Yintoni ilahleko yokuva ngeSensorineural?

Umxholo

• Iimpawu zokuphulukana nokuva kwemvakalelo
• Ukuphulukana nokuva kwemvakalelo kubangela
• Ukuzalwa
• Ingxolo enkulu
• I-Presbycusis
• Ukuqhuba ngokuchaseneyo nelahleko yokuva kwendlebe
• Ukuphulukana nokuva kwesandi ngokukhawuleza (SSHL)
• Iindidi zokuphulukana nokuva kwendlebe
• Ukuphulukana nokuziva kokuphulukana nokuva
• Uvavanyo lomzimba
• Ukulungisa iifolokhwe
• Iaudiogram
• Unyango lweSNHL
• Izinto zokuncedisa ukuva
• Ukufakwa kweCochlear
• Ukuphulukana nokuva kwesandi
• Ngaba ukulahleka kwe-sensorineural hearing is worse?
• Yise kude

Ukuphulukana nokuva kwemvakalelo (SNHL) kubangelwa ngumonakalo kubume bendlebe yakho yangaphakathi okanye imithambo-luvo yakho yokuva. Ngunobangela weepesenti ezingama-90 zokulahleka kwendlebe kubantu abadala. Oonobangela abaqhelekileyo be-SNHL kubandakanya ukubhengeza ingxolo enkulu, izinto zofuzo, okanye inkqubo yokuguga yendalo.

Ilungu elijikelezayo ngaphakathi kwendlebe yakho yangaphakathi ebizwa ngokuba yi-cochlea yakho ineenwele ezincinci ezaziwa ngokuba yi-stereocilia. Ezi nwele ziguqula ukungcangcazela ukusuka kumaza esandi ukuya kwimiqondiso ye-neural ethi imithambo-luvo yakho yokuva ihambise kwingqondo yakho. Ukuvezwa kwezandi kunokonakalisa ezi nwele.

Nangona kunjalo, awunakufumana ilahleko yokuva de ezi zinwele zonakaliswe. Amashumi asibhozo anesihlanu ee-decibel aphantse alingane nengxolo enkulu yezithuthi eziviwe ngaphakathi emotweni.

I-SNHL inokusukela ekuphulukaneni nendlebe encinci ukugqibezela ukulahleka kwendlebe ngokuxhomekeke kwinqanaba lomonakalo.

• Ukuphulukana nokuva kakuhle. Ukuphulukana nokuva phakathi kwee-decibel ezingama-26 ukuya kwezingama-40.
• Ukuphulukana nendlebe ngokuphakathi. Ukuphulukana nokuva phakathi kwama-decibel angama-41 ukuya kuma-55.
• Ukulahleka okukhulu kwindlebe. Ukuphulukana nokuva ngaphezulu kwee-decibels ezingama-71.

I-SNHL ayisiyongozi yobomi, kodwa inokuphazamisa ukukwazi kwakho ukunxibelelana ukuba ayilawulwa kakuhle. Qhubeka ufunda ukuze ufumane ukuba yintoni ebangela ukuba i-SNHL, ungayithintela njani, kunye nokhetho lwakho ukuba ujongene nalo ngoku.

Iimpawu zokuphulukana nokuva kwemvakalelo

I-SNHL inokwenzeka kwindlebe enye okanye zombini iindlebe ngokuxhomekeke kwisizathu. Ukuba ii-SNHL zakho zihlasela ngokuthe ngcembe, iimpawu zakho zisenokungabonakali ngaphandle kovavanyo lokuva. Ukuba ufumana i-SNHL ngequbuliso, iimpawu zakho ziya kuza kwiintsuku ezimbalwa. Uninzi lwabantu luqala uqaphele iSNHL ngequbuliso xa uvuka.

