Kipimo cha kusikia
Kipimo cha kusikia kitapima sikio la kulia na la kushoto la mtu ili kuangalia upotevu wa kusikia. Matokeo yatakusaidia nyinyi wawili kuamua kama vifaa saidizi vya kusikia vinaweza kusaidia.
Maelekezo
Tumia sehemu ya kipimo cha kusikia katika fomu ya tathmini na uangalie Daraja la jedwali la upotezaji wa kusikia ili kujua kama mtu huyo ana hasara yoyote ya kusikia.
Dokezo
The following tips will make it easier to speak with someone who is hard of hearing:
- Speak clearly and slowly. Do not shout.
- Stand/sit in good lighting and face the person so they can see your face when you speak.
- Do not exaggerate your lip movements. This may make it harder for the person to follow what is being said.
- Jaribu kupunguza kelele ya chinichini kwani hii inafanya iwe vigumu kwa mtu kusikia, hata akiwa na vifaa saidizi vya kusikia.
- If more than one person is in the room, speak one at a time, not all together. This makes it easier for the person to be included in conversations.
Swali
Unamkumbuka Malika?
Malicka is 70 years old and hard of hearing.
During the hearing test she keeps asking the health worker to repeat what they are saying.
What could the health worker do to make it easier for Malicka?
Chagua majibu mawili.
If you selected c and d, you are correct!
Facing Malicka in good light while speaking clearly and slowly will make it easier for her to understand what you are saying.
Kila mara fanya upimaji wa afya ya masikio ili kuangalia masikio ya mtu kabla ya kupima usikivu.
Ikiwa mtu ana shida ya afya ya sikio, inaweza kufanya matokeo ya kipimo cha kusikia kuwa mbaya zaidi.
Kutibu tatizo la afya ya masikio kwanza kutatoa matokeo sahihi zaidi ya kipimo cha kusikia.
Kufanya kipimo cha kusikia
Wakati wa kufanya kipimo cha kusikia na mtu:
- Eleza kipimo cha kusikia
- Practice test response
- Fanya kipimo cha kusikia
- Calculate average hearing threshold
- Record result for each ear.
1. Explain the test
Explain that you will test the person’s hearing by measuring the quietest sound that they can hear (hearing threshold).
2. Practice test response
Elezea:
- As soon as you hear the sound, press the response button or raise your hand
- Release the button or lower your hand as soon as you no longer hear the sound.
Practice with the person first at 1000 Hz and 40 dB:
- Ask the person to raise their hand when they hear a sound and lower their hand when the sound stops
- Repeat twice in each ear
- If the person cannot hear the practice sound, increase the loudness by 10 dB and repeat.
Maelekezo
Ikiwa mtu huyo hatafaulu mazoezi, usiendelee na kipimo cha kusikia. Toa rufaa mtaalamu wa masikio na kusikia.
Before starting the test, ask the person if they hear better in one ear.
- Start with the better hearing ear
- If they do not hear better in one ear, start with the right ear.
Swali
Unamkumbuka John?
John is hard of hearing. He visits his local health service for an ear health screen and hearing test.
The health worker asks John which is his better hearing ear? John is not sure.
Which ear should the health worker check first?
Chagua jibu moja.
Uko sahihi kama umechagua " b" kama jibu sahihi
John is not sure if he has a better hearing ear. Start with his right ear.
a, c and d are incorrect.
Starting with a better hearing ear (if known) may help a person feel more confident about the test process as it will be easier for them to hear the test sound.
3. Fanya kipimo cha kusikia
- Ask the person to put on the noise cancelling headphones. Check they are in the correct position.
- Start test on the person’s better hearing ear. If better hearing ear is not known start with their right ear.
- Set frequency dial at 1000 Hz and intensity at 40 dB.
Dokezo
For more accurate testing:
- Position yourself so the person cannot see you presenting the sound
- Change the rhythm of how you present the sounds. This is to avoid the person guessing when you will present the next sound.
Sauti za masafa ya juu zaidi ya 1000 Hz kwa kawaida ni rahisi kusikika na humpa mtu kujiamini mwanzoni mwa kipimo cha uwezo wa kusikia.
