E mōhio ana koe ki ngā wheua ririki o tō taringa? (Ngā wheua o te taringa) Me kōrero tātou mō ēnei!

Kua whakaaro koe me pēhea e taea ai e koe te whakarongo mārama ki ngā oro katoa? Nā ngā wāhanga iti nei, engari he mea nui rawa atu i roto i ō tātou taringa, i puta ai tēnei. Ko aua wāhanga iti nei e kiia ana he wheua wheua . Ko ēnei ētahi o ngā wheua iti rawa o tō tātou tinana. I tēnei rā, ka kōrerohia e tātou ēnei wheua wheua, ā rātou mahi, me ngā raruraru ka pā mai.

He aha ngā wheua wheua? Kei hea rātou e noho ana?

He whakarāpopototanga noa iho, ko ngā wheua wheua he wheua iti e toru i roto i tō taringa waenga . He rite tonu te hononga ki ngā hononga mekameka. Ko ēnei wheua e toru:

1. Malleus: Ka kiia hoki tēnei ko te "hama" nā te mea he rite tōna āhua ki te hama.

2. Incus: Ka kiia hoki tēnei he "anvil". He rite tana mahi ki te anvil e patua ana ki te hama.

3. Ngā Tūwaewae: Koinei te wheua iti rawa o tō tātou tinana. Ka kiia hoki ko te "whitiki" nā te mea he rite tōna āhua ki te nohoanga hōiho.

Whakaarohia te iti o ēnei wheua e toru! Engari ki te kore rātou, kāore e taea e tātou te whakarongo tika ki tetahi mea. Ka tīmata tēnei mekameka o ngā wheua i tō pūoro taringa (tympanic membrane) . He kiriuhi angiangi te pūoro taringa i waenganui i tō taringa o waho me waenganui. Ka mutu te mekameka o ngā wheua i te cochlea i roto i tō taringa o roto .

Ki te hohonu ake te tirohanga...

• Malleus: Kei te hono tetahi taha o tēnei ki te pūoro taringa. Ina wiri te pūoro taringa, ka wiri hoki te malleus. Kei te hono tetahi taha o te malleus ki te incus.
• Incus: He rite tēnei ki te takawaenga i waenga i te malleus me ngā stapes. Ko te mahi a te incus he whiwhi i ngā wiri mai i te malleus ka tuku atu ki ngā stapes.
• Ngā Stapes: Ka kohia e tēnei wheua iti ngā wiri mai i te incus ka panaia ki tētahi wāhi e kiia nei ko te matapihi oval , he momo tatau i roto i te cochlea i te taringa o roto.

Kua mārama koe inaianei ki te uaua me te hiranga o tēnei tikanga iti nei?

He pēhea te mahi a ngā wheua wheua? He pēhea tā rātou āwhina i a tātou ki te whakarongo ki te oro?

Āe, kia titiro tātou me pēhea te āwhina a ēnei wheua iti e kiia nei ko ngā wheua angiangi ki a tātou ki te whakarongo ki te oro. He rite ki te tauhohenga mekameka .

1. Tuatahi, ka uru ngā ngaru oro mai i waho ki roto i tō taringa ka pā ki tō tarau taringa. Kātahi ka tīmata te wiri o te tarau taringa. Pērā i te wā e patu ana koe i te pahu, ka wiri.

2. Ka neke tahi hoki te wheua malleus , e hono ana ki te taramu taringa, me te wiri.

3. Ina neke te malleus, ka neke hoki te wheua incus e piri ana ki a ia.

4. Muri iho, ka tukuna e te incus tēnei wiri ki te wheua stapes .

5. Ka panaia tēnei wiri e te wheua stapes ki roto i te matapihi porotītaha o te koklea i te taringa o roto.

Ko te mea nui, ina haere ngā wiri oro mā roto i tēnei mekameka o ngā wheua wheua, ka whakanuia ake . Arā, ka whiwhi te koklea i tētahi tohu oro kaha ake i te tohu oro mai i te pū taringa. Koia te take ka taea ai e tātou te whakarongo mārama ki ngā oro ngawari.

