Kei te kite koe i tētahi rerekētanga iti i roto i tō whakarongo? Me kōrero tātou mō te audiometry!

I ētahi wā, ka rite koe ki te kore e rongo i tētahi e kōrero ana, me whakanui rānei te oro o te pouaka whakaata? Kua kite rānei koe kāore tō tamaiti e aro pai ki ngā oro? I ēnei wā, ko te whakamātautau whakarongo, ko te whakamātautau `(Audiometry)` rānei, he whakamātautau e mahia ana hei rapu i te pai o tō tātou whakarongo. Kāore he mea hei manukanuka, he tino māmā noa iho. Me kōrero taipitopito atu tātou mō tēnei?

He aha te whakamātautau audiometry?

I te whakarapopototanga, koinei te whakamātautau a ngā tohunga whakarongo hei kimi mēnā kei te ngaro tō rongo. I ētahi wā ka kiia he aromatawai rongo katoa.

Whakaarohia, i tētahi whenua pērā i Amerika, ko te nuinga o te tangata ka whiwhi i tētahi whakamātautau whakarongo taketake, i tētahi whakamātautau whakarongo katoa rānei pēnei i te iti rawa i te kotahi i roto i ō rātou oranga.

• Mō ngā pēpi whānau hou: Ka mahia he whakamātautau taketake i te whānautanga mai hei whakarite kia pai tā rātou whakarongo.
• Mō ngā tamariki nohinohi: Ka taea te mahi i ēnei whakamātautau taketake i tō rātou whare hauora, i te kura rānei. Mena he raruraru whakarongo tō rātou, ka taea te mahi i tētahi whakamātautau katoa.
• Mō ngā pakeke: He maha ngā wā ka mahia ēnei whakamātautau e ngā pakeke nā te mea kāore e taea e rātou te whakarongo tika ki ngā kōrero a ētahi atu, nā te mea rānei me whakanui rawa e rātou te oro o te pouaka whakaata, te pona, te waea rānei.

He maha ngā momo whakamātautau whakarongo. Ko te mea nui, kāore ēnei whakamātautau e hiahia ki tētahi whakaritenga motuhake, ā, kāore hoki e mamae.

He aha ngā momo whakamātautau whakarongo kei reira?

Mena ka tirotirohia tō taringa, ka tirohia mēnā he pai tō whakarongo. Mena kei te whakaatuhia he raruraru e ngā hua o taua tirotiro tuatahi, ka tukuna pea koe mō tētahi whakamātautau whakarongo katoa.

Mā ēnei whakamātautau "Audiometry" ka kitea te momo ngaronga o te rongo kei a koe, me te mea he ngawari, he āhua waenga, he kino rānei. Anei ētahi o ngā momo whakamātautau matua:

• Whakamātautau oro parakore: Koinei te whakamātautau tino noa. Kei roto ko te tirotiro mēnā ka taea e koe te whakarongo ki tētahi oro i ia taumata, ahakoa te ngawari o te kōrero. Ka mahia tēnei ki ngā tamariki nohinohi me ngā pakeke.
• Whakamātautau i te kawe i ngā wheua: Ka whakamātauhia tēnei hei tirotiro mēnā he raruraru kei ngā pūtau huruhuru iti i te wāhanga o tō taringa o roto e kiia nei ko te cochlea. Kei te mōhio koe, ko te cochlea te wāhanga o tō taringa e tuku ana i ngā wiri ki tō io whakarongo, kātahi ki te wāhanga o tō roro e mahi ana ki te whakarongo.
• Whakamātautau kōrero: Ka taea tēnei whakamātautau e ngā pakeke me ētahi tamariki. I roto i tēnei whakamātautau, me whakarongo koe ki ētahi kupu, kātahi ka whakahoki anō. Ka tirohia e tēnei whakamātautau te pai o tō mārama ki te mea e kōrerotia ana, me te mea ka taea e koe te wehewehe me te mōhio ki ngā kupu.
• Te Urupare Roro o te Pūnaha Whakarongo (ABR): Ka ine tēnei whakamātautau i te mahi a ngā ara whakawhitiwhiti o te taringa o roto ki te roro. He maha ngā wā ka whakamahia mō ngā tamariki nohinohi, te hunga e uaua ana ki te mahi i te whakamātautau oro-parakore kua whakahuatia ake nei, me te hunga kua ngaro te rongo nā te whara o te roro.
• Ngā Tukunga Otoacoustic (OAE): Ka whakamahia tēnei whakamātautau hei tirotiro i te mahi a te taringa o roto. Ka ine i ngā oro ngawari e whakaputaina ana e te taringa o roto, e kiia nei ko ngā OAE. He maha ngā wā ka mahia ki ngā pēpi me ngā tamariki nohinohi.
• Tympanometry: Mā tēnei ka whakamātautau i te pai o te nekeneke o tō pūoro taringa. Ka taea hoki te kite i te pakaru o te pūoro taringa, te pupūnga wai i roto i te taringa waenga, te pupūnga ware pi rānei.

