E noʻonoʻo ʻoe e kaumaha iki ana ʻoe, a i ʻole he mea maʻamau. Akā, hoʻomaka koke ʻoe e ʻakaʻaka me ka hiki ʻole ke kāohi. A i ʻole i ka wā ʻaʻole ʻoe e hauʻoli iki, e uē mau ana ʻoe. Ua kamaʻāina anei ʻoe i kēia ʻano ʻike? ʻAʻole kēia he nāwaliwali noʻonoʻo a i ʻole kekahi mea āu e hana ai me ka manaʻo e like me kou manaʻo i kekahi manawa. He kūlana paha kēia e pili ana i ka ʻōnaehana nerve . ʻO kēia ka mea a mākou e kamaʻilio nei i kēia lā.
He aha ka hopena o ka Pseudobulbar (PBA)?
I ka pōkole, ʻo ka Pseudobulbar Affect, a i ʻole PBA no ka pōkole, he ʻano ia e hoʻopilikia ai i ka ʻōnaehana nerve. He ʻano ia e pili ana ka ʻokoʻa ma waena o kou ʻano o loko a me kou ʻano o waho. ʻO ke ʻano kēia, hiki iā ʻoe ke uē me ke kaumaha ʻole, ʻakaʻaka me ka hauʻoli ʻole, a huhū paha i nā mea liʻiliʻi. ʻO ka mea nui loa, ʻaʻole hiki iā ʻoe ke kāohi i kēia mau ʻano o ka naʻau.
Ua ʻike ʻia kēia ʻano ma kekahi mau inoa ʻē aʻe:
- Ka lohi o ka naʻau
- ʻO ka hiki ʻole ke kāohi i nā manaʻo
- Uē ʻana me ka makemake ʻole
- ʻAkaʻaka a me ka uē ʻana o ka maʻi pathological
ʻO ka mea nui, ʻaʻole ka PBA he maʻi noʻonoʻo, he maʻi neurological ia e pili ana i ka hana o ka lolo.
He aha nā hōʻailona nui o ka PBA?
Inā ʻoe a i ʻole kekahi āu i ʻike ai he PBA, hiki iā ʻoe ke ʻike i kēia mau hōʻailona. Hiki ke ʻike ʻia lākou i nā manawa he nui i ka lā a i ʻole i kekahi mau manawa i ka mahina.
| Hōʻailona | Wehewehena |
|---|---|
| Ka uē ʻana a i ʻole ka ʻakaʻaka hiki ʻole ke kāohi | I ka manawa koke, hoʻomaka ʻoe e uē a ʻakaʻaka paha me ka nui loa a hiki ʻole iā ʻoe ke hoʻōki. |
| Nā pane kūpono ʻole | Ka pane ʻana ma ke ʻano kūpono ʻole i ke kūlana, e like me ka ʻakaʻaka i kou wā kaumaha a i ʻole ka uē ʻana i kou wā hauʻoli. |
| Huhū a me ka hoʻonāukiuki | Ke hōʻike nei i ka huhū nui a i ʻole ka hoʻonāukiuki koke. |
| ʻAʻole kūlike ka helehelena o ka helehelena | Ke hōʻike nei i kahi ʻano helehelena ʻokoʻa loa mai kou manaʻo i loko o kou puʻuwai. |
Ma muli o kēia mau hōʻailona, nui ka poʻe e huikau me kahi maʻi noʻonoʻo e like me ke kaumaha a i ʻole ka maʻi bipolar . Eia nō naʻe, aia kekahi ʻokoʻa maopopo ma waena o nā mea ʻelua.
Hiki i ke kanaka me ke kaumaha ke uē, akā i kekahi ʻano, hiki iā lākou ke kāohi iā ia. A kūpono ke uē no ke kaumaha a lākou e manaʻo nei. Akā, ʻaʻole pēlā ka hihia me PBA. Hiki iā ʻoe ke uē mau ʻoiai ʻoe e hauʻoli nei. Eia kekahi, ʻaʻole ʻike ʻia ka minoʻaka he hōʻailona i loko o ke kaumaha.
