I naupang tê chu a sawi tlai em? (Delayed Speech or Language Development) Hemi chungchang hi han sawi ila!

Nu leh pa tam takte lungkham ber pakhat chu an fa tê tê chu naupang dangte ang bawkin a hun takah leh a hun dik takah thu a sawi ang em tih hi a ni. Dik tak chuan, thiamna dang ang bawkin, naupangin ṭawng a zir a, a tawng ṭan kum chu naupang tinah a inang lo thei a ni. Amaherawhchu, he thusawi leh \awng \ha tihhmasawn hi tlem tal hriatthiamna neih hian nu leh pate chu an fa chu a ṭul lovah a lungkham tur nge, an ngaihtuah tak tak tur thil a nih leh nih loh hriatthiamna kawngah kawng thui tak a zawh thei a ni.

Thusawi leh tawng hi thil hrang pahnih a ni em?

Ni e, an pahnih inkarah hian danglamna tlem a awm. Eng nge a nih i en ang u.

• Thusawi hi a awlsam zawngin kan sawi dan a ni. Aw kan siam dan, thumal kan lam dan tihna a ni. Hei hi tawngkam hmanga sawina a ni.
• Chu aia zau zawk chu tawng a ni. Thu inthleng tihna a ni. Midang thusawi hriatthiamna, midangte hriatthiam theih tura i ngaihdan leh mamawh sawi chhuah – hei hi thusawi (thu hmanga), kut zungtang (thu ni lo), emaw ziak (ziak) hmanga tih theih a ni.

Chuti a nih chuan heng thusawi emaw, tawng emaw tihkhawtlai te hi engte nge ni?

Thusawi lama harsatna leh ṭawng lama harsatna hi thil hrang hrang pahnih ni mah se, a ruala hmuh tur a awm fo. Hetiang hian han ngaihtuah teh.

• Naupang ṭawng tlai chuan thumal a sawi thiam thei a, mahse thumal pahnih chauh dahkhawmin sentence tawi tak an siam thei. Ngaihtuahna famkim sawi chhuah harsa an ti.
• Thusawi tlai naupang chuan thumal leh sentence hmangin a ngaihdan sawi chhuah a tum mai thei a, mahse a thusawi chu chiang taka hriatthiam a harsa hle. Thumalte chu a slurred emaw, a lam dan a chiang lo emaw pawh a ni thei.

A châng chuan naupang chuan heng natna pahnih hi a rualin a nei thei bawk.

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

I naute hian aw emaw, a aw emaw a chhan loh chuan doctor i pan nghal tur a ni tih chhinchhiahna a ni. Mahse nu leh pate tan chuan an fa chu a thusawi tan a tlai deuh chauh em tih leh harsatna tak tak a awm em tih hriat a harsa fo thin.

Fimkhur tur thenkhat chu hetiang hi a ni. I fain heng zinga pakhat tal a neih chuan doctor nen inbiakna neih a tha ang:

• Thla 12-ah pawh: Pointing emaw "tata bai" tih ang chi gestures i hman loh chuan.
• Thla 18-ah: Thusawi ai chuan kut zungtang hmanga i ngaihdan sawi chhuah i duh zawk chuan.
• Thla 18: Aw entawn a harsat chuan.
• Thla 18-ah: Thumal hmanga ngenna awlsam tak (e.g., "Bring the ball") hriatthiam harsa.
• Kum 2 hnuah pawh:Thusawi emaw thiltih emaw chauh a entawn a, anmahni thu emaw sentence emaw (`Spontaneously`) an sawi loh chuan.
• Kum 2 a tlin chuan: Aw thenkhat emaw thumal tlemte emaw a sawi chhunzawm a, mahse an mamawh nghal mai loh chu engmah a sawi chhuak thei lo.
• Kum 2: Thupek awlsam tak (e.g., "Put the chair up") i zawm thei lo a nih chuan.
• Kum 2 hnuah pawh: Aw-ah hian quality danglam tak (e.g., raspy emaw nasal sounding) a awm chuan.

Naupang sawi chu i hrethiam em?

Naupang thusawi chu a kum a zirin a chiang tawk lo a nih chuan chu chu i ngaihtuah ve tur a ni bawk.

Atlangpuiin,

* Nu leh pa leh naupang bula awm rengte hian naupang kum 2 mi thusawi 50% vel hi an hrethiam tur a ni.

* Kum 3 a nih chuan naupangin a sawi 75% vel chu a hrethiam tur a ni.

* Kum 4 a tlin chuan naupang chu chutiang taka hre lo pawhin thusawi tam zawk chu a hrethiam thei tur a ni.

Heng level piah lama naupang thusawi hriatthiam a harsat chuan doctor thurawn lak hi a finthlak hle.

Engvangin nge thusawi a tlai em em? A chhan engte nge ni?

Thusawi tlai chhan hrang hrang a awm thei.

• Oral impairment: Entirnan, lei emaw, hmui (ka chunglam)-ah harsatna a awm chuan.
• Short frenulum: Hei hi lei hnuaia fold a ni . Hei hi a tawi chuan lei chetna a tikhawtlai thei a, chu chuan thusawi a nghawng thei a ni.

Vawi tam tak chu, thusawi tlai naupangte chuan hmui-motor lama harsatna an nei . Hengte hi thluak peng hrang hrang, tawngkam nena inzawm, chak lohna avanga lo awm a ni. Hei hian hmui, lei leh hmui te chu aw siam chhuah theih nan inrem taka inrem a harsat phah a ni. Heng naupangte hian chaw ei kawngah harsatna an nei thei bawk.

Hriatna lama harsatna hi tawng lama harsatna thlentu lian tak a ni bawk. Chuvangin, thusawi lama harsatna awm nia rinhlelhna a awm a nih chuan naupang hriatna test tir a pawimawh hle. Chumi atan chuan audiologist nen kan inhmuh a ngai a ni. Naupang hriatna lama harsatna nei chuan tawngkam sawi, hriatthiam, entawn leh hman thiam a harsat hle.

Beng infection, a bik takin chronic infection hian hriatna a tichhe thei a ni. Mahse, beng pakhat a hrisel chuan tawng leh tawng a lo thang tlangpui.

Engtin nge heng natnate hi dik taka i hriat theih?

I fain hetiang harsatna a nei nia i hriat chuan a rang thei ang bera Speech-Language Pathologist (SLP) pan a tha ber.A châng chuan heng mite hi ``Speech Therapists'' kan ti mai thin.I chhungkaw doctor zawtin pakhat i hmu thei a, direct-in i hmu thei bawk.

He `SLP` hian eng nge a tih?

Naupang tawng thiamna leh tawng thiamna a test thin. Chumi atan chuan standardized test a awm bawk. Naupangin kum nena inmil ṭawngkam leh ṭawngkam milestone a tlin leh tlin loh an enfiah bawk.

SLP chuan heng thilte hi a bik takin a en bawk a:

• Naupangin eng nge a hriatthiam? (Hei hi `receptive language` an ti a)
• Naupangin eng nge a sawi theih ang? (Hei hi expressive language an ti) .
• Aw siam chhuah thiamna leh thusawi chiang tak.
• Naupang oral-motor status: Hei hian ka, lei leh hmui ang chi taksa peng hrang hrangte’n thusawi, ei leh ei tur an thawh dun dan a kawk a ni.

Heng test result a\ang hian speech and language therapist chuan i fain speech therapy a mamawh leh mamawh loh a rawt ang.

Engtin nge speech therapy hian a puih theih ang?

Speech therapist chuan i fate chu an thusawi leh tawng thiamna tipung turin a pui ang a, anmahni nen hian thil chi hrang hrang a ti ang. Chu mai ni lovin, in lama i fate tanpui dan tur an zirtir bawk ang che. A chhan chu he zinkawngah hian nu leh pate puihna a pawimawh em em a ni.

Nu leh pate hi tanpuitu lian ber an ni thei!

Ni e, nu leh pate hi thusawi emaw, tawng emaw lama harsatna nei naupang tanpuina atana pawimawh ber an ni. I fate thusawi thiamna tihchangtlunna tura in lama i tih theih thil awlsam tak tak a awm a:

• Inbiakpawhna chu thil pawimawh ber ni rawh: I fa tê chu biak fo la, hla sa la, aw leh kut zungtangte entawn tûrin fuih bawk ang che. I thusawi laiin a hmaiah en la, chiang tak leh awlsam takin thu sawi rawh.
• I fa hnenah lehkhabu chhiar rawh: I naute chu a naupan lai atang khan tan rawh. Kum nena inmil lehkhabu nem tak, board book leh thlalak lian tak tak nei lehkhabu lei rawh. I fa chu thlalakte en turin fuih la, a chanchin i hrilh laiin khawih tum ang che.
• Nitin dinhmun hmang rawh: I fate tawngkam leh tawng thiamna tichangtlung la, nilengin i thil tihte sawipui rawh. Entirnan, dawra i kal dawnin thlai leh thei hmingte hrilh la. Chaw i siam emaw, pindan i tihfai emaw hian eng nge i tih tih sawi rawh. In chhehvela infiamna leh thil awmte chu kawhhmuh la, eng nge an nih hrilh rawh. Thusawi awlsam takin sawi la, mahse "nausen thusawi" erawh chu pumpelh rawh. I fain a thusawi dik taka a hriat tir a pawimawh.

Hriat reng tur pawimawh ber (Take-Home Message) .

Heng thusawi leh tawngkam tihkhawtlai te hi a hma thei ang bera hriat a, a tul anga enkawl tan a tha ber.

I fate thusawi emaw, tawng hman dan emaw chungchangah ngaihtuahna emaw, lungkhamna emaw i neih chuan, chu chu vawng tlat suh la, lungngai suh, mahse i chhungkaw doctor emaw, naupang enkawltu emaw hnenah thurawn dil nghal rawh. A tul chuan Speech-Language Pathologist hnenah an refer ang che. A hmaa inrawlh hian i fa tan danglamna nasa tak a thlen thei!

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