Kuli anei kāu keiki liʻiliʻi? (Loaʻa ka lohe) - E kamaʻilio kākou e pili ana i kēia!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole e hoʻolohe pono ana kāu keiki ke kamaʻilio ʻoe me lākou? A i ʻole me he mea lā ʻaʻole lākou e pane iki i nā leo? Hiki paha kēia no ka mea he hemahema ko lākou lohe. Kāhea mākou i kēia he 'nalowale lohe' . Mai hopohopo, inā ʻike mākou i kēia, hiki iā mākou ke hoʻoponopono maikaʻi i kēia kūlana.

He aha nā ʻano o nā pilikia o ka lohe?

ʻAe, i kēia manawa e nānā kākou i nā ʻano nui o ka nalowale o ka lohe, a i ʻole ka hemahema o ka lohe. He ʻokoʻa nā kumu a me nā lāʻau lapaʻau no kēlā me kēia ʻano. I mea e pololei ai, ʻokoʻa kēia hoʻokaʻawale ʻana ma muli o kahi o ka pilikia ma ka pepeiao, a inā paha ma nā leka e hele ana i ka lolo.

Pohō lohe alakaʻi

ʻO kēia kekahi ʻano. I ka ʻōlelo maʻalahi, ʻo ka nalowale o ka lohe conductive ke ālai ʻia ke kani mai ka honua waho mai ka hiki ʻana i ka pepeiao o loko. E noʻonoʻo e like me kahi mea e paʻa ana i loko o kahi paipu wai. ʻO ka maʻamau, hana ʻia e:

• Nā maʻi pepeiao pinepine.
• ʻO ke koʻokoʻo pepeiao, ʻo ia hoʻi, ua hōʻiliʻili ka koʻokoʻo pepeiao a ua paʻakikī .
• Aia kekahi mea i hewa i nā iwi liʻiliʻi ʻekolu ma ka pepeiao waena.

I ka hapanui o ka manawa, hiki ke ho'ōla ʻia kēia ʻano pohō lohe me ka lāʻau lapaʻau a i ʻole ke ʻoki kino liʻiliʻi.

Ka nalowale o ka lohe sensorineural (SNHL)

He ʻokoʻa iki kēia. Hana ʻia ka nalowale o ka lohe sensorineural (SNHL) ke hōʻino ʻia ka ʻāpana koʻikoʻi o ka pepeiao o loko, ka cochlea , a i ʻole ke aʻalolo auditory e lawe ana i ke kani mai laila mai i ka lolo. ʻO kēia ke kumu pinepine o ka nalowale mau o ka lohe.

Aia paha kekahi mau kumu no kēia:

• Inā loaʻa kēia maʻi i kekahi o ka ʻohana, he mea hoʻoilina paha ia.
• Hiki ke loaʻa kekahi mau maʻi genetic ma ke ʻano he ʻāpana o ka genetic syndrome .
• Ma muli o kekahi mau maʻi i loaʻa i ka makuahine i ka wā hāpai, a i ʻole nā ​​maʻi i loaʻa i ka pēpē ma hope (no ka laʻana , meningitis ).
• Ma muli o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau e hōʻino i nā pepeiao (nā lāʻau ototoxic) .
• Hiki i ka hoʻolaha pinepine ʻana i nā leo nui loa ke hoʻopilikia i kēia.

Pohō lohe hui ʻia

Manaʻo ʻia ia e ka inoa, ʻeā? ʻO ka nalowale o ka lohe hui ʻia he hui pū ʻana o nā ʻano nalowale o ka lohe conductive a me sensorineural i ʻōlelo ʻia ma mua. ʻO ia hoʻi, aia kahi pilikia me ke ala e hele ai ke kani ma o ka pepeiao, a aia kahi pilikia me ka pepeiao o loko a i ʻole ke aʻalolo.

