Kukhungathekisa kangakanani ukuphila nenkinga yokuzwa? Ngezinye izikhathi, ngisho nokusebenzisa izinsiza zokuzwa ezivamile kungase kungasebenzi kahle, noma kungase kube nzima ukuzisebenzisa. Ngakho-ke uma ungomunye walabo abahlushwa yilesi simo, ungalilahli ithemba. Namuhla sizokhuluma ngobuchwepheshe obukhethekile obungabaluleka kakhulu kubantu abanjalo. Leso yi-bone conduction hearing aid, noma njengoba sonke sazi, idivayisi ye-BAHA.
Iyini insiza yokuzwa eboshwe ngethambo (i-BAHA)?
Kulungile, ake sikubeke kalula lokhu. Izinsiza zokuzwa ovame ukuzibona zisebenza ngokuthumela umsindo ngomsele wendlebe, ngendlebe ephakathi, kanye nangaphakathi kwendlebe. Kodwa le divayisi ebizwa ngokuthi i-BAHA ihlukile kancane. Kalula nje, iyithuluzi elincane elifakwe ngokuhlinzwa ethanjeni lekhanda lakho ngemuva kwendlebe yakho.
Lokhu kusho ukuthi esikhundleni sokuthumela amaza omsindo endlebeni yakho ephakathi, ayavevezela ngqo emathanjeni ekhanda lakho bese ewathumela ku-cochlea, isakhiwo esijikelezayo endlebeni yakho yangaphakathi esibalulekile ekuzweni. Sibiza le nqubo ngokuthi "ukuhanjiswa kwamathambo." Lokho kusho ukuthi umsindo uhamba emathanjeni.
Idivayisi ye-BAHA ngokwesiko inezingxenye ezintathu:
1. I-Titanium implant: Lesi yisicucu esincane esifakwa ngokuhlinzwa ethanjeni lekhanda.
2. Isixhumi/i-abutment yangaphandle: Lena yingxenye exhunywe ku-implant futhi ibonakala kancane esikhumbeni.
3. Iprosesa yomsindo: Lena yingxenye egugile ngaphandle ethola imisindo evela endaweni ezungezile, iyiguqule ibe ukudlidliza, bese iyidlulisela ethanjeni.
Yiziphi izinhlobo eziyinhloko zezinhlelo ze-BAHA?
Lezi zinhlelo zokuzwa ezisebenzisa amathambo zingahlukaniswa zibe izinhlobo ezimbili eziyinhloko. Udokotela wakho uzokusiza ukhethe uhlobo olufanele kakhulu isimo sakho.
| Uhlobo lwemishini | Incazelo |
|---|---|
| I-BAHA efakwe ngokuhlinzwa | Lena yindlela evame kakhulu. Udokotela ohlinzayo ufaka i-titanium implant encane ethanjeni elingemuva kwendlebe. Ngemva kokuba ipholile, iprosesa yomsindo yangaphandle ingaxhunywa kuyo ukuze inikeze ukuzwa. Le ngxenye yangaphandle ingasuswa uma ulele noma ugeza. |
| I-BCHA engenzi ukuhlinzwa | Lolu hlobo luvame ukunconywa ezinganeni ezingaphansi kweminyaka emi-5 ubudala kanye nalabo abangafuni ukuhlinzwa. Amanye amadivayisi anganamatheliswa esikhumbeni ngengcina ekhethekile. Amanye anganamatheliswa ekhanda futhi agqokwe uma kudingeka. |
Ngingazi kanjani ukuthi lokhu kulungile kimi?
Izici eziningana zizonquma ukuthi i-BAHA ikulungele yini. Ubudala bakho, ezinye izimo zezokwelapha, kanye nohlobo lokulahlekelwa kwakho ukuzwa konke kuyizinto ezibalulekile. Uchwepheshe we-ENT (indlebe, impumulo, nomphimbo) kanye nodokotela we-audiologist bangakweluleka kangcono ngalokhu.
