I-Aphasia iyinqola yelimi eyenzeka ngenxa yomonakalo kwenye indawo noma ngaphezulu kwezinkulumo ezikhulwini. Kunendawo engaphezu kweyodwa yenkulumo ebuchosheni, futhi indawo ngqo yomonakalo kusuka kwesifo sokushaya isifo sinquma iphethini yokulahleka kwenkulumo. Izindawo zokukhuluma zobuchopho zisezindaweni ezivelele, okuyinto engxenyeni yobuchopho obuphambene nesandla sakho esiphezulu.
I-aphasia ehamba nge-Transcortical ingenye yezinhlobo ezingavamile ze-aphasia. Izinhlobo ezijwayelekile futhi ezaziwayo ze-aphasia, i-Broca's aphasia ne-Wernicke's aphasia, zibangelwa ukulimala ezindaweni ezihilelekile ekukhiqizeni inkulumo (Broca's aphasia) noma ukuqonda inkulumo ( I-Wernicke's aphasia).
Okunye, ukulahlekelwa kolimi okungavamile okungajwayelekile nakho kungabangela uma kunokulimala emagqumeni omzimba aphethe ulwazi phakathi kweWernicke noma indawo kaBraca, noma phakathi kwalezi zindawo nezinye izindawo zobuchopho ezicubungula izici ezicashile zolimi, ezifana nomzwelo, ithoni yezwi, ukucabanga nokubukeka.
Ama-aphasias ahamba phambili ahlanganisa izinhlobo ze-aphasias ezikhiqizwa ngokulimala noma kusukela ekuxhumaneni okuningi okuhlanganisa izindawo zolimi ebuchosheni. Kunezinhlobo ezintathu eziyinhloko ze-aphasia e-transcortical:
- I-transcortical motor aphasia
- I-aphasia ye-sensory ehamba phambili
- I-aphasia ehamba ngokuxubile
I-Transcortical Motor Aphasia:
Lezi zinkinga zolimi zifana nezindlela eziningi ze-Broca's aphasia, ebonakala ngokuyinhloko yenkathazo eveza inkulumo evamile. Empeleni, abantu abane-transsortical motor aphasia abakwazi ukusho ukuthi bathini ukusho ngoba abakwazi ukwakha amagama.
Kodwa-ke, uma umuntu ophethe i-Broca's aphasia ecelwa ukuba aphishe into ethile, angayenza ngaphandle kobunzima.
Ngokwesibonelo, umuntu ophethe i-Broca's aphasia uzoba nobunzima ngokuzisholo athi "Ngomile." Nokho, kulula ukuthi othile onomBraca's aphasia abuyele umusho othi "Ngomile" uma ebuzwa ukwenza kanjalo.
I-motor ehamba phambili ye-transsia ehamba phambili ingaveza inkulumo yokungabaza eyaziwa ngokuthi inkulumo ye-telegraphic. I-motorphasia ye-Transcortical ngokuvamile ibangelwa isifo esikude esiseduze nendawo kaBraca, ngaphambili.
I-Aphasia ebonakalayo ehamba phambili:
Abasindile bezinsizwa ngaloluhlobo olungavamile lwe-aphasia abakwazi ukuqonda lokho abanye abakushoyo, kodwa bangakwazi ukukhuluma kahle. Othile onaphasetha we-senssia uyakwazi ukuphinda amagama noma imisho abazwayo abanye, kodwa abakwazi ukuqonda ukuthi lawo mazwi noma imisho ukuthini.
Isibonelo, uma othandekayo wakho ene-senssia aphasia, lapho ezwa inkulumo ethi "ukhona ekhaya?" bangase baphinde bafunde ingxenye yombuzo bese bethi "wena ekhaya" noma uphendule umbuzo ngegama elifanayo "ingabe uhlala ekhaya?" Lolu hlobo lwe-aphasia lubangelwa ukulimala ezindaweni zobuchopho ezizungeze indawo yolwimi kaWernicke, indawo odlala indima enkulu ekuqondeni nasekuqondeni ulimi.
I-Aphasia e-Mixed Transcortical:
I-aphasia ye-transcortical ehlanganisiwe ibangela iphethini yokukhuluma ekhonjwe ukungakwazi ukukhuluma noma ukuqonda abanye lapho bekhuluma.
Kodwa-ke, nge-aphasia ehambelana ne-transcortical, ngokuvamile kungenzeka ukuphinda amagama noma imisho bese uhlabelela izingoma ezijwayelekile.
Kulolu hlobo olungavamile lwe-aphasia, izindawo eziyinhloko zolimi (Broca's noWerinicke) azilimazi ngokuvamile, kodwa izindawo ezizungezile, ezaziwa nangokuthi izindawo zokuxhumana zelwimi, zilimele. Kucatshangwa ukuthi ukulimala kulezi zindawo zomphakathi kushiya izindawo zikaBraca kanye neWernicke ezingahle zihlukaniswe nalo lonke uhlelo lwesimiso, ngaleyo ndlela zivimbela ukukhiqizwa kwenkulumo okuzenzekelayo kanye nokuqonda kokukhuluma okukhulunywe ngakho nokubhala. Isizathu esivame kakhulu se-aphasia ehamba ngokuxubile yi-aromatic waterhed stroke ezindaweni zokuxhumana zelwimi ngenxa yesikhumba esibucayi se- carotid stenosis.
Izwi elivela
I-Aphasia ingenye yokukhubazeka okunzima ukuhlala nayo ngemva kokushaywa yisifo. Kunamaphethini amaningi okukhuluma angathuthuka ngemva kokushaywa, futhi bonke benza ukukhulumisana kunzima, futhi mhlawumbe kuphazamise umsindisi osindayo nabathandekayo.
Ukuphila ne-aphasia kudinga ukubekezela, njengoba kunakekela umuntu osinde isifo esithile esine-aphasia. Kunezindlela eziningana zokwelashwa kwenkulumo ezingasiza ekukhulumeni inkulumo nokuxhumana ukuze kusize ukwandisa impilo yansuku zonke ngemuva kokushaywa. Qinisekisa ukuthi udlulisela ukukhathazeka kwakho ngezinkinga zakho zokukhuluma kuthimba lakho lezokwelapha ukuze ukwazi ukuqondiswa ekulungiseni okungcono kakhulu okutholakala kuwe, okungasiza ekuthuthukiseni ikhwalithi yakho yonke yokuphila njengoba uthola ukuphulukiswa kwesifo sakho.
> Izinkomba:
> I-aphasia e-transcortical mixed: umbiko wecala, i-Rosca EC, i-Mobile M, ne-Neurol Sci. 2015 Ngo-Apreli; 36 (4): 663-4.