Tin, hriatna lama harsatna i nei bawk em? (Sensorineural Hearing Loss) chungchang hi i zir dawn teh ang!

Mi thusawi hriat harsa i ti ngai em? A nih loh leh, TV-a volume tihsan a ngai tawh em? Beng lama harsatna vang pawh a ni thei. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a, chu chu (Sensorineural Hearing Loss) emaw (SNHL) emaw a ni. Ngaihtuah buai suh, he thu hi awlsam takin kan sawi dawn a ni.

Sensorineural Hearing Loss hi eng nge ni?

A awlsam zawngin, (Sensorineural Hearing Loss) chu i beng chhung lam ((inner ear)) chhiat avanga hriatna lama harsatna a ni. Ngaihtuah teh, kan beng chhungah hian sam cell te tak te ((hair cells)) a awm a, chu chuan sound wave te chu a man a, thluak hriatthiam theih tur signal ah a chantir a ni. Chûngte chuan microphone ang maiin hna an thawk a ni. Chuvangin, heng (hair cells) te hi a chhiat chuan thawm kan hre tlem zawk.

Hetiang dinhmun hi khawsik thut, lu hliam emaw, bomb puak ang chi thawm ri nasa tak avanga lo awm thei a ni. A châng chuan, he hriatna hloh hi i upat deuh deuh chuan a zual zauh zauh thei. Tin, mi thenkhat chu he natna hi neiin an piang bawk.

SNHL i neih lai hian thu sawi zawi zawiin i hre thei lo mai thei. Thawm ri nasa tak i hriat pawhin chiang takin i hre thei lo mai thei a, i ri pawh a muang lo thei bawk. Thil lungchhiatthlak tak chu heng sam cell chhia te hi an lo piang thar thei lo va , an dam thei lo bawk . Chuvangin, SNHL hi a awm reng fo thin . Mahse lungngai suh, hearing aids puihnain i hriatna nasa takin i tichangtlung thei a, nun pangngaiin i nung thei bawk.

Hei hi chi hrang hrang a awm em?

Ni e, (Sensorineural Hearing Loss) chi hrang hrang a awm. Eng nge an nih i en ang u:

• (Unilateral sensorineural hearing loss): Hei hi beng pakhat chauha i hriatna a tihchhiat lai a ni .
• (Bilateral sensorineural hearing loss): Hetah hian beng pahnih ah hriatna a tlahniam .
• Asymmetrical sensorineural hearing loss: Hetiang a nih chuan beng pahnihah hian hriatna a tichhe a, mahse beng pakhat chu a dang aiin a bengchheng zawk .
• (Sudden sensorineural hearing loss): Hei hi damdawi lam emergency a ni . Hei hi hliam emaw, natna emaw, thawm ri nasa tak i tawh hnu darkar 72 chhunga i hriatna i hloh nghal mai thin (Kumthar laia halmawi, silai ri ngaihtuah rawh). Hetiang a nih chuan Doctor i pan nghal tur a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Sensorineural Hearing Loss, a bik takin kum nena inzawm chi hi puitling zingah chuan hriatna lama harsatna hmuh tur awm tam ber pakhat a ni . Kum 50 leh 70 inkar ah a tam ber.

A hmaa kan sawi tawh ang khan Sudden sensorineural hearing loss'' condition, ni engemaw zat chhunga hriatna hloh nghal tihna a ni a, kum khatah mi 5,000 zingah mi pakhat atanga paruk vel a awm thin. Chu chu a tlem deuh tihna a ni.

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Eng nge a lan chhuah dan?

(Sensorineural Hearing Loss) i neih chuan heng symptoms te pawh hi i nei em tih en rawh:

• Aw thuk tak nei mite thusawi chu aw sang taka thusawi ai chuan hriat a awlsam zawkin i hria em?
• Mipui tamna hmun, ri bengchheng tak takah chuan eng nge an sawi tih hriatthiam a har em? Entîr nân, rel-ah emaw, bus-ah emaw, dawrah emaw.
• Midang an sawi hian an muangchang ri i hre em, chiang lo takin?
• I beng chhung atanga ring ri ((tinnitus)) lo chhuak i nei em ?
• Mi engemaw zat an inbiak lai hian an inbiakna zawm chu a harsa em?
• I thil hriatte chu a rit lo va, a chiang lo va, a muang lo em ni?

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a, thurawn lak a tha ber.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

(Sensorineural Hearing Loss) awm chhan ber chu beng chhung lam chhiatna a ni . A bik takin, beng chhungril hmuna ri mantu (cochlea) an tih hmuna sam cell te tak te ((sam cells)) emaw, thluaka sound signal phurtu nerve ((vestibulocochlear nerve)) emaw tihchhiat emaw tihchhiat emaw avanga lo awm a ni.

Mi thenkhat chu he natna neia piang an ni a, chu chu nausen pian laiin oxygen tlakchham vang te pawh a ni. Mi dangte chuan naupan hnuah, natna chi hrang hrang, hliam, thawm ri nasa tak avanga an awm (entir nan, factory-a thawk mi chu machinery ri hian hun rei tak a tawrh thin), a nih loh leh tar pangngai vang mai mai a ni.

