Mi pakhatin a thusawi laiin a muangchang ang maiin i inhria em? A nih loh leh, phone-a inbiak lai emaw, TV en lai emawa thusawi chu chiang taka hriat harsa i ti em? A nih loh leh midangte hnenah, "Eng nge an sawi?"? Chûngte chu i hriatna a chak lo deuh tih chhinchhiahna a ni thei. Hemi chungchang hi chipchiar zawkin sawi ila, mi tam tak a nghawng avangin.
Hearing Loss tih hi eng nge ni?
A awlsam zawngin, hriatna hloh chu kan hriatna system hmun thenkhat a nghawng huna aw hriat thiam lohna a ni. Hriatthiam lohna i neih chuan hriatthiam harsa i ti thei a, inbiaknaah pawh i tel ve thei bawk. Phone-a in inbiak lai te, online meeting-ah te, TV in en lai te hian hriatthiam a harsa thei a ni lawm ni? I ṭhiante i biak a, an buai a nih chuan a lungchhiatthlâkzia chu han ngaihtuah teh.
Hetiang dinhmun hian i hnathawhna te, in inlaichinna te, leh nun nuam tihna thlengin a nghawng thei a ni. Vawi tam tak chu hriatna hloh chu siam\hat vek a harsa \hin. Mahse, lungngai suh! Audiologist - hriatna lama harsatna awmte hriatchhuah leh enkawlna lama tui doctor-te chu ṭanpui turin an awm a ni. I tâna ṭha tûr enkawlna an rawt thei a, chu chu hriatna hmanrua emaw, hriatna hmanrua emaw, bengchheng dahna emaw a ni . Hengte hian i hriatna hloh nasa takin a ti tlem thei a ni.
Hei hi thil awmdan pangngai tak a ni tak tak em?
Ni e, a dik tak zet a ni. Hei hi i ngaihtuah aiin mi tam zawk chunga thleng thin a ni. Khawvel hmun hrang hrangah mi maktaduai tam takin hriatna lama harsatna engemaw chen an tuar a ni.
- Mi thenkhat chuan beng pakhatah chauh hriatna hloh an nei thei a, chu chu unilateral hearing loss kan ti a ni.
- Tin, kan tar chhoh zel chuan - a vaiin kum 65 chunglam mi pathum zinga pakhat vel, leh kum 75 chunglam mi pahnih zinga pakhat vel - kum upat avanga hriatna hloh a awm thin.
- Hetiang dinhmun hi naute têah pawh hmuh theih a ni. A tlangpuiin naute sangkhat zinga pahnih vel chu hriatna lama harsatna eng emaw tak neiin an piang a ni.
Hriatna lama harsatna chi hrang hrangte chu engte nge ni?
Okay, chuti a nih chuan heng hriatna lama harsatna zawng zawng hi a inang vek em? Ni lo, chi thum a awm. Eng nge an nih i en ang u.
- Conductive hearing loss: Hei hi i beng pawn lam (eardrum, ear canal) emaw i middle ear (eardrum, beng chhunga ruh te te pathum) emaw kal tlanga sound wave kalna tur blockage a awm chuan a thleng thin. Kawngpui an dang ang mai a ni.
- Sensorineural hriatna hloh: 1.1.Hei hi hun kal zelah i beng chhungril (cochlea, i thluak chhunga i auditory nerve siamtu) a chhiat chuan a thleng thin. Mahse a tlem hle a, hetiang hriatna hloh hi a thleng nghal thei a, ni engemaw zat chhungin a thleng thei bawk. Sudden Sensorineural Hearing Loss (SSHL) , a nih loh leh bengchheng tak tak , tih a ni.
- Mixed hearing loss: A hming ang bawkin hei hian i beng lai tak emaw, pawn lam emawa harsatna (i.e. conductive hearing loss) leh i beng chhung lam harsatna (i.e. sensorineural hearing loss) te pawh a huam thei a ni.
Engtin nge he natna hi ka nei tih ka hriat theih ang? (Natna)
A tam zawkah chuan hriatna hloh hi a thleng zauh zauh thin. Chuvangin mi thenkhat chuan a tir lamah pawh an hre lo. Mahse heng symptoms te hi fimkhur rawh, a chhan chu pakhat emaw a aia tam emaw i neih chuan ngaihven a tha.
