Nangmah emaw, i hriat mi emaw chuan i thusawi laiin thumal thenkhat sawi chhuah harsa i ti fo em, a nih loh leh i sawi tum chu a chhuak dik lo niin i hria em? Hei hi thil tenawm tak angin a lang thei a, mahse thusawi lama harsatna emaw, thusawi lama harsatna emaw a ni thei . Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, a chhan chu hei hi nang leh i hmangaihte tan a pawimawh hle thei a ni.
Thusawi tibuaitu chu eng nge ni?
A awlsam zawngin, thusawi lama harsatna (speech impediment) chu aw ri dik taka sawi harsa tirtu dinhmun a ni. Chu chuan i thusawi chu mi dangte tân hriatthiam a harsat phah thei a ni. Mi thenkhat chu he natna nei hi an piang chhuak thin. Chumi awmzia chu pian tirh atanga lo awm tawh dinhmunin thusawi a nghawng thei tihna a ni. Mahse, nunah engtik lai pawhin, accident emaw, natna dang vang emaw pawh ni se, i aw leh tawng thiamna a nghawng thei a, he harsatna chi hi a lo awm thei a ni. Hei hi tumah sualna a ni lo tih pawh kan hre reng tur a ni .
Enkawl loh chuan eng nge thleng ang?
Tawng lama harsatna nei naupangte hian a hun taka enkawl an nih loh chuan lehkha chhiar leh ziak thiam an harsat phah thei a ni. Zirchianna chuan chutiang naupangte chuan a hnuah rilru lam harsatna, lungkhamna emaw, lungngaihna emaw ang chi an nei thei tih a târ lang a ni . Naupang pakhatin sikulah chhânna pêk a tum a, a thusawiah a tlu a nih chuan naupang dangte chu an nuihzat mai thei tih han ngaihtuah teh. Chu chu chu naupang tan chuan engtiang chiahin nge a harsat?
Hetiang dinhmun hian puitlingte pawh a nghawng thei a ni. Thu i sawi dawn chuan i thusawi chu a inhmeh lo mai thei. Hei hian social interaction tihtlem leh socially isolated a thlen thei che a ni . Hei hian a tawpah chuan lungngaihna a thlen thei a ni. Job interview-a kal a, i sawi duh chu sawi theih loh chu engtiang chiahin nge a stress ang?
Thusawi thiam lohna chi hrang hrangte chu engte nge ni?
Thusawi lama harsatna hi chi hrang hrangah then theih a ni a:
1. Fluency lama harsatna nei
Fluency chu mi pakhat thusawi mumal taka kal dan a ni. Miin thu a sawi thiam chuan, a sawi chhunzawm zel a, chiang takin, tawngkam chhuak lovin a sawi chhuak thin. He chak lohna hi thusawi kal dan a tihbuai reng hian a lo awm thin.
- Tawngkam: I bengchheng chuan aw emaw, thumal emaw, thumal emaw sawi tum ang maiin i inhria thei a, mahse a chhuak dawn lo. Start tum chuan car stalling ang mai a ni. A châng chuan lehkha emaw, thumal khat emaw chu vawi tam tak sawi theih a ni.
- Cluttering: Hemiah hian thu i sawi chak hle mai thei a, thumal chu a inzawm khawm thei a, thu thenkhat chu a tawp thei bawk. Thumalte chu lump khata chhuak ang mai a ni a, ngaithlatute tan hriatthiam harsa tak a ni.
2. Hmai lama harsatna (Orofacial Myofunctional Disorders) (OMD) .
Hei hi thil a thlen hian i hmai, i hmui leh i lei ruhte i hman dan a nghawng a, an chetna a nghawng a ni. Heng `(OMD)` dinhmunte hian i thusawi dan a nghawng thei a ni. Entirnan, "s" (pawisa-a "s") emaw, "sh" (zirlai "sh") emaw ang chi aw chu sawi harsa i ti thei.
3. Thusawi ri lama harsatna nei
Hei hian aw chiang taka i sawi thiamna a nghawng dawn a ni.
- Apraxia in adults / Childhood apraxia of speech: Hei hi thluak hian thusawi tur atana mamawh taksa peng hrang hrangte a inrem harsat lai a ni. Thluak hian kâ, lei leh hmuiah thuchah a thawn a, mahse chu taksa pengte chuan thumal siam tûrin inrem ṭhat a harsat a ni. Chu chu i sawi duh thumal kha i hria a, mahse i kâ a\angin a chhuak \ha lo tihna a ni.
- Articulation Disorders: Hei hi aw thenkhat sawi dik theih loh lai a ni. Entirnan, mi thenkhat chuan 'ರ' tih aiah 'ಲ' an lam thin a, a nih loh leh 'ತ' tih hawrawp hi an lam dik thei lo.
- Dysarthria: Thusawi lama inrawlh ruh chak lohna avanga lo awm. Ke leh ke ruh a tihchhiat laia hna thawh a harsat ang bawkin, ka chhunga thau (muscles) a chak loh chuan tawng pawh a harsa hle. Thusawi chu a slurred emaw, stutter emaw pawh a ni thei.
4. Aw lama harsatna nei
Aw lama harsatna ṭhenkhat chuan i thusawi thiamna a nghawng thei bawk.
- Hoarseness: Aw chu a rough leh hoarse a, khawsik i nei ang maiin a awm.
- Laryngitis: Vocal cord awmna larynx inflammation hian aw a tidanglam thei a, a hloh hial thei bawk.
- Spasmodic Dysphonia: Hetiang dinhmunah hian vocal cords te chu rang tak leh thunun theih lohvin a inzawm khawm a, chu chuan aw chu a ti khur a, a chok a, a ti crack bawk.
Heng tawng thiam lohna hi a awm fo em?
Dik tak chuan hengte hi i ngaihtuah aiin a tam zawk a ni. United States-a statistics atanga a lan dan chuan naupang kum 3 leh 17 inkar zinga 5% vel chuan kar khat aia rei tawng thiam lohna an nei a ni. Grade khatna an thlen meuh chuan naupang 5% vel chuan hetiang harsatna chiang tak hi an nei a ni.
He natna hi puitling zingah engtiang chiahin nge a awm tih chiang taka hriat a harsa hle. Hei hi a chhan chu puitlingah hian heng rualbanlote hi a thlentu damdawi lam dinhmun bik a zirin an thliar hrang a ni. Entirnan, United States-ah hian mi maktaduai 3 chuang zet chu an tawng thei lo. Sri Lanka ramah hian naupang leh puitling he natna vei hi an tam hle. Nangmah ngeiin i hmu tawh mai thei, a nih loh leh chhungkaw member emaw, thian emaw pawhin chutiang thil chu an nei ve mai thei bawk.
Thusawi thiam lohna chhinchhiahnate chu engte nge ni?
A chhan a zirin symptoms a inang lo. Entîr nân, stuttering , i neih chuan, i thusawi tûra i taksa ruhte i thunun theih loh avângin aw emaw, syllable emaw i sawi nawn leh thei a, a nih loh leh aw emaw, syllable emaw ṭhenkhat i la chhuak thei bawk. Aw lam harsatna i nei mai thei .Chutiang a nih chuan, i aw chu mak tak mai, nghing, ri bengchheng, a nih loh leh thawk chhuah loh angin a ri thei a ni.
A tlangpuiin a hnuaia mizia te hi i hmu thei ang:
- Aw, hawrawp emaw, thumal emaw sawi nawn lehna.
- Aw thenkhat sawi chhuah.
- Thusawi laiin a tul lo taka chawlh hahdam.
- Thumal ei emaw, thumal thenkhat skip emaw.
- Letter emaw sound thenkhat sawi harsa.
- Aw quality inthlak danglam (e.g. ri bengchheng, chak lohna, hnar ri).
- Thusawi laiin hmai emaw kawng emaw ruh a tul lo taka tihkhauh.
Thusawi lama harsatna awm chhante chu engte nge ni?
Doctor-te chuan naupang leh puitlingte zingah hian heng tawngkam harsatna (a then chuan `speech impediments` an tih) hi eng nge a thlen tih chiang takin an la hre lo. A tlangpuiin thluak emaw, nervous system emaw tichhe thei thil eng pawh hian thusawi thiamna a nghawng thei a ni.
A chhan lian ber thenkhat chu:
- Neurodevelopmental conditions: Thluak thanlenna nena inzawm, Autism Spectrum Disorder, Attention-Deficit/Hyperactivity Disorder (ADHD), emaw Epilepsy te ang chi te.
- Traumatic Brain Injury (TBI): Accident avanga lu hliam .
- Damdawi lam dinhmun: Natna hrang hrang `Stroke`, `Brain Tumor`, `Dementia`.
- Infection emaw lumps emaw a awm thei.
- Genetic condition thenkhat.
Thusawi lama harsatna nei te hi engtin nge kan hriat theih ang?
I doctor hian a tih hmasak ber tur chu taksa enfiahna a pe ang che . Naupang i nih chuan naupang enkawltu doctor chuan hmasawnna tehfung a ti thei ang . Tichuan, nangmah emaw, i fa emaw chu Speech-Language Pathologist (SLP) hnenah hruai i ni thei ang. Hengte hi thusawi leh tawng lama harsatna awmte hriatchhuah leh enkawltu specialist an ni. Test hrang hrang an nei ang a, i thusawi dan, i aw chhuah dan leh i aw quality uluk takin an zir chiang ang.
Hei hi eng enkawlna nge ni?
I dinhmun a zirin enkawl dan a inang lo.
Entirnan, speech therapy hi thusawi lama harsatna tam tak enkawlna a ni. Hetah hian therapist chuan nangmah emaw i fa emaw chu exercise, game leh technique hrang hrang a zirtir che a ni. Chûng zîngah chuan lei, hmui leh hmui hman dân dik tak hmanga thawm siam chhuah dân te, thawkna thunun dân te, leh thusawi chakna thunun dân te a tel a ni.
Aw chak lo i neih chuan doctor chuan voice therapy-ah a refer thei che a ni.Specialist hnenah enkawlna atan refer i ni thei bawk. A châng chuan, a hnuaia dinhmun (underlying condition) enkawl a nih chuan thusawi lama harsatna hi a ṭha chho thei a ni. Entîr nân, aw lama harsatna chu natna hrik avânga lo awm a nih chuan, chutiang damdawi ei chuan a ṭanpui thei a ni.
Thusawi lama harsatna chu tihdam vek theih a ni em?
Thil engemaw takah chuan, a ni. Speech therapy hian miten thusawi lama harsatna an hneh theih nan a pui thei a ni. Mahse, mi zawng zawng hi kan inang vek lo. Damdawi lam dinhmun hnuaia awm avanga thusawi lama harsatna i neih chuan speech therapy hian a pui thei a, mahse a buaina chu a chinfel kim thei lo.
A chang chuan a dam kim thei bawk. Mi thenkhat chuan hun rei tak enkawl an ngai mai thei. Mi tin a inang lo. A pawimawh ber chu a hmaa hriatchhuah a, enkawl dan tur dik tak tan hi a ni.
Thusawi thiam lohna i neih chuan eng nge i beisei theih ang?
Thusawi lama harsatna chi hrang hrang a awm avangin beisei tur dik tak sawi a harsa hle. Entîr nân, naupang \henkhatte chu an upat deuh deuh chuan an \awng\ai theih lohna a lo \ha chho \hin. I thusawi lama harsatna i neih chhan chu damdawi lam thil vang a nih chuan i dam chhoh zel chuan i thusawi chu a ṭha chho thei a ni. Mahse, mi thenkhat chuan inbiakpawhna atan hun rei tak chhung speech therapy an mamawh a ni. Thusawi lama harsatna i neih chuan i doctor hi hemi chungchang sawipui tur tha ber a ni.
Thusawi thiam lohna hi ven theih a ni em?
Thusawi lama harsatna tam zawk hi ven theih a ni lo. Mahse, aw lama harsatna ṭhenkhat chu i aw hman tam lutuk aṭanga venhimna hmangin i veng thei a ni . Entîr nân, zirtîrtu te, zaithiam te, leh vântlâng hmaa thusawitu ang mite hian an aw an enkawl a ngai a ni. Thil awlsam tak tak, au tam loh leh i rilru a vawt loh nan tui in te hian i aw a humhim thei a ni.
Engtin nge ka in enkawl ang?
Thusawi thiam lohna hian i nunphung a nghawng thei a ni. Chuvangin, he natna nena nunpui huna i tanpui thei tur rawtna thenkhat chu hetiang hi a ni:
- Support Group-te Ngaihtuah rawh: Ram pum emaw, tualchhûng emawa ṭanpuitu group-a tel hian thusawi lama harsatna nei mite i hmu thei a, an thiltawnte chu i sawi chhuak thei a, mahni chauha awm i hriatna chu a ti tlem thei bawk. Hei hi chakna ropui tak a ni.
- Mental Health Support la rawh: Thusawi lama harsatna nei te hian a chang chuan lungngaihna emaw, lungkhamna emaw an nei thei. Counselor emaw, psychologist emaw nena inbiakna chuan i rilru a ti hahdam thei a ni.
Nangmah chauh i ni lo tih hre reng ang che. Ṭanpuina dil hlau suh.
Engtikah nge Doctor ka hmuh ang?
Thil pakhatin mi dangte nena i thusawi, i hriat theihna, a nih loh leh i inbiak theihna a nghawng tih i hriat veleh doctor pan rawh. I fain ṭawngkam emaw, thil hriatthiamnaah emaw harsatna a nei nia i hriat chuan doctor pan nghal rawh. Thil tenawm tak angin lang mah se, a hriat hma poh leh enkawl a awlsam zawk.
Engtikah nge Emergency Department (ETU) ah ka kal ang ?
I thusawi thiamna inthlâk danglam thut chu damdawi lam dinhmun khirh tak, enkawl vat ngai a nihna chhinchhiahna a ni thei. Thusawi hi stroke emaw lu hliam emaw a awm thei . Mi pakhat nen in awm a, a hnuaia symptoms te hi a lan chhuah chuan 911 emaw i local emergency number emaw ah call nghal rawh .
Stroke vaukhânna chhinchhiahnate hre la, heng thumal `BE FAST` hi hre reng ang che :
- B - Balance: I balance i hloh nghal em ? Kal harsa i ti em?
- E - Mit: Mit pakhat emaw, mit pahnih emaw ah i mit i hloh nghal em? Nge pahnih ah i hmu em?
- F - Hmai: I nuih hian i hmai sir khat chu a lem a lang em? A sir khatah muscle chu a chak lo niin a lang em?
- A - Kut: Kut pahnih chawi sang tura an tih hian kut pakhat chu chawi tha lovin a tla thla em? Kut pakhat chu nunna nei lo niin a inhria em?
- S - Thusawi: I thusawi hian i rilru a buai em? Thusawi chhuak lo ang mai a ni em? Thu sawi chu hriatthiam a har em?
- T - Hun: Hun hi a pawimawh hle mai! Heng symptoms zinga pakhat tal i hriat chuan tihkhawtlai suh la, tanpuina dawng nghal rawh! A theih chuan darkar en la, i natna lan chhuah tirh hun kha hre reng ang che. Chu hun chu doctor hnena hrilh chuan eng damdawi nge ṭha ber tih an rel thei a ni.
Speech Impairment leh Language Disorder hi eng nge an danglamna?
Heng pahnih hi a buaithlak deuh a, mahse danglamna a awm.
- Thusawi thiam lohna chu i hmui, i hmui, i lei leh i aw hrui te inzawmkhawma thu chiang tak, hriatthiam theih tak siam a nih loh vang a ni. Buaina chu aw siam chhuah danah a awm a ni.
- Ṭawng lama harsatna ( language disorder ) chu mi dangte thusawi hriatthiam (man) harsat, emaw, i ngaihtuahnate chu thumal hmanga dah a, midangte hriatthiam theih tura sawi chhuah harsatna dinhmun a ni. Buaina chu ṭawng hriatthiam leh hman thiamnaah a awm a ni.
Miin heng pahnih hi a nei dun thei a ni.
Engvangin nge hei hi ‘Speech Impairment/Disorder’ kan tih a, ‘Speech Impediment’ kan tih loh?
Hun kal zelah Ṭawng a danglam chho zel a. Hmanlai atang tawhin tawngkam harsatna atan hming chi hrang hrang hman a ni tawh a. `Speech Disorder`, `Speech Impediment`, `Speech Impairment` tih ang chi te hi a ni. Mahse heng thumal tin hian awmzia a inang lo deuh vek a.
Damdawi lamah "impediment" tih thumal hi hman a ni tawh lo. Kum 1600 chhoa thumal a ni a, verb "to hinder" atanga lak chhuah a ni. Thiltih tikhawlotu emaw, tikhawlotu emaw natna emaw, tlin lohna emaw a kawk a ni. A awlsam zawngin sawi ila, thusawi tibuaitu chu thusawi tibuaitu emaw, tibuaitu emaw a ni. Ha hrual, lei thar chhuah emaw, hun eng emaw chen emaw, pawn lam emawa thusawi tichhe thei thil ang maiin.
Tunah chuan miten "Speech Disorder" emaw "Speech Impairment" tih hi an hmang ta zawk a ni. Heng thumal pahnihte hian hna engemaw thawh theihna lama taksa, rilru emaw, pianphung (taksa) lama inthlak danglamna (`Disorder`) emaw, tihchhiatna (`Impairment`) emaw a kawk a ni.
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
Thusawi hi kan chhehvel khawvel nena kan inzawmna ber pakhat a ni. Thusawi lama harsatna i neih chuan chutiang inzawmna siam chu a harsa thei hle. Mite hnena i sawi duh ang chiah chiah i sawi theih loh chuan a lungchhiatthlak hle thei.
Enkawl loh chuan naupang tawng thiam lo chuan zirlai harsatna a nei thei a ni. Puitlingte pawhin thusawi hmanga inbiakpawhna chungchangah lungkhamna leh lungkhamna an nei thei bawk.
A tha ber chu, hetiang thil chungchangah hian rinhlelhna i neih chuan a rang thei ang bera doctor pan a, thurawn lak hi a ni. Speech therapy hian a pui thei fo.
I fa thusawi chungchangah harsatna i neih chuan, emaw, i fain tawng thiam lohna a nei nia i hriat chuan doctor nen inbia ang che. An lawm hle ang che. Beiseina chu bansan ngai suh!
` Thusawi thiam lohna, bengchheng, tawngkam thiam loh, tawngkam tha lo, tawng thiam lo, naupang tawng thiam lo, stroke











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