Te uauatanga o te kōrero i roto i te hunga whai mate a Parkinson: Me kōrero tātou mō tēnei!

He mate roro te mate a Parkinson e pā ana ki ngā nekehanga o tō tātou tinana, ā, i ētahi wā ka uaua ki a tātou te kōrero me te whakawhitiwhiti kōrero ki ētahi atu. Kaua e manukanuka, kei reira ngā huarahi hei āwhina i a tātou ki te whakatau i tēnei mate. Me kōrero tātou mō tēnei i tēnei rā.

He pēhea te auau o te uauatanga kōrero me te mate a Parkinson?

Ina hoki, he maha ngā tāngata e pāngia ana e te mate a Parkinson e uaua ana ki te kōrero. Ka kiia tēnei mate e ngā tākuta he dysarthria . I waenganui i te 75% me te 90% o te neke atu i te whitu miriona tāngata puta noa i te ao e pāngia ana e te mate a Parkinson, arā, tata ki te toru i roto i te whā tāngata , ka pāngia pea e ngā raruraru reo me te kōrero i te wā e pāngia ana te tini tāngata. Nō reira, he mea tēnei e pāngia ana e te tini tāngata.

He aha te take e uaua ai te kōrero a te hunga e pāngia ana e te mate a Parkinson?

Ki te kī māmā noa, ka pāngia te mahi a ngā io me ngā uaua e whai wāhi ana ki te kōrero e te mate a Parkinson. Whakaarohia te maha o ngā mea e mahi tahi ana i a tātou e kōrero ana. Nō reira, anei ngā wāhanga ka pāngia e tēnei mate:

• Tō pouaka reo `(Larynx)` . Koinei te wāhi matua e whakaputa ai tātou i tō tātou reo.
• Te korokoro me ōna uaua e pā ana.
• Ngā uaua manawa . He uaua ki te kōrero ina kore e taea te manawa tika, tika?
• Ko te waha, te arero, me ngā ngutu o te mangai . Me mahi tika ēnei kia mārama ai te whakapuaki i ngā kupu.
• Ngā nekehanga uaua o te kanohi . He mea nui anō hoki ngā āhua o te kanohi ina kōrero tātou.
• Ka pā anō hoki ki ngā wāhanga motuhake o te roro e whakahaere ana i te whakarongo, te reo, me te tukanga kōrero .

He aha ngā momo raruraru kōrero me te reo ka pā ki te mate a Parkinson?

Mena kei a koe te mate a Parkinson, ka pāngia pea koe e ēnei huringa o te kōrero me te reo:

• Ka mārō haere te reo, ka iti haere te rahi.
• He reo kotahi, kāore he rerekētanga o te reo. Pērā i te karetao.
• He reo pākū, he āhua rānei kua kōhuatia.
• He māhorahora te reo. He māmā noa iho tēnei ki te hunga e whakarongo ana.
• He rite ki te nui o te whakapau kaha, ki te pau o te pūngao, me te mea kei te "pau" te pākahiko i a koe e kōrero ana.
• He uaua ki te whakapuaki mārama, ngāwari hoki i ngā reta me ngā kupu.
• He wiri i roto i te reo.
• He koretake te kōrero, me te mea nei kei te koretake te kōrero.
• Ko ngā kōrero poto ko te pānui tere, tonu, o ngā kupu maha i te wā kotahi.
• Te ngaronga o te āhua o te kanohi. Ka heke iho ngā kare ā-roto e whakaatuhia ana e ō tātou mata ina kōrero tātou.

He mea nui, kāore pea koe e mōhio ki ēnei huringa kōrero. Ko te huringa o te kounga o tō reo te tohu tuatahi. Whai muri i tēnei ka kore e taea te kōrero mārama me te rere. Ko ngā uauatanga kōrero ka tino kino, ā, ka uaua ki ētahi atu te mārama, ā, ka puta tēnei i muri mai i te mate.

Ko wai ka taea e au te tiki āwhina mō ēnei uauatanga kōrero?

