Kufuula kwa Kulira ndi Kuseka monga Chizindikiro cha MS
Pseudobulbar imakhudza, kapena PBA, ndi matenda omwe amadziwika ndi kulira kapena kuseka, zomwe sizili zoyenera kapena zowonjezereka m'makhalidwe a munthu. Matendawa angakhudze kwambiri munthu ndi moyo wa wokondedwa wake, kuchititsa nkhawa, manyazi, ndi kudzipatula.
Nkhani yabwino ndi yakuti matendawa akudziwika kwambiri, ndipo pali mankhwala othandiza omwe alipo.
Ndani Akukhudzidwa ndi PBA?
Kuwonjezera pa MS , palinso matenda ena a ubongo okhudzana ndi chitukuko cha pseudobulbar. Izi zikuphatikizapo:
- Matenda a Alzheimer
- Kuvulala kwa ubongo koopsa
- Sitiroko
- Matenda a ubongo
- Amyotrophic lateral sclerosis (ALS)
Matenda a Parkinson
Kwa anthu omwe ali ndi MS, PBA zimakhudza anthu omwe amatha msinkhu, kutanthauza kuti anthu omwe ali ndi MS angapo amabwereranso kapena amakhala ndi matenda opititsa patsogolo, omwe amaletsa matenda.
Kodi Malamulo Ena Amagwiritsidwa Ntchito Kuti Afotokoze PBA?
Kusiyanasiyana kwa mawu omwe amagwiritsidwa ntchito pofotokoza matendawa kwachititsa chisokonezo pakati pa anthu omwe akuvutika nawo, komanso m'dera la zamankhwala. Ena omwe amagwiritsidwa ntchito pofotokoza pseudobulbar zimakhudza awa:
- matenda osokoneza maganizo amalingaliro
- kuvutika maganizo kapena kupweteka kapena kusadziletsa
- kuseka ndi kulira
- maganizo
Nchiyani Chimachititsa PBA?
Asayansi amakhulupirira kuti anthu omwe ali ndi pseudobulbar amakhudza kusokonezeka kwa mitsempha kumalo awo okhala ndi cerebellum.
Ngakhale tikudziwa kuti chidziwitsochi chimayendetsa kugwirizana ndi momwe thupi limasunthira, asayansi amakhulupirira kuti zingathandizenso kuteteza thupi kuti liwonetseke malingaliro ochokera ku mbali zina za ubongo. Ngakhale kuti kugwiritsidwa ntchito kwa cerebellum mu pseudobulbar kumakhudza kwambiri, akuluakulu oyambitsa matendawa omwe amakhulupirira kuti ndi ofunika kwambiri mu PBA ndi serotonin ndi glutamate.
Kusiyanitsa pakati pa PBA ndi Kuvutika maganizo mu MS
Pseudobulbar zimakhudzidwa ndi madokotala chifukwa amakhulupirira kuti zizindikiro zachisoni zimakhala zosautsa, zomwe zimapezeka mu multiple sclerosis. Koma pali kusiyana kwakukulu komwe kungathandize kusiyanitsa pakati pa zinthu ziwirizi.
Kusiyanitsa kwakukulu ndikuti mu kuvutika maganizo, nthawi ya kulira ikugwirizana ndi mtima wochepa. Mu pseudobulbar zimakhudza ngakhale, nthawi ya munthu yolira ndi yosagwirizana, yokopa, kapena yotsutsana ndi momwe akumvera. Ndiponso, pseudobulbar imakhudza, munthu akhoza kusintha kuchokera kulira mpaka kuseka mkati mwa chiwonongeko chimodzi.
Chizindikiritso china ndi nthawi. Kutsekemera kwa pseudobulbar ya kulira, kapena kuseka, kumangobwera mosayembekezereka ndikutha mwadzidzidzi, kupitirira masekondi mpaka mphindi. Chitsanzo cha kuvutika maganizo, kumbali ina, kumatha masabata awiri. Kuonjezera apo, kupanikizika kumagwirizanitsidwa ndi zizindikiro zina monga kusintha kwa kugona ndi chilakolako, kudzimva kuti ndi wolakwa, komanso kutaya chidwi pa ntchito.
Kodi Dokotala Wanga Adzagwira Bwanji PBA yanga?
Ngati dokotala akukudziwani ndi PBA, mukhoza kuuzidwa kuti ali ndi vuto lopanikizika, monga:
- Tricyclic anti-depressants, monga Elavil (amitriptyline) kapena nortriptyline
- Sewotonin reuptake inhibitors (SSRIs), monga Celexa (citalopram)
Zowonjezereka, mukhoza kuuzidwa Nuedexta (dextromethorphan hydrobromide / quinidine sulphate), yomwe inavomerezedwa ndi FDA mu 2010 kuti athetse PBA. Mu sayansi, zasonyeza kuti zothandiza kuchepetsa zizindikiro za PBA kwa odwala omwe ali ndi MS, kuphatikizapo odwala ALS.
Zotsatira zoopsa za Nuedexta
- kutsekula m'mimba
- chizungulire
- chifuwa
- kusanza
- kufooka
- kutupa
- matenda opangira mkodzo
- Fuluwenza
- flatulence
Pogwiritsa ntchito mankhwalawa, kutsata ndikofunikira, makamaka kuyang'anira potassium ndi ma magnesium mu thupi, zomwe zingachepe ndi Nuedexta. Kuwunika kwowonjezereka kungafunikire kwa anthu omwe ali pachiopsezo chosokoneza chiyero cha mtima.
Kuuza Ena za PBA Yanu
Monga ngati mukuiwala kumene mwasiya magalasi anu, mutatenga nthawi yaying'ono kuti muyende (kapena muyang'anire) kumene mukupita, kapena simukukhoza kuwona momwe mumachitira kale, PBA ndi chizindikiro cha MS. Monga chizindikiro chilichonse, mungafunike kufotokoza pang'ono za PBA kwa okondedwa anu kapena anthu omwe mumagwira nawo ntchito - ngati mutasankha.
Cholinga chimodzi ndi kukonzekera pang'ono kulankhula za PBA kufotokozera chomwe chiri, ndi momwe chikukhudzira ndi MS. Mwanjira iyi, pamene mumadzipeza nokha kapena kulira, mudzakhala ndi chinachake chokonzekera chomwe sichikukhudzidwa ndi manyazi, kukhumudwa kapena mkwiyo. Izi zikhoza kuchepetsa nkhawa.
Zotsatira:
Ahmed A & Simmons Z. Pseudobulbar amakhudza: kufalikira ndi kuyang'anira. Woyang'anira Chipatala Choopsa . 2013; 9: 483-89.
Mtsogoleri wa Cruz. Nuedexta chifukwa cha Chithandizo cha Pseudobulbar. Chikhalidwe cha Kulira Kapena Kuseka Kwambiri. PT. 2013 Jun; 38 (6): 325-28.
Cummings J et al. Kutanthauzira ndikudziwitsa matenda osokoneza maganizo omwe amalankhula. CNS Wopenya. 2006 Jun; 11 (6): 1-7.
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda.