Ukulahlekelwa kweendlebe ezihlobene nexesha elichaphazelekayo kuchaphazela umntu othelekileyo kubantu abathathu abangaphezu kweminyaka engama-65, kwaye loo nani inyuka xa usakhula, ukuxhuma kubani abadala abadala abathathu abafuna izixhobo zokuvalelwa ngamawaka angama-70. Njengoko ixesha lokuphila liqhubeka landa, inani abantu abanokulahlekelwa kwindlebe baxakeka. Uphando lubonise ukuba ukulahlekelwa kwindlebe kunceda kwezinye iimeko ezinzulu kuquka ukuxinezeleka, ukuzihlukanisa, ukungaziqondi kakuhle kunye nokudezeka kwengqondo .
Nangona la manani, ngaphantsi kwesigamu sabadala abadala abafuna iimpahla zokuvalelwa ngokwenene bathenga. Iindleko kucatshangelwa ukuba yinto ebalulekileyo ekukhungeni abantu ekuthengeni izixhobo zokuvalelwa kwindlebe, kuba ngokuqhelekileyo kwindleko enye yokuncedisa iindleko malunga ne-$ 2,500. Izixhobo zokuvalelwa zivame ukuba zingagqitywa yi-inshorensi . Ezinye izinto zingabandakanya indlela yokuvalelwa kwenkxaso yokujonga (abantu bavaliwe ngokubonakala kwazo) kunye nokuphazamiseka kokuya kwiindawo zokumisela iimvavanyo zokuvavanya nokuvavanya. Abanye abadala asebekhulile banokukhetha ukuhlala bekhanyela ekubeni ukulahlekelwa kwindlebe kuhambelana nokukhula.
Okwangoku e-United States, i-FDA ayivumeli ukuba ii-device zidayiswe ngokuthe ngqo kubathengi njenge "zixhobo zokuvalelwa" ukuze iinkampani zizungeze oku ngokuzithengisa "njengeemveliso zokuvelisa izandi" okanye ii-PSAP. Ngokungafani nezixhobo zokuvalelwa, ii-PSAP zingathengiswa ngokuthe ngqo kuluntu ngaphandle koncediso okanye iingcebiso zengcali yezentetho ( audiologist ), kwaye zixabiso elincinci.
Iimveliso zokuvelisa izandi zithengiswa malunga nama-$ 150- $ 300 nganye kwisixhobo. Kodwa ngaba basebenza ngokunjalo?
Ii-PSAPs nee-OTC Hearing Heids
Ngokwe-2017 uphando olushicilelwe kwi- American Journal of Audiology, ii- PSAP zazingasebenzi ngaphantsi nje kwezixhobo zokuvalelwa ezazisasazwa kwaye zihlengahlengiswa ngabafundi bezobugcisa, (xa zisetyenziselwa ukulahlekelwa kwindlebe yokuvalelwa ngokuthe ngqo).
Ngenxa yokunciphisa okukhulu kwiindleko ezifanelekileyo ukuthetha ukuba ukwenza izixhobo zokuvalelwa ezikhoyo kwi-counter-counter kungenza ukuba kufinyeleleke kubantu abadala, ekuphuculeni ukuvalelwa kwezigidi zabantu. Enye into ebangelisayo yolu cwaningo, nangona kunjalo, ukuba abathathi-nxaxheba banikwe ithuba lokuthenga izixhobo zabo zokuvavanya ekupheleni kolu pho nonongo, kwaye ii-aides ezibiza kakhulu ezazisasazwa yi-audiologist zazithengiswa kangangoko kunokuba zithengiswe iindleko ze-PSAP.
Ngokwengxenye ngenxa yeendlela zokuncedisa izixhobo ezilawulwayo e-United States kunye nangenxa yokuba kukho i-monopoly kwimarike, ubuninzi beethekhnoloji ezikhoyo azizange zisetyenziselwe ukuphucula izixhobo zokuvalelwa, njengeteknoloji engenakucingo kunye neetteries . Ubuncinane inkampani ethengisa ii-PSAP, i-Doppler Labs, izama ukwenza izixhobo zokuvalelwa ezithe tye kwaye zenzeke. Benza amacebo adibanisa ne-smartphone yakho kwaye iyakwazi ukuphosakela ngokusetyenziswa kwezixhobo ezisetyenziselwa ukuhambisa umculo okanye ukuthatha iifowuni. Ukutshintsha indlela i-FDA elawula ngayo i-aid-counter-counter-hearing aid aid kunokunceda ukukhuphisana ngakumbi kwishishini kwaye ekugqibeleni iholele ekuphuculweni kwezixhobo zokuva.
