I naute than chhoh dan tur i ngaihtuah em? Developmental delay chungchang hi han sawi ila.

A bul hnaia in pakhata nausen kum inang chiah chu a kal tan ta. Mahse i naute chu a la crawling chauh a ni. Chutiang hunah chuan nu emaw, pa emaw hian tlem a hlauhthawn leh lungkhamna a neih hi thil pangngai tak a ni. "Ka naute hi thil dik lo a awm em?", "Engvangin nge hetiang hian a la tih loh?" Nang pawhin i ngaihtuah ve ngei ang, a dik em? Dik tak chuan naupang zawng zawng hi an inang vek lo va, an thanlenna pawh a inang lo hle. Mahse a chang chuan heng tihkhawtlai te hi tlem kan ngaihtuah a ngai thin. Chu chu vawiina kan sawi tum chu a ni, i rilrua zawhna awm zawng zawng chhanna zawng turin.

A awlsam zawngin, he hmasawnna tihkhawtlai hi eng nge ni?

Hei hi hrethiam tur chuan "developmental milestone" tih hi eng nge ni tih hi han en hmasa ila. Heng thil pawimawh tak takte hi nautein a lo puitlin chhoh zel a zir chhuah thar a ni. I nautein a nuih hmasak ber che, a kawr a hawi, a inher, a khup, a ding, a kal, "mama" leh "dada" tih thumal hmasa ber a sawi te, a kut a vawrh te ang chi te hi ngaihtuah teh. Heng zawng zawng hi hmasawnna atana thil pawimawh tak tak a ni.

Naupangte hian heng milestone tinte hi an thlen theih nan kum bithliah a awm tlangpui. Mahse hei hi lungah dan siam a ni lo. Naupang thenkhat chu tlemin an kal hma deuh a, thenkhat chu tlem an tlai deuh bawk. Chu chu thil pangngai a ni.

Mahse, naupang chu kum khata heng milestone pakhat emaw, a aia tam emaw thleng thei tura an tlai reng a nih chauhvin an thanlenna tihkhawtlai kan ti a ni . Chumi awmzia chu i fa chu kum inang naupang dangte nena khaikhin chuan theihna thenkhatah nasa takin a tlahniam a nih chuan chu chu kan ngaihven a ngai tihna a ni.

Heng tihkhawtlai te hi engte nge a thlen theih dan tlangpui?

Naupang thanlenna hi kawng khata awm a ni lo. Thil chi hrang hranga kalpui a ni. Chuvangin, tihkhawtlai theihna hmunpui engemaw zat a awm. Eng nge an nih i han thlir teh ang.

Global Developmental Delay tih hi eng nge ni?

A châng chuan naupang pakhatin a chunga kan sawi tak hmun pakhatah chauh a tlai thei bawk. Entîr nân, naupang tlan leh zuang leh infiam thiam tak chuan thusawi lamah a tlai mai thei.

Mahse, naupang pakhatin a chunga kan sawi tak hmun pahnih emaw a aia tam emaw-ah tihkhawtlai nasa tak a lantir chuan doctor-te chuan he natna hi Global Developmental Delay tiin an ko thin.

Engtin nge hei hi autism nen a danglam?

Hei hi nu leh pa tam takin zawhna an neih a ni. Heng dinhmun pahnih inkarah hian danglamna chiang tak a awm a.

• Developmental Delay: Hei hi naupangin an thiante aiin thiamna thenkhat a zir slow zawk hi a ni. Engpawhnise,A hmaa inrawlh leh a tul anga tanpuina pek a nih chuan naupang tam tak chuan midangte an phak thei a ni. Hei hian hun kal zelah leh enkawlna dik tak nena hneh theih tur dinhmun a ni tihna a ni.

• Autism Spectrum Disorder: Hei hi neurodevelopmental condition a ni a, a tlangpuiin dam chhung daih a ni. Naupang autism vei te hian midang nena inpawh leh inbiak pawhna kawngah harsatna an nei thin. Khawvel hi a danglamin an hmu a.

A châng chuan a tir lamah chuan dinhmun pahnih hi thliar hran a harsa thei a, mahse a pawimawh ber chu i fain a tihkhawtlai tih i hriat veleh hma la la, a chhan eng pawh ni se.

I fa pawhin heng symptoms te hi a nei em tih en rawh.

Hmasawnna tlai chhinchhiahna hi a natna hmun a zirin a inang lo. A hnuaia tarlan te hi a lan chhuah dan tlangpui thenkhat an ni.

• Kum upa lam nena inmil taka inkhuh loh, thut loh, khup loh, kal loh.
• Thil te tak te vawn leh pencil hmanga lemziak (fine motor skills) ang chi thila harsatna.
• Midang thusawi hriatthiam harsa tak anga lang.
• Harsatna awlsam tak takte ngaihvenna emaw, chinfel thiam lohna emaw.
• Naupang dangte zawm emaw, khelhpui emaw duh lohna.
• Thusawi tlai emaw, thusawi slurred emaw.
• Thil hriatreng harsa.
• An thil tih (e.g., chunglam atanga thil paih a, a tlak) avanga thil thleng tur hriatthiam theih lohna.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hmasawnna tlai chhan dik tak hriat chian a harsa fo thin. Mahse, ṭhenkhatah chuan chutianga thlentu thil engemaw zat hmuhchhuah a ni.

