Ðe wòsesẽ na wò zi ɖeka be nàƒo nu alo ase egɔmea? Mina míasrɔ̃ nu tso esia (Global Aphasia) ŋu!

Kpɔe ɖa le susu me be, èle dze ɖom nyuie eye kasia màte ŋu aƒo wò nyawo nu ƒu o, mèse nya si ame bubuwo le gbɔgblɔm gɔme o. Alo màte ŋu aŋlɔ nu alo axlẽ nu o. Esia nye nusi nana nèsena le ɖokuiwò me be yemate ŋu awɔ naneke o, alo? Ɣeaɖewoɣi la, nɔnɔme sesẽ sia ƒomevi ate ŋu atso nɔnɔme aɖe si woyɔna be (Global Aphasia) gbɔ. Mina míaƒo nu tso esia ŋu tsitotsito vie egbea, enyoa?

Nukae Nye Xexeame Katã ƒe Aphasia?

Kpuie ko la, Global Aphasia nye míaƒe gbegbɔgblɔ ƒe ŋutete akpa gãtɔ ƒe bu kpata – nuƒoƒo, nugɔmesese, nuŋɔŋlɔ, nuxexlẽ – abe ɖe míaƒe kadodomɔnu bliboa tu ene. Gbegbɔgblɔ ƒe gbɔdzɔgbɔdzɔ ƒomevi geɖe li siwo woyɔna be Aphasia, gake wobu Global Aphasia be eyae nu sẽ wu eye wòkaka wu .

Gake nu vevitɔ kekeake si dzi wòle be nàɖo ŋkui enye si. Togbɔ be (Global Aphasia) kpɔa ŋusẽ ɖe wò gbegbɔgblɔ ƒe ŋutete dzi hã la, mekpɔa ŋusẽ ɖe wò nunya, nunya, alo (Nunya) dzi le mɔ aɖeke nu o. Ègakpɔtɔ nye nunyala, ame si bua tame. Gake kuxi gãtɔ kekeakee nye be nàɖe wò susu agblɔ eye nàse nya si ame bubuwo le gbɔgblɔm la gɔme. Ðeko wòle abe ɖe nènya ʋukuku nyuie ene, gake ʋua ƒe mɔ̃ mewɔa dɔ o.

Nukae nye Global Aphasia ƒe dzesiwo?

Ne nɔnɔme sia do mo ɖa la, dzesi siwo gbɔna koŋue wokpɔna:

• Ate ŋu asesẽ ŋutɔ be nàse nya si gblɔm ame aɖe le la gɔme, eye ɣeaɖewoɣi la, ɖewohĩ màse naneke gɔme kura o. Ate ŋu ase le eɖokui me abe gbe bubu aɖe mee nèle nu ƒom ene.
• Nuxexlẽ kple nuŋɔŋlɔ ƒe ŋutete dzi ɖe kpɔtɔ ŋutɔ alo bu keŋkeŋ. Ðewohĩ ame aɖe mate ŋu aŋlɔ eya ŋutɔ ƒe ŋkɔ gɔ̃ hã o, nyadzɔdzɔgbalẽ alo agbalẽ aɖeke megaŋlɔ o.
• Ðewohĩ womate ŋu agblɔ woƒe nuhiahiãwo kple seselelãmewo le nyagbewo me o. Ðewohĩ nya ɖeka alo eve koe woate ŋu agblɔ, alo womate ŋu aƒo nu kura o.

Eya ta bu alesi nèsena le ɖokuiwò me be yemate ŋu awɔ naneke o ne nusia dzɔ. Ne míete ŋu doa ka kple ame bubuwo o la, ate ŋu ana ame natsi akogo eye wòalé blanui gɔ̃ hã. Àte ŋu ase le ɖokuiwò me be yeɖe ye ɖokui ɖe aga le xexeame, màte ŋu aɖe yeƒe susu agblɔ o, màte ŋu ase nya si ame bubuwo le gbɔgblɔm gɔme o.

Ðe ame siwo le nɔnɔme sia me ate ŋu aŋlɔ nu ahaxlẽ nua?