- Midangte , "Eng nge i sawi?" leh?
- Phone call-a i awm lai emaw, restaurant ang chi hmun ri nasa takah emaw inbiakna hriatthiam harsa i ti em?
- Midang an sawi lai hian i bengchheng ang maiin i inhria em?
- Sava hla ang maia ri sang tak tak i hre lo em ni?
- I TV, computer, a nih loh leh tablet-a volume i tihsan a ngai em?
- I beng bulah ri emaw, au thawm emaw (tinnitus) i hre em?
- Beng na i nei em ?
- I beng chu thil pakhatin a khat ang maiin a hria em, a chhungah tui awm ang maiin i hria em?
- Balance problem emaw, luak chhuak emaw i nei em ?
Naupang tê têteah hian engtin nge he dinhmun hi hriat theih ang?
Naupang tê tête zingah he dinhmun hi hriat chian hi a danglam deuh hlek a ni. Nu leh pa kan nih angin hemi chungchangah hian a bik takin kan fimkhur a ngai a ni.
Naute mizia: 1.1.
- Thawm ri nasa tak (e.g., kawngkhar khar, rang taka thawm ri nasa tak) chu an chhang lo thei a ni .
- Thla 6 hnuah pawh an lu chu thawm lam hawiin an hawi lo mai thei .
- Kum khat hnuah pawh "mom" leh "dad" tih ang chi thumal pakhat chauh an sawi thei lo mai thei .
- An hming i lam pawhin an chhang lo mai thei .
Naupang kum upa zawkte mizia: 1.1.
- Engtik lai pawhin "Huh?" "Engnge?"
- An kum rualpui naupang dangte aiin an tawng tlai tan thin .
- Thusawi lai hian thu a fiah lo .
- Thupek a zawm lo (an hriat loh vang pawh a ni thei).
- TV leh tablet ah hian volume ka ti sang nasa hle .
Engvangin nge heng bengteah hian hriatna hloh hi a lo awm? (A chhan) .
Okay, chuti a nih chuan engvangin nge he hriatna hloh hi a lo awm? A chhan tam tak a awm thei. Entirnan, thawm ri nasa tak tak - music show lian tak kal ang chi - i tawrh nghal chuan i hriatna a nghawng thei a ni.
Conductive hearing loss awm chhan: 1.1.
- Beng chu earwax in a khat a .
- Khawsik leh allergy vangin beng lai takah tui a awm khawm .
- Middle ear natna (Otitis media) .
- Tui chawi laiin beng chhunga tui a luh avanga beng natna (Otitis externa) - "swimmer's ear" an ti bawk.
- Eustachian tube - middle ear leh throat thlunzawm tube-a harsatna a awm avangin middle ear-ah fluid a pung nasa hle.
- Eardrum a chhe tawh .
- Ear tumor (hengte hi cancer emaw benign emaw pawh a ni thei).
- Thil eng emaw chu beng chhungah a tang a . Entîr nân, i fa tê tê chuan infiamna tê tê emaw, zanriah ei tûr dawhkan bula i pêk candy emaw chu an beng bulah a thun thei a ni!
- Congenital condition thenkhatah chuan naute beng lai emaw pawn lam emaw a lo thang tha lo thin.
Sensorineural hearing hloh chhan: 1.1.
- Kum upa lam (hei hi a chhan tam ber a ni).
- Natna hrang hrang coronary artery disease , thisen sang , stroke , leh zunthlum te .
- Damdawi thenkhat avanga beng chhiatna (ototoxicity) - antibiotics thenkhat leh cancer dona damdawi te chu hei hi entirnan a ni.
- Hereditary genetic condition thenkhat .
- A lu a na hle a .
- Thawm ri avanga hriatna hloh . Hei hi factory leh in sakna hmuna ri nasa tak awmna hmuna hun rei tak hnathawh lai emaw, headphone volume sang taka hman lai emaw a thleng thin.
