Bengngawngte tan beiseina thar! Auditory Brainstem Implant (ABI) chungchang hi i zir vek ang u!

Aw awm lohna khawvel hi i ngaihtuah ngai em? Hmangaih tak aw, hla mawi tak, naute nuihzatthlak... Engmah hre lo nun. Ngaihtuah thiam a har khawp mai, a ni lawm ni? Mahse, mi thenkhat tan chuan hei hi thudik a ni. An hriatna an hloh vek chuan, chu chu an hriatna an hloh chuan aw khawvel nena an inzawmna chu an hloh ta tihna a ni. Mahse, damdawi lam thiamna a lo thang chho zel a, tunah chuan chutiang mite tan beiseina pe thei tur technology a lo awm ta a ni. Chu chu vawiinah kan sawi dawn a ni.

A awlsam zawngin sawi ila, he Auditory Brainstem Implant (ABI) hi eng nge ni?

Hei hi hriatna tha tak a ni bawk. Mahse, beng chhunga i hmuh thin hearing aid ang kha a ni lo. Auditory Brainstem Implant (ABI) hi taksa chhungah surgery hmanga dah a ni. Bengchheng vek tawh tan chuan aw hriatna pe thei tura siam a ni .

Hei hi hriatna hloh chhan chu cochlea (inner ear) lama harsatna emaw, hriatna nerve lama harsatna emaw a nih chuan a pawimawh hle. Chumi awmzia chu beng atanga thluak thlenga sound signal phurtu "kawng" chu a chhe vek a nih chuan he hmanrua hian chu kawng chhe tawh chu a paltlang a, thluak hriatna atana mawhphurtu lam (brainstem)-ah signal a thawn nghal vek tihna a ni.

Hemi atanga hlawkna a hmuh ber chu:

• I chhehvela thawm (e.g. mi pakhat thusawi, car rawn hnaih, etc.) hriat chian theihna.
• Miin a hmui (lip-reading) enin a thusawi hriatthiam theihna chu a thusawi lai hian a pung a ni.
• A châng chuan, aw i hre thei a, thumal i hrethiam thei a, sentence pawh i hre thei bawk.

He ABI device hi eng ang nge a nih?

He hmanrua hian hmunpui pahnih a nei a, pakhat chu taksa pawna bun a ni a, pakhat chu taksa chhunga surgery hmanga dah a ni.

1. Processor: Hei hi i taksa pawn lama awm chu a ni. Device te tak te ang mai a ni. I beng chungah emaw, i lu sir lamah emaw i bun thin. I chhehvela aw awmte chu microphone hmangin a pickup a ni. Chumi hnuah chuan chu aw chu electrical signal-ah a chantir a, i vun hnuaia dahna hmun dangah a thawn ta a ni. He pawn lam hi i mut laiin i paih thei.

2. Internal Implant: Hei hi doctor ten surgery hmanga taksa chhungah an dah thin a ni. Hei hian hmun hnih a nei bawk a:

• Receiver-stimulator: Hei hi i lu vun hnuaiah dah a ni. External processor atanga signal a dawng thin.
• Electrode paddle: Receiver atanga signal lo lut chu thluak hriatna hmunpui ber, cochlear nucleus complex, thluak stem-a electrode pad te tak te hmangin direct-in a thleng a ni.

A awlsam zawngin, pawn lam atanga thawm a pickup a, chhung lam a thawn chhuak thin. A chhung lam chuan chu signal chu thluak lamah a thawn nghal vek a ni.

He ABI hi kan hriat fo thin Cochlear Implant nen hian a inang em?

No. An pahnih hian surgically implanted device, hriatna lama puitu ni mah se, an hnathawh dan leh an inrem dan chu a inang lo. Hetiang hian han ngaihtuah teh: beng hi kawngkhar a ni a, auditory nerve chu kawngkhar atanga in (thluak) panna kawng a ni.

• Cochlear implant hi an kawngkhar awmchhun (beng chhunga `cochlea`) chhe tawh, mahse an in lam panna kawng (auditory nerve) a la awm reng tan hman a ni. Cochlear implant hian gate chhe tawh chu a paltlang a, kawngpui (auditory nerve)-ah signal a thawn nghal a ni.
• ABI hi gate (cochlea) leh kawngpui (auditory nerve) pahnih chhia, emaw kawngpui nei lo tak tak te chauhvin an hmang thin. Chutiang a nih chuan kawngpuiah signal thawn pawhin awmzia a nei lo. ABI tih chu gate leh kawngpui pahnih bypass a, in (brainstem)-ah direct-a signal thawn hi a ni.

He danglamna hi a hnuaia table i en hian i tan a chiang zawk ang.

He ABI surgery hi tute tan nge a tha?

