Yu de gɛt prɔblɛm bak we yu nɔ de yɛri? Lɛ wi tɔk bɔt aw pɔsin kin yɛri!

Sɔntɛnde, yu kin fil lɛk se sɔmbɔdi de mumu we i de tɔk? Ɔ i nɔ kin izi fɔ yu fɔ yɛri wetin dɛn de tɔk klia wan we yu de tɔk na fon ɔ wach TV? Ɔ yu fɔ aks ɔda pipul dɛn ɔltɛm se, "Wetin dɛn se?"? Dɛn tin ya kin bi sayn dɛn we de sho se yu nɔ de yɛri fayn smɔl. Lɛ wi tɔk mɔ bɔt dis, bikɔs i kin afɛkt bɔku pipul dɛn.

Wetin na di we aw pɔsin kin yɛri?

Fɔ tɔk am simpul wan, we wi nɔ de yɛri fayn na we wi nɔ ebul fɔ no di sawnd dɛn fayn fayn wan we sɔm pat pan wi yɛri sistɛm afɛkt. If yu nɔ de yɛri fayn, i nɔ kin izi fɔ yu fɔ ɔndastand ɛn tek pat pan di tɔk. I kin at fɔ ɔndastand we yu de tɔk na fon, na mitin na di Intanɛt, ɔ we yu de wach TV, nɔto so? Imajin aw i go mek yu at pwɛl if yu de tɔk to yu padi dɛn ɛn dɛn kɔnfyus.

Dis sik kin afɛkt yu wok, yu padi biznɛs, ɛn ivin aw yu de ɛnjɔy yu layf. Bɔku tɛm, i nɔ kin izi fɔ mek pɔsin nɔ yɛri fayn bak ɔltogɛda. Bɔt nɔ wɔri! Ɔdiɔlɔjis dɛm - dɔktɔ dɛm wae spɛshal fɔ no ɛn trit prɔblɛm dɛm wae de mɛk yu yɛri - de ya fɔ ɛp. Dɛn kin tɛl yu fɔ gi yu tritmɛnt dɛn we go fayn fɔ yu, lɛk tin fɔ ɛp yu fɔ yɛri ɔ fɔ put yu kɔklia . Dɛn tin ya kin rili ridyus yu nɔ de yɛri fayn.

Yu tink se dis kin rili apin?

Yɛs, fɔ tru. Dis na sɔntin we kin apin to bɔku pipul dɛn pas aw yu go tink. Bɔku bɔku pipul dɛn ɔlsay na di wɔl de sɔfa wit sɔm kayn we aw dɛn nɔ de yɛri fayn.

• Sɔm pipul dɛn kin gɛt wan yes nɔmɔ we nɔ de yɛri fayn, we wi kin kɔl unilateral hearing loss .
• Dɔn bak, as wi de ol - pan avɛj, lɛk wan pan tri pipul dɛn we dɔn pas 65 ia, ɛn lɛk wan pan ɔl tu pipul dɛn we dɔn pas 75 ia - we pɔsin kin yɛri we i ol.
• yu kin si dis kכndyushכn bak pan yכŋ pikin dεm. Fɔ tɔk roughly, na lɛk tu pan ɛvri tawzin pikin dɛn kin bɔn wit sɔm kayn we we nɔ de yɛri fayn.

Wetin na di kayn pipul dɛm wae de mek pɔrsin nɔr de yɛri fayn?

Okay, so ɔl dɛn tin ya we nɔ de yɛri fayn na di sem? Nɔ, tri men kayn dɛn de. Lɛ wi si wetin dɛn bi.

• kכnduktiv yεri lכs: Dis kin apin we blכk de pan di pasεj fכ sawnd wev dεm tru yu כta yes (di ia dכm, di ia kanal) כ yu midul ia (di ia dכm, di tri sכm bon dεm na di yes). I tan lɛk se dɛn de blok rod.
• Sεnsכrinyural yεri lכs:Dis kin apin we yu insay yes (di kɔklia, di pat pan yu bren we de mek yu ɔditory nerve) dɔn pwɛl as tɛm de go. Bɔt na smɔl tɛm nɔmɔ, dis kayn we aw pɔsin kin yɛri kin apin wantɛm wantɛm, fɔ sɔm dez. Dɛn kɔl am Sudden Sensorineural Hearing Loss (SSHL) , ɔ fɔ dɛf wantɛm wantɛm .
• Miks yεri lכs: As di nem sho, dis kin involv כl tu di prכblεm dεm wit yu midul כ כta yes (i.e. kכnduktiv yεri lכs) εn prכblεm wit yu insay yes (i.e. sensorineural hearing loss).

