I fa chu i thusawi laiin a buai deuh niin a lang em? Auditory Neuropathy Spectrum Disorder (ANSD) chungchang hi han sawi ila!

I tê tê chuan i thusawi laiin a ngaithla ṭha lo em ni? A nih loh leh i thusawi avang hian a buai phah niin i hria em? A châng chuan naupang tê tê tê thawm hriat dânah danglamna engemaw zat a awm thei bawk. Chutiang hunah chuan Auditory Neuropathy Spectrum Disorder, a tawi zawngin (ANSD) an tih natna chu a chhan a ni thei. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

Hei hi eng nge ni (Auditory Neuropathy Spectrum Disorder - ANSD)?

A awlsam zawngin kan beng hi kan chhehvela thawm hriat theihna tur a ni. Tichuan, chu awte chu thluak hriatthiam theih tur thuchah-ah an chantir a, thluak lamah an thawn ta a ni. Mahse, a chang chuan heng thuchahte hi thluak a thlen chuan a inzawm khawm a, a nih loh leh a thleng ngai lo. Chu chu Auditory Neuropathy Spectrum Disorder, emaw (ANSD) kan tih chu a ni.

Hetiang natna (ANSD) nei naupangte chunga thil thleng thei thenkhat chu hetiang hi a ni:

• Aw pakhat leh aw dang thliar hran a har thei hle .
• Miin a sawi chu chiang takin i hrethiam lo mai thei .
• Thawm i hriat a rang takin i hloh ang maiin a awm thei .
• Ni khata i hriat chu a tuk zinga i hriat chu a ni lo ang maiin a lang thei a, chu chu i hriat chu a danglam tihna a ni .

Mahse, chanchin lawmawm a awm. Hetiang natna (ANSD) nei naupangte pawh hian damdawi hmanraw \ha tak tak, enkawlna, leh mit lama inbiakpawhna hmanrua (i.e., hmuh theiha inbiakpawhna hmanrua) hmangin an \awng thiamna an tipung thei a, midangte nen pawh \ha takin an inbiak theih bawk.

Engvangin nge hetiang (ANSD) hi a lo awm? A chhante chu engte nge ni?

Hetiang (ANSD) natna thlentu ber chu khawi emaw laiah auditory nerve , kan beng chhungril cochlea (aw khawlkhawmtu leh thuchah siamtu) leh thluak tihchhiatna a ni.

Hetiang naupangte hi tlem chuan an vei tam zawk (ANSD):

• Nausen piang hun hmaa piang (preterm babies) tan.
• Chhungkaw zingah hian hetiang (ANSD) natna hi an lo nei tawh a nih chuan.
• Pian tirh atanga jaundice na tak a lo awm chuan .
• Nau piang hma emaw, pian hnu emawa oxygen a awm tlem chuan ((low oxygen)) .
• Damdawi thenkhat chu beng chhunga sensitive parts emaw auditory nerve emaw tichhe thei a awm. Naupang chuan chutiang damdawi chu a dawng tawh a nih chuan .
• Genetic condition emaw neurological condition thenkhat i neih chuan , Charcot Marie Tooth disease ang chi te.
• Lu hliam na tak i neih chuan .

Engtin nge (ANSD) i nei tih i hriat theih ang? Eng nge a lan chhuah dan?

Heng symptoms te hi kum eng pawhah a intan thei. Mahse, naute tam zawk hi he natna (ANSD) neia piang an ni. Hriatna lama harsatna neiA nasat loh atanga na tak thlengin a awm thei. Mak tak maiin naupang thenkhat chuan thawm chu a pangngaiin an hre thei a, mahse chiang taka sawi chu hriatthiam harsa an ti hle.

Heng naute hian nausen piang thar hriatna screening test-ah hian an pass thei a, mahse hun kal zelah chauh hian hriatna lama harsatna an nei tih an hre zauh zauh thin.

I naute kum khatnaah heng thilte hi enkawl la.

I naute hian a dam kum khatnaah heng hriatna lama thil pawimawh tak takte hi a chhang tha em tih en rawh. Chuti a nih loh chuan Doctor nena inbiak pawh a tha.

• Nausen piang thar : Thawm ri nasa tak a hriat nghal chuan a mangang em, a "throw up" em?
• Thla 3 vel a nih chuan : I naute hian an nu emaw an pa emaw aw a hre thei em? Chu lam hawiin an lu an hawi em?
• Thla 6 vel : I naute hian thawm thar a hriat chuan chu lam hawiin a mit emaw a lu emaw a hawitir em? "uh" leh "ah" tih ang chi ri a sawi nawn leh thin em?
• Thla 12 vel (kum khat) velah : I naute hian aw te tak te, awmze nei lo (babbling sounds) a siam em? I naute hian a hming i sawi hian a chhang let em? I naute hian thute entawn a tum em? I naute hian thumal tlemte, "mama" leh "bye-bye" tih te a sawi em?