Me pēhea te whakahaere i ēnei whakamātautau? He tino māmā!

Ahakoa he rerekē ngā taipitopito, ko te nuinga o ngā whakamātautau he whakanoho i a koe ki roto i tētahi rūma e rongoatia ana te oro, he mau taringaoro, he whakarongo ki ngā oro, ki ngā oro me ngā kupu e puta mai ana i roto i aua oro. Kāore koe e hiahia ki te whakarite i tetahi mea i mua.

Me pēhea te whakahaere i te whakamātautau oro parakore

Koinei te whakamātautau tino noa. Anei ngā mea ka tupu:

• Ka whakanohoia koe ki tētahi rūma motuhake ātete-oro.
• Ka hoatu he pane whakarongo, he pane whakarongo iti rānei ki a koe ka whakaurua ki roto i ō taringa.
• Ka whakamahia e te tohunga whakarongo tētahi mīhini e kiia nei ko te audiometer, e whakaputa ana i ngā oro i ngā kaha rerekē (pitch) me ngā taumata haruru.
• Me ara ake tō ringa, pēhi i te pātene, me kī rānei 'āe' ina rongo koe i tētahi oro.
• Ka tuhia e te tohunga whakarongo ō urupare ki tētahi tūtohi e kiia nei ko te ``audiogram``. Mā tēnei ka whakaatu i te āhua o tō raruraru whakarongo, arā, te taumata o te ngoikore.

Me pēhea te mahi i tētahi whakamātautau arai wheua

Ka tukuna tika te oro e tēnei whakamātautau ki roto i tō taringa o roto:

• Ka whakatakotoria e te tohunga whakarongo tētahi taputapu iti ki muri i tō taringa, ki tō rae rānei.
• Ka tukuna e te taputapu he oro. Ka wiri tō angaanga i te oro.
• Ka haere tika atu tēnei wiri ki tō taringa o roto, ka karo i tō taringa o waho me tō taringa waenga.
• Ka whakaritea e te tohunga whakarongo ngā hua o tēnei whakamātautau ki ngā hua o te whakamātautau "Pure-tone" hei whakatau i te momo ngaronga o te rongo kei a koe.

Me pēhea te mahi i te whakamātautau kōrero

Ka taea hoki e te tohunga whakarongo te whakahaere i tēnei whakamātautau kōrero me te whakamātautau "Oro-Parakore":

• Pērā i te whakamātautau "Oro-parakore", me mau taringaoro, me ngā taringaoro rānei.
• Ka āta haere, ka nui hoki te reo o te whakarongo a te tohunga whakarongo.
• Me kī anō e koe aua kupu.
• Ka āta tuhi ia i ngā kupu e kōrerotia ana e koe. I ētahi wā ka whakamātautau hoki ia i tō mōhio ki ngā kupu mā te whakahua i ngā kupu kia paku nui ake te reo.

Me pēhea te mahi i te whakamātautau Auditory Brainstem Response (ABR)

He rerekē ki te whakamātautau "Oro-Parakore", kāore koe e hiahia ki te whakautu ki ngā oro. Engari he mea tino nui kia noho puku koe :

• Ka whakauruhia he taringa ki a koe. Ka tāpirihia e te tohunga whakarongo ngā pūoko iti e kīia nei ko ngā "hikohiko" ki tō mahunga. Ka tāpirihia ēnei ki te kiri, ā, ka honoa ki tētahi "rorohiko".
• Ka hopukina e ēnei irahiko te urupare a tō roro ina whakatangihia e koe ētahi oro mā roto i ngā taringa, arā, te mahi ngaru roro.
• Ka kitea tēnei tauira ngaru roro i runga i te mata rorohiko. Ka ripoatahia e te tohunga whakarongo ngā hua mā te titiro ki aua tānga rorohiko.

