Ingabe ngezinye izikhathi uzizwa kanje? Ngisho noma unombono ocacile walokho ofuna ukukusho ekhanda lakho, uma kuphuma emlonyeni wakho kuphuma kungaqondakali, kungathintitha, noma sengathi akekho okuqondayo? Ingabe izwi lakho lizwakala libuthakathaka, lihamba kancane, noma lishesha kakhulu? Uma kunjalo, imbangela ingaba yisimo esibizwa ngokuthi i-dysarthria . Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-dysarthria?
I-Dysarthria ayiyona inkinga ngolimi lwakho noma ngendlela ocabanga ngayo. Uyaqonda amagama, ungakha imisho, futhi ungacabanga. Inkinga isemisipheni esisiza ukukhuluma. Ngokukhethekile, kukhona umonakalo engxenyeni yobuchopho elawula izindebe zakho, ulimi, izintambo zezwi, kanye ne-diaphragm elawula ukuphefumula.Cabanga ukuthi ubuchopho bakho bufana ne-CPU yekhompyutha, kanti imisipha yakho yokukhuluma ifana nephrinta. Ngisho noma unikeza umyalo ovela kwi-CPU, iphrinta ayiphrinti kahle ngenxa yephutha elithile. Yilokho okwenzekayo lapha.
Lesi simo singenzeka ngezindlela ezimbili eziyinhloko:
1. I-Developmental Dysarthria: Lesi yisimo esenzeka ezinganeni. Singabangelwa ukulimala kobuchopho bomntwana kungaba sesibelethweni noma ekuzalweni. I-Cerebral Palsy iyisibonelo esihle salokhu.
2. I-Acquired Dysarthria: Lokhu kubangelwa ukulimala kobuchopho kamuva ekuphileni. Isibonelo, lesi simo singavela kubantu abadala ngenxa yesizathu esifana nesifo sohlangothi, isifo sikaParkinson, noma isimila sobuchopho.
Izinhlobo ze-Dysarthria kanye nezici zazo
Kunezinhlobo eziningana zalesi sifo. Uhlobo ngalunye lubangela ushintsho ezwini nasesitayeleni sokukhuluma. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lwe-dysarthria | Uhlobo lwezwi nenkulumo |
|---|---|
| I-Spastic Dysarthria | Izwi liyaminyanisa futhi linomsindo obukhali. Inkulumo ingazwakala inzima kakhulu. |
| I-Hypokinetic Dysarthria | Izwi liba yinto eyodwa. Liyahamba kancane futhi liyangindizela. Lokhu kuvame ukubonakala esifweni sikaParkinson. |
| I-Hyperkinetic Dysarthria | Ijubane lenkulumo liyakhuphuka futhi lehle ngokuzumayo. Izwi liyaphakama futhi lehle ngokungalawuleki. |
| I-Ataxic Dysarthria | Amagama aphinyiselwe, sengathi othile udakiwe. Isigqi senkulumo siyaphithizela. Sibangelwa ukulimala kwe-cerebellum yobuchopho. |
| I-Flaccid Dysarthria | Izwi libuthakathaka, liphefumula kalula, futhi lizwakala sengathi likhala. |
| I-Dysarthria Exubile | Lolu uhlobo oluvame kakhulu. Kungenzeka ukubona inhlanganisela yezici ezivela ezinhlotsheni ezingaphezu kweyodwa okukhulunywe ngazo ngenhla. |
Yini engabangela i-dysarthria?
Lokhu kungabangelwa yinoma yisiphi isimo sezokwelapha esonakalisa izingxenye zobuchopho ezilawula inkulumo. Nazi ezinye zezimbangela eziyinhloko:
- Isifo sohlangothi: Ukuphazamiseka kokugeleza kwegazi ebuchosheni.
- Ukulimala Kobuchopho Obubuhlungu: Ukulimala kobuchopho ngenxa yengozi.
- Isifo sikaParkinson : Isifo sesimiso sezinzwa esithinta ukunyakaza.
- I-Cerebral Palsy: Isifo sokunyakaza esithinta izingane ezincane.
- I-Multiple Sclerosis (MS): Isifo esithinta isimiso sezinzwa.
- I-Amyotrophic lateral sclerosis (ALS): Isifo esenza imisipha ibe buthaka.
- Izimila Zobuchopho
- I-Myasthenia Gravis:Isifo esenza buthaka ukuxhumana phakathi kwezinzwa nemisipha.
- I-Dementia: Isifo esiphazamisa inkumbulo kanye nokusebenza kobuchopho .
- Imiphumela emibi yemithi ethile: Ikakhulukazi eminye imithi esetshenziswa izifo ezifana nesifo sokuwa.
Ungasithola kanjani lesi sifo?
Kubaluleke kakhulu: Uma wena noma umuntu omaziyo ngokuzumayo ehluleka ukukhuluma noma eba nobunzima bokukhuluma, kungaba uphawu lwesifo sohlangothi. Esimweni esinjalo, shayela u-1990 ngokushesha bese uyisa isiguli e-Emergency Treatment Unit (ETU) yesibhedlela.
Kodwa uma lobu bunzima bokukhuluma bukhula isikhathi esithile, kufanele nakanjani ubone udokotela . Udokotela uzokudlulisela ku-"Speech and Language Pathologist" (SLP).
Lapho bahlola izinto ezifana nalezi:
- Ihlola amandla emisipha yezindebe zakho, ulimi, kanye nomhlathi.
- Bakutshela ukuthi ukhiphe ulimi lwakho bese wenza imisindo ehlukene.
- Funda imisho embalwa bese ubala izinombolo.
- Benza imisebenzi elula, njengokucima ikhandlela.
Ngaphezu kwalokho, ukuze athole imbangela eqondile, udokotela angakudlulisela ezivivinyweni ezilandelayo:
- Ukuhlolwa Kwezithombe: I-MRI noma i-CT scans ukuze kubhekwe isimo sobuchopho.
- Ukuhlolwa kwegazi nomchamo.
- Ukuhlolwa okubheka ukusebenza kobuchopho kanye nemizwa: izinto ezifana ne-'EEG' (Electroencephalogram) noma i-'EMG' (Electromyography).
- I-Spinal Tap: Uma kusolwa ukuthi kukhona ukutheleleka.
- Ucwaningo lokugwinya.
Ukwelashwa nokuphathwa
Ukwelashwa kuncike embangela, uhlobo, kanye nezimpawu ze-dysarthria yakho. Ngokuvamile, ukwelapha isimo esiyisisekelo (njengesifo sikaParkinson) kuzosiza ekuthuthukiseni ubunzima bokukhuluma ngezinga elithile.
Kodwa-ke, uchwepheshe wezokukhuluma nolimi (SLP) angakusiza kakhulu. Bazokutshela izinto ezifana nalezi:
Lokho okufundiswa yi-therapist
- Ukuzivocavoca okuqinisa imisipha yomlomo kanye nomhlathi.
- Indlela yokukhuluma ngokucacile ngokukhuluma kancane bese uphumula phakathi kwamagama.
- Indlela yokulawula ukuphefumula kwakho ukuze wenze izwi lakho lizwakale kakhulu.
- Indlela yokusebenzisa amadivayisi anjengezikhulisi ezikhulisa ivolumu yezwi.
Izinto ongazenza wena
- Hlala uphethe incwadi encane noma i-smartphone. Uma othile engaqondi ukuthi uthini, yibhale phansi noma uyithayiphe.
- Thola ukunakwa komunye umuntu ngaphambi kokukhuluma.
- Noma nini lapho kungenzeka, khuluma ubuso nobuso. Lokhu kuzokwenza kube lula ngomuntu ukukuqonda ngokubona ukuthi izindebe zakho zihamba kanjani.
- Gwema ukukhuluma ezindaweni ezinomsindo ophezulu (isib. izindawo zokudlela, amaphathi).
- Sebenzisa isimo sobuso kanye nezimpawu zezandla ukuze uchaze kabanzi iphuzu lakho.
Ungawusiza kanjani umndeni nabangani?
Kulesi simo, ukusekelwa komndeni nabathandekayo kubaluleke kakhulu. Nazi ezinye izindlela zokusiza abathandekayo bakho:
- Uma kukhona abangakuqondi, babuze futhi.
- Zinike isikhathi esanele sokuqeda ukukhuluma. Ungaphazamisi.
- Ungahambi uyoqeda umusho wakho.
- Phinda kubo ingxenye yalokho okushilo abakuqondile bese ubabuza ukuthi, "Ngikuqonde kahle?" Ngaleyo ndlela, ngeke kudingeke uphinde wonke umusho.
- Ungazikhiphi ezingxoxweni, zifake kuzo zonke izinto.
Umlayezo Wokuya Nawe Ekhaya
- I-Dysarthria ayiyona inkinga ngamakhono akho okucabanga noma olimi. Iwubuthakathaka ekulawuleni imisipha okudingekayo ukuze ukhulume.
- Ukukhuluma okungazelelwe kungaba uphawu lokushaya kwesifo sohlangothi, ngakho funa iseluleko sezokwelapha ngokushesha.
- Kubalulekile ukubona udokotela ukuze uthole imbangela yalesi simo.
- Uchwepheshe wezokukhuluma nolimi (i-SLP) angakusiza ukuthi uthuthukise amakhono akho okukhuluma futhi akufundise izindlela zokwenza ukuxhumana kube lula.
- Ukubekezela, ukuqonda, kanye nokusekelwa komndeni nabangane kubaluleke kakhulu kulolu hambo.











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