I naupang tê chu thusawi a tlai em? A nih loh leh a thusawi chu a chiang lo niin a lang em? A châng chuan thu inang chu a hnungzuiin a sawi em? Hetiang thil i hmuh hian nu leh pa angin i lungkham deuh hi thil pangngai a ni. Mahse heng zawng zawng chhan hi Childhood Apraxia of Speech (CAS) tih natna a ni thei. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila.
He apraxia of speech (CAS) an tih hi eng nge ni? A awlsam zawngin...
A awlsam zawngin sawi ila, childhood apraxia of speech (CAS) hi motor speech disorder a ni a, naupang tan tawng harsa tak a ni. Chumi awmzia chu naupang thluak atanga ka chhunga thuchah thawntu nerve pathways-ah harsatna a awm tihna a ni. Ngaihtuah teh, thumal sawi tur kan siam hian kan thluak hian a hun takah leh a dik takin taksa ruhte hnenah thupek a pe thin a ni lawm ni? Chutiang kalphung chu heng naupangte zingah hian harsatna tlem a awm a ni. Chuvang chuan naupang chuan chiang tak leh dik taka tawng tur a mamawh angin a hmui ruhte chu a chet harsat phah thin.
A pawimawh ber chu CAS hi cognitive problem a ni lo tih hi a ni. Naupang chuan a sawi duh chu a hre chiang hle. Buaina chu thluak hian ka chhunga taksa peng hrang hrangte chu chutiang thu sawi tura thupek a pek dan hi a ni.
He dinhmun hian hming dang engemaw zat a nei a:
- Thusawi lama hmasawnna Apraxia
- Hmasawnna kawngah Verbal Dyspraxia a awm
Hei hi tihdamna famkim a awm lo niin an sawi. Mahse, chu natna chu hriat hmasak a nih a, special speech therapy pek a nih chuan naupang tam tak chuan hmasawnna nasa tak an nei thei a, chiang taka thusawi an zir thei bawk.
He thil chhinchhiahna hi kum naupang takah i hre thei ang em? (A hmaa chhinchhiahna)
Ni e, a hmaa chhinchhiahna thenkhat i hmuh chuan i fa hian hetiang motor speech disorder hi a nei em tih i ngaihtuah mai thei. Naupang kum 3 hnuai lam chuan heng ang symptoms hi a nei thei a ni:
- Babbling emaw cooing emaw ri siam loh, emaw, ri tlemte tak tak siam loh. Nausen dang angin thawm an siam tam lo mai thei.
- Aw hrang hrang sawi dun a harsa khawp mai.
- Naupang dangte aiin an thusawi hmasa ber sawi tlai.
- Thumal khat sawi nawn leh a nih chuan kawng hrang hranga sawi chhuah dan. Entirnan, "nu" tih thumal hi vawi khat chu "nu" tia lam theih a ni a, vawi khat chu "daddy" tia lam theih a ni.
- Aw inkarah hian gap (pause) lian tak tak a awm a. Thumal khat i sawi dawn a, chutah rang takin i ding a, i tan leh ta ang mai a ni.
- Aw tlemte chauh hman a ni.
- Naupang thenkhat chuan ei leh in lamah harsatna an nei thei bawk , chu chu ka chhunga taksa peng hrang hrangte inrelbawlna lama chak lohna tenau vang a ni.
Hei hi eng symptom dangte nge ni?
Naupangte apraxia of speech symptoms hi naupang hrang hrangah a inang lo thei. A tlangpuiin CAS vei naupangte hian tawng an hrethiam thei a, mahse thusawi leh inbiak pawhna kawngah harsatna an nei thin. A lan chhuah dan chu:
- Thumal pakhat dik taka sawi hmaa vawi tam tak tih tum.
- Thumal pakhat syllable pakhat atanga a dang pan tur chuan movement hrang hrangte inrem harsa. Entirnan, "banana" tih thumal sawi tum hian "banana" tiin a chhuak thin.
- Aw tihdanglam emaw, aw tihbo emaw.
- I thusawi dânah hian tone, stress, a nih loh leh rhythm-ah tihsual a awm thei a. Chumi awmzia chu inbiakna chu monotonous tak leh emotion nei lo ang maiin a lang thei tihna a ni.
- Thusawiah tihsual inmil lo siam. Thumal khat sawi dik lo pawh ni se, tihsual chu a awm dan inang reng reng a ni lo.
Naupang kum 3 chunglam chuan hetiang hi a hmu mai thei:
- Naupang hre lo tan chuan a thusawi hriatthiam a har khawp mai.
- Thumal pakhat chu thumal zawn ang maia vawi tam tak khawih hmanga sawi a ni.
- Thusawi style hi a flat emaw choppy emaw a ni.
- Thu sei tak tak chiang taka sawi harsa.
- I hlauthawng lai hian tawng a harsa zawk.
- Mi dangte thusawi entawn harsa.
Ngaihtuah teh, i thianpa hian fanu a nei a, a hming chu Nimali a ni. Kum li vel a ni tawh. Nimali hian a thusawi hian a chang chuan "chocolate" a ti a, chutah chuan "tokalet" emaw "chokat" emaw a ti leh thin. Thumal pakhat a sawi hmain a hmui hmangin tlem a practice thin bawk. A châng chuan a thusawi chu a nu chauhin a hrethiam ṭhin. Heng thilte hi CAS chhinchhiahna a ni thei.
Engvangin nge hetiang hi a lo awm? A chhante chu engte nge ni? (A chhan) .
Researcher-te chuan naupan laia thusawi apraxia awm chhan dik tak hi an la hre lo . CAS vei naupangte hian an thluaka nerve pathway thenkhatah harsatna an nei thin. Heng nerve pathways te hian thusawi tur chuan movement mamawh tur ruahmanna siam turin mawhphurtu an ni. Chuvangin, thluak atanga thu sawina atana hman thin ka chhung hmun hrang hranga thuchah lo lut chu a dik lo hle.
Thil engemaw takah chuan CAS hi thluak hliam (acquired brain injury) avanga lo awm a ni . Entirnan, stroke hian thluaka nerve pathways a tibuai thei a. Genetic factors hian hmun a chang thei tih finfiahna a awm bawk. Scientist-te chuan he natna kaihhnawih gene 20 chuang an hmuchhuak tawh a ni.
Engtin nge doctor-te hian hei hi an hriat chian?
Naupan laia thusawi apraxia hriat danSpeech-Language Pathologist (SLP) - Heng SLP te hi thusawi lama harsatna enkawlna lama training bik leh thiamna nei te an ni.
CAS hriat theih nan SLP chuan i fa history a la ang a, chutah chuan damdawi lama harsatna hriat tawh zawng zawng pawh a tel ang. SLP hian i fate hriatna , oral-motor skills , speech melody (pitch) , leh an aw sawi dan te pawh a test thei bawk.
SLP hian naupang thusawi thiamna chu hetiang hian a test thin:
- Kawngkhar ruh chak lohna enfiah.
- Naupangin vowel ri leh consonant ri a siam dan kan en thin.
- Nonspeech oral motor skills hi i tawng loh laiin test a ni. Entirnan, thil puak, nuih, hmui curling, leh i hmui i chet chak dan te.
- Naupang thusawi chu mi dangte’n an hriatthiam theih dân kan hmu a.
- Naupangin a thusawi laiin a chawlhsan emaw, a aw ri a thlak danglam emaw chu en rawh.
A châng chuan genetic testing hmangin genetic variant pakhatin he natna hi a thlen em tih hriat theih a ni. Hei hian doctor-in naupang thisen sample a laksak a, a genes-a thil dik lo awm apiang a zawng chhuak a ni.
Hei hi eng enkawlna nge ni? (Tihdamna)
CAS enkawl hian thusawi ri lama harsatna dang aiin ngaihvenna leh enkawlna nasa zawk a mamawh thei. Naupang thenkhat chuan an thusawi thiamna tihpun nan kar khatah vawi thum atanga vawi nga vel speech and language therapist (SLP) an hmuh a ngai mai thei.
I fain CAS natna lan chhuahna na tak a neih chuan kum engemaw zat enkawl a ngai mai thei , a bik takin naupan laia ṭawng hmasawnna atana thil pawimawh tak takte a paltlang loh chuan.
Naupan laia thusawi thiam lohna (apraxia of speech) enkawlna tur chu a hnuaia mi hi a ni:
- Naupang chu thusawi therapy pek a ni a, anmahni duh dan anga syllable, thumal leh thumalte chu an mamawh ang zela siamin an ngaihtuah a ni.
- Inbiakpawhna hmanraw dang, sign language emaw, electronic communication device emaw hman ang chi zir .
- Speech therapy pawnah chuan in lamah repetitive language exercise an ti thin.
Engtikah nge Doctor ka hmuh ang?
Chutiang a nih chuan i fa doctor hmu la, speech and language therapist (SLP) hnenah referral dil rawh:
- Apraxia symptom emaw sign emaw i hmuh chuan.
- Naupangin ṭawng hmasawnna atana thil pawimawh tak takte a paltlang chuan. Entirnan, an thu hmasa ber sawi emaw, thil tlanglawn hming vuah emaw an tlai a nih chuan.
- Naupangin a thusawi chu mi pakhatin a hriatthiam loh laiin inbiakpawhna lama lungawi lohna a lantir chuan.
Tin, i fain chaw ei a harsat a, a thusawi bakah a hmui nena chetna inrualrem a harsat chuan doctor pan nghal rawh.
Hei hi ven dan tur a awm em? (Invenna) 1.1.
Naupan laia thusawi thiam lohna (apraxia of speech) ven dan tur chiang tak a awm lo. Mahse, CAS vei thenkhat chu genetic variant nen a inzawm tlat thung. Chuvangin, naupai i tum a nih chuan, i doctor hnenah genetic counseling chungchang zawt la, chu chu genetic condition nei fa i neih theihna tur i ngaihtuah thei ang.
Ka fa hian he natna hi a neih chuan eng nge thleng ang? (Prognosis) tih a ni.
Naupangin a lo puitlin chuan ṭawng ṭhanlenna kawnga thil pawimawh tak tak, an thusawi hmasa ber sawi leh rilru put hmang sawi nâna sentence tawi hman ang chite chu an hmu lo thei a ni. Heng hmasawnna tlai lutuk hian naupang pakhat chu an kum rualpui naupang dangte ang bawka classroom-a zir theihna tur a tikhawlo thei a ni.
Mahse, lungngai suh. I fa chuan speech and language therapist (SLP) nen an thawk dun ang. I fate natna lan chhuahna bikte chu a ngaihtuah ang a, hun kal zelah an thusawi tihchangtlun dan tur ruahmanna a siam ang.
Naupan lai apraxia hi a reh em?
Hei hi tihdamna famkim awm lo mah se, a hmaa enkawlna chuan naupangin thil sawi a mamawh a, mahse chu thuchah chu a hrilh theih loh huna lungngaihna lo awm chu a tiziaawm thei a ni.
Thil tam takin hei hi thlentu ni mah se, enkawl dan dik a nih chuan he natna vei naupang tam zawk hian eng emaw chen chu a pangngaiin an tawng thei a ni.
Nu leh pa angin engtin nge kan fate kan tanpui theih ang?
I fate an lo puitlin chhoh zelna atana i tih theih ṭha ber chu anmahni thlawp hi a ni. I fa hian speech and language therapist (SLP) nen one-on-one session an nei ngei ang. I fa SLP hian session inkar ah in lama practice turin "homework" a pe thei che a ni. Sikul-a math homework ang bawkin, i fate pawhin an thusawi exercise an tih zawh theih nan i puih a pawimawh hle.
I fate hmasawnna tur enfiah tur leh kawngpuiah fuihna pe turin i fate SLP nen inbiak reng tur a ni.
Ngaihtuah teh, vawi tam tak i tawn tawh mi pakhat hming i hriat reng theih loh chuan i lungawi lo ang em? I fa hian apraxia a vei a nih chuan mi hming hre mahse a lam dik loh chuan a lungchhiatthlak ve ve thei a ni. I fa speech therapy hmanga enkawlna chu hun rei tak a ni ang. Inbiakpawhna kawngah a pui ang a, an natna lan chhuah dan pawh nasa takin a lo tha chho ang. I fate chu inbiakpawhna lama thil pawimawh thar an thlen hunah thlawp leh fuih chhunzawm zel ang che.
Take-Home Thuchah a ni
Okay, chuvangin kan sawi tawh atang khan thil pawimawh tak tak thenkhat chu i hre reng thei ang.
- Childhood apraxia of speech (CAS) hi thluak atanga ka chhunga thuchah thawn chhuah chungchangah harsatna tenau tak a ni a, naupang finna lama harsatna a ni lo.
- Hei hi damdawi famkim awm lo mah se, speech therapy hian nasa takin a ti \ha thei a ni. Hriat hmasak a, enkawl tan a pawimawh hle.
- I fate thusawiah thil mak, tihkhawtlai, chiang lo tak tak i hmuh chuan, zak leh hlau lo la, doctor hmu la, speech therapist (SLP) hnenah refer rawh.
- Nu leh pate \anpuina te, fuihna te, dawhtheihna te hi heng naupangte tan hian a hlu em em a ni. Therapist-in exercise a pekte chu in lamah ti la, naupang chu bia la, a thusawi chu ngaithla rawh.
He thu hi in tan a tangkai ngei ka beisei. Zawhna dang i neih chuan damdawi lam thurawn la rawh.
` Naupan laia Thusawi Apraxia, CAS, Thusawi Apraxia, Naupan laia Thusawi lama harsatna, Thusawi Harsatna, Thusawi Therapy, SLP











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