Hearing Disorders in Children

"My child age 11 months, but he was not responding to my invitation to play. Does my child have trouble hearing? ". Concerns like that happen in the natural parents who have children, recently. The cause of interference is classified into 3 hearing. During pregnancy (list), where the mother during pregnancy suffer toksoplasma, rubella, cytomegalovirus, herpes, syphilis (TORCHS), herediter, inter-family marriage. At birth (perinatal), among other causes premature, low birth weight, labor actions (forceps), the baby is born yellow, and asfiksia at birth. After birth (postnatal), the causes include: infection virus psrotitis / goitre, measles, encephalitis, the effects of drugs oyotoksik, head trauma, and exposure to noise.

Interference hearing was divided into 3 types: the first Hearing Disorders conduction (in the external and middle ear) is because the process sore throat, action can be treated with surgery eg otitis media, the ear does not form. Both sensorineural nerve (in the ear), usually can not be cured, with the handling of hearing aids / implantasi koklea, eg deaf (since birth), exposure noisy.
Interference is hearing babies with a family history with the deaf since birth, when pregnant infection TORCHS, head deviation anatomy - neck, a syndrome associated with deaf kongenital, low birth weight (less of 1500 grams, bakterialis meningitis, hiperbilirubinemia (baby yellow), asfiksia weight (do not cry at birth), and the provision of drugs ototoksik.

Mothers should start sneaking surprised when the baby does not even have a voice loud, less responsive to sounds in the surrounding areas, eg, vacum cleaner, horn mobi, lightning, could not rattle / babling at the age of 12 months, responsive to what is seen but is less responsive to sounds, eg children's response time to give new toys to see but not hear the sound when responsive toys without view, the age of 18 months can not say the word that means 6-8, the child's words, but talk does not mean, and the ability to speak does not develop according to age.

Handling children denagn interference depends on the hearing of the cause

When the hearing nerve (sensorineural) akan involving ENT doctor, audiologis, psychologists, therapy shli SLB wicara and teachers. The main objectives in dealing with children with hearing trouble (deaf) is how to improve verbal communication with the program habilitasi which is a process to reduce disability and prevent a bigger handicap. Interference in the handling of hearing children performed a number of ways: the hearing aid (ABD) immediately after the hearing so that the interference immediately get the information input through the hearing, fitting hearing aids (ABD) be important to know whether ABD suitable for children, therapy wicara to train the ability to speak and hear speak.

The role of parents is very important to support children's success in learning to hear and speak. Examination hearing can be either subjective or objective. In the infant / child subjective examination often difficult because the child is not cooperative, so be objective examination of hearing.

Several checks are performed:

1. Behavioral Observation Audiometry (BOA), namely the change in behavior of children in response to the stimulus sound.
2.Visual Reinforcment Audiometry (VRA), namely the change in behavior of children in response to the stimulus when the vote is intended to provide a response as gifts dolls / toys.
3.Play Audiometry (Audiometry play), namely with the audiometer hearing examination conducted while playing.
4. Function tests perseptif
5. Timpanometri: to assess middle ear function
6. Otoacoustic Emission (aoe) rate function siput home (koklea) are objective, not invasif, safe, sepat, accurate
7. Dark red (Brainstem Evoked Response Audiometry) response rate elektrofisiologis hearing nerve to the brain stem are objective, not invasif, safe, sensitive, not dependen