- Press the button for 2 to 3 seconds and see if the person raises their hand:
- If the person raises their hand, reduce the intensity level by 10 dB
- If the person does not respond, increase the intensity level by 5 dB
- Continue until you find the quietest sound a person can hear:
- Repeat the sound three times to confirm hearing threshold
- If the person responds correctly at least two out of three times at the frequency tested, record threshold on form
- Repeat for testing at 2000 Hz, 4000 Hz and 500 Hz
- Repeat on the person’s left ear.
Maelekezo
Tazama video hii ya kipimo cha uwezo wa kusikia linalofanywa kwa kutumia programu ya kipima sauti kwenye simu mahiri.
Swali
1. Ni kiwango gani cha kelele cha chinichini kinachofaa kwa kipimo cha kusikia?
Chagua jibu moja.
Less than 40 dB is correct!
Kiwango cha sauti kinapaswa kuwa chini ya 40 dB. Badilisha mazingira au eneo la kipimo cha uwezo wa kusikia ikiwa kiwango cha sauti kiko juu ya 40 dB.
2. Ikiwa mtu hajibu sauti wakati wa kipimo cha kusikia. Unapaswa kufanya nini baadaye?
Select and click to check answers.
Sio sahihi.
You should not reduce the intensity level as the person will still be unable to hear the sound.
Sahihi!
Increase by 5 dB and see if the person responds. If the person responds repeat the sound three times to confirm you have found their hearing threshold.
Sio sahihi.
Do not stop the test until you find the person’s hearing threshold.
Dokezo
Do not release the button too quickly when presenting the test sound. It is important to allow 2 to 3 seconds for the person to hear the sound.
Kazi
In groups, take turns to be the tester and the person being tested.
Prepare:
- Identify a space and check sound level is suitable using a sound level meter or downloaded hearWHO app:
- Bofya kwenye 'angalia uwezo wako wa kusikia' ili kufikia mita inayopima kiwango cha sauti
- Ruhusu upimaji wa kelele
- Set up the test in a way that the person being tested cannot see you.
Test:
- Explain the test
- Carry out the test at 1000, 2000, 4000 and 500 Hz on person’s better hearing ear or right ear
- When you reach the hearing threshold, repeat three times
- Confirm the person responds correctly two out of three times
- Record the quietest sound the person can hear
- Repeat on the other ear.
Test confidence
Fikiria jinsi unavyojiamini kuhusu matokeo ya kipimo cha kusikia.
You may have confidence if the person:
- Responds consistently to the presented sounds
- The hearing threshold for each frequency is identified.
You may have little or no confidence if the person:
- Randomly responds to presented sounds
- Responds even when no sound is presented
- Only responds when they see the tester move.
If you have:
- Good test confidence Continue.
- Poor test confidence Discuss with your mentor. Refer person to ear and hearing professional if needed.
Onyo
Matokeo sahihi ya mtihani ni muhimu kwa upangaji sahihi wa vifaa saidizi vya kusikia.
4. Calculate average hearing threshold
- Get the average dB by adding threshold value of 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz then divide by four
- Compare the threshold average of the right and left ear:
- Tofauti ya chini KATI YA MASWALI 15 dB Endelea
- Tofauti KATI YA MASWALI 15 dB au zaidi Toa rufaa mtaalamu wa masikio na kusikia.
Tofauti KATI YA MASWALI 15 dB au zaidi
Watu walio na upotezaji wa kusikia wa upande mmoja (upande mmoja) na upotezaji wa kusikia usio na usawa ni mifano ya watu ambao wana tofauti KATI YA MASWALI 15 dB au zaidi kati ya kizingiti cha wastani cha kusikia cha sikio la kulia na la kushoto. Mahitaji yao ni magumu zaidi. Toa rufaa mtaalamu wa masikio na kusikia.
One sided (unilateral) hearing loss
One ear within normal hearing range and the other ear has mild to profound hearing loss.
Asymmetrical hearing loss
Alama tofauti za upotezaji wa kusikia na tofauti zaidi KATI YA MASWALI 15 dB kati ya sikio la kulia na la kushoto.
Swali
Unamkumbuka John?
John is retired and lives with his wife Mary.
John went to his local health service for an ear health screen and hearing test. He responded confidently during the test.
Look at his hearing thresholds for each frequency:
1. What is the correct average hearing threshold for John’s right ear?
Chagua jibu moja.
65 dB is correct!
It is the average of adding all the numbers and dividing by four.
2. What is the correct average hearing threshold for John’s left ear?
Chagua jibu moja.
70 dB is correct!
It is the average of adding all the numbers and dividing by four.
3. Je, Yohana ana tofauti chini KATI YA MASWALI 15 dB kati ya sikio lake la kulia na la kushoto?
Chagua jibu moja.
Jibu sahihi ni "Ndiyo"!
Tofauti ni chini KATI YA MASWALI 15 dB. Mhudumu wa afya anaweza kuendelea.
Check the Grade of hearing loss table below or on the assessment form.
| Daraja | Wastani |
| Ndani ya kiwango cha kawaida | Wastani wa chini ya 20 dB |
| Kupoteza kusikia kwa kiwango kidogo | Average of 20-34 dB |
| Kupoteza kusikia kwa wastani | Average of 35-49 dB |
| Kupoteza uwezo wa kusikia kwa kiwango kikubwa hadi cha wastani | Average of 50-64 dB |
| Upotevu mkubwa wa uwezo wa kusikia | Average of 65-79 dB |
| Upotevu wa kiwango kikubwa zaidi cha kusikia | Wastani wa zaidi ya 80 dB |
4. What is the grade of hearing loss for John’s right ear?
Chagua jibu moja.
Severe hearing loss is correct!
65 dB is in the severe hearing loss range.
5. What is the grade of hearing loss for John’s left ear?
Chagua jibu moja.
Severe hearing loss is correct!
70 dB is in the severe hearing loss range.
5. Record result for each ear
- Write the average hearing values on the hearing test section of the form
- Record test confidence
- Record grade of hearing for right and left ear.
Follow the recommended action for the level of hearing loss found in the Grade of hearing loss table.
Unamkumbuka John?
Mhudumu wa afya anaToa rufaa Daraja la jedwali la upotevu wa kusikia.
John ni mtu mzima mwenye upotevu mkubwa wa kusikia katika masikio yote mawili. Mhudumu wa afya anaweza kuendelea kumpatia vifaa saidizi vya kusikia.
Swali
Unamkumbuka Malika?
Look at the results of Malicka’s hearing test.
Calculate the average hearing loss for Malicka’s right and left ear.
1. Je, tofauti kati ya sikio la kulia na la kushoto la Malika ni chini KATI YA MASWALI 15 dB?
Chagua jibu moja.
Jibu sahihi ni "Ndiyo"!
The health worker can continue.
Check the Grade of hearing loss table.
| Daraja | Wastani |
| Ndani ya kiwango cha kawaida | Wastani wa chini ya 20 dB |
| Kupoteza kusikia kwa kiwango kidogo | Average of 20-34 dB |
| Kupoteza kusikia kwa wastani | Average of 35-49 dB |
| Kupoteza uwezo wa kusikia kwa kiwango kikubwa hadi cha wastani | Average of 50-64 dB |
| Upotevu mkubwa wa uwezo wa kusikia | Average of 65-79 dB |
| Upotevu wa kiwango kikubwa zaidi cha kusikia | Wastani wa zaidi ya 80 dB |
2. What is the grade of hearing loss for Malicka’s right ear?
Chagua jibu moja.
Moderately severe hearing loss is correct!
The hearing threshold average on Malicka’s right ear is 50.00 dB. Moderately severe hearing loss is on average between 50–64 dB.
3. What is the grade of hearing loss for Malicka’s left ear?
Chagua jibu moja.
Moderately severe hearing loss is correct!
The hearing threshold average on Malicka’s left ear is 51.25 dB. Moderately severe hearing loss is between 50–64 dB.
Explain test results
Baada ya kukamilisha kipimo cha uwezo wa kusikia na kutambua kiwango cha upotevu wa kusikia, eleza matokeo na iwapo mtu huyo anaweza kufaidika na vifaa saidizi vya kusikia.
Unamkumbuka Malika?
After Malicka’s hearing test, the health worker explains she has moderately severe hearing loss. This means Malicka may find it difficult to understand words even in quiet environments.
Kutumia vifaa saidizi vya kusikia kunaweza kurahisisha kuwasiliana na familia yake, hasa katika shughuli za kijamii.
Malika anathibitisha kuwa angependa kufanyiwa tathmini ili kuona kama vifaa saidizi vya kusikia vitasaidia.