Ngaba i-Cochlear Implant Right kuwe?
Ukufakelwa kwe-cochlear kungenza abantu abayizithulu okanye abanzima beva ukuva izandi. Yenza indawo ye-cochlea, amathathu amancinane amathambo endlebe ephakathi eguqulela izibilini kwiimpawu zombane kwi-nervitive auditor. Iziplantshi ze-cochlear zingasetyenziselwa abantu abangenakuzuza kwiinkxaso zokuva.
Utyando oluthile lwamanyathelo olwenziwa namhlanje lunomsebenzi omncinci othabatha iiyure ezimbalwa.
Inqubo yakho ingaba yonyango lokugula kwaye uza kufuneka ulungiselele ukuba umntu akuqhube ekhaya (akufanele uqhube okanye uthathe izithuthi zomntu ngosuku ophethe i-anesthesia). Okanye, unokuchitha ubusuku esibhedlele.
Kukho izinto ezininzi oza kuziqwalasela ngaphambi kokuba unqume ukuba ube nomthelela we-cochlear. Uyakufuna ukuzilungiselela oko ukulindela usuku lotyando. Siyakukunceda ekukhokeleni kuzo zonke ezi zinto kwaye sikunike iingcebiso ezimbalwa zokuphila ngokutsha kwakho.
Ngaba Uyakufumana Imilinganiselo?
Okokuqala, kubalulekile ukuqonda ukuba akusiwo wonke umntu onokufanelekela ukufakela i-cochlear implant. Nangona ukuqhubela phambili kwezobuchwephesha kuye kwandisa inani labantu abangenelwa kuyo, ugqirha unokufumana izizathu ezininzi zokungacebisi ukuhlinzwa.
Ngokutsho kwe-US Food & Drug Administration (FDA), impumelelo ye-implant cochlear incike kwiimeko ezininzi, kubandakanywa ukuba ungakanani isithulu kunye nobudala bakho.
Kwabanye abantu, i-cochlea ayinakuphilile ngokwaneleyo ukuba yamkele ukufakwa.
Ukongezelela, ukufakelwa kwe-cochlear ayikho into esebenza njengomlingo-ngolunye usuku awukwazi ukuva kwaye olandelayo unako. Kudinga umsebenzi kunye nenkxaso enhle yokufunda indlela yokuyisebenzisa. Sekude kusetyenziswa, kulula ukuba.
Ingaba wena okanye umntwana wakho uhlangabezana nemigangatho yokufumana ukufakelwa kwe-cochlear? Ezi zizinto ezibonisa ukuba ukufakelwa kusenokuba into ekufuneka uyiqwalasele:
- Unokulahlekelwa kakubi kweendlebe.
- Unokufumana uncedo oluncinci kwiinkxaso zokuva.
- Ukulungele ukusebenza nzima ukufumana inzuzo enkulu kwi-implant (ikakhulukazi abantwana abadala kunye nabantu abadala).
Ngaba Kukulungele?
Xa ucinga ukufakelwa, kubalulekile ukuba ufunde izinto ezisiseko, kubandakanywa nendlela yokusebenza eyenziwa kunye nokuqonda zonke iindleko ezichaphazelekayo. Unokuba unqwenela ukufunda ngeembali ze-cochlear implant .
Yazi iindleko zeMali
Hlola kunye nenkampani yakho yomshuwalense ukuba ubone ukuba ngaba banikezela ukufakelwa kwezimpembelelo kunye nokunyangwa kwe-post-implant. Ukuba akukho mali, ungazama ukubenza baqinisekise ukuba bayifake. Ukuvelisa abavelisi okanye amaqela angenayo unokukwazi ukunceda kule nto.
Ngokweziko ze-Medicare & Medicaid Services (i-CMS), izimpembelelo ezichanekileyo zingabhekiswa yi-Medicare ukuba uhlangabezana nemigangatho ethile. Ukongezelela, kunokubakho izithintelo malunga nezibonelelo zonyango apho unako ukwenza inkqubo.
Ukuba akukho nkonzo ye-inshurensi kwaye yonke imizamo yokufumana ukufihlakala ayiphumelelanga, unokulandela ukukhokelwa kwabazali abathile kunye nokuphakamisa imali ukuze uhlawule iindleko.
Kwimeko enjalo, kuya kufuneka uphande amathuba okuphakamisa imali kunye nemithombo yolwazi efumanekayo .
Ukongeza, unokulungiselela iindleko zemali zokugcina ukufakelwa. Qala ngokufunda apho ungathenga khona ibhetri ukwenzela ukuba ufake i-cochlear implant if they are not provided by inshurensi yakho.
Yazi ukuba Iziphi izimpembelelo eziphikisanayo
Kwiminyaka emininzi, umphakathi wezithulu uxoxile ngokubaluleka kwezinto ezifake ukuchithwa kwe-cochlear. Abaninzi bacinga ukuba akukho nto iphosakeleyo ngezithulu, ngoko ukulungiswa kwayo kuye kwaba ngquzulwano.
Nangona ukuchasana nezimpembelelo kwiNkohlakalo yeNtsizana kuncinci kunokuba kwakunjalo ngaphambili, kubalulekile ukuphulaphula izimvo zombini.
Oku kuya kunika ukuqonda okungcono malunga neenkxalabo, ngakumbi xa kuziwa kubantwana.
Yazi Iindlela Zakho Zokufaka
Akukho sikhombi esisodwa sokufakelwa kwekhoklear esikhoyo. Kubalulekile ukuxoxa ngazo zonke iinketho zakho kunye nogqirha wakho kunye nophando ngalunye ngenyameko. Ngokomzekelo, uya kufuna ukuphanda iingenelo zokufakelwa komntu omnye ngokubhekiselele kumanyathelo okubambisana, ngokukodwa kumntwana.
Unokuphanda uphando abafake izicelo ezifana neCochlear, Advanced Bionics, kunye neMedi-El. I-FDA inikezela ngolwazi oluncedo malunga nezimpembelelo ze-cochlear ze-FDA. Ungaqwalasela ekukhunjuleni, ukhuseleko, kunye nereyithi yefowuni yokungasebenzi.
Olunye uqikelelo kukuphanda iinkqubo zomntu ngamnye ekufakweni kwamaziko. Unokufumana ukuba enye ilungele bhetele kuwe.
Ukuba unayo ixesha, funda iincwadi kwiimplants cochlear. Kukho iincwadi ezibhekiselele kuzo, iincwadi malunga namava abantu kunye nezixhobo zezingane ezikhoyo.
Yazi Oko Ukulindele
Amava abanye axabisekileyo ngenxa yokuba umququzeleli we-cochlear ngumntu oguqula ubomi. Thetha nabanye abaye bafumana izilwanyana, okanye kubazali babantwana abanezimpembelelo. Unokuphanda uphando malunga neziphumo ezifanayo neyakho.
Qinisekisa ukuba izilindelo zakho zisekelwe ngokwenene kummiselo wommiselo kunye nezinye izinto ezibandakanyekayo. Gcina ukhumbule ukuba ukufakela abafumanayo basisithulu kwaye awuyi kukwazi ukuva xa ukufakelwa kuphelile.
Ingcamango enhle yokuba nombono wento enokuyilindela xa ixesha liyakwenza ngokuqinisekileyo ukuveliswa. Ngokomzekelo, kuyinto evamile ukuba umntwana osemncinci aphendule ngokukhala okanye akhathazeke ngandlela-thile ngenxa yemisindo engaqhelekanga ezintloko zawo. Abantwana abancinci banokutshatyalaliswa kwaye kunokuba badibanise intsha okanye abadala.
Yazi i ingozi
Utyando luneengozi ezifanayo kunye naluphina utyando, nangona iingxaki ezinzima zingabonakali. Kusoloko kuluvo oluhle ukuziqonda ngayo yonke ingozi, kungakhathaliseki ukuba luncinane kangakanani, kunye nemiphumo engabonakaliyo kunye nokunyamekela emva kokutyunjwa.
I-Meningitis enye yeengozi eziyaziwayo kunye nezigulane kufuneka zithathe amanyathelo okunciphisa oku kwaye ziqwalaselwe ukugonywa. Amaziko okuLawula nokuLawula (i-CDC) inikeza iziphakamiso zokunciphisa umngcipheko we-meningitis.
Ukongezelela, kunokwenzeka ukuba ukufakelwa kwakho akuyi kuba yimpumelelo, njengakwiimeko zokusasazeka okanye ukusuleleka . Kusenokuba kuyimfuneko ukususa i-implant.
Lungiselela Ukuhlinzwa
Uya kusebenza kunye ne-otolaryngologist, ugqirha ochwephepheni ekuphatheni indlebe, impumlo, nomqala. Uya kufuna ukuqinisekisa ukuba ulungele ukufakelwa kwe-cochlear.
Oku kuya kubandakanya ukuhlolwa kwendlebe yakho kunye nokuhlolwa komzimba jikelele. Uya kufumana uvavanyo lokuvavanya, i-X-rays, kwaye unokufuna ukuhamba ngezinye iinkqubo zokucinga. Kwakhona kunokwenzeka ukuba uya kucelwa ukuba uthathe iimvavanyo zengqondo ukuze ubone ukuba unako ukujamelana nokufakelwa.
