Ingaba ubunzima bokuthetha buyanda kancinci kancinci? Ngaba yi-Primary Progressive Aphasia (PPA)?

Ngaba ngamanye amaxesha unengxaki yokufumana amagama afanelekileyo xa uthetha? Okanye uthatha ixesha ukuqonda into ethethwa ngumntu? Ngaba ezi zinto zibonakala zisiba mandundu ngokuhamba kwexesha? Oku akuyonto nje eyenzekayo njengoko ukhula. Mhlawumbi kubalulekile ukuba uqaphele le meko, esiza kuthetha ngayo, ebizwa ngokuba yi-'Primary Progressive Aphasia' (PPA).

Yintoni i-Primary Progressive Aphasia (PPA)?

Ngamafutshane, i-Primary Progressive Aphasia (PPA) yimeko apho amandla okuthetha nokuqonda amagama abhaliweyo ehla kancinci kancinci ngenxa yomonakalo kwiindawo zengqondo zethu ezinxulumene nolwimi. 'I-Aphasia' kukulahlekelwa ngamandla okusebenzisa ulwimi ngenxa yomonakalo engqondweni.

Ngoku, xa le meko ibizwa ngokuba yi-'aphasia' ibangelwa sisifo esiqhubekekayo se-neurodegenerative (isifo sobuchopho) esiqhubeka siba sibi ngokuhamba kwexesha, oogqirha bayibiza ngokuba yi-'primary progressive aphasia'. Ekuqaleni, unokuba nobunzima bokufumana amagama afanelekileyo okuchaza into oyicingayo. Ekuhambeni kwexesha, le meko iya isiba mandundu kancinci kancinci, kwaye unokulahlekelwa bubuchule bakho bokubhala, ukuthetha, okanye ukuqonda ulwimi ngokupheleleyo.

Rhoqo, unobangela oyintloko we-PPA sisifo sengqondo esiqhubekayo, njengesifo sika-Alzheimer okanye i-frontotemporal dementia . Kwezi zifo, iindawo zengqondo zethu ezilawula intetho kwaye zisinceda siqonde amagama kunye nentsingiselo yawo ziyancipha kancinci kancinci.

Ziziphi iintlobo eziphambili ze-PPAs?

Ngoku makhe sibone ukuba zeziphi iintlobo eziphambili ze-PPAs. Oogqirha abaziingcali bayahlulahlula oku kwiindidi ezintathu eziphambili:

• I-Logopenic progressive aphasia: Kolu hlobo, usenokuba nobunzima bokufumana amagama afanelekileyo. Usenokuba nobunzima bokuqonda oko kuthethwa ngabanye. Umzekelo, usenokuba ufuna ukuthetha into ethile, kodwa uzive ngathi awukwazi ukufumana amagama afanelekileyo. Ngamanye amaxesha, amagama anokudidaniswa.

• I-aphasia eqhubekekayo engatyibilikiyo: Oku kubonakala ngeempazamo zegrama okanye ubunzima bokuthetha kakuhle nangokutyibilikayo. Intetho isenokuvakala ngathi ayicacanga, amagama anokuba nzima ukuwakha, izivakalisi zinokuba zimfutshane kakhulu, kwaye ukuthetha kunokubonakala ngathi ngumzamo omkhulu.

• I-Semantic dementia: Kolu hlobo, abantu banengxaki yokukhumbula igama lento xa beyibona. Basenokuba neengxaki zokuqonda intsingiselo yamagama ngamanye. Umzekelo, xa umntu esithi 'indebe', usenokungakwazi ukuqonda ukuba yintoni na okanye yintoni eyenzayo. Nangona kunjalo, banokukwazi ukuthetha ngokuchanekileyo ngokwegrama, kodwa bayalahleka kwintsingiselo yamagama.

Ngubani ochaphazeleka kakhulu yile meko?

