Let Liver Live Longer

विश्व यकृत दिवस १९ अप्रैल: World Liver Day 19 April

world liver day
world liver day

 

Liver is the largest glandular reddish brown organ located underneath a person’s diaphragm, in the right side of the abdominal cavity with weigh of approximately 1.5 k gs in a normal healthy adult.It consist of  is four lobes: each of the lobes are a different size and shape.

मानव शरीर में दायें भाग में रिब्स के निचली ओऱ पीछे स्थित यकृत (लिवर) लाल भूरे रंग का सबसे बड़ा अंग (अर्थात १.५ किलोग्राम भार) का होता है . मानव शरीर में यकृत अत्यधिक महत्वपूर्ण एवं प्रभावशाली अंग है जो की विभिन्न प्रकार की शारीरिक फिजियोलॉजी और बॉडी फंक्शन में जरुरी भूमिका अदा करता है .

Liver is responsible for  many vital functions in then body, which are:

  • filtering the blood
  • processing cholesterol
  • metabolizing toxins and
  • aiding digestion
  • produces cholesterol, urea and substances that break down fats
  • regulates and maintains the level of glucose in the blood
  • converts glucose into glycogen
  • acts as a storage device, holding vitamins A, D, K and B12
  • removes toxic substances like alcohol and drugs  from the blood.
food for healthy liver
food for healthy liver

यकृत के प्रमुख फंक्शन इस प्रकार है :

रक्त को प्यूरीफाई करना (शुद्ध करना)

बाइल साल्ट्स बनाकर वसा को रक्त में समाहित करना

ग्लूकोस (रक्त शर्करा ) को ग्लाइकोजन में परिवर्तित करके संग्रहण करना

बॉडी प्रोटीन और नाइट्रोजन लेवल को नियंत्रित करना

विटामिन A D K और B12 का संग्रहण करना

रक्त में से हानिकारक पदार्थ जैसे मदिरा (अल्कोहल), टॉक्सिन्स आदि को फ़िल्टर करना

पाचन क्रिया को सरल करना

शरीर के मेटाबोलिज्म को स्थिर रखना

ब्लड क्लॉटिंग फैक्टर्स का निर्माण करना

रक्त में लौह का निर्माण एवं संग्रहण करना

शरीर में मौजूद बेकार पदार्थों को यूरिया में परिवर्तित कर मूत्र द्वारा बहार निकालना

औषधियों (मेडिसिन) को मेटाबोलायेज़ कर उसे टारगेट ऑर्गन तक पहुँचाना

 

Signs and symptoms of liver disease include:

Skin and eyes that appear yellowish (jaundice)

 Abdominal pain and swelling

 Swelling in the legs and ankles

 Itchy skin

 Dark urine color

 Pale/ bloody or tar-colored stool

 Chronic fatigue

 Nausea or vomiting

 Easy bleeding

Chills

Fluid in the abdominal cavity

Emergence of spider-like blood vessels on the skin

Enlarged spleen and gallbladder

Bone loss

Weakness

Loss of appetite

stages of liver damage
stages of liver damage

यकृत सम्बन्धी विकारो के लक्षण :

आँखों एवं त्वचा का रंग पीला पड़ना

पेट में दर्द/मरोड़

पेट में सूजन

पैरो / पंजो में दर्द /सूजन

common symptoms of liver disorder
common symptoms of liver disorder

त्वचा पर खुजली होना

पेशाब का रंग गहरा पीला होना

मल का रंग गहरा होना

अत्यधिक थकान का अनुभव होना

जी मचलाना या उल्टी होना

    Be careful about these signs and symptoms…

 

…and Let Your Liver Live Longer…

 

Dr. P Pathak

 

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The Rare Inheritance : World Hemophilia Day

विश्व हीमोफिलिया जागरूकता दिवस १७ अप्रैल

World Hemophilia Day 17 April
World Hemophilia Day 17 April

World Hemophilia Day is observed on 17 th April to raise the awareness of hemophilia and other bleeding disorders.

हीमोफिलिया एक अनुवांशिक विकार है जिसमे पीड़ित व्यक्ति को किसी प्रकार की चोट लग जाने पर अधिक देर तक रक्तस्त्राव होता है . हीमोफिलिया से ग्रस्त व्यक्ति के शरीर में क्लॉटिंग फैक्टर्स ( जो रक्त-वाहिकाओं पर किसी प्रकार की चोट लगने पर रक्तस्त्राव को बंद कर देते है ) की कमी होती है, अतः इन व्यक्तियों में अधिक देर तक रक्त का बहना जारी रहता है .

Haemophilia is a group of hereditary genetic disorders that impair the body’s ability to control blood clotting or coagulation, which is used to stop bleeding when a blood vessel is broken.

Hemophilia is a bleeding problem and the people with hemophilia can bleed for a longer time as their blood does not have enough clotting factor, a protein in blood that controls bleeding.

Hemophilia is usually inherited, the hemophilia gene is passed down from parent to a child. The genes for hemophilia A and B are on the X chromosome. For this reason, hemophilia is called an X-linked (or sex-linked) disorder. Girls who inherit the gene rarely get the condition, but as carriers of the gene they can pass it to their children.

हीमोफिलिया A और B से पीड़ित व्यक्ति के अल्टेर्ड जीन्स x क्रोमोसोम्स पर होते है, जिसके कारण हे इसे X – लिंक्ड डिसऑर्डर भी कहा जाता है.

Sometimes hemophilia can occur when there is no family history of it. This is called sporadichemophilia. About 30% of people with hemophilia did not get it through their parent’s genes. It was caused by a change in the person’s own genes.

हीमोफिलिया से पीड़ित स्त्रियों में इसके लक्षण नहीं दिखाई देते है बल्कि वे सिर्फ एक करियर के रूप में अपनी संतान को इसके जीन्स ट्रांसफर करती है.

 

mechanism in hemophilia (pic: web)
mechanism in hemophilia (pic: web)

According to its Severity, Hemophilia can be classified into:

1. Mild:

People with mild hemophilia usually bleed only as a result of surgery or major injury. They do not bleed often and, in fact, may never have a bleeding problem.

2. Moderate:

People with moderate hemophilia bleed less frequently, about once a month. They may bleed for a long time after surgery, a bad injury, or dental work but  rarely experience spontaneous bleeding.

3. Severe:

People with severe hemophilia usually bleed frequently into their muscles or joints. They may bleed one to two times per week. Bleeding is often spontaneous and  it happens for no obvious reason.

Signs and Symptoms of External Bleeding:

 * Bleeding in the mouth from a cut or bite or from cutting or losing a     tooth
* Nosebleeds for no obvious reason
* Heavy bleeding from a minor cut
* Bleeding from a cut that resumes after stopping for a short time

हीमोफिलिया के लक्षण :

* बाह्य रक्तस्त्राव :

* बिना वजह नाक से खून आना

* दांत टूटने पर अधिक मात्रा में रक्त बहना

* छोटी चोट अथवा कट पर भी अधिक मात्रा में और देर तक रक्तस्त्राव होना

*किसी चोट अथवा कट लगने पर एक बार रखत्स्त्राव बंद हो जाने के कुछ

समय बाद फिर से ब्लीडिंग होना

signs to look out in hemophilia (pic:web)
signs to look out in hemophilia (pic:web)

Signs and Symptoms of Internal Bleeding:

 Blood in the urine

 Blood in the stool

 Large bruises

 Bleeding in the knees, elbows or around other joints

 Swollen and Painful Joints

अंदरूनी रक्तस्त्राव :

* मूत्र / पेशाब में खून आना

*मल में रक्त आना

*जोड़ों ( घुटने, कोहनी ) पर बिना किसी प्रकार की चोट के लाल या नीले निशान पड़ना

*जोड़ों में सूजन और दर्द

Medical Management:

For both types of Hemophilia, getting quick treatment for bleeding is of utmost important. Early treatment can limit damage to the organs of the body.

 

1.Treatment With Replacement Therapy

The main treatment for hemophilia is called replacement therapy. Concentrates of clotting factor VIII (for hemophilia A) or clotting factor IX (for hemophilia B) are slowly dripped or injected into a vein. These infusions help replace the clotting factor that’s missing or low.

Factor replacement therapy helps blood to clot and prevents long-term joint damage due to bleeding. It can be given while a bleeding episode is happening to promote clotting, or in regularly scheduled treatments to keep the blood healthy.

2. Desmopressin

hemophilia can be managed
hemophilia can be managed

It is a man-made hormone used to treat people who have mild hemophilia A.

 

3. Antifibrinolytic medicines

 

4. Pain medicines along with  steroids

 

5. Physical therapy may be used to reduce pain and     swelling in an affected joint

 

6. Gene Therapy

 

Don’t Forget to look out for above mentioned signs and symptoms..