Mena he raruraru tō reo, tō kōrero rānei, he pai ake te toro atu ki tētahi kaiwhakaora reo kōrero . Ka taea e tō tākuta whānau, e tō tākuta rongoā rānei te āwhina i a koe ki te kimi i tētahi kaiwhakaora reo pai i tō rohe. Ko ētahi kaiwhakaora reo kōrero he mea whakangungu motuhake ki te whakapakari i ngā reo o te hunga whai mate a Parkinson, ki te whakanui rānei i te reo. Ko te ingoa o tēnei ko te Maimoatanga Reo Lee Silverman .

Ko ngā kaiwhakaora kōrero me te reo he hunga kua whakangungua motuhake ki te tātaritanga me te rongoā i ngā mate kōrero, reo, me te horomi. Mena kei a koe te mate a Parkinson, ka taea e te kaiwhakaora te āwhina i a koe:

• Ka āwhina i a koe ki te pupuri i ō pūkenga whakawhitiwhiti kōrero kia pai rawa atu .
• Ka akona hoki koe ki ngā huarahi hei penapena pūngao, arā, ko te whakawhitiwhiti kōrero kore-waha, arā, ko te whakapuaki i ngā whakaaro mā ngā tohu me ngā kōrero, engari kāore he kupu.
• Ka whakamōhio atu mātou ki a koe i ngā taputapu āwhina me ngā tikanga hei whakahaere i tāu kōrero.
• E taunakihia ana ngā mahi whakakori tinana motuhake hei whakapakari i ngā uaua e hiahiatia ana mō te kōrero me te whakapai ake i te nekehanga.

Mena he uaua ki a koe te kōrero, he aha tāu e taea ai hei whakapai ake i te whakawhitiwhiti kōrero?

Āe, me titiro tātou ki ngā mea ka taea e koe te mahi hei whakangāwari ake i te kōrero ki ētahi atu mēnā he raruraru reo, he raruraru kōrero hoki tōu. Mā ēnei mea iti nei koe e āwhina:

• Kōwhiria he wāhi marino, iti te haruru hei kōrero. Whakawetohia ngā mea haruru pēnei i te pouaka whakaata, i te reo irirangi rānei. Mā tēnei ka āwhina i te tangata e whakarongo ana ki a koe kia mārama te whakarongo ki tāu e kōrero nei.
• Kōrero āta. Kaua e tere.
• Ina kōrero koe, kia tino kite te tangata e whakarongo ana i tō kanohi. Titiro atu ki ō rātou kanohi, kātahi ka kōrero. Mā te kōrero i roto i tētahi rūma e mārama ana ka pai ake te whakawhitiwhiti kōrero kanohi ki te kanohi, ā, ka māmā ake te mārama ki tāu e kōrero nei.
• Whakamahia ngā rerenga poto. Kōrerohia kia kotahi, kia rua rānei ngā kupu, kia kotahi, kia rua rānei ngā kupu matua i roto i te manawa kotahi.
• I mua i te kōrero ki tētahi, i te waea atu rānei, me whakangāwari i tō reo .
• Kia maumahara he nui te pānga o te ngenge ki tō pūkenga kōrero. Ko ētahi tikanga e whai hua ana i te ata, kāore pea e pai te mahi i te ahiahi, i te wā e ngenge ana koe.
• Kia makuku tonu tō korokoro. Inuhia he nui te wai. Āta karohia ngā inu kawheine (pēnei i te kawhe me te tī) me te waipiro. Mena he maroke te hau i roto i tō whare, whakamahia he whakamakuku hau.
• Kia tika tō tinana, kia ara ake te kauae, kia paku ara ake te kaki. Mā tēnei ka āwhina i te rere o te hau mai i ō pukahukahu ki tō pouaka reo.
• Ki te mea he ngawari, he iti rawa rānei tō reo, whakaarohia te whakamahi i tētahi whakakaha oro. Ka āwhina tēnei ki te whakanui ake i te oro o tō reo.

Ki te uaua ki a koe te mārama ki ngā kōrero a ētahi atu, he aha atu anō tāu e taea ai?

