Ɔserew a ntease biara nnim, osu a wontumi nni so - Momma yɛnka Pseudobulbar Affect (PBA) ho asɛm .

Fa no sɛ woredi awerɛhow kakra, anaasɛ wote nka sɛ wo ho yɛ wo dɛ. Nanso mpofirim ara wufi ase serew a wuntumi nhyɛ wo ho so. Anaasɛ sɛ w’ani nnye koraa a, wusu daa. So wunim osuahu a ɛte sɛɛ? Eyi nyɛ adwene mu mmerɛwyɛ anaa biribi a wohyɛ da yɛ sɛnea ɛtɔ mmere bi a wususuw no. Eyi betumi ayɛ tebea bi a ɛfa ntini ahorow ho . Eyi ne nea yɛreka ho asɛm nnɛ.

Dɛn ne Pseudobulbar Affect (PBA)?

Sɛ yɛbɛka no tiawa a, Pseudobulbar Affect, anaa PBA tiawa no yɛ tebea bi a ɛka ntini ahorow. Ɛyɛ tebea a abusuabɔ a ɛda wo mu nkate ne wo nkate a woda no adi wɔ akyi no ntam. Eyi kyerɛ sɛ ebia wubesu a worennya awerɛhow, wobɛserew a worennya anigye, anaasɛ wo bo fuw wɔ nneɛma nketenkete ho. Nea ɛho hia sen biara ne sɛ wuntumi nni saa nkate horow yi so.

Wɔde din afoforo pii frɛ saa tebea yi:

• Nkate mu mmerɛwyɛ
• Nkate mu a wontumi nhyɛ ne ho so (nkate a wontumi nni so) .
• Su a wɔmpɛ a wɔmpɛ
• Pathological serew ne osu

Dɛn ne PBA ho sɛnkyerɛnne atitiriw?

Sɛ wo anaa obi a wunim no wɔ PBA a, ebia wubenya saa sɛnkyerɛnne ahorow yi. Ebetumi aba mpɛn pii da biara anaa mpɛn pii ɔsram biara.

Esiane saa sɛnkyerɛnne ahorow yi nti, nnipa pii de frafra adwenemyare te sɛ adwenemhaw anaa adwenemhaw . Nanso, nsonsonoe a ɛda adi pefee wɔ abien no ntam.

Obi a ɔwɔ adwenemhaw tumi su, nanso kodu baabi no, obetumi adi so. Na osu no fata awerɛhow a wɔte nka no. Nanso ɛnyɛ saa na ɛte wɔ PBA ho. Wubetumi asu bere nyinaa bere mpo a w’ani agye no. Afei nso, wonhu serew sɛ adwenemhaw ho sɛnkyerɛnne.

Saa tebea yi betumi ama w’ani awu na wo ho nyɛ wo dɛ wɔ asetra mu tebea horow mu. Ebia wobɛkwati sɛ wo ne wo nnamfo bɛkɔ anaasɛ wobɛkɔ apontow ase efisɛ wusuro sɛ "So eyi bɛto me bio?" Eyi nso betumi de dadwen ne adwenemhaw aba nnipa binom so.

Dɛn nti na tebea yi ba?

Nyansahufo gye di sɛ nea ɛde PBA ba titiriw ne yɛn amemene no fã a ɛhwɛ nkate so, prefrontal cortex . Saa ɔsɛe yi sesa sɛnea amemene mu nnuru yɛ adwuma, na ɛma obi hwere tumi a obetumi adi nkate so.

PBA betumi afi aduruyɛ tebea anaa opira biara a ɛka amemene no mu aba. Tebea atitiriw no bi ne:

• Nnwodwoɔ
• Amemene mu Opira a Ɛyɛ Awerɛhow
• Akisikuru a ɛma obi ho kyere no (MS) .
• Amyotrophic akyi a ɛyɛ mmerɛw (ALS) .
• Parkinson yare a ɛma obi nya yare
• Alzheimer yare a ɛma obi nya ɔyare
• Adwene mu yare
• Amemene mu akisikuru

Nhwehwɛmu ada no adi sɛ nnipa bɛboro nkyem abiɛsa mu biako a wɔanya akisikuru betumi anya PBA ho sɛnkyerɛnne.

Ɔkwan bɛn so na oduruyɛfo hu PBA pɛpɛɛpɛ?

Sɛ wo anaa wo dɔfo bi resu anaa woreserew bere nyinaa a ntease biara nnim a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn na woaka ho asɛm. Ɛho hia sɛ wunya nhwehwɛmu a edi mu, efisɛ ɛnyɛ den sɛ wobetumi de PBA afrafra adwenemyare afoforo.

Sɛ wokɔ wo duruyɛfo nkyɛn a, siesie wo ho sɛ wobɛka saa nneɛma yi ho asɛm:

• Dɛn ne sɛnkyerɛnne ahorow no? (Osu, serew, abufuw?)
• Efi bere bɛn na eyi aba?
• Bere tenten ahe na eyi akɔ so? (Simma kakraa bi anaa nea ɛboro saa?)
• Mpɛn ahe na da biara?

