{"id":9765,"date":"2025-02-11T16:52:48","date_gmt":"2025-02-11T16:52:48","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=9765"},"modified":"2025-02-11T16:52:48","modified_gmt":"2025-02-11T16:52:48","slug":"ce-este-balbaiala-si-de-ce-apare","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/ce-este-balbaiala-si-de-ce-apare\/","title":{"rendered":"Ce este b\u00e2lb\u00e2iala \u0219i de ce apare?"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>B\u00e2lb\u00e2iala<\/strong> sau a\u0219a cum cum este definit\u0103 \u00een literatura de specialitate ca balbism este o tulburare de limbaj ce presupune afectarea componentei suprasegmentale a limbajului, dar \u0219i componenta de accent \u0219i intona\u021bie, f\u0103c\u00e2nd astfel parte din categoria tulbur\u0103rilor de ritm \u0219i fluen\u021b\u0103 \u0219i este caracterizat\u0103 printr-o repetare sau prelungire a sunetelor, silabelor sau cuvintelor sau prin producerea unor pauze \u0219i ezit\u0103ri care pot dezorganiza fluen\u021ba verbal\u0103. \u00cen unele cazuri sunt prezente \u0219i mi\u0219c\u0103ri ale fe\u021bei \u0219i\/sau ale altor segmente ale corpului care coincid cu repeti\u021biile, prelungirile \u0219i pauzele din actul vorbirii.<\/p>\n<p style=\"text-align: justify;\">Aceast\u0103 disfluen\u021b\u0103 poate ap\u0103rea pe la v\u00e2rsta de 3-4 ani, tranzitoriu, av\u00e2nd un caracter fiziologic, natural, datorit\u0103 unui ritm intens de achizi\u021bie \u0219i de dezvoltare a limbajului \u00een toate formele sale \u0219i de o imprecizie de func\u021bionare a aparatului articulator, \u00eens\u0103 \u00een momentul \u00een care manifest\u0103rile devin mai accentuate pot afecta inteligibilitatea de exprimare verbal\u0103.<\/p>\n<p style=\"text-align: justify;\">Exist\u0103 o serie de caracteristici ce pot fi observate \u00een simptomatologia b\u00e2lb\u00e2ielii, de la repeti\u021bii de sunete \u0219i silabe, p\u0103r\u021bi de cuvinte sau de propozi\u021bii, autocorec\u021bii, sunete emise involuntar, spasme articulatorii, pauze, blocaje, prelungiri ale sunetelor \u0219i silabelor, blocajele \u00een fluxul vorbirii, am\u00e2narea emisiei verbale, tremur muscular, schimbarea vocii, reac\u021bii fizice, etc, p\u00e2n\u0103 la caracteristici ce nu sunt u\u0219or de observat, \u00eens\u0103 au implica\u021bii la fel de importante precum: frica, sentimentul de frustrare, manifest\u0103ri anxioase, furie, iritare, stare tensionat\u0103, panic\u0103, tendin\u021ba de autoizolare, sentimentul de neputin\u021b\u0103 \u0219i dezn\u0103dejde, tendin\u021ba de a manifesta un comportament evitant, tendin\u021ba de a utiliza \u00een vorbire diferite modalit\u0103\u021bi de ocolire a unor cuvinte, tendin\u021ba de a schimba cuvintele pentru a evita acele structuri lingvistice care ar putea produce blocaje, repeti\u021bii sau prelungiri de sunete.<\/p>\n<p style=\"text-align: justify;\"><strong>Tipuri de b\u00e2lb\u00e2ial\u0103 \u00een func\u021bie de specificul disfluen\u021belor manifestate:<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\"><strong>B\u00e2lb\u00e2ial\u0103 clonic\u0103 \u2013<\/strong> se eviden\u021biaz\u0103 prin contrac\u021bii musculare de scurt\u0103 durat\u0103 ce conduc la repetarea unui sunet sau a unei silabe, \u00eentrerup\u00e2nd astfel cursivitatea vorbirii.<\/li>\n<li style=\"text-align: justify;\"><strong>B\u00e2lb\u00e2ial\u0103 tonic\u0103<\/strong> &#8211; se caracterizeaz\u0103 prin declan\u0219area unei spasm de lung\u0103 durat\u0103 ce \u00eempiedic\u0103 emitere vocii, iar c\u00e2nd spasmul cedeaz\u0103, cuv\u00e2ntul erupe cu for\u021b\u0103, caracteristic\u0103 persoanelor care se b\u00e2lb\u00e2ie.<\/li>\n<li style=\"text-align: justify;\"><strong>B\u00e2lb\u00e2ial\u0103 mixt\u0103<\/strong> \u2013 acest tip de b\u00e2lb\u00e2ial\u0103 presupune combinarea simptomatologiei b\u00e2lb\u00e2ieli clonice \u0219i a celei tonice \u00een propor\u021bii diferite.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">B\u00e2lb\u00e2iala este o disfluen\u021b\u0103 de vorbire care apare \u00een copil\u0103rie. Tratare spontan\u0103 se poate realiza la v\u00e2rsta de aproximativ 3 ani \u0219i jum\u0103tate, \u00eens\u0103 odat\u0103 ajuns\u0103 la stadiul tonic poate avea oscila\u021bii de la o zi la alta \u00een ceea ce prive\u0219te gradul \u0219i gravitatea de disfluen\u021b\u0103. La v\u00e2rsta adult\u0103 nu se mai poate vorbi despre corectare, ci doar despre ameliorare, \u0219ansele de recidiv\u0103 fiind crescute. <strong>Interven\u021bia timpurie se realizeaz\u0103 cu prec\u0103dere spre v\u00e2rsta pre\u0219colar\u0103, v\u00e2rst\u0103 ce corespunde \u00een cele mai multe cazuri cu perioada de apari\u021bie a b\u00e2lb\u00e2ielii.<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00cen ceea ce prive\u0219te interven\u021bia complex\u0103, se propune o abordare integrativ\u0103 care ia \u00een considerare at\u00e2t particularit\u0103\u021bile tulbur\u0103rii, c\u00e2t \u0219i caracteristicile psihomotrice, cognitive \u0219i socioemo\u021bionale ale persoanei care prezint\u0103 aceast\u0103 disfunc\u021bie.<\/p>\n<p style=\"text-align: justify;\">Referin\u021b\u0103:<br \/>\n1. Adrian Ro\u0219an, Psihopedagogie special\u0103. Modele de evaluare \u0219i interven\u021bie, editura Polirom, 2015.<br \/>\n2. Carolina Bodea Ha\u021began, Logopedia. Terapia tulbur\u0103rilor de limbaj. Structuri deschise. editura Trei, 2016.<br \/>\n3. Coord. Prof. Dr. Mircea L\u0103z\u0103rescu, ICD-10 &#8211; Clasificarea tulbur\u0103rilor mentale \u0219i de comportament, editura Trei, 2016<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9722 alignleft\" src=\"https:\/\/jurmed.ro\/pacienti\/wp-content\/uploads\/sites\/3\/2025\/01\/Andreia-Vlasceanu-Psiholog-Clinician-KinetoBebe-Mosilor_300x300px.jpg\" alt=\"\" width=\"255\" height=\"239\" \/>Autor:<br \/>\nAndreia Vl\u0103sceanu<br \/>\npsiholog clinician, competen\u021be \u00een evaluarea \u0219i interven\u021bia logopedic\u0103<br \/>\nAsocia\u021bia KinetoBebe<br \/>\nwww.kinetobebe.ro<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e2lb\u00e2iala sau a\u0219a cum cum este definit\u0103 \u00een literatura de specialitate ca balbism este o tulburare de limbaj ce presupune afectarea componentei suprasegmentale a limbajului, dar \u0219i componenta de accent [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9766,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[67,882],"tags":[1352,1351,884],"class_list":["post-9765","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-recuperare-pediatrica","tag-andreia-vlasceanu","tag-balbaiala","tag-kinetobebe"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ce este b\u00e2lb\u00e2iala \u0219i de ce apare? 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