I-Pseudobulbar ithintela ingachaza ukukhala okungalawulekiyo okanye ukuhleka
Isigulana sifika kumsebenzi wezifo zengqondo ngenxa yokuba unesizathu sokukhala ngokukhawuleza ngenxa yesizathu esicacileyo. Ugqirha uxilonga ukuxinezeleka kwaye umisela ukuxhatshazwa. Izigulana zokukhala kwezigulane zinciphile, kodwa kusekho ingxaki.
Omnye isigulane ubona ugqirha wakhe kuba ufumana ukukhala okungachazwanga nokuhleka. Unokuthi ufumane ukuba une-bipolar disorder kwaye uphathwe ngendlela enjalo.
Kuzo zombini iimeko, ukuxilongwa kunokuthi kuchanekile, kodwa isizathu saloo miphunga yokukhala okungalawulekiyo, kwaye, ngokukhawuleza, ukuhleka kungenziwa ngenxa yokugula okubizwa ngokuba yi-pseudobulbar (PBA). (Ukugula kunokukwaziwa ngamagama amaninzi, kwaye ngoku kutshanje kuye kwabizwa ngokuba yintlungu engathandabuzekiyo, okanye i-IEED.)
Yintoni i-PBA?
Uphawu oluphambili lwe-PBA ngokukhawuleza, ukukhala okungacacanga kunye nokungenakunqunyulwa okuza kwenzeka kaninzi ngosuku ngenxa yesizathu esicacileyo. Ukukhahlaza ngokukhawuleza kunokukwenzeka kwakhona, kunye nokugqabhuka komsindo. Ngokuqhelekileyo, izigulane zihlala zihlala zihlaselwe yintloni, ezingakhokelela kwezinye iimpawu ezixinzeleleyo.
I-Pseudobulbar iyichaphazela imeko eyenzeka ngenxa yeemeko ze-neurologic kwaye ingenzeka kwizigulane ezine-amyotrophic lateral sclerosis (i-ALS okanye i-Lou Gehrig's Disease), i-multiple sclerosis (MS), isifo se-Alzheimer kunye nesifo sika-Parkinson. Ukulimala kwengqondo ngokugqithiseleyo ngengozi okanye ngesifo sokushaya isifo kungabangela ukuba iPBA ibonakale.
Ngamanye amaxesha iimpawu ze-PBA zifumene ukulimala kwengqondo efihliweyo.
Nangona ugulane luchazwe ngaphezu kwekhulu leminyaka edlulileyo, luyaqhubeka luchithwa kakubi ngexesha elide. Ingxenye yesizathu kukuba kunokubangela ukudakumba, kunye nokukhokelela kwezinye iimpawu ezihambelana nokudandatheka kunye nokugula kwe-bipolar.
Ukongezelela, abantu abanezifo ze-PBA zidibaniswe kunye, ezifana ne-multiple sclerosis, kaninzi banokudakumba okanye iimpawu ze-bipolar. Kwaye ekugqibeleni, unyango lweengxaki zengqondo ziba nefuthe ekunciphiseni iimpawu ze-PBA, nangona kungabikho okwaneleyo ukuvumela isigulane ukuba ivale kwakhona.
Uphando olukhulu lufumene ukuba ama-51% abantu abane-PBA babike ukuba bachithe ixesha elifutshane kunye nabahlobo kunye nosapho, kwaye i-57% encinci ayifumani nantoni na ekhuluma ngefowuni. Ngaloo ndlela impembelelo yobomi bemihla ngemihla kunye nokusebenza kwesi sifo kuphezulu.
Ukwahlukana Phakathi kweengxaki ze-PBA kunye neeMood
Uhlobo oluphambili phakathi kwe-pseudobulbar luchaphazela kunye nezinye izifo zengqondo ezifana nokudandatheka kunye ne-bipolar kukuba ukugqabhuka kokukhala, ukuhleka kunye / okanye umsindo kuya kwenzeka kungekho sizathu, kugcina ixesha elifutshane kakhulu, kwaye linokuthi lenze ixesha elide kwixesha. Sekunjalo, umntu unokubona apho isigulane esinezikhalazo zokulila singathi sinexinezeleko, ngakumbi ukususela ekubeni uphando oluthile lufumene ukuba malunga neepesenti ezingama-90 zezigulane ze-PBA nazo zineempawu ezibandezelekileyo.
Ekubeni ukuhoxiswa kwezenhlalakahle / ukuhlukaniswa kwexesha loluntu kudla ngokuba ngumqondiso weengqungquthela ezinkulu zokudandatheka , isizathu sokuba sizimisele. Kwixinzelelo kunye nengxaki yokuguquguquka kwengqondo, oku kuyimpawu ebalulekileyo, ngelixa ku-PBA, kwenzeka ngenxa yokuba izigulane zizoxhalaba kwiimeko zentlalontle.
Khawufane ucinge ngokuhleka ngexesha lokungcwaba, okanye ngokukhawuleza ukukhala phakathi kwendibano yebhodi. Ezi ziganeko zenza lula umntu ukuba agweme nayiphi na imeko apho iimpawu ze-PBA zingayifanelekanga kwaye zihlazise.
Ezinye iimpawu zeepasodes ezidityanisiweyo azihambelananga ne-PBA, ezifana nokutshintsha kwintliziyo kunye neemvakalelo ezingafanelekiyo zokungathembeki okanye ityala.
UkuPhatha iPBA
Kutsha nje ukuba unyango ngokukodwa lwe-PBA lufunyenwe, kwaye ke kuphela ngengozi. Abaphandi bavavanya ukudibanisa ezimbini izidakamizwa ukuba zibone ukuba zincede iimpawu ze-ALS, kwaye nangona kwakungekho mpembelelo kwi-ALS, ezo zigulane ezaba ne-PBA zabika ukuba unyango lwamayeza lwancipha ukuhleka kwabo kunye / okanye ukukhala.
Ukudibanisa kubandakanya i-dextromethorphan kunye ne-quinidine, iyeza zentliziyo. Nangona i-dextromethorphan isithako esiqhelekileyo kumachiza okukhwehlela, izigulane akufanele zizame ukuzithiba ngamachiza kwi-PBA, njengoko imithi yonyango ihluke kakhulu.
Uphando olungakumbi lufunekayo ukuchonga ukuba ngaba isichenge siphephile kubantu abaneengxaki ezifana nesifo sika-Parkinson. Kukho iinkxalabo malunga neengxaki ezibangelwa ukuxubusha kunye namayeza ezi zifo. Ukongezelela, izigulana ezithatha izidandlululo ezisebenza kwi-serotonin, okanye abo banomngcipheko weengxaki zengqondo, zifuna ukuqaphela.
Ukuxilongwa okanye i-Misdiagnosis?
Ezinye iimvavanyo ezithembekileyo ze-PBA ziye zaphuhliswa, kwaye ezininzi zikhoyo kwimisebenzi. Ngenxa yokuba abantu abaninzi banokungaxilongwa ngokungathandabuzekiyo, njengengxaki yokuxinezeleka, i-bipolar, okanye ezinye izifo ezinjengeenkxalabo zokuxhalaba okanye i-schizophrenia, akunakwenzeka ukwazi ukuba bangaphi abantu base-US abanomdla wokuba ne-pseudobulbar. Iingqinisiso zibeka inani lezigulane nge-PBA phakathi kwesigidi esinye nesibini. Ngexesha kunye nemfundo, abantu abaninzi baya kubonwa njenge-PBA kwaye banokufumana unyango olufanelekileyo.
Imithombo:
Colamonico, J., Formella, A., noBradley, W. "I-Pseudobulbar ichaphazela: Umthwalo wokugula eMelika." Uphuhliso lwezonyango. 2012; 29 (9): 775-798.
NgoMeyi, i-TS Ingxaki yokuBonisa ukuThatheka kweMvakalelo yoMoya kaninzi i-Misdiagnection and Untreated. Ixesha leengqondo . 3: 8. 1 Agasti 2007.
UDiSalvo, D. Akuyiyo yonke into yokukhalazela: Ukuqonda i-Pseudobulbar. Psychology Namhlanje . 18 Oktobha 2011.
UGordon, D. Umkhukula weemvakalelo: Ukuphatha ukukhala okungalawulekiyo nokuhleka kwe-pseudobulbar kuthintela. Neurology Ngoku . I-American Academy ye-Neurology. Fe bruwari / Matshi 2012; Umqulu 8 (1); p 26-29.