Kei te pēnei tonu ō whakaaro i ētahi wā? Ahakoa kua mārama tō whakaaro mō tāu e hiahia ana ki te kōrero i roto i tōu mahunga, ina puta mai i tō waha ka puta he kōrero pōturi, he kōrero pōturi, he mea rānei kāore he tangata e mārama ana? He ngoikore, he puhoi, he tere rawa rānei tō reo? Mena koinei te āhua, ko te take pea he mate e kiia nei ko te dysarthria . I tēnei rā, ka kōrerohia tēnei mea kia tino māmā, kia mārama ai koe.
He aha te dysarthria?
Ehara te dysarthria i te raruraru o tō reo, o tō huarahi whakaaro rānei. Ka mārama koe ki ngā kupu, ka taea e koe te hanga rerenga kōrero, ā, ka taea e koe te whakaaro. Ko te raruraru kei ngā uaua e āwhina ana i a tātou ki te kōrero. Ina koa, he kino kei te wāhanga o te roro e whakahaere ana i ō ngutu, i ō arero, i ō taura reo, me te diaphragm e whakahaere ana i te manawa.Whakaarohia tō roro he rite ki te CPU o te rorohiko, ā, ko ō uaua kōrero he rite ki te pūreretā. Ahakoa ka tukuna e koe te whakahau mai i te CPU, kāore te pūreretā e tā tika nā te mea he hapa. Koinei te mea e tupu ana i konei.
E rua ngā huarahi matua e puta ai tēnei āhuatanga:
1. Te Mate Pūngāwerewere o te Whanaketanga: He āhuatanga tēnei e pā ana ki ngā tamariki. Ka pā mai pea i te kino o te roro o te pēpi i roto i te kōpū, i te whānautanga rānei. Ko te Pararutiki Mate Pūngāwerewere tētahi tauira pai o tēnei.
2. Te Mate Pūngāwerewere i Whiwhihia: Ka puta tēnei i te kino o te roro i muri mai i te oranga. Hei tauira, ka pā tēnei āhuatanga ki ngā pakeke nā te mea he mate whiu, he mate a Parkinson, he pukupuku roro rānei.
Ngā momo Dysarthria me ō rātou āhuatanga
He maha ngā momo o tēnei mate. Ka puta he panoni i te reo me te momo kōrero i ia momo. Me titiro tātou ki ngā momo matua.
| Momo dysarthria | Te āhua o te reo me te kōrero |
|---|---|
| Te Mate Pūngāwerewere | He reo pākūkū te reo, ā, he āhua pākū. Tērā pea he tino uaua te āhua o te kōrero. |
| Te ngoikore o te hinengaro | Ka pōturi te reo, ka hāhā te reo. Ka puhoi, ka pōturi hoki. He maha ngā wā ka kitea tēnei i roto i te mate a Parkinson. |
| Te Mate Pūngāwerewere Hiperkinetic | Ka piki, ka heke te tere o te kōrero. Ka piki, ka heke te reo, kāore e taea te whakahaere. |
| Te Mate Pōrearea Ataxic | He pōturi ngā kupu, me te mea kei te haurangi tetahi. He pōrearea te manawataki o te kōrero. Nā te kino o te roro iti o te roro i puta ai. |
| Te Mate Pūngāwerewere | He ngoikore te reo, he manawa pā, ā, he rite te tangi ki te ihu. |
| Te Mate Urutā Whakaranu | Koinei te momo tino noa. Ka taea te kite i te huinga o ngā āhuatanga mai i ngā momo neke atu i te kotahi kua whakahuatia i runga ake nei. |
He aha te mea ka taea te whakararu i te dysarthria?
Ka taea tēnei te puta mai i tētahi āhuatanga hauora e kino ai ngā wāhanga o te roro e whakahaere ana i te kōrero. Anei ētahi o ngā tino take:
- Te whiu: Te aukati i te rere o te toto ki te roro.
- Whara Roro: Te pakaru o te roro i puta mai i tētahi aituā.
- Te mate a Parkinson: He mate o te pūnaha io e pā ana ki te nekehanga.
- Te Pararutiki Hinengaro: He mate nekehanga e pā ana ki ngā tamariki nohinohi.
- Te Mate Pukupuku Maha (MS): He mate e pā ana ki te pūnaha io.
- Te mate Amyotrophic lateral sclerosis (ALS): He mate e ngoikore ai ngā uaua .
- Ngā Pūngāwerewere Roro
- Te Maistenia Gravis:He mate e ngoikore ai te hononga i waenga i ngā io me ngā uaua.
- Te Mate wareware: He mate e whakararu ana i te mahara me te mahi a te roro .
- Ngā pānga taha o ētahi rongoā: Tērā pea ko ētahi rongoā e tangohia ana mō ngā mate pēnei i te mate haurangi.
Me pēhea te tautuhi i te mate?
He mea tino nui: Ki te kore e taea e koe, e tetahi rānei e mōhio ana koe te kōrero, te uaua rānei ki te kōrero, he tohu pea tēnei nō te whiu. Mēnā he pēnei, waea atu ki te 1990 tonu ka haria te tūroro ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
Engari, ki te mea kua roa te piki haere o tēnei uauatanga ki te kōrero, me toro atu koe ki tētahi tākuta . Mā te tākuta koe e tohutohu ki tētahi "Tohunga Kōrero me te Reo" (SLP).
I reira ka tirohia e rātou ngā mea pēnei i:
- Ka tirohia te kaha o ngā uaua o ō ngutu, o tō arero, me tō kauae.
- Ka mea atu rātou kia totoro tō arero, kia puta ai ngā oro rerekē.
- Pānuihia ētahi rerenga kōrero, ka tatau i ngā tau.
- Ka mahia e rātou ngā mahi māmā noa iho, pērā i te pupuhi i te rama.
Hei tāpiri, kia kitea ai te take tuturu, ka tukuna pea koe e te tākuta ki ngā whakamātautau e whai ake nei:
- Ngā Whakamātautau Whakaahua: Ngā matawai MRI, CT rānei hei tirotiro i te āhua o te roro.
- Ngā whakamātautau toto me te mimi.
- Ngā whakamātautau e tirotiro ana i te mahi a te roro me te io: ngā mea pēnei i te `EEG` (Electroencephalogram) me te `EMG` (Electromyography).
- Te Pā o te Tuaiwi: Mēnā kei te whakapaetia he mate.
- Te ako horomitanga.
Te maimoatanga me te whakahaere
Ko te maimoatanga e whakawhirinaki ana ki te take, te momo, me ngā tohu o tō dysarthria. He maha ngā wā, mā te rongoā i te mate taketake (pēnei i te mate a Parkinson) ka āwhina i te whakapai ake i ō uauatanga kōrero ki tētahi taumata.
Heoi anō, ka taea e te kaiwhakaora reo me te reo (SLP) te āwhina nui i a koe. Ka kōrero atu rātou ki a koe i ngā mea pēnei i:
Ngā mea e whakaakona ana e te kaiwhakaora hinengaro
- Ngā mahi whakapakari i ngā uaua o te waha me te kauae.
- Me pēhea te kōrero mārama mā te kōrero pōturi me te okioki i waenganui i ngā kupu.
- Me pēhea te whakahaere i tō manawa kia nui ake ai te tangi o tō reo.
- Me pēhea te whakamahi i ngā taputapu pēnei i ngā whakakaha reo hei whakanui ake i te oro.
Ngā mea ka taea e koe te mahi māu ake
- Kia mau tonu he pukatuhi iti, he waea atamai rānei ki a koe. Ki te kore tetahi e mārama ki tāu e kōrero nei, tuhia, patohia rānei.
- Kia aro mai te tangata i mua i te kōrero.
- I ngā wā katoa e taea ai, kōrero kanohi ki te kanohi. Mā tēnei ka māmā ake te mārama o te tangata ki a koe mā te kite i te nekehanga o ō ngutu.
- Āta karohia te kōrero i ngā wāhi haruru nui (hei tauira, i ngā wharekai, i ngā pāti).
- Whakamahia ngā āhua o te kanohi me ngā nekehanga ringa hei whakamārama ake i tō whakaaro.
Me pēhea e taea ai e koe te āwhina i te whānau me ngā hoa?
I tēnei āhuatanga, he mea tino nui te tautoko a te whānau me te hunga e arohaina ana e koe. Anei ētahi huarahi hei āwhina i ō hoa aroha:
- Ki te kore rātou e mārama ki tētahi mea, pātai atu anō ki a rātou.
- Hoatu he wā e tika ana ki a koe anō hei whakaoti i tāu kōrero. Kaua e whakaroa.
- Kaua e whakaoti i tāu rerenga kōrero.
- Whakahokia ki a rātou te wāhanga o tāu i kōrero ai i mārama ki a rātou, ka pātai atu, "I tika taku mārama?" Pērā ai, kāore koe e hiahia ki te whakahoki i te rerenga katoa.
- Kaua e ārai i a koe anō i ngā kōrero, engari whakaurua koe ki ngā mea katoa.
Karere Tangohia ki te Kāinga
- Ehara te dysarthria i te raruraru o tō whakaaro, o ō pūkenga reo rānei. He ngoikore tēnei i te whakahaere uaua e hiahiatia ana hei kōrero.
- He tohu pea te kōrero pōturi ohorere o te whiu, nō reira rapua tonutia he tohutohu hauora.
- He mea nui kia kite i te tākuta kia kitea ai te pūtake o tēnei mate.
- Ka taea e te kaiwhakaora kōrero me te reo (SLP) te āwhina i a koe ki te whakapai ake i ō pūkenga kōrero, me te whakaako hoki i a koe ki ngā huarahi hei whakahaere i te whakawhitiwhiti kōrero.
- He mea tino nui te manawanui, te māramatanga, me te tautoko a te whānau me ngā hoa i tēnei haerenga.

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