Ðe nèle nu kom zi ɖeka le susu aɖeke manɔmeea? Ðe nèle avi fama? Esia ate ŋu anye Pseudobulbar Affect (PBA) .

Bu eŋu kpɔ ne ɖeko nènɔ anyi ɖe afima, alo nèle nu ƒom tso nane si lé blanui vie ŋu, eye nèdze nukoko gɔme sesĩe dzi maɖumaɖua? Alo ne èdze avifafa gɔme ale gbegbe be màte ŋu adzudzɔ le fefenya suetɔ kekeake gɔ̃ hã me oa? Togbɔ be esia adze nusi wɔ nuku vie hã la, le nyateƒe me la, enye atikewɔwɔ. Esia menye gbɔdzɔgbɔdzɔ le wò susu me alo nane si nye tagbɔsesẽ o. Egbea míele nu ƒom tso nu wɔnuku sia ŋu, gake esi ate ŋu akpɔ ŋusẽ ɖe ame geɖe dzi.

Kpuie ko la, nukae nye Pseudobulbar Affect (PBA)?

Pseudobulbar affect (PBA) nye dɔléle si gblẽa nu le lãmekawo ŋu. Nukoko alo avifafa si dzi womate ŋu aɖu o, alo esi mesɔ o, ye ɖenɛ fiana. Nu vevitɔe nye be nukoko alo avifafa sia mewɔ ɖeka kple wò seselelãme ememetɔwo o . Esia fia be àte ŋu afa avi madzudzɔmadzudzɔe ne mèle nu xam le ememe o gɔ̃ hã. Nenema ke àte ŋu ako nu madzudzɔmadzudzɔe ne naneke meli si ŋu nàko nu le o gɔ̃ hã.

Zi geɖe la, ahɔhɔ̃a ƒe gbegblẽ alo ahɔhɔ̃mekawo ƒe dɔléle bubu ƒe nugbegblẽ le ame ŋu tae nɔnɔme sia dzɔna. Le kpɔɖeŋu me, woate ŋu akpɔe kple nɔnɔme aɖe abe `(Amyotrophic Lateral Sclerosis - ALS)`.

Togbɔ be ɣeaɖewoɣi la, nukoko alo avifafa sia adze nusi sɔ ɣemaɣi (le kpɔɖeŋu me, avifafa ne ekpɔ nublanuinya aɖe) hã la, esesẽna ŋutɔ na amesi ŋu PBA le be wòaɖu edzi. Eye seselelãme siawo ɖeɖefia nu sẽna wu eye wònɔa anyi didi wu le ame dzɔdzɔe gome.

Wotsɔ ŋkɔ bubu geɖe yɔa nɔnɔme sia be:

• Seselelãme ƒe gbɔdzɔgbɔdzɔ
• Dɔléle ƒe nukoko kple avifafa
• Seselelãmewo ɖeɖefia ƒe kuxi si womewɔna le lɔlɔ̃nu faa me o
• Nukoko alo avifafa dzizizitɔe
• Seselelãme ƒe ɖokuidziɖuɖu

PBA ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbe, wò ƒomea, kple amesiwo léa be na wò dzi. Ate ŋu ana ŋu nakpe ame, atsi dzimaɖi, ame naɖe eɖokui ɖe aga, eye wòaɖe eɖokui ɖe aga le amewo dome gɔ̃ hã.

Aleke gbegbee nɔnɔme sia bɔe, PBA? Amekae xɔae?

Esesẽ be woagblɔ alesi tututu esia bɔe, elabena nɔnɔme sia ƒe dzesiwo ƒe sesẽme toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Azɔ hã, zi geɖe la, wobua eŋu vodadatɔe be enye dɔléle bubu, vevietɔ blanuiléle.

PBA ate ŋu adzɔ le amesiame si xɔ ƒe ɖesiaɖe me, ɖeviwo kple ame tsitsiwo hã le eme, siwo ŋu ahɔhɔ̃medɔ bubu aɖe le.

Abe alesi atikewɔwɔ ŋuti numekukuwo ɖee fia ene la:

• Ame siwo ŋu amyotrophic lateral sclerosis (ALS) le ƒe 50% ate ŋu axɔ PBA.
• Nɔnɔme sia ateŋu adzɔ le amesiwo xɔ abi le ahɔhɔ̃ me vevie la dometɔ 48% ŋu.
• Ame siwo ŋu dɔléle si nye multiple sclerosis (MS) le ƒe 46% ate ŋu axɔ PBA.

Eyata ɖe esia nye tagbɔdɔlélea?

Ame geɖe bunɛ be enye tagbɔdɔ elabena edo ƒome kple seselelãmewo abe nukoko kple avifafa ene le gotagome. Gake le nyateƒe me la, menye tagbɔdɔe wònye kura o.

Nukawoe nye PBA ƒe dzesi veviwo?

Be míase PBA gɔme la, ele be míanya vovototo si le ‘nɔnɔme’ kple ‘ŋusẽkpɔɖeamedzi’ dome.

• Seselelãme: Esia fia wò ememe seselelãmewo. Eyae nye seselelãme siwo nèsena le ɖokuiwò me le ememe, abe blanuiléle, dzidzɔkpɔkpɔ, kple dziku ene. Esia nye nusi wò ɖeka koe ate ŋu ase le eɖokui me.
• Ŋusẽkpɔɖeamedzi: Aleae woɖea wò seselelãmewo fiana le gotagome. Ema fia nuwo abe alɔgbɔnukoko, avifafa, kple mo ƒe dzedzeme siwo ame bubuwo kpɔna ene.

Eyata nusi koŋ ɖe dzesi le PBA ŋue nye be wò ‘ŋusẽkpɔɖeamedzi’, si fia be wò nukoko alo avifafa, mewɔ ɖeka kple wò ‘nɔnɔme’, si fia be wò seselelãme ememetɔ o .

Mina míagaɖe nɔnɔme siawo me le kplɔ̃ si le ete la dzi.

Ame aɖewo hã ate ŋu akpɔ dziku alo dziɖeleameƒo si dzi womate ŋu aɖu o. Esi wònye be PBA do ƒome kple ahɔhɔ̃mekawo ƒe dɔléle bubu ta la, dzesi bubu siwo do ƒome kple nɔnɔme ma si gbɔ wòtso hã ate ŋu anɔ wo ŋu.

Nukae hea PBA vɛ?

Womenya nusi tututu gbɔ PBA tsona haɖe o, gake ɖɔktawo xɔe se be ahɔhɔ̃a ƒe ahɔhɔ̃meka siwo kpɔa seselelãmewo ɖeɖefia dzi ƒe tɔtɔ gbɔe wòtso.

Ahɔhɔ̃mekawo ƒe dɔléle vovovowo li siwo ate ŋu ahe dɔléle sia vɛ. Esia fia be amesiwo ŋu nɔnɔme siawo le la le afɔku me be woaxɔ PBA.

• Ahɔhɔ̃ me nuveviwɔame si me nuveviwɔame le
• Amyotrophic lateral sclerosis (ALS) (si wogayɔna be Lou Gehrig ƒe dɔléle) .
• `Dɔléle si nye multiple sclerosis (MS)`
• Alzheimer ƒe dɔléle kple tagbɔdɔléle bubuwo
• Gbagbãdᴐ
• Parkinson ƒe dɔlélea
• Ahɔhɔ̃ me dɔdzẽwo
• Aɖuɖɔtoedɔ
• Wilson ƒe dɔlélea

Ahɔhɔ̃a ƒe akpa kawoe esia kpɔa ŋusẽ ɖe?

Wosusu be nɔnɔmea gblẽa nu le ahɔhɔ̃a ƒe akpa vovovowo ŋu. Vevietɔ la, ate ŋu atso ahɔhɔ̃meka siwo do ƒome kple ahɔhɔ̃mekawo ƒe tɔtɔ gbɔ, si nye ahɔhɔ̃a ƒe akpa aɖe si léa ŋku ɖe míaƒe seselelãme ƒe ŋuɖoɖowo ŋu eye wòkpena ɖe mía ŋu míetsoa nya me nenye be wosɔ na hadome nɔnɔme aɖe.

Azɔ hã, wosusu be atikewo ƒe dɔla geɖe siwo le ahɔhɔ̃a me siwo woyɔna be ahɔhɔ̃mekawoe kpɔa gome le eme.

• Serotonin si woyɔna be Serotonin
• Norepinephrine `(Norepinephrine)`
• Dopamine ƒe atike
• Glutamate si woyɔna be glutamate
• Acetylcholine `(Asetilkolin)`

Aleke wowɔa dea dzesi PBA?

PBA didi ate ŋu asesẽ vie, elabena zi geɖe la, ɖɔktawo gɔ̃ hã bua eŋu vodadatɔe be enye seselelãme ƒe dɔléle abe blanuiléle alo tagbɔdɔléle ene .

Fifia la, dodokpɔ aɖeke meli si koŋ woatsɔ aɖo kpe edzi be PBA le ŋuwò o. Ðɔkta akpɔ dɔlélea le nya ʋɛ aɖewo biabia wò nyuie vɔ megbe.