I fa chu a lo upa deuh deuh chuan heng symptoms te hi an nei em tih en rawh.

I fa chu a lo upat deuh deuh chuan hriatna lama harsatna a neih chuan heng ang symptoms hi a lantir thei a ni:

• Thusawi chu a tlem a, a chiang lo, a nih loh leh thusawi a ni lo .
• I thusawi ngaihthlak loh emaw, thupek zawm lo emaw angin i inhria em ?
• A tlangpuiin biak i nih chuan i chhang lo em ni, a nih loh leh chhanna pawimawh lo i pe em ?
• I chhehvela thawm tam tak a awm hian awlsam takin i ngaihtuahna a buai em ?
• TV a volume tihsan tam i duh em ?
• Zirna lama harsatna i nei em ?

Hetiang thil chungchangah hian i fa chungah rinhlelhna i neih chuan doctor i biak ngei ngei tur a ni. Chu chu a tha ber a ni.

Engtin nge (ANSD) status i neih leh neih loh i hriat chian theih ang?

ANSD dik taka hriat theihna chu audiologist awmchhun a ni. Test bik ti thin leh hriatna lama harsatna nei te tanpui thintu a ni. ANSD hriat theihna tura pui thei test lian engemaw zat a awm a:

Heng test te hi engte nge ni?

• Otoacoustic emission (OAE) test : Hei hian beng chhung lam cochlea an tih hian engtiang chiahin nge hna a thawh tih a test a ni. Hei hi naute mut lai emaw, a thut lai emawa tih thin a ni. Earphone te te chu beng chhungah dahin thawm nêm tak, click ri ang chi a chhuak a. Tichuan, beng chhung lam atanga chhanna chu electrode an tih sticker te tak te hmangin an teh thin.
• Auditory brainstem response (ABR) hmanga enfiah a ni: Hei hian beng chhung atanga aw lo chhuak chu auditory nerve zawhin thluak bul hnaia awm thluak bul thlenga a kal that dan leh chiang taka a test a ni. Information chu thluak lamah chiang takin a kal lo a nih chuan he test hian a lantir ang. A tlangpuiin (OAE) test hi a pangngai a, (ABR) test hian chhanna a nei tlem hle emaw, a nei lo emaw a nih chuan (ANSD) vei theihna chance sang tak a awm nia ngaih a ni.
• Middle ear muscle reflex (MEMR) test : Kan beng chhungah hian muscle te tak te a awm a, chu chu thawm ri nasa tak kan hriat chuan a inkhar nghal mai thin. Chuvang chuan (MEMR) tih a ni. He test-ah hian rubber tip te tak te chu beng chhungah dahin thawm ri nasa tak a thawn a. He taksa peng hian aw chu engtin nge a chhân lêt tih hriat nân machine hman a ni. Naupang (ANSD) vei tan chuan he reaction hi aw ri nasa takah a thleng lo va, a nih loh leh reaction dawng tur chuan mi pangngai aiin aw ri nasa zawk a ngai a ni.

Nausen piang thar hriatna screening programme-ah hian heng (OAE) leh (ABR) test te hi a awlsam zawngin an hmang thei a ni. Mahse, dik taka diagnose (ANSD) tur chuan heng test te hi a kimin tih a ngai a ni.

Eng test dang nge mamawh ang?

(ANSD) a vei tih hriat a nih hnuah naupang chu test dang engemaw zat neih a ngai mai thei:

• (MRI) test : Beng chhungah harsatna a awm em tih leh beng pahnihah hian auditory nerve a awm em tih hriat nan.
• Genetic testing : He (ANSD) natna hi genetic disorder-a tel a nih leh nih loh enfiah nan.
• Neurologic testing : Neurological problem dang a awm leh awm loh enfiah thin ang che.
• Vision testing : Hriatna lama harsatna leh mitdelna hi a kal dun thei fo. Chuvangin naupang ANSD vei an hriat chuan mit lam doctor pan a pawimawh hle .

Engtin nge condition (ANSD) hi enkawl a nih?

Naupang ANSD vei te hi specialist team ten an enkawl thin . Hei hian a awmzia chu hriatna lama mithiam (audiologist), beng, hnar leh kawr lama mithiam (ENT doctor), thusawi leh tawng hmanga enkawltu (speech-language therapist), leh zirna lama mithiamte chuan enkawlna ruahmanna tha ber siam turin an thawk ho tihna a ni.

Enkawlna chu thil tam takah a innghat a, chung zingah chuan naupang kum, auditory nerve eng part nge hna a thawk tha lo tih leh hriatna lama harsatna a nasat dan te pawh a tel.

Vawi tam tak chu, heng naupangte hian assistive listening devices hman a\angin hlawkna nasa tak an nei \hin. Heng hmanrua te bakah hian naupang thusawi leh ngaithla thiamna tihchangtlunna tura speech-language therapy chhunzawm zel hi result neih theihna kawng tha ber a ni

Chûng ṭanpui thei hmanruate chu engte nge ni?

