Kua whakaaro kē koe ki te mīharo o ō taringa? Ehara i te mea ko ngā āhuatanga anake o tō mahunga; he tino uaua hoki ngā okana kua hangaia hei āwhina i a koe ki te whakarongo me te pupuri i te taurite o tō tinana. Kia tirohia tata atu tā rātou mahi me pēhea e taea ai e koe te tiaki i tō hauora whakarongo.
He aha ngā mahi matua a te taringa? Tērā pea ka ohorere koe!
E rua ngā kawenga matua, ā, he mea nui hoki ki ō taringa: te whakarongo me te pupuri i tō taurite . He mea tino nui ngā mea e rua mō te whakatere i tō oranga o ia rā me te haumaru, me te whakamarie hoki.
He Pēhea te Mahi a te Whakarongo?
Hei whakarāpopototanga, anei te haere o te oro mā roto i tō taringa:
1. Ka tomo ngā ngaru oro ki roto i tō taringa o waho, ka heke iho i te awaawa o te taringa, ka pā ki tō pakū taringa (te kiriuhi tympanic) , ka wiri ai.
2. Ka tukuna ēnei wiri ki ngā wheua ririki e toru i roto i tō taringa waenga, e mōhiotia whānuitia ana ko ngā wheua wheua . Ka whakanuia e ēnei wheua whakamiharo ngā wiri oro, ka tukuna atu ki roto i tō taringa o roto.
3. I roto i te taringa o roto, ka hopukina ēnei wiri e ngā pūtau rongo wai me ngā pūtau moroiti, rite ki te huruhuru, e kiia nei ko te stereocilia . Ka hurihia e rātou ngā ngaru oro ā-tinana hei tohu hiko.
4. Hei whakamutunga, ka haere ēnei tohu hiko i roto i tō io whakarongo ki tō roro, ka whakamaoritia hei oro e mōhiotia ana e koe. He tukanga tino tere, tino tika hoki!
Me pēhea te whakahaere a ō taringa i tō taurite?
I whakaaro koe he mea whakarongo anake ō taringa? Ko te mea pono, he rite tonu te hiranga o tō taringa o roto ki te āwhina i a koe kia tū tika, kia tū tika hoki.
Kei roto i tō taringa o roto e toru ngā koropiko iti, kī tonu i te wai, e kiia nei ko ngā awa haurua porowhita . Kei roto i ēnei ngā kaiwhakawhiwhi rongo ngawari, he rite ki te makawe. Ina whakatītaha koe, ina tahuri, ina neke rānei tō mahunga, ka neke te wai i roto i ēnei awa, ka piko ngā pūtau makawe iti.
Ka hurihia tonutia tēnei nekehanga hei tohu hiko ka tukuna mā te io vestibular ki tō roro. Kātahi ka mahi tahi tō roro me ō uaua kia noho taurite tonu ai koe. Ahakoa kei te hikoi koe, kei te oma, kei te kanikani rānei, kei te mahi puku ō taringa i muri i ngā tirohanga kia mau tonu ai tō tū!
Kei hea tonu ō pokapū whakarongo?
Ahakoa e kitea ana kei te taha o tō mahunga ō taringa, kei raro noa iho i ngā pito o te roro ngā hanganga o roto. Ko tēnei wāhanga motuhake o te roro te kawenga mō te tukatuka i ngā mōhiohio whakarongo, te kōrero, te mahara, tae atu ki ētahi kare ā- roto.
Te Anatomi o te Taringa: Me Wehewehe Tātou
Hei whakamāmā i te mārama, ka taea e tātou te wehewehe i te taringa kia toru ngā wāhanga matua, tata rite ki ngā rūma o te whare:
1. Te taringa o waho (taringa o waho)
2. Te taringa waenga
3. Te taringa o roto
Ko tō pūoro taringa (te kiriuhi tympanic) te ārai e wehe ana i tō taringa o waho i tō taringa waenga.
Te Taringa o Waho (Taringa o Waho) – Ngā Mea e Kitea Ana e Koe i Waho
Ko te taringa o waho te wāhanga e kitea ana i te taha o tō mahunga. Kei roto ko te auricle (pinna rānei) , he mea hanga ki te kiri ngohengohe kua hipokina ki te kiri. Kei roto hoki i tēnei wāhanga ngā repe e whakaputa ana i te ware taringa (cerumen) . He kaitiaki tūturu te ware taringa; ka hopukina te puehu, te paru, me ngā huakita kia kore ai e uru hohonu atu. Ko te āhua rite ki te hāpara o te auricle ka tuku i ngā ngaru oro ki raro i tō awaawa taringa tika ki tō pūoro taringa.
Te Taringa Waenga – Te Rūma Whakakaha
Kei tua atu i tō pūoro taringa, he kōhao iti, kī tonu i te hau te taringa waenga. Kei reira ngā wheua iti rawa e toru o te tinana tangata: te malleus (hama) , te incus (paepae) , me te stapes (stirrup). E kiia ana ēnei wheua e ngā tohunga hauora ko ngā wheua angaanga . He rite ki te mekameka angiangi te mahi, ka hono i te pakirau taringa ki te taringa o roto, ka whakanui me te tuku i ngā ngaru oro.
Kei roto hoki i te taringa waenga ngā ngongo Eustachian , e hono ana i tēnei rūma ki muri o tō korokoro. Ina horomia, ina hamama, ina tihe rānei koe, ka tuwhera ēnei ngongo mō tētahi wā poto hei whakataurite i te pēhanga hau i roto i tō taringa waenga ki te taiao o waho. Kua rongo koe i te "pakū" o ō taringa i a koe e rere ana, e taraiwa ana rānei i runga i te maunga? Ko ō ngongo Eustachian tēnā e mahi ana hei whakataurite i te pēhanga!
Te Taringa o Roto – Te Rūma Tino Uaua
Ko te taringa o roto te pūnaha tino uaua, tino ngāwari hoki o te taringa. E rua ngā hanganga matua o roto:
- Te Kōkārea: Koinei te okana matua o te whakarongo, he ātaahua te āhua, he rite ki te anga ngata iti. Kī tonu i te wai, ā, he mano tini ngā pūtau makawe moroiti (stereocilia) kei roto, ka aro atu ki ngā ngaru oro mā te whakamāori i ngā wiri wai hei tohu hiko e whakamāramahia ana e tō roro hei oro.
- Ngā Awaawa Haurua Porowhita: E ai ki te kōrero i mua ake nei, ko ēnei porowhita e toru—e kiia ana ko tētahi wāhanga o te arai —kei te tū tika tetahi ki tetahi. Mā tēnei whakaritenga ā-wāhi ka taea e rātou te kite i ngā nekehanga i ngā huarahi katoa, kia mau tonu ai ō waewae.
Ngā Mate Taringa Noa Me Mōhio Koe
Nā te mea he tino ngawari, he kitea hoki te taringa, ka ngawari te pangia e ngā mate, ngā whara, me ētahi atu raruraru hauora. Me titiro tātou ki ētahi o ngā raruraru taringa e tino kitea ana.
Ngā Mate Pukupuku o te Taringa Waenga (Otitis Media)
Ko ngā mate taringa—ina koa ko ngā mate taringa waenga, e mōhiotia ana i roto i te rongoā ko te otitis media —he tino noa i roto i ngā tamariki, ahakoa ka pāngia hoki ngā pakeke. He maha ngā wā ka puta i muri i te makariri, i te mate manawa rānei, ina piki ake ngā huakita, ngā huaketo rānei i roto i te ngongo Eustachian ka mau te wai i roto i te taringa waenga. Ko ngā tohu ko te mamae o te taringa, te kirika, me te whakarongo puku . I runga i te take, ka tohua pea e te tākuta he paturopi. Mō ngā mate mau tonu, ka hokihoki, ka tūtohuhia pea he tikanga iti hei whakauru i ngā ngongo taringa iti (ngā ngongo myringotomy) hei tango i te wai.
Te ngoikore o te ngongo Eustachian (ETD)
Ina kore e tuwhera, e kati rānei ngā ngongo Eustachian, ka āraia pea. Ko tēnei āhuatanga, e kiia nei ko te Eustachian Tube Dysfunction (ETD) , ka ārai i te ōrite o te pēhanga i roto i ō taringa. Tērā pea ka pāngia koe e te tinnitus (te tangi, te haruru rānei i roto i te taringa), te ngoikore o te whakarongo, te ahua kī tonu, te pēhanga rānei, te mamae ngawari rānei . Ko ngā mea e whakaoho pinepine ana ko te makariri noa, ngā mate sinus, me ngā mate pāwera.
Taringa Kauhoe (Otitis Externa)
E mōhiotia whānuitia ana ko te "taringa kauhoe" nā te mea he maha ngā kauhoe, ko te otitis externa he mate o te awaawa o waho o te taringa. Ka puta mai i te wā e mau tonu ana te makuku i roto i te taringa, ka hangaia he taiao pai mō te tipu o te huakita, te harore rānei. Ko ngā tohu ko te mamae, te mākūkū, te whero, me ētahi wā he rerenga mārama, he kowhai rānei . Ka taea hoki te puta mai i ngā mea whakapataritari pēnei i te rehu makawe, i ngā roimata iti rānei i roto i te kiri awaawa mai i te whakauru i ngā miro miro, i ētahi atu mea koi rānei.
Tuhipoka Hira: Kaua rawa e whakauru i ngā miro miro, i ngā pine makawe, i tētahi atu mea koi rānei ki roto i te awaawa o tō taringa. Mā te mahi pēnei ka taea e te ware pi te pana hohonu ake, te whara i te kiri tairongo o te awaawa, te pakaru rānei o tō parāoa taringa.
Pakaru o te Taraiwa (Te Pūngao o te Taimpanic Membrane)
Ko te pakaru, te pakaru rānei o te pūwero taringa te take o tēnei he mate taringa waenga, he tere te hurihanga o te pēhanga, he nui rawa ngā haruru (pēnei i te pahūtanga), he whara tinana rānei (pēnei i te whakauru i tētahi mea ki roto rawa). Ko ngā tohu ko:te mamae ohorere, te mamae o te taringa, te ngoikore o te whakarongo, me te rere o te wai, o te toto rānei i ētahi wā. Ahakoa he maha ngā pahu taringa pakaru ka ora ake i roto i ētahi wiki, ko ētahi me mahi pokanga e kiia nei ko te tympanoplasty hei whakapiri i te haehae me te tiaki i tō whakarongo.
Te otosclerosis
Ko te otosclerosis he tukanga whakahou wheua rerekē i roto i te taringa waenga, e pā ana ki te wheua stapes iti. Ina "piri" tēnei wheua nā te tipu nui o te wheua, kāore e taea te wiri noa. Nō reira, kāore e taea e ngā ngaru oro te haere tika ki te taringa o roto, ka arahi ki te ngaronga o te rongo. He maha ngā wā he tuku iho, ka tīmata pinepine tēnei mate i te wā taitamariki. He waimarie, he maha ngā wā ka taea te rongoā pai mā te pokanga tino tika e mōhiotia ana ko te stapedectomy .
Te perichondritis
Ko te Perichondritis he mate pāwera o te kiko (perichondrium) e karapoti ana i te kiriuhi o tō taringa o waho. Ko te nuinga o te wā ka puta mai i ngā whara, pērā i ngā wero taringa teitei, ngā whara hākinakina pā, ngā ngau pepeke, ngā raruraru rānei i muri i te pokanga. Ko ngā tohu ko te whero nui, te pupuhi, me te mamae nui o te kiriuhi o te pū taringa. He mea nui te maimoatanga hauora tere me ngā paturopi hei ārai i te pirau tuturu o te hanganga o waho o te taringa.
Neuritis Vestibular
Ko te neuritis vestibular he mumura o te io vestibular—te io i roto i tō taringa o roto e kawenga ana mō te tuku mōhiohio taurite ki tō roro. Ko te tikanga ka puta tēnei āhuatanga i te mate huaketo. Ka taea e ia te puta ohorere mai o te pōturi kino (te āhua hurihuri), te whakapairuaki, me te ruaki , engari kāore e pā ki tō whakarongo. Ko te tikanga o te maimoatanga ko te whakamahi i ngā rongoā tautoko mō te whakapairuaki me te whanoke, me te whakaora tinana, te whakaora vestibular rānei.
Te mate a Meniere
He mate mau tonu tēnei e pā ana ki te taringa o roto, e whakaponohia ana nā te nui haere o te pēhanga wai i puta mai. Ko te mate a Meniere e tohuhia ana e ngā putanga wā-wā. Ko ngā tohu matua ko ngā wā o te pororaru nui, te tangi o ngā taringa (tinnitus), te ngaronga o te rongo (ina koa i ngā auau iti), me te ahua o te kikī, te kī rānei i roto i te taringa e pāngia ana . Ahakoa e arotahi ana te maimoatanga ki te whakahaere i ngā tohu (pēnei i ngā whakarerekētanga kai me ngā rongoā), ko ngā take kino ka hiahiatia he pokanga motuhake.