Nublanuitɔe la, nuŋɔŋlɔ alo nuxexlẽ ƒe ŋutete mele amesi ŋu (Global Aphasia) le o. Ŋutete mawo bu keŋkeŋ kloe. Elabena nɔnɔme sia kpɔa ŋusẽ ɖe gbegbɔgblɔ ƒe akpa sia akpa dzi.

Nukawoe hea (Global Aphasia) vɛ?

Nusi koŋ gbɔ nɔnɔme sia tsoe nye nusiwo gblẽa nu le míaƒe ahɔhɔ̃ ƒe dɔwɔƒe vevi siwo wɔa dɔ kple gbegbɔgblɔ ŋu vevie.Míaƒe ahɔhɔ̃ nye nusi gɔme sese sesẽ ŋutɔ. Eƒe akpa vovovowo wɔa dɔ vovovowo. Vevietɔ ahɔhɔ̃a ƒe akpa eve li siwo míeyɔna be (Broca ƒe nuto) kple (Wernicke ƒe nuto). Esiawoe nye akpa siwo kpena ɖe mía ŋu míesea gbegbɔgblɔ gɔme, míezãa nyagbewo kple gbeŋutise, eye míetua nyawo kple nyagbewo ɖo. Abe kɔmpiutadziɖoɖowo ene. Ne esia (Broca ƒe nuto) gblẽ la, nuƒoƒo asesẽ, eye ne esia (Wernicke ƒe nuto) gblẽ la, gɔmesese asesẽ. Le (Global Aphasia) me la, ate ŋu agblẽ nu le teƒe siawo evea siaa alo wo ŋu vevie.

Eyata mɔ vevi eve li siwo dzi ahɔhɔ̃ ƒe gbegblẽ sia ƒomevi ate ŋu ato ato:

• Gbagbãdᴐ. Esiae nye nusi gbɔ wòtsona wu. Le ʋusɔgbɔdɔ me la, ʋu ƒe sisi yi ahɔhɔ̃a me nu tsona, si wɔnɛ be ahɔhɔ̃mekawo kuna.
• Traumatic Brain Injury (TBI) nye abi gã aɖe si woxɔna le ta ŋu. Le kpɔɖeŋu me, ŋusẽ gã aɖe si le ta ŋu, abe ʋufɔku alo anyidzedze ene, ate ŋu agblẽ nu sia ƒomevi.

Aleke wokpɔa Global Aphasia ƒe dɔlélea?

Ðɔkta aɖe akpɔ Global Aphasia to wò dodokpɔ, ahɔhɔ̃mekawo ƒe dodokpɔ, kple dodokpɔ bubuwo wɔwɔ me. Le dodokpɔ siawo me la, ɖɔktaa abia nya wò alo wò dzikpɔla tso wò dzesiwo kple wò lãmesẽ ŋutinya ŋu. Esi wònye be nuƒoƒo kple nugɔmesese ate ŋu asesẽ na wò ta la, ate ŋu aɖe vi na wò ŋutɔ ne ame aɖe si dzi nèka ɖo nanɔ gbɔwò le ɣeyiɣi sia me. Ame ma ate ŋu akpe ɖe ŋuwò nàɖo nya siwo ɖɔktaa bia la ŋu.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu aɖe gbe be woawɔ MRI (Magnetic Resonance Imaging) alo CT scan (Computed Tomography scan) be woakpɔ alesi gbegbe nusiwo gblẽ le ahɔhɔ̃a ŋui, i.e. afisi nusiwo gblẽ le ahɔhɔ̃a me kple alesi gbegbe wòsẽe. Scan siawo ate ŋu aɖe ahɔhɔ̃a ƒe nɔnɔmetata si me kɔ nyuie.

Be woaɖo kpe dɔléle sia dzi la, woate ŋu aɖo wò ɖe nuƒoƒo kple gbegbɔgblɔ ƒe dɔléleŋutinunyala (SLP). Eŋutinunyala sia ada wò gbegbɔgblɔ ƒe ŋutetewo kpɔ – nuƒoƒo, gɔmesese, nuxexlẽ, kple nuŋɔŋlɔ – be yeanya alesi wò gbegbɔgblɔ ŋuti dɔwɔwɔ ƒe kuxiwo sesẽe. Dɔdamɔnu sia hã ana woanya atikewɔwɔ ƒomevi siwo woate kpɔ.