Nabani na angayiphuhlisa i-PPA. Nangona kunjalo, abanye abantu basengozini enkulu yokuyiphuhlisa. Oku kuquka:

• Ukuba kukho umntu kusapho okhe waba ne-PPA ngaphambili (Imbali yosapho ye-PPA), oku kuthetha ukuba inokufunyanwa njengelifa ukuya kuthi ga kwinqanaba elithile.
• Abanye abantu bazalwa benotshintsho kwizakhi zofuzo (umzekelo, utshintsho kwizakhi zofuzo kwizakhi zofuzo zeGRN) . Nangona kunjalo, oku akuqhelekanga kuwo wonke umntu.
• Ezinye izifundo zifumanise ukuba le ngozi iphezulu kancinci nakubantu abaneengxaki zokufunda , kodwa uphando olongezelelweyo luyenziwa ngale nto.

Ziziphi iimpawu ze-PPA?

Iimpawu ze-PPA zihlala ziqala ukubonakala phakathi kweminyaka engama-50 ukuya kwengama-70. Ekuqaleni, zinokuqala njengeengxaki ezincinci zokuthetha. Kodwa ngokuhamba kwexesha, zinokuchaphazela ukucinga kunye nokwenza izigqibo ezinengqondo.

Iimpawu eziphambili ze-PPA zinokuba zezi:

• Unengxaki yokufumana igama elifanelekileyo lento. Ngamanye amaxesha amagama anje ngokuthi "Loo... loo nto, yintoni leyo..." angasetyenziswa endaweni yoko.
• Ukuma kancinci xa uthetha, ukwandisa izithuba phakathi kwamagama .
• Iimpazamo zegrama ezixhaphakileyo. Umzekelo, ukusetyenziswa gwenxa kwezenzi.
• Intetho ecothayo .
• Ubunzima bokuqonda oko kuthethwa ngabanye, ingakumbi izivakalisi ezintsonkothileyo.
• Ngokuhamba kwexesha, ubuchule bokusebenzisa ulwimi buyaphela ngokupheleleyo .

Ziziphi izinto ezibangela uphuhliso lwe-PPA?

Eyona nto ibangela i-PPA kukuncipha kancinci kancinci kunye nokushwabana (ukuwohloka) kwamalungu engqondo yethu alawula ulwimi - ingakumbi amalungu akwicala lasekhohlo lobuchopho. Njengoko izicubu zobuchopho zincipha ngale ndlela, oko kuchaphazela ngokuthe ngqo amandla ethu okunxibelelana.

Ngamanye amaxesha, olu hlobo lomonakalo engqondweni lunokuqala xa sizalwa ngenxa yotshintsho lwezakhi zofuzo . Ngamanye amaxesha, lunokwenzeka ngaphandle kwesizathu esicacileyo.

Kwabaninzi abantu, oogqirha abakwazi ukufumana umngcipheko ocacileyo ngenxa yale meko. Okwangoku kukholelwa ukuba indibaniselwano yezinto ezingqongileyo kunye nezemfuza zinokubangela i-PPA. Nokuba awunayo i-gene mutation, kusenokwenzeka ukuba kukho umntu kusapho lwakho onayo le meko.

Ndingafumanisa njani ukuba ndine-PPA?

Ugqirha wakho usenokucinga ukuba une-PPA ngokusekelwe kwiimpawu zakho. Okokuqala, ugqirha wakho uza kukubuza imibuzo emininzi malunga nokuba iingxaki zakho zokuthetha ziqale njani, nokuba ziye zaba mandundu na ngokuhamba kwexesha, kunye nezinye iingxaki onazo. Uza kujonga nembali yakho yezonyango kunye nembali yosapho ukuze abone ukuba usemngciphekweni omkhulu wokuba ne-PPA.

Ukuqinisekisa olu xilongo, kuya kufuneka wenze iimvavanyo ezifana nezi:

• Uvavanyo olukhethekileyo lokuqonda: Olu vavanyo luvavanya izinto ezifana nenkumbulo yakho, izakhono zolwimi, kunye nengqalelo.
• Iiskeni zobuchopho: Umzekelo, i-MRI okanye i-CT scan ingenziwa. Ezi skeni zinokujonga naziphi na iindawo zengqondo ezinciphileyo okanye ezinye iingxaki zobuchopho.
• Ngamanye amaxesha izinto ezifana novavanyo lwegazi zingenziwa ukuze kuthintelwe ezinye iimeko zempilo.

Ziziphi iindlela zonyango ze-PPA?

Okwangoku akukho nyango lwe-PPA, kwaye akukho ndlela yokuthintela esi sifo ukuba singaqhubeki. Nangona kunjalo, ezinye iindlela zonyango zinokunceda ekunciphiseni ukuqhubela phambili kwesi sifo kwaye ziphucule umgangatho wobomi bakho.

Abantu abane-PPA banokuzuza kunyango olufana nolu:

• Ukuthatha inxaxheba kunyango lokuthetha kunye nonyango lokuqonda . Oku kunokukunceda ugcine izakhono zakho zolwimi kunye nokucinga ixesha elide kangangoko unako. Cinga ngokuzilolonga, olu nyango luqeqesha ingqondo yakho ukuba isebenzise ezo zakhono. Ingcali yokuthetha iya kukufundisa iindlela ezahlukeneyo zokufumana amagama kunye nokudibanisa izivakalisi.
• Ukufunda iindlela ezintsha zokunxibelelana, ezinje ngolwimi lwezandla, ukusebenzisa imifanekiso, okanye ukusebenzisa izixhobo ezikhethekileyo zonxibelelwano.
• Amayeza anjengee -SSRIs (Selective Serotonin Reuptake Inhibitors) angasetyenziselwa ukulawula utshintsho lokuziphatha, ixhala, okanye ukudakumba okunokwenzeka nge-PPA. La mayeza kufuneka athathwe kuphela phantsi kwengcebiso kagqirha.
• Ukuba unobangela oyintloko we-PPA sisifo se-Alzheimer , kuyacetyiswa ukuba uthathe amayeza avunyiweyo. Nangona la mayeza engayinyangi ngokupheleleyo i-PPA, anokunceda ukulawula ezinye zeempawu.

Ngaba umngcipheko wokuphuhlisa i-PPA ungancitshiswa?

Akukho ndlela iqinisekileyo yokuthintela i-PPA, njengoko ikwaphenjelelwa yimfuza. Nangona kunjalo, ukwenza utshintsho oluthile kwindlela yokuphila kunokunciphisa umngcipheko wokuba ne-dementia , imeko ebangela ukulahlekelwa yinkumbulo. Ezi zinto zinokuchaphazela ngokungathanga ngqo i-PPA:

• Ukugcina ubunzima obusempilweni obuhambelana neminyaka yakho, isini, kunye nohlobo lomzimba wakho.
• Ukuphepha ukwenzakala entloko kakhulu. Oku kuthetha ukunxiba amabhanti ezihlalo xa ukhwela izithuthi, ukuzikhusela ekuweni, njl. Kubalulekile nokunxiba izigcina-ntloko zokuzikhusela xa udlala imidlalo.
• Iqulethe iziqhamo, imifuno, ukutya okuziinkozo, iiproteni ezingenamafutha amaninzi, kunye namafutha asempilweniUkutya ukutya okunesondlo.
• Zilolonge rhoqo. Faka zombini umthambo we-aerobic kunye noqeqesho lokuqinisa . Ukuhamba ubuncinane imizuzu engama-30 ngosuku nako kulungile.
• Nciphisa utywala obusela imihla ngemihla. Kucetyiswa ukuba amadoda asele ngaphantsi kweziselo ezibini ngosuku kwaye abasetyhini basele ngaphantsi kwesinye ngosuku .
• Ukugcina unxibelelwano oluqinileyo noluntu . Ukuthetha nabahlobo nezalamane kunye nokonwaba kubaluleke kakhulu kwimpilo yengqondo.
• Gcina uxinzelelo lwegazi kunye namanqanaba e-cholesterol yakho ekwinqanaba elifanelekileyo, kwaye ulawule impilo yentliziyo yakho kakuhle. Ukuba uneengxaki ezifana nesifo seswekile, zigcine zilawulwa kakuhle.
• Ukuyeka ukutshaya, ukuba uyatshaya, kuluncedo kakhulu kwingqondo yakho nakumzimba wakho wonke.

