
samsara-bhasha rogalakshanashasthram

 
samsaarabhaashayude rogalakshanashasthram (allengil samsaaravum bhasha rogalakshanavum) aagolathalathil parisheelikkunna oru aarogya samrakshana mekhalayaanu. speach-langwej pathology (slp) jeevithathiludaneelam ashayavinimaya vaikalyangal (samsaaravum bhasha vaikalyangalum), cognitive-communication vaikalyangal, shabda vaikalyangal, vizhungal vaikalyam ennivayude vilayiruthal, roganirnayam, chikitsa, prathirodham ennivayil vaidagdhyam nedunnu. american speach-langwej-hearing association (aasha), speach pathology austreliya thudangiya professional sthaapanangal chilappol "anubandha aarogya thozhil" allengil anubandha aarogya thozhilaayi kanakkaakkunna oru swatantra thozhilaanu ithu. oodiyoolaji, optometri, okyupeshanal therapy, rehabilitation saikkolaji, physical therapy ennivayum mattu anubandha aarogya thozhilukalum ulppedunnu. 
speach-langwej pathology mekhala oru speach-langwej paatholajist (slp) allengil speach aandu langwej theraappist (salt) ennariyappedunna oru clinisian chilappol speach theraappistum pariseelikkunnu. ashayavinimayathilum vizhungalilum professional sevanangal nalkunna sarvakalashaalayil pariseelanam labhicha vyakthiyaan slp. pediatricianmaarudeyum psychologistukaludeyum sahakaranathode oottisam spectrum disorderinte screening, roganirnayam, chikitsa ennivayil slips oru pradhana punk vahikkunnu.
ashayavinimaya vaikalyangal (samsaaravum bhasha vaikalyangalum), vaijnjaanika-ashayavinimaya vaikalyangal, shabda vaikalyangal, vizhungal vaikalyangal ennivayude vilayiruthal, roganirnayam, chikitsa, prathirodham ennivayil slp prathyeka vaidagdhyam nedunnu. oottisam spectrum desorder (palappozhum pediatricianmaarudeyum psychologistukaludeyum oru teamil) kandethunnathilum chikilsikkunnathilum slips oru pradhana punk vahikkunnu.
charithram.
aadyakaala charithram.
pathinettaam noottaandil samsara prasnangal rogathinte lakshanangalayi kanakkaakkappettirunnu. athinaal oru medical chattakkood upayogichu rogangal chikilsikkaan speach therapy nalki. eee kaalaghattatthile ariyappedunna doctormaaril oralaaya jeane-maarkk itaard medical model parisheelichu. navine swarakkuzhalineyum niyanthrikkunna njarambukalude prashnatthinte falamaanu idaral ennu 1817 leeii rachanakalil addeham sidhaantham cheythu. joonn thelvaalineppolulla mattu theraappistukal (vakthaavukal ennu vilikkappedunnu) medical modalinu athiraayirunnu. shasthrakriyakalkk pakaram, thelvaalinte therapy reethikalil vyakthigatha aavasyangalkkanusarichu anukaranam, vidyaabhyaasam, uthejanam enniva ulppedunnu.
oru thozhilaayi vikasippikkuka.
oru thozhilaayi slep vikasichathu lokathinte vividha pradeshangalil vyathyastha paathakalaanu sweekarichathu. pathonpathaam noottaandinte avasaanam muthal irupathaam noottaandinte arambham vare amerikkayile slpyude parinaamatthe thirichariyaan kazhiyunna moonnu pravanathakal swaadheenichu vakthruthva prasthaanam, shaasthreeya viplavam, professionalisatthinte uyarcha. 1900 kalude thudakkathil svayam prakhyapitha samsara thiruthalistukalude chila grouppukal undaayirunnuvenkilum, ippol american speach-langwej-hearing association aaya professional oorganaiseshan 1925 ll sthaapithamaayi.
thozhil.
speach-langwej paatholajistukal (slps) pradhaanamaayum vyakthigatha adisthaanathil, vyakthikalkkum kudumbangalkkum pinthunaa grouppukalkkum pothujanagalkk vivarangal nalkunnathinum vishalamaaya sevanangal nalkunnu. ashayavinimaya aavashyangalude nilavaaram vilayiruthunnathinum vilayiruthalukalude adisthaanathil roganirnayam nadathunnathinum thudarnnu roganirnayathe chikilsikkunnathino aavasyangal abhisambodhana cheiyunnathino ezz. ell. pii. kall pravartthikkunnu. ashayavinimayathinum vizhungal vaikalyangalkkumulla prarambha parisodhanayil ninnu aarambikkunna samsara sevanangal vilayiruthalum roganirnayavum, maanejment, edapedal, chikitsa ennivayumaayi bandhapetta upadesham nalkunnathinulla koodiyaalochana, eee vaikalyangalkk kaunsilingum mattu fooloo-upp sevanangalum nalkal ennivayil thudarunnu. thaazhepparayunna mekhalakalil sevanangal nalkunnu
strock, mastishka parikk, kelvikkuravu, vikasana kaalathamasam, pilarnna annaakk, cerebral palsy allengil vaikaarika prasnangal thudangi vividha kaaranangalal samsaram, bhasha, vizhungal vaikalyangal enniva undaakunnu.
samsaarabhaashayude rogalakshanam arculation disordezhs (udha.jii. engleesh samsaarikkunna vyakthikale parambaraagathamaayi budhimuttulla "aarr") ennu ucharikkaan sahayikkuka, koodaathe/allengil idarunna vyakthikalodulla perumaattam, ennaal vaasthavathil, samsara-bhasha pathology samsaram, bhasha, saksharatha, vizhungal, ashayavinimayathil ulppedunna shabda prasnangal ennivayude vishalamaaya vyapthiyumaayi bandhappettirikkunnu, avayil chilath ulppedunnu
samsaarathinte uthppaadanathinte gadakangalil iva ulppedunnu (i) shabdaprayogam (shabdam uthppaadippikkal), (ii) anurananaprabhavam, (iii) ozhukkullathukondu, (iv) svaraprayogam, (iv) svaravyathyaasam; (v) shabdam (shwasanathinte aeromechanical gadakangal ulppede).
bhaashayude gadakangalil iva ulppedunnu (i) shabdashaasthram (oru bhaashayude niyamangalkkanusrithamaayi shabdam kaikaaryam cheyyuka); (ii) roopaghadana (vaakkukalude gadakangal manasilakkukayum avaykku engane ardham parishkkarikkanaakum); (iii) vaakyaghadana (oru lakshya bhaashayude vyaakarana niyamangalkkanusrithamaayi vaakyangal nirmmikkuka), (iv) ardham nirmmikkunnathinayi vaakkukalo adayaalangalo polulla aashayavinimayathinte adayaalangalo chinnangalo vyaakhyaanikkuka; (v) praayogikatha (aashayavinimayathinte saamoohika vashangal).
praadhamika pediatric samsara, bhasha vaikalyangalil iva ulppedunnu (i) grahanaseshi, (ii) avishkaara bhasha vaikalyangal, (iii) samsara shabda vaikalyangal, (iv) balyakaala samsaaraprakriya (cases), (v) idaral, (vi) bhasha adisthaanamaakkiyulla patana vaikalyangal. speach paatholajistukal ellah praayathilumulla aalukalumayi pravartthikkunnu.
vizhungal vaikalyangalil vizhungal prakriyayude eathu samvidaanathileyum budhimuttukal ulppedunnu (athaayath.iii., ooral, farimjal, annanaala), athupole thanne functional dysphagea, feeding disordezhs. vizhungal vaikalyangal eathu praayatthilum sambhavikkam, athu onniladhikam kaaranangalal undakam.
multy-disciplin sahakaranavum.
mattu aarogya parirakshaa professionalukalumaayi slp sahakarikkunnu, palappozhum oru multidisciplinary teaminte bhaagamaayi pravartthikkunnu. audiologistukal, doctormar, danthadoktarmaar, nazhsumaar, nazhs praakteeshanarmaar, okyupeshanal theraappistukal, punaradhivasa psychologistukal, dieticianmaar, adhyapakar, behaviour kansalttantukal (praayogika perumatta vishakalanam), maathaapithaakkal ennivarkku vyakthigatha klayantinte aavasyangal anusarichu vivarangalum referralukalum nalkaan avarkk kazhiyum. udaaharanathinu, villal chundum annakkumulla rogikalkkulla chikilsaykku palappozhum multidisciplinary sahakaranm aavasyamaanu. villal chundum annakkumaayi bandhapetta samsara prasnangal pariharikkan speach-langwej paatholajistukalkku valare prayojanakaramaanu. aadyakaala bhasha edapedal labhikkuna kuttikalkk jeevithathil pilkkaalathu kompansettari error paattenukal vikasippikkanulla saadhyatha kuravaanennu gaveshanangal soochippikkunnu, ennirunnaalum sasthrakriya neratthe nadathumbol speach therapy phalangal saadhaaranayaayi mikachathaanu. sahakaranathinte mattoru mekhala sravanaprakriya vaikalyangalumayi bandhappettirikkunnu, avide vilayiruthalukalil sahakarikkanum samsaram, bhasha, koodaathe/allengil mattu vaijnjaanika-ashayavinimaya vaikalyangalude thelivukal ullidathu edapedal nalkaanum kazhiyum.
thozhil saahacharyangal.
vividha klinikkal, vidyaabhyaasa krameekaranangalil slp pravartthikkunnu. pothu, swakaarya aashupathrikal, swakaarya practiceukal, vidagdha nazhsing soukaryangal (snfs), deerghakaala acute cair (ltac) soukaryangal, hospi, hoome health cair ennivayil slp pravartthikkunnu. pothuvidyaalayangalilum kolejukalilum sarvakalaashaalakalilum pravartthikkunna vidyaabhyaasa sanbradaayathile pinthunaa gadanayude bhaagamaayi slps pravarthichekkaam. chila slpmar saamoohika aarogyathilum jayilukalilum yuva kuttavaalikalude sthaapanangalilum sevanangal nalkunnathilo baadhakamaaya kodathi kesukalil vidagdha saakshyam nalkunnathilo pravartthikkunnu.
viidiyoo konfarans allengil teleprectis vazhi samsara/bhasha sevanangal nalkunnathinu american speach-langwej-hearing association 2005 ll amgeekaaram nalkiyathinetthudarnnu, yunaittad stetsile slips eee sevana model upayogikkaan thudangi.
samsaram, bhasha, ashayavinimaya aavasyangal (ezz. ell. sii. enn) ulla kuttikal ashayavinimaya velluvilikal kaaranam kelkkappedathirikkaallu apakadathilaanu. slcn ulla kuttikalkk avarude ashayavinimaya aavasyangalekkurichu theerumaanamedukkunnathil thulya pankalikalaayi sajeevamaayi pankedukkaan kazhiyumennu upadeshikkunnundengilum, avarude jeevithathil labhyamaya thiranjeduppukale roopappeduthunnathinum swaadheenikkunnathinumalla oru upakaranamenna nilayil aashayavinimayathe pinthunaykkunnathinte praadhaanyam speach-langwej paatholajistukalkku (slps) avaganikkanaakum. parambaraagatha vidyaabhyaasavumaayi bandhapetta krameekaranangalil pravartthikkunna slipsinu eee kazhivukal valarthiyedukkunnathu prathyekichum nirnaayakamaan.
gaveshanam.
ashayavinimaya shaasthram, vaikalyangal, vizhungal vaikalyangal allengil mattu uyarnna aerodigestive pravartthanangal ennivayumaayi bandhapetta gaveshanam slp nadathunnu.
sidhaantha parisodhanayilum yukthisahamaya, anumaanathmakamaaya yukthiyilum adhishtithamaaya pareekshanathmakavum anubhavaparavum shaasthreeyavumaaya reethikal speach-langwej paatholajiyile gaveshanathil aadhipathyam pulartthunnu. aavishkaarathinte nirvachanam speach-langwej paatholajistukal vyakthamaayi pariganikkanam. eee mekhalayile mattu tharatthilulla gaveshanangal gunaparamaaya gaveshanathaal poorttheekarikkappedunnu, ithu puthiya saidhaanthika ulkkazhchakal, saankethikavidyakal, gaveshana reethikal ennivayilekkum njangalude upabhokthakkalkkum communitykalkkum prathikarikkunna vidhathil njangalude sevanangal engane nalkaam ennathinulla puthiya sameepanangalilekkum nayichu.
vidyaabhyaasavum pariseelanavum.
america.
amerikkayil, speach-langwej pathology oru maastezhs entry level professional digri feeldaanu. clinicals communicative disordezhs/speach-langwej patholajiyil birudaananthara birudam nediyirikkanam (udha.jii.praadeshika accreditation kaivashamulla oru sarvakalashaalayil ninnum professionte deseeya bharanasamithiyaya american speach-langwej-hearing association (aasha), vyakthigatha samsthaana bharanasamithiyude amgeekaaramulla communication sayans aandu disordezhs prograamil ninnum emm. eiii, emm. ezz, allengil medu). medu birudam vaagdaanam cheiyunna prograamukal palappozhum oru sarvakalaashaalayude vidyaabhyaasa kolejinullil sthaapichittundenkil emm. eiii allengil ems birudamullah prograamukalude athe vidyaabhyaasavum pariseelanavum vaagdaanam cheiyunnu. birudaananthara birudatthinappuram, chila sloppukal speach-langwej patholajiyil (udha.jii.sii. ezz. sii. dii allengil ezz. ell. pii. dii), allengil gaveshanavum koodaathe/allengil professional focus ulla doctoral birudam (udha.jii.phd, allengil eiii. dii. dii). ellah birudangalum praadeshika amgeekaaramulla oru sarvakalashaalayil ninnullathayirikkanam, ennaal birudaananthara birudam maathrame aashayude amgeekaaramulloo.
