Infant’s & Children’s

Bachche generally do tarah ki emotional state dikhate hain ya to woh rote hain (bad mood me) ya phir khush aur normal lagte hain (good mood me).

(A) Agar bachcha ro raha hai to iska matlab ho sakta hai:

• 1. Usko bhook lagi hai, neend aa rahi hai ya kuch aur chahiye.
• 2. Ya usko koi takleef hai.

(B) Aur agar bachcha khush ya normal lag raha hai to:

• 1. Ya to usko koi problem nahi.
• 2. Ya problem hone ke bawajood uska mental state zyada affect nahi hua.

Yahan homeopathic physician ke liye sabse mushkil kaam hota hai parents se proper communication karna, kyunki bachche ki health ko lekar wahi sabse zyada concerned hote hain.

Parents aksar doctor se bolte hain:

Sab theek hai bas bachche ne khana kam kar diya hai.

Lekin sickness ke baad jo behavioral changes aate hain unko ya to importance nahi dete ya notice nahi kar pate. Kyunki Kabhi woh bahut busy hote hain, ya dono working hote hain ya unhe homeopathic case taking ka proper idea nahi hota.

Is baat ko samajhne ke liye ek example:

8 saal ki ek ladki fever ke treatment ke liye layi gayi.

Yeh acute case ka example tha jahan parents ko samajhne me thoda waqt laga ki sickness ke baad behavior changes kitne important hote hain.

Maa ne kaha:“Isko aaj dopahar se fever hai. Abhi 102 degree hai. Subah jab school bheja tha tab theek thi.”

Maine bachchi se poocha:“Tumhe kab feel hua ki fever hai?”

Bachchi boli:“Meri teacher ne notice kiya.”

Doctor: “Us waqt tum kya kar rahi thi?”

Bachchi boli:“Main class me baithi thi jab sab bachche khel rahe the. Teacher ne poocha main khel kyun nahi rahi. Unhone mera body touch kiya aur phir mujhe sick room bhej diya.”

School me usko fever ke liye Crocin diya gaya aur uski maa use school se ghar le aayi.

Maa ne bataya ki Crocin se shaam tak fever nahi tha, lekin ab fever phir aa gaya hai.

Maine bachchi se poocha:“Koi aur problem hai?”

Bachchi ne sirf sir hila kar mana kar diya.

Maa boli:“Isko aankhon me pain aur pani aane ki complaint bhi hai. Aur dopahar se kuch khaya bhi nahi. Mujhe lagta hai kal zyada thak gayi thi aur ice cream bhi khayi thi isliye fever aa gaya.

Maine maa se poocha:Aaj iska behavior kaisa raha?

Maa boli:Isne kuch khaya nahi aur bas leti hui hai.”

Maine poocha:Kuch maanga?

Maa boli:Kuch khaas nahi. Sirf mujhe apne paas bithaya.

Maine bachchi se poocha:Abhi tumhara kya karne ka mann hai?

Bachchi boli:Kuch nahi.

Maine phir poocha:Matlab letna, computer game khelna, TV dekhna ya mummy-papa ya kisi friend ke saath rehna?

Bachchi ne phir sir hila kar mana kar diya.

Maine phir wahi sawal repeat kiya, lekin usne dobara bhi koi jawab nahi diya.

Tab maa boli:Doctor, sickness me yeh aisi hi ho jati hai. Hamare sawalon ka jawab dena bandh kar deti hai. Bilkul dull ho jati hai aur bed par chup chap leti rehti hai.

Maa ne aage bataya:Bed par chup chap leti rehti hai aur zyada baat nahi karti. Mere 10 sawalon me sirf ek lafz jawab deti hai.

Ek aur baat humne notice ki hai ki koi bhi achanak cheez ise dara deti hai. Agar body par halka sa scratch bhi aa jaye to darr kar mujhe bulati hai — ‘Mummy dekho kya ho gaya.

Yeh bahut jaldi nervous bhi ho jati hai.

Agar main thodi tez awaaz me baat kar doon to bhi ghabra jati hai.”

