Ðe nèse le ɖokuiwò me alea kpɔa? Nya si nèdi be yeagblɔ le ta me na wò nyuie, gake ne èɖe nyawo do goe la, wodona kple gbe ƒaƒã, woƒoa nu ƒuƒlu, alo le mɔ bubu nu be wo gɔmesese sesẽna na ame bubuwo. Ate ŋu anye nusi me dziɖeleameƒo le ŋutɔ le ɣeyiɣi siawo tɔgbe me, alo? Ame geɖe susuna be esia sɔ. Gake ɣeaɖewoɣi la, ate ŋu anye dɔléle si goglo wu, si do ƒome kple atikewɔwɔ. Emae nye nusi ŋu míele nu ƒom tsoe egbea.
Kpuie ko la, nukae nye ƒunukpeƒetetedɔ?
Dysarthria nye nɔnɔme si me míete ŋu ɖua lãmeka siwo kpena ɖe mía ŋu míeƒoa nu dzi o le esi míaƒe lãmekawo gblẽ ta. Bu eŋu ale: míaƒe nu, aɖe, nuyi, aɖu, kple gbeɖaka katã nye ŋutinu siwo wɔa dɔ ɖekae tsɔ wɔa nyawo. Esiawo le abe saŋkuƒoha ene. Abe alesi ko ne haƒonu ɖeka mewɔa dɔ nyuie o la, haƒoƒo bliboa atɔtɔ ene la, ne lãmeka siawo dometɔ aɖe gbɔdzɔ la, míaƒe nuƒoƒo madze nyuie o.
Nu vevitɔ si gɔme wòle be míase le afisiae nye be amesi ŋu dysarthria le la sea gbegbɔgblɔ gɔme. Enya nya si gblɔm wole hã. Menye ahɔhɔ̃a ŋue kuxia le o, ke boŋ lãmeka siwo wosusu be woaxɔ gbedasi si tso ahɔhɔ̃a gbɔ ahawɔ dɔ tso eŋu la ƒe gbɔdzɔgbɔdzɔe.
Nɔnɔme sia ate ŋu adzɔ le mɔ vevi eve nu:
1. Developmental Dysarthria: Esia tsoa ahɔhɔ̃a ƒe gbegblẽ gbɔ, le vidzidɔ me alo le vidzidzi me. Le kpɔɖeŋu me, woate ŋu akpɔ nɔnɔme sia le ɖevi siwo ŋu Cerebral Palsy le ŋu.
2. Acquired Dysarthria: Esia tsoa ahɔhɔ̃a ƒe gbegblẽ le eƒe tsitsime gbɔ. Le kpɔɖeŋu me, ate ŋu adzɔ kple nɔnɔmewo abe ʋusɔgbɔdɔ, ahɔhɔ̃ me dɔdzẽ, alo Parkinson ƒe dɔléle ene. Esia ƒomevi bɔ ɖe ame tsitsiwo dome wu.
Nukawoe nye ƒunukpeƒetetedɔ ƒomevi veviwo?
Woate ŋu ama ƒunukpeƒetetedɔ ɖe hatsotso ade me le afisi wògblẽa nu le le míaƒe lãmekawo me nu. Esia nye atikewɔwɔ vie, gake ne èse egɔme bɔbɔe la, àte ŋu ase esia gɔme nyuie.
| Dysarthria ƒomevi | Numeɖeɖe bɔbɔe kple ŋutinyaa ƒe nɔnɔme |
|---|---|
| Flaccid Dysarthria ƒe dɔléle si woyɔna be Flaccid Dysarthria | Le go sia me la, lãmekaawo gbɔdzɔna ŋutɔ eye womeɖea asi le wo ŋu o, si ate ŋu ana nuƒoƒo naɖi ƒoƒo alo aɖi. |
| Spastic Dysarthria ƒe Dɔléle | Le afisia la, lãmekawo va sẽna eye wosẽna, si wɔnɛ be wòdzena abe ɖe nyawo dona sesẽna, wotea ɖeɖi wo ŋu, eye wosẽna ne wole nu ƒom ene. |
| Ataxic Dysarthria ƒe Dɔléle | Etsoa ahɔhɔ̃a ƒe akpa si wɔa ɖoɖo ɖe míaƒe ʋuʋu ŋu ƒe gbegblẽ gbɔ. Ate ŋu ana ame naƒo nu ƒuƒlu eye wòasesẽ na ablɔɖegbeɖiɖiwo wɔwɔ, abe ɖe ame aɖe mu aha ene. |
| Blewu ƒomevi (Hypokinetic Dysarthria) . | Etsoa nusiwo gblẽ le ahɔhɔ̃a ƒe akpa aɖe si nye basal ganglia ŋu. Nuƒoƒo ate ŋu anɔ blewu ŋutɔ, gbeɖiɖi ɖeka, robot, eye seselelãme aɖeke manɔ eme o. Ebɔ ɖe Parkinson dɔnɔwo dome. |
| Hyperkinetic Dysarthria ƒe dɔléle si nye Hyperkinetic | Esia hã tsoa nusiwo gblẽ le basal ganglia ŋu gbɔ. Le go sia me la, nuƒoƒo ate ŋu azɔ kabakaba ŋutɔ, ɣeaɖewoɣi la, esesẽna zi ɖeka, eye nyawo ate ŋu ado le mɔ si dzi womate ŋu aɖu o nu. |
| Dysarthria si Wotsaka | Esiae nye ƒomevi si bɔ wu. Ate ŋu anye ƒomevi eve alo esi wu nenema siwo le etame la ƒe ƒuƒoƒo. |
Nukawoe nye dzesi vevitɔwo?
Dzesi vevitɔ si dzena le ƒunukpeƒetetedɔ ŋue nye be womete ŋu ƒoa nu nyuie ale gbegbe be ame bubuwo nase egɔme o. Esia dzɔna elabena màte ŋu aʋuʋu wò nuyiwo, aɖe, kple aɖuwo nyuie o.
| Dzesi siwo bɔ | |
|---|---|
| Nyawo ƒe gege ɖe wo nɔewo me | Ne wole nu ƒom la, nyawo tɔtɔna eye woɖina abe ɖe wole ɣli dom ene. |
| Alesi ŋutinyaa le du dzii | Nuƒoƒo kabakaba alo blewu ŋutɔ si mexɔ se o. |
| Gbea ƒe ɖiɖi | Nuƒoƒo blewu akpa (abe ɖe wòle ɣli dom ene) alo sesĩe madzemadzee. |
| Gbea ƒe nɔnɔme | Gbea va zua gbeɖiɖi sesẽ, sesẽna, ɖina abe ɖe wòle nu ƒom to ŋɔti me ene, alo ƒoa nu le gbe ɖeka me, abe robot ene. |
| Nuƒoƒo ƒe atsyã | Nuƒoƒo le nyagbe siwo gbã, siwo tɔ te me ɖe nyagbe blibowo teƒe. |
Gbɔdzɔgbɔdzɔ sia si le lãmekawo dzi ɖuɖu me ate ŋu ana nuɖuɖu mimi nasesẽ ɣeaɖewoɣi. Míeyɔa nɔnɔme sia be nuɖuɖumadzroame.
Nukawoe hea ƒunukpeƒetetedɔ vɛ?
Nu sia nu si gblẽa nu le lãmeka siwo kpɔa ŋusẽ ɖe lãmeka siwo kpena ɖe ŋuwò nèƒoa nu dzi la gbɔ ate ŋu atsoe. Esia lɔ afɔkuwo, dɔlélewo, kple ahɔhɔ̃mekawo ƒe dɔlélewo ɖe eme.
Susu vevi aɖewoe nye esi:
- Amyotrophic axadzi ƒe ƒunukpeƒetetedɔ (ALS) .
- Ahɔhɔ̃ me dɔdzẽwo
- Ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie
- Tagbɔdɔléle
- Huntington ƒe dɔlélea
- Lyme dɔlélea
- Dɔléle si nye multiple sclerosis (MS) ƒe dɔléle .
- Lãmetsiwo ƒe dɔmawɔmawɔ nyuie
- Myasthenia gravis ƒe dɔléle si woyɔna be myasthenia gravis
- Parkinson ƒe dɔlélea
- Gbagbãdᴐ
- Ahɔhɔ̃ me nuveviwɔame si me nuveviwɔame le
- Nuveviwɔame le mo, nu, ta, alo kɔ ŋu
Tsɔ kpe ɖe eŋu la, atike aɖewo hã gblẽa nu le ame ŋu.Dzesiwo abe dysarthria ene hã ate ŋu atso atikewo, vevietɔ atike siwo naa ame ƒe dzi dzea eme kple atike aɖewo siwo wua asrãdɔ gbɔ hena ɣeyiɣi aɖe.
Aleke wowɔa dɔlélea ƒe dzesi?
Ne nuƒoƒo sesẽ na wò la, ele be nàkpɔ wò ɖɔkta gbã. Abia nya tso wò atikewɔwɔ ŋutinya ŋu eye wòado wò ŋutilã kpɔ.
Le ema megbe la, ɖewohĩ woaɖo wò ɖe Nuƒoƒo Kple Gbegbɔgblɔ Ŋuti Dɔléleŋutinunyala (SLP) gbɔ . Awɔ dodokpɔ geɖe atsɔ akpɔ alesi wò dɔlélea nu sẽe.
Dodokpɔ bɔbɔe siwo atikewɔla ate ŋu awɔ
- Egblɔna nam be mako nu.
- Egblɔna nam be matsɔ nye aɖe ado goe.
- Wobiana tso asiwò be nàxlẽ nu sesĩe tso ɖeka va ɖo ewo alo nàgblɔ ŋɔŋlɔdzesiawo.
- Egblɔ be woaxlẽ memama aɖe.
- Egblɔna be woagbugbɔ gbeɖiɖi, nya, kple nyagbe vovovowo agblɔ.
Atikewɔwɔ me dodokpɔ siwo ate ŋu ahiã
Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàgawɔ dodokpɔ geɖe wu be nànya nusi gbɔ dɔléle sia tso.
- MRI alo CT scan: Kpɔe ɖa be nusiwo mesɔ o le ahɔhɔ̃, ta, alo kɔ ŋu hã.
- EEG dodokpɔ (Electroencephalogram): Eléa ŋku ɖe tɔtrɔ ɖesiaɖe si va ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ ŋu hã.
- EMG dodokpɔ (Electromyography): Edzidzea elektrikŋusẽ ƒe dɔwɔwɔ le lãmekawo kple lãmekawo me.
- Ʋu alo aɖuɖɔ dodokpɔ: Kpɔe ɖa be dɔlékui alo dɔdzẽ ƒe nɔnɔme aɖe gbɔe wòtso.
Atikewɔwɔ ƒe mɔnuwo kple edzikpɔkpɔ
Nuƒoƒo ƒe atikewɔwɔ nye atike vevi aɖe ŋutɔ na amesiwo ŋu ƒunukpeƒetetedɔ le. Ate ŋu akpe ɖe ame ŋu be dzeɖoɖo ƒe ŋutetewo nanyo ɖe edzi. Atikewɔla la afia wò kple wò ƒomea alesi miaɖo dze kpli wò nyuie wu.
Le nuƒoƒo ƒe atikewɔwɔ me la, àsrɔ̃ nu abe:
- Kamedede siwo doa ŋusẽ wò aɖe, nuyi, kple aɖu ƒe lãmekawo.
- Mɔ siwo dzi nàto akpe ɖe ŋuwò nàƒo nu sesĩe wu (e.g., gbɔgbɔ sesẽ hafi nàƒo nu).
- Mɔnu siwo akpe ɖe ŋuwò nàƒo nu nyuie wu (e.g., wò nuƒoƒo dzi ɖeɖe kpɔtɔ, lãmeka siwo kpɔa gome le nyawo gbɔgblɔ me zazã le nyanya me).
- Ne ehiã la, kadodomɔnu siwo menye nyagbɔgblɔ o (e.g., asiwɔwɔ ɖe nya dzi, nuŋɔŋlɔ).
Ne nɔnɔmea nu sẽ ŋutɔ la, woate ŋu azã kpekpeɖeŋumɔ̃wo atsɔ aɖo dze. Esiawo dometɔ aɖewoe nye ʋuƒo si dzi woŋlɔ ŋɔŋlɔdzesiwo alo nɔnɔmetatawo ɖo, alo kɔmpiuta tɔxɛ aɖe.
Nu vevitɔe nye be ne woate ŋu ada nɔnɔme sia keŋkeŋ la nɔ te ɖe nusi gbɔ wòtso dzi. Ne atike aɖe ƒe nugbegblẽ le ame ŋue la, zi geɖe la, nɔnɔmea nu yina ne wonya dzudzɔ atikeawo zazã ko. Gake ne dɔléle aɖe si nɔa anyi didi abe ʋusɔgbɔdɔ alo ahɔhɔ̃mekawo ƒe dɔléle ene gbɔe wòtso la, ɖewohĩ womate ŋu adae keŋkeŋ o. Gake woate ŋu ana dzeɖoɖo ƒe ŋutetewo nanyo ɖe edzi to nuƒoƒo ƒe atikewɔwɔ me.Woate ŋu ana wòanyo ɖe edzi ŋutɔ.
Aleke nàte ŋu akpe ɖe ɖokuiwò kple wò ame veviwo ŋui?
Agbenɔnɔ kple nɔnɔme sia ate ŋu asesẽ, gake nu suesuesuewo ate ŋu ana tɔtrɔ gã aɖe nava.
Aɖaŋuɖoɖo na amesiwo ŋu dysarthria le
- Gblɔ nyatia gbã: Ne èle dzeɖoɖo gɔme dzem la, gblɔ nyati si ŋu nàƒo nu tsoe gbã. Le kpɔɖeŋu me, dze egɔme kple gbɔgblɔ be "sinima la" hafi nàƒo nu tso sinima si nèdi be yeakpɔ ŋu.
- Ƒo nu blewuu eye eme nakɔ: Ƒo nu blewu, nàyɔ nyawo nyuie. Nya kpuiwo zazã kple tɔtɔ le wo dome nana nyasela la sea egɔme bɔbɔe.
- Ƒo asa na nuƒoƒo ne ɖeɖi te ŋuwò: Ate ŋu asesẽ wu be nàƒo nu ne ɖeɖi te ŋuwò.
- Kpɔe ɖa be nyaselaa se egɔme hã: Le mɔa dzi la, bia nya aɖe abe, "Èse egɔmea?" be woaɖo kpe edzi.
- Zã mɔnu bubuwo: Ne nuƒoƒo ti kɔ na wò la, gblɔ wò susuwo to nuŋɔŋlɔ, nutata, alo asiwɔwɔ ɖe nya dzi me.
Aɖaŋuɖoɖo na wò lɔlɔ̃tɔwo
- Ðe susuhenuwo dzi kpɔtɔ: Ðe toɣliɖeɖe, abe TV kple radio ene dzi kpɔtɔ ne èle nu ƒom.
- Lé ŋku ɖe eŋu nyuie: Lé ŋku ɖe ame si le nu ƒom la ŋu eye nàɖo to nyuie.
- Bia nya siwo nye ẽ/ao: Bia nya siwo ŋu woate ŋu aɖo kple "ẽ" alo "ao" be kadodo nanɔ bɔbɔe.
- Ne mèse egɔme o la, gblɔe nenema: Ne mèse egɔme o la, gblɔe anukwaretɔe.
- Gbugbɔ gblɔ akpa si gɔme nèse: ekema mahiã be wòagblɔ nya sia nya na wò tso gɔmedzedzea me o.
Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake
Ne nuƒoƒo te sesẽ na wò la, yi wò ɖɔkta gbɔ. Gake ne dzesiwo abe lãmetutudɔ, kɔdziyiyi si nu metsina o, alo aklãdɔ ene dze ŋuwò la, yi atikewɔƒe enumake.