Me pēhea te whakahaere i tētahi whakamātautau tukunga oro ā-roto (OAE)

Ka ine tēnei i ngā mea e kiia nei ko `(Otoacoustic Emissions - OAEs)`. He māmā noa iho, koinei ngā oro ngawari e puta mai ana i roto i tō taringa ina whakautu ki ngā oro o waho. Mēnā he ngoikore tō taringa, kāore tō taringa o roto e whakaputa i ēnei `(OAEs)`:

• Ka whakanohoia e te tohunga whakarongo tētahi taputapu iti rite ki te taringa, e kiia nei he probe, ki roto i tō taringa.
• Ka tukuna he oro e te taputapu tirotiro ki roto i te taringa, ā, ka ine i te oro e hoki mai ana.
• Ka whakaaturia ngā hua o tō whakamātautau ki te mata tirotiro.

Me pēhea te mahi i te Tympanometry

He kiriuhi angiangi tō pūoro taringa e wehe ana i te taringa o waho mai i te taringa waenga. Ina pā he oro mai i waho ki te pūoro taringa, ka wiri. Ka haere aua wiri mā roto i te taringa waenga ki te taringa o roto, ka tukuna ngā tohu ki te roro. Ka whakamāramahia e te roro aua tohu hei oro. Ka inehia e te tympanometry te urupare a te pūoro taringa ina pāngia he pēhanga hau iti ki te taringa:

• Ka whakanohoia e te tohunga whakarongo he pūwero iti ki roto i tō taringa. Tērā pea he rite ki te pane whakarongo.
• Ka tukuna he hau iti ki roto i te taringa e tētahi taputapu iti e hono ana ki tēnei.
• He kauwhata kei taua taputapu e kiia nei ko te "tympanogram." E hopu ana i te nekehanga o te pūoro taringa. Mai i konei ka taea e te tohunga whakarongo te mōhio ki te mahi a te pūoro taringa.

Āhea ahau ka mōhio ai ki ngā hua o te whakamātautau?

I te nuinga o te wā, ka whakamōhio tonu atu te tohunga whakarongo ki a koe i ngā hua o te whakamātautau. Kaua e manukanuka, mā rātou e whakamārama ngā mea katoa.

Ka whakaaturia ō hua ki tētahi tūtohi e kīia nei ko te "audiogram". Ka whakataurite i tō whakarongo ki ngā awhe noa, ā, ka whakaatu hoki i te urupare a tō taringa ki ngā kaha oro rerekē (tiketike ki iti) me ngā taumata oro (tino mārie ki tino nui).

A, mehemea he raruraru tōku whakarongo?

Ki te whakaūtia e ngā whakamātautau he raruraru whakarongo tōu, kaua e mataku. Mā te tohunga whakarongo koe e whakamārama, e tohutohu hoki i a koe mō te mahi e whai ake nei. Hei tauira:

• Mena ka whakaatuhia e ngā hua o te whakamātautau whakarongo, o te tympanometry rānei he ware pi, he wai rānei kei roto i tō taringa waenga, ka tukuna pea koe e tō tākuta whakarongo ki tētahi tākuta otolaryngologist (ENT) hei tango i te ware pi, i te wai rānei.
• Ki te kore, ki te whakaatu tō whakamātautau "Pure-tone" kei te ngaro tō rongo, ka kī atu te tohunga whakarongo ki a koe i ēnei e whai ake nei:
• He ngoikore te rongo, he ngoikore te whakarongo, he ngoikore rānei te rongo?
• He aha ngā momo taputapu whakarongo kei a koe hei āwhina i a koe kia pai ake te whakarongo? Hei tauira, ka taea e koe te kōrero mō ngā momo taputapu whakarongo rerekē. Ka taea rānei e koe te kōrero mō ngā taputapu whakarongo pēnei i ngā whakaurunga cochlear.
• Ka whakamāramahia hoki te momo wheako ka pā ki a koe ina whakamahi i aua taputapu.
• Ki te whiriwhiri koe i ngā taputapu whakarongo, mā te tohunga whakarongo e whiriwhiri, ā, mā rātou anō e whakauru. Me whakarite he wā motuhake mō tēnei.
• Mena ka tūtohu tō tākuta whakarongo kia whakaarohia e koe te tāuta i ngā whakaurunga cochlear, ka tukuna koe e rātou mō ētahi atu whakamātautau me te aromatawai.

