Cabanga nje ukube ubuhleli nje lapho, noma ukhuluma ngento edabukisa kancane, bese uqala ukuhleka kakhulu ngaphandle kokulawula? Noma uma uqala ukukhala kakhulu kangangokuthi awukwazi ukuyeka ngisho noma uhlekwa kancane? Nakuba lokhu kungase kubonakale kungavamile, empeleni kuyisimo sezokwelapha. Lokhu akusikho ubuthakathaka engqondweni yakho noma into exakile. Namuhla sikhuluma ngalokhu okuxakile, kodwa okungathinta abantu abaningi.
Kalula nje, iyini i-Pseudobulbar Affect (PBA)?
I-Pseudobulbar affect (PBA) yisimo esithinta uhlelo lwezinzwa. Sibonakala ngokuhleka noma ukukhala okungalawuleki, noma okungafanele. Into ebalulekile ukuthi lokhu kuhleka noma ukukhala akuhambisani nemizwa yakho yangaphakathi . Lokhu kusho ukuthi ungakhala ngokungalawuleki noma ungazizwa udabukile ngaphakathi. Ngokufanayo, ungahleka ngokungalawuleki noma kungekho lutho lokuhleka ngalo.
Lesi simo sivame ukwenzeka ngenxa yokulimala kobuchopho noma njengomphumela wesinye isimo sezinzwa. Isibonelo, singabonakala ngesimo esifana `(Amyotrophic Lateral Sclerosis - ALS)`.
Nakuba ngezinye izikhathi lokhu kuhleka noma ukukhala kungase kubonakale kufanele ngaleso sikhathi (isibonelo, ukukhala lapho ubona into edabukisayo), kunzima kakhulu kumuntu one-PBA ukuyilawula. Futhi ukuvezwa kwale mizwa kukhulu kakhulu futhi kuhlala isikhathi eside kunomuntu ovamile.
Lesi simo sinamagama amaningana:
- Ukwazi ukusebenza ngokomzwelo
- Ukuhleka nokukhala okubangelwa yizifo
- Isifo sokuveza imizwa ngokungaziphathi
- Ukuhleka noma ukukhala okuphoqelekile
- Ukungakwazi ukuzibamba ngokomzwelo
I-PBA ingaba nomthelela omkhulu empilweni yakho, emndenini wakho, nakulabo abakukhathalelayo. Ingabangela amahloni, ukukhathazeka, ukuhoxa, ngisho nokuhlukaniswa nabantu.
Sivame kangakanani lesi simo, PBA? Ngubani ositholayo?
Kunzima ukusho ukuthi lokhu kuvame kangakanani, ngoba ubukhulu bezimpawu zalesi simo buyahlukahluka kuye ngomuntu nomuntu. Futhi, kuvame ukuhlonzwa kabi njengenye isifo, ikakhulukazi ukucindezeleka.
I-PBA ingenzeka kunoma ubani wanoma yimuphi ubudala, okuhlanganisa nezingane kanye nabantu abadala, abanesinye isimo esihlobene nobuchopho.
Njengoba izifundo zezokwelapha zithole:
- Abantu abangafika ku-50% abane-amyotrophic lateral sclerosis (ALS) bangase babe ne-PBA.
- Lesi simo singaba khona kubantu abangafika ku-48% abaye balimala kakhulu ekhanda (i-Traumatic Brain Injury).
- Abantu abangafika ku-46% abane-multiple sclerosis (MS) bangase babe ne-PBA.
Ngakho-ke ingabe lokhu kuyisifo sengqondo?
Abantu abaningi bacabanga ukuthi kuyisifo sengqondo ngoba ngaphandle sihlotshaniswa nemizwa efana nokuhleka nokukhala. Kodwa empeleni akusona isifo sengqondo nhlobo.
Empeleni, i-PBA iyisifo se-neuropsychiatric . Kalula nje, yisimo lapho ungakwazi ukulawula imizwa yakho ngenxa yomonakalo kuma-neural circuits ebuchosheni bakho. Ngakho-ke kunembile kakhulu ukucabanga ngaso njengesimo somzimba esihlobene nobuchopho kunokuba kube ukuphazamiseka kwengqondo.
Yiziphi izimpawu eziyinhloko ze-PBA?
Ukuze siqonde i-PBA, sidinga ukwazi umehluko phakathi 'kwesimo sengqondo' kanye 'nomphumela'.
- Isimo Sengqondo: Lokhu kubhekisela emizweni yakho yangaphakathi. Okusho ukuthi, imizwa oyizwa ngaphakathi, njengokudabuka, injabulo, nentukuthelo. Lokhu kuyinto ongayizwa nguwe wedwa.
- Ukuthinta: Lena yindlela imizwa yakho evezwa ngayo ngaphandle. Lokho kusho izinto ezinjengokumomotheka, ukukhala, kanye nokubukeka kobuso okubonakalayo kwabanye.
Ngakho-ke, isici esiyinhloko se-PBA ukuthi 'umthelela' wakho, okungukuthi, ukuhleka noma ukukhala kwakho, akufani 'nesimo sengqondo' sakho, okungukuthi, umuzwa wakho wangaphakathi .
Ake sichaze kabanzi lezi zici kuthebula elingezansi.
| Indlela ukuhleka/ukukhala okwenzeka ngayo ku-PBA | Incazelo |
|---|---|
| Ukuzumayo nokungalindelekile | Ngaphandle kwesixwayiso , ngokuzumayo uqala ukuhleka noma ukukhala. Awukwazi ukulawula lokhu. |
| Ukungafani kwamandla | Ngisho nehlaya elincane lingakwenza uhleke kakhulu kangangokuthi awukwazi ukuyeka. Ngisho nento encane edabukisayo ingakwenza ukhale isikhathi eside. Lokho kusho ukuthi ukusabela kukhulu kakhulu kunesehlakalo. |
| Ukuntuleka kwesizathu | Ngezinye izikhathi, ngaphandle kwesizathu nhlobo, ungahleka noma ukhale kanje, noma ngabe umane nje ungumuntu onjalo. |
Abanye abantu bangase babe nentukuthelo noma ukukhungatheka okungalawuleki. Ngenxa yokuthi i-PBA ihlotshaniswa nesinye isimo sezinzwa, bangase babe nezinye izimpawu ezihlobene naleso simo esiyisisekelo.
Yini ebangela i-PBA?
Imbangela eqondile ye-PBA ayikakaziwa, kodwa odokotela bakholelwa ukuthi ibangelwa ukuphazamiseka kwezindlela zezinzwa ebuchosheni ezilawula ukuvezwa kwemizwa.
Kunezimo eziningana zezinzwa ezingabangela lesi sifo. Lokhu kusho ukuthi abantu abanalezi zimo basengozini yokuthola i-PBA.
- Ukulimala kobuchopho okubuhlungu
- I-Amyotrophic lateral sclerosis (ALS) (eyaziwa nangokuthi isifo sikaLou Gehrig)
- `I-Multiple sclerosis (MS)`
- Isifo se-Alzheimer kanye nezinye izimo ze-dementia
- Isifo sohlangothi
- Isifo sikaParkinson
- Izimila zobuchopho
- Isifo Sokuxhuzula
- Isifo sikaWilson
Lokhu kuthinta ziphi izingxenye zobuchopho?
Lesi simo kucatshangwa ukuthi sithinta izingxenye ezahlukene zobuchopho. Ikakhulukazi, singabangelwa ukuphazamiseka kwezindlela ze-neural ezixhuma ku- cerebellum , ingxenye yobuchopho eqapha izimpendulo zethu zemizwelo futhi isisize sinqume ukuthi ziyafaneleka yini esimweni senhlalo.
Futhi, kucatshangwa ukuthi kunezithunywa eziningana zamakhemikhali ebuchosheni ezibizwa ngokuthi ama-neurotransmitter .
- I-Serotonin
- I-Norepinephrine `(Norepinephrine)`
- I-Dopamine
- I-Glutamate
- I-Acetylcholine `(Acetylcholine)`
I-PBA itholakala kanjani?
Ukuthola i-PBA kungaba yinselele kancane, njengoba nodokotela bevame ukuyithola kabi njengesifo sengqondo esifana nokucindezeleka noma i-bipolar disorder .
Okwamanje, akukho ukuhlolwa okuqondile okuqinisekisa ukuthi une-PBA. Udokotela uzohlonza lesi simo ngemva kokukubuza imibuzo embalwa ngokucophelela.
- Izimpawu zakho
- Umlando wakho wezokwelapha, ikakhulukazi mayelana nezimo zezinzwa
- Umlando wakho wezempilo yengqondo
- Ulwazi oluvela ekuhlolweni ngokomzimba
Kungani i-PBA iphambaniswe nokucindezeleka?
Isizathu esiyinhloko sokudida lokhu kokubili ukukhala. Uma ukukhala kuyisibonakaliso esiyinhloko se-PBA, abantu abaningi bacabanga ukuthi kuwukucindezeleka. Ngezinye izikhathi umuntu one-PBA angaba nokucindezeleka ngesikhathi esifanayo. Kodwa kukhona umehluko ocacile phakathi kwalezi zimo ezimbili.
Bheka ithebula elingezansi.
| Isici | Ukukhala ngesikhathi se-PBA | Ukukhala ngesikhathi sokucindezeleka |
|---|---|---|
| Ungaqala kanjani | Kuyaphuthuma kakhulu. Kuqala ngokushesha. | Ngokuvamile kuqala kancane futhi kunganda kancane kancane. |
| Ubude besikhathi | Kuthatha isikhathi esifushane kuphela. Kuphela ngemizuzu embalwa. | Kungahlala isikhathi eside. |
| Umuzwa wangaphakathi | Ngokuvamile, akukho ukudabuka okukhulu ngaphakathi. Uma ukukhala sekuphelile, izinto zibuyela esimweni esijwayelekile. | Kuhlotshaniswa nokudabuka okujulile, okuhlala isikhathi eside kanye nokungabi nalutho ngaphakathi. |
| Ezinye izici | Ngokuvamile azikho izinguquko ekulaleni noma ekufiseni ukudla. | Kunezinye izimpawu ezifana nokungalali kahle noma ukulala ngokweqile, ukulahlekelwa yisifiso sokudla noma ukudla ngokweqile. |
Ingabe kukhona ukwelashwa kwe-PBA?
I-PBA ayikwazi ukwelapheka ngokuphelele. Kodwa-ke, ingaphathwa kahle . Umgomo oyinhloko wokwelashwa ukunciphisa ukuvama kanye nobukhali balezi zigameko zokuhleka noma zokukhala.
Kunemithi enconywa odokotela ngalokhu.
- I-Dextromethorphan/quinidine sulfate (Nuedexta®): Lona umuthi wokuqala ovunyelwe yi-US FDA ngokukhethekile ukwelapha i-PBA.
- Imithi yokucindezeleka:Amanye ama-antidepressant, njenge-tricyclic antidepressants kanye ne-selective serotonin reuptake inhibitors (SSRIs), angasiza ekulawuleni izimpawu ze-PBA, kodwa asetshenziswa ngemithamo ephansi kakhulu kunaleyo esetshenziselwa ukucindezeleka.
Okubalulekile: Noma yimuphi umuthi ungaba nemiphumela emibi, ngakho-ke kufanele ukhulume nodokotela wakho ukuze anqume uhlelo lokwelashwa olungcono kakhulu kuwe.
Uphila kanjani nalesi simo?
Uma i-PBA ingahlolwanga kahle futhi ingalashwa, ingathinta impilo yakho.
- Ukucindezeleka
- Ukukhathazeka
- Ubuthakathaka bobudlelwano bezenhlalo
- Ukwehla kwezinga lempilo
Kodwa khumbula, lezi zimpawu zingalawulwa kahle ngemithi. Kungathatha isikhathi ukuthola ukuxilongwa nokwelashwa okufanele. Kodwa kufanele uzikhulumele futhi ungayeki. Abantu abafana nodokotela bezinzwa nodokotela bezifo zengqondo banolwazi olwengeziwe ngalokhu.
Amathiphu okubhekana ne-PBA
Nazi ezinye izinto ezingakusiza ukulawula lezi zikhathi zokuhleka noma zokukhala.
- Uma kuvela ithuba elinjengaleli, thatha umoya ojulile, kancane kancane uze udlule .
- Cabanga ngenye into noma uziphazamise ngaleso sikhathi.
- Khulula imisipha yehlombe lakho kanye neyobuso. Lokhu kuzonciphisa ukucindezeleka.
- Uma kungenzeka, shintsha indlela oma ngayo .
- Tshela abantu abathembekile ngesimo sakho ukuze bazi ukuthi yini okufanele bayilindele.
- Uma lesi simo sithinta impilo yakho yengqondo, bheka umeluleki wezempilo yengqondo .
Uma une-PBA futhi ukwelashwa kwakho kwamanje kungasebenzi noma kubangela imiphumela emibi, khuluma nodokotela wakho mayelana nenketho entsha yokwelashwa. Ukuhleka nokukhala okungalawuleki kungaba yinselele futhi kube namahloni. Kodwa khumbula, i-PBA yisimo sezokwelapha, futhi ingelashwa ngemithi. Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Pseudobulbar affect (PBA) akuyona isifo sengqondo, yisimo sezinzwa esibangelwa umphumela ezindleleni zezinzwa ebuchosheni.
- Ukuhleka noma ukukhala okuvela kulokhu akuhambisani nemizwa yakho yangaphakathi. Kunzima futhi ukulawula.
- I-PBA ivame ukuhlotshaniswa nezinye izimo zezinzwa ezifana nesifo sohlangothi, i-MS, i-ALS, noma ukulimala ekhanda.
- Nakuba lokhu kungase kuphazanyiswe nokucindezeleka, kunomehluko ocacile phakathi kwalezi zimo ezimbili.
- Kunezindlela zokwelapha ezisebenza kahle kakhulu zokulawula lezi zimpawu. Ngakho-ke ungabi namahloni noma wesabe, futhi nakanjani bheka udokotela ukuze uthole iseluleko.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment