What should I do if my child has poor hearing?

First of all, we need to know how people hear the sound. Our ears are divided into three parts, the middle ear and the inner ear of the outer ear. Through the layers, the external sound information can reach our central auditory system, so that we can Hear what others are saying. In fact, we listen to the sound not only by the ear, but also by the cerebral cortex. A part of the cerebral cortex is called the auditory cortex to help us perceive or recognize the language. Therefore, in any part of the auditory transmission system, any part of the problem will cause hearing loss.

Hearing loss can affect children’s hearing language development, physiological and psychological development, learning and cognitive development, and social emotional development. I want to tell you that if this child has suffered hearing loss, even if it is mild, it may affect his later speech development. This proverb is said before the 10th and 9th dumb.


Some people have mild tinnitus or hearing loss, then they will feel tired, which may lead to other physiological feelings of the body, and fatigue will occur. Therefore, we say that hearing impairment actually affects the physical development of the body. At the same time, there may be psychological obstacles, because if you don’t listen well, you are not willing to communicate with others. If you have a long time, many children will have this kind of psychological influx or insolation. When children grow up, they will enter kindergarten. In elementary school, junior high school, and high school, in the classroom learning, hearing loss may bring him various learning obstacles. Finally, there are social and emotional obstacles, because they are unclear and unwilling to communicate, and they are not willing to deal with people. Children’s social interactions may have problems. These are all problems that hearing impairment may cause. The possible effects of hearing problems. Nowadays, there are almost all newborn hearing screening programs in large hospitals across the country. This screening can detect potential hearing problems in children at an early stage. If found, you must go to the hospital immediately.

Some conductive hearing loss can be cured by drugs or surgery (such as partial otitis media), but there is still a part of hearing loss that can not be cured, which means that children may end up suffering from hearing loss. For these children, we should How to do it?

I summed up the three words “early quasi- Stable early detection, early diagnosis, early intervention, accurate diagnosis, accurate intervention, stable mentality, stable belief. It is not easy to say “early”. We often meet children who are not able to speak when they are three or four years old. Parents think that the old man said “the lateness of the person” is actually delaying the child. But after doing a good early diagnosis and early diagnosis, how to do early intervention? In fact, regardless of the data from scientific research or long-term experience, the child’s speech development is divided into three stages: the first stage refers to0To3Years old, this period is the most prosperous period of children’s speech development. Because at this time, his auditory conduction pathway needs to be continuously developed, so if the child is well intervened during this period, the later rehabilitation effect will be better.

If found late, child4,5When we are old, we must also intervene because even if we missed it.0-3Year old, and3-6During this period of time, you may have to work harder and recover longer. in case6It is more difficult to achieve rehabilitation and hearing intervention after the age of the year to achieve the desired effect. So the so-called standard has two aspects, one aspect is the accurate determination of the degree of hearing loss, and one aspect is the accurate determination of the nature of hearing loss. Only accurate diagnosis can provide accurate rehabilitation interventions.

The so-called means of rehabilitation intervention is also viewed from two aspects: on the one hand, on the one hand, and on the other hand, on auditory language training. This can be done with hearing aids. The most popular use of hearing-impaired people is hearing aids, which can be intervened from mild to severe, from conductive hearing loss to sensorineural hearing loss. Today’s hearing aid technology is developing rapidly, such as advanced speech enhancement. Hearing aids with binaural earphones may have a mode of binaural transmission, speech focus function, and most hearing aids also provide wireless signals to connect a lot of auxiliary devices. Other waterproof, battery window locks, visual indicators and other small functions are also very numerous. There is also a wireless transmission system that allows the child to listen to what the teacher is saying, whether or not there is a small disturbance around the first row during the class, as long as the child’s clothes are equipped with an audio converter.(Or wireless signal transmitter)Then the voice of the speaker will be passed on to the child.

Soft wearBAHASoft bone anchorHearing aidFor children with congenital external or middle ear malformations, they cannot wear traditional hearing aids, but can achieve hearing intervention through bone conduction.

The last technique is cochlear implant technology, which is suitable for children with poor hearing aids or severe hearing loss.

For hearing-impaired children, you can do auditory training and speech training at home. Then the auditory training actually gives the child a level of training that is basically similar to the hearing development of our normal children. It will experience the existence of the perceived sound → the difference between the recognition of the sound → the recognition of the sound. Let the child adapt to the sounds of various environments as much as possible, such as the sound of the instrument, the sound of the words, because only he hears more, he has the accumulation of sound, in order to have language development. The reactions of the various sounds heard by the children at home during the training can be recorded and fed back to the doctor.

Most of the children’s speech training will go through the stage of reading, and let him listen to you while watching, because for the hearing loss child, he can actually use various information, including his physical reaction or facial expression. Change, the most important thing is to look at these changes in your lip pronunciation, which are helpful for his later pronunciation. If the training effect is good, the child will know what we are talking about simply by hearing. After listening to the child, it is more complicated to start with the language, such as how to use the tooth position, the nasal cavity, how to send the nasal sound, expand the vocabulary, how to express after adding the grammar, and so on.

Finally, let’s talk about the “stable” that I mentioned. In fact, it is more to say that parents find that their child’s hearing has problems, and that this problem will be accompanied by psychological changes in the mood. We can divide it into four periods: the denial period, the resistance period, the acceptance period, and the integration period. Parents have gradually passed this period, but on the whole, we must adjust our mentality, actively face it, seek help, choose the appropriate rehabilitation program, maintain the equipment, and regularly follow up with the follow-up to achieve the set goals steadily.

Based on the parent feedback we have heard in the clinic for many years, I want to emphasize three points:

First, under the premise of diagnosis, the sooner the intervention effect is better;

Second, the hearing loss of both ears should be selected with hearing aids with both ears. This is beyond doubt, not only with a single ear;

Third, the choice of cochlear implants and hearing aids can be used simultaneously (dual mode), the two do not conflict, and the current data has shown that the earliest cochlear and hearing aid devices are used simultaneously, the child’s entire auditory system or hearing The cortex will adapt to the integration of these two sounds.

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