I-Aphasia , enzima ukuthetha, yinkathazo eqhelekileyo emva kokuphazamiseka, ngokukodwa i- parietal lobe stroke . Ngenxa yabasindileyo abaphila neAphasia, unyango luyinto ebalulekileyo yobomi emva kokuphazamiseka. Ngokubanzi, i-aphasia yinkxalabo kwimveliso, ekusebenziseni, okanye ekuqondeni ulwimi ngenxa yokulimala kwengqondo, ngokuqhelekileyo ukusukela kwintlungu.
Kukho iindlela ezininzi zokonyango kwiintlobo ezahlukeneyo ze-aphasia.
Jikelele
Imigaqo emininzi yonyango iye yaboniswa kwizifundo ezincinci ukuphucula iziphumo zonyango.
- Kungakhathaliseki ukuba luhlobo lonyango olusetyenziswayo, isiphumo singcono xa ubukhulu bonyango bucala. Ngamanye amazwi, inani elinikeziweyo leeyure zonyango liza kuvelisa umphumo ongcono ngakumbi xa zinikezelwa kwiiseshoni ezimbalwa kwiintsuku ezimbalwa kuneeseshoni ezininzi kwiintsuku ezininzi.
- Ukuphumelela kwe-aphasia unyango landa xa abaphengululi basebenzisa iintlobo ezininzi zeempatho zengqondo. Ngokomzekelo, i-stimuli yokucatshungulwa ngendlela yomculo, kunye nemiboniso ebonakalayo ngemifanekiso yemifanekiso, imidwebo, isetyenziswa rhoqo ngexesha leeseshini zonyango lwe-aphasia.
- Ukunyuka okuncinci kwimeko yobunzima bezenzo ezenziwa rhoqo ngexesha leseshoni yokwenza unyango luphucula umphumo.
Uluhlu olungezantsi luhlobo oluthile oluqhelekileyo lwezonyango ze-aphasia.
Iingcali zoLwazi lweNzululwazi
Eli hlobo lonyango lugxininisa iimpawu zengqondo zolwimi. Ngokomzekelo, ezinye izivivinyo zifuna izigulane ukuba zichaze iimpawu zamanqaku ahlukeneyo eemvakalelo zezwi. Abanye bafuna ukuba bachaze intsingiselo yamagama achaza kakhulu okanye amagama afana nelithi "uyavuya." Ezi zibonisa uncedo lwezigulane zenza izakhono zokuqonda ngelixa zijolise ekuqondeni izixhobo zengqondo.
Funda ngokubanzi malunga nendlela ulwabizo olunokuchaphazela ngayo uvelwano .
Ukulungiswa kweNkqubo
Olu hlobo lonyango lisebenzisa amanqanaba amaninzi, okuquka imifanekiso nomculo, okufakwe kwinkqubela phambili ngokulula ukuya kunzima. Funda kabanzi malunga nomculo unyango emva kwesifo.
Ukukhuthazwa-Ulwaphulo lwe-Fascilitation
Olu hlobo lwe-aphasia lonyango lugxininise kakhulu kwiimpawu zesinantic kunye nolwimi lweelwimi. I-stimulus eyintloko esetyenziswe ngexesha leeseshini zonyango luyi-stimulation stimulation. Enye yeengcinga eziphambili zalolu hlobo lwonyango kukuba ukuphuculwa kwezakhono zolwimi kufezekiswe ngokuphindaphindiweyo.
Ulwaphulo lweqela
Olu hlobo lonyango lubonelela imeko yoluntu kwizigulane ukuzisebenzisa izakhono zonxibelelwano abazifundileyo kwiiseshoni zonyango, ngelixa ufumana impendulo ebalulekileyo evela kubagqirha nakwezinye i-aphasics. Izicwangciso zonyango lwenyanga zineempembelelo ezifanayo, ngelixa ziququzelele ukunxibelelana kwabakwa-aphasics kunye nabathandekayo babo. Khangela malunga nendlela amaqela enkxaso axhasa ngayo ukuhlaselwa kwe-stroke.
