Kudinisa kangakanani ukuphila nengxaki yokuva? Ngamanye amaxesha, nokusebenzisa izixhobo zokuva eziqhelekileyo kusenokungasebenzi kakuhle, okanye kunokuba nzima ukuzisebenzisa. Ngoko ke ukuba ungomnye wabo banengxaki yesi sifo, ungalahli ithemba. Namhlanje siza kuthetha ngetekhnoloji ekhethekileyo enokubaluleka kakhulu kubantu abanjalo. Leyo yi-bone conduction hearing aid, okanye njengoko sonke sisazi, isixhobo se-BAHA.
Yintoni isixhobo sokuva esisekelwe kwithambo (i-BAHA)?
Kulungile, masiyibeke ngokulula le nto. Izixhobo zokuncedisa ukuva oqhele ukuzibona zisebenza ngokuthumela isandi ngendlebe, ngendlebe ephakathi, nakwindlebe engaphakathi. Kodwa esi sixhobo sibizwa ngokuba yiBAHA sahlukile kancinci. Ngamafutshane, sisixhobo esincinci esifakwe ngotyando kwithambo lentloko yakho emva kwendlebe yakho.
Oku kuthetha ukuba endaweni yokuthumela amaza esandi ngendlebe ephakathi, ayangcangcazela ngqo ngamathambo entloko yakho aze awathumele kwi-cochlea, isakhiwo esijikelezayo esikwindlebe yakho yangaphakathi esibalulekileyo ekuveni. Le nkqubo siyibiza ngokuba "kukuhanjiswa kwamathambo." Oko kuthetha ukuba isandi sihamba ngamathambo.
Isixhobo seBAHA ngokwesiko siqulathe iinxalenye ezintathu:
1. I-Titanium implant: Le yintwana encinci efakwa ngotyando kwithambo lekhakayi.
2. Isixhumi/i-abutment yangaphandle: Le yinxalenye eqhagamshelwe kwi-implant kwaye ibonakala kancinci eluswini.
3. Iprosesa yesandi: Le yinxalenye egugileyo ngaphandle efumana izandi ezivela kwindawo esingqongileyo, iziguqule zibe ziintshukumo, ize izidlulisele emathanjeni.
Ziziphi iintlobo eziphambili zeenkqubo zeBAHA?
Ezi nkqubo zokuva ezisebenzisa amathambo zinokwahlulwa zibe ziintlobo ezimbini eziphambili. Ugqirha wakho uza kukunceda ukhethe uhlobo olufanelekileyo kwimeko yakho.
| Uhlobo lwezixhobo | Inkcazo |
|---|---|
| I-BAHA efakwe ngotyando | Le yeyona ndlela ixhaphakileyo. Ugqirha ufaka i-titanium implant encinci kwithambo elingasemva kwendlebe. Emva kokuba ipholile, iprosesa yesandi yangaphandle ingadityaniswa nayo ukuze inike ukuva. Le nxalenye yangaphandle ingasuswa xa ulele okanye uhlamba. |
| I-BCHA engenzi utyando | Olu hlobo ludla ngokucetyiswa kubantwana abangaphantsi kweminyaka emi-5 ubudala nakwabo bangafuni utyando. Ezinye izixhobo zinokunamatheliswa eluswini ngeglue ekhethekileyo. Ezinye zinokunamatheliswa entloko kwaye zinxitywe xa kuyimfuneko. |
Ndingazi njani ukuba oku kulungile kum?
Izinto ezininzi ziya kuqinisekisa ukuba i-BAHA ikulungele na. Ubudala bakho, ezinye iimeko zempilo, kunye nohlobo lokulahlekelwa kwakho kukuva zonke zizinto ezibalulekileyo. Ingcali ye-ENT (indlebe, impumlo, nomqala) kunye nengcali ye-audiologist banokukunika iingcebiso ezilungileyo ngale nto.
Eyona nto ingcono kukuba, ungazama esi sixhobo se-BCHA esingasebenzisi utyando kugqirha wakho ngaphambi kotyando. Ngale ndlela, unokufumana umbono olungileyo wokuba kuya kuba njani ukuva kwakho emva kotyando.
Zeziphi iimeko ezicetyiswayo ukuba izixhobo zeBAHA zisetyenziswe?
Ngokwesiqhelo, abantu abaneengxaki zokuva ezilandelayo banokufumana iziphumo ezilungileyo kwi-BAHA:
- Ukulahlekelwa kukuva okubangelwa kukuqhuba okanye okuxutyiweyo: Oku kuthetha ukuba isandi asihambi kakuhle siye endlebeni engaphakathi ngenxa yengxaki endlebeni engaphandle okanye ephakathi.
- Ukungaziva cala linye: Xa enye indlebe iva kakuhle kwaye enye indlebe iva kancinci kakhulu okanye ingava nto konke konke.
Ezinye zeemeko ezinokubangela ukulahlekelwa kukuva ziquka:
- Usulelo olungapheliyo lwendlebe ephakathi
- I-Cholesteatoma, ukukhula kolusu endlebeni
- Iithumba ezifana ne-acoustic neuroma
- Isifo sikaMénière
- I-Aural atresia (ukukhubazeka kokuzalwa kwendlebe yangaphandle okanye ephakathi)
Ukuba unale meko, thetha nogqirha wakho wosapho, kwaye ukuba kuyimfuneko, akuthumele kwingcali yendlebe, impumlo nomqala.
Lwenziwa njani olu tyando?
Olu lutyando olulula kakhulu oludla ngokuthatha imizuzu engama-30 ukuya kwengama-60 . Nantsi into eyenzekayo ngexesha lotyando:
1. Uza kunikwa i-anesthesia ukuze ungeva ntlungu. (Le isenokuba yi-anesthesia eqhelekileyo okanye i-anesthesia yendawo ethintela kuphela indawo ekuthethwe ngayo).
