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Mental retardation girl who was adopted in recent years tied to the home 2006 07 24 09:33 big river - Dahehere to see all news photosNewspaper News of a sixteen-year-old Xuchang Daisha girl, old man tied her to be adopted in the house, cut off seven or eight years. Xuchang County of Yulin village government immediately after hearing the news of their rescue, and sent her to a hospital for medical treatment in Xuchang City.
Seven or eight years she has been tied to the door
July 23 morning, in Xuchang City Kin Hospital ward second ward by the corner of a bed, a girl is the hay from the mat on the Jiuxia sent to chew (pictured). "This is the girl." Second Ward, director Wang Chunmei says she Xuchang City this year, the management station to the hospital where rescue the first 28 patients, because the girl has no name, so the temporary staff called her "28."
Wang Chunmei, said the girl can not speak, not write, do not use chopsticks to eat with the clutch, easy solution when you do not know the clothes, I do not know trail toilet.
Xuchang county police station Zhangsuo Zhang Yulin said that on July 6, when police searched the tube Village, Xian Zhang told the villagers tied to a girl at home has been for many years. So the police in conjunction with the District of Yulin village girl rescued, sent to the rural homes for the elderly.
Police investigation that offer a single person Zhang, nearly 70 years, over the years by scavenging for a living. Zhang Xi


an said about 1992, he picked up in neighboring Park Village, a two-year-old girl. The little girl grows to a certain age, he used an iron chain tied to her door. He explained that often run around the little girl, picked up eat anything, for fear she get lost and scared when her risk of picking up something to eat, so put her tied up.
Zhangsuo Zhang said, police are investigating the matter, Xian Zhang is suspected of maltreatment behavior, but also requires further investigation and evidence collection.
July 22 morning, the reporter went to Zhang Xian home. Zhang Xian Village home in the western end of pipe, only three adobe tile, the door locked. Neighbors said Zhang Xian did not know where to go. Zhang Xian they know very little to do at home, do not know What is the name the girl, only know is when to retrieve the two-year-old, grow up to be a fool, seven or eight years old was tied up.
Villagers sympathetic to the girl at the same time, Zhang Xian also appreciate. They said a lonely old man is not easy to adopt a silly ni, tied her up and she was afraid of the lost, afraid of her eating pesticides.
Fortunately, she got by the multi-care assistance
Fan Yulin, director of Rural Home Chi said the book, adopted an abandoned child or other persons, adoptive parents must have adopted the conditions, but also by the civil affairs departments for approval. Zhang Xian's adoption behavior is clearly illegal adoptions.
"Five days to give her a bath to wash." Wei Qiu Yulin village nursing home branch president, said in the nursing home staff to take care of girl no less strenuous.
Because girls do not fit in the nursing home life, the evening of July 17, Xuchang City, Xuchang city, in conjunction with aid management station Jian hospital, nursing home the girl received from the Yulin village in Xuchang City Kin Hospital.
Xuchang city, Yan Yanling aid management station owners said that although the cost of treatment for children not yet in place, but they decided to give the child medical treatment. In order to take good care of the girl, save the management station to hire a close female care, responsible for the daily life of the girl's diet.
"The current Hospital is the free treatment." Wang CM said that the expert consultation on the girls after the initial diagnosis of "mental retardation", the current treatment is behavior modification training for her, taught her to use chopsticks when eating, to encourage her convenience the toilet, bit by bit to her training.
Dr. Xing Xiujuan clinical director, said patients like this, whether it is drug therapy, or behavior, language and other skills training, will be a long process. reporter Du Wenyu text / Chart

Basic overof mental retardation (mental retardation) refers to the individual before the mature (usually 18 years ago), because of mental retardation, mental retardation or obstruction, caused by the level of intellectual functioning was significantly lower than their peers, accompanied by social adjustment problems as the main feature of a syndrome. Intelligence quotient (IQ) below the population mean of 2.0 standard deviation (population average IQ as 100, a standard deviation of IQ is 15), the general IQ of 70 (or 75) the following is the intelligence was below average. Adaptive behavior, including individual life skills and fulfill their social responsibilities in two ways. Clinical manifestations of cognitive, language, emotional and social aspects will, in a mature and functional levels were significantly behind peers, and can be accompanied by some kind of mental or physical illness, or secondary to the latter. 1 There are two major aspects of pathogenesis of mental retardation causes: genetic factors; environmental factors. Genetic factors, including chromosomal aberrations and single-gene inherited metabolic diseases; environmental factors with pregnancy, birth and neonatal adverse factors, the harmful factors in early childhood. In addition, since the early cultural and emotional deprivation, lack of appropriate stimulation, long neglected, isolated, living in remote and poor, culturally backward, inaccessible areas. General social psychological factors of mental retardation due to a lesser extent. Once the elimination of negative factors, it is possible to improve the intellectual level, to improve the situation, as the children's age, extent of the damage and provide the conditions of their environment. 