Ukuhleka ngaphandle kwesizathu, ukukhala okungalawuleki - Ake sixoxe nge-Pseudobulbar Affect (PBA)

Zicabange uzizwa udangele kancane, noma uvamile. Kodwa ngokuzumayo uqala ukuhleka ngokungalawuleki. Noma uma ungazizwa ujabule nhlobo, ukhala njalo. Ingabe ujwayelene nalolu hlobo lwesipiliyoni? Lokhu akusikho ubuthakathaka bengqondo noma into oyenza ngamabomu njengoba ucabanga ngezinye izikhathi. Lokhu kungaba yisimo esihlobene nesimiso sezinzwa . Yilokhu esikhuluma ngakho namuhla.

Iyini i-Pseudobulbar Affect (PBA)?

Kalula nje, i-Pseudobulbar Affect, noma i-PBA ngamafuphi, yisimo esithinta isimiso sezinzwa. Yisimo lapho kunokungaxhumani khona phakathi kwemizwa yakho yangaphakathi kanye nokubonakaliswa kwemizwa yakho yangaphandle. Lokhu kusho ukuthi ungakhala ungazizwa udangele, uhleke ungazizwa ujabule, noma uthukuthele ngezinto ezincane. Into ebaluleke kakhulu ukuthi awukwazi ukulawula lokhu kubonakaliswa kwemizwa.

Lesi simo saziwa ngamanye amagama amaningana:

• Ukwazi ukusebenza ngokomzwelo
• Ukungakwazi ukuzibamba ngokomzwelo (ukungakwazi ukulawula imizwa)
• Ukukhala ngokungenhloso
• Ukuhleka nokukhala okubangelwa yizifo

Yiziphi izimpawu eziyinhloko ze-PBA?

Uma wena noma othile omaziyo ene-PBA, ungase ube nalezi zimpawu. Zingase zivele izikhathi eziningana ngosuku noma izikhathi eziningana ngenyanga.

Ngenxa yalezi zimpawu, abantu abaningi bayididanisa nesifo sengqondo njengokucindezeleka noma isifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder . Kodwa-ke, kunomehluko ocacile phakathi kwalokhu okubili.

Umuntu onesifo sokucindezeleka angakhala, kodwa ngezinga elithile, angakwazi ukulawula. Futhi ukukhala kufaneleka ngenxa yosizi aluzwayo. Kodwa akunjalo nge-PBA. Ungakhala njalo ngisho noma ujabule. Futhi, ukumamatheka akubonakali njengophawu lokucindezeleka.

Lesi simo singakwenza uzizwe unamahloni futhi ungakhululekile ezimweni zomphakathi. Ungase ugweme ukuphuma nabangani noma ukuya emaphathini ngoba wesaba ukuthi "Ingabe lokhu kuzophinde kwenzeke kimi?" Lokhu kungaholela nasekukhathazekeni nasekucindezelekeni kwabanye abantu.

Kungani lesi simo senzeka?

Ososayensi bakholelwa ukuthi imbangela eyinhloko ye-PBA ukulimala kwengxenye yobuchopho bethu elawula imizwa, i-prefrontal cortex . Lo monakalo ushintsha ukusebenza kwamakhemikhali obuchopho, okuholela ekulahlekelweni yikhono lokulawula imizwa.

I-PBA ingabangelwa yinoma yisiphi isimo sezokwelapha noma ukulimala okuthinta ubuchopho. Ezinye zezimo eziyinhloko zifaka:

• Isifo sohlangothi
• Ukulimala Kobuchopho Okubuhlungu
• I-Multiple sclerosis (MS)
• I-Amyotrophic lateral sclerosis (ALS)
• Isifo sikaParkinson
• Isifo sika-Alzheimer
• Isifo sokulahlekelwa yingqondo
• Isimila sobuchopho

Ucwaningo lubonise ukuthi abantu abangaphezu kwengxenye yesithathu abaye bakhubazeka bangase babe nezimpawu ze-PBA.

Udokotela uyixilonga kanjani ngokunembile i-PBA?

Uma wena noma othandekayo wakho nihlala nikhala noma nihleka ngaphandle kwesizathu, qiniseka ukuthi nibonana nodokotela nixoxe ngakho. Kubalulekile ukuthola ukuxilongwa okunembile, njengoba i-PBA ingadidaniswa kalula nezinye izifo zengqondo.

