Malatya il merkezinde okul çağı çocuklarda işitme testi taraması
Küçük Resim Yok
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AMAÇ: İşitme kaybı dış, orta, iç kulak ve akustik sinirde ortaya çıkan patolojiler sebebiyle çevrede bulunan seslerin algılanamaması ve bireyin gelişimine, uyumuna ve özellikle de iletişim ve dil becerilerinin kazanılmasına engel teşkil etme durumu şeklinde tanımlayabiliriz. Çalışmada Malatya il merkezinde okul çağı beşinci sınıf çocuklarında işitme kaybı sıklığının tespit edilmesi, risk faktörlerinin değerlendirilmesi, tedaviye yönlendirilmesi ve toplumda hastalığın farkındalığının arttırılması hedeflenmiştir. OLGULAR VE YÖNTEM: Mart 2018-Şubat 2019 tarihleri arasında, Malatya ilinde öğrenim gören 812 beşinci sınıf öğrencisi çalışmaya alındı. Çocuklara Resonance R17A odyometri cihazı ve saf ses uyaran kullanılarak işitme taraması yapıldı. BULGULAR: Çalışmamızda yaş ortalaması 10±1 yıl olan çocuklarda işitme kaybı sıklığı ve risk faktörlerinin değerlendirilmesi planlandı. İşitme taramasından 24 (%3) çocuk kaldı. Bu olgular detaylı muayene ve ileri testlerle değerlendirildi. İşitme taramasından kalan 24 olgunun 11'inde (%45,8) kalıcı işitme kaybı tespit edildi. İşitme kayıplı 11 hasta değerlendirildiğinde, 3 olguda (%27,2) çok hafif, 4 olguda (%36,3) hafif, 2 olguda (%18,1) orta, 2 olguda (%18,1) ileri ve/veya çok ileri derecede işitme kaybı tespit edildi. Risk faktörleri değerlendirildiğinde; ateşli hastalık geçirme (p=0,02), tekrarlayan kulak hastalığı geçirme (p=0,03), öncesinde var olan işitme kaybı öyküsü (p=0,04), yüksek sesle televizyon izleme-müzik dinleme (p=0,007) ve konuşulanları işitmede güçlük şikâyetlerinin olması (p=0,004) ile işitme testi taramalarından kalma istatistiksel olarak anlamlı risk faktörleri olarak bulundu (p<0,05). Çalışmamızda okul çağı çocuklarda herhangi bir derecedeki işitme kaybı sıklığı %1,35 oranında saptandı. SONUÇ: Konuşmayı bozmayacak derecede doğuştan ve sonradan oluşan işitme kayıplarının gözden kaçması, çocuğun özellikle eğitim alanında geri kalmasına yol açar. Bu nedenle, çok hafif işitme kayıpları da dahil olmak üzere, çocuklarda oluşan işitme kayıplarını çok iyi bir şekilde takip ederek gerekli önlemlerin alınması sağlanmalıdır. Yenidoğan taramaları sonrasında da işitme taramalarının okul öncesi ve okul çağı çocuklarda yaygınlaşması gerektiğini düşünmekteyiz. Anahtar kelimeler: İşitme taraması, Malatya, odyometri, okul çağı çocuklar.
Hearing Test Screening in School Age Children in Malatya Province Aim: Hearing loss can be defined as the inability to detect sounds in the environment and to prevent the acquisition and adaptation of the individual and especially the acquisition of communication and language skills due to the pathologies occurring in the outer, middle, inner ear and acoustic nerves. In the study, it was aimed to determine the frequency of hearing loss and evaluation of risk factors in the 5th grade school children in Malatya and to increase the awareness of the disease in the community. Cases and Methods: 812 5th grade students in primary schools were enrolled in Malatya Turkey between March 2018 and February 2019. Hearing screening was performed with Resonance R17A audiometry device and pure Tone Audiometry method. Results: The prevelance of hearing loss and risk factors in children with mean age 10±1were planned to evaluate in our study. Hearing loss was detected in 11 of 24 (3%) children. These children were also evaluated by detailed examination and advanced tests and three of these children (27,2%) had very mild, 4 children (36,3%) had mild, 2 children (18,1%) had moderate, 2 children (18,1%) had severe and/or profound hearing loss. When risk factors were evaluated, it was found that there were complaints of feverish disease (p = 0,02), repetitive ear disease (p = 0,03), history of hearing loss (p = 0,04), listening to loud television-listening music (p = 0,007), and having difficulties about hearing the talking (p = 0,004) are statistically significant risk factors for hearing test scans (p <0,05). The prevelance of hearing loss was 1.35% in school aged children for this study. Conclusion: Congenital or acquired hearing loss, which is not disturbed the speech, leads to the loss of the child especially in the field of education. For this reason, it should be ensured that necessary hearing measures are taken by following the hearing losses very well in children, including very mild hearing loss. We think that hearing screening should be widespread in pre-school and school age children after newborn screenings. Key words: Hearing screening, Malatya, audiometry, school age children.
Hearing Test Screening in School Age Children in Malatya Province Aim: Hearing loss can be defined as the inability to detect sounds in the environment and to prevent the acquisition and adaptation of the individual and especially the acquisition of communication and language skills due to the pathologies occurring in the outer, middle, inner ear and acoustic nerves. In the study, it was aimed to determine the frequency of hearing loss and evaluation of risk factors in the 5th grade school children in Malatya and to increase the awareness of the disease in the community. Cases and Methods: 812 5th grade students in primary schools were enrolled in Malatya Turkey between March 2018 and February 2019. Hearing screening was performed with Resonance R17A audiometry device and pure Tone Audiometry method. Results: The prevelance of hearing loss and risk factors in children with mean age 10±1were planned to evaluate in our study. Hearing loss was detected in 11 of 24 (3%) children. These children were also evaluated by detailed examination and advanced tests and three of these children (27,2%) had very mild, 4 children (36,3%) had mild, 2 children (18,1%) had moderate, 2 children (18,1%) had severe and/or profound hearing loss. When risk factors were evaluated, it was found that there were complaints of feverish disease (p = 0,02), repetitive ear disease (p = 0,03), history of hearing loss (p = 0,04), listening to loud television-listening music (p = 0,007), and having difficulties about hearing the talking (p = 0,004) are statistically significant risk factors for hearing test scans (p <0,05). The prevelance of hearing loss was 1.35% in school aged children for this study. Conclusion: Congenital or acquired hearing loss, which is not disturbed the speech, leads to the loss of the child especially in the field of education. For this reason, it should be ensured that necessary hearing measures are taken by following the hearing losses very well in children, including very mild hearing loss. We think that hearing screening should be widespread in pre-school and school age children after newborn screenings. Key words: Hearing screening, Malatya, audiometry, school age children.
Açıklama
Anahtar Kelimeler
Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases
