Funda malunga neDysphonia kunye nezinye iindlela I-MS ithinta intetho
I-Dysphonia inzima ukuthetha ngenxa yokulawulwa okuncitshisiweyo kwemisipha yomlomo wakho, umlomo, ulwimi, umhombo, kunye / okanye intambo yezwi.
Kwi- multiple sclerosis (MS), i-dysphonia isoloko ibhekisela ingxaki ekulawuleni umthamo wokuthetha, oku kuthetha ukuthetha ngokukhawuleza ukuba kuvezwe okanye kuphakame ngaphezu kokufanelekileyo. Eminye imizekelo yeDysphonia ibandakanya ukuhlambalaza, intetho ehlaselayo, okanye utshintsho kwimigca xa uzama ukuthetha.
IDysphonia Ingenye yeDysarthria
Ukuba unayo i-MS okanye wazi umntu onayo, unokwazi ukuba kukho iindlela ezininzi ezi zichaphazela ukuthetha ngokucacileyo. Ezi ngxaki zentetho, ezibandakanya i-dysphonia, ziqokelelwe phantsi kweengxaki ze- dysarthria -speech ezivela ekulawuleni ukunciphisa imisipha esetyenziselwa intetho, kaninzi ngenxa yengozi yomonakalo.
I-Dysarthria ithinta phantse abantu abangama-MS kunye nesifo esiqhelekileyo soqhagamshelwano kulabo abanesi sifo. Ngokuqhelekileyo kubumnene; Nangona kunjalo, ubunzima beempawu bubonakalisa ubunzima bomonakalo wamanyo, kunye nohlobo lwesifundo sesifo (ukubuyisela kwakhona-ukubuyisela i-MS kunye ne-MS eqhubekayo).
I-Dysarthria ehlobene ne-MS inokuchaphazela izinga lakho lokuthetha, ukuqonda kwetetho yakho, kunye nokuhamba kwayo kwengxoxo.
Imizekelo ibandakanya:
- Intetho edibeneyo, eneengxaki zokuvakalisa amagama
- Inkulumo ethi "Ukukhangela", apho uthetha ngokukhawuleza, ngokuhamba kwexesha elide phakathi kwamagama kunye naphakathi kweelwimi zegama
- Intetho "yokuqhuma", kunye neengqungquthela zokuvelisa ngokukhawuleza
Isizathu seengxaki zeNtetho kwi-MS
I-Dysarthria ehambelanayo ne-MS ngokuqhelekileyo ibangelwa ngumonakalo womnyo owenza buthathaka imisipha yobuso bakho obuphantsi, imilomo, ulwimi, nomqala. Ngokuqhelekileyo, ibangelwa yimimandla emininzi yomonakalo kuyo nayiphi na i-lobes ezimbini ezinkulu zobuchopho bakho.
Esinye isizathu esinokubangela umonakalo kwi-brainstem yakho, indawo yentsholongwane phakathi kwengqondo yakho kunye nomlomo wakho wesibeleko (intamo yomthamo) intambo yomthambo.
Ezinye iintlobo ze-Dysarthria ezinxulumene ne-MS zikholelwa ukuba zibangelwa umonakalo we-myelin umonakalo ngaphakathi kwe-cerebellum, inxalenye yengqondo engemva kwesikhala sakho.
Ngokuqhelekileyo, ukuphazamiseka kwentetho kwi-MS kubangelwa yi- aphasia , ukulahleka kwamandla okuqonda okanye ukuvakalisa intetho enokuthi ihambelane nokulahlekelwa kwememori.
Iintlobo ezintathu zeDysarthria kwi-MS
Oogqirha baxilonga iintlobo ezintathu ezahlukeneyo ze-dysarthria kubantu abane-MS:
- I-dysarthria ye-spastic, ngokuyininzi equka ukuqina komzimba okanye ukuqina
- I-ataxic dysarthria, ngokukodwa iqukethe ukulahlekelwa kwe-muscle control movement
- I-dysarthria exubileyo, edibanisa iinkalo zombini kunye neentlobo ezinobuthi
I-dysarthria edibeneyo ixhaphake kakhulu kubantu abane-MS. Oku kungenxa yokuba i-MS ichaphazela imimandla emininzi yesistim sakho senzwa. Kwi-dysarthria edibeneyo, umonakalo wamantongomane ungabandakanya umcimbi wakho omhlophe wengqondo kunye / okanye i-cerebellum, isistim sakho seengqondo, kunye / okanye intambo yakho yomthambo.
Ngaphandle kwezibonakaliso ze-neurologic ezifana neetoni ze-muscle ezandisiweyo okanye iingxaki zokulinganisela, zikhona iimpawu zelizwi ezinokukunceda ukuba lube uhlobo lwe-dysarthria.
Ngokomzekelo, i-dysarthria ye-spastic ibonakala yimpawu zezwi ezifana:
- Ikhwalithi yelizwi elibukhali, elincinci
- Isantya sokuthetha esicothayo
- Ukunciphisa umsindo okanye ukuphakama komsindo
I-ataxic dysarthria ibonakaliswe yizinto ezilandelayo:
- Ukuthuthumela
- Ukunyakaza kwama-Dysrhym, ukukhawuleza kunye nokutshintsha kolwimi, umlomo kunye nomhlathi
- Incoko yokuthetha
- Ukuphakama okugqithisileyo kunye nokuhluka
Yintoni enokuyenza ukuphucula intetho kwi-MS?
Umphathiswa wolwimi othetha ulwimi unokubonelela ngemisebenzi yokuqinisa imisipha ebandakanyekayo entetho okanye ukuphucula ukuphefumla kwakho ngokubanceda ukuphucula. Ukongezelela, intetho yomnxibelelwano wolwimi ungakufundisa ubuchule bokunciphisa intetho ngokukhawuleza, ukumisa ngokufanelekileyo phakathi kwamagama, nokuvakalisa amagama ngokucacileyo nangokuchanekileyo.
I-Dysarthria e-MS ayifuni iqhubela phambili apho umntu engakwazi ukuthetha. Kodwa ukuba ukuthetha kuba nzima kunomntu, unokusebenzisa enye indlela yokunxibelelana njengamazwi okukhulisa ilizwi okanye iibhodi zekhompyutha.
ILizwi
Nangona kungekho nonyango okwamanje, abantu abaninzi abane-MS baphila kakuhle kuba banako ukulawula iimpawu zabo kakuhle.
Ngelishwa, akukho zonyango ezifumanekayo ezikunceda ngokukhawuleza ukuphucula iingxaki zentetho ezinxulumene ne-MS. Nangona kunjalo, amayeza anciphisa iimpawu ezinjenge-stiff muscle okanye ukuqina (ukungabonakaliyo) kunokubonelela ukuphucula intetho.
Ekugqibeleni, ukuncedwa ngumbhali weengxoxo, kunye neeseshoni ezimbalwa, unokukwenza imimangaliso yakho (okanye intanda yakho) ukuthetha iingxaki-kunye nentembelo yakho kunye nomgangatho wobomi.
Imithombo:
YeBarone DA. (2018). Multiple Sclerosis Association of America (2013). Intetho kunye nokuLungisa iingxaki.
> Cohen SM, Elackattu A, Noordzij JP, Walsh MJ, Langmore SE. Unyango olunefuthe lwe-dysphonia kunye ne-dysarthria. Otolaryngol Clinic North Am . 2009 Feb; 42 (1): 107-21.
Miller PH. National Society of MS. (2011). Dysarthria kwi-multiple sclerosis.