Kodi mwadzidzidzi mukuseka popanda chifukwa? Kodi mwatsala pang'ono kulira? Izi zitha kukhala Pseudobulbar Affect (PBA)

Tangoganizirani ngati mutakhala pansi, kapena mukulankhula za chinthu chomwe chikukukhumudwitsani pang'ono, ndipo mukuyamba kuseka mokweza popanda kuletsa? Kapena ngati muyamba kulira kwambiri moti simungathe kusiya ngakhale nthabwala? Ngakhale izi zingawoneke zachilendo pang'ono, kwenikweni ndi matenda. Izi si zofooka m'maganizo mwanu kapena chinthu chopusa. Lero tikulankhula za zachilendo izi, koma zomwe zingakhudze anthu ambiri.

Mwachidule, kodi Pseudobulbar Affect (PBA) ndi chiyani?

Pseudobulbar affect (PBA) ndi matenda omwe amakhudza dongosolo lamanjenje. Amadziwika ndi kuseka kapena kulira kosalamulirika, kapena kosayenera. Chofunika ndichakuti kuseka kapena kulira kumeneku sikugwirizana ndi momwe mukumvera mumtima mwanu . Izi zikutanthauza kuti mungalire mosadziletsa ngakhale mutakhala kuti simukumva chisoni mumtima. Mofananamo, mungaseke mosadziletsa ngakhale mutakhala kuti mulibe choseka nacho.

Matendawa nthawi zambiri amapezeka chifukwa cha kuwonongeka kwa ubongo kapena chifukwa cha vuto lina la mitsempha. Mwachitsanzo, amatha kuwoneka ndi matenda monga `(Amyotrophic Lateral Sclerosis - ALS)`.

Ngakhale nthawi zina kuseka kapena kulira kumeneku kungawoneke koyenera panthawiyo (monga kulira mukaona chinthu chomvetsa chisoni), zimakhala zovuta kwambiri kwa munthu amene ali ndi PBA kuti azitha kulamulira. Ndipo mawu a malingaliro amenewa ndi amphamvu kwambiri ndipo amakhala nthawi yayitali kuposa munthu wamba.

Vutoli lili ndi mayina ena angapo:

• Kugwira ntchito mozama
• Kuseka ndi kulira kwa matenda
• Matenda odziwonetsera mwamaganizo mosadzifunira
• Kuseka kapena kulira mokakamiza
• Kusadziletsa kwa maganizo

PBA ikhoza kukhala ndi zotsatirapo zazikulu pa moyo wanu, banja lanu, ndi omwe amakusamalirani. Ingayambitse manyazi, nkhawa, kudzipatula, komanso kudzipatula.

Kodi vutoli ndi lofala bwanji, PBA? Ndani amalipeza?

N'zovuta kunena momwe izi zimachitikira kawirikawiri, chifukwa kuopsa kwa zizindikiro za matendawa kumasiyana malinga ndi munthu. Komanso, nthawi zambiri matendawa amaganiziridwa molakwika ngati matenda ena, makamaka kuvutika maganizo.

PBA ikhoza kuchitika kwa aliyense wa msinkhu uliwonse, kuphatikizapo ana ndi akuluakulu, omwe ali ndi vuto lina lokhudzana ndi ubongo.

Monga momwe maphunziro azachipatala apezera:

• Anthu okwana 50% omwe ali ndi amyotrophic lateral sclerosis (ALS) amatha kukhala ndi PBA.
• Vutoli limatha kuchitika kwa anthu okwana 48% omwe adavulala mutu kwambiri (Traumatic Brain Injury).
• Anthu okwana 46% omwe ali ndi multiple sclerosis (MS) akhoza kukhala ndi PBA.

Ndiye kodi uwu ndi matenda amisala?

Anthu ambiri amaganiza kuti ndi matenda amisala chifukwa amaoneka ngati akukhudzana ndi malingaliro monga kuseka ndi kulira. Koma kwenikweni si matenda amisala konse.

Kodi zizindikiro zazikulu za PBA ndi ziti?

Kuti timvetse PBA, tiyenera kudziwa kusiyana pakati pa 'maganizo' ndi 'kukhudzidwa'.

• Maganizo: Izi zikutanthauza momwe mukumvera mumtima mwanu. Izi zikutanthauza momwe mumamvera mumtima mwanu, monga chisoni, chimwemwe, ndi mkwiyo. Izi ndi zomwe inu nokha mungathe kumva.
• Kukhudza: Umu ndi momwe malingaliro anu amaonekera poyera. Izi zikutanthauza zinthu monga kumwetulira, kulira, ndi nkhope zomwe ena amaona.

Motero, khalidwe lalikulu la PBA ndilakuti 'kukhudzidwa' kwanu, ndiko kuti, kuseka kapena kulira kwanu, sikukugwirizana ndi 'malingaliro' anu, ndiko kuti, malingaliro anu amkati .

Tiyeni tifotokoze zambiri za makhalidwe amenewa mu tebulo ili m'munsimu.

Anthu ena amathanso kukhala ndi mkwiyo wosalamulirika kapena kukhumudwa. Popeza PBA imagwirizanitsidwa ndi vuto lina la mitsempha, akhozanso kukhala ndi zizindikiro zina zokhudzana ndi vuto limenelo.

Kodi n’chiyani chimayambitsa PBA?

Choyambitsa chenicheni cha PBA sichikudziwikabe, koma madokotala amakhulupirira kuti chimayambitsidwa ndi kusokonezeka kwa njira za ubongo muubongo zomwe zimalamulira momwe malingaliro amamvekera.

