Sɔntɛnde, yu kin gɛt prɔblɛm fɔ fɛn di rayt wɔd dɛn we yu de tɔk? Ɔ yu kin tek sɔm tɛm fɔ ɔndastand wetin pɔsin de tɔk? I tan lɛk se dɛn tin ya de wɔs as tɛm de go? Dis nɔto jɔs tin we kin apin as yu de ol. Sɔntɛm i impɔtant fɔ mek yu no bɔt dis sik, we wi go tɔk bɔt, we dɛn kɔl ‘Primary Progressive Aphasia’ (PPA).
Wetin na Praymari Prɔgrɛsiv Afasia (PPA)?
Fɔ tɔk am simpul wan, Primary Progressive Aphasia (PPA) na wan sik we de mek di ebul fɔ tɔk ɛn ɔndastand wɔd dɛn we dɛn rayt de ridyus smɔl smɔl bikɔs di pat dɛn na wi bren we gɛt fɔ du wit langwej dɔn pwɛl. ‘Aphasia’ na we yu nɔ ebul fɔ yuz langwej bikɔs yu bren dɔn pwɛl.
Naw, we dis kכndyushכn we dεn kכl ‘aphasia’ de kכz fכ wan prכgrεsiv nyurodijεnεraytiv sik (wan bren sik) we de bכku sכmtεm as tεm, dכkta dεn kכl am ‘primary progressive aphasia’. Fɔs, i nɔ go izi fɔ yu fɔ fɛn di rayt wɔd dɛn fɔ tɔk wetin yu de tink. As tɛm de go, dis sik kin wɔs smɔl smɔl, ɛn yu nɔ kin ebul fɔ rayt, tɔk, ɔ ɔndastand langwej igen.
Bɔrku tɛm, de ɔndalayn kɔz fɔ PPA na wan sik wae de kam na yu bren wae de go bifo, lɛk Alzaima ɔr frontotemporal dementia . Insay dɛn sik ya, di pat dɛn na wi bren we de kɔntrol aw wi de tɔk ɛn ɛp wi fɔ ɔndastand wɔd dɛn ɛn wetin dɛn min, kin wik smɔl smɔl.
Wetin na di men kayn PPA dɛn?
Naw lɛ wi si wetin na di men kayn PPA dɛn. Spɛshal dɔktɔ dɛn kin sheb dis to tri men grup dɛn:
- Logopenic progressive aphasia: Na dis kayn, yu kin gɛt prɔblɛm fɔ fɛn di rayt wɔd dɛn. I nɔ kin izi bak fɔ yu fɔ ɔndastand wetin ɔda pipul dɛn de tɔk. Fɔ ɛgzampul, yu kin want fɔ tɔk sɔntin, bɔt yu kin fil lɛk se yu nɔ ebul fɔ fɛn di rayt wɔd dɛn. Sɔntɛnde, wɔd dɛn kin rɔsh.
- Progressive non-fluent aphasia: Dis kin bi bay we yu de mek mistek pan grama ɔ i nɔ kin izi fɔ tɔk fayn ɛn tɔk fayn fayn wan. I kin fil se pɔsin nɔ de tɔk fayn, i nɔ kin izi fɔ mek wɔd dɛn, di sɛntɛns dɛn kin rili shɔt, ɛn i kin tan lɛk se fɔ tɔk bɔku tin.
- Semantik dimɛns: Na dis kayn tin, pipul dɛn kin gɛt prɔblɛm fɔ mɛmba di nem fɔ sɔntin we dɛn si am. I nɔ kin izi bak fɔ dɛn fɔ ɔndastand wetin wan wan wɔd dɛn min. Fɔ ɛgzampul, we pɔsin se ‘kɔp’, i nɔ kin ebul fɔ ɔndastand wetin i bi ɔ wetin i de du. Bɔt dɛn kin ebul fɔ tɔk di rayt we aw dɛn de tɔk di grama, bɔt dɛn kin lɔs di minin fɔ di wɔd dɛn.
Udat dis tin kin afɛkt mɔ?