He technology hi `Neurofibromatosis 2 (NF2) tih hming pu genetic condition hmuh tur awm lo tak takte tan siam a ni.` He natnaah hian auditory nerve zawh rualin tumor a lo awm thin. Heng tumor te hi lakchhuahna tur operation hian auditory nerve a tichhe thei a ni. Tichuan an beng pahnihah an hriatna an hloh ta a ni. Chutiang hunah chuan hearing aid emaw, cochlear implant emaw pawhin a pui dawn lo. Chuvangin ABI hian chutiang mite chu a pui ber a ni.

Mahse tunah chuan NF2 nei te chauh ni lovin, thil dang tam tak avanga an auditory nerve emaw inner ear emaw a thawk tha lo te pawhin he technology hi an hlawkpui thei ta a ni. Entir nan:

• Naupang tê tê, auditory nerve awm lo (`aplasia`) emaw, a puitling lo (`hypoplasia`) neia piangte.
• Mite chu beng chhung lam pianzia (cochlea), hmasawnna famkim lo (cochlear hypoplasia), a peng hrang hrang siam loh (cochlea aplasia), emaw ruh lian (cochlear otosclerosis emaw cochlear ossification) ang chi thil avanga hriatna hloh tawhte.
• Lu hliam na tak (e.g. temporal bone fractures) avanga auditory nerve chhiatna nei te.
• Thil dang avanga bengngawng leh hmanraw dang hmanga hriat theih lohte tan.

Operation hmain eng nge i tih tur?

Hei hi surgery lian tak a nih avangin i dinhmun uluk taka zirchian hmain test engemaw zat tih a ni ang.

• Behavioral testing: I hriatna level a teh thin.
• Communication evaluation: Speech-language pathologist chuan i tawng thiamna leh inbiakpawhna style a enfiah ang.
• Electrophysiologic testing: Hearing system hi khawiah nge a chhiat tih leh eng chen nge a chhiat tih chiang taka hriat theih nan special test an nei thin.
• Imaging test: Heng zingah hian CT scan leh MRI scan hmanga beng chhung lam, auditory nerve leh thluaka a chhehvel thil awmte enfiah a ni.
• Medical history: I doctor chuan i damdawi lam dinhmun leh hriatna lama harsatna i neih tawh dan te a zawt ang.

He surgery hian eng nge a hlawkna, a hlauhawmna leh a rah chhuah?

Hemi chungchang kan sawi dawn hian dinhmun dik tak kan hriatthiam a ngai a ni.

A thatna te: 1.1.

Mi hrang hrangah result inang lo mah se, a tlangpuiin thusawi hriat leh hmui chhiar ang chi thilte chu nasa takin a ṭha chho zel a ni. A bik takin, zirchianna atanga a lan dan chuan naupang kum naupang tak atanga (an hriatna hloh rei hmaa) he surgery nei te hian puitling aiin thumal an hrethiam zawk a ni.

Risk leh Complication awm thei:

Hei hi thluak surgery buaithlak tak a nih avangin hlauhawmna engemaw zat a awm. Mahse, hetiang surgery lama tawnhriat nei doctor thiam tak takte’n an tih chuan harsatna awm theihna a tlem hle. I doctor chuan heng zawng zawng hi operation hmain a hrilhfiah ang che. Harsatna awm thei thenkhat chu:

• Cerebrospinal fluid a chhuak thin.
• Implant a hlawhchham.
• Hriatna ni lo nerve dang tihchak avanga harsatna awm.
• Hri kai, meningitis ang chi te.
• Facial nerve tihchhiat (`I hmai nerve palsy`).
• Surgery hliam atanga natna hrik awm.

Surgery hnuah eng nge thleng?

Operation hnuah ni hnih atanga ni li chhung damdawi inah i awm a ngai dawn a ni. NF2 tumor lakchhuah ruala he surgery hi i neih chuan damdawi ina i awm rei zawk mai thei.

Device hi dah a nih hnuah chuan a activate theih nan kar li atanga kar ruk vel a ngai dawn a ni. Chumi hnuah chuan i audiologist nen appointment engemawzat i nei ang. A vawi khatnaah chuan device chu i tan a tha ber turin program a ni ang. Hetiang kalphung hi kum khatna vel chhung chu a la awm zel dawn a ni.

Engtikah nge doctor i hmuh ang?

Surgery zawhah khawsik emaw, natna nasa tak emaw i neih chuan doctor hnenah hriattir nghal tur a ni. Medical team pawhin harsatna i neih loh nan uluk takin an lo enfiah ang che. Operation hnuah pawh ni ruat saah i audiologist tlawh a, device settings siamrem a pawimawh hle bawk.

Auditory Brainstem Implant (ABI) hi mi zawng zawng tan a ni lo. Mahse, mi thenkhat, duhthlan tur dang nei lo leh bengchheng tak tak te tan chuan sound khawvel nena inzawmna siam leh theihna hun remchang hlu tak a pe a ni. Hei hi i tan emaw, i hriat mi emaw tan a tha em tih hriat theihna tha ber chu specialist biak hi a ni.