ʻO nā hoʻāʻo hoʻolohe ʻana no nā mākua

Anter

• He aha nā hoʻokolohua hoʻolohe ʻana?
• No ke aha lākou e hoʻohana ai?
• No ke aha wau e pono ai i kahi hoʻolohe hoʻolohe?
• He aha ka hana i ka wā o ka hoʻolohe hoʻolohe ʻana?
• E pono paha wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻolohe ʻana i ka hoʻolohe ʻana?
• Aia kekahi mau pilikia i ka hoʻolohe ʻana i nā hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻolohe hoʻolohe ʻana?
• Nā kūmole

He aha nā hoʻokolohua hoʻolohe ʻana?

Ana nā hoʻokolohua hoʻolohe ʻana i ke ʻano o ka hiki iā ʻoe ke lohe. Hiki ke lohe maʻamau ke hele nā ​​nalu kani i loko o kou pepeiao, e haʻalulu ai kāu eardrum. Hoʻoneʻe ka haʻalulu i nā nalu i loko o ka pepeiao, kahi e hoʻonāukiuki ai i nā hunaola nerve e hoʻouna i ka ʻike kani i kou lolo. Unuhi ʻia kēia ʻike i nā kani āu e lohe ai.

Hiki i ka lohe pepeiao ke pilikia ʻoe me hoʻokahi a ʻoi paha mau ʻāpana o ka pepeiao, nā aʻa i loko o ka pepeiao, a i ʻole ka ʻāpana o ka lolo e kaohi ana i ka lohe. ʻEkolu ʻano nui o ka nalo ʻana o ka hoʻolohe.

• Sensorineurual (kapa ʻia ʻo ke kuli nerve). Hoʻokumu ʻia kēia ʻano o ka nalo ʻana e ka pilikia me ke ʻano o ka pepeiao a me / a i ʻole nā ​​ʻalolo e kaohi ana i ka hoʻolohe. Aia paha i ka wā hānau a hōʻike lohi paha i ke ola. ʻO ka nalo ʻana o ka lohe Sensorineural ka mea mau. ʻO kēia ʻano nalo o ke ʻano lohe mai ke akahai (ka hiki ʻole ke lohe i kekahi kani) a hohonu (ka hiki ʻole ke lohe i nā kani).
• Conductive. Hoʻokumu ʻia kēia ʻano o ka nalo ʻana e ka poloka o ka lawe leo ʻana i loko o ka pepeiao. Hiki ke hana i kēlā me kēia makahiki, akā he mea maʻamau ia i nā pēpē a me nā keiki ʻōpio a pinepine ʻia e nā maʻi pepeiao a i ʻole ka wai i nā pepeiao. Maʻalahi ka loiloi ʻana o ka lohe conductive i kekahi manawa, manawa pōkole, a hiki hoʻi ke mālama ʻia.
• Hoʻohuihui, kahi hui pū o nā sensorineural a me nā nalowale lohe conductive.

ʻO ka lohe pinepine ʻana o ka nalo ʻana i nā mākua makua. Ma kahi o ka hapakolu o nā mākua ma luna o ka makahiki 65 i loaʻa i kahi nalo o ka lohe, pinepine ka ʻano o ka sensorineural. Inā kuhi ʻia ʻoe me ka nalo o ka lohe, aia nā ʻanuʻu hiki iā ʻoe ke hana i hiki ke kōkua i ka mālama ʻana a i ʻole mālama i ke ʻano.

Nā inoa ʻē aʻe: audiometry, audiography, audiogram, hoʻokolohua kani

No ke aha lākou e hoʻohana ai?

Hoʻohana ʻia nā hoʻokolohua hoʻolohe ʻana e ʻike inā ʻaʻole ʻoe e pilikia i ka hoʻolohe ʻana a inā ʻaʻole pēlā, pehea ia.

No ke aha wau e pono ai i kahi hoʻolohe hoʻolohe?

