He uaua ki te whakapuaki i te pouri me te kore āwhina e pā ana ki a koe ina whānau mai he turi tetahi e tata ana ki a koe, ko tāu ake tamaiti pea, nā te mate, nā te aituā rānei i whānau mai ai. Tērā ētahi wā ka whakaaro koe, "Pēnei tonu rānei mō te toenga o tō oranga?" Engari i te whanaketanga o te hangarau, kei reira ngā tikanga o ēnei rā ka taea te whakamārama ahakoa te hunga tino ngoikore te whakarongo. Koinei tētahi o ngā tikanga motuhake e kōrerohia ana e tātou i tēnei rā.
He aha te ABI?
Ko te ABI he whakarāpopototanga mō te 'Auditory Brainstem Implant'. I te reo Sinhala, ko tōna tikanga he 'Auditory Brainstem Implant'. He taputapu motuhake tēnei e āhei ai te hunga e tino ngaro ana te rongo, arā, te wāhanga o te taringa o roto e hopu ana i te oro (te 'cochlea', te anga taringa rānei) te io rānei e kawe ana i aua tohu oro ki te roro (te io whakarongo) ki te rongo i te oro , kāore rānei i te whānau mai.
Whakaarohia te io e kawe ana i te oro mai i tō taringa ki tō roro, he rite ki te piriti. Mēnā ka whati tēnei piriti, kāore e taea e te oro te whiti me te tae atu ki te roro. Koinei te wāhi e uru mai ai te taputapu ABI. Ka karohia te piriti whati (io) ka tukuna tika ngā tohu ki te wāhanga o te roro e whakahaere ana i te whakarongo (te kakau roro). Kāore tēnei e rite ki te whakarongo noa, engari ka hoatu he whai wāhitanga nui ki a koe ki te hono anō ki te ao o te oro.
He aha te āhua o tēnei taputapu? E rua ngā wāhanga?
Ae, e rua ngā wāhanga matua o tēnei taputapu. Ka mauhia tētahi ki waho o te tinana, ā, ka whakatōkia tētahi ki roto i te tinana mā te pokanga.
1. Pūtukatuka: He wāhanga tēnei e mau ana ki runga i te taringa, ki te taha rānei o te māhunga, pērā i te taputapu āwhina whakarongo. 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 ki te pūtukatuka i roto i te tinana. Me tango atu tēnei wāhanga o waho ina moe koe i te pō.
2. Te Whakatō ā-Roto: Koinei te wāhanga e whakatōngia ana ki raro i te kiri mā te pokanga. E rua atu anō ngā wāhanga o roto.
- Kaiwhakawhiwhi-whakaohooho: Ko tēnei wāhanga, e piri ana i raro i te kiri i te taha o te upoko, ka whiwhi tohu mai i waho.
- Hoe hiko: Ka whakanohoia marietia tēnei hoe iti kei te pito o te kaiwhiwhi ki runga i te matatini o te nucleus cochlear i roto i te roro. Ka whakaoho tika tēnei i te roro, ka puta te rongo o te oro.
Mā wai tēnei maimoatanga e tino tika?
Kāore te ABI e pai mō te hunga katoa e ngaro ana te rongo. He mea hanga motuhake mō te hunga tino ngaro te rongo, ā, kāore e taea te whakamahi i tētahi atu āwhina whakarongo, i tētahi atu whakaurunga taringa rānei.
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 (ngā neuromas acoustic) i te taha o te io whakarongo. Ahakoa ka tangohia mā te pokanga, ka taea e ēnei pukupuku te whakararu tuturu i te io whakarongo. Ka taea e tēnei te arahi ki te ngaronga katoa o te rongo i ngā taringa e rua.
Hei tāpiri, ka whai hua te ABI mō ngā pakeke, ngā tamariki, me ngā pēpi me ēnei āhuatanga e whai ake nei:
- Mō te hunga i whānau mai me te ngoikore o te whakarongo (aplasia).
- Mō te hunga kāore anō kia whanake tika te io o te taringa ('hypoplasia').
- Mō te hunga kua ngaro te rongo nā te hapa, te kore whanaketanga oti, te tupu wheua rānei (te whakakorikori o te cochlear) o te wāhanga o roto o te taringa, arā, te cochlea.
- Mō te hunga kua pakaru te io whakarongo nā te whara nui o te angaanga (whati wheua manawa).
- Mō te hunga e tino ngoikore ana te whakarongo, e kore nei e taea te whakaora e tētahi atu maimoatanga.
Ahakoa he tokomaha te hunga e whakaaro ana he 'hapa io', tera pea kei roto i te cochlea (te taringa o roto) te raruraru. Nō reira, i mua i tō whakatau kāore he mea tika mōu te whakauru cochlear, me kōrero koe ki tō tākuta. Māna koe e whakamātautau, e kī atu hoki he aha te mea pai mōu.
He aha te rerekētanga i waenga i te ABI me te Cochlear Implant?