Aleke wodaa Global Aphasia ƒe dɔléleae?

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã nuƒoƒo ƒe atikewɔwɔ atsɔ ada wò dɔlélea (Global Aphasia). Le nuƒoƒo ƒe atikewɔwɔ me la, àwɔ dɔ kplikplikpli kple Nuƒoƒo ƒe Dɔléleŋutinunyala (SLP). Woakpe ɖe ŋuwò le nu siwo gbɔna me:

• Agbagbadzedze be gbegbɔgblɔ kple dzeɖoɖo ƒe ŋutete siwo bu la nagasu ye si. Vivivi la, wosrɔ̃a ŋkuɖoɖo nyawo dzi kple nyagbewo ƒoƒo ƒu ɖekae.
• Srɔ̃ mɔ bubu siwo dzi nàto aɖo dze kple amewo. Ne màte ŋu aƒo nu o hã la, àte ŋu agblɔ wò susu le mɔ bubuwo nu.
• Fia wò lɔlɔ̃tɔwo kple amesiwo léa be na wò ale si woaɖo dze kpli wò nyuie.Elabena wodi hã be yewoanya ale si yewoakpe ɖe ŋuwòe.

Ðɔktaa ate ŋu akafu atikewɔmɔnuwo abe:

Atikewɔwɔmɔnu vovovowo

• Augmentative and Alternative Communication (AAC): Mɔ geɖe li siwo dzi woato aɖo dze kple amewo nuƒoƒo manɔmee. Atikewɔla afia mɔ vovovo siwo dzi nàto aɖe wò nuhiahiãwo afia wò. Le kpɔɖeŋu me, àte ŋu agblɔ na ame aɖe be yehiã nane be yeaɖu, ano nu, alo ayi tsileƒe ne ètsɔ nɔnɔmetatawo, dzesiwo, alo dzesi aɖe si dzi woŋlɔ ŋɔŋlɔdzesiwo ɖo la fiae. Àte ŋu azã mɔ̃ aɖe abe tablɛt ene hã.
• Visual Action Therapy (VAT): Esia nye atikewɔwɔ si menye nyagbɔgblɔ o. Atikewɔla la fiaa dzesiwo (ŋutilã ƒe ʋuʋu) wò be nàtsɔ atsi tre ɖi na nu vovovowo. Wò ʋuʋu kpena ɖe ŋuwò nèɖoa dze. Le kpɔɖeŋu me, be nàgblɔ be yedi be yeano tsi la, àte ŋu aƒo wò asibidɛwo abe ɖe nèlé kplu ɖe asi ene eye nàtsɔ wò asi aɖo nu me. Alo àte ŋu awɔ abe ɖe nèfɔ kɔme eye nèle wò ɖa ƒom ene tsɔ wu be nàgblɔ nya ‘kɔklɔ’.
• Hadzidzi ƒe Dɔdamɔnu (Melodic Intonation Therapy): Dɔdamɔnufiala zãa gbeɖiɖi ƒe tsɔtsɔme kple hadzidzi tsɔ ʋãa wò ahɔhɔ̃ ƒe akpa siwo wɔa dɔ le gbegbɔgblɔ ŋu. Ɣeaɖewoɣi la, enɔa bɔbɔe be woagblɔ nyawo na haƒoƒo aɖe, abe ha ene, wu be woaƒo nu. Esia ate ŋu ana wò nuƒoƒo kple ale si nèsea gbea nanyo ɖe edzi.

Ðo ŋku edzi be atikewɔwɔ siawo mahe emetsonuwo vɛ le zã ɖeka me o. Ele vevie ŋutɔ be míayi edzi aƒo mía ɖokui ɖe wo me kple dzigbɔɖi kple adzɔgbeɖeɖe.

Tsɔ kpe ɖe eŋu la, wole dɔdamɔnu dodokpɔwo wɔm fifia be woatsɔ ado atike yeye siwo wozãna na xexeame katã ƒe aphasia kple woƒe dɔwɔwɔ kpɔ. Àte ŋu ate atikewo alo ahɔhɔ̃ ƒe dɔwɔwɔ ƒe mɔnuwo abe Transcranial Magnetic Stimulation (TMS) ene kpɔ le dɔdamɔnu dodokpɔ siawo me. Ðo dze kple wò ɖɔkta tso esia ŋu.

Ðe wòanya wɔ be woahaya keŋkeŋ tso Xexeame Katã ƒe Aphasia mea?

Nya sia nye nya si ame geɖe biana. Nu geɖe dzie wò hayahaya nɔ te ɖo. Le kpɔɖeŋu me, alesi gbegbe ahɔhɔ̃a gblẽe, afisi wògblẽ nu le, ƒe si nèxɔ, wò lãmesẽ bliboa, kple alesi nèdze atikewɔwɔ gɔme kabae. Wò ɖɔkta ate ŋu aɖo aɖaŋu nyuitɔ kekeake na wò le wò nɔnɔmea nu.

Zi geɖe la, dzesiawo nu sẽna ŋutɔ le ʋusɔgbɔdɔ alo ahɔhɔ̃ ƒe abixɔxɔ vɔ megbe teti. Gake àte ŋu ade dzesii be wò dzesiwo nyona ɖe edzi vivivi le kwasiɖa kple ɣleti siwo kplɔ nudzɔdzɔa ɖo me. Ɣleti ʋɛ gbãtɔawoe nye esime nàkpɔ ŋgɔyiyi geɖe wu.

Ame aɖewo ƒe lãme sẽna ale gbegbe be woate ŋu awɔ dɔ nyuie, ne nuƒoƒo sesẽ vie gɔ̃ hã. Ame bubuwo ate ŋu akpɔ dzesiwo le woƒe agbemeŋkekewo katã me. Le nɔnɔme sesẽtɔ kekeake me la, ate ŋu ahiã be woakpɔ woƒe nɔnɔmea gbɔ le woƒe agbemeŋkekewo katã me. Gake mɔkpɔkpɔ megabu ɖe wò o. Ne wowɔ atike na wò la, wò agbenɔnɔ ate ŋu anyo ɖe edzi.

Ðe woate ŋu axe mɔ ɖe nɔnɔme sia nua?

Míate ŋu axe mɔ ɖe nusiwo katã ate ŋu ahe xexeame katã ƒe aphasia vɛ nu o. Le kpɔɖeŋu me, nane si le abe afɔku si womele mɔ kpɔm na o ene. Gake nanewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Dzra atikewɔwɔ me nɔnɔme ɖesiaɖe si ate ŋu anɔ ŋuwò gbɔ , abe suklidɔ, ʋusɔgbɔdɔ, kple ʋumemi ƒe agbɔsɔsɔ ene. Esiawo ate ŋu ana wò ʋusɔgbɔdɔ ƒe afɔkua nadzi ɖe edzi.
• Wɔ dedienɔnɔ ŋuti ɖoɖowo ne èle nuwɔna siwo me afɔku le ŋutɔ wɔm. Le kpɔɖeŋu me, gakuku dodo ne wole gasɔ alo dzokeke dom, kple tatsyɔnu si kpɔa ame ta ne wole dɔ wɔm le xɔtudɔwo me.
• Ƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ (abe 911 ene) ne ènya de dzesi ʋusɔgbɔdɔ ƒe dzesi gbãtɔwo ko (e.g., mo ƒe akpa ɖeka ƒe anyidzedze, alɔnu ƒe ʋuʋu, nuƒoƒo sesẽ). Esia ate ŋu akpe ɖe ame ŋu wòaɖe ahɔhɔ̃a ƒe gbegblẽ dzi akpɔtɔ. Ɣeyiɣie nye nu vevitɔ le afisia.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne gbegbɔgblɔ ƒe kuxiwo do mo ɖa le wò ŋutɔ alo wò ame vevi aɖe ŋu zi ɖeka si gblẽ nu le wò nuƒoƒo, nugɔmesese, nuŋɔŋlɔ, alo nuxexlẽ ƒe ŋutete ŋu la, yi ɖɔkta gbɔ enumake. Vevietɔ ne dzesi siawo kpe ɖe ʋusɔgbɔdɔ ƒe dzesiwo ŋu (mo ƒe ŋeŋe, alɔnu ƒe ʋuʋu) la, enye nusi dzɔ kpata. Ðɔkta ate ŋu atso nya me le atike nyuitɔ kekeake siwo nàte ŋu azã na wò nɔnɔmea ŋu.

Nya kawoe wòle be nàbia wò ɖɔkta?

Ne èle wò lɔlɔ̃tɔ aɖe si ŋu Global Aphasia le dzi kpɔm la, mɔ nyuitɔ siwo dzi nàto akpe ɖe ŋuwò dometɔ ɖekae nye be nàbia nya veviwo abe esiawo ene atikewɔlawo ƒe ƒuƒoƒoa:

• "Haya ka ƒomevie mate ŋu akpɔ mɔ na tso nye lɔlɔ̃tɔa si? Ðe wòahaya bliboea?"
• "Zi nenie wòhiã be wòade nuƒoƒo ƒe atikewɔwɔ eye ɣeyiɣi didi kae wòhiã?"
• "Aleke mawɔ aɖo dze kple nye lɔlɔ̃tɔ si ŋu (Global Aphasia) le? Aleke maƒo nu le mɔ si gɔme woase eye wòakpe ɖe wo ŋu nu?"
• "Nukae míate ŋu awɔ le aƒeme be eƒe nyonyo nanyo ɖe edzi?"
• "Ðe kuxi bubu aɖewo li siwo ate ŋu ado tso nɔnɔme sia mea?"

Esi nèle nyati sia xlẽm la, esesẽ be nàkpɔ alesi amesi ŋu Global Aphasia le ase le eɖokui me le susu me. Ha si nèlɔ̃ wu ƒe nyawo dzidzi, nyadzɔdzɔgbalẽ aɖe ƒe tanya xexlẽ, alo nukoko kple xɔ̃wò ate ŋu ava zu nusi mate ŋu adzɔ o zi ɖeka le ʋusɔgbɔdɔ megbe. Ne màte ŋu ase ɖokuiwò alo ame bubuwo gɔme o la, ate ŋu anye nuteƒekpɔkpɔ si me nàtsi akogo le ŋutɔ. Gake mehiã be wò ɖeka nàdze ŋgɔe o. Ðɔktawo, nuƒoƒodɔdalawo, ƒometɔwo, kple xɔlɔ̃wo awɔ dɔ kple wò kple wò lɔlɔ̃tɔwo awɔ atikewɔwɔ ƒe ɖoɖo si asɔ na wò hiahiãwo koŋ. Woate ŋu akpe ɖe ŋuwò nàsrɔ̃ mɔ yeye siwo dzi nàto aɖe wò susu agblɔ le mɔ siwo ana dzeɖoɖo nanɔ bɔbɔe eye wòawɔ dɔ nyuie wu nu.

Gbedasi si Wotsɔ Yi Aƒeme

Togbɔ be Xexeame Katã ƒe Aphasia nye nɔnɔme dziŋɔ kple kuxi, ne wowɔ atike nyuie, nuƒoƒo ƒe atikewɔwɔ, kple lɔlɔ̃tɔwo ƒe kpekpeɖeŋu hã la, mɔnukpɔkpɔ li be nàna kadodomɔnu nanyo ɖe edzi vaseɖe afi aɖe eye nàtrɔ wò agbenɔnɔ. Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ènya de dzesi dzesiawo ko eye nàtsɔ ɖokuitsɔtsɔna kple dzigbɔɖi akpɔ gome le atikewɔwɔ me. Ðo ŋku edzi be menye wò alo wò lɔlɔ̃tɔ ɖeɖe koe le mɔzɔzɔ sia me o, ame geɖewo li siwo akpe ɖe ŋuwò ahakpe ɖe ŋuwò. Mègana ta o!

` Xexeame Katã ƒe Aphasia, Aphasia, Nuƒoƒo ƒe kuxiwo, Gbegbɔgblɔ ƒe Dɔmawɔmawɔ nyuie, Ʋusɔgbɔdɔ, Ahɔhɔ̃ ƒe Nuveviwɔame, Nuƒoƒo ƒe Dɔdamɔnu