V po\u0159adu Sama doma dnes nebude chyb\u011bt t\u00e9ma klinick\u00e1 logopedie a budeme se v\u011bnovat tentokr\u00e1t d\u011btem ve v\u011bku 6-10 let, my jsme moc r\u00e1di, \u017ee m\u016f\u017eeme ve studiu p\u0159iv\u00edtat klinickou logopedku pan\u00ed Dr. Blanku Gruberovou.
\u010cT1<\/p>\n\n\n\n
Pan\u00ed doktorko, dnes bychom se m\u011bli dostat k ni\u017e\u0161\u00edmu \u0161koln\u00edmu v\u011bku, to znamen\u00e1 k d\u011btem mezi \u0161esti a 10 lety, s jak\u00fdmi obt\u00ed\u017eemi u t\u011bchto d\u011bt\u00ed se ve sv\u00e9 ordinaci nej\u010dast\u011bji setk\u00e1v\u00e1te.
mluv\u010d\u00ed 2,
Tak v podstat\u011b na prvn\u00ed pohled nebo respektive na prvn\u00ed poslech je jedna z t\u011bch nej\u010dast\u011bj\u0161\u00edch poruch pr\u00e1v\u011b dyslalie, co\u017e je naru\u0161en\u00e1 v\u00fdslovnost jedn\u00e9 nebo v\u00edce hl\u00e1sek, p\u0159i\u010dem\u017e ty ostatn\u00ed hl\u00e1sky jsou v\u0161echny artikulov\u00e1ny spr\u00e1vn\u011b a doch\u00e1z\u00ed potom k situaci, kdy d\u00edt\u011b vlastn\u011b tu hl\u00e1sku nezvl\u00e1d\u00e1, to znamen\u00e1, \u017ee bu\u010fto j\u00ed vynech\u00e1. J\u00e1 bych jako p\u0159\u00edklad mohla typicky uv\u00e9st, \u017ee m\u00edsto t\u0159eba slova ruka \u0159ekne uka, anebo tu hl\u00e1sku vlastn\u011b nahrad\u00ed jinou, m\u00e9n\u011b artikula\u010dn\u011b n\u00e1ro\u010dnou hl\u00e1skou, tak\u017ee t\u0159eba m\u00edsto toho slova ruka \u0159ekne Luka, anebo tu hl\u00e1sku vlastn\u011b tvo\u0159\u00ed vadn\u011b na jin\u00e9m m\u00edst\u011b, jin\u00fdm zp\u016fsobem, ne\u017e by vlastn\u011b tu hl\u00e1sku tvo\u0159it norm\u00e1ln\u011b m\u011blo, tak\u017ee to d\u011b\u0165\u00e1tko t\u0159eba \u0159ekne m\u00edsto ruka \u0159ekne holka, \u017ee to vlastn\u011b tvo\u0159\u00ed m\u011bkk\u00fdm patrem jako p\u0159\u00edklad, nicm\u00e9n\u011b, a\u010dkoliv tohle to je vada, kter\u00e1 je tro\u0161i\u010dku, tro\u0161i\u010dku takovou t\u0159e\u0161\u0148kou na dortu pro klinickou logopedii, takov\u00e1to posledn\u00ed vada na kr\u00e1se, jak \u0159\u00edk\u00e1me, tak \u010dasto se st\u00e1v\u00e1 v praxi, \u017ee pr\u00e1v\u011b ta dis\u00e1lie nen\u00ed jedinou poruchou \u0159e\u010dov\u00e9 komunikace, kter\u00e1 u toho d\u00edt\u011bte vlastn\u011b je v tom klinick\u00e9m obraze, to znamen\u00e1, \u017ee p\u0159i dyslalii se p\u0159idr\u017euje je\u0161t\u011b dal\u0161\u00ed n\u011bjak\u00e1 jin\u00e1 \u0159e\u010dov\u00e1 porucha, co\u017e samoz\u0159ejm\u011b pro n\u00e1s tro\u0161i\u010dku p\u0159id\u00e1v\u00e1 takov\u00e9 probl\u00e9my, proto\u017ee pr\u00e1v\u011b jsou tam. Respektive Jazykov\u00e9 probl\u00e9my a \u010dasto je tam na pozad\u00ed t\u0159eba ta v\u00fdvojov\u00e1 dysf\u00e1zie, kter\u00e1 u\u017e byla mnohem nebo p\u0159ed t\u011bmi dv\u011bma dny zmi\u0148ovan\u00e1.
