{"id":1259,"date":"2020-05-08T17:20:24","date_gmt":"2020-05-08T17:20:24","guid":{"rendered":"https:\/\/www.clinicasoriano.com\/?page_id=1259"},"modified":"2020-05-31T17:44:15","modified_gmt":"2020-05-31T17:44:15","slug":"problemes-de-comportament","status":"publish","type":"page","link":"https:\/\/www.clinicasoriano.com\/ca\/problemes-de-comportament\/","title":{"rendered":"Problemes de comportament"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1259\" class=\"elementor elementor-1259\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1bda1d84 elementor-section-stretched elementor-section-full_width elementor-section-content-middle elementor-section-height-default elementor-section-height-default\" data-id=\"1bda1d84\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;shape_divider_bottom&quot;:&quot;opacity-tilt&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 2600 131.1\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0 0L2600 0 2600 69.1 0 0z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.5\" d=\"M0 0L2600 0 2600 69.1 0 69.1z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.25\" d=\"M2600 0L0 0 0 130.1 2600 69.1z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1f2386ab\" data-id=\"1f2386ab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8349b39 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8349b39\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-49ace43c\" data-id=\"49ace43c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-38facbb5 elementor-widget elementor-widget-heading\" data-id=\"38facbb5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Problemes de comportament<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a4ee2ef elementor-widget elementor-widget-premium-addon-button\" data-id=\"5a4ee2ef\" data-element_type=\"widget\" data-widget_type=\"premium-addon-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\r\n\r\n\t\t<a class=\"premium-button premium-button-style2 premium-btn-lg premium-button-style2-shutouthor\" href=\"https:\/\/www.clinicasoriano.com\/contacto\/\">\r\n\t\t\t<div class=\"premium-button-text-icon-wrapper\">\r\n\t\t\t\t\t\t\t\t<span >\r\n\t\t\t\t\tReservar cita\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/a>\r\n\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2a6db297 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2a6db297\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-1307fbb0\" data-id=\"1307fbb0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6fe718a7 elementor-widget elementor-widget-heading\" data-id=\"6fe718a7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Altres especialitats<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c642510 elementor-nav-menu__align-left elementor-nav-menu--dropdown-none elementor-widget elementor-widget-nav-menu\" data-id=\"6c642510\" data-element_type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;vertical&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;}}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<nav class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-vertical e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-6c642510\" class=\"elementor-nav-menu sm-vertical\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1185\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/vacunacio\/\" class=\"elementor-item\">Vacunaci\u00f3<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1238\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/revisions\/\" class=\"elementor-item\">Revisions peri\u00f2diques<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1266\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/problemes-de-comportament\/\" class=\"elementor-item\">Problemes de comportament<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1227\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/afeccions-respiratories\/\" class=\"elementor-item\">Afeccions Respirat\u00f2ries<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1195\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/afeccions-dermatologiques\/\" class=\"elementor-item\">Afeccions Dermatol\u00f2giques<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1207\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/febre\/\" class=\"elementor-item\">Febre<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1253\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/convulsions-febrils\/\" class=\"elementor-item\">Convulsions