He tumanako hou mō te hunga turi! Kia ako tātou i ngā mea katoa e pā ana ki te Auditory Brainstem Implant (ABI)!

Kua whakaarohia e koe tētahi ao kāore he oro? He reo o tētahi e arohaina ana, he waiata ataahua, he kata a tētahi pēpi... He oranga kāore he rongonga i tetahi mea. He uaua ki te whakaaro, kāore? Engari, ki ētahi tāngata, koinei te pono. Ina ngaro rawa ō rātou taringa, arā, ina ngaro ō rātou taringa, ka ngaro tō rātou hononga ki te ao oro. Heoi, nā te whanaketanga o te pūtaiao hauora, kua puta he hangarau hei hoatu i te tumanako ki ēnei tāngata. Koinei tā tātou e kōrero ai i tēnei rā.

He aha te tikanga o tēnei Whakatō Pūnaha Roro Ā-Roro (ABI)?

He taputapu āwhina whakarongo anō hoki tēnei. Engari ehara i te mea he rite ki te taputapu āwhina whakarongo e kitea ana i roto i te taringa. Ko te Auditory Brainstem Implant (ABI) he taputapu e whakauruhia ana ki roto i te tinana mā te pokanga. He mea hanga hei hoatu ki te tangata turi katoa te rongo oro .

He mea nui rawa tēnei mēnā he raruraru kei te taringa o roto (cochlea), he raruraru rānei kei te io o te taringa te take o te ngaronga o te rongo. Ko te tikanga, mēnā kua pakaru rawa te "ara" e kawe ana i ngā tohu oro mai i te taringa ki te roro, ka karohia e tēnei taputapu taua ara pakaru, ka tukuna tika ngā tohu ki te wāhanga o te roro e kawenga ana mō te rongo (te kakau roro).

Ko ngā painga matua ka puta mai i tēnei:

• Te āhei ki te mōhio ki ngā oro e karapoti ana i a koe (hei tauira, he tangata e kōrero ana, he motuka e whakatata mai ana, me ētahi atu).
• Ka piki ake te kaha ki te mārama ki tā te tangata e kōrero ana mā te mātakitaki i ō rātou ngutu (te pānui ngutu) i a rātou e kōrero ana.
• I ētahi wā, ka taea e koe te mōhio ki ngā oro, te mārama ki ngā kupu, tae noa ki ngā rerenga kōrero.

He aha te āhua o tēnei taputapu ABI?

E rua ngā wāhanga matua o tēnei taputapu: ko tētahi e mau ana i waho o te tinana, ko tētahi e whakatōkia ana ki roto i te tinana mā te pokanga.

1. Pūtukatuka: Koinei te wāhanga kei waho o tō tinana. He rite ki tētahi taputapu iti. Ka mau ki runga i tō taringa, ki te taha rānei o tō mahunga. Ka whakamahia he hopuoro hei hopu i ngā oro e karapoti ana i a koe. Kātahi ka hurihia aua oro hei tohu hiko, ka tukuna atu ki tētahi atu wāhanga kua whakatōkia ki raro i tō kiri. Ka taea e koe te tango i tēnei wāhanga o waho i a koe e moe ana.

2. Te Whakatō ā-Roto: Koinei te mea e whakatōngia ana e ngā tākuta ki roto i te tinana mā te pokanga. E rua ngā wāhanga o tēnei:

• Kaiwhakawhiwhi-whakaohooho: Ka whakatakotoria tēnei ki raro i te kiri o tō mahunga. Ka whiwhi i ngā tohu mai i te tukatuka o waho.
• Hoe hiko: Ka tukuna tika ngā tohu mai i te kaiwhiwhi ki te pokapū whakarongo matua o te roro, te matatini o te nucleus cochlear, i roto i te kakau roro, mā roto i tētahi papa hiko iti.

I te whakarapopototanga, ka kohia e ia ngā oro mai i waho ka tukuna ki roto. Ka tukuna tika atu aua tohu e te roto ki te roro.

He rite tonu tēnei ABI ki te Cochlear Implant e rangona pinepinetia ana e tātou?

Kāo. Ahakoa he taputapu pokanga ēnei e rua hei āwhina i te whakarongo, he rerekē te āhua o tā rāua mahi me te hunga e pai ana ki a rāua. Whakaarohia pēnei: ​​ko te taringa te kuaha, ā, ko te io whakarongo te huarahi mai i te kuaha ki te kāinga (te roro).

• Ka whakamahia te whakatō cochlear mō te hunga kua pakaru te kuaha kotahi (te 'cochlea' i roto i te taringa), engari kei te ora tonu te ara ki te kāinga (te io whakarongo). Ka karohia e te whakatō cochlear te kuaha pakaru, ka tukuna tika ngā tohu ki te rori (te io whakarongo).
• Ka whakamahia anake te ABI e te hunga kua pakaru te kēti (cochlea) me te rori (io whakarongo), kāore rānei he rori. Mēnā koinā, kāore he take o te tuku tohu ki te rori. Ko tā te ABI he karo i te kēti me te rori, ka tuku tohu tika ki te whare (te take roro).

Ka mārama ake tēnei rerekētanga ki a koe ina tirohia te ripanga i raro nei.

Mā wai tēnei pokanga ABI e tika?

