Ingabe ingane yakho iyeke ukukhuluma ngokuzumayo? Ingabe kungaba yiLandau-Kleffner Syndrome?

Ingane yakho yayivame ukugijima idlala futhi ikhuluma kahle. Kodwa ingabe ukukhuluma kwayo kuye kwehla ngokuzumayo? Noma uke waphawula ukuthi inenkinga yokuqonda okushoyo? Ingabe ngezinye izikhathi iba nokuxhuzula? Uma ingane yakho inenye yalezi zinto noma ngaphezulu, udinga ukwenza ucwaningo. Ngoba lokhu kungase kube ngenxa yesimo esingavamile esibizwa ngokuthi i-Landau-Kleffner Syndrome (LKS) . Ungakhathazeki, ake sixoxe ngalokhu ngokuningiliziwe.

Iyini i-Landau-Kleffner Syndrome?

Kalula nje, i-Landau-Kleffner Syndrome (LKS) yisimo esithinta ubuchopho bezingane zethu. Into eyinhloko kulokhu ukuthi ikhono lengane lokukhuluma nokuqonda ulimi (esilubiza ngesayensi yezokwelapha (i-Aphasia) ) liyehla kancane kancane noma ngokuzumayo. Futhi, iningi lezingane ezinalesi simo zingahlushwa ukuxhuzula, okwenzeka ngesikhathi sokulala.

Cabanga ngakho, kunemiyalezo eminingi emincane kagesi ebuyela emuva naphambili ebuchosheni bethu. Lezi zimpawu zikagesi yizo ezisisiza sisebenze kahle lapho sikhuluma, sizwa, sicabanga, futhi senza konke. Izingane ezine-LKS zinokungajwayelekile kulesi simiso sezimpawu zikagesi ebuchosheni bazo. Yingakho zinobunzima bokuqonda ulimi nokukhuluma.

Ubani othinteka kakhulu yilesi simo se-LKS?

Lesi simo, esibizwa ngokuthi i-LKS, sivame ukubonakala ezinganeni eziphakathi kweminyaka engu-3 no-8. Kodwa-ke, ngezinye izikhathi singathinta izingane ezineminyaka engu-2 ubudala, kanye nezingane ezindala, njengentsha. Kuthiwa futhi abafana banamathuba amancane okuthola lesi simo kunamantombazane.

I-LKS iyithinta kanjani ingane yami?

Uma ingane yakho ine-LKS, ingase ilahlekelwe ikhono lokukhuluma ngokuzumayo noma kancane kancane. Ingase futhi ibe nobunzima bokuqonda lokho okushoyo nalokho okushiwo abanye. Yilokhu esikubiza ngokuthi (i-aphasia) .

Cabanga nje, ingane yakho yayivame ukusho izinkondlo, ihlabelele izingoma, futhi ikhulume nawe njalo. Kodwa manje ayisho lutho, noma imane ikubheke uma ukhuluma, sengathi ayiqondi lutho, kunzima kangakanani ukuba qotho?

Cishe ama-70% ezingane ezine-LKS zingase zibe nokuquleka noma ukuquleka ngesikhathi sokulala. Ezinye izingane zingase zibe nalokhu kuquleka emini.

Ingabe i-Landau-Kleffner syndrome iyafana ne-autism?

Cha, lokhu kuyiphutha elivamile. I-Landau-Kleffner Syndrome akuyona i-autism. Kodwa-ke, izimpawu zazo zombili ngezinye izikhathi zingafana, ngakho kungaba nzima ukubona umehluko. Odokotela bavame ukuxilonga lezi zimo ezimbili ngokwenza izivivinyo ze-EEG (electroencephalograms) ngenkathi ingane ivukile futhi ilele.

Ingabe akhona amanye amagama e-LKS?

Yebo, ngezinye izikhathi odokotela babiza lesi simo ngokuthi "i-Acquired Aphasia ene-Epilepsy." Okusho ukuthi, kusho into efana "nokukhubazeka kokukhuluma okwenzeka nge-epilepsy bese itholakala kamuva."

Kuvamile kangakanani lesi simo se-LKS?

I-Landau-Kleffner Syndrome iyisimo esingavamile kakhulu. Kunzima kubacwaningi ukusho ukuthi bangaki abantu abanaso ngempela. Singavamile kangako.

Yini ebangela i-Landau-Kleffner syndrome?

Ezimweni eziningi, iningi lezingane ezine-LKS alikwazi ukuthola imbangela ethile yesimo sazo. Leli yiqiniso. Ngakho-ke ungacabangi kakhulu ngakho noma uzisole.

Kodwa-ke, cishe ama-20% ezingane ezine-LKS zinezinguquko ezithile (ukuguqulwa kwezakhi zofuzo) ezizakhini zazo zofuzo. Ikakhulukazi, izinguquko ku-gene ebizwa ngokuthi (GRIN2A) zitholakale zihlobene nalokhu. Lezi zinguquko zofuzo zingazuzwa njengefa komunye wabazali. Kodwa-ke, akuwona wonke umuntu onalolu shintsho lwezakhi zofuzo ozokhula abe ne-LKS. Ezinye izingane zingase zibe nezinguquko kwezinye izakhi zofuzo. Ngezinye izikhathi, ingane ingase ikhule lolu guquko lwezakhi zofuzo okokuqala (lokhu kubizwa ngokuthi i-de novo mutation ) ngaphandle komunye umuntu emndenini.

Abacwaningi bakholelwa ukuthi lezi zinguquko zofuzo zibangela ukungasebenzi kahle ohlelweni lokubonisana kagesi lobuchopho, okubangela ukuthi lezo zimpawu zingasebenzi kahle. Lezi zimpawu ezingavamile yizo ezibangela izimpawu ze-LKS.

Ucwaningo luyenziwa ukuze kutholakale ukuthi kukhona yini ukuxhumana phakathi kwe-LKS kanye nesistimu yomzimba wethu yokuzivikela . Kukholelwa ukuthi lesi simo singase sibangelwe impendulo yokuzivikela komzimba lapho amangqamuzana omzimba ehlasela amangqamuzana omzimba.

Ziyini izimpawu ze-Landau-Kleffner syndrome?

Akuzona zonke izingane ezine-LKS ezibonisa izimpawu ezifanayo. Kungahluka kuye ngengane.

Uma ingane yakho ine-LKS, ungase uqaphele izinto ezifana nalezi:

• Ukuzizwa sengathi akakuzwa uma ukhuluma: Angase angaphenduli uma ukhuluma naye. Kunjengokungathi akakuzwanga.
• Ubunzima bokuqonda lokho wena nabanye okushoyo: Ungase ungakwazi ukuqonda ngisho neziqondiso ezilula.
• Ukulahlekelwa yinkulumo okunciphile noma okuphelele: Ingane ebikhuluma kahle ngaphambili ingase ingasakhulumi nhlobo, noma ingase ikwazi ukukhuluma amagama ambalwa kuphela ngobunzima obukhulu.
• Ukubambezeleka okusha kwentuthuko: Ukungakwazi ukwenza izinto ngendlela efanele iminyaka.
• Izinguquko zengqondo noma ubunzima bokufunda: Ungase ulahlekelwe yisithakazelo emsebenzini wesikole futhi ube nobunzima bokukhumbula izinto.
• Izinguquko zokuziphatha: Ingane ikhungathekiswa yilezi zinkinga zolimi, ezingaholelaIzinkinga zokuziphatha ezifana nokungahlaliseki, ukungakwazi ukugxilisa ingqondo (lokhu kungase kufane nezimpawu ze-Attention-Deficit Hyperactivity Disorder - ADHD), intukuthelo, kanye nokungakhululeki kungase kwenzeke.

Cabanga ukuthi ingane encane izizwa ingenalusizo kangakanani uma ingakwazi ukutshela abazali bayo lokho efuna ukukusho, uma ingaqondi ukuthi bathini? Lokho kungabi namandla nokukhungatheka yikona okuvame ukuvela kulolu hlobo lokuziphatha.

Izingane ezine-LKS ikakhulukazi:

• Ungase ungakwazi ukukhuluma.
• Kunethuba elikhulu lokuxhuzula.
• Kukhona futhi amathuba aphezulu okuthola izinkinga zokuziphatha (njenge- Attention-Deficit Hyperactivity Disorder - i-ADHD) .

Odokotela bayixilonga kanjani i-Landau-Kleffner syndrome?

Ngokuvamile, ngaphambi kokuba i-LKS iqale, ukukhula kwengane, njengokukhuluma nokuhamba, kuyinto evamile ngokweminyaka yayo. Ungase uqaphele ushintsho enkulumweni yayo ngokushesha. Noma, udokotela wakho angase aqaphele lezi zimpawu lapho uyisa ingane yakho ekuvakasheni kwayo ingane ephilile.

I-LKS ingaba nzima ukuyixilonga, ngakho-ke kubalulekile ukutshela udokotela wakho nganoma yiziphi izinguquko oziqaphelayo ekuziphatheni kwengane yakho, ngisho nezincane kakhulu.

Yiziphi izivivinyo ezisetshenziswa odokotela ukuxilonga i-LKS?

Udokotela wengane yakho angase ancome lezi zivivinyo:

• I-Electroencephalogram (EEG): Lokhu kulinganisa umsebenzi kagesi wobuchopho bengane yakho. Lokhu kuhlola okungenabuhlungu. Kuvumela udokotela ukuthi abone ukuthi ubuchopho bengane yakho busebenza kanjani.
• Lokhu kuhlolwa (i-EEG) kuvame ukwenziwa kabili, kanye lapho ingane ilele kanye nalapho ivukile . Lapho silala, amaza ethu obuchopho ayancipha kancane kancane. Kodwa-ke, lapho singena ebuthongweni obujulile (isigaba sokulala se-REM), amaza obuchopho aphinde asebenze. Kodwa-ke, amarekhodi (e-EEG) ezingane ezine-LKS abonisa ukuthi umsebenzi wamaza obuchopho ongavamile uyaqhubeka kuzo zonke izigaba zokulala.
• Ukuhlolwa kwe-Audiometry / Ukuzwa: Lokhu kuhlolwa kwenziwa ukuze kubonwe ukuthi ingane iyakwazi yini ukuzwa. Ngezinye izikhathi, kuyadingeka futhi ukuhlola ukuthi ukukhubazeka kokuzwa kuyimbangela yezinkinga zolimi.
• I-MRI yobuchopho babo: Lokhu kusiza ukuqinisekisa ukuthi asikho esinye isimo esibucayi, njengesimila sobuchopho.
• Ukuhlolwa ngudokotela wengqondo: Lokhu kubalulekile ukuze kuhlolwe ukuziphatha kwengane, ukuhlakanipha kwayo, kanye namakhono ayo okufunda.

Iphathwa kanjani i-Landau-Kleffner syndrome?

Lapho belapha izingane nge-LKS, odokotela basebenzisa kakhulu imithi, ukwelashwa kokukhuluma, kanye nokwelashwa kokuziphatha . Uma ukwelashwa kokukhuluma kuqalwa ngokushesha, amathuba engane okuthola amakhono ayo olimi aba mahle.Ngezinye izikhathi, odokotela bangase batuse nokudla okukhethekile (ukudla kwe-ketogenic) ukulawula isifo sokuwa.

Yimiphi imithi enikezwa i-LKS?

Udokotela wakho angase akunike imithi efana nalokhu:

• Imithi yokulwa nokuxhuzula: Le mithi isetshenziselwa ukulawula ukuxhuzula.
• Ama-Corticosteroids: Lawa asebenza ngokunciphisa umsebenzi wesimiso somzimba sokuzivikela kanye nokulawula izimo ezifana nokuvuvukala ebuchosheni.

Ingabe ukuhlinzwa kwenziwa nge-LKS?

Akuvamile kakhulu, odokotela bangenza ukuhlinzwa kobuchopho okubizwa ngokuthi i-Multiple Subpial Transections . Kodwa-ke, akukacaci ukuthi kungakanani izinzuzo ezingatholakala kulokhu kuhlinzwa. Ngakho-ke, kubalulekile ukuhlola ngokucophelela izinzuzo nezingozi zokuhlinzwa ngaphambi kokukwenza.

Ingane yami izolulama ngokushesha kangakanani ngemva kokuqala ukwelashwa?

Akukho muntu othi "lena indlela engcono kakhulu" yokwelapha i-LKS. Ingane yakho ingase ithuthuke kancane kancane ngokwelashwa kokukhuluma kanye nokunye ukwelashwa. Kodwa-ke, kwezinye izimo, ingane yakho ingase ingasabeli kahle ekwelashweni. Udokotela wakho uzoqapha isimo sengane yakho njalo futhi alungise uhlelo lokwelashwa njengoba kudingeka.

