Ma mua o ka hoʻomaka ʻana. Inā ʻoe he loea makemake i ka mālama ʻana o aphasia, ua hoʻomākaukau mākou i ka papa wikiō wikiō like ʻole "Ka mālama ʻana i ka aphasia: nā pono hana" (€ 80). Ma mua o 4 mau hola ma ka hana ʻana me nā mea hoʻoiho a me ke komo ʻana i ka ʻike i ka ʻike.

 

ʻAʻole maʻalahi ke ʻōlelo he aha ka lexical lapaʻau aʻu e lawe ai ʻoi aku nā keu pono no ke kanaka me ka aphasia. Ua hoʻāʻo ʻo ia e pane i ka nīnau Yael Neumann (2018) [1]

ʻO ke aʻo

ʻO ke kumu o kēia noi ʻana e wehewehe pono inā pili ka phonological a me ka semantic therapy i nā hopena ʻokoʻa i loko o nā kānaka me nā ʻano aphasia. Ua komo ka poʻe i komo i ka Semantic Feature Analysis (SFA) a me ka Phonological Components Analysis (PCA).

Ua hōʻike ʻia nā hopena nā hopena ʻokoʻa mai ka mea hoʻomanawanui i ka mea hoʻomanawanui. Ma waena o nā kumu i hoʻohālikelike ʻia i nā hopena o ka mālama ʻana, ke alapine o nā anomalies, ke kauoha i loaʻa ai i kēlā me kēia mea maʻi nā lāʻau, a me nā palena ponoʻī o ka mea maʻi e like me ka mea nui.


Hoʻokomo ʻia ka laʻana kūmole no ka noi o 4 i komo ma waena o 38 a 60 (3 kāne a me 1 wahine) e like me nā ana hoʻohālikelike i lalo

  • Hahau unilateral o ka hemisphere hema
  • ʻ .lelo Pelekane ʻAmelika Pelekane
  • Loaʻa i ka palapala puka kula lua
  • Ma hope o ka hahau ʻana, ke kū ʻana o aphasia me nā pilikia lexical i kaha ʻia
  • ʻO ka loaʻa ʻole o nā pathological neurological comorbid e hoʻopili i ka noʻonoʻo i ka ʻaoʻao.

Eia kekahi, ua kaulike nā ʻano ʻelua, nā semantic a me nā phonological, e pili ana i ka paʻakikī a me ka hoʻonohonoho ʻana. ʻElua manawa i kēlā me kēia pule, 525 mau kiʻi ʻeleʻele a keʻokeʻo hoʻi o nā inoa paʻa paʻa o ka International Picture Naming Project (IPNP) i hōʻike ʻia i kēlā me kēia mea komo (Szekely 2004 [2]).

ʻO nā pae hoʻohālikelike no ke koho ʻana i nā huaʻōlelo paʻakikī loa no kekahi mea hoʻomanawanui ma luna o ʻekolu mau ʻano hana i ka manawa o nā kau lexical rehabilitation ʻelua.

  • Ka hāʻawi ʻana i kahi pane pololei ʻole ʻelua mau manawa i ka lālani
  • Hāʻawi i kahi pane kūpono ʻole a me kahi hoʻoponopono
  • Hoʻokahi wale nō pane hewa i hāʻawi ʻia a hoʻokahi pane pololei i hoʻokahi manawa

Hoʻopaʻa ka noiʻi e loiloi i nā hopena o kahi semantics a me nā phonology i mālama ʻia i ka mālama ʻana no ka mālama ʻana i ka pololei lexical. Hoʻopili ʻia ka ʻikepili i hāʻawi ʻia e ka laina kumu i nā papa inoa huaʻōlelo ʻekolu:

  • Nā huaʻōlelo no ka mālama ʻana iā SFA
  • Nā huaʻōlelo no ka hoʻomaʻamaʻa PCA
  • ʻO ka papa inoa huaʻōlelo no ka mālama ʻana ʻaʻole i kau ʻia ma nā ʻano ma mua (papa helu inoa)

I ka pae 1, ua aʻo ʻia nā huaʻōlelo mai ka papa inoa mua a ua hōʻiliʻili ʻia ka ʻike ma nā papa inoa ʻekolu. I ka mahele 2 ua aʻo ʻia nā huaʻōlelo mai ka papa inoa ʻelua a ua hōʻiliʻili hou ʻia nā ʻikepili ma nā papa inoa ʻekolu. Hāʻawi ʻia nā mea komo i ka lāʻau SFA a me ka pae PCA 1. Ma hope, ua loaʻa i nā mea loaʻa i ka lāʻau SFA ka lāʻau PCA a ʻo ka mea ʻē aʻe.

