26 個月還不懂說話

ST_cheung

it might be one of the reason for the delay in speech and language...but of coz there might be other reasons too..since the child already delay in speech...it would be better if the parent use only one language at home..

原帖由 DJ_PARENT 於 10-9-29 14:50 發表
Hello, my nephew (2 years old)  just came to HK from Shanghai. He can only say 'mama'. His mother talks to him in Putonghua while his father in Cantonese. I wonder if this is the reason why he cannot  ...

DJ_PARENT

Thank you.

pho2009

Dear ST Cheung,

My yonger boy who is  almost 19 months old and only speak few words, like mom, dad, ( hit, naught... in cantonese). He can't use stew and don't understand some simple instruction.  He only able to follow some simple insturction by copy us.  He has some complication when he was born and stay in ICU for 7 days.  He can speak Mom nad Dad when he was 6 months old, but after that no improve in the past 1 year.  I am very worry and we have helper, elder brother and grandparents at home. He should has lot of simulation at home.
Should I seek some pofessional help? Please advise.  Thanks

ST_cheung

Ur younger boy is ikely to have delay in receptive and expressive langauge....suggest u need to go further ax and tx..

and..u said u have grandma and elder son to help....but u need to see if their language to yr younger son is appropriate or not...

some advice can give u...according to what u mention....u need to train your son to comprehend some simple instruction and single word production...so...when talk to your child...use single word and try to have him imitate your word (single word) ...and try to describe what u are doing...e.g. 媽媽洗..洗...bb食..食....食餅餅...餅.. and u use mainly one to two element when describe thing to him (noun, verb, or subject+verb, Verb +object)...

hope this can help u and welcome to ask Q if necessary...

原帖由 pho2009 於 10-10-11 15:24 發表
Dear ST Cheung,

My yonger boy who is  almost 19 months old and only speak few words, like mom, dad, ( hit, naught... in cantonese). He can't use stew and don't understand some simple instruction.  He ...

馬騮仔

我仔29個月，記得剛一歲己叫mama..daddy..家姐，但2歲時又唔肯講野，n1老師叫我地比佢去評估。
真是擔心！

ST_cheung

仔仔唔肯講...即係佢有能力而唔講..還是佢不懂得說??

如果係前者..就要了解小朋友點解唔肯講...同埋係喺咩場合....

如果係唔識講....咁就想知小朋友係咪日常一D都唔會表達...定係只用單字/手勢表達等等...

pho2009

My yonger boy seems improve a bit this month, he start to follow us singing and when we count 1, he will count 2.  He knows eyes, ears and mouth, noise, teeth when we ask him.  However, he still speak alot of baby word which he don't understand.    Should we send him to do an assessment?  Please let me know, thanks.

vinvillalee

原帖由 pho2009 於 10-11-8 14:30 發表
My yonger boy seems improve a bit this month, he start to follow us singing and when we count 1, he will count 2.  He knows eyes, ears and mouth, noise, teeth when we ask him.  However, he still speak ...

My boy also the same. How old is your boy? My boy is 25 months old.

My-BeeBoy

ST_cheung
請問小朋友會唔會因為懶而唔肯講嘢而導致有語障？
語障是否跟學障一樣是遺傳的？

比比熊

ST_cheung,
你好。我仔剛兩歲，會講爸爸、媽媽、mum mum、曳曳(有意識的)，其他好多發音，如dada，star、和超多的bb話。平日理解覺得佢ok，但好多時唔專心同硬頸唔肯做。
流口水情況極嚴重，一個鐘要換兩至三條口水肩。
請問是否因為口肌發育未成熟而導而說話能力差?
但他歲半已開始食大人飯，吞嚥能力好好，自己會咬肉，成隻雞翼食等。一些難吸的吸管也飲得好好。
我有同佢玩吹泡泡、吹羽毛等遊戲，但佢似乎唔多識玩。
請問有咩可以做?

ST_cheung

if possible, i suggest u can take him to have further assessment.

regarding he still says lot of baby word...try tell him u do not understand him, and try to have him imitate your word (single word), can he imitate that?

beside body parts, does he understand simple instruction adn object names, e.g. give, drink, eat, biscuit, ball, etc?

ST_cheung

testing....

ST_cheung

我們較少會說小朋友的語障是因為他們懶...反而會
因環境因素, 如:因家長不給予小朋友機會表達(如:只有家長說), 又或家長往往無要求小朋友用口語表達就給予小朋友想要的東西(如:小朋友只需指著物件便得到想要的), 令他們習慣不用說話, 或用短句表達...以致出現語言發展遲緩..

部份研究指出語障可以是遺傳....但當然也有其他原因....

原帖由 My-BeeBoy 於 10-11-9 21:29 發表
ST_cheung
請問小朋友會唔會因為懶而唔肯講嘢而導致有語障？
語障是否跟學障一樣是遺傳的？

ST_cheung

口肌發育未成熟確實會令說話能力差....就你所說...小朋友流口水的情況確實較嚴重...但小朋友的咀嚼能力似乎又ok...


但流口水的原因有好多...其中如:小朋友口腔的敏感度是否較弱....以致他未能察覺有口水囤積, 結果因沒有吞口水而流出來?此外, 口腔過敏也會令其流口水的..



另外, 他咀唇是否有足夠的肌力保持合唇?或大多時間張開口?


小朋友已吃大人飯，自己會咬肉，成隻雞翼食<--可留意小朋友是否有真正咀嚼...或是咬一兩下就吞...

吸管方面, 留意不可以咬著吸管飲才叫好....也可練習飲用較杰身的飲品...如:乳酪....或不同長度和粗幼的飲管作練習..



唇部練習也可嘗試用咀唇含著雪條棒....家長用手拉(左/右)...而小朋友要唇部用力不被家長拉走雪條棒..



暫時寫住這些....有問題再問啦!

原帖由 比比熊 於 10-11-12 21:56 發表
ST_cheung,
你好。我仔剛兩歲，會講爸爸、媽媽、mum mum、曳曳(有意識的)，其他好多發音，如dada，star、和超多的bb話。平日理解覺得佢ok，但好多時唔專心同硬頸唔肯做。
流口水情況極嚴重，一個鐘要換兩至三條口水肩。
請問是否 ...

比比熊

原帖由 ST_cheung 於 10-11-18 13:52 發表
口肌發育未成熟確實會令說話能力差....就你所說...小朋友流口水的情況確實較嚴重...但小朋友的咀嚼能力似乎又ok...


但流口水的原因有好多...其中如:小朋友口腔的敏感度是否較弱....以致他未能察覺有口水囤積, 結 ...

謝謝你的答覆。
小朋友趙食物係OK的，一D大舊的肉，佢會趙一陣先吞，甚至有骨會吞出來。
小朋友確實常打開口，好少合埋口，所以成日流口水。
我有提佢合埋口，有時會有手輕輕托佢下巴等佢合埋，但一陣佢又開過。
另外，我想問口腔敏感度可以訓練的嗎?
我小朋友學習說話較慢，是否會因改善流口水的情況而有所改善?
再次謝謝你…

cecilau

你小朋友有d 似我仔仔細個的時候呀, 又係時時流口水, 都係因為口肌唔好, 佢2歲幾先識講野, 而家就來5歲, 都係遲, 但係遲9個月only.
流口水 --> 可以做口肌訓練, 又有另一個方法就係教識小朋友認識濕同埋dry, 咁佢一流就叫佢用手摸下, 咁就係濕, 咁無流的時候就都叫佢自己摸下, 咁要時時提住, 等佢有意識自己吞口水.
口肌差的小朋友係好多發音都唔正的, 而家我仔仔都要慢慢執呀.

原帖由 比比熊 於 10-11-19 12:21 發表

謝謝你的答覆。
小朋友趙食物係OK的，一D大舊的肉，佢會趙一陣先吞，甚至有骨會吞出來。
小朋友確實常打開口，好少合埋口，所以成日流口水。
我有提佢合埋口，有時會有手輕輕托佢下巴等佢合埋，但一陣佢又開過。
另外，我想問口腔敏 ...

wendycyp

我個仔都有言語發展遲緩問題, 排期排到今年9月, 即係佢2歲7個月時, 去cac做評估, 當時話佢只有1歲半小朋友的程度, 只識講少量單字, 仲要係唔正, 連爸/媽/包/車/波等等都唔識講.  初初我都唔係太緊張, 身邊好多人都同我講, 男仔講嘢係慢d, 返咗學會好d... 直至cac做完評估, 知道佢落後咗咁多先認真去搵方法改善.

我搵咗私人言語治療, 上咗2個月, 真係進步咗好多.  唔知係唔係佢8月開始返n1, 再加上每星期半小時言語治療, 同埋每日同佢在屋企練習+按摩口肌.... 樣樣加埋嘅成果.... 而家佢已經講到好多單字, 詞語, 甚至少量短句, 見佢平日去街見到唔同物件時都講多咗嘢, 雖然可能同同齡小朋友都依然會有距離, 但見佢有進步我已經好滿足!

而家都繼續keep住做治療, 希望排到去做政府言語治療時可以再睇下佢個程度會唔會追得番.... 大家都唔好放棄, 一齊努力呀!

比比熊

原帖由 cecilau 於 10-11-22 14:17 發表
你小朋友有d 似我仔仔細個的時候呀, 又係時時流口水, 都係因為口肌唔好, 佢2歲幾先識講野, 而家就來5歲, 都係遲, 但係遲9個月only.
流口水 --> 可以做口肌訓練, 又有另一個方法就係教識小朋友認識濕同埋dry, 咁佢一 ...

多謝你的回覆。
我都聽過可以教小朋友濕和乾的概念。但我想問你係點教?
我就佢流口水時，我就捉佢隻手黎抺下巴，然後話﹕「醜怪，濕濕。」乾時，我都會捉佢摸下巴，然後話﹕「乾喎，叻叻。」
但佢好似冇乜改善，佢流口水時，佢會自己抺佐佢，但一樣照流，佢好似唔知道唔流口水=乾。
另外我想問你，你有冇帶小朋友出去做私人訓練?我排緊政府，但大概仲有三至四個月才到。你有冇機構可以介紹?
謝謝你。
祝大家的小朋友繼續有進步。

cecilau

你仲要同佢做舌口水的動作呀. 手係喉嚨掃落去呀.
要有恆心咁教呀. 係日日咁提呀. 佢地口肌差的小朋友就係咁啦.
我仔仔由歲幾做st 做到而家5歲啦. 而家無再做私家st 啦. 所以無相熟啦.

原帖由 比比熊 於 10-11-24 13:50 發表

多謝你的回覆。
我都聽過可以教小朋友濕和乾的概念。但我想問你係點教?
我就佢流口水時，我就捉佢隻手黎抺下巴，然後話﹕「醜怪，濕濕。」乾時，我都會捉佢摸下巴，然後話﹕「乾喎，叻叻。」
但佢好似冇乜改善，佢流口水時，佢會自己抺 ...