Yu dɔn ɛva tɔk to pɔsin ɛn wantɛm wantɛm yu fɔgɛt di wɔd we yu bin want fɔ tɔk? Ɔ yu dɔn fɔgɛt yu padi in nem wantɛm wantɛm? I rili nɔmal fɔ mek dis apin wan ɔ tu tɛm. Bɔt if dis kin apin bɔku tɛm, if i nɔ kin izi fɔ yu fɔ fɛn wɔd dɛn, ɔ if di spid we yu de tɔk kin slo smɔl smɔl, dat nɔto nɔmal tin. Dis kכndyushכn kin bi di biginin fכ wan kכndyushכn we dεn kכl Primary Progressive Aphasia (PPA) . Lɛ wi tɔk bɔt dis jɔs tide.
Fɔ tɔk am simpul wan, wetin na PPA?
Primary Progressive Aphasia (PPA) na wan nyurolɔjik kɔndishɔn we de afɛkt wi bren. I kin afɛkt di we aw wi sabi langwej mɔ, lɛk aw wi kin ebul fɔ tɔk, ɔndastand wetin ɔda pipul dɛn de tɔk, rid, ɛn rayt. Bikɔs na sik we de go bifo, de sik kin wɔs smɔl smɔl as tɛm de go.
PPA na wan kayn dis maynia sik . spεshal wan, i de pan wan grup fכ dimεnshכn we dεn kכl `Frontotemporal Dementia (FTD).` Insay dis, di sεl dεm na di fכnt εn tεmporal εria dεm na wi bren we de kכntro di langwej εn tכk de day sכmtεm εn shrink. Sɔntɛnde, PPA kin bi sayn fɔs fɔ sho se pɔrsin gɛt Alzaima sik .
Men kayn PPA dɛn de?
Yɛs, dɛn kin sheb PPA to tri men kayn dɛn bay di we aw di sik dɛn kin sho. Dis klasification na big ɛp fɔ de pɔrsin in famili fɔ ɔndastand de sik. Bɔt mɛmba se sɔm sik pipul dɛn nɔ kin ebul fɔ fit ɛni wan pan dɛn tri kayn dɛn ya jɔs.
| PPA Tayp | Men tin dɛn we de insay de |
|---|---|
| Sεmantik vεryכnt PPA (svPPA) . | Di men prɔblɛm wit dis na fɔ fɔgɛt wetin wɔd dɛn min . I nɔ kin izi fɔ ɔndastand wɔd dɛn we pɔsin de tɔk ɔ rid buk. Yu fɔgɛt di nem dɛn fɔ tin dɛn. Fɔ ɛgzampul, instead fɔ se "dɔg", yu kin yuz wan kɔmɔn wɔd lɛk "animal". |
| PPA agramatik we nɔ fluɛnt (nfaPPA) . | Insay dis kes , fɔ tɔk kin bi slurred, wɔd dɛn kin at fɔ mach . Dɛn nɔ yuz grama di rɔŋ we. Tɔk de insay shɔt sɛntɛns dɛn. Smɔl wɔd dɛn lɛk "a", "di" dɛn kin avɔyd. Di vɔys kin chenj bak. |
| Logopenik variant PPA (lvPPA) 1.1. | Di men prɔblɛm wit dis kayn na dat dɛn nɔ kin ebul fɔ fɛn di rayt wɔd dɛn fɔ tɔk . Bɔku tɛm, dɛn kin stɔp fɔ tɔk fɔ luk fɔ wɔd dɛn. I at fɔ ripit wetin ɔda pɔsin dɔn tɔk di rayt we. |
Aw di sik de go bifo (stej dɛm) .
PPA nɔ kin wɔs wan tɛm. I kin apin smɔl smɔl.
Di fɔs stej (Mild Stej) .
Fɔs, yu nɔ go notis bɔku difrɛns. Sɔntɛnde, i kin tek sɔm tɛm fɔ fɛn wɔd, ɔ yu kin tɔk smɔl smɔl. Bɔt bɔku tɛm, yu go ebul fɔ du yu wok dɛn ɛvride fɔ yusɛf .
Leta Stej
As di sik de go bifo, i kin tranga fɔ liv yu wan. Di sayn dɛm wae yu kin si dis tɛm na:
- Fɔ tɔk kin ridyus bɔku. I at fɔ ɔndastand wetin dɛn de tɔk.
- A nɔ ebul ɔndastand wetin ɔda pipul dɛn de tɔk.
- I kin at fɔ disayd fɔ du kɔmpleks tin dɛn lɛk aw fɔ yuz mɔni .
- Di ebul fɔ tink ɛn plan kin go dɔŋ, ɛn dis kin mek i nɔ pɔsibul fɔ du tin dɛn lɛk fɔ drayv.
- Ivin di men wok dɛn lɛk fɔ was, drɛs, ɛn it, pɔsin nid fɔ ɛp am.
- We yu de waka sloslo ɛn yu kin stif .
