請問有沒有人知道這是什麼問題, 小兒19個月

Cajes

小兒19個月, 兒科醫生初步估計他並非自閉症,但他有以下表現:

不懂說話, 只會依哦, 沒有叫過爸爸媽媽

簡單認知不懂, 如顏色形狀

大肌肉沒有問題, 會走路, 會自己用匙吃飯,也會用手檢餅乾吃

能聽懂很少的事, 如, 洗手.有些能聽懂的卻十次只有一次或更少會做, 如BYEBYE,HELLO, 飽飽, 拍手..

喜歡和人玩或跟人開玩笑, 如他們把腳放在你鞋面上扮踩你,但不會踩, 他會看你反應, 如果你會說, 哎吔你踩我?咁佢會好開心再扮踩你. 好似好喜歡CHALLENGE下你咁

醫生說他認知和言語大概只有一歲左右..

我們懷疑, 他可能耳朵有問題,但他有做新生兒聽力測試, 一切正常, 家中如有門鐘, 他也知道,有時叫他, 他會應你, 雖然大部份時間都唔睬你

我們也懷疑是否性格問題, 但醫生說這年紀BB不會這樣耍脾氣

請問有沒有人有相同的CASE?

AndrewHo_FB

Does the doctor take out a testing kit and do the assessment?? And is he a pediatrics or a GP?

The assessment kit is to tell if the kid is suffered from ASD/ADHD. The kit should include questions of asking the kid to pile up blocks, putting patterns together, cognitive questions, waking up/down the stairs etc.

But first of all, you should ask any doctor (GP, pediatrics, private or public) to write u a referral letter. Any private doctor nearby your home is good enough as you will have the referral letter which is about suspicious ASD right away, and never wait for gov't clinic which take some months.

Don't listen to the nurse fm gov't clinic as she may give u the wrong indication.

You then take the letter, and call your nearby gov't CAC to do the full assessment. The waiting queue is 1/2 year to 1 year, so do it quick.

During the waiting period, do find a private Speech Therapist to take care of your kid. Just waste some money, but don't waste the time.

Cajes

多謝回覆, 佢係一個兒科專科, 佢唔係同佢做任何assessment, 只係話佢覺得阿仔表現大概係似咩年紀....
醫生否定佢係自閉症, 覺得佢表現唔似. 佢都有懷疑係耳仔有問題..
我已經排左cac, 但只係排到見姑娘, 唔知幾時先可以做評估, 我無去坊間自閉症評估, 因為我怕商業機構會話傾向話佢係..
我都會同佢安排言語治療, 但佢唔單係唔識講野, 佢認知都好差, 如你叫佢玩blocks, 佢鐘意推跌哂佢, 分color一定唔得, 但行樓梯, 上無問題, 落就唔太得.
醫生係話佢唔似asd/adhd, 但又唔似係general language delay, 所以我好puzzled...

AndrewHo_FB

There is not much you can do at this stage, or until you get a full result from the CAC.

Speech therapy will definitely help.

You can look for a private occupational therapist (OT) while waiting. The OT will give your kid an assessment of Sensory Integration Disorder. The training from an OT will help your kid to focus, balancing the body, the sensors, and link the body to the the outside world.

Cajes

thanks for your suggestion! Appreciated!

AndrewHo_FB

Remember doing exercise will have much improvement to cure. It is what the occupational therapists believe.

So, take the kid to the playground as much as possible, and most important, do it REGULARLY. Play more swing, roundabout (but hard to find nowadays), see-saw, use upper body to climb up/down to use core power. If the kid can or ready, try more sit-up.

Also, let him join a swimming class REGULARLY to co-ordinate all body muscles.

CAC will do the assessment and give you a diagnosis or reason only, but CAC won't cure anything. The kid will then be referred to the Social Welfare Department, and will be further for SEN (special education needs) school service PROVIDED that the kindergarten has joined the scheme. Otherwise you will need to find the ST, OT, PT etc services on your own.

Cajes

AndrewHo_FB 發表於 17-9-28 11:29
Remember doing exercise will have much improvement to cure. It is what the occupational therapists b ...

謝謝。但佢大肌肉小肌肉係完全無問題，只係言語同認知出左問題，去公園都有用嗎？我地依家放工晚晚帶佢去超級市場認生果。。。

AndrewHo_FB

Cajes 發表於 17-9-28 11:55
謝謝。但佢大肌肉小肌肉係完全無問題，只係言語同認知出左問題，去公園都有用嗎？我地依家放工晚晚帶佢去 ...

The OT believes (?) the sensory integration (感統) will affect the overall development. For example, the kid needs to process what he senses (ie sound), then responses by what to say. If the "sensory processing unit" is out of order, the kid will have speech delay, or order the body parts to move to response. So the OT training will focus on sensory integration exercises, but not the ordinary exercises we do daily. Especially, he will focus on the core power training.

Having the "sensory processing unit" fixed, the kid can improve much for his language, concentration, memory, motoring skills etc.

