Uri kusekawo here zvinonzwika kana kuti uri kunzwa kusuruvara? Izvi zvinogona kunge zviri Pseudobulbar Affect (PBA)!

Wakamboona, kana kusangana nekuseka kamwe kamwe pasina chikonzero here, kana kuchema kusingadzoreki? Dzimwe nguva, unoita chimwe chinhu chidiki pane kusuruvara kana mufaro waunonzwa. Kana wakambosangana nechiitiko ichi, zvakakosha kuziva nezvechirwere chatichataura nezvacho nhasi, Pseudobulbar Affect, kana kuti PBA muchidimbu.

Unoziva here kuti chii chinonzi Pseudobulbar Affect (PBA)?

Zvichitaurwa zviri nyore, Pseudobulbar Affect (PBA) chirwere chetsinga chinoita kuti useke kana kuchema zvisingadzoreki, nenzira isingaenderane nemanzwiro ako chaiwo. Fungidzira kuti uri mumamiriro ezvinhu anosuruvarisa, asi haugone kurega kuseka. Kana kuti, uri papati inofadza, asi unonzwa kuda kuchema nguva dzese. Ichi ndicho chiratidzo chikuru chePBA.

Dambudziko iri rinokonzerwa nekukuvara kweuropi kana chimwe chirwere chetsinga. Semuenzaniso, munhu ane chirwere chakadai se "Amyotrophic Lateral Sclerosis (ALS)" anogona kuva nechirwere ichi.

Dzimwe nguva, kunyangwe kuseka uku kana kuchema kungaita sekunge kwakakodzera panguva iyoyo, zvinonetsa kudzora kupfuura zvakajairika. Zvakare, matauriro aya emanzwiro anogona kuva akasimba uye anogara kwenguva yakareba kupfuura zvakajairika . Zvakafanana nekuvhura pombi uye haugone kuimisa.

PBA inodanwawo nemamwe mazita akati wandei:

• Kugona kushanda mupfungwa
• Kuseka uye kuchema kwezvirwere
• Dambudziko rekutaura manzwiro risingafungidzirwi
• Kuseka kana kuchema zvinokatyamadza
• Kusagona kudzora manzwiro (kusagona kudzora manzwiro)

PBA inogona kukanganisa zvikuru hupenyu hwako, mhuri yako, uye avo vanokutarisira. Inogona kukonzera kunyara, kuzvidya mwoyo , uye kunyange kusurukirwa.

PBA yakajairika zvakadii?

Vaongorori vanofungidzira kuti vanhu vari pakati pemamiriyoni maviri nemanomwe muUnited States chete vane chirwere chePBA. Chikonzero chehuwandu hwakasiyana uhwu ndechekuti PBA inosiyana-siyana uye haizivikanwe nemazvo. Zvinogoneka kuti vanhu vane chirwere ichi muSri Lanka havasi kuwanawo kurapwa nekuda kwekusaziva.

Ndiani anonyanya kukanganiswa nePBA?

Chirwere ichi, chinonzi Pseudobulbar Affect (PBA), chinogona kubata chero ani zvake wezera ripi zvaro, kusanganisira vana nevakuru, ane chirwere chetsinga muuropi.

Sezvakaratidzwa nezvidzidzo:

• Vanhu vanosvika 50% vane Amyotrophic Lateral Sclerosis (ALS) vanogona kunge vaine PBA.
• Vanhu vanosvika 48% vane kukuvara kweuropi (TBI) vane kukuvara kweuropi.
• Chirwere ichi chinokanganisa vanhu vanosvika 46% vane Multiple Sclerosis (MS).

Pseudobulbar inokanganisa chirwere chepfungwa here?

Vamwe vanhu vangafunga kuti PBA chirwere chepfungwa. Nekuti zvinhu izvi zvakaita sekuseka nekuchema zvine chekuita nemanzwiro edu. Zvisinei, nekuti PBA inokonzerwa nekukuvara kwetsinga dzeuropi , inoiswa muchikamu che'neuropsychiatric syndrome', kureva kuti, muunganidzwa wezviratidzo zveneuropsychiatric. Zvichitaurwa zviri nyore, PBA chirwere chekutaura manzwiro chinoitika nechirwere cheuropi.

Ndezvipi zviratidzo zvePBA?

Kuti unzwisise PBA, zvakakosha kuziva mutsauko uripo pakati pe'manzwiro' ne'kukanganisa'. Manzwiro ndiwo manzwiro aunawo mukati mako. Kureva kuti, zvinhu zvaunogona kunzwa iwe chete, sekusuruvara, hasha, kana mufaro. Manzwiro ndiwo maitiro aunoita manzwiro ako kunze, sekunyemwerera kana kuchema, ayo vamwe vanogona kuona.

Saka, chiratidzo chikuru chePseudobulbar Affect (PBA) kuratidzwa kwemanzwiro (affect) asingaenderane nemanzwiro ako kana kusimba kwemanzwiro ako. Zviratidzo zvinowanzoonekwa kuchema nekuseka.

