Ntsuam Xyuas Lub Rooj Sib Hais rau Cov Menyuam

Zoo Siab

• Kev ntsuas tus menyuam hnov ​​lus dab tsi?
• Lawv siv rau dab tsi?
• Vim li cas kuv tus menyuam thiaj yuav tsum muaj lub rooj sib hais?
• Yuav muaj dab tsi tshwm sim hauv lub rooj sib hais?
• Kuv puas yuav tsum tau ua ib yam dab tsi los npaj rau kev ntsuam xyuas pob ntseg?
• Puas muaj kev pheej hmoo rau lub rooj sib hais?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog kev ntsuam xyuas pob ntseg?
• Ua tim khawv

Kev ntsuas tus menyuam hnov ​​lus dab tsi?

Cov ntawv twv xyuas no ntsuas seb koj tus menyuam puas hnov ​​tau zoo txaus. Txawm hais tias qhov tsis hnov ​​lus zoo tuaj yeem tshwm sim thaum muaj hnub nyoog li cas, teeb meem hnov ​​lus hauv menyuam mos thiab menyuam thaum ntxov yuav muaj lub txim loj. Qhov no vim tias kev hnov ​​lus zoo tseem ceeb heev rau kev tsim kho cov lus hauv cov menyuam yaus thiab cov menyuam yaus. Txawm hais tias qhov tsis hnov ​​lus zoo ib ntus tuaj yeem ua rau tus menyuam tsis to taub cov lus hais thiab kawm hais lus.

Lub rooj sib hais ib txwm muaj tshwm sim thaum suab vuam ncig nkag mus rau hauv koj lub pob ntseg, ua rau koj lub ntsej muag nrov. Qhov kev co txav txav mus deb vuag mus rau hauv pob ntseg, qhov uas nws ua rau cov leeg hlwb xa cov suab lus rau koj lub hlwb. Cov ntaub ntawv no tau txhais rau cov suab uas koj hnov.

Hnov tsis hnov ​​lus zoo thaum muaj teeb meem nrog rau qee lub lossis pob ntseg ntawm lub pob ntseg, cov hauv hlab ntshav hauv pob ntseg, lossis ib feem ntawm lub paj hlwb uas tswj kev hnov. Nws muaj peb hom kev tsis hnov ​​lus zoo:

• Muaj Kev Lom Zem. Hom kev hnov ​​lus tsis zoo yog tshwm sim los ntawm thaiv cov suab sib txuas mus rau pob ntseg. Feem ntau nws yog rau cov menyuam mos thiab menyuam yaus thiab feem ntau yog mob lub pob ntseg lossis mob rau hauv pob ntseg. Kev hnov ​​lus zoo ua tsis hnov ​​lus feem ntau yog mob me, ib ntus, thiab kho tau.
• Kev Ntsim Siab (tseem hu ua lub paj hlwb tsis hnov ​​lus). Hom kev hnov ​​lus tsis zoo yog vim muaj teeb meem nrog cov qauv ntawm pob ntseg thiab / lossis nrog cov leeg tsis zoo uas tswj lub suab. Tej zaum nws yuav tshwm sim thaum yug los lossis tshwm sim lig hauv lub neej. Sensorineural hnov ​​lus feem ntau tsis tu ncua. Txoj kev tsis hnov ​​lus zoo li no pib txij li mob me me (tsis hnov ​​cov suab lus) mus rau qhov muaj zog (tsis hnov ​​suab dab tsi).
• Sib xyaw, kev sib txuas ua ke ntawm kev coj ua thiab kev hnov ​​lus tsis hnov ​​zoo.

Yog tias koj tus menyuam raug kuaj mob tsis hnov ​​lus, nws muaj ntau txoj kev koj ua uas tuaj yeem pab kho lossis tswj tus mob.

Lwm cov npe: audiometry; kev kaw suab, mloog lus, kuaj suab

Lawv siv rau dab tsi?

Cov kev ntsuas no yog siv los xyuas seb koj tus menyuam puas hnov ​​lus thiab, yog tias tau, nws mob loj npaum li cas.

