P\u00ebr f\u00ebmij\u00ebt, d\u00ebgjimi dhe t\u00eb folurit jan\u00eb mjetet thelb\u00ebsore p\u00ebr t\u00eb m\u00ebsuar, p\u00ebr t\u00eb luajtur dhe p\u00ebr t\u00eb zhvilluar aft\u00ebsit\u00eb sociale. N\u00eb fakt, f\u00ebmij\u00ebt m\u00ebsojn\u00eb t\u00eb komunikojn\u00eb duke imitiar k\u00ebng\u00ebt t\u00eb cilat ato i d\u00ebgjojn\u00eb dhe n\u00eb rast se e humbasin d\u00ebgjimin e tyre, mund t\u00eb humbasin nj\u00eb pjes\u00eb t\u00eb mir\u00eb t\u00eb t\u00eb\u00a0 folurit\u00a0 dhe t\u00eb gjuh\u00ebs gjat\u00eb zhvillimit t\u00eb tyre. Dr. Borisllav Gogushevski, otorinolaringolog n\u00eb spitalin klinik “Acibadem Sistina”, shpjegon se p\u00ebrve\u00e7 zhvillimit t\u00eb vonsh\u00ebm t\u00eb t\u00eb folurit tek f\u00ebmij\u00ebt, edhe humbja e d\u00ebgjimit mund t\u00eb shkaktoj\u00eb probleme sociale dhe v\u00ebshtir\u00ebsi n\u00eb shkoll\u00eb.<\/p>\n

Si d\u00ebgjojm\u00eb? Veshi p\u00ebrb\u00ebhet nga tre pjes\u00eb kryesore:\u00a0 pjesa e jashtme, e mesme dhe ajo e brendshme.\u00a0 Val\u00ebt zanore l\u00ebvizin n\u00ebp\u00ebr kanalin e veshit, daulles s\u00eb veshit dhe sistemit t\u00eb kock\u00ebzave t\u00eb d\u00ebgjimit deri tek veshi i brendsh\u00ebm koklear. Roli kryesor i tij \u00ebsht\u00eb p\u00ebr t\u00eb tranformuar val\u00ebt zanore mekanike n\u00eb impulse nervore elektrike t\u00eb cilat transmetohen n\u00ebp\u00ebrmjet rrug\u00ebve nervore\u00a0 analizojn\u00eb dhe krijohet\u00a0 d\u00ebgjimi i z\u00ebrit apo tingujve.<\/p>\n

Si t\u00eb jeni t\u00eb sigurt n\u00ebse f\u00ebmija juaj d\u00ebgjon apo jo?<\/h2>\n

\n
• Shumica e t\u00eb porsalindurve reagojn\u00eb dhe frik\u00ebsohen ndaj z\u00ebrave t\u00eb lart\u00eb.<\/li>\n
• Deri n\u00eb tre muaj f\u00ebmija e njeh z\u00ebrin e prind\u00ebrve.<\/li>\n
• Deri n\u00eb gjasht\u00eb muaj, f\u00ebmija mund t\u00eb ndjek\u00eb me shikim personin i cili flet, duke kthyer kok\u00ebn dhe shikim drejt tij.<\/li>\n
• Deri n\u00eb 12 muaj f\u00ebmija mund t\u00eb imitoj\u00eb disa tinguj, duke formuar disa fjal\u00eb t\u00eb thjeshta si mama, baba, etj.<\/li>\n
• Edhe pse f\u00ebmija ka d\u00ebgjim normal, p\u00ebrs\u00ebri \u00ebsht\u00eb mir\u00eb q\u00eb ta d\u00ebrgoni n\u00eb kontrolle t\u00eb rregullta mjek\u00ebsore.<\/li>\n
• Testet e d\u00ebgjimit b\u00ebhen nga mosha 4,5,6,8,10,12,15 dhe 18 vje\u00e7are, si dhe n\u00eb \u00e7do rast tjet\u00ebr n\u00ebse ekziston ndonj\u00eb problem me d\u00ebgjimin.<\/li>\n<\/ul>\n

  Si ta zbuloni n\u00eb koh\u00eb humbjen e d\u00ebgjimit tek f\u00ebmija?<\/h2>\n

  P\u00ebr t\u00eb verifikuar n\u00ebse f\u00ebmija juaj ka d\u00ebgjim t\u00eb sh\u00ebndetsh\u00ebm\u00a0 rekomandohet kryerja e kontrolleve q\u00eb n\u00eb dit\u00ebt e para t\u00eb lindjes s\u00eb f\u00ebmij\u00ebs. N\u00eb t\u00eb kund\u00ebrt testet klasike p\u00ebr kontrollin sistematik t\u00eb d\u00ebgjimit,\u00a0 t\u00eb bazuara\u00a0 n\u00eb monitorimin e disa reflekseve t\u00eb caktuara ose t\u00eb sjelljes s\u00eb f\u00ebmij\u00ebs n\u00ebn stimulime t\u00eb caktuara, kryhen \u00a0metodat bashk\u00ebkohore skrining t\u00eb cilat \u00a0jan\u00eb testi BERA dhe emisionet otoakustike me an\u00eb t\u00eb t\u00eb cilave arrihen t\u00eb dh\u00ebnat paraprake p\u00ebr gjendjen e d\u00ebgjimit tek f\u00ebmija. Kontrolli neonatal \u00ebsht\u00eb tep\u00ebr i r\u00ebnd\u00ebsish\u00ebm tek foshnjat me rrezik t\u00eb lart\u00eb p\u00ebr humbjen e d\u00ebgjimit (lindje e v\u00ebshtir\u00eb me Apgar t\u00eb vog\u00ebl, me pesh\u00eb trupore m\u00eb pak se1500 gr, anomali t\u00eb lindura, infeksione pas lindjes, marrja e ila\u00e7eve ototoksike, predispozicioni gjenetik). K\u00ebta f\u00ebmij\u00eb, me an\u00eb t\u00eb k\u00ebtij testi, duhet t\u00eb ndiqe edhe m\u00eb tej p\u00ebrsa i p\u00ebrket zhvillimit t\u00eb tyre t\u00eb m\u00ebtejsh\u00ebm, n\u00eb m\u00ebnyr\u00eb p\u00ebr t\u00eb pasur nj\u00eb pamje t\u00eb qart\u00eb t\u00eb gjendjes s\u00eb d\u00ebgjimit apo zhvillimit t\u00eb mundsh\u00ebm t\u00eb procesit, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb p\u00ebrcaktohet trajtimi i duhur.<\/p>\n

  Kur duhet ta d\u00ebrgoni f\u00ebmij\u00ebn n\u00eb kontroll tek otorinolaringologu?<\/h2>\n

  \n
  1. N\u00ebse prind\u00ebrit v\u00ebrejn\u00eb se f\u00ebmija nuk reagon si\u00e7 duhet ndaj tingujve apo zhurm\u00ebs s\u00eb jashtme<\/li>\n
  2. Gjat\u00eb p\u00ebrs\u00ebritjeve t\u00eb infeksioneve n\u00eb vesh, apo infeksioneve t\u00eb shpeshta t\u00eb rrug\u00ebve t\u00eb frym\u00ebmarrjes.<\/li>\n
  3. Kur f\u00ebmija \u00ebsht\u00eb nervoz, zgjohet nat\u00ebn duke qar\u00eb pa pasur arsye t\u00eb tjera objektive.<\/li>\n
  4. Tek f\u00ebmij\u00ebt m\u00eb t\u00eb rritur, n\u00ebse kan\u00eb probleme me ndjekjen e m\u00ebsimit n\u00eb shkoll\u00eb, nuk shfaq interes, \u00ebsht\u00eb p\u00ebrtac apo shpesh e ngre volumin e televizorit.<\/li>\n<\/ol>\n

     \u00c7far\u00eb trajtimi duhet ti jepet f\u00ebmij\u00ebs n\u00ebse ka problem me d\u00ebgjimin?<\/h2>\n

     Ka mund\u00ebsi t\u00eb ndryshme p\u00ebr trajtim, por zakonisht ato jepen n\u00eb baz\u00eb t\u00eb diagnoz\u00ebs dhe shkakut t\u00eb shfaqjes s\u00eb problemit, si dhe shkall\u00ebs s\u00eb d\u00ebmtimit t\u00eb d\u00ebgjimit. \u00a0<\/p>\n

