ʻO Dysarthria

ʻO Dysarthria kahi kūlana e paʻakikī ai ʻoe e ʻōlelo i nā huaʻōlelo no nā pilikia me nā mākala e kōkua iā ʻoe e kamaʻilio.

I loko o kahi kanaka me ka disarthria, kahi aʻa, lolo, a i ʻole nā ​​maʻi ʻūpī paʻakikī e hoʻohana a kāohi paha i nā mākala o ka waha, elelo, larynx, a me nā kaula leo.

Nawaliwali paha nā mākala a palaka loa paha. A i ʻole, paʻakikī paha i ka hana pū ʻana o nā mākala.

ʻO Dysarthria paha ka hopena o ka hōʻino lolo ma muli o:

• ʻEha lolo
• Tumo lolo
• Dementia
• ʻO ka maʻi e lilo ai ka lolo i kāna hana (degenerative lolo maʻi)
• Sclerosis lehulehu
• Maʻi ʻo Parkinson
• Hahau

Loaʻa paha ʻo Dysarthria i ka hōʻino ʻia o nā ʻalolo e hāʻawi i nā mākala e kōkua iā ʻoe e kamaʻilio, a i ʻole nā ​​mākala iā lākou iho mai:

• Trauma maka a ʻāʻī hoʻi
• ʻO ke kaha ʻana no ka maʻi poʻo a me ka ʻāʻī, e like me ka hapa a i ʻole ka hōʻoki ʻia ʻana o ke alelo a i ʻole pahu leo

Hoʻokumu ʻia ʻo Dysarthria e nā maʻi e hoʻopili i nā aʻa a me nā mākala (nā maʻi neuromuscular):

• Pāpā lolo
• Hoʻoiho muscular
• Myasthenia gravis
• ʻO Amyotrophic lateral sclerosis (ALS), a i ʻole maʻi Lou Gehrig

Hiki i nā kumu ʻē aʻe ke:

• ʻOna ʻona
• Nā dentures kūpono maikaʻi ʻole
• Nā hopena o nā lāʻau e hana ma ka ʻōnaehana waena, e like me narcotics, phenytoin, a me carbamazepine

Kaukaʻi ʻia i kona kumu, ulu lōkahi paha ʻo disarthria a kū koke paha.

Pilikia ka poʻe me ka dysarthria i ka hana ʻana i kekahi mau leo ​​a huaʻōlelo paha.

Ua haʻi maikaʻi ʻole ʻia kā lākou ʻōlelo (e like me slurring), a loli ke kaʻina a me ka wikiwiki o kā lākou kamaʻilio. ʻO nā ʻōuli ʻē aʻe e like me:

• Ke kani nei me he mea lā e namunamu ana lākou
• Ke kamaʻilio mālie a i ʻole ka hawanawana
• Ke kamaʻilio nei i ka ihu a i ʻole ka leo hū, uʻi, hoʻokaumaha, a hanu paha

Hiki i kahi kanaka me ka disarthria ke heʻe aku a loaʻa i nā pilikia ka nau ʻana a me ka ale ʻana paha. He paʻakikī paha e hoʻoneʻe i nā lehelehe, alelo, a i ʻole.

E lawe ka mea mālama ola i ka mōʻaukala olakino a hana i kahi hoʻokolohua kino. Pono paha ka ʻohana a me nā hoaaloha e kōkua me ka mōʻaukala.

Hana ʻia paha kahi hana i kapa ʻia ʻo laryngoscopy. I loko o kēia kaʻina hana, waiho ʻia kahi laulā mākaukau i ka waha a me ka puʻu e ʻike i ka pahu leo.

Nā hoʻokolohua e hana ʻia inā ʻaʻole ʻike ʻia ke kumu o ka disarthria.