Poho lohe waena

He mea kākaʻikahi kēia. Pohō lohe waenaHoʻokumu ʻia ia e ka hōʻino ʻana i nā ʻāpana o ka lolo e wehewehe a kālailai i nā hōʻailona leo mai ka pepeiao ma hope o ko lākou hiki ʻana i ka lolo. ʻOiai inā maikaʻi ka pepeiao, ʻaʻole hiki i ka lolo ke hana pono iā ia.

Ka maʻi hana hoʻolohe (APD)

He ʻano paʻakikī nō hoʻi kēia. He maikaʻi ka lohe ʻana o nā keiki me ka maʻi hoʻoponopono lohe (APD) . ʻO ia hoʻi, he mea maʻamau paha nā hoʻokolohua lohe. Eia nō naʻe, he paʻakikī i ka lolo ke hoʻokaʻawale a me ka hoʻomaopopo ʻana i nā leo e hele ana mai ka pepeiao a i ka lolo, ʻoiai nā huaʻōlelo i ʻōlelo ʻia. E noʻonoʻo, i loko o kahi lumi me nā poʻe he nui e kamaʻilio ana, he paʻakikī i kekahi kanaka ke hoʻomaopopo i kā lākou e ʻōlelo nei. He paʻakikī paha iā lākou ke hoʻokaʻawale i nā huaʻōlelo mai ka walaʻau, ka loaʻa ʻana o ke kuhikuhi o ke kani, a me ka hoʻomaopopo ʻana i ka ʻōlelo wikiwiki.

No ke aha e loaʻa ai kēia nalowale o ka lohe?

ʻO kahi nīnau a nā mākua he nui e nīnau ai, 'No ke aha i hana ʻia ai kēia i kā mākou pēpē?' ʻO ka ʻoiaʻiʻo, he mea paʻakikī pinepine ka loaʻa ʻana o kahi kumu kikoʻī . Eia nō naʻe, aia kekahi mau mea pilikia e hoʻonui ai i ka hiki ke loaʻa i kahi keiki ka nalowale o ka lohe. E nānā kākou i ke ʻano o lākou:

• ʻO ka hānau ʻia ʻana me kahi ʻano kīnā hānau o ka pepeiao .
• Ka pilikia o ka lohe ʻana i nā lālā ʻē aʻe o ka ʻohana, ʻoiai hoʻi i ka wā kamaliʻi.
• Ua hānau ʻia ke pēpē i ka wā ʻōpiopio, a i ʻole e pono e loaʻa ka lāʻau lapaʻau ma ka Neonatal Intensive Care Unit (NICU) ma hope o ka hānau ʻana.
• I ka wā o ka hānau hou ʻana, ʻo ka jaundice me ka nui o ka bilirubin e pono ai ke hoʻoili koko.
• Nā maʻi pepeiao pinepine, nā pahu pepeiao puka, a i ʻole ka ʻike ʻia ʻana i nā leo nui.
• Ke ʻeha nei i nā maʻi koʻikoʻi e like me ka meningitis a i ʻole cytomegalovirus (CMV) .
• Pono e lawe i kekahi ʻano lāʻau Ototoxic (hāʻawi ʻia kēia mau mea i nā hihia o ka pono nui ma ke aʻo ʻana a ke kauka).

Hiki ke hana ʻia no nā kumu e like me kēia. Akā e hoʻomanaʻo, hiki ke nalowale ka lohe me ka ʻole o kekahi o kēia mau mea.

He aha nā hōʻailona o ka nalowale o ka lohe?

He mea nui loa kēia. No ka mea, ʻaʻole paha e maopopo i kahi keiki liʻiliʻi kāu mea e ʻōlelo nei iā lākou . He mea paʻakikī loa kēia ke ʻike i nā pēpē ʻōpiopio loa. ʻAʻole paha e pane nā keiki me ka nalowale o ka lohe i nā leo a i ʻole ka ʻōlelo. Eia kekahi, hiki ke lohi ko lākou hiki ke ʻōlelo, ʻo ia hoʻi, ka ulu ʻana o ka ʻōlelo.

