Dysarthria in carruurta iyo dadka waaweyn: Sababaha iyo Calaamadaha

Dysarthria loo yaqaan cudurka hadalka, kuwaas oo dhinaca proiznositelnoj ay. Waxay ku salaysan tahay la'aanta ah ee innervation, ama cillad neerfaha masuul ka ah xidhiidhka ka mid ah xubnaha hadalka iyo habka dhexe ee neerfayaasha. Waxay noqon kartaa natiijada dhaawac maskaxeed wareegga dhiigga, cudurada faafa TSNR, geedi socodka buro ee dhaawaca maskaxda ama madaxa. Dysarthria in carruurta laga yaabaa in ay dhacaan ay sabab u tahay trauma dhalashada, cilladaha lagu dhasho, qabatin at dhalashada, cudurrada la iska dhaxlo ee habka dareemayaasha jirka. Inta badan waxaa la socda, iyo cudura dhaqdhaqaaqa. Xaaladaha intooda badan (85%), dysarthria in carruurta la socda carruurta cerebral palsy.

The daliilka ugu weyn ee dysarthria ku jira isbeddelo ah xawaaraha iyo laxanka hadalka, dhalanrog ay midab, phonation oo yaraada, dhigoodu dhibo. Intaa waxaa dheer, in kiisaska intooda badan waxaa jira calaamado kale: xanuunada liqidda iyo xanjo xanuunada dareenka iyo hoggaansanaan, iwm bukaanka Tani - dhibo iyo cudud ahaan, inta badan waa kuwo ku adag si ay u soo baxay ... Dhowr darajo oo kala ah dysarthria - ku salaysan hadalka sida aadanaha waa ay fahmi karaan dadka kale. Tirtirayaa dysarthria carruurta ama dysarthria fudud ee dadka waaweyn iyo waxa lagu gartaa indistinctness gaar ah nasally (nasalization) hadalka, taas oo, si kastaba ha ahaatee, waa ay fahmi karaan dadka kale. calaamadaha dareemayaasha kiiskan si cad ama xataa gebi ahaanba ka maqan lagu sheegi karaa. Dysarthria in carruurta iyo dadka waaweyn ee darnaanta dhexdhexaad ah lagu gartaa dhalanrog weyn hadalka - aad u badan si ay si buuxda oo inta badan la fahmo bukaanka dadka awoodo dhow oo keliya. Ugu dambeyntii, degree daran ee dysarthria dhigaysa hadalka aadanaha waxgarasho aan macquul ahayn, iyo in xaaladaha ugu daran waxaa laga yaabaa in xataa maqnaanayo gebi (anarthria).

Waxa kale oo la kala saaro noocyo dhowr ah oo kala duwan oo dysarthria, oo ku salaysan meesha uu dhaawaca ka mid ah hay'adaha motor hadalka iyo kaladuwan ee ka mid ah syndromes dareemayaasha. Dysarthria, calaamadaha noocyo kala duwan oo xad la mid yihiin, sida ku cad si daciif ah neefsashada hadalka, taas oo keeni dhalanrog ka mid ah qayb ka mid ah hadalka, laxniga, xooggayga iyo naaxiyadda codka. Maxaa yeelay caruurta leh lesions maskaxda cerebral palsy waxaa waasac dambidhaafkiisu ee dabiiciga ah, waxay guud ahaan jira noocyo isku dhafan joogo ee cudurka this. Waayo, kala cad oo foomamka of dysarthria, taas oo loo baahan yahay in ay doortaan daaweynta ku haboon, waxaan u baahan nahay in ay la tashato khabiiro badan (speech therapist, neurologist) - sababtoo ah gunaanad ku salaysan yahay iyo hadalka, iyo cudurada motor heli karo.

Qoondee bulbar, subcortical, cortical, cerebellar, foomka dysarthria pseudobulbar. Last, keeni qallal ama paresis neerfaha keentay ka kiliyaha u nuclei of hypoglossal, vagus, dareemaha glossopharyngeal, waxay badanaa ka dhacdaa carruurta. Xaaladdan oo kale waxay ku xadgudbeen ma hadal oo keliya, laakiin sidoo kale xirfadaha motor guud. sidoo kale ilmuhu leeyahay dhibaato liqidda, waxaa hypersalivation (dhareerka xad-dhaaf ah). Ardayda dysarthria ku adag in hanashada akhriska, qorista. qaladaad caadiga ah marka qoraal - mari ama beddelaad ah ee qaar ka mid ah waraaqaha kale, qayb ahaan, oo inta badan dhalanrog dhamaystiran oo erayada, gudbin qaybo dusha hadalka, erayada ku habboon sax ahayn.

Daaweynta dysarthria - geeddi-socodka dheer, xisaabiyaa, ugu yaraan muddo dhowr bilood ah, iyada oo ku xiran ay darnaanta. Markii hore, waxaa caadi ahaan lagu qabtaa isbitaalka for laba ilaa saddex asbuuc gacanta ugu neurologist, speech therapy iyo mararka qaarkood cudurada, ka dibna waxa ay sii ku salaysan bukaan socod ah. Waxa intaa dheer in fadhiyada cod, halka la isticmaalayo daaweynta dabiiciga ah, neefsashada layliyo, reflexotherapy; laga yaabaa in la shaqeeya iyo daaweynta caafimaad. Waa in la fahamsan yahay: dysarthria carruurta waa lagama yaabo in la daaweyn aan ka qaybgalka firfircoon ee waalidka. Waxay u baahan yihiin si ay u galaan ilmaha si maalinle ah, oo kaliya logu qoro oo khaas ah.