Yala i den bɛ to ka o ko kelenw kɛ wa? An ka kalan kɛ (Stereotypic Movement Disorder) kan!

N’a sɔrɔ i ye denmisɛnnin fitininw ye, laala i yɛrɛ den, k’u bolow wuli, k’u kunkolo wuli, walima k’u farikolo lamaga o cogo kelen na. Yala ninnu ye tulonkɛfɛnw dɔrɔn de ye wa, walima u ye fɛn dɔ taamasyɛn ye an ka kan ka hami min na wa? Bi an bɛna kuma nin lamaga-lamagali segin-seginw kan, kɛrɛnkɛrɛnnenya la bana dɔ min bɛ wele ko Stereotypic Movement Disorder (SMD) . Aw kana aw hakili ɲagami, an bɛna kuma nin kan cogo nɔgɔman na, aw bɛ se ka min faamu.

`(Stérotypic Movement Disorder)` ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, Stereotypic Movement Disorder ye bana ye min na den bɛ segin-ka-bɔnye kɛ, ka segin-ka-bɔnye kɛ k’a sɔrɔ a kuntilenna jɛlen si tɛ . Aw ye miiri kunkolodimi, farikolo yɛrɛyɛrɛli, a ɲɔgɔnnaw na.O lamagacogo ninnu bɛ se ka den ka baara kɛcogo ɲuman bali, wa tuma dɔw la, u bɛ se ka tiɲɛni kɛ farikolo la.

Ka kɛɲɛ ni laadilikanw ye minnu bɛ kɛ ka nin bana in sɛgɛsɛgɛ, n’o ye gafe ye min tɔgɔ ye ko Diagnostic and Statistical Manual of Mental Disorders (DSM-5), o lamaga-lamagali ninnu bɛ wele ko "SMD" ni u tɛ se ka ɲɛfɔ ni furakɛli bana walima fura wɛrɛ ye.

A ka ca a la nin bana in bɛ daminɛ sani a ka se san 3 ma , wa a bɛ se ka to senna tuma dɔw la fo ka se balikuya ma.

`(Motor Stereotypies)` kɔrɔ ye mun ye? Yala nin ni `(SMD)` tɛ kelen ye wa?

Ɔwɔ, danfara dɔɔnin bɛ o fila ni ɲɔgɔn cɛ. Sani an ka Se `(SMD)` ma, an k'a Faamu `(Motor Stereotypies)` kɔrɔ ye min ye. `(Motor Stereotypies)` bɛ tali kɛ o lamaga-lamagaliw la, o kɔrɔ ye ko taamasiɲɛw. `(Stereotypic Movement Disorder)` bɛ tali kɛ o bana in na, o kɔrɔ ye bana ye.

Dɔgɔtɔrɔw bɛ ``Motor Stereotypies`` tila suguya fila ye:

• Motɛri sɛgɛsɛgɛli nɔgɔmanw: Olu ka ca kosɛbɛ. U bɛ se ka ye denmisɛnninw na ka fara mɔgɔkɔrɔbaw kan. Misali la, bolokɔnincinin, senkɔni, kunsigi wulicogo, ani wulu kinni. A ka c’a la, o lamaga nɔgɔmanw tɛ don o don baara bali walima ka degunba lase mɔgɔ ma. Olu tɛ an ka kɛwalew dɔrɔn ye an denmisɛnman, nka tuma dɔw la hali ni an bɛ ka kɔrɔbaya.

• Motɛri sɛgɛsɛgɛli gɛlɛnw: Olu ye lamaga gɛlɛnw ye, minnu bɛ segin-ka-bɔ. Misali la, boloci, farikolo lamagacogo, ani da ni ɲɛda lamagacogo segin-segin. A ka c’a la, o lamaga gɛlɛnw bɛ daminɛ sani u ka se san 3 ma , tuma dɔw la u bɛ to sen na fo ka se balikuya ma, wa u bɛ se ka to sen na fo ka se balikuya ma. U bɛ se ka don o don baaraw bali, wa u bɛ se ka farikolo tiɲɛ. Nin farikoloɲɛnajɛ gɛlɛnw bɛ ye tuma caman na SMD la.