Kia pēhea te auau o taku whakamātautau whakarongo?

He rerekē rawa tēnei i ia tangata, i ia tangata.

• Mena kei te mahi koe i tētahi taiao haruru rawa , pērā i te umanga hangahanga, i tētahi wheketere rānei, he mea pai kia tirohia ō taringa i te iti rawa kotahi i te tau, nā te mea he nui ake te tūponotanga ka pakaru te rongo i aua taiao.
• Ki te kore, kāore pea koe e hiahia ki te whakamātautau whakarongo katoa kia tae rā anō koe ki ō 50, 60 rānei tau te pakeke, ina tīmata te tokomaha o te tangata ki te pāngia e te ngaronga o te rongo e pā ana ki te koroheketanga.

Ko te mea nui, ki te mea he ruarua, he raruraru rānei āu mō tō whakarongo, kaua e whakaroa, me pātai atu ki tō tākuta whānau, māna koe e tuku ki tētahi tohunga whakarongo.

He huarahi hei whakamātautau i taku whakarongo ki te kāinga?

Ae, kei te wātea inaianei ngā whakamātautau whakarongo i te kāinga i runga ipurangi me ngā taupānga. Ka taea e ēnei te hoatu he tohu iti ki a koe mēnā he raruraru whakarongo āu.

Engari kia maumahara, mā te whakamātautau noa i te kāinga pēnei, kāore e tino mōhio ai koe ki te aha te raruraru, me te aha rānei e tika ana kia mahia. Nō reira, kia tika ai te tautuhi me te whiwhi tohutohu e tika ana, me tirotirohia koe e te tohunga whakarongo.

Ko ngā whakamātautau oro te huarahi pai rawa atu hei kimi mēnā he ngoikore tō taringa. Ki te pēnā koe, ehara i te mea ko koe anake. He maha ngā miriona tāngata huri noa i te ao e pāngia ana e ngā momo ngoikore o te taringa. He maha ngā wā ka kino haere tēnei ngoikore o te taringa i te roanga o te wā. Kāore pea koe e kite wawe tonu, engari ka kitea pea ina kore e taea e koe te whakarongo mārama ki ngā kōrero a ētahi atu, ina nui rawa rānei te haruru o te pouaka whakaata.

Nā, he aha tā tātou e hiahia ana kia riro mai i tēnei pūrākau? (Karere hei tango ki te kāinga)

Āe, kia maumahara tātou ki ngā kōrero tino nui o ngā mea kua kōrerohia e tātou:

• Kāore he mea e wehi ai te whakamātautau whakarongo, ā, kāore hoki e mamae.
• Ki te kore e taea e koe te whakarongo ki ngā kōrero, ki te mea me whakanui tonu e koe te rōrahi o te pouaka whakaata, ki te mea rānei kāore tāu tamaiti e aro pai ki ngā oro, he mea nui kia whakamātauria te whakarongo.
• Mā te tohunga whakarongo ēnei whakamātautau e whakahaere, ā, ka hoatu hoki ki a koe ngā tohutohu e tika ana.
• Mena kua tāpaetia he raruraru whakarongo tōu, kei reira ngā otinga me ngā āwhina e wātea ana. Ko ngā taputapu whakarongo me ngā taputapu whakatō cochlear he torutoru noa iho o aua mea.
• Ki te kitea wawetia he raruraru, ka māmā ake te rongoā, ā, ka māmā ake te oranga.

Nō reira, ki te mea he iti noa iho ō ruarua mō tō whakarongo, kaua e whakama, kaua hoki e whakaroa, tirohia he tākuta, ā, ki te tika, rapu tohutohu i tētahi tohunga whakarongo. Kei ō ringaringa tō hauora whakarongo!

Whakamātautau Whakarongo , Ine Oro, Tohunga Whakarongo, Kaiwhakarongo, Whakarongo, Ngā taputapu whakarongo, Ngā taputapu whakarongo, Ngā mea tāpiri taringa, Ngā taputapu ENT, Ngā mono taringa, Ine Tympanometry