Guseka nta mpamvu, kurira ku buryo budasubirwaho - Reka tuvuge kuri Pseudobulbar Affect (PBA)

Tekereza urimo kumva ubabaye gato, cyangwa umeze nk'uko bisanzwe. Ariko mu buryo butunguranye utangira guseka cyane. Cyangwa iyo utishimye na gato, uhora urira. Ese uzi ubu bwoko bw'ibi? Ibi si intege nke zo mu mutwe cyangwa ikintu ukora nkana nk'uko rimwe na rimwe ubyibwira. Ibi bishobora kuba ari indwara ifitanye isano n'imitsi . Ibi nibyo tuvuga uyu munsi.

Ingaruka za Pseudobulbar (PBA) ni iki?

Mu magambo make, Pseudobulbar Affect, cyangwa PBA mu magambo ahinnye, ni indwara igira ingaruka ku mikorere y'imitsi. Ni indwara ituma habaho itandukaniro hagati y'ibyiyumvo byawe byo mu mutima n'ishusho y'amarangamutima yawe yo hanze. Ibi bivuze ko ushobora kurira utababaye, useka utanezerewe, cyangwa ngo urakare kubera utuntu duto. Ikintu cy'ingenzi ni uko udashobora kugenzura iyo mikorere y'amarangamutima.

Iyi ndwara izwi ku yandi mazina menshi:

• Uburyo bwo gukora ibintu mu buryo bw'amarangamutima
• Kunanirwa kwifata mu marangamutima (kudashobora kugenzura amarangamutima)
• Kurira ku bushake
• Guseka no kurira bishingiye ku ndwara

Ni ibihe bimenyetso by'ingenzi bya PBA?

Niba wowe cyangwa undi muntu uzi afite PBA, ushobora kugira ibi bimenyetso. Bishobora kugaragara inshuro nyinshi ku munsi cyangwa inshuro nyinshi mu kwezi.

Kubera ibi bimenyetso, abantu benshi babyitiranya n'indwara yo mu mutwe nk'indwara yo kwiheba cyangwa indwara ya bipolar . Nyamara, hari itandukaniro rigaragara hagati y'ibyo byombi.

Umuntu ufite ihungabana ashobora kurira, ariko ku rugero runaka, ashobora kurigenzura. Kandi kurira birakwiriye agahinda yumva afite. Ariko si ko bimeze kuri PBA. Ushobora kurira ubudasiba nubwo waba wishimye. Nanone, kumwenyura ntibifatwa nk'ikimenyetso mu ihungabana.

Iyi ndwara ishobora gutuma wumva ufite isoni kandi ukumva utameze neza mu gihe uri mu mibanire n'abandi. Ushobora kwirinda gusohokana n'inshuti cyangwa kujya mu birori kuko utinya ko "Ese ibi bizanshikira ukundi?" Ibi bishobora no gutera imihangayiko no kwiheba kuri bamwe.

Kuki iki kibazo kibaho?

Abahanga mu bya siyansi bemeza ko impamvu nyamukuru ya PBA ari ukwangirika kw'igice cy'ubwonko bwacu kigenzura amarangamutima, ari cyo gice cy'imbere mu bwonko . Uku kwangirika guhindura imikorere y'ibinyabutabire byo mu bwonko, bigatera gutakaza ubushobozi bwo kugenzura amarangamutima.

PBA ishobora guterwa n'indwara iyo ari yo yose cyangwa imvune igira ingaruka ku bwonko. Zimwe mu ndwara z'ingenzi zirimo:

• Igisebe cy'imitsi
• Ihungabana ry'ubwonko
• Sclerosis nyinshi (MS)
• Ubushobozi bwo kuvura indwara ya Amiotrophic lateral sclerosis (ALS)
• Indwara ya Parkinson
• Indwara ya Alzheimer
• Indwara yo mu mutwe (Dementia)
• Ikibyimba cyo mu bwonko

Ubushakashatsi bwagaragaje ko abantu barenga kimwe cya gatatu cy'abafite ubumuga bashobora kugira ibimenyetso bya PBA.

Ni gute umuganga asuzuma neza PBA?

Niba wowe cyangwa uwo ukunda muhora murira cyangwa museka nta mpamvu, menya neza ko mwagiye kwa muganga mukaganira kuri ibyo. Ni ngombwa kubona isuzuma ryimbitse, kuko indwara ya PBA ishobora kwitiranywa byoroshye n'izindi ndwara zo mu mutwe.

