Whakaarohia mēnā kei te noho noa koe i reira, kei te kōrero rānei mō tētahi mea pouri, ā, ka tīmata koe ki te kata nui me te kore e taea te whakahaere? Mēnā rānei ka tīmata koe ki te tangi nui, ā, kāore e taea te mutu ahakoa he kata noa iho? Ahakoa he āhua rerekē tēnei, he mate hauora tonu. Ehara tēnei i te ngoikore o tō hinengaro, i te mea porangi rānei. I tēnei rā kei te kōrero tātou mō tēnei mea rerekē, engari he mea ka pā ki te tini tāngata.
He aha te Pseudobulbar Affect (PBA)?
Ko te Pseudobulbar affect (PBA) he āhuatanga e pā ana ki te pūnaha io. Ko tōna āhua ko te kata, te tangi rānei kāore e taea te whakahaere, te kore rānei e tika. Ko te mea nui , kāore tēnei kata, tangi rānei e hangai ki ō kare ā-roto . Ko te tikanga o tēnei, ka tangi pea koe ahakoa kāore koe e pouri ana i roto. Waihoki, ka kata pea koe ahakoa kāore he mea hei kata.
Ko te tikanga ka puta tēnei āhuatanga i te kino o te roro, i te pānga taha rānei o tētahi atu āhuatanga pūnaha io. Hei tauira, ka kitea tēnei āhuatanga me te āhuatanga pēnei i te `(Amyotrophic Lateral Sclerosis - ALS)`.
Ahakoa i ētahi wā ka āhua tika te kata, te tangi rānei i taua wā (hei tauira, te tangi ina kite i tētahi mea pouri), he tino uaua ki te tangata whai PBA te whakahaere i taua mea. Ā, he kaha ake te whakaaturanga o ēnei kare ā-roto, ā, he roa ake i te tangata noa.
He maha atu ngā ingoa mō tēnei āhuatanga:
- Te ngoikore o te kare ā-roto
- Te kata me te tangi pathological
- Mate whakapuakanga kare ā-roto tūpono kore
- Kata māia, tangi rānei
- Te kore e taea te pupuri i te manawanui o te kare ā-roto
Ka pā nui te PBA ki tō oranga, ki tō whānau, me te hunga e manaaki ana i a koe. Ka pā te whakama, te manukanuka, te wehe atu, tae noa ki te noho mokemoke.
He pēhea te noa o tēnei mate, PBA? Ko wai ka pāngia?
He uaua ki te kī tika i te auau o tēnei āhuatanga, nā te mea he rerekē te kaha o ngā tohu o tēnei mate i ia tangata, i ia tangata. Waihoki, he maha ngā wā ka hē te tautuhi i tēnei mate hei mate anō, inā koa ko te pouri.
Ka taea e te PBA te pā ki te tangata o ngā tau katoa, tae atu ki ngā tamariki me ngā pakeke, he mate anō kei roto i te roro.
E ai ki ngā rangahau hauora:
- Tae atu ki te 50% o te hunga whai mate amyotrophic lateral sclerosis (ALS) ka pāngia pea e te PBA.
- Ka pā tēnei āhuatanga ki te 48% o te hunga kua whara te roro.
- Tae atu ki te 46% o te hunga whai mate sclerosis maha (MS) ka pāngia pea e te PBA.
Nō reira, he mate hinengaro tēnei?
He tokomaha e whakaaro ana he mate hinengaro tēnei nā te mea e hono ana ki ngā kare ā-roto pērā i te kata me te tangi. Engari ehara i te mea he mate hinengaro.
He tino pono te kīanga, he mate hinengaro te PBA. He māmā noa iho, he āhuatanga tēnei e kore ai e taea te whakahaere i ō kare ā-roto nā te pakaru o ngā ara iahiko io o tō roro. Nō reira, he tika ake te whakaaro he āhuatanga tinana e pā ana ki te roro, kaua ki te mate hinengaro.
He aha ngā tohu matua o te PBA?
Hei mārama ki te PBA, me mōhio tātou ki te rerekētanga i waenga i te 'wairua' me te 'aroha'.
- Te Wairua: E pā ana tēnei ki ō kare ā-roto. Arā, ko ngā kare ā-roto e pā ana ki a koe, pērā i te pouri, te harikoa, me te riri. He mea tēnei ka taea e koe anake te rongo.
- Kare ā-roto: Koinei te āhua o te whakapuakitanga o ō kare ā-roto ki waho. Arā, ko ngā mea pēnei i te menemene, te tangi, me ngā āhua o te kanohi e kitea ana e te tangata.