1. Genetic factors: Genetic condition thenkhat hian hmasawnna a tikhawtlai thei a, chu chu Down syndrome emaw Fragile X syndrome emaw a ni.

2. Naupai leh nau neih laia harsatna awm thei: 1.1.

• Nuin naupai laiin zu leh ruihhlo ang chi thil tha lo tak tak a tawrhpui thin.
• Hun hmaa nau neih.
• Nau piang rit lo.
• Naute pian tirh atanga oxygen tlakchhamna.

3. Environment leh chhan dang: 1.1.

• Nausen a pian hnua thil tha lo, lead ang chi a tawrh dan.
• Ei leh in lama harsatna (malnutrition) a awm.
• Beng natna (hriatna hloh leh tawng tikhawtlai thei) emaw, mitdelna emaw a awm fo thin.
• Naupang chunga rilru lama harsatna nasa tak emaw tihduhdahna emaw.

Engtin nge doctor hian hei hi a hriat chhuah? (Hmasawnna lam Screening) 1.1.

Nausen clinic-a i kal hian doctor emaw midwife emaw chuan naute hmasawnna chu a ngaihven reng tih i hre reng mai thei. Hei hi an ti aDevelopmental Screening tih a ni.

Hei hi hlauh tur a ni lo. Chumi kum a zir tur thiamna bulpui chu naupangin a zir tawh em tih, harsatna a nei em tih en a ni.

Doctor chuan hetiang hian a ti a:

• Zawhna zawh che: I fate awm dan leh in lama an thil tih dan chipchiar taka zawh che.
• Naupang nena inkhelh: Naupang chu infiamna thil pek te, biak te, leh naupangin a zir dan te, a tawng dan te, a awm dan te leh a che dan te enfiah te.

He screening hi a pawimawh hle a, a chhan chu, tihkhawtlai a awm chuan, a hriat hma chuan naupang tanpui a awlsam zawk thin. Tikhawtlai hian naupang zirlai harsatna a tipung thei a ni.

Delay a awm tih i hriat chuan engtin nge i tih ang?

I doctor-in i fate hmasawnna chungchangah ngaihtuahna a neih chuan nang leh i fa chu specialist emaw therapist emaw dik tak hnenah a refer ang. Chûng zîngah chuan:

• Thusawi thiam (Speech Therapist) a ni
• Occupational Therapist hmanga enkawltu a ni
• Taksa lam enkawltu (physical Therapist) a ni
• Naupang hmasawnna lama tui tak doctor (Developmental Pediatrician) .
• Naupang neurologist pakhat a ni
• Audiologist pakhat a ni

Heng mite hian naupang chu uluk zawkin an enfiah ang a, a tlai chhan an hre chhuak ang a, naupangin eng enkawlna nge a mamawh tih an hre thei ang. Hei hi Early Intervention Services an ti a ni .

Hei hi a pawimawh ber a ni. Ṭanpuina i hmuh hma chuan a rah a ṭha zawk. Thlai te tak te ang mai a ni. A tir lamah fertilizer leh tui tlem tal i dah chuan mawi takin a thang ang. Chutiang chu a ni.

Nu leh pa angin engtin nge kan fate kan tanpui theih ang?

I fate specialist support i pek rual hian nu leh pa angin in lama i tih theih tam tak a awm a, chu chuan i fate hmasawnna nasa takin a pui ang.

• I fa nen inkhelh: Inkhelh hian naupang theihna zawng zawng a tipung a ni. Play-dough ang chi thil hmanga khelh hian fine motor skills a siam chhuak thin. Pawn lama tlan leh zuang hian taksa chakna bakah khawtlang nun thiamna a tipung a ni.
• I fate nen lehkhabu chhiar: I fain thu a hriat tam poh leh an tawng thiamna a lo thang chak zawk ang. Zan mut hmain thawnthu tawi bu chhiar hi tih danah siam rawh. Lehkhabu chhunga thlalakte chu entir la, sawi rawh.
• Screen Time tihtlem (TV, Phone): Naupangte hian screen en reng chungin ni lovin, midangte hmaichhana an inbiak hian an zir tha ber. Naupang screen time ni khatah darkar khat aia tam lo tura tihtlem a pawimawh hle.
• Thil tih dân tûr siam rawh: I fa chu tih dân pangngai zawm thiam tûrin ṭanpui rawh. Thlalak nêna schedule i siam a, chu chu bangah i stick chuan, i fain a tih leh tûr chu a hriatthiam a awlsam zâwk ang.
• Doctor leh therapist-te nen inbiak reng rawh: i fa dinhmun te, in lama an tih theih dang te zawt la, i zawhna leh ngaihtuahna te chu anmahni nen sawiho rawh.

I fain hmasawnna a tlai tih i hriat chuan lungngaihna leh lungngaihna i neih hi thil pangngai a ni. Mahse khawvel tawp a ni lo. Tanpuina leh enkawlna dik tak i neih chuan i fa chu naupang dang ang bawkin nun hlawhtling leh hlim takin a nung thei a ni. A pawimawh ber chu i hmangaihna, i ngaihsakna leh i fuihna hi a ni.