O kɔfɛ, nin ``Motor Stereotypies'' suguya fila in bɛ tila ka kɛ suguya fila ye ka taa a fɛ:

• Motɛri fɔlɔw : Olu bɛ kɛ ni sababu basigilen si tɛ u la, o kɔrɔ ye ko ni farikolojidɛsɛ wɛrɛ tɛ.

• Motɛri filananw ka stɛriyɔtiw:Olu bɛ se ka kɛ furakɛli cogoya wɛrɛ dɔ ye. Misali la, bana dɔ bɛ denmisɛn min na, o bɛ wele ko ``Autisme Spectrum Disorder (ASD)`` walima ``Developmental Delay``, o bɛ se ka kɛ ni nin lamaga ninnu ye.

N’an y’a fɔ cogo nɔgɔman na, ni den min bɛ ni `(ASD)` ye, o bɛ nin lamaga suguw kɛ, dɔgɔtɔrɔw b’a jate ko a ye `(ASD)` yɛrɛ yɔrɔ dɔ ye. Dɔw fana b'a Weele ko `(stimming)`. Walasa ka wele ko `(SMD)`, sababu jɛlen wɛrɛ tɛ se ka sɔrɔ (furakɛli cogoya wɛrɛ) o lamaga-lamagali ninnu na.

Stereotypic Movement Disorder ka teli ka kɛ cogo di?

Ɲininikɛlaw dalen t’a la tigitigi SMD ka ca cogo min na, nka a ka c’a la, a bɛ jate bana ye min man teli ka sɔrɔ . Nka, kunnafoni dɔw bɛ Motɛri Stereotypies kan.

Motɛri stɛriyɔti gɛlɛnw man ca. Kɔlɔsiliw y’a jira ko u bɛ denmisɛn 3% ni 4% cɛ. Nka, o hakɛ ka ca denmisɛnniw na minnu ka bana dɔw bɛ u la. Misali la, denmisɛn minnu ka yiriwali gɛlɛya bɛ u la, olu 61% ani denmisɛn minnu bɛ ni autizmu (ASD) ye, olu 88% bɛ se ka nin lamaga gɛlɛn ninnu kɛ.

Nka, farikoloɲɛnajɛ nɔgɔmanw ka teli ka kɛ kosɛbɛ. U bɛ se ka denmisɛnniw 20% ni 70% cɛ minnu bɛ ka bonya cogo la. O kɔrɔ ye ko u tɛ siran i n’a fɔ i bɛ se k’a miiri cogo min na.

`(Stereotypic Movement Disorder)` taamasiɲɛw ye mun ye?

SMD bɛ denmisɛn min na, o bɛ se ka farikoloɲɛnajɛ kɛcogo dɔw sɔrɔ minnu bɛ don o don baaraw bali walima ka farikolo tiɲɛni kɛ. Misali dɔw ye ninnu ye:

• Bolo wulicogo
• Farikolo jiginni
• Kungolo gosi
• Bolo walima bolo lamagacogo min bɛ to sen na
• Da ni ɲɛda lamagacogo suguya kelen kɛli (orofacial movements) .
• Ka i yɛrɛ gosi, ka i yɛrɛ ta, ka i yɛrɛ kin.
• Nɛgɛw kinni jugumanba

Nin kɛcogo ninnu ka teli ka kɛ nin waati suguw la:

• Ni degun bɛ bonya
• Ni jɔrɔnanko nana
• Ni aw nisɔndiyara kosɛbɛ (excitement) .
• Ni i sinsinnen don kosɛbɛ fɛn dɔ kan (focused concentration) .
• Ni i bɛ sɛgɛn `(sɛgɛn)`

Nka, ni hakili jiginna, a ka c’a la, o kɛcogo ninnu bɛ dɔgɔya walima u bɛ tunu.

