Speech delay in children should be of concern to parents? – New



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Communication is not limited to speech, so even babies have the ability to communicate, whether through laughter, looks, gestures or sounds. From the first year, it is common for children to pronounce the first words, which are usually attempts by "mom" or "dad".

From the age of two, the child usually forms the first sentences. To the three sentences more complete and easy to understand for people who do not live with the child, according to the speech therapist Juliana Trentini, author of the book "From gugu-dada to mother, give me me."

should flow without difficulty because at this age, the language pattern is similar to that of an adult. Trentini emphasizes that not all children have the same pace of development, but in case of suspicion of difficulty in acquiring language. language, it is advisable to call in experts.

In what and does the child begin to speak? To try to find out more about the age of the child,

"It is thought that it is acceptable that the child does not speak before the 39, age of three, which is worth the wait, but language is an important indicator of neurodevelopment.If the child has difficulties, he may not be able to reach its Julian Trentini, speech therapist, explains that this possibility is potentially a precious time of intervention that is not used. "

The child has up to four years" a window of intense language. "But it's very intense between 0 and 18 months, it's when the neurons grow up and form connections, so the reaction is better, the neurons are more unoccupied. From the age of four, the response will be slower, "says António Carlos de Farias, pediatric neurologist, Pequeno Príncipe hospital, Curitiba

The doctor recalls that nonverbal communication of children must also be noticed. "The concept of language is broad, we communicate in different ways with gestures and emotions."

"The concept of language is vast, we communicate in different ways with gestures and emotions."

Cases of delayed speech development require joint action by physicians and speech therapists

Language Development Disorder (LDD)

Excluding the presence of syndromes or pathologies, most of the cases of children who do not have a vocabulary or a way of speaking expected for their age tend to be transient.Scientific studies conducted in the United States indicate that in these situations, the development of the language lasts up to about four and a half years. In Brazil, this estimate may vary because, due to the socio-economic conditions of families, a child in perfect health may experience a longer development due to a lack of access to adequate treatment.

There are, however, cases of delayed diagnosis. of language disorder. It is estimated that 7% to 10% of the child population, from one to five years old, has a good understanding, preserved cognitive functions and good hearing, but does not develop language as expected due to a disorder called language development disorder. (TDL), according to speech therapist Amalia Rodrigues

The symptoms of speech delay and TDL, more complex, are the same. An expert can only establish the diagnosis after the start of treatment. In the first case, after six months of intervention, sometimes even with psychological support, the language of the child begins to rise.

"The answer already tells us if the child has a delay, which is temporary, or" said Amalia Rodrigues, who teaches at the Faculty of Medical Sciences in Santa Maria, Brazil, with the aim of improving the quality of his life.

Amalia says that in both cases, one of the guidelines is to enroll the child in school, if he does not attend, because of his access to educational activities and contact with the school. other children. "We are guiding the family and the school on the fact that it is necessary to provide stimuli.Gaming is the cognitive basis that will help the child to do language development." When he begins to learn outside the therapeutic context, it indicates that the problem may be a delay, not a disorder. "

Symptoms of Autism

The delay in speech can be one of the symptoms of a neurological impairment or disorders such as l '# [[[[[[[[[[[[[[[[[[[[[EveninthesecasesaccordingtoJulianaTrentiniwithagoodtreatmentitispossibletohavechancesofsucceeding"[ChildrenNorthwartssontraresilnes"actsatastrastrousdistricts"

Amalia Rodrigues says that it exists today Children with autism presenting excellent communication performance and that technology has provided a tremendous scope for inclusion. "It is easier to change language than to become autistic." This fear [da possibilidade de um diagnóstico como autismo] mobilizes some parents, but makes it difficult to seek help for others by fear. "

The neuropediatrician explains that formerly the diagnosis of autism was centered on spoken language There is now the perception of an un-spoken language, such as the eye in the eyes and the observation of the child's attention. "Today, teachers perceive non-verbal communication more, but pediatricians do not yet have this specific preparation." According to Antônio Carlos de Farias, diagnosis based on speech can be very late.

One of the bad guys in language acquisition is the diversity of existing electronic equipment. Today According to experts, earlier contact with television, tablets and smartphones could be detrimental to the child.

"The ideal is that the child has no contact with it for two years, then limited access., Yes, influence because the screen affects the sensory development of the child and it is important for language development, "says Juliana Trentini.He explains that this type of screen has the ability to" trick the brain ", which distracts the child and makes it difficult to learn or to development during contact with the equipment.

Antônio Carlos de Farias reports the phenomenon of delay to certain social characteristics. "There is the evolution of the woman who leaves the house to go to work, of the child who stays longer at school, the communication was a bit lost. "

Amalia says that parents had less quality time with their children." I tell parents that the hours they spend with children must be made up of interactions , conversations, games, story readings and any activity that causes the conversation is exploited. "

For the doctor, in general, language delays. are "maturations" and therefore transient, as the child grows, develops and matures. But there are also cases of "lesion" that reveal a disturbance. "The bad speech, for example, is normal and transient until the age of 4. After that, it's a problem, you have to look for it, it may indicate dyslexia."

Delays in twins are common?

Some factors such as prematurity – especially in twins – can trigger problems such as late speech acquisition. Among the multiples, there is always the problem that children interact a lot with each other, and the encouragement of parents to divide is not always the same for siblings.

"The twins tend to have more difficulties, but one can not help making offerings because of this, sometimes the twins close and do not feel the need to talk to them." other people. "Talking is difficult, one only speaks because it's necessary," says Juliana

In the house of the administrator by Elza Cabral Galvão, 44, all that the twins Alice and Beatri speak is not understandable. "They talk a lot to each other, but in their language, but at school, they do not talk to anyone."

Elza think girls, who will be 4 years old in June, can talk a bit about their personality and their shyness, but he has already brought them to the speech therapist and the psychologist. "They understand everything and are very intelligent, I will see what will be this year at # 39; s school they develop. "

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