2, there is no disease-specific mental retardation check laboratory tests, when there are other conditions, such as endemic cretinism, mental retardation such as phenylketonuria, the laboratory examination showed positive results of other illnesses. Such as blood phenylalanine levels Phenylketon 4%, can be regarded as positive results, then further quantitative examination, gener 20% greater diagnostic significance. The other inspection methods for the ferric chloride test and 2-4 - dinitrophenylhydrazine test, the former positive green, which is positive for yellow, generally higher sensitivity of the latter than the former, preferably both as to increase sensitivity. Endemic cretinism iodine and serum protein binding iodine butanol extract most of reduced 131I thyroid uptake rate increased hunger curve was iodine, serum cholesterol, normal or low. 3 grasp confusing disease characteristics and diagnosis of mental retardation point, the differential diagnosis is not difficult. But we know that in other psychiatric symptoms in patients, do not ignore symptoms of mental retardation. temporary developmental delay of various psychological or physical factors such as malnutrition, chronic physical illness, poor learning conditions or lack of vision, hearing and so may affect children's psychological disorders, including the normal development of intelligence. Reason to remove or correct these later psychological development speed can be accelerated in the short term, catch up with the intelligence level of children their age. specific nature of specific developmental disorders of speech and language, school stunting skills or motor skills may affect the daily lives of children in the study and play in the intellectual level, expressed as learning difficulties, interpersonal problems and decreased social adaptability. But through a comprehensive assessment of the level of child development can be found in these patients in addition to specific developmental disorder, other mental development is totally normal, do not involve these particular skills, they can complete the learning task. The patients with mental retardation in any case, intelligence and academic performance are consistent. child psychiatric symptoms of schizophrenia patients will affect the normal study, life, interpersonal relationships and other social functions. However, before the mental illness schizophrenia normal, onset, duration of symptoms and evolution of such disease processes, there is a genuine psychotic symptoms, according to these characteristics can be differentiated with mental retardation. attention deficit hyperactivity disorder may have difficulty concentrating, lack of discipline, poor school performance, poor social adjustment, similar to mental retardation, but the intelligence in the normal range after inspection, the results can be significantly improved under supervision , a significant effect of medication treatment, and mental retardation can be identified. addition to mental retardation of children with autism, there are not quite the level of intellectual development and the prominent problem of language development, significant problems of social interaction. Children with autism and uneven development in all aspects of intelligence, mental retardation is a comprehensive development of mental retardation, mental test score of each subscale are universal low. 4 treatment of many causes of mental retardation, there are a lot of unknown etiology, bring some difficulties to the treatment. However, due to bio-medicine, genetics and rehabilitation medicine, the development of integrated prevention and control measures and the improvement of the social environment, the majority of persons with mental retardation into society from the burden of society's productive forces and change the development potential of their tendency to underestimate and pessimistic attitude. The main principle of treatment is based on education and training, drug treatment supplement. Treatment or outpatient hospital treatment choice; school-based treatment; community-based, community organizations to participate in treatment. medical measures (1) cause of treatment: congenital metabolic diseases, endemic cretinism, early use of diet and hormone medicines to prevent the occurrence of mental retardation. Lack of certain endocrine sex chromosome aberrations may be given hormones to improve timely patient's sexual characteristics. (2) symptomatic treatment: on hyperactivity, attention disorder and abnormal behavior can be central nervous stimulant or other psychotropic drugs, persons with epilepsy use of antiepileptic treatment. (3) education and training: As the effects of mental retardation is no drug treatment, the more important non-medical measures. Major is special education and training and other rehabilitation measures. Whatever the type, degree or age of the patients which can be implemented, of course, should focus on children, and younger, start training sooner, the better. Concerning the labor skills and social adaptability are two aspects. According to the severity of disease determine the different objectives of different training, regardless of general living self-help, daily living habits, social skills and vocational training for all with particular emphasis on individualized. Situation of our country, in addition to a dedicated special education schools, kindergartens, training centers, to emphasize and actively carry out the strength of family and community, training for parents and primary health care and early childhood educators, the training and care of the basic theory of scientific knowledge and methods teach them to help develop training programs and training procedures, primary care visits regularly, adhere to the patient and training, its capacity will certainly be improved to varying degrees. psychotherapy mainly moral support therapy, suggestion therapy, biofeedback method, psychoanalysis, so as to support the spirit of the most commonly used therapy. (1) cognitive behavioral therapy: education, children with proper understanding of their behavior and actions of the defect, the initiative to self-correction. (2) systematic desensitization: help to eliminate the fear and tension in children, desensitization to steps to stimulate the gradual strengthening. (3) imply that correction method: the subconscious through the mobilization of children involved in the correction of defects in behavior and actions. (4) knowledge and error and develop customary law: so that children in the course of the correct phase difference between knowledge and behavior and error behavior, and to uphold and develop the correct behavior