I whakawhanakehia tuatahitia tēnei hangarau mō te hunga whai mate ira onge e kiia nei ko te `Neurofibromatosis 2 (NF2).` I roto i tēnei mate, ka puta ngā pukupuku i te taha o te io whakarongo. Ka taea e te pokanga hei tango i ēnei pukupuku te kino i te io whakarongo. Kātahi ka ngaro te rongo i ngā taringa e rua. I roto i tēnei āhuatanga, kāore he āwhina whakarongo, he tāpiringa cochlear rānei. Koia te take e āwhina nui ai a ABI i ēnei tāngata.

Engari ināianei, ehara i te mea ko te hunga whai NF2 anake, engari ko te hunga hoki kua kore e mahi tika te io o te taringa, te taringa o roto rānei mō ngā take maha, ka taea te whai hua mai i tēnei hangarau. Hei tauira:

• Ko ngā tamariki nohinohi i whānau mai me te io whakarongo ngaro (`aplasia`) kāore rānei i tino whanake (`hypoplasia`).
• Ko te hunga kua ngaro te rongo nā ngā take pēnei i te āhua o te taringa o roto (cochlea), te kore whanaketanga o te cochlear (cochlear hypoplasia), te kore hanganga o ngā wāhanga (cochlea aplasia), te tipu rānei o te wheua (cochlear otosclerosis, cochlear ossification rānei).
• Te hunga kua pakaru te io whakarongo nā te whara nui o te mahunga (hei tauira, te whati o te wheua temporal).
• Mō te hunga turi nā ētahi atu take, ā, kāore e taea te whakarongo ki tētahi atu taputapu.

Me aha koe i mua i te pokanga?

Nā te mea he pokanga nui tēnei, ka whakahaerehia he maha ngā whakamātautau hei tirotiro mārire i tō āhua i mua atu.

• Whakamātautau whanonga: Ka ine i tō taumata whakarongo.
• Aromatawai whakawhitiwhiti kōrero: Ka tirotirohia e te tohunga reo me te tohunga reo ō pūkenga reo me tō momo whakawhitiwhiti kōrero.
• Whakamātautau hiko-tinana: Ka whakahaerehia ngā whakamātautau motuhake hei whakatau i te wāhi me te whānuitanga o te pakaru o te pūnaha whakarongo.
• Ngā whakamātautau whakaahua: Kei roto i ēnei ko ngā matawai CT me ngā matawai MRI hei tirotiro i te taringa o roto, te io whakarongo, me ngā hanganga huri noa i te roro.
• Hītori hauora: Ka pātai tō tākuta mō ō āhuatanga hauora me ō hītori raruraru whakarongo.

He aha ngā painga, ngā mōrearea, me ngā hua o tēnei pokanga?

I te wā e kōrero ana mō tēnei mea, me mārama tātou ki te āhuatanga tūturu.

Ngā Painga:

Ahakoa he rerekē ngā hua i ia tangata, i te nuinga o te wā, ka tino pai ake ngā mahi pēnei i te mōhio ki te kōrero me te pānui ngutu. Ina koa, kua whakaatuhia e ngā rangahau he pai ake te mārama o ngā kupu ki ngā tamariki e pokangahia ana i te wā taitamariki (i mua i te roa o te ngaronga o te rongo) i ngā pakeke.

Ngā Tūponotanga me ngā Āhuatanga Whakararuraru:

He pokanga roro tino uaua tēnei, nō reira he tūponotanga kei reira. Heoi, ina mahia e te rōpū tākuta mohio he mātau ki tēnei momo pokanga, he iti rawa te tūponotanga o ngā raruraru. Ma tō tākuta e whakamārama atu ki a koe i mua i te pokanga. Ko ētahi o ngā raruraru ka taea:

• Ka turuturu te wai cerebrospinal.
• Te korenga o te whakaurunga.
• Te mamae i puta mai i te whakaohooho i ngā io ehara i te rongo.
• Ngā mate urutā pērā i te meningitis.
• Te pakaru o ngā io o te kanohi ('Te pararutiki o tō io o te kanohi').
• Te pangia o te patunga pokanga.

He aha ngā mea ka tupu i muri i te pokanga?

Me noho koe ki te hōhipera mō ngā rā e rua ki te whā i muri i te pokanga. Mena i pokangahia koe i te wā kotahi i tangohia ai te pukupuku NF2, tera pea ka roa ake tō noho ki te hōhipera.

Kia tāutahia te taputapu, e whā ki te ono wiki te roa hei whakahohe. Whai muri i tēnā, ka maha ngā wā hui ki tō tākuta whakarongo. I ia wā, ka whakaritea te taputapu kia pai ai te mahi māu. Ka haere tonu tēnei tukanga mō te tau tuatahi pea.

Āhea koe me toro atu ki tō tākuta?

I muri i te pokanga, ki te pāngia koe e te kirika, e te mamae nui rānei, me whakamōhio tonu koe ki tō tākuta. Ka tirotirohia hoki koe e te tīma hauora kia kore ai e pāngia e ngā raruraru. I muri i te pokanga, he mea nui hoki kia toro atu koe ki tō tākuta whakarongo i ngā rā kua whakaritea hei whakarerekē i ngā tautuhinga o te taputapu.

Ehara i te mea he pai te Whakatō Roro Ā-Roro (ABI) mō te katoa. Heoi, mō ētahi tāngata kāore he kōwhiringa kē atu, ā, he turi rawa, he whai wāhitanga tino nui tēnei ki te hono atu anō ki te ao oro. Ko te huarahi pai ki te kimi mēnā he tika tēnei māu, mā tētahi atu rānei e mōhio ana koe, ko te kōrero ki tētahi tohunga.