Ɛnibɔdi kin gɛt PPA. Bɔt sɔm pipul dɛn kin gɛt dis sik. Dɛn tin ya na:
- If pɔsin na di famili dɔn gɛt PPA bifo (Family history of PPA), dis min se dɛn kin gɛt am te to sɔm mak.
- sכm pipul dεn bכn wit jεnεtik chenj (fכ egzampl, jin mכtεshכn na di GRN jin) . Bɔt, dis nɔ kin apin to ɔlman.
- Sɔm stɔdi dɔn sho se dis risk kin pasmak bak fɔ pipul dɛm wae gɛt disabled fɔ lan , bɔt dɛn de du mɔ risach bɔt dis.
Wetin na di sayn dɛm fɔ PPA?
Di sayn dɛm fɔ PPA kin bigin fɔ apia bitwin di ej dɛm fɔ 50 ɛn 70. Fɔs, i kin bigin as smɔl smɔl prɔblɛm dɛm fɔ tɔk. Bɔt as tɛm de go, i kin afɛkt di we aw pɔsin de tink ɛn di we aw i de disayd fɔ du sɔntin di rayt we.
Di men sayn dɛm fɔ PPA kin bi:
- Fɔ gɛt prɔblɛm fɔ fɛn di rayt wɔd fɔ sɔntin. Sɔntɛnde, dɛn kin yuz wɔd dɛn lɛk "Dat... dat, wetin na dat..." insted.
- Fɔ stɔp bɔku tɛm we yu de tɔk, ɛn mek di say dɛn we de bitwin wɔd dɛn bɔku .
- Gramatik mistek dɛn we kin apin bɔku tɛm . Fɔ ɛgzampul, we dɛn nɔ yuz verb di rayt we.
- Fɔ tɔk sloslo .
- I nɔ kin izi fɔ ɔndastand wetin ɔda pipul dɛn de tɔk, mɔ di kɔmpleks sɛntɛns dɛn.
- As tɛm de go, di ebul fɔ yuz langwej kin lɔs kpatakpata .
Wetin na di tin dɛm we de ɛp fɔ mek PPA divɛlɔp?
di men tin we de mek PPA na we di pat dεm na wi bren we de kכntro langwej de wik εn shrink (atrophy) sכmtεm – spεshal wan di pat dεm we de na di lεft say na di bren. As di bren tisu de shrink dis we, i de afɛkt di we aw wi ebul fɔ tɔk to pipul dɛn dairekt wan.
Sɔntɛnde, dis kayn bren kin bigin we dɛn bɔn wi bikɔs ɔf wan jin we dɔn chenj . Ɔda tɛm dɛn, i kin apin fɔ no rizin.
Fɔ bɔrku pipul dɛm, dɔktɔ nɔr kin ebul fɔ fɛn klia risk factor fɔ am. naw dεn biliv se we dεn kכmbayn di envayroment εn jεnεtik fכkt כ dεm kin mek PPA. Ivin if yu nɔ gɛt di jin muteshon, i pɔsibul se sɔmbɔdi na yu famili gɛt dis sik.
Aw a go no if a gɛt PPA?
Yu dɔktɔ kin sɔprayz se yu gɛt PPA bay di sayn dɛm we yu gɛt. Fɔs, yu dɔktɔ go aks yu bɔku kwɛstyɔn dɛn bɔt aw yu tɔk prɔblɛm bigin, if i dɔn wɔs as tɛm de go, ɛn us ɔda prɔblɛm dɛn yu gɛt. I go luk bak pan yu mɛdikal histri ɛn famili histri fɔ si if yu de pan risk fɔ gɛt PPA.
Fɔ kɔnfirm dis diagnosis, yu go nid fɔ du tɛst lɛk dis:
- Specialized cognitive tests: Dɛn kin tɛst tin dɛm lɛk yu mɛmori, langwej skil, ɛn atɛnshɔn.
- Bren skan: Fɔ ɛgzampul, dɛn kin du MRI ɔ CT skan . Dɛn skan ya kin chɛk fɔ ɛni say na di bren we dɔn shrink ɔ ɔda tin dɛn we de apin na di bren.
- Sɔntɛnde, dɛn kin du tin lɛk fɔ tɛst blɔd fɔ mek dɛn nɔ gɛt ɔda sik dɛn we dɛn kin gɛt.
Wetin na di tritmɛnt dɛm fɔ PPA?
Naw, no mɛrɛsin nɔ de fɔ PPA, ɛn no we nɔ de fɔ stɔp di sik fɔ mek i nɔ go bifo. Bɔt sɔm tritmɛnt dɛn kin ɛp fɔ mek di sik nɔ go bifo kwik kwik wan ɛn mek yu layf bɛtɛ.
Pipul dɛm wae gɛt PPA kin bɛnifit frɔm tritmɛnt dɛm lɛk:
- Fɔ tek pat pan tɔk tɛrapi ɛn kɔgnitiv tɛrapi . Dis kin ɛp yu fɔ kɔntinyu fɔ lan aw yu de tɔk ɛn tink fɔ lɔng tɛm. Tink bɔt am lɛk fɔ du ɛksɛsayz, dis tritmɛnt de tren yu bren fɔ yuz dɛn skil dɛn de. Wan pɔsin we de mɛn pipul dɛn we de tɔk to yu go tich yu difrɛn we dɛn fɔ fɛn wɔd dɛn ɛn put sɛntɛns dɛn togɛda.
- Fɔ lan nyu we dɛn fɔ tɔk to pipul dɛn, lɛk sayn langwej, fɔ yuz pikchɔ, ɔ fɔ yuz spɛshal tin dɛn fɔ tɔk to pipul dɛn.
- Dɛn kin yuse mɛrɛsin lɛk SSRI (Selective Serotonin Reuptake Inhibitors) fɔ kɔntrol di chenj wae de kam pan pɔrsin in bihayvya, wɔri, ɔr pwɛl hat wae kin apun wit PPA. Dɛn fɔ tek dɛn tin ya ɔnda dɔktɔ advays nɔmɔ.
- If di ɔndalayn kɔz fɔ PPA na Alzaima sik , den i fayn fɔ tek mɛrɛsin dɛn we dɛn dɔn gri fɔ fɔ am. Pan ɔl we dɛn mɛrɛsin ya nɔ kin mɛn PPA ɔltogɛda, dɛn kin ɛp fɔ kɔntrol sɔm pan di sayn dɛm.
Yu tink se dɛn kin ridyus di risk fɔ gɛt PPA?
No 100% surefire way nɔ de fɔ mek dɛn nɔ gɛt PPA, as i de inflɔws bak bay jenɛtiks. Bɔt if yu chenj sɔm kayn layf, dat kin mek yu nɔ gɛt dis maynia sik , we na wan sik we kin mek yu nɔ ebul fɔ mɛmba fayn fayn wan. Dɛn tin ya kin afɛkt PPA bak indaykt wan:
- Fɔ mek yu gɛt wɛlbɔdi wet we fit yu ej, man ɔ uman, ɛn di kayn bɔdi we yu gɛt.
- Fɔ avɔyd siriɔs ed trauma. Dis min se yu fɔ wɛr sitbɛlt we yu de rayd motoka, protɛkt yusɛf frɔm fɔdɔm, ɛn ɔda tin dɛn I impɔtant bak fɔ wɛr ɛlmɛt we de protɛkt yu we yu de ple spɔt.
- I gɛt frut, vɛjitebul, ɔl gren, slim prɔtin, ɛn fayn fayn fatFɔ it tin dɛn we gɛt balans.
- Ɛksesaiz ɔltɛm. Inklud ɔl tu di aerobic ɛksɛsayz ɛn trɛnk trenin . I fayn bak fɔ waka fɔ at le 30 minit insay di de.
- Limit yu rɔm we yu de drink ɛvride. I fayn fɔ mek man dɛn drink pas tu drink ɛvride ɛn uman dɛn nɔ fɔ drink pas wan de fɔ wan de .
- Fɔ mek yu gɛt strɔng soshal kɔnekshɔn . Fɔ tɔk to yu padi ɛn fambul ɛn gladi at bak rili impɔtant fɔ mek yu bren gɛt wɛlbɔdi.
- Kip yu blɔd prɛshɔn ɛn kɔlɔstrel lɛvɛl insay wan wɛlbɔdi rɛnj, ɛn manej yu at wɛlbɔdi fayn fayn wan. If yu gɛt ɛni sik lɛk dayabitis, kɔntrol am fayn fayn wan.
- Fɔ lɛf fɔ smok, if yu de smok, na big ɛp fɔ yu bren ɛn yu wan ol bɔdi.
Us kayn fiuja pɔsin we gɛt PPA kin ɛkspɛkt?
PPA na wan sik we kin wɔs smɔl smɔl as tɛm de go . Bɔrku pipul dɛm wae gɛt PPA kin lɔs dɛn langwej skil dɛm kpatakpata ɔva di ia, wae kin mek dɛn nɔr ebul fɔ tɔk to ɔda pipul dɛm.
Di mɛdikal rɛkɛd sho se bɔku pipul dɛm wae gɛt dis sik kin liv lɛk 3 to 12 ia afta dɛn dɔn no di sik fɔs. Dis tɛm we dɛn kin spɛn kin difrɛn frɔm wan pɔsin to ɔda pɔsin. As tɛm de go, bɔku pipul dɛn go nid ɛp frɔm ɔda pipul dɛn fɔ du di wok dɛn we dɛn kin du ɛvride, lɛk fɔ drɛs, it, ɛn was. So, di sɔpɔt ɛn lɔv we di famili mɛmba dɛn gɛt rili impɔtant fɔ da kayn pɔsin de.
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
If yu tink se yu ɔ pɔsin we de nia yu gɛt PPA, ɔ if dɛn dɔn no se yu gɛt dis sik, i go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Wetin na di fɔs sayn dɛm fɔ PPA? A gɛt dɛn sayn ya?
- Us tɛst dɛn kin yuz fɔ no PPA? Wetin yu tink se yu go fɛn frɔm dɛn tɛst dɛn de?
- Tritmɛnt dɛn de fɔ mek PPA nɔ go bifo kwik kwik wan ? Us tritmɛnt dɛn we fayn fɔ mi?
- Wetin a kin du fɔ mek a gɛt bɛtɛ layf we a gɛt PPA?
- Ples dɛn de we mi ɛn mi famili go gɛt ɛp fɔ bia wit dis prɔblɛm?
Na di impɔtant tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt! (Mɛsej we dɛn kin tek go na os)
Praymari prɔgrɛsiv afasia (PPA) na wan sik we de mek pɔsin nɔ ebul fɔ lan langwej smɔl smɔl. Na sayn fɔ wan ɔndalayn nyurodijɛnɛraytiv sik , wan sik we de pwɛl di bren sɛl dɛn smɔl smɔl.
Sɔm pipul dɛn kin tink se PPA tan lɛk Alzaima sik.I kin bi di fɔs sayn fɔ sho se yu gɛt dis sik. Fɔ ɔda pipul dɛm, e kin gɛt fɔ du wit wan sik wae dɛn kɔl frontotemporal dementia .
Pan ɔl we nɔto ɔltɛm dɛn kin no di rayt tin we kin mek i apin, bɔku tɛm na bikɔs ɔf di tin dɛn we de apin na di say we dɛn de ɛn di tin dɛn we de mek pɔsin gɛt jɛnɛtiks .
Pan ɔl we no we nɔ de fɔ rivɛns PPA, tritmɛnt kin ɛp fɔ mek dɛn kɔntinyu fɔ tɔk to dɛnsɛf fɔ lɔng tɛm. Spich therapy ɛn cognitive therapy kin ɛp wit dis.
If yu gɛt dɛn sik ya, nɔ panik . Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan. Tɔk opin wan wit yu dɔktɔ bɔt di bɛst tritmɛnt ɛn advays fɔ yu. Nɔ wɔri bɔt ɛnitin, fɔ gɛt di rayt infɔmeshɔn ɛn fɔ gɛt mɛrɛsin advays na di bɛst tin fɔ du na dis kayn tin.
` Praymari prɔgrɛsiv aphasia, PPA, tɔk we nɔ de tɔk fayn, langwej disɔda, bren sik, nyurolɔjik sik, Alzaima, dimɛnshɔn
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