Chutah chuan i thu mai mai a, a nih loh leh thil lungchhiatthlak deuh i sawi a, thunun theih lohvin i nui chhuak ta a nih chuan han ngaihtuah teh? A nih loh leh, fiamthu tlemte pawha i tawp thei lo khawpa i tap ṭan a nih chuan? Hei hi thil mak deuh angin lang mahse, a takah chuan damdawi lam thil a ni. Hei hi i rilru chak lohna emaw, thil â tak emaw a ni lo. Vawiin hian he thil mak tak, mahse mi tam tak nghawng thei tur hi kan sawi dawn a ni.
A awlsam zawngin Pseudobulbar Affect (PBA) hi eng nge ni?
Pseudobulbar affect (PBA) hi nervous system tibuaitu a ni. Thunun theih loh, emaw, a remchan lohna emaw, nuih emaw, tap emaw a ni. A pawimawh ber chu he nuih emaw tap emaw hi i chhungril rilru put hmang nen a inmil lo tih hi a ni . Chumi awmzia chu chhungril lama lungngaihna nei lo mah la, thunun theih lohvin i tap mai thei tihna a ni. Chutiang bawkin, nuih tur awm lo mah se, thunun theih lohvin i nui thei bawk.
Hetiang dinhmun hi thluak chhiatna avanga lo awm emaw, thluak lam natna dang avanga side effect emaw avanga lo awm a ni tlangpui. Entirnan, `(Amyotrophic Lateral Sclerosis - ALS)` ang chi natna nen hmuh theih a ni.
A châng chuan he nuih emaw tap emaw hi a hun lai chuan a inhmeh hlein lang mah se (entir nan, thil lungchhiatthlâk tak hmuh huna tap hi), PBA vei tan chuan thunun a harsa hle. Tin, heng rilru natna lanchhuahna hi mi pangngai aiin a nasa zawk a, a rei zawk bawk .
He dinhmun hian hming dang engemaw zat a nei a:
- Emotional lability a ni
- Pathological nuih leh tap
- A duh loh zawnga rilru put hmang (involuntary emotional expression disorder) a awm
- Compulsive nuih emaw tap emaw
- Emotional incontinence a awm thei
PBA hian i nunah, i chhungte leh nangmah enkawltute chungah nghawng thui tak a nei thei a ni. Mualphona te, lungkhamna te, inhnukdawkna te, leh khawtlânga inhlat lohna te pawh a thlen thei a ni.
Hetiang dinhmun hi engtiang chiahin nge a awm, PBA? Tuin nge dawng?
Hei hi engtiang chiahin nge a awm tih chiang taka sawi a harsa a, a chhan chu he natna lan chhuah dan nasat dan hi mi hrang hrangah a inang lo. Tin, natna dang, a bik takin depression anga hriat sual a ni fo bawk.
PBA hi kum eng pawha awm thei, naupang leh puitling, thluak nena inzawm natna dang nei tan pawh a awm thei.
Damdawi lam zirchianna atanga a lan dan chuan:
- Amyotrophic lateral sclerosis (ALS) vei zinga 50% thlengin PBA an vei thei a ni.
- Hetiang dinhmun hi lu hliam na tak (Traumatic Brain Injury) tuar zinga 48% thlengin a awm thei.
- Multiple sclerosis (MS) vei zinga 46% thlengin PBA an vei thei a ni.
Chuti a nih chuan hei hi rilru natna a ni em?
Mi tam tak chuan rilru natnaah an ngai a, a chhan chu pawn lam atanga nuih leh tap ang chi rilru natna nena inzawm a nih vang a ni. Mahse a takah chuan rilru natna a ni lo tak zet a ni.
Strict takin sawi ila, PBA hi neuropsychiatric syndrome a ni . A awlsam zawngin sawi ila, i thluaka neural circuit tihchhiat avanga i rilru put hmang i thunun theih lohna condition a ni. Chuvangin rilru lam harsatna aiin thluak nena inzawm taksa dinhmun anga ngaih hi a dik zawk.
PBA natna lan chhuahna berte chu engte nge ni?
PBA hrethiam tur chuan ‘mood’ leh ‘affect’ inthlauhna kan hriat a ngai a ni.
- Mood: Hei hian i chhungril rilru put hmang a kawk a ni. Chu chu i chhungril lama i rilru natna, lungngaihna, hlimna leh thinrimna te hi a ni. Hei hi nangmah chauhin i hriat theih thil a ni.
- Affect: Hei hi pawn lam atanga i rilru put hmang lantir dan a ni. Chu chu nuihzat, tap, leh mi dangte hmuh theih hmêl lan dân ang chi thilte tihna a ni.
Chutiang chuan PBA ziarang ber chu i ‘affect’, chu chu i nuih emaw, i tap emaw chu i ‘mood’, chu chu i chhungril rilru put hmang nen a inmil lo tih hi a ni
Heng mizia te hi a hnuaia table-ah hian sawifiah belh leh ila.
| PBA-ah hian nuih/ṭap a awm dan | Hrilhfiahna |
|---|---|
| Sudden leh beisei loh taka awm | Without any warning , rang takin i nui emaw, i tap emaw a ni. Hei hi i thunun thei lo. |
| Intensity a inmil lo | Fiamthu tenau tak pawh hian nuihzatthlak takin a ti thei che a, i tawp thei lo. Thil lungchhiatthlak tak tak pawh hian rei tak a tap thei che a ni. Chu chu thilthleng aiin reaction a nasa zawk tihna a ni. |
| Chhanna awm lo | A châng chuan chhan awm lovin hetiang hian i nui thei a, i tap thei bawk a, nangmah chauh i nih lai pawhin. |
Mi ṭhenkhat chuan thunun theih loh thinurna emaw, lungngaihna emaw an tawng thei bawk. PBA hi neurological condition dang nen a inzawm avangin, chu underlying condition nena inzawm symptom dang pawh an nei thei bawk.
Eng thilin nge PBA hi a thlen?
PBA thlen chhan dik tak hi hriat a la ni lo a, mahse doctor-te chuan thluaka rilru lam kawng (neurological pathways) tihbuai vang niin an ngai a, chu chuan rilru natna lantir dan a thunun a ni.
Hetiang natna thlen thei neurological condition engemaw zat a awm a. Hei hian heng natna vei te hi PBA vei theihna hlauhawm takah an awm tihna a ni.
- Thluak hliam na tak
- Amyotrophic lateral sclerosis (ALS) (Lou Gehrig natna tia hriat bawk) .
- `Multiple sclerosis (MS) natna nei a ni`
- Alzheimer natna leh dementia natna dangte
- Thai
- Parkinson natna a ni
- Thluak natna (brain tumor) a awm
- Epilepsy natna a ni
- Wilson natna a ni
Hei hian thluak peng engte nge a nghawng?
He natna hian thluak hmun hrang hrang a nghawng nia ngaih a ni. A bîk takin, kan rilru lam chhân lêtna enkawltu leh khawtlâng dinhmun atâna a inhmeh leh tlâk loh rêl tûra min ṭanpuitu thluak pêng pakhat, cerebellum -a inzawm neural pathways tihbuai avânga lo awm a ni thei.
Tin, thluaka chemical messenger engemaw zat neurotransmitters an tih te pawh an inrawlh nia ngaih a ni bawk.
- Serotonin a ni
- Norepinephrine `(Norepinephrine)` tih a ni
- Dopamine a ni
- Glutamate a ni
- Acetylcholine `(Acetylcholine)` tih a ni
Engtin nge PBA hi hmuhchhuah a nih?
PBA hriatchhuah hi a harsa deuh thei a, doctor-te pawhin depression emaw bipolar disorder ang chi mood disorder anga an hriat sual fo avangin .
Tunah hian PBA i neih leh neih loh finfiah tur test bik a awm lo. Doctor chuan uluk taka zawhna tlemte a zawh hnuah a natna chu a hrechhuak ang.
- I symptoms te chu
- I medical history, a bik takin neurological conditions chungchangah
- I rilru hriselna history
- Taksa enfiahna atanga thu hriat tur
Engvangin nge PBA hi depression tia ngaih sual a nih?
An pahnih inhnialna chhan ber chu a tap vang a ni. Tap hi PBA chhinchhiahna ber a nih chuan mi tam tak chuan depression niin an ngai. A chang chuan PBA vei pawhin a rualin depression a nei thei bawk. Mahse, condition pahnih inkarah hian danglamna chiang tak a awm.
