I tar chhoh zel chuan hriatna hloh i nei bawk em? (Presbycusis) Hemi chungchang hi han sawi ila!

Mi pakhatin a thusawi chiang taka i hriat theih loh laiin "thu sawi leh turin" i ngen fo thin em? A nih loh leh TV volume tlem i tihsan a ngai em? I hriat thin angin sava ri emaw alarm clock ri emaw ang chi thawm fiah lo tak tak i hre thei lo mai thei. Hengte hi kum upat deuh deuhin kan hriatna a tlahniam zauh zauh tan tih chhinchhiahna tlanglawn tak a ni. Damdawi lamah chuan he natna hi ‘ presbycusis ’ kan ti thin. A awlsam zawngin, hei hi kum upat ruala lo awm thin hriatna hloh hi a ni . Khawvel hmun hrang hrangah mi tam tak a nghawng a ni. Dik tak chuan kum 70 chunglam mi pathum zinga pahnih velin he natna hi an nei niin an sawi. Tunah hian hei hi damdawi kimchang a la awm lo a, mahse hearing aid ang chi thil hmang hian he natna hi nasa takin kan thunun thei a, hriatna tha zawk neih theihna turin tanpuina kan hmu thei bawk.

Presbycusis natna lan chhuahna chu engte nge ni?

A hmaa kan sawi tawh ang khan a bulpui ber chu a hma angin i hre tha lo a ni. Heng symptoms te hi vawi khatah a lang vek lo va, zawi zawiin a pung zel a ni. Heng symptoms te hi i neih chuan kum upat avanga hriatna hlohna chhinchhiahna a ni thei:

• Sava hla emaw alarm clock ri emaw ang chi ri fiah lo tak tak, ri sang tak tak hriat theih lohna. Ngaihtuah teh, zing lamah sava ri ri hriatin i tho thin a nih chuan tunah chuan i hre tawh lo tak zet a ni.
• Phone-a i inbiakna te, TV i en te, a nih loh leh computer-a thil i ngaihthlâk hian , i volume i tihsan a ngai fo ṭhîn. In chhunga mi dangte chuan a ri chu a ring lutuk niin an ngai mai thei.
• Beng chhunga thawm hrang hrang hriat reng theihna. Z... Ring emaw buzz ri emaw a ni. Hei hi tinnitus kan ti bawk.
• Mipui tamna hmun, party-ah emaw, restaurant-ah emaw, thawm a tamna hmunah emaw, mi pakhatin eng nge a sawi tih chiang taka hriatthiam a harsa thei hle. Thumalte chu a inzawm khawm ang maiin a ri chhe tawh ang.

Engvangin nge hetiang hian hriatna hloh hi a lo awm? Presbycusis awm chhante chu engte nge ni?

Presbycusis hi a takah chuan kan beng chhungril cell te tihchhiat avanga hriatna hloh a ni. Doctor te chuan hei hi sensorineural hearing loss an ti a . Hetiang dinhmun tichhe thei risk factor lian tak tak engemaw zat a awm a:

• Chhungkaw chanchin: I chhungkuaa mi tu emaw, entirnan i nu, i pa, i pi, emaw, i pi emaw chuan an upat deuh deuh chuan hriatna lama harsatna an tawk a nih chuan nang pawh i hlauhawm thei bawk. Hei hi rochun atanga lo chhuak a ni thei.
• Damdawi thenkhat side effects (Ototoxicity): Damdawi thenkhat hi hman chhunzawm zel a nih chuan kan beng chhungril cell te a tichhe thei a, hriatna a tichhe thei bawk. Hei hi ototoxicity an ti a . Chuvang chuan Doctor-in damdawi a pek loh damdawi dang i hman dawnin fimkhur a ngai a ni.
• Thawm ri nasa lutuk avanga inhriatthiamna:Mite chu hmun ri nasa takah hun rei tak thawk, emaw, headphone hmanga music volume sang ber ngaithla reng rengte chuan hriatna lama harsatna an nei nghal vat thei a ni. Research atanga a lan dan chuan , ri avanga hriatna hloh (noise-induced hearing loss) nei te chuan presbycusis an vei tam zawk thei a, chu chu an tar chhoh zel a ni Ngaihtuah teh, i naupan lai aṭanga machine ri ring tak tak hmanga factory-a thawk i nih chuan, a nih loh leh music concert-a speaker bulah i awm reng a nih chuan, chu chuan a nghawng thei che a ni.

Heng a chhan lian ber berte bakah hian natna dang thenkhat, kan tar chhoh zel chuan hriatna hlohna nena inzawm nia zirchianna atanga hmuhchhuah a awm bawk. Chutiang natnate chu:

• Lung natna, a bik takin coronary artery disease (CAD) .
• Zunthlum (Diabetes Mellitus) natna (Diabetes Mellitus) .
• Thisen sang (Hypertension) .
• Stroke- ang chi dinhmun.

Heng natnate hian beng chhungril lama thisen kalna a tichhe thei a, chu chuan hriatna a tichhe thei bawk.

