Motor aphasia. Afferent motor aphasia

Motor aphasia amayeza inomnye igama - aphasia Wernicke, wokuwonga elaa Explorer, wazichaza esi sifo. Kunzima intetho disorder owenzeke imvelaphi yazo ngokoyiswa inxalenye ngokungqalileyo ikhweyitha ekhohlo kwaye nokuhluthwa imisebenzi yayo. iingxaki ezifana kuye kuvele ngenxa zestrowuku okanye yokulimala, yaba lukakayi, ebuchotsheni.

Wavakalisa le zoxilongo onamandla iziphene intetho, ubunzima ekufumaneni amagama ekuthetheni, ngelishwa, ayiphelelanga kwephulwa ukuhambisana.

Yintoni umahluko phakathi afferent aphasia?

Olunye udidi ukuphazamiseka zophendlo lwezifo zentetho yi afferent motor aphasia, ekwabizwa ngokuba kinesthetic.

Isigulana ngexesha buhlungu esifanayo iindawo nizhnetemennoy yobuchopho (ikhweyitha ehamba). In ekunene-zasekhohlo - kodwa ikhweyitha ngasekhohlo, nenoxanduva inkqubo ukuthetha. Nale hlobo nentetho engekho mgaqweni (wobulali), isigulana a ukuqhabalaka ekhethekileyo ngokunqongophala hluleka phakathi kwamagama. Kule ukuhlukumeza ebonakala ukuhambisana kunye parafaziynye iziphene (okt. E. Ukwenziwa kwezilungiso izandi ezithile okanye amalungu ngamazwi omnye) kwinkqubo yokufunda okanye ukuthetha kulogo.

Kwimeko kakhulu, isigulana unikwa pronunciation nzima izandi. Kwaye afferent aphasia na inkalo umdla - umntu, umzekelo, singaqondanga nga athi ezinye zazo, kwaye isicelo -. Hayi, kuba ngawo lo mzuzu kuyimfuneko ukusombulula le ngxaki, kufuneka isongwe njani imilebe, ukuba benze ntoni ulwimi, njl, .. ukufumana isandi ethile.

iimpawu ezongezelelweyo afferent motor aphasia

Ukuba sinikele ingqalelo into yokuba, ukongeza unee ngxaki ngentetho, xa izigulane unesifo "aphasia motor afferent" Uyaphulele somlomo (t. E. Non-speech) praxis.

Le meko ichazwe kwi ukungakwazi ukwenza iintshukumo zomlomo ezahlukeneyo (ngasendleleni, ngokuzimeleyo kwaye emva kokuba umboniso omnye umntu), umzekelo, yenyuse zombini okanye esidleleni mnye, kucinywa ulwimi njalo njalo. N.

Ngenxa yoko, isiphako kinesthetic kwizigulane unee ngxaki zokubhala (njengoko emlonyeni ezizimeleyo). Hi ndlela leyi, ukuphazamiseka kudla kuluhlu zihamba kunye passivity yomguli nako kubangelwa inertia iinkqubo kwi luvo.

Yintoni na efferent aphasia

Efferent motor aphasia - oku uhlobo olunye leengxaki zokuthetha ochaphazela inxalenye elingasemva gyrus ngokungqalileyo asezantsi. Isigulana kulo mzekelo uyakwazi avakalise ezinye izandi, kodwa ukuqokelela nabo elithi "tshintshela" ukusuka isandi ukuya elandelayo yokuqala ngokufuthi, waba nako. Izigulane kolu hlobo leengxaki kantu yinkqubo yokulungiselela kwisenzo intetho, ebizwa njalo-"lwengoma entshukumo" (ngoko uthi Umphandi A. R. Luriya).

Izigulane ezinjalo, uphawu "ukuvala-up" xa isandi yokuqala yegama lokuqala igama okanye kulandelwe kophindo okuqhubekayo. Ithe ngobuqhophololo yayo, ukhetho lwamagama kunzima, kukho-ekuthiwa i embolus - igama okanye iiseti aphilileyo isigulane izama indawo nantoni na awanakukwazi ukuba bathini.

Iimpawu intetho kule aphasia efferent

Yaye uninzi zonke kwinkqubo yokuthetha (uphethwe "efferent motor aphasia") isigulane usebenzisa izibizo kuphela kunye nezenzi ngendlela sokuqala, umzekelo: "Le ndlu ... ... kuma." Into uthi ogulayo, njengoko umthetho, isimbo ngeengcingo, kodwa ke, kwangaxeshanye, le esiwasebenzisayo kakhulu ulwazi.

umsebenzi zoLuleko motor aphasia, ngasendleleni, Ngokufuthi kubandakanya ukusetyenziswa kobuchule imvakalozwi emnandi. Izigulane wacela ukucula, yaye ngokucothayo kwaye melodiously ukucengceleza amagama. Yaye umdla ukuba le mithambo (nkqu kwimeko ukuphazamiseka ngokunzulu ngqo) pronunciation yenkqubo iba phantse eqhelekileyo.

iimeko okunzima motor aphasia

Ukuba aphasia motor ihamba nzima, ngoko intetho yomguli kuphela luqulathe izandi engavakaliyo okanye amagama "ewe" yaye "hayi." Izigulane uzama bathi lonke uluhlu phonemes ezifumanekayo kubo esenza imvakalozwi eyahlukileyo kulo mzekelo, ukuba omnye umntu unako ukuqonda isimo sabo ukuva. Hi ndlela leyi, njengoko kukhankanyiwe ngasentla, ukuthetha ngayo izigulane ezinjalo kubonwa phantse ngokupheleleyo, umnyinyiva kusenokuba kuphela abuye elinzima binzana okanye njengobuxoki.