Ɣekaɣie nèdi be yeayi ETU?
Nɔnɔme aɖewo siwo hea ƒunukpeƒetetedɔ, abe ʋusɔgbɔdɔ ene, hiã be woawɔ atike na wo kpata. Ne ame aɖe le ʋusɔgbɔdɔ ƒe dzesiwo ɖem fia la, kplɔe yi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake.
- Mo ƒe akpa ɖeka ƒe ŋeŋe alo gbɔdzɔgbɔdzɔ.
- Ŋutete manɔamesi be woalé asi eveawo ɖe dzi sɔsɔe.
- Tɔtɔ kple zitɔtɔ.
- Dadasɔ ƒe bu le ŋutilãa me.
- Nyawo ƒe gege ɖe wo nɔewo me.
Dysarthria kple nɔnɔme bubu siwo sɔ kplii
Nɔnɔme bubu geɖewo li siwo ate ŋu ana nuƒoƒo nasesẽ. Ele vevie be míase vovototo si le nusiawo dome gɔme.
| Atikewɔwɔ ƒe nɔnɔme | Vovototo kae le wo dome? |
|---|---|
| Dysarthria ƒe dɔléle | Kuxiae nye lãmeka siwo hiã be woaƒo nu la ƒe gbɔdzɔgbɔdzɔ alo ŋutetemanɔamesi . |
| Aphasia ƒe dɔléle | Esia nye gbegbɔgblɔ ƒe kuxi . Enye nusi sesẽna na ame be wòase nya siwo gblɔm ame bubuwo le gɔme alo atsɔ ame ƒe tamesusuwo ade nyagbewo me. Menye lãmekawo ƒe kuxie wònye o. |
| Nuƒoƒo ƒe Apraxia | Lãmetsiawo sesẽ le afisia, gake kuxi aɖe le ahɔhɔ̃a ƒe gbedasi nyuitɔ ɖoɖo ɖe lãmekaawo be woawɔ ʋuʋu siwo hiã be woaƒo nu la ŋu. |
Ne ƒunukpeƒetetedɔ le nuƒoƒo sesẽm na wò eye wònana amewo sea nu gɔme na wò la, ke ƒo nu tso eŋu na wò ɖɔkta. Nuƒoƒo ƒe atikewɔwɔ ate ŋu akpe ɖe ŋuwò nàna wò dzeɖoɖo ƒe ŋutetewo nanyo ɖe edzi esime nèle nusi gbɔ wòtso la dam. Ðo ŋku edzi be ne wò lãmekawo gbɔdzɔ hã la, mɔ geɖe li siwo dzi nàto akpe ɖe ŋuwò nàlé ƒomedodo sesẽ me ɖe asi kple wò lɔlɔ̃tɔwo.
Gbedasi si Wotsɔ Yi Aƒeme
- 3px;">Dysarthria menye nunya alo gbegbɔgblɔ ƒe ŋutete ƒe kuxi o. Enye ŋutilã me sesẽ be woaɖu lãmeka siwo hiã be woaƒo nu dzi.
- Esia ate ŋu atso ahɔhɔ̃mekawo ƒe dɔléle vovovowo abe ʋusɔgbɔdɔ, Parkinson ƒe dɔléle, kple ahɔhɔ̃ ƒe abixɔxɔ gbɔ.
- Ne edze ƒã be nuƒoƒo sesẽ na wò alo ame aɖe si te ɖe ŋuwò la, ele vevie ŋutɔ be nàkpɔ ɖɔkta ahakpɔ dɔlélea nyuie.
- Nuƒoƒo ƒe atikewɔwɔe nye atikewɔwɔmɔnu vevitɔ si wɔa dɔ wu le nɔnɔme sia gbɔ kpɔkpɔ me.
- Wò ƒometɔwo kple xɔlɔ̃wo ƒe dzigbɔɖi, nugɔmesese, kple kpekpeɖeŋu anye ŋusẽ gãtɔ kekeake na wò le mɔzɔzɔ sia me.
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