Aphasia , iyo yakaoma pakutaura, inetso yakawanda mushure mekurohwa, zvikurukuru parietal lobe stroke . Nokuda kwevakasara vanorarama neAsiasia, kurapwa chinhu chinokosha chehupenyu mushure mekurohwa. Nenzira yakawanda, iyosiasia inopesana mukugadzirwa, kushandiswa, kana kunzwisisa mutauro nekuda kwekukuvara kweuropi, kazhinji kubva pakurohwa.
Kune nzira dzakasiyana-siyana dzokurapa dzemhando dzakasiyana dzeAsiasia.
General Principles
Nheyo dzakasiyana-siyana dzehutachiona dzakaratidzwa mune zvidzidzo zviduku kuti zvigadzirise migumisiro yerapi.
- Pasinei nokuti rudzi rwechirwere runoshandiswa sei, mugumisiro uri nani kana kuwedzerwa kwerapi kuri kuwedzera. Mune mamwe mazwi, nhamba yakapiwa maawa ekurapa ichapa mhinduro yakanaka kwazvo kana ichipiwa muzvikamu zvishomanana kwemazuva mashomanene panzvimbo pane zvidzidzo zvakawanda mumazuva mazhinji.
- Kubudirira kweAsiasia thérapie inowedzera apo vanachiremba vanoshandisa maitiro akasiyana-siyana ekufungidzira. Semuenzaniso, kunyatsorongedza zvinyorwa mumhando yemimhanzi, uye maonero anooneka mumifananidzo yemifananidzo, mifananidzo, inowanzoshandiswa munguva yekusimbisa maharasia.
- Kuwedzera kukura mukutambudzika kwemaitiro emutauro kunoitwa munguva yekurapa kwakagadziridzwa kunogadzirisa mugumisiro.
Zvinyorwa pasi apa pane mamwe mazita anozivikanwa eAsiasia maitiro.
Cognitive Linguistic Therapy
Ichi chimiro cherapi inogadzirisa zvikamu zvepfungwa zvemutauro. Semuenzaniso, mamwe maitiro anoshandisa varwere kuti vashandure maitiro esiyana mazwi emanzwi ezwi. Vamwe vanoda kuti vatsanangurire zvinoreva mazwi anotsanangura zvakanyanya kana mazwi akadai sezwi rokuti "anofara." Izvi zvinobatsira varwere vanoita unyanzvi hwokunzwisisa pavanenge vachitarisa kunzwisisa kunzwisisa mafungiro emutauro.
Dzidza zvakawanda nezvokuti chirwere chinogona kuchinja sei tsitsi .
Yakarongwa Simulation
Izvi zvinoshandiswa nenzira dzakasiyana-siyana, kusanganisira mifananidzo nemimhanzi, zvakatangwa mukufambira mberi zvishoma nezvishoma kubva nyore kusvika zvakaoma. Dzidza zvakawanda pamusoro pekurapa kwemimhanzi mushure mekurohwa.
Kukurudzirwa-Fascilitation Therapy
Ichi chimiro cheharasia chinoparidzirwa chinonyanya kunyanya pamasantic uye muchigadziro chikamu chemutauro. Icho chinoshandiswa chikuru chinoshandiswa panguva dzechirwere chekurapa ndechekunyatsorodzwa. Chimwe chekufungidzira kukuru kwechirwere ichi ndechokuti kuvandudzwa mumamitauro emutauro kunonyanya kubudirira nekudzokorora.
Girapa Therapy
Izvi zvinopa hutano hwemagariro kune varwere kuti vashandise unyanzvi hwekukurukurirana hwave vakadzidza panguva dzedzimwe sarudzo dzedzipi, pavanowana mhinduro inokosha kubva kuvarapi uye kune dzimwe aphasiki. Mishonga yekurapa kwemhuri ine mamiriro akafanana, asiwo kuisa hukuru hwekutaurirana kwevaaissiki nevanodiwa vavo. Tsvaga kuti mapoka ekutsigira mazano anobatsira sei kurwisa sitiroko.