SMD bɛ denmisɛn minnu na, olu ka teli k’a fɔ ko u bɛ nisɔndiya ani ko u bɛ "okay" sɔrɔ ni u ye nin lamaga ninnu kɛ. O ni bana dɔ tɛ kelen ye i n’a fɔ Disorder Obsessive-Compulsive Disorder (OCD). OCD la, lamaga-lamagaliw bɛ kɛ walasa k’u hakili bɔ miirili juguw la. Nka, n’aw y’a ɲini ka SMD bɛ denmisɛn min na, o bali ka nin lamaga ninnu kɛ, u bɛ se ka dimi, ka u dusu tiɲɛ, walima ka u dusu tiɲɛ .

`(Stereotypic Movement Disorder)` sababuw ye mun ye?

Ɲininikɛlaw ma Stereotypic Movement Disorder sababu tigitigi Sɔrɔ fɔlɔ. O lamaga-lamagali segin-seginw tɛ tali kɛ hakilibana wɛrɛ la walima hakiliɲagami bana wɛrɛ la.

Nka a bɛɛ lajɛlen na, ɲininikɛlaw hakili la ko nin ``Motor Stereotypies`` ninnu bɛ se ka sɔrɔ fɛn dɔw balansi caman cili fɛ hakili la, an bɛ minnu wele ko ``neurotransmitters``, misali la ``dopamine``, ``acetylcholine`` ani ``GABA``

A bɛ iko jɛnɛya jɛɲɔgɔnya bɛ `(Motor Stereotypies)` gɛlɛnw ni ɲɔgɔn cɛ. O kɔrɔ ye ko den min bɛ ni nin lamaga ninnu ye, a ka teli ka kɛ ni a somɔgɔw gɛrɛgɛrɛ dɔ ye (balimakɛ, balimamuso walima bangebaga) min bɛ ni bana in ye. Nka, jɛnɛya kɛrɛnkɛrɛnnen si ma Sɔrɔ fɔlɔ.

`(Stereotypic Movement Disorder)` ka bana sɛgɛsɛgɛ cogo di ?

Walasa dɔgɔtɔrɔ ka se ka a dɔn ko aw den bɛ ni Stereotypic Movement Disorder (SMD) ye, nin bana ninnu bɛɛ ka kan ka dafa :

• o segin-ka-bɔnyew ka kan ka kɛ dɔgɔkun naani kɔnɔ a dɔgɔyalenba la .
• O lamaga-lamagaliw ka kan ka den ka sigidamɔgɔw ka jɛɲɔgɔnyaw, lakɔli baaraw, ani don o don baaraw bali, walima den ka kan ka kojugu kɛ a yɛrɛ la.
• Furakɛcogo wɛrɛ tɛ se ka kɛ o lamaga ninnu na.

Fɔlɔ, aw den ka dɔgɔtɔrɔ bɛna farikolo sɛgɛsɛgɛli kɛ ka aw ɲininka aw den ka furakɛli tariku la. U bɛna aw den ka bana taamasiɲɛw fana ɲininka, misali la:

• O laɲini in daminɛna tuma jumɛn?
• O kow bɛ kɛ siɲɛ joli?
• Yala ninnu bɛ caya ka da ko dɔw walima sigida dɔw kan wa?
• Olu bɛ nɔ jumɛn bila den ka don o don baaraw la?

A nafa ka bon fana ka bana wɛrɛw bɔ kɛnɛ kan minnu bɛ sɔrɔ tuma caman na, minnu bɛ se ka kɛ sababu ye ka nin farikoloɲɛnajɛ gɛlɛn ninnu kɛ, i n’a fɔ Autisme Spectrum Disorder (ASD). O bɛ se ka kɛ sababu ye ka jateminɛ ni kɔrɔbɔli suguya caman kɛ.

