Oluusi bw’oyogera otabulwa? Oba kikuzibuwalira okwogera obulungi by’oyagala okwogera? Oboolyawo eddoboozi lyo likyuka, liwulikika ng’ery’okusiwuuka, oba liwulikika ng’oyogera mpola n’abalala? Bw’oba obaddeko ebintu bino, ekiyinza okuvaako embeera eyitibwa dysarthria. Ka twogere ku nsonga eno mu bigambo ebyangu era ebikwata ku nsonga eno.
left;"> Dysarthria kye ki? Katukitegeere mu ngeri ennyangu!Mu ngeri ennyangu, Dysarthria
Ekisinga obukulu omuntu alina obulwadde bw’okusannyalala ategeera olulimi. Amanyi ky’alina okwogera n’engeri y’okukyogeramu. Kyokka olw’obunafu bw’ebinywa, kizibu okwatula obulungi ebigambo n’okwogera mu ngeri abalala gye basobola okutegeera. Kiringa bw’oba oyagala okuyimba obulungi ennyo oluyimba, naye ng’emimiro gyo tegirina bulamu, tojja kusobola kuyimba bulungi.
Obulwadde bw’okusannyalala buyinza okujja mu ngeri bbiri enkulu:
1. Obuzibu bw’okusannyalala mu nkulaakulana: Kino kibaawo olw’okwonooneka kw’obwongo ng’oli lubuto oba ng’ozaalibwa. Ng’ekyokulabirako, embeera eno eyinza okubaawo mu baana abalina obulwadde bw’okusannyalala kw’obwongo . Businga kukwata baana bato.
2. Acquired dysarthria: Kino kiva ku kwonooneka kw’obwongo ng’akyali muto. Ng’ekyokulabirako, embeera nga stroke , ekizimba ku bwongo, oba obulwadde bwa Parkinson ziyinza okuvaako obulwadde bw’okusannyalala. Kino kisinga kubeera mu bantu abakulu.
Bika ki eby’enjawulo eby’obulwadde bw’okusannyalala? Obulwadde bw’okusannyalala buyinzaokwawulwamu ebika ebiwerako okusinziira ku kitundu ki eky’obusimu bwaffe obwonooneddwa. Bwe twogera ku nkola y’obusimu bwaffe, kizingiramu ebitundu byombi ebikulu ng’obwongo n’omugongo (Central Nervous System) n’omukutu gw’obusimu obusaasaana mu mubiri gwonna (Peripheral Nervous System).
Bino bye bimu ku bika ebikulu:
- Flaccid dysarthria: Kino kiva ku kwonooneka kw’obusimu obuyitibwa lower motor neurons, obubeera ekitundu ku busimu bwaffe obw’okumpi. Mu kika kino, okwogera kuyinza okuwulikika ng’ossa nnyo, ng’oyogera ng’oyita mu nnyindo (nasal sound). Eddoboozi lyo nalyo liyinza okuwulira nga linafu.
- Obulwadde bw’okusannyalala (spastic dysarthria):
Obulwadde bw’okusannyalala businga kubeera mu bantu abalina endwadde ezimu ez’obusimu.Okugeza:
- ALS (Amyotrophic Lateral Sclerosis - ALS) bukosa abantu nga 30%.
- Multiple Sclerosis (MS) bukosa abantu 25% ku 50% mu kiseera ekimu mu bulamu bwabwe.Obulwadde
- bwa Parkinson bukosa abantu bangi nnyo.Stroke
- bukosa 8% to Abantu 60%.
- Obuvune bw’obwongo obulumwa ennyo bukosa abantu 10% ku 65%
Ebibalo bino biraga nti wadde nga kino kigambo kipya nnyo, kiyinza okukwata abantu bangi
ku kkono;"> Dysarthria Bubonero ki obw’obulwadde bw’okusannyalala.Akabonero akakulu kwe kuba nti kizibu abalala okutegeera by’oyogera. Kino kiri bwe kityo kubanga tosobola kufuga bulungi mimwa gyo, olulimi n’akawanga kwo okusobola okwogera obulungi.
