BAER (Auditory Evoked Response) gwajin gwajin gwajin gwagwarmaya ne idan jariri ya kasa yin gwajin gwajin gwajin (OAE) sai dai idan an haifi yaron ba da daɗewa ba. Wannan gwajin za a iya amfani da shi idan akwai wani dalili da ba a iya yin gwajin gwajin da ya dace ba. Mai sauti na kunne da kunnen kunne don kimanta ƙwayar kulawar jaririnka, kwance da kuma sauraron hanyoyin zuwa kwakwalwa.
Kimanin 3 daga 1,000 jarirai an haifa tare da mafi girma fiye da matsakaicin mataki na sauraron ji. Rashin ji , idan ba a gano da kuma gyara shi da wuri ba, zai iya haifar da jinkirin cigaba kuma yana buƙatar ƙarin digiri na maganganu. An yi aiki a hankali a wurin gwajin gwajin hali game da waɗanda basu iya aiki tare da gwajin gwaji na misali (misali ƙananan yara, waɗanda suke tare da jinkirin cigaba, da dai sauransu), amma har yanzu za'a iya amfani dasu don gano lalacewar ji.
Sauran Sunaye Domin BAER Gwaji: Auditory Saurari Ayyuka (ABR), Sakamakon Auditory Saurari Amfani (SABR), Ayyuka na Gidan Gida ta atomatik (AABR), Mai Rarraba Ƙwararriyar Auditory (AEP), Rahoton Auditory Potential Potential (BAEP)
Ta yaya ake gwada gwajin BAER?
BAER gwajin ba abu mai zafi ba ne kuma ana iya yin yayin da yaron ya barci ko ya tsaya tare da idanuwansu. Hanyoyin motsi da tashin hankali na iya haifar da mummunar haɗari a gwaji, don haka idan yaro ba zai iya shakatawa ba, za a yi musu rauni.
- Sensors (electrodes) ana sanya su a kan goshin goshinsa, ɓallere, da kuma kunne
- Ƙanan kunne kunne ko kunne kunne ana sa a cikin kowane kunne
- Bayan duk kayan aiki an samo jerin dannawawa, kurakurai, da sauran sautuna aka buga.
- Amsar kwakwalwa ga waɗannan sauti suna rubuce (ta hanyar tabarau)
A lokacin jarrabawar BAER, babu amsa daga yaro ya zama dole.
Hakanan sunadaran kan kawunansu suna gano kwakwalwa yayin da ake buga kiɗa a cikin kunnuwan ku ta hanyar kunne. Jarabawar ba za ta duba ikon su na sauraran matakan baƙaƙe ba, kamar yadda kawai sauti daya kuma ana amfani dashi ɗaya.
Ta yaya ake gwada gwaji?
Hakanan mahimmanci suna samar da wani hoto tare da manyan nau'i-nau'i guda bakwai kamar yadda samfurori (sautunan kunne a kunne) ke tafiya daga kunne zuwa kwakwalwa. Mai jin jijiyar hankali yana duba sakamakon ta hanyar yin la'akari da lazimci (distance ko lokacin tsakanin tsaka-tsakin kogi) da kuma amplitude (tsawo na raƙuman ruwa). Duk da yake akwai raƙuman ruwa 7, kawai raƙuman ruwa Na, III, V suna da muhimmanci wajen ƙayyade duk wani abu mai banƙyama. Mai sauraren jijiya zai iya ba ku kyauta ko sakamakon kasa don gwajin BAER.
Ya kamata a yi?
Ana amfani da BAER akan yara ƙanana don su saurara su ji kuma ana amfani da ita tare da gwajin OAE . Idan babu damuwa tare da aikawar yaro, za a iya yin amfani da OAE kuma BAER kawai za a gwada idan OAE ya kasa. Idan an haifi yaron da bai tsufa ba ko kuma yana da haɗarin rashin lalacewa, ba za a fara gwada BAER ba. Idan jaririn bai wuce gwajin BAER ba lallai ma'anar shine kurma ba ne ko kuma yana da hasara na har abada; Ana buƙatar ƙarin gwaji.
Wani dalili na musamman BAER za a yi shi ne idan kana da yarinya tare da jinkirin rayawa wanda bazai iya samun wasu nau'i na gwajin da za a duba su ba.
Dalili na yau da kullum don bazawa BAER ba sun hada da:
Ƙananan dalilai masu yawa:
- Gaba ɗaya
- Sanarwar neuropathy
- Vestibular schwannoma
- Kyakkyawan ƙwayar cuta
- Ciwon ƙwayar zuciya
Yana da mahimmanci a gane cewa ko da yaronka ya wuce gwajin BAER, za su iya ci gaba da jin maganganu a baya a rayuwa.
Sources:
Cibiyar Harkokin Ilimin Harkokin Ilmin {asar Amirka. (nd). Shirin Harkokin Gano Harkokin Kari da Taimako. https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/PEHDIC/pages/early-hearing-detection-and-intervention.aspx
Ƙungiyar Harshe ta Harshen Harshen Amurka. (nd). Amsoshi na Gida ta Auditory (ABR). http://www.asha.org/public/hearing/Auditory-Brainstem-Response/
Goldenberg, David; Goldstein, Bradley J. Handbook of Otolaryngology Head and Neck Abun aiki. 2011. p 73-77.
Markand, ON (1994). Gudanar da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa. J Jarin Neurophysiol. 11 (3): 319-42.