Ðe viwò suea le hehem ɖe megbe vie be yeawɔ ɖeka kplii ahafe kple ɖevi bubuwoa? Alo ɖe wòse le ɖokuiwò me kpɔ be esesẽna nɛ be wòagblɔ eƒe seselelãmewo ɖe nyagbewo mea? Ɣeaɖewoɣi abe vidada alo vifofo ene la, ne èkpɔ nu suesuesue siawo tɔgbe la, esɔ be vɔvɔ̃ naɖo ŋuwò vie eye ɖikeke le ŋuwò. Emae nye nusi ŋu míele nu ƒom tsoe egbea.
Nukae Nye Tsitsi ƒe Dɔléle si bɔ (PDD)?
Kpuie ko la, Pervasive Developmental Disorder , si woyɔna zi geɖe be ``PDD'', nye nya si wozãna tsã tsɔ ɖɔa tsitsi ƒe megbetsitsi geɖe siwo kpɔa ŋusẽ ɖe ɖevi ƒe ŋutete be wòade ha kple ame bubuwo, aɖo dze kple amewo, eye wòaɖo dze kple ame bubuwo.
Gake, enyo be nànya. Fifia ɖɔktawo yɔa nɔnɔme sia be Autism Spectrum Disorder , alo ASD kpuie. Ŋkɔa trɔ le ƒe 2013. Amerika Tagbɔdɔlélawo ƒe Habɔbɔ (Amerika Tagbɔdɔlélawo ƒe Habɔbɔ) tsɔ nɔnɔme ene siwo to vovo tsã la va akɔtakpoxɔnu ɖeka te le woƒe dɔlélewo didi ŋuti mɔfiamegbalẽ si nye DSM-5 me. Nɔnɔme eneawoe nye:
- Autistic dɔléle
- Asperger ƒe dɔlélea
- Ðevimenɔɣi ƒe dɔléle si gblẽa nu le ame ŋu
- Tsitsi ƒe dɔléle si bɔ ɖe afisiafi si womegblɔe bubui o (PDD-NOS) .
Eyata, àteŋu akpɔe be `(PDD)` nye hatsotso si keke ta wu `(ASD)` ƒe akpa aɖe fifia. Ke hã, le nyati sia katã me la, míazã `(PDD)` kple `(ASD)` siaa be wòanɔ bɔbɔe na wò be nàse egɔme.
Ðevi siwo ŋu ``(PDD)`` sia le ate ŋu ado go kuxi vovovowo. Le kpɔɖeŋu me:
- Tsi megbe le nuƒoƒo gɔmedzedze me, alo susuwo gbɔgblɔ sesẽ na wò.
- Ne tɔtrɔ sue aɖe va woƒe gbesiagbenuwɔnawo me, eɖanye le woƒe dɔwɔnawo me alo le nuto si me wole me o, ate ŋu asesẽ na wo be woatrɔ ɖe eŋu. Bu eŋu kpɔ, ne èkplɔ wo yi suku le mɔ si to vovo na esi wozɔna zi geɖe dzi la, ate ŋu ado dziku na wo.
- Kadodo kple ame bubuwo kple woƒe seselelãmewo gɔmesese sesẽ.
Aleke gbegbee PDD ƒe nɔnɔme sia bɔe?
Le nyateƒe me la, PDD nye dɔléle siwo bɔ wu le ASD ƒe hatsotso me la dometɔ ɖeka. Wogblɔ be amesiwo ŋu wokpɔ ASD le la dometɔ 47% koe dzena le hatsotso sia me.
Nukawoe nye PDD ƒe dzesiwo?
Ðevi siwo ŋu PDD le ƒe dzesi vevitɔwoe nye be kadodo kple hadede kple ame bubuwo sesẽna na wo . Woate ŋu ato nu siwo gbɔna hã me:
- Nu ɖeka ma ke wɔwɔ zi gbɔ zi geɖe: Nuwo abe abɔwo ʋuʋu, wò ŋutilã ʋuʋu yi ŋgɔ kple megbe, alo fefe kple fefenu ɖeka ma ke ene.