Pono ʻoe i kahi hoʻolohe hoʻolohe inā loaʻa iā ʻoe nā ʻōuli o ka nalo ʻana o ka lohe. Pākuʻi ʻia kēia mau mea:

• Ka pilikia i ka hoʻomaopopo ʻana i ka mea a nā poʻe ʻē aʻe e ʻōlelo nei, keu hoʻi i kahi nohona walaʻau
• Pono e noi i ka poʻe e hana hou iā lākou iho
• Hoʻopilikia i ka lohe ʻana i nā kani kani kiʻekiʻe
• Pono e hoʻohuli i ka leo ma ke kīwī a i ʻole mea hoʻokani pila
• He kani kani i kou mau pepeiao

He aha ka hana i ka wā o ka hoʻolohe hoʻolohe ʻana?

Hana ʻia kāu hoʻokolohua hoʻolohe pepeiao e kahi mea mālama ola mua a i ʻole kekahi o nā ʻano o nā mea hāʻawi aʻe:

• He audiologist, kahi lawelawe mālama ola nāna i loea i ka diagnose, mālama ʻana, a me ka mālama ʻana i ka nalo ʻana o ka lohe
• An otolaryngologist (ENT), he kauka e loea ana i ka mālama ʻana i nā maʻi a me nā kūlana o nā pepeiao, ka ihu, a me ka ʻāʻī.

Nui a hewahewa nā ʻano hoʻokolohua hoʻolohe. ʻO ka hapanui o nā hoʻokolohua e nānā no kāu pane i nā leo a i ʻole nā ​​huaʻōlelo i hāʻawi ʻia i nā pitch, nā puke, a me / a i ʻole nā ​​kani kani. Kapa ʻia kēia mau mea he hoʻāʻo kani. ʻO nā hoʻāʻo kani maʻamau e:

Nā Ana Reflex Acoustic, i kapa ʻia hoʻi ka reflex muscle muscle reflex (MEMR), e hoʻāʻo i ka maikaʻi o ka pane ʻana o ka pepeiao i nā leo nui. I ka lohe maʻamau, paʻa ka mākala liʻiliʻi i loko o ka pepeiao ke lohe ʻoe i nā leo nui. Kapa ʻia kēia ʻo ka acoustic reflex. Hana ʻia me ka ʻike ʻole iā ia. Ma ka hoʻāʻo:

• E hoʻonoho ka audiologist a i ʻole kahi mea lawelawe ʻē aʻe i kahi kulu palupalu i loko o ka pepeiao.
• E hoʻouna ʻia ana kahi o nā leo nui ma o nā ʻōlelo aʻoaʻo a hoʻopaʻa ʻia ma luna o kahi mīkini.
• E hōʻike ka mīkini i ka manawa a i ʻole inā ua hoʻomaka ke kani i kahi reflex.
• Inā maikaʻi ʻole ka nalo ʻana o ka lohe, nui paha ka leo i mea e hoʻonāukiuki ai i kahi reflex, a i ʻole hoʻonāukiuki paha i ka reflex.

Hōʻoiaʻiʻo leo maoli, ʻike ʻia ʻo audiometry. Ma kēia hōʻike:

• E kau ʻoe i nā mea lohe pepeiao.
• E hoʻouna ʻia i kahi o nā kani i kāu mau lohe pepeiao.
• E loli ka audiologist a i ʻole ka mea lawelawe ʻē aʻe i ka leo a me ka leo nui o nā leo i nā kiko like ʻole i ka wā o ka hoʻāʻo. I kekahi mau manawa, lohe ʻole ʻia nā kani.
• E noi ka mea hāʻawi iā ʻoe e pane i nā manawa a pau āu e lohe ai i nā leo. ʻO kāu pane paha e hāpai i kou lima a kaomi i kahi pihi.
• Kōkua ka hoʻāʻo i ka loaʻa o nā kani mālie loa i hiki iā ʻoe ke lohe i nā pitch like ʻole.

