The early intervention of children’s hearing impairment can be summarized as “three early”, that is, early detection and diagnosis, early fitting of hearing aids and early auditory language training.
Early detection: in medical institutions, it is important to screen the hearing of newborns, including otoacoustic emission test and auditory evoked potential test; in parents, it is mainly to closely observe the auditory language behavior of infants, such as blinking or shaking response to sudden strong sound within 3 months; it can turn the head to the direction of sound source within 4 months; it can rotate the head to find out within 6 months Around the interest of vocal objects; 9 months to learn to call “Mom”, “Dad”: 1 year old can stand independently, if found that the baby has abnormal performance should go to the hospital otology examination immediately. If it is diagnosed as sensorineural deafness, we should immediately select appropriate hearing aids and ear models for children, and start hearing speech training as soon as possible by using assistant hearing aids.
The main function of hearing aids is to amplify the external sound, so that deaf children can hear the original sound. According to the appearance, hearing aids can be roughly divided into three categories: box type, ear back type and ear inside type; according to the circuit, they can be divided into analog type and digital programmable type. For children, the ear back hearing aid with analog circuit can basically meet the needs. It must be emphasized here that it is not allowed to buy a hearing aid in the shop for use, but should be matched in a hospital or a special audiology institution. The reason is similar to the optometry with glasses, otherwise, it will cost a lot of money and have a bad effect. The ear mold is customized according to the form of children’s external ear cavity sampling. Its function is to stabilize the hearing aid, prevent the feedback squeal of the hearing aid and improve the acoustic property of the hearing aid according to the characteristics of hearing loss. Therefore, the customized ear mold should be regarded as an important part of hearing aid test. Speech is acquired through acquired learning. Auditory speech training includes three parts: listening training, pronunciation training and speech training. In order to make deaf children pronounce every sound accurately, we need to train breathing, tongue and lip movement, nasal sound, vocal cord vibration, four tones and Pinyin process respectively. The last transition to vocabulary, phrase and sentence training and auditory speech training is long-term and arduous To master the scientific training methods, we must be confident, overcome difficulties and persevere in the process and difficulties. Many children with severe deafness, with the help of hearing aids, have successfully recovered after 2-3 years of hearing speech training, and can study together with normal hearing children in ordinary primary schools and achieve good academic results. When a child is born, he can hear the sound. Is the newborn afraid of the sound? This problem often troubles the inexperienced young mother. According to the traditional method, the old people always make the room of the mother and the newborn quiet, and even walk carefully. The baby makes a little voice to scare the newborn. This old way should be over.
Children can hear voices as soon as they are born, but they don’t know where the voices come from and can’t distinguish different voices. At this time, their auditory reflex is a simple “startling reflex”. Therefore, the newborn will start crying suddenly without tension. This is not the abnormal behavior of the child, but the normal nerve reflex. It’s totally wrong to let the room be quiet for fear that the voice will frighten the newborn.
For the sake of children’s intelligence development, it’s very important to train their sense and perception as early as possible. Hearing is one of them. How to train their hearing?
First of all, give the baby a sound environment. The normal activities of the family will produce all kinds of sounds, such as: walking, door closing, water, washing, sweeping, talking, etc. many sounds can also be heard outside: car and people are very noisy. These sounds will stimulate the baby’s hearing and promote the development of hearing.
In addition to the natural sound, we can also create a sound world for infants. For example: buy some noisy toys for babies – rattle, octave box, quack duck, etc. In addition, the baby can listen to music, rhythmic and beautiful music to give the baby a sense of security. They will be very happy to listen. Of course, the time for playing music should be controlled, not early or late. In addition, they should not choose too noisy jazz and so on. It’s better to be able to talk to the baby. Although he can’t answer at this time, the intimate words of family members, especially the mother, will make the baby feel the initial emotional communication. When the mother speaks, smiles and talks to the baby kindly, the baby will stare at the mother’s face, as if it has understood the body language emitted by the mother.
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