Kodi mukuganiza kuti mukulira mochuluka? Kukhalitsa modzidzimutsa ndi vuto lalikulu kwambiri kuposa momwe mukudziwira. Nthawi zambiri, timayanjana kulira ndikumva chisoni. Anthu ena amangokhalira kulira ndipo amalira mobwerezabwereza. Ndipo palibe cholakwika ndi icho. Kumva chisoni kapena kupsinjika kungapangitsenso kuchepa.
Koma, ngati mukuchita manyazi chifukwa cholira, kapena mwadzidzidzi mutayamba kulira musadandaule, mungakhale ndi vuto lotchedwa pseudobulbar.
Pseudobulbar zimakhudza matendawa, monga matenda a Parkinson, stroke, ndi miseru.
N'chifukwa Chiyani Mukulirira?
Ngati muli ndi chizoloŵezi chochita mantha, abwenzi okhudzidwa angafunse, "mukuliranji?" Ndipo, mwinamwake ali, nthawi zambiri mumadzifunsa funso lomwelo. Pali zifukwa zosiyanasiyana zolira mofuula, ndipo simuyenera kukwiyitsa nokha za izo. Komabe, zingakhale zothandiza kuti muzindikire chifukwa chomwe mumayambira nthawi zambiri kuti muthe kupeza chithandizo ngati muli ndi vuto lachipatala.
Kulira chochitika chokhumudwitsa: Kudandaula kumamveka bwino pamene mukumva chisoni ndi chinachake. Kutayika kwa wokondedwa, kutayika ntchito, kusweka, kukhumudwa, kupsinjika maganizo, ndi kukangana ndi zina mwa zifukwa zambiri zomwe anthu amalira.
Chochitika chomwe chakuchititsani kuti mufuule mochulukirapo chikhoza kukhala chosiyana, kapena mwina chikhalidwe chomwe anthu ambiri akudutsamo. Chilichonse chomwe chakuchititsani kukhala achisoni kapena kupanikizika, kulira ndi njira yachibadwa.
Ndipotu, kulira kungathandize anthu ena kuthana ndi malingaliro abwino koposa 'kugwiritsira ntchito.'
Anthu akhoza kulira kangapo patsiku kwa zaka zambiri atatayika wokondedwa wawo. Koma kulira kwafupipafupi kumayembekezeka kuchepetsedwa ndi nthawi. Mungafunikire kuchotsa nthawi zina mwa maudindo anu pamene mukulira.
Kulira chochitika chokhumudwitsa nthawi zambiri kumagwirizanitsidwa ndi zigawo zolira zomwe zingapitirize kuchitika kwa masiku, masabata, kapena miyezi. Potsirizira pake, ngati mukulira, muyenera kuyembekezera kuti mukumva bwino kapena mutachira, ngakhale mutapitirizabe kumva chisoni kwambiri chifukwa cha kutayika ndipo nthawi zina mumalira misozi.
Kupsinjika maganizo: Kusokonezeka maganizo sikungokhala kukhumudwa kapena kulira kwanthawi zonse ndipo kungakhudze moyo wa tsiku ndi tsiku. Ngati muli opsinjika maganizo, nthawi zambiri mumamva chisoni ndipo mwina mungathe kulira mobwerezabwereza. Ngati muli ndi zizindikiro za kupsinjika maganizo, muyenera kupeza chithandizo kuti muyambe bwino kuthetsa vuto lanu.
Pseudobulbar Zimakhudza: Pseudobulbar zimakhudza chikhalidwe chimene chimayambitsa kuwonongeka kwa dongosolo lamanjenje. Anthu omwe ali ndi pseudobulbar amakhudzidwa akhoza kumverera kwambiri ndipo akhoza kupitilira nthawi zambiri kapena kusokonezeka maganizo.
Kuphatikiza pa kumva chisoni, anthu omwe amavutika ndi pseudobulbar amakhudzidwanso amachitanso zinthu zowonongeka ndipo amavutika kutsogolera mawu, monga kulira ndi kuseka.
Kulira ngakhale pamene simukudandaula ndi chimodzi mwa zizindikiro zomvetsa chisoni za pseudobulbar zimakhudza. Nthawi zina anthu omwe amavutika ndi pseudobulbar amayamba kuyamba kulira ndipo samvetsa chifukwa chake. Kulira kungakhale mwadzidzidzi ndipo kungakhale kofatsa kapena koopsa.
Misozi imatha masekondi kapena ikhoza kupitiriza kwa kanthawi.
Ngati muli ndi pseudobulbar amakhudzidwa, mukhoza kuseka mopitirira muyeso kapena mosayenera, ngakhale palibe zosangalatsa.
Mmene Mungadziwire Ngati muli ndi Pseudobulbar
Matenda ambiri omwe amakhudza ubongo amadziwika kuti atulutsa pseudobulbar. Anthu oposa 20 mpaka 50% omwe amapulumuka ku matendawa amavutika ndi vutoli, nthawi zambiri amakhala ndi maganizo olakwika, ndipo nthawi zina amalira kapena kuseka ngakhale popanda chisoni kapena chimwemwe. Matenda a Parkinson amagwirizanitsidwa ndi pseudobulbar. Opulumutsidwa ndi zoopsa zapwetekiti amakhalanso ndi vuto la pseudobulbar.
Chifukwa chimene matenda a ubongo amachititsa kuti pseudobulbar zikhudze ndikuti izi zimasokoneza ntchito yeniyeni ya neurons mu ubongo, zomwe zimapangitsa kuti zikhale zovuta kukhazikitsa mau okhudza mtima.
Zimene Mungachite Zokhudza Zizindikiro Zanu za Pseudobulbar
Pali njira zochepa zogwiritsira ntchito pseudobulbar zimakhudza, koma palibe mankhwala. Izi zikutanthauza kuti ngati muli ndi vutoli, mungafunikire kumwa mankhwala kuti muwalamulire, koma mwina mukuyenera kutsata dokotala kwa zaka zingapo.
Kuphunzitsa khalidwe: Mungayese kudziphunzitsa nokha kuti musamve kulira. Nthawi zina, mukhoza kuchepetsa kuzunzika ndi njira zodziletsa komanso ngakhale kugwedeza maso kapena kumwetulira. Nthawi zambiri, sikutheka kuteteza misonzi ndi njira zodziletsa zokha. Anthu ena omwe ali ndi pseudobulbar amakhudzidwa nthawi zonse ndikusinkhasinkha ngati njira yowonjezera pa kulira ndi kuseka zigawo.
Mankhwala: Pali mankhwala ena othandizira kuti pseudobulbar iwonongeke. Dokotala wanu angakupatseni mankhwala ndipo mukhoza kulemba diary kuti alembe nthawi yomwe mumalira kuti muwone momwe mankhwala akugwirira ntchito.
Tulutseni poyera: Ngati chidwi chanu choyamba pa zizindikiro zanu ndi momwe anthu ena amaganizira za inu, izi zimamveka bwino. Mungathe kufotokozera mwachidule abwenzi ndi ogwira nawo ntchito kuti asadandaule za inu komanso kuti mutha kufotokoza kuti mumadziwa vuto lanu, kuti liri ndi dzina komanso chifukwa chachipatala. Monga ndi zina zambiri zachipatala, anthu akhoza kungoyankhula ndikudandaula ndipo zingakhale zosavuta kutuluka panja. Zitsanzo zochepa zowonjezera zikuphatikizapo,
"Ubongo wanga umandipangitsa kuchita izi,"
"Kudandaula ndi zotsatira za mpikisano wanga, kupwetekedwa ndi zina zotero"
"Pali mavuto aakulu omwe ndili nawo mwayi wosakhala nawo."
Kodi Pseudobulbar Yanga Idzapindula Kuti Ikhale Yabwino Kapena Yopweteka?
Chikhalidwe chikhoza kukhala bwino kapena choipitsitsa pa nthawi. Zingapitirire kuwonjezereka ndi kukwapulidwa mobwerezabwereza kapena kupweteka kwa mutu. Pambuyo pa kupwetekedwa kapena kupwetekedwa mutu, zizindikiro za pseudobulbar zimakhudza kukhala zovuta kwambiri patangopita miyezi yochepa chichitike, ndipo kenako zimakhala bwino pakapita nthawi.
Ngati pseudobulbar yanu ikukhudzidwa imayamba chifukwa cha matenda a ubongo monga Parkinson's disease, Multiple Sclerosis kapena matenda a Alzheimer, zikhoza kuwonjezereka ngati matendawa akupita.
Mawu Ochokera
Mliriwu ukhoza kuyambitsa kusintha kwa khalidwe ndi kusintha kwa maganizo, monga kupsinjika maganizo, kutaya chisangalalo komanso ngakhale nsanje yambiri. Kusokonezeka maganizo ndi mawu anu kungakupangitseni kumva kuti mulibe mphamvu. Sikovuta kukhala ndi pseudobulbar. Mukamvetsetsa kuti kulira kwanu kosafunika kapena kusangalatsa kosayenera sikulakwa kwanu ndipo chifukwa cha matenda, mukhoza kutenga njira zothetsera zizindikiro zanu.
Zotsatira:
> Kugonjetsedwa kwa Neuronal mu Sitiroko-Yodziphatikizidwa Pseudobulbar Zomwe Zimakhudza (PBA): Masikelo Ozindikira ndi Njira Zamakono Zamankhwala, Lapchak PA, J Neurol Neurophysiol. 2015 Oct; 6 (5). pii: 323. Epub 2015 Oct 31
> Kukula kwa Pseudobulbar Kuthandizani Pambuyo pa Sitiroko: Kukonzekera Mwadongosolo ndi Kusintha Meta, Gillespie DC, Cadden AP, Lees R, West RM, Broomfield NM, J Stroke Cerebrovasc Dis. 2016 Mar; 25 (3): 688-94