Febrils<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1216\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/patologies-nefrourologiques\/\" class=\"elementor-item\">Patologies Nefrourol\u00f2giques<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-6c642510\" class=\"elementor-nav-menu sm-vertical\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1185\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/vacunacio\/\" class=\"elementor-item\" tabindex=\"-1\">Vacunaci\u00f3<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1238\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/revisions\/\" class=\"elementor-item\" tabindex=\"-1\">Revisions peri\u00f2diques<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1266\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/problemes-de-comportament\/\" class=\"elementor-item\" tabindex=\"-1\">Problemes de comportament<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1227\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/afeccions-respiratories\/\" class=\"elementor-item\" tabindex=\"-1\">Afeccions Respirat\u00f2ries<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1195\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/afeccions-dermatologiques\/\" class=\"elementor-item\" tabindex=\"-1\">Afeccions Dermatol\u00f2giques<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1207\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/febre\/\" class=\"elementor-item\" tabindex=\"-1\">Febre<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1253\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/convulsions-febrils\/\" class=\"elementor-item\" tabindex=\"-1\">Convulsions Febrils<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1216\"><a href=\"https:\/\/www.clinicasoriano.com\/ca\/patologies-nefrourologiques\/\" class=\"elementor-item\" tabindex=\"-1\">Patologies Nefrourol\u00f2giques<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-6badeffd\" data-id=\"6badeffd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32e5ab9d elementor-widget-mobile__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"32e5ab9d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p align=\"justify\"><span lang=\"ca-ES\">El <\/span><span lang=\"ca-ES\"><b>retard psicomotor no \u00e9s una malaltia o trastorn en si mateix, sin\u00f3 la manifestaci\u00f3 cl\u00ednica de patologies del sistema nervi\u00f3s central<\/b><\/span><span lang=\"ca-ES\"> degudes a trastorns gen\u00e8tics i factors ambientals, amb especial incid\u00e8ncia en el desenvolupament psicomotor del xiquet. El terme DPM s&#8217;empr\u00e0 per a definir el progr\u00e9s del xiquet en diferents \u00e0rees (llenguatge, motor, manipulatiu, social\u2026) durant els primers 24-36 mesos; hem de definir, per tant, el RPM com l&#8217;adquisici\u00f3 lenta o anormal de les primeres fites del desenvolupament.<\/span><\/p>\n<p align=\"justify\"><span lang=\"ca-ES\">Per a la tipificaci\u00f3 del retard psicomotor, <\/span><span lang=\"ca-ES\"><b>pr\u00e8viament hem de con\u00e8ixer el desenvolupament psicomotor normal<\/b><\/span><span lang=\"ca-ES\">. En general: tot xiquet que a l&#8217;any i mig d&#8217;edat no diu cap paraula i\/o no camina ha de ser rem\u00e9s al neuropediatre per a descartar que existisca algun problema seri\u00f3s (el que no succeeix en la majoria de casos, per la qual cosa no s&#8217;ha d&#8217;alarmar a la fam\u00edlia).<\/span><\/p>\n<p align=\"justify\"><span lang=\"ca-ES\">La detecci\u00f3 d&#8217;un problema de desenvolupament ha de ser preco\u00e7 i correspon en primera inst\u00e0ncia als pares, tamb\u00e9 al personal de guarderies i col\u00b7legis i als pediatres d&#8217;Atenci\u00f3 Prim\u00e0ria. S&#8217;ha de determinar si es tracta d&#8217;un xiquet de risc biol\u00f2gic, i si existeix un trastorn del desenvolupament o un problema neurol\u00f2gic.<\/span><\/p>\n<p align=\"justify\"><span lang=\"ca-ES\">Es plantegen <\/span><span lang=\"ca-ES\"><b>tres opcions<\/b><\/span><span lang=\"ca-ES\">:<\/span><\/p>\n<p align=\"justify\"><ul><li><span lang=\"ca-ES\"><b>Normalitat o probable retard maduratiu<\/b><\/span><span lang=\"ca-ES\">; possibilitat d&#8217;hipoestimulaci\u00f3.<\/span><\/li><li><span lang=\"ca-ES\"><b>Retard psicomotor patol\u00f2gic, que pot ser global o d&#8217;\u00e0rees concretes: motor, cognitiu, social o a\u00efllat del llenguatge<\/b><\/span><span lang=\"ca-ES\">.<\/span><\/li><li><span lang=\"ca-ES\"><b>Dubt\u00f3s. En alguns casos l&#8217;evoluci\u00f3 en successives consultes permet aclarir la q\u00fcesti\u00f3.<\/b><\/span><\/li><\/ul><\/p>\n\n\n<p align=\"justify\"><a name=\"_GoBack\"><\/a> <span lang=\"ca-ES\">El diagn\u00f2stic s&#8217;orienta, i amb freq\u00fc\u00e8ncia s&#8217;estableix de manera exclusiva, mitjan\u00e7ant la hist\u00f2ria cl\u00ednica i exploraci\u00f3. Es valoren els antecedents familiars, obst\u00e8trics i perinatals, el desenvolupament psicomotor, l&#8217;examen f\u00edsic, i el contacte social i comportament del xiquet. L&#8217;an\u00e0lisi d&#8217;aquestes dades orienta la realitzaci\u00f3 dels ex\u00e0mens complementaris, en els casos en els quals aquests s\u00f3n necessaris. S&#8217;ha d&#8217;assenyalar que la major part de les dades obtingudes de l&#8217;anamnesi i l&#8217;exploraci\u00f3 i de la major part dels ex\u00e0mens complementaris estan subjectes a la seua adequada interpretaci\u00f3, i per tant depenen en \u00faltima inst\u00e0ncia de la per\u00edcia del cl\u00ednic responsable. Amb freq\u00fc\u00e8ncia sol l&#8217;evoluci\u00f3 permet precisar el diagn\u00f2stic.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7679bb78 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7679bb78\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7ab45ca0\" data-id=\"7ab45ca0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a65e17f elementor-widget elementor-widget-image\" data-id=\"2a65e17f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"450\" height=\"300\" src=\"https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/problemes-comportament-pediatria.jpg\" class=\"attachment-large size-large wp-image-1262\" alt=\"\" srcset=\"https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/problemes-comportament-pediatria.jpg 450w, https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/problemes-comportament-pediatria-300x200.jpg 300w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-10b4ff7a\" data-id=\"10b4ff7a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-671b3c1e elementor-widget elementor-widget-image\" data-id=\"671b3c1e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"450\" height=\"300\" src=\"https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/problemes-comportament-pediatria-canals.jpg\" class=\"attachment-large size-large wp-image-1263\" alt=\"\" srcset=\"https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/problemes-comportament-pediatria-canals.jpg 450w, https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/problemes-comportament-pediatria-canals-300x200.jpg 300w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-6a6cc6b\" data-id=\"6a6cc6b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7851a9e7 elementor-widget elementor-widget-image\" data-id=\"7851a9e7\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"450\" height=\"300\" src=\"https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/especialitat-problemes-comportament.jpg\" class=\"attachment-large size-large wp-image-1264\" alt=\"\" srcset=\"https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/especialitat-problemes-comportament.jpg 450w, https:\/\/www.clinicasoriano.com\/wp-content\/uploads\/2020\/05\/especialitat-problemes-comportament-300x200.jpg 300w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Problemes de comportament Reservar cita Altres especialitats El retard psicomotor no \u00e9s una malaltia o trastorn en si mateix, sin\u00f3 la manifestaci\u00f3 cl\u00ednica de patologies del sistema nervi\u00f3s central degudes a trastorns gen\u00e8tics i factors ambientals, amb especial incid\u00e8ncia en el desenvolupament psicomotor del xiquet. El terme DPM s&#8217;empr\u00e0 per a definir el progr\u00e9s del [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.clinicasoriano.com\/ca\/wp-json\/wp\/v2\/pages\/1259"}],"collection":[{"href":"https:\/\/www.clinicasoriano.com\/ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.clinicasoriano.com\/ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.clinicasoriano.com\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.clinicasoriano.com\/ca\/wp-json\/wp\/v2\/comments?post=1259"}],"version-history":[{"count":4,"href":"https:\/\/www.clinicasoriano.com\/ca\/wp-json\/wp\/v2\/pages\/1259\/revisions"}],"predecessor-version":[{"id":1680,"href":"https:\/\/www.clinicasoriano.com\/ca\/wp-json\/wp\/v2\/pages\/1259\/revisions\/1680"}],"wp:attachment":[{"href":"https:\/\/www.clinicasoriano.com\/ca\/wp-json\/wp\/v2\/media?parent=1259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}