Kodi mukusekanso mokweza kapena mukumva chisoni? Izi zitha kukhala Pseudobulbar Affect (PBA)!

Kodi munayamba mwawonapo, kapena kukumanapo ndi kuseka mwadzidzidzi popanda chifukwa, kapena kulira kosalekeza? Nthawi zina, mumakhudzidwa kwambiri ndi chinthu chaching'ono kuposa chisoni kapena chisangalalo chomwe mukumva. Ngati mwakumanapo ndi izi, ndikofunikira kudziwa za vuto lomwe tikambirana lero, Pseudobulbar Affect, kapena PBA mwachidule.

Kodi mukudziwa tanthauzo la Pseudobulbar Affect (PBA)?

Mwachidule, Pseudobulbar Affect (PBA) ndi matenda amitsempha omwe amakupangitsani kuseka kapena kulira mosalekeza, mwanjira yosagwirizana ndi momwe mukumvera. Tangoganizirani kuti muli mumkhalidwe wachisoni, koma simungathe kusiya kuseka. Kapena, muli pa phwando losangalala, koma mukufuna kulira nthawi zonse. Ichi ndiye chizindikiro chachikulu cha PBA.

Matendawa amayamba chifukwa cha kuwonongeka kwa ubongo kapena matenda ena amitsempha. Mwachitsanzo, munthu amene ali ndi matenda monga ``Amyotrophic Lateral Sclerosis (ALS)`` akhoza kukhala ndi vutoli.

Nthawi zina, ngakhale kuseka kapena kulira kumeneku kungawoneke koyenera panthawiyo, kumakhala kovuta kulamulira kuposa masiku onse. Komanso, mawonekedwe amtima awa akhoza kukhala amphamvu kwambiri ndipo amatha nthawi yayitali kuposa masiku onse . Zili ngati kutsegula bomba ndipo simungathe kuletsa.

PBA imatchedwanso ndi mayina ena angapo:

• Kugwira ntchito mozama
• Kuseka ndi kulira kwa matenda
• Matenda odziwonetsera mwamaganizo mosadzifunira
• Kuseka kapena kulira mokakamiza
• Kulephera kudziletsa m'maganizo (kulephera kulamulira maganizo)

PBA ikhoza kukhudza kwambiri moyo wanu, banja lanu, ndi omwe amakusamalirani. Ingayambitse manyazi, nkhawa , komanso kudzipatula.

Kodi PBA ndi yofala bwanji?

Ofufuza akuti anthu pakati pa 2 ndi 7 miliyoni ku United States kokha ali ndi matenda a PBA. Chifukwa cha kuchuluka kwa matendawa ndikuti PBA imasiyana malinga ndi kuopsa kwake ndipo sizikudziwika bwino. N'zotheka kuti anthu omwe ali ndi vutoli ku Sri Lanka nawonso sakulandira chithandizo chifukwa chosadziwa.

Ndani amene amakhudzidwa kwambiri ndi PBA?

Matendawa, otchedwa Pseudobulbar Affect (PBA), angakhudze aliyense wa msinkhu uliwonse, kuphatikizapo ana ndi akuluakulu, ndi matenda enaake amitsempha muubongo.

Monga momwe maphunziro asonyezera:

• Pafupifupi 50% ya anthu omwe ali ndi Amyotrophic Lateral Sclerosis (ALS) akhoza kukhala ndi PBA.
• Pafupifupi 48% ya anthu omwe ali ndi vuto la ubongo (TBI) ali ndi vuto la ubongo.
• Matendawa amakhudza anthu pafupifupi 46% omwe ali ndi Multiple Sclerosis (MS).

Kodi Pseudobulbar Imakhudza Matenda a Maganizo?

Anthu ena angaganize kuti PBA ndi matenda amisala. Chifukwa zinthu monga kuseka ndi kulira zimagwirizana ndi momwe timamvera. Komabe, chifukwa PBA imayamba chifukwa cha kuwonongeka kwa mitsempha ya ubongo muubongo , imatchedwa `neuropsychiatric syndrome`, kutanthauza kuti, mndandanda wa zizindikiro za neuropsychiatric. Mwachidule, PBA ndi matenda owonetsa malingaliro omwe amapezeka ndi vuto la ubongo.

Kodi zizindikiro za PBA ndi ziti?

Kuti mumvetse PBA, ndikofunikira kudziwa kusiyana pakati pa 'malingaliro' ndi 'kukhudza'. Maganizo ndi momwe mumamvera mkati mwanu. Izi zikutanthauza kuti, zinthu zomwe inu nokha mungamve, monga chisoni, mkwiyo, kapena chimwemwe. Kukhudza ndi momwe malingaliro anu amaonekera poyera, monga kumwetulira kapena kulira, zomwe ena amatha kuziona.

