Kuchengetedza Kurasikirwa Kwekufambisa kweChiso Chokutengesa Motor
Masked facies (anozivikanwawo se hypomimia) kurasikirwa kwechiso chemaziso chinowanzobatanidzwa nechirwere chePalinson . Izvozvo zvinodanwa nokuti mamiriro acho anopa munhu ane hanya zvakagadziriswa, mask-sezvakaita kutaura.
Muhosha yaPasinson, kuvhara kunogona kukura sezvo kurasikirwa kwekufambisa kwemotokari kunowedzera kumisungo yepiso sezvinoita kune dzimwe nhengo dzomuviri.
Masikirwo akavharidzirwa anogona kukonzera mamiriro ezvinhu akaoma kare, kushamwaridzana navo vanogona kubviswa kana kuvhiringidzika nekuonekwa kusakosha kwepfungwa.
Kutarisa masikati kunogonawo kuitika kune zvimwe zvirwere zvepfungwa kana zvepfungwa, asi, mumatambudziko aya, chikonzero chacho hachikanganisi nekurasikirwa kwemaviri emusana asi pane kushungurudzika mupfungwa (dzimwe nguva kunonzi kuderedzwa kunoratidzira kuratidza kana, kana schizophrenia, gorofa inobata). Izvozvo zvinogona kuitika nemimwe mishonga inogona kunyanya kufanana nemanzwiro evanhu.
Sezvakadaro, tinowanzoshandisa izwi rokuti hypomimia kurondedzera masikati masikati mukati memamiriro ekutenda kwaPasinson. Icho chinoratidza kukanganisa chaiyo kwemotokari yemotokari panzvimbo pane kuratidzwa kwepanyama kwekunetseka mupfungwa.
Masked Facies muzvirwere zvePasinson
Zviri nyore kuti vazhinji vedu tinyatsonzwisisire kuti sei kuva nechiso chisingareveki chinogona kunetsa. Vanhu vanotaurirana kwete nemashoko chete asi kuburikidza nehupenzi, kushingaira-kutama kuchinja muchitarisiko chemaziso.
Munhu asingakwanisi kuratidza manzwiro aya ega ega angave ari kurasikirwa sezvo vamwe vanogona kutora kana kutsanangurira mazwi kana mazwi asingawirirani.
Maitiro akavharidzirwa anoratidza chiratidzo chekushaya simba kwechirwere chePasinson. Chiratidzo chechirwere ndiko kurasikirwa kunofambira mberi kwemotokari yemhepo uye kwete chete yemakumbo makuru asi maziso akanaka ekufamba kwemaoko, muromo, rurimi, uye chiso.
Hypomimia inogona kukanganisa mafambiro emuviri wezvokuzvidira (akadai soumwemwe) uye asingabatsiri (zvakadai seinoitika kana munhu achishamiswa). Kunewo zvidimbu zvehutano iyo chiremba anoshandisa kubatsira kubatsira kuenderera mberi kwechirwere:
- 0 - Kuratidzwa kwechiso chenguva dzose
- 1 - Shandisa hypomimia, poker-kutarisana
- 2 - Chengetedza asi kunyatsonaka kurasikirwa (kuderera) kwechimiro chemaziso
- 3 - Kurasikirwa kwemuviri kunowanikwa nguva yakawanda
- 4 - Kurasikirwa kwechiratidzo kunowanikwa nguva yakawanda
Therapy for Masked Facies
Zviso zvekutaridza zviso. Kutsvakurudza kwakaratidza kuti hupenyu hwehupenyu huri nani kune vanhu vane Parkinson avo vakawana kurapwa kunatsiridza kutarisa kwekunze kune avo vasina. Inowanzodikanwa chirongwa chakasimba, chirongwa chinotungamirirwa nemapurisa chaizotanga kutarisa pamakumbo makuru akadai, kusimudza mashizha, kutambanudza muromo, kana kuputira chiso.
Imwe nzira inonzi Lee Silverman izwi remushonga (LSVT), inoshandiswa nevamwe kuti vabatsire vanhu vane Parkinson kutaura zvakanyanya uye zvakajeka. Inoshandisa maitiro ekutaurirana akafanana nechekuita shanduro maitiro ayo munhu anodzidziswa kuita nekugadzirisa "maitiro ekutaura" ne:
- Kururamisa mamiriro
- Kutarisa munhu zvakananga mumeso
- Kuchengetedza chidimbu
- Kutora kufema kwakanyanya usati wataura
- Kufunga nezvemashoko makuru, inzwi guru uye misoro, zvishoma
Nzira yeLSVT uye nzira dzakadaro dzekugadzirisa (zvakadai sokuimba kuimba kana izwi rinokurudzira) dzakaratidza kukosha pakubatsira vanhu vane Parkinson pamwe nekudzora musungo wakatarisa chiso paunenge uchikurukurirana mumapoka kana mumwe-on-one.
> Sources:
> Dumer, A .; Oster, H ;; McCabe, D. et al. "Migumisiro ya Lee Silverman Voice Treatment (LSVT® LOUD) paHypomimia muhosha yaPasinson." Nhoroondo ye International International Neuropsychological Society . 2014; 20 (3): 302-12.
> Ricciardi, L .; Baggio, P .; Ricciardi, D. et al. "Kuvandudzwa kweHypomimia muzvirwere zvePasinson: Chidzidzo Chekugona Nzira mbiri dzakasiyana." Neurological Sciences. 2016; 37 (3); 431-6.
> Ricciardi, L .; Bologna, M .; Morgante, E. et al. "Yakaderedza Kutaridzika Kwechiso Mumatambudziko aPasinson: Ndeye Mhepo Yakachena Dambudziko?" Nhoroondo yeNeurological Sciences . 2015; 358 (1-2): 125-30.