Engtiang chiahin nge hriatna lama harsatna neia nun hi a lungchhiatthlak? A châng chuan, hriatna hmanrua pangngai hman pawhin a thawk ṭha lo thei a, a nih loh leh hman a harsa thei bawk. Chuvangin he natna vei zinga mi i nih chuan beiseina bansan suh. Vawiin hian chutiang mite tana pawimawh tak ni thei tur technology bik kan sawi dawn a ni. Chu chu bone conduction hearing aid emaw, kan hriat vek angin BAHA device emaw a ni.
Bone anchored hearing aid (BAHA) tih hi eng nge ni?
Okay, hei hi a awlsam zawngin han sawi ila. Hearing aid i hmuh tlangpuite hian beng kawng kaltlangin, beng lai tak kaltlangin, beng chhungril lamah aw a thawn chhuak a, chu chuan hna a thawk a ni. Mahse he device BAHA tih hi a danglam deuh hlek a ni. A awlsam zawngin, i beng hnung lama i luruh ruh chhunga surgery hmanga dah luh, hmanraw te tak te a ni.
Chumi awmzia chu i beng lai tak kaltlangin sound wave thawn ai chuan i luruh ruh hmangin direct-in a vibrate a, i beng chhunga spiral structure, hriatna atana pawimawh tak cochlea-ah a thawn tihna a ni. Hetiang kalphung hi "bone conduction" kan ti a ni. Chu chu ruh chhungah aw a kal tihna a ni.
BAHA device hi a tlangpuiin hmun thum a awm a:
1. Titanium implant: Hei hi a hnah te tak te, surgery hmanga luruh ruh chhunga dah a ni.
2. External connector/abutment: Hei hi implant nena inzawm leh vun atanga tlem a hmuh theih part a ni.
3. Sound processor: Hei hi pawn lam atanga inbel, boruak atanga aw dawngtu, vibrations-a chantir, ruh thlenga thawn chhuaktu a ni.
BAHA system chi hrang hrangte chu engte nge ni?
Heng bone conduction hearing system te hi chi hnih ah then theih a ni. I doctor chuan i dinhmun nena inmil ber chi thlan turin a pui ang che.
| Thil hmanrua chi hrang hrang | Hrilhfiahna |
|---|---|
| Surgery hmanga dah BAHA | Hei hi hmanraw hman tlanglawn ber a ni. Surgeon pakhat chuan beng hnunglam ruh chhungah titanium implant te tak te a dah lut a. A dam hnuah pawn lam sound processor connect theih a ni a, chu chuan hriatna a pe thei a ni. He pawn lam hi i mut emaw, i inbual emaw hian i paih thei. |
| BCHA chu surgery ti lo | Hetiang chi hi naupang kum 5 hnuai lam tan leh zai duh lo tan a tha tlangpui. Device thenkhat chu vunah hian adhesive bik hmangin an bun theih bawk. A dangte chu lu khuhnaah bun theih a ni a, a tul hunah bun theih a ni bawk. |
Hei hi ka tan a tha em tih engtin nge ka hriat theih ang?
Thil engemaw zatin BAHA hi i tan a tha em tih a hril ang. I kum, damdawi lam thil dang, leh i hriatna hloh dan te hi thil pawimawh tak a ni. Hemi chungchangah hian ENT (beng, hnar, leh beng) specialist leh audiologist te chuan thurawn an pe thei ber ang che.
A tha ber chu, he non-surgical BCHA device hi i doctor-ah operation hmain i enchhin thei ang. Chutiang chuan operation hnua i hriatna chu engtin nge a awm ang tih chu i hre chiang thei ang.
Eng condition atan nge BAHA devices hi hman a tha?
A tlangpuiin, a hnuaia hriatna lama harsatna nei te hian BAHA atang hian result tha tak an hmu thei a ni:
- Conductive or mixed hearing loss: Chumi awmzia chu beng pawn lam emaw, beng lai takah emaw harsatna a awm avangin beng chhung lam thlengin aw a kal tha lo tihna a ni.
- Single-sided deafness: Beng pakhatin a hriat that a, beng dangin a hriat tlem lutuk emaw, engmah a hriat loh emaw hian.
Hriatna hloh thei dinhmun thenkhat chu:
- Mid ear infection rei tak awm thei
- Cholesteatoma, beng chhunga vun lo thang lian tak
- Tumors te chu acoustic neuroma te hi a ni
- Ménière natna a ni
- Aural atresia ( beng pawn lam emaw, beng lai tak emaw pianpui atanga lo piang chhuak) .
Hetiang natna i neih chuan i chhungkaw doctor nen inbia la, , a tul chuan beng, hnar leh kawr lam specialist hnenah refer rawh.
Engtin nge surgery hi an tih thin?