• Wò dzesiwo
• Wò atikewɔwɔ ŋutinya, vevietɔ le ahɔhɔ̃mekawo ƒe dɔlélewo gome
• Wò susu ƒe lãmesẽ ŋutinya
• Nyatakaka siwo tso ŋutilãmedɔdada me

Nukatae wobua PBA vodadatɔe be blanuiléle?

Susu vevitɔ si ta wotɔtɔ ame eveawoe nye avifafa. Ne avifafae nye PBA ƒe dzesi vevitɔ la, ame geɖe susuna be blanuilélee. Ɣeaɖewoɣi la, blanuiléle ate ŋu anɔ amesi ŋu PBA le hã ŋu le ɣeyiɣi ma ke me. Gake vovototo siwo dze ƒã le nɔnɔme eveawo dome.

Kpɔ kplɔ̃ si le ete.

Ðe atike aɖe li na PBA?

Womate ŋu ada PBA keŋkeŋ o. Gake woate ŋu akpɔ edzi nyuie . Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖe nukoko alo avifafa ƒe nudzɔdzɔ siawo ƒe dzɔdzɔ zi gbɔ zi geɖe kple woƒe sesẽ dzi akpɔtɔ.

Atike aɖewo li siwo ɖɔktawo kafu na esia.

• Dextromethorphan/quinidine sulfate (Nuedexta®): Esiae nye atike gbãtɔ si dzi United States ƒe FDA da asi ɖo koŋ be woatsɔ ada PBA.
• Blanuilélenutsitikewo:Blanuilélenutsitike aɖewo, abe tricyclic antidepressants kple selective serotonin reuptake inhibitors (SSRI) ene, ate ŋu akpe ɖe ame ŋu woaɖu PBA ƒe dzesiwo dzi, gake wozãa wo le agbɔsɔsɔ si bɔbɔ wu esiwo wozãna na blanuiléle me.

Aleke nènɔa agbe ɖe nɔnɔme sia nu?

Ne womekpɔ PBA nyuie hedae o la, ate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ dzi.

• Teteɖeanyi
• Dzitsitsi
• Hadome kadodowo ƒe gbɔdzɔgbɔdzɔ
• Agbenɔnɔ ƒe nyonyome dzi ɖe kpɔtɔ

Gake ɖo ŋku edzi be woate ŋu atsɔ atikewo aɖu dzesi siawo dzi nyuie. Ðewohĩ axɔ ɣeyiɣi aɖe hafi woate ŋu akpɔ dɔlélea nyuie ahadae nyuie. Gake ele be nàƒo nu na ɖokuiwò eye mègana ta o. Amewo abe ahɔhɔ̃ŋutinunyalawo kple tagbɔdɔdalawo ene nya nu geɖe tso esia ŋu.

Aɖaŋuɖoɖo siwo ku ɖe tenɔnɔ ɖe PBA nu ŋu

Nu aɖewo siwo ate ŋu akpe ɖe ŋuwò nàɖu nukoko alo avifafa ƒe ɣeyiɣi siawo dzi lae nye esi.

• Ne mɔnukpɔkpɔ sia tɔgbe va la, gbɔ ya blewuu vaseɖe esime wòava yi .
• Bu nu bubu aɖe ŋu alo nàhe susu ɖa le ɖokuiwò ŋu ɣemaɣi.
• Na wò abɔta kple mo ƒe lãmekawo naɖe dzi ɖi . Esia aɖe masɔmasɔ dzi akpɔtɔ.
• Ne anya wɔ la, trɔ wò nɔnɔme .
• Gblɔ wò nɔnɔmea na ame siwo dzi nèka ɖo ale be woanya nusi woakpɔ mɔ na.
• Ne nɔnɔme sia le ŋusẽ kpɔm ɖe wò susu ƒe lãmesẽ dzi la, yi susumedɔléle ŋuti aɖaŋuɖola gbɔ .

Ne PBA le ŋuwò eye atike si nèzãna fifia mele dɔ wɔm o alo le eƒe nugbegblẽwo hem vɛ la, ƒo nu kple wò ɖɔkta tso atikewɔmɔnu yeye aɖe ŋu. Nukoko kple avifafa si dzi womate ŋu aɖu o ate ŋu anye kuxi kple ŋukpe. Gake ɖo ŋku edzi be PBA nye atikewɔwɔ me dɔléle, eye woate ŋu atsɔ atike adae. Ne dzesi siawo le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.