Yu gɛt prɔblɛm bak we yu nɔ de yɛri? Lɛ wi lan bɔt (Sensorineural Hearing Loss)!

Yu dɔn ɛva gɛt prɔblɛm fɔ yɛri pɔsin de tɔk? Ɔ, yu dɔn ɛva gɛt fɔ ɔp di vɔlyum na di TV? I kin bi bikɔs ɔf prɔblɛm wit in yes. Tide wi go tɔk bɔt wan pan dɛn kayn kɔndishɔn ya, we na `(Sensorineural Hearing Loss)` ɔ `(SNHL)`. Nɔ wɔri, wi go tɔk bɔt dis simpul wan.

Wetin na Sensorineural Hearing Loss?

Fɔ tɔk am simpul wan, `(Sensorineural Hearing Loss)` na we yu nɔ de yɛri fayn we di insay pat pan yu yes (`(inner ear)`) dɔn pwɛl . imajin, sכm sכm ia sεl dεm (`(hair cells)`) de insay wi yes we de kech sawnd wev dεm εn kכnvכlt dεm to signal dεm we di bren kin כndastand. Dɛn tin ya kin wok lɛk maykrofon. So, if dεn `(hair cells)` dεm dεm dεm dεm, wi de yεri sכm sawnd.

Dis sik kin kam bikɔs yu gɛt fiva wantɛm wantɛm, yu ed wund, ɔ yu gɛt lawd nɔys lɛk bɔm we de bɔn. Sɔntɛnde, dis kayn we aw yu de yɛri kin wɔs smɔl smɔl as yu de ol. Dɔn bak, dɛn kin bɔn sɔm pipul dɛn wit dis sik.

We yu gɛt SNHL, yu nɔ go ebul fɔ yɛri tin dɛn we dɛn de tɔk saful saful. Ivin we yu yɛri lawd nɔys, yu nɔ go ebul fɔ yɛri am klia wan, ɛn yu kin ivin sawnd we yu nɔ muf. Di tin we sɔri na dat dɛn ia sɛl dɛn ya we dɔn pwɛl nɔ kin ebul fɔ bɔn bak ɔ wɛl . So, bɔku tɛm, SNHL kin bi wan sik we go de sote go . Bɔt nɔ wɔri, wit di ɛp fɔ di tin dɛn we de ɛp yu fɔ yɛri, yu kin ebul fɔ yɛri fayn fayn wan ɛn liv nɔmal layf.

Yu tink se kayn tin dɛn de we kin apin to dis?

yes, difrεn men tכp dεm de fכ `(Sensorineural Hearing Loss)`. Lɛ wi si wetin dɛn bi:

• `(Unilateral sensorineural hearing loss)`: Dis na we yu nɔ de yɛri fayn na wan yes nɔmɔ .
• `(Bilateral sensorineural hearing loss)`: insay dis, di yεri we dεn nכ de yεri fayn na di tu yes dεm .
• Asymmetrical sensorineural hearing loss: Insay dis kes, di tu yes dɛn nɔ kin yɛri fayn, bɔt wan yes kin dɛf pas di ɔda wan .
• `(Sɔdan sensorineural hearing loss)`: Dis na mɛdikal imejensi . Dis na we yu nɔ de yɛri fayn wantɛm wantɛm insay 72 awa afta yu wund, sik, ɔ yu gɛt lawd nɔys (tink bɔt di sawnd we faya krak de mek insay Nyu Ia, gɔn shot). If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.

Aw kɔmɔn tin dis kin apin?

Sensorineural Hearing Loss, mɔ di kayn we we gɛt fɔ du wit di ej, na wan pan di kɔmɔn tin dɛn we dɛn kin si pan big pipul dɛn fɔ yɛri fayn fayn wan . E kin bɔrku pan pipul dɛm wae ol bitwin 50 ɛn 70 ia.

di kכndyushכn we wi bin dכn tכk bכt ``Sudden sensorineural hearing loss'' kכndyushכn, we min se yu de lכs fכ yεri fכ sכdεn fכ fכ de, de afekt bכt wan to siks pipul dεm pan 5,000 pan ia. Dat min se i nɔ bɔku smɔl.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

If yu gɛt `(Sensorineural Hearing Loss)`, si if yu gɛt dɛn sik ya bak:

• Yu fil se i izi fɔ yɛri wetin pipul dɛn we gɛt dip vɔys de tɔk pas di wan dɛn we de tɔk wit ay tɔyn?
• Yu tink se i nɔ kin izi fɔ ɔndastand wetin dɛn de tɔk na say dɛn we pipul dɛn kin ful-ɔp ɛn we pipul dɛn kin mek nɔys? Fɔ ɛgzampul, na tren, na bɔs, ɔ na stɔ.
• We ɔda pipul dɛn de tɔk, yu kin yɛri dɛn de mumu, nɔto klia wan?
• Yu gɛt sawnd we de ring (`(tinnitus)`) we de kɔmɔt insay yu yes ?
• We sɔm pipul dɛn de tɔk togɛda, yu tink se i nɔ kin izi fɔ fala di tɔk?
• Yu tink se di tin dɛn we yu de yɛri kin tan lɛk se dɛn ebi, dɛn nɔ kin klia, ɛn dɛn kin muf?