Aw den ka dɔgɔtɔrɔ fana bɛ se ka sɛgɛsɛgɛli dɔw kɛ, i n’a fɔ joli sɛgɛsɛgɛli, walasa k’a dɔn ni farikololafɛn dɔ bɛ nin lamaga ninnu na.

`(Stereotypic Movement Disorder)` furakɛcogo jumɛnw ye?

A ka ca a la, furakɛli kɛrɛnkɛrɛnnen si man kan ka kɛ Stereotypic Movement Disorder (Stéreotypic Movement Disorder) la. Nka, ni aw den mago bɛ dɛmɛ na walasa ka dɔ bɔ o lamagacogo ninnu na, walima ni u bɛ ka tiɲɛni kɛ u yɛrɛ la o kɛcogo ninnu kosɔn, kɛwalew furakɛli dɔ min bɛ wele ko Habit Reversal Training (HRT) o bɛ se ka nɔ bɔ kosɛbɛ. O bɛ se ka dɛmɛ ka dɔ bɔ lamaga-lamagaliw fanga la ani u bɛ kɛ siɲɛ caman.

Fɛɛrɛ min bɛ wele ko `(HRT)`, den bɛ dege ka taamasiɲɛw dɔn ni o lamaga-lamagaliw bɛna daminɛ ani ka kɛwale wɛrɛw kɛ o nɔ na. Den b’a dege k’a ka kɛwalew kunbɛn ni o fɛɛrɛw ye. Kalanso kɔnɔ ani so kɔnɔ, den karamɔgɔ ni aw bɛ se ka nin kɛwale ninnu dabila ka den hakili bɔ a la ni aw y’u ye dɔrɔn.

Ni aw den bɛ ka a yɛrɛ tɔɔrɔ (misali la, a bɛ u kunkolo gosi walima k’a yɛrɛ sɔgɔ) k’a sababu kɛ nin ``Motor Stereotypies'' ninnu ye, fɛɛrɛ kɛrɛnkɛrɛnnenw bɛ se ka tigɛ walasa k’u lakana. O bɛ se ka kɛ u ka ``kasɛti'' don walima ka ganw don walasa ka dɔ bɔ fɛnw tigɛcogo la. Aw bɛ se ka ladilikan ɲini aw den ka dɔgɔtɔrɔ fɛ walima ``Baarakɛla'' fɛ fɛɛrɛ kɛrɛnkɛrɛnnenw kan minnu bɛ bɛn aw den ka kɛwalew ma.

Kɔlɔsiliw y’a jira ko fura dɔw bɛ se ka dɛmɛ don ka farikoloɲɛnajɛ gɛlɛnw kunbɛn denmisɛnw na minnu bɛ ni autizmu ye ani minnu bɛ ni hakiliɲagami bana wɛrɛw ye. Nka, sɛgɛsɛgɛli si ma kɛ min b’a jira ko fura ninnu bɛ dɛmɛ don Stereotypic Movement Disorder (Stéreotypic Movement Disorder) la.

Ni `(Stereotypic Movement Disorder)` bɛ ne den na, ne ka kan ka mun makɔnɔ?

`(SMD)` ka kɛwalew bɛ se ka taa ɲɛ tuma caman na fo ka se balikuya ni balikuya ma. Aw ye aw hakili to a la ko ni den tɛ kojugu kɛ a yɛrɛ la, o kɛwalew tɛ kojugu kɛ. A bɛ se ka kɛ ko nin ye u yɛrɛ ka diɲɛ kunbɛncogo dɔrɔn de ye. Ɔwɔ, a bɛ se ka kɛ ko a ni tɔw tɛ kelen ye. Nka o tɛ ‘jugu’ ye.

Ni den mako bɛ dɛmɛ na nin lamaga ninnu na, aw bɛ taa a ka dɔgɔtɔrɔ walima baarakɛla dɔ fɛ. Ni aw ye kuma dɔw di aw den ma a ka latigɛw la a ladonni ko la, o bɛ se k’a dɛmɛ a k’a ye ko a bɛ se ka a farikolo mara, wa o bɛ se ka nɔ ɲuman bila a hakili kɛnɛya la.