A hnuaia table hi en rawh.
| Mihring ziarang | PBA laiin tap chhuak | Depression laiin tap thin |
|---|---|---|
| A bul tan dan tur | A hmanhmawhthlak hle mai. A intan nghal a ni. | Zawi zawiin a intan tlangpui a, zawi zawiin a pung thei bawk. |
| Rei zawng | Hun rei lote chauh a daih. Minute tlemte chhungin a tawp ta a ni. | Hun rei tak a daih thei. |
| Chhungril lam hriatna | A tlangpuiin, chhungril lamah lungngaihna lian tak a awm lo. Vawikhat tap chu a reh tawh chuan thil chu a pangngaiin a awm leh thin. | Chu chu chhungril lama lungngaihna thuk tak, rei tak awm thei leh engmah lo nen a inzawm tlat a ni. |
| Thil dang pawh a awm | Mut leh ei duhna ah danglamna a awm lo tlangpui. | A lan chhuah dan dang pawh mut theih lohna emaw, mut tam lutuk emaw, ei duh lohna emaw, ei tam lutuk emaw te pawh a awm bawk. |
PBA enkawlna tur a awm em?
PBA hi a dam kim thei lo. Mahse, a enkawl tha thei . Enkawlna atana thil tum ber chu heng nuih emaw tap emaw te hi a awm fo thin leh a nasat dan tihtlem hi a ni.
Hemi atan hian doctor-te’n an rawt damdawi a awm.
- Dextromethorphan/quinidine sulfate (Nuedexta®): Hei hi US FDA-in PBA enkawlna atana a bik taka a pawmpui hmasak ber a ni.
- Lungngaihna dona damdawi: 1.1.Antidepressant thenkhat, tricyclic antidepressants leh selective serotonin reuptake inhibitors (SSRIs) te hian PBA symptoms control nan a pui thei a, mahse depression atana hman thin aiin a dose tlem zawkin an hmang thung.
Pawimawh: Damdawi eng pawh hian side effect a nei thei a, chuvangin i doctor nen in inbia ngei tur a ni a , i tana enkawlna tur tha ber tur chu i ngaihtuah tur a ni.
Hetiang dinhmun hi engtin nge i nunpui?
PBA hi uluk taka hmuhchhuah leh enkawl a nih loh chuan i nun a nghawng thei a ni.
- Lungngaihna
- Hlauhthawnna
- Khawtlang inlaichinna chak lohna
- Nunphung quality tlahniam
Mahse, heng symptoms te hi damdawi hmanga control theih a ni tih hre reng ang che. Diagnosis dik tak leh enkawlna dik tak hmuh theih nan hun engemaw chen a ngai mai thei. Mahse nangmah ngeiin i sawi chhuak tur a ni a, beidawng suh. Neurologist leh psychiatrist ang mite hian he thil hi an hre tam zawk a ni.
PBA hmachhawn dan tur tips
Heng nuih emaw, tap emaw hun lai hi i thunun thei tur thil thenkhat chu hetiang hi a ni.
- Hetiang hun remchang a lo thlen chuan, a liam hma loh chuan thawk zawi zawiin thawk la .
- Chutih lai chuan thil dang ngaihtuah emaw, i ngaihtuahna tibuaitu emaw.
- I shoulder leh facial muscle te chu ti hahdam rawh . Hei hian tension a tiziaawm dawn a ni.
- A theih chuan i dinhmun chu thlak rawh .
- Mi rintlakte hnenah i dinhmun hrilh la , chutiang chuan an beisei tur chu an hre thei ang.
- Hetiang dinhmun hian i rilru hriselna a nghawng a nih chuan rilru lam hriselna chungchanga counselor hmu rawh .
PBA i neih a, tuna i enkawlna hian hna a thawk lo emaw, side effect a neih emaw chuan i doctor nen enkawlna thar chungchang sawipui rawh. Thunun theih loha nuih leh tap chu harsatna leh mualphona a ni thei. Mahse, PBA hi damdawi lam thil a ni tih hre reng ang che, damdawi hmanga enkawl theih a ni. Heng symptoms te hi i neih chuan Doctor pan ngei ngei tur a ni.
Take-Home Thuchah a ni
- Pseudobulbar affect (PBA) hi rilru lam natna a ni lo va, thluaka nerve pathways-a nghawng a neih avanga neurological condition a ni.
- Hemi atanga lo chhuak nuih leh tap hi i chhungril rilru put hmang nen a inmil lo. Thunun a harsa bawk.
- PBA hi neurological condition dang stroke, MS, ALS, emaw lu hliam emaw nen a inzawm fo thin.
- Hei hi depression anga ngaih theih ni mah se, heng dinhmun pahnih inkarah hian danglamna chiang tak a awm a ni.
- Heng symptoms te control nan hian enkawlna tha tak tak a awm a. Chuvangin zak lo la, hlau suh la, doctor hnenah thurawn dil ngei ang che.
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