and correct improper behavior. (5) collective correction method: relying on collective members help each other to correct defects. (6) tokens therapy (Incentive Act): The wrong behavior modification, give timely recognition and reward. treatment of special care and special education, family, health departments and social welfare, education and training through special methods to fully develop the potential of children, such as mild and moderate patients to learn some of the knowledge, skills, adult able to participate after a simple labor; to children with moderate or severe to assume a very simple home, live independently or semi-self. To 6 years of age (preferably 3 years of age) children to early intervention, the main purpose is to make this part of the children to improve daily living, lay the foundation for later learning. diet therapy for some diseases (such as phenylketonuria) in children, to provide special meals. drug treatment (1) cause of treatment: to find the cause of mental retardation patients, the cause should be treated early. For example, congenital hypothyroidism, mental retardation caused by thyroid hormone replacement therapy may be given; of congenital hydrocephalus, spinal dysraphism such as brain malformations surgical treatment may be considered appropriate; for some single-gene genetic diseases, foreign Gene therapy has been carried out. Congenital metabolic diseases, endemic cretinism, early use of diet and hormone therapy drugs, can prevent the occurrence of mental retardation. Strict limits on phenylketonuria patients can intake of phenylalanine, so that blood phenylalanine levels maintained at 5 ~ 10mg. Edible meat, rice, corn, soy, starch, sugar, vegetables, fruits, low-phenylalanine foods, limit wheat, protein, meat, fish, shrimp, milk and other foods. Fragile X syndrome can try on the high-dose folic acid treatment. (2) symptomatic treatment: children with mental retardation in about 30% to 60% accompanied by psychotic symptoms, leading to difficulties in receiving education and training. Thus, short-term use may be needed, the appropriate medication. Was too much activity on the merger and attention deficit symptoms may make use of methylphenidate (methylphenidate, Ritalin) and other drugs to improve attention deficit. For associated with psychomotor excitement, attack or impulsive behavior, self-harm or self-injurious behavior may use haloperidol, or carbamazepine methionine pyridazine. Drugs should be started by a small dose and gradually increase the effective dose, when the symptoms and then gradually tapered to eliminate withdrawal. haloperidol: the initial dose of 1 ~ 2mg / d, orally 2 times a day, maximum dose 20mg, available for patients who refused oral 2 ~ 5mg intramuscular injection. methylthio pyridazine: the initial dose of 10 ~ 20mg / d, 2 ~ 3 times a day orally, the maximum daily dose of 200mg. carbamazepine 10 ~ 20mg / (kg · d), 3 times orally. (3) to promote the treatment of brain function development: the main puzzle and brain metabolism of drugs to improve medicine. Choice of glutamate, -GABA, the brain protein hydrolyzate (cerebrolysin) and so on. 5 disease prevention mental retardation in the event of hard to reverse, it should focus on prevention. Monitoring of genetic diseases, good perinatal care, prevention and early treatment of central nervous system diseases is an important preventive measure. Some developed countries, according to special laws, the implementation of all newborns of several inherited metabolic diseases, biochemical screening for the early prevention and treatment of the condition. primary prevention (1) good pre-marital check, prenatal care and family planning: Stick to routine prenatal care, prevention of dystocia, acute production in remote areas, particularly infants and young children to prevent the central nervous system injury and infection. Suggested that endemic goiter endemic area of iodine to vote early pregnant women, umbilical cord blood of newborns trace T3, T4, TSH level of detection, monitoring of suspicious persons, in order to prevent the occurrence of endemic cretinism. (2) prevention of genetic diseases: if the parents have obviously been suffering from genetic diseases or have genetic disorders in children, or advanced maternal age, genetic counseling may be necessary, for prenatal diagnosis, such as the diagnosis of fetal genetic disease, timely termination of pregnancy for early detection of inborn errors of metabolism of certain diseases, bacterial inhibition test newborns Guthite the purpose of detection of suspected cases for further diagnosis and avoid a second child born children. secondary prevention of symptoms prior to diagnosis and prevention of functional disability: (1) the use of child development psychology, knowledge and skills in infants on a regular basis to check on suspicious regularly visit children and early intervention. (2) socio-cultural or psychological and social factors are the major causes of mental retardation in children in a timely manner to strengthen education and training. (3) to prevent and treat various types of mental retardation in children's emotional and behavioral disorders. Parents and teachers to the popularity of mental retardation and knowledge of disease so that they are familiar with children at different times, what may appear in the psychological and neurological diseases, and general disposal methods. tertiary prevention to reduce disability and improve the ability to compensate. Including the patient's behavior and life counseling, special education and training, and consulting services to help patients overcome problems in behavior and personality shows in her difficulties, the combined physical impairment or other anomalies are to symptomatic treatment, for the restoration of the good level of functionality for future participation in social life and provide the conditions of employment. In education, training, pay attention to structural, individualized instruction to improve self-care ability and viability of the main objectives of the training culture, and have consciously Paralympic rights and legal awareness education so that they know how to protect their own legitimate interest in the possible ways and means. 6


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