Ngaihtuah teh, nizan thleng khan i fa chu a hlim hle a, a normal hle bawk. Mahse vawiin zing khan a harh a, mi danglam tak a ni ta. Vawilehkhatah a tap a, a thinrim a, rei lo te pawh i hnen atanga hlat a duh lo... a chang chuan chutiang bawk chu a ti nawn leh fo thin. Hetiang thil hmuh hian nu leh pa zawng zawng hi an hlauthawng hle a ni lawm ni? A chhan chu i ngaihtuah ngai loh thil pawh a ni thei. Chu chu PANDAS Syndrome an tih natna a ni. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.
PANDAS Syndrome hi eng nge ni tak tak?
A awlsam zawngin sawi ila, PANDAS hi naupang thenkhatin strep throat infection an neih hnua an thluak leh rilru lam natna a ni. PANDAS tih thumal hi Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections tihna acronym a ni. A hming hi a buaithlak hlein a lang thei a, mahse a chhan bulpui ber chu a takah chuan a awlsam khawp mai.
Kan doctor-te chuan hei hi autoimmune disorder a nih an ring. Hei hi a awmzia chu a ni. Naupangin strep bacteria a kai chuan kan taksa defence system, immune system hian he bacteria hi a do tan thin. Mahse a chang chuan heng strep bacteria thenkhat hi kan thluaka cell hrisel thenkhat nen an inang hle. So , kan defense system, wild-a kal chuan bacteria chu a bei tan a, tihsual palh chuan kan thluak cell hrisel tak takte chu a bei tan ta a ni. Chutah chuan heng nungchang inthlak danglamna rapthlak tak takte hi kan hmu thin.
Hetiang dinhmun hi naupang kum 3 leh 12 inkar ah hmuh tur a awm tam ber a, mahse naupang kum upa zawkah pawh a awm thei bawk. Hei hi thil awm lo tak a ni. Chuvangin, kan hlauthawng hmain hei hi kan hriat chian a pawimawh hle.
Hei hi eng symptoms nge ni? Engtin nge i hriat chian?
PANDAS ziarang ber chu a bul tan nghal vek a, zan khat thil thuah mai mai a ni. Naupang nungchang chu nasa takin a danglam thin. Heng symptoms te hi ni engemaw zat emaw, kar engemaw zat emaw a awm thei. A châng chuan an reh thei a, an rawn lang leh thei bawk.
A hnuaia table-ah hian a lan chhuah dan tlangpui chu en rawh.
| Mihring ziarang chi khat | Naupang atanga hmuh theih thil |
|---|---|
| Nungchang inthlak danglamna (OCD ang chi) . | Kut sil fo te, zawhna pakhat zawh nawn fo te, kawngkhar khar a nih leh nih loh enfiah reng te (Obsessive-Compulsive Disorder - OCD) |
| Emotional problems a awm thin | Nu leh pa atanga inthen hlauhna nasa tak (separation anxiety), thinrimna chhuak nghal, tap leh awmze nei lova nuih. |
| Taksa chetna (Tics) . | Sudden, jerky movements te, control loh taka mit khap, kawng inher, leh shoulder shrugging te. |
| Zirna lam thil a ni | Thuziak, lemziak harsa, sikul hnathawhnaah ngaihtuahna seng thei lo, ADHD symptoms lan chhuah. |
| Thil dang pawh a awm | Chaw ei chak lohna, mut harsatna, khum hnim, ruh na, leh êng hriatna. |
PANS leh PANDAS hi eng nge an danglamna?
PANS tih thumal hi i hre tawh mai thei. PANDAS hi natna chi khat, PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome) tih category zau zawka tel a ni. PANS hian PANDAS nen hian symptoms inang a nei a. Mahse, strep infection vang a ni hauh lo. PANS hi infection dang vang emaw, environment factor vang emaw, immune system lama harsatna dang vang emaw pawh a ni thei.
Doctor hian PANDAS hi engtin nge a hriat theih ang?
PANDAS hmuhchhuah hi a harsa thei hle a, a chhan chu a finfiah theihna tur test bik a awm loh vang a ni. I doctor chuan i fa chu uluk takin a enfiah ang a, i natna lan chhuah dan a zawt ang che a, natna dang pawh a paih chhuak ang. A hnuaia test te hi tih theih a ni:
- Throat swab hi strep bacteria awm leh awm loh enfiahna test a ni.
- Thisen test hmanga immune system hnathawh dan enfiah thin.
- A châng chuan thluak scan a ni.
- Rilru lam hriselna lama harsatna dang a awm loh nan rilru lam hriselna lama mithiam tanpuina zawng rawh.
A pawimawh ber chu, naupangin strep infection a nei lo emaw, a nei lo emaw a nih chuan PANDAS a ni thei lo. Mahse chutiang symptoms chu PANS tih hming pu condition a ni thei. Chuvangin engti kawng pawhin Doctor hmuh a, thurawn lak a pawimawh hle.
Hei hi eng enkawlna nge ni?
He natna hi hriatchhuah leh enkawl a nih hma chuan naupang dam leh theihna chance a sang zawk. Enkawlnaah hian damdawi leh therapy inkawp a ngai tlangpui.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Antibiotics damdawi a ni | I tih hmasak ber tur chu strep infection tihlum nan antibiotics pek hi a ni. Hengte hi kar khat atanga kar hnih chhung i ei a ngai dawn a ni. |
| Cognitive Behavioral Therapy (CBT) hmanga tihdam theih a ni. | Hei hian naupang OCD ang chi nungchang leh hlauhthawnna chu a thunun thei a ni. Naupang chu chutiang ngaihtuahnate hmachhawn dan tur a zirtir a ni. |
| Anti-inflammatory damdawi a ni | Steroid pill emaw NSAIDs ibuprofen ang chi te hi overactive immune system tihreh nan pek theih a ni. |
| Antidepressant damdawi a ni | OCD symptoms control nan SSRI damdawi pek theih a ni. Mahse, doctor enkawlna hnuaiah chauh hman tur a ni , a chang chuan PANDAS vei naupangte tan side effect a thlen thei a ni. |
| IVIG / Plasmapheresis hmanga enkawl a ni | Enkawlna dang a hlawhtlin loh chuan, a natna lan chhuah dan a na hle a nih chuan heng hmanrua te hi immune system ‘reset’ nan an hmang thin. Hengte hi enkawlna buaithlak tak tak an ni. |
He dinhmun hi a ṭha chho zel dawn em ni? Nu leh pa kan nih angin eng nge kan tih ang?
Ni e, hei hi chanchin tha ber a ni. Naupang tam zawk hi enkawl dan mumal tak an neih chuan an dam kim vek. Strep infection a dam hnuah thla engemaw zat chhungin a natna lan chhuah dan chu a reh zauh zauh thin. Mahse, a chang chuan an dam leh thei a, an lo kir leh thei bawk.
A pawimawh ber chu i fain strep infection a neih leh chuan PANDAS symptoms hi a lo lang leh thei zawk a ni. Chuvangin, i fate hri kai laka venhim hi i mawhphurhna a ni.
Hengte hi ti rawh:
- Practice good hygiene habits , kut sil fo leh damlo laka inthiarfihlim ang chi te.
- I toothbrush kha thlak fo thin ang che.
- A chang chuan chhungkaw member dangte pawhin strep bacteria hi symptom (carrier) nei lovin an nei thei bawk. A tul chuan i chhungkaw zinga mi zawng zawng test tir chungchang hi doctor nen sawiho rawh.
Doctor thenkhat chuan nakin lawka hri kai tur ven nan hun rei tak chhung antibiotics an rawt a, thenkhat chuan tonsillectomy an rawt bawk a, mahse heng hmanraw tangkai dan hi zirchian mek a ni.
Take-Home Thuchah a ni
- PANDAS Syndrome hi thluak leh rilru lam natna tak tak a ni a, strep throat infection avanga lo awm thei a ni.
- A lan chhuahna ber chu naupang hrisel tak takte nungchang a inthlak danglam nghal vat a ni.
- I fateah heng symptoms te hi i hmuh chuan hlauthawng leh hlauthawng suh, naupang enkawltu doctor pan nghal rawh.
- Enkawlna dik tak an neih chuan naupang tam zawk chu an dam kim vek a ni.
- I fain strep throat a vei leh loh nan natna a lo awm leh tawh loh nan ven hi a pawimawh hle.
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