After the assessment interview, make a plan with the child and their caregiver. The plan might include:
- ufuatiliaji wa kusikia
- Kupewa rufaa
- Utoaji wa vifaa saidizi vya kusikia
- Kumfundisha mtoto na mlezi wao jinsi ya kutumia vifaa saidizi vya kusikia kwa usalama
- Kufanya uteuzi wa kufuatilia.
Fuatilia Uwezo wa kusikia
You should monitor children within normal hearing range and plan follow up in one year to retest hearing.
Encourage the child and caregiver to return sooner if there is a change in hearing.
Remember Anju?
Matokeo ya upimaji wa uwezo wa kusikia wa Anju yalikuwa ndani ya masafa ya kawaida ya kusikia katika masikio yote mawili.
The health worker explains there are some easy things that will help keep Anju’s ears healthy including:
- Epuka kuweka chochote ndani ya masikio
- Epuka kuogelea kwenye maji machafu
- Tumia viziba masikio unapokuwa katika mazingira yenye kelele.
The health worker asks Anju and her parents to return in one year for a repeat hearing test to monitor Anju’s hearing. They explain to come back sooner if Anju experiences ear pain, discharge or change in hearing.
Toa rufaa
Some children require more specialist assessment by an ear and hearing professional.
Hupaswi kutoa vifaa saidizi vya kusikia kwa:
- Watoto waliopoteza Uwezo wa kusikia kwa kiwango kati ya kikubwa hadi kiwango kikubwa sana.
- Children with asymmetrical hearing loss – more than 15 dB difference between right and left ear.
With caregiver permission refer to an ear and hearing professional.
If you are not confident about the test result, discuss with your mentor and refer to an ear and hearing professional.
Swali
Read the following case studies.
1. Beth ana umri wa miaka 13. Kiwango cha wastani cha kusikia kwa sikio lake la kulia ni 67 dB. Kiwango cha wastani cha kusikia katika sikio lake la kushoto ni 69 dB.
Angalia jedwali la kiwango cha upotevu wa Uwezo wa kusikia.
| Daraja | Wastani | Pendekezo |
| Ndani ya kiwango cha kawaida | Wastani wa chini ya dB 20 | Watu wazima na watoto: vifaa saidizi vya kusikia hazihitajiki. Kufundisha utunzaji wa sikio. Tathmini upya baada ya mwaka 1 au mapema zaidi ikiwa mtu au mlezi atagundua mabadiliko katika kusikia au Afya ya masikio. |
| Kupoteza kusikia kwa kiwango kidogo | Wastani wa 20-34 dB | Watoto: Msaada wa kusikia unaofaa. Watu wazima: Fuatilia na tathmini upya katika mwaka 1. Kufundisha utunzaji wa sikio. |
| Kupoteza Uwezo wa kusikia kwa kiwango cha wastani | Wastani wa 35-49 dB | Watu wazima na watoto: vifaa saidizi vya kusikia. |
| Kupoteza Uwezo wa kusikia kwa kiwango kikubwa hadi cha wastani | Wastani wa 50-64 dB | Watu wazima na watoto: vifaa saidizi vya kusikia. |
| Kupotea kwa Uwezo wa kusikia kwa kiwango kikubwa | Wastani wa 65-79 dB | Children: Refer to ear and hearing professional. Adults: Hearing aid fitting. |
| Kupotea kwa Uwezo wa kusikia kwa kiwango kikubwa zaidi | Wastani wa zaidi ya 80 dB | Adults and children: Refer to ear and hearing professional |
Ni kitu gani unapaswa kufanya baadaye?
Chagua jibu moja.
Kutoa rufaa ni sahihi!
Beth has severe hearing loss. With her caregivers permission, she should be referred to an ear and hearing professional for a more specialist assessment.
2. Jampa ana umri wa miaka 11. Kiwango cha wastani cha kusikia kwa sikio lake la kulia ni 23 dB. Kiwango cha wastani cha kusikia katika sikio lake la kushoto ni 55 dB.
Ni kitu gani unapaswa kufanya baadaye?
Chagua jibu moja.
Kutoa rufaa ni sahihi!
