Ka hoʻohaʻahaʻa ʻōlelo ʻana i nā mākua

ʻO ka hōʻino ʻōlelo a me ka hōʻino ʻōlelo paha kekahi o nā pilikia e paʻakikī e kamaʻilio.

ʻO nā mea aʻe nā ʻōlelo maʻamau a me nā maʻi ʻōlelo.

APHASIA

ʻO Aphasia ka nalowale o ka hiki ke hoʻomaopopo a hōʻike i ka ʻōlelo i ʻōlelo ʻia a i kākau ʻia paha. Kū pinepine ia ma hope o nā hahau a me nā hōʻeha lolo traumatic. Hiki iā ia ke hana i nā kānaka me nā tumors lolo a i ʻole nā ​​maʻi degenerative e hoʻopili i nā wahi ʻōlelo o ka lolo. ʻAʻole pili kēia huaʻōlelo i nā keiki i hoʻomohala ʻole i ka mākau kamaʻilio. Nui a hewahewa nā ʻano aphasia.

I kekahi mau hihia o ka aphasia, hoʻoponopono ka pilikia iā ia iho, akā i kekahi, ʻaʻole maikaʻi.

DYSARTHRIA

Me ka dysarthria, he pilikia ko ke kanaka i ka hōʻike ʻana i kekahi mau leo ​​a huaʻōlelo paha. Ua haʻi maikaʻi ʻole lākou i ka ʻōlelo (e like me slurring) a ua loli ke kaʻina a me ka wikiwiki o ka ʻōlelo. ʻO ka maʻamau, ʻo ke aʻalolo a me ka maʻi lolo paha ka mea paʻakikī i ka kaohi ʻana i ke alelo, nā lehelehe, ka larynx, a i ʻole nā ​​leo leo, i kamaʻilio ai

ʻO Dysarthria, ka paʻakikī e haʻi i nā huaʻōlelo, huikau ʻia i kekahi manawa me ka aphasia, ka paʻakikī e hana i ka ʻōlelo. He mau kumu like ʻole ko lākou.

Pilikia paha ka poʻe me ka dysarthria i ka ale ʻana.

HOOPAU ANA I KA LEO

ʻO kēlā me kēia mea e hoʻololi i ke ʻano o nā kaula leo a i ʻole ke ʻano o kā lākou hana e hoʻonāukiuki i kahi leo. ʻO nā ulu ulu e like me nā nodule, polyps, cist, papillomas, granulomas, a me nā maʻi ʻākeʻeha hiki ke hōʻino ʻia. Kuhi kēia mau hoʻololi i ke kani o ka leo mai ke ʻano o ke kani maʻamau.

Ke ulu mālie nei kekahi o kēia mau maʻi, akā hiki i kekahi ke hoʻomohala i kahi haʻi ʻole a me ka hōʻino ʻana i ka ʻōlelo me ka hiki ʻole, maʻamau i kahi trauma.

APHASIA

• Maʻi Alzheimer
• Tumo lolo (ʻoi aku ka nui o ka aphasia ma mua o ka disarthria)
• Dementia
• Trauma poʻo
• Hahau
• Hoʻouka ischemic kuewa (TIA)

DYSARTHRIA

• ʻOna ʻona
• Dementia
• Nā maʻi e pili ana i nā aʻa a me nā mākala (nā maʻi neuromuscular), e like me ka amyotrophic lateral sclerosis (ALS a i ʻole Lou Gehrig maʻi), cerebral palsy, myasthenia gravis, a mau sclerosis (MS)
• Trauma helehelena
• Nāwaliwali ke alo, e like me ka palsy a me ka nāwaliwali o ka alelo
• Trauma poʻo
• ʻOki poʻokela poʻo poʻo ʻāʻī
• Nā ʻōnaehana ʻōnaehana (neurological) pili i ka lolo, e like me ka maʻi Parkinson a i ʻole ka maʻi Huntington (ʻoi aku ka nui ma ka disarthria ma mua o ka aphasia)
• Nā dentures kūpono maikaʻi ʻole
• Nā hopena o nā lāʻau e hana ma ka ʻōnaehana waena, e like me narcotics, phenytoin, a me carbamazepine
• Hahau
• Hoʻouka ischemic kuewa (TIA)

HOOPAU ANA I KA LEO

• Nā ulu a nodule paha ma nā kaula leo
• ʻO ka poʻe e hoʻohana nui ana i ko lākou leo ​​(kumu, kumu aʻo, mea hana leo) e hoʻomohala i nā maʻi leo.