Vim li cas kuv tus menyuam thiaj yuav tsum muaj lub rooj sib hais?

Cov kev kuaj raws kev mloog lus pom zoo rau cov menyuam mos thiab menyuam feem coob. Feem ntau cov menyuam mos tau kuaj pob ntseg ua ntej lawv tawm hauv lub tsev kho mob. Yog koj tus menyuam tsis ntsuas lub rooj sib hais no, nws tsis txhais tau tias nws yuav hnov ​​lus txhua lub sijhawm. Tab sis koj tus menyuam yuav tsum raug kuaj dua tsis pub dhau peb lub hlis.

Cov menyuam feem ntau yuav tsum mus kuaj pob ntseg ntawm qhov chaw kuaj mob tas li. Cov kev kuaj mob no suav nrog kev kuaj lub pob ntseg ntawm lub pob ntseg uas kuaj xyuas seb puas muaj quav ciab ntau dhau, kua lossis ntws tawm ntawm lub cev. Cov American Academy of Pediatrics hais qhia txog kev kuaj pob ntseg ntau dua (saib hauv qab no rau cov kev ntsuam xyuas) thaum muaj hnub nyoog 4, 5, 6, 8, thiab 10. Cov kev kuaj yuav tsum tau ua ntau dua yog tias koj tus menyuam muaj tsos mob tsis hnov ​​lus.

Cov tsos mob tsis hnov ​​lus ntawm tus menyuam yaus muaj xws li:

• Tsis dhia los yog pib ceeb toom mus rau qhov nrov nrov
• Tsis cuam tshuam leej niam leej txiv lub suab thaum 3 hlis
• Tsis txhob tig nws lub qhov muag lossis taub hau rau lub suab thaum 6 lub hnub nyoog
• Tsis qog cov suab lossis hais ob peb lo lus yooj yim thaum muaj hnub nyoog 12 hlis

Cov tsos mob tsis hnov ​​lus ntawm cov menyuam yaus muaj xws li:

• Ncua kev hais lus lossis hais lus uas nyuaj to taub. Cov menyuam yaus feem ntau tuaj yeem hais ob peb lo lus, xws li "mama" lossis "dada," thaum txog 15 lub hlis.
• Tsis teb thaum hu npe
• Tsis them sai sai

Cov tsos mob ntawm qhov tsis hnov ​​cov menyuam yaus thiab cov hluas muaj xws li:

• Teeb meem to taub qhov lwm tus neeg hais, tshwj xeeb hauv qhov chaw tsis muaj suab nrov
• Cov suab hnov ​​suab siab ceev ceev
• Xav tau kom tig mus rau lub ntim ntawm TV lossis music player
• Lub suab nrov nrov hauv pob ntseg

Yuav muaj dab tsi tshwm sim hauv lub rooj sib hais?

Kev ntsuam xyuas pob ntseg thaum xub thawj feem ntau yeej tau ua thaum kuaj tas. Yog tias muaj pob ntseg tsis hnov ​​lus, koj tus menyuam yuav raug kuaj thiab kho los ntawm ib tus muab kev pabcuam hauv qab no:

• Tus kws ntsuas mob, ib tus kws saib xyuas kev noj qab haus huv uas tshwj xeeb hauv kev kuaj mob, kho mob, thiab tswj kev hnov ​​lus
• Tus kws kho mob otolaryngologist (ENT), kws kho mob tshwj xeeb hauv kev kho cov kab mob thiab cov mob ntawm pob ntseg, qhov ntswg, thiab caj pas.

Muaj ntau yam kev ntsuam xyuas kev hnov ​​lus. Hom kev ntsuas uas tau muab nyob ntawm lub hnub nyoog thiab cov tsos mob. Rau cov menyuam mos thiab menyuam yaus, kev sim yuav siv cov sensors (uas zoo li daim nplaum me me) lossis kev ntsuas mus ntsuas seb puas hnov ​​lus. Lawv tsis tas yuav hais kom cev lus. Cov menyuam loj dua yuav raug kuaj lub suab. Cov kev kuaj suab tau kuaj xyuas cov lus teb rau lub suab nrov lossis cov lus xa ntawm ntau lub suab, ntim, thiab / lossis ib puag ncig nrov.