Obubonero obulala buyinza okuba:
- Okuwuguka ebigambo byo oba okuwulira ng’osiwuuka empisa .
- Okwogera amangu oba mpola okusinga bw'olowooza
- .
Obunafu buno mu kufuga ebinywa oluusi buyinza okuleeta obuzibu mu kumira (dysphagia) . Kino nakyo kintu kya kwegendereza nnyo.
left;"> Kiki ekivaako dysarthria?Nga bwe twayogeddeko emabegako, left;"> dysarthria ebaawo nga okwonooneka ku bitundu by’obusimu ebifuga ebinywa ebituyamba okwogera. Kuno kw’ogatta ebinywa mu maaso gaffe n’emimiro, awamu n’ebinywa ebituyamba okussa. Obuvune, endwadde, n’embeera z’obusimu bw’omubiri bisobola okukireeta.
Ebimu ku bisinga okuvaako obulwadde buno bye bino:
- ALS. (ALS oba obulwadde bwa Lou Gehrig)
- Ebizimba ku bwongo
- Cerebral Palsy
- Obulwadde bw’okubulwa amagezi (embeera z’okubulwa okujjukira)
- Obulwadde bwa Huntington Obulwadde bwa Lyme (obulwadde obusibuka mu nkwaso
- )
- Multiple sclerosis (MS)
- Muscular dystrophy
- Myasthenia gravis (obulwadde obunafu mu binywa)
- Obulwadde bwa Parkinson
- Stroke
- Traumatic Brain Injury Obuvune
- mu maaso go oba mu kamwa.
- Obuvune ku mutwe, ensingo, olulimi oba emisuwa gy’eddoboozi.
Oluusi, eddagala erimu (e.g., eddagala erikkakkanya, eddagala eriziyiza okukonziba) liyinza okuleeta obubonero nga dysarthria ng’ekizibu.
Bizibu ki ebiva mu bulwadde bw’okusannyalala?Obuzibu okwogera busobola okuleeta ebizibu eby’enjawulo mu bantu. Bw’ofuna obuzibu okutegeera abalala bye boogera, kiyinza okukosa emirimu gyo, emirimu gy’essomero, n’enkolagana yo ey’obuntu. Situleesi ereetebwa kino eyinza n’okuleetera omuntu okufuna ebizibu by’obwongo, gamba ng’okwennyamira .
Obulwadde bwa dysarthria buzuulibwa butya?N’olwekyo, kikulu okufuna obujjanjabi okukuyamba okwogera n’okukuuma enkolagana ey’amakulu gy’olina n’abalala.
Omusawo ajja kukubuuza ku byafaayo byo eby’obujjanjabi era akukebere omubiri. Olwo, omukugu mu by’endwadde mu kwogera n’olulimi (SLP) .
Ojja kwekebejjebwa okuzuula obuzibu bw’obulwadde bwo obw’okusannyalala. Ajja kukebera engeri gy’ossa, omutindo gw’eddoboozi lyo, n’obusobozi bwo okutambuza emimwa gyo, olulimi n’ebinywa by’omu maaso.Ayinza okukusaba okukola ebintu nga:
- Fulumya olulimi.
- Smile, pursing emimwa gyo, nga okomba emimwa gyo.
- Bala okuva ku emu okutuuka ku kkumi, oba yogera ennukuta.
- Soma akatundu.
- Ddamu amaloboozi, ebigambo, ne sentensi, era weenyigire mu mboozi eya bulijjo.
Biki ebirala ebiyinza okwetaagisa okuzuula obulwadde bw’okusannyalala?
Ebigezo ebirala biyinza okuli:
- MRI oba CT scans z’obwongo bwo, omutwe, n’ensingo – bino binoonya ebitali bya bulijjo ebiyinza okuba nga bikosa obusobozi bwo okwogera.
- EEG (Electroencephalogram) test – okunoonya obutali bwa bulijjo mu mirimu gy’obwongo obukwatagana n’obulwadde bw’okusannyalala.
- EMG (Electromyography) test – okukebera enkola y’amasannyalaze mu binywa byo n’obusimu bwo.
- Okukebera omusaayi oba omusulo – okukebera oba waliwo yinfekisoni oba okuzimba ekivaako obuzibu mu kwogera.
- Spinal tap (lumbar puncture) – okukebera oba yinfekisoni oba ekizimba kyonna ekivaako obuzibu bw’okulya.
Oluusi obuzibu mu kumira buwerekerwako obuzibu mu kumira (obuzibu mu kumira), n’olwekyo omusawo wo ayinza n’okulagira okunoonyereza ku kumira kwa barium okukyusiddwa oba okunoonyereza ku kumira okwa vidiyofluoroscopic (VFSS) .
left;"> Bujjanjabi ki obw'obulwadde bw'okusannyalala?Abantu abalina obulwadde bw'okusannyalala basobola okuganyulwa ennyo mu bujjanjabi bw'okwogera okutumbula obukugu bwabwe mu mpuliziganya.Omukugu mu by'okwogera n'olulimi (SLP) asobola okwogera n'ab'omu maka go n'abayigiriza engeri y'okuwuliziganya obulungi naawe.Mu
biseera by'okujjanjaba okwogera, oyinza okuyiga ebintu nga:
- Dduyiro ow'okunyweza ebinywa mu lulimi lwo, emimwa, n'akawanga.Obukodyo
- bw'okwogera
- eddoboozi
- ery’omwanguka (e.g., okussa ennyo nga tonnaba kwogera
- )
. Kino kiyinza okuzingiramu olubaawo oluliko ennukuta oba ebifaananyi, oba kompyuta ey’enjawulo eriko kiiboodi ne ssirini eraga obubaka.
left;"> Obulwadde bwa dysarthria busobola okuziyizibwa?Si byonna ebivaako obulwadde bw’okusannyalala nti bisobola okuziyizibwa. Wabula osobola okukola emitendera okukendeeza ku bulabe bwo obw’ebintu ebimu ebivaako (e.g., obuvune, okusannyalala). Ng’ekyokulabirako, okulya emmere ennungi kiyinza okukendeeza ku bulabe bw’okufuna embeera eyongera ku bulabe bw’okulwala obulwadde bwa ssukaali, gamba nga puleesa, ssukaali, n’endwadde z’emisuwa. left;"> Obulwadde bwa dysarthria busobola okuwona ddala?Kisinziira ku kiki ekikuleetera kkono;"> dysarthria. Singa kiva ku buzibu obuva mu ddagala, embeera eno etera okuggwaawo ng’eddagala liyimiriziddwa. Naye, dysarthria ereetebwa embeera y’obusimu ey’ekiseera ekiwanvu (`(chronic neuromuscular condition)`), okusannyalala, oba obuvune eyinza obutaddamu. Kyokka, obujjanjabi bw’okwogera busobola ddala okutumbula obukugu bwo mu mpuliziganya.
Obujjanjabi bw’okwogera bukuyamba okukozesa obulungi ebinywa byo eby’okwogera n’okukuyigiriza engeri y’okuwuliziganyaamu awatali bigambo.
left;"> Magezi ki agayinza okukuyamba okwogera ng’omuntu alina dysarthria?Bw’oba ovuddewo;"> dysarthria, amagezi gano gasobola okukuyamba:
- Sooka yogera omulamwa. Abawuliriza bawe ekirowoozo ku ky’ogenda okusooka okwogera. Okugeza nga tonnaba kwogera ku firimu gy'oyagala okulaba, tandika ng'ogamba nti "firimu."
- Yogera mpola era mu ddoboozi erisaanira. Okuyogera ebigambo mu ngeri entegeerekeka era mpola kiyamba omuwuliriza okutegeera. Okwogera mu sentensi ennyimpi ng’oyimirira emirundi mingi kiwa omuwuliriza obudde okutegeera by’oyogera.
- Weewale okwogera ng’okooye. left;"> Abantu bangi abalina dysarthria bazibuwalirwa okwogera nga bakooye.Kakasa
- nti abantu abawuliriza bategeera by'oyogera.Kirungi okubuuza abantu abawuliriza wakati.Kino kijja kukuyamba okwewala okuddamu by'oyogedde.
- Kozesa enkola z'empuliziganya ezitali za bigambo bwe kiba kyetaagisa. Singa okwogera kukoowa nnyo, buulira omuntu gw'oyogera naye, wandiika wansi, kikube, oba oteekeyo emboozi.
Bukodyo ki abalala bwe bayinza okukozesa nga boogera nange?
Omusawo w’enjogera n’ennimi (SLP) asobola okukuwa amagezi okuyamba abalala okuwuliziganya naawe Okugeza,
- Kendeeza
- ku biwugulaza/amaloboozi (e.g., ggyako leediyo, TV
- Yogera naawe mu kifo ekisirifu, ekitangaala obulungi )
- .
Bw’oba olina obuzibu mu kwogera, laba omusawo wo.Bw’oba omukka omutono, okusesema okutambula obutasalako, oba okulwala ekifuba, genda mangu omusawo.Ddi
ngenda
mu kisenge eky’amangu (ETU) ?
okugenda mu kisenge ky’abalwadde ab’amangu
Obubonero bw’okusannyalala mulimu:
- Obunafu
- oba
- okugwa
- ku ludda olumu olwa
- ffeesi
Oyinza okubuuza ebibuuzo nga:
- Kiki ekivaako obulwadde bwa kkono;"> dysarthria?
- Bujjanjabi ki obuliwo?
- Nsobola ntya okulongoosa obukugu bwange mu kwogera?
- Biki bye nsobola okusuubira mu bujjanjabi bw’okwogera?
- Nneetaaga okukozesa ekyuma eky’empuliziganya?
Aphasia mbeera ezibuwalira okutegeera abalala bye boogera oba okunnyonnyola ebirowoozo by’omuntu. Si kizibu ku binywa by’okwogera nga dysarthria. Mu aphasia, ebifo by’olulimi eby’obwongo bikosebwa.
left;"> Njawulo ki eriwo wakati wa dysarthria ne apraxia?Apraxia kika kya njawulo eky'obuzibu bw'okwogera mu nkola y'emirimu. Abantu abalina apraxia balina enkola y'ebinywa eya bulijjo, naye bafuna obuzibu okukola entambula ez'obwannakyewa ezifaananako n'okwogera. Kwe kugamba, obubaka obuva ku bwongo okutuuka ku binywa obubagamba nti "batambulira mu ngeri eno n'eri" tebuyita bulungi. Obuzibu buli ku nteekateeka y'engeri y'okwatula ebigambo.
left;"> Njawulo ki eriwo wakati w’obulwadde bw’okusannyalala n’obuzibu bw’okulya?Okufaananako n’obulwadde bwa dysarthria, dysphagia nayo erimu obuzibu mu kufuga ebinywa. Naye kkono;"> Dysarthria buzibu mu kwogera, ate dysphagia buzibu okumira emmere . Oluusi dysphagia esigala;">
Obulwadde bw’okusannyalala nakyo kiyinza okuba akabonero.N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .
Bw’oba olina obuzibu okuwuliziganya n’abalala olw’obulwadde bw’okusannyalala, yogerako n’omusawo wo ku nsonga eno. Omusawo ayinza okukusindika mu bujjanjabi bw’okwogera. Abakugu mu by’okwogera n’olulimi (SLPs) nabo basobola okuyigiriza mikwano gyo n’ab’omu maka go engeri y’okuwuliziganya obulungi naawe. Jjukira nti ne bwe kiba nti obunafu bw’ebinywa byo buzibuwalira okwogera, bw’ofuna obujjanjabi n’obuwagizi obutuufu, osobola okukuuma enkolagana yo ey’omuwendo. Totya, funa obuyambi.
` left;"> Dysarthria, obuzibu mu kwogera, obuzibu mu kwogera, enkola y’obusimu, okwonooneka kw’obwongo, obujjanjabi bw’okwogera, okusiwuuka empisa, okwogera obubi
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