Inā ʻaʻole pane kāu pēpē i kēia mau mea i loko o ka makahiki mua, pono ʻoe e kamaʻilio me ke kauka.

Nā ʻano o nā keiki hānau hou a me nā pēpē i kekahi mau mahina

• He pēpē hānau hou: Ke lohe koke lākou i kahi walaʻau nui, pūʻiwa lākou a me he mea lā e "luaʻi ana".
• Ma kahi o 3 mahina: Hoʻomaopopo i nā leo o koʻu makuakāne a me koʻu makuahine .
• Ma kahi o 6 mahina: Hoʻohuli i nā maka a i ʻole ke poʻo i kahi leo houʻO ke kani hou ʻana e like me 'uh...', 'ah...'.
• 12 mahina, ʻo ia hoʻi ma kahi o hoʻokahi makahiki: Hana i nā leo e like me 'ba ba ba', 'ma ma ma' , pane i kona inoa , hoʻāʻo e hoʻohālike i nā huaʻōlelo, ʻōlelo i kekahi mau huaʻōlelo e like me 'amma' a me 'ta ta'.

He mea nui loa kēia mau pae holomua. E makaʻala inā lohi lākou.

Nā ʻano o nā keiki ʻelemakule iki

I ka ulu ʻana o ke keiki, hiki i nā hōʻailona o ka nalowale o ka lohe ke komo pū me:

• Ua kaupalena ʻia ka ʻōlelo ʻana, maopopo ʻole, a ʻaʻole paha i ʻōlelo iki ʻia .
• Me he mea lā ʻaʻole ʻoe e hoʻolohe nei i ka mea e ʻōlelo ʻia nei, a ʻaʻole ʻoe e hahai ana i nā kuhikuhi .
• ʻAʻole pane mai ke kamaʻilio ʻia me ka leo maʻamau, a i ʻole hāʻawi i nā pane kūpono ʻole .
• Ke nui ka walaʻau a puni ʻoe, hopohopo koke ʻoe a huhū .
• Pono ʻoe e hoʻoikaika pinepine i ka leo o ke TV .
• Kū mai nā pilikia aʻo .

Hiki ke ulu mālie kekahi mau pilikia lohe ma hope o ka hānau ʻana, a i ʻole ʻaʻole paha e ʻike ʻia a hiki i ka wā ma hope o ke ola. Inā he mau hopohopo kou e pili ana i ka lohe o kāu keiki, e kamaʻilio koke me ke kauka. Pono paha kāu keiki e kuhikuhi ʻia i kahi loea lohe no kahi hoʻokolohua lohe piha.

Pehea ʻoe e ʻike ai i kēia kūlana?

ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i kēia pilikia i ka wā hikiwawe loa . No ka mea , inā hoʻomaka ʻia ka lāʻau lapaʻau ma mua o ka piha ʻana o ke keiki i 6 mahina, ua holomua loa nā hopena . ʻO ia ke kumu e hana ai kēlā me kēia pēpē hānau hou i kahi hoʻāʻo loiloi lohe ma mua o ka haʻalele ʻana i ka haukapila.

E noʻonoʻo wale, inā ʻaʻole hiki iā ʻoe ke hoʻāʻo ʻia kāu pēpē ma mua o ko lākou hoʻi ʻana i ka home, a inā ua hānau ʻia kāu pēpē ma ka home a i ʻole ma kahi kikowaena hānau ʻē aʻe, e hōʻoia e hoʻāʻo ʻia ka lohe o kāu pēpē i loko o nā pule 3 mua o ke ola .

ʻO ka hiki ʻole ke hala i kēia hoʻāʻo loiloi mua, ʻaʻole ia he manaʻo ʻaʻole loa e lohe ka pēpē. Eia nō naʻe, ʻo ia hoʻi, pono e hoʻāʻo hou ʻia i ka wā hikiwawe loa, i loko o hoʻokahi mahina o ka hānau ʻana. Inā ua hōʻoia ʻia he nalowale ka lohe, pono e hoʻomaka koke ʻia ka lāʻau lapaʻau.

