He aha ka Loss lohe Sensorineural?

Anter

• ʻO nā ʻōuli nalowale Sensorineural loss
• ʻO ke kumu o ka nalowale ʻana o Sensorineural
• Hānau hānau
• Nū leo nui
• ʻO Presbycusis
• Ka hoʻolohe ʻana me vs. sensorineural loss loss
• Lohe lohe liʻiliʻi koke (SSHL)
• Nā ʻano o ka nalowale ʻana o ka sensorineural
• ʻIkioma nalo lohe Sensorineural
• Hōʻike kino
• ʻ .puʻu tuning
• Audiogram
• Hoʻomaʻo SNHL
• Kōkua hoʻolohe
• Hoʻokomo ʻia Cochlear
• Loaʻa ka wānana o ka lohe Sensorineural
• Hele a hewa paha ka lohe pepeiao sensorineural?
• Lawe aku

Hoʻopilikia ʻia ka lohe pepeiao Sensorineural (SNHL) e ka hōʻino ʻana i nā hanana i loko o kou pepeiao o loko a i ʻole kou nerve lohe. ʻO ia ke kumu o ka oi ma mua o 90 pākēneka o ka nalo ʻana o ka lohe i nā mākua. ʻO nā kumu maʻamau o SNHL e pili ana i ka hōʻike ʻana i nā leo nui, nā kumu kūlohelohe, a i ʻole ke kaʻina ʻelemakule kūlohelohe.

ʻO kahi ʻōpala i loko o kou pepeiao o loko i kapa ʻia ʻo kāu cochlea he mau huluhulu liʻiliʻi i ʻike ʻia ʻo stereocilia. Hoʻololi kēia mau lauoho i nā haʻalulu mai nā nalu kani i nā neural signal i lawe ʻia e kāu nerve lohe i kou lolo. Hiki i ka hōʻike ʻana i ke kani ke hōʻino i kēia mau lauoho.

Eia nō naʻe, ʻaʻole paha ʻoe e ʻike i ka nalo ʻana o ka lohe a hiki i ka wā e hōʻino ʻia ai kēia mau lauoho. Kanawalukūmālima mau decibel e like paha me ke kani kaumaha o nā kaʻa i lohe ʻia mai loko mai o kahi kaʻa.

Hiki i ka SNHL ke hōʻiliʻili mai ka nalo ʻana o ka lohe a hiki i ka pau ʻana o ka nalo ʻana i ka lohe ma muli o ke ʻano o ka hōʻino.

• Lohe hoʻolohe haʻahaʻa. Lilo o ka hoʻolohe ʻana ma waena o 26 a 40 decibels.
• Lilo hoʻolohe hoʻolohe haʻahaʻa. Lilo o ka hoʻolohe ʻana ma waena o 41 a 55 decibels.
• Lilo loa ka lohe ʻana. Lilo o ka hoʻolohe ʻana ma mua o 71 decibels.

ʻAʻole kahi SNHL ola weliweli, akā hiki iā ia ke keakea i kou hiki ke kamaʻilio inā ʻaʻole mālama pono ʻia. E hoʻomau i ka heluhelu ʻana e ʻike ai i ke kumu o SNHL, pehea e hiki ai iā ʻoe ke pale aku iā ia, a me kāu mau koho lapaʻau inā ʻoe e hana pū ana me ia.

ʻO nā ʻōuli nalowale Sensorineural loss

Hiki i ka SNHL ke hana i hoʻokahi pepeiao a i ʻole nā ​​pepeiao ʻelua e pili ana i ke kumu. Inā kūnohi mālie kāu SNHL, ʻaʻole maopopo paha kāu mau ʻōuli me ka ʻole o kahi hoʻolohe hoʻolohe. Inā loaʻa iā ʻoe ka SNHL hikiwawe, e hiki mai ana kāu mau hōʻailona ma loko o kekahi mau lā. ʻIke ka hapa nui o ka poʻe i ka SNHL hiki koke i ka ala ʻana.

Hiki i ka nalo ʻana o ka lohe Sensorineural ke alakaʻi i:

• hoʻopilikia i ka lohe ʻana i ke kani ke kani ka walaʻau ma hope
• ʻano paʻakikī ka hoʻomaopopo ʻana i nā leo o nā keiki a me nā wahine
• hoʻoluhi a pilikia paha i nā pilikia
• pilikia i ka lohe ʻana i nā kani kani kiʻekiʻe
• me he mea lā ua muffled nā leo a me nā leo
• me ka manaʻo e hiki iā ʻoe ke lohe i nā leo akā ʻaʻole hiki ke hoʻomaopopo iā lākou
• tinnitus (ke kani nei i kou mau pepeiao)

ʻO ke kumu o ka nalowale ʻana o Sensorineural

Hiki i ka SNHL ke hānau, ʻo ia hoʻi he hānau a i loaʻa paha. ʻO nā mea aʻe i hiki ke kumu o SNHL.

Hānau hānau

Aia ka nalowale hoʻolohe pepeiao mai ka wā hānau a ʻo ia kekahi o nā hana maʻamau maʻamau ʻole o ka hānau ʻana. Pili ia e pili ana.

E pili ana i nā keiki i hānau ʻia me ka nalowale hoʻolohe pepeiao hoʻomohala iā ia mai nā ʻikepili a me ka hapalua e hoʻomohala iā ia mai nā ʻano kaiapuni. ʻOi aku ma mua o ka hoʻopili ʻia ʻana i ka nalo ʻana o ka hoʻolohe genetic. ʻO nā maʻi a me ka nele o ka oxygen hiki ke alakaʻi i ka nalo ʻana o ka lohe.

Nū leo nui

Hiki ke hōʻike i nā kani ma kahi o 85 mau decibels i SNHL. ʻOiai ʻo ka manawa hoʻokahi i nā kani e like me nā pū kī a i ʻole nā ​​pahū e hiki ai ke hōʻino i ka hoʻolohe mau.

ʻO Presbycusis

ʻO Presbycusis kekahi inoa no ka nalo ʻana o ka hoʻolohe ʻana i nā makahiki. Ma kahi o 1 ma 3 mau kānaka ma waena o nā makahiki o 65 a me 74 i ka United States i nalowale ka hoʻolohe ʻana. I ka makahiki 75, ma kahi o ka hapalua i loaʻa kekahi ʻano o ka nalo ʻana o ka lohe.

Ka hoʻolohe ʻana me vs. sensorineural loss loss

ʻO ka hōʻino ʻana i kāu aʻa hoʻolohe a i ʻole nā ​​hanana o kou pepeiao o loko e hiki ai i SNHL. ʻO kēia ʻano nalo o ka pepeiao ke alakaʻi i nā pilikia e hoʻololi ana i nā haʻalulu kani i nā neural signal i hiki i ka lolo ke wehewehe.

Kū ka nalowale hoʻolohe lohe ʻole inā ʻaʻole hiki i ke kani ke hele i waena o kou pepeiao waho a waena paha. Hiki i ka mea aʻe ke kumu o ka nalo ʻana o ka lohe conductive.

• hoʻoulu wai
• maʻi maʻi pepeiao
• puka ma kou pepeiao
• maʻi puʻupuʻu benign
• earwax
• ālai ʻia e nā mea haole
• deformations ma ka pepeiao waho a waena paha

Hiki i nā ʻano ʻelua o ka nalo ʻana ke hoʻolohe i nā ʻōuli like. Eia nō naʻe, lohe ka poʻe me ka lohe lohe conductive i nā leo muffled ʻoiai ka poʻe me SNHL e hoʻolohe a muffled a.

ʻIke kekahi poʻe i kahi hui o nā sensorineural a me nā nalowale lohe conductive. Hoʻohālikelike ʻia ka nalo ʻana o ka lohe inā he pilikia kekahi ma mua a ma hope hoʻi o ka cochlea.

He mea nui e kiʻi i kahi hōʻailona kūpono inā ʻoe e pili ana i ka nalo ʻana o ka lohe. I kekahi mau hihia, hiki ke loaʻa hou i kāu hoʻolohe ʻana. ʻO ka wikiwiki o kou loaʻa ʻana i ka lāʻau, ʻoi aku ka liʻiliʻi o kāu hōʻemi ʻana i ka hōʻino ʻana i nā hanana o kou pepeiao.

