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Hearing speech rehabilitation for hearing-impaired children

Subject to heredity, drugs,noiseInfluencing factors such as diseases and unfavorable maternity, China has newly produced 2~3 children with hearing impairment every year. Although the overall number is small, because deafness will seriously affect the normal development and development of children’s language, intelligence, psychology, etc., if you do not take active and effective measures, it will cause permanent disability.

The Chinese government attaches great importance to the problem of deafness in children. As early as 1987, the rehabilitation of hearing-impaired children was included in the long-term plan for the rehabilitation of disabled persons in the country. By the end of 2006, 1700 has been established in many parts of the country, and 26 has received rehabilitation training. Among them, eight children in kindergartens and primary schools are close to 30%. Many children have already been admitted to universities or graduate schools at home or abroad, and some have become an important force in creating social spirit and material wealth. These facts fully demonstrate that it is completely achievable for deaf children to return to the ranks of the hearing listeners. But many years of practice also remind us that the rehabilitation of deaf children is a systematic project. Every successful child is condensed with the government’s concern, social care, professional efforts, self-effort and parental sweat. The role of the parents is that no one can replace them. In the face of children’s hearing problems, what kind of attitude parents take, and what measures they take often determine the child’s recovery prospects.

Children with hearing impairment

Be brave enough to face the blame

The hearing problem of the child is a heavy blow to every parent, and it is also a severe test. But parents must make a serious response. In front of this question, parents can choose different answers, and each answer reflects the parent’s attitude towards the child. Some parents were killed by the difficulties in front of them, and they lived in tears every day. Since then, some parents have chosen to give up and satisfy their own needs by regenerating their children. Some have chosen to escape, and both husband and wife blame each other and even appear. Marriage has changed; more parents have chosen to face up bravely and actively seek solutions to problems. The common problem of the first three parents is that they do not shoulder the responsibility of being a parent. Their behavior will seriously affect their future and development. It is not advisable. The fourth parent’s attitude is correct. They not only saved their children, but also shouldered the responsibility for the country and society. It is an example for all parents to learn.

Everyone wants their children to be healthy and happy, but hearing impairment is a problem that many people may encounter. In today’s highly developed science and technology, as long as early detection is achieved, early scientific rehabilitation measures can be fully recovered or even left without leaving traces.

Speech rehabilitation

Believe that science is not fortunate

Frequently encountered such a child parent, the child has not been able to speak for more than two years old, is not sensitive to the outside voice can not correctly implement the parent’s language instructions, many hospitals and rehabilitation agencies check that the child’s hearing problems, but the parents are I don’t believe it, I always feel that the child is still small, and it will be good when I am older. Other parents believe that the secular saying of “the late words of the nobles” hopes that a miracle will happen one day. It is undeniable that some children begin to speak when they are two or three years old, but the biggest difference between these children and their nephews is that although they speak late, they can correctly understand the parents’ instructions and the results of the hospital hearing test are normal. Modern medical technology has many methods for checking hearing. The results of the examination are very accurate. If the formal medical and rehabilitation institutions have a clear diagnosis of the child’s hearing, they should take rehabilitation measures as soon as possible. They must not be lucky and delay the precious recovery opportunities.

There are also a large number of parents who know that their children already have hearing impairment. They also know that there is no effective and direct cure. But these parents are not taking active rehabilitation measures, but are wasting their time and energy unrealistically. The so-called “treatment”. In fact, there is evidence that the so-called qigong treatment of deafness is purely a scam; acupuncture treatment has been negated as early as the end of the 70 era in the last century; the once-popular nerve growth factor (neurotropin) has not seen a case of deafness. Effective reporting; hair cell regeneration studies are currently only available in lower animals; stem cell transplantation and gene therapy for deafness are expected to open the way for the treatment of neurological deafness, but are still in the early stages of research. There is still a considerable distance from clinical applications. As for the so-called high-tech generic drugs that appear in some media and roadside advertisements to treat deafness, there is no scientific basis. It can be said that there is no drug in the world that can treat deafness caused by inner ear hair cells, auditory nerves and auditory central injury, not to mention the treatment of congenital deafness caused by abnormal anatomy.

Emotionally, we can understand the behavior of these parents. They think that the hearing impairment of the child is their own fault. I feel sorry for the child. Therefore, as long as I hear that I can treat it, no matter how much I spend, I will try my best to get a grievance. Psychological balance. In fact, knowing that there is no result and insisting on doing it not only makes the child feel more physically and mentally irritated, but also wastes precious recovery time.

I have to be hesitant to fight against the clock.

With the development of newborn hearing screening, many children’s hearing problems can be diagnosed within 6 months, but not many hearing aids can be given to them during this time. In addition to some parents who are busy with the children’s lanterns, they are repeatedly checked in various medical rehabilitation institutions, or some invalid treatments are taken. Some parents do not really pay attention to rehabilitation from the ideological point of view. They always feel that the children are still young and have time. As everyone knows, the rehabilitation of deaf children is a salvage job, and the effect of taking measures to recover one day earlier will be much greater. Because the child’s speech development begins with birth (also proposed in the embryonic period) and is usually completed before the age of 6. Beyond this stage, the learning of children’s speech will be much more difficult. Therefore, there are not many rehabilitation time for the deaf children. If you find that your deafness is later, your child’s age will be even less likely to be left to them. Some parents worry that their children are too young, and hearing aids can damage their hearing. This is an unfounded idea. As the digitization of hearing aids increases, its performance has changed from simple amplification to real-time recognition and processing of sound. Can distinguish between noise and speech, know which ones need to be amplified, which ones need to be suppressed, and which ones need to be compressed. Therefore, as long as the selection is appropriate, it will not only damage the hearing but also protect the residual hearing.

Some children have severe hearing impairment and need to be implanted with a cochlear implant. Some parents feel that it is not necessary to wear a hearing aid before implantation. After the operation, the hearing improves and the recovery is not too late. The parents who have this idea actually do not understand the essence of listening and speech rehabilitation. Wearing a hearing aid before cochlear implant is a process that must be experienced by a child. Before the operation, let the child understand the sound through the hearing aid, which not only helps the postoperative adjustment, but more importantly, can develop the child’s auditory cognition as soon as possible. And speech learning features. Clinical practice has proven that pre-operative deaf children who have undergone rehabilitation training with hearing aids are much better at recovering than deaf children without such experience. The latest concept of rehabilitation is that as long as the diagnosis is a sensorineural hearing loss, no matter how old the child is, you need to wear a hearing aid for rehabilitation.

Speech rehabilitation for hearing-impaired children

To understand the basic rehabilitation conditions of your child

For the child’s success, parents can endure the suffering of the soul that ordinary people can’t stand, and pay great labor that ordinary people can’t imagine. Their eager expectations for the care and learning of their children’s lives are really moving. However, many parents know little about the child’s rehabilitation conditions. One-sidedly think that it is a professional matter. As long as you manage your child’s life, you can rely on the responsibility of rehabilitation on others. This kind of understanding is wrong and not burdened. responsible. Today, with the rapid advancement of rehabilitation medicine technology, it is not enough for a competent deaf parent to care and love. They should also have a necessary understanding of the child’s natural condition. Due to the educational background and the degree of education, it is unrealistic for every deaf parent to know all the children’s situations like a professional, but they should understand the basic situation that has a great relationship with the child’s recovery, such as the child’s deafness. Hearing level, hearing aid compensation effects, etc.

By recalling whether a mother is sick during pregnancy, whether she has medication, whether she has abortion experience, whether her child has dystocia at birth, whether her child has high fever after birth, whether she has infectious disease, whether she has used ototoxic drugs, or whether she has used both families. Members of congenital deafness can get an idea of ​​the child’s deafness. Finding the cause of convulsions can help deaf children recover better. Deafness for different reasons has a certain impact on rehabilitation. Some hereditary hearings will continue to decline, leaving room for selection of hearing aids; some genetic hernias have better high-frequency hearing, which can help improve speech intelligibility; neonatal jaundice can lead to auditory neuropathy Occurrence, negative impact on speech training; children with large vestibular aqueduct syndrome may experience hearing fluctuations when suffering from head trauma or cold and fever; drug toxicity has obvious familial, hearing loss is mainly due to high frequency decline, affecting The child’s speech intelligibility; cochlear hypoplasia must be done with cochlear surgery.

The degree of hearing loss directly affects the effectiveness of hearing and speech rehabilitation. When analyzing and judging the nature and extent of hearing loss in children, it is necessary to combine the results of subjective and guest observations. In general, the auditory brainstem potential response or pure tone audiometry average hearing loss does not exceed 80 decibels. As long as the appropriate hearing aids are worn early, supplemented by scientific language training, the language can be mastered and used. Otoacoustic emission is normal but there are obvious deafness. It is likely to be an auditory neuropathy. Language learning will be difficult. When the acoustic impedance is abnormal, the middle ear problem should be eliminated first, and then the hearing aid should be considered.

Hearing aids and cochlear implants are important aids for the rehabilitation of children. Choose the former or the latter to consider a variety of factors. Hearing loss does not exceed 80 decibels (main observation). When choosing a hearing aid, many parents have misunderstandings, paying attention to the price neglect of the debugger, and think that the more expensive the price, the better. Of course, this interpretation is correct only in terms of the performance of the hearing aid, but they ignore the most important fact that the more expensive and digitized the hearing aid, the more the performance needs to be debugged. . Hearing aids that have not been debugged must not perform the best hearing compensation. There are many profound lessons in this regard. Some patients spent tens of thousands of dollars to buy a hearing aid for their children. They have not seen the effect for more than a year. The test found that the parameters of the hearing aid did not match the hearing loss of the child, which delayed the precious time of the child. There are also some parents who think that the child chooses a simulated or low-level hearing aid in the hour, and then chooses the full number. Their reason is that the child will let him hear in the first hour, and the performance will be better when he learns the language. This kind of thinking is extremely wrong. Hearing and learning inaccurate language through poorly performing hearing aids is difficult to correct with good hearing aids in the future. As long as economic conditions permit, you should try to choose a full-digital, high-performance hearing aid, so that children can get good hearing compensation from an early age to learn the language as soon as possible.

Only by understanding the basic rehabilitation conditions of the child can we develop a rehabilitation plan that meets the child’s needs. Parents can coordinate with the professional rehabilitation training and provide targeted counseling to achieve better results.

To set the appropriate expectations

Every parent wants their children to go to college and become the pillars of the country. However, there are many reasons for affecting the rehabilitation of children, such as the age at which they start training, the duration of deafness, the cause of deafness, the availability of residual hearing, the performance of hearing aids (cochlear implants), the effects of hearing aids (cochlear implants), rehabilitation The conditions of the institution, the quality of the rehabilitation teacher, the understanding of the parents, the degree of cooperation of the general education institutions, and the follow-up of follow-up education. My child’s ability to learn and so on, and each child has his or her own particularity. Therefore, parents must have a correct concept of recovery and establish a rehabilitation goal that is consistent with his actual ability. Going to college is a recovery, and life can be self-reliant and recover. Regardless of the specific conditions of the child, it is unfair to measure the level of rehabilitation of each deaf with a ruler. According to statistics, although children who have undergone rehabilitation training have not been able to enter ordinary schools, their behavioral awareness, social awareness, attitude towards life, and ability to deal with problems are significantly different from those of untrained children. Most of the students who entered the school after rehabilitation were admitted to the deaf university or secondary school. They also became the leaders of the hearing-impaired people when they stepped onto the society. This is actually rehabilitation. Every deaf parent must have a normal heart. Don’t blindly compare and increase the unnecessary burden on the child. Parents who are sensible in treating children with hearing impairment are the parents who truly care for their children. They are responsible parents. Parents who are welcomed by children and recognized by their children are the parents of the society and are the parents of success.

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