can't sit still in class because of hearing loss.
Guangzhou Daily News
Childhood is a critical period for the development of auditory speech. Hearing impairment can lead to children's speech development disorders and affect their emotional, psychological and social interactions, which will burden families and society. Wang Xiaoya, deputy director of the Department of Otorhinolaryngology, Guangzhou Women and Children Medical Center, said that it is currently advocated for early detection, early diagnosis and early intervention of children's hearing problems. Children with hearing impairment can get the maximum benefit after receiving intervention six months ago.
Hearing retardation effect
Depends on diagnosis and intervention sooner or later
Wang Xiaoya introduced that childhood is a crucial period for the development of auditory speech. As the saying goes, "the ten and nine are dumb", if you can't hear the sound in the early life, the hearing speech loop can't develop normally, it will affect the language development, and it will be difficult to conduct normal interpersonal communication in the future. Going to school, growing up, it is difficult to integrate into society.
Therefore, internationally, children's hearing problems should be advocated for early detection, early diagnosis, and early intervention, because the “1-3-6 principle” is advocated for newborn hearing screening: the newborn will receive the first place in the hospital after birth. The second hearing test, that is, the initial screening of hearing; the baby who did not pass the initial screening, returned to the hospital for hearing screening after 42 days; if it did not pass, the baby will undergo audiological diagnosis for three months; the baby with hearing impairment will be diagnosed within 6 months. Subject to audiological intervention.
The "6 months" time is very important. Wang Xiaoya said that there is a large amount of data in the world that the rehabilitation effect of hearing-impaired children does not depend on the severity of hearing loss, but in the diagnosis and treatment of hearing loss. Babies who have received audio-visual intervention before the age of six months can get the most benefit, which is why internationally promote universal hearing screening for newborns. For premature infants, low birth weight infants, family history of hearing impairment, and high-risk babies who have used ototoxic drugs during pregnancy, even early hearing screening should be performed once a year before the age of 3 years.
Wang Xiaoya said that the vast majority of children found during the baby's period are sensorineural hearing loss, and they need to wear hearing aids. "Once the doctor is diagnosed, if the doctor judges that the child has residual hearing, he can wear a hearing aid at the beginning of 3 months. Because this part Compared with normal children, children are not only 3 months behind - the fetus in the mother's stomach in the third trimester can already hear the sound. As long as the outside voice is irritating to the baby, it can stimulate their auditory nerve development, to 10 When you are a month old, you can consider implanting a cochlear implant." It is recommended to implant a cochlear implant in the case of general hearing loss and ineffective wearing of the hearing aid. Internationally, bilateral implantation is recommended, but the cost of cochlear implant is high at present. Many parents choose to have a single-sided implant, or use a side cochlear implant and a side hearing aid. It is understood that the current medical insurance funds, civil affairs departments and some public welfare funds reimbursement or funding for children's cochlear implants.
Light to moderate hearing loss
Or confused with behavioral disorders
Newborn hearing screening is not a once-in-a-lifetime approach. On the one hand, neonatal hearing screening techniques may miss some children with mild hearing impairment. On the other hand, hearing impairment may occur at any age, such as childhood otitis media. Trauma, etc., or some genetically induced hearing impairment may not have a hearing loss at birth.
Many elderly people believe that the "expensive language is late" is not likely to be a language barrier caused by hearing impairment. Children with hearing impairments tend to be more aware of their ability to look at their children than their peers. Parents often think that “this child is very smart”, which delays the timing of discovery. "Until now, when children still go to school and can't talk to see a doctor, they find a hearing-impaired child." Wang Xiaoya said.
Light to moderate hearing impairments are often more subtle. Children may just be speechless, and the family can understand but strangers can't understand.
A small patient encountered by Wang Xiaoya, who had just entered the first grade of primary school, was always unable to sit still and disturb other children in class, and therefore transferred 7 times. These manifestations are easily confused with ADHD, autism, etc., but actually because the child has hearing impairment and is struggling to attend classes, so it is difficult to concentrate for a long time.
Hereditary hearing impairment caused by genes may also cause hearing impairment in children who could otherwise speak. The 3-year-old boy, Xiao Lin (a pseudonym), had no problem listening or listening, but he has been ignorant for a few months. One day, my mother poured water into the kettle at home, and the kettle was blown up. Kobayashi played it on the sidelines without any reaction. My mother realized that the child had a hearing problem. After the examination, Xiaolin was found to have delayed hearing loss caused by hereditary large vestibular aqueduct syndrome.
Wang Xiaoya reminded that parents should continue to pay attention to their children's hearing. Once they find that the baby has no obvious reaction to the common voices in daily life, the language development is behind the children of the same age. The older children are not clear in words, suddenly do not speak, or communicate. Can't hear clearly, repeatedly ask "Ah? What do you say?", it is recommended to find an otolaryngologist in time.