Uma uya kudokotela wakho, lungela ukukhuluma ngalezi zinto:

• Ziyini izimpawu? (Ukukhala, ukuhleka, ukuthukuthela?)
• Kusukela nini lokhu kube khona?
• Sekuyisikhathi esingakanani lokhu kuqhubeka? (Imizuzu embalwa noma ngaphezulu?)
• Kangaki ngosuku?

Uma kwenzeka lezi zenzakalo, ukugcina idayari yalokho ocabanga ukuthi kungabangelwe yizo kuzosiza kakhulu udokotela ukuqonda isimo sakho.

Azikho izivivinyo ezithile zokuxilonga i-PBA. Kodwa-ke, ukuze kuhlolwe izimo zesifo sokuwa ezingabangela lezi zimpawu, udokotela wakho angase akucele i-EEG (Electroencephalogram) . Lokhu ukuhlolwa okulula, okungenabuhlungu okulinganisa amaza obuchopho.

Ngaphezu kwalokho, odokotela basebenzisa imibuzo emibili ukuqinisekisa ukuthi yi-PBA noma cha.

1. Isikali Sokuhleka Nokukhala Kwezifo (PLACS): Lapha, udokotela ukubuza imibuzo mayelana nalezi zenzakalo, ukuthi zihlobene kanjani nemizwa yakho, nokuthi zithinte kanjani izimo zomphakathi.

2. Isikhungo Sokufunda Ngezinzwa-Isikali Sokulinganisa Ubunzima (CNS-LS): Lapha kufanele uphendule imibuzo embalwa wena. Isibonelo, imibuzo efana nokuthi "Ngikhala kalula" noma "Angikwazi ukulawula ukuhleka kwami ​​kalula" kufanele inikezwe amaphuzu ngokuya ngolwazi lwakho.

Yiziphi izindlela zokwelapha i-PBA?

Kunezindlela zokwelapha ezitholakalayo zokusiza ukuphatha i-PBA. Udokotela wakho angase akunike imithamo ephansi yemithi yokucindezeleka ukuze akusize ukulawula izimpawu zakho.

Futhi ngo-2010, i-US FDA yavuma umuthi wokuqala we-PBA, i-dextromethorphan/quinidine (Nuedexta) . Ucwaningo lukhombisile ukuthi lo muthi uyasebenza kakhulu ekulawuleni ukukhala nokuhleka okungalawuleki kubantu abanezifo ezifana ne-MS ne-ALS.

Ukuze uthole ukwelashwa kwalesi simo, ungacela usizo lochwepheshe njengodokotela wezinzwa, udokotela wezifo zengqondo, noma udokotela wezinzwa.

Yini esingayenza uma siphila ne-PBA?

Ukuphila ne-PBA kungaba yinselele, kodwa ngokulandela lawa macebiso, wena nomndeni wakho ningabhekana ngokuphumelelayo nalesi simo.

• Tshela abantu abakuzungezile ngalokhu:Khuluma nomndeni wakho nabangane abaseduze nge-PBA nokuthi ikuthinta kanjani. Ngaleyo ndlela, uma kwenzeka into efana nale ngokuzumayo, ngeke bacasuke noma baqonde kabi.
• Gcina idayari: Njengoba sishilo ngaphambili, bhala phansi ukuthi lezi zenzakalo zenzeka nini nokuthi yini ocabanga ukuthi iyimbangela yazo. Lokhu kuzobaluleka kakhulu lapho uxoxa nodokotela wakho ngokwelashwa.
• Shintsha ukuma kwakho: Uma uzizwa sengathi ufuna ukukhala noma ukuhleka, shintsha indlela ohleli noma omi ngayo.
• Phefumula kancane, ngokujulile: Ngesikhathi sesenzakalo, phefumula kancane futhi ngokujulile uze uzizwe ulawula.
• Phumula: Ngemva kwesenzakalo esinjengalesi, amahlombe akho kanye nebunzi lakho kungase kuzwakale kuqinile. Ngakho zama ukuphumula umzimba wakho ngemva kwesenzakalo.
• Joyina iqembu lokusekela: Ukukhuluma nabanye abantu abane-PBA kungaba umthombo omkhulu wamandla. Bazokuqonda okuhlangenwe nakho kwakho futhi bangakunikeza amanye amathiphu abasizile.