Pali matenda angapo amitsempha omwe angayambitse vutoli. Izi zikutanthauza kuti anthu omwe ali ndi matendawa ali pachiwopsezo chotenga PBA.

• Kuvulala kwa ubongo koopsa
• Amyotrophic lateral sclerosis (ALS) (yomwe imadziwikanso kuti matenda a Lou Gehrig)
• Matenda a Sclerosis ambiri (MS)
• Matenda a Alzheimer ndi matenda ena a dementia
• Stroke
• Matenda a Parkinson
• Zotupa za muubongo
• Khunyu
• Matenda a Wilson

Kodi izi zimakhudza mbali ziti za ubongo?

Vutoli likuwoneka kuti limakhudza mbali zosiyanasiyana za ubongo. Makamaka, lingayambitsidwe ndi kusokonezeka kwa njira za mitsempha zomwe zimalumikizana ndi cerebellum , gawo la ubongo lomwe limayang'anira momwe timayankhira m'maganizo mwathu ndipo limatithandiza kusankha ngati ndi loyenera pagulu.

Komanso, amithenga angapo a mankhwala muubongo otchedwa neurotransmitters akuganiziridwa kuti amakhudzidwa.

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

Kodi matenda a PBA amapezedwa bwanji?

Kuzindikira matenda a PBA kungakhale kovuta pang'ono, chifukwa ngakhale madokotala nthawi zambiri amazindikira molakwika ngati matenda a maganizo monga kuvutika maganizo kapena matenda a bipolar .

Pakadali pano, palibe mayeso enieni otsimikizira ngati muli ndi PBA. Dokotala adzazindikira vutoli atakufunsani mafunso angapo mosamala.

• Zizindikiro zanu
• Mbiri yanu yachipatala, makamaka yokhudza matenda amitsempha
• Mbiri yanu ya thanzi la maganizo
• Chidziwitso kuchokera ku kafukufuku wa thupi

Nchifukwa chiyani PBA imasokonezedwa ndi kuvutika maganizo?

Chifukwa chachikulu chosokoneza awiriwa ndi kulira. Ngati kulira ndiye chizindikiro chachikulu cha PBA, anthu ambiri amaganiza kuti ndi kuvutika maganizo. Nthawi zina munthu amene ali ndi PBA amathanso kukhala ndi kuvutika maganizo nthawi imodzi. Koma pali kusiyana koonekeratu pakati pa matenda awiriwa.

Onani tebulo ili m'munsimu.

Kodi pali chithandizo cha PBA?

PBA singathe kuchiritsidwa kwathunthu. Komabe, ikhoza kuyendetsedwa bwino . Cholinga chachikulu cha chithandizo ndikuchepetsa kuchuluka ndi kuopsa kwa nthawi yoseka kapena kulira.

Pali mankhwala omwe madokotala amalangiza pa izi.

• Dextromethorphan/quinidine sulfate (Nuedexta®): Iyi ndi mankhwala oyamba kuvomerezedwa ndi US FDA makamaka kuti athandize PBA.
• Mankhwala Oletsa Kuvutika Maganizo:Mankhwala ena oletsa kuvutika maganizo, monga tricyclic antidepressants ndi selective serotonin reuptake inhibitors (SSRIs), angathandize kuwongolera zizindikiro za PBA, koma amagwiritsidwa ntchito pamlingo wochepa kwambiri kuposa omwe amagwiritsidwa ntchito pochiza kuvutika maganizo.

Kodi mukukhala bwanji ndi vutoli?

Ngati PBA sinapezeke bwino ndi kuchiritsidwa, ingakhudze moyo wanu.

• Kuvutika maganizo
• Nkhawa
• Kufooka kwa maubwenzi a anthu
• Kuchepa kwa moyo

Koma kumbukirani kuti zizindikirozi zitha kuthetsedwa bwino ndi mankhwala. Zingatenge nthawi kuti mupeze matenda oyenera komanso chithandizo choyenera. Koma muyenera kudziteteza nokha ndipo musataye mtima. Anthu monga madokotala a mitsempha ndi madokotala amisala ali ndi chidziwitso chochuluka pankhaniyi.

Malangizo Othana ndi PBA

Nazi zinthu zina zomwe zingakuthandizeni kulamulira nthawi izi zoseka kapena kulira.

• Mukapeza mwayi ngati uwu, pumirani pang'onopang'ono komanso mozama mpaka utapita .
• Ganizirani za china chake kapena sokonezani maganizo anu panthawiyo.
• Masulani minofu ya phewa lanu ndi nkhope yanu. Izi zichepetsa kupsinjika.
• Ngati n'kotheka, sinthani kaimidwe kanu .
• Uzani anthu odalirika za vuto lanu kuti adziwe zomwe angayembekezere.
• Ngati vutoli likukhudza thanzi lanu la maganizo, pitani kwa mlangizi wa zaumoyo wamaganizo .

Ngati muli ndi PBA ndipo chithandizo chomwe mukugwiritsa ntchito panopa sichikugwira ntchito kapena chikuyambitsa zotsatirapo zake, lankhulani ndi dokotala wanu za njira yatsopano yothandizira. Kuseka ndi kulira kosalamulirika kungakhale kovuta komanso kochititsa manyazi. Koma kumbukirani kuti PBA ndi matenda, ndipo amatha kuchiritsidwa ndi mankhwala. Ngati muli ndi zizindikiro izi, onetsetsani kuti mwaonana ndi dokotala.