I naute than chhoh dan tur hi tlemin i ngaihtuah em? He hmasawnna tlai chungchang hi han sawi ila.

I naute hian a la nuihzat che em? A nih loh leh naute dang ang maia a roll over emaw, a kal emaw a tlai deuh niin a lang em? Nu emaw pa emaw hian an fate thanlen dan tur hi tlem an hre duh a, a chang chuan tlem an hlau bawk a, chu chu thil pangngai tak a ni. I fa chu naupang dang nen tehkhin hi thil awmdan pangngai a ni. Chuvangin, heng zawhnate hi i rilruah chhanna zawng turin vawiin hian he hmasawnna tlai, chu chu ‘hmasawnna tlai’ tih hi han sawi ila.

Hmasawnna tihkhawtlai chu eng nge ni tak tak?

A awlsam zawngin, hmasawnna tlai tihna a ni a, i fa chu an kum rualpui naupang dangte nena khaikhin chuan hmasawnna kawng engemaw zat a thlen tlai tihna a ni.

Tunah chuan heng hmasawnna milestone te hi engte nge ni? Ngaihtuah teh...

• Naute hian a vawikhatna atan a en che a, a nuih a za hle.
• Kawr hawi leh rolling over.
• Thil pakhat chelh tlat chunga ding tum.
• I kut phar a, "Tata" tih chuan.
• A hmasa ber chu neih hi a ni.
• "Mom" emaw "dad" emaw tih ang chi thumal hmasa ber sawi.

Hengte hi hmasawnna milestone kan tihte chu a ni. Inkhelh, zirlai, thusawi, nungchang, leh chetna kawng tinrengah an hman theih.

Mahse hetah hian thil pawimawh tak hriat reng tur a awm. Naupang zawng zawng hi an inang vek lo. Naupang \henkhat chu tlemin an kal hma deuh a, \henkhat chu tlemin an tlai deuh bawk. Intlansiakah hian mi zawng zawng hian a rualin finish line an pel vek lo ang mai a ni. Chuvangin, i fa chu thil engemaw a tlai deuh vang mai mai chuan a hmasawnna a tlai tihna a ni lo.

Naupang thanlenna kawng pawimawh ber berte chu engte nge ni?

Naupang thanlenna hian taksa lamah a thang lian tihna mai a ni lo. Chutih rual chuan thil tam tak a lo piang chhuak a, chu chu a thluak te, a rilru put hmang te, inbiakpawhna thiamna te, leh khawtlang nun thiamna te hi a ni. Heng hmasawnna hmunte hi hmunpui engemaw zatah then ila. Hengte hi tihkhawtlai hmuh theihna hmunpui berte an ni.

Global Developmental Delay tih hi eng nge ni?

A châng chuan naupang pakhatin hmun khatah chauh tihkhawtlai a nei thei bawk. Entîr nân, an sawi tlai chauh pawh a ni thei. Mahse, heng kan sawi tak thil pawimawh pahnih emaw a aia tam emaw-ah hian tihkhawtlai nasa tak a awm a nih chuan, doctor-te chuan he condition hi Global Developmental Delay tiin an ko thin.

Hei hi autism nen a inzawm em? An pahnih inthlauhna chu eng nge ni?

Hei hi nu leh pa tam takin harsatna an neih chu a ni. Hmasawnna tlai hi chi hnih a awm a, Autism Spectrum Disorder ang chi hmasawnna lama harsatna pawh a awm bawk.

• Developmental Delay: Hei hi naupangin thiamna engemaw zat a neih theih nan naupang dang aiin a slow deuh a ni. Naupang class-a a rawn man tlai deuh ang maiin. Mahse, a hmaa hriatchhuah a nih a, a tul anga puihna, chu chu enkawlna leh zirtirna (early intervention) pek a nih chuan heng naupangte hian an rualpuite chu an phak thei tlangpui.

