Laf fɔ no rizin, kray we nɔ ebul fɔ kɔntrol - Lɛ wi tɔk bɔt Pseudobulbar Affect (PBA)

Imajin se yu de fil bad smɔl, ɔ yu de fil nɔmal. Bɔt wantɛm wantɛm yu bigin fɔ laf we yu nɔ ebul fɔ kɔntrol. Ɔ we yu nɔ de fil gladi at atɔl, yu de kray ɔltɛm. Yu sabi dis kayn ɛkspiriɛns? Dis nɔto wi maynd wik ɔ sɔntin we yu kin du bay wilful lɛk aw yu kin tink sɔntɛnde. Dis kin bi wan kɔndishɔn we gɛt fɔ du wit di nervɔs sistɛm . Dis na wetin wi de tɔk bɔt tide.

Wetin na Pseudobulbar Afɛkt (PBA)?

Fɔ tɔk am simpul wan, Pseudobulbar Affect, ɔ PBA fɔ shɔt, na wan sik we de afɛkt di nervɔs sistɛm. Na wan kɔndishɔn wae de diskɔnekshɔn de bitwin yu insay muud ɛn yu autward filin ɛksprɛshɔn. Dis min se yu kin kray we yu nɔ fil bad, laf we yu nɔ fil gladi, ɔ vɛks pan smɔl smɔl tin dɛn. Di tin we impɔtant pas ɔl na dat yu nɔ go ebul fɔ kɔntrol dɛn kayn we ya we yu de fil.

Dɛn kin no dis sik wit sɔm ɔda nem dɛm:

• Imɔshɔnal labiliti
• Imɔshɔnal inkɔntinɛns (inability fɔ kɔntrol di filin) ​​.
• Kray we yu nɔ want
• Pathological laf ɛn kray

Wetin na di men sayn dɛm fɔ PBA?

If yu ɔ pɔrsin wae yu sabi gɛt PBA, yu kin gɛt dɛn kayn sik ya. Dɛn kin apin bɔku tɛm insay di de ɔ bɔku tɛm insay di mɔnt.

Bikɔs ɔf dɛn kayn sayn ya, bɔrku pipul kin kɔnfyus am wit wan maynd sik lɛk pwɛl hat ɔr bipolar disorder . Bɔt, klia difrɛns de bitwin dɛn tu.

Pɔsin we gɛt pwɛl hat kin kray, bɔt te to sɔm mak, dɛn kin ebul fɔ kɔntrol am. Ɛn di kray we dɛn de kray fit fɔ di sɔri we dɛn de fil. Bɔt nɔto so i bi wit PBA. Yu kin kray kɔntinyu ivin we yu gladi. Dɔn bak, dɛn nɔ kin si fɔ smayl as sayn fɔ pwɛl hat.

Dis sik kin mek yu shem ɛn nɔr kin fil fayn na sɔshal situeshɔn. Yu kin avɔyd fɔ go wit padi ɔ go pati bikɔs yu de fred se "Dis go apin to mi bak?" Dis kin mek sɔm pipul dɛn wɔri ɛn pwɛl at bak.

Wetin mek dis tin kin apin?

Sayɛnsman dɛn biliv se di men tin we kin mek pɔsin gɛt PBA na we di pat pan wi bren we de kɔntrol di we aw wi de fil, we na di prɛfrɔntal kɔtɛks . Dis damej de chenj di wok we di kεmikכl dεm na di bren de wok, we de mek i lכs di ebul fכ kכntrכl di filin dεm.

PBA kin kam bikɔs ɔf ɛni mɛdikal kɔndishɔn ɔ injuri we kin afɛkt di bren. Sɔm pan di men tin dɛn we kin apin to pɔsin na:

• Strok
• Traumatik Bren Injuri
• Mɔltipɛl sklɛrosis (MS) .
• Amyotrofik latɛral sklɛrosis (ALS) .
• Dis sik we dɛn kɔl Parkinson
• Dis sik we dɛn kɔl Alzaima
• Dimɛnshɔnal sik
• Bren tumor

Risach dɔn sho se pas wan pat pan tri pipul dɛn we dɔn gɛt strok kin gɛt sayn dɛn fɔ PBA.

Aw dɔktɔ kin no di PBA kɔrɛkt wan?

If yu ɔ pɔsin we yu lɛk de kray ɔ laf ɔltɛm fɔ natin, mek shɔ se yu go to dɔktɔ ɛn tɔk bɔt am. I impɔtant fɔ gɛt kɔrɛkt diagnosis, as PBA kin izi fɔ kɔnfyus wit ɔda mental sik dɛm.