Nō reira, ko te āhuatanga matua o te PBA ko te kore o tō 'kare', arā, tō kata, tō tangi rānei, e ōrite ki tō 'waiora', arā, ki ō kare ā-roto .
Me whakamārama ake anō ēnei āhuatanga i te ripanga i raro nei.
| Te āhua o te kata/tangi i roto i te PBA | Whakaahuatanga |
|---|---|
| Te ohorere me te kore e tumanakohia | Kāore he whakatūpato , ka kata whakarere koe, ka tangi rānei. Kāore e taea e koe te whakahaere i tēnei. |
| Te kore ōrite o te kaha | Ahakoa he katakata iti noa iho, ka taea e koe te kata nui, ā, kāore e taea te mutu. Ahakoa he mea pouri iti noa iho, ka taea e koe te tangi mō te wā roa. Ko te tikanga he nui ake te tauhohenga i te kaupapa. |
| Te kore take | I ētahi wā, kāore he take, ka taea e koe te kata, te tangi rānei pēnei, ahakoa kei te noho ko koe anake. |
Tērā pea ka pāngia ētahi tāngata e te riri, te pōuri rānei e kore e taea te pehi. Nā te mea e hono ana te PBA ki tētahi atu mate pūnaha io, tērā pea ka pāngia rātou e ētahi atu tohu e pā ana ki taua mate.
He aha ngā take o te PBA?
Kāore anō kia mōhiotia te tino pūtake o te PBA, engari e whakapono ana ngā tākuta nā te raruraru o ngā ara io i roto i te roro e whakahaere ana i te whakaaturanga o ngā kare ā-roto i puta ai.
He maha ngā āhuatanga io ka puta ai tēnei mate. Ko te tikanga o tēnei, ko te hunga whai i ēnei āhuatanga ka tūpono ki te whakawhanake i te PBA.
- Te whara o te roro
- Te mate Amyotrophic lateral sclerosis (ALS) (e mōhiotia ana ko te mate a Lou Gehrig)
- `Te mate maha-sclerosis (MS)`
- Te mate a Alzheimer me ētahi atu āhuatanga o te mate wareware
- Whiu
- Te mate a Parkinson
- Ngā pukupuku roro
- Mate haurangi
- Te mate a Wilson
He aha ngā wāhanga o te roro ka pāngia e tēnei?
E whakaarohia ana ka pāngia ngā wāhanga rerekē o te roro e tēnei mate. Ina koa, tera pea ka puta mai i ngā raruraru o ngā ara io e hono ana ki te cerebellum , he wāhanga o te roro e aroturuki ana i ā tātou urupare kare ā-roto, ā, e āwhina ana i a tātou ki te whakatau mēnā he tika mō tētahi āhuatanga pāpori.
E whakaarohia ana hoki kei roto i tēnei ko ētahi matū kawe karere i roto i te roro e kiia nei ko ngā neurotransmitters .
- Serotonin
- Norepinephrine `(Norepinephrine)`
- Dopamine
- Glutamate
- Acetylcholine `(Acetylcholine)`
Me pēhea te tātaritanga o te PBA?
He uaua te tautuhi i te PBA, nā te mea he maha ngā tākuta e hē ana te tautuhi i tēnei mate hei mate hinengaro pērā i te pouri , i te mate bipolar rānei.
I tēnei wā, kāore he whakamātautau motuhake hei whakaū mēnā kei a koe te PBA. Ka tātaritatia te mate e te tākuta i muri i te pātai atu i ētahi pātai ki a koe.
- Ō tohu
- Tō hītori hauora, inā koa mō ngā āhuatanga neurological
- Tō hītori hauora hinengaro
- Ngā mōhiohio mai i tētahi whakamātautau tinana
He aha i pohehe ai te PBA mō te pouri?
Ko te tangi te take matua mō te whakapoauau i ngā āhuatanga e rua. Mena ko te tangi te tohu matua o te PBA, he tokomaha te hunga e whakaaro ana he pouri. I ētahi wā ka pāngia hoki te tangata whai PBA e te pouri i te wā kotahi. Engari he mārama ngā rerekētanga i waenganui i ngā āhuatanga e rua.
