Chhan awm lova nuih, thunun theih loh tap - Pseudobulbar Affect (PBA) chungchang hi han sawi ila

Tlemte i lungngai, a nih loh leh i pangngai angin han ngaihtuah teh. Mahse, rang takin thunun theih lohvin i nui tan ta. A nih loh leh hlimna i neih loh lai pawhin i tap chhunzawm zel a ni. Hetiang thil tawn hi i hre chiang em? Hei hi rilru lama chak lohna emaw, a chang chuan i ngaihtuah angin tumruh taka i tih emaw a ni lo. Hei hi nervous system nena inzawm dinhmun a ni thei . Hei hi vawiina kan sawi tum chu a ni.

Pseudobulbar Affect (PBA) hi eng nge ni?

A awlsam zawngin Pseudobulbar Affect, a tawi zawngin PBA tih hi nervous system tichhe thei natna a ni. I chhungril rilru put hmang leh pawn lam rilru put hmang inzawmna (disconnect) awmna dinhmun a ni. Chumi awmzia chu lungngaihna nei lovin i tap thei a, hlimna nei lovin i nui thei a, thil tenawm tak avangin i thinrim thei tihna a ni. A pawimawh ber chu heng emotional expression te hi i thunun thei lo tih hi a ni.

He dinhmun hi hming dang engemaw zatin hriat a ni:

• Emotional lability a ni
• Emotional incontinence (rilru natna thunun theih lohna) .
• Duh loh vanga tap
• Pathological nuih leh tap

PBA natna lan chhuahna berte chu engte nge ni?

Nangmah emaw, i hriat emaw chuan PBA i nei a nih chuan heng symptoms te hi i nei thei a ni. Ni khatah vawi eng emaw zat emaw, thla khatah vawi eng emaw zat an awm thei.

Heng symptoms te avang hian mi tam tak chuan rilru natna, depression emaw bipolar disorder emaw nen an inzawm tir thin . Mahse, an pahnih inkarah hian danglamna chiang tak a awm.

Depression nei mi chu a tap thei a, mahse eng emaw chen chu an thunun thei a ni. Tin, tap chu an lungngaihna nen a inhmeh hle bawk. Mahse chutiang chu PBA-ah chuan a ni lo. I hlim lai pawhin i tap chhunzawm thei. Tin, nuih hi depression-ah chuan symptom anga ngaih a ni lo.

Hetiang dinhmun hian khawtlang dinhmunah mualphona leh nuam lo takin a siam thei che a ni. "Hetiang hi ka chungah a thleng leh dawn em?" Hei hian mi thenkhat tan lungkhamna leh lungngaihna a thlen thei bawk.

Engvangin nge hetiang dinhmun hi a lo awm?

Scientist-te chuan PBA thlentu ber chu kan thluaka rilru natna thununtu hmun, prefrontal cortex , tihchhiat vang niin an ngai. He chhiatna hian thluaka chemicals hnathawh dan a tidanglam a, chu chuan rilru natna thunun theihna a hloh phah a ni.

PBA hi damdawi lam harsatna emaw, thluak tibuaitu hliam emaw avanga lo awm thei a ni. Condition lian ber ber thenkhat chu:

• Thai
• Thluak Hliam Natna (Traumatic Brain Injury) a awm
• Multiple sclerosis (MS) natna a awm thei a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a.
• Parkinson natna a ni
• Alzheimer natna a ni
• Dementia natna (dementia) a awm
• Thluak natna (brain tumor) a awm

Research atanga a lan dan chuan paralyzed tawh zinga hmun thuma ṭhena hmun khat aia tam chuan PBA symptoms an nei thei a ni.

Engtin nge doctor hian PBA hi dik taka a hriat theih ang?

Nangmah emaw, i hmangaih tak emaw chu chhan awm lovin i tap reng emaw, i nuih reng emaw a nih chuan doctor hmu la, sawipui ngei ang che. Diagnosis dik tak neih a pawimawh a, PBA hi rilru natna dang nen awlsam takin a inthlau thei a ni.

