Parkinson’s Disease hi thluak natna a ni a, kan taksa chetna a tichhe a, a chang chuan midang nena inbiak leh inbiak pawh a harsat phah thin. Mahse, lungngai suh, he dinhmun hi kan hmachhawn theih nan min puih theih dan tur a awm. Vawiin hian sawi ila.
Parkinson natna nen hian engtiang chiahin nge tawng harsatna hi a awm?
Dik tak chuan Parkinson natna vei tam tak chuan tawng harsa an ti hle. Doctor te chuan he natna hi dysarthria an ti a . Khawvel puma Parkinson natna vei maktaduai sarih chuang zinga 75% leh 90% inkar, a nih loh leh mi pali zinga pathum vel , natna kal zelah aw leh tawng lama harsatna an tawk thei a ni. Chuvangin hei hi mi tam tak nghawng thei thil a ni.
Engvangin nge Parkinson natna vei te hian tawng harsa an tih?
A awlsam zawngin sawi ila, Parkinson natna hian kan thusawi theihna tura inrawlh nerve leh muscle te hnathawh a nghawng a ni. Kan thusawi hian thil engzat nge thawh dun a ngai tih hi han ngaihtuah teh. Chuvangin he natnain a nghawng theih part hrang hrangte chu hetiang hi a ni:
- I aw box `(Larynx)` . Hei hi kan aw kan siam chhuahna hmunpui ber a ni.
- Thlarau leh a kaihhnawih taksa peng hrang hrangte.
- Thâwk chhuahna thau . Thâwk mumal theih loh laia thusawi chu a har khawp mai, a dik em?
- Kawngkhar, lei leh hmui . Thumal chiang taka sawi theih nan hengte hi a thawk tha tur a ni.
- Hmai taksa ruh inthlak danglamna . Kan thusawi hian hmêl lan dân pawh a pawimawh hle.
- Tin, hriatna, aw, leh thusawi kalphung thununtu thluak hmun bikte pawh a nghawng thei bawk .
Parkinson natnaah hian eng ang tawng leh aw lama harsatna nge awm thei?
Parkinson natna i vei chuan heng tawng leh aw inthlak danglamna hi i tawng thei a ni:
- Aw chu a nêm a, a volume a hniam bawk.
- Aw monotone, tone danglamna awm lo. Robot ang maiin.
- Aw ri bengchheng tak emaw, rilru hah lutuk emaw.
- A aw ah chuan thawk a chhuak ta. Hei hi ngaithlatute chuan awlsam takin an hrethiam a ni.
- Thawhrimna lian tak ang maiin, energy tihtlem ang maiin, i thusawi laiin battery "running down" ang maiin a lang.
- Letter leh thumal chiang tak leh awlsam taka sawi harsa.
- A aw ah chuan a khur a.
- Slurring, thumal slurring ang maiin.
- Thusawi tawi tawite chu vawi khata thumal tam tak chhiar rang leh chhunzawm zel hi a ni.
- Hmêl lan dan hloh. Kan thusawi huna kan hmela kan rilru put hmang kan lantir thinte chu a tlahniam thin.
Pawimawh tak chu, heng thusawi inthlak danglamna hi nangmah ngei pawhin i hre lo mai thei. I aw quality inthlak danglamna hi chhinchhiahna hmasa ber a ni fo thin. Chumi hnuah chuan chiang tak leh fel taka thusawi thiam lohna hian a zui a ni. Thusawi harsatna hi a nasat em avangin midangte hriatthiam harsa khawpin a awm tlangpui a, hei hi natna hi a hnu lamah a thleng tlangpui.
Heng thusawi harsatnate hi tu hnen atangin nge tanpuina ka dawn theih ang?
I aw emaw, i thusawi emaw lama harsatna i neih chuan, speech-language therapist hmuh a ṭha ber . I chhungkaw doctor emaw, i enkawltu doctor emaw chuan i awmna hmuna therapist tha tak i hmuh theih nan a pui thei che a ni. Speech-language therapist thenkhat chu Parkinson natna vei te aw tichak turin emaw, an aw tihpun nan emaw a bik takin an zirtir a ni. Hei hi Lee Silverman Voice Treatment an ti a .
Speech and language therapist te hi thusawi, tawng leh ei leh in lama harsatna awmte hriatchhuah leh enkawl tura a bik taka zirtir an ni. Parkinson natna i neih chuan therapist chuan a pui thei ang che:
- I inbiakpawhna thiamna a tha thei ang bera vawng reng turin a pui che a ni .
- Energy humhalh dan tur pawh zirtir i ni ang, chu chu nonverbal communication a ni a, chu chu thusawi tel lova kut zungtang leh kut zungtang hmanga ngaihdan sawi chhuahna a ni.
- I inbiakna awlsam zawk nan assistive device leh technique hrang hrang kan rawn inhriattir ang che.
- Thusawi nana taksa peng hrang hrang tihchak nan leh che vel tihchangtlun nan exercise bik neih a tha.
Thusawi harsa i tih chuan inbiakpawhna tihchangtlun nan eng nge i tih theih ang?
Awle, tunah chuan aw leh tawng lama harsatna i neih chuan midang nena inbiakna tlem a awlsam zawk nan eng nge i tih theih tih i lo en ang u. Heng thil tenawm tak takte hian a pui thei che a ni:
- Inbiakna tur hmun reh leh ri hniam tak thlang rawh. TV emaw radio emaw ang chi thil ri ring tak tak eng pawh off rawh. Chu chuan i thusawi ngaithlatu chuan i thusawi chu chiang takin a hre thei ang.
- Zawi zawiin thu sawi rawh. Hmanhmawh suh.
- I thusawi hian a ngaithlatuin i hmel a hmuh theih ngei ngei tur a ni. An mitmeng en la, thu sawi rawh. Room eng tha takah thusawi chuan hmaichhana inbiakpawhna a ti \ha a, i thusawi chu hriatthiam a awlsam phah bawk.
- Thumal tawi te hmang rawh. Thâwk khatah thumal pakhat emaw pahnih emaw syllable pakhat emaw pahnih emaw sawi rawh.
- Mi i biak hmain emaw, phone i biak hmain i aw chu chawlh hahdam deuh tûrin ruahmanna siam rawh .
- Chauhna hian i thusawi thiamna nasa takin a nghawng thei tih hre reng ang che. Zing lama hnathawk thei technique thenkhat chu tlai lamah, i chau lai hian a thawk tha lo mai thei.
- I beng chu hydrated takin awm tir rawh. Tui tam tak in thin ang che. Caffeine awmna in tur (coffee leh tea ang chi) leh zu in loh tur. I in chhunga boruak a vawt chuan humidifier hmang la.
- I taksa chu dinglam hawi la, i hmui chu chawi sang la, i kawr chu tlem han chawi sang rawh. Hei hian i lung atanga i voice box-a boruak a kal theih nan a pui ang.
- I aw a nêm emaw, a hniam lutuk emaw a nih chuan amplifier hman hi ngaihtuah rawh. Hei hian i aw volume tihpunna kawngah a pui thei a ni.
Midangte thusawi hriatthiam harsa i tih chuan eng nge i tih belh theih ang?
A châng chuan mi dangte tâna i thusawi hriatthiam harsa i tih chuan, hengte hi enchhin rawh:
- Harsatna awm lova i ziak thei a nih chuan i bulah pen leh lehkha dah reng tur a ni. Tichuan i sawi duh chu ziakin i entir thei ang.
- Thuziak a harsat chuan alphabet board hmang ang che. I thusawi tur hawrawp hmasa ber chu i kawhhmuh thei a, i kawhhmuh thei bawk.
- Thumal i hriatthiam loh chuan spell ring takin emaw, alphabet board-ah emaw entir rawh.
- Thu i sawi tan hmain i sawi tur thupui chu sawi hmasa phawt ang che. Hei hian ngaithlatute tan a hriatthiam awlsam phah ang.
- Telegraphic thusawi hmang rawh. Chu chu thumal tul lote paih bo a, thupui awmzia chauh sawina atan thumal tlem zawk hmang rawh tihna a ni.
- Thumal pakhat i hrethiam lo a nih chuan synonyms hmang la, ziak la, ring takin sawi nawn leh la, letter by letter.
- Mi zawng zawngin an hriat thumal atan kut zungtang (gestures) hmang la, "stop" tih tur i kut i vawn ang chi hi. Thu i sawi laiin kut zungtang hmang rawh.
Eng inbiakpawhna hmanrua dangte nge aw leh thusawi lama harsatna neite ṭanpui?
Thusawi harsa i tih chuan, i thusawi theih loh avanga i lungawi loh emaw, i lungkham emaw a nih chuan, emaw, thusawi harsa i tih chuan, i thuchah chu hriatthiam awlsam zawka siam turin heng hmanrua leh hmanrawte hi ngaihtuah rawh:
- Voice amplification: Hei hi portable personal amplifier emaw telephone amplifier emaw pawh a ni thei. Chûngte chu aw nêm tak nei mi aw ri tihpun nân hman theih a ni. Amplifier hian vocal fatigue a ti tlem bawk.
- TTY telephone relay system: Hei hi telephone keyboard nei a ni. I thusawi chu type la, relay operator hmangin ngaithlatu hnenah chhiar tir rawh. Message pumpui i type thei a, a nih loh leh i hriatthiam loh thumal chauh i type thei bawk.
- Technology hniam zawka hmanraw: Technology hniam zawka tanpuitu hmanrua entirnan paper-based book leh board te, letter board (thumal pawimawh tak tak i sawi apianga hawrawp hmasa ber i kawhhmuh, emaw, thumal chu letter khat hnua i sawina), leh type-na hmanrua te hi a ni.
- Technology sang tak hmanga electronic speech enhancer, inbiakpawhna hmanrua: Computer-ah voice synthesizers leh speech generating devices te hman theih a ni tawh. I speech and language therapist nen i mamawh ang ber high-tech devices chungchang sawipui rawh.
Engtin nge mi hriat thiamte hian ṭawng harsa tak chu a ṭanpui theih?
Parkinson natna vei tan thusawi awlsam zawk nan ṭhiante leh chhungte ṭanpui theih dan ṭhenkhat chu hetiang hi a ni:
- Parkinson natna vei chu hmaichhanah biak la, an inbiak lai hian en rawh.
- "Ni" emaw "ni lo" emaw tih awlsam taka chhan theih zawhna zawt rawh.
- Thumal i hriatthiam tawh chu sawi nawn leh rawh. (Entirnan, "Eng nge ka chhoh a, ka lak i duh?")
- A thusawi chu sawi nawn leh turin hrilh la, tlem tal thu sawi turin emaw, i hriatthiam loh thute chu ziak chhuak turin hrilh rawh.
Parkinson natna vei leh tawng lama harsatna nei chuan emergency-ah eng thil nge a neih ang?
Emergency laka inbuatsaih nan hengte hi ngaihtuah la:
- Intercom system emaw baby monitor emaw hmangin midangte hnenah emergency hriattir rawh.
- I tawng thei lo a nih chuan , bell emaw buzzers emaw hmang rawh. Urgency tih lantir nan "codes" hmang rawh. Entirnan, bell te tak te hian "Mi pakhat ka biak a ngai" tihna a ni thei a, air horn tih hian emergency a kawk thei bawk.
- Cell phone pakhatah number programme hmasa ber dah la. I phone zawng zawng chu preprogram la, emergency number chu automatic in a dial thei ang.
- Mahni chauha hun hmang thin i nih chuan "Life Call" button service ah sign up rawh. Device-a button i hmet a, chu chu i kutphah emaw, i kawngah emaw i bun tlangpui a, chu chuan service company hnenah signal a thawn a, chu chuan i hmangaih tak takte leh/ emaw i tualchhung emergency service-te chu a hriattir ang.
Parkinson natnaah hian ei leh in harsatna (Dysphagia) hian thusawi a nghawng em?
Parkinson natna vei zingah pawh ei harsa, dysphagia an tih hi a awm fo bawk. Hei hi natna stage eng pawhah a thleng thei a, natna a zual zel angin a danglam thei a, a natna lan chhuah dan a zual zel chuan a zual thei bawk. I ei harsat tih i hriat veleh i doctor leh/ emaw speech and language therapist hnenah hrilh nghal rawh. Chaw ei harsatna chhinchhiahnate chu: luak chhuak, rilru hah, khuh, pill ei harsa, ei rei lutuk, taksa rihna tlahniam, leh tui tlakchhamna te a ni.
Chaw ei harsatna avanga harsatna lian ber – leh doctor pan nghal tur chhan pawh – chu:Duhthusam (Aspiration) a ni. Aspiration chu ei tur emaw tui emaw i thlipui (trachea)-ah a lut a, chu chu i lung chhungah a lut a ni. Hei hian natna khirh tak aspiration pneumonia tih a thlen thei a ni .
Chaw ei harsatna hian i thusawi theihna chu direct-in nghawng lo mah se, ei harsatna leh aw leh tawng lama harsatna te hi a rualin a thleng fo thin.
A tawp berah chuan hei hi hre reng ang che.
Parkinson natna vei te hian aw leh tawng lama harsatna an tawk fo thin a, a bik takin natna hi a lo zual zel a ni. Chûng harsatnate chuan hnathawhna hmunah te, chhûngte nên te, leh ṭhiante nêna inbiak pawh a harsat phah thei a ni. I nunphung pawh a nghawng thei bawk.
Mahse a tha ber chu, speech and language therapist chuan i inbiakpawhna thiamna tihpunna tur enkawlna program \ha tak siam turin a pui thei che a ni. Chuvangin, heng harsatnate hi i neih chuan nangmah chauhin hrehawm tuar suh la, damdawi lam thurawn leh damdawi lam puihna zawng ngei ang che. He zinkawngah hian nangmah chauh i ni lo tih hre reng la, tanpui theitu che mi tam tak an awm bawk.
` Parkinson natna, tawng harsatna, dysarthria, aw, inbiakpawhna, tawngkam enkawlna, ei harsat











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