Nā hopena

Loaʻa nā hopena ua hōʻoia i nā hopena i hala e pili ana i nā pono i hiki ke huki ʻia mai nā ʻano hana like ʻole o ka lapaʻau lexical ma 3 o nā mea komo ʻehā me ka anomie lexical māmā, me ka nānā ʻole i ke ʻano - phonological a semantic - i hoʻohana ʻia.

Kuhi ʻia kēia hopena ma muli o ka hoʻopili ʻia o nā ala like ʻelua i mea e hoʻoulu ai i nā pae ʻelua o ka hana semantic a me ka lexical, ʻoiai ke kumu o ka hoʻopaʻa ʻana e kia i nā ʻano like ʻole o kēlā me kēia hoʻokokoke. ʻO ka mea hoʻomanawanui me kahi anomaly papa waena, akā naʻe, hōʻike i ka hoʻomaikaʻi wale me ka hoʻokokoke mua a ʻaʻole me ka lua. No laila, ʻo nā palena ma muli o ka umekaumaha a me ka hiki ke hana he kuleana nui i ka loaʻa ʻana o ka ʻikepili.

Eia kekahi, manaʻo ʻia me me ka hoʻonui i ke koʻikoʻi ua hōʻea ka mea maʻi i kona palena no ka hoʻomaikaʻi ʻana i ka hopena o ka pōʻaiapuni mua o ka hoʻomaʻamaʻa, i mea e hōʻemi ai i ka palena no ka hoʻomaikaʻi i loaʻa i ka ʻāpana ʻelua o ka lāʻau. Hoʻohālikelike ʻia ka mālama ʻana i ka ʻikepili o ka mālama ʻana a me nā ʻaoʻao no ka hoʻomaikaʻi

Ua hōʻike ʻia nā ʻike ʻepekema e pili ana i ka laulā.

  • no ka poʻe me ka aphasia akahai, ʻokoʻa i ka anomia kaulike
  • lapaau i hāʻawi mua ʻia me ka lāʻau i hāʻawi ʻia i ka lua.

Hōʻike kēia i ka piʻi ʻana o ka nui o ka anomie, ʻoi aku ka maʻalahi o ka hōʻemi ʻana i ka palena o ka mālama ʻana, no laila e hōʻemi ana i ka hiki ke hoʻonui a loaʻa i nā hoʻomaikaʻi ma hope o ka papa mua o ka lapaʻau, me ka nānā ʻole inā phonological a semantic paha.

Nā palena

He mau palena ko ka hoʻopaʻa ʻana: ʻo ka mea mua, ua liʻiliʻi ka laʻana a ʻoiai ka ʻike mai nā hihia pākahi, pono e hoʻonui ākea me nā akahele. Eia kekahi, ua ʻākoakoa nā mea komo ma ke kumu o ke ana hoʻohālikelike wale nō, a ʻaʻole i hoʻokalakupua ʻia e ka nui o ka aphasia a me nā ʻano maikaʻi e like me ka hoʻoikaika ʻana. ua helu ʻia kēia koho e hōʻike pololei i ka heluna lehulehu, ʻoiai inā ua alakaʻi ia i kahi kaulike ʻole (3 mau kumuhana me ka anomia akahai, hoʻokahi me ka anomia kaulike). ʻO kahi palena nui loa ma muli o ka ʻoiaʻiʻo, i ka wā o ke aʻo ʻana, ʻekolu o nā mea maʻi ʻehā ua hoʻokō lākou i nā pōʻaiapili ʻē aʻe o ka haʻi ʻōlelo.

ʻia ....................

[1] Neumann Y. He hihia moʻo hoʻohālikelike o semantically nānā vs. ua kālele ʻia ka phonologically cued inoa lapaʻau ʻana ma aphasia. ʻO Phon Linguist Clin. 2018; 32 (1): 1-27

[2] Szekely A, Jacobsen T, DʻAmico S, et al. ʻO kahi kumuwaiwai laina hou no nā haʻawina psycholinguistic. J Mem Lang. 2004;51(2):247-250

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