Rehabilitation of language disorders due to stroke at Nghe An Rehabilitation Hospital

Article: Thanh Hien; Photo: Duc Anh DNUM_BHZACZCACA 10:48

(Baonghean) - To restore language disorders caused by stroke, for children with speech delay... recently, Nghe An Rehabilitation Hospital has established a "Speech Therapy" unit and sent 4 people to study "Speech Therapy" and "Audiology Therapy", including 1 doctor (Tang Thi Nga) and 3 bachelors of Physical Therapy - Rehabilitation technicians.

Reason

Master Thai Thi Xuan - Director of Nghe An Rehabilitation Hospital said: Language loss is expressed in speech as distortion, which is a phenomenon such as losing the final vowel when pronouncing. Some people after a stroke become babbling like children learning to speak. There are cases of losing the rhythm of speech, changing the voice, the tone of the language is changed, some people speak with accents like foreigners. Stuttering and speaking incorrectly also appear in some cases. Lack of words also often occurs in these patients, the patient cannot or has difficulty calling out the exact name of the object, even though they really want to describe it.

In some cases, the doctor must understand what the patient wants to say, then say the first sound of a word to help the patient continue speaking. Some people with dysarthria use words that do not match the things they are saying. There is no connection between the correct word and the word the patient utters, and the word often lacks meaning.

Hướng dẫn điều trị âm ngữ cho bệnh nhân tai biến
Treatment of language disorders in stroke patients.
Stroke is the leading cause of this type of aphasia. It not only causes loss of speech but also loss of writing ability. Thrombotic or occlusive occlusions of the left internal carotid artery and/or left middle cerebral artery are major causes of this type of aphasia. Transient ischemia in the area of ​​the left internal carotid artery may cause transient aphasia. Bleeding from rupture of an artery due to hypertension or rupture of a vascular malformation can also result in aphasia.

It has been found that prolonged migraines can also lead to this consequence. Open or closed head injuries in war or in daily life (traffic accidents, industrial accidents) are also a common cause of aphasia. Brain tumors can also cause aphasia and may be a typical symptom of a left temporal lobe tumor. Infections causing abscesses or dissemination (encephalitis) can cause this condition. Language disorders can be a symptom of a focal seizure.

Consequences of language loss

Recently, Nghe An Rehabilitation Hospital has received many patients for treatment and language rehabilitation due to stroke, children with speech delay... Patient Nguyen Thi Thu Ha (54 years old) from Nghia Xuan commune (Quy Hop) is one of the cases of stroke leading to slurred speech.

Mr. Truong Van Tung (husband of patient Nguyen Thi Thu Ha) said: "My wife had a stroke 3 years ago. After rehabilitation treatment, she can now move her limbs, but she still cannot walk on her own and needs help." The biggest difficulty for Ms. Ha is her slurred speech. After careful research, the family took Ms. Ha to Nghe An Rehabilitation Hospital for "speech therapy" combined with rehabilitation of her mobility.

Not only Ms. Ha's case, but currently at Nghe An Rehabilitation Hospital, many patients with strokes leading to loss of speech and slurred speech are being treated. For example, patient Nguyen Van Tuyen (in Dien Chau) is 45 years old this year. Ms. Thai Thi Minh - the patient's family member said: "Mr. Tuyen has had a stroke for 8 years now, due to not having the conditions to go for treatment, in addition to his slow movement, his pronunciation is not clear, leading to listeners not understanding, causing difficulties in daily life and communication".

Talking with Dr. Tang Thi Nga - the first doctor of the Hospital to be sent to attend the joint training course on "Speech Therapy" and Audiology at Hue University of Medicine and Pharmacy in collaboration with Chonbuk National University, Korea, said: "The major "Speech Therapy" aims to treat the main diseases: Speech disorders (unclear speech, children with hearing loss, children with cerebral palsy, children with cleft lip and palate, voice disorders in Parkinson's disease, dysarthria, stuttering...); language disorders: children with delayed language development, hearing loss, children with autism spectrum disorder; communication disorders: loss of language after a stroke or traumatic brain injury, dementia, autism spectrum disorder; swallowing disorders. The purpose after treatment is to improve speech and language in daily communication so that patients are more confident in communication. The treatment time is often long, so it requires perseverance from patients and their families".

How is rehabilitation?

Rehabilitation of speech function for patients is a difficult and long-term problem, requiring the cooperation of doctors from neurology, otolaryngology, and rehabilitation. Progressive lesions such as brain tumors are very difficult to recover. If it is aphasia, the reduction in language quality due to cerebral hemorrhage has a better progression than the cause of cerebral infarction. In cerebral infarction, this disease is generally caused by arterial occlusion, but the prognosis is better than that caused by thrombosis. If aphasia occurs before the age of 10, the ability to recover is usually good, the older the person is, the less responsive to recovery.

In general, intelligence and learning efficiency in all cases are reduced after suffering from this disease.

When detecting a patient with a distorted voice or loss of voice, at first let the patient try his best to speak naturally, then prompt him to talk about the issues closest to him such as family, work, then ask him to speak according to the doctor's requests to assess the level of the patient's language disorder. Doctors and speech therapists set up attractive audiovisual aids and produce words and sentences. This is a rehabilitation method that requires not only good skills but also good psychological contact from the doctor.

Bệnh nhân Nguyễn Thị Thu Hà (Quỳ Hợp) đang điều trị rối loạn âm ngữ tại Bệnh viện phục hồi chức năng Nghệ An
Patient Nguyen Thi Thu Ha (Quy Hop) is being treated for language disorder by doctor Tang Thi Nga at Nghe An Rehabilitation Hospital.
Risk factors for atherosclerosis such as old age, family history of stroke, diabetes, high blood pressure, smoking, high blood cholesterol... are proven risk factors that can cause stroke, because they are related to atherosclerosis. Strict control of blood sugar in diabetic patients, adjustment of blood cholesterol disorders and smoking cessation will reduce the risk of stroke.

Among the risk factors for atherosclerosis, hypertension plays a more important role. The higher the blood pressure, the greater the risk. Antiplatelet drugs prevent atherothrombotic events including transient ischemic attacks and strokes. Aspirin and clopidogrel are widely used antiplatelet drugs.

The risk can be reduced by preventing the formation of atherosclerotic plaques in the cerebral arteries with a low-fat diet rich in vitamins and fiber, avoiding being overweight or obese, not using stimulants such as alcohol, beer, cigarettes and needing to be physically active.

With the spirit: "All for patient satisfaction".

Is "Where patients place their trust".

The first “Green - Clean - Beautiful” Hospital - Hotel model in Nghe An.

Address: No. 220, Binh Minh Street, Cua Lo Town, Nghe An.

Clinic Phone: 02383.922.922

24/7 hotline: 02383.922.922

Hotline: 0966.251.414; 0912.002.210

Director's phone number: 0912.487.568.

Featured Nghe An Newspaper

Latest

x
Rehabilitation of language disorders due to stroke at Nghe An Rehabilitation Hospital
POWERED BYONECMS- A PRODUCT OFNEKO