Teebereza singa oba otudde awo, oba ng’oyogera ku kintu ekikunyiiza katono, n’otandika okuseka mu ddoboozi ery’omwanguka nga tolina kye weefuga? Oba singa watandika okukaaba ennyo nga tosobola kulekera awo wadde akaseko akatono? Wadde kino kiyinza okulabika ng’ekyewuunyisa katono, mu butuufu mbeera ya bujjanjabi. Kino si bunafu mu birowoozo byo oba ekintu eky’eddalu. Leero twogera ku kino ekyewuunyisa, naye ekiyinza okukosa abantu bangi.
Mu ngeri ennyangu, Pseudobulbar Affect (PBA) kye ki?
Pseudobulbar affect (PBA) mbeera ekosa enkola y’obusimu. Kimanyiddwa ng’okuseka oba okukaaba okutafugibwa, oba okutasaana. Ekikulu nti okuseka oba okukaaba kuno tekukwatagana na nneewulira zo ez'omunda . Kino kitegeeza nti oyinza okukaaba nga tosobola kwefuga ne bw’oba towulira nnaku munda. Mu ngeri y’emu, oyinza okuseka nga tofuddeeyo ne bwe kiba nga tewali kya kuseka.
Embeera eno etera okubaawo nga kiva ku kwonooneka kw’obwongo oba nga kiva ku mbeera endala ey’obusimu. Okugeza, kiyinza okulabibwa n’embeera nga `(Amyotrophic Lateral Sclerosis - ALS)`.
Wadde oluusi okuseka oba okukaaba kuno kuyinza okulabika ng’okusaanidde mu kiseera ekyo (okugeza, okukaaba ng’olaba ekintu eky’ennaku), kizibu nnyo omuntu alina PBA okukifuga. Era okwolesebwa kw’enneewulira zino kuba kwa maanyi nnyo era kuwangaala okusinga mu muntu owa bulijjo.
Embeera eno eyitibwa amannya amalala agawerako:
- Obuzibu mu nneewulira
- Pathological okuseka n'okukaaba
- Obuzibu bw‟okwolesebwa kw‟enneewulira obutali bwa kyeyagalire
- Okuseka oba okukaaba nga bawalirizibwa
- Obutakwatagana mu nneewulira
PBA esobola okukosa ennyo obulamu bwo, amaka go, n’abo abakulabirira. Kiyinza okuleetera omuntu okuswala, okweraliikirira, okuva ku mulala, n’okutuuka n’okwekutula ku balala.
Embeera eno ya bulijjo etya, PBA? Ani agifuna?
Kizibu okwogera ddala engeri kino gye kitera okubaawo, kubanga obuzibu bw’obubonero bw’embeera eno bwawukana okusinziira ku muntu. Ate era, kitera okuzuulibwa obubi ng’obulwadde obulala naddala okwennyamira.
PBA esobola okubaawo mu muntu yenna ow’emyaka gyonna, omuli abaana n’abantu abakulu, abalina embeera endala eyeekuusa ku bwongo.
Nga okunoonyereza ku by’obusawo bwe kuzudde:
- Abantu abawera 50% abalina obulwadde bwa amyotrophic lateral sclerosis (ALS) bayinza okufuna PBA.
- Embeera eno esobola okubaawo mu bantu abawera 48% abafunye obuvune obw’amaanyi ku bwongo.
- Abantu abawera 46% abalina obulwadde bwa multiple sclerosis (MS) bayinza okufuna PBA.
Kale buno bulwadde bwa bwongo?
Abantu bangi bakilowoozaako ng’obulwadde bw’obwongo kubanga kungulu bukwatagana n’enneewulira ng’okuseka n’okukaaba. Naye mu butuufu si bulwadde bwa bwongo n’akatono.
Mu ngeri enkakali, PBA bulwadde bwa neuropsychiatric syndrome . Mu ngeri ennyangu, mbeera gy’otosobola kufuga nneewulira zo olw’okwonooneka kw’obusimu mu bwongo bwo. Kale kituufu okukirowoozaako ng’embeera y’omubiri eyeekuusa ku bwongo okusinga obuzibu bw’obwongo.
Bubonero ki obukulu obulaga nti omuntu alina PBA?
Okutegeera PBA, twetaaga okumanya enjawulo wakati wa ‘mood’ ne ‘affect’.
- Omuudu: Kino kitegeeza enneewulira yo ey’omunda. Kwe kugamba, enneewulira z’owulira munda, gamba ng’ennaku, essanyu, n’obusungu. Kino kintu ggwe wekka ky’osobola okuwulira.
- Affect: Eno y’engeri enneewulira zo gye ziragibwamu kungulu. Ekyo kitegeeza ebintu ng’okumwenya, okukaaba, n’engeri abalala gye balaba mu maaso.