Lohe lohe liʻiliʻi koke (SSHL)

ʻO SSHL kahi nalo o ka hoʻolohe ʻana ma 30 mau decibels ma waena o 3 mau lā. Hoʻopili ʻino ia a pili wale i hoʻokahi pepeiao. Alakaʻi ʻo SSHL i ke kuli a i ʻole i kekahi mau lā. Hoʻopili pinepine ia i hoʻokahi pepeiao a ʻike nui ka poʻe iā ia ma hope o ke ala ʻana i kakahiaka.

He kumu kumu nui paha ko SSHL. Inā ʻike ʻoe i kahi kuli kuli e ʻike koke ʻoe i ke kauka.

Hiki i nā kumu aʻe ke alakaʻi i ka kuli hiki ʻole.

• nā maʻi maʻi
• hōʻeha poʻo
• maʻi maʻi autoimmune
• Maʻi ʻo Meniere
• kekahi mau lāʻau a lāʻau paha
• nā pilikia holo

ʻO ke koho lapaʻau maʻamau no ka nalo ʻana o ka lohe pepeiao ke kuhikuhi o nā corticosteroids. Lawe i nā corticosteroids i loko o ka hoʻomaka o SSHL hāʻawi iā ʻoe i ka manawa kūpono maikaʻi loa e hoʻolohe hou ai i kāu lohe.

Nā ʻano o ka nalowale ʻana o ka sensorineural

Hiki i ka pepeiao lohe Sensorineural ke hoʻopili i hoʻokahi pepeiao a i ʻole nā ​​pepeiao ʻelua ma muli o ke kumu.

• ʻO ka nalowale hoʻolohe lohe sensorineural. ʻO nā genetics, ke kū ʻana i nā kani nui, a me nā maʻi e like me ka maʻi ʻulaʻula hiki ke alakaʻi iā SNHL i nā pepeiao ʻelua.
• ʻO ka nalowale hoʻolohe lohe sensorineural ʻokoʻa. Hoʻopili wale paha ʻo SNHL i hoʻokahi pepeiao inā pili ʻia e kahi tumo, ka maʻi o Meniere, a i ʻole ka walaʻau nui ʻana i hoʻokahi pepeiao.
• ʻO ka nalowale hoʻolohe lohe sensorineural asymmetrical. Hana ʻia ka asymmetrical SNHL ke loaʻa ka lohe ma nā ʻaoʻao ʻelua akā ʻoi aku ka maikaʻi o kekahi ʻaoʻao ma mua o kekahi.

ʻIkioma nalo lohe Sensorineural

Hoʻohana nā kauka i kekahi mau ʻano hoʻokolohua e kuhikuhi pono i ka nalo ʻana o ka sensorineural.

Hōʻike kino

Hiki i kahi hoʻokolohua kino ke kōkua i ka hoʻokaʻawale ʻana iā SNHL mai ka hoʻolohe ʻana conductive. E ʻimi kahi kauka no ka huehue, wai a earwax buildup paha, hōʻino i kāu eardrum, a me nā kino haole.

ʻ .puʻu tuning

Hiki i ke kauka ke hoʻohana i kahi hoʻokolohua fork test ma ke ʻano he loiloi mua. ʻO nā hoʻokolohua kikoʻī pū kekahi:

• Hōʻike a Weber. Hahau ke kauka i kahi oʻoka tuning 512 Hz mālie a hoʻonoho iā ia kokoke i ka midline o kou lae. Inā ʻoi aku ka leo i kou pepeiao e pili ana, conductive paha ka nalo ʻana o ka lohe. Inā ʻoi aku ka leo i kou pepeiao i hoʻopili ʻole ʻia, sensorineural paha ka nalo ʻana o ka lohe.
• Hōʻike Rinne. Hahau ke kauka i kahi ohe kani a hoʻonoho iā ia i kou iwi mastoid ma hope o kou pepeiao a hiki i kou lohe ʻole ʻana i ke kani. A laila hoʻoneʻe kāu kauka i ka ʻohe kani i mua o kou alo pepeiao a hiki i kou hiki ʻole ke lohe i ke kani. Inā loaʻa iā SNHL, hiki iā ʻoe ke lohe i ka ʻoi o ke kani i mua o ke alo o kou pepeiao ma mua o ka iwi.

