I naupang tê chu a sawi tlai em? (Delayed Speech or Language Development) Hei hi i fimkhur ang u!

Thiamna leh thiamna dang zawng zawng ang bawkin, naupangte’n ṭawng an zir a, an tawng ṭan kum chu mi pakhatah a inang lo thei a ni. Naute thenkhat chuan thu an pickup rang hle a, thenkhat erawh chuan rei vak lo an la thung. Amaherawhchu, he tawngkam leh tawng hmasawnna hi engtiang chiahin nge a lo than chhoh zel tih hrethiamna tlem i neih chuan nu leh pa angin i fate nena inngaihtuah tur thil a awm em tih emaw, hei hi thil pangngai a nih leh nih loh emaw i hrethiam thei ang.

Thusawi leh tawng chu eng nge ni? An pahnih inthlauhna chu eng nge ni?

Hêng thumal pahnih hi inthlâkthlengin hmang fo mah ila, an pahnih inkarah hian danglamna tlem a awm. Hriatthiamna dik a nih chuan naupang hmasawnna kan en hian hei hi a pawimawh hle.

A awlsam zawngin sawi ila, thusawi hi kan kâ hmanga ṭawng kan sawi chhuah dan a ni. Chu chu, aw leh thumal kan sawi dan, chu chu articulation . Ngaihtuah teh, kan thusawi hian thu chiang takin kan sawi a, "mom" leh "dad" tih ang chi hi chiang takin kan sawi thin. Hei hian aw chiang tak, rang leh rhythm ang chi thilte a huam a ni.

Ṭawng hi ngaihdan zau zawk a ni. Thu hriat inthlengna a ni. Ngaihtuahna hriatthiam nan leh midangte min hriatthiam tir nan tawng kan hmang thin. Hei hi kawng hrang hrangin a thleng thei a:

• Verbal: Thumal hmanga kan inbiak dan.
• Nonverbal: Hei hian kut zungtang, hmel lan dan, etc. te a kawk a ni.
• Thuziak: Lehkhabu leh lehkha ang chi thil chhiar leh hriatthiam.

Chuvangin, tawng hi ngaihdan inhrilhhriatna kalphung a nih chuan thusawi chu chu kalphung chhunga thumal sawi chhuahna thiltih a ni. Hrethiam e?

Thusawi emaw, Ṭawng tihkhawtlai emaw chu eng nge ni?

Thusawi lama harsatna leh tawng lama harsatna hi thil chi hnih a ni a, mahse a chang chuan an awm dun thei a ni. Hei vang hian naupang thenkhatin thu an sawi tlai hian a chhan dik tak zawn chhuah a pawimawh. Entirna pakhat han en ila.

Entirnan, naupang tawng tlai chuan thumal tlemte a sawi tha thei a, mahse thumal pahnih ("baby rice," "Tui ka duh") chauh a string thei mai thei. A kum nena inmil sentence sei tak siam a harsat thei a, ngaihtuahna buaithlak tak tak sawi chhuah a harsat thei a, thawnthu pakhat hriatthiam a harsat phah thei bawk. Thumal hman tlem a nei thei bawk.

Kawng lehlamah chuan, thusawi tlai naupang chuan thumal leh thumal hmanga a rilru put hmang sawi chhuah a tum mai thei. A sawi duh chu a hria a, mahse a sawi tum chu hriatthiam a har hle. Thumalte chu a fiah lo hlein a lang thei a, hawrawp ṭhenkhat chu a lam thiam lo mai thei a, a bengchheng mai thei bawk.

Thusawi emaw, tawng emaw tihkhawtlai chhinchhiahna engte nge ni? Engtin nge kan hriat chian?

Naute i neih chuan thawm a chhang lo, emaw, a naupan lai pawha thawm (gurgling, crying ang chi) a siam lo a nih chuan doctor hnenah i hruai nghal tur a ni. A pawimawh hle mai.

Mahse, a tam zawkah chuan nu leh pate tan chuan an fa chu a sawi tlai mai em tih emaw, harsatna a awm em tih emaw hriatthiam a harsa thin. He naupang hmasawnna hi naupan lai atanga ngaihven a tha.

Hengte hi en reng tur thil thenkhat kan rawn tarlang e. I fain heng thilte zinga pakhat tal a tih chuan doctor nena inbiakna neih hi a finthlak hle ang:

• Thla 12 (kum khat) a tlin chuan: Kut zungtang awlsam tak tak, "bye-bye" tih emaw, kut zungtang emaw an hman loh chuan.
• Thla 18-ah: Vocalizations aiin gesture hmanga i rilru put hmang sawi chhuah i tum ber a nih chuan.
• Thla 18-ah pawh: Midang ri (e.g. rannung ri, lirthei ri) entawn harsa.
• Thla 18-ah pawh: Thu hmanga ngenna awlsam tak (e.g., "Ball min pe rawh," "Lo kal rawh, fapa") hriatthiam harsa.
• Kum 2-ah: Midang thusawi emaw tih emaw chauh a entawn a, mahse mahni thu emaw thumal emaw (amah ngeiin) a sawi lo .
• Kum 2 a nih pawhin: Aw emaw, thu emaw a sawi chhunzawm zel a, mahse a mamawh nghal (e.g. ei, in, mut) tih loh chu engmah a sawipui thei lo a nih chuan.
• Kum 2-ah: Thupek awlsam tak tak (e.g., "Get the toy") i zawm thei lo a nih chuan.
• Kum 2 hnuah pawh: Aw-ah hian quality danglam tak a awm a nih chuan (entir nan, khawsik i neih lai ang chi, hnar ri bengchheng tak, emaw aw hniam tak tak).

Tin, i fate thusawi chu an kum aiin hriatthiam harsa zawka i hriat chuan chu pawh chu doctor hnenah i sawipui tur a ni.

A tlangpuiin nu leh pa leh enkawltute hian naupang kum 2 mi thusawi 50% vel chu an hrethiam tur a ni.

Kum 3 a nih chuan 75% vel i hrethiam tur a ni.

Kum 4 a tlin meuh chuan naupang hrechiang vak lo pawhin naupang thusawi tam zawk hi a hrethiam thei tur a ni.

Heng thusawi emaw, tawng emaw tihkhawtlai chhante hi eng nge ni?

Naupangin a sawi tlai chhan tam tak a awm thei. Ṭhenkhat chu a awlsam a, ṭhenkhat erawh chu ngaihven bik a ngai thung.

Thusawi tlai hi a hnuaia mite avang hian a awm thei a ni.

• Oral impairment: Entirnan, lei emaw, hmui emaw (ka chunglam) lama harsatna .
• Short frenulum: Hei hian tongue-tie a thlen thei a, chu chu operation awlsam tak hmanga siamthat theih a ni.

Naupang thusawi tlai te hian oral-motor problem an nei fo thin . Chungte chu thluak chhunga thu sawina hmun hrang hranga harsatna a awm hian a thleng thin. A bik takin, hmui, lei leh hmui te chu aw siam chhuah theih nan an inrem harsa hle. Hetiang harsatna nei naupangte hian hmui-motor lama harsatna dang, ei leh in leh ei leh in te pawh an nei thei bawk.

Hriatna lama harsatna hian thusawiah nghawng lian tak a nei thei bawk. Naupangin thu leh hla a hriat thiam loh chuan engtin nge a entawn ang a, a hriatthiam ang a, a hman ang? Chuvangin, thusawi chungchangah rinhlelhna a awm chuan i fate hriatna chu audiologist hnenah test tir a pawimawh hle .

Ear infection , a bik takin chronic infection , hian hun eng emaw chen chu hriatna a tichhe thei a ni. Mahse, beng pakhat tal hriatna chu a pangngai a nih chuan thusawi leh tawng hmasawnna kawngah harsatna lian tham a thlen lo tlangpui.

Chu bakah, thusawi leh tawng tihkhawtlai hi hmasawnna lama harsatna (e.g., Autism Spectrum Disorder) ang chi dinhmunah pawh hmuh tur a awm bawk. Tin, chhungkaw zinga mi tu emaw chuan naupan lai atanga thusawi lama hmasawnna tlai (family history) a neih chuan genetic factors vang pawh a ni thei bawk.

Thusawi emaw, tawng emaw tihkhawtlai hi engtin nge kan hriat theih ang? (Diagnosis) tih a ni.

I fain hetiang harsatna a nei nia i hriat chuan Speech-Language Pathologist (SLP) hnenah tlai lova hmuh a pawimawh. Mi thenkhat chuan Speech Therapist an ti bawk . Nangmah chauhin speech therapist i zawng thei a, i chhungkaw doctor hnenah referral i dil thei bawk.

He speech therapist hian i fate thusawi leh tawng thiamna uluk takin a enfiah ang. Naupangin an kum nena inmil ṭawngkam leh ṭawng lama hmasawnna milestone pawimawh tak tak a tlin leh tlin loh hriat nân standardized test hrang hrang a ti ang.

Speech therapist pawhin heng thilte hi a bik takin a en bawk a:

• I fain eng nge a hriatthiam: Hei hi receptive language an ti a. Midang thusawi leh thupekte hriatthiamna a kawk a ni.
• I fain a sawi theihte: Hei hi expressive language an ti a. An ngaihdan leh mamawh thumal leh sentence hmanga sawi chhuah thiamna a ni.
• Aw tihhmasawn leh thusawi chiang: Naupangin aw hrang hrang a sawi dik leh dik loh leh thumal a fiah em tih.
• I fate oral-motor status: Hei hian hmui, lei, hmui leh hmui te thusawi, ei leh in leh ei tur an thawh dun dan a kawk a ni.

Chûng test-te result a\angin, thusawi leh ṭawng lam enkawltu chuan i fa chu thusawi enkawlna a mamawh tûrin a rawt thei a ni .

Engtin nge speech therapy hian a puih theih ang?

Speech therapy chu i fa hrem emaw, tihhlum emaw a ni lo. Inkhelh hmanga zir chhuah a ni. Speech therapist chuan i fate chu an thusawi leh tawng thiamna tihhmasawn nan thiltih, infiamna leh thlalak hmangin hna a thawk ang.

In lama i fate tanpui dan tur an zirtir bawk ang che. Hei hi teamwork ang mai a ni. In lama therapist thupek zawm hian i fate hmasawnna a ti chak thei a ni.

Engtin nge nu leh pate’n an ṭanpui theih?

Nu leh pate hian tawng emaw tawng lama harsatna nei naupangte tanpui kawngah hmun pawimawh tak an chang a ni. Nangni hi i fa nena hun hmang tam ber in ni a, an zirtirtu hmasa ber pawh nangmah i ni. Chuvangin in tanpuina hi a pawimawh hle.

I fate thusawi thiamna fuih nan in lama i tih theih ṭhenkhat chu hetiang hi a ni:

• Inbiakpawhna chu dah pawimawh ber rawh: I naute chu a theih ang anga inbiakna nei la, hla sa la, aw leh kut zungtang (cue) entawn turin fuih bawk ang che. A naupan lai atanga a khelhpui laia biak a pawimawh hle a, a thawm te te te pawh chhan let a pawimawh hle. "Aw, ka fapa, min nuihzat a ni lawm ni?"
• I fa hnenah lehkhabu chhiar rawh: I fa chu a naupan lai atang khan tan rawh. Kum lama inmil lehkhabu nem tak , board book , a nih loh leh thlalak lian leh chiang tak nei lehkhabu thlang la, i fate chu thlalak-a thil awmte hming i vuah laiin thlalakte en turin fuih rawh. "He ball hi en teh," emaw, "Hetah hian elephant lian tak a awm" tih ang chi thil awlsam tak tak sawi rawh. I fa a lo upat deuh deuh chuan lehkhabu chhunga thil awmte chungchâng zawhna zawt la, a chanchin hrilh tûr chein fuih rawh.
• Nitin dinhmun hmang rawh: Nilengin i thil tihte sawiin i fate tawngkam leh tawng thiamna tipung rawh. Entirnan, dawr i kal dawnin thei leh thlai hming sawi la ("Hei hi tomato sen a ni"), chaw i siam emaw, pindan i tihfai emaw laia i thil tih dan sawi rawh ("Mommy hian tunah chuan buhfai chu stove-ah a dah dawn"), in chhehvela thil awmte chu kawhhmuh la, eng nge an nih hrilh bawk ang che. Heng thute hi sawi awlsam la, mahse "baby talk" hman loh tur. Thumal lam dik leh thumal awlsam leh famkim hmanga thusawi chu a tha ber. I fain thumal a sawi dik loh chuan sawisel suh la, hmangaihna nen a thumal dik tak chu zirtir zawk rawh.

Heng tawng leh tawng tihkhawtlai te hi hriat hmasak leh enkawl a tha ber tih hre reng ang che. I fate thusawi emaw, tawng lama hmasawnna emaw chungchangah harsatna i neih chuan i doctor pan ngei ngei tur a ni. A tlai poh leh i fa tanpui chu a harsa zual thei a ni.

A tawp berah chuan i hriat reng tur thil (Take-Home Message) .

Chuvangin, kan sawi tawh atang hian naupang tawng leh tawng hmasawnna hi ngaihven deuh a ngai tih i hre chiang hle. Naupang zawng zawng hi an inang vek lo va, an thanlen dan pawh a inang lo thei. Mahse, tihkhawtlai engemaw zat a awm nia i hriat chuan, "A pawi lo, a mah chauhin a ṭha leh ang," tih hi hlau suh.

A pawimawh ber chu nangmah chauh i ni lo tih hriat hi a ni. Hriselna lama mithiam, doctor, speech therapist leh mi dangte pawhin an pui thei che a, an kaihruai thei che a ni. Heng dinhmunte hi hriat hmasak a nih chuan naupang chu a mamawh tanpuina pek thuai a nih theihna chance a sang hle a, an theihnate chu a famkim thei ang bera tihhmasawn a nih theihna chance a sang hle. Chuvangin, hlau suh, zak suh la, i rilruah rinhlelhna tlemte pawh i neih chuan damdawi lam thurawn zawng nghal rawh. I fa hmalam hun duhawm leh hlawhtling tak pekna kawngah tanpuitu ropui tak a ni ang!

` Thusawi tlai, tawng tlai, naupang tawng thiam, tawng therapy, nu leh pa thurawn, naupang thanlenna, tawng harsatna