We yu go to yu dɔktɔ, rɛdi fɔ tɔk bɔt dɛn tin ya:

• Wetin na di sayn dɛm we de sho se yu gɛt dis sik? (Kray, laf, vɛks?)
• Frɔm ustɛm dis dɔn de?
• Aw lɔng dis dɔn de apin? (Fɔs minit ɔ mɔ?)
• Ɔmɔs tɛm insay di de?

We dɛn kayn tin ya apin, if yu rayt wetin yu tink se na in mek dɛn apin, dat go ɛp di dɔktɔ fɔ ɔndastand yu sik bad bad wan.

No patikyula tɛst nɔ de fɔ no if pɔsin gɛt PBA. Bɔt fɔ chɛk fɔ si if yu gɛt ɛpilepshi we kin mek yu gɛt dɛn sik ya, yu dɔktɔ kin ɔda fɔ mek dɛn du EEG (Electroencephalogram) . Dis na simpul tɛst we nɔ gɛt pen ɛn we de mɛzhɔ di wef dɛn na di bren.

Apat frɔm dat, dɔktɔ dɛn kin yuz tu kwɛstyɔn dɛn fɔ kɔnfɔm if na PBA ɔ nɔto PBA.

1. Pathological Laughing and Crying Scale (PLACS): Na ya, di dɔktɔ kin aks yu kwɛstyɔn bɔt dɛn tin ya we kin apin, aw dɛn gɛt fɔ du wit aw yu de fil, ɛn aw dɛn kin afɛkt sɔshal sityueshɔn.

2. Sɛntral fɔ Nyurolɔjik Stɔdi-Lɛbiliti Skel (CNS-LS): Na ya yu fɔ ansa sɔm kwɛstyɔn dɛn yusɛf. Fɔ ɛgzampul, kwɛstyɔn dɛn lɛk "A de kray rili izi" ɔ "A nɔ ebul kɔntrol mi laf izi" fɔ gɛt fɔ skor akɔdin to yu ɛkspiriɛns.

Wetin na di tritmɛnt dɛm fɔ PBA?

Tritmɛnt dɛn de fɔ ɛp fɔ mɛn PBA. Yu dɔktɔ kin gi yu smɔl smɔl mɛrɛsin fɔ mek yu nɔ gɛt pwɛl hat fɔ ɛp yu fɔ kɔntrol yu sik dɛn.

Dɔn bak insay 2010, di US FDA bin gri fɔ di fɔs mɛrɛsin we spɛshal fɔ PBA, we na dextromethorphan/quinidine (Nuedexta) . Risach dɔn sho se dis mɛrɛsin kin rili wok fɔ kɔntrol kray ɛn laf we pɔsin nɔ ebul fɔ kɔntrol pan pipul dɛn we gɛt sik dɛn lɛk MS ɛn ALS.

Fɔ gɛt tritmɛnt fɔ dis sik, yu kin aks fɔ ɛp frɔm spɛshal dɔktɔ lɛk nyurolɔjis, saykayatrist, ɔ nyurosaykɔlɔjis.

Wetin wi kin du we wi de liv wit PBA?

Fɔ liv wit PBA kin tranga, bɔt if yu fala dɛn advays ya, yu ɛn yu famili kin ebul fɔ bia wit dis sik fayn fayn wan.

• Tɛl pipul dɛn we de arawnd yu bɔt dis:Tɔk to yu fambul ɛn tayt padi dɛm bɔt PBA ɛn aw i kin afɛkt yu. Da we de, if sɔntin lɛk dis apin wantɛm wantɛm, dɛn nɔ go vɛks ɔ nɔ ɔndastand.
• Kip dayari: As wi bin dɔn tɔk, rayt ustɛm dɛn tin ya kin apin ɛn wetin yu tink se na in mek dɛn apin. Dis go rili impɔtant we yu de tɔk bɔt tritmɛnt wit yu dɔktɔ.
• Chenj di we aw yu de tinap: We yu fil fɔ kray ɔ laf, chenj di we aw yu sidɔm ɔ tinap.
• Briz sloslo, dip: We sɔntin apin, briz sloslo ɛn dip te yu fil se yu ebul fɔ kɔntrol am.
• Rilaks: Afta sɔntin lɛk dis, yu sholda ɛn fɔrɛst kin fil tayt. So tray fɔ rilaks yu bɔdi afta di ivent.
• Join wan sɔpɔt grup: Fɔ tɔk to ɔda pipul dɛm wae gɛt PBA kin bi big sɔs fɔ trɛnk. Dɛn go ɔndastand yu ɛkspiriɛns ɛn dɛn kin gi yu ɔda advays dɛn we dɔn ɛp dɛn.