ʻOiai nā keiki me ka lohe maʻamau e pono e nānā mau ʻia ko lākou lohe i ka wā o kā lākou nānā lapaʻau maʻamau. Hana pinepine ʻia kēia mau hoʻokolohua lohe i ka makahiki 4, 5, 6, 8, a me 10 , a ma waena o nā makahiki 10 a me 12 (nā makahiki ma mua o ka ʻumikūmālua) a i ka wā ʻōpio . Eia kekahi, e nānā ke kauka i kou lohe i kēlā me kēia manawa inā he kānalua e pili ana i kou lohe.

Pehea e mālama ʻia ai?

ʻO nā koho lapaʻau e pili ana i ke ʻano o ka nalowale o ka lohe, kona kumu, a me ke koʻikoʻi o ke kūlana.No laila. Pono nā keiki me ka nalowale o ka lohe mau loa i ke kōkua o kahi hui o nā loea i ka wā e mālama ai iā lākou. Aia i loko o kēia hui kahi loea pepeiao , kahi kauka pepeiao, ihu a me ka ʻāʻī (kauka ENT) , kahi mea lapaʻau ʻōlelo-ʻōlelo , a me kahi loea hoʻonaʻauao .

Hiki ke kōkua ʻia nā keiki me kekahi mau ʻano pohō lohe me nā lāʻau lapaʻau, nā therapies, a me nā ʻoki kino. E nānā kākou i ke ʻano o lākou:

Nā mea kōkua hoʻolohe

"Hoʻonui a hoʻomālamalama nā mea kōkua lohe i ke kani. Inā hoʻomaka nā pēpē i hānau ʻia me ka nalowale mau o ka lohe e hoʻohana i nā mea kōkua lohe ma mua o ko lākou 6 mahina , ʻoi aku ka maikaʻi o kā lākou ulu ʻana i ka ʻōlelo."

"ʻAʻohe mea e like me 'ʻo kēia ke ʻano kōkua hoʻolohe maikaʻi loa.' E kōkua kāu loea hoʻolohe iā ʻoe e koho i ka mea kūpono no nā pono o kāu keiki. He nui nā keiki me ka nalowale o ka lohe ma nā pepeiao ʻelua e hoʻohana i ʻelua mau kōkua hoʻolohe."

Nā ʻōnaehana FM

"Hoʻemi kahi ʻōnaehana FM (Frequency modulation - ʻōnaehana FM) i ka walaʻau hope makemake ʻole ʻia a hoʻolilo i ka leo o ka mea ʻōlelo i lohe maopopo ʻia a leo nui. E noʻonoʻo i kahi kumu ma kahi lumi papa kula e ʻaʻahu ana i kahi microphone liʻiliʻi a me kahi mea hoʻoili . Hele kahi hōʻailona uila mai kēia mea hoʻoili i kahi mea hoʻokipa , i ʻaʻahu ʻia e ke keiki ma ka pepeiao a i ʻole i hoʻopili ʻia i ke kōkua hoʻolohe ponoʻī. ʻOiai hiki ke lawe ʻia kēia a puni, hiki ke hoʻohana ʻia ma ka home a i ʻole ma nā wahi walaʻau ʻē aʻe."

Nā mea hoʻokomo cochlear

"Hiki i nā implants cochlear ke kōkua i nā keiki me ka nalowale nui o ka lohe ʻana ʻaʻole hiki ke pōmaikaʻi mai nā mea kōkua lohe. He mea hana kēia i hoʻokomo ʻia ma ke ʻoki ʻana i loko o ka pepeiao . Hana ia ma ke kāpae ʻana i nā ʻāpana o ka pepeiao i hana pono ʻole a hoʻoulu pololei i ke aʻalolo auditory. Me ke aʻo kūpono a me ka lāʻau lapaʻau, hiki i nā keiki me nā implants cochlear ke aʻo e lohe a ʻōlelo maikaʻi."

Hoʻomaʻamaʻa/hoʻoponopono hou ʻana i ka lohe

"ʻO ka hoʻoponopono ʻana i ka lohe ke kaʻina hana o ke kōkua ʻana i nā keiki i hānau ʻia me ka nalowale o ka lohe e lohe a kamaʻilio me nā poʻe ʻē aʻe. Hiki i kēia ke komo pū me ka Auditory-Verbal Therapy (AVT) , ka hoʻoponopono ʻōlelo, ka heluhelu lehelehe, a i ʻole ke aʻo ʻana i ka ʻŌlelo Lima ʻAmelika (ASL) . E hana pū kāu loea pepeiao a me ke kauka me ʻoe e hoʻoholo i ke ala maikaʻi loa no kāu keiki e kamaʻilio ai. ʻO nā keiki e nalowale ana ko lākou lohe i ko lākou wā ʻelemakule e aʻo i kēia mau ʻano kamaʻilio, i kapa ʻia ʻo ka hoʻoponopono ʻana i ka lohe ."

He aha hou aʻe kā mākou e pono ai e ʻike?

ʻOiai ka nalowale o ka lohe iki, hiki ke hoʻopilikia i ka ʻōlelo a ke keiki, ka ʻōlelo, ke aʻo ʻana, a me nā mākau pilikanaka. ʻO ia ke kumu he mea nui e kuhikuhi i nā pēpē a me nā keiki liʻiliʻi me ka nalowale o ka lohe i nā papahana hana mua . Hāʻawi kēia mau papahana i nā lawelawe lapaʻau manuahi i nā keiki i kūpono. Hiki i nā keiki makua ke kūpono no nā lawelawe hoʻonaʻauao kūikawā ke hoʻomaka lākou i ke kula.

ʻO ka loaʻa ʻana o kēia kōkua i ka wā hikiwawe loa ke ala maikaʻi loa e pale ai i ka lohi o ka ulu ʻana o ke keiki a hoʻomaikaʻi i ko lākou ulu holoʻokoʻa.

Hiki iā ʻoe ke loaʻa hou aku ka ʻike a me ke kākoʻo e pili ana i kēia ma ka pūnaewele. Eia kekahi laʻana:

• ʻO ka ʻāpana 'Hoʻolohe Pohō i nā Keiki' o ka pūnaewele CDC (Centers for Disease Control and Prevention) .
• Pūnaewele ʻo American Speech-Language-Hearing Association (ASHA) .

E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo

ʻAe, mai nā mea a mākou i kūkākūkā ai, pono ʻoe e maopopo i ke ʻano o ka nalowale o ka lohe i nā keiki, kona mau kumu, nā hōʻailona, ​​​​ka hōʻailona, ​​​​a me ka mālama ʻana. ʻO ka mea nui loa, inā he kānalua iki ʻoe e pili ana i ka lohe o kāu keiki, mai hoʻowahāwahā iā ia a e ʻimi koke i ke aʻo lapaʻau.

• ʻO ka ʻike mua ʻana a me ke komo koke ʻana nā mea maikaʻi loa no ka wā e hiki mai ana o ke keiki.
• E hōʻoia i ka hana ʻia ʻana o kēlā me kēia pēpē hānau hou i kahi loiloi lohe no nā keiki hānau hou .
• E makaʻala i nā hanana holomua o ka ulu ʻana o kāu keiki.
• Inā ua ʻike ʻia ʻoe he nalowale kou lohe, e ʻimi i ke kōkua mai ka hui loea kūpono .
• E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Me ke kākoʻo kūpono a me ka ʻike, hiki iā ʻoe ke hoʻoponopono i kēia kūlana me ka holomua. Mai ʻae i kēia e pale i kāu keiki mai ka noho ʻana i kahi ola hauʻoli a holomua e like me nā keiki ʻē aʻe.

ʻO ka nalowale o ka lohe, ka lohe, ka nalowale o ka lohe i nā keiki, ka nalowale o ka lohe, nā hoʻāʻo lohe, nā mea kōkua lohe, nā mea hoʻokomo cochlear