Ukuphulukana nokuva kwemvakalelo kungakhokelela ku:

• unengxaki yokuva izandi xa kukho ingxolo yangasemva
• ubunzima obuthile bokuqonda amazwi abantwana kunye nabasetyhini
• isiyezi okanye iingxaki zokulinganisela
• ingxaki yokuva izandi eziphezulu
• izandi kunye namazwi abonakala ngathi adidekile
• uziva ngathi ungaziva amazwi kodwa ungaziqondi
• i-tinnitus (ukukhala ezindlebeni zakho)

Ukuphulukana nokuva kwemvakalelo kubangela

I-SNHL inokuba yinto yokuzalwa, oko kuthetha ukuba kukho ukuzalwa, okanye ukufunyanwa. Oku kulandelayo kungunobangela weSNHL.

Ukuzalwa

Ukuphulukana nendlebe kokuzalwa kukukho kwasekuzalweni kwaye yenye yezona zinto zixhaphakileyo ekuzalweni. Ichaphazela malunga.

Malunga nabantwana abazelwe benokuphulukana nokuva kwendlebe bakhula kwizinto zemfuza kwaye esinye isiqingatha sikhula kwimeko yemeko-bume. Ngapha koko kunxulunyaniswe nelahleko yokuva ngemfuza. Usulelo kunye nokungabikho kweoksijini konke kunokukhokelela ekuphulukaneni nendlebe.

Ingxolo enkulu

Ukuboniswa kwezandi ngaphezulu kwe-85 ye-decibel kunokukhokelela kwi-SNHL. Nokuba kukuvezwa kwexesha elinye kwizandi ezinje ngokuqhushumba okanye kuqhushumbo kunokubangela umonakalo ongapheliyo wokuva.

I-Presbycusis

I-Presbycusis lelinye igama lokulahleka kwendlebe okunxulumene nobudala. Phantse umntu om-1 kwabathathu ophakathi kweminyaka engama-65 nama-74 eUnited States anengxaki yokuva. Xa uneminyaka engama-75 ubudala, malunga nesiqingatha salo hlobo oluthile lokulahlekelwa kukuva.

Ukuqhuba ngokuchaseneyo nelahleko yokuva kwendlebe

Ukonakala kwithambo lakho lokuva okanye ulwakhiwo lwendlebe yakho yangaphakathi kunokukhokelela kwi-SNHL. Olu hlobo lokulahleka kwendlebe lukhokelela kwiingxaki eziguqula ukungcangcazela kwesandi sibe ngumqondiso we-neural onokuthi utolikwe yingqondo.

Ukuphulukana nokuva okuqhubayo kwenzeka xa isandi singadluli kwindlebe yakho yangaphandle okanye embindini. Oku kulandelayo kunokubangela ukulahleka kweendlebe.

• ulwakhiwo olungamanzi
• usulelo lwendlebe
• umngxunya kwindlebe yakho
• amathumba anobungozi
• iindlebe
• Ukuthintelwa kwezinto zangaphandle
• ukukhubazeka kwindlebe yangaphandle okanye ephakathi

Zombini ezi ntlobo zokuphulukana nendlebe zinokubangela iimpawu ezifanayo. Nangona kunjalo, abantu abaphulukene neendlebe zokuqhuba bahlala beva izandi ezingavakaliyo ngelixa abantu abane-SNHL besiva kungafuneki kwaye.

Abanye abantu bafumana ukuxuba kokubini kokuziva kunye nokulahleka kwendlebe. Ukuphulukana nokuva kuthathwa njengokuxubekileyo ukuba kukho iingxaki kokubini ngaphambi nasemva kwecochlea.

Kubalulekile ukuba ufumane uxilongo olufanelekileyo ukuba ujongene nokulahlekelwa kukuva. Ngamanye amaxesha, kunokwenzeka ukuba uphinde uve. Ngokukhawuleza ufumana unyango, kunokwenzeka ukuba unciphise umonakalo kwizakhiwo zendlebe yakho.

Ukuphulukana nokuva kwesandi ngokukhawuleza (SSHL)

I-SSHL ilahleko yokuva ubuncinci i-30 decibel ngaphakathi kweentsuku ezintathu. Ichaphazela ngokurhabaxa kwaye ihlala ichaphazela indlebe enye kuphela. I-SSHL ikhokelela ekubeni isithulu kwangoko okanye ngaphezulu kweentsuku ezimbalwa. Ihlala ichaphazela indlebe enye kuphela kwaye abantu abaninzi bayayiqaphela okokuqala emva kokuvuka kusasa.

I-SSHL inokuba nesizathu esibi. Ukuba ufumana ubuthulu ngokukhawuleza kufuneka ubone ugqirha ngokukhawuleza.

Ezi zizathu zilandelayo zingakhokelela kukungeva ngequbuliso.

• usulelo
• ukwenzakala entloko
• isifo somzimba
• Isifo sikaMeniere
• iziyobisi ezithile okanye amayeza
• iingxaki zokuhamba

Olona khetho luqhelekileyo kunyango lokulahleka ngeendlebe kukumiselwa kwecorticosteroids. Ukuthatha i-corticosteroids ngaphakathi kokuqala kwe-SSHL kukunika elona thuba lilungileyo lokuphinda uve.

Iindidi zokuphulukana nokuva kwendlebe

Ukuphulukana nokuva kwemvakalelo kunokuchaphazela indlebe enye okanye zombini iindlebe ngokuxhomekeke kwisizathu.

• Ukuphulukana nokuva kwendlebe. Imfuza, ukubhencwa kwizandi ezivakalayo, kunye nezifo ezinjengemasisi zingakhokelela kwi-SNHL kwiindlebe zombini.
• Ukuphulukana nokuva kwendlebe ngokubonakalayo. I-SNHL inokuchaphazela indlebe enye kuphela ukuba ibangelwa yithumba, isifo sikaMeniere, okanye ingxolo ekhawulezileyo kwindlebe enye.
• Ukuphulukana nendlebe I-Asymmetrical SNHL yenzeka xa kukho ukulahleka kwendlebe kumacala omabini kodwa elinye icala libi kakhulu kunelinye.

Ukuphulukana nokuziva kokuphulukana nokuva

Oogqirha basebenzisa iintlobo ezahlukeneyo zovavanyo ukufumanisa ngokufanelekileyo ilahleko yokuva kwendlebe.

Uvavanyo lomzimba

Uvavanyo lomzimba lunokunceda ukwahlula i-SNHL ekuphulukaneni nendlebe. Ugqirha uza kukhangela ukuvuvukala, ulwelo okanye i-earwax buildup, umonakalo kwi-eardrum yakho, nakwamanye amazwe.

Ukulungisa iifolokhwe

Ugqirha unokusebenzisa uvavanyo lwefolokhwe yokulungisa njengovavanyo lokuqala. Uvavanyo oluthile lubandakanya:

• Uvavanyo luka-Weber. Ugqirha ubetha i-512 Hz ifolokhwe yokulungisa kancinci kwaye uyibeka kufutshane nomda webunzi lakho. Ukuba isandi sikhulu ngakumbi kwindlebe yakho echaphazelekayo, ukulahleka kwendlebe kunokwenzeka ukuba kusebenze. Ukuba isandi sikhulu ngakumbi kwindlebe yakho engachaphazelekiyo, ukuphulukana nokuva kusenokwenzeka ukuba kukuziva kakuhle.
• Uvavanyo lweRinne. Ugqirha ubetha ifolokhwe yokulungisa kwaye uyibeke ecaleni kwethambo lakho le-mastoid emva kwendlebe yakho de ungasasiva isandi. Ugqirha wakho emva koko uhambisa ifolokhwe yokulungisa phambi komsele wakho weendlebe de ungeva isandi. Ukuba unayo i-SNHL, uya kuba nakho ukuva ifolokhwe yokulungisa ngcono phambi komsele wakho wendlebe kunokuchasene nethambo lakho.

Iaudiogram

Ukuba ugqirha ulindele ukuba ulahlekelwe kukuva, baya kukuthumela kuvavanyo lwe-audiometer oluchanekileyo olwenziwe yingcali yesandi.

Ngexesha lovavanyo, uya kunxiba ii-headphone kwindawo enesandi. Iithoni kunye namagama aya kudlalwa kwindlebe nganye kwimiqulu eyahlukeneyo kunye nobuninzi. Uvavanyo lunceda ukufumana isandi esizolileyo onokusiva kunye neendlela ezithile zokulahleka kwendlebe.

Unyango lweSNHL

Okwangoku, akukho ndlela yotyando yokunyanga i-SNHL. Olona khetho luqhelekileyo kukuva izixhobo zokuncedisa ukuva kunye nezinto ezifakelwa kwi-cochlear ukukunceda ubuyekeze ukuva. Unyango lwe-Gene lokulahleka kwendlebe licandelo elandayo lophando. Nangona kunjalo, ngeli xesha ayisetyenziswanga ngokwezonyango kwi-SNHL.

Izinto zokuncedisa ukuva

Izinto zokuncedisa ukuva kule mihla zinokutshatisa iimpawu zokulahleka kwendlebe. Umzekelo, ukuba unengxaki yokuva izandi ezihamba rhoqo, uncedo lokuva lunokunceda ukucofa ezi zandi ngaphandle kokuchaphazela amanye amaza.

Ukufakwa kweCochlear

Ukufakwa kwe-cochlear sisixhobo esinokuthi senziwe ngonyango ukunceda nge-SNHL ebukhali. Ukufakwa kwe-cochlear kunamalungu amabini, imakrofoni oyinxiba emva kwendlebe yakho kunye nesamkeli ngaphakathi kwendlebe yakho esithumela ulwazi lombane kwimbilini yakho yokuva.

Ukuphulukana nokuva kwesandi

Imbonakalo yabantu abane-SNHL yahluka kakhulu ngokuxhomekeke kubungakanani kunye nonobangela wokulahleka kwendlebe. I-SNHL lolona hlobo luqhelekileyo lokulahleka kwindlebe ngokusisigxina.

Kwiimeko ze-SSHL ngequbuliso, uMbutho weLahleko yokuLawula iMelika uthi iipesenti ezingama-85 zabantu baya kufumana ubuncinci bokufumana kwakhona ukuba baphathwa ngugqirha wendlebe, impumlo kunye nomqala. Malunga nabantu baphinde baziva ngokukhawuleza ngaphakathi kweeveki ezi-2.

Ngaba ukulahleka kwe-sensorineural hearing is worse?

I-SNHL ihlala iqhubeka ngokuhamba kwexesha ukuba ibangelwa zizinto ezinxulumene nobudala okanye izinto zemfuza. Ukuba ibangelwe yingxolo engxamisekileyo ngesiquphe okanye izinto zokusingqongileyo, iimpawu ziya kuthi zibekho kwithafa ukuba uyawuphepha unobangela womonakalo wokuva.

Yise kude

I-SNHL yinxalenye yendalo yenkqubo yokuguga yabantu abaninzi. Nangona kunjalo, ukuvezwa kwengxolo enkulu kunokubangela nomonakalo osisigxina kwindlebe yakho yangaphakathi okanye kwimithambo-luvo yokuva. Ukulandela le mikhwa yokuva usempilweni kunokukunceda uphephe umonakalo wendlebe onxulumene nengxolo:

• Gcina ivolumu yakho yentloko phantsi kweepesenti ezingama-60.
• Nxiba ii-earplugs kwindawo enengxolo enkulu.
• Dibana nogqirha ngaphambi kokuba uqale iyeza elitsha.
• Fumana iimvavanyo zokuva rhoqo.