Ingaba kancinci kancinci uyaphelelwa ngamandla okuthetha? Oku kusenokuba yiPrimary Progressive Aphasia (PPA)

Ngaba ngamanye amaxesha uziva ngathi awukwazi ukufumana amagama afanelekileyo okuthetha? Okanye ngaba ukufumanisa kunzima ukuqonda into ethethwa ngumntu? Mhlawumbi wazi umntu kusapho lwakho, umama okanye utata, onengxaki efana nale? Nangona ezi zinto zinokubonakala ngathi zizinto eziqhelekileyo ezenzeka njengoko ukhula, ngamanye amaxesha zinokuba luphawu lwento enzulu. Namhlanje sithetha ngenye yeemeko ezinjalo, i-Primary Progressive Aphasia (PPA).

Yintoni kanye kanye i-PPA?

Ngamafutshane, i-Primary Progressive Aphasia (PPA) sisifo sengqondo. Sisifo esiwohlokayo se-neurodegenerative esiye sinciphise kancinci kancinci inkqubo ye-nervous size siwohloke kancinci kancinci ngokuhamba kwexesha. Ngokukodwa, sonakalisa iindawo zengqondo ezibandakanyekayo ekukwazini kwethu ukuthetha, ukufunda, ukubhala nokuqonda ulwimi.

Khawuthelekelele ukuba ingqondo yethu ifana nethala leencwadi elikhulu. Zonke iincwadi, amagama, kunye neentsingiselo ezinxulumene nolwimi zigcinwa kwicandelo elikhethekileyo lelo thala leencwadi. I-PPA yile nto kanye eyenzekayo xa iincwadi ezikweli candelo zibola kancinci kancinci, nganye nganye, zize zingasebenzi.

I-PPA ithathwa njengohlobo lwe -Frontotemporal Dementia (FTD) okanye i-Alzheimer's Dementia . Ezi zifo zibangela ukuba ii-lobes zangaphambili nezexesha lobuchopho bethu zingasebenzi kancinci kancinci. Izakhono zethu zolwimi zilawulwa kakhulu zezi nxalenye.

Ziziphi iintlobo eziphambili ze-PPAs?

I-PPA yahlulwe kakhulu yaba ziintlobo ezintathu. Iimpawu zohlobo ngalunye zahlukile kancinci. Masiyiqonde ngokucacileyo le theyibhile.

Zingaba yintoni iimpawu zesi sifo?

Iimpawu ziyahluka ngokuxhomekeke kuhlobo esithethe ngalo ngaphambili. Ngokwesiqhelo, ezi mpawu zinokuqala ukubonakala phakathi kweminyaka engama-50 ukuya kwengama-70 ubudala. Ziya zisiba mandundu kancinci kancinci ngokuhamba kwexesha.

Iimpawu ze-logopenic variant PPA

• Kunzima ukufumana igama elifanelekileyo lokulithetha.
• Ubunzima bokuqonda izivakalisi ezinde okanye ezintsonkothileyo.
• Kunzima kakhulu ukuthetha izivakalisi ezinde kunezifutshane.
• Ukuma kancinci xa uthetha.
• Ukubiza amagama ngendlela engafanelekanga.
• Ukusebenzisa amanye amagama endaweni yamagama athile (umz. ukuthi "ikati" endaweni yokuthi "inja").

Iimpawu ze-PPA ezingacacanga (ezingenazo igrama)

• Ubunzima bokusebenzisa imilebe nolwimi ukwenza izandi ngokufanelekileyo (i-apraxia).
• Ubunzima bokuginya.
• Iingxaki zokuhamba kunye nokuhamba (ukuhamba kancinci nangokuqinileyo, ukulahlekelwa yibhalansi, ukuwa rhoqo).
• Ukususa amagama kwizivakalisi nokuthetha ngokulula (umz., "Umama uza kudla isidlo sangokuhlwa" endaweni yokuthi "Ndiza kudla isidlo sangokuhlwa noMama").
• Ubunzima bokuqonda izivakalisi ezinde okanye ezintsonkothileyo.
• Abanye abantu banokufumana kunzima ukuthetha baze bade babe zizimumu .

Iimpawu ze-PPA ezahlukeneyo zeSemantic

• Ndilibale ukuba zeziphi izinto endiziqhelileyo nento endiza kuyenza ngazo.
• Andikhumbuli intsingiselo yamagama.
• Kunzima ukufumana igama elifanelekileyo lokulithetha.
• Ubunzima bokufunda nokubhala.

Yintoni ebangela i-PPA? Ngaba kukho naziphi na izinto ezinokubangela umngcipheko?

Le meko yenzeka kuba iiseli ezikwiindawo zengqondo yethu ezilawula ulwimi ziyafa kancinci kancinci. Oku kubangela ukuba izicubu zengqondo zinciphe. Kwezonyango, oku sikubiza ngokuba yi -atrophy .Kuthiwa oku kuncipha kwezakhono ezinxulumene nolwimi yimbangela yokulahleka.

Nangona le meko inokwenzeka nakubani na, abanye abantu basengozini enkulu.