I-PACE (Ukukhuthaza ukuSebenza koQhagamshelwano lweAphasic)
Le ngenye yeendlela ezaziwa kakhulu ze-pragmatic therapy, uhlobo lwe-aphasia unyango olukhuthaza ukuphuculwa kwintetho ngokusebenzisa intetho njengesixhobo sokufunda.
Iiseshoni zonyango ze-PACE zibandakanya ingxoxo eqhutywe phakathi komgqirha kunye nesigulane. Ukuze kukhuthazwe ukunxibelelana ngokukhawuleza, olu hlobo lonyango lusebenzisa imidwebo, imifanekiso kunye nezinye izinto ezibonakalayo ezibonakalayo ezisetyenziselwa isigulane ukuvelisa iingcamango eziza kuthethwa ngethuba le ngxoxo. Umgqirha kunye nesigulane sitshintshela ukuhambisa izimvo zabo.
Ubunzima bezinto ezisetyenziselwa ukuvelisa ingxoxo luyanda ngendlela ehamba phambili. Izigulane zikhuthazwa ukuba zisebenzise nayiphi na indlela yokunxibelelana ngexesha leseshoni, ezivumela ukuba oogqirha ukuba athole izakhono zoqhagamshelwano ezimele ziqiniswe kwisigulane.
Ingcali inxibelelana nesigulane ngokuxelisa iindlela zokunxibelelana nesigulane esinokuziva sikhululekile.
Pharmacotherapy
Le ndlela yindlela entsha yokwelashwa kwe-aphasia kwaye ukuphumelela akukaze kuqinisekiswe. Uluhlu lwamachiza azame ukufikelela ngoku luquka i-piracetam, i-bifenalade, i-piribedil, i-bromocriptine, i-idebenone kunye ne-dextran 40, i-dozepil, i-amphetamines kunye neengcinezelo ezininzi. Nangona ubungqina obunamandla kakhulu, kubonakala ukuba ubuncinci benzazepil, i-piribedil kunye ne-amphetamines zinokuthi zinezinga elithile lokuphumelela kunyango lwe-aphasia. Olu hlobo lokugqibela lubonakala luncedo ekuphuculeni izibonelelo zonyango olusisisigxina, njengoko ezinye izifundo zibonise isiphumo esingcono sonyango xa izigulane zinikezwa i-amphetamines phambi kweeseshoni zonyango.
UkuThuthukiswa kweTranscranial Magnetic (TMS)
Nangona le modal yonyango ingasetyenziselwa ukusetyenziswa, uphando lwayo luphantsi kophando olunzulu. I-TMS iququzelele ukujolisa umbane ngokuthe ngqo kwinqanaba yengqondo ecinga ukuba inqanda ukuphulukiswa kolwimi emva kokushaya. Ngokunciphisa umsebenzi waloo nxalenye yengqondo, ukuphucula kuphuculwe. Uluhlobo lwe-magnetic therapy oluye lwazama ukulungiswa kwe-aphasia yinguqulelo "ephuculwayo kwaye ephindaphindiweyo" ye-TMS. Izifundo ezimbalwa ezincinci ziye zaba neziphumo ezikhuthazayo, kodwa isifundo esiphezulu, esilawulwayo sisadingeka ukuqinisekisa ukusetyenziswa kwelo hlobo lonyango.
Ulungiswe nguHeidi Moawad MD
Imithombo: Jordan Lori kunye no-Hillis Argye; Ukuphazamiseka kwentetho kunye nolwimi: aphasia, apraxia kunye ne-dysarthria; I-Opinion yangoku kwi-Neurology 2006 19 (6): 580-585.
I-Cicerone et al., Ukubuyiselwa kwengqiqo enokwakhela ubungqina: Ukuhlaziywa kokuhlaziywa kweencwadi ukususela ngo-1998 ukuya ku-2002 Iincwadi zoLondolozo lweMpilo kunye nokuQuqulwa koMzimba 2005 Vol 86; 1681-1692.
Inkcazo ye-Froma P Roth kunye ne-Colleen K. Worthington yonyango yokuthetha nentetho yezilwimi 2 edition Delmar, Albany NY.