Iyo ugiye kwa muganga wawe, itegure kuganira kuri ibi bintu:

• Ibimenyetso ni ibihe? (Kurira, guseka, kurakara?)
• Ibi byabayeho kuva ryari?
• Ibi bimaze igihe kingana iki bibaho? (Iminota mike cyangwa irenga?)
• Inshuro zingahe ku munsi?

Iyo ibintu nk'ibi bibaye, kwandika mu ikaye icyo utekereza ko cyaba cyarabiteye bizafasha cyane muganga gusobanukirwa uburwayi bwawe.

Nta bipimo byihariye bihari kugira ngo hamenyekane indwara za PBA. Ariko, kugira ngo urebe niba hari indwara z'igicuri zishobora gutera ibi bimenyetso, muganga wawe ashobora kugutegeka gupimwa EEG (Electroencephalogram) . Iki ni ikizamini cyoroshye kandi kidatera ububabare gipima imiraba y'ubwonko.

Byongeye kandi, abaganga bakoresha ibibazo bibiri kugira ngo bemeze niba ari PBA cyangwa atari yo.

1. Igipimo cyo guseka no kurira mu buryo bw'indwara (PLACS): Aha, muganga akubaza ibibazo bijyanye n'ibi bintu, uko bifitanye isano n'ibyiyumvo byawe, n'uko byagize ingaruka ku mibereho y'abantu.

2. Ikigo cy’Ubushakashatsi ku Mitsi n’Imitsi (CNS-LS): Aha ugomba gusubiza ibibazo bike ubwawe. Urugero, ibibazo nka "Ndarira vuba cyane" cyangwa "Sinshobora kugenzura guseka kwanjye byoroshye" bigomba gutangwa hakurikijwe ubunararibonye bwawe.

Ni ubuhe buryo bwo kuvura PBA?

Hariho uburyo bwo kuvura indwara ziterwa n’imitsi itera indwara. Muganga wawe ashobora kukwandikira imiti igabanya ubukana bw’indwara zo mu mutwe kugira ngo igufashe mu guhangana n’ibimenyetso by’indwara.

Nanone mu 2010, FDA yo muri Amerika yemeje umuti wa mbere wihariye wa PBA, dextromethorphan/quinidine (Nuedexta) . Ubushakashatsi bwagaragaje ko uyu muti ufite akamaro kanini mu kurwanya kurira no guseka ku buryo butunguranye ku bantu bafite indwara nka MS na ALS.

Kugira ngo uhabwe ubuvuzi bw'iyi ndwara, ushobora gusaba ubufasha bw'inzobere nka muganga w'indwara zo mu mutwe, inzobere mu ndwara zo mu mutwe, cyangwa inzobere mu by'imitekerereze n'imitsi.

Twakora iki mu gihe tubana na PBA?

Kubana na PBA bishobora kugorana, ariko gukurikiza izi nama, wowe n'umuryango wawe mushobora guhangana n'iki kibazo neza.

• Bwira abantu bagukikije ibi:Ganira n'umuryango wawe n'inshuti za hafi ibyerekeye PBA n'uko bikugiraho ingaruka. Muri ubwo buryo, nibibaho mu buryo butunguranye, ntibazarakara cyangwa ngo basobanukirwe nabi.
• Andika ikaye: Nkuko twabivuze mbere, andika igihe ibi bintu bibaho n'icyo ubona ko byaba byarabiteye. Ibi bizaba ingenzi cyane mu gihe uganira na muganga wawe ku bijyanye n'ubuvuzi.
• Hindura uko uhagaze: Iyo wumva ushaka kurira cyangwa guseka, hindura uko wicaye cyangwa uhagaze.
• Humeka buhoro buhoro, cyane: Mu gihe cy'igikorwa, humeka buhoro buhoro kandi cyane kugeza igihe wumva ushoboye.
• Humura: Nyuma y'igikorwa nk'iki, ibitugu byawe n'agahanga byawe bishobora kumva bikugoye. Gerageza rero kuruhuka umubiri wawe nyuma y'igikorwa.
• Jya mu itsinda ry’abaterankunga: Kuganira n’abandi bantu bafite PBA bishobora kuba isoko ikomeye y’imbaraga. Bazasobanukirwa ubunararibonye bwawe kandi baguhe izindi nama zabafashije.