Kuvhiringidzika kweMhere neKaseka sechiratidzo che MS
Pseudobulbar inobata, kana kuti PBA, chirwere chinoratidzirwa nekudanidzira kwekuchema kana kuseka, izvo zvisina kukodzera kana kuwedzererwa mukati mehupenyu hwevanhu. Iyi syndrome inogona kuchinja zvikuru munhu nehudiwa hwehupenyu hwake, zvichikonzera manzwiro ekuzvidya mwoyo, kunyadziswa, uye kusurukirwa nevamwe.
Mashoko akanaka ndeokuti chirwere ichi chiri kunyanya kuzivikanwa, uye kune mushonga unoshanda uripo.
Ndiani Anobatwa nePBA?
Kunze kweSMS , kune zvimwe zvinetso zvehutano hwehutano zvakabatanidzwa nekugadzirwa kwepseudobulbar. Izvi zvinosanganisira:
- Chirwere cheAlzheimer
- Kukuvara kwepfungwa kunetseka
- Stroke
- Brain Tumor
- Amyotrophic lateral sclerosis (ALS)
Chirwere chePalinson
Kune vanhu vane MS, PBA inotanga kuchinja avo vari mumatanho ekupedzisira, kureva kuti vanhu vane maverengi akawanda eMM vakadzoka kana kuti vane chirwere chinopfuurira, chinokonzera zvirwere.
Ndezvipi Zvimwe Magwaro Anoshandisa Kurondedzera PBA?
Kusiyana kwemashoko anoshandiswa kurondedzera iyi syndrome kwakagadzira kusagadzikana pakati pevanhu vanotambura nazvo, uyewo mukati mezvokurapa. Mamwe mazwi anoshandiswa kutsanangura pseudobulbar zvinosanganisira:
- kusanzwika mupfungwa kunotaura chirwere
- manzwiro ekufungidzira kana kuora mwoyo kana incontinence
- pathological kuseka uye kuchema
- manzwiro
Chii Chinokonzera PBA?
Masayendisiti anotenda kuti vanhu vane pseudobulbar vanokanganisa vakavhiringidza nerve kuisa mavara avo.
Kunyange zvazvo tichiziva kuti cerebellum inodzora kubatana uye kuti muviri unofamba sei, masayendisiti anotenda kuti zvinogonawo kubatsira kudzora kuratidzwa kwemuviri wemanzwiro zvichibva pane zvimwe zvikamu zveuropi. Kunyange zvazvo kunyatsobatanidzwa kwecerebellum mu pseudobulbar kunonzwisisika hakuzivikanwi, nyanzvi dzezvematongerwo enyika dzinotenda kuti dzinotora basa rinokosha muPBA ndi serotonin uye glutamate.
Kusiyanisa Pakati PBA uye Kuora Mwoyo mu MS
Pseudobulbar inogona kukanganisa vanachiremba nokuti vanoti maitiro epachiridzi anoita kuora mwoyo, ayo anowanzoonekwa mune multiple sclerosis. Asi pane zvimwe zvakasiyana-siyana zvinogona kubatsira kusiyanisa pakati pemamiriro maviri aya.
Chimwe chinhu chakasiyana-siyana ndechekuti mukudengenyeka, chiitiko chekuchema chinopindirana nekunzwa mafungiro. Pseudobulbar inosanganisira kunyange zvakadaro, chikamu chomunhu chekuchema hachienderani, chakawedzerwa, kana kuti chinopesana nevanonzwa sei. Uyewo, mu pseudobulbar inopindira, munhu anogona kubva kubva kuchema kusvika kuseka mukati memunhu mumwe chete.
Chimwe chinyorwa inguva. Kubuda kwepseudobulbar yekuchema, kana kuseka, kunowanzouya pakarepo uye kunopera kamwe kamwe, kunogara kwemaminitsi kusvika kumaminitsi. Chiitiko chekuora mwoyo, kune rumwe rutivi, chinotora vhiki mbiri. Mukuwedzera, kuora mwoyo kunobatanidza nedzimwe zviratidzo zvakadai sokuchinja muitiro wehope uye chido, manzwiro eine mhosva, uye kurasikirwa kwechido mumabasa.
Ko Dhigirii Wangu Achabata Sei PBA yangu?
Kana chiremba wako achikuongorora iwe nePBA, iwe unogona kupiwa chirongwa chinopesana nemhepo, se:
- tricyclic antidepressants, saElavil (amitriptyline) kana nortriptyline
- kusarudza serotonin reuptake inhibitors (SSRIs), seCelexa (citalopram)
Zvichida, unogona kunyorerwa Nuedexta (dextromethorphan hydrobromide / quinidine sulfate), iyo yakagamuchirwa neDFA muna 2010 kuitira kurapwa kwePBA. Mukutsvakurudza kwesayenzi, yakaratidza kuti inoshanda pakuderedza zviratidzo zvePBA kune varwere vane MS, pamwe nevanorwara neAIDS.
Zvichida migumisiro yeNuedexta
- chirwere
- chizoro
- kukosora
- kurutsa
- kushaya simba
- kuzvimba
- urinary tract infections
- fukenza
- flatulence
Paunenge uchitora mishonga iyi, kutevera kunokosha, kunyanya kuongorora potassium uye magnesium mazinga mumuviri, izvo zvinogona kuderedzwa neNuedexta. Kunyanya kuongororwa kunogona kudiwa kune avo vari pangozi kweimwe chivhiringidzikodhi chemwoyo chemoyo.
Kuudza Vamwe Pamusoro pePBA Yako
Kungofanana nekukanganwa kwawakasara magirazi ako, kutora nguva shoma kuti uende (kana kuisa) kuenda kwako, kana kusakwanisa kuona sezvawakamboita, PBA chiratidzo che MS. Kungofanana nechiratidzo chero chipi zvacho, unogona kutsanangura zvishoma nezvePBA kune vaunoda kana vanhu vaunoshanda navo - kana ukasarudza.
Chimwe chinhu chinogadzirisa ndechekugadzirira hurukuro shoma pamusoro pePBA inotsanangura kuti chii, uye iyo inobatanidza sei neSMS yako. Nenzira iyi, kana iwe ukazviwana uchiseka kana kuchema, uchava nechimwe chinhu chakagadzirirwa kuti utaure icho chisati chakasvibiswa nekunyadziswa, kuora mwoyo kana kutsamwa. Izvi zvinogona kuderedza kunetseka.
Sources:
Ahmed A & Simmons Z. Pseudobulbar inosanganisira: kupararira uye kutungamira. Ther Clin Risk Manager . 2013; 9: 483-89.
Cruz MP. Nuedexta for the Treatment of Pseudobulbar Affect. Chiitiko Chekuchema Kusinganzwiki kana Kuseka. PT. 2013 Jun; 38 (6): 325-28.
Cummings J et al. Kusarudzira uye kuongororwa kusinganzwisisiki kwekutaura kusuruvara kwepfungwa. CNS Spectr. 2006 Jun; 11 (6): 1-7.
ZVINOKUDZIDZA: Mashoko ari panzvimbo ino ndeongangwa dzekudzidzisa chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti aongororwe uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chechiremba.