No ka disarthria, nā ala e kōkua ai i ka hoʻomaikaʻi ʻana i ke kamaʻilio me ke kamaʻilio lohi a me ka hoʻohana ʻana i nā lima lima. Pono ka ʻohana a me nā hoa aloha e hāʻawi i ka manawa nui no ka poʻe me ka maʻi e hōʻike ai iā lākou iho. Ke kikokiko ʻana ma ka uila uila a i ʻole ka hoʻohana ʻana i ka peni a me ka pepa hiki ke kōkua pū me ke kamaʻilio.

No ka aphasia, pono paha i nā lālā o ka ʻohana e hoʻolako i nā hoʻomanaʻo hoʻomanaʻo no ka hoʻonohonoho pinepine ʻana, e like me ka lā o ka pule. Kū pinepine ka disorientation a me ka huikau me ka aphasia. Hiki ke kōkua i ka hoʻohana ʻana i nā ala nonverbal o ke kamaʻilio ʻana.

He mea nui ka mālama ʻana i kahi ʻano hoʻomaha, mālie a mālama i nā mea hoʻonāukiuki kūwahi i kahi liʻiliʻi.

• E kamaʻilio i kahi leo maʻamau o ka leo (ʻaʻole kēia ʻano he lohe a i ʻole pilikia pilikia).
• E hoʻohana i nā māmala ʻōlelo maʻalahi e hōʻalo ai i ke kuhi hewa.
• Mai manaʻo e maopopo i ke kanaka.
• Hāʻawi i nā kōkua kamaʻilio, inā hiki, kaukaʻi ʻia i ke kanaka a me ke ʻano.

Hiki ke kōkua i ke olakino olakino noʻonoʻo me ke kaumaha a i ʻole ka hoka i loaʻa i nā poʻe he nui me ka haʻi ʻōlelo ʻole.

Kāhea i ka mea hāʻawi inā:

• Hiki koke mai ka hōʻino a me ka nalo ʻana o ke kamaʻilio
• Aia kekahi hōʻino wehewehe ʻole ʻia o ka ʻōlelo a i ʻole ka ʻōlelo kākau

Inā ʻaʻole i ulu nā pilikia ma hope o kahi hanana pilikia, e lawe ka mea hāʻawi i kahi mōʻaukala olakino a hana i kahi hoʻokolohua kino. Koi aku paha ka mōʻaukala olakino i ke kōkua o ka ʻohana a i ʻole nā ​​hoa aloha.

E nīnau paha ka mea hāʻawi e pili ana i ka hōʻino ʻōlelo. E komo paha nā nīnau i ka wā e ulu ai ka pilikia, inā he ʻeha, a he aha nā lāʻau a ke kanaka e lawe ai.

Hiki ke hana ʻia nā hoʻokolohua diagnostics me kēia mau mea:

• Nā hoʻāʻo koko
• Cerebral angiography e nānā i ke kahe o ke koko i ka lolo
• CT a MRI scan o ke poʻo e nānā i nā pilikia e like me ka tumo
• EEG e ana i ka hana uila o ka lolo
• Electromyography (EMG) e nānā i ke olakino o nā mākala a me nā aʻalolo e kaohi i nā mākala
• Lumbar puncture e nānā i ka wai cerebrospinal e hoʻopuni ana i ka lolo a me ka iwi kuamoo
• Nā hoʻāʻo mimi
• X-kukuna o ka iwi poʻo

Inā loaʻa i nā hoʻokolohua nā pilikia olakino ʻē aʻe, pono e nīnau ʻia nā kauka loea ʻē aʻe.

No ke kōkua me ka pilikia o ka haʻiʻōlelo, pono paha e kūkākūkā ʻia kahi haʻi ʻōlelo a me ka mea hoʻoponopono ʻōlelo a mea hana kaiaulu paha.

Ka hoʻohaʻahaʻa ʻōlelo ʻana; Ka hōʻino ʻana i ka ʻōlelo; Hiki ʻole ke ʻōlelo; Aphasia; ʻO Dysarthria; ʻ speechlelo kūpilikiʻi; Nā maʻi leo Dysphonia

ʻO Kirshner HS. ʻO Aphasia a me nā syndrome aphasic. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 13.

ʻO Kirshner HS. ʻO Dysarthria a me ka apraxia o ka ʻōlelo. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 14.

Rossi RP, Kortte JH, Palmer JB. Nā maʻi a me nā ʻōlelo. I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 155.