Ka pōhēhē koe i ētahi wā ina kōrero koe? He uaua rānei ki a koe te kī mārama i tāu e hiahia ana kia kōrero? Tērā pea ka rerekē tō reo, ka rite ki te oro o te whati, ka rite rānei ki te puhoi o tō kōrero ki ētahi atu? Mena kua pāngia koe e ēnei mea, ko te take pea he mate e kiia nei ko te dysarthria. Me kōrero tātou mō tēnei i roto i ngā kupu māmā, taipitopito hoki.
maui;"> He aha te Dysarthria? Kia mārama tātou!Ki te kī māmā, ko te Dysarthria
he mate kōrero ā-tinana e pā ana ki tō tātou kaha ki te kōrero, arā, he ngoikore ki te whakahaere i ngā uaua e hiahiatia ana hei kōrero. Whakaarohia, ina kōrero tātou, ko ō tātou arero, ngutu, kauae, me ngā taura reo i roto i te korokoro (`(Larynx)`), me mahi tahi ēnei katoa, tika? maui;"> Kāore e taea e te tangata whai dysarthria te whakahaere tika i ēnei uaua. Ka puta tēnei i te kino o tō tātou pūnaha io (`(pūnaha io)`).Ko te mea nui ko te mārama o te tangata whai dysarthria ki te reo. E mōhio ana ia ki te mea hei kōrero me te pēhea te kōrero. Heoi, nā te ngoikore o te uaua, he uaua ki te whakapuaki mārama i ngā kupu me te kōrero i te huarahi e mārama ai ētahi atu. He rite ki te hiahia koe ki te waiata pai i tētahi waiata, engari kāore tō korokoro i te hauora, e kore e taea e koe te waiata mārama.
E rua ngā momo matua o te Dysarthria:
1. Dysarthria whanaketanga: Ka puta tēnei nā te kino o te roro i te wā e hapu ana, i te whānautanga rānei. Hei tauira, ka pā tēnei āhuatanga ki ngā tamariki e pāngia ana e te pararutiki roro . Ko te nuinga o te wā ka pā ki ngā tamariki nohinohi.
2. Te mate pōrearea: Ka puta tēnei i te kino o te roro i muri mai i te ao. Hei tauira, ko ngā āhuatanga pēnei i te whiu , te pukupuku roro, te mate a Parkinson rānei ka puta te mate pōrearea. He mea tino noa tēnei i waenga i ngā pakeke.
He aha ngā momo mate pōrearea? Ka taeate wehewehe i te mate pōrearea ki ētahi momo i runga i te wāhanga o tō tātou pūnaha io kua pakaru. Ina kōrero tātou mō tō tātou pūnaha io, kei roto ko ngā wāhanga matua pēnei i te roro me te taurakira (Pūnaha Io Waenga) me te whatunga o ngā io e horapa ana puta noa i te tinana (Pūnaha Io Peripheral).
Anei ētahi o ngā momo matua:
- Te mate pōrearea ngawari: Ka puta tēnei i te kino o ngā neuron nekeneke o raro, he wāhanga o tō tātou pūnaha io peripheral. I tēnei momo, ka rite te kōrero ki te mea he nui rawa tō manawa, me te mea kei te kōrero koe mā roto i tō ihu (te tangi o te ihu). Ka ngoikore pea tō reo.
- Te mate pōrearea spastic:
He nui ake te kitea o te dysarthria i roto i te hunga whai mate pūnaha io. Hei tauira:
- Ko te ALS (Amyotrophic Lateral Sclerosis - ALS) e pā ana ki te 30% o te tangata.
- Ko te Multiple Sclerosis (MS) e pā ana ki te 25% ki te 50% o te tangata i tētahi wā o ō rātou oranga.
- He tino maha ngā tāngata e pāngia ana e te mate a Parkinson .
- Ko te whiu e pā ana ki te 8% ki te 60% o te tangata.
- Ko te whara roro e pā ana ki te 10% ki te 65% o te tangata.
E whakaatu ana ēnei tatauranga ahakoa he kupu hou tēnei, ka pā pea ki te tini o te tangata.
maui;"> Dysarthria He aha ngā tohu o te dysarthria?Ko te tohu matua ko te uaua ki ētahi atu te mārama ki tāu e kōrero nei. Nā te mea kāore e taea e koe te whakahaere tika i ō ngutu, i ō arero, me tō kauae kia mārama ai te kōrero.