Yini engingayenza ukuze nginciphise ingozi yokuba ingane yami ibe nesifo i-Landau-Kleffner?

I-LKS yisimo sofuzo. Lokhu kusho ukuthi akukho lutho ongakwenza ukuvimbela i-Landau-Kleffner Syndrome noma ukunciphisa ingozi yokuba nayo. Akulona iphutha lakho.

Ingabe i-Landau-Kleffner syndrome ingelapheka ngokuphelele?

Ezinye izingane ziphinde zikwazi ukukhuluma nokuqonda ulimi. Ezinye zingase ziphinde zikwazi ukukhuluma. Izingane eziqala izimpawu ngemva kweminyaka engu-6 futhi eziqala ukwelashwa kokukhuluma zisencane zinethuba elihle lokululama. Ukuquleka kuvame ukuphela lapho sezikhulile.

Yini okufanele ngiyilindele uma ingane yami ine-LKS?

Kungathatha isikhathi eside ukuthi ingane yakho ilulame ku-LKS. Ungase ubone ukuthuthuka okuthile ngokuhamba kwesikhathi. Futhi, ngezinye izikhathi amakhono olimi angathuthuka bese ehla futhi (lokhu kubizwa ngokuthi ukubuyela emuva) . Udokotela wakho angase ancome amakilasi emfundo ekhethekile noma ukufunda ulimi lwezandla , kuye ngezidingo zengane yakho.

Lolu hambo lunzima. Kodwa awuwedwa. Odokotela, abelaphi bezokukhuluma, umndeni wakho, nabangani bakho bonke bakhona ukukusiza wena nengane yakho. Into ebaluleke kakhulu ukuphatha ingane yakho ngothando nangesineke, ngaphandle kokulahla ithemba.

Ngingayinakekela kanjani ingane yami ene-LKS?

Landela imiyalelo kadokotela wakho ngokucophelela ukuze ugcine ingane yakho iphilile. Uma ingane yakho ithola izimpawu ezintsha, yazisa udokotela wakho ngokushesha. Ngale ndlela, ingathola ukwelashwa okudingekayo ngokushesha.

I-Landau-Kleffner Syndrome ibangela ukuthi izingane ezivame ukukhula zilahlekelwe ikhono lazo lokukhuluma nokuqonda ulimi. Izingane ezine-LKS zinokusebenza okungavamile kobuchopho ngesikhathi sokulala futhi zivame ukuba nokuxhuzula. Odokotela belapha i-LKS ngemithi kanye nokwelashwa kokukhuluma. Ngokuhamba kwesikhathi nangokwelashwa okufanele, izingane zingaphinde zikwazi ukuthola amakhono azo olimi.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-LKS iyisimo esingavamile kodwa esibucayi: singabangela ingane ukuthi ilahlekelwe ikhono layo lokukhuluma nokuqonda ulimi.
• Ukuquleka kuvamile ngesikhathi sokulala: Lesi yisici esibalulekile se-LKS.
• Imbangela ayitholakali ngaso sonke isikhathi: Nakuba izici zofuzo zingase zibe nendima ezimweni eziningi, kungase kungabi khona imbangela ethile.
• Ungakudidanisi ne-autism: Lokhu okubili kungahlukaniswa ngokuhlolwa (kwe-EEG).
• Ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile: uma ukwelashwa kokukhuluma kuqala ngokushesha, imiphumela iba ngcono.
• Ukululama kuyahlukahluka kuye ngengane: ezinye izingane ziyalulama ngokuphelele, ezinye ziyalulama kancane. Ukubekezela nokusekelwa okuqhubekayo kubaluleke kakhulu.
• Awuwedwa: Iseluleko sezokwelapha, ukwesekwa komndeni, nothando kungamandla amakhulu engane okunqoba lesi simo.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma ingane yakho inanoma yiziphi zalezi zimpawu, sicela ubone udokotela ofanelekayo ngokushesha okukhulu.

I- Landau-Kleffner Syndrome, i-LKS, isifo sokuwa, ubunzima bokukhuluma, izinkinga zolimi, izifo zezingane, umsebenzi kagesi wobuchopho, i-EEG