Wake waba engxoxweni nothile waze wakhohlwa igama obufuna ukulisho? Noma ukhohliwe igama lomngane wakho ngokuzumayo? Empeleni kuyinto evamile ukuthi lokhu kwenzeke kanye noma kabili. Kodwa uma lokhu kwenzeka njalo, uma unenkinga yokuthola amagama, noma uma ijubane lakho lokukhuluma lehla kancane kancane, akuvamile. Lesi simo singase sibe ukuqala kwesimo esibizwa ngokuthi i-Primary Progressive Aphasia (PPA) . Ake sixoxe ngalokhu namuhla.
Kalula nje, iyini i-PPA?
I-Primary Progressive Aphasia (PPA) yisimo sezinzwa esithinta ubuchopho bethu. Sithinta kakhulu amakhono ethu olimi, njengekhono lethu lokukhuluma, ukuqonda lokho abanye abakushoyo, ukufunda nokubhala. Njengoba kuyisimo esiqhubekayo, izimpawu ziya ngokuya ziba zimbi ngokuhamba kwesikhathi.
I-PPA uhlobo lwe-dementia . Ngokukhethekile, ingeyeqembu le-dementia elibizwa ngokuthi i-`Frontotemporal Dementia (FTD).` Kulokhu, amaseli asezindaweni zangaphambili nezesikhashana zobuchopho bethu alawula ulimi nenkulumo ayafa kancane kancane futhi anciphe. Ngezinye izikhathi, i-PPA ingaba uphawu lokuqala lokuthi othile unesifo i-Alzheimer's .
Ingabe kunezinhlobo eziyinhloko zama-PPA?
Yebo, i-PPA ingahlukaniswa ngezinhlobo ezintathu eziyinhloko ngokusekelwe endleleni izimpawu ezibonakala ngayo. Lokhu kuhlukaniswa kuwusizo olukhulu emndenini wesiguli ukuqonda izimpawu. Kodwa khumbula ukuthi ezinye iziguli zingase zingakwazi ukungena kunoma yiluphi uhlobo lwalezi zinhlobo ezintathu ngqo.
| Uhlobo lwe-PPA | Izici eziyinhloko |
|---|---|
| I-PPA ehlukile ye-Semantic (svPPA) | Inkinga enkulu ngalokhu ukukhohlwa incazelo yamagama . Kunzima ukuqonda amagama uma othile ekhuluma noma efunda incwadi. Ukhohlwa amagama ezinto. Isibonelo, esikhundleni sokuthi "inja", ungasebenzisa igama elivamile njengelithi "isilwane". |
| I-PPA ye-agrammatic engaguquguquki (nfaPPA) | Kulokhu , ukukhuluma kuyadida, kunzima ukufanisa amagama . Uhlelo lolimi lusetshenziswa ngendlela engafanele. Inkulumo isemishweni emifushane. Amagama amancane anjengo-"a", "the" ayagwenywa. Izwi lingashintsha futhi. |
| Uhlobo lwe-Logopenic PPA (lvPPA) | Inkinga enkulu ngalolu hlobo ukuthi abakwazi ukuthola amagama afanele okuwasho . Bavame ukuyeka ukukhuluma ukuze bathole amagama afanele. Kunzima ukuphinda lokho okushiwo ngomunye umuntu. |
Indlela lesi sifo esiqhubeka ngayo (izigaba)
I-PPA ayibi yimbi ngasikhathi sinye. Kwenzeka kancane kancane.
Isigaba sokuqala (Isigaba Esincane)
Ekuqaleni, ungase ungaboni umehluko omkhulu. Ngezinye izikhathi kuthatha isikhathi ukuthola igama, noma inkulumo yakho ingase ingacaci kahle. Kodwa isikhathi esiningi, uzokwazi ukwenza imisebenzi yakho yansuku zonke wedwa .
Isigaba Sakamuva
Njengoba lesi sifo siqhubeka, kuba nzima ukuhlala wedwa. Izimpawu ezingase zibonakale phakathi nalesi sikhathi zifaka:
- Ukukhuluma kuncishisiwe kakhulu. Kunzima ukuqonda okushiwoyo.
- Angiqondi ukuthi abanye bathini.
- Kuba nzima ukwenza izinqumo eziyinkimbinkimbi njengokuphatha imali .
- Ikhono lokucabanga nokuhlela liyancipha, okwenza kube nzima ukwenza izinto ezifana nokushayela.
- Ngisho nemisebenzi eyisisekelo efana nokuwasha, ukugqoka nokudla idinga usizo lothile.
- Ukuhamba kancane futhi kuba nzima .
- Kuba nzima ukugwinya ukudla.