Nā hoʻāʻo kakā Tuning. ʻO ka foring tuning kahi mīkini metala pronged ʻelua e hana i kahi kani ke haʻalulu. Ma ka hoʻāʻo:

• E hoʻokau ka audiologist a i ʻole nā ​​mea lawelawe ʻē aʻe i ka foring tuning ma hope o kou pepeiao a i ʻole ma luna o kou poʻo.
• E paʻi ka mea hāʻawi i ka puna no ka mea e hana i kahi leo.
• E noi ʻia ʻoe e haʻi i ka mea hoʻolako i kēlā me kēia manawa ke lohe ʻoe i ke kani i nā leo like ʻole, a i ʻole inā lohe ʻoe i ke kani i kou pepeiao hema, pepeiao ʻākau, a i ʻole ʻelua like.
• Aia i kahi o ka fork e kau ai a pehea kāu e pane ai, hiki i ka hōʻike ke hōʻike inā loaʻa ka pepeiao o ka pepeiao i hoʻokahi o nā pepeiao ʻelua paha. Hiki iā ia ke hōʻike i ke ʻano o ka nalo o kāu lohe (conductive a i ʻole sensorineural).

Nā hoʻāʻo ʻōlelo a me ka ʻike ʻana i ka ʻōlelo hiki ke hōʻike i ke ʻano o ka hiki iā ʻoe ke hoʻolohe i ka ʻōlelo i haʻi ʻia. Ma ka hoʻāʻo:

• E kau ʻoe i nā mea lohe pepeiao.
• E kamaʻilio pū ka mea lohe leo iā ʻoe ma o kāu mau lohe pepeiao, a e noi iā ʻoe e hana hou i kahi o nā huaʻōlelo maʻalahi, i ʻōlelo ʻia ma nā puke like ʻole.
• E hoʻopaʻa ka mea hāʻawi i ka ʻōlelo palupalu i hiki iā ʻoe ke lohe.
• Hana ʻia paha kekahi o nā hoʻāʻo ma kahi walaʻau no ka mea he nui ka poʻe me ka lohe pepeiao i pilikia i ka hoʻomaopopo ʻana i ka ʻōlelo ma nā wahi nui.

ʻO kahi hōʻike ʻokoʻa ʻē aʻe, i kapa ʻia ʻo tympanometry, nā hōʻoia no ke ʻano o ka neʻe ʻana o kāu eardrum.

Ma kahi hoʻokolohua tympanometry:

• E hoʻokau ka audiologist a i ʻole nā ​​mea lawelawe ʻē aʻe i kahi mea liʻiliʻi i loko o ka aʻa pepeiao.
• E hoʻokuʻi ka mea i ka ea i loko o ka pepeiao, e hoʻoneʻe i ka eardrum i mua a i mua.
• Hoʻopaʻa kahi mīkini i ka neʻe ʻana ma nā pakuhi i kapa ʻia ʻo tympanograms.
• Kōkua ka hoʻāʻo inā loaʻa kahi maʻi pepeiao a i ʻole nā ​​pilikia ʻē aʻe e like me ka wai a me ka wax wax buildup, a i ʻole he puka a waimaka paha i ka eardrum.

E pono paha wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻolohe ʻana i ka hoʻolohe ʻana?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka hoʻolohe hoʻolohe.

Aia kekahi mau pilikia i ka hoʻolohe ʻana i nā hoʻāʻo?

ʻAʻohe makaʻu i ka loaʻa ʻana o kahi hoʻolohe hoʻolohe.

He aha ke ʻano o nā hopena?

Hōʻike paha kāu mau hopena inā loaʻa iā ʻoe kahi nalo o ka lohe, a inā he sensorineural a conductive paha ka nalo.

Inā ʻike ʻia ʻoe me ka nalo ʻana o ka lohe sensorineural, hōʻike paha kāu mau hopena ʻo ka nalo ʻana o ka lohe.

• ʻOluʻolu: ʻaʻole hiki iā ʻoe ke lohe i kekahi mau kani, e like me nā kani e kiʻekiʻe a haʻahaʻa paha.
• Lōkahi: ʻaʻole hiki iā ʻoe ke lohe i nā kani he nui, e like me ka ʻōlelo i kahi ʻano walaʻau.
• Koʻikoʻi: ʻaʻole hiki iā ʻoe ke lohe i ka nui o nā kani.
• Hohonu: ʻaʻole hiki iā ʻoe ke lohe i kahi kani.

ʻO ka mālama ʻana a me ka mālama ʻana i ka nalowale ʻana o ka lohe sensorineural e hilinaʻi ia i ka koʻikoʻi.