Bwe kityo, engeri enkulu eya PBA eri nti ‘affect’ yo, kwe kugamba, okuseka kwo oba okukaaba kwo, tekukwatagana na ‘mood’ yo, kwe kugamba, enneewulira yo ey’omunda .
Ka twongere okunnyonnyola engeri zino mu kipande wansi.
| Engeri okuseka/okukaaba gye kubaawo mu PBA | Okunnyonnyola |
|---|---|
| Okubeera okw’amangu era nga tosuubira | Without any warning , otandika mangu okuseka oba okukaaba. Kino tosobola kukifuga. |
| Obutakwatagana bwa intensity | N’akaseko akatono kasobola okukusesa nnyo nga tosobola kulekera awo. N’ekintu ekitono eky’ennaku kiyinza okukuleetera okukaaba okumala ebbanga eddene. Ekyo kitegeeza nti engeri gye yeeyisaamu esinga nnyo ekintu ekibaddewo. |
| Obutaba na nsonga | Oluusi, awatali nsonga yonna, osobola okuseka oba okukaaba bw’otyo, ne bw’oba obeera wekka. |
Abantu abamu era bayinza okufuna obusungu oba okunyiiga nga tebasobola kwefuga. Olw’okuba PBA ekwatagana n’embeera endala ey’obusimu, era bayinza okuba n’obubonero obulala obukwatagana n’embeera eyo enkulu.
Kiki ekivaako PBA?
Ekituufu ekivaako PBA tekinnamanyika, naye abasawo balowooza nti kiva ku kutaataaganyizibwa mu makubo g’obusimu mu bwongo agafuga okwolesebwa kw’enneewulira.
Waliwo embeera z’obusimu eziwerako eziyinza okuleeta obuzibu buno. Kino kitegeeza nti abantu abalina embeera zino bali mu bulabe bw’okufuna PBA.
- Obuvune ku bwongo obuva ku buvune
- Obulwadde bwa Amyotrophic lateral sclerosis (ALS) (obumanyiddwa nga obulwadde bwa Lou Gehrig) .
- `Obulwadde bw'okuzimba omubiri (MS)`
- Obulwadde bwa Alzheimer n’embeera endala ez’okubulwa amagezi
- Storoko
- Obulwadde bwa Parkinson
- Ebizimba ku bwongo
- Obulwadde bw’okusannyalala
- Obulwadde bwa Wilson
Kino kikwata ku bitundu ki eby’obwongo?
Embeera eno elowoozebwa nti ekosa ebitundu by’obwongo eby’enjawulo. Okusingira ddala, kiyinza okuva ku kutaataaganyizibwa mu makubo g’obusimu agayunga ku cerebellum , ekitundu ky’obwongo ekilondoola engeri gye tuddamu mu nneewulira era ne kituyamba okusalawo oba nga kisaanidde embeera y’embeera z’abantu.
Ate era, ababaka b’eddagala abawerako mu bwongo abayitibwa neurotransmitters balowoozebwa nti be bakwatibwako.
- Ekirungo kya Serotonin
- Norepinephrine `(Eddagala lya Norepinephrine)`
- Ekirungo kya Dopamine
- Ekirungo kya Glutamate
- Acetylcholine `(Acetylcholine)`
PBA ezuulibwa etya?
Okuzuula PBA kiyinza okuba ekizibu ekitono, kubanga n’abasawo batera okugizuula obubi ng’obuzibu bw’embeera y’omuntu ng’okwennyamira oba obuzibu bw’okuwuguka .
Mu kiseera kino, tewali kukebera kwonna okukakasa oba olina PBA. Omusawo ajja kuzuula embeera eno oluvannyuma lw’okukubuuza ebibuuzo ebitonotono n’obwegendereza.
- Obubonero bwo
- Ebyafaayo byo eby’obujjanjabi naddala ku mbeera z’obusimu
- Ebyafaayo byo eby’obulamu bw’obwongo
- Amawulire okuva mu kukeberebwa omubiri
Lwaki PBA ekyamulwa nti ewuubaala?
Ensonga enkulu etabudde ababiri bano kwe kukaaba. Bwe kiba nti okukaaba kye kabonero akakulu akalaga PBA, abantu bangi balowooza nti kwennyamira. Oluusi omuntu alina PBA naye asobola okufuna ekiwuubaalo mu kiseera kye kimu. Naye waliwo enjawulo entegeerekeka wakati w’embeera zino zombi.
