Ear health check
Sehemu ya tatu ya upimaji wa afya ya TAP Ear ni ukaguzi wa afya ya sikio.
Ni muhimu kuangalia sikio la mtu likiwa na afya kabla ya kukamilisha kipimo cha usikivu ili kutathmini kama mtu anaweza kufaidika kutokana na kusikia Bidhaa saidizi.
Check outside of ear
Maelekezo
Check: Do both ears look healthy?
Start by looking closely at the outside of the person’s ear using the light of the otoscope.
Look at the front and back of their pinna on each side. Check for:
- Signs of injury or infection
- Presence of ear canal.
Swali
Look at this person’s pinna.
1. What action would you take after looking at their ear?
Chagua jibu moja.
Simamisha upimaji wa afya ya masikio. Sikio la mtu huyu halina mfereji wa sikio. Wana mahitaji magumu zaidi. Kwa idhini yao rejea kwa mtaalamu wa masikio na kusikia.
2. What would you do if you see signs of an injured or infected pinna?
Chagua jibu moja.
Simamisha upimaji wa afya ya masikio. Sikio la mtu huyu halina afya. Kwa idhini yao rufaa kwa mtaalamu wa masikio na kusikia kwa matibabu. Waambie warudi kwa upimaji wa afya ya sikio baada ya matibabu.
Check inside of ear
Look closely inside each ear with an otoscope.
Maelekezo
Kagua mguu wa mgonjwa:
- Ear discharge or infection
- Ear blocked with ear wax
- Kitu kutoka nje ya mwili kwenye sikio
- Hole/s in eardrum.
Ear discharge (blood, pus, fluid)
If there is any discharge, mop it up before using the otoscope.
- If the person’s ear canal and eardrum look healthy, continue with the screen.
- Ikiwa mfereji wa sikio na eardrum sio afya, kwa idhini yao, rufaa kwa mtaalamu wa masikio na kusikia kwa matibabu. Waambie warudi kwa upimaji wa afya ya masikio baada ya kupokea matibabu.
Swali
Kutana na Ben
Ben is 64 years old. He enjoys meeting his friends for coffee. Recently Ben had a bad cold and a fever. He is now experiencing pain and discharge in his left ear.
You explain to Ben that you would like to check inside his ear.
1. What would you do first?
Chagua jibu moja.
Dry mop his ear is correct!
Ben has ear discharge. It is important to dry mop the discharge before looking inside his ear with an otoscope.
Look at the picture of what you see through the otoscope when looking inside Ben’s left ear.
2. Does the inside of Ben’s left ear look healthy?
Chagua jibu moja.
Hapana ni sahihi!
Ben’s left ear does not look healthy. The eardrum is red and bulging.
It is important to also check Ben’s right ear.
3. What action would you recommend to Ben?
Chagua majibu mawili.
If you selected a and d you are correct!
Ben angefaidika kutokana na matibabu ya maambukizi ya sikio. Baada ya matibabu, Ben anapaswa kuja kwa upimaji wa kurudia afya ya sikio ili kuangalia sikio lake ni sawa.
b and c are incorrect!
Both ears should be healthy to proceed with a hearing test to check if Ben would benefit from a hearing aid.
Ear blocked with ear wax
If you cannot fully see the eardrum, it may be because there is wax blocking the view of it.
If there is a lot of wax, remove it with a washout and continue with ear check.
If the wax is not removed by the washout, with the person’s permission refer to an ear and hearing professional.
Ear blocked with wax
Swali
After removing ear wax what should you do next?
Chagua jibu moja.
Uko sahihi kama umechagua " b" kama jibu sahihi
It is important to check inside the person’s ear to see if the ear canal is clear and the eardrum is healthy. If their ear looks healthy, plan a hearing test.
a na c sio sahihi.
Dry mopping is only done if the person has ear discharge.
Kitu kutoka nje ya mwili kwenye sikio
If you see a foreign body in a person’s ear, remove it with an ear washout and continue with ear check.
If the object is still there after ear washout, with the person’s permission, refer to an ear and hearing professional.
Foreign body in ear canal
Hole/s in eardrum
If a person has a hole in their eardrum, they require referral to an ear and hearing professional.
Holes in eardrum
Swali
If you have difficulty seeing the person’s eardrum, what could you do?
Chagua majibu mawili.
Ikiwa umechagua a na c, uko sahihi!
The otoscope light and direction are important to see clearly inside the person’s ear.
Jibu la b si sahihi.
An ear washout is not used to see the ear more clearly. It is used for removal of ear wax and foreign bodies.
Healthy/no ear problems
If both ears look healthy, explain to the person that you can plan to do a hearing test.
Kazi
Look at the pictures of a person’s left and right ear and complete the ear check section of the screening form.
Left ear:
Right ear:
1. Do both ears look healthy?
Chagua jibu moja.
Hapana ni sahihi!
The left ear has signs of infection. The right ear is healthy.
2. What actions would you take?
Chagua majibu mawili.
Ikiwa umechagua a na c, uko sahihi!
Refer the person to an ear and hearing professional and ask them to return for an ear health screen after treatment.
Swali
1. Look at the picture of the inside of a person’s left ear. What do you see?
Chagua jibu moja.
If you selected e, you are correct!
The left ear is healthy – no ear problems.
2. Look at the picture of the inside of a person’s right ear. What do you see?
Chagua jibu moja.
Uko sahihi kama umechagua " b" kama jibu sahihi
The right ear canal is blocked with ear wax.
3. For this person, what action would you take?
Chagua jibu moja.
Uko sahihi kama umechagua " b" kama jibu sahihi
The person’s right ear is blocked with ear wax. Check it is safe to perform ear washout to remove ear wax. After removal check ear.
Kazi
Gather equipment:
- Otoscope and different sizes of speculum
- Disinfectant and tissue to clean the speculum
- Viti viwili.
Take turns to practice:
- Explain what you are going to do
- Check the outside of the person’s ear on each side
- Gently press the tragus to check for pain before checking the inside of the person’s ear on each side.
Tafakari
- Were you able to see inside the person’s ear?
- Did you find any signs of ear health problems?