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

Wetin mek dis de apin? Wetin na di rizin dɛn?

di men kכz fכ `(Sensorineural Hearing Loss)` na di damej pan di insay yes . spεshal wan, i kin kכz bay we di sכm sכm ia sεl dεm (`(hair cells)`) na di pat pan di insay yes we dεn kכl `(cochlea)` we de kech sawnd, כ di nεv (`(vestibulocochlear nerve)`) we de kכri sawnd signal to di bren.

sכm pipul dεn kin bכn wit dis kכndyushכn, lεk we dεn nכ gεt כksijεn we di pikin de divεlכp. Ɔda pipul dɛn kin gɛt am leta na layf, bikɔs ɔf difrɛn sik dɛn, injury, we dɛn kin gɛt lawd nɔys (fɔ ɛgzampul, pɔsin we de wok na faktri kin de nia di sawnd fɔ mashin fɔ lɔng tɛm), ɔ jɔs bikɔs ɔf di nɔmal ol ol.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Risk factor na sɔmtin wae de mek pɔrsin gɛt mɔr chans fɔ gɛt sik. Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik we kin afɛkt di divɛlɔpmɛnt fɔ SNHL:

• Akostik nyuroma: Dis na tכmכro we nכ de kכnεs we de divεlכp insay di yes. I kin put prɛshɔn pan di insay yes ɛn afɛkt di we aw pɔsin de yɛri.
• We wi de ol: As wi de ol, di fayn fayn ia sɛl dɛn we de insay di yes kin wik smɔl smɔl. Dis na nɔmal tin.
• Ménière’s disease: Dis na wan sik wae nɔr de mɛn na yu yes wae kin mek yu gɛt sɔm kayn sik lɛk vertigo (vertigo) ɛn tinnitus (ringing in the ears).
• Sɔm mɛrɛsin dɛm (`(Ototoxicity)`): Sɔm mɛrɛsin dɛm (fɔ ɛgzampul, sɔm kansa mɛrɛsin dɛm, sɔm antibayɔtik dɛm) kin mek di insay yes pwɛl as sayd ɛfɛkt.
• Sɔm sik kɔndishɔn (`(Systemic conditions)`):Sɔm sik dɛn lɛk dayabitis ɛn mɛningaytis kin mek di blɔd nɔ flɔ na di insay yes ɔ mek di vestibulocochlear nerve swel.
• Traumatik bren injuri: If yu blo yu ed bad bad wan, i kin pwɛl di insay yes, i kin ambɔg di blɔd flɔ, ɛn i kin mek di prɛshɔn we de insay di skel go ɔp. Ɔl dɛn tin ya kin mek pɔsin gɛt SNHL.

Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ fɛn ɛni rayt rizin fɔ dis. insay dis kayn kes dεm, dεn kכl am ``idiopathic SNHL''.

Aw yu no dis?

If yu tink se yu gɛt prɔblɛm wit yu yɛri, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ, mɔ to dɔktɔ we de mɛn yu yes, nos, ɛn trot (ɔtolaryngɔlɔjis ɔ ENT ɔspitul dɔktɔ).

Di dɔktɔ go fil fɔs rawnd yu yes ɛn luk insay . afta dat, dεn go luk insay yu yes wit wan sכmכl instrכmεnt we gεt layt we dεn kכl ``otoscope.'' Dis kin εp fכ no εnitin we nכ kɔmɔn insay di yes we de ambɔg yu yεri.

Apat frɔm dat, di dɔktɔ kin aks yu kwɛstyɔn dɛn lɛk:

• Yu nɔ bin de yɛri fayn i bin apin wantɛm wantɛm ɔ smɔl smɔl?
• If na smɔl smɔl, ustɛm dis bigin?
• Yu de yɛri fayn na wan yes pas di ɔda wan?
• Yu dɔn sik dis biɛn tɛm? Yu dɔn gɛt injuri na yu ed?
• Ɛnibɔdi na yu famili we nɔ de yɛri fayn?

Us tɛst dɛn dɛn kin du?

Neks, yu go nid fɔ mek wan spɛshal pɔsin we sabi aw fɔ yɛri (ɔdiɔlɔjis) du sɔm spɛshal tɛst fɔ yɛri fɔ no aw yu de yɛri. Dɛn tɛst ya kin ɛp fɔ no if yu gɛt SNHL ɔ ɔda kayn wae yu nɔr de yɛri fayn.

Na sɔm pan dɛn kayn tɛst dɛn ya:

• akostik rεflεks tεst: Dis de tεst aw strכng wan sכmכl mכsul na di midul pan yu yes (di stapedial mכsul) de kכntrakt we i de ansa lawd sawnd.
• Di we aw yu de yɛri di bren stem de ansa: Dis min se yu fɔ tay smɔl smɔl ilɛktrɔd dɛn na yu ed, mek yu si difrɛn sawnd dɛn, ɛn mɛzhɔ aw yu bren wev dɛn de ansa to dɛn.
• Bɔn kɔndɔkshɔn tɛst: Dis kin sɛn sawnd dairekt insay yu insay yes. Dis kin ɛp fɔ no us kayn we yu nɔ de yɛri fayn.
• Otoacoustic emissions (OAEs): Dis de mekɔp di vaybreshɔn we de kɔmɔt insay yu yes, we gɛt fɔ du wit sawnd. Dis kin sho if ɛnitin dɔn blok na di yes ɔ if pɔsin nɔ de yɛri igen.
• `(Pure-tone audiometry)`: Dis na di say we yu kin fɛn ɔut us sawnd dɛn we yu kin yɛri pan difrɛn intensiti (`(frikyuɛnsi)` ɔ pitch).
• `(Speech audiometry)`: Dis de tɛst aw yu ɔndastand wɔd dɛn ɛn aw sloslo yu kin ripit wetin dɛn de tɔk.
• Tuning fɔk ɛgzam dɛn:Test dɛm lɛk di `Weber's test` ɛn di `Rinne test`. Na spɛshal pɔsin we sabi bɔt yes, nos ɛn trot kin du dɛn tin ya. dis kin εp fכ no if yu gεt `sensorineural` כ `conductive` yεri lכs (yu de yεri we de kכz fכ prכblεm na di כta כ midul yes).
• Tympanometry: Dis kin mek di dɔktɔ si aw yu ia drɔm dɛn de muv fayn fayn wan we yu de yɛri sawnd.

Sɔntɛnde, di dɔktɔ kin nid fɔ chɛk yu kraynia nerv ɔ du imej tɛst , lɛk MRI ɔ CT skan.

Wetin na di tritmɛnt dɛn?

difrεn tritmεnt dεm de fכ di sensorineural hearing loss. De tritmɛnt wae fayn fɔ yu go dipen pan aw yu sik tranga ɛn de kɔz.

• Di tin dɛn we pɔsin kin yuz fɔ yɛri: Dɛn tin ya tan lɛk smɔl spika dɛn. Dɛn kin mek di sawnd dɛn we de na do big ɛn mek i izi fɔ yu fɔ yɛri. Naw, dɛn gɛt tin dɛn we dɛn dɔn yuz fɔ ɛp pɔsin fɔ yɛri we rili advans, we smɔl, ɛn we pɔsin nɔ de si.
• Kɔklia implant: Dɛn tin ya na tin dɛn we dɛn kin put insay di bɔdi we dɛn kin du ɔpreshɔn ɛn we kin mek nyu we fɔ mek di sawnd signal dɛn travul dairekt to di bren, ɛn pas di insay yes we dɔn pwɛl. Dis kin rili yusful fɔ pipul dɛm wae nɔr de yɛri fayn fayn wan.
• Mɛrɛsin: If yu SNHL na bikɔs ɔf inflamɛns na yu yes ɔ ɔda tin, yu dɔktɔ kin gi yu mɛrɛsin lɛk kɔtikosterɔyd.
• Bone-anchored hearing aids (BAHA): Dɛn kin ɔspitul dɛn tin ya bak insay di bon na di skel. Dɛn kin transmit sawnd to di insay yes tru vaybreshɔn. Dɛn kin yus mɔ fɔ pipul dɛm wae gɛt yunilateral sensorineural hearing loss.
• Aktiv sɔvɛlayshɔn: Sɔntɛnde, mɔ if yu SNHL nɔr tu siriɔs, yu dɔktɔ kin se yu fɔ "watchful waiting." Dis min se yu fɔ wach di sik we yu nɔ gɛt tritmɛnt.

Wetin na di lukin-grɔn fɔ mek pɔsin wɛl? (Autluk) .

Ɔl togɛda, di ebul fɔ wɛl frɔm SNHL de dipen pan di ɔndalayn kɔz ɛn di kayn we aw di pɔsin nɔ de yɛri fayn. Bɔrku tɛm, SNHL na pɔrmɛnt kɔndishɔn. Dat min se, i nɔ kin izi fɔ mek i wɛl ɔltogɛda.

Bɔt nɔ giv ɔp fɔ op! Yu kin rili impɔtant fɔ mek yu yɛri fayn wit tin fɔ ɛp yu fɔ yɛri ɔ fɔ put yu kɔklia, we go mek yu ɛnjɔy layf we yu nɔ go kɔt yu wit di wɔl we de rawnd yu.