• Ukuba kukho umntu kusapho oye waba ne-PPA.
• Ukuba neendidi ezithile zemfuza , ezifana `(C9orf72, MAPT okanye GRN)`.
• Ukuba wawunengxaki yokufunda usengumntwana.
• Ukuba nesifo sika-Alzheimer.

Kodwa ngamanye amaxesha le meko inokwenzeka ngaphandle kwesizathu esicacileyo.

Ugqirha uyifumana njani le nto?

Ukuba uneengxaki zolwimi, ngokuqinisekileyo kuya kufuneka ubonane nogqirha. Ugqirha uza kukubuza ngeempawu zakho kunye nembali yempilo yosapho lwakho. Emva koko, banokwenza uvavanyo oluthile ukuqinisekisa ukuba unesifo.

• Uvavanyo lwe-neurological: Ibhalansi yakho, i-reflexes, kunye nomsebenzi wenkqubo ye-nervous ziyajongwa.
• Uvavanyo lokuqonda: Uvavanyo olulinganisa inkumbulo, amandla okucinga, kunye nobuchule bolwimi.
• Iiskeni zobuchopho: Iskeni ye-MRI (Magnetic Resonance Imaging) okanye i-CT (Computed Tomography) ingenziwa ukuze kubonwe ukuba kukho naluphi na ukuncipha okanye olunye utshintsho engqondweni.

Amanqanaba esifo se-PPA

Ngenxa yokuba esi sifo siqhubeka siba mandundu ngokuhamba kwexesha, kuye kwafunyaniswa amanqanaba aliqela.

1. Inqanaba 1 (elincinci kakhulu): Ubunzima bolwimi bubonakala kancinci. Kunokuthiwa bubangelwa kukwaluphala okanye uxinezeleko. Akunqabile ukufumana uxilongo kweli nqanaba.

2. Inqanaba lesi-2 (eliphantsi): Iingxaki zolwimi zivela rhoqo. Amalungu osapho lwakho nawo aqala ukuqaphela lo mahluko. Oku kuqala ukuchaphazela imisebenzi yemihla ngemihla.

3. Inqanaba lesi-3 (Eliphakathi): Imisebenzi yemihla ngemihla iba nzima kakhulu ukuyenza wedwa. Ukuthetha nabanye nokuba nobudlelwane nabantu kunokuba yinto ecaphukisayo.

4. Inqanaba lesi-4 (Elinzima): Kunzima kakhulu ukuthetha nokuqonda ulwimi. Kufuneka uncedo ngemisebenzi yemihla ngemihla. Ukuhlala wedwa kunokuba yingozi.

5. Inqanaba lesi-5 (elinzima kakhulu): Ukuqonda intetho nolwimi kuyalahleka kakhulu. Utshintsho kwindlela yokuziphatha kunye nokucinga luyenzeka. Kufuneka ukhathalelo oluhlala iiyure ezingama-24.

6. Inqanaba lesi-6 (lokugqibela): Akakwazi ukuthetha okanye ukuqonda ulwimi. Angathetha izandi ezingezizo ezomlomo. Angalahlekelwa kukwazi ukushukuma.

Ngaba ikhona indlela yokunyanga oku?

Ngelishwa, akukho nyango lufunyenweyo olunokuyinyanga ngokupheleleyo i-PPA.Akunakwenzeka ukuthintela esi sifo ukuba singabi sibi kakhulu. Nangona kunjalo, kukho unyango olunokunceda ukulawula iimpawu, ukucothisa ukuqhubela phambili kwesi sifo, nokwenza ubomi bube lula.

Ugqirha wakho unokucebisa unyango olufana nolu:

• Unyango lokuthetha: Oku kunceda ukugcina izakhono zolwimi ixesha elide kangangoko kunokwenzeka nokufunda iindlela ezintsha zonxibelelwano.
• Ukufunda iindlela ezintsha zonxibelelwano: Ukuqhela ukusebenzisa izinto ezifana nolwimi lwezandla okanye amakhadi emifanekiso.
• Amayeza: Amayeza anjengeSelective Serotonin Reuptake Inhibitors (SSRIs) anokunikwa ukulawula utshintsho kwindlela yokuziphatha, ukudakumba, okanye ixhala.
• Amayeza e-Alzheimer's: Ukuba unobangela we-PPA sisifo se-Alzheimer's, amayeza anjenge -donepezil okanye i-rivastigmine asetyenziselwa loo meko anokunikwa.

Buza kuba njani ubomi ngesi sifo?

I-PPA yimeko eba mandundu ngokuhamba kwexesha. Ekugqibeleni, izakhono zolwimi nezonxibelelwano zinokulahleka ngokupheleleyo. Njengoko isifo sisasazeka kwezinye iindawo zobuchopho, ukucinga nokuziphatha kuyachaphazeleka.

Ngokubanzi, umyinge wobomi emva kokuqala kweempawu yiminyaka emihlanu ukuya kwesixhenxe, kodwa oku kuyahluka kakhulu kumntu ngamnye. Ngoko ke ungoyiki zizibalo. Ngugqirha wakho kuphela onokukunika ulwazi oluchanekileyo malunga nemeko yakho.