Tangoganizirani, mwana wanu anali wosangalala kwambiri komanso wabwinobwino mpaka dzulo. Koma m'mawa uno anadzuka nakhala munthu wosiyana kwambiri. Mwadzidzidzi amalira, amakwiya, sakufuna kukhala kutali nanu kwakanthawi ... ndipo nthawi zina amachita zomwezo mobwerezabwereza. Poona chinthu chonga ichi, mayi ndi bambo onse amachita mantha kwambiri, eti? Chifukwa cha izi chikhoza kukhala chinthu chomwe simukuchiganizira nkomwe. Imeneyo ndi matenda otchedwa PANDAS Syndrome. Tiyeni tikambirane za izi mosavuta komanso momveka bwino.
Kodi PANDAS Syndrome ndi chiyani kwenikweni?
Mwachidule, PANDAS ndi matenda amitsempha ndi amisala omwe amapezeka mwa ana ena akadwala matenda a strep throat. Mawu oti PANDAS ndi chidule cha matenda a Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. Ngakhale dzinalo lingamveke lovuta, chifukwa chake ndi chosavuta.
Madokotala athu amakhulupirira kuti iyi ndi matenda a autoimmune. Izi ndi zomwe zikutanthauza. Mwana akadwala mabakiteriya a strep, chitetezo cha mthupi lathu, chitetezo chamthupi, chimayamba kulimbana ndi mabakiteriyawa. Koma nthawi zina, mbali zina za mabakiteriya awa zimakhala zofanana kwambiri ndi mbali za maselo athanzi muubongo mwathu. Chifukwa chake , chitetezo chathu, chomwe chimapita patsogolo, chimayamba kuukira mabakiteriyawo, ndipo molakwika, chimayamba kuukira maselo athu athanzi muubongo. Pamenepo ndi pomwe timawona kusintha kwadzidzidzi kwa khalidwe.
Vutoli limapezeka kwambiri mwa ana azaka zapakati pa 3 ndi 12. Komabe, limathanso kuchitika kwa ana okulirapo. Vutoli ndi losowa kwambiri. Chifukwa chake, ndikofunikira kudziwa bwino izi musanachite mantha.
Kodi zizindikiro za izi ndi ziti? Kodi mumazindikira bwanji?
Khalidwe lalikulu la PANDAS ndilakuti zonse zimayamba mwadzidzidzi, pafupifupi usiku wonse. Khalidwe la mwana limasintha kwambiri. Zizindikirozi zimatha kukhalapo kwa masiku angapo kapena milungu ingapo. Nthawi zina zimatha kutha kenako n’kubwereranso.
Onani tebulo ili m'munsimu kuti mudziwe zizindikiro zazikulu.
| Mtundu wa khalidwe | Zinthu zomwe mwana angaone |
|---|---|
| Kusintha kwa khalidwe (monga OCD) | Makhalidwe okakamiza monga kusamba m'manja pafupipafupi, kufunsa funso lomwelo mobwerezabwereza, komanso kuyang'ana nthawi zonse ngati zitseko zili zotsekedwa (Obsessive-Compulsive Disorder - OCD) |
| Mavuto amaganizo | Kuopa kwambiri kulekanitsidwa ndi makolo (nkhawa yopatukana), kukwiya mwadzidzidzi, kulira, ndi kuseka popanda cholinga. |
| Kusuntha kwa thupi (Tics) | Kusuntha mwadzidzidzi, kogwedezeka monga kuphethira kosalamulirika, kupotoza khosi, ndi kukweza mapewa. |
| Nkhani zamaphunziro | Kuvuta kulemba, kujambula, kulephera kuyang'ana kwambiri ntchito ya kusukulu, kusonyeza zizindikiro za ADHD. |
| Zina mwazinthu | Kusowa chilakolako cha chakudya, mavuto ogona, kukodza pabedi, kupweteka kwa mafupa, komanso kusamva kuwala. |
Kodi kusiyana pakati pa PANS ndi PANDAS ndi kotani?
Mwina munamvapo mawu akuti PANS. PANDAS ndi matenda omwe ali m'gulu lalikulu lotchedwa PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome). PANS ili ndi zizindikiro zofanana ndi PANDAS. Komabe, siziyenera kuti zimayambitsidwa ndi matenda a strep. PANS ikhozanso kuyambitsidwa ndi matenda ena, zinthu zachilengedwe, kapena mavuto ena okhudzana ndi chitetezo cha mthupi.
Kodi dokotala amazindikira bwanji matenda a PANDAS?
Kuzindikira matenda a PANDAS kungakhale kovuta chifukwa palibe mayeso enieni otsimikizira izi. Dokotala wanu adzayang'ana mwana wanu mosamala, kukufunsani za zizindikiro zanu, ndikuchotsa matenda ena. Mayeso otsatirawa angachitike:
- Chotsukira pakhosi ndi njira yoyezera mabakiteriya a strep.
- Kuyezetsa magazi kuti aone ngati chitetezo cha mthupi chikugwira ntchito bwino.
- Nthawi zina kusanthula ubongo.
- Funani thandizo kwa katswiri wa zamaganizo kuti muwonetsetse kuti palibe matenda ena amisala.
Chofunika kwambiri ndichakuti, ngati mwanayo sanadwalepo kapena alibe matenda a strep pakadali pano, sizingakhale PANDAS. Koma zizindikiro zimenezo zitha kukhala matenda otchedwa PANS. Chifukwa chake, ndikofunikira kuonana ndi dokotala ndikupempha upangiri mulimonse momwe zingakhalire.
Kodi mankhwala ochizira izi ndi otani?
Matendawa akapezeka msanga ndikuchiritsidwa, mwayi wa mwana wochira umakhala wabwino. Chithandizo nthawi zambiri chimakhala chophatikiza mankhwala ndi chithandizo.
| Njira yochizira | Mwachidule... |
|---|---|
| Mankhwala opha tizilombo | Chinthu choyamba chomwe mungachite ndikupereka maantibayotiki kuti aphe matenda a strep. Muyenera kumwa mankhwalawa kwa sabata imodzi kapena ziwiri. |
| Chithandizo cha Maganizo (CBT) | Izi zimathandiza kulamulira machitidwe ndi mantha a mwana monga a OCD. Zimamuphunzitsa momwe angathanirane ndi malingaliro amenewo. |
| Mankhwala oletsa kutupa | Mapiritsi a steroid kapena NSAID monga ibuprofen angaperekedwe kuti achepetse chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso. |
| Mankhwala oletsa kuvutika maganizo | Mankhwala a SSRI angaperekedwe kuti achepetse zizindikiro za OCD. Komabe, ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuwayang'anira , chifukwa nthawi zina angayambitse zotsatirapo zoyipa kwa ana omwe ali ndi PANDAS. |
| IVIG / Plasmapheresis | Ngati njira zina zothandizira sizikuyenda bwino, ndipo zizindikiro zake zili zoopsa kwambiri, njirazi zimagwiritsidwa ntchito 'kubwezeretsa' chitetezo cha mthupi. Izi ndi njira zovuta kwambiri zothandizira. |
Kodi vutoli lidzakhala bwino? Kodi tiyenera kuchita chiyani monga makolo?
Inde, iyi ndi nkhani yabwino kwambiri. Ana ambiri amachira bwino akalandira chithandizo choyenera. Matenda a strep akachiritsidwa, zizindikirozo zimachepa pang'onopang'ono pakatha miyezi ingapo. Koma nthawi zina zimatha kuchira kenako n’kubwereranso.
Chofunika kwambiri ndichakuti ngati mwana wanu atenga kachilombo ka strep kachiwiri, zizindikiro za PANDAS zitha kubwereranso. Chifukwa chake, ndi udindo wanu kuteteza mwana wanu ku matenda.
Chitani zinthu izi:
- Chitani zinthu zaukhondo , monga kusamba m'manja pafupipafupi komanso kupewa anthu odwala.
- Sinthani burashi yanu ya mano pafupipafupi.
- Nthawi zina, achibale ena amatha kukhala ndi mabakiteriya a strep popanda zizindikiro (omwe amanyamula). Ngati kuli kofunikira, lankhulani ndi dokotala wanu kuti muyezetse aliyense m'banja mwanu.
Madokotala ena amalimbikitsa kugwiritsa ntchito maantibayotiki kwa nthawi yayitali kuti apewe matenda ena mtsogolo, pomwe ena amalimbikitsa kuchotsedwa kwa tonsillectomy, koma kugwira ntchito kwa njirazi kukufufuzidwabe.
Uthenga Wopita Nawo Kunyumba
- Matenda a PANDAS ndi matenda enieni a mitsempha ndi maganizo omwe angayambitsidwe ndi matenda a strep throat.
- Chizindikiro chachikulu ndi kusintha kwadzidzidzi komanso kwakukulu kwa khalidwe la mwana wathanzi kale.
- Ngati muwona zizindikiro izi mwa mwana wanu, musachite mantha kapena mantha, koma pitani kwa dokotala wa ana nthawi yomweyo.
- Ndi chithandizo choyenera, ana ambiri amachira mokwanira.
- Kuteteza mwana wanu kuti asadzabwerenso ku strep throat ndikofunikira kwambiri kuti matendawa asabwererenso.
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