Xav txog seb, koj tus menyuam zoo siab thiab ib txwm zoo li qub txog nag hmo. Tab sis thaum sawv ntxov no nws sawv thiab dhau los ua ib tus neeg txawv kiag li. Tam sim ntawd nws quaj, npau taws, tsis xav nyob deb ntawm koj ib pliag ... thiab qee zaum ua tib yam dua thiab dua. Pom ib yam dab tsi zoo li no, txhua tus niam thiab txiv ntshai heev, puas yog? Qhov laj thawj rau qhov no yuav yog ib yam dab tsi uas koj tsis xav txog. Qhov ntawd yog ib qho mob hu ua PANDAS Syndrome. Cia peb tham txog qhov no yooj yim thiab meej.
PANDAS Syndrome yog dab tsi tiag?
Hais yooj yim xwb, PANDAS yog ib yam mob ntawm lub paj hlwb thiab kev puas siab puas ntsws uas tshwm sim rau qee tus menyuam tom qab lawv kis tus kab mob strep throat. Lo lus PANDAS yog ib lo lus luv rau Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. Txawm hais tias lub npe yuav zoo li nyuaj, qhov ua rau muaj qhov no yeej yooj yim heev.
Peb cov kws kho mob ntseeg tias qhov no yog ib qho kab mob autoimmune. Qhov no yog nws txhais li cas. Thaum ib tug me nyuam tau txais cov kab mob strep, peb lub cev tiv thaiv kab mob, lub cev tiv thaiv kab mob, pib tawm tsam cov kab mob no. Tab sis qee zaum, qee qhov ntawm cov kab mob strep no zoo ib yam li cov hlwb noj qab haus huv hauv peb lub hlwb. Yog li , peb lub cev tiv thaiv kab mob, uas mus qus, pib tawm tsam cov kab mob thiab, los ntawm qhov yuam kev, pib tawm tsam peb cov hlwb noj qab haus huv. Thaum ntawd peb pom cov kev hloov pauv tam sim ntawd.
Feem ntau pom muaj tus mob no rau cov menyuam yaus hnub nyoog ntawm 3 thiab 12 xyoos. Txawm li cas los xij, nws kuj tuaj yeem tshwm sim rau cov menyuam loj dua. Qhov no yog ib qho mob tsis tshua muaj. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no ua ntej ntshai.
Cov tsos mob ntawm qhov no yog dab tsi? Koj paub nws li cas?
Tus yam ntxwv tseem ceeb ntawm tus kab mob PANDAS yog tias nws pib sai sai, yuav luag ib hmos. Tus menyuam tus cwj pwm hloov pauv ntau heev. Cov tsos mob no tuaj yeem kav ntev li ob peb hnub lossis ob peb lub lis piam. Qee zaum lawv tuaj yeem ploj mus thiab rov tshwm sim dua.
Saib lub rooj hauv qab no rau cov tsos mob tseem ceeb.
| Hom cwj pwm | Tej yam uas pom tau los ntawm ib tug me nyuam |
|---|---|
| Kev hloov pauv tus cwj pwm (xws li OCD) | Kev coj cwj pwm yuam kev xws li ntxuav tes ntau zaus, nug tib lo lus nug dua thiab dua, thiab xyuas tas li seb puas xauv qhov rooj (Obsessive-Compulsive Disorder - OCD) |
| Teeb meem kev xav | Ntshai heev tias yuav raug cais tawm ntawm niam txiv (ntxhov siab vim sib cais), npau taws sai sai, quaj, thiab luag yam tsis xav ua. |
| Kev txav mus los ntawm lub cev (Tics) | Kev txav mus los sai sai xws li ntsais muag tsis tswj tau, ntswj caj dab, thiab co xub pwg. |
| Cov teeb meem kev kawm | Muaj teeb meem sau ntawv, kos duab, tsis muaj peev xwm tsom ntsoov rau kev ua haujlwm hauv tsev kawm ntawv, qhia cov tsos mob ntawm ADHD. |
| Lwm yam nta | Tsis qab los noj mov, muaj teeb meem pw tsaug zog, tso zis rau hauv txaj, mob pob qij txha, thiab rhiab rau lub teeb. |
Qhov txawv ntawm PANS thiab PANDAS yog dab tsi?
Tej zaum koj twb tau hnov lo lus PANS lawm. PANDAS yog ib yam mob uas koom nrog pawg dav dua hu ua PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome). PANS muaj cov tsos mob zoo ib yam li PANDAS. Txawm li cas los xij, nws tsis tas yuav yog los ntawm kev kis tus kab mob strep. PANS kuj tseem tuaj yeem yog los ntawm lwm yam kev kis tus kab mob, tej yam ib puag ncig, lossis lwm yam teeb meem nrog lub cev tiv thaiv kab mob.
Tus kws kho mob kuaj mob PANDAS li cas?
Kev kuaj mob PANDAS yuav nyuaj vim tsis muaj kev kuaj tshwj xeeb los lees paub qhov no. Koj tus kws kho mob yuav kuaj koj tus menyuam kom zoo zoo, nug koj txog koj cov tsos mob, thiab txiav txim siab seb puas muaj lwm yam mob. Cov kev kuaj hauv qab no yuav ua tau:
- Ib daim ntaub so caj pas yog ib qho kev kuaj uas kuaj xyuas cov kab mob strep.
- Kev kuaj ntshav los xyuas seb lub cev tiv thaiv kab mob ua haujlwm li cas.
- Qee zaum kev luam theej lub hlwb.
- Nrhiav kev pab los ntawm ib tus kws tshaj lij txog kev noj qab haus huv ntawm lub hlwb kom paub tseeb tias tsis muaj lwm yam mob hlwb.
Qhov tseem ceeb yog, yog tias tus menyuam tsis tau muaj lossis tsis tau muaj tus kab mob strep, nws yuav tsis yog PANDAS. Tab sis cov tsos mob ntawd yuav yog ib qho mob hu ua PANS. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob thiab nrhiav kev pab tswv yim hauv txhua kis.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov mob no sai dua yog kuaj pom thiab kho tau, qhov zoo dua yog tus menyuam muaj feem yuav zoo dua. Kev kho mob feem ntau yuav siv tshuaj thiab kev kho mob ua ke.
| Txoj kev kho mob | Hais yooj yim xwb... |
|---|---|
| Cov tshuaj tua kab mob | Thawj yam koj yuav ua yog muab tshuaj tua kab mob los tua tus kab mob strep. Koj yuav tsum noj cov no li ib mus rau ob lub lis piam. |
| Kev Kho Mob Txog Kev Xav (CBT) | Qhov no pab tswj tus menyuam tus cwj pwm thiab kev ntshai zoo li OCD. Nws qhia tus menyuam yuav ua li cas nrog cov kev xav ntawd. |
| Cov tshuaj tiv thaiv kev o | Cov tshuaj steroid lossis NSAIDs xws li ibuprofen yuav raug muab rau kom lub cev tiv thaiv kab mob tsis ua haujlwm ntau dhau. |
| Cov tshuaj tiv thaiv kev nyuaj siab | Cov tshuaj SSRI muaj peev xwm muab tau los tswj cov tsos mob OCD. Txawm li cas los xij, lawv tsuas yog yuav tsum tau siv nyob rau hauv kev saib xyuas ntawm tus kws kho mob , vim tias lawv qee zaum tuaj yeem ua rau muaj kev phiv rau cov menyuam yaus uas muaj PANDAS. |
| Kev siv IVIG / Plasmapheresis | Yog tias lwm yam kev kho mob tsis ua tiav, thiab cov tsos mob hnyav heev, cov txheej txheem no raug siv los 'pib dua' lub cev tiv thaiv kab mob. Cov no yog cov kev kho mob nyuaj heev. |
Qhov teeb meem no puas yuav zoo dua? Peb yuav tsum ua li cas ua niam txiv?
Yog, qhov no yog xov xwm zoo tshaj plaws. Feem ntau cov menyuam yaus zoo rov qab zoo tag nrho nrog kev kho mob kom zoo. Tom qab tus kab mob strep kho tau zoo lawm, cov tsos mob yuav maj mam ploj mus li ob peb lub hlis. Tab sis qee zaum lawv tuaj yeem zoo dua thiab tom qab ntawd rov qab los.
Qhov tseem ceeb tshaj plaws yog tias yog koj tus menyuam rov qab kis tus kab mob strep dua, cov tsos mob PANDAS yuav rov tshwm sim dua. Yog li ntawd, nws yog koj lub luag haujlwm los tiv thaiv koj tus menyuam kom tsis txhob kis tus kab mob.
Ua cov no:
- Xyaum ua kom huv si , xws li ntxuav koj txhais tes ntau zaus thiab nyob deb ntawm cov neeg mob.
- Hloov koj cov txhuam hniav ntau zaus.
- Qee zaum, lwm cov tswv cuab hauv tsev neeg kuj muaj cov kab mob strep uas tsis muaj tsos mob (cov neeg nqa kab mob). Yog tias tsim nyog, nrog koj tus kws kho mob tham txog kev coj txhua tus neeg hauv koj tsev neeg mus kuaj mob.
Muaj ib txhia kws kho mob pom zoo kom siv tshuaj tua kab mob mus sij hawm ntev kom tiv thaiv tau kev kis kab mob yav tom ntej, thaum lwm tus pom zoo kom siv tshuaj tua kab mob tonsillectomy, tab sis tseem tsis tau muaj kev tshawb nrhiav txog qhov ua tau zoo ntawm cov txheej txheem no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- PANDAS Syndrome yog ib qho mob hlwb thiab kev puas siab puas ntsws uas tuaj yeem tshwm sim los ntawm kev kis tus kab mob strep throat.
- Cov tsos mob tseem ceeb yog kev hloov pauv sai sai ntawm tus cwj pwm ntawm tus menyuam uas noj qab nyob zoo yav dhau los.
- Yog koj pom cov tsos mob no hauv koj tus menyuam, tsis txhob ntshai lossis ntshai heev, tab sis mus ntsib kws kho mob menyuam yaus tam sim ntawd.
- Yog tias kho kom zoo, feem ntau cov menyuam yaus yuav zoo tag nrho.
- Kev tiv thaiv koj tus menyuam kom tsis txhob mob caj pas dua yog qhov tseem ceeb heev kom tiv thaiv tus kab mob kom tsis txhob rov tshwm sim dua.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus