Otolaryngus medical words 丨 "Late people?" Need to be alert to children's delayed listening decline (2)

Author:Guangdong Provincial Hospital Time:2022.09.23

Medical Guidance: Famous Chinese Medicine, Lingnan famous Chinese medicine medicine, doctoral supervisor in Guangdong Province. Professor Li Yunying, chief physician and academic leader of the Department of Eurva and Throat of Guangdong Hospital of Traditional Chinese Medicine.

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"Late" was originally a proverb, from the Confucius of the Confucius of the Spring and Autumn Period and the Warring States Period. The meaning means that nobles do not speak easily. Interpretation means that children speak late, and they also refer to people who are not good at talking.

Original: The nobleman speaks late, but he is not talking about it.

Translation: Respecting people often speak at the end. Such people are very agile in action, but they seem clumsy in language.

The last issue of children's late language has attracted a lot of attention. Many parents came to ask, "My child's newborn listening screening is passed! Why is there a hearing problem now?" "My baby has been late before. Kenpai speaks, now she is four years old, and the speech is unclear. What can I do if I feel unclear? "

Why can't newborn listening screening not detect delayed hearing loss?

Newborn listening screening refers to the test of doctors using specialized instruments to detect the hearing of newborns, and found whether there is a deafness problem in the early days of the newborn. Generally within three days of birth, the first screen will be accepted, and the first screen passenger will listen to the infants and young children. Those who fail to pass the double -ear recovery within 42 days, those who have not yet passed the Department of ENT for further diagnosis at the age of 3 months; newborns who are hospitalized in the intensive care unit must also be conducted before discharge. Those who did not pass directly were referred to the Department of ENT.

The time period of newborn listening screening, only patients with congenital deafness can be found. It is difficult to find the hearing loss that occurs after the inspection period. At the second half of the year, some occurred at the age of one or two, and some did not appear at the age of three or four. Therefore, newborn listening screening cannot be discovered in time to discover children's delayed hearing loss.

What are the cases of delayed hearing loss?

1. Genetic factors

There is a family history of deafness, and genetic mutations such as mitochondrial 12SRRNA genes, GJB2 genes, or other autonomous chromosomal explicit genetic genetic can cause delayed listening losses.

2. Periked factors

During 28 weeks of mother pregnancy, many factors may lead to delayed hearing loss. There are a history of mothers (such as giant cell virus infections), history of ototoxic drugs, hypoxia and suffocation, and nuclear jaundice during pregnancy.

3. Inner ear deformity

The most common inner ear deformity is the expansion of the large front court water pipe. This is a hidden genetic deafness. It is mostly induced when trauma or cold. The main manifestations or volatility decreased. Infringes in infants and young children. In addition, a small number of snail nerve development, Mondini deformed children will also have delayed hearing loss.

4. Unknown reason

There are also some patients with delayed listening loss of children who have not been able to clear the cause of hearing loss after detailed inquiry of medical history and system examination.

It is recommended that those with the above high-risk factors, regardless of whether the newborn listening screening is passed, should receive at least 1-2 hearing-related examinations each year before the age of 3 to test the child's hearing situation regularly; Or those with a family history of deafness must take their children to the hospital's otolaryngology department for hearing testing and genetic consultation.

Hearing screening of children's period

In infants and young children, listening health care is still needed. Chinese children's hearing screening has been routine. During the childcare, doctors will recommend that parents pay attention to their children's hearing health problems and do corresponding examinations. The doctor will find the problem of deafness in the early days through instruments or simple visual observation tests. Generally, 6, 12, 24, and 36 months are the key ages for children's hearing screening. If the hearing screening is not passed at any time, it should be referred in time.

How to observe children's hearing and speech development at home

If children have ears discomfort or hearing decreased, theoretically, it should be the easiest to find that relatives who are often accompanied. If children have the following signs, parents should pay close attention, such as:

1. When I find that the child often pats, grab the ear, etc., or have ears and pus, etc.;

2. Slash to the sudden noise, or there is no response;

3. When you call your child's name outside your child's sight, the child has no response to your call;

4. Children with young age cannot distinguish between parents' instructions, such as "Where is the nose? Where is the toy?" For eldest children, play, study, action, etc. are delayed, and command and instruction cannot be performed;

5. Speak speaking, unclear mouth, often use "Ah?" "Ah?"

6. The school reflects that the child's attention is not concentrated and cannot execute the instructions required to complete the single person to complete;

7. Tinnitus has been exposed to noise for a long time (Internet cafes, KTV singing, wearing headphones, etc.) tinnitus;

Children's delayed hearing loss is inconsistent, so parents need to pay special attention to their children's response to sound and speech expression ability. Lost hearing loss in infants and young children often affect children's language development and speech exchanges, which affects children’s children’s. Cognitive ability and intelligence, social communication ability will also be greatly affected. If there is a decline in hearing, you must find out the cause as soon as possible, and take corresponding intervention methods. Through wearing hearing aids or cochlear cochlea, the sooner the intervention is more likely to return to the level of equivalent to his peers. At present, many children who are implanted with cochlear implanted cochlea have graduated from college, some have set up their families, and some go abroad to study abroad. They can actively integrate into the surrounding social circle and live a normal life. Medical Guidance:

Li Yunying, a professor, chief physician, doctoral supervisor, a famous Chinese medicine medicine in Guangdong Province and a famous Chinese medicine medicine in Lingnan. The sixth batch of academic heirs of the academic heirs of the academic experience in the academic experience of the academic experience of the academic experience in the academic experience of the old Chinese medicine expert, the master of the Chinese medicine master, the ancestor of the ancestor.

He serves as deputy chairman of the ONOCS Professional Committee of the Chinese Medicine Society, vice chairman of the World Lianzhizhonglian Ear -Nose, Nose and Throat Oral Society, and chairman of the Voice Professional Committee of the Guangdong Institute of Traditional Chinese and Western Medicine.

Editor -in -chief of the National "Thirteenth Five -Year Plan" textbook "Traditional Chinese and Western Medicine Integrated Earbroke and Throat Science", and the deputy editor of the national "Eleventh Five -Year Plan" planning textbook "Traditional Chinese Medicine Ear, Nasal and Throat Science".

He has won "China's First Outstanding Female Traditional Chinese Doctors", "Top Ten Outstanding Young Medical Workers in Guangdong Province", "South Guangdong Scarlet Doctor", "Outstanding Teacher in Nanyue", "First Yan Dexin Excellent Treaty Talent Award", "National First Chinese Medicine Inheritance High Award" "Yangcheng Good Doctor" and other titles.

He has been engaged in the clinical, teaching and scientific research of traditional Chinese medicine and traditional Chinese and western medicine for nearly forty years. He has rich experience in clinical practice and is good at treating otolaryngology diseases in combination of traditional Chinese medicine and traditional Chinese and western medicine. Essence

Good at: rhinitis, sounds, laryngealitis, tonsillitis, glandular hypertrophy, otitis media, tinnitus and deafness, dizziness, nasopharyngeal cancer, laryngeal cancer and other common suspicion.

Democratic time: Monday morning and Thursday afternoon (the Department of otolaryngology, Nasal Hill and Throat of Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine)

Author of this issue:

Li Jiaqi