Doctor hmu tura i kal hunah hengte hi sawipui turin inpeih rawh:

• Eng nge a lan chhuah dan? (Tah, nui, thinrim?)
• Engtik atang khan nge hetiang hi a lo awm tawh?
• Eng chen nge hetiang hian a awm tawh? (Minute tlemte emaw a aia tam emaw?)
• Ni khatah vawi engzat nge?

Hetiang thil thleng hi a lo thlen hian, a thlentu ni thei nia i ngaihte diary-a ziah hian doctor-in i dinhmun a hriatthiam theih nan nasa takin a pui ang.

PBA hriat theihna tur test bik a awm lo. Mahse, heng symptoms thlen thei epilepsy condition te enfiah tur chuan i doctor chuan EEG (Electroencephalogram) . Hei hi test awlsam tak, natna nei lo, thluak wave tehna a ni.

Hei bakah hian doctor-te chuan PBA a nih leh nih loh finfiah nan zawhna bu pahnih an hmang bawk.

1. Pathological Laughing and Crying Scale (PLACS): Hetah hian doctor chuan heng thil thlengte chungchang te, i rilru put hmang nena an inzawmna te, khawtlang dinhmun a nghawng dan te a zawt che a ni.

2. Center for Neurologic Study-Lability Scale (CNS-LS): Hetah hian zawhna tlemte chu nangmah ngeiin i chhan a ngai a ni. Entirnan, "Ka tap awlsam hle" emaw, "Ka nuih hi awlsam takin ka thunun thei lo" tih ang chi zawhnate hi i tawnhriat a zirin score a ngai a ni.

PBA enkawlna tur hi engte nge ni?

PBA enkawlna atana pui thei tur enkawlna a awm. I doctor chuan i natna lan chhuah dan tur enkawl nan antidepressant dose tlemte a pe thei ang.

Kum 2010 khan US FDA chuan PBA atana hman bik damdawi hmasa ber, dextromethorphan/quinidine (Nuedexta) . Research atanga a lan dan chuan he damdawi hian MS leh ALS ang chi natna vei te tap leh nuih dan thunun theih loh thunun nan a thawk tha hle a ni.

Hetiang natna enkawlna dawng tur hian specialist, neurologist, psychiatrist, neuropsychologist te tanpuina i dil thei a ni.

PBA nena kan khawsak hian eng nge kan tih theih ang?

PBA nena nun chu thil harsa tak a ni thei a, mahse heng tips te hi zawm hian nang leh i chhungte chuan hlawhtling takin he natna hi i hmachhawn thei ang.

• I chhehvela mite hnenah he thil hi hrilh rawh:I chhungte leh i thiante hnai tak takte nen PBA chungchang leh a nghawng dan che sawipui rawh. Chutiang chuan hetiang thil hi a lo thleng thut a nih chuan an lungawi lo ang a, an hrethiam lo ang.
• Diary vawng rawh: A hmaa kan sawi tawh angin, heng thil thlengte hi engtikah nge a lo awm tih leh eng thil nge a thlen ni thei nia i ngaih tih ziak rawh. Hei hi doctor nena inenkawl dan sawiho hunah a pawimawh hle ang.
• I dinhmun thlak danglam: Tap emaw, nuih emaw i duh hunah i thut dan emaw, ding dan emaw thlak danglam thin ang che.
• Zawi zawiin, thûk takin thawk la: Thil thleng laiin, i thunun theih i hriat hma loh chuan zawi zawiin leh thûk takin thawk la.
• Relax: Hetiang event neih zawh hian i ke leh i hmai chu a tight thei ang. Chuvangin event zawhah i taksa tih hahdam tum ang che.
• Support group-ah tel ve rawh: PBA vei midangte nena inbiakna hi chakna nasa tak a ni thei. I thil tawn chu an hrethiam ang a, anmahni ṭanpui thei tips dang an pe thei bawk ang che.