- Susuwo gbɔgblɔ le gbegbɔgblɔ me sesẽ:Nyawo wɔwɔ sesẽna na ɖevi aɖewo, gake bubuwo ya xɔa ɣeyiɣi didi hafi dzea nuƒoƒo gɔme.
- Ate ŋu asesẽ be woatrɔ ɖe tɔtrɔ siwo vaa gbesiagbenuwɔnawo me ŋu: Abe alesi míegblɔe le etame ene la, tɔtrɔ suesuesuewo gɔ̃ hã ate ŋu akpɔ ŋusẽ gã aɖe ɖe wo dzi.
- Ƒo asa na ŋkuléle ɖe ame ŋu: Kpɔ ŋku ɖa alo ŋkumekpɔkpɔ manɔmee ne èle nu ƒom.
- Dzeɖoɖo me nɔnɔ sesẽ: Be nànɔ blewu le nya ŋu ɖom ne ame aɖe bia nya aɖe, alo dzeɖoɖo gɔmedzedze alo edziyiyi sesẽ na wò.
- Ame ƒe seselelãmewo dzi ɖuɖu sesẽ: dzikudodo bɔbɔe, alo blanuiléle alo dzimaɖitsitsi.
- Gbe ƒe gbeɖiɖi ƒe tɔtrɔ: Ɣeaɖewoɣi la, nuƒoƒo le gbeɖiɖi ɖeka me (`gbe gbadzaa`), alo nuƒoƒo kple gbe si kɔ ŋutɔ.
Nu vevitɔe nye be menye ɖevi siwo katã ŋu PDD le la sɔ o. Ðevi aɖewo ƒe dzesiwo ate ŋu anɔ bɔbɔe ŋutɔ, evɔ ame bubuwo ya ate ŋu agblẽ nu le wo ŋu vevie wu. Ame akpa gãtɔ dzea anyi ɖe teƒe aɖe le wo dome.
Nukawoe hea PDD vɛ?
Ne míagblɔe tututu la, numekulawo mekpɔ nya ɖeka pɛ hã si gbɔ PDD tsona haɖe o . Gake woxɔe se be nu vovovowo ƒo ƒu gbɔe wòtso. Wo dometɔ vevitɔwoe nye:
- Domenyiŋusẽfianu: Eŋutinunyala geɖe xɔe se be domenyiŋusẽfianuwo wɔa akpa aɖe le PDD ƒe dzɔdzɔ me. Gake wogale agbagba dzem kokoko be yewoanya alesi tututu woawɔe. Tɔtrɔ aɖewo vaa ame geɖe siwo ŋu PDD le ƒe domenyiŋusẽfianu me, siwo woyɔna be domenyiŋusẽfianu ƒe tɔtrɔ . Le nyateƒe me la, dzɔdzɔmeŋutinunyalawo de dzesi domenyiŋusẽfianu siwo wu 100 le domenyiŋusẽfianu vovovowo me siwo do ƒome kple ASD le mɔ aɖe nu. Gake esesẽ ŋutɔ. Menye amesiame si ŋu PDD le ƒe domenyiŋusẽfianuwo katã ƒe tɔtrɔ ɖekae o. Azɔ hã, woate ŋu akpɔ tɔtrɔ siawo dometɔ aɖewo le amesiwo si PDD mele o ŋu. Fifia numekula akpa gãtɔ lɔ̃ ɖe edzi be domenyiŋusẽfianu ƒe tɔtrɔ aɖewo ate ŋu ahe dzesi aɖewo vɛ alo akpɔ alesi dzesi mawo nu sẽe dzi. Ne mede ɖeke o la, tɔtrɔ siawo ate ŋu ana afɔku si le PDD xɔxɔ me nadzi ɖe edzi.
