Nang pawhin i nui nasa em ni, i lungngai em? Hei hi Pseudobulbar Affect (PBA) a ni thei!

Chhan awm lovin nuihzatthlak tak tak, emaw, thunun theih loh khawpa tap chhuak chu i hmu tawh em, emaw, i tawng tawh em? A châng chuan, i lungngaihna emaw, hlimna emaw aiin thil tê tê i chhân lêt zâwk ṭhîn. Hetiang thil hi i tawng tawh a nih chuan vawiin a kan sawi tur dinhmun hi hriat a pawimawh a, Pseudobulbar Affect, a tawi zawngin PBA.

Pseudobulbar Affect (PBA) hi eng nge a nih i hria em?

A awlsam zawngin sawi ila, Pseudobulbar Affect (PBA) hi neurological condition a ni a, thunun theih loh khawpin nuih emaw tap emaw a tichhuak a, chu chu i rilru dik tak nen a inmil lo hle. Thil lungchhiatthlâk takah i ding a, mahse i nuih chu i bansan thei lo ang tih han ngaihtuah teh. A nih loh leh, party hlim takah i awm a, mahse tap reng duhna i nei. Hei hi PBA chhinchhiahna ber a ni.

Hetiang dinhmun hi thluak chhiatna emaw, thluak lam natna dang emaw avanga lo awm a ni. Entirnan, ``Amyotrophic Lateral Sclerosis (ALS)`` ang chi natna nei chuan he natna hi a nei thei a ni.

A châng chuan, he nuih emaw, tap emaw hi chu a hun lai chuan a âwm hlein lang mah se, a hma aia thunun a harsa zâwk a ni. Tin, heng rilru put hmang lantîrnate hi a nasa hle thei a, a hma aia rei pawh a daih thei bawk . Tap on a, i tihtawp theih loh ang mai a ni.

PBA hi hming dang engemaw zatin an ko bawk 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 (rilru natna thunun theih lohna) .

PBA hian i nunah, i chhungte leh nangmah enkawltute chungah nghawng lian tak a nei thei a ni. Mualphona, lungkhamna , leh inhlat taka awm pawh a thlen thei a ni.

PBA hi engtiang chiahin nge a awm?

Zirchiangtute chuan United States-ah ringawt pawh mi maktaduai 2 leh maktaduai 7 velin PBA an vei niin an chhut. Hetiang zat inang lo tak a awm chhan chu PBA hi a nasat dan a inang lo va, hriat chian a nih loh vang a ni. Sri Lanka ramah pawh hetiang natna vei te hi hriat loh vangin enkawlna an dawng lo a ni thei.

PBA hian tute nge a nghawng ber?

He natna hi Pseudobulbar Affect (PBA) tia koh a ni a, kum eng pawh, naupang leh puitling pawh tiamin, thluaka thluaka natna chi khat emaw neiin a nghawng thei a ni.

Zirnain a tarlan angin:

• Amyotrophic Lateral Sclerosis (ALS) vei zinga 50% vel chuan PBA an nei thei.
• Traumatic brain injury (TBI) vei zinga 48% vel chuan thluak hliam an nei a ni.
• He natna hian Multiple Sclerosis (MS) vei zinga 46% vel a vei a ni.

Pseudobulbar Affect hi rilru lam natna a ni em?

Mi thenkhat chuan PBA hi rilru lam natna niin an ngai mai thei. A chhan chu heng nuih leh tap ang chi te hi kan rilru put hmang nen a inzawm tlat a ni. Mahse, PBA hi thluaka neural circuit tihchhiat avanga lo awm a nih avangin , `neuropsychiatric syndrome`, chu chu neuropsychiatric symptoms inzawmkhawm tihna a ni. A awlsam zawngin sawi ila, PBA hi thluak lama harsatna nei, emotional expression disorder a ni.

PBA natna lan chhuahna chu engte nge ni?

PBA hriatthiam nan chuan ‘mood’ leh ‘affect’ inthlauhna hriat a pawimawh. Mood chu i chhungril lama i hriatna a ni. Chu chu nangmah chauhin i hriat theih thilte, lungngaihna te, thinrimna te, hlimna te ang chite hi a ni. Affect chu i rilru put hmang pawn lam atanga lantir dan, nuih emaw tap emaw ang chi, midangte hmuh theih a ni.

Chutiang chuan Pseudobulbar Affect (PBA) chhinchhiahna ber chu i rilru put hmang emaw, i rilru natna nasatna emaw nena inmil lo rilru natna (affect) lantir hi a ni. A lan chhuah dan tlangpui chu tap leh nuih hi a ni.

