Tangoganizirani, mukucheza bwino ndipo mwadzidzidzi simungathe kulumikiza mawu anu, simukumvetsa zomwe ena akunena. Kapena simungathe kulemba kapena kuwerenga. Ichi ndi chinthu chomwe chimakupangitsani kumva ngati mulibe thandizo, sichoncho? Nthawi zina mtundu uwu wa matenda oopsa ungayambitsidwe ndi matenda otchedwa (Global Aphasia). Tiyeni tikambirane za izi mwatsatanetsatane lero, chabwino?
Kodi Global Aphasia ndi chiyani?
Mwachidule, Global Aphasia ndi kutayika mwadzidzidzi kwa luso lathu lalikulu la chilankhulo - kulankhula, kumvetsetsa, kulemba, kuwerenga - ngati kuti njira yathu yonse yolankhulirana yatsekedwa. Pali mitundu yambiri ya zovuta za chilankhulo zotchedwa Aphasia, koma Global Aphasia imaonedwa kuti ndi yovuta kwambiri komanso yofala kwambiri .
Koma apa pali chinthu chofunika kwambiri chomwe muyenera kukumbukira. Ngakhale kuti luso lanu la chilankhulo limakhudzidwa ndi (Global Aphasia), nzeru zanu, nzeru zanu, kapena (Intelligence) sizimakhudzidwa mwanjira iliyonse. Muli anzerube, munthu woganiza bwino. Koma vuto lalikulu ndikudzifotokoza nokha ndikumvetsetsa zomwe ena akunena. Zili ngati mukudziwa kuyendetsa galimoto bwino, koma injini ya galimotoyo sigwira ntchito.
Kodi zizindikiro za (Global Aphasia) ndi ziti?
Pamene vutoli lichitika, zizindikiro zotsatirazi zimawonekera kwambiri:
- Zingakhale zovuta kwambiri kumvetsetsa zomwe wina akunena, ndipo nthawi zina simungamvetse chilichonse. Zingamveke ngati mukulankhula chilankhulo china.
- Luso lowerenga ndi kulemba limachepa kwambiri kapena kutayika kwathunthu. Munthu sangalembe dzina lake, makamaka nyuzipepala kapena buku.
- Angalephere kufotokoza zosowa zawo ndi momwe akumvera m'mawu. Anganene mawu amodzi kapena awiri okha, kapena angalephere kulankhula konse.
Tangoganizirani momwe mumadzimvera chisoni mukamva izi. Kusatha kulumikizana ndi ena kungayambitse kusungulumwa komanso kuvutika maganizo. Mutha kudzimva kuti ndinu nokha, simungathe kufotokoza maganizo anu, komanso simungathe kumvetsa zomwe ena akunena.
Kodi anthu omwe ali mu mkhalidwe uwu angathe kulemba ndi kuwerenga?
Mwatsoka, munthu amene ali ndi (Global Aphasia) alibe luso lolemba kapena kuwerenga. Maluso amenewo amatayika pafupifupi kwathunthu. Chifukwa vutoli limakhudza mbali zonse za chilankhulo.
Kodi zifukwa za (Global Aphasia) ndi ziti?
Chifukwa chachikulu cha vutoli ndi kuwonongeka kwakukulu kwa malo ofunikira muubongo wathu omwe amagwira ntchito ndi chilankhulo.Ubongo wathu ndi chinthu chovuta kwambiri. Zigawo zosiyanasiyana zake zimagwira ntchito zosiyanasiyana. Makamaka, pali zigawo ziwiri za ubongo zomwe timazitcha (dera la Broca) ndi (dera la Wernicke). Izi ndi zigawo zomwe zimatithandiza kumvetsetsa chilankhulo, kugwiritsa ntchito mawu ndi galamala, komanso kupanga mawu ndi ziganizo. Monga mapulogalamu apakompyuta. Ngati izi (dera la Broca) zawonongeka, padzakhala vuto kulankhula, ndipo ngati izi (dera la Wernicke) zawonongeka, padzakhala vuto kumvetsetsa. Mu (Global Aphasia), pakhoza kukhala kuwonongeka kwakukulu kumadera onsewa kapena kwa iwo.
Kotero pali njira ziwiri zazikulu zomwe mtundu uwu wa kuwonongeka kwa ubongo ungachitikire:
- Matenda a sitiroko. Ichi ndi chomwe chimayambitsa matenda ambiri. Pa nthawi ya sitiroko, magazi amasiya kuyenda kupita ku ubongo, zomwe zimapangitsa kuti maselo a mu ubongo afe.
- Kuvulala kwa Ubongo Koopsa (TBI) ndi kuvulala kwakukulu kwa mutu. Mwachitsanzo, kuvulala kwakukulu kwa mutu, monga ngozi ya galimoto kapena kugwa, kungayambitse kuwonongeka kwamtunduwu.
Kodi Global Aphasia imapezedwa bwanji?
Dokotala adzakudziwitsani za matenda a Global Aphasia mwa kukupimani, kukupimani matenda amitsempha, ndi kuchita mayeso ena. Pa nthawi ya mayesowa, dokotala adzakufunsani inu kapena wosamalira wanu mafunso okhudza zizindikiro zanu ndi mbiri yanu ya thanzi. Popeza mungakhale ndi vuto lolankhula ndi kumvetsetsa, zingakhale zothandiza kwambiri kukhala ndi munthu amene mumamudalira panthawiyi. Munthu ameneyo angakuthandizeni kuyankha mafunso omwe dokotalayo akufunsani.
Kuphatikiza apo, dokotala angalamule kuti ayesedwe ndi MRI (Magnetic Resonance Imaging) kapena CT (Computed Tomography scan) kuti aone kukula kwa kuwonongeka kwa ubongo, mwachitsanzo komwe kuli muubongo komanso momwe kulili. Kujambula kumeneku kumatha kujambula bwino ubongo.
Kuti mutsimikizire matendawa, mutha kutumizidwa kwa katswiri wa matenda a chilankhulo (SLP). Katswiriyu adzawunika luso lanu la chilankhulo - kulankhula, kumvetsetsa, kuwerenga, ndi kulemba - kuti adziwe kuopsa kwa mavuto anu okonza chilankhulo. Kuwunikaku kudzawonetsanso mitundu ya chithandizo yomwe idzayesedwe.
Kodi Global Aphasia imachiritsidwa bwanji?
Dokotala wanu angakulangizeni chithandizo cha kulankhula pochiza vuto lanu (Global Aphasia). Mu chithandizo cha kulankhula, mudzagwira ntchito limodzi ndi katswiri wa matenda a kulankhula (SLP). Adzakuthandizani ndi izi:
- Akuyesera kubwezeretsanso luso lotha kulankhula komanso kulankhulana. Pang'onopang'ono, amaphunzira kukumbukira mawu ndi kusonkhanitsa ziganizo pamodzi.
- Phunzirani njira zina zolankhulirana. Ngakhale mutakhala kuti simungathe kulankhula, mutha kufotokoza maganizo anu m'njira zina.
- Phunzitsani okondedwa anu ndi omwe amakusamalirani momwe angalankhulireni bwino ndi inu.Chifukwa amafunanso kudziwa momwe angakuthandizireni.
Dokotala angalimbikitsenso njira zochiritsira monga:
Njira zosiyanasiyana zochiritsira
- Kulankhulana Kowonjezera ndi Kosiyana (AAC): Pali njira zambiri zolankhulirana popanda kulankhula. Katswiri wa zamaganizo adzakuphunzitsani njira zosiyanasiyana zofotokozera zosowa zanu. Mwachitsanzo, mutha kuuza munthu kuti mukufuna chakudya, kumwa, kapena kupita kuchimbudzi mwa kumuwonetsa zithunzi, zizindikiro, kapena chikwangwani chokhala ndi zilembo. Muthanso kugwiritsa ntchito chipangizo monga piritsi.
- Chithandizo cha Masomphenya (VAT): Ichi ndi chithandizo chosagwiritsa ntchito mawu. Katswiri wa zamaganizo amakuphunzitsani zizindikiro (mayendedwe a thupi) kuti aziyimira zinthu zosiyanasiyana. Mayendedwe anu amakuthandizani kulankhulana. Mwachitsanzo, kunena kuti mukufuna kumwa madzi, mutha kupotoza zala zanu ngati kuti mwagwira galasi ndikusuntha dzanja lanu pakamwa panu. Kapena mutha kunyengerera kuti mutenge chisa ndikupesa tsitsi lanu m'malo monena mawu oti 'chisa'.
- Chithandizo cha Nyimbo (Melodic Intonation Therapy): Katswiri wa zamaganizo amagwiritsa ntchito kamvekedwe ka mawu ndi kamvekedwe ka mawu kuti akonze madera ogwiritsira ntchito chilankhulo muubongo wanu. Nthawi zina zimakhala zosavuta kunena mawu ku nyimbo, ngati nyimbo, kuposa kulankhula. Izi zingathandize kuti mulankhule bwino komanso momwe mumamvera chilankhulo.
Kumbukirani kuti mankhwala amenewa sadzabweretsa zotsatira mwadzidzidzi. Ndikofunikira kwambiri kupitiriza kuwagwiritsa ntchito moleza mtima komanso modzipereka.
Kuphatikiza apo, mayesero azachipatala akuchitika panopa kuti ayesere mankhwala atsopano a aphasia yapadziko lonse komanso momwe amagwirira ntchito. Mutha kukhala oyenerera kuyesa mankhwala kapena njira zolimbikitsira ubongo monga Transcranial Magnetic Stimulation (TMS) m'mayesero awa azachipatala. Lankhulani ndi dokotala wanu za izi.
Kodi n'zotheka kuchira kwathunthu ku Global Aphasia?
Funso limene anthu ambiri amafunsa ndi ili. Kuchira kwanu kumadalira zinthu zambiri. Mwachitsanzo, kukula kwa kuwonongeka kwa ubongo, komwe kwawonongeka, zaka zanu, thanzi lanu lonse, komanso momwe munayambira chithandizo mwachangu. Dokotala wanu angakupatseni upangiri wabwino kwambiri pa vuto lanu.
Zizindikiro nthawi zambiri zimakhala zoopsa kwambiri munthu akangodwala sitiroko kapena kuvulala kwa ubongo. Komabe, mungazindikire kuti zizindikiro zanu zimachepa pang'onopang'ono pakatha milungu ndi miyezi ingapo kuchokera pamene mwachita izi. Miyezi ingapo yoyambirira ndi pamene mudzawona kusintha kwakukulu.
Anthu ena amachira mpaka kufika poti amatha kugwira ntchito bwino, ngakhale atavutika kulankhula. Ena akhoza kukhala ndi zizindikiro kwa moyo wawo wonse. Pa milandu yovuta kwambiri, angafunike kuwongolera vutoli kwa moyo wawo wonse. Koma musataye mtima. Ndi chithandizo, moyo wanu ukhoza kukhala wabwino.
Kodi vutoli lingapewedwe?
Sitingathe kuletsa zonse zomwe zingachititse kuti padziko lonse pakhale matenda a aphasia. Mwachitsanzo, chinthu chonga ngozi yosayembekezereka. Komabe, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu:
- Konzani matenda aliwonse omwe mungakhale nawo , monga matenda a shuga, kuthamanga kwa magazi, ndi kuchuluka kwa cholesterol. Izi zitha kuwonjezera chiopsezo chanu cha sitiroko.
- Tengani njira zodzitetezera mukamachita zinthu zoopsa kwambiri. Mwachitsanzo, kuvala chisoti mukakwera njinga kapena njinga yamoto, komanso kuvala chipewa choteteza mutu mukamagwira ntchito yomanga.
- Imbani ogwira ntchito zadzidzidzi (monga 911) mukangoona zizindikiro zoyamba za sitiroko (monga kugwa mbali imodzi ya nkhope, dzanzi m'dzanja, kuvutika kulankhula). Izi zingathandize kuchepetsa kuwonongeka kwa ubongo. Nthawi ndi yofunika kwambiri apa.
Kodi muyenera kupita kwa dokotala liti?
Ngati inu kapena wokondedwa wanu mwadzidzidzi mwayamba kukhala ndi vuto la chilankhulo lomwe limakhudza luso lanu lolankhula, kumvetsetsa, kulemba, kapena kuwerenga , pitani kwa dokotala nthawi yomweyo. Makamaka ngati zizindikirozi zikugwirizana ndi zizindikiro za sitiroko (kugwa nkhope, dzanzi m'manja), ndi vuto ladzidzidzi. Dokotala akhoza kusankha njira zabwino kwambiri zothandizira matenda anu.
Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?
Ngati mukusamalira wokondedwa wanu ndi Global Aphasia, njira imodzi yabwino kwambiri yothandizira ndikufunsa gulu lachipatala mafunso ofunikira monga awa:
- "Ndingayembekezere kuchira kotani kwa wokondedwa wanga? Kodi adzachira mokwanira?"
- "Kangati komanso kwa nthawi yayitali bwanji amafunika kupita ku chithandizo cha kulankhula?"
- "Kodi ndingalankhule bwanji ndi wokondedwa wanga amene ali ndi vuto la (Global Aphasia)? Ndingalankhule bwanji m'njira yomwe amamvetsetsa komanso yomwe imawathandiza?"
- "Kodi tingatani kunyumba kuti tiwongolere thanzi lake?"
- "Kodi pali mavuto ena omwe angabwere chifukwa cha vutoli?"
Pamene mukuwerenga nkhaniyi, n'zovuta kulingalira momwe munthu amene ali ndi Global Aphasia amamvera. Kuimba mawu a nyimbo yomwe mumakonda, kuwerenga mutu wa nyuzipepala, kapena kuseka ndi mnzanu kungakhale kovuta mwadzidzidzi mutagwidwa ndi sitiroko. Kusatha kudzimvetsa nokha kapena ena kungakhale kovuta kwambiri. Koma simuyenera kukumana nazo nokha. Madokotala, akatswiri olankhula, banja, ndi anzanu adzagwira ntchito ndi inu ndi okondedwa anu kuti apange dongosolo la chithandizo lomwe likugwirizana ndi zosowa zanu. Angakuthandizeni kuphunzira njira zatsopano zodziwonetsera m'njira zomwe zimapangitsa kuti kulankhulana kukhale kosavuta komanso kogwira mtima.
Uthenga Wopita Nawo Kunyumba
(Global Aphasia) ndi vuto loopsa komanso lovuta, koma ndi chithandizo choyenera chamankhwala, chithandizo cha kulankhula, ndi chithandizo cha okondedwa, pali mwayi wokulitsa luso lolankhulana mpaka pamlingo wina ndikusinthira moyo wanu. Chofunika kwambiri ndikupempha upangiri wachipatala mukangozindikira zizindikiro ndikutenga nawo mbali mu chithandizo modzipereka komanso moleza mtima. Kumbukirani, inu kapena wokondedwa wanu simuli nokha paulendowu, pali anthu ambiri oti akuthandizeni ndikukuthandizani. Musataye mtima!
Apasia yapadziko lonse, Aphasia, Matenda Olankhula, Kulephera kwa Chilankhulo, Stroke, Kuvulala kwa Ubongo, Chithandizo cha Kulankhula











💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu