Ukugquma kokukhalela nokuhleka njengeSimboli se-MS
I-Pseudobulbar ithintela, okanye i-PBA, isifo esichazwe ngokukhawuleza kokukhala okanye ukuhleka, okungafanelekanga okanye kugxininise ngaphakathi kwimeko yoluntu yoluntu. Le syndrome inokuchaphazela kakhulu umntu kunye nomgangatho walo wobomi obathandayo, obangela iimvakalelo, ukuhlazeka, kunye nokuzihlalisa abantu.
Iindaba ezilungileyo kukuba le ngxaki iyabonakala ngokubanzi, kwaye kukho unyango olukhoyo.
Ngubani ochaphazelekayo yi-PBA?
Ngaphandle kwe- MS , kukho ezinye izifo ezibangelwa yi-neurological disorders ezinxulumene nophuhliso lwe-pseudobulbar. Ezi ziquka:
- Isifo se-Alzheimer
- Ukulimala kwengqondo ebuhlungu
- Stroke
- I-Brain Tumor
- I-Amyotrophic lateral sclerosis (ALS)
Isifo sikaParkinson
Kubantu abane-MS, i-PBA ivame ukuchaphazela abo kwisigaba esilandelayo, nto ithetha ukuba abantu ababenamaqela amaninzi e-MS baphinde baphinde baphinde bafumane inkqubela yokugula, yokukhubaza izifo.
Ziziphi ezinye iimeko ezisebenzisayo ukuchaza i-PBA?
Ukuhluka kwegama elisetyenziselwa ukuchaza le syndrome kuye kwadala ukudideka phakathi kwabantu abahluphekayo kuyo, kunye nakwinkalo yonyango. Amanye amagama asetyenziswe ukuchaza i-pseudobulbar ithintelo zibandakanya:
- ingxaki yokuzivelela yengqondo
- ukunyameka kwengqondo okanye ukutshatyalaliswa okanye ukungabikho
- ukuhleka kweentsholongwane kunye nokukhala
- mvakalelo
Yintoni ebangela i-PBA?
Iingcali zenzululwazi zikholelwa ukuba abantu abane-pseudobulbar bathintele ukuphazamiseka kwentsholongwane kunye ne-cerebellum yabo.
Ngoxa siyazi ukuba i-cerebellum ilawula ukusebenzisana kunye nendlela umzimba uhamba ngayo, izazinzulu zikholelwa ukuba zinokukunceda nokulawula ukubonakalisa umzimba ngendlela esekelwe kwimiba evela kwezinye iindawo zobuchopho. Nangona ukubandakanyeka ngokucacileyo kwe-cerebellum kwi-pseudobulbar kuthintela ngokucacileyo, i-neurotransmitters eyona nto ikholelwa ukuba ibamba indima ebalulekileyo kwi-PBA yi-serotonin kunye ne-glutamate.
Ukuhlukana phakathi kwe-PBA kunye noxinzelelo kwi-MS
I-Pseudobulbar ithintela ingaphoswa oogqirha kuba zibonisa ukuba izidalwa ezililayo zixinezelekile, eziqhelekileyo kwi-sclerosis ezininzi. Kodwa kukho ezinye iimeko ezingundoqo ezinokukunceda ukuhlukanisa phakathi kwezi zimbini.
Enye impazamo eyintloko kukuba ekudakaleni, isiqwenga sokukhala sihambelana nomoya ophantsi. Kwi-pseudobulbar ithintela nangona kunjalo, isiqephu somntu sokukhala asihambelani, sinyanyiswa, okanye sichasene nendlela abavakalelwa ngayo. Kwakhona, kwi-pseudobulbar ithintela, umntu unokutshintsha ukusuka ekumemeleni ukuya ekuhlekeleni ngaphakathi kwesinye.
Enye inkcazelo yimizuzu. Ukugqabhuka kwe-pseudobulbar yokukhala, okanye ukuhleka, kudla ukuza ngokukhawuleza kwaye kuphelile ngokukhawuleza, ukuhamba kwimizuzwana ukuya kwemizuzu. Isiqhelo sokudakumba, ngakolunye uhlangothi, sithatha ubuncinane iiveki ezimbini. Ukongezelela, ukudakumba kuhambelana nezinye iimpawu ezifana nokutshintsha kwindlela yokulala nokutya, iimvakalelo zecala, kunye nokulahlekelwa ngumdla kwimisebenzi.
Ugqirha wam uza kuthatha njani i-PBA yam?
Ukuba ugqirha wakho ufumanisa i-PBA, unokumiselwa ukuba uxinzeleleke, njengokuba:
- i-tricyclic antidepressants, njenge-Elavil (amitriptyline) okanye i-nortriptyline
- i-serotonin i-reuptake inhibitors (SSRIs), njengeCelexa (citalopram)
Kungenzeka ukuba unganqunywe uNodiedexta (dextromethorphan hydrobromide / quinidine sulfate), eyavunywa yi-FDA ngo-2010 kunyango lwe-PBA. Ucwaningo lwezenzululwazi, lubonakalise ukuba luncedo ekunciphiseni iimpawu ze-PBA kwizigulane ezine-MS, ngaphezu kwezigulane ezine-ALS.
Imiphumo emibi ye-Nuedexta
- isifo sohudo
- ukungcola
- ukukhwehlela
- ukuhlanza
- ubuthathaka
- ukuvuvukala
- izifo zogcino
- umkhuhlane
- ukuguquka
Xa uthabatha la mayeza, ukulandeleka kubalulekile, ngakumbi ukubeka esweni kwamanqanaba e-potassium kunye ne-magnesium emzimbeni, onokuncitshiswa ngeNededexta. Ukubeka iliso ngakumbi kunokuba kuyadingeka kubantu abasengozini yokuphazamiseka kwesigqi sentliziyo.
Ukuxelela abanye nge-PBA yakho
Njengoko ukulibala apho ushiye khona izilwanyana zakho, uthabatha ixesha elide ukuhamba (okanye uqalise) ukuya kwindawo oya kuyo, okanye ungakwazi ukubona njengoko wawuqhelekileyo, i-PBA yimpawu ye-MS. Njengawo nawuphi na uphawu, unokufuna ukucacisa encinci malunga ne-PBA kubathandayo okanye abantu osebenza nabo - ukuba ukhetha.
Esinye isilungiso kukulungiselela intetho encinane malunga ne-PBA ichaza ukuba yintoni, kwaye ihambelana njani ne-MS yakho. Ngaloo ndlela, xa ufumana ukuhleka okanye ukukhala, uya kuba nokulungele ukuthetha into engekho yintloni, ukukhungatheka okanye umsindo. Oku kunokunciphisa kakhulu uxinzelelo.
Imithombo:
U-Ahmed A & Simmons Z. I-Pseudobulbar ithintela: ukuxhaphaka nokulawula. Ulawulo lweKlinikhi yoKhuseleko lweTher . 2013; 9: 483-89.
IProz MP. I-Nuedexta yeNyango yePseudobulbar. Isimo sokukhala okanye ukuhleka okungafunekiyo. PT. 2013 Juni; 38 (6): 325-28.
Cummings J et al. Ukucacisa nokuvavanya ukuphazamiseka kwengqondo engathandabuzekiyo. CNS Spectr. 2006 Juni; 11 (6): 1-7.
INKCAZELO: Ulwazi olukule ndawo lusezinjongo zemfundo kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukuze ufumane unyango kunye nonyango malunga nayiphi na impawu okanye imeko yonyango.