Ngaba ucinga ukuba ukhalela kakhulu? Ukuba lula ukusila iimeko eziqhelekileyo kunokuba uyaziqonda. Uninzi lwexesha, sidibanisa ukukhala ngokuvakalelwa. Abanye abantu banemvakalelo nje kwaye bahlala bekhala. Kwaye akukho nto iphosakeleyo. Ukuvakalelwa okanye ukudandatheka kunokubangela ukukhala.
Kodwa, ukuba ufumana unamahloni malunga nokukhala kwakho ngokweqile, okanye ukuba ngokukhawuleza uqala ukulila xa ungaziva uhlungu, unokuba neengxaki ezibizwa ngokuba yi-pseudobulbar.
I-Pseudobulbar ithintela ingabangelwa yinkalo yeengxaki ze-neurological, njengesifo sika-Parkinson, isifo soxinzelelo kunye nentlungu eyintloko.
Kutheni ukhala?
Ukuba unesifiso sokufumana i-teary-eyed, abahlobo abachaphazelekayo bangabuza, "kutheni ukhala?" Kwaye, amathuba, uhlala uzibuza umbuzo ofanayo. Kukho izizathu ezihlukahlukeneyo zokukhala ngokugqithiseleyo, kwaye akufanele ukucaphukisa ngokwakho. Nangona kunjalo, kunokuba luncedo kuwe ukuba uqonde isizathu sokuba u-sobs wakho rhoqo ukuze ufumane uncedo ukuba unengxaki yonyango.
Ukugubha isiganeko esibuhlungu: Ukukhala kuqondakala kakuhle xa udabukile malunga nento ethile. Ukulahlekelwa ngumntu othandekayo, ukulahlekelwa ngumsebenzi, ukuxabana, ukudideka, uxinzelelo, kunye neengxabano ziphakathi kwezona zizathu ezininzi abantu abakhala.
Isiganeko esikubangela ukuba ukhale ngaphezu kwe siqhelo sinokuzikhethela, okanye mhlawumbi kubekho imeko abantu abaninzi abahamba ngayo. Nantoni na eyenzileyo okanye ixinzezelekile, ukukhala kuyisiphumo esivamile.
Enyanisweni, ukukhala kunokunceda abanye abantu bajongane nemvakalelo engakumbi kunokuba 'bayigcine.'
Abantu banokukhala ngokuphindaphindiweyo ngamaxesha ngeminyaka emva kokulahlekelwa ngumthandayo. Kodwa ixesha lokulila kulindeleke ukuba linciphise ixesha. Unokudinga ukuthatha ixesha kwizinto ezimbalwa ezixanduva lwakho njengoko usila.
Ukugubha isiganeko esibuhlungu ngokuqhelekileyo kudibaniswa neziqwenga ezikhalayo ezinokuqhubeka ziqhubeka iintsuku, iiveki okanye iinyanga. Ekugqibeleni, ukuba usila, kufuneka ulindele ukufumana uphuculo okanye ukuphucula, nangona uqhubeka uvakalelwa ngokudabukisayo malunga nokulahleka kwaye ube ngezinye iinyembezi iminyaka.
Ukudandatheka: Ukudandatheka kunokungaphezu kokudabuka okanye ukulila kwaye kunokuchaphazela ubomi bemihla ngemihla. Ukuba udandathekile, usenokuhlala uziva uhlungu yaye unako okanye ungasali ukukhala ngokuphindaphindiweyo. Ukuba unayo nayiphi na imiqondiso yokudakumba, kufuneka ufune uncedo ukulawula kakuhle ingxaki yakho.
I-Pseudobulbar Ichaphazela: I- Pseudobulbar ithintela yimeko ebangelwa ngumonakalo kwinkqubo yenzwa. Abantu abane-pseudobulbar abanokuchaphazeleka banokuvakalelwa kakhulu kwaye banokuhamba ngokukhawuleza.
Ukongezelela ukuvakalelwa, abantu abachaphazelekayo be-pseudobulbar bethintela nokuba benze izinto ezintle kwaye banenkathazo yokulawula iintetho zengqondo, ezifana nokukhala nokuhleka.
Ukukhala nangona ungadabuki ngenye yezona zinto ziphazamisekile iimpawu ze-pseudobulbar. Ngamanye amaxesha abantu abahluphekayo nge-pseudobulbar bachaphazela ukuqala ukukhala kwaye abanakuqonda ukuba kutheni. Ukukhala kungenziwa ngokukhawuleza kwaye kunokuba mnene okanye kukhulu.
Iinyembezi zingapheli imizuzwana okanye ziqhubeke ngexeshana.
Ukuba unempembelelo ye-pseudobulbar, usenokuhleka ngokugqithiseleyo okanye ngokungalunganga, nangona kungekho nto ihlekisayo.
Indlela Yokuxelela Ukuba Unayo I-Pseudobulbar Impact
Izifo ezininzi ezichaphazela ingqondo ziyaziwa ukuba zivelise i-pseudobulbar. Abaninzi abangama-20-50% abasindileyo bafumana i-pseudobulbar ithintela, bahlala becinga imizwa engafanelekanga, ngamanye amaxesha bayakhala okanye bahleka ngaphandle kokuvakalelwa okanye ukuzonwabisa. Isifo se-Parkinson sisoloko sidibene ne-pseudobulbar. Abasindileyo bexinzelelo lwentloko nabo banamathele kwi-pseudobulbar.
Isizathu sokuba izifo zengqondo zenza ukuba i-pseudobulbar ithintele kukuba le miqathango iyaphazamisa umsebenzi oqhelekileyo wee-neurons engqondweni, okwenza kube nzima ukulawula imizwa yemoya.
Yintoni Ongayenza Ngayo Izibonakaliso Zakho zePseudobulbar
Kukho iindlela ezimbalwa zolawulo lwe-pseudobulbar ezichaphazelayo, kodwa akukho mpiliso. Oko kuthetha ukuba ukuba unengxaki, unokufuna ukufumana amachiza ukuyilawula, kodwa uya kufuneka ulandele kunye nodokotela wakho iminyaka emininzi.
Uqeqesho lokuziphatha: Ungazama ukuziqeqesha ukuphepha ukukhala. Ngamanye amaxesha, unako ukunciphisa ukulila ngeendlela zokulawula ukuzithiba kunye nokukhwankqisa amehlo akho okanye ukumomotheka. Uninzi lwexesha, akunakwenzeka ukukhusela ngokupheleleyo iintlungu ngeendlela zokuzilawula zodwa. Abanye abantu abane-pseudobulbar banokuchaphazela rhoqo ukucamngca njengendlela yokufumana umlinganiselo wokulawula phezu kwezikhalo zokukhala nokuhleka.
Amachiza: Kukho amayeza athile ekuncediseni ukulawula i-pseudobulbar. Ugqirha wakho unokukunika umyalelo kwaye unako ukugcina idayari ukurekhoda ukuphindaphinda kweenyawo zakho ukuvavanya indlela amayeza asebenza ngayo.
Yiphume ngokuvulekileyo: Ukuba inkxalabo yakho ephambili malunga neempawu zakho yindlela abanye abantu abacinga ngayo ngawe, oku kuqondakala ngokupheleleyo. Unokunika inkcazo elula kubahlobo kunye nabasebenzi abasondeleyo ukuze bangakhathazeki ngawe kwaye ukuze ukwazi ukuchaza ukuba uyayazi ingxaki yakho, yokuba unalo negama lonyango. Njengokuba kunjalo nezinye iimeko zonyango, abantu banokuthi babonise ukukhathazeka kwaye kuya kuba lula ukuphuma ngaphandle. Izigaba ezimbalwa zeesampuli ziquka,
"Ingqondo yam yenza ukuba ndiyenze oku,"
"Ukukhala kuyimpembelelo yesigxina sam, isilonda njl."
"Kukho iingxaki ezingakumbi ukuba ndibe nethamsanqa."
Ngaba I-Pseudobulbar Yethu iya kuthintela ngakumbi okanye iyingozi?
Le meko ingaba ngcono okanye iyingozi ngaphezu kwexesha. Kungase kube nzima ngokubetha ngokuphindaphindiweyo okanye kwintlungu. Emva kokuphazamiseka kwesifo okanye intlungu, iimpawu ze-pseudobulbar zichaphazela ukuba ziyingozi kakhulu emva kweenyanga ezimbalwa emva kwesi siganeko, kwaye ngokuqhelekileyo ziphucula ixesha elide.
Ukuba i-pseudobulbar yakho ithintela kubangelwa isifo sengqondo esifana nesifo se-Parkinson, Multiple Sclerosis okanye isifo se-Alzheimer, sinokudakalisa xa isifo sifana.
ILizwi
Ukuphazamiseka kunokubangela uhla lwezinto zokuziphatha nezengqondo, utshintsho, ukulahlekelwa ngumsindo kunye nekhwele elininzi. Ukulahlekelwa ukulawula iimvakalelo zakho kunye namazwi akho kunokukwenza uzive ungenamandla. Akulula ukuhlala ne-pseudobulbar. Xa uqonda ukuba ukukhala kwakho ngokugqithiseleyo okanye ukuhleka okungalunganga akusona siphoso sakho kwaye ukuba kubangelwa imeko yonyango, unokuthatha amanyathelo okulawula iimpawu zakho.
Imithombo:
> I-Neuronal Dysregulation kwi-Stroke-Associated Pseudobulbar Echaphazelayo (I-PBA): Izicwangciso zokuxilonga kunye neNyango yokwelapha yangoku, iPapchak PA, J Neurol Neurophysiol. 2015 Oct; 6 (5). ipii: 323. Epub 2015 Oktoba 31
> Ubuninzi bePseudobulbar kuthinteka emva kwesithintelo: Uhlolo lokuHlola kunye noHlelo lwe-Meta-Analysis, iGillespie DC, iCadden AP, i-Lees R, i-West West, i-Broomfield NM, i-Stroke i-Cerebrovasc Dis. Ngo-2016 uMar; 25 (3): 688-94