For
those who suffer from hearing loss, life is a series of missed opportunities.
Even very close loved ones tend to switch off when they know they are not going
to be heard. Hearing aids are
primarily used in improving the hearing and speech comprehension of people who
have hearing loss. This type of hearing loss results from damage to the small
sensory cells of the inner ear, called hair cells. This type of hearing loss is
called censorial hearing loss. The damage can occur due to aging, disease,
injury from noise or certain medicines.
A
hearing aid amplifies sound vibrations entering the ear. Surviving hair cells
detect the larger vibrations and convert them into neural signals that are then
transmitted to the brain. The greater the damage to the hair cells, the grater
the hearing loss and the greater the amplification needed for comfortable
hearing. The ability to provide amplification by the hearing aids is limited.
In addition, if the inner ear is too damaged, even large vibrations cannot be
converted to neural signals rendering the hearing aid ineffective.
There
are different types of hearing aids to address different types of hearing loss.
They differ in style and function.
Behind The Ear hearing aids consist of a hard
plastic case worn behind the ear, and connected to a plastic ear mould that fits
inside the outer ear. Sound travels from the hearing aid through the ear mould
and into the ear. BTE hearing aids are used by people of all ages for mild to
profound hearing loss.
In The Ear hearing aids fit completely inside the
outer ear and are suitable for mild to severe hearing loss. Some ITE aids may
have certain special features installed such as the telecoil. A telecoil is a
small magnetic coil that allows sound to be received through the circuitry of
the hearing aid rather than the microphone. This facilitates the hearing of
telephonic conversations and public facilities installed with public loop
systems. Induction loop systems can be found in cinemas, auditoriums, airports,
schools and churches.
Canal aids fit the ear and are available in two styles.
The In the Canal – ITC aid is designed to fit the ear canal of the patient. A
completely in canal hearing aid CIC, is nearly hidden in the ear canal. Both
types are used in mild to moderately severe hearing loss.
Hearing
aids work differently depending on the technology used. The two main types are
analogue and digital.
Analogue
Aids convert sound waves to electrical signals, which are amplified. The aid is
programmed by the manufacturer according to the directions of the Audiologist.
Digital
aids convert sound waves into numerical codes, similar to the binary code of a
computer before amplifying them. Digital circuitry allows the Audiologist more
flexibility in adjusting the aid to a user’s need and to certain listening
environments. These aids can also be programmed to focus on sounds coming from
a certain direction.
Hearing aids help reintegrate the patient into
society.