Hetiang dinhmun avang hian eng harsatna dang nge awm thei?

Presbycusis hi hriatna hloh mai mai a ni lo. Mi pakhat thusawi hriatthiam harsa i neih chuan mi dangte biak chu i lungkham emaw, i hlauthawng emaw a ni thei. "Eng nge i sawi chauh?" vawi tam tak chu a zahthlak thei hle. Hei hian mi thenkhat chu khawtlang atanga inhnukdawk leh mahni chauha awm tumna a thlen thei a ni. Research atanga a lan dan chuan he natna hian a hnuaia mite hi a thlen thei a ni:

• Khawtlang nunah inthiarfihlim.
• Rilru lam harsatna nei anxiety disorder emaw depression emaw vei theihna a sang .

Ngaihtuah teh, i thiante hian thil nuihzatthlak tak tak an nuihzat a, mahse i hre chiang thei lo va, i nui thei lo bawk. Chu chuan lungngaihna a thlen ang che, a dik em?

Engtin nge presbycusis hi hmuhchhuah a nih?

Hriatna lama harsatna nei nia i hriat chuan i chhungkaw doctor (primary care provider) hmu hmasa phawt ang che. I beng a enfiah ang.

• Taksa enfiahna: Doctor chuan i beng chhung lam chu a en ang a, i beng chu a chhiat emaw, a hring emaw, natna a vei em tih a en ang. Hei hi hmanraw te tak te otoscope an tih hmanga tih a ni . Magnifying lens a nei a, light a nei bawk.
• Hearing tests: A dawtah chuan i doctor chuan ear specialist, audiologist , hnenah a refer ang che a, ani chuan hearing test hrang hrang a ti ang che. Presbycusis hriat theihna atana test hman ber chu pure tone test a ni.Hei hian headphone i bun a, intensity (pitch) leh volume level hrang hranga sound i ngaithla tihna a ni. Hei hian i hriat theih ri reh ber chu eng nge ni tih i hre thei a ni.

Presbycusis chi hrang hrang a awm em?

Ni e, audiologist-in test a neih hnuah eng ang presbycusis nge i neih tih hriat theih a ni. He classification hi i beng chhung lam eng part nge a chhiat tih a innghat a ni. Heng chi hrang hrangte hriatthiam nan hian kan beng chhungril hnathawh dan leh kan hriat dan tlem hriat a \angkai hle.

• Kan beng chhungah hian rulhut ang maia awm, cochlea . Hemi chhungah hian sam ang chi cell te tak te, stereocilia , sang tam tak a awm a.
• Hêng sam cell-te hian kan beng lai tak aṭanga aw ri chhuak chu an hriat chuan electrical impulse-ah an chantir a, kan auditory nerve -ah an thawn ta a ni.
• He auditory nerve hian kan beng chu thluak nen a thlunzawm a. Thluak hian heng signal te hi a dawng a, sound angin a hrilhfiah thin.

Tunah chuan presbycusis chi hnih lian tak takte hi han en ila:

1. Sensory presbycusis: Hei hi Organ of Corti-a pawn lam sam cell, cochlea bul hnaia awmte a bo chuan a thleng thin.

2. Neural presbycusis: Kan hriat that theih nan cochlea-a nerve cell leh thluak panna auditory pathway te hi a thawk tha a ngai a ni. Kan tar chhoh zel chuan heng nerve cell te hi a tlahniam zauh zauh thei a. Hei hi a vanga hriatna lama harsatna lo awm thin hming an vuah a ni.

Hei hi eng enkawl dan nge ni ang?

Presbycusis enkawlna ber leh hman tlanglawn ber chu hriatna hmanrua vuah hi a ni. Hearing aid hian pawn lam boruak a aw awmte chu a tichak a, kan beng thlengin a thlen a ni. Mahse, hearing aid hian a natna chu a tidam kim thei lo va, hriatna hloh chu a siam ṭha thei lo bawk. Mahse, ni tin hna thawhna kawngah leh mi dangte nena inbiakpawhna kawngah nasa takin an pui thei a ni.

Presbycusis chi hrang hrang a zirin enkawl dan a inang lo em?

Ni lo, hearing aid hi chi hrang hrang enkawlna atan hman a tha tlangpui. Mahse, eng chi nge i neih tih hriatchhuahna hmang hian i doctor chuan chu natnain i nun a nghawng dan tur ngaihtuahna a nei thei a ni. Entîr nân, neural presbycusis vei tu emaw chuan thusawi hriatthiam a harsat zâwk thei a, a nih loh leh ṭawngkam thliar hranna .

Hetiang dinhmun hi ka neih chuan eng nge thleng ang?

Presbycusis hi hun kal zelah a lo thang chho zel a.Chumi awmzia chu kum tlemte hnuah chuan i hriatna chu tunlai aiin a tlem zawk mai thei tihna a ni. Mahse, ngaihtuahawm tur a awm lo. He natna hi hearing aids hmangin a enkawl tha thei a ni. Mi tam tak, an tar chhoh zel avanga an hriatna hloh thinte chu hetiang hian hlawhtling takin an khawsa thin.