Koko, urhulumente nangokweemvakalelo abantu motor aphasia nayiphi obubungqongo nayo badlwengulwe. Izigulane kuvame whiny kwaye ngokulula kuwa zibe kwimeko lithemba okanye uxinezeleko. Iimpawu luvo leengxaki esibonakala ubuthathaka xa imisipha yobuso, kwakunye nakwenzeka ukusetyenziswa ngaxeshanye imisipha yobuso, umqala kunye nomlomo. Field yombono kwezi zigulane nako lwaye lwasuswa imida njengesiqhelo.

Yintoni na aphasia oluvo

Uhlobo ngokuqatha intetho sifo a aphasia oluvo-injini, okanye ngenye indlela - ive-Gnostic. Oku kubangelwa izitshanguba le ngomva wesithathu gyrus zexeshana ophezulu kwaye sibonakaliswa waphula umthetho ukuqonda izandi nditshilo nangona iinkqubo pronunciation kunye nokucacisa kwizigulane, njengokuba umthetho, hayi aphulwe. Iingxaki kunye ezindlebeni yezandi, wabonakala kwezi zigulane, ekhokelela yokungabikho lokulawula kwintetho yabo.

Kuyimfuneko ukuba uqaphele apha inkalo enye yale hlobo ukuphazamiseka intetho - sensory-motor aphasia luphawulwa kukuba, ngokungafaniyo kwiintlobo angaphambili ngezifo, isigulana angalaziyo le ngxaki.

Izigulane lo unesifo badla ukuthetha ngokukhawuleza, kodwa kwangaxeshanye ukusebenzisa igama nayiphi na indlela. Kwaye kukhangeleka ukuba umphulaphuli ngathi uhlobo 'isaladi "ngomlomo kwiimeko kakhulu, azisekelwanga ngokupheleleyo intsingiselo.

Indawo yoBuyiselo Intetho e motor aphasia: kufuneka ukhumbule

Practice ebonisa ukuba ukuba iifom afanayo aphasia xa isigulane ngasinye athe wabonakala ngeendlela ezahlukeneyo. Oku kuxhomekeke kuphela ngobume bempilo kunye ubudala, kodwa kumanqanaba emfundo kunye nezenkcubeko loo mntu, kwakunye neempawu zobuntu bakhe.

Xa ke etsolo (stroke) zingenzeka aphasia nangoko iyonke, apho isigulane akakwazi ukuba iprofethe isandi. Kodwa, yona, ngokufuthi ekugqibeleni iqale kwakhona.

Kulo mzekelo, kufutshane, efuna ukunceda umntu owenzakeleyo kuba xa sithetha ememeza, ezama ukubaphembelela ukuba ukuthetha - unako Ndokuva kakuhle. Musa kwakhona wayebhekisela abagulayo, ukuba ukuthetha izivakalisi ezimbaxa, njengoko kwimbono inkqubo ngasentla ngeli xesha kunzima kakhulu. Kodwa kwangaxeshanye kufuneka kukhunjulwe ukuba isigulane hayi kakuhle obuhlakani. Ingxaki kuba indoda sikuko ubunzima pronunciation!

Motor aphasia - unyango kuxhomekeke kwizinto ezininzi

Ngelishwa, thina umva ngokupheleleyo kuba nzima emva kokuba nobetho okanye ukwenzakala ebuchotsheni. Kodwa ke isigulane kunye sengqondo ilungelo lo ongqongileyo kunokwenzeka ukuba ngokwaneleyo ukubuyisa izakhono zonxibelelwano.

Kakade ke, okokuqala nje kubalulekile ukuqhuba uviwo olunzulu isigulane ukufumanisa unobangela zokuphula. Njengoko usazi, ngoko inxalenye yengqondo ochaphazelekayo kuxhomekeke kakhulu ubuchule kunye nentetho recovery.

Ukusebenza owayendifundisa ukuthetha eqhotyoshelweyo kunye namayeza. Xa unyango uxilongo "logaphasia" ngokuqhelekileyo kuquka ukufumana loo mithi "Cavinton" "Korsavin" "Telektol" et al., Ukuba ulwalathiso vasoactive (bona ukuphucula igazi kwemali engqondweni). Enye ezithandwayo kunye anticholinesterases ezifana "Amiridin" yaye "galantamine" (zibe nefuthe emnandi kwinkqubo yawo luvo), kwakunye relaxants kwezihlunu, ukuhla ithowuni kwezihlunu zamalungu kofe (iziyobisi "Elatin" yaye "Mydocalm"), kunye nootropic izinto.

Kunye nonyango emzimbeni iziganeko ezibalulekileyo ngohlobo imithi, yokuthanjiswa, unyango ngokwasemzimbeni kunye electrostimulation.

Indlela ukubuyisela ngayo kwibakala lokuqala

Sele nisaqala emva ingxaki ibanjiwe motor aphasia ifuna ukulungiswa, ekubeni recovery isebenzayo zentetho kunokwenzeka kuphela ngenyanga yokuqala ukususela ekuqaleni kwesi sifo (emva iinguqu ezibalulekileyo HIV badla azabonakala).

Ngoko kuyimfuneko ukuba azame ukuya kwintetho "disinhibited", ukuba umsinga ilizwi isigulane. Oko kukuthi, abo ukunceda isigulane, sichukumise indlela ubuncinane ezinye izandi, ukuba usebenzise zonke iimpawu. Umzekelo, ukunika ukuxelisa umsindo: "Ndixelele, achontsizayo amanzi?" - "drip, uvuza". Okanye: "? Njani howls umoya" - "Oo-oo-oo". Omnye umzekelo: "iya njani imoto?" - "F-Well-Well". Kulo mzekelo, isandi kufuneka nokucacisa kakhulu, ukuba isigulana aqonde indlela isithethi ngoxa Oluma umlomo wakhe.

Ezinye iinkalo aphasia ulungiso motor

Ukuba isigulana umntu motor aphasia isidanga onobulali, musa umkhuthaze ukuba ukusebenzisa izimbo zomzimba okanye yobuso endaweni yamagama, zama ukuvuselela ngayo. Kodwa musa ukunyanzela iziganeko, ukuphumeza pronunciation icocekile. Akufunekanga rhoqo ukulungisa yonke into wathi sisigulane.

Mnike isigulane ukuba agqibe kuwe, umzekelo, lo mzekeliso ezaziwayo-kakuhle: "kwi ezicothayo ibheke - on ..." Masenze ekuqaleni akazange ukuya kuthi onke amazwi ngokwaneleyo bexelisa izandi ezibanga nokuxhokonxa intetho. Oku kuya kunceda usapho kunye iifoto. Kufuneka ucele ukubona kubo, yaye umntu wamthiya igama lakhe.

Xa disinhibition uqale, zama ukusebenzisa izenzi adibanayo zonke iintlobo zonxibelelwano: ukuthetha, ukubhala, ukufunda. Umzekelo: "Yintoni eyenza ikati?" - "Mothers." Vumela ogulayo ovakalisa nje ilizwi, kodwa ufumanisa ukuba phakathi iisiginitsha ecetywayo ezihambelana kumfanekiso.

Kufuneka wenze ntoni xa aphasia kakhulu

Njengoko kukhankanyiwe ngasentla, iqondo lunzima aphasia kubangela ukuba umntu akakwazi ukuba awathethe nkqu lwegama, kungekhona nje ilizwi. Kulo mzekelo, kubalulekile ukuba sequence ngalo, ukuphindaphinda amagama eentsuku zeveki okanye becula.

Into yokuba ezi nkqubo nokuhambisa ngakumbi, yaye ulawulo udlula sele kwezinye iindawo ebuchotsheni. Ngoko ke, ngaphandle ilandelayo kuwe: "Inye, zimbini, zintathu, zine," isigulane uthi izandi ngaphandle kwamathandabuzo. Hi ndlela leyi, Lelona eyenzekayo kule nkqubo ukucula. Le ngoma ngexesha elinye kufuneka ibe yeqhelekileyo kakhulu kwaye kulula kangangoko kunokwenzeka. Ekuqaleni, ukucula kunye isigulane, uze ubakhuthaze bonke, nkqu iinzame ezingacacanga lokuzimela-ukucula okanye akhawunti.

Khumbula ukuba zonke izigaba izigulane kwimo yesiqhelo kufuneka iintetho PEP kunye noqeqesho lukhuthazo njengoko QUOTIENT ngokweemvakalelo - yinxalenye ebalulekileyo ekoyiseni ngempumelelo iintlobo mafutha of aphasia.

A amagama ambalwa esiphelweni

Sebenza kwi ukubuyiselwa intetho - nto kakhulu yinkqubo ende kwaye kunzima. Oku kufuna iinzame kunye igqirha ukuya, intetho therapist, yaye, ke, okusingqongileyo ukuyicokisa ixhoba. Ngaphezu koko, ukulungiswa aphasia motor kufuneka kwenziwa kube kwinqanaba lobungcali, kwaye ngokukhawuleza iqalwa, ngcono amathuba empumelelo.

utshintsho emihle izigulane abaselula ngokukodwa. A Imveliso kulogo ukusuka motor aphasia karhulumente, ngokuzenzekelayo, ukuze sihambe nkinga.

Cinga konke oku, musa ukuphelelwa ukholo impumelelo - niya kuphumelela!