Yu smɔl pikin gɛt prɔblɛm fɔ yɛri? Lɛ wi lan bɔt aw pɔsin kin yɛri.

Sɔmtɛm yu kin fil lɛk yu smɔl pikin nɔ de pe atɛnshɔn tumɔs we yu de tɔk, ɔ nɔ de ansa fayn to sawnd. Pan ɔl we dis kin rili kɔmɔn, sɔntɛnde wan pan di rizin dɛn we kin mek dis apin kin bi we pɔsin nɔ de yɛri fayn. Wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl `(Hearing Loss)`, dat na, yu nɔ de yɛri, insay wan simpul we we yu go ɔndastand? Natin nɔ de fɔ fred, di tin we impɔtant pas ɔl na fɔ no.

Wetin e min fɔ gɛt prɔblɛm wit yu yɛri?

Fɔ tɔk am simpul wan, yɔŋ pikin we nɔ de yɛri fayn, ɔ wetin wi kin kɔl na mɛrɛsin ``Hearing Loss,'' kin gɛt prɔblɛm fɔ yɛri ɛn ɔndastand sɔm ɔ ɔl di sawnd dɛm. Dɛn kin fil lɛk se dɛn dɔn stɔp di vɔlyum na redio. Tri men rizin dɛn de we mek dis kin apin:

• Prɔblɛm wit difrɛn pat dɛn na di yes: Wi yes na ɔgan we rili kɔmpleks. I gɛt pat dɛn we dɛn kɔl di ɔda yes, di midul yes, ɛn di insay yes. If sɔntin nɔ fayn ɔ blok na wan ɔ mɔ pan dɛn pat ya, yu nɔ go yɛri sawnd fayn fayn wan.
• Prɔblɛm wit di nerv dɛm we de kɛr sawnd go na di bren: Ɔndastand se afta yu dɔn gɛt sawnd frɔm di yes, i nid fɔ kɛr am go na di bren. If ɛni wikɛd tin de na dɛn nerv ya we de kɛr sawnd, di sawnd nɔ de go na di bren fayn fayn wan.
• wan prכblεm wit di pat pan di bren we de כndastand sawnd: Ivin afta di sawnd rich di bren, wan spεshal pat de na di bren we de כndastand am lεk "dis na mama in vכys," "dis na siŋ." If ɛni wikɛd tin de na da pat de, ilɛksɛf yu yɛri di sawnd, yu nɔ go ebul fɔ ɔndastand wetin i bi.

Wetin na di kayn pipul dɛm wae de mek pɔrsin nɔr de yɛri fayn?

We pɔsin nɔ de yɛri fayn kin kam difrɛn we dɛn. Lɛ wi luk sɔm pan di men kayn dɛn.

Kɔndɔktiv fɔ yɛri lɔs

Wetin kin apin na dis kes na dat sɔntin de blok di sawnd fɔ mek i nɔ rich na di yes. Imajin, if sɔntin stɔp na di wata paip na yu os, di wata nɔ go kɔmɔt.

• sכmtin de rכng wit di sכm sכm bon dεm na di midul yes (dεn na dεn wan ya de vaybret sawnd εn sεnd am insay).
• di yes fulכp wit bכku tin we lεk waks (wi kכl am earwax).
• Ɔ, tin lɛk fɔ gɛt infɛkshɔn na yu yes ɔltɛm kin mek dis kayn nɔys stɔp.

Dɛn kɔl dis ``Conductive hearing loss.`` Sɔntɛnde dɛn kin kɔrɛkt dis kayn we aw pɔsin kin yɛri wit mɛrɛsin ɔ smɔl ɔpreshɔn.

Sεnsכrinyural yεri lכs (SNHL) .

Dis na tin we difrɛn smɔl. wetin de apin ya na dat di damej de pan di pat we rili sεnsitiv na di insay yes we dεn kכl di kכklia (dis na pat we shep lεk snεl sεl), כ di nεv dεm we de kכri sawnd to di bren.

• Dis `(Sensorineural hearing loss)` ɔ `(SNHL)` kin bi sɔmtɛm frɔm ɛritaj (we min se yu mama, papa, grani, ɔ granpa bin gɛt am).
• Ɔ i kin bi pat pan sɔm jenɛtik sindrom.
• Dɔn bak, sɔm infɛkshɔn (fɔ ɛgzampul, sɔm sik dɛn we di mama kin gɛt we i gɛt bɛlɛ) ɛn sɔm strɔng mɛrɛsin kin pwɛl di insay yes ɔ di nerv dɛn. Dis kayn wikɛdnɛs kin de fɔ ɔltɛm.

Miks we yu nɔ de yɛri fayn

insay dis kes, di tu kכz dεm we wi bin dכn tכk bכt di ``Kכnduktiv'' εn ``Sεnsorineural'' kכz kin apin tכgeda. Dis min se sɔntin de we de ambɔg di sawnd we de go insay di yes, ɛn prɔblɛm de bak wit di insay yes ɔ di nerv dɛn.

Sɛntral yɛri lɔs

If na so i bi, di prɔblɛm nɔ de na di yes, bɔt i de dairekt na di bren. dat min se, ``Sentral hearing loss`` de apin we sכmtin dεn dכn pwεl na di pat pan di bren we de kכntro εn כndastand sawnd. Dis na tin we nɔ kin apin so ɔltɛm.

Ɔditɔri prɔsesin disɔda (APD) .

Dis na tin bak we rili spɛshal. Pikin dεm we gεt `(Auditory Processing Disorder)` כ `(APD)` gεt dεn yes εn bren we nכ de wok fayn fayn wan. Dɛn kin yɛri nɔmal wan (we min se dɛn nɔ de sho ɛni prɔblɛm we dɛn de du tɛst fɔ yɛri), bɔt dɛn bren kin gɛt sɔm prɔblɛm fɔ no ɛn ɔndastand sawnd dɛn, mɔ di we aw dɛn de tɔk. I tan lɛk se di redio signal dɔn chenj ɛn di sawnd dɔn brok, ɔ di wɔd dɛn we de na di sawnd nɔ klia.

Wetin na di tin dɛn we kin mek pɔsin nɔ de yɛri fayn?

Fɔ tru, bɔku rizin dɛn de we mek pɔsin nɔ de yɛri fayn. Bɔt sɔntɛnde, i nɔ kin pɔsibul fɔ fɛn di rayt rizin. Bɔt if dɛn tin ya de, i go izi fɔ mek yɔŋ pikin nɔ yɛri igen:

• Fɔ bɔn wit pɔsin we nɔ de yɛri fayn, ɔ fɔ gɛt famili mɛmba (mama, papa, brɔda ɛn sista) we bin gɛt prɔblɛm wit yɛri we i yɔŋ.
• di pikin bin bכn bifo tεm (wi kכl am bifo tεm) εn/כ i bin gεt tritmεnt na di Nionatal Intεnsiv Kεya Yunit (NICU) .
• Jandis kin kam we di pikin we dɛn jɔs bɔn, ɛn di bilirubin we de na di blɔd kin go ɔp te i nid fɔ transfyushɔn blɔd.
• Yu kin gɛt infɛkshɔn na yu yes ɔltɛm, yu yes kin brok, ɔ yu kin gɛt lawd nɔys. Fɔ ɛgzampul, sɔm mama ɛn papa dɛn kin mek dɛn smɔl pikin dɛn lisin to lawd myuzik wit ɛdfɔn ɔ gi dɛn lawd tɔys. Dɛn tin ya kin pwɛl pikin in yes we nɔ gɛt wan bɔt.
• Infεkshכn dεm lεk mεningaytis (wan kayn infεkshכn na di bren) כ saytomegalovayrus (wan kayn vayral infεkshכn) dεn dכn divεlכp.
• sכm mεdikeshכn dεm we kin pwεl di yεri (dεn kכl dεn tin ya `ototoxic drugs`) sef fכ di mama fכ tek we i bεlε, εn sef fכ di pikin fכ gi. (Dɔkta dɛn kin tek tɛm bad bad wan we dɛn de gi dɛn tin ya, bɔt insay sɔm impɔtant kes dɛn, dɛn fɔ gi dɛn).

Wetin na di sayn dɛm fɔ dis? Aw yu no am?

Sɔntɛnde, i kin at fɔ no if pikin nɔ de yɛri fayn, mɔ di pikin dɛn we rili yɔŋ. Sɔntɛm dɛn nɔ go ebul fɔ se, "A nɔ ebul fɔ yɛri." Pikin dɛm wae gɛt dis kayn wae nɔr de yɛri fayn nɔr kin ansa fayn to sawnd ɔr tɔk. Di divɛlɔpmɛnt we dɛn de tɔk (divɛlɔpmɛnt fɔ langwej) kin delay. If yu pikin nɔr de du dɛn tin ya fayn fayn wan insay di fɔs ia na in layf, yu fɔ rili tɔk to dɔktɔ:

Nyu bכn pikin dεm (0-3 mכnt):

• di stכt rεflεks (wi kכl dis di `start rεflεks`) we yu yεri wan lawd nכys wan wan.
• Fɔ kam kwayɛt ɛn stɔp fɔ kray we yu yɛri mama ɛn papa dɛn vɔys (arawnd 3 mɔnt).

Na arawnd 4-6 mɔnt:

• Fɔ tɔn yu yay ɔ ed di say we nyu sawnd de.
• Sho se yu lɛk tɔys dɛn we de mek nɔys.
• Ripit de sawnd lɛk "Uh...", "Ah...", "Guh...", lɛk se yu de tɔk to yusɛf.

Na 7-12 mɔnt (wan ia):

• Fɔ mek difrɛn sawnd dɛn we nɔ mek sɛns (wi kin kɔl dɛn `babbling sounds` ya, lɛk "misɛf", "bababa").
• Fɔ ansa in nem (fɔ tɔn rawnd we dɛn se in nem).
• Tray fɔ ɔndastand simpul instrɔkshɔn lɛk "ta ta" ɛn "luk if mama de kam."
• Fɔ falamakata wɔd dɛn.
• Fɔ se sɔm simpul wɔd dɛn lɛk "Mama", "Papa", ɛn "Bye-Bye".

As di pikin de ol (afta 1 ia), di sayn dɛm fɔ se i nɔ de yɛri fayn kin bi:

• I nɔ de tɔk bɛtɛ, i nɔ de tɔk fayn, ɔ i nɔ de tɔk di rayt we fɔ di ej we i ol.
• I tan lɛk se i nɔ de pe atɛnshɔn to wetin dɛn de tɔk, nɔ de fala instrɔkshɔn (sɔntɛnde wi kin tink se di pikin de du dis "out of malice", bɔt i kin rili bi bikɔs i nɔ de lisin).
• Nɔ ansa we dɛn tɔk to am wit nɔmal vɔys, ɔ aks bɔku tɛm "Huh?" "Wetin?", ɔ gi ansa dɛn we nɔ gɛt natin fɔ du wit am.
• We bɔku nɔys de rawnd yu (e.g., na ples we pipul dɛn kin bɔku, we di TV on), i kin izi fɔ mek yu nɔ pe atɛnshɔn, fil fɔ lɛ yu nɔ rɛst, ɛn i nɔ kin izi fɔ ɔndastand wetin dɛn de tɔk.
• Fɔ gɛt fɔ ɔp di vɔlyum na di TV ɔ redio fɔ wach/lisin.
• Fɔ gɛt prɔblɛm wit skul wok ɛn fɔ lan.
• fכ rεspכnd כnli to sכm sawnd dεm (e.g., fכ yεri ay-pitch sawnd dεm bכt nכ lכw-pitch sawnd dεm).

Impɔtant: Sɔm prɔblɛm fɔ yɛri kin kam smɔl smɔl afta dɛn bɔn am, ɔ i kin kam leta na layf (e.g. afta sik ɔ injuri na in ed). If yu gɛt ɛnitin fɔ wɔri bɔt aw yu pikin de yɛri, mek shɔ se yu tɔk to dɔktɔ. Yu pikin kin nid bak fɔ rifer to ɔdiɔlɔjis , dɔktɔ we spɛshal fɔ yɛri.

Aw yu kin rili no se yu nɔ de yɛri fayn?

I bɛtɛ fɔ kech prɔblɛm wit yu yɛri kwik kwik wan. Bikɔs di tritmɛnt kin wok fayn pas ɔl we dɛn bigin di pikin bifo di pikin ol 6 mɔnt. Na da tɛm de pikin in bren de divɛlɔp kwik kwik wan fɔ lan langwej.

• Nyu bɔn pikin we dɛn de yɛri: Na dat mek ɛvri nyu bɔn pikin kin du tɛst fɔ no aw i de yɛri bifo i kɔmɔt na ɔspitul. Dis na tɛst we nɔ de mek di pikin fil pen ɛn dɛn kin du am insay sɔm minit.
• If yu nɔ bin ebul fɔ mek dɛn tɛst yu pikin bifo yu go na os, ɔ if dɛn bɔn yu pikin na os ɔ na say usay dɛn de bɔn pikin, yu fɔ rili mek dɛn tɛst yu pikin in yɛri insay di fɔs 3 wiks we dɛn bɔn am.
• "fail/refer" pan dis yεri tεst nכ min se di pikin dεf. Bɔt i min se dɛn fɔ du ɔda diagnostik ɔdiɔlɔji tɛst dɛn kwik kwik wan, bɔku tɛm insay wan ɔ tu mɔnt afta dɛn bɔn am. If dɛn si se pɔsin nɔ de yɛri fayn, dɛn kin bigin fɔ trit am wantɛm wantɛm.
• Ivin pikin dɛn we gɛt nɔmal yɛri fɔ mek dɛn chɛk dɛn yɛri ɔltɛm we dɛn de chɛk dɛn ɔltɛm na di mɛrɛsin (na di klinik). Dɛn kin du dɛn tɛst ya fɔ yɛri we dɛn ol 4, 5, 6, 8, ɛn 10 ia, ɛn bak we dɛn nɔ rich tɛn ia yet ɛn we dɛn yɔŋ. Apat frɔm dat, dɛn kin du tɛst fɔ yɛri ɛnitɛm if di dɔktɔ tink se sɔntin nɔ rayt.

Aw dɛn kin trit dis?

Di tritmɛnt kin dipen pan di kayn pɔsin we i nɔ de yɛri fayn, di tin we kin mek i nɔ yɛri, ɛn aw i kin tranga. Pikin dɛn we nɔ de yɛri fayn fɔ ɔltɛm, wan tim we gɛt spɛshal pipul dɛn fɔ si dɛn. Dis tim kin gɛt ɔdiɔlɔjis (spɛshal pɔsin fɔ yɛri), dɔktɔ fɔ yes, nos, ɛn trot (ENT dɔktɔ), pɔsin we de mɛn pipul dɛn we de tɔk ɛn tɔk, ɛn sɔntɛm pɔsin we sabi bɔt ɛdyukeshɔn.

Dɛn kin ɛp pikin dɛn we gɛt sɔm kayn we aw dɛn nɔ de yɛri fayn wit mɛrɛsin (e.g., mɛrɛsin fɔ infɛkshɔn na dɛn yes), tritmɛnt, ɛn ɔpreshɔn (e.g., fɔ put smɔl tiub fɔ pul wata kɔmɔt na di yes). Bɔku men tritmɛnt dɛn de fɔ mek pɔsin nɔ yɛri fayn fɔ ɔltɛm:

• Di tin dɛn we pɔsin kin yuz fɔ yɛri: Dɛn tin ya kin mek di sawnd dɛn big ɛn mek i klia so dat yu pikin go yɛri. Dɛn tan lɛk smɔl maykrofon dɛn we rili sɛnsitiv ɛn we fit insay yu yes. If pikin we nɔ de yɛri fayn fɔ ɔltɛm bigin fɔ yuz ɛp fɔ yɛri bifo i rich 6 mɔnt, dɛn de tɔk ɛn in bren divεlכpmεnt go bכku bכku wan. No wan stayl ɔ manifakta nɔ de we rayt fɔ ɛvri pikin. Yu ɔdiɔlɔjis kin ɛp yu fɔ pik di bɛst ɛp fɔ yɛri fɔ yu pikin in nid ɛn in yes saiz. Bɔku pikin dɛn we nɔ de yɛri fayn na dɛn tu yes kin yuz tu tin dɛn we dɛn kin yuz fɔ yɛri.

• Frikyuɛnsi mɔdyuleshɔn (FM) sistem dɛn:dis ``(FM) sistεm`` de ridyus di bakgrכn nכys we de rawnd di pikin, we de alaw di pikin fכ yεri כnli di vכys fכ di pכsin we de tכk (e.g. ticha, mama) klia εn lawd wan. Imajin wan skul klas. Di ticha wɛr smɔl maykrofon ɛn ``transmita``. dis transmita de sεnd ilektrikal signal to wan ``wayles risiva`` we di pikin de wear na in yes כ we dεn atak dεn dairekt to di εp fכ yεri. Bikɔs dɛn kin kɛr am go rawnd, dɛn kin yuz am na os, na skul, ɔ na say dɛn we bɔku nɔys de rawnd.

• Kɔklia implant: Kɔklia implant kin bi big ɛp fɔ pikin dɛn we nɔ de yɛri bad bad wan to dip we nɔ ebul fɔ bɛnifit frɔm ɛp fɔ yɛri. Dis na sofistikieted ilɛktronik tin dɛn we dɛn kin du ɔpreshɔn fɔ put insay di yes. Dɛn kin baypas di pat dɛn na di yes we nɔ de wok fayn ɛn dɛn kin mek di ɔditory nerve wok dairekt wan. We dɛn dɔn put pikin dɛn insay di bɔdi, wit spɛshal trenin ɛn tɛrapi fɔ tɔk, di pikin dɛn we gɛt kɔklia implant kin lan fɔ yɛri bɛtɛ ɛn tɔk klia wan.

• Yu fɔ yɛri/rihabiliteshɔn: Dis na di we aw dɛn de tich pikin dɛn we dɛn bɔn wit we dɛn nɔ de yɛri fayn fɔ lisin ɛn tɔk to dɛnsɛf. Dis kin inklud tin dɛn lɛk Ɔditory-Verbal Therapy (AVT) , tɔk tɛrapi, tɔk/lip ridin, ɔ, if nid de, fɔ lan sayn langwej (lɛk American Sayn Langwej (ASL) ɔ lokal sayn langwej). Yu ɔdiɔlɔjis ɛn dɔktɔ go wok wit yu fɔ ɛp yu pikin fɔ fɛn di bɛst we fɔ tɔk to am. Big pikin dɛm we nɔ de yɛri fayn kin lan dɛn kɔmyunikeshɔn skil ya tru wan prɔses we dɛn kɔl yɛri rihabiliteshɔn.

Wetin bak a nid fɔ no?

Ivin pikin we rili smɔl, dat na, we nɔ de yɛri fayn, kin mek i gɛt prɔblɛm wit di we aw pikin de tɔk, in langwej, aw i de lan, ɛn aw i de wit ɔda pipul dɛn. Na dat mek dɛn se dɛn fɔ rifer bebi ɛn yɔŋ pikin dɛn we nɔ de yɛri fayn to wan savis we dɛn kɔl ``early intervention.'' Dis na program we de gi fri ɔ lɔw kɔst tritmɛnt savis to pikin dɛn we fit fɔ gɛt am. Insay Sri Lanka, dɛn kin du dɛn kayn savis ya bak tru di Ministri fɔ Wɛlbɔdi biznɛs ɛn difrɛn ɔganayzeshɔn dɛn we nɔto gɔvmɛnt. Yu kin no bɔt am bay we yu aks yu lokal famili wɛlbɔdi savis ɔfisa ɔ dɔktɔ. Pikin dɛn we dɔn big kin ebul fɔ gɛt ``spɛshal ɛdyukeshɔn savis'' bak we dɛn de go skul.

Mɛmba se nɔto yu wangren de.Ples de fɔ gɛt ɛp ɛn infɔmeshɔn we yu de gɛt prɔblɛm lɛk dis. Aks yu dɔktɔ, ɔdiɔlɔjis, ɔ ɔda pipul dɛn bɔt am. Yu kin gɛt bɔku trɛnk ɛn no bak bay we yu jɔyn sɔpɔt grup dɛn we dɛn dɔn mek wit ɔda mama ɛn papa dɛn we gɛt pikin dɛn we gɛt dis sik.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Okay, so a op se yu kin mɛmba sɔm pan di impɔtant pɔynt dɛn frɔm wetin wi tɔk bɔt tide.

• Fɔ no kwik kwik wan rili impɔtant: Nɔ mis di tɛst fɔ yɛri we yu pikin kin gɛt afta dɛn bɔn am. If yu gɛt ɛni dawt, ilɛksɛf i smɔl, go to dɔktɔ kwik kwik wan. Nɔ delay.
• Nɔto ɔl di we aw pɔsin de yɛri na di sem: difrɛn kayn ɛn difrɛn tin dɛn de we kin mek i yɛri. Fɔ no ustɛm na di prɔblɛm rili impɔtant fɔ tritmɛnt.
• Tritmɛnt dɛn de: Tɛknɔlɔji dɔn rili go bifo dɛn tɛm ya. Bɔku tin dɛn de we kin ɛp pikin, lɛk tin dɛn fɔ ɛp fɔ yɛri, fɔ put in kɔklia, ɛn spɛshal tritmɛnt dɛn.
• If yu du tin kwik kwik wan, dat kin mek big difrɛns: i kin ɛp di pikin fɔ tɔk, lan, ɛn aw i de tɔk to ɔda pipul dɛn. I de mek we fɔ mek pikin liv nɔmal layf lɛk ɔda pikin dɛn.
• Nɔto yu wan de: dɔktɔ dɛn, spɛshal pipul dɛn, ɛn sɔpɔt grup dɛn de fɔ ɛp ɛn gayd yu pan dis waka. Gɛt dɛn ɛp.

Fɔ kia fɔ yu pikin in yɛri na big invɛstismɛnt fɔ dɛn ɔl tumara bambay. So, i rili impɔtant fɔ no bɔt dis ɛn tek di step dɛn we yu nid. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ.

Yu nɔ de yɛri fayn, yu nɔ de yɛri, yɔŋ pikin dɛn, we dɛn de chɛk pikin dɛn fɔ yɛri, tin dɛn we dɛn kin yuz fɔ ɛp dɛn fɔ yɛri, tin dɛn we dɛn kin put na kɔklia, we dɛn kin yuz fɔ tɔk