Tshuaj xyuas kab mob hlwb (ABR).Qhov no kuaj rau lub suab tsis hnov ​​zoo. Nws ntsuas seb lub paj hlwb teb li cas rau suab. Nws yog feem ntau siv rau sim cov menyuam yaus, suav nrog cov menyuam mos. Thaum lub sijhawm kuaj no:

• Tus kws ntsuas mob lossis lwm tus neeg muab kev pabcuam yuav tso cov electrodes rau saum tawv taub hau thiab tom qab txhua lub pob ntseg. Lub tshuab hluav taws xob txuas nrog hauv computer.
• Lub ntsej muag me me yuav muab tso rau sab hauv pob ntseg.
• Nyem thiab lub suab nrov yuav xa mus rau lub pob ntseg.
• Qhov ntsuas hluav taws xob ntsuas lub paj hlwb cov lus teb rau lub suab thiab yuav ua kom pom cov txiaj ntsig ntawm lub computer.

Otoacoustic emissions (OAE) kev xeem. Txoj kev sim no yog siv rau cov menyuam mos thiab menyuam yaus. Thaum qhov kev kuaj:

• Tus kws ntsuas mob lossis lwm tus neeg muab kev pabcuam yuav tso ib qho kev sojntsuam me uas zoo li lub pob ntseg sib txawv hauv pob ntseg pob ntseg.
• Suab yuav muab xa mus rau hauv kev sojntsuam.
• Kev sojntsuam sau thiab ntsuas sab hauv pob ntseg cov lus teb rau lub suab.
• Qhov kev ntsuam xyuas tuaj yeem pom qhov tsis hnov ​​lus, tab sis tsis tuaj yeem qhia qhov sib txawv ntawm kev coj ua thiab lub suab tsis hnov ​​zoo.

Tympanometry ntsuam xyuas seb koj lub ntsej muag txav zoo li cas. Thaum qhov kev kuaj:

• Tus kws ntsuas mob lossis lwm tus neeg muab kev pabcuam yuav tso cov cuab yeej me me rau hauv pob ntseg pob ntseg.
• Cov cuab yeej yuav thawb cua rau hauv pob ntseg, ua rau lub ntsej muag txav mus rov los.
• Lub tshuab sau cov ntawv txav ntawm cov txav ntawm cov duab uas hu ua tympanograms.
• Qhov ntsuam xyuas pab nrhiav seb puas muaj qhov mob ua pob ntseg lossis lwm yam teeb meem xws li kua los yog siv quav ciab, lossis lub qhov ntsej lossis ntuag hauv lub ntsej muag.
• Qhov kev ntsuas no xav kom koj tus menyuam zaum twj ywm, yog li tsis siv rau menyuam mos lossis menyuam yaus.

Cov hauv qab no yog lwm yam kev ntsuam xyuas lub suab:

Acoustic Reflex ntsuas tseem hu ua nruab nrab pob ntseg leeg tsis kam (MEMR), ntsuas seb lub pob ntseg hnov ​​zoo li cas rau lub suab nrov. Hauv kev sib hais ib txwm, cov leeg me me hauv pob ntseg nruj thaum koj hnov ​​suab nrov. Qhov no hu ua acoustic reflex. Nws tshwm sim tsis muaj koj paub. Thaum qhov kev kuaj:

• Tus kws kaw lus lossis lwm tus neeg muab kev pabcuam yuav tso cov taub roj hmab mos rau hauv pob ntseg.
• Cov koob nrov nrov yuav xa los ntawm cov lus qhia thiab kaw rau hauv lub tshuab.
• Lub tshuab yuav qhia thaum twg lossis yog lub suab tau ua rau lub ntsej muag reflex.
• Yog tias hnov ​​lus tsis zoo, lub suab yuav tsum nrov nrov ntau dhau kom ua rau lub ntsej muag rov qab zoo li qub, lossis nws yuav tsis ua rau lub ntsej muag rov qab zoo li qub.

Pure-tone xeem, tseem hu ua audiometry. Thaum lub sijhawm kuaj no:

• Koj tus menyuam yuav nkag pob ntseg.
• Ib txheej nrov ntawm lub suab nrov yuav raug xa mus rau lub mloog ntawm pob ntseg.
• Tus kws ntsuas mob lossis lwm tus neeg muab kev pabcuam yuav hloov lub suab thiab suab nrov ntawm lub suab nrov ntawm cov ntsiab lus sib txawv thaum ntsuas. Ntawm qee lub ntsiab lus, lub suab nrov lub suab nrov yuav hnov ​​tawm.
• Tus kws kho mob yuav hais kom koj tus menyuam teb thaum twg lawv hnov ​​lub suab ntawv. Cov lus teb yuav yog los tsa tes lossis nias lub pob.
• Qhov kev sim pab nrhiav cov suab ntsiag to uas koj tus menyuam tuaj yeem hnov ​​ntawm cov suab sib txawv.

Kev sib xeem nkhaus kev sib tw. Ib lub ntsuas rawg yog ob qhov khoom siv hlau uas ua rau lub suab nrov thaum nws co. Thaum qhov kev kuaj:

• Tus kws ntsuas mob lossis lwm tus neeg muab kev pab yuav muab tso rau lub qhov tso hauv qab pob ntseg lossis rau saum taub hau.
• Tus neeg zov me nyuam yuav ntaus cov diav rawg kom nws ua suab nrov.
• Koj tus menyuam yuav raug hais qhia tus kws khomob thaum twg koj hnov ​​lub suab nrov ntawm ntau qhov sib txawv, lossis yog tias lawv hnov ​​lub suab sab laug, pob ntseg sab xis, lossis ob yam sib npaug.
• Qhov ntsuas pom tuaj yeem ua pov thawj yog tias muaj pob ntseg tsis hnov ​​lus hauv ib lossis ob lub pob ntseg. Nws tseem tuaj yeem qhia pom hom kev tsis hnov ​​lus zoo uas koj tus menyuam muaj (xaj los ua yeeb yam).

Kev hais lus thiab lo lus lees paub muaj cuab kav qhia pom koj tus me nyuam tau hnov ​​lus zoo npaum li cas. Thaum qhov kev kuaj:

• Koj tus menyuam yuav nkag pob ntseg.
• Tus kws kaw lus yuav tham hauv pob ntseg mloog, thiab hais kom koj tus menyuam hais ib cov lus yooj yooj yim, hais ntawm qhov sib txawv.
• Tus kws zov me nyuam yuav sau cov lus mos muag uas koj tus me nyuam tau hnov.
• Qee qhov kev sim yuav ua nyob rau hauv qhov tsis muaj suab nrov, vim tias coob tus neeg uas tsis hnov ​​lus muaj teeb meem tsis to taub hais lus hauv qhov chaw nrov.
• Cov kev xeem no yog ntsuas cov menyuam yaus muaj hnub nyoog txaus los tham thiab nkag siab cov lus.

Kuv puas yuav tsum tau ua ib yam dab tsi los npaj rau kev ntsuam xyuas pob ntseg?

Koj tus menyuam tsis xav tau kev npaj tshwj xeeb rau kev sib hais.

Puas muaj kev pheej hmoo rau lub rooj sib hais?

Nws tsis muaj kev pheej hmoo yog tias qhov coj mus sib hais.

Cov txiaj ntsig li cas?

Koj cov txiaj ntsig yuav tshwm sim yog tias koj tus menyuam hnov ​​lus tsis zoo, thiab seb lub pob ntseg tsis hnov ​​zoo lossis tsis hnov ​​mob.

Yog tias koj tus menyuam raug kuaj pom ntawm kev hnov ​​lus tsis zoo, koj tus kws khomob yuav qhia cov tshuaj lossis phais mob, nyob ntawm seb vim li cas ploj.

Yog hais tias koj tus menyuam raug kuaj pom ntawm lub suab tsis hnov ​​zoo, koj cov txiaj ntsig yuav pom tias tsis hnov ​​lus zoo yog:

• Me: koj tus me nyuam tsis tuaj yeem hnov ​​qee lub suab, xws li lub suab nrov dhau lossis dhau heev.
• Ntsig: koj tus menyuam tsis tuaj yeem hnov ​​ntau lub suab, xws li kev hais lus nyob hauv ib puag ncig nrov.
• Loj: koj tus menyuam tsis tuaj yeem hnov ​​cov suab feem ntau.
• Muaj txiaj ntsig: koj tus me nyuam tsis tuaj yeem hnov ​​cov suab.

Kev kho mob thiab kev tswj hwm ntawm kev hnov ​​lus tsis hnov ​​zoo yuav nyob ntawm seb nws muaj hnub nyoog li cas thiab ho mob hnyav npaum li cas. Yog koj muaj lus nug txog qhov tshwm sim, nrog koj tus menyuam tus kws saib xyuas kev noj qab haus huv tham.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev ntsuam xyuas pob ntseg?

Muaj ntau txoj hauv kev los tswj kev hnov ​​lus. Txawm hais tias qhov tsis hnov ​​lus zoo mus tas li, muaj ntau txoj hauv kev los tswj koj tus mob. Cov kev kho mob suav nrog:

• Hnov lus hnovCov. Lub tswb pob ntseg yog qhov khoom uas hnav tom qab lossis sab hauv pob ntseg. Lub tswb pob ntseg pab kom nrov dua (ua kom nrov dua) suab. Qee cov khoom siv kho pob ntseg tau ua haujlwm ntau dua. Koj cov kws kho mob tuaj yeem hais qhia qhov kev xaiv zoo tshaj plaws rau koj.
• Kev cog hniav CochlearCov. Nov yog khoom siv uas tau phais mob hauv pob ntseg. Feem ntau nws siv rau cov neeg tsis hnov ​​lus zoo thiab leej twg tsis tau txais txiaj ntsig ntau los ntawm kev siv lub pob ntseg. Cochlear kev cog hniav xa suab ncaj qha rau ntawm cov leeg tsis hnov ​​lus.
• Kev phais mob. Qee hom kev hnov ​​lus tuaj yeem kho nrog kev phais mob. Cov no suav nrog teeb meem nrog lub ntsej muag lossis hauv cov pob txha me hauv pob ntseg.

Ib qho ntxiv, koj yuav xav:

• Ua haujlwm nrog cov kws khomob uas tuaj yeem pab koj thiab koj tus menyuam txuas lus. Cov no suav nrog cov kws hais tawm lus thiab / lossis cov kws tshaj lij uas muab kev kawm piav tes, kev nyeem ntawm ncauj, lossis lwm hom lus.
• Koom nrog pab pawg sib txhawb
• Teem sijhawm mus ntsib nrog kws kho mob thiab / lossis tus kws kho mob otolaryngologist (kws kho mob pob ntseg, qhov ntswg, thiab caj pas)

Ua tim khawv

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20. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Noj Qab Haus Huv: Cov Kev Kuaj Mloog: Yuav Ua Li Cas; [kho tshiab 2018 Mar 28; raug nplua 2019 Mar 30]; [txog 5 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html#tv8479
21. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Noj Qab Haus Huv: Kev Kuaj Mob: Mloog; [kho tshiab 2018 Mar 28; raug nplua 2019 Mar 30]; [txog 8 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html#tv8482
22. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Noj Qab Haus Huv: Cov Kev Kuaj Mloog: Pob; [kho tshiab 2018 Mar 28; raug nplua 2019 Mar 30]; [txog 7 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html#tv8481
23. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Kev Kuaj Mob: Mloog Lus Txog; [kho tshiab 2018 Mar 28; raug nplua 2019 Mar 30]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html
24. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Noj Qab Haus Huv: Cov Kev Ntsuam Xyuas Mloog: Vim Li Cas Nws Ua; [kho tshiab 2018 Mar 28; raug nplua 2019 Mar 30]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/hearing-tests/tv8475.html#tv8477

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.