     N\u00eb rastet e p\u00ebrs\u00ebritura\u00a0 t\u00eb inflamacionit akut n\u00eb vesh, si dhe infeksioni i vesh\u00ebve me rrjedhje t\u00eb veshit t\u00eb mes\u00ebm, n\u00ebse trajtimi konservativ nuk do ta arrij\u00eb procesin e rehabilitimit dhe evakuimit t\u00eb rrjedhjes, rekomandohet vendosja e tubave t\u00eb ventilimit n\u00eb daullen e veshit, si dhe m\u00ebnjanimi i bajames s\u00eb tret\u00eb ose t\u00eb dy bajamet e tjera n\u00eb rast se ato kan\u00eb ndonj\u00eb shenj\u00eb treguese.<\/p>\n

     Tek proceset e caktuara kronike, n\u00eb veshin e mes\u00ebm apo n\u00eb pjes\u00ebn e zgjatur mastroide, rekomandohet kryerja e trajtimit kirurgjik p\u00ebr t\u00eb shmangur rrezikun e komplikimeve t\u00eb m\u00ebtejshme si dhe p\u00ebr t\u00eb mbrojtur d\u00ebgjimin nga d\u00ebmtimet e mundshme.<\/p>\n

     Tek d\u00ebmtimet senzoneurale t\u00eb d\u00ebgjimit, kur shkaqet vijn\u00eb nga veshi i brendsh\u00ebm dhe nervi d\u00ebgjimor, k\u00ebtu meret parasysh\u00eb p\u00ebrdorimi i aparatit t\u00eb d\u00ebgjimit (amplifikator).<\/p>\n

     Tek disa pacient\u00eb me l\u00ebndim t\u00eb r\u00ebnd\u00eb senzoneural t\u00eb d\u00ebgjimit rekomandohet vendosja e implantit konkear (n\u00eb gjuh\u00ebn popullore i njohur me emrin vesh artificial). Sidoqoft\u00eb, p\u00ebrcaktimi i diagnoz\u00ebs s\u00eb humbjes s\u00eb d\u00ebgjimit tek f\u00ebmij\u00ebt dhe trajtimi i duhur, redukton rrezikun e d\u00ebmtimit t\u00eb p\u00ebrhersh\u00ebm t\u00eb d\u00ebgjimit, dhe lejon zhvillimin e duhur t\u00eb t\u00eb folurit.\u00a0<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"

     P\u00ebr f\u00ebmij\u00ebt, d\u00ebgjimi dhe t\u00eb folurit jan\u00eb mjetet thelb\u00ebsore p\u00ebr t\u00eb m\u00ebsuar, p\u00ebr t\u00eb luajtur dhe p\u00ebr t\u00eb zhvilluar aft\u00ebsit\u00eb sociale. N\u00eb fakt, f\u00ebmij\u00ebt m\u00ebsojn\u00eb t\u00eb komunikojn\u00eb duke imitiar k\u00ebng\u00ebt t\u00eb cilat ato i d\u00ebgjojn\u00eb dhe n\u00eb rast se e humbasin d\u00ebgjimin e tyre, mund t\u00eb humbasin nj\u00eb pjes\u00eb t\u00eb mir\u00eb t\u00eb t\u00eb\u00a0 folurit\u00a0 dhe t\u00eb gjuh\u00ebs gjat\u00eb zhvillimit t\u00eb tyre. Dr. Borisllav Gogushevski, otorinolaringolog n\u00eb spitalin klinik “Acibadem Sistina”, shpjegon se p\u00ebrve\u00e7 zhvillimit t\u00eb vonsh\u00ebm t\u00eb t\u00eb folurit tek f\u00ebmij\u00ebt, edhe humbja e d\u00ebgjimit mund t\u00eb shkaktoj\u00eb probleme sociale dhe v\u00ebshtir\u00ebsi n\u00eb shkoll\u00eb.<\/p>\n","protected":false},"author":2,"featured_media":4986,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[375],"tags":[],"doktori":[],"class_list":["post-3387","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uvo-nos-grlo-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=3387"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/3387\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/4986"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=3387"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=3387"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=3387"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=3387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}