Akukho mbuzo ukuba ukugxekwa kunye nokubonakala kubaluleke kakhulu kuba kutheni abantu abadala abadala bevalela izinto zokuva, kodwa abanye abantu bacinga izixhobo zokuva ezikhangekileyo okanye zidibanisa ngakumbi. Ukuba ixabiso liye lahla kwiindlebe zokuva, kwaye zithengwa kwi-pharmacy yakho yasekhaya, abanye abantu kwishishini babecinga ukuba bafane ne-accessory fashion. Unokukhetha nokuba yiyiphi intetho onokuyisebenzisa ngalolo suku ngokusekelwe kwindlela efanelana ngayo nengubo yakho.
Kuya kuvela nini i-OTC yokuvalelwa kweeAids?
Ngomboniso ongaqhelekanga wokubhalwa kwebhilidi, ngo-2017, abameli abaningana baholwa ngu-Elizabeth Warren (D-Mass) kunye noCharles Grassley (R-Iowa) baqalise ibhilida kwiSenate ukutshintsha indlela i-FDA elawula ngayo izixhobo zokuvalelwa.
Umthetho ofanayo wenziwa kwiNdlu yabamele abakwaJoe Kennedy III (D-Mass) kunye noMarsha Blackburn (uR-Tenn). Lo msebenzi ubizwa ngokuba ngu-Over-the-Counter Aid Aid Act. Nangona bobabini abaDemokhrasi kunye namaRiphabhulikhi babonakala bekhokha kunye nomthetho, ezinye iinkampani zenkxaso yokuphulaphula kunye namaqela olwazi aphikisana nomlinganiselo.
Abantu abaphikisana nokwenza izixhobo zokuvalelwa ezikhoyo kwi-counter-counter-argue bathi ngokungaboni i-audiologist, aba bantu baphoswa kwi-coaching ebalulekileyo engabancedisa ukulawula ukulahlekelwa kwindlebe. Ukulawula ukulahlekelwa kwindlebe akukuphela nje kwezixhobo zokuvalelwa emva koko, i-audiologist ingakufundisa indlela yokufunda imilomo. Abantu abanomdla wokwenza izixhobo zokuvalelwa ezikhoyo kwi-counter-counter-argue bathi izigulane zisenokufuna iingcebiso zengcali, ukuhlawula intlawulo yenkonzo, kodwa loo migaqo yokutshintsha iza kuvula imarike, ukhuphiswano lwabalandeli, ukuzisa amaxabiso, kunye nokukhokelela ukuphuculwa kwitheknoloji yokuncedisa ukuva. Iinyanga kunye neminyaka ezayo kubonisa ukuzisa uphando kunye nencoko ngolu hlobo, oluya kuthemba ukuba, ekugqibeleni lukhokelela ekuphulaphuleni okungcono izigidi zabantu.
> Imithombo:
> I-American Journal ye-Audiology. Iimiphumo zoMbonelelo weeNkonzo kunye neNtengo yokuThengiswa kweziPhumo zoNcedo kwiZiko eliBantu abadala: I-Double-blind Blind Placebo eLawulayo iCandelo leZiklinikhi. Http://aja.pubs.asha.org/article.aspx?articleid=2608398. Ukuhlaziywa kukaJanuwari 2017.
> Ngaba Ixesha lokuLawula iziNcedo zokuThengiswa kwi-Counter-the-Counter. Shots Health News evela kwi-NPR. http://www.npr.org/sections/health-shots/2017/04/24/524946910/is-it-times-for-hearing-to-be-sold-over-counter. Uhlaziywa ngo-Apreli 2017.
> Ukuvula imarike kwizinto zokuncedisa ngaphezulu kwee-counter: Into ethile yeNgqungquthela iyavuma. Hill. http://thehill.com/blogs/congress-blog/healthcare/333734-kunikezelwa-the-market-to-over-counter-hearing-aids- into. Ukuhlaziywa ngoMeyi 2017.