Koj puas tau pom, lossis tau ntsib, luag ntxhi tsis muaj laj thawj, lossis quaj tsis tu ncua? Qee zaum, koj teb ntau dua rau qee yam me me dua li qhov tu siab lossis kev zoo siab uas koj hnov. Yog tias koj tau muaj qhov kev paub no, nws yog ib qho tseem ceeb kom paub txog tus mob uas peb yuav tham txog hnub no, Pseudobulbar Affect, lossis luv luv PBA.
Koj puas paub tias Pseudobulbar Affect (PBA) yog dab tsi?
Hais yooj yim xwb, Pseudobulbar Affect (PBA) yog ib qho mob hlwb uas ua rau koj luag lossis quaj tsis tau, uas tsis phim koj txoj kev xav tiag tiag. Xav txog tias koj nyob rau hauv qhov xwm txheej tu siab, tab sis koj tsis tuaj yeem tso tseg luag. Los yog, koj nyob rau ntawm ib tog zoo siab, tab sis koj xav quaj txhua lub sijhawm. Qhov no yog cov tsos mob tseem ceeb ntawm PBA.
Tus mob no yog los ntawm kev puas tsuaj rau lub hlwb lossis los ntawm lwm yam mob ntawm lub paj hlwb. Piv txwv li, ib tus neeg uas muaj tus kab mob zoo li "Amyotrophic Lateral Sclerosis (ALS)" tuaj yeem muaj tus mob no.
Qee zaum, txawm hais tias qhov kev luag lossis quaj no yuav zoo li tsim nyog rau lub sijhawm ntawd, nws nyuaj rau tswj hwm dua li niaj zaus. Tsis tas li ntawd, cov kev qhia tawm ntawm kev xav no tuaj yeem ua rau mob heev thiab kav ntev dua li niaj zaus . Nws zoo li tig lub kais dej thiab koj tsis tuaj yeem nres nws.
PBA kuj tseem hu ua ntau lub npe ntxiv:
- Kev xav tsis thoob
- Kev luag thiab quaj ntawm tus kab mob pathological
- Kev tsis kam lees kev xav ntawm tus kheej
- Luag los yog quaj ua rau yus chim siab
- Kev tswj tsis tau kev xav (kev tswj tsis tau kev xav)
PBA muaj peev xwm muaj kev cuam tshuam loj heev rau koj lub neej, koj tsev neeg, thiab cov neeg uas saib xyuas koj. Nws tuaj yeem ua rau muaj kev txaj muag, kev ntxhov siab , thiab txawm tias kev nyob ib leeg.
PBA feem ntau tshwm sim li cas?
Cov kws tshawb fawb kwv yees tias muaj li ntawm 2 thiab 7 lab tus tib neeg hauv Tebchaws Meskas nkaus xwb uas raug kev txom nyem los ntawm PBA. Qhov laj thawj rau qhov ntau ntawm cov lej no yog vim PBA sib txawv ntawm qhov hnyav thiab tsis raug lees paub zoo. Nws muaj peev xwm hais tias cov neeg uas muaj tus mob no hauv Sri Lanka kuj tsis tau txais kev kho mob vim tsis paub.
Leej twg raug kev cuam tshuam ntau tshaj los ntawm PBA?
Tus mob no, hu ua Pseudobulbar Affect (PBA), tuaj yeem cuam tshuam rau txhua tus neeg txhua lub hnub nyoog, suav nrog cov menyuam yaus thiab cov neeg laus, uas muaj qee yam kab mob neurological hauv lub hlwb.
Raws li kev tshawb fawb tau qhia:
- Kwv yees li 50% ntawm cov neeg uas muaj Amyotrophic Lateral Sclerosis (ALS) yuav muaj PBA.
- Kwv yees li 48% ntawm cov neeg uas raug mob hlwb (TBI) lossis raug mob hlwb hnyav.
- Tus mob no cuam tshuam txog li 46% ntawm cov neeg uas muaj Multiple Sclerosis (MS).
Puas yog Pseudobulbar Affect yog ib qho mob hlwb?
Tej zaum ib txhia neeg yuav xav tias PBA yog ib qho mob hlwb. Vim tias tej yam zoo li luag thiab quaj muaj feem cuam tshuam nrog peb txoj kev xav. Txawm li cas los xij, vim tias PBA yog los ntawm kev puas tsuaj rau cov hlab ntsha hauv lub hlwb , nws raug cais ua 'neuropsychiatric syndrome', uas yog, kev sib sau ua ke ntawm cov tsos mob neuropsychiatric. Hais yooj yim, PBA yog ib qho kev tsis sib haum xeeb ntawm kev qhia tawm kev xav uas tshwm sim nrog lub hlwb mob.
Cov tsos mob ntawm PBA yog dab tsi?
Yuav kom nkag siab txog PBA, nws yog ib qho tseem ceeb kom paub qhov txawv ntawm 'lub siab' thiab 'kev cuam tshuam'. Lub siab yog qhov kev xav uas koj muaj hauv koj tus kheej. Ntawd yog, tej yam uas tsuas yog koj thiaj li hnov tau, xws li kev tu siab, kev npau taws, lossis kev zoo siab. Kev cuam tshuam yog txoj kev uas koj txoj kev xav tau qhia tawm sab nraud, xws li luag nyav lossis quaj, uas lwm tus tuaj yeem pom.
Yog li ntawd, cov tsos mob tseem ceeb ntawm Pseudobulbar Affect (PBA) yog qhov kev qhia tawm ntawm kev xav (kev cuam tshuam) uas tsis phim koj lub siab lossis qhov hnyav ntawm koj txoj kev xav. Cov tsos mob feem ntau yog quaj thiab luag.
Qhov kev luag thiab/lossis kev quaj no yuav zoo li no:
- Tsis xav txog, tam sim ntawd, thiab tsis tswj tau.
- Ntau dhau rau qhov kev tshwm sim. (piv txwv li luag ntau teev ntawm kev tso dag me me)
- Nws tshwm sim rau tsis muaj laj thawj pom tseeb.
Qee zaum, kev npau taws lossis kev chim siab uas tsis tuaj yeem tswj tau tuaj yeem tshwm sim.
Vim tias PBA feem ntau cuam tshuam nrog ib qho mob neurological xws li kev raug mob hlwb lossis amyotrophic lateral sclerosis (ALS), cov neeg uas muaj PBA kuj tseem yuav muaj lwm cov tsos mob ntsig txog qhov mob hauv qab.
Dab tsi yog cov ua rau muaj PBA?
Cov kws tshawb nrhiav tseem tsis tau paub qhov ua rau muaj Pseudobulbar Affect. Lawv xav tias nws yog los ntawm kev cuam tshuam hauv cov hlab ntsha hauv peb lub hlwb uas tswj kev qhia tawm ntawm kev xav.
Muaj ntau yam mob neurological uas cuam tshuam nrog PBA uas tuaj yeem ua rau muaj cov teeb meem no:
- Kev raug mob hlwb
- Amyotrophic lateral sclerosis (ALS), tseem hu ua Lou Gehrig's kab mob.
- Kab mob ntau yam sclerosis (MS)
- Kab mob Alzheimer thiab lwm yam kev mob dementia
- Mob stroke
- Kab mob Parkinson
- Cov qog nqaij hlav hauv hlwb
- Kab mob qaug dab peg
- Kab mob Wilson
PBA cuam tshuam rau qhov twg ntawm lub hlwb?
Nws xav tias PBA feem ntau yuav cuam tshuam rau ntau qhov chaw ntawm lub hlwb raws txoj kev cerebro-ponto-cerebellar.
Ib feem ntawm txoj kev no yog peb lub hlwb me me (Cerebellum).Qhov no ua tiav los ntawm kev saib xyuas peb cov kev xav thiab xyuas kom meej tias lawv tsim nyog rau qhov xwm txheej hauv zej zog. Yog tias txoj kev neural los ntawm qee qhov chaw ntawm lub hlwb mus rau cerebellum raug cuam tshuam, kev tswj hwm kev qhia tawm ntawm kev xav tuaj yeem ploj mus.
Tsis tas li ntawd xwb, cov neurotransmitters hauv qab no yuav koom nrog PBA:
- Serotonin
- Norepinephrine (Norepinephrine)
- Dopamine
- Glutamate
- Acetylcholine (Acetylcholine)
Yuav kuaj mob PBA li cas?
Kab mob Pseudobulbar (PBA) yog ib yam mob uas nyuaj rau kuaj mob . Txawm tias cov kws kho mob kuj qee zaum yuam kev tias nws yog ib yam mob hlwb - tshwj xeeb tshaj yog kev nyuaj siab lossis kev puas siab puas ntsws bipolar.
Tam sim no, tsis muaj kev kuaj mob tshwj xeeb los kuaj mob PBA. Cov kws kho mob kuaj mob raws li koj cov tsos mob:
- Cov tsos mob
- Keeb kwm kho mob, tshwj xeeb tshaj yog hais txog cov kab mob neurological
- Keeb kwm kev noj qab haus huv ntawm lub hlwb
- Cov ntaub ntawv los ntawm kev kuaj lub cev
Tom qab kawm txhua yam no kom zoo zoo, qhov xaus lus yuav tiav.
Vim li cas PBA thiaj tsis meej pem nrog kev nyuaj siab?
Kev mob Pseudobulbar (PBA) yog ib yam mob uas feem ntau tsis meej pem nrog kev mob hlwb, tshwj xeeb yog kev nyuaj siab.
Qhov no yog qhov tshwm sim thaum koj muaj kev quaj ntau zaus, uas yog ib qho tsos mob tseem ceeb ntawm PBA. Cov neeg uas muaj PBA kuj tuaj yeem muaj kev nyuaj siab rau lwm yam, thiab vim yog tus mob PBA nws tus kheej. Txawm li cas los xij, piv rau kev nyuaj siab, kev quaj hauv PBA:
- Nws pib sai sai, zoo li tawg.
- Nws tsuas kav ib ntus xwb.
- Feem ntau nws tsis cuam tshuam nrog kev tu siab sab hauv mus sij hawm ntev.
Txawm hais tias cov neeg uas muaj kev nyuaj siab tu siab txhua lub sijhawm los xij, lawv yuav tsis tshua quaj ntau zaus. Txawm tias lawv quaj los xij, nws kav ntev dua li hauv PBA. Tsis tas li ntawd, lwm cov tsos mob ntawm kev nyuaj siab, xws li pw tsis tsaug zog thiab tsis xav noj mov, tsis pom hauv PBA.
Cov kev kho mob rau PBA yog dab tsi?
Tsis muaj tshuaj kho tau tus kab mob Pseudobulbar Affect (PBA). Txawm li cas los xij, muaj cov tshuaj uas tuaj yeem pab tswj nws. Lub hom phiaj tseem ceeb ntawm kev kho mob yog kom txo qhov hnyav thiab qhov hnyav ntawm cov kev luag thiab quaj uas tsis tuaj yeem tswj tau.
Cov tshuaj uas cov kws kho mob sau rau PBA yog:
- Dextromethorphan/quinidine sulfate (Nuedexta®): Nov yog thawj tshuaj uas FDA (US Food and Drug Administration) tau pom zoo los kho PBA. Nws muaj tshuaj hnoos (dextromethorphan) thiab cov tshuaj tsawg heev uas tau siv los kho cov teeb meem plawv dhia tsis xwm yeem (quinidine sulfate).
- Cov tshuaj tiv thaiv kev nyuaj siab:Cov tshuaj tiv thaiv kev nyuaj siab xws li "(Tricyclic antidepressants)", "(Selective Serotonin Reuptake Inhibitors - SSRIs)", thiab "(Norepinephrine/Serotonin Reuptake Inhibitors - SNRIs)" tuaj yeem pab tswj cov tsos mob PBA. Txawm li cas los xij, cov no feem ntau yog muab rau cov koob tshuaj qis dua li cov uas muab rau kev nyuaj siab.
Ib yam li lwm yam tshuaj, tej zaum yuav muaj tej yam tsis zoo tshwm sim. Koj yuav tsum nrog kws kho mob tham kom xaiv txoj kev kho mob uas zoo tshaj plaws rau koj.
Puas tiv thaiv tau PBA?
Vim tias Pseudobulbar Affect yog tshwm sim los ntawm kev puas tsuaj rau lub hlwb thiab cov mob neurological, tsis muaj dab tsi ua tau los tiv thaiv nws kom tsis txhob tshwm sim.
Kev kwv yees rau PBA yog dab tsi?
Qhov kev xav txog PBAs txawv ntawm ib tus neeg mus rau ib tus neeg.
