Ndi Parkinson, Mavuto Akulankhula Ali Omwe Koma Amatha Kuchitidwa.
Ngati muli ndi matenda a Parkinson (PD), mwinamwake mukuzindikira kuti anthu akufunsani kuti mubwereze zomwe mwazinena kale kuposa momwe ankachitira. Kuwonjezera pamenepo, kuyankhula momveka bwino ndi nzeru kumakhala kovuta kwambiri ngati muli ndi PD.
Ngakhale anthu ambiri omwe ali ndi PD akukumana ndi mavuto amtundu wina, ochepa amapeza chithandizo cha mavuto awo. Izi ndi zomvetsa chisoni ngati kafukufuku amasonyeza kuti mankhwala othandiza alipo chifukwa cha mavuto a kulankhula, mawu, ndi chinenero ku PD.
Mavuto Akulankhula Matenda a Parkinson
Mavuto omwe amalankhula ndi anthu omwe ali ndi PD amawaphatikizapo kuchepetsa mphamvu (hypophonia), kuchepa kwapadera (monotone), komanso kuvutika kwa mawu kapena majambulidwe (dysarthria). Kwenikweni, simungathe kuyankhula mofuula monga ena, mumakhala kovuta kufotokoza malingaliro anu mukamayankhula, ndipo zimakuvutani kupanga mawu omwe mukuyesera kulengeza.
Simukusowa kuti ndikuuzeni kuti izi zimapangitsa kulankhula kukhumudwitsa kwambiri. Mukamakangana ndi mavuto onse omwe amachititsa kuti awonetsetse kuti akumva bwino, ndizovuta kuwonetsa zakukhosi pamasom'pamaso, sizodabwitsa kuti nthawi zina anthu amavutika kuti amvetse zomwe mukuyesera kunena.
Zingakhale zokopa kusiya kucheza ndi ena palimodzi, koma izi ndi kulakwitsa. Muyenera kuyankhulana ndi ena tsiku ndi tsiku, ziribe kanthu momwe zimakhalira zokhumudwitsa - izi ndi zofunika kwambiri pa thanzi lanu ndikutsimikiziridwa kuti okondedwa anu akufuna kuyanjana ndi inu .
Nkhani yabwino ndi yakuti pali mankhwala, monga machitidwe olimbitsa thupi, omwe angathe kusintha kwambiri mavuto omwe akugwirizana nawo ndi PD.
Matenda a Zinenero za Matenda a Parkinson
Kuwonjezera pa kukhumudwitsa kulankhula ndi mavuto a PD, palinso mavuto a chinenero. Matenda a chilankhulochi mwachiwonekere amachititsa kuti vuto lachilankhulo likhale lovuta kulimbana nalo, choncho ndikofunikira kudziwa mavuto a chinenero pamene akuwonekera.
Kulankhula ndikutanthauzira malingaliro pogwiritsa ntchito chinenero. Chilankhulo ndi luso la kulingalira limene lingakhalepo ngakhale pamene simungathe kuyankhula. Pankhani ya anthu omwe ali ndi PD, angasonyeze mavuto ovuta kupeza ndi malemba. Mwachitsanzo, amagwiritsa ntchito ziganizo zosavuta kumva ndi kuwonjezeka kwa chiŵerengero cha zinthu zopanda pake (maina, matanthauzo, ziganizo) kuzinthu zam'mbuyo (zozizwitsa, zothandizira, zolembera, etc.), komanso kuwonjezeka pafupipafupi ndi nthawi yotsutsa komanso kupuma.
Mukamamvetsera ena amalankhula, nthawi zina zimakhala zovuta kuti anthu omwe ali ndi PD amvetsetse chinenero cha ena, ngati amagwiritsa ntchito ziganizo zovuta kufotokoza malingaliro awo. Choncho, pakupanga chinenero ndi kumvetsetsa chinenero, anthu omwe ali ndi PD nthawi zina amakumana ndi mavuto aakulu.