- Ngezinye izikhathi bangase babonise ukuziphatha okuthukuthele nokunolaka.
Into ebaluleke kakhulu ukungathuki uma ubona lezi zimpawu, kodwa ukuphatha isiguli ngothando nangesineke.
Yiziphi izimbangela ze-PPA?
Njengoba sixoxile ngaphambili, imbangela eyinhloko ye-PPA ukushwabana (ukuphela) kwezingxenye zobuchopho ezihlobene nolimi. Lokhu kuncipha kubangelwa amaprotheni angajwayelekile aqongelela ebuchosheni. Ososayensi bathole izinhlobo eziningana zala maprotheni. Lawa maphrotheni yi -tau, i-TDP-43, kanye ne-amyloid . Lawa maprotheni alimaza amangqamuzana obuchopho futhi anciphisa ukusebenza kwawo.
Kunezici eziningana eziyingozi ezithinta lokhu:
- Ukuba nezinkinga zokufunda ezifana ne-dyslexia ngesikhathi sobuntwana.
- Noma ubani emndenini unalezi zimo (Ithonya lezakhi zofuzo ).
Ungasithola kanjani lesi sifo?
Uma usola ukuthi wena noma othile oseduze nawe une-PPA, kubalulekile ukubona udokotela ofanelekayo . Udokotela wakho uzokubuza ngezimpawu zakho, ukuthi sezinesikhathi esingakanani zikhona, kanye nomlando wezokwelapha womndeni wakho. Ngaphezu kwalokho, bangenza izivivinyo eziningana ukusiza ekuxilongeni lesi simo.
| Ukuhlolwa | Lokhu kwenzani nje? |
|---|---|
| Ukuhlolwa kwe-neurological | Isimo sakho sengqondo, ukusabela, ukunyakaza, kanye namandla kuyahlolwa ukuze kutholakale umbono wokusebenza kobuchopho bakho. |
| Ukuhlolwa kolimi lwenkulumo | Udokotela Wezifo Zolimi Lokukhuluma uzohlola amakhono akho okukhuluma nokuqonda. |
| Ukuhlolwa kwe-neuropsychological | Bahlola amakhono okucabanga obuchopho ngokubacela ukuba baphendule imibuzo, badwebe izithombe, futhi baxazulule amaphazili. |
| Ukuskena Ubuchopho | Iskena se -MRI (Magnetic Resonance Imaging) singabheka izindawo ezinciphile ebuchosheni. Iskena se -PET (Positron Emission Tomography) singathola izindawo lapho umsebenzi wobuchopho unciphile khona. |
Yiziphi izindlela zokwelapha?
Ngeshwa, alikho ikhambi le-PPA okwamanje. Akukho futhi umuthi wokuvimba ukuqhubeka kwalesi sifo. Kodwa-ke, kunezindlela eziningi zokwelapha ezingasiza ekuthuthukiseni ikhwalithi yokuphila kwesiguli futhi zenze kube lula ukuxhumana.
- Ukwelapha Ngenkulumo: Udokotela wezifo zengqondo angasiza isiguli ukuthuthukisa noma yimaphi amakhono okuxhumana asele futhi asebenzise izindlela ezintsha zokuxhumana (isib. ulimi lwezandla, amakhadi ezithombe). Lokhu kubaluleke kakhulu.
- Ukwelashwa Komsebenzi Nokwenyama: Lokhu kwelashwa kusiza ngezinkinga ezifana nobunzima bokuhamba nokulinganisela izinkinga ezenzeka njengoba isifo siqhubeka.
- Imithi: Udokotela wakho angase akunikeze imithi efanele yokulawula ukucindezeleka, ukukhathazeka, kanye nokuziphatha okuphazamisayo okubangelwa yi-PPA.
Kumuntu ophila nalesi sifo, uthando, ukwesekwa, kanye nokubekezela komndeni nabathandekayo kubaluleke kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Primary Progressive Aphasia (PPA) yisimo esiqhubekayo esithinta izingxenye zobuchopho ezihlobene nolimi.
- Lolu uhlobo lwe-dementia oluthinta kakhulu ikhono lokukhuluma, ukuqonda, ukubhala nokufunda.
- Izimpawu ezinjengobunzima bokuthola amagama, inkulumo engacacile, nokukhohlwa incazelo yamagama zingabonakala ezigabeni zokuqala.
- Nakuba lesi sifo singelapheki ngokuphelele, ukwelashwa okufana nokwelashwa ngenkulumo kungathuthukisa ikhwalithi yokuphila kwesiguli.
- Uma wena noma othile oseduze nawe enalezi zimpawu, kubaluleke kakhulu ukubona udokotela ngokushesha ukuze uthole iseluleko.
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