Kev nyuaj ntawm kev hais lus yog ib qho teeb meem ntawm kev hais lus, vim tias kev sib txuas lus ib txwm thiab kev sib raug zoo ntawm tib neeg nrog tib neeg tsis tuaj yeem ua tsis tau. Kev ua txhaum cai yog qhia los ntawm kev sib txawv hauv kev ua haujlwm ntawm psychophysiological mechanisms ntawm kev hais lus, yog tias kev loj hlob tsis sib haum rau hnub nyoog.
Ib qho tsis xws luag yog hais lus slurred, uas ua rau nws nyuaj rau tus neeg sib txuas lus. Cov kws kho mob hais lus, kws kho mob hlwb, kws kho mob hlwb, kws kho mob otolaryngologist thiab lwm tus kws kho mob tshwj xeeb tau koom nrog hauv kev kawm thiab kho cov teeb meem no. Lawv ua haujlwm nrog cov neeg laus thiab menyuam yaus.
Symptoms
Pathology tuaj yeem hais tawm thaum tsis hais lus lossis ua txhaum ntawm kev hais lus. Qhov no tuaj yeem tshwm sim nrog cov tsos mob hauv qab no:
- hais lus tsis meej thiab qeeb, nws qhov tsis raug cai.
- Ib tug neeg nyuaj xaiv lo lus thiab npe yam tsis raug.
- hais lus nrawm tab sis tsis muaj qab hau.
- Tsev xav.
- Sib cais cov lus thiab ua rau txhua tus.
Vim li cas nws tshwm hauv cov neeg laus?
Slurred hais lus nyob rau hauv cov neeg laus tuaj yeem tshwm sim tam sim ntawd lossis loj hlob zuj zus. Nws tuaj yeem tshwm sim hauv cov menyuam yaus. Cov kws tshaj lij thawj zaug pom tias vim li cas qhov no tshwm sim, thiab tsuas yog tom qab ntawd pib kho. Slurred hais tuaj yeem tshwm sim vim muaj ntau yam. Cov laj thawj yog raws li nram no:
- Brain disorders.
- Kev raug mob rau lub hlwb vim mob stroke lossis thrombosis.
- raug mob taub hau.
- hlwb hlav.
- kab mob Degenerative.
- haus ntau dhau.
- Nyob ntsej muag nqaij leeg.
- Zoo lossis nruj hniav hniav.
Tsab mob ntawm cov menyuam yaus
Kev hais lus tsis txaus ntseeg hauv tus menyuam muaj feem cuam tshuam nrog ntau yam mob. Cov tseem ceeb suav nrog:
- Zoo ntawm nqe lus yog kev hais lus tsis meej.
- Sab hauv tsim - kab lus tsis meej.
Ntau yam kev ua txhaum
Slurred hais lus ntawm phonation (sab nrauv) tsim tshwm sib cais thiab ua ke nrog lwm yam teeb meem. Hauv kev hais lus kho mob, muaj cov kev ua txhaum cai hauv qab no:
- Aphonia thiab dysophonia. Muaj teeb meem los yog tsis muaj phonation vim pathologies ntawm lub suab apparatus. Feem ntau muaj kev ua txhaum ntawm lub suab, lub zog, lub suab ntawm lub suab.
- YBradilalia. Hais lus qeeb. Qhov peculiarity yog qhov kev siv qeeb ntawm kev hais lus articular.
- Tahilalia - nrawm nrawm ntawm kev hais lus. Accelerated articulation hais lus program.
- Tshuaj. Lub koom haum ntawm kev hais lus raug cuam tshuam thaum cov leeg ntawm cov khoom siv hais lus raug mob. Feem ntau tshwm hauvme nyuam.
- Dyslalia. Qhov no pathology yog nthuav tawm nyob rau hauv daim ntawv ntawm ib tug teeb meem nyob rau hauv lub pronunciation ntawm lub suab, thaum hnov thiab innervation ntawm cov hais lus apparatus nyob rau hauv tib neeg yog ib txwm. Muaj ib tug distorted suab tsim ntawm cov lus. Qhov no yog lus slurred. Lub suab tuaj yeem hais tsis raug, hloov lossis sib xyaw.
- Rhinolalia. Kev hais lus ntawm lub suab thiab lub suab ntawm lub suab yog cuam tshuam, uas cuam tshuam nrog kev cuam tshuam ntawm kev hais lus apparatus. Kev hloov pauv hauv lub suab ntawm lub suab yog tshwm sim thaum lub suab nrov ntawm huab cua nkag mus rau hauv lub qhov ntswg kab noj hniav thaum exhalation thiab hais tawm. Qhov no ua rau muaj kev cuam tshuam.