The OT assessment will test the kid's body co-ordination (eg eye-and-fingers co-ordination, throw and catch a ball etc) in 360 degree, not just running or kicking or bicycling which we think he is "OK".

You will hear the term core power again and again if you meet an OT.

To my best understanding:
1) Speech therapy is the tree branch
2) Occupational therapy is the tree trunk
3) And in addition, physiotherapy is the tree root.

If fixing the tree branch doesn't work or not efficient (ie 我地依家放工晚晚帶佢去超級市場認生果), you will need to go a step(s) down, or do them altogether. Just keep in mind if you need to go to step 2 or 3 if 1 is slow.

Anyway, spend more time in the playground is no harm at all, so just do it and REGULARLY. Play more games which use upper body power.

icanhear

Esther515 發表於 17-9-29 10:10
如果懷疑聽力有問題，要立即聯絡CAC (兒童智能測驗中心），預約評估。因為預約需要時間，所以若家長想孩子 ...

是，建議做聽覺檢查先，若聽力有問題，做言語治療也沒用
可以考慮去香港大學聽覺中心做聽覺測試，由碩士學生同導師做，結果準確又較經濟。
電話：(852) 39170789
地點：堅尼地城

想地點方便，可考慮去私家聽力中心（峰力、唯聽）做測試....

long0

其實真係非常有可能耳仔有問題
唔係話聽障
而係可能耳仔由出生
到而家都比胎屎塞咗
唔係完全聽唔到只係聽到d聲同比野塞咗一樣

我女bb時候同你仔情況一樣又係歲幾兩歲以為聽障
後尾檢查兩隻耳
E生用水沖咗好似手指一節的耳屎出來
若果耳仔塞咗其實亦會唔多講野
你自己用紙巾塞下兩隻耳
感受下就明

另外發音跟動機關係好大
如果得一個 又只得父母陪
比較靜的小朋友真係唔會講野
做父母係會担心d
我果時買咗隻会走路录音发声公仔比佢
之後個女開籠雀咁
同隻公仔玩
由於我個女一開聲佢就行
令佢興趣非常大
希望你情況相同

Cajes

long0 發表於 17-10-11 10:31
其實真係非常有可能耳仔有問題
唔係話聽障
而係可能耳仔由出生

多謝回覆。請問你係邊種醫生現呢個問題, 因我已去睇過兒科佢無發現。

long0

健康院話弱聽
轉介專科
後來發現係呢個問題
其實胎屎在耳
非常常見
但塞到密可能少見D
E生佢只係因為要睇清楚D耳膜完整性
所以先沖耳
估唔到沖完無事
其實有一個方法易D知道
如果你掂佢耳孔
真係有野頂住耳膜的話
佢一定反抗

Yyt123

Cajes 發表於 17-9-27 09:23
小兒19個月, 兒科醫生初步估計他並非自閉症,但他有以下表現:不懂說話, 只會依哦, 沒有叫過爸爸媽媽簡單認知 ...

我仔以家18個月都有你類似問題 佢識講奶奶 包包 mum mum 媽媽 但都係認唔到眼耳口鼻 顏色 同你講ge情況好類似 肯應人地 鐘意同大個d ge 小朋友玩 我都好擔心 雖然話係遲講野 但我去健康院 姑娘又唔肯轉介去cac 請問我可以點做呢 私人評估有資助嗎？謝謝各位解答

icanhear

Yyt123 發表於 18-1-16 23:07
我仔以家18個月都有你類似問題 佢識講奶奶 包包 mum mum 媽媽 但都係認唔到眼耳口鼻 顏色 同你講ge情況好 ...

18個月講到單字都唔算慢...
好多小朋友18個月認唔到顏色
認唔到眼耳口鼻，咁其他詞彙明白嗎？如：交通工具、水果、衣服的名稱？

Yyt123

icanhear 發表於 18-1-17 00:52
18個月講到單字都唔算慢...
好多小朋友18個月認唔到顏色
認唔到眼耳口鼻，咁其他詞彙明白嗎？如：交通工具 ...

認到面包 牛奶 狗仔 交通工具同埋衣服應該都認唔到

icanhear

Yyt123 發表於 18-1-17 13:16
認到面包 牛奶 狗仔 交通工具同埋衣服應該都認唔到

你話佢識「講」奶奶，包包，媽媽等
其他未識講，但你講佢會指到嗎？
問佢：XX係邊度？ 如：鞋、衫、襪、車、貓、凳、匙羹....
雖然唔識講、但若然「指到」其實都可以比多啲心機教佢，再比多啲耐性佢慢慢試講

Yyt123

icanhear 發表於 18-1-17 19:19
本帖最後由 icanhear 於 18-1-17 19:21 編輯

你話佢識「講」奶奶，包包，媽媽等

會呀 會指到奶奶 包包果d
但眼耳口鼻 交通工具 衫果d就好似唔多得
多謝你鼓勵 我一直都有d擔心 見in n班又in唔成 所以一直都耿耿於懷