Kei roto i te koklea he wai me ētahi pūtau makawe tino tairongo. Mā ngā wiri mai i ngā stapes ka nekehia tēnei wai, ka whakaoho i ngā pūtau makawe. Ka hurihia e ēnei pūtau makawe ngā wiri oro hei tohu hiko , ka tukuna atu ki te roro. Ka whakamāramahia e te roro aua tohu, ka mea mai, "Āe, he tangi haruru tēnā."

Whakaarohia, ka puta katoa ēnei mea i roto i te kimo o te kanohi! He mea whakamiharo, kāore?

He aha ngā mate me ngā āhuatanga e pā ana ki ngā wheua wheua?

Mena he raruraru kei roto i ēnei wheua iti, kāore e tika te haere o ngā wiri oro ki te taringa o roto, ka arahi pea tēnei ki te ngaronga o te rongonga kawe . Ko ētahi o ngā āhuatanga e pā ana ki ngā wheua koiwi ko:

• Ngā rerekētanga o te wheua whānau: He tino onge te whānautanga mai o ētahi pēpi kāore he wheua, kāore e tika te whanaketanga, e nui rawa rānei te tipu. I ētahi wā, kāore pea ēnei wheua e hono tika, e tawhiti ana rānei, e honoa ana rānei tetahi ki tetahi.
• Otosclerosis: Koinei te wā e piri ai tētahi o ngā wheua wheua (ko te wheua stapes te tikanga) ki te kiko e karapoti ana, ā, kāore e taea te neke noa, me te mea kua piri ki roto i tētahi tūpāpaku.
• Cholesteatoma: I roto i tēnei, ka hangaia he pūtau kiri ki roto i te taringa waenga, ka hanga he puku. Ka taea e tēnei te kino i ngā wheua wheua me te whakawhāiti i tā rātou nekehanga.
• Ngā mate taringa waenga mau tonu: Ka taea e ngā mate taringa tonu te mumura o te taringa waenga, te kī i te wai, me te whakararuraru i te nekehanga o ngā wheua. Ki te kore e rongoatia tika, ka pāngia pea te taringa waenga e te kino tuturu.
• Te wehenga o te mekameka o te wheua: Mena he whara nui o te upoko, ka taea te wehenga, te whati rānei o tēnei mekameka o ngā wheua. Mā tēnei ka kore e taea te tuku tika i ngā wiri. Ka taea hoki te whati i tēnei mekameka e ētahi tipu rerekē (pūpū) e ngā mate taringa mau tonu rānei.

He aha ngā tohu e kitea ana i tēnei āhuatanga?

Mena he raruraru kei roto i ō wheua, ka pāngia pea koe e ngā tohu penei:

• Te ngaronga o te rongo i te taringa kotahi, i ngā taringa e rua rānei, te turi, te kore rānei e rongo i te katoa.
• Te rongonga i te tangi haruru i roto i ngā taringa (tinnitus) .
• Mamae taringa.
• Kei te maringi mai he wai rite ki te pūhā mai i te taringa.
• He kare ā-roto e taumaha ana, e kī ana rānei i tētahi taringa, i ngā taringa e rua rānei.
• Ngā raruraru taurite (tae atu ki te mea ka pā te mate ki te pūnaha vestibular i roto i te taringa, te kawenga mō te taurite).

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, me tino toro atu koe ki te tākuta .

He aha ngā whakamātautau e mahia ana hei whakatau mena he raruraru kei ngā wheua?

Ina kite koe i tētahi tākuta, tera pea ka tirohia e ia tō taringa. Ko ngā whakamātautau e whai ake nei ka mahia i te nuinga o te wā:

• Otoscopy: Ko te tirotiro i roto i tō taringa me tētahi taputapu iti (he "otoscope") he rama tōna. Ka taea e tēnei te tirotiro mō ngā mea pēnei i te pūwero taringa, te wai i roto i te taringa waenga, me te mate pukupuku.
• Ngā whakamātautau whakarongo (Audiometry): Ka taea e ēnei whakamātautau te kimi i te pai o tō rongonga me ngā oro kāore e rangona.
• Whakamātautau Tympanometry: Ka ine tēnei i te nekehanga o te parāoa taringa me te pēhanga i roto i te taringa waenga, e whakaatu ana mēnā he wai kei roto i te taringa waenga, he raruraru rānei kei ngā wheua.
• Matawai CT: I ētahi wā, ka mahia he matawai CT hei tiro mārama i te kino o ngā wheua, tōna taunga, me te āhua o ngā kiko e karapoti ana.