Luhlobo luni lwekamva umntu one-PPA anokulilindela?

I-PPA yimeko eba mandundu kancinci kancinci ngokuhamba kwexesha . Abantu abaninzi abane-PPA balahlekelwa zizakhono zabo zolwimi ngokupheleleyo ekuhambeni kweminyaka, nto leyo ethintela amandla abo okunxibelelana nabanye.

Iingxelo zonyango zibonisa ukuba uninzi lwabantu abanale meko baphila iminyaka emi-3 ukuya kweli-12 emva kokuba isifo sifunyenwe okokuqala. Eli xesha linokwahluka kumntu nomntu. Ngokuhamba kwexesha, abantu abaninzi baya kufuna uncedo kwabanye ukuze benze imisebenzi yemihla ngemihla, efana nokunxiba, ukutya, kunye nokuhlamba. Ke ngoko, inkxaso nothando lwamalungu osapho lubaluleke kakhulu kumntu onjalo.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Ukuba ukrokrela ukuba wena okanye umntu osondeleyo kuwe une-PPA, okanye ukuba ufunyaniswe unesifo, kulungile ukubuza ugqirha wakho imibuzo efana nale:

• Ziziphi iimpawu zokuqala ze-PPA? Ngaba ndinazo ezi mpawu?
• Zeziphi iimvavanyo ezisetyenziselwa ukuchonga i-PPA? Ulindele ntoni kwezo vavanyo?
• Ngaba kukho unyango olucothisa ukuqhubela phambili kwe-PPA? Zeziphi unyango olufanelekileyo kum?
• Ndingenza ntoni ukuphucula umgangatho wobomi bam ngelixa ndine-PPA?
• Ngaba kukho iindawo apho mna nosapho lwam sinokufumana uncedo lokujongana nale meko?

Nazi izinto ezibalulekileyo ekufuneka uzikhumbule koko sithethe ngako! (Umyalezo Wokubuyela Ekhaya)

I-Primary progressive aphasia (PPA) yimeko apho izakhono zolwimi zilahleka kancinci kancinci. Luphawu lwesifo esingaphantsi kwe -neurodegenerative , isifo esitshabalalisa iiseli zobuchopho kancinci kancinci.

Abanye abantu bacinga ukuba i-PPA ifana nesifo sika-Alzheimer.Isenokuba luphawu lokuqala. Kwabanye, lunxulumene nemeko ebizwa ngokuba yi -frontotemporal dementia .

Nangona unobangela ochanekileyo ungasoloko ungaziwa, udla ngokubangelwa kukudibana kwezinto ezisingqongileyo kunye nemfuza .

Nangona kungekho ndlela yokuguqula i-PPA, unyango lunokunceda ukugcina izakhono zonxibelelwano ixesha elide kangangoko kunokwenzeka. Unyango lokuthetha kunye nonyango lokuqonda lunokunceda koku.

Ukuba unezi mpawu, ungoyiki . Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza. Thetha ngokukhululekileyo nogqirha wakho malunga nonyango olungcono kunye neengcebiso ezikulungeleyo. Ungakhathazeki nganto, ukufumana ulwazi olufanelekileyo kunye nokufumana ingcebiso kagqirha yeyona nto ilungileyo onokuyenza kwimeko efana nale.

I- aphasia eqhubekayo ephambili, i-PPA, ukukhubazeka kokuthetha, iingxaki zolwimi, izifo zengqondo, izifo zemithambo-luvo, i-Alzheimer's, i-dementia