Tirohia te ripanga i raro nei.
| Āhuatanga | Te tangi i te wā PBA | Te tangi i te wā pouri |
|---|---|---|
| Me pēhea te tīmata | He tino akiaki. Ka tīmata tonu. | I te nuinga o te wā ka tīmata āta haere, ā, ka piki haere pea. |
| Roanga | He poto noa te wā e mau ana. Ka mutu i roto i ētahi meneti. | Ka roa pea te wā e mau ai. |
| Te kare ā-roto | I te nuinga o te wā, kāore he pouri nui i roto. Kia mutu te tangi, ka hoki ngā mea ki te āhua noa. | E pā ana tēnei ki te pouri hohonu, roa, me te koretake o roto. |
| Ētahi atu āhuatanga | I te nuinga o te wā, kāore he huringa o te moe, o te hiahia kai rānei. | Tērā atu anō ngā tohu pērā i te kore moe, te moe nui rawa rānei, te kore hiahia kai, te kai nui rawa rānei. |
He rongoā kei te wātea mō te PBA?
Kāore e taea te whakaora katoa i te PBA. Heoi, ka taea te whakahaere pai . Ko te whāinga matua o te maimoatanga he whakaiti i te auau me te kaha o ēnei wā kata, tangi rānei.
He rongoā kei te tūtohutia e ngā tākuta mō tēnei.
- Dextromethorphan/quinidine sulfate (Nuedexta®): Koinei te rongoā tuatahi kua whakaaetia e te US FDA hei rongoā mō te PBA.
- Ngā rongoā ārai pouri:Ka taea e ētahi rongoā ārai pouri, pērā i ngā rongoā ārai pouri tricyclic me ngā aukati tango serotonin whiriwhiri (SSRI), te āwhina ki te whakahaere i ngā tohumate PBA, engari he iti iho te horopeta e whakamahia ana i ērā e whakamahia ana mō te pouri.
He mea nui: Ka pāngia pea koe e ngā pānga taha o tētahi rongoā, nō reira me kōrero koe ki tō tākuta kia whakatauhia ai te mahere maimoatanga pai rawa atu māu.
Me pēhea koe e noho ai me tēnei āhuatanga?
Ki te kore e tika te tātaritanga me te rongoā i te PBA, ka pā kino pea ki tō oranga.
- Te pouri
- Manukanuka
- Te ngoikore o ngā whanaungatanga pāpori
- Te kounga o te oranga kua heke
Engari kia maumahara, ka taea te whakahaere pai i ēnei tohu mā te rongoā. Tērā pea ka roa te wā ki te whiwhi i te tautuhi tika me te maimoatanga. Engari me kōrero koe mōu ake, kaua e ngākau māhaki. He nui ake te mōhiotanga o te hunga pērā i ngā tākuta roro me ngā tākuta hinengaro mō tēnei.
Ngā tohutohu mō te whakatau i te PBA
Anei ētahi mea hei āwhina i a koe ki te whakahaere i ēnei wā kata, wā tangi rānei.
- Ina puta mai he whai wāhitanga pēnei, tangohia he manawa hōhonu, mārire kia pahemo rā anō .
- Whakaarohia tētahi atu mea , kaua rānei e whakararuraru i a koe i taua wā.
- Whakangāwarihia ngā uaua o tō pakihiwi me tō mata. Mā tēnei ka whakaiti i te taumahatanga.
- Ki te taea, hurihia tō tū .
- Kōrerotia tō āhuatanga ki te hunga pono, kia mōhio ai rātou ki ngā mea ka tūpono atu.
- Mena kei te pāngia tō hauora hinengaro e tēnei āhuatanga, me toro atu ki tētahi kaitohutohu hauora hinengaro .
Mena kei a koe te PBA, ā, kāore tō maimoatanga o nāianei e whai hua ana, e pāngia ana rānei e ngā pānga taha, kōrero ki tō tākuta mō tētahi kōwhiringa maimoatanga hou. He uaua, he whakama hoki te kata me te tangi kore e taea te whakahaere. Engari kia maumahara, he mate hauora te PBA, ā, ka taea te rongoā mā te rongoā. Mena kei a koe ēnei tohu, kia kite koe i te tākuta.
Karere Tangohia ki te Kāinga
- Ehara te Pseudobulbar affect (PBA) i te mate hinengaro, engari he mate pūnaha io e puta mai ana i te pānga ki ngā ara io o te roro.
- Kāore te kata, te tangi rānei e puta mai ana i tēnei e ōrite ana ki ō kare ā-roto. He uaua hoki ki te whakahaere.
- He maha ngā wā e hono ana te PBA ki ētahi atu mate pūnaha io pērā i te whiu, te MS, te ALS, ngā whara o te mahunga rānei.
- Ahakoa e pohehetia ana tēnei mō te pouri, he mārama ngā rerekētanga i waenganui i ngā āhuatanga e rua.
- He tino whai hua ngā maimoatanga hei whakahaere i ēnei tohu. Nō reira kaua e whakama, kaua hoki e mataku, me toro atu ki te tākuta mō ētahi tohutohu.
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