Kuseka uku uye/kana kuchema kunogona kutaridzika seizvi:

• Zvisingatarisirwi, kamwe kamwe, uye zvisingadzoreki.
• Zvakawandisa pachiitiko ichi. (semuenzaniso kuseka kwemaawa akawanda pachinhu chinonakidza)
• Zvinoitika pasina chikonzero chakajeka.

Dzimwe nguva, hasha dzisingadzoreki kana kushatirwa zvinogona kumuka.

Nekuti PBA inowanzobatanidzwa nechirwere chetsinga chakadai sekukuvara kweuropi kana amyotrophic lateral sclerosis (ALS), vanhu vane PBA vanogonawo kuva nezvimwe zviratidzo zvine chekuita nechirwere chacho.

Ndezvipi zvikonzero zvePBA?

Vaongorori havasati vaziva chikonzero chaicho chePseudobulbar Affect. Vanofunga kuti inokonzerwa nekukanganiswa kwenzira dzetsinga dziri muuropi hwedu dzinodzora kutaura kwemanzwiro.

Kune zvirwere zvakasiyana-siyana zvetsinga zvine chekuita nePBA zvinogona kukonzera matambudziko aya:

• Kukuvara kwehuropi kunorwadza
• Amyotrophic lateral sclerosis (ALS), inozivikanwawo sechirwere chaLou Gehrig.
• Multiple sclerosis (MS)
• Chirwere cheAlzheimer nedzimwe mhando dzedementia
• Kurohwa
• Chirwere cheParkinson
• Matumbu europi
• Pfari
• Chirwere chaWilson

Ndezvipi zvikamu zveuropi zvinokanganiswa nePBA?

Zvinofungidzirwa kuti PBA ingangodaro inokanganisa nzvimbo dzakasiyana dzeuropi munzira ye cerebro-ponto-cerebellar.

Chikamu chenzira iyi ipfungwa dzedu diki (Cerebellum).Izvi zvinoitwa nekutarisa manzwiro edu uye kuona kuti akakodzera mamiriro ezvinhu evanhu. Kana nzira dzetsinga dzinobva kune dzimwe nzvimbo dzeuropi kuenda kucerebellum dzikakanganiswa, kudzora kutaura kwemanzwiro kunogona kurasika.

Uyezve, ma neurotransmitter anotevera anogona kunge aine chekuita nePBA:

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

PBA inoonekwa sei?

Chirwere chePseudobulbar (PBA) chinogona kuva chinhu chinonetsa kuongorora . Kunyangwe vanachiremba dzimwe nguva vanogona kuchifungidzira sechirwere chepfungwa - kunyanya kuora mwoyo kana bipolar disorder.

Parizvino, hapana bvunzo chaiyo yekuongorora PBA. Vanachiremba vanoongorora chirwere ichi zvichienderana ne:

• Zviratidzo
• Nhoroondo yezvekurapa, kunyanya nezvezvirwere zvetsinga
• Nhoroondo yehutano hwepfungwa
• Ruzivo kubva pakuongororwa kwemuviri

Zvese izvi zvinodzidzwa nokungwarira uye mhedziso inosvikwa.

Sei PBA ichivhiringidzwa nekuora mwoyo?

Pseudobulbar affection (PBA) chirwere chinowanzo vhiringidzwa nechirwere chepfungwa, kunyanya kuora mwoyo.

Izvi ndizvo zvinoitika kana ukagara uchichema, chiratidzo chikuru chePBA. Vanhu vane PBA vanogonawo kusangana nekuora mwoyo nekuda kwezvimwe zvikonzero, pamwe nekuda kwePBA pachayo. Zvisinei, kana tichienzanisa nekuora mwoyo, kuchema muPBA:

• Zvinotanga kamwe kamwe, sekuputika.
• Zvinongogara kwenguva pfupi chete.
• Kazhinji hazvibatanidzwi nekusuruvara kwenguva refu kwemukati.

Kunyangwe vanhu vane kuora mwoyo vachigara vachisuruvara, havawanzo kuchema kakawanda. Kunyangwe zvikadaro, zvinogara kwenguva yakareba kupfuura muPBA. Zvakare, zvimwe zviratidzo zvekuora mwoyo, zvakaita sekushaya hope uye kushaya chido chekudya, hazvionekwi muPBA.

Ndezvipi zvirongwa zvekurapa PBA?

Hapana mushonga wePseudobulbar Affect (PBA). Zvisinei, kune mishonga inogona kubatsira kudzora chirwere ichi. Chinangwa chikuru chekurapa ndechekuderedza kusimba uye kuoma kwezviitiko izvi zvisingadzoreki zvekuseka nekuchema.