- Dysarthria. Kev hais lus cuam tshuam, uas cuam tshuam nrog tsis txaus innervation ntawm cov khoom siv hais lus. Tus kab mob no tshwm sim los ntawm lub paj hlwb palsy, uas tau kuaj pom thaum ntxov.
qauv thiab semantic tsim ntawm kev hais lus
Rau lub hauv paus no, kev tsis sib haum xeeb tau muab faib ua 2 hom: alalia thiab aphasia. Txhua hom kab mob muaj nws cov tsos mob. Alalia manifests nws tus kheej nyob rau hauv daim ntawv ntawm tsis tuaj kawm ntawv los yog tsis tiav kev loj hlob ntawm kev hais lus. Qhov no tshwm sim vim kev puas tsuaj rau thaj chaw ntawm lub hlwb uas yog lub luag haujlwm rau nws. Tus kab mob no yuav tshwm sim thaum lub sij hawm cev xeeb tub los yog thaum ntxov.
Thaum alalia zoo li hais lus slurred. Qhov kev tsis zoo no suav hais tias yog ib qho nyuaj tshaj plaws, vim hais tias kev ua si tsis tau ua tiav. Aphasia yog hu ua qhov tsis muaj peev xwm hais lus, uas tshwm sim vim kev puas tsuaj hauv zos rau lub hlwb. Vim li cas cov lus tsis txaus siab tshwm sim nrog qhov teeb meem no? Qhov no yogcuam tshuam nrog kev raug mob lub hlwb, neuroinfections thiab mob hlwb.
Kev kuaj mob nta
Nws yog qhov tsim nyog los tshuaj xyuas cov lus tsis txaus siab uas tus neeg mob tau hais. Cov keeb kwm ntawm tus kab mob no kuj coj mus rau hauv tus account. Cov kws tshaj lij feem ntau nug thaum hais lus tsis txaus ntseeg tshwm sim thiab seb puas muaj cov txheeb ze raug mob li no. Nco ntsoov mus ntsib tus kws kho mob neurologist, mus rau kev kuaj mob. Tus kws kho mob yuav tshuaj xyuas cov mandibular thiab pharyngeal reflexes, tshuaj xyuas lub pharynx, xyuas kom meej tias muaj atrophy ntawm cov leeg ntawm tus nplaig.
Tshuaj xyuas qhov cuam tshuam ntawm cov ceg qis thiab sab sauv. Koj yuav tsum tau kuaj los ntawm tus kws kho hais lus. Tus kws kho mob soj ntsuam kev ua tau zoo ntawm kev hais lus, qhia txog kev ua txhaum ntawm kev sib tw, kev nyuaj. Kev ntsuam xyuas los ntawm tus kws kho mob otolaryngologist yog qhov tsim nyog, uas yuav tiv thaiv cov txheej txheem hauv lub qhov ncauj li abscesses thiab qog, uas tuaj yeem ua rau muaj teeb meem.
Computed tomography thiab magnetic resonance imaging ntawm lub taub hau raug ua, uas yuav qhia tau hais tias yog vim li cas slurred hais lus. Ua rau cov neeg laus thiab menyuam yaus kuj tau txiav txim siab hauv kev sab laj nrog kws kho mob neurosurgeon. Tsuas yog tom qab kuaj tau tiav lawm, txoj kev kho mob raug sau tseg.
Txoj Cai Kev Kho Mob
Yog kuaj pom cov lus tsis txaus ntseeg, kuv yuav ua li cas? Nws yog ib qho tsim nyog los kho tus kab mob tseem ceeb uas ua rau muaj kev ua txhaum cai:
- Cov qog nqaij hlav raug tshem tawm.
- Kev kho ntawm hematoma, yog tias nws nyob ntawm qhov chaw.
- Kev phais tshem tawm cov abscesses hauv pob txha taub hau, ua raws li kev teem caij ntawm cov tshuaj tua kab mob.
- Normalization ntawm siab.
- Siv nyiaj los kho cov metabolism thiab lub hlwbntshav ntws.
Cov neeg muaj ntau yam kab mob yuav tsum tau mus ntsib kws kho mob hais lus kom qhov tsis muaj peev xwm kho tau nrog kev pabcuam tshwj xeeb. Kev xyaum tsis tu ncua yog qhov tseem ceeb.
