Ese imvugo yawe iragoye? Ese amagambo yawe aragoye? Ese ibi byaba ari dysarthria?

Ese wigeze wumva umeze utyo? Uba ufite igitekerezo gisobanutse cy'icyo ushaka kuvuga mu mutwe wawe, ariko iyo ugerageje kubivuga, bisohoka mu buryo butunguranye, butinda, cyangwa bugora abandi kubyumva. Bishobora kugorana cyane mu bihe nk'ibi, sibyo? Abantu benshi batekereza ko ibi ari ibisanzwe. Ariko rimwe na rimwe bishobora kuba indwara ikomeye kandi ifitanye isano n'ubuvuzi. Ibyo nibyo tugiye kuvugaho uyu munsi.

Mu magambo make, dysarthria ni iki?

Dysarthria ni indwara ituma tudashobora kugenzura imitsi idufasha kuvuga bitewe n’ibyangiritse ku buryo bw’imitsi yacu. Tekereza muri ubu buryo: umunwa wacu, ururimi rwacu, iminwa yacu, urwasaya rwacu, n’agasanduku k’ijwi byacu byose ni ingingo zikorana kugira ngo zikore amagambo. Ibi bimeze nk’itsinda ry’abaririmbyi. Nk’uko igikoresho kimwe kidakora neza, umuziki wose uzahungabana, niba hari iyo mitsi icitse intege, imvugo yacu ntizasohoka neza.

Iki kibazo gishobora kubaho mu buryo bubiri bw'ingenzi:

1. Indwara yo mu mikurire: Ibi biterwa no kwangirika k'ubwonko, haba mu nda cyangwa mu gihe cyo kuvuka. Urugero, iyi ndwara iboneka ku bana bafite ubumuga bwo mu bwonko.

2. Indwara ya Acquired Dysarthria: Ibi biterwa no kwangirika k'ubwonko mu gihe cy'izabukuru. Urugero, bishobora guterwa n'indwara nk'imitsi yo mu bwonko, kanseri yo mu bwonko, cyangwa indwara ya Parkinson. Ubwo bwoko bukunze kugaragara cyane mu bantu bakuru.

Ni ubuhe bwoko bw'ingenzi bwa dysarthria?

Dysarthria ishobora kugabanywamo ubwoko butandatu bitewe n'aho mu mitsi yacu yangiritse. Ibi ni ikibazo cy'ubuvuzi, ariko iyo ubyumva mu buryo bworoshye, ushobora kubisobanukirwa neza.

Ni ibihe bimenyetso by'ingenzi?

Ikimenyetso nyamukuru cya dysarthria ni ukudashobora kuvuga neza bihagije kugira ngo abandi babyumve. Ibi bibaho kuko udashobora kwimura iminwa yawe, ururimi, n'umusaya wawe neza.

Ubu burwayi mu kugenzura imitsi rimwe na rimwe bushobora gutuma bigorana kumira ibiryo. Ibi tubyita dysphagia.

Ni izihe mpamvu zitera dysarthria?

Bishobora guterwa n'ikintu cyose cyangiza ibice by'imitsi bigenzura imitsi igufasha kuvuga. Ibi birimo impanuka, indwara, n'indwara z'imitsi.

Dore zimwe mu mpamvu z'ingenzi:

• Ubushobozi bwo kuvura indwara ya Amiotrophic lateral sclerosis (ALS)
• Ibibyimba byo mu bwonko
• Indwara yo mu bwonko
• Indwara yo mu mutwe (Dementia)
• Indwara ya Huntington
• Indwara ya Lyme
• Sclerosis nyinshi (MS)
• Kurwara kw'imitsi
• Myasthenia gravis
• Indwara ya Parkinson
• Igisebe cy'imitsi
• Ihungabana ry'ubwonko
• Ibikomere ku maso, ku munwa, ku mutwe, cyangwa ku ijosi

Byongeye kandi, hari imiti imwe n'imwe igira ingaruka mbi.Ibimenyetso nka dysarthria bishobora guterwa n'imiti y'agateganyo, cyane cyane imiti igabanya ububabare n'imiti imwe n'imwe igabanya igicuri.

Isuzuma rikorwa rite?

Niba ufite ikibazo cyo kuvuga, ugomba kubanza kureba muganga wawe. Azakubaza amateka y'ubuzima bwawe kandi agukorere isuzuma ry'umubiri.

Nyuma y'ibyo, ushobora koherezwa kwa muganga w’indwara z’imivugire (SLP) . Azakora ibizamini byinshi kugira ngo amenye uburemere bw’indwara yawe.

Ibizamini byoroshye bishobora gukorwa n'umuvuzi

• Arambwira ngo nseke.
• Arambwira ngo nsohore ururimi rwanjye.
• Baragusaba kubara mu ijwi riranguruye kuva kuri rimwe kugeza ku icumi cyangwa kuvuga inyuguti.
• Havuga ngo usome paragarafu.
• Avuga gusubiramo amajwi, amagambo n'interuro bitandukanye.

Ibizamini by'ubuvuzi bishobora gusabwa

Muganga wawe ashobora kukugira inama yo gupima ibindi bipimo byinshi kugira ngo amenye impamvu nyamukuru y'iyi ndwara.

• MRI cyangwa CT scan: Reba niba hari ibitagenda neza mu bwonko, mu mutwe cyangwa mu ijosi.
• Ikizamini cya EEG (Electroencephalogram): Isuzuma impinduka iyo ari yo yose mu mikorere y'amashanyarazi y'ubwonko.
• Ikizamini cya EMG (Electromyography): Gipima imikorere y'amashanyarazi y'imitsi n'imitsi.
• Gupima amaraso cyangwa inkari: Menya niba ubwandu cyangwa indwara yo kubyimba ari byo byateye.

Uburyo bwo kuvura n'uburyo bwo kuvura

Ubuvuzi bwo kuvuga ni ingenzi cyane ku bantu bafite ikibazo cyo kubura igitsina. Bushobora gufasha kunoza ubuhanga bwo kuvugana. Umuvuzi azakwigisha wowe n'umuryango wawe uburyo bwo kuvugana neza nawe.

Mu buvuzi bw'imivugire, uziga ibintu nk'ibi:

• Imyitozo ikomeza imitsi y'ururimi rwawe, iminwa yawe, n'umusaya wawe.
• Uburyo bwo kugufasha kuvuga cyane (urugero: guhumeka cyane mbere yo kuvuga).
• Amayeri yo kugufasha kuvuga neza (urugero: gutinza umuvuduko w'amagambo yawe, gukoresha imitsi ikoreshwa mu kuvuga amagambo ubyitondeye).
• Iyo bibaye ngombwa, uburyo bwo kuvugana butari ubwo mu magambo (urugero: ibimenyetso, inyandiko).

Iyo indwara ikomeye cyane, ibikoresho by'ubufasha bishobora gukoreshwa mu gutumanaho. Ibi birimo ikibaho kiriho inyuguti cyangwa amashusho, cyangwa mudasobwa yihariye.

Ni gute wakwifasha wowe ubwawe n'abo ukunda?

Kubana n'iki kibazo bishobora kuba ikibazo gikomeye, ariko utuntu duto dushobora kugira icyo tugeraho.

Inama ku bafite indwara ya dysarthria

• Banza uvuga ingingo: Mu gutangira ikiganiro, banza uvuga ingingo ugiye kuvugaho. Urugero, tangira uvuga "filime" mbere yo kuvuga kuri filime ushaka kureba.
• Vuga buhoro kandi mu buryo bwumvikana: Vuga buhoro, uvuga amagambo neza. Gukoresha interuro ngufi no kuruhuka hagati yazo byorohereza uwumva kumva.
• Irinde kuvuga igihe unaniwe: Bishobora kugorana kuvuga igihe wumva unaniwe.
• Reba niba uwumva asobanukiwe: Mu nzira, banza ubaze ikintu nk'iki ngo "Urabyumva?" kugira ngo wemeze.
• Koresha ubundi buryo: Niba unaniwe kuvuga, garagaza ibitekerezo byawe wandika, ushushanye, cyangwa ugaragaze ibimenyetso.

Inama ku bakunzi bawe

• Gabanya ibintu bikurangaza: Gabanya urusaku, nka televiziyo na radiyo, mu gihe uvuga.
• Witondere cyane: Reba umuntu uvuga kandi umutege amatwi witonze.
• Baza ibibazo bya yego/oya: Baza ibibazo bishobora gusubizwa na "yego" cyangwa "oya" kugira ngo byoroshye itumanaho.
• Niba utabyumva, vuga uti: Iyo utabyumva, vuga utibeshye.
• Subiramo igice wasobanukiwe: hanyuma ntazabura kukubwira byose kuva mu ntangiriro.

Igihe cyo gushaka inama z'abaganga byihutirwa

Niba utangiye kugira ikibazo cyo kuvuga, gana muganga wawe. Ariko, niba ugaragaje ibimenyetso nko kubyimba, inkorora idakira, cyangwa umusonga, shaka ubufasha bwa muganga vuba.

Ni ryari wifuza kujya muri ETU?

Hari indwara zimwe na zimwe zitera dysarthria, nka stroke, zisaba ubuvuzi bwihutirwa. Niba hari umuntu ugaragaza ibimenyetso by'indwara yo mu bwonko, mujyane mu bitaro byihutirwa (ETU) byihutirwa.

• Kugwa cyangwa intege nke ku ruhande rumwe rw'isura.
• Kudashobora gufata amaboko yombi hejuru kimwe.
• Urujijo n'ihungabana.
• Gutakaza uburinganire mu mubiri.
• Guhuza amagambo.

Dysarthria n'izindi ndwara zisa nazo

Hariho izindi ndwara nyinshi zishobora gutera ingorane mu kuvuga. Ni ngombwa gusobanukirwa itandukaniro riri hagati yazo.

Niba dysarthria ikugora kuvuga no kumvikana, ganira na muganga wawe kuri byo. Ubuvuzi bwo kuvuga bushobora kugufasha kunoza ubuhanga bwawe bwo kuvugana mu gihe uvura impamvu nyamukuru. Wibuke ko nubwo imitsi yawe yaba idakomeye, hari uburyo bwinshi bwo kugufasha gukomeza umubano ukomeye n'abo ukunda.

Kurwara indwara ya Dysarthria, kuvuga nabi, kujijinganya, kuvura indwara zo mu mutwe, indwara zo mu bwonko, indwara yo gucika intege mu bwonko, indwara ya Parkinson