He ngoikore tō taringa? He rite tonu rānei te raruraru o tētahi e mōhiotia ana e koe? I te nuinga o te wā, ko te otinga e mōhiotia ana e tātou katoa ko te whakamahi i tētahi taputapu whakarongo. Engari i mōhio koe kāore e pai ana ēnei taputapu whakarongo mō te katoa? Kāore e taea e ētahi tāngata te whakamahi i ēnei taputapu kua whakaurua ki roto i te taringa nā te mate taringa, ētahi hapa whānau, ētahi atu mate hauora rānei. I tēnei rā, ka kōrero tātou mō tētahi hangarau rerekē kua tae mai hei āwhina i ēnei tāngata. Ko te ingoa o tēnei ko te BAHA (Bone-Anchored Hearing Aid) .
He aha te BAHA?
Āe, me titiro tuatahi tātou ki te mahi a tēnei. Ko tā te taputapu āwhina whakarongo noa he whakanui i te oro e puta mai ana i waho, ka tukuna mā roto i te pūwero taringa ki te taringa waenga me te taringa o roto. Arā, ka haere i te ara kotahi e haerea ana e te oro.
Engari he rerekē rawa te taputapu BAHA. He taputapu e piri ana ki te wheua angaanga mā te pokanga . Mā te wiri i ngā ngaru oro tika mā roto i ngā wheua o tō angaanga ka tukuna ki te cochlea, te wāhanga matua o te taringa o roto e whai kawenga ana mō te whakarongo. Hei tika ake, ka karohia e ia te ara noa o te oro ka tukuna tika te oro ki te taringa o roto mā te pokatata. Ka karangatia hoki e ētahi he 'Bone-Anchored Hearing Implant (BAI)'. E rua ngā ingoa e pā ana ki te taputapu kotahi.
E toru ngā wāhanga o te taputapu BAHA:
- Te tāpiringa titanium: He wahi whakarewa iti tēnei ka whakauruhia mā te pokanga ki roto i te wheua angaanga.
- Hononga/Abutment o waho: Koinei te wāhanga e hono ana ki te whakaurunga, ā, he paku kitea mai i te kiri.
- Pūtukatuka oro: Koinei te wāhanga e hopu ana i ngā oro e puta mai ana i waho, e huri ana hei wiri, ā, e tuku ana ki te wheua mā te hononga. Ka taea e tātou te tango me te tāpiri anō i tēnei i ngā wā katoa.
He aha ngā momo matua o ngā BAHA?
E rua ngā momo matua o ngā pūnaha whakarongo kawe wheua. Ka tūtohu tō tākuta i te momo e pai ana mōu i runga i tō tau, tō āhua hauora, me ō manakohanga.
| Momo BAHA | Whakaahuatanga |
|---|---|
| BAHA (Ka taea te whakatō ki te pokanga) | Koinei te tikanga tino noa. Ka whakauruhia e te taote pokanga he mea tāpiri titanium iti ki roto i te wheua i muri i tō taringa. Kia ora, ka taea te tāpiri i tētahi tukatuka oro o waho ki reira hei whakarato i te whakarongo. Ka taea te tango i tēnei wāhanga o waho ina moe koe, ina kaukau rānei. |
| Ngā Āwhina Whakarongo mō te Arataki Wheua Kore-Pokanga ( BCHA ) | Ko te tikanga, ka tūtohutia ēnei mō ngā tamariki kei raro iho i te 5 tau te pakeke, me te hunga kāore e hiahia ki te pokanga. Ka taea te tāpiri tika i ētahi taputapu ki te kiri mā te whakamahi i te piripiri. Ko ētahi ka taea te tāpiri ki te potae, ā, ka mau ina hiahiatia. Ka taea hoki e koe te whakamātau i tēnei tikanga i mua i te pokanga kia mōhio ai koe ki ngā hua. |
Mā te tākuta taringa (ENT) me te tākuta whakarongo koe e āwhina ki te whakatau ko tēhea o ēnei tikanga te mea pai mōu.
Mā wai tēnei taputapu BAHA?
Ehara i te mea e hiahiatia ana tēnei e te katoa, engari he tino whai hua mō te hunga he ngoikore te whakarongo.
Ki te kī māmā noa iho, ki te pai te mahi a tō taringa o roto, engari he ārai kei te haere o te oro mai i te taringa o waho ki te taringa o roto, he otinga tino pai te BAHA.
E rua ngā āhuatanga matua e tika ana mō tēnei:
- Te ngaronga o te whakarongo arataki, te ngaronga o te whakarongo whakauru rānei: He raruraru tēnei ina kore e tika te haere o te oro mā roto i te taringa.
- Turi taha kotahi: Ko te tikanga ka taea e te taringa kotahi te whakarongo pai, engari he iti noa iho te whakarongo a te taringa kē, kāore rānei i te rongo.
Ko ētahi o ngā āhuatanga hauora ka pāngia ai te rongonga:
- Ngā mate pukupuku taringa waenga mau tonu
- Kore-te-mate
- Neuroma oro
- Te mate a Ménière
- Te ngoikore o te taringa o waho, o waenganui rānei (te korenga o te whanaketanga tika o te taringa o waho, o waenganui rānei)
Mena he rite tō āhua, ka taea e koe te kōrero ki tō tākuta, ā, ka tukuna koe ki tētahi tohunga taringa, ihu, me te korokoro hei matapaki anō i tēnei.
Me pēhea te mahi i te pokanga?
He tikanga māmā noa iho tēnei, e 30 ki te 60 meneti te roa. Anei ētahi mea ka puta i te wā o te tikanga:
1.Whakamoemiti: Ka hoatu he whakamoemiti ki a koe kia kore ai koe e rongo i te mamae. Tērā pea he mamae ā-rohe, he mamae whānui rānei.