Ki te mea he uaua ki ētahi atu te mārama ki tāu e kōrero nei, whakamātauria ēnei tikanga:

• Ki te taea e koe te tuhituhi me te kore he uaua, me pupuri tonu he pene me te pepa i te taha. Kātahi ka taea e koe te tuhi i tāu e hiahia ana ki te kōrero, me te whakaatu.
• Mena he uaua te tuhituhi, whakamahia he papa reta. Ka taea e koe te tohu, te tohu rānei ki te reta tuatahi o ngā kupu e kōrerohia ana e koe.
• Ki te kore koe e mārama ki ngā kupu, tuhia nuitia, whakaaturia rānei ki te papa reta.
• I mua i tō tīmatanga ki te kōrero, whakahuatia te kaupapa e kōrerohia ana e koe. Mā tēnei ka māmā ake te mārama o te kaiwhakarongo.
• Whakamahia te kōrero waea. Arā, tangohia ngā kupu kāore e hiahiatia, ā, whakamahia kia iti ake ngā kupu hei whakapuaki i te tikanga o te kaupapa anake.
• Ki te kore koe e mārama ki tētahi kupu, whakamahia ngā kupu taurite, tuhia ki raro, ka whakahua anō, reta i ia reta.
• Whakamahia ngā tohu ā-ringa mō ngā kupu e mōhiotia ana e te katoa, pērā i te rīpene o tō ringa hei mea "kati". Whakamahia ngā tohu ā-ringa i a koe e kōrero ana i ngā kupu.

He aha ngā taputapu whakawhitiwhiti kōrero rerekē e āwhina ana ki ngā raruraru reo me te kōrero?

Ki te mea he uaua ki a koe te kōrero, he pōuri, he ahotea rānei mō te kore e taea te kōrero, he uaua rānei ki te kōrero, whakaarohia ēnei taputapu me ngā tikanga hei āwhina i a koe kia mārama ake ai tō karere:

• Whakakaha reo: He whakakaha whaiaro kawe tēnei, he whakakaha waea rānei. Ka taea te whakamahi hei whakanui ake i te reo o te tangata he reo ngawari. Ka whakaitihia hoki e te whakakaha te ngenge o te reo.
• Pūnaha tuku waea TTY: He waea tēnei me te papapātuhi. Ka taea e koe te pato i tāu e kōrero ana, ā, mā te kaiwhakahaere tuku waea ka pānuitia ki te tangata e whakarongo ana. Ka taea e koe te pato i te karere katoa, i ngā kupu anake rānei kāore koe e mārama.
• Ngā taputapu hangarau iti: Ko ngā tauira o ngā taputapu āwhina hangarau iti ko ngā pukapuka me ngā papa pepa, ngā papa reta (e tohu ana koe ki te reta tuatahi o ia kupu nui ka kōrerotia e koe, e kī ana rānei i te kupu reta i ia reta), me ngā taputapu pato.
• Ngā taputapu whakarei kōrero hiko hangarau-teitei, ngā taputapu whakawhitiwhiti kōrero: Kei te wātea inaianei ngā rorohiko me ngā taputapu whakahiato reo me ngā taputapu whakaputa kōrero. Kōrero ki tō kaiwhakaora kōrero me te reo mō ngā taputapu hangarau-teitei e tino pai ana mō ō hiahia.

Me pēhea te āwhina a te hunga whakarongo ki te hunga e uaua ana ki te kōrero?

Anei ētahi huarahi hei āwhina i te hunga e pāngia ana e te mate a Parkinson kia māmā ake ai te kōrero a te tangata e kōrero ana:

• Kōrero kanohi ki te kanohi ki te tangata e pangia ana e te mate a Parkinson, ka titiro atu ki a ia i a ia e kōrero ana.
• Pātai atu ki ngā pātai ka taea te whakautu mā te "āe" me te "kāo" noa iho.
• Whakahokia te wāhanga o te rerenga kōrero i mārama ki a koe. (Hei tauira, "He aha tāu e hiahia ana kia piki ahau ki runga, kia tiki?")
• Me tono atu ki a ia kia kōrero anō i tāna i kōrero ai, kia pōturi ake tana kōrero, kia tuhi rānei i ngā kupu kāore koe e mārama.

He aha ngā mea e tika ana kia mau i te tangata e pāngia ana e te mate a Parkinson me ngā uauatanga ki te kōrero i roto i tētahi āhuatanga ohorere?

Hei whakarite mō tētahi āhuatanga ohorere, whakaarohia ēnei mea:

• Whakamahia he pūnaha waea whakawhitiwhiti, he pūnaha aroturuki pēpi rānei hei whakamōhio atu ki ētahi atu mō tētahi āhuatanga ohorere.
• Ki te kore e taea e koe te kōrero , whakamahia ngā pere, ngā ūpā rānei. Whakamahia ngā "waehere" hei tohu i te hiahia nui. Hei tauira, ko te tikanga o te pere iti ko "Me kōrero ahau ki tētahi," ko te tikanga rānei o te pū hau he āhuatanga ohorere.
• Puritia he waea pūkoro kua whakaritea ngā nama. Whakaritea ō waea katoa kia waea aunoa ki ngā nama ohorere.
• Mena he tangata koe e noho mokemoke ana, rēhita mō te ratonga pātene "Life Call". Pēhia he pātene i runga i tētahi taputapu, e mau ana ki tō ringaringa, ki tō kaki rānei, ka tukuna he tohu ki tētahi kamupene ratonga, mā rātou e whakamōhio ki ō whanaunga me/ranei ki ō ratonga ohorere ā-rohe.

He pānga tō te uaua ki te horomi (Dysphagia) i roto i te mate a Parkinson ki te kōrero?

Ko te uaua ki te horomi, he āhuatanga e kiia nei ko te dysphagia, he mea noa anō hoki i roto i te hunga e pāngia ana e te mate a Parkinson. Ka taea tēnei te puta i ngā wā katoa o te mate, ka rerekē i te haere whakamua o te mate, ka kino haere i te kino haere o ngā tohu. Kōrero atu ki tō tākuta, ki tō kaiwhakaora reo rānei ina kite koe kei te uaua koe ki te horomi. Ko ngā tohu o te uaua ki te horomi ko: te pupuhi o te wai, te kōroke, te maremare, te uaua ki te horomi pire, te roa o te kai, te ngaro o te taumaha, me te matewai.

Ko te raruraru tino kino o te uaua ki te horomi – me te take me toro atu koe ki te tākuta tonu – ko:Te manawa. Ko te manawa te wā e tomo ai te kai, te wai rānei ki roto i tō puku manawa (trachea) kātahi ki roto i ō pukahukahu. Ka pā mai pea tēnei i tētahi mate kino e kiia nei ko te niumōnia manawa .

Ahakoa kāore pea ngā uauatanga horomi e pā tika ki tō kaha ki te kōrero, he maha ngā wā ka puta ngā raruraru horomi me ngā raruraru reo me te kōrero i te wā kotahi.

Hei whakamutunga, kia mahara ki tēnei.

He mea noa ki te hunga e pāngia ana e te mate a Parkinson te pāngia e ngā uauatanga o te reo me te kōrero, inā koa i te whanaketanga o te mate. Ka taea e ēnei raruraru te whakauaua i a koe ki te kōrero i te mahi, ki te whānau, me ngā hoa. Ka pā hoki ki te kounga o tō oranga.

Engari ko te mea pai rawa atu, ka taea e te kaiwhakaora reo te āwhina i a koe ki te whakawhanake i tētahi kaupapa maimoatanga whai hua hei āwhina i a koe ki te whakapai ake i ō pūkenga kōrero. Nō reira, ki te pāngia koe e ēnei uauatanga, kaua e mamae ko koe anake, engari me rapu tohutohu hauora me te tautoko whakaora. Kia maumahara, ehara i te mea ko koe anake i tēnei haerenga, ā, he maha ngā tāngata ka taea te āwhina i a koe.

Te mate a Parkinson, ngā uauatanga kōrero, te mate manawa kore, te reo, te whakawhitiwhiti kōrero, te whakaora kōrero, ngā uauatanga horomi