Yu tink se di pɔsin we yu lɛk gɛt dɛn strenj sayn ya? Yu tink se i at fɔ tɔk ɔ fɔ swɛla? Lɛ wi lan bɔt (Pseudobulbar Palsy)!

Yu dɔn ɛva notis se sɔntɛnde, di wan dɛn we wi lɛk kin bigin fɔ laf wantɛm wantɛm fɔ natin, ɔ bigin fɔ kray we dɛn nɔ fil bad? Ɔ dɛn kin swɛ dɛn wɔd dɛn we dɛn de tɔk, ɔ i nɔ kin izi fɔ dɛn fɔ swɛla it? If yu gɛt wan ɔr mɔr pan dɛn tin ya togɛda, i kin bi bikɔs ɔf wan sik we dɛn kɔl ‘Pseudobulbar Palsy’ we wi go tɔk bɔt tide. Dis nɔto rili wan ɔda sik, bɔt na wan kɔlekɛshɔn fɔ di sayn dɛm we sɔm nyurolɔjik sik dɛm kin kam wit. So, lɛ wi tɔk mɔ bɔt dis?

Wetin na Pseudobulbar Palsi?

Fɔ tɔk am simpul wan, Pseudobulbar Palsy na wan kɔlekɛshɔn fɔ nyurolɔjik simptom dɛm we kin kam bikɔs wan patikyula pat na wi bren we dɛn kɔl kɔtikobulbar trakt dɔn pwɛl. dis kכtikobulba trakt de εp fכ kכntrכl di mכsul dεm na wi ed εn fes. We dis dɔn pwɛl, tri men prɔblɛm dɛn kin kam:

• I at fɔ tɔk, wi kin kɔl dis pan mɛrɛsin `dysarthria` .
• If i nɔ izi fɔ swɛla it ɔ wata, dɛn kin kɔl am disfagia .
• Di we aw pɔsin nɔ ebul fɔ kɔntrol in filin, lɛk fɔ laf ɔ kray wantɛm wantɛm, dɛn kɔl am ``pseudobulbar affect.''

Di impɔtant tin na dat dis nɔto wan sik, bɔt na kɔmplikeshɔn we ɔda nyurolɔjik sik ɔ sɛribra vaskul kɔndishɔn kin kam wit. Sɔntɛnde dɔktɔ dɛn kin kɔl am bak ‘supranuclear bulbar palsy’.

Wetin na di sayn dɛm fɔ dis sik?

As wi bin dɔn tɔk, di tri men sayn dɛm na wae i nɔr kin izi fɔ tɔk, i nɔ kin izi fɔ swɛla, ɛn i nɔ kin ebul fɔ kɔntrol di we aw i de fil. Bɔt yu kin si ɔda sayn dɛn bak, lɛk:

• Drol ɔ de saliva pasmak: Sɔntɛnde, saliva kin kɔmɔt na yu mɔt we yu nɔ ivin no.
• Di chenj we yu de chenj di we aw yu de tɔk ɛn di we aw yu de tɔk: Sɔntɛm di we aw yu de tɔk nɔ klia. I kin ivin tan lɛk se yu de tɔk tru yu nos (ɔva nos tɔyn).
• di tכng wik כ paralayz: dεn kכl dis `glossoplegia`. Dis kin mek i nɔ izi fɔ tɔk ɛn it it.
• Di fes mɔsul dɛn we wik: Wan ɔ ɔl tu di say dɛn na di fes kin nɔ gɛt layf.
• I nɔ kin izi fɔ it it: Bikɔs yu nɔ kin ebul fɔ it it fayn, i kin at fɔ swɛla.
• Laf ɔ kray we yu nɔ ebul fɔ kɔntrol ɔ we nɔ fayn: Imajin se yu de kray wantɛm wantɛm fɔ no rizin, ɔ yu de laf lawd wan pan smɔl tin, ɛn yu nɔ ebul fɔ kɔntrol am. dis dεn kכl am ``pseudobulbar afekt.''
• di jaw mכsul dεm stif כ tayt: dεn kכl dis bak `trismus`. I kin tranga fɔ opin ɛn lɔk yu mɔt.
• di fes rifleks dεm we de bכku: fכ egzampl, di jaw kin jכk.

Dɛn ripɔt bak se lɛk 85% pan di pikin dɛm we gɛt Pseudobulbar Palsy kin gɛt tin dɛm lɛk intɛlektual disabiliti ɛn seizure .