2. Tapahi iti: Ka mahia he tapahi iti rawa ki te kiri i muri o te taringa.
3. He kōhao i roto i te wheua: Ka hangaia he kōhao iti ki roto i te wheua 'mastoid', he wāhanga tēnei o te angaanga i muri o te taringa.
4. Te tāutanga o te whakatō: Ka tāutahia te whakatō titanium iti, tata ki te 3-4 mirimita te rahi (tata ki te haurua o te rahi o te pī), ki roto i te wheua.
5. Te tāpiri i te abutment: Ka tāpirihia he abutment o waho ki te implant. Ka kitea paku tēnei ina ora te kiri.
6. Tuitui: Ka katia te tapahi, ka tuia, ā, ka tāpirihia he takai ma.
Ko te mea tino nui i muri i te pokanga ko te tukanga e kiia nei ko te osseointegration . I te kī poto, koinei te wā e tipu ai tō wheua i te taha o te tāpiringa titanium, ā, ka honoa pai ngā mea e rua hei kotahi. Ka roa pea tēnei tukanga mai i te kotahi ki te toru marama ki te whakaoti. Whai muri i tēnei wā, ka whakauruhia te tukatuka oro o waho, ā, ka whakatikatikahia kia rite ki tō whakarongo.
He aha ngā painga me ngā ngoikoretanga o te BAHA?
Pērā i ngā maimoatanga hauora katoa, he painga, he ngoikoretanga hoki tō tēnei.
| Ngā Painga | Ngā ngoikoretanga |
|---|---|
| Whakamarie: Tino whakamarie nā te mea kāore he take ki te whakauru i tetahi mea ki roto i te taringa pērā i ngā taputapu whakarongo noa. He iti ake te tūponotanga o te mate pāwera kiri. | Me pokanga: Ko te ngoikoretanga matua ko te hiahia kia pokangahia. Ahakoa he pokanga iti tēnei, he tūponotanga kei roto i tētahi pokanga. |
| Te kounga oro teitei: Nā te mea ka haere tika te oro ki te wheua me te kore e tika mā te kiri, he tino teitei te kounga oro. | Ngā mōrearea o te pokanga: Ahakoa he tino onge, ka pā pea te mate, te pupuhi, te rahunga rānei o te whakatō. |
| Te kaha ki te matapae i ngā hua: I mua i te pokanga, ka taea e koe te whakamātau i te BCHA kore-pokanga me te whai whakaaro ki ngā hua ka puta. | Ngā whara o te upoko: Ki te pāngia te upoko e te whiunga kaha, ka tūpono te mate urutā, te pakaru rānei o te mea whakauru. Nō reira, he mea nui kia mau i te potae i te wā e eke pahikara ana, e motopaika ana, e takaro ana rānei i ngā hākinakina pā. |
Āhea te wā e kite ai i te tākuta i muri i te pokanga
I ngā rā tuatahi i muri i te pokanga (3-7 rā), tera pea ka pāngia koe e te mamae me te whero huri noa i te wāhi i whakatōkia ai. He mea noa tēnei. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me whakapā atu tonu koe ki tō tākuta .
- He wai rite ki te pūhā, he pupuhi, he tohu rānei o te mate i te wāhi i tāpirihia ai te whakatō.
- He mamae taringa nui, kāore e memeha ahakoa te tango rongoā.
- He kirika me te pāmahana tinana neke atu i te 38.3 nekehanga Celsius (101 Fahrenheit).
He rite tonu te BAHA me te Cochlear Implant?
He mea tēnei e pōhēhē ana i te tini o te tangata. Ahakoa he mea āwhina whakarongo ēnei e rua, he pai tonu te mahi, ā, he pai hoki mō ngā āhuatanga e rua tino rerekē.
- BAHA: Ka mahi tēnei mā te tuku wiri oro mā roto i ngā wheua o te angaanga ki te taringa o roto (cochlea) e mahi pai ana . Ko te tikanga he pai mō te hunga kāore he raruraru ki ō rātou taringa o roto.
- Te Whakatō Kōrero: Ka karohia katoatia te taringa o roto kua pakaru, kua kore rānei e mahi tika , ā, ka whakaoho tika i te io whakarongo.
Ki te kī māmā noa, he rite te BAHA ki tētahi piriti e āwhina ana i te haere o te oro ki te taringa o roto. Engari ko te Cochlear Implant he pūnaha e tuku tohu hiko tika ana ki te io e haere ana ki te roro mō te tangata kāore e mahi ana tōna taringa o roto.
Ka pā nui te ngaronga o te rongo ki tō oranga. Ka taea te whakarihariha me te whakapouri. Ina koa ka kore e mahi ngā taputapu whakarongo auau. He hangarau hauora a BAHA ka taea te whakaora i te rongo o te hunga whai mate whakarongo, me te tino angitu (neke atu i te 90%). Ki te hiahia koe ki te mōhio atu mō tēnei, ka taea e koe te kōrero ki tō tākuta kia kite ai mēnā ka tika koe.
Karere Tangohia ki te Kāinga
- He otinga pai te BAHA (Bone-Anchored Hearing Aid) mō te hunga whai ngoikoretanga o te whakarongo kāore e uru ki ngā taputapu whakarongo noa.
- He tikanga tēnei mō te tuku oro ki te taringa o roto mā te wiri i roto i ngā wheua o te angaanga, me te karo i te ara noa o te oro i roto i te taringa.
- He pokanga iti tēnei e hiahiatia ana, engari he maimoatanga tino angitu, he haumaru hoki.
- Mena he ngoikore tō whakarongo, he mea nui kia kōrero koe ki tētahi tohunga taringa, ihu, me te korokoro (ENT) kia kite ai mēnā he tika tēnei maimoatanga māu.
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