Inā kuhi ʻia ʻoe me ka nalowale hoʻolohe conductive, hiki i kāu mea hāʻawi ke paipai i ka lāʻau a i ʻole ke ʻoki kino, kaukaʻi ʻia i ke kumu o ka nalo.

Inā he mau nīnau kāu e pili ana i nā hopena, e kamaʻilio me kāu kauka olakino.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻolohe hoʻolohe ʻana?

ʻOiai ʻo ka nalo ʻana o ka lohe pepeiao hiki ke paʻakikī i ka hoʻomaopopo ʻana i ka ʻōlelo maʻamau. Ma muli o kēia, nui ka poʻe ʻelemakule e hōʻalo i nā kūlana kaiaulu, e alakaʻi ana i kahi kaʻawale a me ke kaumaha. Hiki i ke mālama ʻana i ka nalo ʻana o ka hoʻolohe ke kōkua i ka pale ʻana i kēia mau pilikia. ʻOiai ʻo ka lohe mau ʻana i ka poʻe ʻelemākule he mau ia, aia kekahi mau ala e mālama ai i ke ʻano. Nā koho lapaʻau e:

• Kōkua hoʻolohe. ʻO kahi mea hoʻolohe pepeiao kahi mea i komo ma hope a ma loko paha o ka pepeiao. Hoʻonui (kōkua ka mea lohe) i ke kani. ʻOi aku ka nui o nā hana i mua o kekahi mau mea kōkua lohe. Hiki i kāu audiologist ke ʻōlelo i ke koho maikaʻi loa nāu.
• Hoʻokomo ʻia Cochlear. ʻO kēia kahi hāmeʻa i hoʻokomo ʻia me ka lāʻau ma ka pepeiao. Hoʻohana mau ʻia ia i ka poʻe me ka nui o ka nalo ʻana o ka hoʻolohe a ʻaʻole loaʻa ka pōmaikaʻi nui mai ka hoʻohana ʻana i kahi mea hoʻolohe. Hoʻouna pololei nā mea hoʻopili Cochlear i ke aʻalolo lohe.
• ʻOki kino. Hiki ke mālama ʻia i kekahi ʻano o ka nalo ʻana me ka ʻoki ʻana. Hoʻopili kēia i nā pilikia me ka eardrum a i ʻole nā ​​iwi liʻiliʻi o loko o ka pepeiao.