2. Kwenziwa umngxuma omncinci eluswini olusemva kwendlebe.
3. Kwenziwa umngxuma omncinci kakhulu kwithambo le-mastoid, eliyinxalenye yekhakayi emva kwendlebe.
4. I-titanium implant ifakwa kuloo mngxuma. Enyanisweni le yintwana encinci elingana nesiqingatha sobukhulu be-pea.
5. Isixhumi sangaphandle (i-abutment) siqhotyoshelwe kwi-implant. Oku kuya kubonakala kancinci eluswini xa ulusu lupholile.
6. Ekugqibeleni, inxeba liyathungwa kwaye ligqunywe.
Emva kotyando, ithambo lakho kufuneka lihlangane ne-titanium implant (osseointegration). Njengokuba iingcambu zesityalo zibamba umhlaba. Oku kungathatha naphi na ukusuka kwinyanga enye ukuya kwezintathu . Eli xesha liyahluka ngokuxhomekeke kumandla omzimba wakho okuphiliswa. Kuphela emva kokuba olu manyano lugqityiwe apho iprosesa yesandi yangaphandle iqhagamshelwe kwaye isixhobo sivuliwe.
Zithini iingenelo kunye neengxaki zeBAHA?
Njengalo naluphi na unyango lwezonyango, olu lunezibonelelo kunye neengxaki.
| Iingcali | Iingxaki |
|---|---|
| Intuthuzelo: Ikhululekile kakhulu kuba akukho nto inokufakwa endlebeni njengesixhobo sokuncedisa ukuva esiqhelekileyo. Ingozi encinci ye-allergies yesikhumba. | Kudinga utyando: Eyona ngxaki kukuba kufuneka utyando ukuze kulungiswe. Nangona lutyando oluncinci, kukho iingozi ezincinci, njengakuyo nayiphi na ityando. |
| Umgangatho wesandi olungileyo: Umgangatho wesandi uphezulu kuba isandi asihambi ngesikhumba, kodwa siya ngqo ethanjeni. | Umngcipheko weengxaki: Usulelo, ukudumba, okanye ukungasebenzi kakuhle kwe-implant kwindawo ye-implant kungenzeki rhoqo. |
| Ukwazi iziphumo kwangaphambili: Ngaphambi kotyando, ungabona isixhobo esingesosigqirha, ukuze ufumane umbono olungileyo weziphumo. | Ukulimala entloko:Ukuba umntu onxibe i-BAHA ubetheka entloko (umz. ingozi), kukho umngcipheko wokosuleleka okanye umonakalo kwi-implant. Ngoko ke, kubaluleke kakhulu ukunxiba isigcina-ntloko xa udlala imidlalo okanye uqhuba ibhayisekile/ibhayisekile. |
Ukuchacha kunye nexesha lokubona ugqirha
Kwiintsuku zokuqala ezi-3-7 emva kotyando, kunokubakho iintlungu kunye nokubomvu kwindawo efakelweyo. Oku kuqhelekile.
Eyona nto ibalulekileyo: Awunakusebenzisa i-BAHA kwangoko emva kotyando. Njengoko bekutshiwo ngaphambili, kufuneka ulinde de ithambo lihlangane ngokupheleleyo ne-implant.
Emva kokuba i-implant iphilile, ugqirha wakho okanye ingcali ye-audiologist uza kufakela iprosesa yesandi yangaphandle, alungise useto lwayo ukuze ikulungele, aze akubonise indlela yokuyisusa nokuyifaka kwakhona.
Xa kufuneka ufowunele ugqirha ngoko nangoko
Ukuba ufumana ezi mpawu zilandelayo emva kotyando, yazisa ugqirha wakho ngoko nangoko:
- Usulelo, ukudumba, okanye ulwelo olufana nobovu oluphuma kwindawo efakelweyo.
- Intlungu yendlebe engapheliyo nasemva kokusela amayeza okudambisa iintlungu.
- Ukuba nomkhuhlane ongaphezulu kwe-101 Fahrenheit (38.3 Celsius) .
Umahluko phakathi kweBAHA kunye neCochlear Implant
Nangona zombini ezi zinto ziyi-implants ezinceda ukuva, indlela ezisebenza ngayo yahlukile ngokupheleleyo.
- BAHA: Izandi zithunyelwa ngamathambo ekhakhayi ziye endlebeni engaphakathi .
- I-Cochlear Implant: Le isetyenziselwa abantu abenzakele kakhulu endlebeni. Le ndlela idlula ngokupheleleyo endlebeni yangaphakathi kwaye ivuselela ngqo umthambo wokuva .
Ngoko ke, oogqirha bagqiba kwelokuba yeyiphi kwezi zimbini efanelekileyo ngokuxhomekeke kuhlobo lwengxaki yakho yokuva.
Umyalezo Wokuya Ekhaya
- I-BAHA bubuchwepheshe obuphumelelayo obusetyenziswa kwiintlobo ezithile zeengxaki zokuva ezingasebenziyo ngezixhobo zokuva eziqhelekileyo.
- Oku kusebenza ngokungcangcazela emathanjeni entloko, endaweni yokuthumela isandi ngendlebe.
- Kukho iintlobo ezimbini eziphambili: utyando kunye nokungasebenzisi utyando.
- Nangona oku kufuna utyando oluncinci, izinga lempumelelo yalo liphezulu kakhulu (ngaphezulu kwama-90%).
- Eyona ndlela ilungileyo nekuphela kwayo yokwazi ukuba oku kulungile kuwe kukuba,Ukubonisana nengcali yendlebe, impumlo, nomqala (ENT).
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