Remember that the Earlier the Diagnosis, the Better will be Prognosis…

So, Keep Your Spirits High and Never Give Up…

 

Dr. P Pathak
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The Deep Impression: Childhood Depression

डिप्रेशन इन चिल्ड्रन : अवसाद और उसके लक्षण

Depression is a state of low mood and aversion to activity.

childhood depression
childhood depression

Depression in childhood  is similar to adult major depressive disorder and  exhibit increased irritability or aggressive and self-destructive behavior, rather than  sadness associated with adult forms of depression.

Children who are under stress, experience loss, or have attention, learning, behavioral, or anxiety disorders are at a higher risk for depression.

Causes of Depression:

1. Depression usually isn’t caused by one event or reason, but is usually the result of several factors. Causes vary from person to person.

2. Depression in children can be caused by any combination of factors that relate to physical health, life events, family history, environment, genetic vulnerability and biochemical disturbance.

3. Depression can be caused by lowered levels of neurotransmitters.

4. Genetics: someone with a close relative who has depression may be more likely to experience it.

5. Chronic illness can contribute to depression, as can the side effects of certain medicines or infections

डिप्रेशन या अवसाद बच्चो में भी होता है, इस समस्या से पीड़ित बच्चे में निम्लिखित लक्षण दिखाई देते है :

१. बच्चे के दैनिक क्रियाओ में परिवर्तन आना
२. सामाजिक मेल-जोल की कमी होना
३. दोस्तों से कम बात करना
४. ज्यादातर समय अकेले गुमसुम होकर बैठे रहना
५. भूख कम लगना या फिर बहुत ज़्यादा खाना
६. किसी भी काम में मन नहीं लगना
७. पढाई में पिछड़ना

depression
depression

८. निराशावादी बातें करना
९. बात बात में रोना
१०. बहुत कम बोलना
११. खेल और अन्य मनोरंजक गतिविधियों में रूचि कम होना
१२. आत्मविश्वास में कमी होना
१३. नकारात्मक बातें करना
१४. ध्यान केंद्रित नहीं कर पाना
१५. व्यव्हार में चिड़चिड़ापन, गुस्सा या घबराहट होना
१६. नींद में कमी होना या फिर ज़्यादा देर तक सोना
१७. हमेशा थका हुआ प्रतीत होना
१८. रिस्क लेने वाले काम करना
१९. मृत्यु सम्बन्धी बातें करना

Symptoms:

When a depressive state, or mood, lingers for a long time — weeks, months, or even longer — and limits a person’s ability to function normally, it can be diagnosed as depression.

Symptoms of Depression must be present for longer than 2 weeks:

• feelings of hopelessness
• low self-esteem
• sleeping too much or being unable to sleep
• extreme fatigue
• difficulty concentrating
• lack of appetite or overeating

dep8
depression in children

 

 

• a feeling of being down in the dumps or really sad for no reason
• a lack of energy, feeling unable to do the simplest task
• an inability to enjoy the things that used to bring pleasure
• a lack of desire to be with friends or family members
• feelings of irritability (especially common in kids and teens), anger, or anxiety
• an inability to concentrate
• a marked weight gain or loss (or failure to gain weight as expected), and too little or too much interest in eating
• a significant change in sleep habits, such as trouble falling asleep or getting up
• feelings of guilt or worthlessness
• aches and pains even though nothing is physically wrong
• a lack of caring about what happens in the future
• frequent thoughts about death or suicide

 

Types of depression in children :

1. major depression

2. dysthymia

3. adjustment disorder with depressed mood

4. seasonal affective disorder

5. bipolar disorder or manic depression

Treatment:

1. Pharmacological Intervention

Antidepressants:

Several classes of antidepressants, including selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), heterocyclics (eg, amoxapine, maprotiline), monoamine oxidase inhibitors (MAOIs), bupropion, venlafaxine, and nefazodone, have been used in the treatment of depression.
Selective serotonin reuptake inhibitors (SSRIs)

These are a relatively new group of medicines used to treat emotional and behavioral problems, including depression, panic disorder, obsessive-compulsive disorder, bulimia, and posttraumatic stress disorder in adults. These medications are beginning to be used to treat the same problems in children and adolescents. Serotonin is a chemical that exists naturally in the brain. The SSRIs increase brain serotonin to reference range levels.

SSRIs include, but are not limited to, the following medications: fluoxetine, paroxetine, sertraline, citalopram, and fluvoxamine.
2. Cognitive-behavioral therapy

CBT is a type of talk therapy that has been scientifically shown to be effective in treating anxiety disorders. CBT teaches skills and techniques to child  to reduce  anxiety.
3. Acceptance and commitment therapy

ACT uses strategies of acceptance and mindfulness (living in the moment and experiencing things without judgment) as a way to cope with unwanted thoughts, feelings, and sensations.
4. Dialectical behavioral therapy

DBT emphasizes taking responsibility for one’s problems and helps children examine how they deal with conflict and intense negative emotions.

5. Psychotherapies eg, individual, family, group therapies

6.Social skills training

7. Educational assessment and planning

 

Depression is not a sign of weakness. Any person at one or the other time in his/her life will feel low.

Depression can be cured completely.

depression can be cured
depression can be cured

 

All it needs is your love, support, care and understanding.

Let’s Beat It…

 

Dr. P Pathak

 

 

 

विश्व स्वास्थ्य दिवस : Food Safety from Farm to Plate

Safe food is everyone's right
Safe food is everyone’s right

World Health Day  is celebrated  all across the world  on 7th of April. This day is particularly observed to raise the awareness regarding issues related to health.

विश्व स्वास्थ्य दिवस ७ अप्रैल को सम्पूर्ण विश्व में आयोजित किया जाता है,जिसका उद्देश्य जन सामान्य में स्वास्थ्य समन्धित समस्याओं का प्रचार-प्रसार करना और उनसे बचाव के उपाय  बताना होता है.

Under the guidance of World Health Organization, various events and health awareness programs are organized in different parts of the world in order to draw the mass people attention towards the importance of global health.

[box type=”info”] This year’s theme is “Food Safety: From Farm to Plate, Make Food Safe”[/box]

इस वर्ष की थीम खाद्य पदार्थ की सुरक्षा को लेकर है.
This theme emphasized on 5 major points , which are:

  • Key 1: Keep clean
  • Key 2: Separate raw and cooked food
  • Key 3: Cook food thoroughly
  • Key 4: Keep food at safe temperatures
  • Key 5: Use safe water and raw materials

 Food Safety measures, pic cour:web

Food Safety measures, pic cour:web

Food safety is a shared responsibility. It is important to work all along the food production chain – from farmers and manufacturers to vendors and consumers.

Unsafe food is linked to the deaths of an estimated 2 million people annually – including many children.

Food containing harmful bacteria, viruses, parasites or chemical substances is responsible for more than 200 diseases, ranging from diarrhoea to cancers.

food safety measures
food safety measures

New threats to food safety are constantly emerging. Changes in food production, distribution and consumption; changes to the environment; new and emerging pathogens; antimicrobial resistance – all pose challenges to national food safety systems.

Increases in travel and trade enhance the likelihood that contamination can spread internationally.Remember that food safety is a collective responsibility and accessing hygienic food is right of every individual.

eat healthy, stay well
eat healthy, stay well

Don’t Forget to Wash Your Hand thoroughly Every-time Before and After Eating Food…

Eat Healthy, Stay Well…

Cheers to Good Health!!

Regards

Dr. P Pathak

www.facebook.com/swavalambanchildrenrehab

Cerebral Palsy: Understanding Early Signs and Classification

सेरेब्रल पाल्सी

typical posture of a CP child
typical posture of a CP child

सेरेब्रल पाल्सी अथवा प्रामस्तिष्क घात मुख्यतः मस्तिष्क पर किसी प्रकार की चोट अथवा असामान्य विकार की वजह से शिशुओ मे होती है . यह एक नॉन प्रोग्रेसिव डिसॉर्डर है जिसमे मस्तिष्क का जो भाग शतिग्रस्त हुआ है वह समय के साथ वैसा हे रहता है एवम आगे उसका षरन नही होता है.
भारत मे एक हज़ार लाईव बर्थ मे से ३ % शिशुओ मे c.P होता है और संपूर्ण भारत मे २५ लाख से ज़्यादा CP मामले वर्तमान समय मे है.

कारण :

risk factors of cerebral palsy
risk factors of cerebral palsy

१. मस्तिष्क पर चोट मुख्य कारण होता है , जो की गर्भावस्था के समय किसी प्रकार का इन्फेक्षन, इंजुरी, टुक्सिमिया की वजह से होता है

cerebral palsy brain
cerebral palsy brain

२. प्रिमेचयोर बेबी जिनका जन्म ७ माह मे हो गया हो
३. लो-बर्थ वेट जन्म के समय वजन कम हिना (७००-८०० ग्राम)
४. जन्म के समय बर्थ ऐसफाईजिया होना अर्थात मस्तिष्क मे पर्याप्त ऑक्सिजन नही पहुचना

lobes of brain affected in cerebral palsy
lobes of brain affected in cerebral palsy

५. माता का रुबेला या टॉक्सिक-प्लसमोसिस से ग्रस्त होना
६. शिशु के जन्म से लेकर २ वर्ष तक की अवधि मे बॅक्टीरियल मेनिंजाइटिस या वायरल इंसेफालिटीस का इन्फेक्षन

सेरेब्रल पाल्सी के लक्षण:

१. सेरेब्रल पाल्सी से पीड़ित शिशु का शारीरिक विकास सामान्य बच्चो की अपेक्षा विलंब से होता है
२. ६ माह की आयु तक सोशल स्माइल नही देते
३. ध्वनि के प्रति प्रतिक्रिया व्यक्त नही करते CP child
४. ८ माह के होने पर भी सिर और गर्दन नही संभाल पाते
५. हाथों और पैरो की मांसपेशिया अत्यधिक कड़क अथवा ढीली होती है
६. हाथों की मुट्ठी कसी हुई रहती है
७. हाथों की पकड़ कमजोर होती है
८. १२ माह का होने पर भी बच्चा स्वयं अपने शरीर का संतुलन नही बना पता
९. रीढ़ की हड्डी आगे की और झुकी हुई होती है, बच्चा आगे की और झुककर बैठता है
१०. पैर तिरछे प्रतीत होते है

foot in CP
foot in CP

११. बच्चा क्रॉस-लेग या सिसर पॅटर्न मे खड़ा होता है (पैरो मे कैची डालकर)
१२. बच्चा अपनी एडी उठाकर चलता है
१३. बच्चे के मूह से लार गिरती रहती है
१४. बच्चा ठीक से भोजन नही चबा पाता है
१५. बच्चा ठीक से बोल नही पता है
१६. बच्चे का मानसिक विकास भी विलंब होता है

सेरेब्रल पाल्सी के प्रकार:

classification of CP
classification of CP

१. स्पास्टिक टाइप:
– ७० – ८० % केस इस प्रकार के होते हैं
– इन बच्चो की मसल टोन हाइ (ज़्यादा) होती है
– गर्दन, हाथ और पैरो की मांसपेशियाँ अत्यधिक कड़क होती है
– शरीर मे झटकेदार मूव्मेंट होता है
– पैरो के पंजे अंदर की और मुड़े हुए होते हैं

स्पास्टिक केस के विभिन्न प्रकार होते है –

spastic CP
spastic CP: source slideshare

* डाइ-प्लेजिया : ३०- ४०% बच्चो मे शरीर का निचला भाग (पेर) उपरी भाग से ज़्यादा प्रभावित होते है
* हेमी-प्लेजिया : २० – ३०% बच्चो के शरीर का दाँया या बाँया भाग प्रभावित होता है
* क्वाडरी- प्लेजिया : १० – १५ % बच्चो मे दोनो हाथ और पेर समान रूप से प्रभावित होते है
* मोनो- प्लेजिया : ५ % बच्चो मे दाँये या बाँया भाग के कोई भी एक हाथ या पेर प्रभावित होते है
२.  नान-स्पास्टिक टाइप

– २० -३० % बच्चो मे शरीर की मसल टोन फ़्लाक्चुएटिंग होती है यानी शरीर कभी ज़्यादा कड़क तो कभी बेहद ढीला महसूस होता है
– मूव्मेंट फास्ट और रिथमिc होता है

३. नान- स्पास्टिक टाइप के प्रकार:

ataxic cerebral palsy
ataxic cerebral palsy

* एटेक्सिया : ५ -१० % बच्चो मे , बच्चा पेर चौड़े कर चलता है, चलते समय बार बार गिर जाना, शारीरिक असंतुलन , स्थिरता का अभाव , हाथों मे कमज़ोर पकड़, लिखने मे परेशानी

athetoid/ dyskinetic CP: source slideshare
athetoid/ dyskinetic cp

* डिसकिनिटिक : १० -१५ % केस मे बच्चो मे असमान्य पोश्चर , अनेच्छिक गति, बच्चा स्वयं के शरीर को नियंत्रित नहीं कर पाता

 

Be careful about these early signs and symptoms….

Awareness can save many lives…

Dr. P Pathak

facebook.com/swavalambanchildrenrehab

in.linkedin.com/swavalamban

Signs and Signals: the mystery of autism

Autism is a complex disorder whose core aspects have distinct causes that often co-occur.It is the result of a neurological disorder that changes the way the brain functions — causing delays or problems in many different skills from infancy to adulthood.

unlocking the mystery of autism
unlocking the mystery of autism

Causes of Autism:

What are the exact causes that leads to Autism are still unclear and is  not well understood, but some factors are supposed to be responsible , which are listed below:

1. genetic causes that are highly heritable but not inherited

2.synaptic dysfunction

3. some rare mutations

4. teratogens i.e. agents that cause birth defects

5. other environmental causes include certain foods, infectious disease, heavy metals, solvents, diesel exhaust, PCBs, phthalates and phenols used inplastic products, pesticides, brominated flame retardants, alcohol, smoking.

brain in autism
brain in autism

 

Autism’s symptoms result from maturation-related changes in various systems of the brain. Its mechanism can be understood by studying the pathophysiology of brain structures and processes associated with autism, and the neuropsychological linkages between brain structures and behavior.

Diagnosis

Diagnosis of Autism  is based on behavior exhibited by a child, and  not on the cause or mechanism.

All children with autism have problems with:

* Social Interaction – they way they relate to others
* Verbal and Nonverbal Communication
* Repetitive Behaviors or Interests

Onset must be prior to age three years, with delays or abnormal functioning in either social interaction, language as used in social communication, or symbolic or imaginative play.

Other Signs to look out for are as follows:

• No big smiles or other warm, joyful expressions by six months or thereafter
• No back-and-forth sharing of sounds, smiles or other facial expressions by nine months
• No babbling by 12 months
• No back-and-forth gestures such as pointing, showing, reaching or waving by 12 months
• No words by 16 months
• No meaningful, two-word phrases (not including imitating or repeating) by 24 months
• Any loss of speech, babbling or social skills at any age

As children with autism get older they often have unusual responses to sensory experiences, such as certain sounds or the way objects look. These symptoms can range from mild to severe – and will be different in different children.

Autistic children also tend to show some ‘typical‘ exhibitory behavior such as:

autism
autism

• Hand flapping
• Rocking back and forth

• Tapping ears
• Scratching

• Spinning in a circle
• Finger flicking
• Head banging
• Staring at lights
• Moving fingers in front of the eyes
• Snapping fingers

• Lining up toys
• Spinning objects

• Watching moving objects
• Flicking light switches on and off
• Repeating words or noises

 

As children with autism get older they often have unusual responses to sensory experiences, such as certain sounds or the way objects look. These symptoms can range from mild to severe – and will be different in different children.

areas of difficulty in autism
areas of difficulty in autism

As the child grows older, he or she may find it difficult to fit in social situations and these can be understood by noticing following signs:

• Appears disinterested or unaware of other people or what’s going on around them.

• Does not know how to connect with others, play, or make friends.

• Prefers not to be touched, held, or cuddled.

• Has trouble understanding or talking about feelings.

• Does not seem to hear when others talk to him or her.

• Does not share interests or achievements with others

• Does not  engage in group games, imitate others, or use toys in creative ways.

typical mannerism in autism
typical mannerism in autism

Children also face problem in daily communication skills and also find it difficult to interpret non-verbal cues.They used to:

• Avoids eye contact.
• Uses facial expressions that don’t match what he or she is saying.
• Does not understand other people’s facial expressions, tone of voice,and gestures.

• Does not points
• Reacts unusually, nay be over or under-sensitive to sights, smells, textures, and sounds
• Appears  clumsy, shows abnormal posture e.g. walking exclusively on tiptoe

Large number of children with autism are highly aware of and  painfully sensitive towards certain sounds, textures, tastes, and smells.

Some children find the feel of clothes touching their skin almost unbearable. Sounds of a vacuum cleaner, a ringing telephone, a sudden storm will cause these children to cover their ears and scream.

Many children with autism have some mental dysfunction. When tested, some areas of ability may be normal, while others may be especially weak.

So it is very important to have understanding regarding the typical signs which the children with Autism shows….

Always remember that these children will need your support, understanding and encouragement in every sphere of their lives…

Come..lets Care n Share…

Dr P Pathak

www.facebook.com/swavalamabnchildrenrehab

http://in.linkedin.com/in/swavalambanrehab