- Nutoa me ƒe nɔnɔmewo: Tsɔe be domenyiŋusẽfianu aɖe le asiwò be nàxɔ PDD. Ekema, nutome ƒe nu aɖewo ƒe amedzidzedze ate ŋu ana afɔku sia nadzi ɖe edzi. Le kpɔɖeŋu me, ne domenyiŋusẽfianu ƒe tɔtrɔ aɖe le ŋuwò, dɔlékui aɖe le ŋuwò, alo aɖi aɖe le ŋuwò la, anɔ eme be PDD adze dziwò.
- Nu gbagbewo ŋuti nunya: Numekulawo gale nu gbagbe siwo ate ŋu ana PDD xɔxɔ ƒe afɔkua nadzi ɖe edzi la me dzrom. Esiawo ate ŋu anye nɔnɔme siwo gblẽa nu le wò lãmenugbagbeviwo ƒe dɔwɔwɔ, dɔlélenutsiŋutete, alo ahɔhɔ̃a ƒe akpa aɖewo ŋu.
Nukawoe nye afɔku siwo le PDD xɔxɔ me?
Afɔku nye nane si nana dɔléle aɖe xɔxɔ ƒe mɔnukpɔkpɔ dzina ɖe edzi. Eŋutinunyalawo de dzesi afɔku mawo tɔgbe geɖe siwo ate ŋu ana PDD nadze ame dzi:
- Nɔviŋutsu alo nɔvinyɔnu si ŋu PDD alo ASD ƒomevi bubu aɖe le ƒe amesinɔnɔ.
- Domenyiŋusẽfianu aɖewo, abe fragile X syndrome alo Down syndrome ene .
- Ƒe si dzilawo xɔ le ɖevia dzidziɣi wu ƒe 35 (vevietɔ vidadaa ƒe ƒe - `dada ƒe ƒe si tsi`).
- Be wodzii kple vidzidzi ƒe kpekpeme si bɔbɔ ŋutɔ.
Nukawoe nye kuxi siwo ate ŋu ado tso PDD me?
Togbɔ be kuxi tɔxɛwo le amesiame si ŋu PDD le ŋu hã la, dzesiawo ƒe sesẽme ate ŋu ato vovo ŋutɔ. Ðevi aɖewo siwo ŋu PDD le ate ŋu aɖo dze le mɔ si sɔ nu, evɔ bubuwo ya mate ŋu agblɔ nya ɖeka pɛ hã o. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nànya kpekpeɖeŋu si ƒomevi viwòa hiã. Zi geɖe la, ne èkpɔ dɔlélea le viwòa ŋu kaba hedae la, ate ŋu akpe ɖe ŋuwò nàɖe dɔlélea ƒe dzesiwo dzi akpɔtɔ.
Aleke ɖɔktawo wɔa dea dzesi PDD?
Dodokpɔ alo atikewɔwɔ me dodokpɔ aɖeke koŋ meli si ate ŋu anya PDD o. Ke boŋ ɖɔktawo léa ŋku ɖe ame ƒe nuwɔna ŋu heléa ŋku ɖe eƒe tsitsi ŋutinya ŋu.
Amerika Ðeviwo ƒe Dɔlélewo Ŋuti Nusrɔ̃ƒe kafui be woado ɖeviwo katã kpɔ be ASD le wo ŋu siwo xɔ tso ɣleti 18 va ɖo 24. Ðɔkta geɖe wɔa dodokpɔ sia le woƒe tsitsi kple lãmesẽ dodokpɔ edziedzi me. Le ɣeyiɣi sia me la, wò ɖɔkta aƒo nu kple viwòa ahafe kplii. Woabia nya wò tso ale si viwòa wɔa nui, ale si wòƒoa nui, kple ale si wòʋãna le aƒeme hã ŋu.
Togbɔ be zi geɖe la, wokpɔa dɔléle siawo le ɖevime hã la, ɖɔktawo ate ŋu akpɔ PDD kple ASD le ɖevi tsitsiwo, sɔhɛwo, kple ame tsitsiwo ŋu. Ne èsusu be PDD alo dɔléle aɖe si do ƒome kplii ate ŋu anɔ ye alo viwò ŋu la, ƒo nu kple wò ɖɔkta. Ate ŋu ado wò kpɔ alo aɖo wò ɖe ASD ŋuti nunyala bibi aɖe gbɔ.
Aleke wowɔa atike na PDD?
Ðɔktawo zãa atike vovovowo tsɔ kpɔa PDD gbɔ. Wo dometɔ vevitɔwoe nye:
- Atikewɔwɔ siwo kpena ɖe ame ŋu
- Atikewo
- Atikewɔwɔ kpeɖeŋutɔ
Atikewɔwɔ ƒe tiatia ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ðewohĩ nusi wɔa dɔ na ame aɖe mawɔ dɔ na ame bubu o. Amesiame ƒe nuhiahiãwo to vovo. Wò ɖɔkta awɔ atikewɔwɔ ƒe ɖoɖo si sɔ na wò ŋutɔ si akpe ɖe ŋuwò alo viwòa ŋu nàkpɔ kpekpeɖeŋu si wohiã wu.
Atikewɔwɔ siwo kpena ɖe ame ŋu
Atike vevitɔ si wozãna na PDD enye beléle si kpena ɖe ame ŋu. Esia ate ŋu alɔ:
- Nuƒoƒo ƒe atikewɔwɔ: Ekpena ɖe ame ŋu wòtu ŋutete ɖo be wòaɖo dze ahase nyawo gɔme.
- Dɔdamɔnu: Ekpena ɖe ame ŋu wòdoa ŋusẽ ŋutilã ƒe dɔwɔwɔ ɖekae eye wòsrɔ̃a gbesiagbedɔwo, abe tsilele, awudodo, kple aɖututu ene.
- Lãmesẽfefewɔwɔ: Ekpena ɖe ame ŋu wòtua lãmekawo ƒe dɔwɔwɔ ƒe ŋutete ɖo, srɔ̃a alesi woade kame, eye wòdzia ŋusẽ ɖe edzi.
- Applied behavioral analysis (ABA): Esia nye nuwɔna ŋuti dɔdamɔnu si dzea agbagba be yeadzi nuwɔna nyuiwo ɖe edzi eye yeaɖe nuwɔna gbegblẽwo dzi akpɔtɔ.
Atikewo
Atike aɖeke meli si ate ŋu ada PDD tẽ o. Gake nɔnɔme bubuwo hã le ame geɖe siwo ŋu PDD le ŋu, abe susu ƒe dɔmawɔmawɔ nyuie/dɔwɔwɔ fũu akpa ƒe dɔléle (ADHD) , dzimaɖitsitsi , kple blanuiléle ene . Le nɔnɔme mawo me la, atikewo ate ŋu akpe ɖe wo ŋu be woƒe agbenɔnɔ bliboa nanyo ɖe edzi.
Atikewɔwɔ kpeɖeŋutɔ
Atikewɔwɔ kpeɖeŋutɔe nye mɔnu siwo menye kɔnyinyi o zazã kpe ɖe atikewɔmɔnu siwo wozãna ɖaa ŋu. Esia ate ŋu alɔ nu geɖe ɖe eme, abe:
- Aɖaŋudɔwo ƒe atikewɔwɔ
- Hadzidzi ƒe atikewɔwɔ
- Massage na ame
- Atikewɔwɔ na ame
- Yoga wɔwɔ
- Ŋugbledede
Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ atikewɔmɔnu siwo akpe ɖe ŋuwò siwo ate ŋu ana wò lãmesẽ bliboa kple wò nyonyo nanyo ɖe edzi.
Ðe woate ŋu axe mɔ ɖe PDD nua?
Ao, naneke meli nàte ŋu awɔ atsɔ axe mɔ ɖe PDD alo nɔnɔme bubu aɖeke si dze le ASD ƒe hatsotso me nu o. Esi wòle wò alo viwòa si ta la, mefia be èwɔ nu gbegblẽ aɖeke o. Susu geɖewo li siwo tae amewo xɔa PDD ɖo, eye wo dometɔ aɖeke mele wò ŋusẽ te o. Azɔ hã, dzɔdzɔmeŋutinunya me kpeɖodzi aɖeke meli be ɖeviwo ƒe atikewɔmɔnuwo hea PDD alo ASD vɛ o.