Hiki i kēia kūlana ke hoʻohilahila iā ʻoe a hoʻoluhi ʻole i nā kūlana pilikanaka. Hiki iā ʻoe ke pale aku i ka hele ʻana me nā hoaaloha a i ʻole ka hele ʻana i nā pāʻina no ka mea makaʻu ʻoe i ka "E hana hou anei kēia iaʻu?" Hiki i kēia ke alakaʻi i ka hopohopo a me ke kaumaha no kekahi poʻe.
No ke aha lā e kū mai ai kēia kūlana?
Manaʻo nā kānaka ʻepekema ʻo ke kumu nui o ka PBA ka hōʻino ʻia ʻana o ka ʻāpana o ko kākou lolo e kāohi ana i nā manaʻo, ʻo ia hoʻi ka prefrontal cortex . Hoʻololi kēia hōʻino i ka hana o nā kemika o ka lolo, e alakaʻi ana i ka nalowale o ka hiki ke kāohi i nā manaʻo.
Hiki ke hana ʻia ka PBA e kekahi ʻano maʻi a i ʻole ka ʻeha e hoʻopilikia ai i ka lolo. ʻO kekahi o nā kūlana nui:
- Hahau
- ʻEha lolo traumatic
- ʻO ka sclerosis lehulehu (MS)
- ʻO ka sclerosis ʻaoʻao Amyotrophic (ALS)
- ka maʻi o Parkinson
- ka maʻi o Alzheimer
- Dementia
- ʻŌpū lolo
Ua hōʻike ʻia e ka noiʻi ʻoi aku ma mua o ka hapakolu o ka poʻe i loaʻa i ka hahau ʻana e loaʻa i nā hōʻailona o PBA.
Pehea e ʻike pololei ai ke kauka i ka PBA?
Inā ʻoe a i ʻole kahi mea aloha e uē mau ana a ʻakaʻaka paha me ke kumu ʻole, e ʻike pono i ke kauka a kamaʻilio e pili ana i ia mea. He mea nui e loaʻa kahi hōʻailona pololei, no ka mea, hiki ke huikau maʻalahi ʻia ka PBA me nā maʻi noʻonoʻo ʻē aʻe.
Ke hele ʻoe e ʻike i kāu kauka, e mākaukau e kamaʻilio e pili ana i kēia mau mea:
- He aha nā hōʻailona? (Uē, ʻakaʻaka, huhū?)
- Mai ka manawa hea mai kēia?
- Pehea ka lōʻihi o kēia hana? (He mau minuke a ʻoi aku paha?)
- ʻEhia mau manawa i ka lā?
Ke hana ʻia kēia ʻano hanana, ʻo ka mālama ʻana i kahi puke moʻolelo o nā mea āu i manaʻo ai ua hoʻokumu paha iā lākou e kōkua nui i ke kauka e hoʻomaopopo i kou kūlana.
ʻAʻohe hoʻokolohua kikoʻī e ʻike ai i ka PBA. Eia nō naʻe, no ka nānā ʻana i nā maʻi epilepsy e hiki ai ke hoʻoulu i kēia mau hōʻailona, hiki i kāu kauka ke kauoha i kahi EEG (Electroencephalogram) . He hoʻokolohua maʻalahi kēia a ʻeha ʻole e ana i nā nalu o ka lolo.
Eia kekahi, hoʻohana nā kauka i ʻelua mau nīnau nīnau e hōʻoia inā he PBA a ʻaʻole paha.
1. Pathological Laughing and Crying Scale (PLACS): Maanei, nīnau ke kauka iā ʻoe i nā nīnau e pili ana i kēia mau hanana, pehea lākou e pili ai i kou mau manaʻo, a pehea lākou i hoʻopilikia ai i nā kūlana pilikanaka.
2. Ke Kikowaena no ke Aʻo ʻana i nā Neurologic-Lability Scale (CNS-LS): Maanei pono ʻoe e pane i kekahi mau nīnau iā ʻoe iho. No ka laʻana, ʻo nā nīnau e like me "Uē maʻalahi wau" a i ʻole "ʻAʻole hiki iaʻu ke kāohi maʻalahi i kaʻu ʻakaʻaka" pono e helu ʻia e like me kou ʻike.