Along wit dis simptom dεm, כda simptom dεm kin apin bak dipכnt pan di כndalayn sik we mek di pseudobulbar palsy.

Wetin mek dis de apin? Wetin na di rizin dɛn?

di men tin we kin mek wi gɛt Pseudobulbar Palsy na di damej na di tu say dɛm na di kɔtikobulbar trakt na wi bren. Di wok we dis trakt de du na fɔ kɔntrol di mɔsul dɛn na di ed ɛn fes. dis pat de gi input bak to di kraynia nεv dεm we de gi di mεsej dεm we nid to dεn mכsul dεm ya.

So, sεvεra kכndishכn dεm de we kin pwεl dis ``kכtikobulbar trakt.'' Dεn na:

• Siriɔs ed injuri (traumatik bren injuri).
• Tumɔs dɛn we de na di bren stem .
• Inflameshɔn ɛn infɛkshɔn we de afɛkt di bren.
• Kronik nyurolɔjik kɔndishɔn dɛn.
• sik dεm we de fכm di bכdi vεsul dεm na di bren, fכ egzampl ``strok`` εn ``vaskulכr malfכmeshכn``.

Sɔm kɔmɔn, lɔng tɛm nyurolɔjik kɔndishɔn dɛm wae kin mek pɔrsin gɛt pseudobulbar palsy na:

• Amyotrofik latɛral sklɛrosis (ALS).
• Dis sik we dɛn kɔl Parkinson .
• Progresiv supranukliar palsi .
• Mכltipכl sklεrosis (`Mכltipכl sklεrosis - MS`).

Aw yu no dis?

Dɔktɔ dɛn kin no se yu gɛt Pseudobulbar Palsy bay di sayn dɛm we yu gɛt. Di ki ya na fɔ no wetin na di ɔndalayn kɔndishɔn we de mek di sik de. Sɔntɛm yu dɔn no bɔt am, ɔ yu go nid fɔ fɛn nyu tin.

De dɔktɔ go aks yu bɔt yu sik, ustɛm dɛn bigin, ɛn yu kɔmplit mɛdikal histri, lɛk if yu bin dɔn gɛt wan sik bifo lɛk strok. Dɔn dɛn go du wan ɛgzam fɔ dɛn bɔdi ɛn wan ɛgzam fɔ di nyurolɔjik .

Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt pseudobulbar palsy, yu dɔktɔ kin tɛl yu bak fɔ du difrɛn tɛst dɛn bak. Sɔm pan dɛn tin ya na:

• Blɔd tɛst dɛn .
• Spinal tap fכ sεribrospεnal fכluid (CSF analisis).
• Test dɛn we dɛn kin du fɔ tek pikchɔ, lɛk we dɛn kin du MRI skan na di bren .
• wan `EEG` tεst (`EEG - ilektroεnsεfalogram`), we de mכsu di ilektrikal aktiviti fכ di bren.
• `Evoked Potential` tɛst dɛn we dɛn kin du(`Evoked pɔtɛnɛshɛl tɛst dɛn`).
• Tɔk ɛn kɔgnitiv asɛsmɛnt .

Dɛn tɛst ya go ɛp wi fɔ no klia wan wetin na di kɔz.

Aw dɛn kin trit am?

Nɔr dairekt tritmɛnt nɔr de fɔ Pseudobulbar Palsy. Bifo dat, yu mɛdikal tim go tɛl yu fɔ du difrɛn tritmɛnt fɔ mɛn di sayn dɛm fɔ di sik. Apat frɔm dat, dɛn kin nid fɔ trit di sik we de ɔnda am.

Fɔ dis, yu go nid di ɛp frɔm wan tim we gɛt dɔktɔ dɛn we gɛt difrɛn spɛshal pipul dɛn. Sɔm pan dɛn tin ya na:

• Yu famili dɔktɔ (`Praymari kia dɔktɔ`).
• Di wan dɛn we de stɔdi bɔt nyurolɔji.
• Di wan dɛn we de stɔdi bɔt aw pɔsin kin tɔk ɛn langwej.
• Di wan dɛn we de mɛn pipul dɛn we de blo.
• Saikɔlɔjis ɔ saykayatrist.
• Soshal woka dɛn.
• Famasis dɛn we de wok.

Tritmɛnt fɔ mek i nɔ izi fɔ swɛla (Dysphagia) .

