Khawucinge nje ukuba ubuhleli nje apho, okanye uthetha ngento ebuhlungu kancinci, uze uqale ukuhleka kakhulu ngaphandle kokulawula? Okanye ukuba uqale ukukhala kakhulu kangangokuba awukwazi ukuyeka nokuba kuqhulwa nje? Nangona oku kungabonakala kungaqhelekanga, eneneni yimeko yempilo. Oku akungobuthathaka engqondweni yakho okanye into ephambeneyo. Namhlanje sithetha ngale nto ingaqhelekanga, kodwa inokuchaphazela abantu abaninzi.
Ngamafutshane, yintoni iPseudobulbar Affect (PBA)?
I-Pseudobulbar affect (PBA) yimeko echaphazela inkqubo yemithambo-luvo. Ibonakaliswa kukuhleka okanye ukukhala okungalawulekiyo, okanye okungafanelekanga. Into ebalulekileyo kukuba oku kuhleka okanye ukukhala akuhambisani neemvakalelo zakho zangaphakathi . Oku kuthetha ukuba ungalila ungalawuleki nokuba awuziva ulusizi ngaphakathi. Ngokufanayo, ungahleka ungalawuleki nokuba akukho nto yokuhleka ngayo.
Le meko idla ngokuvela ngenxa yomonakalo engqondweni okanye njengesiphumo esingesihle senye imeko yemithambo-luvo. Umzekelo, inokubonwa kwimeko efana ne-`(Amyotrophic Lateral Sclerosis - ALS)`.
Nangona ngamanye amaxesha oku kuhleka okanye ukulila kunokubonakala kufanelekile ngelo xesha (umzekelo, ukulila xa ubona into ebuhlungu), kunzima kakhulu kumntu one-PBA ukuyilawula. Kwaye ukubonakaliswa kwezi mvakalelo kunamandla kakhulu kwaye kuhlala ixesha elide kunomntu oqhelekileyo.
Le meko inamagama amaninzi:
- Ukwazi ukusebenza ngokweemvakalelo
- Ukuhleka nokulila okubangelwa zizifo
- Ingxaki yokubonakalisa iimvakalelo ngokunganyanzelekanga
- Ukuhleka okanye ukukhala ngokunyanzelekileyo
- Ukungakwazi ukuzibamba ngokweemvakalelo
I-PBA inokuba nefuthe elikhulu ebomini bakho, kusapho lwakho, nakwabo bakukhathaleleyo. Inokubangela iintloni, ixhala, ukurhoxa, kwanokwahlukana nabantu.
Ixhaphake kangakanani le meko, PBA? Ngubani oyifumanayo?
Kunzima ukutsho ukuba oku kuqheleke kangakanani, kuba ubunzima beempawu zale meko buyahluka kumntu nomntu. Kwakhona, idla ngokuchongwa ngendlela engafanelekanga njengenye isifo, ingakumbi ukudakumba.
I-PBA inokwenzeka nakubani na wanoma yiphi na iminyaka, kuquka abantwana kunye nabantu abadala, abanesinye isifo esinxulumene nengqondo.
Njengoko uphando lwezonyango lufumanise:
- Ukuya kuthi ga kwi-50% yabantu abane-amyotrophic lateral sclerosis (ALS) banokuba ne-PBA.
- Le meko inokwenzeka kubantu abafikelela kwi-48% abaye benzakala kakhulu entloko (iTraumatic Brain Injury).
- Ukuya kuthi ga kwi-46% yabantu abane-multiple sclerosis (MS) banokuba ne-PBA.
Ngaba ke le yingxaki yengqondo?
Abantu abaninzi bacinga ukuba sisifo sengqondo kuba ngaphandle sinxulunyaniswa neemvakalelo ezifana nokuhleka nokulila. Kodwa eneneni asisosifo sengqondo konke konke.
Ngokwenyani, i-PBA sisifo sengqondo . Ngamafutshane, yimeko apho ungakwazi ukulawula iimvakalelo zakho ngenxa yomonakalo kwiisekethe zemithambo-luvo ebuchotsheni bakho. Ngoko ke kuchanekile ngakumbi ukuyicinga njengemeko yomzimba enxulumene nengqondo kunokuba yingxaki yengqondo.
Ziziphi iimpawu eziphambili ze-PBA?
Ukuze siqonde i-PBA, kufuneka sazi umahluko phakathi 'kweemvakalelo' kunye 'nefuthe'.
- Imvakalelo: Oku kubhekisa kwiimvakalelo zakho zangaphakathi. Oko kukuthi, iimvakalelo oziva ngaphakathi, ezinje ngosizi, ulonwabo, nomsindo. Le yinto enokuviwa nguwe wedwa.
- Impembelelo: Le yindlela iimvakalelo zakho ezibonakaliswa ngayo ngaphandle. Oko kuthetha izinto ezinjengokuncuma, ukukhala, kunye nembonakalo yobuso ebonakalayo kwabanye.
Ngoko ke, uphawu oluphambili lwe-PBA kukuba 'impembelelo' yakho, oko kukuthi, ukuhleka okanye ukulila kwakho, ayihambelani 'nemo yakho', oko kukuthi, iimvakalelo zakho zangaphakathi .
Masichaze ngakumbi ezi mpawu kwitheyibhile engezantsi.
| Indlela ukuhleka/ukukhala okwenzeka ngayo kwi-PBA | Inkcazo |
|---|---|
| Ukuba ngequbuliso nokungalindelekanga | Ngaphandle kwesilumkiso , ngequbuliso uqala ukuhleka okanye ukukhala. Awunakuyilawula le nto. |
| Ukungalingani kwamandla | Nokuba yinto encinci ehlekisayo ingakwenza uhleke kakhulu kangangokuba awukwazi ukuyeka. Nokuba yinto encinci ebuhlungu ingakwenza ukhale ixesha elide. Oko kuthetha ukuba impendulo inkulu kakhulu kunesiganeko. |
| Ukungabikho kwesizathu | Ngamanye amaxesha, ngaphandle kwesizathu konke konke, ungahleka okanye ulile ngolu hlobo, nokuba ungumntu nje. |
Abanye abantu banokuba nomsindo okanye ukukhungatheka okungalawulekiyo. Ngenxa yokuba i-PBA inxulunyaniswa nenye imeko yemithambo-luvo, basenokuba nezinye iimpawu ezinxulumene naloo meko ingundoqo.
Yintoni ebangela i-PBA?
Isizathu esichanekileyo se-PBA asikaziwa, kodwa oogqirha bakholelwa ukuba sibangelwa kukuphazamiseka kwendlela yemithambo-luvo engqondweni elawula ukubonakaliswa kweemvakalelo.
Kukho iimeko ezininzi zemithambo-luvo ezinokubangela esi sifo. Oku kuthetha ukuba abantu abanezi meko basengozini yokufumana i-PBA.
- Ukulimala kwengqondo okubuhlungu
- I-Amyotrophic lateral sclerosis (ALS) (ekwaziwa ngokuba sisifo sikaLou Gehrig)
- `Isifo se-Multiple sclerosis (MS)`
- Isifo sika-Alzheimer kunye nezinye izifo ze-dementia
- Istroke
- Isifo sikaParkinson
- Iithumba zobuchopho
- Isifo sokuwa
- Isifo sikaWilson
Zeziphi iindawo zobuchopho ezichaphazela oku?
Kukholelwa ukuba le meko ichaphazela iindawo ezahlukeneyo zobuchopho. Ngokukodwa, inokubangelwa kukuphazamiseka kwendlela yemithambo-luvo edibanisa ne -cerebellum , inxalenye yobuchopho ejonga iimpendulo zethu zeemvakalelo kwaye isinceda sigqibe ukuba zifanelekile na kwimeko yoluntu.
Kwakhona, kucingelwa ukuba kukho iikhemikhali ezininzi ezithunyelwa ebuchotsheni ezibizwa ngokuba zii-neurotransmitters .
- I-Serotonin
- I-Norepinephrine `(i-Norepinephrine)`
- I-Dopamine
- I-Glutamate
- I-Acetylcholine `(Acetylcholine)`
Ifunyaniswa njani i-PBA?
Ukufumanisa i-PBA kunokuba ngumceli mngeni, kuba noogqirha badla ngokuyifumanisa gwenxa njengengxaki yeemvakalelo efana nokudakumba okanye i-bipolar disorder .
Okwangoku, akukho vavanyo lucacileyo lokuqinisekisa ukuba unayo na i-PBA. Ugqirha uza kuyixilonga le meko emva kokukubuza imibuzo embalwa ngononophelo.
- Iimpawu zakho
- Imbali yakho yezonyango, ingakumbi malunga neemeko zemithambo-luvo
- Imbali yakho yempilo yengqondo
- Ulwazi oluvela kuvavanyo lomzimba
Kutheni i-PBA iphazanyiswe nokudakumba?
Isizathu esiphambili sokubhidanisa ezi zimbini kukukhala. Ukuba ukukhala luphawu oluphambili lwe-PBA, abantu abaninzi bacinga ukuba luxinzelelo. Ngamanye amaxesha umntu one-PBA unokuba noxinzelelo ngaxeshanye. Kodwa kukho umahluko ocacileyo phakathi kwezi meko zimbini.
Jonga itheyibhile engezantsi.
| Uphawu | Ukukhala ngexesha le-PBA | Ukulila ngexesha lokudakumba |
|---|---|---|
| Ungaqala njani | Kungxamisekile kakhulu. Kuqala ngoko nangoko. | Idla ngokuqala kancinci kwaye inokunyuka kancinci kancinci. |
| Ubude bexesha | Ihlala ixesha elifutshane kuphela. Iyaphela kwimizuzu embalwa. | Inokuhlala ixesha elide. |
| Imvakalelo yangaphakathi | Ngokwesiqhelo, akukho lusizi lukhulu ngaphakathi. Xa ukukhala kuyekile, izinto zibuyela esiqhelweni. | Inxulunyaniswa nosizi olunzulu noluhlala ixesha elide kunye nokungabi nanto ngaphakathi. |
| Ezinye iimpawu | Akusoloko kukho utshintsho ebuthongweni okanye ekutyeni. | Kukho nezinye iimpawu ezifana nokungalali kakuhle okanye ukulala kakhulu, ukungabi namdla wokutya okanye ukutya kakhulu. |
Ngaba kukho unyango lwe-PBA?
I-PBA ayinakunyangwa ngokupheleleyo. Nangona kunjalo, inokulawulwa kakuhle . Injongo ephambili yonyango kukunciphisa ukuphindaphindeka kunye nobukhali bezi ziganeko zokuhleka okanye zokulila.
Kukho amayeza acetyiswa ngoogqirha oku.
- I-Dextromethorphan/quinidine sulfate (Nuedexta®): Eli liyeza lokuqala elivunyiweyo yi-US FDA ngokukodwa ukunyanga i-PBA.
- Amayeza okudakumba:Ezinye ii-antidepressants, ezifana ne-tricyclic antidepressants kunye ne-selective serotonin reuptake inhibitors (SSRIs), zinokunceda ukulawula iimpawu ze-PBA, kodwa zisetyenziswa ngeedosi eziphantsi kakhulu kunezo zisetyenziselwa ukudakumba.
Kubalulekile: Naliphi na iyeza linokuba nemiphumo emibi, ngoko ke ngokuqinisekileyo kufuneka uthethe nogqirha wakho ukuze amisele isicwangciso sonyango esifanelekileyo kuwe.
Uphila njani nale meko?
Ukuba i-PBA ayifunyaniswanga kwaye ayinyangwa ngokufanelekileyo, inokuchaphazela ubomi bakho.
- Uxinzelelo
- Ixhala
- Ukuwohloka kobudlelwane boluntu
- Umgangatho wobomi ophantsi
Kodwa khumbula, ezi mpawu zinokulawulwa kakuhle ngamayeza. Kungathatha ixesha ukufumana uxilongo olufanelekileyo kunye nonyango. Kodwa kufuneka uzithethele kwaye ungayeki. Abantu abafana neengcali ze-neurologists kunye neengcali zengqondo banolwazi oluthe kratya ngale nto.
Iingcebiso zokujongana ne-PBA
Nazi ezinye izinto ezinokukunceda ulawule la maxesha okuhleka okanye okulila.
- Xa kuvela ithuba elinje, phefumla kancinci, ude udlule .
- Cinga ngenye into okanye uziphazamise ngelo xesha.
- Khulula izihlunu zakho zehlombe nezobuso. Oku kuya kunciphisa uxinzelelo.
- Ukuba kunokwenzeka, tshintsha indlela oma ngayo .
- Xelela abantu abathembekileyo ngemeko yakho ukuze bazi ukuba balindele ntoni.
- Ukuba le meko ichaphazela impilo yakho yengqondo, bonana nomcebisi wezempilo yengqondo .
Ukuba une-PBA kwaye unyango lwakho lwangoku alusebenzi okanye lubangela iziphumo ebezingalindelekanga, thetha nogqirha wakho malunga nolunye unyango olutsha. Ukuhleka nokulila okungalawulekiyo kunokuba nzima kwaye kube neentloni. Kodwa khumbula, i-PBA yimeko yezonyango, kwaye inokunyangeka ngamayeza. Ukuba unale mpawu, qiniseka ukuba ubona ugqirha.
Umyalezo Wokuya Ekhaya
- I-Pseudobulbar affect (PBA) ayisosifo sengqondo, yimeko yemithambo-luvo ebangelwa yimpembelelo kwindlela yemithambo-luvo engqondweni.
- Ukuhleka okanye ukukhala okuphuma koku akuhambelani neemvakalelo zakho zangaphakathi. Kunzima nokuzilawula.
- I-PBA idla ngokunxulunyaniswa nezinye iimeko ze-neurological ezifana ne-stroke, i-MS, i-ALS, okanye ukwenzakala entloko.
- Nangona oku kusenokungangqinelani nokudandatheka, kukho umahluko ocacileyo phakathi kwezi meko zimbini.
- Kukho unyango olusebenzayo kakhulu lokulawula ezi mpawu. Ngoko ke ungabi nantloni okanye ungoyiki, kwaye ngokuqinisekileyo bonana nogqirha ukuze akunike ingcebiso.
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