Laba ekipande wansi.
| Engeri | Okukaaba mu kiseera kya PBA | Okukaaba mu kiseera ky’okwennyamira |
|---|---|---|
| Engeri y'okutandika | Kiba kya mangu nnyo. Kitandika mangu ddala. | Ebiseera ebisinga butandika mpola era busobola okweyongera mpolampola. |
| Ebbanga | Kiwangaala akaseera katono. Kiyimirira mu ddakiika ntono. | Kiyinza okumala ebbanga eddene. |
| Enneewulira ey’omunda | Ebiseera ebisinga, tewabaawo nnaku nnene munda. Okukaaba bwe kukoma, ebintu bidda mu mbeera eya bulijjo. | Kikwatagana n’ennaku ey’amaanyi, ewangaala n’obutabaako bwereere munda. |
| Ebintu ebirala ebirimu | Ebiseera ebisinga tewabaawo nkyukakyuka mu tulo oba mu njagala y’okulya. | Waliwo obubonero obulala ng’obuteebaka oba okwebaka ennyo, obutayagala mmere oba okulya ennyo. |
Waliwo obujjanjabi bw’obulwadde bwa PBA?
PBA tesobola kuwona ddala. Kyokka, kisobola okuddukanyizibwa obulungi . Ekigendererwa ekikulu eky’obujjanjabi kwe kukendeeza ku mirundi n’obuzibu bw’ebiseera bino eby’okuseka oba okukaaba.
Waliwo eddagala abasawo lye bateesa ku kino.
- Dextromethorphan/quinidine sulfate (Nuedexta®): Lino lye ddagala erisoose okukkirizibwa ekitongole kya Amerika ekya FDA naddala okujjanjaba PBA.
- Eddagala eriweweeza ku kweraliikirira:Eddagala erimu eriweweeza ku kweraliikirira, gamba ng’eddagala eriweweeza ku kweraliikirira erya tricyclic ne selective serotonin reuptake inhibitors (SSRIs), liyinza okuyamba okufuga obubonero bwa PBA, naye likozesebwa ku ddoozi entono nnyo okusinga ezo ezikozesebwa mu kwennyamira.
Ekikulu: Eddagala lyonna liyinza okuba n’ebizibu, n’olwekyo olina okwogera n’omusawo wo mazima ddala okuzuula enteekateeka y’obujjanjabi esinga obulungi gy’oli.
Embeera eno ogiwangaala otya?
Singa PBA tezuuliddwa bulungi n’okujjanjabibwa, eyinza okukosa obulamu bwo.
- Ennaku
- Okweraliikirira
- Okunafuwa kw’enkolagana y’abantu
- Okukendeera kw’omutindo gw’obulamu
Naye jjukira nti obubonero buno busobola okufugibwa obulungi ng’okozesa eddagala. Kiyinza okutwala ekiseera okusobola okuzuula obulwadde n’obujjanjabi obutuufu. Naye olina okweyogerera era toggwaamu maanyi. Abantu nga abakugu mu by’obusimu n’abasawo b’eby’omutwe balina okumanya okusingawo ku nsonga eno.
Amagezi ku ngeri y’okugumira PBA
Bino bye bimu ku bintu ebiyinza okukuyamba okufuga ebiseera bino eby’okuseka oba okukaaba.
- Omukisa nga guno bwe gujja, ssa omukka mpola okutuusa lwe guyitawo .
- Lowooza ku kintu ekirala oba weewugula mu kiseera ekyo.
- Wummuza ebinywa by’ekibegabega ne mu maaso. Kino kijja kukendeeza ku bunkenke.
- Bwe kiba kisoboka, kyusa mu ngeri gy’oyimiriddemu .
- Buulira abantu abeesigika ku mbeera gy’olimu bamanye kye basuubira.
- Embeera eno bw’eba ekosa obulamu bwo obw’omutwe, laba omukugu mu kubudaabuda abantu ku bulamu bw’obwongo .
Bw’oba olina PBA era ng’obujjanjabi bw’olina kati tebukola oba nga buleeta ebizibu, yogerako n’omusawo wo ku bujjanjabi obupya. Okuseka n’okukaaba mu ngeri etafugibwa kiyinza okukusoomooza n’okuswaza. Naye jjukira nti PBA mbeera ya bujjanjabi, era esobola okujjanjabibwa n’eddagala. Bw’oba olina obubonero buno, kakasa nti ogenda ew’omusawo.
Obubaka Obutwala Awaka
- Pseudobulbar affect (PBA) si bulwadde bwa bwongo, mbeera ya busimu ereetebwa okukosa amakubo g’obusimu mu bwongo.
- Enseko oba okukaaba okuva mu kino tekukwatagana na nneewulira yo ey’omunda. Era kizibu okufuga.
- PBA etera okukwatagana n’embeera endala ez’obusimu nga stroke, MS, ALS, oba obuvune ku mutwe.
- Wadde nga kino kiyinza okukyamulwa nti ekiwuubaalo, waliwo enjawulo entegeerekeka wakati w’embeera zino zombi.
- Waliwo obujjanjabi obukola ennyo okufuga obubonero buno. Kale tokwatibwa nsonyi oba kutya, era mazima ddala laba omusawo akuwe amagezi.
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