Ukuhleka ngaphandle kwesizathu, ukukhala okungalawulekiyo - Masithethe ngePseudobulbar Affect (PBA)

Khawuthelekelele uziva ulusizi kancinci, okanye uqhelekile. Kodwa ngequbuliso uqala ukuhleka ngokungalawulekiyo. Okanye xa ungaziva wonwabile konke konke, ukhala rhoqo. Ngaba uqhelene nolu hlobo lwamava? Olu asilobuthathaka bengqondo okanye into oyenzayo ngabom njengoko ucinga ngamanye amaxesha. Oku kungaba yimeko enxulumene nenkqubo yemithambo-luvo . Yile nto sithetha ngayo namhlanje.

Yintoni iPseudobulbar Affect (PBA)?

Ngamafutshane, iPseudobulbar Affect, okanye iPBA ngamafutshane, yimeko echaphazela inkqubo yemithambo-luvo. Yimeko apho kukho ukungavisisani phakathi kwemvakalelo yakho yangaphakathi kunye nembonakalo yakho yangaphandle yeemvakalelo. Oku kuthetha ukuba ungalila ungaziva ulusizi, uhleke ungaziva uvuya, okanye ucaphuke ngezinto ezincinci. Eyona nto ibalulekileyo kukuba awukwazi ukulawula ezi mvakalelo.

Le meko yaziwa ngamanye amagama aliqela:

• Ukwazi ukusebenza ngokweemvakalelo
• Ukungakwazi ukulawula iimvakalelo (ukungakwazi ukulawula iimvakalelo)
• Ukukhala ngokungeyomfuneko
• Ukuhleka nokulila okubangelwa zizifo

Ziziphi iimpawu eziphambili ze-PBA?

Ukuba wena okanye umntu omaziyo une-PBA, usenokuba nazo ezi mpawu. Zinokubakho izihlandlo ezininzi ngemini okanye izihlandlo ezininzi ngenyanga.

Ngenxa yezi mpawu, abantu abaninzi bayibhidanisa nesifo sengqondo esifana nokudakumba okanye isifo sengqondo esibizwa ngokuba yi-bipolar disorder . Nangona kunjalo, kukho umahluko ocacileyo phakathi kwezi zimbini.

Umntu onesifo sokudakumba angakhala, kodwa ngandlela ithile, angakwazi ukulawula. Kwaye ukukhala kufanelekile ngenxa yosizi aluvayo. Kodwa akunjalo nge-PBA. Ungalila rhoqo nokuba wonwabile. Kwakhona, ukuncuma akubonwa njengophawu lokudakumba.

Le meko ingakwenza uzive uneentloni kwaye ungakhululekanga kwiimeko zoluntu. Usenokuphepha ukuphuma nabahlobo okanye ukuya kwiipati kuba usoyika ukuba "Ngaba oku kuza kwenzeka kum kwakhona?" Oku kunokubangela ixhala kunye nokudakumba kwabanye abantu.

Kutheni le meko isenzeka?

Izazinzulu zikholelwa ukuba unobangela oyintloko we-PBA kukonakala kwenxalenye yengqondo yethu elawula iimvakalelo, i-prefrontal cortex . Lo monakalo utshintsha ukusebenza kweekhemikhali zobuchopho, nto leyo ekhokelela ekulahlekelweni kwamandla okulawula iimvakalelo.

I-PBA inokubangelwa yiyo nayiphi na imeko yezonyango okanye ukwenzakala okuchaphazela ingqondo. Ezinye zeemeko eziphambili ziquka:

• Istroke
• Ukulimala Kwengqondo Okubuhlungu
• I-Multiple sclerosis (MS)
• I-Amyotrophic lateral sclerosis (ALS)
• Isifo sikaParkinson
• Isifo sika-Alzheimer
• Isifo sengqondo esixhalabisayo
• Ithumba lobuchopho

Uphando lubonise ukuba abantu abangaphezu kwesithathu abaye bahlaselwa sistroke banokuba neempawu ze-PBA.

Ugqirha uyixilonga njani ngokuchanekileyo i-PBA?

Ukuba wena okanye umntu omthandayo uhlala ekhala okanye ehleka ngaphandle kwesizathu, qiniseka ukuba ubona ugqirha uze uthethe naye ngaloo nto. Kubalulekile ukufumana uxilongo oluchanekileyo, njengoko i-PBA inokubhidaniswa lula nezinye izifo zengqondo.

Xa usiya kugqirha wakho, lungela ukuthetha ngezi zinto:

• Zithini iimpawu? (Ukulila, ukuhleka, ukuba nomsindo?)
• Ukususela nini oku kwenzeke?
• Kuthatha ixesha elingakanani oku kuqhubeka? (Imizuzu embalwa okanye ngaphezulu?)
• Kangaphi ngemini?

Xa ezi ziganeko zenzeka, ukugcina idayari yento ocinga ukuba inokuba ibangele ezo ziganeko kuya kunceda kakhulu ugqirha ukuba aqonde imeko yakho.

Akukho vavanyo luthile lokuxilonga i-PBA. Nangona kunjalo, ukujonga iimeko zesifo sokuwa ezinokubangela ezi mpawu, ugqirha wakho unokuyalela i-EEG (i-Electroencephalogram) . Olu luvavanyo olulula nolungenabuhlungu olulinganisa amaza obuchopho.

Ukongeza, oogqirha basebenzisa imibuzo emibini ukuqinisekisa ukuba yi-PBA okanye akunjalo.

1. Isikali Sokuhleka Nokukhala Kwezifo (PLACS): Apha, ugqirha ukubuza imibuzo malunga nezi ziganeko, indlela ezinxibelelene ngayo neemvakalelo zakho, kunye nendlela ezichaphazele ngayo iimeko zentlalo.

2. IZiko le-Neurologic Study-Lability Scale (CNS-LS): Apha kufuneka uphendule imibuzo embalwa ngokwakho. Umzekelo, imibuzo efana nokuthi "Ndikhala lula kakhulu" okanye "Andikwazi ukulawula ukuhleka kwam lula" kufuneka inikwe amanqaku ngokwemava akho.

Ziziphi iindlela zonyango ze-PBA?

Kukho unyango olufumanekayo lokunceda ukulawula i-PBA. Ugqirha wakho unokukunika iidosi eziphantsi ze-antidepressants ukunceda ukulawula iimpawu zakho.

Kwakhona ngo-2010, i-US FDA yavuma iyeza lokuqala ngokukodwa le-PBA, i-dextromethorphan/quinidine (Nuedexta) . Uphando lubonise ukuba eli yeza lisebenza kakhulu ekulawuleni ukukhala nokuhleka okungalawulekiyo kubantu abanezifo ezifana ne-MS kunye ne-ALS.

Ukuze ufumane unyango lwale meko, ungacela uncedo kwingcali efana ne-neurologist, i-psychiatrist, okanye i-neuropsychologist.

Singenza ntoni xa siphila ne-PBA?

Ukuphila ne-PBA kunokuba nzima, kodwa ngokulandela la macebiso, wena nosapho lwakho ninokumelana ngokuphumelelayo nale meko.

• Xelela abantu abakungqongileyo ngale nto:Thetha nosapho lwakho kunye nabahlobo abasondeleyo malunga ne-PBA kunye nendlela ekuchaphazela ngayo. Ngale ndlela, ukuba into efana nale yenzeke ngequbuliso, abayi kucaphuka okanye bangayiqondi kakuhle.
• Gcina idayari: Njengoko besitshilo ngaphambili, bhala phantsi ukuba ezi ziganeko zenzeka nini kwaye ucinga ukuba zibangelwe yintoni. Oku kuya kuba luncedo kakhulu xa uxoxa ngonyango nogqirha wakho.
• Tshintsha indlela oma ngayo: Xa uziva ufuna ukulila okanye ukuhleka, tshintsha indlela ohleli okanye omi ngayo.
• Phefumla kancinci, nzulu: Ngexesha lesiganeko, phefumla kancinci nangakumbi ude uzive ulawula.
• Phumla: Emva kwesiganeko esinje, amahlombe akho kunye nebunzi lakho zisenokuvakala ziqinile. Ngoko zama ukuphumla umzimba wakho emva kwesiganeko.
• Joyina iqela lenkxaso: Ukuthetha nabanye abantu abane-PBA kunokuba ngumthombo omkhulu wamandla. Baza kuqonda amava akho kwaye banokukunika amanye amacebiso abancedileyo.