Presbycusis hi a veng thei ang em?

Tarna hi tihtawp theih a nih loh ang bawkin, he natna hi pumpelh kim a harsa bawk. Kum upa lam thila thil awm dan pangngai (natural part) a ni. Mahse, hriatna hloh zat control nan emaw, a natna nasatzia tihtlem nan emaw thil kan tih theih a awm a:

• Thawm ri tamna hmunah earplug emaw, invenna hmanrua dang emaw hmang thin ang che. Entirnan, music concert-a kal emaw, in sakna hmuna thawk emaw i nih chuan.
• Volume tihhniam chungin TV leh radio ngaithla rawh. A bik takin music ngaihthlak emaw, headphone hmanga movie en emaw hian volume ti sang lutuk suh.
• Thawm ri nasa tak laka i inveng thei lo a nih chuan a hlat thei ang bera awm la. Entirnan, earplugs tel lova concert i kal chuan speaker atanga hla deuh deuhin awm rawh.
• Meizial i zu a nih chuan bansan rawh. Meizial zuk hian kan thisen kal dan a nghawng bakah kan hriatna a nghawng bawk. Chu mai pawh ni lovin, zuk leh hmuam mite chuan midang aiin kum naupang zawkah hriatna hloh an nei thei a ni. Meizial zuk bânsan tura ṭanpuina i mamawh chuan doctor rawn rawh.
• I hriselna zawng zawng kha enkawl rawh. Mithiamte chuan thisen sang, zunthlum, leh thinlung natna ang chi natna leh hriatna hloh hi inzawmna a awm niin an ngai. Chuvangin, heng dinhmun atanga invenna hian hriatna hloh tihtlem nan a pui thei bawk.

Engtin nge ka in enkawl ang?

Hearing aid hian hriatna tha zawkah a pui thei che a, mahse hriatna hloh chu a lo awm leh thei lo. Chuvângin, hriatna hloh nêna nun chu, hriatna hmanrua hmang pawha nun chu a châng chuan a harsa thei hle. Hetiang dinhmun enkawl dan tur tips dang thenkhat chu hetiang hi a ni:

• I dinhmun chu mi dangte hrilh rawh: I chhungte, i ṭhiante, leh hnathawhna hmuna mite hnenah hriatna lama harsatna i neih thu hrilh rawh. Chumi hnuah chuan an pui thei ang che. Entîr nân, an biak hunah i hmaiah an en thei a, chiang taka sawi an tum thei bawk.
• I beng venghim rawh: Presbycusis hi thawm ri nasa takin a tizual thei a, chuvangin hmun ri nasa takah i awm apiangin earplugs vuah thin ang che.
• I hriatna hmanrua hmang fo ang che: Mi thenkhat chuan an beng a tihnat avangin an hman tawh lo. Mahse, presbycusis i neih chuan i hearing aids i bun fo hian i natna a zual loh nan a pui thei a ni. I hearing aids i vuah laiin harsatna i neih chuan i audiologist nen inbia ang che. I duh angin a siamrem thei a ni.

Engtikah nge ka audiologist ka hmuh ang?

Kum khatah vawi khat tal auditologist i hmuh a ngai mai thei a, chu chu i hriatna a na zual em tih hriat nan i beng test a ni . I hearing aid i bun hnuah pawh hriatna lama harsatna i la nei a nih chuan , a rang thei ang bera audiologist hmu ngei ang che.

Doctor hnenah eng zawhna nge ka zawh ang?

I hriatna test-in presbycusis i nei tih a nemnghet a nih chuan, heng zawhnate zawh hian i dinhmun hi a hrethiam zawk ang:

• Ka hriatna hloh hi engtiang chiahin nge a nasat?
• Eng ang enkawlna nge i rawt? Hearing aid i mamawh em?
• He dinhmun hian engtin nge ka nitin nun a nghawng?
• Eng thil dang nge ka ngaihtuah tur?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Presbycusis, kan upat deuh deuha hriatna hloh zauh zauh hi tar chakna kawngah a tel ve a ni. Mi pakhat thusawi hriatthiam harsa i tih chuan, a nih loh leh TV-a volume i tihsan reng a ngai a nih chuan, i hriatna a tlahniam deuh tih chhinchhiahna a ni thei. A ven kim theih loh laiin, i beng enkawl hian he natna hi a lo zual zel tih a tikhawlo thei a ni. I hriatna lama danglamna i hmuh chuan doctor pan hreh suh. I dinhmun chu a enfiah thei ang a, a tul chuan hriatna test turin a refer thei ang che a, thurawn leh enkawlna \ha ber ber a pe thei ang che. A hriat hma chuan enkawl a awlsam zawk tih hre reng ang che!

` Presbycusis, Kum vanga hriatna hloh, Hriatna, Hriatna hmanrua, Tinnitus, Audiologist, Cochlea