Motero, chizindikiro chachikulu cha Pseudobulbar Affect (PBA) ndi kuwonetsa malingaliro (kukhudzidwa) komwe sikukugwirizana ndi momwe mukumvera kapena mphamvu ya momwe mukumvera. Zizindikiro zodziwika kwambiri ndi kulira ndi kuseka.

Kuseka ndi/kapena kulira kumeneku kungawoneke motere:

• Zosayembekezereka, zadzidzidzi, komanso zosalamulirika.
• Zapitirira muyeso pa chochitikachi. (monga kuseka kwa maola ambiri pa nthabwala yaying'ono)
• Zimachitika popanda chifukwa chomveka.

Nthawi zina, mkwiyo wosalamulirika kapena kukhumudwa kungabuke.

Popeza PBA nthawi zambiri imagwirizanitsidwa ndi vuto la mitsempha monga kuvulala kwa ubongo kapena amyotrophic lateral sclerosis (ALS), anthu omwe ali ndi PBA angakhalenso ndi zizindikiro zina zokhudzana ndi vutoli.

Kodi zifukwa za PBA ndi ziti?

Ofufuza sakudziwabe chomwe chimayambitsa Pseudobulbar Affect. Amaganiza kuti izi zimachitika chifukwa cha kusokonezeka kwa njira za ubongo muubongo wathu zomwe zimalamulira momwe malingaliro amamvekera.

Pali matenda angapo amitsempha okhudzana ndi PBA omwe angayambitse mavuto awa:

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

Kodi PBA imakhudza mbali ziti za ubongo?

Akuganiza kuti PBA imakhudza kwambiri madera osiyanasiyana a ubongo omwe ali panjira ya cerebro-ponto-cerebellar.

Gawo la njira iyi ndi ubongo wathu waung'ono (Cerebellum).Izi zimachitika mwa kuyang'anira momwe timayankhira pamalingaliro athu ndikuwonetsetsa kuti ndi oyenera momwe zinthu zilili pagulu. Ngati njira za mitsempha kuchokera kumadera ena a ubongo kupita ku ubongo zasokonekera, kuwongolera momwe malingaliro amamvekera kumatha kutayika.

Kuphatikiza apo, ma neurotransmitter otsatirawa atha kukhala ndi gawo mu PBA:

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

Kodi matenda a PBA amapezedwa bwanji?

Matenda a Pseudobulbar (PBA) akhoza kukhala ovuta kuwazindikira . Ngakhale madokotala nthawi zina angaganize kuti ndi matenda amisala - makamaka kuvutika maganizo kapena matenda a bipolar.

Pakadali pano, palibe mayeso enieni oyezera PBA. Madokotala amayezetsa matendawa kutengera:

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

Zonsezi zimaphunziridwa mosamala ndipo pamapeto pake pamapezeka mfundo.

Nchifukwa chiyani PBA imasokonezedwa ndi kuvutika maganizo?

Pseudobulbar affection (PBA) ndi vuto lomwe nthawi zambiri limasokonezedwa ndi matenda amisala, makamaka kuvutika maganizo.

Izi ndi zomwe zimachitika mukakhala ndi nthawi yolira pafupipafupi, chizindikiro chachikulu cha PBA. Anthu omwe ali ndi PBA amathanso kuvutika maganizo pazifukwa zina, komanso chifukwa cha vuto la PBA. Komabe, poyerekeza ndi kuvutika maganizo, nthawi yolira mu PBA:

• Zimayamba mwadzidzidzi, ngati kuphulika.
• Zimatenga nthawi yochepa chabe.
• Kawirikawiri sizimagwirizanitsidwa ndi chisoni chamkati chomwe chimakhalapo kwa nthawi yayitali.

Ngakhale anthu omwe ali ndi vuto la kuvutika maganizo nthawi zonse amakhala achisoni, nthawi zambiri sakhala achisoni. Ngakhale atatero, kulira kumatenga nthawi yayitali kuposa omwe ali ndi vuto la kuvutika maganizo. Komanso, zizindikiro zina za kuvutika maganizo, monga kusowa tulo komanso kusowa chilakolako cha chakudya, sizimawoneka mu vuto la kuvutika maganizo.

Kodi mankhwala a PBA ndi otani?

Palibe mankhwala a Pseudobulbar Affect (PBA). Komabe, pali mankhwala omwe angathandize kuwongolera vutoli. Cholinga chachikulu cha chithandizo ndikuchepetsa kuopsa ndi kuopsa kwa kuseka ndi kulira kosalamulirika kumeneku.

Mitundu ya mankhwala omwe madokotala amapereka a PBA ndi awa:

• Dextromethorphan/quinidine sulfate (Nuedexta®): Iyi ndi mankhwala oyamba kuvomerezedwa ndi FDA (US Food and Drug Administration) kuti athetse PBA. Ili ndi mankhwala a chifuwa (dextromethorphan) ndi mlingo wochepa kwambiri wa mankhwala omwe kale ankagwiritsidwa ntchito pochiza matenda a mtima (quinidine sulfate).
• Mankhwala Oletsa Kuvutika Maganizo:Mankhwala oletsa kuvutika maganizo monga `(Tricyclic antidepressants)`, `(Selective Serotonin Reuptake Inhibitors - SSRIs)`, ndi `(Norepinephrine/Serotonin Reuptake Inhibitors - SNRIs)` angathandize kuwongolera zizindikiro za PBA. Komabe, nthawi zambiri amaperekedwa pamlingo wocheperako kuposa omwe amaperekedwa chifukwa cha kuvutika maganizo.

Monga mankhwala ena onse, zotsatirapo zake zimatha kuchitika. Muyenera kugwira ntchito ndi dokotala kuti musankhe njira yochiritsira yomwe ingakhale yoyenera kwa inu.

Kodi PBA ingapewedwe?

Popeza Pseudobulbar Affect imayamba chifukwa cha kuwonongeka kwa ubongo ndi matenda amitsempha, palibe chomwe chingachitike kuti izi zisachitike.

Kodi chiyembekezo cha PBA ndi chiyani?

Chiyembekezo cha PBA chimasiyana malinga ndi munthu.

Ngati vutoli silinazindikirike ndi kuchiritsidwa, anthu omwe ali ndi PBA ali pachiwopsezo chachikulu cha:

• Kuvutika maganizo
• Nkhawa
• Kuchepa kwa maubwenzi ochezera
• Kuchepa kwa moyo

Mankhwala angathandize kuchepetsa zizindikiro. Zingakhale zovuta kuzizindikira ndi kuchiza. Komabe, ndikofunikira kudzilankhulira nokha ndikuyesera. Madokotala omwe amadziwa bwino za vutoli ndi akatswiri a zamaganizo, akatswiri a zamaganizo, ndi akatswiri a zamaganizo.

Kodi Pseudobulbar Affection imatenga nthawi yayitali bwanji?

Matenda a Pseudobulbar nthawi zambiri amakhala osatha, chifukwa matenda omwe amayambitsa matendawa (monga multiple sclerosis, matenda a Alzheimer's) nthawi zambiri amakhala okhalitsa.

Kodi mungatani kuti mukhale ndi moyo wabwino ndi PBA? (Njira Zothanirana ndi Mavuto)

Nazi malangizo ena okuthandizani kuthana ndi PBA ndikuletsa kuseka/kulira mwadzidzidzi:

• Kuseka/kulira kukayamba, pumirani mpweya wozama mpaka utachepa.
• Ganizirani china chake panthawiyo, yang'anani kwambiri.
• Masulani minofu ya phewa lanu ndi nkhope yanu ndipo muchepetse kupsinjika.
• Ngati n'kotheka, sinthani malo anu.
• Uzani ena za vuto lanu kuti adziwe zomwe angayembekezere ndipo asakumvetseni molakwika.
• Ngati PBA ikukhudza thanzi lanu la maganizo, onani mlangizi wa zaumoyo wamaganizo .

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi PBA, chithandizo chanu sichikugwira ntchito bwino, kapena mukukumana ndi zotsatirapo zoyipa, lankhulani ndi dokotala wanu za chithandizo chatsopano.

Kuseka ndi kulira mosalekeza kungakhale kovuta, kochititsa manyazi, komanso kovuta kuti ena amvetse. Koma kumbukirani, Pseudobulbar Affect (PBA) ndi matenda, ndipo amatha kuchiritsidwa ndi mankhwala. Ngati muli ndi zizindikiro za PBA, lankhulani ndi dokotala. Ali pano kuti akuthandizeni.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana (Uthenga Wopita Nawo Kunyumba)

Chabwino, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira zokhudza Pseudobulbar Affect (PBA) zomwe takambirana lero:

• PBA ndi matenda amitsempha omwe amakupangitsani kuseka kapena kulira mosalekeza, mwanjira yosagwirizana ndi momwe mukumvera.
• Izi nthawi zambiri zimagwirizanitsidwa ndi matenda ena amitsempha (monga ALS, MS, Stroke, TBI).
• PBA si matenda amisala okha, koma imatha kusokonezedwa ndi matenda monga kuvutika maganizo.
• Ngakhale kuti palibe mankhwala athunthu a izi, pali mankhwala oletsa zizindikiro.
• Ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kufunafuna upangiri wa dokotala popanda kuchita manyazi kapena mantha.
• Kudziwitsa okondedwa anu za vutoli kudzakuthandizani inu ndi iwo.

Ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena okhudzana ndi izi, chonde musazengereze kulankhula ndi dokotala.

Kukhudzidwa kwa Pseudobulbar, PBA, Neuropathy, Kuseka Kosalamulirika, Kulira Kosalamulirika, Kulephera Kugwira Ntchito Mwamaganizo, Matenda a Ubongo