Audiogram

Inā manaʻo ke kauka he maʻi lohe kou, e hoʻouna paha lākou iā ʻoe no kahi hōʻike audiometer ʻoi aku ka pololei i hana ʻia e kahi audiologist.

I ka wā o ka hoʻokolohua, e komo ʻoe i nā pepeiao i nā pahu kani. E pāʻani nā leo a me nā huaʻōlelo i loko o kēlā me kēia pepeiao ma nā puke a me nā alapine like ʻole. Kōkua ka hōʻoia i ke kani mālie loa āu i hiki ai ke lohe a me nā alapine kikoʻī o ka nalo ʻana o ka lohe.

Hoʻomaʻo SNHL

I kēia manawa, ʻaʻohe koho ʻoki e mālama iā SNHL. ʻO nā koho maʻamau nā mea kōkua pepeiao a me nā implant cochlear e kōkua iā ʻoe e uku no ka nalo ʻana o ka lohe. ʻO ka gen therapy no ka hoʻolohe ʻana i ka lohe he kahua noiʻi ia e hoʻonui nei. Eia nō naʻe, i kēia manawa ʻaʻole hoʻohana lapaʻau ʻia no SNHL.

Kōkua hoʻolohe

Hiki i nā mea kōkua hoʻolohe manaʻo hou ke kūlike i nā ʻōuli o ka hoʻolohe ʻana. ʻO kahi laʻana, inā he mau pilikia paha kou i ka lohe ʻana i nā kani alapine kiʻekiʻe, hiki i kahi mea hoʻolohe ke lohe i ke kani ʻana i kēia mau leo ​​me ka hoʻopili ʻole i nā alapine ʻē aʻe.

Hoʻokomo ʻia Cochlear

ʻO ka implant cochlear kahi mea i hiki ke hoʻokō ʻia me ka ʻokiʻoki e kōkua me SNHL koʻikoʻi. He ʻelua ʻāpana o ka cochlear implant, kahi microphone āu e hoʻokomo ai ma hope o kou pepeiao a me kahi mea loaʻa i loko o kou pepeiao e hoʻouna i ka uila uila i kāu aʻa hoʻolohe.

Loaʻa ka wānana o ka lohe Sensorineural

ʻO ke kuanaʻike no ka poʻe me SNHL he loli nui e pili ana i ka nui a me ke kumu o ka nalowale ʻana o ka lohe. ʻO SNHL ka ʻano maʻamau o ka nalo mau ʻana o ka hoʻolohe.

I nā hihia o SSHL hikiwawe, ua ʻōlelo ka Association of Loss Association o ʻAmelika he 85 pākēneka o ka poʻe e ʻike i ka hoʻihoʻi hapa ʻana inā mālama ʻia lākou e ka ka pepeiao, ka ihu, a me ka ʻāʻī. No ka poʻe e hoʻi hou i kā lākou hoʻolohe ʻana i loko o 2 mau pule.

Hele a hewa paha ka lohe pepeiao sensorineural?

Holomua pinepine ka SNHL i ka manawa ke kumu ʻia e ka makahiki a i ʻole nā ​​kumu kūlohelohe. Inā hopena ʻia e kahi leo nui a i ʻole nā ​​mea e pili ana i ke kaiapuni, e pālahalaha paha nā ʻōuli inā ʻoe e hōʻalo i ke kumu o ka hoʻolohe ʻino.

Lawe aku

ʻO SNHL kahi ʻāpana kūlohelohe o ka hana ʻelemakule no nā poʻe he nui. Eia nō naʻe, hiki i ka halulu ʻana i nā leo nui ke kumu i hōʻino mau i kāu pepeiao o loko a i ʻole nā ​​aʻalolo hoʻolohe. Ma hope o kēia mau ʻano hoʻolohe pepeiao olakino hiki ke kōkua iā ʻoe e hōʻalo i ka hōʻino pepeiao e pili ana i ka walaʻau.

• E mālama i kāu lepe leo ma lalo o 60 pākēneka.
• E hoʻokomo i nā earplugs a puni nā leo nui.
• E nīnau i ke kauka ma mua o ka hoʻomaka ʻana i kahi lāʻau hou.
• E kiʻi i nā hoʻolohe hoʻolohe mau.