Aw a go no if a gɛt dis sik? (Sayn dɛn)

Bɔrku tɛm, wae pɔrsin nɔr de yɛri fayn kin apun smɔl smɔl. So sɔm pipul dɛn nɔ kin ivin notis am fɔs. Bɔt no bɔt dɛn sik ya, bikɔs if yu gɛt wan ɔ mɔ pan dɛn, i fayn fɔ pe atɛnshɔn to dɛn.

• Yu fɔ aks ɔda pipul dɛn ɔltɛm , "Wetin yu se?" igen?
• I nɔ kin izi fɔ yu fɔ ɔndastand di tɔk we yu de kɔl pɔsin na fon ɔ na ples we nɔys lɛk rɛstɔrant?
• Yu kin fil lɛk se yu de wispa we ɔda pipul dɛn de tɔk?
• Yu nɔ de yɛri ay ay sawnd dɛn lɛk bɔd siŋ?
• Yu nid fɔ mek di vɔlyum ɔp na yu TV, kɔmpyuta, ɔ tablɛt?
• Yu de yɛri sawnd we de ring ɔ we de ala (tinnitus) na yu yes?
• Yu gɛt yu yes we de at ?
• Yu yes de fil lɛk se i ful-ɔp wit sɔntin, lɛk se wata de insay?
• Yu gɛt prɔblɛm wit balans ɔ yu gɛt diziz ?

Aw fɔ no dis sik pan yɔŋ pikin dɛm?

Fɔ no dis sik na yɔŋ pikin dɛn difrɛn smɔl. As mama ɛn papa dɛn, wi nid fɔ de wach mɔ bɔt dis.

Di kwaliti dɛn we Bebi dɛn gɛt:

• Dɛn kin nɔ de ansa lawd nɔys (e.g., we dɛn lɔk di domɔt, lawd nɔys wantɛm wantɛm).
• Ivin afta 6 mɔnt , dɛn nɔ kin tɔn dɛn ed di say we sawnd de .
• Ivin afta wan ia , dɛn nɔ kin ebul fɔ tɔk wan wɔd lɛk "mama" ɛn "papa."
• Sɔntɛm dɛn nɔ go ansa we yu kɔl dɛn nem.

Di kwaliti dɛn we big pikin dɛn gɛt:

• Ɔltɛm yu de aks "Huh?" "Wetin?"
• Dɛn kin bigin fɔ tɔk leta pas ɔda pikin dɛn we dɛn ej.
• Di wɔd dɛn nɔ kin klia we yu de tɔk.
• Nɔ de fala instrɔkshɔn (maybe bikɔs dɛn nɔ de yɛri dɛn).
• A kin tɔn di vɔlyum na di TV ɛn tablɛt bɔku bɔku wan .

Wetin mek we pɔsin nɔ de yɛri fayn de apin na dɛn yes ya? (Rizin dɛn)

Okay, so wetin mek dis nɔ de yɛri fayn kin apin? Bɔku rizin dɛn kin de. Fɔ ɛgzampul, we yu de nia lawd nɔys wantɛm wantɛm - lɛk fɔ go na big myuzik sho - i kin afɛkt di we aw yu de yɛri.

Di tin dɛn we kin mek pɔsin nɔ de yɛri fayn fayn wan:

• Di yes ful-ɔp wit ia waks .
• Fluid we kin gɛda na di midul ia bikɔs ɔf kol ɛn alɛji.
• Midul ia infεkshכn (Otitis media) .
• di ia infεkshכn we wata kin kam insay di yes we yu de swim (Otitis externa) - dεn kin kכl am bak "swima in yes".
• di wata we de kכmכt na di midul ia bikoz fכ prכblεm wit di Eustachian tכb - di tכb we de kכnekt di midul ia to di trot.
• Di ia drɔm we dɔn brok .
• Tכmכro dεm na di ia (dεn kin bi kεnsar כ benign).
• Sɔntin bin stɔp na di yes. Fɔ ɛgzampul, yu smɔl pikin kin gɛt smɔl tɔys ɔ wan kandy we yu gi dɛn na di dina tebul we dɛn stɔp na dɛn yes!
• Sɔm tin dɛn we dɛn kin bɔn wit kin mek di pikin in midul ɔ ɔda yes nɔ de divɛlɔp fayn.

