Ke manaʻo nei ʻoe i kēia i kekahi manawa? ʻOiai ua maopopo iā ʻoe ka mea āu e makemake ai e ʻōlelo i loko o kou poʻo, ke puka mai ia mai kou waha mai, ua ʻōlelo ʻino ia, ua haʻalulu, a me he mea lā ʻaʻohe mea e hoʻomaopopo? Ke kani nei kou leo ua nāwaliwali, lohi, a wikiwiki paha? Inā ʻo kēia ka hihia, ʻo ke kumu paha he maʻi i kapa ʻia ʻo dysarthria . I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka dysarthria?
ʻAʻole pilikia ka Dysarthria me kāu ʻōlelo a i ʻole kou ʻano noʻonoʻo. Hoʻomaopopo ʻoe i nā huaʻōlelo, hiki iā ʻoe ke hana i nā ʻōlelo, a hiki iā ʻoe ke noʻonoʻo. ʻO ka pilikia me nā ʻiʻo e kōkua iā mākou e ʻōlelo. ʻO ke kikoʻī, aia ka hōʻino ʻana i ka ʻāpana o ka lolo e kaohi ana i kou mau lehelehe, ke alelo, nā kaula leo, a me ka diaphragm e kaohi ana i ka hanu ʻana.E noʻonoʻo ua like kou lolo me ka CPU o kahi kamepiula, a ua like kou mau ʻiʻo ʻōlelo me ka mīkini paʻi. ʻOiai ke hāʻawi nei ʻoe i ke kauoha mai ka CPU, ʻaʻole paʻi pono ka mīkini paʻi ma muli o kekahi hewa. ʻO ia ka mea e hana nei ma ʻaneʻi.
Hiki ke hana ʻia kēia kūlana ma nā ʻano nui ʻelua:
1. Developmental Dysarthria: He kūlana kēia e kū mai ana i nā keiki. Hiki ke hana ʻia e ka hōʻino ʻia ʻana o ka lolo o ka pēpē i loko o ka ʻōpū a i ka wā hānau paha. ʻO Cerebral Palsy kahi laʻana maikaʻi o kēia.
2. ʻO ka maʻi Dysarthria i loaʻa: Hana ʻia kēia e ka hōʻino ʻana o ka lolo ma hope o ke ola. No ka laʻana, hiki ke loaʻa kēia ʻano i nā pākeke ma muli o ke kumu e like me ka hahau ʻana, ka maʻi Parkinson, a i ʻole ka puʻupuʻu lolo.
Nā ʻano o Dysarthria a me ko lākou mau hiʻohiʻona
Aia kekahi mau ʻano o kēia maʻi. Hoʻololi kēlā me kēia ʻano i ka leo a me ke ʻano o ka ʻōlelo ʻana. E nānā kākou i nā ʻano nui.
| ʻAno o ka dysarthria | ʻO ke ʻano o ka leo a me ka ʻōlelo |
|---|---|
| ʻO ka maʻi dysarthria spastic | Ua ʻū ka leo a he ʻano hāmama kona. Hiki i ka ʻōlelo ke kani paʻakikī loa. |
| ʻO ka maʻi dysarthria hypokinetic | Lilo ka leo i leo hoʻokahi. Lohi a kūpikipikiʻō. ʻIke pinepine ʻia kēia ma ka maʻi o Parkinson. |
| ʻO ka maʻi Hyperkinetic Dysarthria | Piʻi a emi koke ka wikiwiki o ka ʻōlelo. Piʻi a emi ka leo me ke kāohi ʻole. |
| ʻO ka maʻi ʻaʻai Ataxic | Ua ʻōhumuhumu nā huaʻōlelo, me he mea lā ua ʻona kekahi. He haunaele ke ʻano o ka ʻōlelo. Hoʻokumu ʻia ia e ka hōʻino ʻia ʻana o ka cerebellum o ka lolo. |
| ʻO ka Dysarthria Flaccid | He palupalu ka leo, he hanu nui, a he ihu ke kani. |
| Dysarthria i kāwili ʻia | ʻO kēia ke ʻano maʻamau. Hiki ke ʻike i ka hui pū ʻana o nā hiʻohiʻona mai nā ʻano he nui i ʻōlelo ʻia ma luna. |
He aha ka mea e hiki ai ke hana i ka dysarthria?
Hiki ke hana ʻia kēia e kekahi ʻano olakino e hōʻino ana i nā ʻāpana o ka lolo e kāohi ana i ka ʻōlelo. Eia kekahi o nā kumu nui:
- Hahau: Ke kū ʻana o ke kahe koko i ka lolo.
- ʻEha lolo traumatic: Hōʻino ʻia ka lolo mai kahi ulia.
- ʻO ka maʻi o Parkinson: He maʻi ia o ka ʻōnaehana nerve e hoʻopilikia ai i ka neʻe ʻana.
- ʻO Cerebral Palsy: He maʻi neʻe e hoʻopilikia ai i nā keiki ʻōpio.
- Sclerosis lehulehu (MS): He maʻi e hoʻopilikia ai i ka ʻōnaehana nerve.
- ʻO ka Amyotrophic lateral sclerosis (ALS): He maʻi e hoʻonāwaliwali ai i nā ʻiʻo .
- Nā puʻupuʻu lolo
- ʻO ka maʻi ʻaʻai nui (Myasthenia Gravis):He maʻi e hoʻonāwaliwali ai i ka pilina ma waena o nā aʻalolo a me nā ʻiʻo.
- Dementia: He maʻi e hōʻino ai i ka hoʻomanaʻo a me ka hana o ka lolo .
- Nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau: ʻOi aku kekahi mau lāʻau lapaʻau i lawe ʻia no nā maʻi e like me ka maʻi epilepsy.
Pehea e ʻike ai i ka maʻi?
He mea nui loa: Inā ʻaʻole hiki iā ʻoe a i ʻole kekahi āu i ʻike ke ʻōlelo a paʻakikī paha i ka ʻōlelo ʻana, he hōʻailona paha ia o ka hahau ʻana. I kēlā hihia, e kelepona koke i ka 1990 a lawe i ka mea maʻi i ka Emergency Treatment Unit (ETU) o ka haukapila.
Akā inā ua hoʻonui ʻia kēia paʻakikī i ka ʻōlelo ʻana no kekahi manawa, pono ʻoe e ʻike i ke kauka . E kuhikuhi ke kauka iā ʻoe i kahi "Speech and Language Pathologist" (SLP).
Ma laila lākou e nānā ai i nā mea e like me:
- Nānā ia i ka ikaika o nā ʻiʻo ma kou lehelehe, ke alelo, a me ka ʻauwae.
- Ke haʻi aku nei lākou iā ʻoe e hoʻopuka i kou alelo a hana i nā leo like ʻole.
- E heluhelu i kekahi mau ʻōlelo a helu i nā helu.
- Hana lākou i nā hana maʻalahi, e like me ke puhi ʻana i ke kukui.
Eia kekahi, no ka ʻike ʻana i ke kumu kūpono, hiki i ke kauka ke kuhikuhi iā ʻoe i nā hoʻokolohua aʻe:
- Nā Hoʻāʻo Kiʻi: Nā scan MRI a i ʻole CT e nānā i ke kūlana o ka lolo.
- Nā hoʻāʻo koko a me ka mimi.
- Nā hoʻokolohua e nānā i ka hana o ka lolo a me ke aʻalolo: nā mea e like me ka `EEG` (Electroencephalogram) a i ʻole `EMG` (Electromyography).
- Spinal Tap: Inā kānalua ʻia kahi maʻi.
- Ke aʻo ʻana i ka moni ʻana.
Ka mālama ʻana a me ka hoʻokele ʻana
Aia ka lāʻau lapaʻau i ke kumu, ke ʻano, a me nā hōʻailona o kou dysarthria. ʻO ka pinepine, ʻo ka mālama ʻana i ke kūlana kumu (e like me ka maʻi Parkinson) e kōkua i ka hoʻomaikaʻi ʻana i kou mau pilikia ʻōlelo i kekahi ʻano.
