Kodi pali wina m'banja mwanu, mwina abambo anu, amayi anu, kapena munthu amene mumamudziwa, amene ali ndi matenda a Parkinson? Ngati ndi choncho, mwina inunso mwakumanapo ndi izi. Kodi mawu a munthu amene ankalankhula mokweza komanso momveka bwino tsopano akumveka chete komanso mopanda tanthauzo? Kodi mumapeza kuti mukulephera kunena zomwe mukufuna kunena mukamalankhula, kapena mukuwoneka kuti simungathe kunena zomwe mukufuna kunena? Izi ndi vuto lomwe anthu ambiri omwe ali ndi matenda a Parkinson amakumana nalo. Koma musadandaule, pali zinthu zambiri zomwe tingachite kuti tithetse vutoli ndikupangitsa kuti kulankhulana kukhale kosavuta. Tiyeni tikambirane mwatsatanetsatane.
Nchifukwa chiyani zimakhala zovuta kulankhula ndi matenda a Parkinson?
Mwachidule, matenda a Parkinson amakhudza maselo amitsempha muubongo wathu. Izi zimapangitsa kuti zikhale zovuta kulamulira mayendedwe a thupi lathu. Izi zimakhudza minofu yofewa yomwe imafunika kuti tiyende, tisunthe miyendo yathu, komanso kuti tilankhule.
Tangoganizani, zinthu zingati zomwe ziyenera kuchitika nthawi imodzi pamene tikulankhula.
- Mpweya uyenera kutuluka m'mapapo.
- Zingwe zolumikizira mawu pakhosi ziyenera kugwedezeka bwino.
- Lilime, milomo, ndi mlomo wapamwamba wa pakamwa ziyenera kusuntha bwino kuti zipange mawu.
Matenda a Parkinson amachititsa kuti minofu ndi mitsempha zomwe zimakhudzidwa ndi izi zisamagwirizane. Zili ngati gulu la oimba lomwe limasewera noti iliyonse nthawi imodzi. Ichi ndichifukwa chake pali kusintha kwa mawu ndi malankhulidwe. Mu zamankhwala, timatchanso vutoli dysarthria .
Kodi ndi mavuto otani omwe amabuka nthawi yonseyi?
Munthu amene ali ndi matenda a Parkinson amatha kukumana ndi zizindikiro zosiyanasiyana. Si aliyense amene amakumana ndi zonsezi. Koma pali zizindikiro zingapo zodziwika bwino. Tiyeni tiwone zomwe zili.
| Vuto/Chizindikiro | Kufotokoza mwachidule... |
|---|---|
| Kumva mawu pang'onopang'ono | Sindingathe kulankhula mokweza monga kale. Ndiyenera kufunsa ena kuti, "Munati chiyani?" mobwerezabwereza. |
| Kutayika kwa mawu (Monotone) | Zili ngati loboti ikulankhula, mawu ake ndi osasangalatsa komanso opanda kukhudzidwa. N'zovuta kumvetsa malingaliro monga chisangalalo ndi chisoni m'mawu ake. |
| Mawu okweza/okweza | Pakhoza kukhala mawu omveka ngati pakhosi patsekeka ndi mamina, kapena ngati wina akufinya pakhosi. |
| Kupuma bwino | Mukamalankhula, zimamveka ngati mukupuma kwambiri ndi mawuwo. Mukalankhula kwakanthawi, mumamva ngati "mwataya mtima." |
| Kusokonezeka/kusamveka bwino kwa mawu | Zimakhala zovuta kutchula zilembo ndi mawu molondola. Zimakhala zovuta kuti womvera azindikire bwino mawuwo. |
| Kulankhula mwachangu, kuswa mawu m'zidutswa tating'onoting'ono | Nthawi zina nkhaniyo imafulumira mwadzidzidzi ndipo mawuwo amatha kutuluka ngati kuti agwirizana pang'ono. |
| Kugwedezeka | Kuwonjezera pa kunjenjemera kwa miyendo, anthu ena amathanso kumva mawu onjenjemera akamalankhula. |
Chofunika ndichakuti chifukwa kusinthaku kumachitika pang'onopang'ono, wodwalayo sangazindikire kuti mawu ake asintha. Komabe, achibale ndi abwenzi amatha kuzindikira bwino kusinthako.
Kodi ndingapeze thandizo kwa ndani pa izi?
Ngati muli ndi vuto lililonse mwa mavutowa, chinthu choyamba chomwe muyenera kuchita ndikulankhula ndi dokotala wanu za vutoli. Iye angakutumizireni kwa katswiri wolankhula, yemwe ndi katswiri pankhaniyi.
Kodi katswiri wothandiza anthu kulankhula angathandize bwanji?
Katswiri wothandiza anthu kulankhula ali ngati mphunzitsi wa mawu anu ndi kalankhulidwe kanu. Adzawunika momwe mulili ndi kukuthandizani m'njira yoyenera.
- Mudzaphunzitsidwa masewera olimbitsa thupi apadera omwe angakuthandizeni kuti mawu anu azikhala omveka bwino komanso omveka bwino.
- Amachita njira zofotokozera malingaliro momveka bwino popanda khama lalikulu akamalankhula.
- Timakuphunzitsani za zipangizo zomwe zimathandiza kuti kulankhulana kukhale kosavuta.
- Ngati pali vuto lililonse lokhudza kumeza (tidzakambirana za izi mtsogolo), zimenezo zidzathandizidwanso.
Pali mankhwala omwe adapangidwira izi. Mwachitsanzo, Lee Silverman Voice Treatment (LSVT) ndi mankhwala othandiza kwambiri powonjezera kuchuluka kwa mawu mwa odwala a Parkinson.
Zinthu zomwe mungachite kuti kulankhulana kwanu kukhale kosavuta
Mukamapita kwa katswiri wolankhula, mungathenso kuchita zinthu zazing'ono pa moyo wanu wa tsiku ndi tsiku kuti kulankhulana kwanu kukhale kosavuta.
- Sankhani malo opanda phokoso: Musanalankhule ndi munthu, zimitsani zida zilizonse zopanga phokoso kunyumba, monga TV kapena wailesi, kwa kanthawi. Ngati muli panja, sankhani malo opanda phokoso komanso opanda anthu ambiri.
- Lankhulani pang'onopang'ono komanso momveka bwino: Musayese kunena mawu ambiri mu mpweya umodzi. Nenani mawu amodzi kapena awiri mu mpweya umodzi. Siyani kaye pang'ono pakati pa ziganizo.
- Lankhulani maso ndi maso: Yang'anani munthu amene mukulankhula naye pankhope mukamalankhula. Lankhulani pamalo owala bwino. Izi zipangitsa kuti munthu winayo amvetse zomwe mukunena poyang'ana momwe milomo yanu imayendera komanso momwe nkhope yanu imaonekera.
- Gwiritsani ntchito ziganizo zazifupi: M'malo mwa ziganizo zazitali, fotokozani malingaliro anu m'ziganizo zosavuta komanso zazifupi.
- Imwani madzi ambiri: Pakhosi pouma pakhoza kukhala kovuta kulankhula. Imwani madzi ambiri tsiku lonse. Koma pewani kumwa caffeine (tiyi, khofi) ndi mowa . Zingathe kuwononga kwambiri thupi.
- Khalani ndi kaimidwe kabwino: Ngati mutakhala pampando, sungani msana wanu wowongoka ndipo chibwano chanu chikwezedwe pang'ono. Izi zimathandiza kuti mpweya wochokera m'mapapo mwanu ufike pazingwe zanu zolumikizira mawu popanda chopinga.
- Pumulani mukamatopa: Zimakhala zovuta kulankhula mukamatopa. Pumulani mawu anu tsiku lonse. Pumulani musanayimbe foni kapena kulankhula ndi munthu wina.
Ngati n'zovuta kufotokoza m'mawu, yesani zinthu izi
Masiku ena, kulankhula kungakhale kovuta kwambiri. Musachite mantha nthawi ngati zimenezi, ndipo gwiritsani ntchito njira zina ngati izi.
- Lembani: Nthawi zonse khalani ndi kabuku kakang'ono ndi cholembera pafupi. Ngati pali chinthu chovuta kunena, lembani.
- Bolodi la Zilembo: Ngati mukuvutika kulemba zilembo, sungani bolodi la zilembo pafupi. Lozani chilembo choyamba cha mawu ndi chala chanu.
- Gwiritsani ntchito manja ndi zizindikiro: Gwiritsani ntchito manja anu kusonyeza zinthu zosavuta monga "bwera," "pita," ndi "ima."
- Gwiritsani ntchito mawu achidule: M'malo monena chiganizo chonse monga "Ndikufuna kapu ya madzi," ingonenani mawu ofunikira monga "Ndikufuna madzi."
- Zipangizo zothandizira:Zipangizo monga amplifier yaying'ono yomwe imawonjezera mphamvu ya mawu anu ingagwiritsidwe ntchito. Funsani katswiri wanu wa kulankhula za izi.
Kodi achibale ndi mabwenzi angathandize bwanji?
Komanso wodwala, inuyo, amene mumalankhulana naye, mungathe kupangitsa ulendowu kukhala wosavuta.
- Khalani oleza mtima: Musafulumire kumuuza munthu amene mukulankhula naye. Mupatseni nthawi yoganizira ndi kulemba mawu ake.
- Samalani: Musachite china chilichonse pamene akulankhula, ingoyang'anani nkhope yake ndipo mvetserani mosamala.
- Funsani mafunso omwe angayankhidwe ndi "inde" kapena "ayi": N'zosavuta kuyankha kuti "Kodi mukufuna mpunga?" kuposa "Mukufuna chiyani pa chakudya chamadzulo?"
- Bwerezani zomwe mwamvetsa: Ngati mwamvetsa gawo limodzi la chiganizo, funsani chinthu monga, "Mwati mukufuna kukwera pamwamba ndikutenga... chiyani?" Mwanjira imeneyo, sadzafunika kubwereza chiganizo chonse.
- Musaganize: Musayese kuganiza zomwe anganene ndipo yesetsani kumaliza ziganizo zawo. Zimenezo zingawapangitse kukhala osasangalala kwambiri.
Kukonzekera zadzidzidzi
Ngati wina ali yekha ndipo akuvuta kulankhula naye, payenera kukhala njira yopempha thandizo pakagwa vuto ladzidzidzi.
- Belu kapena buzzer: Sungani belu kapena buzzer pafupi kuti muthe kuyimba ngati pachitika ngozi.
- Kuyimba Mwachangu: Sungani manambala a foni a mabanja ndi a ogwira ntchito zadzidzidzi pa speed dial.
- Utumiki wa mabatani a Life Call: Izi ndi zida zazing'ono zomwe zimavalidwa pakhosi kapena pachikhatho. Mukadina batani pakagwa ngozi, lidzadziwitsa anthu okuthandizani kapena banja lanu. Yang'anani mtundu uwu wautumiki.
Dziwani mavuto omeza (Dysphagia)
Kupatula mavuto olankhula, vuto lina lofala lomwe limagwirizanitsidwa ndi matenda a Parkinson ndi vuto lovuta kumeza (dysphagia) . Izi zikutanthauza vuto lovuta kumeza chakudya, chakumwa, ndi malovu.
Chenjezo: Kumeza zovuta si chinthu chopepuka. Ngati chakudya kapena chakumwa chalowa m'chifuwa, chingayambitse matenda aakulu monga chibayo cha aspiration . Ngati muli ndi zizindikiro monga kutsokomola, kutsamwa, kapena kutaya madzi mukudya, dziwitsani dokotala wanu nthawi yomweyo . Akatswiri olankhula amathanso kuchiza vutoli.
Kukhala ndi matenda a Parkinson kungakhale kovuta. Komabe, ndi chidziwitso choyenera, chithandizo, ndi chithandizo kuchokera kwa okondedwa, mavutowa amatha kuthetsedwa kwambiri. Kulankhulana ndiye mlatho womwe umatigwirizanitsa ndi ena. Malangizo awa adzakuthandizani kuti mlathowo ukhale wolimba.
Uthenga Wopita Nawo Kunyumba
- Kuvutika kulankhula chifukwa cha matenda a Parkinson n'kofala kwambiri. Si chinthu chochititsa manyazi.
- Katswiri wothandiza anthu kulankhula amene waphunzitsidwa bwino za izi angathandize kwambiri. Choyamba lankhulani ndi dokotala wanu za izi.
- Kusintha kosavuta monga kulankhula pang'onopang'ono, momveka bwino, komanso maso ndi maso pamalo opanda phokoso kungapangitse kusiyana kwakukulu pakulankhulana.
- Kuleza mtima, chisamaliro, ndi chithandizo cha achibale ndi abwenzi ndi gwero lalikulu la mphamvu zamaganizo kwa wodwalayo.
- Ngati mukuvutika kumeza, musanyalanyaze. Funsani dokotala nthawi yomweyo.
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