Kuseka popanda chifukwa, kulira kosalamulirika - Tiyeni tikambirane za Pseudobulbar Affect (PBA)

Tangoganizani kuti mukumva chisoni pang'ono, kapena mwachibadwa. Koma mwadzidzidzi mumayamba kuseka mosalekeza. Kapena pamene simukumva kusangalala konse, mumalira mosalekeza. Kodi mukudziwa bwino za mtundu uwu wa zochitika? Izi si kufooka kwa maganizo kapena chinthu chomwe mumachita mwadala monga momwe nthawi zina mumaganizira. Izi zitha kukhala vuto lokhudzana ndi dongosolo lamanjenje . Izi ndi zomwe tikulankhula lero.

Kodi Pseudobulbar Affection (PBA) ndi chiyani?

Mwachidule, Pseudobulbar Affect, kapena PBA, ndi matenda omwe amakhudza dongosolo la mitsempha. Ndi matenda omwe amasokoneza momwe mukumvera mkati mwanu ndi momwe mukumvera kunja. Izi zikutanthauza kuti mungalire popanda kumva chisoni, kuseka popanda kumva kusangalala, kapena kukwiya ndi zinthu zazing'ono. Chofunika kwambiri ndichakuti simungathe kulamulira momwe mukumvera.

Vutoli limadziwika ndi mayina ena angapo:

• Kugwira ntchito mozama
• Kulephera kudziletsa m'maganizo (kulephera kulamulira maganizo)
• Kulira kosafunikira
• Kuseka ndi kulira kwa matenda

Kodi zizindikiro zazikulu za PBA ndi ziti?

Ngati inu kapena munthu amene mumamudziwa ali ndi PBA, mungakumane ndi zizindikirozi. Zitha kuchitika kangapo patsiku kapena kangapo pamwezi.

Chifukwa cha zizindikiro zimenezi, anthu ambiri amasokoneza ndi matenda amisala monga kuvutika maganizo kapena matenda a bipolar . Komabe, pali kusiyana kwakukulu pakati pa ziwirizi.

Munthu amene ali ndi vuto la kuvutika maganizo amatha kulira, koma pamlingo winawake, amatha kulamulira. Ndipo kulirako n'koyenera chifukwa cha chisoni chomwe akumva. Koma sizili choncho ndi PBA. Mutha kulira mosalekeza ngakhale mutakhala osangalala. Komanso, kumwetulira sikumaonedwa ngati chizindikiro cha kuvutika maganizo.

Vutoli lingakupangitseni kuchita manyazi komanso kusamasuka mukakhala pagulu. Mungapewe kupita ndi anzanu kapena kupita ku maphwando chifukwa choopa kuti "Kodi izi zingandichitikirenso?" Izi zingayambitsenso nkhawa komanso kuvutika maganizo kwa anthu ena.

N’chifukwa chiyani vutoli limachitika?

Asayansi amakhulupirira kuti chifukwa chachikulu cha PBA ndi kuwonongeka kwa gawo la ubongo wathu lomwe limalamulira malingaliro, prefrontal cortex . Kuwonongeka kumeneku kumasintha momwe mankhwala a muubongo amagwirira ntchito, zomwe zimapangitsa kuti munthu asamathe kulamulira malingaliro.

PBA ikhoza kuchitika chifukwa cha matenda aliwonse kapena kuvulala komwe kumakhudza ubongo. Zina mwa matenda akuluakulu ndi awa:

• Stroke
• Kuvulala kwa Ubongo Koopsa
• Matenda a sclerosis ambiri (MS)
• Matenda a Amyotrophic lateral sclerosis (ALS)
• Matenda a Parkinson
• Matenda a Alzheimer
• Matenda amisala
• Chotupa cha muubongo

Kafukufuku wasonyeza kuti anthu oposa gawo limodzi mwa magawo atatu omwe adalumala amatha kukhala ndi zizindikiro za PBA.

Kodi dokotala amazindikira bwanji PBA molondola?

Ngati inu kapena wokondedwa wanu mukulira kapena kuseka nthawi zonse popanda chifukwa, onetsetsani kuti mwaonana ndi dokotala ndikukambirana za vutoli. Ndikofunikira kupeza matenda olondola, chifukwa PBA imatha kusokonezedwa mosavuta ndi matenda ena amisala.

