Monday, September 26, 2011

How Not to Talk to my baby?

Early detection of speech delay is very important so that interventions and stimulation to catch up can be done immediately. Parents should be patient to introduce the two languages ​​in children.

Zion (29 years) concerned. Joshua (2 years, 4 months) his son, yet also able to speak a word. Joshua can just pointing and grunting "uh .. uh ...," when it wants something. While other friends can say short sentences like "I want to eat," or, "I want to pee." Had the desire of Zion to bring Joshua to the professionals. Just to consult his circumstances. However, the people around him as not supportive, "take it easy, will also be. You're too worried wrote ... "finally the mother who lives in East Jakarta was complied. He did not examined her to find out her first child's speech delay.


According to dr. I Gusti Ayu Partiwi Surjadi SpA. MARS, there are cases of speech delay that is genetic, which indeed may be awaited. "But we must be absolutely sure that the delay is actually genetic and should wait," said the doctor Tiwi. To find out whether the baby will develop the ability to speak normally, among others, can be detected through a hearing. "Make sure that the baby's hearing is normal because good hearing was a requirement to speak," Tiwi added. Auditory function can be assessed by performing hearing screening since even newborn babies. Baby responds to sound a bell or a sign of hearing that baby hear function well.

The problem according to the Tiwi's too late to talk is often diagnosed late. "Whereas early detection of developmental disorders as a whole, including delayed speech, is very important to know as early as possible," said the doctor from RS Bunda Jakarta. So if there is interference can be corrected, because the brain develops very rapidly at first and second years.

"If the developmental disorders known in the first year, intervention or stimulation performed on infants or children will be very beneficial, because the brain is still very sensitive to the stimulation provided," he explains. Stimulation or stimulation of a given improvement is expected to pursue any form of delay in the first year or two. "Of course it all depends on the type of delay or severity of developmental disorders," he added.

Art Septiana Sinaga, Psi said if speech delay is not detected early, the damage caused could be far greater. "Expectations of children 2 years of course different with children 3 years old. Especially when it's going into kindergarten or elementary school, "says developmental psychologist of the clinic this hare.

Psychologist Jacinta F Rini explained that talking is the main medium in expressing themselves, to be able to understand other people, parents, teachers and friends. When the media is having problems, then it could make the child become frustrated. "Perhaps also he would feel frustrated and embarrassed because his friends treat him differently, either alienating or even make a laughingstock," said Jacinta in his article "Delays Talk" published on the site e-psychology.

If no one can understand what is wanted or is a child, it is not surprising that over time the child will stop trying to make others understand. "In fact, learning through an important process in making a human being to grow and become successful as he hoped," Jacinta confirmed.

Causes of Delay in Talking
As described by Jacinta, impaired speech delay is a term used to describe the existence of barriers to speech and language development in children, without any delay other aspects of development. "In general they have development and social-emotional intelligence is normal. According to research these issues occur or be experienced 5 to 10 percent of children preschool age and are more likely to be experienced by boys than girls, "explained Jacinta added.

Causes of late talking in Tiwi, there is a central (brain disorders), there is due cause perifir (tools hearing impaired), but may also be because it is genetic (hereditary problem). "Children with autism often provide the initial manifestation of late talking," he said. Parents often bring children with pervasive developmental disorder not other specified development disorder (PDD NOS), which is often referred to as autism to a doctor or a development because children can not speak. While the causes of autism until now not known with certainty.

Tiwi added, with bilingual parents should be patient to introduce the two languages ​​in children. Because some cases show that bilingual children are introduced to language as a baby can sometimes be too late to talk. "If you do not believe the development of interaction or communication is normal or not, you should use one language only in children," she recommends.

According to Art, many children who talk late, because children do not experience the developmental process naturally. For example should the child, even given a baby walker, children never felt harsh or soft, because they always have to feel the silky-smooth and clean so that the child becomes hypersensitive.

Children age 9 months should have already started eating a bit rough, but because her parents worried about her thin, delicate child is given food for too long. This will cause the area around the mouth and tongue are used also to talk to less trained. Children older than 2 years should also have stopped drinking milk, so that his mouth is not only familiar with a chewy-chewy only. He should've tried a straw or cup and not given a pacifier to the area around the mouth can be stimulated with either.

Likewise if there are stages of child development are exceeded. For example, children do not crawl, but had wanted to stand. "If there equipped stages, the potential problems posed not just a speech delay, but may also be other disorders. Or, it could be the language is not too late, but experienced delays or problems in controlling her atention, "said Art explained.

So far, said Jacinta, mostly watching television in children aged under five can also be one of the factors causing delays in speech impaired children, watch TV too much, he argues, is a factor that makes the child a passive listener. "At the time watching television, children will be more as the party that received without having to digest and process the incoming information. Not to mention the treats that display contains scenes that are often not understood by children, perhaps even traumatic, "he explained at length. Traumatic experiences can be a result of seeing the fight scenes, violence, sexual or any event which unexpectedly gave a deep impression on children, because of the strong egocentrism in children and cognitive abilities are still undeveloped.

As a result, children do not experience a certain period who should get a lot of brain stimulation from the environment and parents, to then feed back. Because the more stimulating is the television (which does not require any response from the audience), then the brain cells that deal with language and speech problems hampered his progress.

Problems of communication and interaction with parents according to Jacinta, also has an important role in making the child has speech and language skills are very good. "Many parents do not realize that the way they communicate with the child had a role in add repertory said, spurred to think logically, analyze and make conclusions from sentences that are very simple once did," he explained.

Conversely, if parents are often lazy to take her son had a long talk and speak only one or two words. Especially when the conversation more instructions than the dialogue. "Children who have never given the opportunity to express themselves early on (more to be passive listeners) because parents are too imposing and" insert "all instructions, their own views or desires without letting the child to give children an opportunity to give feedback are also factors that affect the ability to speak and use words and language, "he said again.


The delay parameter Talk
If at the age of 6 months, babies do not look or look at the source of the sound coming from the rear or side, or at the age of 10 months, your baby does not respond when called his name, you must be vigilant. Likewise, if at the age of 15 months, children do not understand or respond to our "no" or "no," or does not respond to commands to sit, come here, or stand at the age of 21 months.

Also need to be aware if your child is 2 years old can not point and say parts of the body such as the mouth, nose, eyes, or ears. In addition, at the age of 2 years, according to Art kids should be able to assemble three words like, "I want a drink," or "I want to pee." "If you can say the word drink or eat, but definitely not mean children are less stimulation. However, if the child could only say "uuh" or "aah," do not delay, the child should immediately be brought to the experts, "said Sebi explained.

Evaluation and Examination
According to Jacinta, if parents suspect their children have problems speaking, then this must be researched and examined by experts who are competent in their fields, so that the occurrence of wrong diagnosis and treatment can be avoided. This requires a complete examination of those aspects of the physiological and neurological and psychological.

As described Jacinta, on the stage of physiological and neurological aspects of the examination, the doctor examined thoroughly, to determine whether the delay was due to problems of hearing, hearing system, or even in the area of ​​the brain that regulates the mechanism of hearing, speech and brain that produces speech. A complete examination will result in a much more definitive diagnosis not only inhibiting factor, but also the most appropriate method of treatment for the child concerned, "said Jacinta.

Psychological examination he also needed to understand other functions related to speech and language abilities, such as intelligence level and the level of socio-emotional development of children. "Psychological examination is also intended to see to what extent the influence of the barriers experienced by children against emotional and intellectual abilities. This examination should also be experienced in handling children with speech delay problem, "said Jacinta.

After the examination results came out, so parents with expert recommendations to take appropriate steps such as for example, doing talk therapy or if the child has to be school age, they are included in the school who can provide treatment and care appropriate to their child's problems.


Dr. I Gusti Ayu Partiwi Surjadi SpA. MARS, Bunda Jakarta Hospital Director provides guidance stage speech and language development of children by age as be explained as follows:

    0-1 months
    
Infants respond when he heard the voice, the eyes dilate, breathing rhythms change, or the speed of sucking milk.
   
    
2-3 months
    
Infants respond to the notice and hearing people talking.
   
    
4 months
    
Turned or looking for a voice calling his name.
   
    
6-9 months
    
Chattering (babbling), and understand when his name is called.
   
    
9 months
    
Understand the meaning of the word "no."
   
    
• 10-12 months
    
Imitating the voice, say mama / daddy of do not understand, begin to understand, until it can be mimicked 2-3 words. Until your child understands commands like "let's give it to me."
   
    
13-15 months
    
Treasury 4-7 words, 20 percent of his words began to understand the other person.
   
    
16-18 months
    
Vocabulary of 10 words, some ekolalia (mimicking the spoken words of others) and 25 percent of his speech can be understood other people
   
    
22-24 months
    
Vocabulary of 50 words, sentences 2 words, 75 percent of his words understandable to others.
   
    
2-2.5 years
    
Treasury approximately 40 words, including names of 2-3 word sentences, to understand two simple commands at once.
   
    
3-4 years
    
Sentences with 3-6 words, ask, tell, relate to the experience, his words almost all understandable to others.
   
    
4-5 years
    
Sentences with 6-8 words, calling the 4 colors, counting until 10.

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