Ko ētahi atu tohu ko:
- Te whakakorikori i ō kupu, te ahua rānei kei te kopikopiko koe .
- Te kōrero tere ake, puhoi ake rānei i tō whakaaro
- .
Ka raru pea te horomi i tēnei ngoikore o te whakahaere uaua (dysphagia) . He mea anō hoki tēnei hei tino tūpato.
maui;"> He aha te take o te dysarthria?E ai ki tā tātou i kōrero ai i mua, maui;"> Ka puta te dysarthria ina pāngia ngā wāhanga o te pūnaha io e whakahaere ana i ngā uaua e āwhina ana i a tātou ki te kōrero. Kei roto i tēnei ko ngā uaua o tō tātou mata me tō tātou korokoro, tae atu ki ngā uaua e āwhina ana i a tātou ki te manawa. Ka taea e ngā whara, ngā mate, me ngā āhuatanga neuromuscular te take.
Ko ētahi o ngā tino take ko:
- ALS. (ALS, te mate Lou Gehrig rānei)
- Ngā pukupuku roro
- Te
- Pararutiki o te roro Te mate wareware (ngā āhuatanga ngaro mahara)
- Te mate a Huntington Te mate Lyme (he mate e kawehia ana e te tick
- )
- Te sclerosis maha (MS)
- Te mate uaua
- Myasthenia gravis (he mate ngoikore uaua)
- Te mate a Parkinson Te whiu
- Te
- whara roro whara Ngā whara
- ki tō mata, ki tō waha rānei.
- Ngā whara ki tō mahunga, kaki, arero, taura reo rānei.
I ētahi wā, ka taea e ētahi rongoā (hei tauira, ngā rongoā whakangāwari, ngā rongoā antihopu) te whakaputa tohu pēnei i te dysarthria hei pānga taha.
He aha ngā raruraru o te dysarthria?Ka taea e te uaua ki te kōrero te whakaputa i ngā momo raruraru i roto i te hapori. Ina uaua ki a koe te mārama ki ngā kōrero a ētahi atu, ka pā ki tō mahi, ki tō kura, me ō whanaungatanga whaiaro. Ko te ahotea i puta mai i tēnei ka arahi pea ki ngā raruraru hauora hinengaro, pērā i te pouri .
Me pēhea te tautuhi i te dysarthria?Nō reira, he mea nui kia whiwhi maimoatanga hei āwhina i a koe ki te kōrero me te pupuri i ngā whanaungatanga whai tikanga kei a koe me ētahi atu.
Ka pātai tō tākuta mō tō hītori hauora, ā, ka whakahaere i tētahi whakamātautau tinana. Kātahi ka haere mai tētahi Tohunga Kōrero-Reo (SLP)
Ka tirotirohia koe kia mōhio ai koe ki te kaha o tō dysarthria. Ka tirohia e ia tō manawa, te kounga o tō reo, me tō kaha ki te neke i ō ngutu, arero, me ngā uaua o te mata.Tērā pea ka tono atu ia kia mahi koe i ngā mea pēnei i:
- Te totoro mai tō arero.
- Te menemene, te kōpikopiko i ō ngutu, te mitimiti i ō ngutu.
- Te tatau mai i te tahi ki te tekau, te kī rānei i te pīataata.
- Pānuihia he paraka.
- Te whakahoki i ngā oro, ngā kupu, me ngā rerenga kōrero, me te whai wāhi ki te kōrero noa.
He aha atu ngā whakamātautau e hiahiatia ana hei tautuhi i te dysarthria?
Ko ētahi atu whakamātautau pea ko:
- Ngā karapa MRI, CT rānei o tō roro, o tō upoko, o tō kaki – ka rapu ēnei i ngā āhuatanga rerekē ka pā ki tō kaha ki te kōrero.
- Whakamātautau EEG (Electroencephalogram) – hei rapu i ngā āhuatanga rerekē o te mahi roro e pā ana ki te dysarthria.
- Whakamātautau EMG (Electromyography) – hei tirotiro i te mahi hiko o ō uaua me ō io.
- Ngā whakamātautau toto, mimi rānei – hei tirotiro mō tetahi mate, mumura rānei e puta ai ngā raruraru kōrero.
- Te pato tuaiwi (lumbar puncture) – hei tirotiro mō tetahi mate, pukupuku rānei e puta ai te dysphagia.
I ētahi wā ka haere tahi te dysphagia me te uaua ki te horomi (dysphagia), nō reira ka tono pea tō tākuta i tētahi rangahau horomi barium whakarerekētia , i tētahi rangahau horomi ataata-fluoroscopic rānei (VFSS) .
maui;"> He aha ngā maimoatanga mō te dysarthria?Ka taea e te hunga whai dysarthria te whai hua nui mai i te whakaora kōrero hei whakapai ake i ō rātou pūkenga kōrero. Ka taea e te tohunga reo me te reo (SLP) te kōrero ki tō whānau me te whakaako i a rātou me pēhea te kōrero pai ake ki a koe.
I roto i ngā wā whakaora kōrero, ka ako pea koe i ngā mea pēnei i:
- Ngā mahi hei whakapakari i ngā uaua o tō arero, ngutu, me tō kauae.
- Ngā rautaki hei kōrero nui ake (hei tauira, te manawa hohonu i mua i te kōrero).
- Ngā rautaki hei kōrero mārama (hei tauira, te whakaroa i tō kōrero, te whakamahi i ngā uaua motuhake hei whakapuaki i ngā oro me ngā kupu).
- Ngā tikanga whakawhitiwhiti kōrero kore-waha (hei tauira, te tohu, te tuhituhi).
Mena he kino tō dysarthria maui;">, me whai taputapu pea koe hei kōrero ki ētahi atu. Ka uru atu pea ki tēnei he papa me ngā reta, he pikitia rānei, he rorohiko motuhake rānei me te papapātuhi me te mata e whakaatu ana i ngā karere. maui
;"> Ka taea te ārai i te dysarthria?Kāore e taea te ārai i ngā take katoa o te dysarthria. Heoi, ka taea e koe te mahi i ngā mahi hei whakaiti i tō tupono ki ētahi take (hei tauira, te whara, te whiu). Hei tauira, mā te kai i tētahi kai hauora ka taea te whakaiti i tō tupono ki ngā āhuatanga e whakanui ake ai tō tupono ki te whiu, pērā i te toto toto tiketike, te mate huka, me te mate uaua coronary. maui;"> Ka taea te whakaora katoa i te dysarthria?Kei te pūtake o tō maui;"> dysarthria. Mena he pānga taha o te rongoā te take, ka ngaro te mate ina mutu te rongoā. Heoi, ko te dysarthria i puta mai i te mate uaua-io roa (`(condition neuromuscular chronic)`), te pararutiki, te whara rānei, kāore pea e taea te whakaora. Heoi, ka taea e te whakaora kōrero te whakapai ake i ō pūkenga kōrero.
Ka āwhina te whakaora kōrero i a koe ki te whakamahi i ō uaua kōrero kia pai ake, ā, ka ako i a koe ki ngā huarahi ki te kōrero me te kore kupu.
maui;"> He aha ētahi tohutohu mō te kōrero hei tangata whai dysarthria?Mena kua maui koe;"> dysarthria, ka taea e ēnei tohutohu te āwhina i a koe:
- Whakahuatia te kaupapa i te tuatahi. Hoatu he whakaaro ki te hunga whakarongo mō tāu e kōrero tuatahi ai. Hei tauira, i mua i te kōrero mō te kiriata e hiahia ana koe ki te mātaki, tīmata mā te kī "te kiriata."
- Kōrero āta, me te reo tika. Mā te whakapuaki kupu mārama, āta hoki ka āwhina i te hunga whakarongo ki te mārama. Mā te kōrero i roto i ngā rerenga poto me ngā okiokinga maha ka hoatu he wā ki te hunga whakarongo ki te mārama ki tāu e kōrero nei.
- Kaua e kōrero ina ngenge koe. maui;"> He maha ngā tāngata e pāngia ana e te dysarthria e uaua ake ana ki te kōrero ina ngenge rātou.
- Kia mārama te hunga e whakarongo ana ki tāu e kōrero nei. He mea pai kia pātai atu ki te hunga e whakarongo ana i waenganui. Mā tēnei ka āwhina i a koe kia kaua e whakahoki anō i tāu i kōrero ai.
- Whakamahia ngā tikanga whakawhitiwhiti kōrero kore-waha mēnā e tika ana. Ki te tino hoha te kōrero, kōrero atu ki te tangata e kōrero ana koe, tuhia, tuhia, whakaroa rānei i te kōrero.
He aha ngā tohutohu ka taea e ētahi atu te whakamahi ina kōrero mai ki ahau?
Ka taea e te tohunga reo me te tohunga reo (SLP) te tūtohu tohutohu hei āwhina i ētahi atu ki te kōrero ki a koe. Hei tauira, ka taea e tō hoa aroha te mahi i ēnei e whai ake nei:
- Whakaitihia ngā mea whakararuraru/haruru (hei tauira, whakawetohia te reo irirangi, te pouaka whakaata).
- Whakarongo pai i a koe e kōrero ana.
- Kōrero ki a koe anō i tētahi wāhi marino, mārama hoki .
- Āwhina i a koe ki te kōrero
Mena kei te uaua koe ki te kōrero, tirohia tō tākuta. Mena he poto tō manawa, he maremare tonu, he niumōnia rānei, rapua tonutia te awhina hauora.
Āhea ahau me haere ki te rūma whawhati tata (ETU) ?
Ko ētahi o ngā take o te dysarthria, pērā i te whiu, me whiwhi maimoatanga hauora whawhati tata. Mena kei te whakaatu tetahi i ngā tohu o te pararutiki, haria tonutia ia ki te rūma whawhati tata.
Ko ngā tohu o te pararutiki ko:
- Te ngoikore, te piko rānei i te taha kotahi o te mata.
- Te kore e taea te hapai i ngā ringa e rua .
- Te pōhēhē me te kore okiokinga .
- Te ngaro o te taurite .
- Te kōrero pōturi/te ngunguru .
Ka taea e koe te pātai pēnei i:
- He aha te take o taku maui;"> dysarthria? He
- aha ngā maimoatanga e wātea ana?
- Me pēhea taku whakapai ake i aku pūkenga kōrero?
- He aha ngā hua ka taea e au te tumanako mai i te whakaora kōrero?
- Me whakamahi ahau i tētahi taputapu whakawhitiwhiti kōrero?
Ko te Aphasia he āhuatanga e uaua ai te mārama ki ngā kōrero a ētahi atu, ki te whakamārama rānei i ngā whakaaro o te tangata. Ehara i te raruraru ki ngā uaua kōrero pērā i te dysarthria. I roto i te aphasia, ka pāngia ngā pokapū reo o te roro.
maui;"> He aha te rerekētanga i waenga i te dysarthria me te apraxia?He momo rerekē te Apraxia o te mate kōrero nekeneke. He mahi noa ngā uaua o te hunga whai apraxia, engari he uaua ki a rātou te mahi i ngā nekehanga tūao e rite ana ki te kōrero. Arā, ko te karere mai i te roro ki ngā uaua e kī ana ki a rātou kia "neke ki tēnei taha, ki tērā taha" kāore e tika te haere. Ko te raruraru kei te whakamahere me pēhea te whakapuaki i ngā kupu.
maui;"> He aha te rerekētanga i waenga i te dysarthria me te dysphagia?Pērā i te dysarthria, he raruraru anō hoki te dysphagia ki te whakahaere uaua. Engari maui;"> Ko te Dysarthria he uaua ki te kōrero, ko te dysphagia he uaua ki te horomi kai . I ētahi wā ka maui te dysphagia;">
Ka taea hoki e te Dysarthria te tohu.Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
Mena he uaua ki a koe te kōrero ki ētahi atu nā te dysarthria, kōrero ki tō tākuta mō tēnei mea. Tērā pea ka tukuna koe e tō tākuta ki te whakaora kōrero. Ka taea hoki e ngā tohunga reo me te reo (SLP) te ako i ō hoa me tō whānau me pēhea te kōrero pai ake ki a koe. Kia maumahara, ahakoa he uaua ki te kōrero nā te ngoikore o ō uaua, mā te maimoatanga tika me te tautoko, ka taea e koe te pupuri i ō whanaungatanga utu nui. Kaua e wehi, rapua he āwhina.
` maui;"> Te ngoikore o te ngākau, ngā uauatanga kōrero, ngā mate kōrero, te pūnaha io, te kino o te roro, te whakaora kōrero, te whanoke, te kōrero pōturi
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