Kei te kata nui koe, kei te pouri rānei? Tērā pea he Pseudobulbar Affect (PBA) tēnei!

Kua kite koe, kua pāngia rānei e te kata ohorere, kāore he take, te tangi ohorere rānei? I ētahi wā, ka nui ake tō urupare ki tētahi mea iti, kaua ki te pouri, ki te harikoa rānei e pā ana ki a koe. Mena kua pāngia koe e tēnei wheako, he mea nui kia mōhio koe ki te āhua e kōrerohia ana e tātou i tēnei rā, arā, ko te Pseudobulbar Affect, ko te PBA rānei te whakarapopototanga.

E mōhio ana koe he aha te Pseudobulbar Affect (PBA)?

He māmā noa iho, ko te Pseudobulbar Affect (PBA) he mate pūnaha io e kata ai koe, e tangi rānei, kāore e rite ki ō kare ā-roto tūturu. Whakaarohia kei roto koe i tētahi āhuatanga pouri, engari kāore e taea e koe te mutu te kata. Kei tētahi pāti harikoa rānei koe, engari kei te hiahia tonu koe ki te tangi. Koinei te tohu matua o te PBA.

Ka puta tēnei āhuatanga i te kino o te roro, i tētahi atu āhuatanga pūnaha io rānei. Hei tauira, ka pāngia pea te tangata e te mate pēnei i te "Amyotrophic Lateral Sclerosis (ALS)".

I ētahi wā, ahakoa te āhua tika o tēnei kata, o tēnei tangi rānei i taua wā, he uaua ake te whakahaere i tēnei i te tikanga. Waihoki, ka tino kaha ēnei whakaaturanga kare ā-roto, ā, ka roa ake i te tikanga . He rite ki te tahuri i te tap, ā, kāore e taea te aukati.

He maha atu anō ngā ingoa e karangatia ana te PBA:

• Te ngoikore o te kare ā-roto
• Te kata me te tangi pathological
• Mate whakapuakanga kare ā-roto tūpono kore
• Te kata māia, te tangi rānei
• Te kore e taea te whakahaere i ngā kare ā-roto (te kore e taea te whakahaere i ngā 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 mai pea ngā kare ā-roto o te whakama, te manukanuka , tae noa ki te mokemoke.

He pēhea te noa o te PBA?

E ai ki ngā whakatau tata a ngā kairangahau kei waenganui i te 2 me te 7 miriona tāngata i te Hononga o Amerika anake e pāngia ana e te PBA. Ko te take o tēnei whānuitanga o ngā tau he rerekē te kaha o te PBA, ā, kāore i te tino mōhiotia. Tērā pea kāore te hunga e pāngia ana e tēnei mate i Sri Lanka e whiwhi maimoatanga nā te kore mōhio.

Ko wai te hunga e tino pāngia ana e te PBA?

Ko tēnei āhuatanga, e kiia nei ko te Pseudobulbar Affect (PBA), ka pā ki te tangata o ngā tau katoa, tae atu ki ngā tamariki me ngā pakeke, me ētahi momo mate pūnaha io i roto i te roro.

E ai ki ngā rangahau:

• Tata ki te 50% o te hunga whai Amyotrophic Lateral Sclerosis (ALS) ka pāngia pea e te PBA.
• Tata ki te 48% o te hunga kua pāngia e te whara roro (TBI) me te whara roro nui rānei.
• E pāngia ana te 46% o te hunga whai mate pukupuku maha (MS) e tēnei āhuatanga.

He pānga tō te Pseudobulbar ki tētahi mate hinengaro?

Tērā pea ētahi e whakaaro ana he mate hinengaro te PBA. Nā te mea he pānga ēnei mea pēnei i te kata me te tangi ki tō tātou wairua. Heoi, nā te mea ka puta te PBA i te kino o ngā ara iahiko io i roto i te roro , ka whakarōpūtia hei 'neuropsychiatric syndrome', arā, he kohinga o ngā tohu neuropsychiatric. Ki te kī ngāwari, he mate hinengaro te PBA e pā ana ki te whakapuakitanga kare ā-roto e puta ana me te mate roro.

He aha ngā tohu o te PBA?

Hei mārama ki te PBA, he mea nui kia mōhio koe ki te rerekētanga i waenga i te 'wairua' me te 'aroha'. Ko te wairua te kare ā-roto kei roto i a koe. Arā, ko ngā mea ka taea e koe anake te rongo, pērā i te pouri, te riri, te harikoa rānei. Ko te aroha te huarahi e whakaatuhia ai ō kare ā-roto ki waho, pērā i te menemene, te tangi rānei, ka taea e ētahi atu te kite.

Nō reira, ko te tohu matua o te Pseudobulbar Affect (PBA) ko te whakaaturanga o ngā kare ā-roto (affect) kāore e rite ki tō wairua, ki te kaha rānei o ō kare ā-roto. Ko ngā tohu tino kitea ko te tangi me te kata.

Tērā pea ka pēnei te āhua o tēnei kata me/te tangi rānei:

• Kāore i te tūmanakohia, ohorere, ā, kāore i te taea te whakahaere.
• He nui rawa atu mō te huihuinga. (hei tauira, te kata mō ngā hāora i tētahi kata iti)
• Ka puta mai i te kore take e kitea.

I ētahi wā, ka ara ake te riri, te pōuri rānei e kore e taea te whakahaere.

Nā te mea he maha ngā wā e hono ana te PBA ki tētahi mate pūnaha io pērā i te whara o te roro, te amyotrophic lateral sclerosis rānei (ALS), tera pea ka pāngia te hunga whai PBA e ētahi atu tohu e pā ana ki te mate.

He aha ngā take o te PBA?

Kāore anō kia mōhiotia e ngā kairangahau te tino pūtake o te Pseudobulbar Affect. E whakaaro ana rātou nā te whakararuraru i ngā ara io o te roro e whakahaere ana i te whakaaturanga o ngā kare ā-roto i puta ai.

He maha ngā āhuatanga io e pā ana ki te PBA ka puta ai ēnei raruraru:

• Te whara o te roro
• Ko 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 momo 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 te PBA?

E whakaarohia ana ko te PBA te nuinga o te wā ka pā ki ngā wāhanga rerekē o te roro i te ara cerebro-ponto-cerebellar.

Ko tētahi wāhanga o tēnei ara ko tō tātou roro iti (Cerebellum).Ka mahia tēnei mā te aroturuki i ā tātou urupare kare ā-roto, me te whakarite kia tika mō te āhuatanga pāpori. Mēnā ka whakararuraruhia ngā ara io mai i ētahi wāhi o te roro ki te roro iti, ka ngaro pea te mana whakahaere i te whakapuakitanga o ngā kare ā-roto.

Hei tāpiri, ko ēnei neurotransmitters e whai ake nei ka whai wāhi pea ki te PBA:

• Serotonin
• Norepinephrine `(Norepinephrine)`
• Dopamine
• Glutamate
• Acetylcholine `(Acetylcholine)`

Me pēhea te tātaritanga o te PBA?

He uaua te tautuhi i te mate pseudobulbar affect (PBA). Ahakoa ngā tākuta, ka taea e ia te whakaaro he mate hinengaro – inā koa te pouri, te mate bipolar rānei.

I tēnei wā, kāore he whakamātautau motuhake hei tautuhi i te PBA. Ka tautuhia te mate e ngā tākuta i runga i ō:

• Ngā tohu
• Hītori hauora, inā koa mō ngā mate neurological
• Hītori hauora hinengaro
• Ngā mōhiohio mai i te whakamātautau tinana

Ka ata tirohia ēnei mea katoa, ā, ka tae ki tētahi whakatau.

He aha i pōhēhē ai te PBA ki te pouri?

Ko te Pseudobulbar affect (PBA) tētahi āhuatanga e tino pohehetia ana ki te mate hinengaro, inā koa te pouri.

Koinei te mea ka tupu ina maha ngā tangi, he tohu nui tēnei o te PBA. Ka pāngia hoki te hunga whai PBA e te pouri mō ētahi atu take, tae atu ki te mate PBA tonu. Heoi, ki te whakaritea ki te pouri, ko ngā tangi i roto i te PBA:

• Ka tīmata ohorere, pērā i te pahūtanga.
• He poto noa te wā e mau ana.
• Kāore i te nuinga o te wā e pā ana ki te pouri ā-roto mō te wā roa.

Ahakoa e pōuri tonu ana te hunga e pāngia ana e te pouri, he iti ake te tūponotanga ka tangi pinepine rātou. Ahakoa ka tangi tonu, ka roa ake i te PBA. Waihoki, kāore e kitea ētahi atu tohu o te pouri, pērā i te kore moe me te kore hiahia kai, i roto i te PBA.

He aha ngā maimoatanga mō te PBA?

Kāore he rongoā mō te Pseudobulbar Affect (PBA). Heoi, kei reira ngā rongoā hei āwhina i te whakahaere. Ko te whāinga matua o te maimoatanga he whakaiti i te kaha me te kino o ēnei wā kata me te tangi kāore e taea te whakahaere.

Ko ngā momo rongoā e tohua ana e ngā tākuta mō te PBA ko:

• Dextromethorphan/quinidine sulfate (Nuedexta®): Koinei te rongoā tuatahi i whakaaetia e te FDA (US Food and Drug Administration) hei rongoā i te PBA. Kei roto he rongoā maremare (dextromethorphan) me te horopeta tino iti o te rongoā i whakamahia i mua hei rongoā i ngā mate manawa o te ngākau (quinidine sulfate).
• Ngā rongoā ārai pouri:Ka taea e ngā rongoā ārai pouri pēnei i te `(Tricyclic antidepressants)`, `(Selective Serotonin Reuptake Inhibitors - SSRIs)`, me te `(Norepinephrine/Serotonin Reuptake Inhibitors - SNRIs)` te āwhina ki te whakahaere i ngā tohumate PBA. Heoi, he iti iho te horopeta e hoatu ana i ēnei i ērā e hoatu ana mō te pouri.

Pērā i ngā rongoā katoa, ka puta pea ngā pānga taha. Me mahi tahi koe me te tākuta ki te whiriwhiri i te mahere maimoatanga e pai ana mōu.

Ka taea te ārai i te PBA?

Nā te mea ko te Pseudobulbar Affect e hua mai ana i te kino o te roro me ngā āhuatanga pūnaha io, kāore he mea e taea te mahi hei aukati i tōna putanga mai.

He aha te matapae mō te PBA?

He rerekē te tirohanga mō ngā PBA i ia tangata, i ia tangata.

Mena kāore te mate e kitea, e rongoatia ana hoki, ka nui ake te tūponotanga o te hunga whai PBA ki:

• Te pouri
• Manukanuka
• Ngā hononga pāpori kua heke
• Te kounga o te oranga kua heke

Ka āwhina te rongoā ki te whakahaere i ngā tohu. He uaua pea te tautuhi me te rongoā. Heoi, he mea nui kia kōrero koe mōu ake, kia whakamātau hoki. Ko ngā tākuta e mōhio pai ana ki tēnei mate ko ngā tohunga hinengaro roro, ngā tohunga roro, me ngā tohunga hinengaro.

Kia pēhea te roa o te pānga o te Pseudobulbar?

He mate mau tonu te pānga pseudobulbar, nā te mea he roa te wā e pāngia ai e ngā mate hauora e pāngia ana (hei tauira, te multiple sclerosis, te mate a Alzheimer).

He aha ngā mea ka taea e koe te mahi hei oranga angitu me te PBA? (Ngā Rautaki Whakatutuki)

Anei ētahi tohutohu hei āwhina i a koe ki te whakatau i te PBA me te whakahaere i tō kata/tangi ohorere:

• Ina tae mai te kata/tangi, manawa hōhonu kia memeha ra ano.
• Whakaarohia tētahi atu mea i taua wā, arotahi ki taua mea.
• Whakangāwarihia ngā uaua o tō pakihiwi me tō mata, me te whakaiti i te taumahatanga.
• Ki te taea, hurihia tō tūnga.
• Kōrerotia tō āhuatanga ki ētahi atu kia mōhio ai rātou ki ngā mea ka tūpono atu, ā, kia kore ai rātou e mārama hē ki a koe.
• Mena kei te pāngia tō hauora hinengaro e te PBA, me toro atu ki tētahi kaitohutohu hauora hinengaro .

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe te PBA, kāore tō maimoatanga e pai te haere, kei te pāngia rānei koe e ngā pānga taha kino, kōrero ki tō tākuta mō tētahi maimoatanga hou.

He uaua, he whakama, he uaua hoki ki ētahi atu te mārama ki te kata me te tangi kore e taea te whakahaere. Engari kia maumahara, he mate hauora te Pseudobulbar Affect (PBA), ā, ka taea te whakahaere mā te rongoā. Mena kei a koe ngā tohu o te PBA, kōrero ki te tākuta. Kei konei rātou hei āwhina i a koe.

Ngā mea tino nui hei maumahara māu mai i ngā mea kua kōrerotia e tātou (Karere hei tango ki te kāinga)

Āe, anei ngā mea tino nui hei maumahara māu mō te Pseudobulbar Affect (PBA) i kōrerohia e tātou i tēnei rā:

• He mate pūnaha io te PBA e meinga ai koe kia kata, kia tangi rānei, kāore e rite ki ō kare ā-roto.
• He maha ngā wā ka honoa tēnei ki tētahi atu mate pūnaha io (hei tauira, ALS, MS, Stroke, TBI).
• Ehara te PBA i te mate hinengaro tonu, engari ka taea te pohehe ki ngā āhuatanga pēnei i te pouri.
• Ahakoa kāore he rongoā katoa mō tēnei, kei reira ngā rongoā hei whakahaere i ngā tohumate.
• Ki te pā mai ēnei tohu ki a koe, he mea tino nui kia rapu tohutohu hauora koe, kaua e whakama, kaua hoki e mataku.
• Mā te whakamōhio atu ki ō whanaunga mō tēnei āhuatanga ka māmā ake ngā mea māu, mā rātou hoki.

Ko tāku tumanako ka whai hua ēnei mōhiohio ki a koe. Mēnā he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki te tākuta.

Pānga Pseudobulbar , PBA, Neuropatia, Kata Kāore e Taea te Whakahaere, Tangi Kāore e Taea te Whakahaere, Ngāwari o te Kare ā-roto, Ngā Mate Roro