Risk factors te chu engte nge ni?

Risk factor chu natna vei theihna tipungtu thil a ni. SNHL lo awm dan tur tichhe thei risk factor engemaw zat a awm a:

• Acoustic neuroma: Hei hi cancer ni lo, beng chhunga lo awm thin a ni. Beng chhungril lamah pressure a siam thei a, hriatna a nghawng thei bawk.
• Kum upa lam: Kan tar chhoh zel chuan beng chhunga sam cell te chu a chak lo zauh zauh thin. Hei hi thil pangngai a ni.
• Ménière natna: Hei hi beng natna rei tak a ni a, vertigo ) leh tinnitus (beng chhunga ringing) ang chi symptoms a awm thei.
• Damdawi thenkhat ((Ototoxicity)): Damdawi thenkhat (entir nan, cancer damdawi thenkhat, antibiotics thenkhat) hian side effect angin beng chhung lam a tichhia thei a.
• Natna thenkhat ((Systemic conditions)):Natna thenkhat, zunthlum leh meningitis te hian beng chhung lam thisen kal a tichhe thei a, vestibulocochlear nerve a ti na thei bawk.
• Traumatic brain injury: Lu-a vuak na tak chuan beng chhung lam a tichhe thei a, thisen kal dan a tibuai a, luruh chhunga pressure a tisang thei bawk. Heng zawng zawng hian SNHL a thlen thei a ni.

A châng chuan, doctor-te chuan hei hi a chhan dik tak an hmu thei lo . Chutiang hunah chuan idiopathic SNHL'' an ti thin.

Engtin nge hei hi i hriat chian?

Hriatna lama harsatna nei nia i inhriat chuan i tih hmasak ber tur chu Doctor, a bik takin beng, hnar leh kawr lama mithiam (otolaryngologist emaw ENT surgeon emaw) hnenah i hmu hmasa tur a ni.

Doctor chuan i beng vel chu a hre hmasa ang a , a chhung lam a en ang . Tichuan, i beng chhung chu otoscope'' an tih, eng hmanrua te tak te hmangin an en ang.Hei hian i beng chhunga thil danglam tak tak, i hriatna tibuaitu chu a hriat theih nan a pui thei a ni.

Chu bâkah, doctor chuan hetiang zawhnate hi a zawt thei bawk che a ni:

• I hriatna hloh chu a thleng thut nge zawi zawiin?
• Zawi zawiin a nih chuan engtikah nge hei hi a lo intan?
• Beng pakhatah hian beng dang aiin i hre tha zawk em?
• Tun hnaiah i damlo em? Lu hliam i nei tawh em?
• I chhungkuaah hian hriatna lama harsatna nei an awm em?

Eng test nge tih thin?

A dawtah chuan i hriatna chu eng ang chiah nge a nih tih hriat theih nan hearing specialist (audiologist) hnenah special hearing test thenkhat i tih tir a ngai ang. Heng test te hian SNHL emaw, hriatna lama harsatna chi dang emaw i neih leh neih loh hriat theih nan a pui thei a ni.

Chutiang test thenkhat chu hetiang hi a ni:

• Acoustic reflex test: Hei hian i beng lai takah (the stapedial muscle) a taksa peng te tak te chu aw ri nasa tak avanga a inzawm chak dan a test thin.
• Auditory brainstem response: Hei hian i lu-ah electrode te te dahin, aw chi hrang hrang i hmachhawn a, i thluak wave-in a chhan dan tehna a huam a ni.
• Bone conduction test: Hei hian i beng chhungah direct-in aw a thawn lut thin. Hei hian eng ang hriatna lama harsatna nge i neih tih hriat theih nan a pui a ni.
• Otoacoustic emissions (OAEs): Hei hian i beng chhung atanga vibration lo chhuak, ri nena inzawm, a teh a ni. Hei hian beng chhungah blockage a awm em tih emaw, hriatna hloh a awm em tih emaw a hriattir thei.
• (Pure-tone audiometry): Hei hi intensity hrang hrang ((frequencies) emaw pitch)-a i hriat theih ri hriat theihna hmun a ni.
• (Speech audiometry): Hei hian thumal i hriatthiam dan leh sawi chu zawi zawiin i sawi nawn leh theih dan a test a ni.
• Tuning fork exam hrang hrangah:Test te chu Weber’s test leh Rinne test te hi a ni. Hengte hi beng, hnar leh kawr lam mithiam ten an ti thei a ni. Hei hian sensorineural emaw conductive emaw hriatna hloh (beng pawn lam emaw, beng lai takah emaw harsatna avanga hriatna hloh) i neih leh neih loh hriat nan a pui thei a ni.
• Tympanometry: Hei hian doctor chuan i beng zungte chu aw ri dawnin engtiang chiahin nge a che tha tih a hmu thei a ni.

A châng chuan doctor chuan i cranial nerves a enfiah emaw, imaging test, MRI emaw CT scan emaw a tih a ngai thei bawk.