Jampa has more than 15 dB difference between his right and left ears. With his caregivers permission, he should be referred to an ear and hearing professional for a more specialist assessment.
Ridhaa
Watoto wengine watafaidika na vifaa saidizi vya kusikia.
Eleza faida zinazowezekana za vifaa vya kusaidia kusikia na utoe fursa kwa mtoto kupata uzoefu wa kutumia vifaa saidizi vya kusikia kabla ya kuamua.
If the child or their caregiver prefer not to be provided with hearing aids, encourage them to return to the service if they change their mind at any time.
Rekodi ikiwa mtoto na mlezi watatoa idhini ya kutoa vifaa saidizi vya kusikia.
Apewe vifaa saidizi vya kusikia
Kwanza chagua aina ya vifaa saidizi vya kusikia inayoweza kupangwa kutoka kwa chaguo zilizopo.
Record details on the form including:
- Kifaa saidizi cha kusikia
- Sehemu ya kifaa saidizi inayochomekwa kwenye mfereji wa sikio
- Battery.
Dokezo
Check packaging and user manual for serial numbers. A programmable hearing aid serial number may be recorded in the programming software when the hearing aid is connected.
Kufundisha namna ya kutumia kifaa saidizi cha kusikia
For a child to get the most benefit from hearing aids, it is important to explain to both the child and their caregiver:
- Faida za vifaa saidizi vya kusikia
- Jinsi ya kutumia na kutunza vifaa saidizi vya kusikia
- Jinsi ya kuangalia chaji ya betri na wakati wa kubadilisha betri
- Namna ya kuboresha uelewa wa maneno.
Maelekezo
Jifunze zaidi katika Somo la nne kuhusu jinsi ya kutumia vifaa saidizi vya kusikia.
Ufuatiliaji
Children need time to adjust to using hearing aids. Advice on simple problem solving can help.
It is important to follow up in person with the child and their caregiver within two weeks to check how they are getting on.
Maelekezo
Jifunze zaidi katika Somo la tano kuhusu ufuatiliaji wa vifaa saidizi vya kusikia.
Maelekezo
Test your knowledge by making a plan for Basir.
Swali
Remember Basir?
Basir is six years old and goes to school with his five-year-old sister, Siti. After a school screening Basir was referred for a hearing test. Basir was identified with hearing loss. The results show Basir has an average hearing threshold of 53.75 dB in his right ear and 56.25 dB in his left ear.
Angalia jedwali la kiwango cha upotevu wa Uwezo wa kusikia.
| Daraja | Wastani | Pendekezo |
| Ndani ya kiwango cha kawaida | Wastani wa chini ya dB 20 | Watu wazima na watoto: vifaa saidizi vya kusikia hazihitajiki. Kufundisha utunzaji wa sikio. Tathmini upya baada ya mwaka 1 au mapema zaidi ikiwa mtu au mlezi atagundua mabadiliko katika kusikia au Afya ya masikio. |
| Kupoteza kusikia kwa kiwango kidogo | Wastani wa 20-34 dB | Watoto: Msaada wa kusikia unaofaa. Watu wazima: Fuatilia na tathmini upya katika mwaka 1. Kufundisha utunzaji wa sikio. |
| Kupoteza Uwezo wa kusikia kwa kiwango cha wastani | Wastani wa 35-49 dB | Watu wazima na watoto: vifaa saidizi vya kusikia. |
| Kupoteza Uwezo wa kusikia kwa kiwango kikubwa hadi cha wastani | Wastani wa 50-64 dB | Watu wazima na watoto: vifaa saidizi vya kusikia. |
| Kupotea kwa Uwezo wa kusikia kwa kiwango kikubwa | Wastani wa 65-79 dB | Children: Refer to ear and hearing professional. Adults: Hearing aid fitting. |
| Kupotea kwa Uwezo wa kusikia kwa kiwango kikubwa zaidi | Wastani wa zaidi ya 80 dB | Watu wazima na watoto: toa rufaa mtaalamu wa masikio na kusikia. |
What action would you recommend for Basir?
Chagua jibu moja.
Kutoa vifaa saidizi vya kusikia ni sahihi!
Basir has moderately severe hearing loss in both ears. Continue to hearing aid fitting is recommended.