Ðe wò hã nèle nu kom sesĩe loo alo nèle nu xam? Esia ate ŋu anye Pseudobulbar Affect (PBA)!

Ðe nèkpɔ nukoko kpata aɖe le susu aɖeke manɔmee, alo avifafa si dzi màte ŋu aɖu o kpɔa? Ɣeaɖewoɣi la, èwɔa nu ɖe ​​nu sue aɖe ŋu wu blanuiléle alo dzidzɔ si nèsena le ɖokuiwò me. Ne nuteƒekpɔkpɔ sia su asiwò kpɔ la, ele vevie be nànya nu tso nɔnɔme si ŋu míele nu ƒom tsoe egbea ŋu, Pseudobulbar Affect, alo PBA kpuie.

Ènya nusi Pseudobulbar Affect (PBA) nyea?

Kpuie ko la, Pseudobulbar Affect (PBA) nye ahɔhɔ̃mekawo ƒe dɔléle si nana nèkoa nu alo fa avi le mɔ si dzi màte ŋu aɖu o nu, le mɔ si mewɔ ɖeka kple wò seselelãme vavãtɔ o nu. Tsɔe be nɔnɔme wɔnublanui aɖe mee nèle, gake màte ŋu adzudzɔ nukoko o. Alo, èle kplɔ̃ɖoƒe si me dzidzɔ le, gake nèsena le ɖokuiwò me be yeafa avi ɣesiaɣi. Esiae nye PBA ƒe dzesi vevitɔ.

Ahɔhɔ̃a ƒe gbegblẽ alo ahɔhɔ̃mekawo ƒe dɔléle bubu gbɔe nɔnɔme sia tsona. Le kpɔɖeŋu me, amesi ŋu dɔléle abe ``Amyotrophic Lateral Sclerosis (ALS)`` le ateŋu axɔ nɔnɔme sia.

Ɣeaɖewoɣi la, togbɔ be nukoko alo avifafa sia adze nu si sɔ ɣemaɣi hã la, edzi ɖuɖu sesẽna wu alesi wònɔna ɖaa. Azɔ hã, seselelãme siawo ate ŋu asẽ ŋutɔ eye woanɔ anyi eteƒe nadidi wu alesi wònɔna ɖaa . Ele abe ɖe nèʋu pɔmpi eye màte ŋu atɔ te o ene.

Wotsɔ ŋkɔ bubu geɖewo hã yɔa PBA 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 (seselelãmewo dzi ɖuɖu ƒe ŋutetemanɔamesi) .

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

Aleke gbegbee PBA bɔe?

Numekulawo bu akɔnta be ame siwo ade miliɔn 2 va ɖo 7 le United States ɖeɖe dzaa le PBA dɔlélea lém. Nusita xexlẽme sia keke tae nye be PBA ƒe sesẽme to vovo eye womedea dzesii nyuie o. Ate ŋu adzɔ be amesiwo ŋu dɔléle sia le le Sri Lanka hã mele atike wɔm o le manyamanya ta.

Amekae ŋu PBA gblẽa nu le wu?

Nɔnɔme sia si woyɔna be Pseudobulbar Affect (PBA) ate ŋu adze ame sia ame si xɔ ƒe ɖesiaɖe, si me ɖeviwo kple ame tsitsiwo hã le, si ŋu ahɔhɔ̃mekawo ƒe dɔléle ƒomevi aɖe le le ahɔhɔ̃a me.

Abe alesi numekukuwo ɖee fia ene la:

• Ame siwo ŋu Amyotrophic Lateral Sclerosis (ALS) le la dometɔ siwo ade 50% ate ŋu akpɔ PBA.
• Ame siwo ƒe ahɔhɔ̃ xɔ abi vevie (TBI) alo ahɔhɔ̃ me abi vevie la dometɔ siwo ade 48%.
• Nɔnɔme sia dzea amesiwo ŋu Multiple Sclerosis (MS) le la dometɔ siwo ade 46% dzi.

Ðe Pseudobulbar Affect nye tagbɔdɔlélea?

Ame aɖewo asusui be PBA nye tagbɔdɔléle. Elabena nu siawo abe nukoko kple avifafa ene do ƒome kple míaƒe seselelãme. Ke hã, esi wònye be PBA tsoa ahɔhɔ̃mekawo ƒe nutome siwo gblẽ le ahɔhɔ̃a me gbɔ ta la , wodae ɖe hatsotso me be enye `ahɔhɔ̃mekawo ƒe tagbɔdɔléle`, si fia be ahɔhɔ̃mekawo ƒe tagbɔdɔléle ƒe dzesiwo ƒe ƒuƒoƒo. Kpuie ko la, PBA nye seselelãme ƒe kuxi aɖe si dzɔna le ahɔhɔ̃medɔ aɖe me.

Nukae nye PBA ƒe dzesiwo?

Be woase PBA gɔme la, ele vevie be woanya vovototo si le ‘nɔnɔme’ kple ‘ŋusẽkpɔɖeamedzi’ dome. Seselelãme nye seselelãme si le asiwò le ɖokuiwò me. Eyae nye nu siwo wò ɖeka koe ate ŋu ase le ɖokuiwò me, abe blanuiléle, dziku, alo dzidzɔkpɔkpɔ ene. Ŋusẽkpɔɖeamedzi nye alesi woɖea wò seselelãmewo fiana le gota, abe alɔgbɔnukoko alo avifafa ene, si ame bubuwo ate ŋu akpɔ.

Eyata Pseudobulbar Affect (PBA) ƒe dzesi vevitɔe nye seselelãmewo ɖeɖefia (affect) si mewɔ ɖeka kple wò seselelãme alo wò seselelãmewo ƒe sesẽme o. Dzesi siwo bɔ wue nye avifafa kple nukoko.

Nukoko kple/alo avifafa sia ate ŋu adze ale:

• Nusi womele mɔ kpɔm na o, kpata, kple nusi dzi womate ŋu aɖu o.
• Nusi sɔ gbɔ akpa na wɔnaa. (e.g. nukoko gaƒoƒo geɖe le fefe sue aɖe ŋu)
• Edzɔna le susu aɖeke si medze ƒã o ta.

Ɣeaɖewoɣi la, dziku alo dziɖeleameƒo si dzi womate ŋu aɖu o ate ŋu ado mo ɖa.

Esi wònye be zi geɖe la, PBA do ƒome kple ahɔhɔ̃mekawo ƒe dɔléle aɖe si le ete abe ahɔhɔ̃ ƒe abi alo amyotrophic lateral sclerosis (ALS) ene ta la, dzesi bubu siwo do ƒome kple nɔnɔme si gbɔ wòtso hã ate ŋu anɔ amesiwo ŋu PBA le ŋu.

Nukawoe hea PBA vɛ?

Numekulawo menya nusi tututu gbɔ Pseudobulbar Affect tsona haɖe o. Wosusu be ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe mɔ siwo le míaƒe ahɔhɔ̃ me siwo kpɔa seselelãmewo ɖeɖefia dzi ƒe tɔtɔ gbɔe wòtso.

Ahɔhɔ̃mekawo ƒe dɔléle geɖe li siwo do ƒome kple PBA siwo ate ŋu ahe tɔtɔ siawo vɛ:

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

Ahɔhɔ̃a ƒe akpa kawo dzie PBA kpɔa ŋusẽ ɖo?

Wosusu be anɔ eme be PBA gblẽa nu le ahɔhɔ̃a ƒe akpa vovovo siwo le ahɔhɔ̃a ƒe akpa si le ahɔhɔ̃a ƒe akpa si le ahɔhɔ̃a ƒe akpa si le ahɔhɔ̃a ƒe akpa si nye cerebro-ponto-cerebellar mɔa dzi la ŋu wu.

Mɔ sia ƒe akpa aɖee nye míaƒe ahɔhɔ̃ sue (Cerebellum).Wowɔa esia to ŋkuléle ɖe míaƒe seselelãme ƒe ŋuɖoɖowo ŋu kple egbɔkpɔkpɔ be wosɔ ɖe hadome nɔnɔmea nu me. Ne ahɔhɔ̃mekawo ƒe mɔ siwo tso ahɔhɔ̃a ƒe akpa aɖewo yi ahɔhɔ̃mekawo me gblẽ la, seselelãmewo ɖeɖefia dzi ɖuɖu ate ŋu abu.

Tsɔ kpe ɖe eŋu la, ahɔhɔ̃meka siwo gbɔna ate ŋu akpɔ gome le PBA me:

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

Aleke wowɔa dea dzesi PBA?

Pseudobulbar affect (PBA) ate ŋu anye nɔnɔme si me ayedzedze le be woakpɔ . Ðɔktawo gɔ̃ hã ateŋu abu vodadatɔe ɣeaɖewoɣi be enye tagbɔdɔ – vevietɔ blanuiléle alo susu ƒe dɔmawɔmawɔ nyuie.

Fifia la, dodokpɔ aɖeke meli si koŋ woatsɔ anya PBA o. Ðɔktawo nɔa te ɖe wò:

• Dɔléle dzesi
• Atikewɔwɔ ŋutinya, vevietɔ le ahɔhɔ̃medɔlélewo gome
• Susu ƒe lãmesẽ ŋutinya
• Nyatakaka siwo tso ŋutilãmedodokpɔ me

Woƒoa nya ta le nusiawo katã sɔsrɔ̃ nyuie vɔ megbe.

Nukatae wotɔtɔa PBA kple blanuiléle?

Pseudobulbar affect (PBA) nye nɔnɔme si wotɔtɔna wu kple tagbɔdɔléle, vevietɔ blanuiléle.

Esiae dzɔna ne èfa avi enuenu, si nye PBA ƒe dzesi vevi aɖe. Amesiwo ŋu PBA le ate ŋu akpɔ blanuiléle hã le susu bubuwo ta, kpakple le PBA ƒe nɔnɔmea ŋutɔ ta. Gake ne wotsɔe sɔ kple blanuiléle la, avifafa ƒe ɣeyiɣi siwo le PBA me:

• Edzea egɔme kpata, abe wowó ene.
• Ɣeyiɣi kpui aɖe koe wònɔa anyi.
• Zi geɖe la, medo ƒome kple blanuiléle le ememe ɣeyiɣi didi o.

Togbɔ be blanuiléledɔlélawo léa blanui ɣesiaɣi hã la, womefaa avi enuenu o. Ne wowɔe hã la, enɔa anyi didi wu le PBA me. Azɔ hã, womekpɔa blanuiléle ƒe dzesi bubuwo abe alɔ̃madɔmadɔ kple nuɖuɖumadzroame ene le PBA me o.

Nukawoe nye atike siwo wozãna na PBA?

Atike aɖeke meli na Pseudobulbar Affect (PBA) o. Gake atike aɖewo li siwo ate ŋu akpe ɖe ame ŋu wòaɖu edzi. Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be wòaɖe nukoko kple avifafa ƒe ɣeyiɣi siawo siwo dzi womeɖu o ƒe sesẽ kple woƒe sesẽ dzi akpɔtɔ.

Atike ƒomevi siwo ɖɔktawo ŋlɔna na PBA lae nye:

• Dextromethorphan/quinidine sulfate (Nuedexta®): Esiae nye atike gbãtɔ si dzi FDA (U.S. Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe) da asi ɖo be woatsɔ ada PBA. Kɔdzitike (dextromethorphan) kple atike si wozãna tsã tsɔ daa dzi ƒe tsotso ƒe kuxiwo (quinidine sulfate) ƒe agbɔsɔsɔ si bɔbɔ ŋutɔ le eme.
• Blanuilélenutsitikewo:Blanuilélenutsitikewo abe `(Tricyclic antidepressants)`, `(Selective Serotonin Reuptake Inhibitors - SSRIs)`, kple `(Norepinephrine/Serotonin Reuptake Inhibitors - SNRIs)` ateŋu akpeɖeŋu le PBA ƒe dzesiwo dzi ɖuɖu me. Gake zi geɖe la, wonaa esiawo le agbɔsɔsɔ si bɔbɔ wu esiwo wonana le blanuiléle ta.

Abe alesi wòle le atikewo katã gome ene la, eƒe nugbegblẽ le ame ŋu ate ŋu ado mo ɖa. Ele be nàwɔ dɔ kple ɖɔkta aɖe atsɔ atia atikewɔwɔ ƒe ɖoɖo si anyo na wò.

Ðe woate ŋu axe mɔ ɖe PBA nua?

Esi wònye be ahɔhɔ̃ ƒe gbegblẽ kple ahɔhɔ̃mekawo ƒe nɔnɔmewo gbɔe Pseudobulbar Affect tsona ta la, naneke meli woate ŋu awɔ atsɔ axe mɔ ɖe enu o.

Nukae nye PBA ƒe ŋgɔdonya?

Mɔkpɔkpɔ na PBAwo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Ne womekpɔ dɔlélea dze sii hedae o la, amesiwo ŋu PBA le ate ŋu adze afɔku be:

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

Atikewo ate ŋu akpe ɖe ame ŋu wòaɖu dzesiawo dzi. Ate ŋu asesẽ be woakpɔ dɔlélea ahadae. Ke hã, ele vevie be nàƒo nu na ɖokuiwò ahadze agbagba. Ðɔkta siwo nya nu tso nɔnɔme sia ŋu nyuie wue nye ahɔhɔ̃ŋutinunyalawo, ahɔhɔ̃ŋutinunyalawo, kple tagbɔdɔdalawo.

Ɣeyiɣi didi kae Pseudobulbar Affect nɔa anyi?

Zi geɖe la, pseudobulbar affect nyea dɔléle si nɔa anyi didi, elabena zi geɖe la, atikewɔwɔ me nɔnɔme siwo gbɔ wòtsona (e.g., multiple sclerosis, Alzheimer ƒe dɔléle) nɔa anyi didi.

Nukae nàte ŋu awɔ be nànɔ agbe dzidzedzetɔe kple PBA? (Ame Siwo Wozãna Le Tete Ðe Anyi Ŋu) .

Aɖaŋuɖoɖo aɖewo siwo akpe ɖe ŋuwò nànɔ te ɖe PBA nu eye nàɖu wò nukoko/avifafa ƒe ʋuʋu kpata dzi lae nye esi:

• Ne nukoko/avifafa va la, gbɔ ya sesĩe vaseɖe esime wòaɖiɖi.
• Bu nu bubu aɖe ŋu ɣemaɣi, wò susu nanɔ eŋu.
• Na wò abɔta kple mo ƒe lãmekawo naɖe dzi ɖi eye nàɖe teteɖeanyi dzi akpɔtɔ.
• Ne anya wɔ la, trɔ wò nɔnɔme.
• Gblɔ wò nɔnɔmea na ame bubuwo ale be woanya nusi woakpɔ mɔ na eye womase wò gɔme bubui o.
• Ne PBA le ŋusẽ kpɔm ɖe wò susu ƒe lãmesẽ dzi la, yi susu ƒe lãmesẽ ŋuti aɖaŋuɖola gbɔ .

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne PBA le ŋuwò, wò atikewɔwɔ mele dɔ wɔm nyuie o, alo nu gbegblẽ siwo medze ŋuwò o le fu ɖem na wò la, ƒo nu kple wò ɖɔkta tso atike yeye aɖe ŋu.

Nukoko kple avifafa madzudzɔmadzudzɔe ate ŋu asesẽ, ado ŋukpe ame, eye wòasesẽ na ame bubuwo be woase egɔme. Gake ɖo ŋku edzi be Pseudobulbar Affect (PBA) nye atikewɔwɔ me dɔléle, eye woate ŋu atsɔ atike akpɔ egbɔ. Ne PBA ƒe dzesiwo le ŋuwò la, ƒo nu kple ɖɔkta. Wole afisia be yewoakpe ɖe ŋuwò.

Nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui tso nusiwo me míedzro me (Take-Home Message) .

Enyo, eyata nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui tso Pseudobulbar Affect (PBA) ŋu siwo ŋu míeƒo nu tsoe egbea ŋue nye esi:

• PBA nye ahɔhɔ̃mekawo ƒe dɔléle si nana nèkoa nu alo fa avi le mɔ si dzi màte ŋu aɖu o nu, le mɔ si mewɔ ɖeka kple wò seselelãmewo o nu.
• Zi geɖe la, esia do ƒome kple ahɔhɔ̃medɔ bubu (e.g. ALS, MS, Stroke, TBI).
• PBA menye tagbɔdɔléle ŋutɔ o, gake woate ŋu atɔtɔe kple nɔnɔmewo abe blanuiléle ene.
• Togbɔ be womate ŋu ada esia bliboe o hã la, atikewo li siwo aɖu dzesiawo dzi.
• Ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ŋukpe alo vɔvɔ̃ manɔmee.
• Ne èna wò lɔlɔ̃tɔwo nya nu tso nɔnɔme sia ŋu la , ana nuwo nanɔ bɔbɔe na wò kple woawo siaa.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, taflatse mègahe ɖe megbe le nuƒoƒo kple ɖɔkta me o.

` Pseudobulbar Affect, PBA, Neuropathy, Nukoko si dzi womate ŋu aɖu o, Avifafa si dzi womate ŋu aɖu o, Seselelãme ƒe gbɔdzɔgbɔdzɔ, Ahɔhɔ̃ ƒe Dɔlélewo