Into engcono kakhulu ukuthi, ungazama le divayisi ye-BCHA engahlinzwa kudokotela wakho ngaphambi kokuhlinzwa. Ngaleyo ndlela, ungathola umbono omuhle wokuthi ukuzwa kwakho kuzoba njani ngemva kokuhlinzwa.
Yiziphi izimo ezinconywa amadivayisi e-BAHA?
Ngokuvamile, abantu abanezinkinga zokuzwa ezilandelayo bangathola imiphumela emihle ku-BAHA:
- Ukulahlekelwa ukuzwa okubangelwa ukuphefumula noma okuxubile: Lokhu kusho ukuthi umsindo awuhambi kahle uye endlebeni yangaphakathi ngenxa yenkinga endlebeni yangaphandle noma ephakathi.
- Ukungezwa okuhlangothini olulodwa: Lapho indlebe eyodwa izwa kahle kanti enye indlebe izwa okuncane kakhulu noma ingezwa lutho nhlobo.
Ezinye zezimo ezingabangela ukulahlekelwa ukuzwa zifaka:
- Ukutheleleka kwendlebe okungapheli
- I-Cholesteatoma, ukukhula kwesikhumba endlebeni
- Izimila ezifana ne-acoustic neuroma
- Isifo sikaMénière
- I-Aural atresia (ukukhubazeka kokuzalwa kwendlebe yangaphandle noma ephakathi)
Uma unalesi simo, khuluma nodokotela womndeni wakho futhi , uma kudingeka, akuthumele kuchwepheshe wezindlebe, impumulo nomphimbo.
Ukuhlinzwa kwenziwa kanjani?
Lokhu ukuhlinzwa okulula kakhulu okuvame ukuthatha imizuzu engama-30 kuya kwengama-60 . Nakhu okwenzekayo ngesikhathi sokuhlinzwa:
1. Uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu. (Lokhu kungaba i-anesthesia ejwayelekile noma i-anesthesia yendawo eqeda kuphela indawo okukhulunywa ngayo).
2. Kwenziwa ukusika okuncane esikhumbeni esingemuva kwendlebe.
3. Kwenziwa imbobo encane kakhulu ethanjeni le-mastoid, eliyingxenye yogebhezi ngemuva kwendlebe.
4. I-titanium implant ifakwa kulowo mgodi. Empeleni lokhu kuyingxenye encane cishe ingxenye yobukhulu be-pea.
5. Isixhumi sangaphandle (i-abutment) sinamathiselwe ku-implant. Lokhu kuzobonakala kancane esikhumbeni uma isikhumba sesipholile.
6. Ekugcineni, inxeba liyathungwa futhi limbozwe.
Ngemva kokuhlinzwa, ithambo lakho kumele lihlangane ne-titanium implant (osseointegration). Njengoba nje izimpande zesitshalo zibamba inhlabathi. Lokhu ngokuvamile kungathatha noma yikuphi kusukela enyangeni eyodwa kuya kwezintathu . Lesi sikhathi siyahlukahluka kuye ngokuthi umzimba wakho uyakwazi yini ukuphulukisa. Kuphela ngemva kokuba lokhu kuhlanganiswa sekuqediwe lapho iprosesa yomsindo yangaphandle ixhunywe khona futhi idivayisi ivuliwe.
Yiziphi izinzuzo kanye nokungalungi kwe-BAHA?
Njenganoma yiluphi uhlobo lokwelashwa, lolu lunezinzuzo kanye nokungalungi.
| Ochwepheshe | Ububi |
|---|---|
| Induduzo: Ikhululekile kakhulu ngoba akukho lutho olufakwa emgodini wendlebe njengensiza yokuzwa evamile. Ingozi encane yokungezwani nesikhumba. | Kudinga ukuhlinzwa: Ububi obukhulu ukuthi kudinga ukuhlinzwa ukuze kulungiswe. Ngisho noma kungukuhlinzwa okuncane, kunezingozi ezincane, njenganoma yikuphi ukuhlinzwa. |
| Ikhwalithi yomsindo enhle: Ikhwalithi yomsindo iphezulu ngoba umsindo awuhambi esikhumbeni, kodwa udlulela ngqo ethanjeni. | Ingozi yezinkinga: Ukutheleleka, ukuvuvukala, noma ukwehluleka kokufakelwa endaweni yokufakelwa kungenzeka kungavamile kakhulu. |
| Ukwazi imiphumela kusenesikhathi: Ngaphambi kokuhlinzwa, ungabona idivayisi engeyona eyokuhlinzwa, ukuze uthole umbono omuhle wemiphumela. | Ukulimala ekhanda:Uma umuntu ogqoke i-BAHA eshaywa ekhanda (isib. ingozi), kukhona ingozi yokutheleleka noma ukulimala kwe-implant. Ngakho-ke, kubaluleke kakhulu ukugqoka isigqoko sokuzivikela uma udlala imidlalo noma ugibela ibhayisikili/isithuthuthu. |
Ukululama kanye nesikhathi sokubonana nodokotela
Ezinsukwini zokuqala ezingu-3-7 ngemva kokuhlinzwa, kungase kube nobuhlungu nokubomvu endaweni yokufakelwa. Lokhu kuvamile.
Into ebaluleke kakhulu: Awukwazi ukusebenzisa i-BAHA ngokushesha ngemva kokuhlinzwa. Njengoba kushiwo ngaphambili, udinga ukulinda kuze kube yilapho ithambo selihlangene ngokuphelele ne-implant.
Ngemva kokuba i-implant isipholile, udokotela wakho noma isazi sokuzwa uzofaka iprosesa yomsindo yangaphandle, alungise izilungiselelo zayo ukuze ikufanele, futhi akubonise ukuthi ungayisusa kanjani futhi uyifake kabusha.
Uma udinga ukushayela udokotela ucingo ngokushesha
Uma uhlangabezana nezimpawu ezilandelayo ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha:
- Ukutheleleka, ukuvuvukala, noma uketshezi olufana nobovu oluphuma endaweni yokufakelwa.
- Ubuhlungu bendlebe obungapheli ngisho nangemva kokuthatha imithi yobuhlungu.
- Ukuba nomkhuhlane ongaphezu kuka-101 Fahrenheit (38.3 Celsius) .
Umehluko phakathi kwe-BAHA kanye ne-Cochlear Implant
Nakuba zombili lezi ziyizinto zokufakelwa zokusiza ukuzwa, indlela ezisebenza ngayo ihluke ngokuphelele.
- BAHA: Ukudlidliza komsindo kuthunyelwa ngamathambo ekhanda kuye endlebeni engaphakathi .
- I-Cochlear Implant: Lokhu kusetshenziselwa abantu abanomonakalo omkhulu endlebeni yangaphakathi. Lokhu kudlula indlebe yangaphakathi ngokuphelele futhi kuvuselele inzwa yokuzwa ngqo .
Ngakho-ke, odokotela banquma ukuthi yikuphi kokubili okufanele kuye ngohlobo lwenkinga yakho yokuzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-BAHA ubuchwepheshe obuphumelelayo obusetshenziswa ezinhlotsheni ezithile zezinkinga zokuzwa ezingasebenzi kahle ngezinsiza zokuzwa ezivamile.
- Lokhu kusebenza ngokudlidliza emathanjeni ekhanda, esikhundleni sokuthumela umsindo ngomsele wendlebe.
- Kunezinhlobo ezimbili eziyinhloko: ukuhlinzwa kanye nokungahlinzwa.
- Nakuba lokhu kudinga ukuhlinzwa okuncane, izinga lempumelelo yakho liphezulu kakhulu (ngaphezu kuka-90%).
- Indlela engcono kakhulu newukuphela kwayo yokwazi ukuthi lokhu kulungile yini kuwe ukuthi,Ukubonisana nochwepheshe wezindlebe, impumulo, nomphimbo (ENT).
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