- Infection, cytomegalovirus (CMV) ang chi, nau piang laiin nu atanga naute hnena kai theih a ni.
Mixed hriatna hloh: 1.1.
Hei hi a hmaa kan sawi tawh conductive leh sensorineural cause pahnih inzawmkhawm a ni. Chumi awmzia chu i beng pawn lam leh lairil bakah i beng chhung lam a nghawng tihna a ni. Entirnan, i beng chhungril tichhe thei damdawi i ei a, i beng chu a puak palh a nih chuan mixed hearing loss i nei tihna a ni.
Hei hian eng harsatna nge a thlen theih?
Hriatna hloh hian eng side effect nge a neih? Dik tak chuan khawvel nena inzawmna nei lo anga inhriatna a siam thei che a ni. I lungngai a, i thinrim a, i thinrim thei bawk . Hriatna lama harsatna nasa tak nei te chuan lungkhamna emaw, lungngaihna emaw an nei thei.Rilru lama harsatna awm thei pawh a awm a, chungte chu: Naupang hriatna lama harsatna nei te hian sikul hnathawhnaah ngaihtuahna an seng harsa thei a, grade pawh a hniam thei bawk. Tin, zirchiannaah chuan kum upa lam hriatna hloh leh hriatrengna hloh natna , dementia inzawmna a awm tih hmuhchhuah a ni bawk.
Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.
Awle, hetiang symptoms hi i neih chuan engtin tak nge doctor hian hei hi a hriat theih ang?
A hmasain i doctor chuan i symptoms te a zawt ang che a, physical exam a ti ang che. Beng natna leh harsatna dang an neih leh neih loh an enfiah ang. I beng hliam i neih emaw, i beng a tumor ang chi i rinhlelh emaw chuan CT scan (Computed Tomography scan) emaw MRI (Magnetic Resonance Imaging) scan emaw an ti thei ang.
Tichuan, i doctor chuan audiologist hnenah a refer ang che , a nih loh leh audiologist hnenah direct-in i hmu thei bawk. Audiologist chu specialized hearing test ti thin a ni .
Test hman tlanglawn tak tak thenkhat chu hetiang hi a ni:
- Pure-tone testing: Hei hi test tam ber a ni. Pitch tinah i hriat theih tur pitch hniam ber a teh thin. Heng aw te hi headphone emaw earplug emaw hmangin i tawk thin. Bone conduction testing hi i lu chungah device dahin an ti bawk. Headphone/plug test leh bone conduction test pahnih tih hian audiologist chuan eng ang chiah nge i hriatna hloh tih chiang takin a hrilh thei che a ni.
- Otoacoustic emissions test (OAE): Hei hian i beng chhungril hnathawh that dan a test thin. Beng chhungril lama cell tenau tak takte ri chhuak chu a teh a ni.
- Tympanometry: Hei hian i beng (eardrum) a kal that dan a teh a ni. Eardrum ruptured, middle ear-a fluid, earwax buildup ang chi thil a hmuchhuak thei.
Hriatthiam lohna level engzat nge ni?
Hearing test neih zawhah audiologist chuan result a entir ang che a, a awmzia a sawifiah ang che. Vawi tam tak chu hriatna hloh hi ‘degree of loss’ tiin an thliar hrang thin. Hei hian thawm hriat theih nan aw ri nasa tak a ngaihzia a kawk a ni. American Speech-Language-Hearing Association sawi dan chuan heng level te hi:
- Pangngai
- Slight deuh a ni
- Hlek
- Thunun
- A nasat tawk lo
- Nasa
- A na hle (Profound) .
Hei hi eng enkawlna nge ni?
Okay, tunah chuan hei hi eng treatment nge tih i en ang u. I hriatna hloh chi hrang hrang a zirin enkawl dan a inang lo.
Conductive hearing loss enkawl dan: 1.1.
- Beng natna atana antibiotics ang chi damdawi.
- Surgery: Eardrum chhe tawh siamthat nan tympanoplasty , beng lai takah tube dah (ear tube an ti a), tympanostomy emaw, earwax lakchhuah nan surgery emaw .
- Beng atanga earwax emaw thil dang nghet lo emaw lakchhuah dan.