He nuih leh/ emaw tap hi hetiang hian a lang thei:

• Beisei loh, rang tak, leh thunun theih loh.
• Event atan chuan a tam lutuk. (e.g. fiamthu tlemtea darkar tam tak nuih)
• A chhan hriat lohvin a thleng thin.

A châng chuan, thunun theih loh thinurna emaw, lungngaihna emaw a lo chhuak thei a.

PBA hi thluak hliam emaw amyotrophic lateral sclerosis (ALS) ang chi neurological condition hnuaia awm nen a inzawm fo avangin PBA vei te hian a hnuaia condition nena inzawm symptom dang an nei thei bawk.

PBA awm chhante chu engte nge ni?

Researcher te chuan Pseudobulbar Affect awm chhan dik tak hi an la hre lo. Kan thluaka rilru natna lan chhuahna control tu neurological pathways tihbuai vang niin an ngai.

PBA nena inzawm neurological condition engemaw zat a awm a, chungte chuan heng harsatnate hi a thlen thei a ni:

• Thluak hliam na tak
• Amyotrophic lateral sclerosis (ALS), Lou Gehrig natna tia hriat bawk.
• Multiple sclerosis (MS) natna a awm thei a ni.
• Alzheimer natna leh dementia chi hrang hrang
• Thai
• Parkinson natna a ni
• Thluak natna (brain tumor) a awm
• Epilepsy natna a ni
• Wilson natna a ni

PBA hian thluak hmun engte nge a nghawng?

PBA hian cerebro-ponto-cerebellar pathway-a thluak hmun hrang hrang a nghawng nasa ber niin an ngai.

He kawngpuiah hian kan thluak te tak te (Cerebellum) hi a ni.Hei hi kan emotional response te enfiah a, khawtlang dinhmun nena inmil a nih leh nih loh enfiahna hmanga tih a ni. Thluak hmun thenkhat atanga cerebellum thlenga neural pathways te chu a buai a nih chuan emotions expression control chu a bo thei a ni.

Tin, PBA-ah hian a hnuaia neurotransmitters te hi an tel thei 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?

Pseudobulbar affect (PBA) hi hriat chian harsa tak a ni thei . Doctor-te pawhin rilru lam natna – a bik takin depression emaw bipolar disorder emaw angin an ngai sual thei a ni.

Tunah hian PBA hriat theihna tur test bik a awm lo . Doctor-te chuan i natna hi i:

• Natna
• Medical history, a bik takin thluak lam natna chungchangah
• Rilru hriselna chanchin
• Taksa enfiahna atanga hriat tur

Heng zawng zawng hi uluk taka zirchian a ni a, thutlukna siam a ni.

Engvangin nge PBA hi depression nen an inthlau?

Pseudobulbar affect (PBA) hi rilru lam natna, a bik takin lungngaihna nena inzawm tlat a ni.

Hei hi tap episode i neih fo hian a thleng thin a, hei hi PBA symptom lian tak a ni. PBA vei te hian chhan dang vangin depression an nei thei bawk a, chubakah PBA condition avang ngei pawhin depression an nei thei bawk. Mahse, depression nena khaikhin chuan PBA-a tap episodes:

• A intan nghal a, puak ang maiin.
• Hun rei lote chauh a daih.
• Hun rei tak chhung chhungril lungngaihna nen a inzawm lo tlangpui.

Depression nei mite chuan lungngai reng mah se, an tap fo lo. An tih pawhin PBA aiin a rei zawk. Tin, lungngaihna chhinchhiahna dang, mut theih lohna leh ei duh lohna te pawh PBA-ah hian hmuh tur a awm lo.

PBA enkawlna tur hi engte nge ni?

Pseudobulbar Affect (PBA) hi damdawi a awm lo. Mahse, a thunun thei damdawi a awm. Enkawlna tum ber chu heng thunun theih loh nuih leh tap natna te hi a nasat leh a nasatzia tihtlem a ni.