Kuchiza Mavuto a Kulankhula ndi Chilankhulo Matenda a Parkinson
Zovuta zothandizira maulankhulidwe ndi zinenero za PD zimaphatikizapo mankhwala, njira zothandizira, ndi opaleshoni. Kafukufuku waposachedwapa wamatendawa akusonyeza kuti opaleshoni (makamaka ubongo wolimbikitsa ubongo ) siilimbikitse vuto la kulankhula, ngakhale kuti lingathe kusintha mavuto ena a PD .
Kuonjezera apo, palibe mankhwala ochizira omwe amagwira ntchito pokhapokha atagwiritsidwa ntchito payekha.
Kupereka mavuto a pulasitiki a PD moyenera (ndi mankhwala) akuwoneka kuti ndi chofunikira chothandizira kuthetsa mavuto. Izi zikutanthauza kuti ngati vuto la motor motowo siliyendetsedwa, vuto la kulankhula silinayankhidwe bwino ndi mankhwala. Mankhwala a PD ndi ofunika koma osakwanira. Mwachidule, njira yabwino yothetsera vuto la kulankhula ndi chinenero cha PD ikuwoneka ngati kuphatikiza mankhwala a PD (monga levodopa) kuphatikizapo njira ina yothetsera mauthenga.
Mmene Mungayankhire Matenda a Matenda a Parkinson
Mankhwala othandizira olankhula nthawi zambiri amakhala ndi mauthenga osiyanasiyana omwe amathandizidwa ndi ophunzitsidwa bwino komanso ovomerezeka.
Izi zimaphatikizapo kuphunzitsidwa kulamulira kulankhula, kupsinjika maganizo, kutulutsa mawu, kutulutsa mawu, ndi kupuma, kuti zithandize mawu. Nthawi zina wothandizira amagwiritsa ntchito zipangizo zothandizira, monga kuchepetsa ndemanga zowonongeka, zipangizo zamakono, kapena mapulogalamu oyendetsa.
Ofufuza ena adapambana kwambiri ndi odwala PD pogwiritsa ntchito dzina lakuti Lee Silverman Voice Treatment (LSVT), pulogalamu yozama ya mauthenga a mawu omwe amawunikira mphamvu, mphamvu, ndi kusiyana kwake - makamaka malo omwe ali ndi vuto kwa anthu omwe ali ndi PD.
Njira ya LSVT imayendera pa chithandizo chimodzi chokhachi pa nthawi kuti khama likhoze kugwiritsidwa ntchito pokwaniritsa cholinga chomwecho. Cholinga cha kuchipatala chikhoza kuwonjezera kulira kwa mawu kapena kupatsa luntha la kulankhula. Potsata zovuta zamtundu uwu, wodwalayo amafufuzidwa pa zochitika zojambulazo ndipo amaphunzitsidwa kuti adziwitse zowonongeka kuchokera ku liwu, komanso kuti azidziyang'ana yekha poyang'ana maonekedwe ndi khalidwe la mawu. Kuwonjezeka kwadzidzidzi kwa mawu kumalola kukonza zolakwika ndi kupita patsogolo mofulumira.
Pansi
Umboni umene ulipo umasonyeza kuti izi zothandizira kuti azilankhula bwino, choncho palibe chifukwa chokhalira wokhumudwitsa zokambirana ndi ena omwe amadziyesa kuti amvetsetsa zomwe mukulankhula. M'malo mwake, mudzaphunziranso momveka bwino ndikukweza malingaliro anu mokweza.
Zotsatira:
Mahler, LA, Ramig, LO, & Fox, C. Umboni wokhudzana ndi vuto la mawu ndi kulankhula m'ma Parkinson matenda. Malingaliro Amakono mu Otolaryngology & Mutu ndi Opaleshoni Yamphongo , Jun; 23 (3): 209-15.
Ramig, LO, Fox, C., Sapir, S. Kulankhula chithandizo cha matenda a Parkinson. (2008). Kukambirana kwa akatswiri a Neurotherapeutics, Feb; 8 (2): 297-309. Onaninso.