I fate chu naute dang ang bawka nuih, inher, emaw, thu sawi emaw-ah tlem a tlai deuh niin i hria em? Kan bula pi leh pu te, nangmahni nu ngei pawhin, "Aw, kan naupang hi hetiang kum hian a zuang kual vel a ni," tih ang chi hi an sawi fo thin. Nu emaw pa emaw hian hetiang thil an hriat hian tlem a hlauthawng leh lungkham deuh hi thil pangngai tak a ni. Mahse a pawimawh ber chu hetiang hunah hian hlauthawng lo ila, hei hi hriat chian vek hi a ni. Chuvangin vawiin hian he thupui pawimawh tak, "Early Intervention" tih hi sawi kan tum a ni.
"Early Intervention" tih hi eng nge ni tak tak?
A awlsam zawngin, Early Intervention tih hian naupang tê tê, chu chu naute leh naupang tê, hmasawnna lama tlai emaw, hmasawnna lama harsatna nei emaw, a hma thei ang bera an theihna tihhmasawn nâna ṭanpui tûra service bik pek a kawk a ni.
Tunah chuan heng thumal pahnih awmzia hi han en ila.
- Developmental Delay: Hei hi i fain an kum rualpui naupang dangte nena khaikhin chuan a hmasawnna tur thil engemaw zat a thlen tlai deuh lai a ni. Entirnan, naute dangte chuan thla 6 an tlin chuan an rolling over tan laiin, i naute hian thla 8 vel a hmang thung. A nih loh leh mi dangte’n kum khatah thumal khat emaw pahnih emaw an sawi lai hian i fa chuan engmah a la sawi lo niin a lang. Hei hi "delay" an tih chu a ni. Mahse thu lawmawm tak chu , ṭanpuina leh zirtîrna dik tak an neih chuan, heng naupangte hian mi dangte an phak thei fo .
- Developmental Disability: Hei hi a danglam deuh hlek a. Hei hi dam chhung zawnga awm thin a ni tlangpui. Hei hian naupang chetna te, a zirlai te, inbiakpawhna te, a nih loh leh nungchang te a nghawng thei a ni. Hei hi entirnan tha ber chu (Autism) leh (ADHD) ang chi condition te hi a ni.
Chuvangin, Early Intervention services thil tum ber chu hetiang hun sawn hlat emaw, rualbanlo emaw naupangte chu nunna atana an mamawh thiamna bulpui an neih theih nan tanpui hi a ni.
Heng thiamnate hi eng nge ni tih i lo en ang u:
- Khumah chuan a rawn inher chhuak
- Crawling a ni
- Kal
- Thil neih (reaching for objects) .
- Zirna leh harsatna chinfel dan
- Thusawi leh ngaithla
- Midangte hriatthiamna
- Midang nena inkhelh leh inpawh tawnna
- Mahni in enkawl, ei leh in leh incheina ang chi
Hetah hian a pawimawh ber chu heng service te hi a hma thei ang bera tan hi a ni. Hei hi nangmah emaw, i doctor emaw pawhin rinhlelhna tlemte i neih veleh i hmachhawn nghal chuan, i fate tan nunah thil engkim, sikul kal, hna hmuh hnua hmuh, leh khawtlang inlaichinna vawn reng ang chi thiamna a neih theih nan lungphum ropui tak i siam thei a ni.
Heng service te hi tan theihna tur kum tlem ber chu engzat nge ni ang?
Early Intervention services hi naupang pian tirh atanga kum 3 inkar tan ruahman a ni . Ram thenkhatah chuan hei hi kum 5 thlenga kalpui a ni. Sri Lanka ramah pawh hian heng thilte hi a hma thei ang bera ngaihtuah a pawimawh hle a, chu chu kum 3 tlin hmaa ngaihtuah a pawimawh hle.
A châng chuan, naupang pian hnu lawkah heng rawngbawlnate hi a mamawh nghal mai thei. Engtin nge chu chu a theih ang? Naupang a pian hian doctor-te chuan genetic disorder an hmuchhuak tih han ngaihtuah teh. Chutiang hunah chuan, chu dinhmun chuan naupang hmasawnna a nghawng theih avangin, doctor-te ngei pawhin heng Early Intervention programme-ah hian an refer che a ni.
Mahse heng thilte hi pian tirh lamah hmuh tur a awm reng reng lo. A chang chuan thla tin clinic pangngaia naute i hruai hian doctor emaw midwife emaw hian naute thanlenna tur a tlai deuh tih a hre hmasa ber thin. Tichuan, a tul anga specialist leh therapist te hnenah an refer che a ni.
Mahse hei hi hre reng ang che: "Ka fa nen hian thil danglam tak a ni" tih rinhlelhna tlemte pawh i neih chuan clinic lo awm tur thleng nghak suh. I nu instinct te hi ngaithla rawh. Chu chu i rilru put hmang a nih chuan a rang thei ang bera Doctor hmu la, i thil hmuh leh i hriat dan chiang takin hrilhfiah rawh. Chuta tang chuan hmalam panna kawng a kawhhmuh ang che.
Sri Lanka ramah hian engtin nge hetiang service hi ka hmuh theih ang?
US ang ramte hian he thil atan hian sorkar programme hrang hrang an neih laiin, Sri Lanka-ah chuan he thil hi kan health system kaltlangin a thleng a ni. I tih hmasak ber leh pawimawh ber chu i pediatrician hmuh hi a ni . A nih loh leh i awmna hmuna Public Health Midwife (PHM) nen pawh inbiakna i nei thei bawk.
Hei hi a thleng tlangpui chu a ni:
1. Doctor pan hmasak ber: Doctor hnenah i lungkhamna chungchang sawipui rawh. I fate hmasawnna chungchanga i thil hmuhte chu sawifiah rawh.
2. Damdawi lam endikna: Doctor chuan naupang chu uluk takin a enfiah a, a hun taka hmasawnna tur milestone te chu a hlen chhuak em tih a enfiah thin.
3. Specialist-te hnena referral: Doctor-in delay a awm nia a rinhlelh chuan a tul anga specialist-te hnenah a refer ang che. Heng Early Intervention rawngbawlna petu te hi an ni.
| Service/Therapy tih a ni | Hei hian eng ang naupang nge a puih? |
|---|---|
| Thusawi leh tawng Therapy | Naupang thusawi tlai, thusawi hrethiam harsa, rilru put hmang sawi chhuah thiam lo. |
| Occupational Therapy hmanga enkawlna (Occupational Therapy) a ni | Naupangte hian nitin hna, ei leh in, incheina, infiamna chelh, leh pencil keng leh mahni chauha ziak te chu an ti harsa hle. |
| Taksa lam enkawlna | Naupang taksa chetna lama tlai tak tak, crawling, walking, running, leh jumping te. |
| Audiology Service hrang hrangte | Naupang hriatna lama harsatna nei tan. A chhan chu an hre thei lo a nih chuan tawng an zir thei lo. |
Heng service te hi sorkar damdawi inah Child Development Unit kaltlangin a awm a, a bik takin damdawi in lian zawkah (e.g. Lady Ridgeway Children’s Hospital). Hemi atan hian private sector-ah pawh specialized center a awm bawk. Hemi chungchangah hian i doctor chuan thu belhchian dawl zawk a pe ang che.
Engtin nge naupang chu heng service-te hi a dawng thei ang?
Specialist-te chuan naupang pakhatin hmasawnna a tlai emaw, a chak lohna emaw a nei tih an hriat chuan chu naupang chu heng service-te hi a dawng thei a ni. Hei hi multi-step evaluation process hnuah tihfel a ni.
1. Initial Evaluation: Hetah hian naupang hmasawnna lama mithiam (speech therapist, physical therapist ang chi) te chuan naupang chu an inbia a, an inkhelhpui thin a, naupang theihna leh harsatna te an teh thin.
2. Results hriattirna: He assessment zawh hian specialist team te chuan an bia ang a, result an hrilhfiah ang che. Hetah hian i fain Early Intervention service a mamawh leh mamawh loh i hre thei ang.
3. Thuk taka endikna: 1.1.Naupangin service a mamawh tih hriat chian a nih hnuah, a dawt leh tur chu naupang mamawh dik tak leh eng therapies chi hrang hrang nge a inmil ber tih hriat a ni.
4. Mimal ruahmanna siam: A dawtah chuan specialist team chuan i fate tana ruahmanna bik siam turin an thawk ho ang che. He ruahmanna hian naupang mamawh te, rawngbawlna pek te, leh kan beisei tur thil tum te chiang takin a tarlang a ni.
He ruahmanna hi siam a nih veleh naupang chuan a tul ang ang therapeutic services a dawng tan ang. Hemi chhung zawng hian zawhna eng pawh i zawt thei a, rinhlelhna i neih chuan i tichiang thei bawk. He ruahmanna hi thla 6 danah ennawn a ni tlangpui a, naupang hmasawnna a zirin a tul anga tihdanglam a ni.
Nu leh pa in in lama i tih theih ṭhenkhat chu engte nge ni?