Nā kūmole

1. ʻAhahui Hoʻolohe-ʻ Americanlelo-ʻAmelika (ASHA) [Pūnaewele]. Rockville (MD): ʻAhahui ʻ Hearlelo-ʻ Americanlelo-Hoʻolohe ʻAmelika; c1997–2019. Loiloi Loiloi; [i helu ʻia 2019 Mar 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.asha.org/public/hearing/Hearing-Screening
2. ʻAhahui Hoʻolohe-ʻ Americanlelo-ʻAmelika (ASHA) [Pūnaewele]. Rockville (MD): ʻAhahui ʻ Hearlelo-ʻ Americanlelo-Hoʻolohe ʻAmelika; c1997–2019. Hōʻoiaʻiʻo Kānā Maʻemaʻe; [i helu ʻia 2019 Mar 30]; [ma kahi o 4 pale]. Loaʻa mai: https://www.asha.org/public/hearing/Pure-Tone-Testing
3. ʻAhahui Hoʻolohe-ʻ Americanlelo-ʻAmelika (ASHA) [Pūnaewele]. Rockville (MD): ʻAhahui ʻ Hearlelo-ʻ Americanlelo-Hoʻolohe ʻAmelika; c1997–2019. Hōʻike ʻ Spelelo; [i helu ʻia 2019 Mar 30]; [ma kahi o 4 pale]. Loaʻa mai: https://www.asha.org/public/hearing/Speech-Testing
4. ʻAhahui Hoʻolohe-ʻ Americanlelo-ʻAmelika (ASHA) [Pūnaewele]. Rockville (MD): ʻAhahui ʻ Hearlelo-ʻ Americanlelo-Hoʻolohe ʻAmelika; c1997–2019. Nā hoʻāʻo o ka pepeiao waena; [i helu ʻia 2019 Mar 30]; [ma kahi o 4 pale]. Loaʻa mai: https://www.asha.org/public/hearing/Tests-of-the-Middle-Ear
5. ʻO Cary Audiology Associates [Pūnaewele]. Cary (NC): Hoʻolālā Audiology; c2019. 3 FAQs e pili ana i nā hoʻolohe hoʻolohe ʻana; [kuhi ʻia ʻo Marr 30]; [ma kahi o 4 pale]. Loaʻa mai: https://caryaudiology.com/blog/3-faqs-about-hearing-tests
6. HLAA: ʻAhahui Loss Hoʻolohe o ʻAmelika [Pūnaewele]. Bethesda (MD): ʻAhahui Loss Hoʻolohe o ʻAmelika; Nā Kumuwaiwai Lio Hoʻolohe: Pehea e hiki ai iaʻu ke haʻi inā loaʻa iaʻu kahi nalowale hoʻolohe ?; [i helu ʻia 2020 Jul 25]; [ma kahi o 3 pale]. Loaʻa mai: https://www.hearingloss.org/hearing-help/hearing-loss-basics
7. Mayfield Brain a me Spine [Pūnaewele]. Cincinnati: Mayfield Brain a me Spine; c2008–2019. Hoʻāʻo hoʻolohe (audiometry); [hōʻano hou ʻia 2018 Apr; i helu ʻia ʻo 2019 Mar 30]; [ma kahi o 3 pale]. Loaʻa mai: https://mayfieldclinic.com/pe-hearing.htm
8. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. Loss Hoʻolohe: Kuhi a me ka mālama ʻana; 2019 Mar 16 [helu ʻia 2019 Mar 30]; [ma kahi o 4 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/hearing-loss/diagnosis-treatment/drc-20373077
9. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. Loss Hoʻolohe: Nā ʻōuli a me nā kumu; 2019 Mar 16 [helu ʻia 2019 Mar 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/hearing-loss/symptoms-causes/syc-20373072
10. Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2019. Lohe Lohe; [i helu ʻia 2019 Mar 30]; [ma kahi o 2 pale]. Loaʻa mai: https://www.merckmanuals.com/home/ear,-nose,-and-throat-disorder/hearing-loss-and-deafness/hearing-loss?query=hearing%20loss
11. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Audiometry: Hōʻuluʻulu Manaʻo; [hōʻano hou ʻia 2019 Mar 30; i helu ʻia ʻo 2019 Mar 30]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/audiometry
12. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Tympanometry: nānā ākea; [hōʻano hou ʻia 2019 Mar 30; i helu ʻia ʻo 2019 Mar 30]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/tympanometry
13. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. ʻO Encyclopedia Health: ʻO ka Loss Hoʻolohe Hoʻolohe e pili ana i nā makahiki (Presbycusis); [i helu ʻia 2019 Mar 30]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00463
14. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili Ola: Nā hoʻolohe hoʻolohe: Pehea e hana ai; [hōʻano hou ʻia 2018 Mar 28; i helu ʻia ʻo 2019 Mar 30]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html#tv8479
15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili Ola: Nā hoʻāʻo hoʻolohe: nā hopena; [hōʻano hou ʻia 2018 Mar 28; i helu ʻia ʻo 2019 Mar 30]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html#tv8482
16. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili Ola: Nā hoʻāʻo hoʻolohe: nā pilikia; [hōʻano hou ʻia 2018 Mar 28; i helu ʻia ʻo 2019 Mar 30]; [ma kahi o 7 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html#tv8481
17. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili Ola: Nā hoʻāʻo hoʻolohe: Hōʻike Manaʻo Hōʻike; [hōʻano hou ʻia 2018 Mar 28; i helu ʻia ʻo 2019 Mar 30]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html
18. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili Ola: Nā hoʻolohe hoʻolohe: No ke aha e hana ai; [hōʻano hou ʻia 2018 Mar 28; i helu ʻia ʻo 2019 Mar 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html#tv8477
19. Walling AD, Dickson GM. Lohe Lohe i ka ʻelemakule makua. Am Kauka Lapaʻau [Pūnaewele]. 2012 Jun 15 [helu ʻia 2019 Mar 30]; 85 (12): 1150–1156. Loaʻa mai: https://www.aafp.org/afp/2012/0615/p1150.html

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.