mluv\u010d\u00ed 3,
——————–
Pan\u00ed doktorko, my jsme si tady tak\u00e9 pov\u00eddali o rozd\u00edlu mezi klinick\u00fdm logopedem a takov\u00fdm t\u00edm \u0161koln\u00edm logopedem, tak m\u00e1m pocit, \u017ee zrovna tu dyslalii by mohl \u0159e\u0161it ten \u0161koln\u00ed logoped, ale je ten pr\u00e1v\u011b schopen odhalit, \u017ee zat\u00edm je n\u011bjak\u00fd v\u011bt\u0161\u00ed probl\u00e9m a ten potom u\u017e nasm\u011b\u0159ovat na toho klinick\u00e9ho logopeda.
mluv\u010d\u00ed 2,
——————–
Pr\u00e1v\u011b jsme tro\u0161ku skepti\u010dt\u00ed, to je to problematice, proto\u017ee ve\u0161ker\u00e9 logopedick\u00e9 krou\u017eky a r\u00e1doby logopedick\u00e9 aktivity, kter\u00e9 se vlastn\u011b po\u0159\u00e1daj\u00ed v r\u00e1mci r\u016fzn\u00fdch mate\u0159sk\u00fdch \u0161kol nebo z\u00e1kladn\u00edch \u0161kol, tak n\u00e1m pr\u00e1v\u011b p\u0159id\u011bl\u00e1vaj\u00ed pr\u00e1ci, proto\u017ee mnohdy vedou pouze k tomu, \u017ee se \u0159e\u0161\u00ed n\u011bjak\u00e1 terapie t\u00e9 dyslalie, jakoby t\u00e9 nejjednodu\u0161\u0161\u00ed \u0159e\u010dov\u00e9 vady, ale ta jazykov\u00e1 porucha, kter\u00e1 \u010dasto b\u00fdv\u00e1 na pozad\u00ed nebo porucha, t\u0159eba koktavost nebo breptavost nebo v\u0161echny mo\u017en\u00e9 z\u00e1va\u017en\u011bj\u0161\u00ed poruchy se t\u00edm vlastn\u011b skryj\u00ed. A k n\u00e1m se ty d\u011bti\u010dky dost\u00e1vaj\u00ed pozd\u011b a dost\u00e1vaj\u00ed se k n\u00e1m mnohdy, a\u017e kdy\u017e nastoup\u00ed do \u0161koly, n\u011bkdy a\u017e mnohem d\u00e9le a n\u011bkdy se k n\u00e1m nedostanou v\u016fbec. Je tro\u0161i\u010dku ne\u0161ikovn\u00e9, \u017ee prakticky jak\u00e1koliv \u010dinnost vede k tomu, \u017ee to d\u011b\u0165\u00e1tko se n\u011bjak tro\u0161ku rozv\u00edj\u00ed, ale to, \u017ee se mohlo rozv\u00edjet t\u0159eba l\u00e9pe, v\u00edce kvalitn\u011bji a \u017ee se mohlo p\u0159edej\u00edt mnoh\u00fdm obt\u00ed\u017e\u00edm, t\u0159eba poruch\u00e1m u\u010den\u00ed nebo dal\u0161\u00edmu, tak to u\u017e bohu\u017eel ty rodi\u010de jakoby nevid\u00ed a \u0159\u00edk\u00e1m, bu\u010fto to v\u016fbec nezjist\u00ed, anebo to zjist\u00ed prost\u011b pozd\u011bji, a\u017e kdy\u017e se to projev\u00ed p\u0159i zvl\u00e1d\u00e1n\u00ed toho trivia, co\u017e znamen\u00e1 p\u0159i tom zvl\u00e1dnut\u00ed \u010dten\u00ed, psan\u00ed, po\u010d\u00edt\u00e1n\u00ed a v\u016fbec pozd\u011bj\u0161\u00edm \u017eivot\u011b.
mluv\u010d\u00ed 1,
——————–
Kdy\u017e bych se vr\u00e1tila je\u0161t\u011b k t\u00e9 dysl\u00e1lii. Hroz\u00ed tak\u00e9 to, \u017ee kdy\u017e d\u00edt\u011b p\u0159irozen\u011b ned\u00e1v\u00e1 t\u0159eba jazyk na, do t\u00e9 spr\u00e1vn\u00e9 Polohy a \u0159\u00edk\u00e1 ty hl\u00e1sky \u0161patn\u011b a pak, kdy\u017e se je u\u010d\u00ed n\u011bjak\u00fdm zp\u016fsobem, sp\u00ed\u0161 laicky, \u017ee si zafixuje vlastn\u011b n\u011bjakou chybu, kter\u00e1 se potom h\u016f\u0159 odstra\u0148uje.
mluv\u010d\u00ed 2,
——————–
Ur\u010dit\u011b, j\u00e1 si mysl\u00edm, \u017ee v\u016fbec takov\u00e9 ty jako n\u00e1vody, co b\u00fdvaj\u00ed na internetu, p\u0159esn\u011b tak, p\u0159esn\u011b to jsem cht\u011bla zm\u00ednit, z m\u00e9ho pohledu, neb\u00fdvaj\u00ed \u00fapln\u011b vhodn\u00e9, proto\u017ee by\u0165 to t\u0159eba ten \u010dlov\u011bk, co to tam d\u00e1v\u00e1, mysl\u00ed v sebelep\u0161\u00ed v\u00ed\u0159e, tak po\u0159\u00e1d u\u017e je to, d\u00e1 se \u0159\u00edct, terapeutick\u00fd materi\u00e1ly, to terapeutick\u00fd zp\u016fsob, jak tu dyslalii \u0159e\u0161it a v p\u0159\u00edpad\u011b, \u017ee ty rodi\u010de to vlastn\u011b d\u011blaj\u00ed \u0161patn\u011b, tak tam nap\u00e1chaj\u00ed mnohem v\u011bt\u0161\u00ed \u0161kody, mnohdy vyvod\u00ed t\u0159eba tu hl\u00e1sku \u0161patn\u011b a m\u00edsto p\u016fl roku nebo roku, co by se to mohlo \u0159e\u0161it, tak to potom t\u0159eba \u0159e\u0161\u00edme 345 let, ne\u017e v\u016fbec se dostaneme k n\u011bjak\u00e9mu v\u00fdsledku.
mluv\u010d\u00ed 3,
——————–
Pan\u00ed doktorko. Po\u010det d\u011bt\u00ed se za posledn\u00edch 15 let z \u0161estin\u00e1sobil. Ty, co maj\u00ed n\u011bjakou vadu \u0159e\u010di nebo n\u011bjakou poruchu a velmi \u010dasto je to i d\u016fvod odsunut\u00ed t\u00e9 \u0161koln\u00ed doch\u00e1zky. B\u00fdv\u00e1 tomu skute\u010dn\u011b tak? A co je t\u00edm d\u016fvodem, pro\u010d se takhle zvedl po\u010det d\u011bt\u00ed, co maj\u00ed probl\u00e9my.