PACE (Kukurudzira Kubudirira Kwekukurukurirana kweAphasic)
Iyi ndeimwe yemhando dzakanyanya kuzivikanwa dze pragmatic therapy, maitiro eAsiasia therapy anokurudzira kuvandudzwa mukukurukurirana nekushandisa kukurukura sechigadziro chekudzidza.
PACE chirongwa chekurapa kazhinji chinosanganisira kukurukurirana kwakaitwa pakati pemushonga uye murwere. Kuti zvikurudzire kukurukurirana kwepakati, chirwere ichi chinoshandisa mifananidzo, mifananidzo, nezvimwe zvinhu zvinooneka-zvinokurudzira izvo zvinoshandiswa nemurwere kuita zviratidzo kuti zvizikanwe panguva yekutaurirana. Murapi uye murwere vanotendeuka kuti vataure pfungwa dzavo.
Kuoma kwezvinhu zvakashandiswa pakuita hurukuro kunowedzera nenzira yakaderera. Varwere vanokurudzirwa kushandisa chero nzira dzekukurukurirana panguva yemisangano, iyo inobvumira mushonga kuwana hutano hwekukurukura hunofanira kusimbiswa mumurwere.
Murapa wacho anotaura nemurwere nokutevedzera nzira dzekukurukurirana izvo murwere anonzwa akachinzwa.
Pharmacotherapy
Iyi ndiyo nzira itsva yeAphasia therapy uye inobudirira haina kuonekwa. Nyaya yemishonga yakaedzwa kusvika iko inosanganisira piracetam, bifenalade, piribedil, bromocriptine, idebenone uye dextran 40, donezepil, amphetamine uye akawanda anodzvinyirira. Kunyange zvazvo uchapupu hwacho husina simba kwazvo, zvinoratidzika kuti zvichida dozepil, piribedil uye amphetamines zvingave nedzimwe ruzivo rwehutano mukurapa inhasisia. Izvozvo zvinoratidzika sezvinobatsira zvikuru mukusimudzira mararamiro emitambo yevanhu vasina tsika yemishonga, sezvo mamwe maongorori ave akaratidza mamiriro akanaka ekurapa apo varwere vanopiwa amphetamines vasati vasarudzwa.
Transcranial Magnetic Stimulation (TMS)
Kunyange zvazvo iyi miitiro yekurapa isingawanzoshandiswa, kushanda kwayo iri pasi pekuongorora zvakanyanya. TMS inosanganisira kugadzirisa magnet zvakananga pane chikamu cheropi iyo inofungidzirwa kuti inodzivisa mutauro kugadzirisa mushure mekurohwa. Nokudzivisa basa rechikamu ichocho cheuropi, kupora kunowedzera. Rudzi rwemagnetic therapy rwakange rwaedzwa muAsiasia rehabilitation ndiyo "inononoka uye yakadzoka" shanduro yeTMS. Zvidzidzo zvishoma zvishomanana zvakave nemigumisiro inokurudzira, asi kudzidza kukuru, kwakanyatsochengetedzwa kunenge kuchiri kudikanwa kuti kuve nekubudirira kwehuwandu hwechirongwa ichi.
Yakagadzirwa naHeidi Moawad MD
Zvinyorwa: Jordan Lori naHillis Argye; Matambudziko ekutaura uye mutauro: aphasia, apraxia uye dysarthria; Ikozvino Maonero muNeurology 2006 19 (6): 580-585.
Cicerone et al., Uchapupu-hwakagadziridzwa kugadzirisa kugadziriswa: Kuvandudzwa Kuongorora kwebhuku kubvira muna 1998 kusvika muna 2002 Archives of Physical Medicine nekuvandudza 2005 Vol 86; 1681-1692.
Kubva kuPa P Roth uye Colleen K. Worthington kurapa mazano ekutaura nemutauro wechirwere chechipiri 2 edition Delmar, Albany NY.