Dzidza NezveDysphonia Nedzimwe Nzira MS Inobata Kutaura
Dhiphonia inonetsa kuitaura nekuda kwekutapudzwa kwemasimba emiromo yako, muromo, rurimi, huroti, uye / kana tambo dzezwi.
Mu multiple sclerosis (MS), dysphonia inowanzoreva kushungurudza kudzora izwi rekutaura, kureva kutaura zvinyoro zvishoma kuti zvinzwike kana kudanidzira zvakanyanya kupfuura zvakakodzera. Mimwe mimwe mienzaniso yeDysphonia inosanganisira kutadza, kutaura raspy, kana kuti kuchinja muzhenje paunoedza kutaura.
Dhiphonia Ndeye Chimiro cheDysarthria
Kana uine MS kana kuziva mumwe munhu ane izvozvo, ungave uchiziva kuti kune nzira dzakawanda idzi chirwere chinogona kuchinja kukwanisa kutaura zvakananga. Matambudziko aya ekutaura, kusanganisira dysphonia, akabatanidzwa pasi peshoko rinoreva dysarthria -speech rinokonzerwa nekuderedza kuderedzwa kwemisungo inoshandiswa mumutauro, kazhinji semugumisiro wekushungurudzika kwehutano.
Dysarthria inobata inenge hafu yevanhu vane MS uye ndiyo inowanzosangana nehutano hwekukurukurirana kune avo vane chirwere ichi. Inowanzova munyoro; zvisinei, zviratidzo zvakasimba zvinoratidza kukanganisa kwehutano hwemhutu, pamwe nehutachiwana hwehutano (relapsing-remitting MS kana MS inopfuurira).
MS-yakabatana dysarthria inogona kuchinja chiyero chako chekutaura, kunzwisisa kwekutaura kwako, uye kutaurirana kwaro kwepanyama.
Mienzaniso inosanganisira:
- Kutaura kwakashata, nematambudziko anoreva mazwi
- "Kuverenga" mutauro, umo iwe unotaura zvishoma nezvishoma, nekufamba kwenguva kwenguva refu pakati pemashoko uye kunyange pakati pezvinyorwa zvezwi
- "Kuputika" mutauro, nezvikamu zvekukurukura, kutaura nokukurumidza
Chinokonzera Kutaura Matambudziko muSMS
Izvozvo zvinokonzerwa neMS-dysarthria zvinowanzokonzerwa nekukuvara kwemashuga izvo zvinoita kuti utsi hwemaziso ako ari pasi, miromo, rurimi, nehuro. Kazhinji kazhinji, chinokonzera chiri mishoma mishoma nzvimbo yekukuvadza mune imwe yemakumbo makuru maviri europi yako.
Chimwe chikonzero chinokonzera kukanganisa kwehutano hwako, nzvimbo yehutano pakati pehupfungwa dzako nehuro yako yemutsipa (neck area) musipinha.
Mamwe maitiro eDS-related dysarthria anotendwa kuburikidza nehupenyu hwangu hwemyelin sheath mukati meganda, chikamu cheuropi mushure mehenya rako.
Kazhinji, kushungurudzwa kwekutaura muSMS kunobva kuAsiasia , kurasikirwa kwekwaniso yekunyatsonzwisisa kana kutaura kutaura kungave kwakabatana nekurasikirwa mupfungwa.
Mhando Dhatu dzeDysarthria muSMS
Vanachiremba vanofungidzira zvitatu zvakasiyana-siyana zveDysarthria kune vanhu vane MS:
- Spastic dysarthria, kunyanya inobata musimba uchisimba kana kusunga
- Ataxic dysarthria, kunyanya inokanganisa kurasikirwa kwemaviri musimba
- Mixed dysarthria, iyo inosanganisira zvinhu zvepastic uye ataxic
Mixed dysarthria inowanzoonekwa kuvanhu vane MS. Izvi zvinokonzerwa nokuti MS inowanzokonzera nzvimbo dzakawanda dzenheyo yenyu. Muchivhenganiswa chinonzi dysarthria, kushungurudzwa kwehutano kunogona kusanganisira nyaya yeruzivo yako yehuropi uye / kana cerebellum, brainstory yako, uye / kana mushonga wako wespinha.
Kunze kwezviratidzo zvehutano zvakadai sekuwedzera kwemazwi emusana kana matanho ekuenzanisa, pane zviratidzo zvezwi zvinogona kukutsanangurira mumhando ye dysarthria iripo.
Semuenzaniso, spastic dysarthria inozivikanwa nenzwi zvakadai se:
- Inzwi rakashata, rakaneta inzwi
- Nhamba shoma yokutaura
- Kuderedza kudururudza kana mono-inzwi
Ataxic dysarthria inozivikanwa nezwi rinotevera mazwi:
- Kudengenyeka kwenzwi
- Dysrhythmic, rapidly, and alternating movements of the tongue, lips, and jaw
- Kunyora mutauro
- Kuwedzerwa uye kuchinja kukuru
Chii Chingaitwa Kuvandudza Kutaura muSMS?
Mutapi wemutauro wemutauro anogona kupa maitiro ekusimbisa masumbu anoshanda mumutauro kana kuti kuvandudza kufema kwako nekubatsira kuti udzikinure. Mukuwedzera, mutapi wemutauro wemutauro anogona kukudzidzisa maitiro ekuderedza kutaura kwakakurumidza, kumbomira zvakanaka pakati pemashoko, uye kutaura mashoko zvakajeka uye zvakarurama.
Dysarthria muMS haimbowanzofambira mberi kusvika pakatarisa apo munhu asingagoni kutaura. Asi kana kutaura kunotambudza kune munhu, iye angashandisa imwe nzira yekukurukurirana sezwi izwi amplifiers kana mapurisa emakombiyuta.
Shoko Rinobva
Kunyange zvazvo pasina chirwere ichi, vanhu vazhinji vane MS vanorarama zvakanaka nokuti vanogona kutarisira zviratidzo zvavo zvakanaka.
Zvinosuruvarisa, hapana mishonga inowanika iyo inobatsira zvakananga kuvandudza zvinetso zvekutaura kweSIM-zvine chokuita. Zvisinei, mishonga inoderedza zviratidzo zvakadai sekuoma kwemisimba kana kusunga (spasticity) kunogona kupa humwe huri nani hwekutaura.
Pakupedzisira, rubatsiro nemutauri wekutaura, kunyange masangano mashomanana, anogona kuita zvishamiso nokuda kwe (kana kuti mudiwa wako) matambudziko ekutaura-uye kuvimba kwako uye hupenyu hwehupenyu.
Sources:
Barone DA. (2018). Multiple Sclerosis Association of America (2013). Kutaura uye Kuzadza Matambudziko.
> Cohen SM, Elackattu A, Noordzij JP, Walsh MJ, Langmore SE. Kuwedzera kurapa kweDysphonia uye dysarthria. Otolaryngol Clin North Am . 2009 Feb; 42 (1): 107-21.
Miller PH. National MS Society. (2011). Dysarthria mu multiple sclerosis.