@What should I do if there is a problem with language development?See what the doctor says

Read "Tu Zi" and "Watermelon" as "JI ZHUA" and "Go to School" as "JU JIAO JIAO" ... Maybe parents will not think there are any problems, but if the child is 4 or even greater, the pronunciation is still the case when speaking. Parents should pay attention. Your child may not be so -called "noble words", but very It may be a problem of language development.

So, how should parents judge whether their children have a language development problem? What are the performances of language development? With these issues, a reporter from Shanxi Evening News interviewed Wang Junqing, the head nurse and speech therapist of the Department of Plastic Surgery Burning of the Children's Hospital of Shanxi Province, listening to what she said.

A status quo: hundreds of cases per admission each year

When I saw Wang Junqing at the three -story voice room of the Surgery Clinic of Jinyuan Hospital in Shanxi Province, she was doing rehabilitation training for the children of Xuanxuan (pseudonym). Xuanxuan was already in the second grade of elementary school. When he saw a reporter from Shanxi Evening News, he greeted him enthusiastically, but reporters from Shanxi Evening News noticed that when he answered some questions, he was not very clear. Wang Junqing also told the Shanxi Evening News reporter that Xuan Xuan did go to her to do language rehabilitation training some time ago because of the problem of pronunciation.

There is a large mirror in the voice room. Sitting in front of the mirror, Wang Junqing held a booklet with various vocabulary and began to correct Xuanxuan's pronunciation: "Come, read this." Gao Bai "" Very good, read three times! "

In this way, a simple vocabulary, Xuan Xuan often needs to read repeatedly several times in order to read it accurately. From time to time, Wang Junqing also had to correct some of his problems in the process of reading his words. "Ge's words, 'words' to the tip of the tongue holding their teeth." "Look at the mirror, what is your mouth look like." "Yes, the mouth is big." "It sounds no longer" de de ". And when Xuan Xuan's mother was about to take him away, Wang Junqing did not forget to tell: "It will not mean that you will say that you must continue to practice when you go home!"

As soon as Xuan Xuan and his mother were sent away, the next patient was ushered in the voice room, a little girl under the age of 5. "Many patients are transferred to me through outpatient clinics or other departments. Most of them are because they are unclear, but they can't find the reason." Wang Junqing said that in her daily work, many parents mentioned that their children spoke to speak When the reasons are not clear, they will subconsciously think that it is caused by organic lesions, but in fact, there are not many patients in this type of patients who are in contact with. It may be a sound disorder. In order to allow these children to take less detours, in 2010, Wang Junqing's Shanxi Provincial Maternal and Children's Hospital had a voice clinic. At present, hundreds of children can reach hundreds of cases each year.

"But I feel that some parents do not know enough about their children's language development problems, which not only affects children's growth, but also delay treatment." Wang Junqing said. Some time ago, she encountered a typical case: the little girl was 12 years old, but she was still unclear. "When the parents brought it, they even said that my child was still young, and it would be fine!"

B science: follow the laws of language development

Wang Junqing introduced that language is a symbol system that must be mastered during the growth of children. The development of language has almost affected all aspects of children's development, and the language development of children is a dynamic process. Sooner or later, but the stage and order of development are consistent. Children's language development should follow a certain law of development, not "people and clouds."

Generally speaking, children's language development is divided into several stages: at 3 months, children can make some pleasant voices, such as "grunt"; there will be different (crying) calls when there are different needs; Sex smile. At 6 months, the types of pronunciation of children have increased significantly; the language of teeth gradually speaks, and the consonants are increased; they use sound and gestures to express their needs. At 6-12 months, children will show complex language, such as "DADA"; or use voice to attract attention; even the initial words begin to appear (especially when it is big in October to December); in addition, this stage, this stage Children have begun to respond to some simple instructions, and they also begin to imitate the voice of others. When children are 18-24 months old, they can already use more formal words instead of children. At the same time, children at this stage already have the ability to express 50-100 words, and can understand at least 300 300 One or more words.

Is it possible to determine that the child is slow in language development if you can't meet this standard? For this, Wang Junqing said that children's language ability is also a process of learning and understanding. Only when children listen to and understand more can they speak more. "Children generally make some meaningful sounds around 1 year old, such as father or mother, and as they grow older, the more parents are output to the child, the more vocabulary children can understand "In general, if a child is two and a half years old, the meaningful words that can be spoken are less than 50, it is likely that the language development is slow.