Ngaphandle kokufumana izitofu ezifunekayo kwaye ulandele zonke iziphakamiso zogqirha wakho, unokwenza ezinye izinto ukulungiselela ukuhlinzwa kwakho.
Ukuba umntwana wakho uya kuba ne-cochlear implant surgery, qiniseka ukuba uxoxe nayo yonke into. Ukubanceda balungiselele bangathatha uloyiko lwenkqubo kwaye bancedise ekuqondeni oko kuza kwenzeka kwaye kutheni.
Ingaba ungumzali okanye ummkeli oyimisele, zilungiselele ngengqondo nangokomzwelo kunye. Ukuqonda iingxaki ezinokwenzeka okanye iziphumo ezinjengeentloko kunye nesicefe. Qaphela ukuba utshintsho aluvumelekanga, kodwa loo msebenzi onzima kunye neyeza kuza kwenza kube lula.
Usuku loPhando
Usuku lwaluphi na utyando olunokwenza umntu abe nexhala, ngoko yinto efanelekileyo ukukwazi ukuba ulindele ntoni xa ufika esibhedlele.
Inkqubo
Ngaphambi kokuhlinzwa, abahlengikazi baya kuncenga iincinci ezincinci emva kwendlebe yakho apho utyando luya kwenzeka khona. Uyakuphathwa kwakhona nge-anesthesia.
Ugqirha uya kwenza i-incision kunye nesikhumba kunye neengqungquthela zomzimba ziphakanyiswe ukuze akwazi ukuphonsa kwisifuba skull emva kwendlebe. Ummkeli ufakwa kule ndawo kwaye i-electrode array efakwe kwi-cochlea. Indawo yokugada ivaliwe ngeentambo (inqabileyo encinci ingabangela) kunye nentloko yakho iya kubanjwa.
Emva kokuPiliswa
Kuxhomekeke kubude bokuhlinzwa kunye nezinye izinto, ungathunyelwa ekhaya kungekudala emva kokuhlinzwa okanye kufuneka uhlale esibhedlele ixesha elifutshane. Uya kuziva iimpembelelo zokuphuma kwi-anesthesia kunye nolwazi olungathandekiyo kwindlebe yakho.
Uya kufuneka ugcine ama-bandages ngokukhawuleza kwaye unakekele izibonda, ulandele yonke imiyalelo esinikezwe esibhedlele. Kwithuba malunga neveki, uya kubuya ufumane izicathulo kwaye isayithi ihlolwe.
Ixesha lokubuyisela
Ngethuba lokuphinda kuphuluke ukusuka ekutyunjweni, kunokuba nemiphumo emibi yecala, ngokuqhelekileyo yesikhashana. Ezi zibandakanya ukuvuvukala okuncane, intlungu, utshintsho kwintetho, ukungcola, ukuvuvukala, ukuphuma kwamanzi, njl. Ukuba unemibuzo okanye ukukhathazeka, biza ugqirha wakho.
Kunconywa ukuba kugcinwe abantwana ngaphandle kwenkcenkcesho kunye nesikolo kwiveki emva kokuhlinzwa kunye nokunciphisa umsebenzi womzimba kwiiveki ezintathu. Abantu abadala kufuneka bakwazi ukubuyela emsebenzini ukuya kwiiveki ezimbini emva kokuhlinzwa. Ingqondo efanelekileyo ukuhamba nokwenza imisebenzi eminye imihla ngemihla, kodwa ugweme umsebenzi owenza izinto ezinzima ezifana nokusebenza okanye ukuphakanyiswa kwesisindo kwiiveki ezine ukuya ezintandathu.
Emva kokufakwa
Ukufakelwa akusebenzi ngokukhawuleza emva kokusebenza. Uya kubuya kwiiveki ezintathu ukuya ezintandathu ukuze ube nomthumeli wangaphandle onamathele kwaye ukufakelwa kwenzelwe.
Inkqubo yomsindo, i-microphone, kunye nokufakelwa kwe-transmitter iya kufakwa kwaye icwangciswe kwaye i-audiologist izakugqiba ukuba zeziphi izandi oziva. Uza kufunda ngakumbi malunga nendlela yokunyamekela nokusebenzisa idivayisi kwakhona.
Uya kuthi usebenze kunye nabaphengululi ukuba bafunde ukudibanisa iimpawu ukusuka ekuzalweni kwezandi. Zibophezele ekusebenzeni kanzima kunye neyeza lokunyanga emva kokufakelwa. Olu qeqesho oluphicothiweyo luyimfuneko ekwandiseni inzuzo kwi-implant.
Uyazi ukuba ezinye iinkampani zomshuwalense aziyi kuhlawula unyango. Abanye baya kunika kuphela ukukhutshwa kweyeza.
Ukufunda Ukuva
Inkqubo yokwazisa izandi emva kokufumana isiqhamo sakho sithatha ixesha. Inkqubela iya kuza kwaye kubalulekile ukuba wonke umntu ahlale ekhululekile kunye nesigulane njengoko ufunda ukuva. Abantu abadala abadala banokuba nobunzima obuninzi ngale nto ngenxa yokuba ufuna isiphumo esheshayo, ngoko kuzama ukulawula ukukhungatheka kwakho.
Emva kokuba umntwana wakho abe ne-implantation yayo kwithuba elithile, kunokucaca ukuba yeyiphi na inkonzo efunekayo. Mhlawumbi iprogram yemfundo yezentsimi izakuhlangabezana neemfuno zomntwana wakho. Kusenokwenzeka ukuba ufune ukubheka inkqubo epheleleyo yokunxibelelana kwisikolo okanye kwinkqubo yesithulu.
Qaphela ukuba xa ukhetha uhlelo oluqhelekileyo, utitshala wakho umntwana akanakho ukuqhelana nezizithulu kunye nezimpembelelo ze-cochlear.
Ukuba awukwazi ulwimi lwezandla , cinga ukufunda. Nangona unako ukuva kakuhle nge-implant, xa iphelile, uya kuba usisithulu kwaye kufuneka ukwazi ukuthetha.
Ukuphila Ngophuhliso
Ubomi bakho kunye ne-cochlear implant will be different and there are a few things you should know. Ngokomzekelo, ama-implante angadlala imidlalo, kunye nemimiselo embalwa. Xa uhamba, unokucela ukuba uguqulwe yokhuseleko kunokuba uphumelele kumatshini okuskena.
Unokucinga kwakhona ukujoyina iSiseko seNgcaciso yokuPhathwa kweChlelear okanye ufuna ukuqala isahluko kwindawo yakho. Oku kunokuba ngumthombo ophezulu wokuxhasa. Ungakwazi ukwabelana ngamava akho nabanye kwi-intanethi ngokuqala iwebhusayithi okanye ukujoyina iqela kumajelo asekuhlaleni.
Ukuphucula iDivaysi
Ukufakela okutshintshileyo kungadinga ukugcinwa, ukuhlaziywa okanye ungadinga ukuhlinzwa okungakumbi. Njenge-implantee, kubalulekile ukuba uzilungiselele ezi zinto.
Unokufuna uphando kwixesha elizayo ukuba kukho ingxaki okanye ukuba iteknoloji iyatshintsha. Unokufuna okanye ugqibe isigqibo sokuba ufuna inguqu ephuculweyo yeengxenye zakho zangaphakathi zokufaka.
Kwakhona kunokwenzeka ukuba iimephu zeprojector yentetho yokufakelwa ingadinga ukutshintshwa. Abaprofeti bangadinga ukuphuculwa okanye nokuba bathathe indawo.
Ekugqibeleni, ukufakelwa kwe-cochlear ngokwayo kungadinga ukutshintshwa. Iziplantshi ze-cochlear, njengeyiphi na ifowuni yeprothetti, inexesha elingenamlinganiselo.
ILizwi
Isigqibo sokuqhubela phambili kunye nokufakelwa kwe-cochlear ayikho enye into ekumele ithathe kalula. Nangona kunjalo, ngokuqonda okulungileyo konke okubandakanyekayo, kunokulungele wena. Zama ukuqhagamshelana neqela lakho lonyango uze uqiniseke ukuba ubuze nayiphi na imibuzo emitsha efika engqondweni kuyo yonke inkqubo. Kwiimpembelelo ezininzi, kuba ngamava avuzayo kwaye umsebenzi onzima uhlawula.
> Umthombo:
> Amacandelo okuLawula nokuLawula izifo. Ukusetyenziswa kweeNtsholongwane zokuKhusela i-Meningitis kubantu abaneCyllear Implants. 2017.
> Amasebe e-Medicare & Medicaid Service. I-Medicare: Umgangatho kunye noPhuhliso loBungqina: ukuCwangciswa kweCchlear. 2015.
> Denworth L. Inzululwazi Yanikela NgoNyana Wakho Isipho Somsindo. Ixesha lexesha . 2014.
> Abasebenzi beKliniki yabasebenzi. Implantshi yeCchlear: Ubume. 2017.
> Ulawulo lweZokutya kunye neDrug. Yintoni i-Cochlear Implant? 2014.