɛm we yu de yɛri, if ɔda sayn dɛn de lɛk we yu de yɛri pen, ed we de at, we yu nɔ de yɛri, ɛn we yu wik .

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt `(Conductive Hearing Loss)`, i fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Us kayn tritmɛnt a nid?"
• "Us rizulyt a kin ɛkspɛkt frɔm di tritmɛnt?"
• "Aw often a go get fo kom bak fo folo-ap visit?"
• "Mi yɛri kin wɔs as tɛm de go?"
• "Us ɔda risɔs yu de rɛkɔmɛnd?"

Conductive Hearing Loss kin mek layf tranga smɔl. I kin fil lɛk se di siŋ we yu lɛk ɔ di sawnd we bɔd dɛn de mek na do de stɔp smɔl smɔl. Na nɔmal tin fɔ fil bad, fred, vɛks, ɛn fil bad bɔt dis. Bɔt gud nyus de: Bɔku tɛm, dɛn kin mɛn pɔsin we de mek pɔsin yɛri fayn wit tritmɛnt. Di kwik we yu no wetin de kɔz am, na di mɔ yu chans fɔ gɛt yu yɛri bak. If yu tink se yu ɔ yu pikin kin gɛt Conductive Hearing Loss, go to dɔktɔ wantɛm wantɛm.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so naw yu gɛt gud ɔndastandin fɔ `(Conductive Hearing Loss)` we wi bin tɔk bɔt tide. Na di men tin dɛn we yu fɔ mɛmba:

• Conductive Hearing Loss na we dɛn blok sawnd fɔ rich yu insay yes.
• Bɔrku rizin kin afɛkt dis, lɛk di ia waks, infɛkshɔn, sɔntin we de go insay di yes, ɛn prɔblɛm wit di we aw di yes tan.
• Dis kin rili kɔmɔn pan yɔŋ pikin dɛm, bɔt i kin kam bak pan big pipul dɛm.
• If yu fil se yu nɔ de yɛri fayn, yu de fil pen, ɔ yu de prɛs yu yes, nɔ ignore am.
• De impɔtant tin na dat, fayn tritmɛnt dɛn de fɔ dis sik. If yu go to dɔktɔ kwik kwik wan, bɔku tɛm yu kin wɛl ɔl.
• Nɔ put ɛnitin insay yu yes we yu de klin am. If yu gɛt infɛkshɔn na yu yes, go to tritmɛnt kwik kwik wan.

Yu yes dɛn rili valyu, so tek kia ɔf dɛn. If yu gɛt ɛni dawt bɔt sɔntin, nɔ delay fɔ go to dɔktɔ.

` kɔnduktiv yɛri lɔs, yɛri lɔs, ia infɛkshɔn, ɛp fɔ yɛri, ia drɔm, midul ia, ia infɛkshɔn, ɛp fɔ yɛri