I fa nungchang chu mak tak maiin a danglam thut em? (PANDAS/PANS) chungchang hi i zir chiang ang u!

I fa chu beisei loh takin a awm ṭan thut em? I fa hmasa lama nungchang tha tak kha "zan khat thil thuah a danglam" niin i hria em ? A nih loh leh, i fa chuan hlauhna thar leh nungchang mak tak tak a nei thut em? Nu leh pa i nih angin hetiang thil i hmuh hian i ngaihtuah lutuk hi thil awmdan pangngai a ni. A châng chuan heng inthlak danglamna rapthlak tak takte hi PANDAS emaw PANS emaw an tih dinhmun a ni thei. Hemi chungchang hi tlem tal chipchiar leh awlsam zawkin han sawi ila.

Heng PANDAS leh PANS te hi eng nge ni? Hrilhfiahna lian tak a rawn thleng nghal!

A awlsam zawngin, PANDAS leh PANS hi naupangin Obsessive Compulsive Disorder (OCD) symptoms a neih nghal theihna tur natna pahnih a ni. OCD hi thil engemaw chungchanga ngaihtuahna nghet tak (obsessions) leh thil engemaw tih tura nawr nawn fo (compulsions) a ni. PANDAS/PANS-ah chuan heng OCD symptoms te hi a lo lang rang hle a, a na hle bawk. Chu mai ni lovin, i fate nungchangah inthlâk danglamna rang tak dang tam tak i hmu thei bawk. Nu leh pa ṭhenkhat chuan an fa chu “zan khat thil thuah a danglam vek” tih an sawi. Mahse, chanchin lawmawm a awm. PANDAS leh PANS tan pawh damdawi leh therapies a awm. Doctor leh rilru lam hriselna lama mithiamte chuan nang leh i chhungte chu he hun harsa tak paltlang tur hian kaihhruaina leh puihna i mamawh chu an pe thei che a ni.

PANDAS leh PANS te hi eng symptoms nge ni?

Naupang PANDAS emaw PANS emaw vei chuan a hnuaia mi pakhat emaw, a pahnih emaw hi a tawk nghal thei a, a na hle bawk:

Obsessions te pawh a awm

Hei hian naupang chu hlauhthawnna thar, chak tak tak a neih tir thei a ni. A nih loh leh, thil engkim chu a felfai, thianghlim, leh bawlhhlawh a ngai ang chi thilte chu an ngaihtuah mai thei bawk. Ngaihtuahna leh hmêl tibuai thei tak takte chu rilruah a lo lang reng thei a ni. Chûng hlauhna te, ngaihtuahna te, lungkhamnate chu a nasa êm êm thei a, naupang thlamuan chu a harsa hle thei a ni. Naupang pakhat, a hmaa harsatna nei lo chuan hrik a hlau hle a, a damlo ta thut mai a ni tih han ngaihtuah teh. A nih loh leh, engkim hi "dik tak" a nih a ngai tih an ngaihtuah a, thil tenawm ber pawh an ngaihtuah nasa hle mai thei bawk.

Thil tih loh theih loh (Compulsions - Rituals) .

Chutiang a nih chuan, naupang chu silfai, khawih, tih, a nih loh leh sawi nawn leh tûrin thlêmna a nei thei a ni. An tih chu an bansan thei lo va, an ruihhlo ngawlvei pawh an awm thei bawk. Entirnan, naupang chu kawngkaah vawi tam tak a lut leh chhuak thei a, "dik" an tih a ngai tih ngaihtuahin. A nih loh leh, thil pakhat chungchângah chuan an nu leh pate hnênah rinna an dîl nawn leh mai thei a, "A dik em? A dik em?" Entirna dang chu kut sil hi a ni. Minute nga danah kut an sil thin a, mahse an kut chu bawlhhlawh ang maiin an la hria. Heng OCD symptoms bakah hian PANDAS leh PANS vei naupangte hian symptom thar dang an nei thei bawk. Chung zinga ṭhenkhat chu:

