How to teach hearing-impaired children to protect their "little ears"?

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China has the largest number of hearing-impaired children in the world. According to the Second National Sample Survey of Disabled Persons, there are 27.8 million people with hearing and speech disabilities in China, including about 137,000 hearing-impaired children aged 0-6 years old, and about 23,000 deaf children born every year. What awaits these children and their parents are expensive surgeries, lengthy rehabilitation, and a bumpy road to school. This is a vulnerable group with huge data.

How to teach hearing-impaired children to protect their "little ears"?
For children with hearing loss, Hearing Aids and cochlea are not only high-tech products that amplify sound, but also parents’ investment and contribution for their children’s future. Hearing aids are expensive. Cochlea devices cost RMB 100,000 to RMB 200,000, and a pair of hearing aids costs RMB 40,000 to RMB 45,000. For most families, this requires a lot of effort and effort from parents and the elderly, just because of love!

Teacher Yunyun said: Give the hearing aid a nice name, and then tell the little princess that the hearing aid is your little ear, so you must protect your little ears.
Xuanxuan’s mother said: First of all, the child must be willing to wear the hearing aid and not agree to take it off. If it breaks, it will have to be repaired and the sound will no longer be heard. The child has no idea about the price of the hearing aid.
Teacher Yao said: I also agree with the point above. Find some opportunities to let children feel the importance and irreplaceability of hearing aids. This is more important than emphasizing that the price is expensive.

Teacher Amy said: This is what I always tell children and parents: hearing aids are the baby’s little ears. The baby should use these little ears to listen to sounds and learn to speak, and all sounds must be listened attentively. Babies should take good care of their little ears, make good use of them, and care for them as much as they care for their eyes.

Zhenzhen’s mother said: I have told my son that hearing aids are your ears, and you must protect them well. Without hearing aids, you will not be able to hear your mother talking to the children. Now My son sometimes talks about me when I use his hearing aid.

Childhood is a critical period for speech development. If hearing impairment is not discovered in time and effective intervention measures are not taken, it may lead to delayed speech development and behavioral problems in mild cases; severe speech development disorders may even affect children. The development of emotional, psychological and social communication abilities places a heavy burden on families and society.

Suggestion 1: Pass three levels of hearing screening, don’t be anxious if you fail the initial screening. Babies born in regular hospitals in my country must undergo newborn hearing screening tests. The primary screening is 48 hours after birth, and the re-screening is 42 days after birth. The screening process is simple and can be performed when the baby is asleep without any shock or pain. It is the most effective method for early detection of hearing loss. Failing the hearing screening does not mean that the child will definitely be deaf. Many children who fail the initial screening may pass the second screening. If you still fail the re-screening, you need to do a hearing diagnosis. A full set of hearing diagnosis, including acoustic impedance, distortion product otoacoustic emissions, multi-frequency steady-state evoked potentials, audiometricBrainstem evoked potentials, 40Hz related potential examinations, etc. To perform these relatively complex examinations, it is sometimes necessary to give the child a certain amount of sedatives so that the child can cooperate with the examination while he is asleep to avoid some interfering factors that may lead to inaccurate examination results. But whether it is initial screening, re-screening or subsequent hearing diagnostic examination, it is very safe.

Suggestion 2: Congenital deafness can be prevented. Pay attention to pre-marital examinations. Congenital deafness is mostly caused by genetic factors. It is recommended that young people must go for pre-marital physical examinations. , if you have bad ears or have close relatives with bad ears, it is recommended to draw some blood to screen for deafness genes. In addition, if you get a viral cold, rubella or high fever during pregnancy, you must go to the obstetrics or genetic physiology department for consultation in time.

Recommendation 3: Pay attention to details in newborn care to prevent acute otitis media. Normal babies already have relatively complete hearing after one month of birth. It is not suitable to accept loud sound stimulation at this stage. Be careful when bathing and washing hair. Pay special attention not to let sewage pour into the ear canal to prevent the occurrence of external ear and otitis media. Among the causes of hearing loss in the later stage, acute otitis media is the most common. This is because the Eustachian tube of babies is shorter, flatter and wider than that of adults, and the position of the pharynx is lower. Nasopharyngeal secretions and pathogenic microorganisms can easily pass through this tube. Invasion of the middle ear; children have poor immune function and are susceptible to various infectious diseases; children's middle ear immune function is also immature and local defense capabilities are not strong. When breastfeeding, there is too much breast milk, too much pressure, and the baby's head is slightly lowered. The milk can easily enter the middle ear through the Eustachian tube, which may cause acute otitis media or even acute suppurative otitis media and affect hearing. Therefore, correct breastfeeding and water-feeding postures are required. Hold the baby in a semi-recumbent position.

Recommendation 4: Pay attention to sudden ear congestion after a cold. Another type of non-suppurative otitis media, secretory otitis media, is also a common disease that affects hearing. It is characterized by accumulation of fluid in the middle ear cavity. Some children with this disease suddenly appear after catching a cold, and some develop unconsciously. The main symptoms are often ear tightness and hearing loss. A few children report mild earache. Most children are slow to listen and misunderstood. Inability to listen or pay attention, turning up the volume of the TV very loudly, declining academic performance, etc. Due to atypical clinical symptoms, it is easy to be ignored by parents, causing children to suffer from varying degrees of hearing loss or lifelong hearing loss.

Recommendation 5: If tonsils and adenoids are enlarged, they can be removed if necessary. Because the middle ear is often threatened by "neighbors", such as those in the nose and pharynx. Diseases, including sinusitis, tonsillitis, adenoid hypertrophy, etc. Therefore, in order to protect the health of the middle ear, such diseases must be actively treated. Therefore, clinically, after children with enlarged and recurrent tonsils or adenoids are removed, not only are the chances of catching colds reduced, but the original recurring otitis media is also cured.

Recommendation 6: Blacklist of ototoxic drugs, consult carefully before taking medication. Many drugs have strong effects on the ears.Severe toxicity, long-term or one-time large-scale use, or children who are highly sensitive to this drug can cause hearing impairment. The most common ototoxic drugs include streptomycin, gentamicin, kanamycin, etc. These drugs mainly cause damage to the auditory nerve. Because children cannot correctly reflect early symptoms of poisoning when using these antibiotics, it is easy to be misdiagnosed or missed.

After hearing-impaired children wear hearing aids, in order to ensure that the hearing aids can work effectively and the children have a good listening effect, the hearing aids and parents need to work together.

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