• Hmasawnna lama harsatna nei te:Autism ang chi condition te hi he category ah hian an tel ve a ni. Hengte hi hun kal zelah mahni chauha bo mai mai an ni lo va, dam chhung zawnga thil awm dan a ni tlangpui. Autism hi neurodevelopmental condition a ni a, thluak hmasawnna a nghawng a ni. Autism vei naupangte hian midang nena inpawh tawnna, inbiakpawhna leh khawtlang nun nena inpawh tawnna kawngah harsatna an nei thei a ni.

A châng chuan naupangin a ṭhanlenna a tlai em tih emaw, autism ang chi natna a nei em tih hriat nghal a harsa thei bawk.

Hmasawnna tlai chhinchhiahna engte nge ni?

Hmasawnna tlai chhinchhiahna hi a natna hmun a zirin a inang lo. Hêngte hi i fa i enkawl laia i hriat chhuah theih ṭhenkhat chu a ni.

• Rolling over, thut, crawling leh kal te hi a tlai hle.
• Thil te te i kut zungtang hmanga chelh harsa, pencil chelh leh rawng siam harsa.
• Midang thusawi hriatthiam harsa.
• Buaina a lo chhuah chuan a chinfel dan tur ngaihtuah a har thin.
• Naupang dang nena inkhelh harsa leh midang nena inpawh tawn harsa.
• Thusawi tlai emaw, tawng harsa emaw.
• Thil hriatreng harsa.
• Mahni thiltih rah chhuah hrethiam thei lo.

Heng symptom pakhat emaw pahnih emaw hian hlauthawng suh. Mahse heng thil engemaw zat i hmuh fo chuan i doctor nen inbiakna neih a tha ber.

Engvangin nge naupangte hian hetiang hian tihkhawtlai an neih?

Dik tak chuan hmasawnna tlai chhan dik tak hi hriat chian a harsa fo thin. Mahse, thil engemaw zat a awm a, chu chuan thil engemaw zat a thlen thei a ni.

• Genetic factors: Genetic condition thenkhat, Down syndrome emaw fragile X syndrome emaw hian hmasawnna a tikhawtlai thei a.

• Thil dang leh boruak chhiatna:
• Naupai laiin nuin thil tha lo (toxic substances) a tawrh dan: Zu leh ruihhlo ang chi thil a inhriat tawnna.
• Nau piang hnua toxin nena inzawmna: Lead ang chi thil ei.
• Hun hmaa nau neih.
• Nau piang rit lo.
• Pian tirh atanga oxygen tling lo.
• Ei leh in mumal neih loh.
• Hriselna lama harsatna awm fo te, beng natna leh mit lama harsatna nei te.
• Naupang chu trauma na tak (e.g. naupang tihduhdahna) a tawk tawh a ni.

Engtin nge doctor hian hei hi a hmuh theih? (Hmasawnna lam screening) 1.1.

Doctor-te’n i fate hmasawnna enfiahna atana an hman dan chu developmental screening an ti a. Hei hi thisen test leh lab test a ni lo.

A tlangpuiin i fa clinic-a i hruai hunah doctor-in he test hi a ti ang. Chutah chuan eng thil nge thleng:

• Doctor chuan naute chungchang zawhna a zawt che a.
• Naupang chu kan inbia a, kan inkhel a, a zir dan, a thusawi, a awm dan leh a che dan te kan enfiah bawk.
• Zawhna bu fill up tur pawh pek i ni mai thei.

He test hian doctor chu i fate hmasawnna chu a pangngai em tih te, a nih loh leh tanpuina dang emaw, test dang emaw a mamawh leh mamawh loh a hriatthiam theih nan a pui ang. Naupang tin hi an danglam vek avangin doctor chuan naupang dinhmun pum pui a en ang a, thutlukna a siam ang.

Engvângin nge he fiahna hi a pawimawh?

