Doctor-in i fate hian autism a vei tih a hrilh che chuan i tan chuan, nu leh pa angin, phurrit lian tak leh hlauhna tlem i neih hi thil pangngai a ni. Zawhna ‘Tunah hian eng nge ka tih ang? Engtin nge ka fa chu ka puih theih ang? A hmalam hun chu eng ang nge ni ang?’ a ti a. i rilruah vawi sâng za chuang zet a tlan chhuak ngei ang. Lungngai suh. Nangmah chauh i ni lo. Vawiin hian autism vei naupangte tanpui thei tur, an theihna tipung thei tur, leh he khawvela nun that dan tur zirtir thei tur therapies kan sawi dawn a ni.
Heng autism therapies te hi eng nge thleng tak tak?
Pakhatnaah chuan, kan zavaia kan hriat chian ngai pawimawh tak a awm a. Autism hi natna a ni lo. ‘Tihdam’ theih emaw, ‘siam bo’ theih thil a ni lo. A awlsam zawngin sawi ila, autism hi i fa thluak hnathawh dan leh information process dan inang lo tak a ni. Hei hi damdawi lam tawngin ``Neurodivergence'' kan ti thin. Mi thenkhat an sang a, thenkhat an tawi ang bawkin mi thenkhat thluak hian hna a thawk dan a inang lo.
Chuvangin heng enkawlnate hian naupang chu ‘siam’ emaw, tihdanglam tir emaw, khawtlang nunah awm tawh framework ang chiaha tihkhawtlai emaw hi a tum ber a ni lo. Chu ai chuan heng enkawlnate hian naupang chaknate a hmuchhuak a, a tipung a, harsatna an tawhte hneh theihna tura an mamawh thiamna a pe a ni. He khawvel hi naupang `(neurodivergent)` tan chuan hmun awlsam a ni ngai lo. Chuvangin, heng enkawlnate hian a tum ber chu naupang chu chu khawvela hlawhtling taka, hlim taka awm thei tur leh a theih ang anga mahni inrintawkna nei thei tura buatsaih hi a ni.
Online emaw, i thian emaw hnen atanga enkawlna i hriat zawng zawng hi a dik leh him lo. Autism chungchangah hian thudik lo leh thu dik lo tam tak a awm a. Chuvangin, i doctor-in evidence-based treatment a rawt chu zawm reng ang che.
Ka fa tan hian eng enkawlna tha ber nge ni ang?
Hei hi nu leh pa tam takin an zawh thin a ni. Mahse thudik tak chu, naupang tin tana thawk thei tur enkawlna ‘tha ber’ pakhat mah a awm lo. A chhan chu naupang tin hi an danglam vek a ni. Naupang pakhat tâna thawk ṭha tak chu naupang dang tân chuan a hlawhtling lo mai thei.
I doctor leh i fa healthcare team-te chuan enkawlna an rawt hunah heng thilte hi an ngaihtuah ang:
- Naupang kum leh mamawh danglam bik: Naupang tê têin a mamawh enkawlna ni lovin, naupang tê têin a mamawh ang.
- Naupangin hriselna lama harsatna a neih dangte: Naupang hian damdawi lam harsatna dang a nei thei a, chu chu enkawlna thlan hunah pawh ngaihtuah a ni.
- I chhûngkaw duhzâwng, hun ruat, leh sum leh pai lama an theihna: Chûng zawng zawng nena inmil tûr ruahmanna siam a ni.
Autistic naupangte tana hman ber tur enkawlna hrang hrang a awm. An chanchin pakhat hnu pakhatin sawi ila.
- Thiltih dan hmanga enkawlna
- Thusawi leh tawng hmanga enkawlna
- Hnathawh leh taksa lam enkawlna
- Khawtlang nun thiamna zirtirna
- Nu leh pa zirtirna pek
Behavioural therapy hi han thlir hmasa ila.
Hei hi naupang autism vei tan chuan enkawlna hman tlanglawn ber pakhat a ni. Naupang chu nungchang \ha ti tûra fuih leh anmahni emaw, mi dangte emaw tâna chhiatna thlen thei nungchang harsa tak takte tihtlem a huam mai a ni. Entîr nân, nungchang ṭhate fuih, thusawi leh an mamawh thil dîl ang chite.
Heng enkawlnate hi zirlai theory pakhat Applied Behavior Analysis (ABA) atanga siam a ni. A awlsam zawngin sawi ila, naupangin nungchang tha, tha tak a lantir a, kan fak (lawmman) hian chu nungchang chu an ti nawn leh duh zawk tihna a ni.
