Munyori: Roger Morrison
Zuva Rekusika: 5 Gunyana 2021
Gadziridza Zuva: 17 Mbudzi 2024
Anonim
Dysarthria: chii chiri, mhando uye kurapwa - Utano
Dysarthria: chii chiri, mhando uye kurapwa - Utano

Zvemukati

Dysarthria chirwere chekutaura, chinowanzo kukonzerwa neurological disorder, senge sitiroko, cerebral palsy, chirwere cheParkinson, myasthenia gravis kana amyotrophic lateral sclerosis, semuenzaniso.

Munhu ane dysarthria haakwanise kutaura uye kududza mazwi mushe nekuda kweshanduko muchirongwa chine chekuita nekutaura, zvinosanganisira mhasuru dzemukanwa, rurimi, dunduru kana tambo dzemazwi, izvo zvinogona kukonzeresa kutaurirana nekuzviparadzanisa nevamwe.

Kurapa dysarthria, zvakakosha kuita kurovedza muviri uye kutevedzera murapi wekutaura, senzira yekushandisa mutauro nekuvandudza manzwi aburitswa, uye zvakare zvakakosha kuti chiremba azive uye abate zvakakonzera shanduko iyi.

Ungaziva sei

MuDysarthria mune shanduko mukugadzirwa kwemazwi, nematambudziko mukufambisa rurimi kana mhasuru dzechiso, zvichikonzera zviratidzo nezviratidzo sekutaura kunonoka, kwakadzedzereka kana kushoma. Mune zvimwe zviitiko, kutaura kunogona kukurumidzirwa kana kugunun'una, sezvazvinogona kunge zvakadzikira kwazvo kana kuzevezera.


Uye zvakare, dysarthria inogona kuperekedzwa nedzimwe shanduko dzemitsipa, senge dysphagia, inova yakaoma kumedza chikafu, dyslalia, inova shanduko mukududzwa kwemazwi, kana kunyange aphasia, inova shanduko mukutaura kana kunzwisisa mutauro. Kunzwisisa chinonzi dyslalia uye maitiro ekurapa.

Mhando dze dysarthria

Kune mhando dzakasiyana dze dysarthria, uye hunhu hwavo hunosiyana zvichienderana nenzvimbo uye saizi yechirwere chetsinga kana chirwere chinokonzera dambudziko. Mhando huru dzinosanganisira:

  • Flaccid dysarthria: iyo dysarthria iyo, kazhinji, inoburitsa izwi rakashoshoma, riine simba shoma, mhino uye nekubuda kusinganzwisisike kwemakonzonendi. Zvinowanzoitika muzvirwere zvinokanganisa iyo yepasi mota neuron, senge myasthenia gravis kana bulbar kuora mitezo, semuenzaniso;
  • Spastic dysarthria: inowanzo kumutsa izwi remumhino, nemakonsonendi asiri iwo, kuwedzera kune mavhawero akatsauka, ichiita izwi rinonzwika uye "rakadzipwa". Iyo inogona kuperekedzwa ne spasticity uye zvisina kujairika mafungiro emhasuru yechiso. Kunyanya kuwanda mukukuvara kune epamusoro mota tsinga, sekukuvara kunetseka kwehuropi;
  • Ataxic dysarthria: iyi dysarthria inogona kukonzeresa izwi rakaomarara, nekusiyana kwemataurirwo emazwi, nekutaura kunonoka uye kudedera mumiromo nerurimi. Iwe unogona kurangarira kutaura kwemumwe munhu akadhakwa. Kazhinji inomuka mumamiriro ezvinhu apo pane kukuvara kune hukama nenzvimbo yecerebellum;
  • Hypokinetic dysarthria: kune izwi rakashoshoma, rinofema uye rinodedera, nekusajeka mubatanidzwa, uyezve kune shanduko mukumhanya kwekutaura uye kudedera kwemuromo nerurimi. Zvinogona kuitika muzvirwere zvinokonzeresa shanduko mudunhu rehuropi inonzi basal ganglia, yakajairika muchirwere chePasinson;
  • Hyperkinetic dysarthria: pane kukanganisa mukutaura kwemavhawero, zvichikonzera izwi rakaomarara uye nekukanganisa kutaura kwemazwi. Izvo zvinogona kuitika mumamiriro ekukuvara kune iyo extrapyramidal nervous system, kazhinji mune kesi dze chorea kana dystonia, semuenzaniso.
  • Yakasanganiswa dysarthria: inoratidza hunhu hweshanduko rweinopfuura imwe mhando yedysarthria, uye inogona kuitika mune akati wandei mamiriro, senge multiple sclerosis, amyotrophic lateral sclerosis kana kushungurudzika kwepfungwa kukuvara, semuenzaniso.

Kuti uone chinokonzeresa dysarthria, chiremba wezvepfungwa anoongorora zviratidzo, kuongororwa kwemuviri, uye kuyedza bvunzo senge computed tomography, magnetic resonance imaging, electroencephalogram, lumbar puncture uye neuropsychological kudzidza, semuenzaniso, iyo inoona shanduko huru dzakabatana kana izvo zvinokonzeresa. shanduko iyi mukutaura.


Kurapwa kunoitwa sei

Kurapa kunoenderana nechikonzero uye kuomarara kwedysarthria, uye chiremba anogona kukurudzira kuvhiya kugadzirisa shanduko yematomu kana kubvisa bundu, kana kuratidza kushandiswa kwemishonga kubvisa zviratidzo, senge mune chirwere cheParkinson, semuenzaniso.

Nekudaro, iyo huru fomu yekurapa inoitwa neyekuvandudza marapirwo, nehunyanzvi hwekurapa ekutaura kuvandudza kubuda kwezwi, kudzora kusimba, kutaura zviri nani mazwi, kurova mweya kana kunyange chirongwa dzimwe nzira dzekutaurirana. Kurapa kwepanyama kurovedza muviri kwakakoshawo kwazvo kusimudzira kufamba kwejojo ​​yekubatana uye kubatsira kusimbisa mhasuru dzechiso.

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