Txoj Cai Kho Hais Lus
Speech disorder tshwm tsis tau tsuas yog vim hais tias ntawm pathology ntawm articulatory apparatus, neurological pathology thiab tus cwj pwm ntawm kev hais lus tsis raug. Lwm qhov laj thawj yog qhov laj thawj ntawm kev puas siab puas ntsws. Thaum zoo siab, ib tug neeg hais lus ua NW nyuam qhuav hnov thiab yuav luag incomprehensible.
Txoj haujlwm ntawm tus kws kho hais lus kom rov hais lus yog ua raws li cov hauv qab no:
- kev taw qhia tus kheej.
- Tsim ib puag ncig kev txhawb siab.
- Kev sib tham nrog niam txiv.
- kev txhawb siab zoo.
chav kawm hais lus kho mob koom nrog kev txhim kho kev txav mus los ntawm cov cuab yeej articulatory. Kuj tseem muaj kev ua haujlwm ntawm lub suab thiab kho dua tshiab ntawm kev hnov lus. Cov kws tshaj lij ua haujlwm nrog menyuam yaus hauv kev ua si, siv kev hais lus ua si, khoos phis tawj. Cov dej num ua ke tau ua tiav, suav nrog kev hloov pauv kev mloog ntawm ib qho haujlwm mus rau lwm qhov.
Rules for speech formation
Cov chav kawm nrog tus kws tshaj lij ntawm cov menyuam yaus tso cai rau koj los tsim cov lus muaj peev xwm, hu tau meej meej. Tab sis cov dej num no yuav tsis txaus. Tus kws kho hais lus tsuas yog pab muab lub suab. Txhua yam nyob ntawm tus menyuam thiab niam txiv.
Yuav kom hais lus kom ua tiav, yuav tsum tau ua raws li cov cai hauv qab no:
- Tsis yogkoj yuav tsum cem tus me nyuam kom hais lus tsis zoo, tsuas yog ua tib zoo kho nws.
- Yuav ua li cas yuav tsum tau qhia.
- Tsis txhob tsom mus yuam kev, dawm.
- Yuav tsum tau teeb tsa zoo rau cov chav kawm nrog tus kws kho hais lus.
- Cov niam txiv yuav tsum tau saib lawv cov lus thiab.
Huab cua thiab tiv thaiv
Kev hais lus tsis zoo tuaj yeem kho tau los ntawm kev pib ua haujlwm no thaum muaj hnub nyoog ntxov lossis thaum ntxov. Lub luag haujlwm tseem ceeb hauv kev txhim kho tus mob yog cuam tshuam los ntawm cov neeg nyob ib puag ncig thiab kev siv zog ntawm tus neeg nws tus kheej. Yog tias qhov kev ua txhaum cai raug kuaj pom raws sijhawm, nrog rau kev kho mob pib, nws muaj peev xwm ua tiav kev hais lus zoo. Cov me nyuam no tseem kawm ntawv hauv tsev kawm ntawv tsis tu ncua thiab sib raug zoo nrog cov txiv neej.
Nrog cov kab mob nyuaj, nws tsis yooj yim rau kev txhim kho hauv kev hais lus. Koj tsuas tuaj yeem kho qhov kev hais lus ua haujlwm. Nyob rau hauv cov xwm txheej zoo li no, qhov nyuaj ntawm kev ntsuas yog dav dua, thiab tus neeg mob yuav tsum tau mus ntsib ib lub koom haum tshwj xeeb. Nws yog ib qho tsim nyog los saib xyuas qhov txuas ntxiv ntawm cov koom haum kho kev hais lus: mus rau cov tsev kawm ntawv tshwj xeeb, cov tsev kawm kho mob. Nws tseem ceeb heev uas yuav tau kho hauv tsev kho mob neuropsychiatric yog tias nws tau muab los ntawm kws kho mob.
Kev tiv thaiv suav nrog kev siv cov dej num zoo txij thaum yug los. Tus me nyuam yuav tsum tau tiv thaiv los ntawm neutroinfection, raug mob ntawm pob txha taub hau thiab hlwb. Nws yuav tsum tsis txhob cuam tshuam los ntawm cov tshuaj lom.
Nws yuav tsum raug coj mus rau hauv tus account tias kev vam meej tuaj nrog txoj hauv kev zoo thiab lub koom haum nyuaj ntawm cov xwm txheej. Nrog rau kev kho mob ib txwm muaj, cov txheej txheem tsis yog ib txwm yuav tsum tsis txhob hnov qab. Nws yog ib qho tseem ceeb uas yuav tsum tau uakev ua ub ua no ntawm lub cev. Kev siv ntau txoj hauv kev tuaj yeem tsim cov txiaj ntsig zoo yog tias siv kom raug.