Tun hma chuan he ``(ABA)`` method hmanga hremna hman chungchangah hian sawiselna tlem a awm thin. Mahse chutiang chu a ni tawh lo. Tûn laiah chuan nungchang lama enkawlnaah hian a hnuaia mite hi a tel a ni:
- Positive reinforcement hman: Naupangin thil tum a tihhlawhtlin chuan lawmman pe rawh. Hei hi infiamna duh ber atanga fak thlengin eng pawh a ni thei. Hei hian naupang chu thiamna thar zir turin a fuih a ni.
- Infiamna hmanga zirtirna: Inkhelh hian naupangte chu khawtlang nun thiamna leh midangte nena inzawmna siam dan tur a zirtir thin.
- Thiltih harsa tak awm chhan zawn chhuah: Naupang chu a lungawi lo thut a nih chuan a chhan a awm. A mamawh a hrilhhriat theih loh vang pawh a ni mai thei. Chutiang chuan a chhan chu zawn chhuah a ni a, a chinfel dan tur dik tak pek a ni.
- Setting hrang hranga enkawlna: Enkawlna thenkhat chu professional office-ah neih thin a ni. Mi dangte chu naupangin a hriat chian em em, in, sikul, a nih loh leh infiamna hmunah te a thleng a ni.
- Hun rei lote emaw, hun rei tak emaw: Naupang mamawh dan azirin he enkawlna hi thla engemaw zat emaw, kum khat emaw, a aia rei emaw a daih thei a ni.
Eng method dang nge behavioral therapy-a tel?
A hnuaia enkawlna tarlan thenkhat, scientifically-in he table-a a hlawkzia finfiah tawhte hi han thlir ila.
| Intervention Hming | A awlsam zawngin, hei hi a thleng thin... |
|---|---|
| Early Intensive Behavioral Intervention (EIBI) hmanga hmalakna tur a ni. | Hei hi intensive, focused treatment a ni a, naupang kum 4 hnuai lam atanga tan a ni tlangpui a, kum engemaw zat a daih. Inbiakpawhna, khawtlang inlaichinna leh thil tih nawn fonaah a pui thin. |
| Denver Model (ESDM) tan hmasa ber a ni. | Hei hi naupang tê tê tan ruahman a ni . Naupang chu in lama ang chi hmun hriat lar takah a khelh laiin a khawtlang nun, hriatna leh tawng thiamna a tipung a ni. |
| Joint Attention, Symbolic Play, Inzawmna leh Inrelbawlna (JASPER) 1.1. | Hei hi naupang thla 12 atanga kum 8 inkar te infiamna hmanga social communication skills tihhmasawn nan a ni bawk. |
| Pivotal Response Treatment (PRT) hmanga enkawl a ni. | Hei hi naupangte chu midang nena inbiakna leh inzawmna nei tura fuih chungchang a ni. Inbiakna bul ṭan dan leh mi dangte chhân lêt dân a zirtîr a ni. |
| Autistic leh a kaihhnawih Communication-Handicapped Naupang enkawl leh zirtirna (TEACCH®) . | Naupang theihna leh hriatna duhzawng ang zela siam boruak mumal takah thiamna hrang hrang siam turin a pui thin. |
Thusawi leh tawng therapy atanga tanpuina
Naupang autism vei tam tak chuan tawng leh inbiak pawh harsa an ti hle. Hetiang therapy chi hi chutiang atana ruahman bik a ni. Speech therapist chuan naupang chu thil hrang hrangah a pui thin:
- Dilna awlsam tak siam rawh: I mamawh chu "Tui ka mamawh," "Bathroom-a kal ka mamawh" tih ang chi thumal tawi hmanga sawi chhuah zir rawh.
- I rilru put hmang chu thuin sawi rawh: Hlimna te, lungngaihna te, leh thinrimna te ang chi rilru put hmangte sawi chhuak turin zirtir rawh.
- I thusawi speed leh rhythm siamrem rawh:Naupang thenkhat chu an tawng rang hle a, a nih loh leh rhythm inangah an tawng bawk. Chu chu siam ṭha turin ṭanpui rawh.
- Inbiakpawhna kawng dang hmang rawh: Naupang tawng harsa tak takte chuan Augmentative leh Alternative Communication (AAC) hmanrua an hmang thei. Entîr nân, picture card te, sign language te, a nih loh leh thusawi siamna hmanrua te chu hman theih a ni.
Occupational & Physical Therapy chungchang i zir chiang ang u.
Mi thenkhat chuan heng hming pahnih hi an hriat hian an buai deuh thin. Heng pahnihte hi eng nge thleng dawn tih i lo en ang u.
Occupational Therapy (OT) hmanga enkawlna (OT) 1.1.
Hei hian naupang chu nitin hna (hengte hi `Activities of Daily Living - ADLs kan ti a) mahni chauha tih theihna tur thiamna a pe a ni. Ha sil te, incheina te, ei leh in te, pheikhawk hrui bun te ang chi thilte hi ngaihtuah teh. Tin, ziak harsatna leh infiamna chelh ang chi thilah pawh a pui bawk.
Taksa lam enkawlna (PT) .
Hei hian naupang taksa chetna nena inzawm harsatnaah a pui ber a ni. Entirnan, he enkawlna hian naupang balance a tichak a, a kal dan a ti nghet a, ke ruh kal a ti tlem a, tlan leh zuang ang chi thila mamawh gross motor skills a tipung bawk.
Social skills training leh nu leh pa zirtirna
Khawtlang nun thiamna zirtirna
Hei hi group therapy a ni a, naupang te leh puitling te nen an tih thin a ni. Therapies dangte chuan social skills lam an ngaihtuah laiin, he therapies erawh chuan anmahni lam bik a ngaihtuah thung. Hei hian naupang chu a pui a ni:
- Thian siam rawh.
- Nonverbal cues, hmêl lan dan leh mit inhnaih ang chite hrethiam rawh.
- Mi pahnih inkarah inbiakna nei rawh.
- Midang hnen atanga tihduhdahna hmachhawn rawh.
Nu leh pa zirtirna pek
Hei pawh hi a pawimawh hle. Hetah hian nu leh pate chu an fate tanpui theih dan hrang hrang hriattir an ni. Entir nan:
- Naupang ngaihven hlawh dan tur.
- Naupang duhthlan tur pek dan tur.
- Naupangte chu an rualpuite nena inrem thei tura fuih dan tur.
He training atanga i thil zir leh i fa enkawl dan i inzawmkhawm chuan a rah chhuah chu a hlawhtling lehzual ang.
Treatment program thlan huna ngaihtuah tur thilte
I doctor chuan i fate tan hmun dik thlang turin a pui ang che, mahse nu leh pa i nih angin heng thilte hi i hriat chian a pawimawh hle.
- Naupang chu dik takin an ennawn em? Programme tha tak an tan hmain naupang chakna leh chak lohna te dik takin an ennawn thin.
- Tum chiang tak a awm em?Naupangin eng thil tum nge tihhlawhtlin a duh tih leh eng chen nge an lo thlen tawh tih an teh ang tih an sawifiah thiam tur a ni.
- Naupang chuan mimal ngaihsakna a dawng em? Naupang mimal ngaihvenna pe thei tur staff an awm em tih enfiah rawh.
- Professional te hian training mumal tak an nei em? An qualification leh experience te zawt hreh suh.
- I telna hi an lawmpui em? Programme tha ber ber ah chuan nu leh pa te an tel fo thin. In lama i fate tanpui theihna tur thil i tih theihte an zirtir bawk.
I rilruah thil dik lo nia i hriat chuan, chu hmuna i inrintawk loh chuan i thinlungin a hrilh che chu ngaithla rawh. Hmun dang zawng rawh. Naupang tin hi kan danglam vek a, chuvangin a enkawl dan pawh a inang vek tur a ni. Naupang hlimna leh himna hi thil dang zawng aiin a pawimawh zawk.
Take-Home Thuchah a ni
- Autism hi natna ‘dam’ ngai a ni lo. Thluak hnathawh tihdanglamna a ni. Enkawlna tum ber chu naupang ‘siamthat’ a ni lo va, an thiamna tihhmasawn leh nun tha tak nei tura puih a ni.
- I doctor-in a rawt evidence-based treatment chu thlang fo ang che. Internet atanga i hriat zawng zawng emaw, thiante hnen atanga i hriat zawng zawng ring suh.
- Kum naupang (a bik takin kum 3 an tlin hma) atanga enkawl tan theih a nih chuan result a hlawhtling hle. Mahse, enkawl tan erawh a tlai ngai lo.
- ‘One size fits all’ tih hi a awm lo. I fate tana ṭha ber tur zawng tûrin kawng hrang hrang i enchhin a ngai mai thei.
- I fa chakna ber i ni. Treatment team te nen thawhhona tha tak nei la, zawhna zawt la, i fa tan advocate rawh.











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