Well they could be flower spikes so youll have to wait a week or two more to see. If they are, congratulations!
If they are new growths the best thing to do is lay the bulb down unto the medium so the new leads can root. Its inconvenient but it wont hurt the plant. Your pseudobulb seems very elongated so i also reccommend finding a place with more light for this plant. It will grow shorter stronger and fatter bulbs and it may start growing from the base.
Dont forget to let those growths grow some nice long roots before you start watering!
Good luck!
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