Di tin dɛn we kin mek pɔsin nɔ de yɛri fayn fayn wan:

• We pɔsin de ol (dis na di tin we kin mek pɔsin ol pas ɔl).
• Sik dɛm lɛk korona at sik , aypatɛnshɔn , strok , ɛn dayabitis mɛlitɔs .
• di ia damej we sɔm mɛrɛsin dɛn kin mek (ototoxicity) - sɔm antibayɔtik ɛn anti-kansa drɔgs na ɛgzampul fɔ dis.
• Sɔm tin dɛn we kin apin we pɔsin gɛt frɔm in mama ɛn papa .
• Wan had blow to di ed .
• Nɔys we kin mek pɔsin nɔ yɛri fayn . Dis kin apin we yu de wok na say dɛn we nɔys, lɛk faktri ɛn say dɛn we dɛn de bil, fɔ lɔng tɛm, ɔ we yu de yuz ɛdfɔn we gɛt ay vɔlyum.
• Infεkshכn dεm lεk saytomegalovayrus (CMV), we de kכmכt frכm mama to pikin we dεn de bכn.

Miks we yu nɔ de yɛri:

dis na kכmbaynshכn fכ כl tu di kכnduktiv εn sεnsyכral kכz dεm we wi bin dכn tכk bכt. Dis min se i kin afɛkt yu ɔda ɛn midul yes ɛn bak yu insay yes. Fɔ ɛgzampul, if yu de tek mɛrɛsin we de afɛkt yu insay yes ɛn aksidɛntli bɔs yu ia drɔm, dat min se yu nɔ de yɛri miks.

Us prɔblɛm dɛn dis kin mek?

Wetin na di sayd ɛfɛkt dɛm we pɔsin kin gɛt we i nɔ de yɛri fayn? Infakt, i kin mek yu fil se yu nɔ gɛt ɛnitin fɔ du wit di wɔl. Yu kin fil bad, vɛks, ɛn vɛks . Pipul wae nɔr kin yɛri fayn kin gɛt wɔri ɔr pwɛl hat.Prɔblɛm dɛn de bak we kin apin to dɛn maynd lɛk: Pikin dɛn we nɔ de yɛri fayn kin gɛt prɔblɛm fɔ pe atɛnshɔn pan skul wok ɛn dɛn kin gɛt smɔl gred. Dɔn bak, risach dɔn sho se tin gɛt sɔntin fɔ du wit di we aw ol pipul dɛn nɔ de yɛri fayn ɛn dis maynia sik, we na wan sik we de mek pɔsin nɔ ebul fɔ mɛmba.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

Wɛl, if yu gɛt sayn dɛn lɛk dis, aw ɛksaktɔli dɔktɔ go no dis?

Fɔs, yu dɔktɔ go aks yu bɔt yu sik dɛn ɛn du yu bɔdi ɛgzam. Dɛn go chɛk fɔ si if dɛn gɛt infɛkshɔn na dɛn yes ɛn ɔda prɔblɛm dɛn. If yu gɛt injuri na yu yes ɔ yu tink se yu gɛt sɔntin lɛk tumbu na yu yes, dɛn kin ɔda fɔ mek dɛn du CT skan (Computed Tomography scan) ɔ MRI (Magnetic Resonance Imaging) skan.

Dɔn, yu dɔktɔ go rifer yu to ɔdiɔlɔjis , ɔ yu kin go to ɔdiɔlɔjis dairekt wan. Ɔdiɔlɔjis na di wan we de du spɛshal tɛst fɔ yɛri .