Mukapita kwa dokotala, khalani okonzeka kukambirana nanu za izi:

• Kodi zizindikiro zake ndi ziti? (Kulira, kuseka, kukwiya?)
• Kuyambira liti pamene izi zakhalapo?
• Kodi izi zakhala zikuchitika kwa nthawi yayitali bwanji? (Mphindi zochepa kapena kuposerapo?)
• Kangati patsiku?

Zinthu ngati zimenezi zikachitika, kulemba tsiku ndi tsiku zomwe mukuganiza kuti zayambitsa vutoli kungathandize kwambiri dokotala kumvetsa vuto lanu.

Palibe mayeso enieni oyezera matenda a PBA. Komabe, kuti muwone ngati pali matenda a khunyu omwe angayambitse zizindikirozi, dokotala wanu angakupatseni EEG (Electroencephalogram) . Iyi ndi mayeso osavuta komanso osapweteka omwe amayesa mafunde a ubongo.

Kuphatikiza apo, madokotala amagwiritsa ntchito mafunso awiri kuti atsimikizire ngati ndi PBA kapena ayi.

1. Kuseka ndi Kulira kwa Pathological (PLACS): Apa, dokotala akukufunsani mafunso okhudza zochitikazi, momwe zinakhudzira momwe mukumvera, komanso momwe zinakhudzira zochitika za anthu.

2. Malo Ophunzirira Mitsempha ndi Kuyeza Mayeso (CNS-LS): Apa muyenera kuyankha mafunso angapo nokha. Mwachitsanzo, mafunso monga "Ndimalira mosavuta" kapena "Sindingathe kuletsa kuseka kwanga mosavuta" ayenera kuwerengedwa malinga ndi zomwe mwakumana nazo.

Kodi mankhwala a PBA ndi otani?

Pali mankhwala omwe alipo kuti athandize kuchepetsa PBA. Dokotala wanu angakulembereni mankhwala ochepa oletsa kuvutika maganizo kuti akuthandizeni kuchepetsa zizindikiro zanu.

Komanso mu 2010, bungwe la US FDA linavomereza mankhwala oyamba makamaka a PBA, dextromethorphan/quinidine (Nuedexta) . Kafukufuku wasonyeza kuti mankhwalawa ndi othandiza kwambiri poletsa kulira kosalamulirika ndi kuseka mwa anthu omwe ali ndi matenda monga MS ndi ALS.

Kuti mupeze chithandizo cha vutoli, mutha kupempha thandizo kwa katswiri monga katswiri wa mitsempha, wamisala, kapena wamisala.

Kodi tingatani tikakhala ndi PBA?

Kukhala ndi PBA kungakhale kovuta, koma potsatira malangizo awa, inu ndi banja lanu mutha kuthana ndi vutoli bwinobwino.

• Uzani anthu omwe akuzungulirani za izi:Kambiranani ndi achibale anu ndi anzanu apamtima za PBA ndi momwe imakukhudzirani. Mwanjira imeneyi, ngati chinthu chonga ichi chichitika mwadzidzidzi, sangakhumudwe kapena kusamvetsetsana.
• Lembani tsiku lobadwa: Monga tanenera kale, lembani nthawi yomwe izi zimachitika komanso zomwe mukuganiza kuti zayambitsa. Izi zidzakhala zofunika kwambiri mukakambirana ndi dokotala wanu za chithandizo.
• Sinthani kaimidwe kanu: Mukafuna kulira kapena kuseka, sinthani momwe mukukhala kapena kuyimirira.
• Pumirani pang'onopang'ono, mozama: Pa chochitika, pumirani pang'onopang'ono komanso mozama mpaka mutamva kuti muli ndi mphamvu.
• Pumulani: Pambuyo pa chochitika chonga ichi, mapewa anu ndi mphumi yanu zingamveke zolimba. Choncho yesani kupumula thupi lanu pambuyo pa chochitikacho.
• Lowani nawo gulu lothandizira: Kulankhula ndi anthu ena omwe ali ndi PBA kungakhale gwero lalikulu la mphamvu. Adzamvetsetsa zomwe mwakumana nazo ndipo angakupatseni malangizo ena omwe awathandiza.