Tihkhawtlai a awm tih hriat hmasak a nih loh chuan naupangin a mamawh tanpuina a hmuh theih nan a tlai tawh hle ang. Chu chuan an tân zir a harsat phah thei a, tihkhawtlai chu a nasa lehzual thei bawk. Naupangin tanpuina a dawn hma poh leh an hmalam hun a tha zawk ang.

Ka fa hian delay a nei tih ka hriat chuan eng nge thleng leh ang?

I doctor chuan i fate hmasawnna a tlai tih a hriat chuan i fa chu specialist emaw therapist dang emaw hnenah a refer thei a ni. Chûng zîngah chuan:

• Hriatna lama mithiam tak a ni
• Thusawi thiam tak a ni
• Naupang hmasawnna lam doctor a ni
• Neurologist pakhat a ni
• Early intervention service pe tute

Early Intervention tih rawngbawlna pawimawh tak takte i zir dawn teh ang.

Early Intervention Services hi naute leh naupang te (a tlangpuiin kum 3 thleng) te tan specialized support service a ni a, hmasawnna lama harsatna bik nei te tan a ni. Heng rawngbawlnate hian naupang thanlenna atana mamawh enkawlna leh zirtirna a pe a ni.

Heng rawngbawlna atanga tanpuina dawng naupangte chu:

• Nausen piang hmasa
• Naupang hriselna lama harsatna hrang hrang nei te
• Naupang thusawi, ngaihtuahna, inkhelh leh che vel tihkhawtlai
• Naupang mitdel emaw, hriatna lama harsatna nei te pawh a huam tel.

I fain heng service-te hi a dawng thei a nih chuan, specialist team chuan Individualized Family Service Plan (IFSP) an siam ang. Chu chu i fa leh chhungte mamawh ang zela ruahmanna siam tihna a ni. He ruahmanna hian service hrang hrang a huam thei a, chungte chu:

• Thusawi hmanga enkawlna
• Taksa lam enkawlna
• Occupational therapy hmanga enkawlna
• Chhungkaw counseling leh training pek
• Ei leh in lama rawngbawlna
• Thil hmanraw bik mamawh (Assistive technology) .

Nu leh pa angin engtin nge i fate i ṭanpui theih?

I fain hmasawnna a tlai a nih chuan nu leh pa anga i tih theih tam tak a awm a, damdawi lam enkawlna bakah hian.

1. I fa nen inkhelh: Inkhelh hian naupang thiamna hrang hrang a tipung a. Entirnan, play-dough ang chi thil hmanga inkhelh hian fine motor skills a siam chhuak thin. Inkhelhna hmuna inkhelh hian taksa thiamna bakah khawtlang nun thiamna a tipung bawk. Midang nena inkhelh hian tawng thiamna a tipung a ni.

2. I fate nen lehkhabu chhiar: I fate hnena lehkhabu chhiar hi an tawng thiamna tihhmasawn nan a tha hle. Naupangin thu a hriat tam poh leh tawng a zir tam zawk thin.

3. Screen Time tihtlem: Naupangte hian TV en emaw, video game khelh emaw hmangin an zir tha ber a, midang nena hmaichhana inpawh tawnna hmangin an zir tha ber. Naupang tê tê screen time ni khatah darkar khat aia tam lo tihtlem a pawimawh hle.

4. Schedule siam: Nitin hnathawh turte chu thlalak nen schedule-a i dah chuan naupang tan chuan instruction zawm leh nitin nunphung hriatthiam a awlsam zawk.

5. Doctor leh therapist te nena inzawmna nei reng rawh: I fate tanpui fo thin doctor leh therapist te nen inbia ang che. I fa hmasawnna leh in lama i tih theihte zawt la.

I fain hmasawnna a tlai tih i hriat hian lungngaihna leh hlauhna i neih hi thil pangngai a ni. Mahse, enkawlna leh puihna dik tak i neih chuan i fa chu naupang dangte ang bawkin a lo thanglian thei a, a thiamna a lantir thei tih hre reng ang che. Ringhlelna tlemte pawh i neih chuan i doctor nena inbiakna neih chu tikhawtlai suh.