Mhando dzemishonga inonyorerwa navanachiremba yePBA ndeiyi:

• Dextromethorphan/quinidine sulfate (Nuedexta®): Uyu ndiwo mushonga wekutanga wakatenderwa neFDA (US Food and Drug Administration) kurapa PBA. Une mushonga wekukosora (dextromethorphan) uye mushonga mudiki kwazvo waimboshandiswa kurapa matambudziko emwoyo (quinidine sulfate).
• Mishonga yekuderedza kushushikana:Mishonga yekuderedza kushungurudzika yakaita se `(Tricyclic antidepressants)`, `(Selective Serotonin Reuptake Inhibitors - SSRIs)`, uye `(Norepinephrine/Serotonin Reuptake Inhibitors - SNRIs)` inogona kubatsira kudzora zviratidzo zvePBA. Zvisinei, izvi zvinowanzopihwa pahuwandu hwakaderera pane hunopihwa kune vanoshungurudzika.

Sezvinongoita mishonga yese, migumisiro inogona kuitika. Unofanira kushanda nachiremba kuti usarudze nzira yekurapa yakakunakira.

PBA inogona kudzivirirwa here?

Nekuti Pseudobulbar Affect inokonzerwa nekukuvara kweuropi uye matambudziko etsinga, hapana chingaitwe kudzivirira kuti isaitike.

Chii chinonzi fungidziro yePBA?

Maonero ePBA anosiyana kubva pamunhu kusvika pamunhu.

Kana chirwere ichi chikasaonekwa uye chikarapwa, vanhu vane PBA vari panjodzi huru yekuti:

• Kuora mwoyo
• Kunetseka
• Kuderera kwehukama hwevanhu
• Kuderera kwehupenyu

Mishonga inogona kubatsira kudzora zviratidzo. Zvinogona kuoma kuziva nekurapa. Zvisinei, zvakakosha kutaura wega woedza. Vanachiremba vanoziva zvakanyanya nezvechirwere ichi inyanzvi dzepfungwa, nyanzvi dzetsinga, uye vanachiremba vepfungwa.

Pseudobulbar Affect inogara kwenguva yakareba sei?

Kubatwa nepseudobulbar kunowanzova chirwere chisingaperi, sezvo zvirwere zvinokonzera izvi (semuenzaniso, multiple sclerosis, chirwere cheAlzheimer) zvinowanzogara kwenguva refu.

Chii chaungaita kuti urarame zvinobudirira nePBA? (Maitiro Ekugadzirisa Kutambura)

Heano mamwe mazano ekukubatsira kubata nePBA uye kudzora kuseka/kuchema kwako kamwe kamwe:

• Kana kuseka/kuchema kwasvika, fema zvakadzama kusvika zvapera.
• Funga nezvechimwe chinhu panguva iyoyo, tarisa pachiri.
• Zorodza tsandanyama dzepafudzi rako nedzechiso uye deredza kushushikana.
• Kana zvichibvira, chinja chinzvimbo chako.
• Udza vamwe nezvemamiriro ako ezvinhu kuitira kuti vazive zvekutarisira uye vasakunzwisise zvisizvo.
• Kana PBA iri kukanganisa hutano hwepfungwa dzako, ona mupi wezano wehutano hwepfungwa .

Ndinofanira kuona chiremba rini?

Kana uine PBA, kurapwa kwako kusiri kushanda zvakanaka, kana kuti uri kuva nemigumisiro isingafadzi, taura nachiremba wako nezvemushonga mutsva.

Kuseka nekuchema zvisingadzoreki kunogona kuva kwakaoma, kunonyadzisa, uye kwakaoma kuti vamwe vanzwisise. Asi yeuka, Pseudobulbar Affect (PBA) chirwere, uye chinogona kurapwa nemishonga. Kana uine zviratidzo zvePBA, taura nachiremba. Varipo kuti vakubatsire.

Zvinhu zvinonyanya kukosha zvaunofanira kurangarira kubva pane zvatakurukura (Mharidzo Yekuenda Kumba)

Saka, hezvino zvinhu zvakakosha zvaunofanira kuyeuka nezvePseudobulbar Affect (PBA) zvatataura nezvazvo nhasi:

• PBA chirwere chetsinga chinoita kuti useke kana kuchema zvisingadzoreki, nenzira isingaenderane nemanzwiro ako.
• Izvi zvinowanzobatanidzwa nechimwe chirwere chetsinga (semuenzaniso ALS, MS, Stroke, TBI).
• PBA haisi chirwere chepfungwa pachayo, asi inogona kuvhiringidzwa nemamiriro ezvinhu akadai sekuora mwoyo.
• Kunyange hazvo pasina mushonga wakakwana weizvi, kune mishonga yekudzora zviratidzo.
• Kana uine zviratidzo izvi, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba usinganyare kana kutya.
• Kuzivisa vadikanwi vako nezvenyaya iyi kuchaita kuti zvinhu zvive nyore kwauri nekuna ivo.

Ndinovimba ruzivo urwu ruchakubatsira. Kana muine mimwe mibvunzo nezvenyaya iyi, musazeza kutaura nachiremba.

` Pseudobulbar Affect, PBA, Neuropathy, Kuseka Kusingadzoreki, Kuchema Kusingadzoreki, Kushanda Kwemanzwiro, Matambudziko Europi