mluv\u010d\u00ed 2,
——————–
Samoz\u0159ejm\u011b po\u0159\u00e1d tedy ten po\u010det vad, vad \u0159e\u010di nar\u016fst\u00e1, nicm\u00e9n\u011b je to takov\u00fd po\u0159\u00e1d jako konstantn\u00ed n\u00e1r\u016fst. Nen\u00ed tam vylo\u017een\u011b n\u011bjak\u00fd skokov\u00fd, opravdu to nar\u016fst\u00e1 v r\u00e1mci t\u011bch desetilet\u00ed po\u0159\u00e1d plynule a je to teda probl\u00e9m v tom, \u017ee kdy\u017e si vezmete, my jsme se pod\u00edvali na to d\u011b\u0165\u00e1tko, tak bysme mohli tro\u0161ku p\u0159irovnat t\u0159eba k n\u011bjak\u00e9 mozaice nebo puzzly k pucl\u00edk\u016fm a ka\u017ed\u00fd ten d\u00edlek, co to vlastn\u011b to d\u011b\u0165\u00e1tko m\u00e1 nebo co ho tvo\u0159\u00ed, tak je jedine\u010dn\u00fd. A pokud tam doch\u00e1z\u00ed k n\u011bjak\u00e9mu naru\u0161en\u00ed, a\u0165 u\u017e je to genetika, a\u0165 u\u017e je to prost\u0159ed\u00ed, tak ten v\u00fdsledn\u00fd obraz potom nebude \u00fapln\u011b kompletn\u00ed a nedojde k tomu, \u017ee to bude zcela dokonal\u00e9.
mluv\u010d\u00ed 1,
——————–
A kdy\u017e se vr\u00e1t\u00edme k tomu n\u00e1stupu do \u0161koly, tak je to d\u016fvod vlastn\u011b k odkladu \u0161koln\u00ed doch\u00e1zky. N\u011bjak\u00e9 ty \u0159e\u010dov\u00e9 vady.
mluv\u010d\u00ed 2,
——————–
Ur\u010dit\u011b b\u00fdvaj\u00ed d\u016fvodem odkladu \u0161koln\u00ed doch\u00e1zky, nicm\u00e9n\u011b \u0159e\u010dov\u00e9 vady jako takov\u00e9 ani tolik ne, sp\u00ed\u0161e pr\u00e1v\u011b t\u0159eba to b\u00fdvaj\u00ed ty jazykov\u00e9 vady, my toti\u017e rozli\u0161ujeme \u0159e\u010d jako takovou a jazyk, kdy \u0159e\u010d je v podstat\u011b pohybov\u00fd v\u00fdkon, to je tohle, co j\u00e1 tady vytv\u00e1\u0159\u00edm t\u011bmi mluvidly, kde\u017eto jazyk, to je n\u011bjak\u00fd souhrn v\u00fdrazov\u00fdch prost\u0159edk\u016f, kter\u00fd jsme si vytvo\u0159ili pro n\u00e1s samoz\u0159ejm\u011b \u010desk\u00fd jazyk, a a\u010dkoliv \u0159e\u010dov\u00e9 obt\u00ed\u017ee hlub\u0161\u00edho r\u00e1zu samoz\u0159ejm\u011b m\u016f\u017eou b\u00fdt d\u016fvodem odkladu \u0161koln\u00ed doch\u00e1zky, tak problematick\u00e1 je pr\u00e1v\u011b t\u0159eba ta jazykov\u00e1 porucha.
mluv\u010d\u00ed 3,
——————–
Pan\u00ed doktorko, n\u00e1s tak\u00e9 zaj\u00edm\u00e1, pov\u00eddali jsme si o tom s Ester ji\u017e p\u0159ed vys\u00edl\u00e1n\u00edm. Co kdy\u017e dojde u \u00fapln\u011b zdrav\u00e9ho d\u00edt\u011bte bu\u010f k \u00farazu, nebo k n\u011bjak\u00e9 traumatick\u00e9 situaci a ta pr\u00e1v\u011b zp\u016fsob\u00ed, \u017ee najednou vznikne ta vada \u0159e\u010di, kter\u00e1 tam p\u0159edt\u00edm nebyla, m\u016f\u017ee to b\u00fdt kokt\u00e1n\u00ed, zadrh\u00e1v\u00e1n\u00ed, anebo naopak to d\u00edt\u011b nemluv\u00ed. Je to ten moment, kdy mus\u00ed b\u00fdt povol\u00e1n d\u011btsk\u00fd psycholog, nebo jak se to \u0159e\u0161\u00ed.