- I kin at fɔ swɛla it.
- Sɔntɛnde, dɛn kin sho se dɛn de vɛks ɛn dɛn kin vɛks.
De tin wae impɔtant pas ɔl na fɔ nɔr frayd wae yu si dɛn sik ya, bɔt fɔ trit di pɔrsin wit lɔv ɛn peshɛnt.
Wetin na di tin dɛn we kin mek pɔsin gɛt PPA?
As wi bin dɔn tɔk, di men tin we kin mek pɔsin gɛt PPA na di shrinkage (atrophy) we di pat dɛn we gɛt fɔ du wit langwej na di bren. dis shrinkage de kכz fכ abn כmal protin dεm we de bכlכp na di bren. Sayɛnsman dɛn dɔn no bɔku kayn prɔtin dɛn ya. Dɛn na tau, TDP-43, ɛn amyloid . Dɛn prɔtin ya de pwɛl di bren sɛl dɛn ɛn i nɔ de wok fayn.
Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:
- Fɔ gɛt disabiliti fɔ lan lɛk dislɛksia we yu smɔl.
- Ɛnibɔdi na di famili gɛt dɛn tin ya (Jɛnɛtik inflɔwɛns ).
Aw fɔ no di sik?
If yu tink se yu ɔ pɔsin we de nia yu gɛt PPA, i impɔtant fɔ go to dɔktɔ we sabi du di wok . Yu dɔktɔ go aks yu bɔt yu sik, aw lɔng dɛn dɔn de, ɛn yu famili mɛdikal histri. Apat frɔm dat, dɛn kin du bɔku tɛst fɔ ɛp fɔ no di sik.
| Tɛst | Wetin dis jɔs de du? |
|---|---|
| Nyurolɔjik ɛgzam | Dɛn kin tɛst yu maynd, aw yu de riflɛs, aw yu de muv, ɛn aw yu gɛt trɛnk fɔ no aw yu bren de wok. |
| Evalueshɔn fɔ tɔk-langwej | Wan Speech-Language Pathologist go tɛst yu fɔ tɔk ɛn ɔndastand aw yu de tɔk. |
| Nyurosaykolojik ɛvalueshɔn | Dɛn kin tɛst di we aw di bren de tink bay we dɛn kin aks dɛn fɔ ansa kwɛstyɔn dɛn, drɔ pikchɔ dɛn, ɛn sɔlv pɔzl dɛn. |
| Bren Skan | MRI (Magnetic Resonance Imaging) skan kin luk fɔ say dɛn we di bren dɔn shrink. PET (Positron Emission Tomography) skan kin fɛn say dɛn we di bren nɔ de wok fayn. |
Wetin na di tritmɛnt dɛn?
I sɔri fɔ no se, no mɛrɛsin nɔ de fɔ PPA yet. Nɔr mɛrɛsin nɔr de bak fɔ stɔp di sik fɔ go bifo. Bɔt bɔku tritmɛnt dɛn de we kin ɛp fɔ mek di pɔsin gɛt bɛtɛ layf ɛn fɔ mek i izi fɔ tɔk to pipul dɛn.
- Spich Tɛrapi: Tɔk thɛrapist kin ɛp di pɔsin fɔ gɛt ɛni kɔmyunikeshɔn skil we lɛf ɛn praktis nyu kɔmyunikeshɔn we dɛn (e.g., sayn langwej, pikchɔ kad). Dis rili impɔtant.
- Occupational and Physical Therapy: Dɛn tritmɛnt ya kin ɛp wit prɔblɛm lɛk wae yu nɔr kin ebul fɔ waka ɛn wae yu de balans prɔblɛm wae kin apun as de sik de go bifo.
- Mɛrɛsin: Yu dɔktɔ kin gi yu fayn mɛrɛsin fɔ kɔntrol pwɛl hat, wɔri, ɛn pwɛl hat bihayvya wae PPA kin kɔz.
Fɔ pɔsin we gɛt dis sik, di lɔv, sɔpɔt, ɛn peshɛnt we in famili ɛn di wan dɛn we i lɛk kin gɛt rili impɔtant.
Mɛsej we dɛn kin kɛr go na os
- Praymari Progresiv Aphasia (PPA) na wan sik we de go bifo we de afɛkt di pat dɛm na di bren we gɛt fɔ du wit langwej.
- Dis na wan kayn dis maynia sik wae kin mɔs afɛkt di ebul fɔ tɔk, ɔndastand, rayt, ɛn rid.
- Yu kin si sayn dɛm lɛk fɔ at fɔ fɛn wɔd, fɔ tɔk fayn, ɛn fɔgɛt wetin wɔd min di fɔs tɛm.
- Pan ɔl we dɛn nɔ kin ebul fɔ mɛn di sik ɔl, tritmɛnt dɛn lɛk fɔ tɔk to pɔsin kin mek di pɔsin in layf bɛtɛ.
- If yu ɔ pɔsin we de nia yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm fɔ advays.
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