Phunzirani za Dysphonia ndi Njira Zina MS Amakhudza Mau
Dysphonia ndivuta kuyankhula chifukwa cha kuchepa kwa milomo yanu, pakamwa panu, m'lilankhulo, pammero, ndi / kapena pamagetsi.
Mu multiple sclerosis (MS), dysphonia nthawi zambiri amatanthawuza kusokoneza mawu a kulankhula, kutanthawuza kuyankhula mofatsa kwambiri kapena kumveka mokweza kuposa momwe kulili koyenera. Zitsanzo zina za dysphonia zimaphatikizapo kulankhula mopanda mantha, kulankhula kwa raspy, kapena kusintha kwazomwe mukuyesa kulankhula.
Dysphonia Ndi Njira Yina ya Dysarthria
Ngati muli ndi MS kapena mumadziwa munthu yemwe ali nawo, mungadziwe kuti pali njira zambiri zomwe matendawa angakhudze kuti angathe kulankhula bwino. Matenda amenewa, kuphatikizapo dysphonia, amagawidwa pansi pa vuto la dysarthria -kulankhula zomwe zimachokera ku kuchepetsa kuchepa kwa minofu yogwiritsidwa ntchito polankhula, nthawi zambiri chifukwa cha kuwonongeka kwa mitsempha.
Dysarthria imakhudza pafupifupi theka la anthu omwe ali ndi MS ndipo ndilo vuto lofala kwambiri la kulankhulana kwa omwe ali ndi matendawa. Nthawi zambiri zimakhala zofatsa; Komabe, kupweteka kwa chizindikiro kumasonyeza kukula kwa mitsempha, komanso mtundu wa matenda (kubwezeretsa-kutulutsa MS motsutsana ndi MS patsogolo).
Zokhudzana ndi MS zokhudzana ndi dysarthria zimakhudza momwe mumalankhulira, kumvetsetsa kwa mawu anu, ndi kutuluka kwake kwachilengedwe.
Zitsanzo zikuphatikizapo:
- Kulankhulana, ndi mavuto omwe amalankhula mawu
- "Kusinthanitsa" mawu, omwe mumalankhula pang'onopang'ono, mutakhala ndi nthawi yaitali pakati pa mawu komanso pakati pa mawu
- "Kusokoneza" mawu, ndi zochitika zolimbitsa mawu, mofulumira
Chifukwa cha Mavuto Akulankhula mu MS
Dysarthria yokhudzana ndi MS imachokera ku kuwonongeka kwa mitsempha yomwe imafooketsa minofu ya nkhope yako pansi, milomo, lilime, ndi mmero. Kawirikawiri, chifukwa chake ndi malo ang'onoang'ono owonongeka mulimonse mwa ubongo wanu waukulu.
Chifukwa china chotheka ndicho kuwonongeka kwa ubongo wanu, malo amanjenje pakati pa ubongo wanu ndi khosi lanu la khosi la msana.
Mitundu ina ya MS-dysarthria yokhudzana ndi MS imakhulupirira kuti imachokera ku kuwonongeka kwa mkango wa myelin mkati mwa chipolopolo, gawo la ubongo kumbuyo kwake.
Kawirikawiri, kusokonezeka kwa mawu ku MS kumachokera ku afesiya , kutaya mphamvu kumvetsetsa kapena kulankhula mawu omwe angakhale okhudzana ndi kukumbukira kukumbukira.
Mitundu itatu ya Dysarthria mu MS
Madokotala amadziwa mitundu itatu ya dysarthria kwa anthu omwe ali ndi MS:
- Spastic dysarthria, makamaka yomwe imakhala ndi kuuma kwa mitsempha kapena zolimba
- Ataxic dysarthria, makamaka kuwonongeka kwa minofu yoyendetsa kayendetsedwe kake
- Mixed dysarthria, yomwe imaphatikizapo mbali zonse zapastiki ndi aatalixic
Zosakaniza dysarthria ndizofala kwambiri kwa anthu omwe ali ndi MS. Izi ndichifukwa chakuti MS imakhudza mbali zambiri za dongosolo lanu la mitsempha. Mu mitsempha yambiri ya dysarthria, kuwonongeka kwa mitsempha kungaphatikizepo vuto lanu la ubongo ndi / kapena cerebellum, ubongo wanu, ndi / kapena msana wanu.
Kuphatikiza pa zizindikiro za ubongo monga kuwonjezeka kwa minofu kapena vuto la kuchepetsa, pali zizindikiro zomwe zikhoza kukuthandizani kuti mukhale mtundu wa dysarthria.
Mwachitsanzo, spastic dysarthria imadziwika ndi mawu monga:
- Chikhalidwe chokhwima, cholimbitsa mawu
- Kulankhula kofulumira
- Kutulutsa modzikweza kapena kutulutsa mono
Ataxic dysarthria imadziwika ndi mawu otsatirawa:
- Kuthamanga kwa mawu
- Kusinthasintha, kuthamanga, ndi kusinthanasinthana kwa lilime, milomo, ndi nsagwada
- Kusanthula mawu
- Kulankhula kwakukulu komanso kosiyanasiyana
Kodi Mungatani Kuti Mukhale Okulankhula Pogwiritsa Ntchito MS?
Wotanthauzira chinenero amalankhulidwe angapereke masewero olimbitsa minofu yokhudza kulankhula kapena kupititsa patsogolo kupuma kwanu mwa kuwathandiza kupumula. Kuphatikizanso, wodwala kulankhula chinenero angakuphunzitseni njira zochepetsera kulankhula mofulumira, kuyimirira bwino pakati pa mawu, ndi kutchula mawu momveka bwino.
Dysarthria mu MS sichikupita patsogolo pomwe munthu sangathe kuyankhula. Koma ngati kuyankhula kumakhala kovuta kwambiri kwa munthu, akhoza kugwiritsa ntchito njira ina yolankhulirana monga mawu amplifiers kapena makompyuta.
Mawu Ochokera
Ngakhale palibe mankhwala, anthu ambiri omwe ali ndi MS amakhala bwino chifukwa amatha kusamalira bwino zizindikiro zawo.
Mwamwayi, palibe mankhwala omwe amathandiza mwachindunji kuthetsa mavuto omwe amalankhulidwa ndi MS. Komabe, mankhwala omwe amachotsa zizindikiro monga kupweteka kwa minofu kapena zolimba (spasticity) angapangitse kulankhula bwino.
Pomalizira, kuthandizidwa ndi oyankhula, ngakhale magawo angapo, akhoza kuchita zodabwitsa za mavuto anu (kapena a wokondedwa wanu) -ndi chidaliro chanu ndi khalidwe la moyo.
Zotsatira:
Barone DA. (2018). Multiple Sclerosis Association of America (2013). Mavuto ndi Kulankhula.
> Cohen SM, Elackattu A, Noordzij JP, Walsh MJ, Langmore SE. Kuchepetsa kupweteka kwa dysphonia ndi dysarthria. Chipatala cha Otolaryngol North Am . 2009 Feb; 42 (1): 107-21.
Miller PH. National MS Society. (2011). Dysarthria mu multiple sclerosis.