He aha ngā rongoā mō ēnei raruraru e pā ana ki te wheua?

Ko te maimoatanga e whakawhirinaki ana ki te āhua o tō mate. Ko ngā maimoatanga noa ko:

• Paturopi: Mena he mate kitakita te take o te raruraru, ka taea te hoatu paturopi hei rongoā.
• Ngā taputapu whakarongo: Mena he ngoikore tō whakarongo, ka taea e koe te whakamahi i ngā taputapu whakarongo hei āwhina i a koe kia pai ake te whakarongo.
• Pokanga: I ētahi wā, ka hiahiatia pea te pokanga, hei tauira, hei tango i te pukupuku pēnei i te cholesteatoma, hei wetewete i te wheua kua mau i te wā o te otosclerosis, hei whakatikatika rānei i ngā wheua whati/kua nekehia (ossiculoplasty).

Kia maumahara, he mea tino nui te tautuhi me te maimoatanga wawe. Mā tēnei ka āwhina i te ārai i ngā kino tuturu.

Me pēhea te pupuri i te hauora o ngā wheua taringa?

Ko te mea pai rawa atu ka taea e koe te mahi hei pupuri i te hauora o ēnei wheua ririki engari he tino utu nui, ko te mahi i ngā mahi hei ārai i ngā mate taringa, me te rapu tohutohu hauora tonu mēnā ka kite koe i tētahi huringa ki tō whakarongo.

• Kaua e tukua te wai kia uru ki roto i ō taringa. Kia tūpato i te wā e kaukau ana, e kaukau ana rānei.
• I te wā e horoi ana i ō taringa, kaua e whakauru i ngā mea pēnei i te miro ki roto i ō taringa, kei pakaru pea tō parāone taringa.
• Ki te pāngia koe e te makariri, e te rewharewha rānei, kia tino mohio kei pā ki ō taringa.
• Whakamahia ngā puru taringa ina kei ngā wāhi tino haruru.

He maha ngā āhuatanga e pā ana ki ngā wheua ka taea te rongoā me te whakaora. Heoi, ki te whakaroa te rongoā, ka pā mai pea he kino mō te wā roa. Nō reira, me toro atu ki te tākuta ina kite koe i tētahi panoni iti noa iho o tō whakarongo.

Hei whakamutunga, ētahi mea hei maumahara

He mea whakamiharo ngā wheua wheua i roto i ō tātou tinana. Mā te mahi tahi a ēnei wheua ririki e toru ka taea e tātou te whakarongo me te pārekareka ki ngā oro kanorau o te ao.

Ko ngā wheua wheua he wheua iti e toru e kiia nei ko te malleus, te incus, me te stapes. Kei roto i te taringa waenga ēnei wheua, ā, ka kohia e rātou ngā wiri oro mai i te parāoa taringa, ka whakanuia, ka tukuna ki te cochlea i te taringa o roto. I reira, ka hurihia ngā wiri hei tohu hiko e haere ana ki te roro, ka taea ai e tātou te mārama ki te oro.

Nō reira, kia tiakina ō taringa. Ki te pāngia koe e ngā raruraru whakarongo, kaua e warewarehia, engari me rapu tonu i te tohutohu hauora. Kātahi ka āwhina tonu ēnei toa tokotoru i a koe ki te whakarongo ki ngā oro o te ao!

Ngā wheua taringa , ngā wheua koiwi, ngā malleus, ngā incus, ngā stapes, te whakarongo, te parāoa taringa, te ngaronga o te whakarongo, te taringa waenga, te taringa o roto, te cochlea