I don't know when it started, "speaking late" became a "good medicine" to comfort parents. However, the original meaning of "noble people speak late" means that noble people don't speak easily, and the more respected people speak slowly, they are very cautious in their words and deeds. This has nothing to do with children speaking late. Children speaking late is likely to be "language development retardation", which is abnormal.
Language retardation refers to the fact that children's language understanding and expression ability do not reach the level corresponding to their age in the development process, which is a high incidence of children's speech disorders. About 7%~ 10% of preschool children have language retardation, and the reasons can be summarized as follows: hearing impairment, autism spectrum disorders, mental retardation, specific barriers to language learning, abnormal pronunciation organs, and being out of language environment.
Language development retardation is mainly manifested as expression disorder, speech comprehension disorder, communication disorder and abnormal behavior. Without timely and effective intervention, it will not only affect children's language understanding and expression, but also affect children's social adaptability and increase the incidence of behavioral disorders.
Xiaoyu (pseudonym) from Sichuan was born in the midsummer of 20 16. When children of the same age can basically understand the meaning of adults and start to say simple sentences, Xiaoyu, who is over 3 years old, still "cherishes words like gold". According to Xiaoyu's parents, the child was born with a history of hypoxia. With the growth of children, it is gradually found that language development is poor, it is difficult to communicate with people, and attention is not concentrated. In order to seek further treatment, Xiaoyu's parents found the cerebral palsy department of Guangdong Sanjiu Brain Hospital through the Internet.
Zheng, the deputy chief physician of the second area of cerebral palsy in our hospital, made corresponding rehabilitation treatment plans for the children according to their condition and evaluation report, including language training, OT+ sensory training, ST+ cognitive training, group class, SUT and so on.
After five courses of rehabilitation training, Xiaoyu's awareness of rules has been established, his attention is more concentrated than before, he is willing to interact with teachers and can speak words and short sentences. "He likes singing very much now and has gone to kindergarten." Xiaoyu's mother said.
Zheng reminded that it is normal for 1-3-year-old children to lisp when babbling. However, if the child reaches school age and still has a lisp, he should pay attention.
Xiaowen (pseudonym) from Huizhou was born normally, but in the process of growing up, parents found that the development of children's language function lagged behind that of children of the same age, with inattention, hyperactivity and unclear language expression. At the age of 7, Xiaowen still has unclear pronunciation and poor language logic.
Under the introduction of a friend, Ms. Xiaowen's menstrual history learned that Guangdong Sanjiu Brain Hospital has rich experience in treating children's cognitive and pronunciation functions. In April this year, she took her children to the cerebral palsy department of our hospital.
Zheng found that the child is introverted and can speak some simple short sentences, but his pronunciation is unclear and his language logic is poor. Wechsler intelligence score of rehabilitation assessment: 76 points, children's intelligence level is slightly lower, memory is poor, and attention is difficult to concentrate. The child's final diagnosis is "speech and language development disorder".
According to the child's specific situation, Zheng team made a detailed treatment plan for him, and implemented "bilateral carotid endarterectomy+vagus nerve isolation" for the child.
After the operation, Zheng's team gave him systematic rehabilitation training. When she returned to the hospital for rehabilitation training last week, Ms. Shi happily shared her child's progress. "He speaks much more clearly than before, and his memory and concentration have been significantly improved. Relatives around him praised his progress after surgery! "
Carotid endarterectomy+vagotomy is to remove part of the sympathetic nerve network around the common carotid artery and isolate a segment of vagus nerve to improve the clinical manifestations of patients with language dysfunction, salivation, peristalsis or upper limb spasm.
"About 80% of patients with dysarthria can benefit from this operation. Many patients can significantly improve their swallowing function, voluntary movement and limb spasms can be alleviated, and some patients' cognition and behavior can also be improved." According to Zheng, patients undergoing this kind of surgery are generally over 2 years old and need simultaneous surgery on both sides.
The advantages of carotid endarterectomy+vagotomy are:
① Minimal trauma, only two transverse wounds about 2-3cm long along the neck were found in front of the neck, and there was no obvious bleeding;
② The recovery is quick, and the normal diet can be basically restored on the second day after operation, and the wound can be healed in about 5 days;
③ The improvement rate of peristalsis, salivation and dysphonia can reach about 80%.
Infant language development
Language retardation is a common disease in children, which will not only bring troubles to children's daily communication, but also further affect children's mental health development, leading to children's inner fragility, low tolerance, sensitivity and autism. If children are found to have language development problems, parents are advised to take their children to professional hospitals for early detection and treatment as soon as possible, so as not to affect their healthy growth.
Every parent wants their children to be healthy and smart. If you can't get what you want, don't be depressed. With the persistence of parents and the professional treatment of doctors, I believe that all the hardships you have suffered will turn into a bright light to illuminate your child's road to recovery.