Jarabawar sauraron jarrabawar jarrabawa ne mai gwaji wanda zai iya sauraron matsalolin jaririn jarirai. Za a iya amfani da gwaji don jariran da ba a taɓa haihuwa ba kuma don ƙayyadadden jariri.
Ta yaya ake yin jarrabawar jaririn?
Kusan dukkanin jihohi na buƙatar asibitoci da wuraren ciyayi suna ba da sanarwa ga dukkan jariri. Akwai nau'i biyu na gwaje-gwajen da aka saba amfani dashi ga jarirai:
- Otacoustic Eissions (OAE): A lokacin gwajin OAE, an sanya ƙaramin kunne a cikin kunnen jariri. Ana sautin sauti, da kuma watsi da fasaha na kunne wanda aka samar da kunne (kamar sauti).
- Kwararriyar kwakwalwa tana amsawa (ABR): A lokacin gwajin ABR, an sanya kunne a kunne a kan kunnuwan jariri, kuma ana sanya talikan lantarki a kan kan jaririn. Ana kunna sautuna a cikin kunnen kunne, kuma matakan zazzage amsawar kwakwalwa.
A wannan batu, duka gwajin OAE da ABR an dauki su a matsayin gwaje-gwaje masu dacewa don allon don sauraron yara a cikin jarirai. An gwada gwajin ta ABR a maimakon gwadawa na OAE a cikin jariran da jariran da ba su da haihuwa da suka wuce fiye da kwanaki 5 a cikin NICU, domin yana iya gano wasu nau'in saurarar sauraron da aka samu ta hanyar gwajin OAE kawai.
Madaba da marasa lafiya na NICU a Hadarin saboda Jiran Riga
Yara da aka haifa da kuma lokuta masu ba da kulawa da kulawa da NICU sun kasance mafi haɗari ga sauraron hasara fiye da jariran ga dalilan da dama, saboda haka yana da muhimmanci cewa sun sami jarabawa a gaban gwaji:
- Farko: Haihuwar haihuwa (haihuwar kafin zauren makonni 37) wani abu ne mai hadarin gaske don sauraron ji.
- Low nauyin haihuwar haihuwa: An haifi jariran da aka haife kimanin fam biyar, 8 oganci (2500 g) ana la'akari da ƙananan yara masu haihuwar haihuwar haihuwa kuma suna fuskantar haɗari ga rashin jin hasara.
- Magunguna: Wasu magunguna da aka yi amfani da su a cikin NICU zasu iya cutar da kunne, musamman, maganin rigakafi kamar gentamicin. Ana iya amfani da waɗannan magungunan a cikin samfurori ko a cikin marasa lafiya NICU waɗanda aka haifa a lokacin.
- Jaundice: Jaundice mai tsanani yana ƙaruwa game da hadarin dan jariri don sauraron hasara. Yara jarirai suna da jaundice mai tsanani sau da yawa fiye da ƙananan yara.
- Kamuwa da cuta: Yara suna da haɗarin hadarin jin dadi idan iyayensu na da kamuwa da cuta a cikin mahaifa ko jakar amniotic kafin zuwan. Abokan da aka gano da ciwon manci ko wasu kamuwa da kamuwa da cutar sun kasance suna kara yawan haɗari don sauraron ji.
Me ya sa aka ba da jarrabawa ga jariri
Kodayake bazai yi kama da jariran jarirai masu sauraro ba ne, yana da mahimmanci don sauraron asarar da za'a iya ganowa da wuri. A tarihin, yara da tsananin hasara mai tsanani suna da matsaloli na harshe wanda ya shafi yadda suka karanta, magana, da kuma yin hulɗa tare da wasu yara. Suna da jinkiri na cigaba da kuma matsalolin da suke ciki.
Lokacin da watanni 3 suka ji asarar da ake sauraron jiyya kuma jiyya farawa kafin watanni shida, yara da sauraron hasara mai yawa. Suna haɗuwa da wasu samfurori masu girma a lokaci, sun fi kyau a makaranta, suna da ƙananan matsaloli, kuma suna koyi don sadarwa mafi kyau.
Mene ne zai faru idan jariri ya kasa yin jarabawa?
Yana da muhimmanci ga iyaye su tuna cewa jarrabawar jarrabawar jariri ne kawai gwajin gwaji. Yarinya wanda "ya kasa" gwajin ba a gano shi ta atomatik ba tare da hasara na ji.
Maimakon haka, jariri wanda ba ya amsa kamar yadda ake sa ran gwaji ya kamata a kira shi ga mai jin murya ko likitancin (kunnen kunne, hanci, da maƙarar) don ƙarin gwaji. Abin da ya sa likitoci da ma'aikatan jinya ba su ce cewa jaririn "ya kasa" gwajin ji; sun ce yana "kira" a daya ko biyu kunnuwa.
Idan an kira kiranka, magana da dan jaririn naka da wuri-wuri game da tsara wani alƙawari don gwaji mai biyo baya. Mai jin jijiyar jijiya ko masanin ilimin lissafi zai iya samar da ƙarin gwaji na jiji don taimaka maka ka gano ainihin inda jaririnka ke fama da matsala kuma zai iya taimaka maka samun magani da jaririn yake bukata.
Sources:
Cibiyar Harkokin Ilimin Harkokin Ilimin Harkokin Ilimin {asashen Amirka na Harkokin Yara. "Bayanin Matsayi na 2007: Ka'idoji da Sharuɗɗa don Gano Harshe da Rigaka." Makarantar likita na yara Oktoba 2007; 120, 898-921.
D'Agostino, RN, MSN, CPNP da Austin, Laura MS, CCC / A. "Sanarwar Neuropathy: Wani Masanin Kwarewar Neonatal Mai Kula da Ƙwarewar Yammacin Yammacin Yammacin Aiki." Ci gaba a Neonatal Care December 2004; 4, 344-353.
Cibiyoyin Lafiya na Ƙasar. "Shin ana sauraron sauraron ku?" http://www.nidcd.nih.gov/health/hearing/screened.asp.