• Tics, emaw jerky, jerky movement (mit mitmeng emaw, kekawrte hrual emaw ang chi).
• Anxiety , depression , or mood swings - vawi khat hlim taka awm, a dawtah lungngaihna , emaw, thinrim thuai.
• Aggressive taka awm emaw, "hyper" nih emaw, hmun khata awm theih lohna lantir .
• Naupang tê ang maia thusawi (nausen thusawi), nu leh pa nena innghahna, a nih loh leh zan lama mut hlauhna thar neih .
• Kutziak emaw motor tha dang emaw lama harsatna rang tak . Entîr nân, naupang ziak mawi tak takte chuan kutziak a buai thut mai thei.
• Hriatrengna, lehkha chhiar, a nih loh leh math tih harsatna thar .
• Zan lama bedwetting thar, mut that loh.
• Ei leh in hlauhna thar, inkhung tlat; ei lo.
• Aw, khawih, thawmhnaw, leh pawn lam thila hriatna thar . Entîr nân, tûn hmaa thawmhnaw pakhata chhinchhiahna pawimawh lo tak chu tûnah chuan naupang tân harsatna lian tak a ni thei a ni.

Ngaihtuah teh, heng symptoms te hi pakhat emaw pahnih emaw chauh ni lovin, vawi khatah vawi engemaw zat, ni engemaw zat chhungin a lo lang a nih chuan, chu chu PANDAS/PANS-a thil danglam bik chu a ni.

PANDAS leh PANS hi eng thilin nge a thlen?

A buaithlak deuh a, mahse a sawifiahna awlsam tak chu hetiang hi a ni: Mithiamte chuan PANDAS leh PANS te hi kan immune system-in infection a dawn dan a tihchhiat vang niin an ngai A tlangpuiin kan taksaah natna hrik a luh chuan kan immune system hian a do a, a tichhia a ni. Mahse PANDAS/PANS-ah chuan hrikte chu beih ai chuan, immune system chuan thluak hmun bik pakhat chu a bei sual a ni . He hmun hi basal ganglia an ti a . He thluak peng hian kan ngaihtuahna te, kan rilru put hmang te, kan chetna te, leh kan nungchang dangte a thunun thei a ni. Chuvangin, mithiamte chuan he thluak hmuna he "irritation" hi a chunga kan sawi tak symptoms thlentu hi a ni an ti.

PANDAS leh PANS hi eng nge an danglamna?

OCD symptoms leh tics te rang tak leh na tak lo chhuak chhan ber chu bacteria infection Group A Streptococcus (or "strep") an tih hi a ni. Hei hi kan sawi fo thin "strep throat" thlentu bacteria a ni. Chuvangin, naupang symptoms chu strep infection nen chiang taka inzawm a nih chuan chu chu PANDAS an tih condition a ni.PANDAS hi Pediatric Acute -onset Neuropsychiatric Disorders Associated with Streptococcus tihna a ni. Naupangte zingah streptococcus infection nena inzawm neuropsychiatric disorder lo awm nghal mai a ni. PANS hi natna dang nena inzawm OCD symptoms lo lang nghal mai a ni . Chumi awmzia chu strep vang chauh ni lovin, natna dang , influenza (flu), chickenpox, mycoplasma infection, leh Lyme disease te pawh a ni thei tihna a ni. PANS tih hi Pediatric Acute -onset Neuropsychiatric Syndrome tihna a ni. Naupangte zingah neuropsychiatric syndrome lo awm nghal mai a ni. A awlsam zawngin PANDAS hi strep infection avanga lo awm a ni. PANS hi non-strep infection avanga lo awm a ni. Heng pahnihah hian symptoms hi a inang hle.

Doctor-te hian engtin nge PANDAS leh PANS te hi an hriatchhuah leh an enkawl?

Hei hi a pawimawh hle. OCD nei naupang zawng zawng hian PANDAS emaw PANS emaw an nei vek lo. OCD hi thil dang vang pawh a ni thei. PANDAS emaw PANS emaw diagnose tur chuan i doctor hian hun tam tak a hmang ang che a, i fate symptoms chungchangah zawhna tam tak a zawt ang che. I fa chu an enfiah ang a, natna kai leh kai loh enfiah nan test thenkhat pawh an ti thei bawk. Entirnan, strep throat awm leh awm loh enfiah nan swab an la thei. Enkawlna chu natna hrik enkawlna atanga tan a ni . Chumi awmzia chu bacteria infection a nih chuan antibiotics pek theih a ni. Cognitive Behavioral Therapy (CBT) pawh hi OCD enkawlna pawimawh tak a ni. Hei hi rilru lam hriselna lama thawktu trained takin a ti thin . I fa doctor chuan mi thiam tak hnenah a refer thei che a ni. OCD tan CBT hian component bik a nei a, chu chu Exposure and Response Prevention (ERP) tih a ni. He enkawlna hian naupang chu an tih thin ritual te chu a tihtlem phah a ni. A awlsam zawngin, naupang chu zawi zawiin thil hlauh ber chu thunun theih angin a inhriat tir a, chu chu nawr luihnaah chuan inhmang lo turin zirtir a ni. Therapy hian PANDAS emaw PANS emaw a tel thei nungchang leh rilru natna lan chhuahna dang a hmachhawn thei bawk. Entirnan, naupangin tics a neih chuan Habit Reversal TherapyEnkawlna: hetiang hian a pui thei. Therapist te hian nu leh pate nen hna an thawk dun thin. Nu leh pate hnenah an fate natna lan chhuah dan tihchangtlun dan tur coaching an pe thin. An fate natna lan chhuahna lungchhiatthlak tak takte chu an bo hma loh chuan an enkawl dan tur kaihhruaina an pe bawk.

PANDAS leh PANS hi natna hrik kai theih a ni em?

Ni lo, PANDAS leh PANS hi kai theih a ni lo. Naupang chuan heng dinhmunte hi mi dang hnen atangin a man thei lo. PANDAS leh PANS te hi a tlem hle a ni . Mahse, a hnuaia natna (strep throat ang chi) hi a kai thei a ni. Amaherawhchu PANDAS/PANS hi kai theih a ni lo.

Engtin nge ka fa chu ka puih theih ang?

I fain PANDAS emaw PANS emaw a nei thei nia i hriat chuan a rang thei ang bera i fa doctor pan rawh. A rang thei ang bera therapy tan a tha ber. I doctor chuan rilru lam hriselna lama enkawltu tha tak i hmuh theih nan a pui thei che a ni. A nih loh leh, International OCD Foundation website ang chi resources hmangin naupangte OCD-a cognitive behavioral therapy (CBT) pe tura training nei specialist i zawng thei bawk. I fa dam leh theihna tura i tih theih ṭhenkhat chu hetiang hi a ni:

• Therapist nen hna thawh tan thuai rawh. Therapy tan hma chuan a rah a tha zawk.
• I fate therapy session pakhat mah i tlawh loh nan fimkhur rawh. Session tin hi a pawimawh a ni.
• I fate thlamuan leh thlamuan dan tha ber berte chu i therapist zawt la, a chhan chu a chang chuan kan ngaihdan anga thlamuan hian an OCD symptoms a ti na tak zet thei a ni.
• I fa chu i doctor-in damdawi a pek zawng zawng pe vek rawh. Damdawi hi dik tak leh a hun taka pek a pawimawh hle.
• Hei hi infection avanga lo awm a nih chuan i fa chu toothbrush thar pe la, a natna hrik zawng zawng a bo vek tih chian nan.

Naupangin PANDAS emaw PANS emaw symptom a neih lai en hi nu leh pate tan chuan a buaithlak hle thei a, a harsa hle bawk . Chutiang chu hriatthiam theih a ni. I care team te chu i thlawp leh kaihruai turin an awm reng a ni. An tanpuina leh thurawn zawng hreh ngai suh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

• PANDAS leh PANS hi naupangte nungchang leh rilru put hmang inthlak danglamna rang tak, na tak thlentu dinhmun a ni.
• Hengte hi OCD symptoms leh tics ang chi thilin a nghawng ber a ni .
• A chhan chu natna hrik laka immune system response dik lo vang a ni.Hei hi thluak hmun thenkhat (Basal Ganglia) a nghawng vang a ni.
• Strep infection nena inzawm a nih chuan PANDAS an ti a, infection dang nena inzawm a nih chuan PANS an ti bawk.
• Hengte hi natna hrik kai theih a ni lo.
• A hmaa hriatchhuah te, hri kai enkawl te, leh therapeutic treatment (a bik takin OCD tan CBT) pek te hian naupang chu a dam leh thei a ni.
• Nu leh pa i nih angin nangmah chauh i ni lo. Doctor leh therapist te hnen atangin tanpuina la rawh.

I fa chungchangah harsatna i neih chuan doctor rawn la. A hmaa inrawlh hian i fa chu a dam thuai thei a ni.

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` PANDAS, PANS, OCD, naupang enkawlna, nungchang inthlak danglam nghal, strep infection, rilru hriselna