In rubrics ke basis par case liya gaya:

• RESERVED, bed, in(Bed par chup chap rehna, emotions express na karna)
• ANSWER, aversion to(Questions ka jawab dena pasand na karna)
• FEAR, events, of sudden(Achanak cheezon se darr jana)
• TALK indisposed to, desires to be silent(Baat karne ka mann na hona, chup rehna)

Cocculus indicus 30 diya gaya.

Kuch conditions jaise leucoderma, warts ya bedwetting me child ka mental state samajhna mushkil hota hai.

Aise cases me:

• Child ko directly observe karna
• Parents se detailed observation lena bahut zaroori hota hai.
• Doctor ko observe karna chahiye:
  • Bachcha hasta hai ya shy hota hai
  • Clinic ki cheezon ke baare me poochta hai ya nahi
  • Idhar udhar ghoomta hai ya chup chap baithta hai
  • Cheezein touch karta hai ya avoid karta hai
  • Nazar milata hai ya bachata hai

Parents se yeh bhi poochna chahiye ki

• kya bachcha kabhi skin discoloration, body par growth ya bedwetting ki complaint karta hai?
  • Agar karta hai to usne exactly kya bola?

• Parents kabhi kabhi bolte hain:
  • 1. Woh khud kabhi complaint nahi karta.
  • 2. Usko apni problem ki zyada parwah nahi hai.

Aise cases me do possibilities hoti hain:

• Ya to bachcha abhi itna bada nahi hua ki apni problem samajh sake
• Ya phir disease ka uske mental state par khas asar nahi hua

Aise conditions me useful rubrics:

• MILDNESS
• CONTENTED
• INDIFFERENCE, complain does not
• FRIVOLOUS
• PLAYFUL

Kabhi bachcha khud doctor ke paas le jaane ko bolta hai kyunki:

• a) Bhai ya behen uski problem ka mazaak udaate hain. Isse woh irritate ya upset ho jata hai aur doctor ke paas le chalne ko bolta hai.
• b) Mohalle ke bachche skin patches ya disease par comment karte hain. Us waqt shayad chup rahe, lekin baad me parents ko batata hai aur doctor ke paas le jaane ko bolta hai.
• c) Bachcha apni problem outsiders — guests, relatives ya neighbours — ke saamne discuss hone par sensitive feel karta hai.

Kabhi woh medicine isliye bhi maangta hai kyunki:

• Woh properly khel nahi pa raha
• Ya favourite cheezein jaise ice cream, chocolate enjoy nahi kar pa raha.
• Kabhi bachcha apni problem ki wajah se genuinely takleef feel karta hai, jaise usko lagta hai ki woh dusre bachchon se alag hai.
• Aisi information parents se mil sakti hai.

Aise cases me useful rubrics:

• IRRITABILITY, aroused when
• ANGER, when arousedYahan

Aroused : ka matlab hai bachche ko uski problem yaad dilana ya uski taraf attention lana.

Example:

• 1. Maa: “Doctor, jaise hi koi uski problem ki baat karta hai usko gussa aa jata hai.”
• 2. Maa: “Doctor, yeh usually sone se pehle toilet chala jata hai, lekin kabhi bhool jaye aur main yaad dilau to irritate ya angry ho jata hai. Isko yaad dilana pasand nahi.

Aur useful rubrics:

• ANGER, when touched
• IRRITABILITY, in children, shriek by touch
• IRRITABILITY, insults from
• IRRITABILITY, when questioned
• SADNESS about disease
• UNCONSCIOUSNESS, screaming interrupted by
• SENSITIVE, external impression to
• SENSITIVE, touch to

Child ko observe karte waqt kuch basic points bahut important hote hain:

• Doctor ko bachche ko friendly way me receive karna chahiye taaki woh jaldi comfortable feel kare.
• Bachcha room me aate hi usko touch ya examine nahi karna chahiye.
• Pehle parents se calmly history leni chahiye.
• Doctor ko pehle parents se calmly child ki history leni chahiye.
• Child ko environment se familiar hone ke liye thoda time dena chahiye.
• Agar bachcha clinic me rote hue aaye ya pehle injection/vaccination ke experience ki wajah se dara hua ho to usko force nahi karna chahiye. Pehle usko completely calm hone dena chahiye.
• Doctor ko chamber me child ke har behavior ko observe karna chahiye.
• Jaise:
• Cheezon ko touch karna
• Faces banana
• Saath aaye person ke kapde pakadna
• Haath taali marna
• Pair patakna
• Nazar milana ya bachana
• Smile ya laugh karna
• Idhar udhar ghoomna ya chup chap baithna