Mɔ nyuitɔ si dzi woato akpɔ PDD gbɔe nye be woakpɔ dɔlélea kaba eye woadze nudede dɔa me gɔme kaba . Gake metsi megbe gbeɖe be woadze atikewɔwɔ gɔme o, elabena atikewɔwɔ ate ŋu aɖe vi le ƒe ɖesiaɖe me.
Ɣekaɣie wòle be makpɔ nye ɖɔkta?
Ne èsusu be PDD alo nɔnɔme ma tɔgbe le viwò ŋu la, ƒo nu kple wò ɖɔkta tso tsitsime dodokpɔwo ŋu. Agblɔ na wò ne viwòa ƒe dodokpɔwo sɔ kple ne ehiã be nàyi eŋutinunyala bibi aɖe gbɔ hena dodokpɔ bubuwo wɔwɔ.
Ne ame tsitsie nènye eye nèsusu be ɖewohĩ dɔléle aɖe si woyɔna be PDD alo ASD le ye ŋu la, bia wò ƒomea ƒe ɖɔkta alo atikewɔla gbãtɔ be wòakpe ɖe ye ŋu. Esi amewo va nya nu tso ASD ŋu geɖe wu ta la, dɔwɔnu kple kpekpeɖeŋu geɖe li egbea wu esiwo nɔ anyi ƒe ʋee aɖewo koe nye esia. Metsi megbe akpa gbeɖe be nàxɔ kpekpeɖeŋu si nèhiã o.
Eɖanye wò alo viwòe o, tsitsimedɔléle aɖe ƒe dzesi xɔxɔ ate ŋu ado vɔvɔ̃ na ame—abe afɔɖeɖe ɖe xexe yeye aɖe me ene. Alo ate ŋu anye gbɔdzɔe ne èkpɔ ŋuɖoɖo na nyabiase aɖe si ŋu nènɔ ŋugble dem le ɣeyiɣi didi aɖee nye sia la mlɔeba. Ke hã, wò ɖɔkta le afima na wò. Eŋutinunyalawo nya nu geɖe tso ASD ŋu egbea wu alesi wonyae ƒe ewo alo eve siwo va yi gɔ̃ hã.
Kpuie ko la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
Ame siwo ŋu ASD le la kpɔa xexeame le mɔ bubu nu vie – gake menye nu gbegblẽe nye ema o. Ðoɖo aɖe, alo ɖoɖo aɖe wɔwɔ le wò gbesiagbegbenɔnɔ me nye mɔ nyui aɖe si dzi nàto akpɔ ɖokuiwò dzi. Enye mɔ nyui aɖe hã si dzi nàto aɖee afia viwò be yelɔ̃e abe alesi wòle ene.
Mega tsi dzi o. Menye wò ɖeka koe o. Ne èsusu be PDD alo ASD le ye ŋu la, kpɔ egbɔ be yebia atikewɔlawo ƒe aɖaŋuɖoɖo. Nudede eme kaba ate ŋu akpe ɖe viwòa ƒe etsɔme ŋu wòanyo ɖe edzi ŋutɔ. Ðo ŋku edzi be asixɔxɔ le ɖevi ɖe sia ɖe ŋu, eye míate ŋu akpe ɖe ɖevi ɖesiaɖe ŋu wòaɖo eƒe ŋutete katã gbɔ.
` Pervasive Developmental Disorder, PDD, Autism Spectrum Disorder, ASD, Ðeviwo ƒe Tsitsi, Ahɔhɔ̃ ƒe Tsitsi, Hadomegbenɔnɔ ƒe Aɖaŋuwo, Kadodo ƒe Kuxiwo, Domenyiŋusẽfianu ƒe Ŋusẽkpɔɖeamedziwo, Nuwɔna ƒe Dɔdamɔnu

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