Ahakoa he taputapu āwhina whakarongo ēnei e rua, he rerekē rawa te āhua o tā rāua mahi me ngā āhuatanga e whakamahia ai. Ka mārama ngāwari koe ki tēnei mā te titiro ki tēnei ripanga.
| Whakataurite | Te Whakatō Kōkāria | Te Whakatō Roro o te Roro (ABI) |
|---|---|---|
| Mā wai e whakamahia? | He tikanga tēnei e whakamahia whānuitia ana mō te hunga kua ngaro te rongo nā te hapa o te taringa o roto (cochlea), engari kei te pai te mahi a te io whakarongo . | Mō te hunga he ngoikore te mahi a te taringa o roto (cochlea) me/ranei te io whakarongo . |
| Te āhua o tana mahi | Ka whakaoho tika i te io whakarongo , ka karo i te wāhanga hapa o te taringa o roto. | Ka whakaoho tika i te roro o te taringa , ka karo i te taringa o roto me te io o te taringa. |
| Te āhua o te pokanga | He pokanga tino māmā. Ka taea e koe te hoki ki te kāinga i taua rā anō. | He pokanga roro tino uaua. He maha ngā wā ka uru mai te tohunga taringa, ihu, me te korokoro (`Neurotherapist`) me te taote roro (`Neurosurgeon`). Me noho koe ki te hōhipera mō ētahi rā. |
He aha ngā mea ka tupu i mua atu, ā, i muri i te pokanga?
I mua i te pokanga
Nā te mea he whakatau nui tēnei, ka tirotirohia koe me tō āhua i mua i te pokanga. Ka uru atu ki tēnei ētahi whakamātautau:
- Ngā whakamātautau whakarongo: Ka inehia tō taumata whakarongo me te whakamahi, me te kore rānei he taputapu whakarongo.
- Aromatawai whakawhitiwhiti kōrero: Ka tirotirohia e te kaiwhakaora kōrero tō whanaketanga reo me tō momo whakawhitiwhiti kōrero.
- Ngā whakamātautau hiko-tinana: Ka whakahaerehia ngā whakamātautau motuhake hei whakatau i te wāhi me te whānuitanga o te ngaronga o te rongo.
- Ngā Matawai: Tērā pea ka tonoa koe kia whai matawai CT me te matawai MRI hei tirotiro i ngā wāhanga o roto o tō taringa, te io whakarongo, me ngā wāhanga e tika ana o tō roro.
- Hītori hauora: Ka pātai atu tō tākuta mō tō hītori hauora katoa me ngā taipitopito mō tō ngaronga o te rongo.
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 ka mahia tēnei i te wā kotahi e tangohia ai te pukupuku 'NF2', ka roa ake pea te noho ki te hōhipera.
Engari kia maumahara, kāore te taputapu e mahi tonu i muri i te pokanga. Ka whakahohehia e te tīma hauora te taputapu i roto i te 4 ki te 6 wiki i muri i te pokanga, ina ora pai ngā patunga. Whai muri i tēnā, me haere koe i ia marama mō te tau tuatahi ki te whakarerekē i ngā tautuhinga (hōtaka) o te taputapu kia rite ki a koe.
Kei te pēhea ngā hua? He tūponotanga kei reira?
Ngā hua me ngā painga
Ko te mea tuatahi hei kī, e kore rawa te ABI e whakahoki mai i te rongonga noa. Heoi anō, he nui ngā painga e tukuna ana e ia:
- Te mōhio ki ngā oro: Ka tīmata koe ki te kite i ngā oro i roto i tō taiao (pēnei i te auau a te kurī, te tangi o te waea, te whakatata mai o te motuka).
- Ngā oro wehewehe:Ka taea e koe te wehewehe me te mōhio ki ngā mea pēnei i te reo o te tamaiti me te reo o te pakeke.
- Ka māmā ake te pānui ngutu: Ina titiro koe ki ngā ngutu o te tangata me te oro i a ia e kōrero ana, ka tino piki ake tō kaha ki te mārama ki tā rātou e kōrero ana.
He rerekē rawa ngā hua i ia tangata, i ia tangata. Kua whakaatuhia e ngā tamariki e whiwhi ana i te ABI i te wā taitamariki (i mua i te ngaronga o te rongo mō te wā roa) he pai ake te mārama ki ngā kupu i ngā pakeke.
Ngā tūponotanga me ngā raruraru
Nā te mea he pokanga roro tino uaua tēnei, kei reira anō hoki ngā mōrearea e pā ana ki tētahi pokanga roro. Ina mahia e tētahi tīma hauora mātau, he tino iti te tūponotanga o ngā raruraru. Ko ētahi o ngā raruraru ka taea ko:
- Te turuturu o te wai e karapoti ana i te roro ('Wai Cerebrospinal').
- He hapa te taputapu, he nekehanga rānei o te hiko kua whakatōkia.
- Te mate urutā.
- Ngā mate urutā pērā i te meningitis.
- Te pakaru o te io kanohi ('Facial nerve palsy').
- Te mamae nā te whakaohooho i ētahi atu wāhanga kāore e pā ana ki te whakarongo.
Ka kōrero taipitopitotia ēnei mea katoa e tō tīma hauora ki a koe i mua i te pokanga.
Karere Tangohia ki te Kāinga
- Ko te whakaurunga roro whakarongo (ABI) he taputapu motuhake e whakamahia ana mō te ngaronga rongo nui i puta mai i te kore mahi a te io whakarongo, te taringa o roto rānei (cochlea).
- He rerekē tēnei i te whakaurunga taringa. Ka whakaoho tika te ABI i te roro whakarongo.
- Ahakoa kāore e taea te whakarongo noa, he tino āwhina i te mōhio ki ngā oro, te mōhio ki ngā oro, me te whakawhitiwhiti kōrero.
- He pokanga tino uaua tēnei, ā, he mea nui kia whakatau i muri i te matapaki tahi me tō tākuta i ngā painga me ngā mōrearea e pā ana ki tēnei.
- Ka rerekē pea ngā hua i ia tangata, i ia tangata, engari mā te whakaora tika me te aroturukitanga, ka tino pai ake te kounga o te oranga.
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