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What can I do for my 6-year-old child who doesn't walk or talk and has global developmental delay?
Pediatrics
Question #56311
20 days ago
25

What can I do for my 6-year-old child who doesn't walk or talk and has global developmental delay? - #56311

Client_6491e0
$3

मेरा बच्चा 6 वर्ष का है। चलता नही बोलता नही। भूख प्यास, लघुशंका, दीर्घशंका आदि के लिए नही बताता। खुद से खा नही पाता। सारे टेस्ट नार्मल है एम आर आई नार्मल है। डॉक्टर ग्लोबल डेवलपमेंट डिलेड बताते है। बच्चा हंसता है, डरता है, डांटने पर रोता है, घिसटकर चलता है, पकड़कर खुद खड़ा हो जाता है। सुनता भी है। दिमाग से बहुत कमजोर है। कृपया मार्ग दर्शन करें। एम आर आई 6 माह व एक वर्ष की आयु में कराया था दोनों नार्मल थी।

When did you first notice developmental delays in your child?:

- Before 1 year

Has your child shown any improvement in skills over time?:

- Some improvement

How does your child communicate their needs?:

- No communication

What type of activities does your child enjoy?:

- Outdoor activities

Are there any other health issues or concerns?:

- No, only developmental delays

How is your child's appetite and eating habits?:

- Good, eats well

How do you feel about your child's emotional responses?:

- Very responsive and emotional
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Doctors' responses

बच्चे के लक्षणों के अनुसार यह केवल शारीरिक नहीं बल्कि न्यूरो-डेवलपमेंटल समस्या (Global Developmental Delay) प्रतीत होती है। MRI सामान्य होने पर भी विकास में देरी हो सकती है। ऐसे बच्चों में आयुर्वेद के साथ नियमित फिजियोथेरेपी, ऑक्यूपेशनल थेरेपी और स्पीच थेरेपी बहुत महत्वपूर्ण हैं। आयुर्वेदिक उपचार (6 वर्ष की आयु) • ब्राह्मी घृत – 1/4 से 1/2 चम्मच गुनगुने दूध के साथ सुबह खाली पेट। • सारस्वतारिष्ट – 5 ml बराबर पानी मिलाकर भोजन के बाद दिन में 2 बार। • अश्वगंधा चूर्ण – 1 ग्राम दूध के साथ रात में। • स्वर्णप्राशन (वैद्य की देखरेख में) – मास में एक बार या निर्देशानुसार। • अभ्यंग (तिल तेल या बलाश्वगंधादि तैल) से पूरे शरीर की मालिश प्रतिदिन 15–20 मिनट। आहार: घी, दूध, बादाम (यदि पचें), मूंग दाल, ताजा फल और पौष्टिक घर का भोजन दें।


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बच्चे में विकास की गति अपेक्षाकृत धीमी है, जिसे आयुर्वेद में बुद्धि, स्मृति एवं वाक् विकास की मंदता तथा मस्तिष्कीय कार्यों की अपरिपक्वता से जोड़ा जा सकता है। MRI सामान्य होना सकारात्मक संकेत है। चूंकि बच्चा भावनात्मक प्रतिक्रिया देता है, सुनता है और कुछ गतिविधियां स्वयं करता है, इसलिए नियमित प्रयासों से सुधार की संभावना बनी रहती है। मेध्य रसायन, अभ्यंग, शिरोधारा/शिरोपिचु (विशेषज्ञ सलाह अनुसार), तथा Speech, Occupational और Physiotherapy को नियमित रूप से जारी रखना सबसे महत्वपूर्ण है। ऐसे बच्चों में धैर्यपूर्वक दीर्घकालीन प्रशिक्षण और सहयोग ही सर्वोत्तम उपचार है। —Dx: बुद्धि, स्मृति, वाक् एवं सर्वांगीण विकास में मंदता (वात प्रधान मनोवह स्रोतस विकृति) —औषधि: 1) Syrup Brahmi 5 ml BD भोजन पश्चात 2) Syrup Shankhpushpi 5 ml BD भोजन पश्चात 3) Medhya Rasayan Syrup 5 ml HS —panchkarma procedure -सर्वांग अभ्यंग – Ksheerbala Taila/Bala -Ashwagandhadi Taila से प्रतिदिन -शिरो अभ्यंग – ब्राह्मी तैल से दैनिक - vidh Krma under supervision ----Speech Therapy, Occupational Therapy एवं Physiotherapy नियमित जारी रखें पथ्य: घृत, दूध, पौष्टिक सुपाच्य आहार, पर्याप्त नींद एवं नियमित मानसिक उत्तेजना (Interactive activities). —Follow-up: 4–6 सप्ताह बाद।


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••आयुर्वेदिक पंचकर्म चिकित्सा इस स्थिति में केवल ओरल दवाएं पर्याप्त नहीं होंगी। आपको किसी अच्छे आयुर्वेदिक बाल रोग विशेषज्ञ (Kaumarbhritya Specialist) की देखरेख में बच्चे को पंचकर्म करवाना चाहिए। यह तंत्रिका तंत्र को सक्रिय करने में सबसे प्रभावी है: ••बाह्य स्नेहन् और स्वेदन (Massage & Steam): महाराजप्रसारिणी तेल, क्षीरबला तेल या अश्वगंधादि तेल से पूरे शरीर की हल्के हाथों से मालिश और उसके बाद नाड़ी स्वेद। यह मांसपेशियों की ताकत (Muscle Tone) बढ़ाएगा और बच्चे को बिना सहारे चलने में मदद करेगा। ••शिरोधारा और शिरोपिचू: मस्तिष्क की कोशिकाओं (Brain Cells) को पोषण देने और न्यूरोलॉजिकल कोऑर्डिनेशन को सुधारने के लिए ब्राह्मी तेल या क्षीरबला तेल से शिरोधारा या सिर पर तेल का फाया (शिरोपिचू) रखना अत्यंत लाभकारी है। मात्रा बस्ति (Medicated Enema): आयुर्वेद में वात को नियंत्रित करने के लिए बस्ति को सर्वश्रेष्ठ माना गया है। तिक्त क्षीर बस्ति या अश्वगंधा घृत की बस्ति से तंत्रिका तंत्र का विकास तेजी से होता है। 2. आंतरिक औषधियां (Internal Medicines) बच्चे की बुद्धि, संज्ञान (Cognition), और बोलने की क्षमता (Speech) को बढ़ाने के लिए “मेध्य रसायनों” और “घृत” (Ghee) का प्रयोग बहुत जरूरी है, क्योंकि घी Blood-Brain Barrier को आसानी से पार कर मस्तिष्क को पोषण देता है। ••औषध सिद्ध घृत: सारस्वत घृत, ब्राह्मी घृत, या कल्याणक घृत। रोज़ सुबह खाली पेट आधा से एक छोटा चम्मच गुनगुने दूध या पानी के साथ दें। मेध्य रसायन: ••सारस्वतारिष्ट: 2.5 ml से 5 ml बराबर मात्रा में पानी मिलाकर भोजन के बाद दिन में दो बार। ••ब्राह्मी वटी / मन्तभस्म युक्त योग: (किसी योग्य वैद्य की देखरेख में मात्रा तय करें)। ••वचा चूर्ण (Vacha): बोलने की क्षमता (Speech) के लिए वचा (Sweet Flag) को शहद के साथ मिलाकर बच्चे की जीभ पर हल्का सा घिसना या चटाना बहुत फायदेमंद माना जाता है। 3. आधुनिक थेरेपी का समन्वय (Multidisciplinary Approach) आयुर्वेद के साथ-साथ इन थेरेपीज को तुरंत शामिल करें, क्योंकि 6 साल की उम्र में री-लर्निंग (Re-learning) की क्षमता अच्छी होती है: ••ऑक्यूपेशनल थेरेपी (Occupational Therapy): यह बच्चे को खुद से खाना खाने, दैनिक कार्यों को समझने और टॉयलेट ट्रेनिंग (लघुशंका/दीर्घशंका की अनुभूति और बताना) में मदद करेगी। ••स्पीच थेरेपी (Speech Therapy): सुनने की क्षमता ठीक है, इसलिए स्पीच थेरेपी से बच्चा धीरे-धीरे शब्दों को जोड़ना और अपनी जरूरतें बताना सीख जाएगा। ••फिजियोथेरेपी (Physiotheapy): चूंकि बच्चा पकड़कर खड़ा हो जाता है, इसलिए फिजियोथेरेपी से उसकी पेल्विक और पैर की मांसपेशियां मजबूत होंगी, जिससे वह बिना सहारे चलना शुरू कर सकेगा। आपके लिए विशेष परामर्श (Clinical Advice): ••टॉयलेट ट्रेनिंग के लिए: बच्चे को एक निश्चित समय (जैसे सुबह उठने के बाद, खाने के आधे घंटे बाद) टॉयलेट सीट पर बैठाने की आदत डालें। चूंकि वह अभी संकेत नहीं दे पाता, इसलिए आपको टाइम-बेस्ड (Time-based) रूटीन बनाना होगा ताकि उसके रिफ्लेक्सिस (Reflexes) सक्रिय हों। ••आहार: बच्चे को पोषण से भरपूर, सुपाच्य और वात-शामक भोजन दें। भोजन में गाय का घी, बादाम का तेल, और दूध शामिल करें। जंक फूड और ठंडी चीजों से पूरी तरह परहेज करें। ••एक बार पुनः जांच: चूंकि पिछली एमआरआई 5 साल पहले (1 वर्ष की आयु में) हुई थी, इसलिए न्यूरोलॉजिस्ट की सलाह पर एक बार तुलनात्मक एमआरआई (Repeat MRI) और EEG कराने पर विचार कर सकते हैं, ताकि मस्तिष्क के वर्तमान माइलिनेशन (Myelination) की स्थिति का सटीक पता चल सके।


2 replies
Client_6491e0
Client
20 days ago

आपकी सलाह के लिए हृदय से सादर आभार। आपकी सलाह से निराश मन मे कुछ उम्मीद जगी है। पुनः कोटि कोटि धन्यवाद

Aap agar mera jawab aacha laga to aap is question ko close kar sakte ha…aur mujko review kar sakte ha…aur agar aap mere jawab se happy huay to kuch gratitude de sakte hai… Aapki life and you baby life happy rahe…✨✨

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