Kodi mwana wanu wasiya kulankhula mwadzidzidzi? Kodi mwina ndi Landau-Kleffner Syndrome?

Mwana wanu ankathamangathamanga, kusewera ndi kulankhula bwino. Koma kodi kulankhula kwake kunachepa mwadzidzidzi? Kapena mwaona kuti akuvutika kumvetsa zomwe mukunena? Kodi nthawi zina amadwala khunyu? Ngati mwana wanu ali ndi chimodzi kapena zingapo mwa izi, muyenera kufufuza. Chifukwa izi zitha kukhala chifukwa cha matenda osowa otchedwa Landau-Kleffner Syndrome (LKS) . Musadandaule, tiyeni tikambirane za izi mwatsatanetsatane.

Kodi Landau-Kleffner Syndrome ndi chiyani?

Mwachidule, Landau-Kleffner Syndrome (LKS) ndi matenda omwe amakhudza ubongo wa ana athu. Chofunika kwambiri pa izi ndichakuti luso la mwana lolankhula ndi kumvetsetsa chilankhulo (chomwe timachitcha mu sayansi ya zamankhwala (Aphasia) ) limachepa pang'onopang'ono kapena mwadzidzidzi. Komanso, ana ambiri omwe ali ndi vutoli amatha kudwala khunyu, zomwe zimachitika akagona.

Taganizirani izi, pali mauthenga ambiri ang'onoang'ono amagetsi omwe amabwerera m'mbuyo muubongo mwathu. Zizindikiro zamagetsi izi ndi zomwe zimatithandiza kugwira ntchito bwino tikamalankhula, kumva, kuganiza, ndi kuchita chilichonse. Ana omwe ali ndi LKS ali ndi vuto linalake mu dongosolo lamagetsi lamagetsi muubongo wawo. Ichi ndichifukwa chake amavutika kumvetsetsa chilankhulo ndi kulankhula.

Ndani amene akukhudzidwa kwambiri ndi vutoli la LKS?

Matendawa, otchedwa LKS, nthawi zambiri amapezeka mwa ana azaka zapakati pa 3 ndi 8. Komabe, nthawi zina amatha kukhudza ana azaka ziwiri, komanso ana okulirapo, monga achinyamata. Akutinso anyamata ali ndi mwayi wochuluka wopeza matendawa kuposa atsikana.

Kodi LKS imakhudza bwanji mwana wanga?

Ngati mwana wanu ali ndi matenda a LKS, mwadzidzidzi kapena pang'onopang'ono amatha kutaya luso lolankhula. Angakhalenso ndi vuto lomvetsa zomwe mukunena komanso zomwe ena akunena. Izi ndi zomwe timazitcha (aphasia) .

Tangoganizirani, mwana wanu ankanena ndakatulo, kuimba nyimbo, ndi kulankhula nanu mosalekeza. Koma tsopano sakunena mawu amodzi, kapena amangokuyang'anani mukamalankhula, ngati kuti sakumvetsa chilichonse, kodi n'kovuta bwanji kukhala woona mtima?

Pafupifupi 70% ya ana omwe ali ndi matenda a khunyu amatha kugwidwa ndi khunyu, kapena kugwedezeka, akagona. Ana ena amathanso kugwidwa ndi khunyu masana.

Kodi matenda a Landau-Kleffner ndi ofanana ndi a autism?

Ayi, izi ndi zolakwika zomwe anthu ambiri amaganiza. Landau-Kleffner Syndrome si autism. Komabe, zizindikiro za zonsezi nthawi zina zimakhala zofanana, kotero zimakhala zovuta kudziwa kusiyana kwake. Madokotala nthawi zambiri amazindikira matenda awiriwa pochita mayeso a EEG (electroencephalograms) pamene mwana ali maso komanso akugona.

Kodi pali mayina ena a LKS?

Inde, nthawi zina madokotala amatchanso vutoli kuti "Acquired Aphasia with Epilepsy." Izi zikutanthauza kuti, limatanthauza chinthu chonga "kulephera kulankhula komwe kumachitika ndi khunyu kenako n’kupezekanso pambuyo pake."

Kodi vuto la LKS limeneli ndi lofala bwanji?

Matenda a Landau-Kleffner ndi matenda osowa kwambiri. N'zovuta kwa ofufuza kunena kuti ndi anthu angati omwe ali ndi matendawa. Ndi osowa kwambiri.

Kodi n’chiyani chimayambitsa matenda a Landau-Kleffner?

Nthawi zambiri, ana ambiri omwe ali ndi matenda a LKS sangapeze chifukwa chenicheni cha vuto lawo. Ichi ndi chowonadi. Choncho musaganize mopitirira muyeso kapena kudziimba mlandu.

Komabe, pafupifupi 20% ya ana omwe ali ndi LKS ali ndi kusintha kwina (kusintha) m'majini awo. Makamaka, kusintha kwa majini otchedwa (GRIN2A) kwapezeka kuti kukugwirizana ndi izi. Kusintha kwa majini kumeneku kumatha kutengera kwa kholo limodzi. Komabe, si aliyense amene ali ndi kusintha kwa majini amene adzakhale ndi LKS. Ana ena angakhalenso ndi kusintha kwa majini ena. Nthawi zina, mwanayo akhoza kukhala ndi kusintha kwa majini koyamba (izi zimatchedwa kusintha kwa de novo ) popanda wina aliyense m'banjamo.

Ofufuza amakhulupirira kuti kusintha kwa majini kumeneku kumayambitsa vuto la magetsi mu ubongo, zomwe zimapangitsa kuti zizindikirozo zisamagwire bwino ntchito. Zizindikiro zachilendozi ndi zomwe zimayambitsa zizindikiro za LKS.

Kafukufuku akuchitidwanso kuti adziwe ngati pali mgwirizano pakati pa LKS ndi chitetezo chamthupi chathu. Akukhulupirira kuti vutoli likhoza kuchitika chifukwa cha chitetezo chamthupi chomwe maselo a chitetezo chamthupi amaukira maselo a thupi.

Kodi zizindikiro za Landau-Kleffner syndrome ndi ziti?

Si ana onse omwe ali ndi LKS omwe amasonyeza zizindikiro zomwezo. Zitha kusiyana malinga ndi mwana.

Ngati mwana wanu ali ndi matenda a shuga (LKS), mungaone zinthu monga:

• Kumva ngati sakukumvani mukamalankhula: Sangayankhe mukamalankhula naye. Zili ngati sanakumveni.
• Kuvuta kumvetsa zomwe inu ndi ena mukunena: Mwina simungathe kumvetsa ngakhale malangizo osavuta.
• Kuchepa kapena kutayika kwathunthu kwa mawu: Mwana amene kale ankalankhula bwino sangalankhulenso konse, kapena angalankhule mawu ochepa movutikira kwambiri.
• Kuchedwa kwatsopano kwa chitukuko: Kulephera kuchita zinthu m'njira yoyenera msinkhu.
• Kusintha kwa nzeru kapena mavuto ophunzirira: Mungasiye chidwi ndi ntchito ya kusukulu ndipo zingakuvuteni kukumbukira zinthu.
• Kusintha kwa khalidwe: Mwanayo amakhumudwa ndi mavuto a chilankhulo, zomwe zingayambitseMavuto a khalidwe monga kusakhazikika, kulephera kuganizira (izi zitha kukhala zofanana ndi zizindikiro za Attention-Deficit Hyperactivity Disorder - ADHD), mkwiyo, ndi kugwedezeka kungachitike.

Tangoganizirani momwe mwana wamng'ono amamvera wopanda thandizo akalephera kuuza makolo ake zomwe akufuna kunena, pamene sakumvetsa zomwe akunena? Kusowa chochita ndi kukhumudwa ndi zomwe nthawi zina zimaonekera mu khalidwe lamtunduwu.

Ana omwe ali ndi LKS makamaka:

• Mwina simungathe kulankhula.
• Pali mwayi waukulu wa khunyu.
• Palinso mwayi waukulu wopeza matenda a khalidwe (monga Attention-Deficit Hyperactivity Disorder - ADHD) .

Kodi madokotala amazindikira bwanji matenda a Landau-Kleffner?

