Dysarthria

Dysarthria mamiriro ezvinhu aunotadza kutaura mazwi nekuda kwematambudziko nemhasuru dzinokubatsira iwe kutaura.

Mune munhu ane dysarthria, tsinga, huropi, kana mhasuru kusagadzikana kunoita kuti zviome kushandisa kana kudzora tsandanyama dzemuromo, rurimi, dokoriro, kana tambo dzekutaura.

Tsandanyama dzinogona kunge dzisina kusimba kana kuoma zvachose. Kana, zvingave zvakaoma kuti mhasuru dzishande pamwe chete.

Dysarthria inogona kunge iri mhedzisiro yekukuvara kwehuropi nekuda kwe:

• Kukuvara kwehuropi
• Bundu rebongo
• Dementia
• Chirwere chinokonzeresa uropi kurasikirwa nehunoshanda (chinodzikira chirwere chehuropi)
• Multiple sclerosis
• Parkinson chirwere
• Kurohwa

Dysarthria inogona kukonzerwa nekukuvara kwemitsipa inopa tsandanyama dzinokubatsira kutaura, kana kumhasuru pachayo kubva:

• Kutarisana kana mutsipa kushungurudzika
• Kuvhiya kwekenza yemusoro neyemutsipa, senge kusarura kana kukwana rurimi kana izwi bhokisi

Dysarthria inogona kukonzerwa nezvirwere zvinokanganisa tsinga nemhasuru (neuromuscular matenda):

• Cerebral palsy
• Tsandanyama dystrophy
• Myasthenia gravis
• Amyotrophic lateral sclerosis (ALS), kana chirwere cheLou Gehrig

Zvimwe zvikonzero zvinogona kusanganisira:

• Doro kudhakwa
• Denture dzisina kukodzera
• Side mhedzisiro yemishonga inoshanda pane yepakati tsinga system, senge narcotic, phenytoin, kana carbamazepine

Zvichienderana nechakakonzera, dysarthria inogona kukura zvishoma kana kuitika kamwe kamwe.

Vanhu vane dysarthria vane dambudziko rekuita mamwe manzwi kana mazwi.

Kutaura kwavo hakuna kutaurwa zvakanaka (senge kutsvedza), uye mutinhimira kana kumhanyisa kwekutaura kwavo kunochinja. Zvimwe zviratidzo zvinosanganisira:

• Kurira senge vari kugunun'una
• Kutaura zvinyoro nyoro kana nekazeve zeve
• Kutaura nezwi kana rakazara, rakashoshoma, rakamanikidzwa, kana rinofema izwi

Munhu ane dysarthria anogonawo kudonhedza mvura uye ave nezvinetso zvekutsenga kana kumedza. Zvinogona kunge zvakaoma kufambisa miromo, rurimi, kana shaya.

Anopa hutano anotora nhoroondo yezvokurapa uye oongorora bvunzo. Mhuri neshamwari vangangoda kubatsira neiyo nhoroondo yezvokurapa.

Maitiro anonzi laryngoscopy anogona kuitwa. Munguva iyi maitiro, inochinja yekutarisa nzvimbo inoiswa mumuromo nehuro kuti uone iro bhokisi bhokisi.

Miedzo inogona kuitwa kana chikonzero chedysarthria chisingazivikanwe chinosanganisira:

• Kuongororwa kweropa kwehupfu kana mavitamini
• Kufungidzira bvunzo, senge MRI kana CT scan yehuropi kana mutsipa
• Nerve conduction zvidzidzo uye electromyogram kutarisa mashandiro emagetsi emitsipa kana mhasuru
• Kumedza kudzidza, izvo zvinogona kusanganisira x-ray uye kunwa yakasarudzika mvura

Iwe ungangoda kuendeswa kune wekutaura uye mutauro Therapist kuyedza uye kurapwa. Unyanzvi hwakakosha iwe hwaunogona kudzidza hunosanganisira:

• Kucheka kwakachengeteka kana maitiro ekumedza, kana zvichidikanwa
• Kudzivisa hurukuro kana iwe wakaneta
• Kudzokorora ruzha kakawanda uye kuti iwe ugone kudzidza kufamba kwemuromo
• Kuti utaure zvishoma, shandisa izwi rinonzwika, uye kumbomira kuti uve nechokwadi chekuti vamwe vanhu vanonzwisisa
• Zvekuita kana iwe uchinzwa kunetseka paunenge uchitaura

Unogona kushandisa akawanda akasiyana madhijitari kana matekinoroji kubatsira nekutaura, senge:

• Zvirongwa zvinoshandisa mapikicha kana kutaura
• Makomputa kana nharembozha kunyora mazwi
• Flip makadhi ane mazwi kana zviratidzo

Kuvhiya kunogona kubatsira vanhu vane dysarthria.

Zvinhu izvo mhuri neshamwari vanogona kuita kuti vataure zvirinani nemunhu ane dysarthria anosanganisira:

• Bvisa redhiyo kana TV.
• Enda kuimba ine runyararo kana zvichidikanwa.
• Ita chokwadi chekuvhenekera mumba chakanaka.
• Gara padhuze zvakakwana kuti iwe uye munhu ane dysarthria mushandise maziso ekuona.
• Ita zvekutarisana.

Nyatsoteerera uye tendera munhu wacho apedze. Iva nemwoyo murefu. Tarisa maziso avo usati wataura. Ipa mhinduro yakanaka yekuedza kwavo.

Zvichienderana nechakakonzera dysarthria, zviratidzo zvinogona kuvandudzika, kugara zvakangofanana, kana kuwedzera kukurumidza zvishoma kana nekukurumidza.

• Vanhu vane ALS vanozopedzisira vasisakwanise kutaura.
• Vamwe vanhu vane chirwere chePasinson kana multiple sclerosis vanorasikirwa nemukana wekutaura.
• Dysarthria inokonzerwa nemishonga kana mabhegi asina kukodzera anogona kudzoserwa.
• Dysarthria inokonzerwa nesitiroko kana kukuvara kwehuropi haigone kuwedzera, uye inogona kuvandudzika.
• Dysarthria mushure mekuvhiyiwa kururimi kana izwi bhokisi haifanire kuwedzera, uye inogona kuvandudzika netrapi.

Fonera mupiki wako kana iwe uine:

• Kurwadziwa pachifuva, kutonhora, kupisa muviri, kufema kwekufema, kana zvimwe zviratidzo zvemabayo
• Kukosora kana kudzipwa
• Zvakaoma kutaura kana kutaura nevamwe vanhu
• Kunzwa kwekusuwa kana kushushikana

Kukanganiswa kwekutaura; Slurred kutaura; Kutaura kwekutaura - dysarthria

Ambrosi D, Lee YT. Kugadziriswa kwekumedza kusagadzikana. Mune: Cifu DX, ed. Braddom's Panyama Mushonga uye Rehabilitation. 6th ed. Philadelphia, PA: Elsevier; 2021: chits. 3.

Kirshner HS. Dysarthria uye apraxia yekutaura. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 14.