Teebereza, omwana wo yali musanyufu nnyo era nga wa bulijjo okutuusa eggulo. Naye enkya ya leero yazuukuse n’afuuka omuntu ow’enjawulo ddala. Amangu ago akaaba, n’anyiiga, tayagala kubeera wala naawe okumala akaseera... ate oluusi n’akola ekintu kye kimu emirundi n’emirundi. Okulaba ekintu nga kino, buli maama ne taata atidde nnyo, nedda? Ensonga lwaki kino kituuse eyinza okuba ekintu ky’otolowoozaako wadde. Eyo mbeera eyitibwa PANDAS Syndrome. Ka twogere ku nsonga eno mu ngeri ennyangu era mu ngeri entegeerekeka.
Ddala Obulwadde bwa PANDAS Syndrome kye ki?
Mu ngeri ennyangu, PANDAS mbeera ya busimu n’eby’omutwe ebeerawo mu baana abamu oluvannyuma lw’okufuna obulwadde bwa strep throat. Ekigambo PANDAS kifupi kya Pediatric Autoimmune Neuropsychiatric Disorders ezikwatagana n’obulwadde bwa Streptococcal. Wadde ng’erinnya lino liyinza okuwulikika ng’ekizibu, mu butuufu ekivuddeko ensonga eno kyangu nnyo.
Abasawo baffe balowooza nti buno bulwadde bwa autoimmune disorder. Kino kye kitegeeza. Omwana bw’afuna obuwuka obuyitibwa strep bacteria, abaserikale b’omubiri gwaffe, abaserikale b’omubiri, batandika okulwanyisa obuwuka buno. Naye oluusi, ebitundu ebimu ebya bakitiriya bano aba strep bifaanagana nnyo n’ebitundu by’obutoffaali obulamu mu bwongo bwaffe. So , enkola yaffe ey’okwekuuma, egenda mu nsiko, etandika okulumba obuwuka era, mu nsobi, etandika okulumba obutoffaali bwaffe obw’obwongo obulamu. Wano we tulaba enkyukakyuka zino ez’amangu mu nneeyisa.
Embeera eno esinga kulabibwa mu baana abali wakati w’emyaka 3 ne 12. Wabula era esobola okubaawo mu baana abakulu. Eno mbeera ya bbula nnyo. N’olwekyo, kikulu nnyo okukimanya mu bujjuvu nga tonnaba kusattira.
Bubonero ki obulaga kino? Okitegeera otya?
Ekikulu ekiraga PANDAS kwe kuba nti byonna bitandika mangu nnyo, kumpi mu kiro kimu. Enneeyisa y’omwana ekyuka nnyo. Obubonero buno busobola okumala ennaku oba wiiki ntono. Oluusi zisobola okukka ate ne ziddamu okulabika.
Laba ekipande wansi okumanya obubonero obukulu.
| Ekika ky’engeri | Ebintu ebiyinza okulabibwa okuva ku mwana |
|---|---|
| Enkyukakyuka mu nneeyisa (nga OCD) . | Enneeyisa eziwalirizibwa ng’okunaaba ennyo mu ngalo, okubuuza ekibuuzo kye kimu emirundi n’emirundi, n’okukebera buli kiseera okulaba oba enzigi zisiddwa (Obsessive-Compulsive Disorder - OCD) . |
| Ebizibu mu nneewulira | Okutya okuyitiridde okwawukana ku bazadde (okweraliikirira okwawukana), okubutuka kw’obusungu okw’amangu, okukaaba, n’okuseka nga tolina makulu. |
| Entambula z’omubiri (Tics) . | Entambula ez’amangu, eziwuuma ng’okukuba amaaso nga tofugibwa, okukyusakyusa ensingo, n’okusitula ebibegabega. |
| Ensonga z’ebyenjigiriza | Obuzibu mu kuwandiika, okukuba ebifaananyi, obutasobola kwemalira ku mirimu gya ssomero, okulaga obubonero bwa ADHD. |
| Ebintu ebirala ebirimu | Obutayagala mmere, obuzibu mu tulo, okufuka ku kitanda, okulumwa ennyondo, n’okuwulira ekitangaala. |
Njawulo ki eri wakati wa PANS ne PANDAS?
Oyinza okuba nga wali owulidde ekigambo PANS. PANDAS mbeera esangibwa mu kibinja ekigazi ekiyitibwa PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome). PANS erina obubonero obufaananako ne PANDAS. Wabula tekitegeeza nti kiva ku bulwadde bwa strep. PANS era esobola okuva ku yinfekisoni endala, ensonga z’obutonde oba obuzibu obulala ku baserikale b’omubiri.
Omusawo azuula atya obulwadde bwa PANDAS?
Okuzuula obulwadde bwa PANDAS kiyinza okuba ekizibu kubanga tewali kukebera kwonna okukikakasa. Omusawo ajja kwekebejja omwana wo n’obwegendereza, akubuuze ku bubonero bwo, n’okugaana embeera endala. Ebigezo bino wammanga biyinza okukolebwa:
- Okusiiga emimiro kwe kukebera okukebera obuwuka obuyitibwa strep bacteria.
- Okukebera omusaayi okukebera enkola y’abaserikale b’omubiri.
- Oluusi okukebera obwongo.
- Noonya obuyambi bw’omukugu mu by’obulamu bw’obwongo okulaba nga tewali mbeera ndala ya bulamu bwa bwongo.
Ekikulu, omwana bw’aba nga tafunye oba mu kiseera kino talina bulwadde bwa strep, tebuyinza kuba PANDAS. Naye obubonero obwo buyinza okuba embeera eyitibwa PANS. N’olwekyo, kyetaagisa okulaba omusawo n’okufuna amagezi mu mbeera yonna.
Bujjanjabi ki obukolebwa ku kino?
Embeera eno gy’ekoma okuzuulibwa amangu n’okujjanjabibwa, emikisa gy’omwana gy’akoma okuwona. Obujjanjabi butera okuzingiramu okukozesa eddagala n’obujjanjabi.
| Enkola y’obujjanjabi | Mu ngeri ennyangu... |
|---|---|
| Eddagala eritta obuwuka | Ekintu ky’ogenda okusooka okukola kwe kuwa eddagala eritta obuwuka okutta obulwadde bwa strep. Bino ojja kwetaaga okumira okumala wiiki emu oba bbiri. |
| Obujjanjabi bw’enneeyisa y’okutegeera (CBT) . | Kino kiyamba okufuga enneeyisa n’okutya kw’omwana okulinga OCD. Kiyigiriza omwana engeri y’okukwatamu ebirowoozo ebyo. |
| Eddagala eriziyiza okuzimba | Empeke za steroid oba eddagala lya NSAID nga ibuprofen liyinza okuweebwa okukkakkanya abaserikale b’omubiri abakola ennyo. |
| Eddagala eriweweeza ku kweraliikirira | Eddagala lya SSRI liyinza okuweebwa okufuga obubonero bwa OCD. Wabula zirina okukozesebwa nga zilabirirwa omusawo yekka , kuba oluusi zisobola okuleeta ebizibu mu baana abalina PANDAS. |
| IVIG / Obulwadde bwa Plasmapheresis | Singa obujjanjabi obulala tebufuna buwanguzi, era ng’obubonero buba bwa maanyi nnyo, enkola zino zikozesebwa ‘okuzzaawo’ abaserikale b’omubiri. Zino bujjanjabi buzibu nnyo. |
Embeera eno egenda kutereera? Kiki kye tusaanidde okukola ng’abazadde?
Yee, gano ge mawulire agasinga obulungi. Abaana abasinga bawona ddala nga bafunye obujjanjabi obutuufu. Oluvannyuma lw’obulwadde bwa strep okuwona, obubonero buno bukendeera mpolampola mu myezi mitono. Naye oluusi basobola okutereera ate ne bakomawo.
Ekisinga obukulu nti singa omwana wo addamu okufuna obulwadde bwa strep, obubonero bwa PANDAS butera okuddamu okulabika. N’olwekyo, buvunaanyizibwa bwo okukuuma omwana wo obutakwatibwa yinfekisoni.
Kola ebintu bino:
- Weegezeemu emize emirungi egy’obuyonjo , gamba ng’okunaaba engalo enfunda eziwera n’okwewala abalwadde.
- Kyusa nnyo bbulawuzi yo ey’amannyo.
- Oluusi, ab’omu maka abalala basobola okuba n’obuwuka obuyitibwa strep bacteria nga tebalina bubonero (abasitula). Bwe kiba kyetaagisa, yogerako n’omusawo wo ku ky’okukeberebwa buli muntu mu maka go.
Abasawo abamu bawa amagezi okukozesa eddagala eritta obuwuka erimala ebbanga eddene okutangira yinfekisoni mu biseera eby’omu maaso, ate abalala bagamba nti balongoosa tonsillectomy, naye obulungi bw’enkola zino bukyanoonyezebwa.
Obubaka Obutwala Awaka
- PANDAS Syndrome mbeera ya ddala ey’obusimu n’eby’omwoyo eyinza okuva ku bulwadde bwa strep throat.
- Akabonero akakulu kwe kukyuka okw’amangu, okw’amaanyi mu nneeyisa y’omwana eyali omulamu obulungi.
- Bw’olaba obubonero buno mu mwana wo, tosattira wadde okusattira, wabula genda mangu omusawo w’abaana.
- Abaana abasinga bwe baba bajjanjabiddwa obulungi, bawona mu bujjuvu.
- Okutangira omwana wo okuddamu okufuna obulwadde bwa strep throat kikulu nnyo okutangira obulwadde buno okuddamu.
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