• Nā ho'āʻo koko no nā toxins a i ʻole nā ​​pae vitamin
• Nā hoʻokolohua kiʻi, e like me ka MRI a i ʻole CT scan o ka lolo a i ʻole ʻāʻī
• Nā haʻawina conduction nerve a me ka electromyogram e nānā i ka hana uila o nā ʻalolo a i ʻole nā ​​mākala
• Ke noi nei i ka ale, i hiki ke hoʻopili i nā kukuna x a me ka inu ʻana i kahi wai kūikawā

E kuhikuhi ʻia ʻoe i kahi haʻi ʻōlelo a me ka mea hoʻoponopono ʻōlelo no ka hoʻāʻo ʻana a me ka mālama ʻana. Nā mākau kūikawā e aʻo ai ʻoe e komo pū:

• ʻOhaʻi ʻoluʻolu a ale paha i nā ʻenehana, inā pono
• E hōʻalo ai i nā kamaʻilio ke luhi ʻoe
• E hana hou i nā kani i mau manawa i hiki iā ʻoe ke aʻo i ka neʻe ʻana o ka waha
• E ʻōlelo lohi, e hoʻohana i kahi leo nui, a hoʻomaha iki e hoʻomaopopo i ka maopopo o nā poʻe ʻē aʻe
• He aha kāu e hana ai ke huhū ʻoe i kāu kamaʻilio ʻana

Hiki iā ʻoe ke hoʻohana i nā hāmeʻa like ʻole e kōkua i ka ʻōlelo, e like me:

• Nā polokalamu e hoʻohana i nā kiʻi a i ʻole ka haʻiʻōlelo
• Nā kamepiula a i ʻole nā ​​kelepona paʻalima e kikokiko ai i nā huaʻōlelo
• Nā kāleka Flip me nā huaʻōlelo a i ʻole nā ​​hōʻailona

Hiki i ke ʻoki kino ke kōkua i ka poʻe me ka disarthria.

ʻO nā mea i hiki i ka ʻohana a me nā hoaaloha ke hana e kamaʻilio maikaʻi aku ai me kekahi i loaʻa i ka maʻi disarthria:

• Hoʻopio i ka lekiō a i ʻole ke kīwī.
• E neʻe i kahi lumi mālie inā pono.
• E hōʻoia i ka maikaʻi o nā kukui i loko o ka lumi.
• Noho kokoke i hiki iā ʻoe a me ke kanaka i loaʻa i ka disarthria ke hoʻohana i nā ʻike ʻike.
• E launa pū kekahi me kekahi.

E hoʻolohe pono a ʻae i ke kanaka e hoʻopau. E hoʻomanawanui. E launa pū me lākou ma mua o ka ʻōlelo ʻana. E hāʻawi i nā manaʻo maikaʻi no kā lākou hana.

Kaukaʻi ʻia i ke kumu o ka disarthria, hoʻomaikaʻi paha nā ʻōuli, noho like, a i ʻole hele a lohi a wikiwiki paha.

• ʻO ka poʻe me ALS lilo ka hiki iā lākou ke ʻōlelo.
• ʻO kekahi poʻe me ka maʻi maʻi Parkinson a i ʻole nā ​​sclerosis he nui e lilo i ka hiki ke ʻōlelo.
• Hana ʻia ʻo Dysarthria e nā lāʻau a i ʻole nā ​​niho ʻino maikaʻi ʻole.
• Ma muli o ka hahau ʻana a i ʻole ka ʻeha o ka lolo e maikaʻi ʻole ai ka Dysarthria, a hoʻomaikaʻi paha.
• ʻO Dysarthria ma hope o ke kahakaha ʻana i ka alelo a i ʻole pahu leo ​​ʻaʻole pono e hele a maikaʻi, a hoʻomaikaʻi paha me ka therapy.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO ka ʻeha o ka umauma, ke anuanu, ke kuni, ka pōkole o ka hanu, a i ʻole nā ​​hōʻailona ʻē aʻe o ka niumonia
• ʻOughpala ʻaukā
• Ka ʻōlelo paʻakikī a kamaʻilio paha me nā poʻe ʻē aʻe
• Nā manaʻo kaumaha a luʻuluʻu paha

Ka hōʻino ʻana i ka ʻōlelo; ʻ speechlelo kūpilikiʻi; Nā maʻi haʻi waha - dysarthria

ʻO Ambrosi D, ʻo Lee YT. ʻO ka hoʻoponopono hou ʻana i nā maʻi ʻānai. I: Cifu DX, hoʻoponopono. ʻO Braddom's Physical Medicine and Rehabilitation. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2021: chap 3.

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.