In lama i fate thanlenna tur thil tam tak i tih theih a ni. I therapist chuan i fate tan thurawn chiang tak a pe ang che. Mahse, specialist hmuh theih nan kar tlemte i nghah leh a ngai tih han ngaihtuah teh. Chu hun chu lungkham taka hman ai chuan, i fa tâna i tih theih thil awlsam ṭhenkhat a awm a ni.
Hemi chungchang pawh hi i doctor nen sawiho rawh. A tlangpuiin, hetiang thil hian naupang thluak hmasawnna nasa takin a tichak thei a ni:
- I fate hnenah lehkhabu chhiar rawh: Lehkhabu lian tak tak, rawng hrang hranga siam chu thlang rawh. I fain i chhiar chu a hrethiam lo ang tih ring suh. I aw leh i thusawi rhythm hian i fate ṭawng thiamna lungphum a phum a ni.
- Hla sa rawh: Simple, naupang hla sak leh kutbeng ang chi te hian naupang tan hlimna nasa tak a thlen thin.
- Infiamna chi hrang hrang pe rawh: I fa chu infiamna chi hrang hrang, a rawng, leh a texture hrang hrang nei chu khawih tir rawh. Hei hian an khawih theihna a tipung ang.
- I chhehvela thil awmte chu entir la, sawi rawh: In chhunga ui emaw, van lama sava emaw chu entir la, "En teh, ui a awm," emaw, "Chu chu sava a ni," emaw ti rawh.
- Engkim hming vuah rawh: I naute chaw i pek dawnin "hei hi bawnghnute bawm a ni," i inbual dawnin, "hei hi sahbawn a ni," ti la, i thil tih leh i lak zawng zawng hming sawi rawh.
- I thil tih chungchang sawi rawh: Chutih lai chuan i fain i thil tih chu hre rawh se, chu chu "Tunah chuan Mommy hian buhfai a ei tawh," emaw, "Tunah hian inbual turin kal ila," tih ang chi hi a ni.
Hetianga i fa i biak hian i khelhpui laia a chhan loh pawhin a thluak te tak teah a la lut vek a ni. Chûng thilte chu pâwn lam a\angin kan hmu thei lo mai thei. Chuvangin heng thilte hi titawp ngai suh.
Khawvel chak takah kan cheng a. Khawtlang nunah hian engkim hi tih hmasak tur a ni a, a tha ber tur a ni tih rinna a awm. Chuvângin, i fa chu mi dangte aiin a hnufual deuh tih i hriat chuan, a hma lam hun tûr ngaihtuah chu i tân thil awm tak a ni. Zawhna, "School-ah a thawk tha thei ang em? A lo puitlin hunah eng hna nge a neih ang?" i rilruah a lo chhuak thei a ni.
Mahse thudik tak chu tu mahin naupang tu hmalam hun tur an sawi lawk thei lo. Naupang tin hian anmahni chakna angin an thang lian tih hriat reng a pawimawh bawk . Tin, Early Intervention specialist-te hian i fa awmna hmuna lo kal a, a tanpui theihna tur hriatna leh hmanrua an nei tih i hriat chuan i fuih hle ang. A duh ang khawpa thiamna a neih theih nan an pui ang a, chutiang bawk chuan an zirtir ang che a, an thlawp bawk ang che. A chhan chu theihnghilh suh, naupangin nunah a tawn hmasak ber leh pawimawh ber zirtirtu i ni.
I fate hmasawnna chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho ang che. Tin, heng rawngbawlnate hi zawn leh refer pawh hreh ngai suh. Hemi chungchang hi i zirchian a, i zir tam poh leh i fa hmalam hun atana thutlukna siam kawngah i inringtawk zawk ang.
Take-Home Thuchah a ni
- I fate hmasawnna chungchangah rinhlelhna tlemte pawh i neih chuan ngaihthah mai mai suh la, "a tha mai mai" ang tih ngaihtuah mai suh, i doctor emaw chhungkaw hriselna lama thawktu emaw nen inbiakna nei ngei ang che.
- Naupang zawng zawng hi an inang vek lo. I fate inthlauhna hi ngaihtuah buai suh. Naupang tin hian anmahni pace an nei vek a.
- "Early Intervention" tih hi i fa hmalam hun atana investment tha ber a ni. I tan hma poh leh result a tha zawk.
- He zinkawngah hian nangmah chauh i ni lo. Mi tam tak, doctor leh therapist te pawhin an pui thei che a ni. An thlawpna zawng hreh ngai suh.
- Nu leh pa i nih angin, i fate nena hun i hman dan te, i biak dan te, leh i khelhpui dan te hian an hmasawnna kawngah nghawng lian tak a nei a ni.
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