Kawirikawiri, LKS isanayambe, kukula kwa mwana, monga kulankhula ndi kuyenda, kumakhala kwachibadwa malinga ndi msinkhu wake. Mungazindikire kusintha kwa kalankhulidwe kake nthawi yomweyo. Kapena, dokotala wanu angazindikire zizindikiro izi mukapita ndi mwana wanu kukamuona ali ndi thanzi labwino.

LKS ikhoza kukhala yovuta kupeza matenda, choncho ndikofunikira kuuza dokotala wanu za kusintha kulikonse komwe mukuwona pa khalidwe la mwana wanu, ngakhale pang'ono kwambiri.

Ndi mayeso ati omwe madokotala amagwiritsa ntchito pozindikira matenda a LKS?

Dokotala wa mwana wanu angakulangizeni mayeso awa:

• Electroencephalogram (EEG): Iyi imayesa mphamvu zamagetsi za ubongo wa mwana wanu. Iyi ndi njira yoyesera yopanda ululu. Imalola dokotala kuona momwe ubongo wa mwana wanu ukugwirira ntchito.
• Mayeso awa (EEG) nthawi zambiri amachitidwa kawiri, kamodzi mwana akagona ndipo kamodzi akadzuka . Tikagona, mafunde athu a muubongo amachepa pang'onopang'ono. Komabe, tikalowa m'tulo tatikulu (REM sleep phase), mafunde a muubongo amayamba kugwiranso ntchito. Komabe, zolemba za (EEG) za ana omwe ali ndi LKS zimasonyeza kuti ntchito yosazolowereka ya mafunde a muubongo imapitirira m'magawo onse a tulo.
• Kuyeza kwa Audiometry / Kumva: Kuyeza kumeneku kumachitika kuti muwone ngati mwana akutha kumva. Nthawi zina, ndikofunikiranso kuwona ngati vuto la kumva ndilo limayambitsa mavuto a chilankhulo.
• MRI ya ubongo wawo: Izi zimathandiza kuonetsetsa kuti palibe vuto lina lalikulu, monga chotupa cha mu ubongo.
• Kuwunika ndi katswiri wa zamaganizo: Izi ndizofunikira kuti munthu azindikire khalidwe la mwana, nzeru zake, komanso luso lake lophunzira.

Kodi matenda a Landau-Kleffner amachiritsidwa bwanji?

Pochiza ana omwe ali ndi LKS, madokotala amagwiritsa ntchito mankhwala, njira zolankhulirana, komanso njira zochiritsira khalidwe . Chithandizo cholankhulirana chikayambitsidwa mwachangu, mwayi wa mwana woti abwererenso luso lake lolankhula umakhala wabwino.Nthawi zina, madokotala angakulangizenso zakudya zapadera (ketogenic diet) kuti athetse khunyu.

Ndi mankhwala ati omwe amaperekedwa kwa LKS?

Dokotala wanu angapereke mankhwala monga:

• Mankhwala oletsa khunyu: Awa amagwiritsidwa ntchito poletsa khunyu.
• Corticosteroids: Izi zimagwira ntchito pochepetsa ntchito ya chitetezo cha mthupi komanso kuwongolera matenda monga kutupa kwa ubongo.

Kodi opaleshoni imachitidwa pa LKS?

Kawirikawiri, madokotala amatha kuchita opaleshoni ya ubongo yotchedwa Multiple Subpial Transections . Komabe, sizikudziwika bwino kuti ndi phindu lotani lomwe lingatsimikizidwe kuchokera ku opaleshoniyi. Chifukwa chake, ndikofunikira kufufuza mosamala zabwino ndi zoyipa za opaleshoniyi musanachite.

Kodi mwana wanga adzachira nthawi yayitali bwanji akayamba kulandira chithandizo?

Palibe njira ina yabwino yochizira matenda a LKS. Mwana wanu akhoza kusintha pang'onopang'ono pogwiritsa ntchito njira yolankhulirana ndi mankhwala ena. Komabe, nthawi zina, mwana wanu sangayankhe bwino akalandira chithandizo. Dokotala wanu adzayang'anira thanzi la mwana wanu nthawi zonse ndikusintha dongosolo la chithandizo ngati pakufunika kutero.

Kodi ndingatani kuti ndichepetse chiopsezo cha mwana wanga kudwala matenda a Landau-Kleffner?

LKS ndi matenda obadwa nawo. Izi zikutanthauza kuti palibe chomwe mungachite kuti mupewe Landau-Kleffner Syndrome kapena kuchepetsa chiopsezo chanu chotenga matendawa. Si vuto lanu.

Kodi matenda a Landau-Kleffner angachiritsidwe kwathunthu?

Ana ena amayambiranso kulankhula ndi kumvetsetsa chilankhulo. Ena amathanso kupeza luso lolankhula. Ana omwe amayamba zizindikiro atakwanitsa zaka 6 ndipo amayamba kulankhula msanga amakhala ndi mwayi wabwino wochira. Matenda a khunyu nthawi zambiri amatha akakula.

Kodi ndiyenera kuyembekezera chiyani ngati mwana wanga ali ndi LKS?

Zingatenge nthawi yayitali kuti mwana wanu achire ku matenda a LKS. Mungaone kusintha pang'ono pakapita nthawi. Komanso, nthawi zina luso la chilankhulo likhoza kusintha kenako n’kuchepanso (izi zimatchedwa kubwereranso m’mbuyo) . Dokotala wanu angakulangizeni maphunziro apadera kapena kuphunzira chilankhulo chamanja , kutengera zosowa za mwana wanu.

Ulendo uwu ndi wovuta. Koma simuli nokha. Madokotala, akatswiri olankhula, banja lanu, ndi anzanu onse alipo kuti akuthandizeni inu ndi mwana wanu. Chofunika kwambiri ndikuchitira mwana wanu mwachikondi komanso moleza mtima, osataya chiyembekezo.

Kodi ndingasamalire bwanji mwana wanga ndi LKS?

Tsatirani malangizo a dokotala wanu mosamala kuti mwana wanu akhale wathanzi. Ngati mwana wanu ayamba zizindikiro zatsopano, dziwitsani dokotala wanu nthawi yomweyo. Mwanjira imeneyi, angapeze chithandizo chofunikira nthawi yomweyo.

Matenda a Landau-Kleffner amachititsa ana omwe nthawi zambiri amakula kuti asathe kulankhula ndi kumvetsetsa chilankhulo. Ana omwe ali ndi LKS amakhala ndi ubongo wosagwira ntchito bwino akagona ndipo nthawi zambiri amakhala ndi khunyu. Madokotala amachiritsa LKS ndi mankhwala ndi mankhwala olankhulira. Pakapita nthawi komanso ndi chithandizo choyenera, ana amatha kuyambiranso luso lawo lolankhula.

Zinthu zofunika kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

• LKS ndi vuto losowa koma loopsa: lingapangitse mwana kutaya luso lake lolankhula ndi kumvetsetsa chilankhulo.
• Kugwidwa ndi khunyu kumachitika kawirikawiri munthu akagona: Ichi ndi chizindikiro chachikulu cha LKS.
• Choyambitsa sichipezeka nthawi zonse: Ngakhale kuti zinthu za majini zitha kukhala ndi gawo nthawi zambiri, sipangakhale chifukwa chenicheni.
• Musasokoneze ndi autism: Ziwirizi zitha kusiyanitsa kudzera mu mayeso a (EEG).
• Kuzindikira matenda msanga ndi chithandizo n'kofunika kwambiri: chithandizo cholankhula chikayamba msanga, zotsatira zake zimakhala zabwino kwambiri.
• Kuchira kumasiyana malinga ndi mwana: ana ena amachira kwathunthu, ena amachira pang'ono chabe. Kuleza mtima ndi kupitiriza kuthandizira ndikofunikira kwambiri.
• Simuli nokha: Uphungu wa zachipatala, chithandizo cha banja, ndi chikondi ndi mphamvu zazikulu kuti mwana athe kuthana ndi vutoli.

Ndikukhulupirira kuti izi zikuthandizani. Ngati mwana wanu ali ndi zizindikiro izi, chonde pitani kwa dokotala woyenerera mwamsanga.

Matenda a Landau -Kleffner, LKS, khunyu, mavuto olankhula, mavuto a chilankhulo, matenda a ana, ntchito yamagetsi ya ubongo, EEG