Kusankha mutism
Kusankha mutism ndi chikhalidwe chomwe mwana amatha kuyankhula, koma mwadzidzidzi amasiya kuyankhula. Nthawi zambiri zimachitikira kusukulu kapena malo ochezera.
Kusankha mutism kumakhala kofala kwambiri kwa ana ochepera zaka 5. Zomwe zimayambitsa, kapena zoyambitsa, sizikudziwika. Akatswiri ambiri amakhulupirira kuti ana omwe ali ndi vutoli amakhala ndi chizolowezi chokhala ndi nkhawa komanso kudziletsa. Ana ambiri omwe ali ndi mutism wosankha amakhala ndi mantha amtundu wina (phobia).
Nthawi zambiri makolo amaganiza kuti mwanayo akusankha kusalankhula. Komabe nthawi zambiri, mwanayo satha kulankhula m'malo ena.
Ana ena omwe akhudzidwa amakhala ndi mbiri yosankha mutism, manyazi kwambiri, kapena nkhawa, zomwe zimawonjezera chiopsezo pamavuto omwewo.
Matendawa si ofanana ndi mutism. Posankha, mwana amatha kumvetsetsa ndikulankhula, koma sangathe kuyankhula m'malo ena. Ana omwe ali ndi vuto la kusinthasintha samayankhula.
Zizindikiro zake ndi izi:
- Kutha kuyankhula kunyumba ndi banja
- Mantha kapena nkhawa pafupi ndi anthu omwe sawadziwa bwino
- Kulephera kuyankhula m'malo ena
- Manyazi
Chitsanzochi chikuyenera kuwonedwa kwa mwezi umodzi kuti zisankhe kusinthasintha. (Mwezi woyamba kusukulu sikuwerengeka, chifukwa manyazi ndiofala panthawiyi.)
Palibe mayeso osankha mutism. Kuzindikira kumatengera mbiri ya munthu wazizindikiro.
Aphunzitsi ndi alangizi ayenera kulingalira za chikhalidwe, monga posachedwa posamukira kudziko lina ndikulankhula chilankhulo china. Ana omwe sadziwa kukayankhula chilankhulo chatsopano mwina safuna kuchigwiritsa ntchito kunja kwa malo omwe amazolowera. Izi sizosankha kusintha.
Mbiri ya munthu ya mutism iyeneranso kuganiziridwa. Anthu omwe adakumana ndi zoopsa atha kuwonetsa zizindikilo zomwezi zomwe zimawonedwa mutism.
Kusamalira kutaya mtima kumakhudza kusintha kwamakhalidwe. Banja la mwana ndi sukulu iyenera kutenga nawo mbali. Mankhwala ena omwe amachiza nkhawa komanso mantha a anthu agwiritsidwa ntchito mosamala komanso moyenera.
Mutha kupeza zidziwitso ndi zothandizira kudzera m'magulu osankha a mutism.
Ana omwe ali ndi matendawa amatha kukhala ndi zotsatirapo zosiyanasiyana. Ena angafunikire kupitiriza chithandizo chamanyazi ndi nkhawa zazachikhalidwe mpaka zaka zaunyamata, ndipo mwina atakula.
Kusankha kosankha kumatha kukhudza kuthekera kwa mwana kugwira ntchito pasukulu kapena m'malo ochezera. Popanda chithandizo, zizindikiro zimatha kukulira.
Itanani yemwe akukuthandizani ngati mwana wanu ali ndi zizindikiro zosankha mutism, ndipo zimakhudza sukulu komanso zochitika zina.
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Rosenberg DR, Chiriboga JA. Matenda nkhawa. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 38.
Zithunzi MD. Kukula kwa chilankhulo ndi zovuta zolumikizirana. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 52.