PBA atana doctor-te’n damdawi an pek chi hrang hrangte chu:

• Dextromethorphan/quinidine sulfate (Nuedexta®): Hei hi FDA (US Food and Drug Administration)-in PBA enkawlna atana a pawmpui hmasak ber a ni. Khuh damdawi (dextromethorphan) leh a hmaa heart rhythm disorder enkawlna atana hman thin damdawi (quinidine sulfate) dose tlem tak a pai a ni.
• Lungngaihna dona damdawi: 1.1.Antidepressant `(Tricyclic antidepressants)`, `(Selective Serotonin Reuptake Inhibitors - SSRIs)`, leh `(Norepinephrine/Serotonin Reuptake Inhibitors - SNRIs)` te hian PBA symptoms control nan a pui thei a ni. Mahse, hengte hi depression atana pek aiin a tlem zawkin pek a ni tlangpui.

Damdawi zawng zawng ang bawkin side effect a awm thei bawk. Doctor nen thawk hovin i tana tha ber tur treatment plan i thlang tur a ni.

PBA hi ven theih a ni em?

Pseudobulbar Affect hi thluak chhiatna leh thluak lam natna avanga lo awm a nih avangin a lo awm loh nan engmah tih theih a awm lo.

PBA hi eng prognosis nge ni?

PBA te thlirna hi mi hrang hrangah a inang lo.

He natna hi hriatchhuah leh enkawl a nih loh chuan PBA vei te chu:

• Lungngaihna
• Hlauhthawnna
• Social connection tlahniam
• Nunphung quality tlahniam

Damdawi hian symptoms control nan a pui thei a ni. Diagnose leh enkawl a harsa thei hle. Amaherawhchu, mahni thu sawi a, beih a pawimawh. He natna chungchanga doctor hre chiang ber chu neuropsychologist, neurologist leh psychiatrist te an ni.

Pseudobulbar Affect hi eng chen nge a awm?

Pseudobulbar affect hi a tlangpuiin natna rei tak a ni a, a chhan chu a thlentu damdawi lam thil (e.g., multiple sclerosis, Alzheimer’s disease) te hi rei tak a awm fo thin avangin.

PBA nena hlawhtling taka nunpui turin eng nge i tih theih ang? (Thil hmachhawn dan tur ruahmanna) .

PBA i hmachhawn theihna tur leh i nuih/ṭap nghal mai thinte control theihna tur tips thenkhat chu hetiang hi a ni:

• Nuih/ṭap a lo thlen chuan a reh hma loh chuan thawk thûk takin la rawh.
• Chutih lai chuan thil dang ngaihtuah la, chu chu ngaihtuah ber rawh.
• I shoulder leh facial muscle te relax la, tension tihziaawm rawh.
• A theih chuan i dinhmun thlak rawh.
• I dinhmun hi midangte hrilh la , chutiang chuan an beisei tur an hriat theih nan leh an hrethiam lo ang che.
• PBA hian i rilru hriselna a nghawng a nih chuan rilru lam hriselna counselor hmu rawh .

Engtikah nge Doctor ka hmuh ang?

PBA i vei a, i enkawlna a tha lo a nih chuan, a nih loh leh side effect duhawm lo tak tak i neih chuan i doctor nen enkawlna thar chungchang sawipui rawh.

Thunun theih loha nuih leh tap chu mi dangte tân harsatna, zahthlâk tak, leh hriatthiam harsa tak a ni thei. Mahse hre reng ang che, Pseudobulbar Affect (PBA) hi damdawi lam natna a ni a, damdawi hmanga enkawl theih a ni. PBA symptoms i neih chuan doctor nen inbia ang che. I tanpui turin an lo kal a ni.

Kan sawiho tawh atanga i hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin, vawiin a kan sawi tawh Pseudobulbar Affect (PBA) chungchanga i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• PBA hi neurological condition a ni a, thunun theih lohvin, i rilru put hmang nena inmil lo zawnga nuih emaw, tap emaw a tichhuak thin.
• Hei hi thluak lam natna dang (e.g. ALS, MS, Stroke, TBI) nen a inzawm fo thin.
• PBA hi rilru natna tak tak a ni lo va, mahse depression ang chi condition nen chuan a inthlau thei hle.
• Hei hi tihdamna famkim awm lo mah se, a natna lan chhuah dan thunun thei damdawi a awm.
• Heng symptoms te hi i neih chuan zak leh hlau lova damdawi lam thurawn lak a pawimawh hle.
• He dinhmun hi i hmangaihte hriattirna chuan nangmah leh an tan thil a ti awlsam ang.

He thu hi in tan a tangkai ngei ka beisei. Hemi chungchanga zawhna dang i neih chuan doctor biak hreh suh.

` Pseudobulbar Affect, PBA, Neuropathy, Nuih dan thunun theih loh, Tap thunun theih loh, Emotional Lability, Brain Disorders