He aha nā lāʻau lapaʻau no ka PBA?
Aia nā lāʻau lapaʻau e loaʻa ana e kōkua i ka mālama ʻana i ka PBA. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau haʻahaʻa o nā antidepressants e kōkua i ka mālama ʻana i kāu mau hōʻailona.
I ka makahiki 2010 hoʻi, ua ʻāpono ka US FDA i ka lāʻau lapaʻau mua no PBA, ʻo ia hoʻi ʻo dextromethorphan/quinidine (Nuedexta) . Ua hōʻike ʻia e ka noiʻi he pono loa kēia lāʻau lapaʻau i ka kaohi ʻana i ka uē a me ka ʻakaʻaka hiki ʻole ke kāohi ʻia i ka poʻe me nā maʻi e like me MS a me ALS.
No ka loaʻa ʻana o ka mālama ʻana no kēia ʻano, hiki iā ʻoe ke ʻimi i ke kōkua o kahi loea e like me ke neurologist, psychiatrist, a i ʻole neuropsychologist.
He aha kā mākou e hana ai i ka wā e noho pū ai me PBA?
Hiki ke paʻakikī ka noho ʻana me ka PBA, akā ma ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo, hiki iā ʻoe a me kou ʻohana ke kūleʻa me ke kūlana.
- E haʻi aku i nā poʻe a puni ʻoe e pili ana i kēia:E kamaʻilio me kou ʻohana a me kou mau hoaaloha pili e pili ana i ka PBA a pehea kona hopena iā ʻoe. Ma kēlā ala, inā hiki koke mai kekahi mea e like me kēia, ʻaʻole lākou e huhū a kuhihewa paha.
- E mālama i kahi puke moʻolelo: E like me kā mākou i ʻōlelo ai ma mua, e kākau i lalo i ka wā e hana ʻia ai kēia mau hanana a me nā mea āu e manaʻo ai ua kumu paha lākou. He mea nui loa kēia i ke kūkākūkā ʻana i ka lāʻau lapaʻau me kāu kauka.
- E hoʻololi i kou kūlana: Ke makemake ʻoe e uē a ʻakaʻaka paha, e hoʻololi i ke ʻano o kou noho ʻana a kū ʻana paha.
- E hanu mālie, hohonu: I ka wā o kahi hanana, e hanu mālie a hohonu a hiki i kou manaʻo ua kāohi ʻoe.
- Hoʻomaha: Ma hope o kahi hanana e like me kēia, e ʻeha paha kou mau poʻohiwi a me kou lae. No laila e hoʻāʻo e hoʻomaha i kou kino ma hope o ka hanana.
- E hui pū me kahi hui kākoʻo: ʻO ke kamaʻilio ʻana me nā poʻe ʻē aʻe me PBA hiki ke lilo i kumu ikaika nui. E hoʻomaopopo lākou i kou ʻike a hiki ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo ʻē aʻe i kōkua iā lākou.
Leka Lawe-Home
- ʻO ka hopena Pseudobulbar (PBA) ʻo ia ka uē ʻana, ka ʻakaʻaka, a i ʻole ka huhū hiki ʻole ke kāohi ʻia, ʻaʻole pili i ka mea e hana nei i loko o kou manaʻo.
- ʻAʻole kēia he maʻi noʻonoʻo, akā he kūlana i hoʻokumu ʻia e nā kūlana neurological e like me ka hahau ʻana, MS, a i ʻole nā ʻeha o ka lolo.
- ʻElua mau mea like ʻole ka PBA a me ke kaumaha. He mea nui loa ka ʻike pololei ʻana i ka maʻi.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hilahila a makaʻu paha, akā e ʻimi i ka ʻōlelo aʻo mai ke kauka kūpono.
- Hiki ke mālama pono ʻia nā hōʻailona PBA me nā lāʻau lapaʻau a me nā hoʻolālā hoʻoponopono.
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