Ne ka kan ka ɲininkali jumɛnw kɛ ne den ka dɔgɔtɔrɔ la?

Ni aw den bɛ ni Stereotypic Movement Disorder ye, a bɛ se ka kɛ a nafa ka bon ka dɔgɔtɔrɔ ɲininka nin ɲininkali ninnu na:

• "Mun na, Dɔgɔtɔrɔ/Miss, nin `(Stereotypic Movement Disorder)` bɛ n den na?"
• "An bɛ se k'a dɔn cogo di k'a jɛya ko nin bɛ ne den na, ko bana wɛrɛ tɛ a la?"
• "Yala taamasiɲɛ wɛrɛw bɛ yen ne ka kan ka minnu kɔlɔsi wa?"
• "Ne bɛ se ka n den dɛmɛ cogo di min bɛ ni Stereotypic Movement Disorder ye?"
• "Dɔgɔtɔrɔ kɛrɛnkɛrɛnnen sugu jumɛnw bɛ se ka n den dɛmɛ?"

Yala Stereotypic Movement Disorder bɛ se ka bali wa?

Ikomi Stereotypic Movement Disorder sababu tigitigi ma dɔn, a tɛ se ka bali.

I n’a fɔ bangebaga, a bɛnnen don i ka hami ni i ye hali fɛn fitinin dɔ kɔlɔsi i den ka kɛwalew la. ‘SMD’ jɔnjɔn ye taamacogo dɔrɔn ye min bɛ segin-ka-bɔnyew danfara, kun tɛ minnu na i n’a fɔ nin. A bɛ se ka kɛ ko aw den mago bɛ dɛmɛ na o la walima a tɛ se ka kɛ. Nka, min nafa ka bon kosɛbɛ, o ye ka i den dɛmɛ. Aw bɛ se ka dɛmɛ sɔrɔ fana aw den ka dɔgɔtɔrɔ fɛ. Aw kana siran ka ɲininkaliw kɛ ani ka aw hakilinaw fɔ. U bɛ yen walisa k’i dɛmɛ.

Fɛn minnu nafa ka bon kosɛbɛ an ka kan ka to an hakili la (Take-Home Message) .

O bɛ ɲɛ, o la, an ye kuma minnu kan, an ka kan ka minnu to an hakili la, olu dɔw filɛ nin ye:

• Lamaga-lamagali (SMD) ye bana ye min na lamaga-lamagali segin-segin bɛ kɛ cogo kelen na k’a sɔrɔ kuntilenna jɛlen tɛ.
• O lamaga-lamagali ninnu bɛɛ tɛ ko jugu ye. ``Motɛri stereotypies`` nɔgɔmanw ka ca.
• Ni o lamagacogo ninnu bɛ den ka don o don ɲɛnamaya bali, ni u bɛ kojugu kɛ a yɛrɛ la, walima ni den bɛ tɔɔrɔ o la, aw bɛ dɔgɔtɔrɔ ka ladilikan ɲini.
• Taamacogo furakɛli i n’a fɔ ``Habit Reversal Training (HRT)`` bɛ se ka dɛmɛ don ka nin bana in kunbɛn.
• Min nafa ka bon kosɛbɛ, o ye ka den faamuya, ka kanuya ni dɛmɛ di a ma, ka sɔn o lamaga-lamagali ninnu ma k’a kɛ a dɔ ye.

Ni ɲininkali wɛrɛw bɛ aw fɛ o ko la, aw kana siga ka kuma aw ka denbaya dɔgɔtɔrɔ fɛ walima denmisɛnw ka dɔgɔtɔrɔ dɔ fɛ.

` Lamaga-lamagalibaliya, lamaga-lamagali segin-segin, farikoloɲɛnajɛ sɛgɛsɛgɛli, autizmu, ASD, kɛwale gɛlɛyaw, denmisɛnw hakili kɛnɛya, yɛrɛdɔn