ʻO kēia mau maʻi ʻelima ke kumu aphasia, maʻi Bruce Willis

ʻElima mau maʻi like ʻole e hoʻouka ana i nā wahi ʻōlelo ma ka ʻaoʻao hema o ka lolo e hōʻeha mālie i ka ʻōlelo i ʻike ʻia ʻo primary progressive aphasia (PPA), e like me ka mea i koi aku i ka mea hana ʻo Bruce Willis e hoʻomaha, e like me kahi noiʻi hou. mai Northwestern Medical University.

"Ua ʻike mākou he kūlana paʻa ia e pili ana i kahi ʻāpana ʻē aʻe o ka pūnaewele ʻōlelo", i ʻōlelo ai ka mea kākau nui, ʻo Marsel Mesulam, ka luna o ka noiʻi.

"I kekahi mau hihia, hoʻouka ka maʻi i ka wahi i kuleana no ka grammar, ma nā wahi ʻē aʻe, kahi kuleana no ka hoʻomaopopo ʻana i nā huaʻōlelo. Ke holomua nei kēlā me kēia maʻi ma kahi ʻokoʻa a loaʻa nā hōʻailona like ʻole no ka hana ʻana.

ʻO ka Aphasia kahi maʻi ʻōlelo i hana ʻia ma muli o kahi hōʻeha a i ʻole kahi maʻi i ka hana ʻana o nā ʻāpana o ka lolo i kuleana no ka hōʻike ʻana, ka hoʻomaopopo ʻana, ka heluhelu ʻana a me ke kākau ʻana.

Ma muli o nā wahi o ka lolo kahi i loaʻa ai ka lesion a me ke kiʻekiʻe o kēia lesion, hiki i ka aphasia ke loaʻa i nā ʻano ʻano koʻikoʻi a hiki i ka mea maʻi ke hōʻike i nā pilikia ʻōlelo like ʻole.

Hoʻomaopopo pinepine ʻia ka maʻi i ka hoʻomaka mua ʻana, nele i ka mālama ʻana

ʻAʻole naʻe nā dementia a pau e ka maʻi o Alzheimer. Ua kuhi hewa pinepine ʻia ka maʻi i kona wā mua, me ka nele i ka manawa e lapaʻau ai.

Hoʻokumu ʻia kēia haʻawina ma ka pūʻulu nui loa o nā autopsies aphasia (118 mau hihia) i ʻākoakoa a ua paʻi ʻia ma ka puke pai ʻo Brain.

"Ua aʻo ʻia ka poʻe maʻi ma mua o 25 mau makahiki, e hana ana kēia i ka noiʻi nui loa a hiki i kēia lā e pili ana i ka manaʻolana o ke ola, ke ʻano o ka hōʻino ʻana i ka ʻōlelo, a me ka pilina o ka maʻi i ka poʻe o ka ʻōlelo ʻino," wahi a Mesulam, ke poʻo o ka neurology behavioral ma Northwestern Feinberg University. .

Ua hoʻopaʻa inoa ʻia nā poʻe maʻi PPA i kahi haʻawina longitudinal e komo pū ana me nā hoʻokolohua ʻōlelo a me nā kiʻi o ka lolo a me ka hana. Ua komo ka haʻawina i ka ʻae no ka hāʻawi ʻana i ka lolo i ka manawa o ka make. Ua manaʻo ʻia he hoʻokahi ma 100.000 poʻe i loaʻa iā APP, wahi a Mesulam.

Hiki ke kōkua ʻia nā hōʻailona mua o ka aphasia a hiki i kekahi manawa ke pili i ka hopohopo a i ʻole nā ​​pilikia ʻāʻī. Hiki ʻole i nā loea ke hana i kahi hōʻailona i ka manawa kūpono.

Ma 40% o nā hihia o ka aphasia, ʻo ka maʻi lalo he ʻano maʻamau o ka maʻi Alzheimer. He mea maʻamau ia no ka mea e pili ana ia i ka ʻōlelo ma mua o ka hoʻomanaʻo ʻana a no ka mea hiki ke hoʻomaka ma mua o ke kanaka ma lalo o 65 mau makahiki.

Ma 60% o nā hihia, ʻokoʻa loa nā kūlana o nā maʻi e hoʻopau ai i ka maʻi ma mua o ka frontotemporal lobe degeneration (FTLD). ʻOiai ʻaʻole i lohe ka hapa nui o ka poʻe, ʻo nā kūlana degeneration lobe frontotemporal ke kuleana no kahi o 50% o nā dementia āpau e hoʻomaka ana ma mua o ka makahiki 65. Hiki ke hoʻopaʻa ʻia kahi hōʻailona pololei me nā ʻano biochemical a me nā kiʻi kiʻi hou.

Ke ʻike ʻia ka maʻi kumu, nui nā ala like ʻole i ka maʻi (lāʻau) a me ka pae hōʻailona. "ʻO ke kī ʻo ka hoʻoponopono ʻana i ka aphasia ma nā pae ʻelua i ka manawa like," wahi a Mesulam.

Inā ʻo ka maʻi o Alzheimer ke kumu, hiki ke mālama ʻia ka mea maʻi me nā lāʻau lapaʻau a hāʻawi ʻia i nā hoʻokolohua lapaʻau. Ma ka pae hōʻailona, ​​hiki i ke kanaka paʻakikī i ka grammar a me ka huli huaʻōlelo ke loaʻa i ka lāʻau lapaʻau i manaʻo ʻia. E loaʻa i ka poʻe me ka ʻike huaʻōlelo ke ʻano ʻokoʻa o ka habitat therapy, a i ʻole transcranial magnetic stimulation, ʻoi aku ka maikaʻi no kēia hemahema. Hiki ke mālama ʻia ka hopohopo e pili ana i ka ʻimi huaʻōlelo me nā lāʻau anti-anxiety a me ka lāʻau lapaʻau.

Ma ka pae hōʻailona, ​​hiki i ke kanaka paʻakikī i ka grammar a me ka huli huaʻōlelo ke loaʻa i ka lāʻau lapaʻau i manaʻo ʻia.

ʻO ka hana mua o ka noiʻi ʻo ia ka hoʻomaikaʻi ʻana i ka pololei diagnostic ma o nā biomarkers hou e ʻike ai inā ke kumu o ka aphasia o ka mea maʻi ma muli o ka maʻi Alzheimer a i ʻole FTLD.

Makemake pū nā ʻepekema ʻĀkau Komohana e ʻimi i nā lāʻau lapaʻau kūpono no kēlā me kēia maʻi i lalo o ka maʻi a me ka hoʻokaʻawale ʻana i nā hana. ʻO kekahi mea ʻē aʻe ʻo ka hoʻolālā ʻana i nā hana hōʻailona non-pharmacological ma muli o ke ʻano o ka maʻi ʻōlelo.