Kuchepetsa Kutayika kwa Facial Motor Control
Mankhwala osokoneza bongo (omwe amadziwikanso kuti hypomimia) ndi kutayika kwa nkhope zomwe zimafala kwambiri ndi matenda a Parkinson . Iwo amatchulidwa kwambiri chifukwa chikhalidwe chimapereka munthu wokhudzidwayo kuti afotokoze moyenera, ngati maski.
Mu matenda a Parkinson, masking akhoza kukula ngati kuperewera kwa magalimoto kumapitirira mpaka minofu ya nkhope monga momwe zimakhudzira ziwalo zina za thupi.
Masewera osokonezeka angakhumudwitse vuto lomwe lilipo kale, kutengana ndi anzanu omwe angakhale otayika kapena osokonezeka ndi kusowa kwa maganizo.
Masewero a masewerowa amatha kuchitika ndi matenda ena a maganizo kapena maganizo, koma, pazifukwazi, chifukwa chake sichigwirizana ndi kutayika kwa minofu koma kumangokhalira kukhumudwa (nthawizina kumatchedwa kuchepetsedwa kumawonetsera kapena, ngati schizophrenia, malo ogwira ntchito). Zomwezo zikhoza kuchitika ndi mankhwala ena omwe angawononge kwambiri mmene munthu akumvera.
Potero, timakonda kugwiritsa ntchito mawu akuti hypomimia pofotokoza masking nkhope pambali ya matenda a Parkinson. Izi zikusonyeza kuwonongeka kwenikweni kwa magalimoto m'malo mwa kuwonetsa maganizo.
Masked Facies mu Matenda a Parkinson
Ziri zophweka kuti ambiri a ife timvetsetse chifukwa chake kukhala ndi nkhope yopanda malire kungawonongeke. Anthu amalankhulana osati mwa mawu okha koma mwa kusintha kosasinthasintha, kosasunthika pamaso pa nkhope.
Munthu amene sangathe kufotokoza maganizo amenewa angakhale atayika chifukwa ena akhoza kutaya kapena kutanthauzira mawu pomwe mawuwo sakugwirizana.
Zozizwitsa zowonongeka ndi chizindikiro cha chikhalidwe cha matenda a Parkinson. Chinthu chodziwika bwino cha matendawa ndicho kuperewera kwa magalimoto osati kupitilira kwa miyendo yayikulu koma minofu yokongola ya manja, pakamwa, lilime, ndi nkhope.
Hypomimia ingakhudze mawonekedwe a nkhope zaufulu (monga kumwetulira) ndi zosavomerezeka (monga zimachitika pamene munthu wasokonezeka). Palinso madigiri a zotsatira zomwe dokotala amagwiritsa ntchito kuthandizira kuyendayenda kwa matendawa:
- 0 - Kuwonetsera kwa nkhope kwachibadwa
- 1 - Sungani kutengera hypomimia, nkhope-poker
- 2 - Kuwunika koma ndithudi kuwonongeka kwapadera (kuchepa kwa nkhope)
- 3 - Kutaya kwapafupi kumene kulipo nthawi yambiri
- 4 - Kuwonongeka kwakukulu komwe kulipo nthawi yambiri
Thandizo la Masewera Osewera
Zojambula za nkhope. Kafukufuku wasonyeza kuti khalidwe labwino liri bwino kwa anthu omwe ali ndi Parkinson omwe adzizidwa kuti athetse mphamvu ya nkhope kusiyana ndi omwe alibe. Kawirikawiri amafuna pulogalamu yovuta, yomwe imatsogoleredwa ndi opaleshoni yomwe ingayambe kuyang'ana pamaso ambiri, monga kukweza ziso, kutambasula pakamwa, kapena kupukuta nkhope.
Njira imodzi yotchedwa Lee Silverman chithandizo cha mawu (LSVT), imagwiritsidwa ntchito ndi ena kuthandiza anthu okhala ndi Parkinson kulankhula momveka bwino. Amagwiritsira ntchito zolemba zofanana zomwe zimagwiritsa ntchito njira zomwe munthu amaphunzitsidwa kuchita ndi kupanga "kulankhula" ndi:
- Kuwongolera malo
- Kuyang'ana munthu pamaso
- Kusunga chinsalu
- Kutenga mpweya kwambiri tisanalankhule
- Kuganizira zowomba zazikulu, zofuula komanso mawu ochepa, ochepa
Njira ya LSVT ndi njira zofanana zowonetsera (monga kuimba choyimba kapena kukulitsa mawu) zatsimikiziridwa kuti ndi zofunika kuthandiza anthu omwe ali ndi mbali ya Parkinson ndikuwongolera minofu yeniyeni bwino pamene akulankhulana m'magulu kapena m'modzi.
> Zotsatira:
> Dumer, A .; Oster, H ;; McCabe, D. et al. "Zotsatira za Lee Silverman Voice Treatment (LSVT® LOUD) pa Hypomimia mu matenda a Parkinson." Journal ya International Neuropsychological Society . 2014; 20 (3): 302-12.
> Ricciardi, L .; Baggio, P .; Ricciardi, D. et al. "Kukonzekera kwa Hypomimia mu Matenda a Parkinson: Phunziro Labwino la Njira ziwiri Zosiyana." Sayansi ya Nzeru. 2016; 37 (3); 431-6.
> Ricciardi, L .; Bologna, M .; Morgante, E. et al. "Kuchepetsa Kusowa Kwambiri pa Matenda a Parkinson: Kodi Magalimoto Opanda Mavuto Ovuta?" Journal of Sciences of Neurological . 2015; 358 (1-2): 125-30.