Na sɔm pan di tɛst dɛn we dɛn kin du:

• Pure-tone testing: Dis na di tɛst we dɛn kin du mɔ. I de mɛzhɔ di vɔys we smɔl pas ɔl we yu kin yɛri na ɛni pitch. Yu kin si dɛn sawnd ya tru ɛdfɔn ɔ iaplɔg. Dɛn kin du bon kɔndɔkshɔn tɛst bak bay we dɛn put wan divays na yu ed. We yu du ɔl tu di ɛdfɔn/plɔg tɛst ɛn di bon kɔndɔkshɔn tɛst, di ɔdiɔlɔjis kin tɛl yu ustɛm yu nɔ de yɛri fayn.
• Otoacoustic emissions test (OAE): Dis de tɛst aw yu insay yes de wok fayn fayn wan. I de mɛzhɔ di sawnd dɛn we di smɔl smɔl sɛl dɛn we de insay di yes de mek.
• Tympanometry: Dis de mek yu no aw yu ia dram de muv fayn fayn wan. I kin no tin dɛm lɛk we di ia rɔp, wata we de na di midul yes, ɛn di ia waks we de bɔku.

Wetin na di lɛvɛl dɛm wae pɔrsin nɔr de yɛri fayn?

Afta yu dɔn du tɛst fɔ yɛri, di ɔdiɔlɔjis go sho yu di rizɔlt ɛn ɛksplen wetin dɛn min. Bɔrku tɛm, dɛn kin kɔl di sik wae pɔrsin nɔr de yɛri fayn bay di ‘digri wae pɔrsin nɔr de yɛri fayn’ . Dis min aw lawd sawnd dɛn nid fɔ bi fɔ mek dɛn yɛri. Di American Speech-Language-Hearing Association bin tɔk se dɛn lɛvul ya na:

• Nɔmal
• Smɔl smɔl
• Nɔ vɛks kwik
• Soba
• I kin rili siriɔs
• Siriɔs
• I rili bad (Profound) .

Wetin na di tritmɛnt dɛm fɔ dis?

Okay, naw mek wi si wetin na di tritmɛnt dɛm fɔ dis. Di tritmɛnt dɛn kin difrɛn fɔ di kayn we aw yu nɔ de yɛri fayn.

Tritmɛnt fɔ kɔnduktiv yɛri lɔs:

• Mɛrɛsin lɛk antibayɔtik fɔ infɛkshɔn na yu yes.
• Ɔpreshɔn: Tympanoplasty fɔ mek di ia drɔm we dɔn brok, put tiub dɛn na di midul ia (we dɛn kɔl ia tyub), tympanostomy, ɔ ɔpreshɔn fɔ pul di ia waks .
• Di we dɛn fɔ pul di ia waks ɔ ɔda tin dɛn we dɔn stɔp na di yes.

Tritmɛnt fɔ di sɛnsɔnyural yɛri lɔs:

• Mεdikeshכn dεm lεk k כtikostεroyd - dεn kin gi dεn fכ ridyus di swel if di dilik ia sεl dεm na yu kכklia dεn dכn pwεl bay we dεn de εkspos to lawd nכys.
• Manejmɛnt: Di tin dɛn we de ɛp pɔsin fɔ yɛri ɛn di tin dɛn we dɛn kin put na di kɔklia kin ɛp fɔ mek pɔsin no sawnd.

Tritmɛnt fɔ miks we yu nɔ de yɛri:

• Tritmɛnt fɔ dis de dipen pan di patikyula prɔblɛm dɛn we de afɛkt yu ɔda, midul, ɛn insay yes. I kin bi we dɛn jɔyn di tu tritmɛnt dɛn we wi dɔn tɔk bɔt.

Ɛni bad tin de we di tritmɛnt kin du?

Jɔs lɛk ɛni tritmɛnt, sɔm kayn bad bad tin dɛn kin apin we pɔsin kin du, mɔ we dɛn du ɔpreshɔn pan am.

• As komplikash כn fכ tympanoplasty , sכmtεm di ia dכm kin nכ fכm fayn afta dεn כpεrayshכn (graft fεil) .
• di sayd ifekt dεm we di tympanostomy kin gεt kin bi skata na di ia dכm (tympanosclerosis) , infεkshכn we de kam bak na di yes, כ fכ wata we de kכmכt na di yes (otorrhea) .
• Sɔntɛnde, tritmɛnt fɔ di yes we gɛt lumps kin mek pɔsin nɔ yɛri mɔ, i kin mek i nɔ ebul fɔ balans, ɛn i kin mek wan say na di fes wik.
• Di ɔpreshɔn fɔ put yu kɔklia kin afɛkt yu balans, ɔ ivin sɔm tin dɛn we lɛf fɔ yɛri, ivin if yu nɔ de yɛri bad bad wan. Na smɔl tɛm nɔmɔ, dis ɔpreshɔn kin mek di nɛv dɛn pwɛl ɔ di wata we de na di sɛribrospaynal kin lik .

Yu tink se dɛn go ebul fɔ stɔp dis?

Wɛl, so, ɛnitin de we wi go du fɔ mek dis kayn we aw wi de yɛri nɔ go apin?

Infakt, wi nɔ kin ebul fɔ stɔp sɔm kayn we fɔ yɛri (lɛk di wan dɛn we kin kam wit ol pipul dɛn). Bɔt, na di nɔys we pasmak na di men tin we kin mek pɔsin nɔ ebul fɔ du am. So, if yu avɔyd tin dɛn ɛn say dɛn we nɔys bɔku as yu ebul, dat go ɛp yu fɔ mek yu nɔ yɛri fayn bikɔs yu nɔ yɛri .

If dat nɔ go ebul fɔ avɔyd, du dɛn tin ya fɔ protɛkt yu yes:

• Yuz iaplɔg ɔ iamuf we yu de na kɔnsɛt, rayd motoka, rawnd lawd band na mared, ɔ we yu de wok wit lawd mashin.
• Tɔn di vɔlyum dɔŋ. We yu de lisin to myuzik wit ɛdfɔn ɔ iabɔd, kip di vɔlyum smɔl so dat yu go yɛri pipul dɛn we de arawnd yu de tɔk. Wan ɔda gud lɔ na fɔ nɔ lisin to myuzik we gɛt pas 80% volyum fɔ pas 90 minit ɛvride.
• Nɔ put ɛnitin insay di ia kanal. Tin dɛn lɛk kɔtɔn bɔd, iapin, ɛn ki kin stɔp na di yes ɔ pank di ia drɔm.
• Nɔ smok. Smok de mek di blɔd nɔ de go fayn ɛn i kin afɛkt di we aw pɔsin de yɛri bak.
• Ɛksesaiz ɔltɛm. I kin ɛp fɔ mek yu nɔ gɛt sik dɛn we kin afɛkt di we aw yu de yɛri, lɛk dayabitis ɛn ay blɔd prɛshɔn.
• Manej yu sik dɛn we nɔ de mɛn fayn fayn wan ɛn mek yu nɔ pwɛl mɔ.

Wetin a fɔ ɛkspɛkt? Aw a go tek kia ɔf misɛf?

If yu nɔ de yɛri fayn, wetin yu go ɛkspɛkt? Aw yu go tek kia ɔf yusɛf?

I rili dipen pan di tin we de apin to yu. Sɔm pipul dɛn we nɔ de yɛri fayn na fɔ shɔt tɛm nɔmɔ. Fɔ ɛgzampul, i kin apin we yu gɛt kol, wata na yu yes we yu de swim (swima in yes), ɔ sɔntin we stɔp na yu yes. כltu, di sensorineural hearing loss εn di ej-rεlatεd fכ yεri lכs kin bi fכ tεm. Bɔt yu kin gɛt bɔku pan yu yɛri bak wit tin fɔ ɛp yu fɔ yɛri ɔ yu kin put yu kɔklia.

Fɔ liv wit pɔrsin wae nɔr de yɛri fayn, ivin wit tritmɛnt, kin tranga sɔm tɛm. Sɔntɛnde, yu nɔ kin yɛri fayn lɛk aw yu go want. If dat apin, i fayn fɔ tɛl ɔda pipul dɛn se yu nɔ de yɛri fayn. Dis go mek am izi fɔ dɛn fɔ ɛp yu ɛn ɔndastand yu.

Dis sik kin afɛkt yu maynd wɛl bɔdi bak . Ivin wit tritmɛnt, yu kin fil pwɛl hat ɔr de wɔri. If yu fil dis kayn we, tɔk to dɔktɔ ɔ yu padi bɔt am.

Ustɛm a fɔ go to dɔktɔ? Us kwɛstyɔn dɛn a fɔ aks?

If yu tink se yu yɛri de wɔs, go to dɔktɔ wantɛm wantɛm. Yu kin nid difrɛn kayn tin fɔ ɛp yu fɔ yɛri.

If yu tɛst fɔ yɛri kɔnfirm se yu nɔ de yɛri fayn, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin na di rizin we mek a nɔ de yɛri fayn?
• Wetin a go du fɔ mek a yɛri fayn ?
• Yu tink se di we aw a de yɛri go wɔs?
• A fɔ tink bɔt fɔ du ɔpreshɔn fɔ put kɔklia ? (Fɔ bad bad wan we yu nɔ de yɛri fayn)

Di difrɛns bitwin we pɔsin nɔ de yɛri fayn ɛn we pɔsin dɛf

Fɔ tɔk am simpul wan, yu nɔ de yɛri faynPɔsin we nɔ de yɛri fayn kin stil yɛri fɔ ɔndastand aw i de tɔk (pan ɔl we sɔntɛm i nɔ kin izi fɔ yɛri). Dɛn kin ebul fɔ yɛri fayn fayn wan wit tin fɔ ɛp dɛn fɔ yɛri ɔ ɔda tritmɛnt dɛn.

Dɛf pɔsin kin yɛri smɔl ɔ i nɔ kin yɛri natin. Divays dɛn lɛk tin dɛn we pɔsin kin yuz fɔ yɛri nɔ kin ɛp. Pɔsin we dɛf kin yuz sayn langwej fɔ tɔk to am.

Yu tink se we pɔsin nɔ de yɛri fayn na disable?

Fɔ ɛgzampul, sɔm kɔntri dɛn gɛt lɔ dɛn lɛk di Americans with Disabilities Act (ADA) . Frɔm dɛn lɔ dɛn de, dɛn kin tek sɔm mɛrɛsin dɛn we kin rili afɛkt di tin dɛn we pɔsin kin du ɛvride as pɔsin we nɔ ebul fɔ waka. We pɔsin nɔ de yɛri fayn na wan pan dɛn kayn tin ya, bɔt if dɛn tek am se na disabled ɔ nɔto so i go dipen pan di digri we pɔsin nɔ de yɛri fayn. Sri Lanka gɛt lɔ ɛn polisi dɛn bak bɔt dis.

Wae yu nɔr de yɛri fayn kin bi fɔ sɔm tɛm, bɔt bɔrku pipul dɛn kin gɛt pɔrmɛnt fɔ yɛri wae nɔr kin wɛl. Dis kin mek yu fil lɛk se yu de mis bɔku tin na layf, ɛn kin mek yu fil bad, yu wan de fil, ɔr pwɛl hat. If yu tink se yu nɔ de yɛri fayn, tɔk to dɔktɔ ɔ ɔdiɔlɔjis. Dɛn kin ɛp yu fɔ disayd di bɛst we fɔ mek yu yɛri fayn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Fɔ dɔn, a gɛt dis fɔ tɛl una:

Nɔto tin we nɔ kin izi fɔ yɛri lɛk aw yu go tink. If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. I impɔtant fɔ go to dɔktɔ kwik kwik wan. Tritmεnt de wae de dipεnd pan de kכz, εn yu kin bεtεh bak fɔ mek de sik nɔr de wɔs.

Mɛmba se yu yes na tu tin dɛn we gɛt valyu pas ɔl na yu layf. So tek kia ɔf dɛn. Nɔ de fa frɔm lawd nɔys, nɔ put tin dɛn we yu nɔ nid na yu yes, ɛn fala gud abit fɔ klin.

Nɔto yu wan de, ɛn bɔku pipul dɛn de we go ebul fɔ ɛp. Nɔ fred, nɔ shem, ɛn gɛt di ɛp we yu nid. If yu tek kia ɔf yu yɛri wɛlbɔdi, dat go ɛp fɔ mek yu ɔl kwaliti layf bɛtɛ.

` Fɔ yɛri, nɔ de yɛri fayn, dɛf, yes disɔda, ɛp fɔ yɛri, kɔklia implant, ɔdiɔlɔjis, Yɛri Lɔs