ellah klinikkal vidagtharum 400 klinikkal manikorukal (biruda biruda samayat 25 nireekshana manikkoorukalum biruda klinikkal praakteekkatthinte 375 manikkoor) poortthiyaakkendathundu. avar nolaj aandu skills acvisition (cassa) pareekshakal ennum vilikkunna onniladhikam samagra pareekshakal paasayirikkanam.
biruda birudam nedunnathinulla slpyude pathayil melpparanja ellah aavashyakathakalum niravettiyathinushesham, slp licenses deseeya certification inipparayunna reethiyil prasthaavikkanam
licenses nilanirthunnathinu, thudar vidyaabhyaasa yoonittukalude (sii. iii. yuu) aanukaalika varumaanathil pankedukkaan ezz. ell. pii. kall aavasyamaanu. thudar vidyaabhyaasavum pariseelana baadhyathakalum
professional safiksa
moolyanirnnaya reethikal.
pala rakshithaakkaleyum sambandhichidatholam, school adhishtitha speach therapyilo svakaaryamaayi parisheelikkunna therapyilo vidyaarthikale cherkkano vendayo enna theerumaanam velluviliyaanu. school pashchaathalatthilaayirikkul adhyapakar, kaunsilarmaar, saamoohika pravartthakar, maathaapithaakkal ennivarkkoppam speach-langwej paatholajistukal oru teaminte bhaagamaayi pravartthikkunnu. school adhishtitha speach therapy samsthaana maarganirddeshangalkkum fandukalkkum keezhilaanu pravartthikkunnathu ennathinaal, moolyanirnnayathinteyum yogyathayudeyum prakriya kooduthal karsanamaanu. inn-school speach therapic yogyatha nedunnathinu, vidyaarthikal bhasha parisodhanayilum samsara nilavaaravalkkaranathilum samsthaanathinte maanadandangal paalikkanam. atharam aavasyakathakal kaaranam, chila vidyaarthikale kaaryakshamamaya samayaparidikkullil vilayiruthaano allengil avarude aavasyangal maanadandangalaal durbalappedutthaano saadhyathayund. oru swakaarya klinikkine sambandhichidatholam, vidyaarthikal therapic yogyatha nedaanulla saadhyatha kooduthalaanu, kaaranam ithu kooduthal labhyathayulla panamadachulla sevanamaanu.
upabhokthaakkalum rogikalum.
speach-langwej paatholajistukal klayantukalumaayum rogikalumaayum pravartthikkunnu, avar vaividhyamaarnna prasnangal avatharippikkam.
shishukkalum kuttikalum.
america.
amerikkayil, chila kuttikalkk pothu school samvidaanathiloode moolyanirnnayavum paadangalum ulppedeyulla speach therapy sevanangal labhikkaan arhathayund. illengil, yogyathayulla oru speach-langwej paatholajistumaayo allengil valarunna teleprectise mekhalayumaayo vyakthigatha paadangaliloode swakaarya therapy eluppathil labhyamaan. bhoomishaasthraparamaayi vaividhyamaarnna thekkan dveepaaya nyoosiland polulla swakaarya therapy parisheelanatthil vidoora sthalangalilekku praveshikkunnathinulla maargamaayi skipe polulla teleconferencing upakaranangal kooduthal saadhaaranayaayi upayogikkunnu. prathyeka tharatthilulla arculation disordezhsine abhisambodhana cheiyunnathinu kooduthal veettilirunno kompineshan chikilsakalo eluppathil labhyamaayi. speach therappiyil mobail aaplikkeshanukalude upayogavum veettilekkulla chikitsa konduvarunnathinulla oru maargamaayi valarukayaanu.
yunaittad kingdom.
yukeyil, kuttikalkk praadeshika enhs speach, langwej therapy teamukalude moolyanirnayathinu arhathayund, saadhaaranayaayi aarogya sandarshakarudeyo vidyaabhyaasa krameekaranangaludeyo referralinu sesham, ennaal maathapithaakkalkkum nerittu oru moolyanirnnaya abhyarthikkaan arhathayund. chikitsa uchithamaanengil oru vidyaabhyaasa padhathi thayyarakkum. vishalamaaya aarogyasthithiyude bhaagamaayi oru kuttikk samsara kaalathaamasamo takararo undaakumbol speach theraappistukal palappozhum multy-disciplinary teamukalil oru punk vahikkunnu. oru postcode lottari undennu englandile kuttikalude kammeeshanar 2019 juunil report cheythu; chila pradeshangalil sevanangalkkayi oraalkk oru varsham £ 291.65 chelavazhichappol chila pradeshangalil bajatt £ 30.94 allengil athil kuravaayirunnu. 2018ll engleesh primery skoolukalile 193,971 kuttikal speach therapy sevanangal aavasyamulla prathyeka vidyaabhyaasa aavashyangalude rajisttarilaayirunnu.