Eia nō naʻe, hiki i kahi mea lapaʻau ʻōlelo a me ka ʻōlelo (SLP) ke kōkua nui iā ʻoe. E haʻi aku lākou iā ʻoe i nā mea e like me:
Ka mea a ka mea hoʻoponopono e aʻo ai
- Nā hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo o ka waha a me ka ʻā.
- Pehea e ʻōlelo akāka ai ma ka ʻōlelo mālie a me ka hoʻomaha ma waena o nā huaʻōlelo.
- Pehea e kaohi ai i kou hanu i mea e kani nui ai kou leo.
- Pehea e hoʻohana ai i nā mea e like me nā amplifiers e hoʻonui ai i ka leo.
Nā mea hiki iā ʻoe ke hana iā ʻoe iho
- E mālama mau i kahi puke liʻiliʻi a i ʻole kelepona akamai me ʻoe. Inā ʻaʻole maopopo kekahi i kāu mea e ʻōlelo nei, e kākau i lalo a paʻi paha.
- E kiʻi i ka manaʻo o kekahi ma mua o ka ʻōlelo ʻana.
- I nā manawa hiki, e kamaʻilio he alo a he alo. E maʻalahi kēia i kekahi kanaka ke hoʻomaopopo iā ʻoe ma ka ʻike ʻana i ke neʻe ʻana o kou mau lehelehe.
- E pale i ke kamaʻilio ʻana ma nā wahi me nā pae walaʻau kiʻekiʻe (e like me nā hale ʻaina, nā pāʻina).
- E hoʻohana i nā ʻano helehelena a me nā neʻe lima e wehewehe hou aku i kāu manaʻo.
Pehea e hiki ai iā ʻoe ke kōkua i ka ʻohana a me nā hoaaloha?
Ma kēia kūlana, he mea waiwai nui ke kākoʻo o ka ʻohana a me nā mea aloha. Eia kekahi mau ala e kōkua ai i kāu poʻe aloha:
- Inā ʻaʻole lākou maopopo i kekahi mea, e nīnau hou iā lākou.
- E hāʻawi iā ʻoe iho i ka manawa kūpono e hoʻopau ai i ka ʻōlelo ʻana. Mai hōʻoki.
- Mai hoʻopau i kāu ʻōlelo.
- E hana hou iā lākou i ka ʻāpana o kāu ʻōlelo a lākou i maopopo ai a nīnau, "Ua maopopo pololei anei iaʻu?" Ma kēlā ala, ʻaʻole pono ʻoe e hana hou i ka ʻōlelo holoʻokoʻa.
- Mai hoʻokaʻawale iā ʻoe iho mai nā kamaʻilio ʻana, e hoʻokomo iā ʻoe iho i nā mea āpau.
Leka Lawe-Home
- ʻAʻole pilikia ka Dysarthria me kou noʻonoʻo a i ʻole kou mākau ʻōlelo. He nāwaliwali ia i ka mana o nā ʻiʻo e pono ai ke ʻōlelo.
- ʻO ka ʻōlelo palaualelo koke paha he hōʻailona ia o ka hahau ʻana, no laila e ʻimi koke i ke kōkua lapaʻau.
- He mea nui e ʻike i ke kauka e ʻike ai i ke kumu o kēia ʻano.
- Hiki i kahi mea hoʻoponopono ʻōlelo a me ka ʻōlelo (SLP) ke kōkua iā ʻoe e hoʻomaikaʻi i kāu mau mākau ʻōlelo a aʻo iā ʻoe i nā ala e maʻalahi ai ke kamaʻilio ʻana.
- He mea nui loa ke ahonui, ka hoʻomaopopo ʻana, a me ke kākoʻo o ka ʻohana a me nā hoaaloha ma kēia huakaʻi.











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