mluv\u010d\u00ed 2,
——————–
Samoz\u0159ejm\u011b, \u017ee \u010d\u00edm d\u0159\u00edve se za\u010dne, t\u00edm l\u00e9pe. Ide\u00e1ln\u00ed je v tomto p\u0159\u00edpad\u011b spolupr\u00e1ce neurologa, klinick\u00e9ho logopeda, p\u0159\u00edpadn\u011b i klinick\u00e9ho psychologa, p\u0159\u00edpadn\u011b dal\u0161\u00edch, v p\u0159\u00edpad\u011b t\u0159eba n\u00e1hle vznikl\u00e9ho mutismu, tak i psychiatra a dal\u0161\u00edch odborn\u00edk\u016f. P\u0159esn\u011b tak. To se tady tak\u00e9, mysl\u00edm, zmi\u0148oval v\u010dera, tak\u017ee ur\u010dit\u011b je tam pot\u0159eba t\u00e9 t\u00fdmov\u00e9 spolupr\u00e1ce.
mluv\u010d\u00ed 1,
——————–
Kdy\u017e opravdu \u0159e\u010d, kter\u00e1 se vyv\u00edj\u00ed plynule, v po\u0159\u00e1dku se najednou zadrhne nebo se zastav\u00ed ten v\u00fdvoj nebo se \u00fapln\u011b p\u0159eru\u0161\u00ed. Dovedu si p\u0159edstavit, \u017ee to rodi\u010de asi hodn\u011b vyd\u011bs\u00ed.
mluv\u010d\u00ed 2,
——————–
Ur\u010dit\u011b, j\u00e1 si mysl\u00edm, \u017ee jak\u00fdkoliv takov\u00fdto miln\u00edk rodi\u010de velmi vystra\u0161\u00ed a m\u016f\u017ee to zna\u010dit mnoh\u00e9, m\u016f\u017ee to opravdu zna\u010dit mnoh\u00e9. V\u017edycky je pot\u0159eba \u0159\u00e1dn\u00e1 diagnostika zjistit p\u0159\u00ed\u010dinu toho, pro\u010d se to vlastn\u011b stalo, proto\u017ee logopedie je velice \u0161irok\u00e9 t\u00e9ma a t\u011bch poruch \u0159e\u010dov\u00e9 komunikace je opravdu cel\u00e9 obrovsk\u00e9 mno\u017estv\u00ed, tak\u017ee nejde to shrnout jakoby jednodu\u0161e \u0159\u00edct, co tam vlastn\u011b se stalo, co tam bylo, ale opravdu \u0159\u00e1dn\u011b diagnosticky vy\u0161et\u0159it a na tom teprve pot\u00e9 stav\u011bt, p\u0159\u00edpadnou terapii, zkonzultovat, kdy ten logoped by vlastn\u011b m\u011bl p\u016fsobit jako jak\u00fdsi koordin\u00e1tor t\u00e9 p\u00e9\u010de a m\u011bl by vlastn\u011b spolu pracovat s t\u011bmi dal\u0161\u00edmi, dal\u0161\u00edmi odborn\u00edky.
mluv\u010d\u00ed 3,
——————–
Pan\u00ed doktorko, my moc d\u011bkujeme, v\u011b\u0159\u00edm, \u017ee div\u00e1ci maj\u00ed spoustu dotaz\u016f, tak\u017ee v\u00e1s po\u017e\u00e1d\u00e1me, abyste jim odpov\u00eddala a my se budeme t\u011b\u0161it na dal\u0161\u00ed vstup. D\u00edky<\/p>\n","protected":false},"excerpt":{"rendered":"
V po\u0159adu Sama doma dnes nebude chyb\u011bt t\u00e9ma klinick\u00e1 logopedie a budeme se v\u011bnovat tentokr\u00e1t d\u011btem ve v\u011bku 6-10 let, my jsme moc r\u00e1di, \u017ee […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27787,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-41919","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41919","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=41919"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41919\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27787"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41919"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41919"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}