Yog tias tus mob tsis raug lees paub thiab kho, cov neeg uas muaj PBA muaj feem yuav muaj ntau ntxiv ntawm:
- Kev Nyuaj Siab
- Kev ntxhov siab
- Kev sib txuas lus hauv zej zog txo qis
- Txo qhov zoo ntawm lub neej
Cov tshuaj kho mob tuaj yeem pab tswj cov tsos mob. Nws yuav nyuaj rau kuaj mob thiab kho. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum hais lus rau koj tus kheej thiab sim ua. Cov kws kho mob uas paub zoo tshaj plaws txog qhov mob no yog cov kws kho mob hlwb, cov kws kho mob hlwb, thiab cov kws kho mob hlwb.
Pseudobulbar Affect kav ntev npaum li cas?
Kev cuam tshuam pseudobulbar feem ntau yog ib qho mob ntev, vim tias cov mob hauv qab uas ua rau nws (piv txwv li, ntau yam sclerosis, Alzheimer's tus kab mob) feem ntau kav ntev.
Koj ua tau dab tsi kom ua neej tau zoo nrog PBA? (Cov Tswv Yim Daws Teeb Meem)
Nov yog qee cov lus qhia los pab koj daws teeb meem PBA thiab tswj koj qhov kev luag / quaj tam sim ntawd:
- Thaum luag/quaj los txog, ua pa tob tob kom txog thaum nws ploj mus.
- Xav txog lwm yam thaum ntawd, tsom ntsoov rau nws.
- So koj lub xub pwg thiab cov leeg ntawm lub ntsej muag thiab txo qhov kev ntxhov siab.
- Yog ua tau, hloov koj txoj hauj lwm.
- Qhia rau lwm tus txog koj qhov teeb meem kom lawv paub tias yuav tsum xav li cas thiab yuav tsis nkag siab koj yuam kev.
- Yog tias PBA cuam tshuam rau koj txoj kev noj qab haus huv ntawm lub hlwb, mus ntsib tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb .
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj PBA, koj txoj kev kho mob tsis ua haujlwm zoo, lossis koj muaj cov kev mob tshwm sim tsis zoo, nrog koj tus kws kho mob tham txog kev kho mob tshiab.
Luag thiab quaj tsis tswj tau tuaj yeem ua rau lwm tus nyuaj, txaj muag, thiab nyuaj rau lwm tus nkag siab. Tab sis nco ntsoov, Pseudobulbar Affect (PBA) yog ib qho mob, thiab nws tuaj yeem tswj tau nrog tshuaj. Yog tias koj muaj cov tsos mob ntawm PBA, tham nrog kws kho mob. Lawv nyob ntawm no los pab koj.
Cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog (Cov Lus Coj Mus Tsev)
Zoo, yog li ntawm no yog cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov txog Pseudobulbar Affect (PBA) uas peb tau tham txog hnub no:
- PBA yog ib qho mob hlwb uas ua rau koj luag lossis quaj tsis tuaj yeem tswj tau, hauv txoj kev uas tsis phim koj txoj kev xav.
- Qhov no feem ntau cuam tshuam nrog lwm yam kab mob ntawm lub paj hlwb (piv txwv li ALS, MS, Stroke, TBI).
- PBA tsis yog ib qho mob hlwb nws tus kheej, tab sis nws tuaj yeem tsis meej pem nrog cov mob xws li kev nyuaj siab.
- Txawm hais tias tsis muaj kev kho kom zoo tag nrho rau qhov no los xij, muaj cov tshuaj los tswj cov tsos mob.
- Yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob yam tsis txaj muag lossis ntshai.
- Kev qhia rau koj cov neeg hlub txog qhov xwm txheej no yuav ua rau tej yam yooj yim dua rau koj thiab lawv.
Vam tias cov ntaub ntawv no yuav pab tau koj. Yog tias koj muaj lus nug ntxiv txog qhov no, thov tsis txhob yig los tham nrog kws kho mob.
Kev Cuam Tshuam Pseudobulbar , PBA, Neuropathy, Kev Luag Tsis Tswj Tau, Kev Quaj Tsis Tswj Tau, Kev Xav Tsis Zoo, Kev Mob Hlwb











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus