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fof'k"V f'k{kk



                  uksV          ckj&ckj iwNrk gS fd] ¶vkius D;k dgk¸A vxj vki ckj&ckj ,slk eglwl djrs gSa rks mldh vksj è;ku nsuk
                                cgqr t:jh gSA
                                vxj ,sls laosQr cPps esa ekStwn gSa] rc cPps dh rjiQ Hkyh&Hkk¡fr è;ku] nhft;s] gks ldrk gS fd cPps dks Jo.knks"k
                                gksA cPps dh Jo.k'kfDr dks Jo.knks"k fo'ks"kK dh enn ls tk¡p djok,¡ vkSj mudh lykg osQ vuqlkj cPps dh
                                lgk;rk djsaA





                                                 ok;ys us NksVs ckydksa osQ fy, ,d ekiuh fodflr dh] ftldha lgk;rk ls Jo.k
                                                 ckfèkr ckydksa dh igpku dj leL;k dk funku dj fn;k tkrk gSA


                                11-2 ok.kh ,oa Jo.k ckfèkrk osQ dkj.k  (Causes of Speech and Hearning
                                     Impaired)


                                11-2-1 ok.kh ckfèkr osQ dkj.k  (Etiology or Causes of Speech Impaired Children)
                                ok.kh ckfèkr ckydksa dk ,d dkj.k ugh gksrk vfirq vusd dkj.k gksrs gSa tSlsµoa'kkuqozQe] ukM+h laLFkku dk nks"k]
                                'kkjhfjd vlkekU;rk] ok.kh ;U=kksa dk nks"k vkSj nsjh ls fodkl gksuk] lkaLo`Qfrd vkSj lkekftd okrkoj.k dk izHkko
                                gksrk gS fof'k"V dkj.kksa dk mYys[k budh fo'ks"krkvksa esa fd;k x;k gSA
                                ok.kh ckfèkr ckydksa osQ eq[; dkj.k bl izdkj gSaµ
                                 (1)  tSfod dkj.k ;k vaxksa osQ nks"k osQ dkj.k (Organic Causes)

                                 (2)  O;kogkfjd rFkk dk;Z dkj.k (Functional Causes)
                                 (3)  eukstSfod dkj.k  (Psychorgenic Causes)
                                 (4)  euksoSKkfud dkj.k  (Psychological Causes)
                                 (5)  lquus dh {kerk osQ âkl osQ dkj.k (Loss of Hearning)

                                 (6)  lkekftd okrkoj.k dk izHkko (Social Influence) rFkk
                                 (7)  ekufld vk?kkr osQ dkj.k ;k ekufld vk?kkr (Cerebral Palsy)
                                (1) tSfod dkj.k (Organic Causes)µ tSfod nks"k dbZ izdkj osQ gksrs gSa tks ok.kh nks"k mRiUu djrs gSaµrkyq
                                      esa vlkekU;rk] nk¡rksa esa vfu;ferk dk nks"k] iQkfyt iM+uk thHk esa vlkekU;rk dk gksukA blosQ vfrfjDr
                                      tcM+ksa rFkk gksBksa esa vlkekU;rk dk gksukA Loj lacUèkh vaxkas esa nks"k gksus ls cksyus esa dfBukbZ gksrh gSA
                                (2) O;ogkfjd ;k dk;Z djus osQ nks"k dk dkj.k (Functional Causes)µ oqQN ckydksa dks ok.kh vaxksa
                                      esa dksbZ nks"k ugha gksrk ijUrq cksyus rFkk Loj esa nks"k gksrk gSA ;g nks"k vius cM+ksa osQ rFkk lkfFk;ksa osQ vuqdj.k
                                      ls vk tkrk gSA ;g lR; gS fd ge cksyuk lqudj rFkk vuqdj.k djosQ gh lh[krs gSaA vr% ekrk&firk
                                      rFkk f'k{kdksa dks 'kCnksa dk lgh mPpkj.k djuk pkfg,A
                                (3) eukstSfod dkj.k (Psychorgenic Causes)µ 'kksèk vè;;uksa }kjk ;g fu"d"kZ izkIr gq, fd ok.kh ckfèkrk
                                      dk dkj.k eukstSfod Hkh gksrk gSA tc ok.kh nks"k dk dkj.k tSfod rFkk O;kogkfjd ekrk&firk ?kj osQ
                                      okrkoj.k osQ dkj.k ok.kh ckf/r gksrs gSaA ?kj osQ vUnj cksyus dh Hkk"kk 'kq¼ ugha gksrh rFkk mPpkj.k v'kq¼
                                      gksrk gSA ckyd blh izdkj dh Hkk"kk cksyus dk vuqdj.k dj ysrk gSA ;g nks"k vlek;kstu osQ dkj.k Hkh
                                      vk tkrk gSA ekrk&firk osQ vokafNr O;ogkj Hkh ok.kh nks"k osQ dkj.k gksrs gSaA ifjokj osQ lnL;ksa dks 'kCnksa
                                      dk lgh mPpkj.k djuk pkfg,A


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