Pseudobulbar inogona kujekesa inogona kutsanangura kusadzivirirwa kusvimha misodzi kana kuseka
Mumwe murwere anouya kune chiremba chepfungwa nokuti ari kuita nekuchema kamwe-kamwe kwechikonzero chaicho chikonzero chaicho. Chiremba kuongororwa kushungurudzika uye inorondedzera anodzvinyirira. Zviratidzo zvekuchema kwevarwere zvakaderedzwa, asi kuchine dambudziko.
Mumwe murwere anoona chiremba wake nokuti ari kuona kusinganzwisisiki kuchema uye kuseka. Anogona kuonekwa ane bipolar disorder uye akabatwa saizvozvi.
Muzviitiko zvose izvi, kuongororwa kunogona kuva kwakarurama, asi chikonzero chezviputi izvi zvekuchema kusingadzorwi uye, kazhinji, kuseka kungave kuripo nekuda kwehosha inonzi pseudobulbar inobata (PBA). (Chirwere ichi chinogona kuzivikanwa nemazita mazhinji, uye munguva pfupi yapfuura yave ichinzi inongoratidzirwa manzwiro ekutsanangura chirwere, kana IEED.)
Chii Chinonzi PBA?
Chiratidzo chikuru chePBA ndechokuti kamwe-kamwe, kusinganzwisisiki uye kusinganzwisisiki kuchema kunowanzoitika kakawanda pazuva pasina chikonzero chakaoneka. Saizvozvowo kuseka kamwe kamwe kunogona kuitika zvakare, pamwe nekuputika kwehasha. Kakawanda, varwere vanogara vari voga musinganyadziswi, izvo zvinogona kutungamirira kune zvimwe zvirwere zvinoderedza.
Pseudobulbar inosangana nemamiriro ezvinhu anoitika nekuda kwemamwe maitiro eurologi uye inogona kuitika kune varwere vane amyotrophic lateral sclerosis (ALS kana Lou Gehrig's Disease), multiple sclerosis (MS), chirwere cheAlzheimer, uye chirwere chePalinson. Kukuvara kwehupfungwa kunetseka kuburikidza nengozi kana kurohwa kungaita kuti PBA ionekwe zvakare.
Dzimwe nguva zviratidzo zvePBA zvinowana kuora kwehupfungwa kwakavanzika.
Kunyangwe urwere hwacho hwakatsanangurwa makore anopfuura zana apfuura, hunoramba huchiri kuongororwa zvisina kunaka nehuwandu hwakawanda. Chikamu chechikonzero ndechokuti chinogona kukonzera kuora mwoyo, uyewo kutungamirira kune zvimwe zviratidzo zvine chokuita nekuora mwoyo uye bipolar chirwere.
Mukuwedzera, vanhu vane zvirwere zvePBA zvinobatanidzwa, zvakadai sa multiple sclerosis, kazhinji vanewo kuora mwoyo kana bipolar zviratidzo. Uye pakupedzisira, kurapwa kwezvinetso zvepfungwa zvinowanzova nemigumisiro yekuderedza zviratidzo zvePBA, kunyange zvazvo kakawanda kusina kukwana kubvumira murwere kuti anzwe zvakare zvakare.
Chidzidzo chikuru chakawana kuti 51 kubva muzana yevanhu vane PBA vakashuma kupedza nguva shomanana kushamwaridzana neshamwari nemhuri, uye 57% zvishoma kusvika panguva iyo vachitaura pafoni. Nokudaro hupenyu hwezuva nezuva nekushanda kwechirwere ichi kune zvakanyanya.
Kusiyanisa pakati pePBA neModhi Matambudziko
Chinokosha chikuru pakati pseudobulbar inoshanda uye mamwe zvirwere zvepfungwa zvakadai sekuora mwoyo uye bipolar ndeyekuti kuputika kwekuchema, kuseka uye / kana kutsamwa kunowira pasina chikonzero, kunopedzisira nguva shoma, uye kunogona kuitika kakawanda munguva yezuva. Kunyange zvakadaro, munhu anogona kuona kuti murwere anongova nemanzwiro ekuchema angangorwara ane kuora mwoyo, kunyanya kubva pane imwe ongororo yakawana kuti vanenge 90 muzana yevarwere vePBA vanewo zviratidzo zvakanyanya zvinorwadza.
Sezvo kushamwaridzana nekuregererwa / kusiyanisa kazhinji chiratidzo chekuderera kukuru kwezvirwere, chikonzero chazvo chinofanira kugadziriswa. Mukuderedza mwoyo uye bipolar disorder, ichi chiratidzo chakakosha, muPBA, zvinoitika nokuti varwere vanotya kuva mune zvemagariro evanhu.
Fungidzira kuputika kuseka panguva yemariro, kana kamwe kamwe uchichema pakati peboka rebhodhi. Zviitiko zvakadaro zvinogona nyore kuita kuti munhu arege chero mamiriro ezvinhu apo zviratidzo zvePBA zvingave zvisina kukodzera uye zvinonyadzisa.
Zvimwe zviratidzo zvekuora mwoyo zvirwere hazvibatanidzi nePBA, zvakadai sekuchinja kwechido uye kusava nemaonero ekusava netariro kana kuti mhosva.
Kurapa PBA
Ichangobva kuitika kuti kurapwa zvakananga kwePBA kwakawanikwa, uye ipapo chete nekukanganisa. Vatsvakurudzi vakanga vari kuedza kusanganiswa kwemishonga mbiri kuti vaone kana yakabatsira zviratidzo zveAAL, uye kunyange zvazvo pakanga pasina kuitika kune ALS, varwere avo vakanga vane PBA vakaratidza kuti kurapa kwekuedza kwakaderedza kuseka kwavo uye / kana kuchema.
Iko kusanganiswa kunosanganisira dextromethorphan uye quinidine, mishonga yemwoyo. Kunyange zvazvo dextromethorphan inowanzobatanidzwa mumishonga yekukanganiswa, varwere havafaniri kuedza kuzviitira-mishonga yePBA, sezvo mishonga yemishonga yakasiyana chaizvo.
Kutsvakurudza kwakawanda kunodiwa kuti uone kana mushonga wacho wakachengeteka kuvanhu vane zvirwere zvakadai sehosha yaPasinson. Pane zvinetso pamusoro pezvinetso zvinokonzerwa nokusanganisa nemishonga yezvirwere izvi. Mukuwedzera, varwere vanotora zvirwere zvinodhaka zvinoshanda pa serotonin, kana avo vane ngozi ipi neipi yezvinetso zvemwoyo, vanoda kungwarira zvakanyanya.
Kuongororwa kana Kusarudzwa?
Mimwe miedzo yakavimbika yePBA yakagadzirwa, uye zvizhinji zviri mumabasa. Nemhaka yekuti vanhu vakawanda havazivikanwi sevari nekuora mwoyo, bipolar, kana zvimwe zvirwere zvakadai sekuzvidya mwoyo kana kunyange schizophrenia, hazvibviri kuziva kuti vangani vanhu muUnited States vane pseudobulbar inoshanda. Anofunga kuisa nhamba yevarwere vane PBA pakati pemamiriyoni maviri nembiri. Nenguva uye dzidzo, vanhu vakawanda vachaonekwa sevari nePBA uye vanogona kuwana kurapa kwakakodzera.
Sources:
Colamonico, J., Formella, A., naBradley, W. "Pseudobulbar Inobatsira: Mutoro Wechirwere muU.SA." Kufambira Mberi muTherapy. 2012; 29 (9): 775-798.
May, TS Kushushikana Kwepfungwa Kunotsanangurira Dambudziko Kazhinji Kusinganzwisisiki uye Kusinganzwisisiki. Psychiatric Times . 3: 8. 1 Aug 2007.
DiSalvo, D. Haasi Kuchema Vese Kuora Mwoyo: Kunzwisisa Pseudobulbar Kunobatsira. Psychology Nhasi . 18 Gumiguru 2011.
Gordon, D. Mafashamo emanzwiro: Kurapa kusingadzorwiki kuchema nekuseka kwepseudobulbar kunobata. Neurology Zvino . American Academy of Neurology. February / March 2012; Bhuku 8 (1); p. 26-29.