Hei hi surgery awlsam tak a ni a , a tlangpuiin minute 30 leh 60 inkar a ni . Surgery neih chhunga thil thlengte chu hetiang hi a ni:
1. Natna engmah i hriat loh nan anesthesia pek i ni ang. (Hei hi general anesthesia emaw, local anesthesia emaw a ni thei a, chu chuan a sawina hmun chauh a ti na thei).
2. Beng hnung lama vunah hian incision te tak te siam a ni.
3. Mastoid ruh-ah hian khur te tak te tak tak siam a ni a, chu chu beng hnung lama luruh peng pakhat a ni.
4. Chu khur chhungah chuan titanium implant chu dah a ni. Hei hi a takah chuan pea chanve vel zeta lian a ni.
5. Implant-ah hian pawn lam connector (abutment) dah a ni. Hei hi vun a dam hnuah vun atang hian tlem a lang thei ang.
6. A tawp berah chuan hliam chu suture leh khuh a ni.
Operation hnuah i ruh chu titanium implant (osseointegration) nen a fuse tur a ni. Thlai zung hian lei a chelh ang maiin. Hei hian thla khat atanga thla thum chhung a daih tlangpui . He hun hi i taksa dam theih dan azirin a danglam thin. He fusion hi a zawh hnuah chauh external sound processor chu a connect a, device chu on a ni.
BAHA hian eng nge a thatna leh a that lohna?
Damdawi dang ang bawkin he damdawi hian a thatna leh a that lohna a nei vek a ni.
| Pros | Cons |
|---|---|
| Thlamuanna: A nuam hle a, a chhan chu beng kawng chhungah hian hriatna hmanrua pangngai angin engmah dah tur a awm lo. Skin allergy neih theihna a tlem zawk. | Surgery a ngai: A that lohna ber chu a siamthat theih nan surgery a ngai a ni. Surgery tenau tak ni mahse, surgery dang ang bawkin hlauhawmna tenau engemaw zat a awm. |
| Sound quality tha: Sound quality a sang a, a chhan chu a ri hi vun kal tlangin a kal lo va, ruh lamah direct-in a kal a ni. | Harsatna awm thei: Implant na hmuna infection, swelling, emaw implant failure te hi a awm tlem hle thei. |
| Results hriat lawk: Operation hmain non-surgical device i hmu thei a, chuvangin result chu i hre chiang thei ang. | Lu hliam: 1.1.BAHA vuah mi pakhatin a lu a vuak (e.g. accident) a nih chuan natna kai emaw, implant tihchhiat emaw a awm thei. Chuvang chuan infiamna leh bicycle/motorcycle khalh lai hian helmet vuah a pawimawh hle. |
Dam leh hun tur leh doctor hmuh hun tur
Operation hnu ni 3-7 hmasa berah chuan implant awmna hmunah hian natna leh sen deuh a awm thei. Hei hi thil pangngai a ni.
A pawimawh ber: BAHA hi zai zawh veleh i hmang nghal thei lo. Sawi tawh ang khan ruh chu implant nen a inzawm kim hma chu i nghah a ngai a ni.
Implant a dam hnuah i doctor emaw audiologist emaw chuan pawn lam sound processor chu a fit ang a, i duh angin a settings chu a siamrem ang a, a lakchhuah dan leh dah leh dan tur a entir ang che.
Doctor ko vat a ngaih hunah
Operation hnua a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh:
- Infection, swelling, emaw implant site atanga pus ang chi tui chhuak .
- Natna damdawi ei hnuah pawh a reh ngai lo beng na .
- Fever 101 Fahrenheit (38.3 Celsius) aia sang nei .
BAHA leh Cochlear Implant inthlauhna
Heng pahnih hi hearing-aid implant ni mahse, an hnathawh dan erawh a danglam vek a ni.
- BAHA: Sound vibrations chu luruh ruh kaltlangin beng chhung lam thlengin a thawn chhuak thin .
- Cochlear Implant: Hei hi beng chhung lam chhiatna nasa tak nei tan hman a ni. Hei hian beng chhung lam chu a bypass vek a , auditory nerve chu direct in a tichak a ni .
Chuvangin, doctor-te chuan i hriatna lama harsatna awm dan a zirin heng pahnih zinga eng nge dik tih an rel thin.
Take-Home Thuchah a ni
- BAHA hi technology hlawhtling tak a ni a, hriatna lama harsatna chi hrang hrang tan hman a ni a, hei hi hriatna hmanrua pangngai hmanga hman tangkai loh a ni.
- Hei hian beng kawng kaltlangin aw a thawn ai chuan, luruh ruh hmanga vibrate hmangin hna a thawk a ni.
- A chi hnih a awm a, chungte chu surgical leh non-surgical te an ni.
- Hei hian operation tenau tak tak a ngai a, mahse a hlawhtlinna rate hi a sang hle (90% aia tam).
- Hei hi i tan a tha em tih hriat theihna kawng tha ber leh awmchhun chu,Beng, hnar leh kawr lam mithiam (ENT) nena inrawnkhawm.
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