"When we often encounter some parents to bring their children over, we say,‘ my child understands everything, but just do n’t say it. ’Actually, this may be a mistake." Wang Junqing said. She gave a simple example: When the child was at home, the parents might let the child hand it over to the west, thinking that the child handed over the right thing to herself, which shows that the child understands himself Familiar with the environment at home. "Can a child understand the meaning of parents accurately? This is not necessarily." She said. C cause: sound disorder or main cause

Children's language development may be caused by many factors, and it may be slow intellectual development, environmental factors, autism, or hearing disorders. According to Wang Junqing, in general, a 1 -year -old child will take the initiative to call familiar family members such as "Dad, Mom". The 2 -year -old child can express about 100 vocabulary and exchange sentences at the age of 3, but if the child reaches the corresponding age group When you can't speak, you can only pull the hands of adults to help you complete it when you want to talk about things or want to express some kinds of requirements. Parents should pay great attention. For children over 4 years old, if there is no problem with intelligence, hearing, etc., if they have done relevant inspections, they still do not say clearly, then consider whether the child has a sound disorder. A large part of children who have slow language development will be accompanied by sound disorders.

A sound disorders refer to the abnormalities of the tone organic and structured, nor the abnormal movement function. The hearing is at a normal level, and the other obvious causes of other obvious causes of the lesion of the lesion are not. Clinical clinical is more common in children, especially preschool children. "It is not clear the cause of the sound disorder." Wang Junqing said, but it is generally believed that the children learned the wrong sound movement action for some reason in the process of studying pronunciation and formed a habit. Some research data show that the sound disorder is mainly related to the movement, identification, cognitive factors, and the movement of the sound action skills of children's voice. It also has something to do with genetic, diet structure, and environmental factors.

"Many children have problems because of the family environment. For example, there are very few communication between family members, parents replace too much for their children, and family members have a variety of languages ​​or various accents. I lost the opportunity to actively communicate. "Wang Junqing said that this is the most common situation she encountered in clinical work.

In the stage of children's language development, is it better, the better? In this regard, Wang Junqing explained: "Many parents think that the child's language development must let him say more, and even a" you don't say, I will not do ', but in fact, doing so is a bit a little bit done. It's too excited. "For example, when the children want to drink milk, some parents emphasize" you say first, I know what you want to do! "In fact, the correct approach should be that parents follow the child before the child speaks. The child said, "Do you want to drink milk? If you want to drink milk, tell your mother."

In addition, some parents have always given their children soft food, such as not allowing their children to be apple, and only allow children to eat apple puree, apple diced, apple bars, etc. These excessive diets are not conducive to the development of the mouth muscles and tongue muscles. It may also affect children's language development. "Affecting the growth of teeth is one aspect, affecting the muscle development of the mouth, leading to the lack of muscle strength of the child's mouth, and it is also easy to affect the child's pronunciation." Wang Junqing explained.

She reminded parents that they must intervene in time when they find that their children can't speak clearly, otherwise it will affect the child's language function. If it is not treated in a timely manner before school, it will affect the child's learning, and even let the children cause psychological problems such as inferiority and loneliness.

D Suggestion: Interopping reasonable treatment in time

Wang Junqing suggested that parents should not be overly anxious about the language development of children. First of all, they should face up to the problem, establish a scientific concept, and take the child to professional institutions in time. Take reasonable and effective treatment.

Professional doctors generally evaluate the language development of children in the doctor. The evaluation method is a slow assessment method for children's language development. It is suitable for children with delayed language development caused by various reasons for 1 and a half years and a half years old.

As for treatment, doctors will take corresponding treatment methods according to the different causes of children. The principles of treatment are mainly to conduct attention training, communication attitude and communication ability training, training of language symbols and instructions, text training, etc., of course, these contents It is some professional knowledge. It should be emphasized that the home language environment will play an important role in the process of language training. Parents are the most important participants in the process of children's language training. Children can actively use in the dialogue of life to achieve satisfactory results. "Wang Junqing said, but if parents do not know how to guide it correctly, they may lead the child to practice wrong and practice a wrong pronunciation into another wrong pronunciation mode, and even will even be Caused an error -pronunciation shape, which affects the child's face. Therefore, if parents find that their children have sound disorders, it is best to seek professional help. "The threshold for language rehabilitation training is relatively high. To master the pathological language, you need more professional knowledge." The effect of rehabilitation training is also related to the evaluation results, children's learning ability and family coordination. Under normal circumstances, children's language development problems can be solved. Shanxi Evening News reporter Zhang Mengying

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