Enkawlnate chu engte nge ni?

Sensorineural hearing loss hi enkawlna hrang hrang a awm a. I tana enkawl dan tur dik tak chu i dinhmun nasat dan leh a chhan a zirin a innghat ang.

• Hearing aids: Hengte hi speaker te tak te ang an ni. Pawn lam aw an ti chak a, i hriat awlsam phah bawk. Tunah chuan hriatna hmanrua hmasawn tak tak, te tak te leh hmuh theih loh a awm ta.
• Cochlear implants: Hei hi surgically implanted device a ni a, sound signal te chu thluak lam pan nghal theihna tur kawng thar siamin, beng chhung lam chhia chu a paltlang thei a ni. Hei hi hriatna lama harsatna nasa tak nei tan chuan a tangkai hle.
• Damdawi: I SNHL hi beng a inflammation emaw, natna dang emaw avanga lo awm a nih chuan i doctor chuan corticosteroids ang chi damdawi a pe thei ang.
• Bone-anchored hearing aids (BAHA): Hengte hi surgery hmangin luruh ruh chhungah pawh dah a ni bawk. Vibrations hmangin beng chhungril lamah aw an thawn chhuak thin. A bik takin unilateral sensorineural hearing loss nei tan chuan an tangkai thei hle.
• Active surveillance: A chang chuan, a bik takin i SNHL a na lutuk lo a nih chuan, i doctor chuan "watchful waiting" tih a rawt thei. Hei hian enkawlna tel lovin a dinhmun enfiah tihna a ni.

Dam lehna tur chu eng nge ni? (Hmuh dan tur) .

A pum puiin SNHL atanga dam leh theihna chu a chhan bulpui leh hriatna hloh nasat danah a innghat a ni. A tam zawkah chuan SNHL hi a awm reng a ni. Chu chu tihdam kim a harsa tihna a ni.

Mahse, beiseina bansan suh! Hearing aid emaw cochlear implant emaw hmangin i hriatna nasa takin i tichangtlung thei a , chu chuan i chhehvel khawvel atanga inthiarfihlim lovin nun nuam i ti thei a ni.

Sensorineural hearing loss nghal i neih chuan a rang thei ang bera doctor pan a pawimawh . Enkawlna i tan hma chuan result tha tak i neih theihna chance a sang zawk.

Hei hi ven theih a ni em?

Dik tak chuan SNHL hi engtik lai pawhin ven theih a ni lo. Kan thunun theih loh thilte, tar ang chite pawhin a nghawng bawk. Mahse, i risk tihtlem nan thil engemaw zat i tih theih a awm a:

• Damdawi eng emaw i ei a nih chuan i doctor nen an side effects chungchang sawipui rawh . Damdawi thenkhat chu beng tan a pawi thei hle.
• I hriatna enfiah fo la , chutiang chuan harsatna i neih chuan i hre nghal vat thei ang.
• Hmun ri nasa takah i awm chuan earplug emaw earmuff emaw hmang thin ang che. Entîr nân, concert-ah te, in sakna hmunah te, a nih loh leh factory-a hnathawh hunah emaw. Thawm ri nasa tak avanga hriatna hloh hi 100% in ven theih a ni tih hre reng ang che!

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan ngei ang:

• I luak chhuak ((vertigo)) emaw, i balance-a harsatna i neih emaw ((balance)) .
• Hmun ri nasa takah emaw, vawi khata mi engemaw zat an inbiak lai emaw, a nih loh leh man harsat a nih chuan.
• I beng chhungah ring ri ((tinnitus)) i neih chuan.
• TV emaw radio emaw a volume tihsan i duh fo chuan a hma aia tam i tihsan duh chuan.
• I hriatnaah inthlak danglamna lian tak i hmuh thut chuan .

Doctor hnenah eng zawhna nge i zawh tur?

SNHL i vei tih hmuhchhuah a nih chuan doctor hnenah hetiang zawhna hi zawh a tha ang:

• Ka hriatna hloh chhan chu eng nge ni?
• Ka hriatna chu automatic-a a ṭhat theihna chance a awm em?
• Eng enkawlna kawng nge ka neih?
• Enkawlna atang hian eng ang result nge ka beisei theih ang?
• Eng chen nge ka rawn hmu leh ang che ((follow-up visits))?

Sensorineural hearing loss (SNHL) nena nun hi a harsa thei hle. I hmangaih ṭhin awte chu a hma angin a chiang tawh lo mai thei. Hemi chungchangah hian lungngaihna, lungkhamna leh hlauhna i neih hi thil pangngai a ni a, a bik takin i hriatna a tha leh dawn em tih i ngaihtuah hian. Mahse, beiseina bansan suh. Hearing aid leh cochlear implant ang chi enkawlna hian hriatna tha zawk leh khawvel nena inzawmna nei reng turin a pui thei che a ni. Nangmah emaw i hmangaih tu emaw hian SNHL an nei thei nia i ngaih chuan doctor pan ngei ngei tur a ni.