Sensorineural hearing loss enkawl dan: 1.1.
- Corticosteroids ang chi damdawi - Hengte hi i mitmeng chhunga sam cell nalh tak takte chu thawm ri nasa tak avanga tihchhiat a nih chuan a hring tihziaawmna atan pek thin a ni.
- Management: Hearing aid leh cochlear implants te hian sound hriatna kawngah a pui thin.
Mixed hearing loss enkawlna: 1.1.
- Hei hi enkawlna chu i beng pawn lam, lai tak leh chhung lam nghawngtu harsatna bikteah a innghat a ni. A chunga kan sawi tak enkawlna pahnih inzawmkhawm a ni thei.
Enkawlna hian side effect a nei em?
Enkawlna dang ang bawkin, a bik takin operation-ah hian nghawng tha lo a awm thei a ni.
- As a complication of tympanoplasty , a chang chuan operation hnuah eardrum a lo piang tha lo thei (graft failure) .
- Tympanostomy hian side effects a nei thei a, chu chu eardrum-a hliam (tympanosclerosis) , beng natna lo lang leh, emaw beng atanga tui awm reng (otorrhea) te a ni thei.
- Ear lumps enkawlna hian a chang chuan hriatna a tichhe zual thei a, balance a ti buai a, hmai sir khatah a chak lo thei bawk.
- Cochlear implant surgery hian i balance a nghawng thei a, a nih loh leh residual hearing thenkhat pawh a nghawng thei a, hriatna hloh nasa tak i neih pawhin. A tlem hle a, he surgery hian nerve a tichhia emaw, cerebrospinal fluid leak emaw a thlen thei .
Hei hi ven theih a ni em?
Awle, chuti a nih chuan, he hriatna hloh hi a awm loh nan kan tih theih tur a awm em?
Dik tak chuan hriatna lama harsatna chi hrang hrang (tar chakna nena lo awm ang chi) hi kan veng thei lo. Amaherawhchu, thawm ri nasa lutuk hi a chhan ber chu ven theih a ni. Chuvângin, thawm ri nasa tak awmna dinhmun leh boruak a theih ang anga pumpelh chuan thawm ri vanga hriatna hloh lo tûrin a ṭanpui thei che a ni .
Chu chu pumpelh theih loh a nih chuan i beng humhim nan hengte hi ti rawh:
- Concert-a i kal lai te, motor i khalh lai te, inneihnaa loud band i vel lai te, machine ri ring tak tak hmanga hnathawh hunah earplug emaw earmuff emaw hmang thin ang che.
- Volume chu tihhniam rawh. Headphone emaw earbuds emaw hmanga music i ngaihthlak hian i chhehvela mite thusawi i hriat theih nan volume hniam takin dah la. Rule of thumb tha dang chu ni khatah minute 90 aia tam 80% volume aia tam music ngaihthlak loh hi a ni.
- Ear canal-ah engmah dah suh. Cotton buds, hairpins, leh key ang chi thilte chu beng chhungah a tang thei a, beng pawh a tikehsawm thei bawk.
- Meizial zuk loh tur. Meizial zuk hian thisen kal a tichhe a, hriatna a tichhe thei bawk.
- Exercise neih fo thin ang che. Hriatna tichhe thei natna, zunthlum leh thisen sang te a veng thei a ni.
- I natna khirh tak takte chu uluk takin enkawl la, chhiatna dang pawh pumpelh rawh.
Eng nge ka beisei ang? Engtin nge ka in enkawl ang?
Hriatthiam lohna i neih chuan eng nge i beisei theih ang? Engtin nge i in enkawl theih ang?
I dinhmunah a innghat tak zet a ni. Hriatna hloh thenkhat chu hun eng emaw chen atan a ni. Entirnan, khawsik i neih lai te, tui chawi laiin i beng ah tui a lut (swimmer’s ear), emaw, i beng ah thil a tlakbuak emaw a awm thei. Mahse, sensorineural hearing loss leh kum vanga hriatna hloh hi a awm reng thin. Mahse, i hriatna tam zawk chu hearing aid emaw cochlear implant emaw hmangin i nei leh thei a ni.
