L’afasia è un disturbo neurologico che provoca problemi nel linguaggio. Il sintomo principale è dunque quello della difficoltà di comunicazione, anche se la condizione può colpire ogni individuo in modo diverso per intensità o modalità di sviluppo. Talvolta l’afasia è immediata ed improvvisa (se la causa ad esempio è un ictus o un grave trauma cranico), mentre in altri casi si manifesta con gradualità (in presenza di un danno cerebrale progressivo dovuto a tumore, demenza, malattia neurologica, ecc). Scopriamone insieme i sintomi in base alle tipologie in cui l’afasia viene distinta.
Afasia espressiva
Si parla di afasia espressiva quando chi ne soffre ha difficoltà a comunicare i propri pensieri, idee e messaggi agli altri. Ciò può influenzare le modalità del discorso, della scrittura, la capacità di fare gesti esplicativi (indicare una strada o un oggetto), o disegno. Come è facile immaginare ciò può provocare seri danni nelle attività quotidiane come usare il telefono, scrivere una mail o più semplicemente parlare i propri familiari ed amici.
Tra i sintomi di afasia espressiva possiamo trovare:
- Discorso lento e zoppicante
- Difficoltà nel trovare le parole giuste, come i nomi di oggetti, luoghi o persone
- Contenuto del discorso sintetizzato al massimo con nomi e verbi basilari (volere bere-andare oggi spesa)
- Nello scrivere, errori di ortografia o grammaticali mai fatti in precedenza
- Utilizzo errato ed involontario di parole (ad esempio sedia anziché armadio)
- Essere in grado di parlare e scrivere, ma con testi inframezzati da parole e frasi senza senso.
Afasia ricettiva
Nell’afasia ricettiva invece, chi ne soffre non ha problemi a comunicare i concetti, ma a comprenderli a fondo: sia che si leggono sia che se si ascoltino. Questo tipo di afasia può comprendere anche la difficoltà ad interpretare i gesti, i disegni, i numeri e le immagini. Ciò ovviamente influenza negativamente le normali attività. Le persone con afasia ricettiva possono avere alcuni dei seguenti segni e sintomi:
- Difficoltà a capire cosa dicono gli altri
- Difficoltà a comprendere parole scritte
- Fraintendere il significato di parole, gesti, immagini o disegni
- Dare risposte prive di senso in quanto si è fraintesa la domanda
- Non rendersi conto della propria difficoltà di comprendere.
Afasia primaria progressiva
Questo tipo di afasia si verifica nelle persone con alcune forme di demenza. Trattandosi -come dice il nome- di una condizione progressiva, i sintomi inizialmente lievi, peggiorano nel tempo. Di solito, il primo problema è quello di non riuscire a trovare la parola giusta o ricordare il nome di qualcuno. Con il progredire del disturbo si può andare incontro a:
- Difficoltà nel fare discorsi, errando nell’emissione dei suoni delle parole, con errori grammaticali
- Le frasi diventano semplici e brevi, lente nell’essere esposte
- Dimenticanza del significato di parole complesse e poi anche di quelle più semplici
- Ovvia e conseguente progressiva difficoltà nell’esprimere i propri bisogni, emozioni o altro con la graduale perdita di capacità di adesione a qualunque conversazione.
In una fase più avanzata, le persone affette da afasia primaria progressiva possono sperimentare anche altri sintomi come sostanziali cambiamenti nella personalità e nel comportamento, difficoltà con la memoria e il pensiero simile al morbo di Alzheimer , o difficoltà di movimento simile alla malattia di Parkinson .
Leggi anche:
Foto: Thinkstock
Fonte: NHS.UK

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