Sɛ nsɛm a ɛtete saa sisi a, nea wususuw sɛ ebia ɛno na ɛde bae a wobɛkyerɛw ato hɔ no bɛboa oduruyɛfo no kɛse ma wate wo tebea no ase.

Nhwehwɛmu pɔtee biara nni hɔ a wɔde hu PBA. Nanso, sɛnea ɛbɛyɛ a wobɛhwɛ sɛ ebia akisikuru tebea horow a ebetumi de saa sɛnkyerɛnne ahorow yi aba no, ebia wo duruyɛfo bɛkra sɛ wɔnyɛ EEG (Electroencephalogram) . Eyi yɛ sɔhwɛ a ɛnyɛ den a ɛyaw nnim a wɔde susuw amemene mu asorɔkye.

Nea ɛka ho no, nnuruyɛfo de nsɛmmisa kratasin abien di dwuma de si so dua sɛ ɛyɛ PBA anaasɛ ɛnte saa.

1. Pathological Laughing and Crying Scale (PLACS): Ɛha yi, oduruyɛfo no bisa wo nsɛm fa nsɛm a esisi yi ho, sɛnea ɛne wo nkate wɔ abusuabɔ, ne sɛnea ɛkaa asetra mu tebea horow.

2. Center for Neurologic Study-Lability Scale (CNS-LS): Ɛha na ɛsɛ sɛ w’ankasa wubua nsɛmmisa kakraa bi. Sɛ nhwɛso no, ɛsɛ sɛ wɔde nsɛmmisa te sɛ "Mesu mmerɛw yiye" anaa "Mintumi nni me serew so ntɛm" no nkontaahyɛde sɛnea wo suahu te.

Dɛn ne ayaresa ahorow a wɔde sa PBA?

Ayaresa ahorow bi wɔ hɔ a ɛbɛboa ma wɔadi PBA ho dwuma. Ebia wo duruyɛfo bɛkyerɛw nnuru a ekum adwenemhaw a ɛba fam na aboa ma woadi wo sɛnkyerɛnne ahorow no so.

Afei nso wɔ afe 2010 mu no, U.S. FDA penee aduru a edi kan a wɔde yɛ PBA titiriw so, dextromethorphan/quinidine (Nuedexta) . Nhwehwɛmu ada no adi sɛ saa aduru yi tu mpɔn kɛse wɔ nnipa a wɔwɔ nyarewa te sɛ MS ne ALS mu a wontumi nni so no mu.

Sɛ wopɛ sɛ wunya saa tebea yi ayaresa a, wubetumi ahwehwɛ mmoa afi oduruyɛfo titiriw te sɛ ntini ho ɔyaresafo, adwenemyare ho ɔbenfo, anaa ntini mu adwene ho ɔbenfo hɔ.

Dɛn na yebetumi ayɛ bere a yɛne PBA te no?

PBA a wobɛtra ase no betumi ayɛ den, nanso sɛ wudi afotu yi akyi a, wo ne w’abusua betumi agyina tebea no ano yiye.

• Ka eyi ho asɛm kyerɛ nnipa a wɔatwa wo ho ahyia:Wo ne w’abusua ne wo nnamfo paa nkasa fa PBA ne sɛnea ɛka wo ho. Saa kwan no so no, sɛ biribi a ɛte sɛɛ si mpofirim a, wɔrenhaw wɔn anaasɛ wɔrente ase.
• Fa da biara da nsɛm sie: Sɛnea yɛadi kan aka no, kyerɛw bere a nsɛm yi sisi ne nea wususuw sɛ ebia ɛno na ɛde bae. Eyi bɛyɛ nea ɛho hia yiye bere a wo ne wo duruyɛfo resusuw ayaresa ho no.
• Sesa wo gyinabea: Sɛ wote nka sɛ wobɛsu anaa wobɛserew a, sesa ɔkwan a wofa so tena ase anaa wogyina hɔ.
• Hom brɛoo, kɔ akyiri: Bere a adeyɛ bi rekɔ so no, home brɛoo na emu dɔ kosi sɛ wobɛte nka sɛ woadi so.
• Gye w’ahome: Sɛ woyɛ adeyɛ a ɛte sɛɛ wie a, wo mmati ne wo moma so betumi ayɛ wo den. Enti bɔ mmɔden sɛ wobɛma wo nipadua adwo wɔ dwumadi no akyi.
• Kɔka kuw bi a wɔboa wɔn ho: Sɛ wo ne nnipa afoforo a wɔwɔ PBA bɛkasa a, ebetumi ayɛ ahoɔden fibea kɛse. Wɔbɛte wo suahu no ase na wobetumi ama wo afotu foforo a aboa wɔn.