Hriselna lama harsatna neia nun chu a châng chuan a harsa thei hle. I duh angin i hriat that loh chang a awm thei. Chutiang a nih chuan hriatna lama harsatna i nei tih midangte hrilh chu a tha ang. Chu chuan an tanpui che a awlsam phah ang a, a hrethiam ang che.
Hetiang dinhmun hian i rilru hriselna a nghawng thei bawk . Enkawlna hmang pawhin lungngaihna emaw, lungkhamna emaw i nei thei. Hetianga i inhriat chuan doctor emaw, i thian emaw hnenah hemi chungchang hi sawipui rawh.
Engtikah nge Doctor ka hmuh ang? Eng zawhna nge ka zawh ang?
I hriatna a na zual nia i hriat chuan doctor pan nghal rawh. Hearing aid chi dang i mamawh mai thei.
I hriatna test-naah hriatna hloh i nei tih a finfiah chuan i doctor hnenah heng zawhnate hi i zawt thei ang:
- Ka hriatna hloh chhan chu eng nge ni?
- Ka hriatna tihchangtlun nan eng nge ka tih theih ang?
- Ka hriatna hloh chu a zual zel dawn em ni?
- Cochlear implant surgery hi ka ngaihtuah tur em ni ? (Hriatna hloh nasa tak tan)
Hriatna hloh leh bengchheng inthlauhna
A awlsam zawngin, hriatna hlohHriatna lama harsatna nei chuan thusawi hrethiam thei khawpin a la hre thei tho (harsa pawh ni se). An hriatna chu hearing aid emaw, enkawlna dang emaw hmangin tihchangtlun theih a ni.
Bengngawng chuan a hre tlem hle emaw, engmah a hre lo emaw a ni. Hearing aid ang chi device te hian a pui lo. Bengngawng chuan inbiak nân sign language a hmang thei a.
Hriatna hloh hi chak lohna a ni em?
Entirnan, ram thenkhatah chuan Americans with Disabilities Act (ADA) ang chi dan an nei a. Chu dante ang chuan nitin hnathawhna nasa taka nghawng thei damdawi lam dinhmun ṭhenkhat chu rualbanlo anga ngaih a ni. Hriatna hloh hi chutiang dinhmun pakhat chu a ni a, mahse rualbanlo anga ngaih a nih leh nih loh chu hriatna hloh danah a innghat a ni. Sri Lanka pawhin hemi kawngah hian dan leh policy a nei bawk.
Hriatna hloh hi hun eng emaw chen atan a ni thei a, mahse mi tam tak chuan hriatna hloh reng reng, tihdam theih loh an nei a ni. Hei hian nunah thil tam tak i hloh ang maiin a siam thei che a, lungngaihna, mahni chauha awm emaw, lungngaihna emaw a siam thei bawk. Hriatna lama harsatna nei nia i hriat chuan doctor emaw, audiologist emaw nen inbia ang che. I hriatna tihchangtlun dan tur tha ber tur ngaihtuah turin an pui thei che a ni.
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
A tawp berah chuan hei hi ka hrilh duh che u a ni:
Hriatna hloh hi i ngaihtuah angin thil mak a ni lo. Heng symptoms te hi i neih chuan ngaihthah suh. Damdawi lam pan vat a pawimawh. A chhan a zirin enkawlna a awm a, a natna a zual zel loh nan pawh i veng thei bawk.
I beng hi i nunah thil hlu ber pahnih a ni tih hre reng ang che. Chuvangin enkawl rawh. Thawm ri nasa tak lakah inthiarfihlim la, i bengah thil tul lo dah suh la, faina dan tha tak tak zawm bawk ang che.
Nangmah chauh i ni lo va, tanpui thei tur mi tam tak an awm bawk. Hlau suh, hreh suh, i mamawh tanpuina dawng rawh. I hriatna hriselna enkawl hian i nunphung zawng zawng a tichangtlung ang.
` Hriatna, hriatna lama harsatna, bengchheng, beng lama harsatna, hriatna hmanrua, cochlear implant, audiologist, Hearing Loss











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