Ngā whara o te taringa
Ko ngā whara tinana ki te taringa ka ahu mai i ngā motu noa me ngā haehae kiriuhi ki ngā whati angaanga, ngā whara pūngao rānei. Ka puta ēnei i te wā e hinga ana, e aituā waka ana, e takaro ana rānei i ngā hākinakina pā. I runga i te kaha o te kino, me mahi pokanga pea hei tiaki i tō whakarongo me te whakahoki mai i te āhua o te taringa mā te pokanga hanga hou, te pokanga whakapaipai rānei.
Ngā Pūngāwerewere Taringa
Ka taea e ngā pukupuku taringa te puta i roto, i waho rānei o te awa taringa. Ka taea e rātou te noho pai (kāore he matepukupuku) te noho kino rānei (he matepukupuku):
- Ngā Puku Pai: Kei roto i ēnei ko ngā keloids (te tupu nui o te kiko kiri, he maha ngā wā ka puta mai i ngā wero taringa), ngā cysts sebaceous, ngā osteomas, me ngā exostoses (ngā tupu wheua i roto i te awa taringa, e kitea nuitia ana i roto i ngā kaiheke ngaru, i ngā kauhoe wai matao rānei). Ahakoa he pai, he maha ngā wā ka hiahiatia he pokanga ki te tango i ēnei mēnā ka ārai i te awa taringa.
- Ngā Pūkahu Kino: Ka taea e ngā mate pukupuku kiri pērā i te melanoma, te basal cell carcinoma, me te squamous cell carcinoma te whanake i te taringa o waho, i roto rānei i te awaawa. Mā tō tākuta mate pukupuku e whakatau te huarahi maimoatanga pai rawa atu—tae atu ki te pokanga, te irahiko, te chemotherapy rānei—i runga i te momo, te wāhanga, me te wāhi o te mate pukupuku.
Ngā Tohu Whakatūpato Noa: Āhea koe me toro atu ki te tākuta?
Mena ka pāngia koe e tētahi o ngā tohu whakatūpato e whai ake nei, he mea nui kia toro atu koe ki tētahi tohunga hauora mō tētahi aromatawai tika:
- Te mamae taringa tonu, te mamae koi rānei.
- Ngā tohu o te mate urutā, pērā i te kirika, te whero , te mahana rānei o te taringa o waho.
- He kare ā-roto e kī ana, e pēhanga ana rānei i roto i te taringa.
- Te ngaronga ohorere, te ngaro haere rānei o te whakarongo, te oro ngoikore rānei.
- Te mākati taringa kaha, mau tonu.
- Whakapairuaki me te ruaki , inā koa ka haere tahi me te whanoke, te pororaru rānei.
- Te rerenga wai, te pūkahukahu, te toto rānei mai i te taringa.
- He tangi, he haruru, he whiowhio rānei i roto i ō taringa (tinnitus).
Ngā Whakamātautau Tātaritanga: Me pēhea te tirotiro a ngā Tākuta i ōu Taringa?
Ki te toro atu koe ki tētahi tohunga whakarongo, ki tētahi tohunga taringa, ihu, me te korokoro (ENT) rānei, ka whakahaerehia pea e rātou tētahi, ētahi rānei o ēnei whakamātautau paerewa hei aromatawai i tō hauora whakarongo me tō hauora taringa:
- Te Whakamātautau Oro Parakore: Koinei te whakamātautau whakarongo paerewa e mau ai koe i ngā pane whakarongo, ka whakarongo ki ngā oro rerekē i ngā teitei me ngā oro rerekē. Ka tonoa koe kia pēhi i tētahi pātene, kia hiki rānei i tō ringa ina rongo koe i tētahi oro, hei āwhina i te tākuta ki te kimi i tō paepae whakarongo tuturu.
- Ngā Ine Taringa Waenga (Tympanometry): Ka tirohia e ēnei whakamātautau te pai o te nekeneke o tō pakirau taringa, me te aromatawai i te pēhanga i roto i tō taringa waenga. Ka āwhina i te kite i te nui haere o te wai, ngā pūwhara o te pakirau taringa, ngā raruraru rānei o ngā wheua.
- Whakamātautau Mōhio Kōrero: Ka aromatawaihia e tēnei te pai o tō whakarongo me te mārama ki ngā kupu e kōrerotia ana i ngā taumata oro rerekē, inā koa i roto i ngā taiao haruru.
- Te Urupare Roro o te Roro (ABR): I tēnei whakamātautau kore-whakaekenga, ka whakanohoia ngā pūoko iti (ngā hikohiko) ki tō tumuaki me muri i ō taringa. Ka whakatangihia he raupapa pāwhiri mā roto i ngā pane whakarongo, ā, ka ine te taputapu i te urupare a tō io whakarongo me ngā ara roro ki ēnei oro. He tino whai hua tēnei mō ngā pēpi me ngā tamariki nohinohi.
- Ngā Tukunga Otoacoustic (OAE): Ka ine tēnei whakamātautau i te pai o te mahi a ngā pūtau makawe moroiti i roto i tō koklea. Ina uru te oro ki roto i te taringa hauora o roto, ka puta he haruru oro tino ngoikore (he tukunga) i roto i te koklea ka taea te ine mā te whakamahi i tētahi hopuoro iti, tairongo kua whakanohoia ki roto i te awaawa o tō taringa. He mea whakamahi noa hei tirotiro i ngā pēpi hou mō te ngaronga o te rongo.
Me pēhea te tiaki i tō taringa: Ngā Tohutohu Tiaki i a Koe Anō
Kia ora ai ō taringa, kia koi ai hoki tō whakarongo i roto i tō oranga katoa, whai i ēnei aratohu māmā, whai hua hoki:
- Puritia ō taringa kia maroke: Whakamaroke mārire i ō taringa i muri i te kaukau, i te kaukau rānei. Mena he maha āu kaukau, whakaarohia te whakamahi i ngā puru taringa ritenga hei ārai i te wai kei mau ki roto i te awaawa o tō taringa.
- Kati te Whakamahi i ngā Pūwero Miro (Q-tips): Kei te horoi ā-ake ō awaawa taringa. Mā te whakauru i ngā pūwero ka pana noa i te paru taringa ki roto, ka ārai pea, ka pokaia rānei tō parāoa taringa. Mena he raruraru te hanga paru taringa, tukua kia horoia e te tohunga hauora.
- Mauria he potae tiaki: Me mau tonu he potae, he ārai taringa rānei ina whai wāhi ana koe ki ngā hākinakina pā, ki ngā mahi rānei e pā kino ana ki te mahunga me te taringa.
- Whakaitihia te oro: Ina whakamahi ana i ngā pane whakarongo, kia mau te oro ki te taumata haumaru (kei raro i te 60% o te mōrahi). Ko te roa o te whakarongo ki ngā puoro nui te tino take o te ngaronga o te rongo nā te haruru.
- Whakamahia te Tiaki Taringa i ngā Taiao Haruru:Mena kei te mahi koe i tētahi taiao haruru (pērā i te hanga whare, i te ahumahi rānei) kei te haere rānei koe ki ngā huihuinga haruru (pērā i ngā kōnohete), mauria he puru taringa, he taupoki taringa rānei hei whakakore haruru.
- Whakaritea he Whakamātautau Whakarongo Auau: Me arotake tō whakarongo e tētahi tohunga i ia tau, i mua atu rānei mēnā ka kite koe i tētahi huringa ki tō whakarongo.
Karere Tangohia ki te Kāinga
He tino uaua, he uaua hoki ō taringa ki te mahi. Ehara i te mea he mea nui ēnei mō tō kaha ki te hono atu ki te ao mā te oro anake, engari mō tō wairua hoki ki te pumau o tō tinana. Ko te tiaki i a rātou mai i ngā kino tētahi o ngā mea tino nui ka taea e koe te mahi mō te kounga o tō oranga whānui.
Ki te pāngia koe e ētahi tohu whakararuraru pēnei i te mamae o te taringa, te tangi tonu (tinnitus), te ngaronga o te rongo ohorere, te whanoke rānei, kaua e warewarehia. Whakaritea he wā ki te tākuta i tēnei wā tonu. Ka taea e rātou te tautuhi i te pūtake o te rongo me te tohu i te maimoatanga tika. Kia maumahara, kāore e taea te whakakapi i tō rongo - tiakina ō taringa i tēnei rā!