Difrɛn tritmɛnt dɛn de fɔ dipen pan aw di prɔblɛm we de mit pɔsin fɔ swɛla. Sɔm pan dɛn na:

• Fɔ chenj di we aw yu de it, chenj di tin dɛn we yu de yuz fɔ it, ɛn chenj di we aw di it de kɔnsistɛns. Fɔ ɛgzampul, yu kin mash it fayn fayn wan ɛn mek am mɔ likwid fɔ mek i izi fɔ swɛla.
• εksεsayz fכ mek di mכsul dεm we de εp fכ sכlow trכng (`Swallowing muscle training`).
• Fisiotɛrapi, lɛk ilɛktrik, magnɛtik ɔ tɛmral stimulashɔn.
• Mεdikeshכn dεm, fכ egzampl, mεdikeshכn dεm lεk `nifedipine` εn `metoclopramide`.

Mɛmba se if yu nɔ ebul fɔ it ɔ drink fayn, ɔ if yu de pan denja fɔ chok, yu dɔktɔ kin se yu fɔ gi yu tin fɔ it tru wan tiub (`fidin tyub`) we dɛn kin put dairekt insay yu nos ɔ yu bɛlɛ .

Tritmɛnt fɔ pɔsin we nɔ de tɔk fayn

If i nɔ izi fɔ yu fɔ tɔk, di tritmɛnt we yu de yuz fɔ tɔk kin rili ɛp yu. Wan pɔsin we de mɛn pipul dɛn we de tɔk nɔ de tich yu nɔmɔ, bɔt i de tich yu famili bak aw fɔ tɔk to yu fayn fayn wan.

We yu de du spik tɛrapi, yu kin lan tin dɛn lɛk:

• Ɛksesaiz we de mek di tɔŋ, di lip, ɛn di jaw mɔsul dɛn strɔng (if i pɔsibul).
• Strateji fɔ tɔk klia wan, lɛk fɔ slo yu spid fɔ tɔk ɛn yuz sɔm patikyula mɔsul dɛn bay wilful fɔ mek yu tɔk sawnd ɛn wɔd dɛn.
• We dɛn fɔ tɔk wetin yu tink bɔt we yu nɔ gɛt wɔd, lɛk sayn langwej ɔ raytin.

Tritmɛnt fɔ ɛksprɛshɔn fɔ di imɔshɔnal we dɛn nɔ kɔntrol (`Pseudobulbar Affect - PBA`)

Mεdikesh כn dεm fכ kכntrכl ``Pseudobulbar Affect (PBA)'', na wan kכndyushכn we yu de laf εn kray we yu nכ ebul fכ kכntroI kin ɛp. Yu dɔktɔ kin gi yu mɛrɛsin lɛk:

• Dextromethorphan/quinidine sulfate (Nuedexta®): Di U.S. Food and Drug Administration (FDA) dɔn gri fɔ dis mɛrɛsin as di fɔs mɛrɛsin we dɛn mek spɛshal fɔ trit PBA. I gɛt kɔf mɛrɛsin ɛn smɔl doz fɔ wan mɛrɛsin we dɛn bin de yuz fɔ mɛn at ritm dizayd.
• Antidipreshan : Mεdikeshכn dεm lεk trisayklik antidipreshכn, SSRI (Selective serotonin reuptake inhibitors), εn SNRI (Serotonin εn norepinephrine reuptake inhibitors) kin εp bak fכ kכntrכl di simptom dεm fכ PBA.

Aw dis tin go tan lɛk? Yu tink se dɛn kin mɛn am?

di prכgnosis fכ pכsin we gεt pseudobulbar palsy de ditarεmin fכs bay di כndalayn sik.

Imajin, if yu bin gεt dis kכndyushכn bikoz fכ ``strok`` כ ``traumatik bren injuri``, posisibul de fכ mek di nεv fכnshכn go bak sכmtεm sכmtεm to nכmal. Dat min se di sayn dɛm fɔ pseudobulbar palsy kin go dɔŋ smɔl smɔl.

Bɔt if dis sik na bikɔs ɔf di sik dɛn we nɔ de mɛn lɛk di sik we dɛn kɔl multiple sclerosis (MS), di sik we dɛn kɔl Pakinsin, ɛn ALS, i nɔ kin izi fɔ tink se dɛn go mɛn am.

Yu mɛdikal tim go ebul fɔ gi yu klia aidia bɔt wetin go apin tumara bambay fɔ yu patikyula sityueshɔn.

Us ɔda prɔblɛm dɛn dis kin mek pɔsin gɛt?

Pseudobulbar palsy kin mek yu gɛt prɔblɛm dɛn lɛk:

• Aspiration pneumonia: Bikɔs i nɔ kin izi fɔ kɔntrol di mɔsul dɛn na di tɔŋ ɛn mɔt, smɔl it ɔ drink kin go insay di lɔng dɛn, ɛn dis kin mek pɔsin gɛt wan sik we dɛn kɔl aspireshɔn nyumonia. Dis kin mek pɔsin denja.
• Malnutrishɔn ɛn dɛhydration: If disfagia bad bad wan, malnutrition ɛn dehydration kin apin bikɔs yu nɔ ebul fɔ it ɛn drink fayn. If i siriɔs, dɛn kin nid fɔ yuz tyub fɔ gi pikin tin fɔ it.
• Mental hεlth kכndishכn: Pseudobulbar palsy kin gεt big impak pan yu ɛvride layf. Yu kin bi soshal witdraw bikɔs ɔf tin dɛm lɛk wae yu nɔr kin ebul fɔ tɔk ɛn wae yu nɔr kin kɔntrol yu filin. Dis kin mek yu gɛt prɔblɛm wit yu maynd lɛk pwɛl hat ɛn wɔri .

Yu tink se Pseudobulbar Palsy kin kil pɔsin?

Pseudobulbar palsy nɔ kin kil pɔsin dairekt wan. Bɔt di sik we de ɔnda am we de mek i gɛt am (e.g., paralayz ) .`, `ALS`) kin kil pɔsin. Dɔn bak, kɔmplikeshɔn dɛn lɛk `aspiration pneumonia` kin mek pɔsin in layf de pan denja if dɛn nɔ trit am fayn.

Yu tink se we de fɔ mek dis nɔ apin?

Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt pseudobulbar palsy, no dairekt we nɔ de fɔ mek i nɔ gɛt am. Bɔt fɔ fala di wɛlbɔdi abit dɛm we kin mek yu nɔ gɛt risk lɛk ``paralysis'' kin ɛp indaykt.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt Pseudobulbar Palsy, yu fɔ mit wit yu mɛdikal tim ɔltɛm fɔ mek shɔ se yu tritmɛnt plan de wok fayn fayn wan.

Dis sik kin gɛt big impak pan yu ɛvride layf, ɛn yu kin fil lɛk se yu at pwɛl. Na dɛn kayn tɛm ya , nɔ shek fɔ aks fɔ ɛp frɔm di wan dɛn we yu lɛk, ɛn bak to pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs . Mɛmba se yu mɛdikal tim de wit yu ɔltɛm fɔ fɛn di tritmɛnt plan we go fayn fɔ yu.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi mɛmba dis as sɔmari fɔ di Pseudobulbar Palsy we wi tɔk bɔt tide:

• Dis nɔto wan ɔda sik, bɔt na wan kɔlekɛshɔn fɔ sɔm sayn dɛm wae kin kam wae pɔrsin gɛt pwɛl hat pan wan patikyula pat na di bren.
• Di men sayn dɛm na wae i nɔr kin izi fɔ tɔk, i nɔ kin izi fɔ swɛla, ɛn i nɔ kin ebul fɔ kɔntrol insɛf fɔ laf ɔ kray.
• Di tin dɛm wae kin mek yu gɛt dis sik na di nyurolɔjik sik dɛm lɛk paralayz, Pakinsin sik, MS, ɔr ed injury .
• Di tritmɛnt na fɔ trit di ɔndalayn kɔndishɔn ɛn kɔntrol di simptom dɛm. Tɛrapi fɔ tɔk, ɛksesaiz fɔ swɛla, ɛn mɛrɛsin kin ɛp fɔ dis.
• I rili impɔtant fɔ no di sayn dɛm kwik kwik wan ɛn go to dɔktɔ.
• Yu lɔv, sɔpɔt, ɛn ɔndastandin rili impɔtant to pɔsin we de liv wit dis sik.

If yu ɔ pɔsin we de nia yu de gɛt ɛni wan pan dɛn sik ya, duya go to dɔktɔ fɔ advays. Dat na di bɛst tin we yu go ebul fɔ du.

` Pseudobulbar palsy, bren dizayd, difεlεns fכ tכk, difεlεns fכ sכlow, nyurolכjik sik dεm, imoshכnal rεguleshכn, PBA