Agar bachche ko pehle injection laga ho to woh:

• 1. Chamber me enter karne se hesitate karega.
• 2. Enter karte hi rona shuru kar dega.
• 3. Ghar se nikalte waqt poochega kahan le ja rahe hain.
• 4. Clinic pahunchte hi sochega doctor injection dega.
• 5. Doctor ya instruments dekhkar scream ya cry kar sakta hai.

Aisi situation me parents:

Bachche ko samjhate hain ki kuch nahi hoga

Chocolate ya ice cream ka promise dete hain

Ya kabhi kabhi zabardasti lekar aate hain.

Aisi situation me parents bachche ko samjhate hain ki kuch nahi hoga aur usko doctor ke paas chalna hi padega.

Aise cases me useful rubrics:

• FEAR, of being injured
• FEAR, with desire to escape
• FEAR, of being hurt
• INQUISITIVE
• ANTICIPATION, dentist, physician, before going to
• FEAR, of suffering

Bachchon me ek aur bahut common behavior hota hai — sickness me maa ke paas rehna.

Zyada tar bachche sickness me maa ki company kyun chahte hain?

• (a) Bachcha emotionally maa se sabse zyada attached hota hai.
• Agar maa se poocha jaye: Kya sickness me bachcha specifically aapko bulata hai ya sirf aap uske paas rehti hain?
• To maa aksar bolti hai: Sir, main khud hi ise akela nahi chhodti.
• Ya:
• Bachcha bimar ho to maa ke paas hi rehna chahta hai.
• Lekin doctor ko aur detail me poochna chahiye ki sickness me bachcha specially maa ko hi demand karta hai ya nahi.
• (b) Bachche ko pata hota hai ki maa uski baat jaldi maan legi.
• Kabhi kabhi bachcha emotionally maa ko manipulate bhi karta hai. Usko pata hota hai ki maa usko rota hua nahi dekh sakti, isliye woh aur zor se rota hai taaki uski demand poori ho jaye. FEIGNING sick
• (c) Maa physically aur emotionally bachche ke itne close hoti hai ki woh usko sabse zyada samajhti hai.
• (d) Maa ko pata hota hai sickness me bachche ko kya chahiye.
• (e) Woh bachche ki demands maan leti hai aur uski comfort ka dhyan rakhti hai.
• (f) Maa ko pata hota hai bachcha kis position me comfortable rahega.
• (g) Maa ko pata hota hai kab usko khana dena hai.
• (h) Maa samajh leti hai bachcha kyun ro raha hai — bhook, neend ya wet hone ki wajah se.
• (i) Bachcha maa ke saath secure feel karta hai, isliye sickness me maa ko zyada dhoondta hai.

In sab conditions me do common rubrics milte hain:

• CARRIED desires to be
• CLINGING to person

Kuch bachche sickness me akela rehna pasand karte hain aur khelne me interest nahi dikhate.

• QUIET, wants to be(Saari activities chhodkar chup rehna)
• COMPANY, aversion to desires to be alone(Akela rehna pasand karna)
• SIT, inclination to(Chup chap baithna)

Kuch conditions me sickness badhne ke saath bachcha irritable, rude ya abusive ho jata hai:

1. Jab usko proper attention nahi milti

• ATTENTION, wants

2. Jab uski demands poori nahi hoti

• WEEPING refused when

3. Jab log usko samajh nahi pate

• ANGER, contradiction from

4. Jab usko zabardasti kuch karaya jaye ya medicine di jaye

• RAGE, medicine, from forcible administration of

5. Kabhi bachcha ghar ke dusre bachchon se jealousy bhi feel karta hai, khaaskar jab naya ya chhota sibling parents ka zyada attention lene lage. Usko lagta hai uska pyaar aur importance kam ho gaya hai.

6. Kuch bachche bachpan se bahut pampered hote hain, isliye sickness me aur zyada demanding aur dominating behavior dikhate hain.

• POMPOUS