If yu nɔ de yɛri fayn wantɛm wantɛm, i impɔtant fɔ go to dɔktɔ kwik kwik wan . Di kwik we yu bigin fɔ trit, na di mɔ yu chans fɔ gɛt gud tin fɔ du.

Yu tink se dɛn go ebul fɔ stɔp dis?

Fɔ tɔk tru, dɛn nɔ kin ebul fɔ stɔp SNHL ɔltɛm. Tin dɛn bak we wi nɔ ebul fɔ kɔntrol, lɛk we wi de ol, kin afɛkt am. Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt:

• If yu de tek ɛni mɛrɛsin, tɔk to yu dɔktɔ bɔt di bad tin dɛn we kin apin to yu . Sɔm mɛrɛsin kin ambɔg di yes.
• Chek yu yɛri ɔltɛm so dat yu go no ɛni prɔblɛm kwik kwik wan.
• Yuz iaplɔg ɔ iamuf we yu de na say dɛn we lawd lawd wan. Fɔ ɛgzampul, na kɔnsɛt, kɔnstrɔkshɔn sayt, ɔ we dɛn de wok na faktri. Mɛmba se, fɔ yɛri lɔs bikɔs ɔf lawd nɔys na tin we pɔsin kin ebul fɔ avɔyd 100%!

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya, yu go mɔs go to dɔktɔ:

• If yu fil diziz (`(vertigo)`) ɔ yu gɛt prɔblɛm wit yu balans (`(balance)`) .
• If yu nɔ ebul fɔ yɛri tin fayn fayn wan na say dɛn we nɔys, ɔ we bɔku pipul dɛn de tɔk wan tɛm, ɔ if i at fɔ kech.
• If yu gɛt sawnd we de ring (`(tinnitus)`) na yu yes.
• If yu want fɔ ɔp di vɔlyum na di TV ɔ redio ɔltɛm pas aw yu bin de du trade.
• If yu notis wan big chenj na yu yɛri .

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

If dɛn no se yu gɛt SNHL, i fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di rizin we mek a nɔ de yɛri fayn?
• Chans de fɔ mek mi yɛri fayn ɔtomɛtik wan?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Us kayn rizulyt a kin ɛkspɛkt frɔm di tritmɛnt?
• Aw ɔltɛm a fɔ kam si yu bak (`(follow-up visits)`)?

Fɔ liv wit sensorineural hearing loss (SNHL) kin tranga. Sɔntɛm di sawnd dɛn we yu bin lɛk nɔ go klia igen lɛk aw dɛn bin de trade. Na nɔmal tin fɔ fil bad, wɔri, ɛn fred bɔt dis, mɔ we yu de wɔnda if yu yɛri go ɛva bɛtɛ. Bɔt nɔ giv ɔp fɔ gɛt op. Tritmɛnt lɛk ɛp fɔ yɛri ɛn kɔklia implant kin ɛp yu fɔ yɛri fayn ɛn gɛt kɔnekshɔn wit di wɔl. If yu tink se yu ɔ pɔsin we yu lɛk kin gɛt SNHL, mek shɔ se yu go to dɔktɔ.

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

Okay, so mek wi mɛmba yu bɔt sɔm pan di tin dɛn we wi dɔn tɔk bɔt.

• Sensorineural Hearing Loss (SNHL) na wan kayn we aw pɔsin kin yɛri we kin de fɔ ɔltɛm ɛn i kin apin we di dilik ia sɛl dɛn we de insay di ia dɔn pwɛl.
• Dis kin kam bikɔs yu dɔn ol, yu de mek lawd nɔys, sɔm sik dɛn, yu wund, ɛn sɔm mɛrɛsin dɛn.
• Di sayn dɛm kin bi fɔ ring na yu yes (tinnitus), i nɔ kin izi fɔ yɛri tɔk, ɛn i nɔ kin izi fɔ yɛri na say we nɔys de.
• `(Sudden SNHL)` na imejensi kɔndishɔn we yu nɔ de yɛri fayn wantɛm wantɛm. If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.
• Yu kin mek yu yɛri fayn wit tritmɛnt lɛk tin fɔ ɛp yu fɔ yɛri ɛn fɔ put yu kɔklia.
• If yu protɛkt yu yes frɔm lawd nɔys, dat kin mek yu nɔ gɛt SNHL.

So, if yu ivin gɛt smɔl dawt bɔt aw yu de yɛri, nɔ ignore am. Go to dɔktɔ wantɛm wantɛm. Dat na di bɛst tin we yu go ebul fɔ du.

` Sεnsכrinyural yεri lכs, SNHL, ia sik, εp fכ yεri, kכklia implant, tinnitus