• Frequency modulation (FM) hmanga siam a ni: He (FM) system hian i chhehvela thawm duh loh zawng a ti tlem a, speaker (entir nan, zirtirtu) aw chu chiang tak leh ring takin a hriat theih phah a ni. Speaker hian microphone te tak te leh (transmitter) a bun a. He (transmitter) hian naupangin an beng a bun emaw, (hearing aid)-a direct-a a bun (receiver) hnenah electronic signal a thawn a ni. Hei hi classroom leh hmun ri bengchheng dangah te a tangkai hle a, a chhan chu phurh kual theih a nih vang a ni.
• Hearing aid : Hei hi beng thlenga ri amplify nan hman a ni. ANSD vei naupang thenkhat chuan hearing aid hi an hlawkpui thei a, a bik takin a hmaa kan sawi tawh FM system nena hman dun a nih chuan an hlawkpui thei a ni. Mahse, hearing aid chauh hian ANSD vei naupangte tan chuan a pui vak lo va , sound muffled tawh chu a amplify chauh a ni.
• Cochlear implant : ANSD vei naupang thenkhat tan, a bik takin hearing aid atanga tanpuina dawng tlem tan chuan cochlear implant hi duhthlan tur tha tak a ni. Hei hi beng chhunga surgery hmanga dah a ni . Beng chhunga hmun hrang hrang hnathawk tha lote chu a bypass a, auditory nerve chu direct-in a tichak a ni. Training tha tak leh enkawl chhunzawm zel a nih chuan cochlear implant nei naupangte chuan hriatna tha leh thusawi chiang tak an zir thei a ni.

Eng dang nge i hriat duh?

Hearing aid hman bakah hian ANSD vei naupangte hian mit hmanga inbiakpawhna thiamna an zir thei bawk a, chu chu an mit hmanga an thil hmuh hmanga inbiakpawhna kawng a ni.

Heng hmuh theiha inbiakpawhna hmanrua te hi engte nge ni?

• Sign Language : Hei hi tawng hran a ni. Grammar, vocabulary leh sentence pattern hrang hrang a nei a. Spoken language aiah hman tur atana duan a ni.
• Cued Speech : Hei hian thusawi tuin a hmui vel a kut zungtang a siam a ni. Heng kut zungtangte hian ngaithlatute chu hawrawp inang (entir nan, ‘ব’ leh ‘প’, emaw ‘ম’ leh ‘ব’) thliar hrang turin a pui thin. Cued Speech hi eng tawng pawhin hman theih a ni a, tawng hnih hmang chhungkaw tan pawh a tangkai hle.
• Signing Exact English (SEE) : Hei hi sign language system a ni a, English tawng hman dan inang chiah chiah, thumal khat hnu thumal hmanga hman a ni. Sign language elements a nei bawk a, mahse sentence structure leh grammar hi English atanga lak chhuah a ni.

Cued Speech leh SEE te hian thusawi chu direct-in an letling vek a ni. An pahnih hian hmui chhiar ringawt pawhin a tih theih loh thilte chiang taka i hriatthiam theih nân thusawi ṭawngkam nêna hman tûra siam a ni.

Nu leh pate hian ANSD vei an fate chu midangte nena inbiak leh inbiak dan zirtirna kawngah hian chanvo pawimawh tak an nei a ni. Medical team te nena thawhhona tha tak neih a nih chuan result tha ber a awm thei a ni.

Heng website-ah hian thu belhchian dawl zawk leh tanpuina i hmu thei ang:

• CDC: Hriatthiam lohna leh I Fate (US Centers for Disease Control website)
• Hands and Voices (nu leh pa leh professional te tana network) .

I hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh thenkhat kha han hriat nawn tir leh ila.

• Auditory Neuropathy Spectrum Disorder (ANSD) hi beng atanga thluak thlenga sound message lo lutte tihbuai emaw, a kal tha lo emaw a ni.
• Hei hi hriat hmasak a pawimawh . I fain an hriatnaah danglamna emaw, tihkhawtlai emaw i rinhlelh chuan doctor pan nghal rawh.
• He natna hi test bik (OAE) leh (ABR) te hmang chauhin dik taka hriat theih a ni .
• Ngaihtuah buai suh, (FM) system, (hearing aids), (cochlear implants), speech therapy, leh mit lama inbiakpawhna hmanrua ang chi hmanrua te hian i fate thusawi thiamna a tichangtlung thei a ni
• Nu leh pa i nih angin, in ngaihvenna, in inpekna, leh damdawi lam team nêna in thawhhona chu in fa tân chakna lian ber a ni .

Naupang tin hi an danglam vek tih hre reng la, chuvangin i fate tana tha tur enkawlna leh puihna zawn a pawimawh.

Auditory Neurological Disorders, ANSD, Hriatna lama harsatna, Naupang hriselna, Hriatna test, Cochlear Implants, Speech Therapy te a awm bawk