Ukuqhuma kokukhala nokuhleka njengeSimpawu se-MS
I-Pseudobulbar ithinta, noma i-PBA, i-syndrome ekhonjelwa ukuqhuma kokukhala noma ukuhleka, okungafaneleki noma okwedlulele ngaphakathi kokuhlala komuntu. Le syndrome ingathinta kakhulu umuntu kanye nekhwalithi yomuntu oyithandayo, ebangela ukukhathazeka, ukuhlazeka, nokuzihlukanisa nabantu.
Izindaba ezinhle ukuthi le disorder iyaziwa kabanzi, futhi kukhona ukwelashwa okuphumelelayo etholakalayo.
Ngubani othintekayo yi-PBA?
Ngaphandle kwe- MS , kunezinye izinkinga eziningi ze-neurological ezihlobene nokuthuthukiswa kwe-pseudobulbar. Lokhu kufaka:
- Isifo se-Alzheimer's
- Ukulimala kwengqondo ebuhlungu
- Isibungu
- I-Brain Tumor
- I-Amyotrophic lateral sclerosis (ALS)
Isifo sikaParkinson
Kubantu abane-MS, i-PBA ijwayele ukuphazamisa labo abasesimweni esilandelayo, okusho ukuthi abantu ababenama-MS amaningana baphinde baphinde baphinde bafunde noma baqhube izifundo eziqhubekayo, ezikhubaza izifo.
Yiziphi ezinye imigomo esetshenziselwa ukuchaza i-PBA?
Ukuhluka kwemigomo esetshenziselwa ukuchaza le syndrome kuye kwadala ukudideka phakathi kwabantu abahlupheka ngakho, kanye nasensimini yezokwelapha. Amanye amagama asetshenziselwa ukuchaza amaphutha we-pseudobulbar afaka:
- ukukhathazeka okungokomzwelo ukukhuluma ngokomzwelo
- ukucabanga ngokomzwelo noma ukuhlukumezeka noma ukungaziphathi kahle
- ukuhleka kwezingane nokukhala
- imizwelo
Yini eyenza i-PBA?
Ososayensi bakholelwa ukuthi abantu abane-pseudobulbar bathintekile baye baphazamisa ukubonakaliswa kwesibindi ngokufaka cerebellum yabo.
Ngenkathi siyazi ukuthi i-cerebellum ilawula ukusebenzisana nokuthi umzimba uhamba kanjani, ososayensi bakholelwa ukuthi kungasiza futhi ukulawula ukuveza umzimba kwemizwelo ngokusekelwe ekufakweni kwezinye izingxenye zobuchopho. Nakuba ukubandakanyeka okuqondile kwe-cerebellum ku-pseudobulbar kuthinta ngokungacacile, ama-neurotransmitter abakhulu abakholelwa ukuthi abadlala indima ebalulekile ku-PBA yi-serotonin ne-glutamate.
Ukuhlukanisa phakathi kwe-PBA nokucindezeleka ku-MS
I-Pseudobulbar ithinte ingabanjelwa odokotela ngoba bathi iziqephu zokukhala zibhekene nokucindezeleka, okuvamile kwi-multiple sclerosis. Kodwa zikhona umehluko omkhulu ongasiza ekuhlukaniseni phakathi kwalezi zimo ezimbili.
Umehluko owodwa oyinhloko wukuthi ekucindezelekeni, isiqephu sokukhala sihambisana nomoya ophansi. Ku-pseudobulbar kuthinta noma kunjalo, isiqephu somuntu sokukhala asihambisani, siphuthumayo, noma siphikisana nendlela abazizwa ngayo ngempela. Futhi, uma i-pseudobulbar ithinta, umuntu angashintsha kusukela ekulileni kuze kuhleke ngaphakathi kokukhipha okukodwa.
Enye inkomba yesikhathi. Ukuqhuma kwe-pseudobulbar yokukhala, noma ukuhleka, kuvame ukufika ngokungazelelwe futhi kuphele ngokuzumayo, imizuzwana engapheli kuya kwemizuzu. Isiqephu sokucindezeleka, ngakolunye uhlangothi, sithatha okungenani amasonto amabili. Ngaphezu kwalokho, ukucindezeleka kuhlotshaniswa nezinye izimpawu ezifana nokuguquka kwemikhuba yokulala nokudla, imizwa yecala, nokulahlekelwa inzalo emisebenzini.
UDokotela wami uzokuphatha kanjani i-PBA yami?
Uma udokotela wakho ekuthola i-PBA, ungase ubeke umyalelo wokucindezeleka, njengoku:
- i-tricyclic antidepressants, njengo-Elavil (amitriptyline) noma i-nortriptyline
- i-serotonin i-reuptake inhibitors (SSRIs) ekhethiwe, njengeCelexa (citalopram)
Kungenzeka ukuthi ungabekwa uN Nuedexta (dextromethorphan hydrobromide / quinidine sulfate), eyamukelwa yi-FDA ngo-2010 yokwelashwa kwe-PBA. Ezifundweni zesayensi, kuboniswe ukuthi kuphumelela ekunciphiseni izimpawu ze-PBA kuziguli ezine-MS, ngaphezu kweziguli ezine-ALS.
Imiphumela emibi engenzeka ye-Nuedexta
- isifo sohudo
- isiyezi
- ukukhwehlela
- ukuhlanza
- ubuthakathaka
- ukuvuvukala
- ukutheleleka kwe-urinary tract
- umkhuhlane
- flatulence
Ngenkathi uthatha le mithi, ukulandelwa kubalulekile, ikakhulukazi ekuqapheni amazinga e-potassium ne-magnesium emzimbeni, okungancishiswa nge-Nuedexta. Ukuqapha okungaphezulu kungadingeka kubantu abasengozini yokuphazamiseka kwesigqi senhliziyo.
Ukutshela Abanye Nge-PBA Yakho
Njengokukhohlwa ukuthi ushiye kuphi izibuko zakho, uthatha isikhashana ukuhamba (noma ukugoqa) endaweni oya kuyo, noma ungakwazi ukubona njengakujwayele, i-PBA yisimpawu se-MS. Njenganoma yisiphi isibonakaliso, kungadingeka ukuthi uchaze kancane nge-PBA kubathandekayo bakho noma abantu osebenza nabo - uma ukhetha.
Enye iphuzu ukulungiselela inkulumo encane mayelana ne-PBA echaza ukuthi iyini, nokuthi ihlobene kanjani ne-MS yakho. Ngale ndlela, uma uzithola uhleka noma ukhalela, uzobe nokuthile okulungele ukusho ukuthi akugcini ukuhlazeka, ukukhungatheka noma intukuthelo. Lokhu kunganciphisa kakhulu ukucindezeleka.
Imithombo:
U-Ahmed A & Simmons Z. Pseudobulbar kuthinta: ukusabalalisa nokuphathwa. I-Ther Clin Risk Manager . 2013; 9: 483-89.
I-MP ye-Cruz. I-Nuedexta ye-Treatment ye-Pseudobulbar. Isimo Sokukhala Noma Ukuhleka Okungavumelani. PT. 2013 Jun; 38 (6): 325-28.
Cummings J et al. Ukuchaza nokuhlolisisa ukukhathazeka komzwelo ongathinteki ngokomzwelo. I-CNS Spectr. 2006 Jun; 11 (6): 1-7.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha.