Ese imyitwarire y'umwana wawe yahindutse mu buryo butunguranye mu buryo butangaje? Reka twige kuri (PANDAS/PANS)!

Ese umwana wawe yatangiye kwitwara mu buryo butunguranye mu buryo butunguranye? Ese ubona ko umwana wawe wari ufite imyitwarire myiza "yahindutse mu ijoro rimwe" ? Cyangwa se umwana wawe yagize ubwoba bushya n'ingeso zidasanzwe mu buryo butunguranye? Nk'umubyeyi, ni ibisanzwe ko uhangayika cyane iyo ubonye ibintu nk'ibi. Hari igihe impamvu y'izi mpinduka zitunguranye ishobora kuba indwara zitwa PANDAS cyangwa PANS. Reka tubiganireho mu buryo burambuye kandi bworoshye.

Izi PANDAS na PANS ni iki? Impinduka nini itunguranye!

Mu magambo make, PANDAS na PANS ni indwara ebyiri umwana ahura nazo mu buryo butunguranye zigaragaza ibimenyetso bya Obsessive Compulsive Disorder (OCD) . OCD irangwa no gutekereza ku kintu runaka (obsessions) no guhora wifuza gukora ibintu bimwe na bimwe (compulsions). Muri PANDAS/PANS, ibi bimenyetso bya OCD biza vuba cyane kandi bikaba bikomeye. Si ibyo gusa, ahubwo ushobora no kubona izindi mpinduka nyinshi zitunguranye mu myitwarire y'umwana wawe. Bamwe mu babyeyi bavuga ko umwana wabo "yahindutse burundu mu ijoro rimwe." Ariko hari inkuru nziza. Hari imiti n'imiti yo kuvura PANDAS na PANS. Abaganga n'inzobere mu by'ubuzima bwo mu mutwe bashobora kuguha wowe n'umuryango wawe ubuyobozi n'ubufasha ukeneye kugira ngo munyuze muri iki gihe kigoye.

Ni ibihe bimenyetso bya PANDAS na PANS?

Umwana urwaye PANDAS cyangwa PANS ashobora guhura n'iki kibazo gitunguranye kandi gikomeye cyane cyangwa kimwe muri ibi bikurikira:

Gukunda ibintu byinshi

Ibi bishobora gutuma umwana agira ubwoba bushya kandi bukomeye. Cyangwa se, ashobora guhangayikishwa n'ibintu nk'ibintu byose bigomba kuba bisukuye, bisukuye kandi byanduye. Ibitekerezo n'amashusho ateye ubwoba bishobora gukomeza kugaruka mu mutwe. Ubwo bwoba, ibitekerezo, n'impungenge bishobora kuba bikomeye ku buryo bishobora kugorana cyane guhumuriza umwana. Tekereza, umwana utarigeze agira ikibazo mbere atangira gutinya cyane mikorobe no kurwara. Cyangwa se, ashobora guhangayikishwa n'uko ibintu byose bigomba kuba "bimeze neza" kandi agahangayikishwa cyane n'ikintu gito cyane.

Ibintu udashobora kureka gukora (Ibibazo - Imihango)

Muri iki gihe, umwana ashobora gushukwa no gukaraba, gukoraho, gukora, cyangwa kuvuga ibintu bimwe na bimwe inshuro nyinshi. Ashobora kandi kunanirwa kubireka no kubimenyera. Urugero, umwana ashobora kwinjira no gusohoka mu muryango inshuro nyinshi, atekereza ko agomba kubikora "nibyo." Cyangwa, ashobora gusaba ababyeyi be kenshi ko bamuhumuriza kuri icyo kintu kimwe ati "Nibyo? Nibyo?" Urundi rugero ni ugukaraba intoki. Bakaraba intoki buri minota itanu, ariko bumva ko intoki zabo zanduye. Uretse ibi bimenyetso bya OCD, abana bafite PANDAS na PANS bashobora kugira ibindi bimenyetso bishya. Bimwe muri ibi ni:

• Kugenda utembera, cyangwa kugenda utembera (nk'uko uhumbya ijisho cyangwa guterura urutugu).
• Guhangayika , kwiheba , cyangwa guhinduka kw'amarangamutima - kumva wishimye akanya gato, hanyuma ukagira agahinda mu kandi kanya , cyangwa kurakara vuba.
• Kwitwara nabi cyangwa "gukabya," bigaragaza ko udashobora kuguma ahantu hamwe .
• Kuvuga nk'umwana muto (kuganira nk'uruhinja), kwihambira ku babyeyi, cyangwa kugira ubwoba bushya bwo gusinzira nijoro .
• Kugorwa n'inyandiko cyangwa ubundi buhanga bwo mu mutwe . Urugero, umwana wakundaga kwandika neza ashobora guhita agira ikibazo cyo kwandika nabi.
• Ingorane nshya zo kwibuka, gusoma, cyangwa gukora imibare .
• Gutangira kunyara ku buriri nijoro, kudasinzira neza.
• Ubwoba bushya bwo kurya no kunywa, bwo kubura icyo kurya;
• Uburyo bushya bwo kumva amajwi, gukorakoraho, imyenda, n'ibyo hanze . Urugero, icyapa cyari kitari kinini ku mwenda gishobora kuba ikibazo gikomeye ku mwana.

Tekereza, niba ibi bimenyetso bitagaragara kimwe cyangwa bibiri gusa, ahubwo bikagaragara byinshi icyarimwe, mu minsi mike, icyo ni cyo kidasanzwe kuri PANDAS/PANS.

Ni iki gitera PANDAS na PANS?

Biragoye gato, ariko dore ibisobanuro byoroshye: Impuguke zizera ko PANDAS na PANS biterwa n'uko ubudahangarwa bw'umubiri wacu bukora nabi iyo bwandujwe . Ubusanzwe, iyo umugera winjiye mu mubiri wacu, ubudahangarwa bwacu burawurwanya bukawusenya. Ariko muri PANDAS/PANS, aho kwibasira ubudahangarwa bw'umubiri, ubudahangarwa bw'umubiri bwibasira igice runaka cy'ubwonko . Iki gice cyitwa basal ganglia . Iki gice cy'ubwonko gifasha kugenzura ibitekerezo byacu, amarangamutima yacu, ingendo zacu, n'indi myitwarire. Rero, impuguke zitekereza ko uku "kurakaza" muri iki gice cy'ubwonko ari byo bitera ibimenyetso byavuzwe haruguru.

Itandukaniro riri hagati ya PANDAS na PANS ni irihe?

Impamvu nyamukuru itera ibimenyetso bya OCD no kurwara cyane ni indwara ya bagiteri yitwa Group A Streptococcus (cyangwa "strep") . Iyi ni bagiteri itera icyo dukunze kwita "strep throat." Rero, niba ibimenyetso by'umwana bifitanye isano n'ubwandu bwa strep, iyo ni indwara yitwa PANDAS.PANDAS bisobanura Pediatric Acute -onset Neuropsychiatric Disorders Associated with Streptococcus . Ni indwara itunguranye y’ubwonko mu bana ifitanye isano n’ubwandu bwa streptococcus . PANS ni indwara itunguranye y’ibimenyetso bya OCD bifitanye isano n’ubundi bwandu . Ibi bivuze ko ishobora guterwa n’indwara zifata imitsi gusa, ahubwo ishobora guterwa n’izindi ndwara nka grippe (grippe), chickenpox, mycoplasma infections, na Lyme disease . PANS bisobanura Pediatric Acute -onset Neuropsychiatric Syndrome . Ni indwara itunguranye y’ubwonko mu bana. Muri make, PANDAS iterwa n’ubwandu bwa strep. PANS iterwa n’ubwandu butari ubwa strep. Ibimenyetso birasa cyane muri ibyo byombi.

Ni gute abaganga basuzuma kandi bakavura PANDAS na PANS?

Ibi ni ingenzi cyane. Abana bose barwaye OCD si bo bafite PANDAS cyangwa PANS. OCD ishobora no guterwa n'izindi ndwara. Kugira ngo bamenye PANDAS cyangwa PANS, muganga wawe azamara igihe kinini akuganiriza kandi akubaza ibibazo byinshi ku bimenyetso by'umwana wawe. Bazasuzuma umwana wawe kandi bashobora no gukora ibizamini bimwe na bimwe kugira ngo barebe ko nta ndwara afite. Urugero, bashobora gufata swab kugira ngo barebe ko nta ndwara ziterwa n'imitsi. Ubuvuzi butangirana no kuvura ubwandu . Ibi bivuze ko niba ari ubwandu bwa bagiteri, imiti yica udukoko ishobora gutangwa. Ubuvuzi bw'imyitwarire yo mu mutwe (CBT) nabwo ni ubuvuzi bw'ingenzi kuri OCD. Ibi bikorwa n'umuganga w'ubuzima bwo mu mutwe wahuguwe. Umuganga w'umwana wawe ashobora kukwohereza ku muntu ubishoboye. CBT kuri OCD ifite igice cyihariye cyitwa Exposure and Response Prevention (ERP) . Ubu buvuzi bufasha umwana kugabanya imigenzo amenyereye. Muri make, umwana agenda ahura n'ikintu giteye ubwoba buhoro buhoro mu buryo bugenzurwa, kandi akigishwa kutitabira ibyo bintu. Ubuvuzi bushobora kandi gukemura ibindi bimenyetso by'imyitwarire n'amarangamutima bishobora kuba bimwe mu bigize PANDAS cyangwa PANS. Urugero, niba umwana afite ikibazo cyo kurara, Ubuvuzi bwo Guhindura Imiterere y'IngesoUburyo bwo kuvura nko: bushobora gufasha. Abavuzi bakorana bya hafi n'ababyeyi. Batanga inama ku babyeyi ku buryo bwo gufasha ibimenyetso by'umwana wabo kunoza. Batanga kandi ubuyobozi ku buryo bwo gucunga ibimenyetso bibabaza by'umwana wabo kugeza igihe bizimiye.

Ese indwara zandura ziterwa na PANDAS na PANS?

Oya. PANDAS na PANS ntabwo byandura. Umwana ntashobora kwandura izi ndwara azikuye ku wundi muntu. PANDAS na PANS zombi ni indwara zidakunze kugaragara . Ariko, ubwandu bw’ibanze (nk’imitsi yo mu muhogo) bushobora kwandura. Ariko, PANDAS/PANS ntabwo yandura.

Nafasha nte umwana wanjye?

Niba utekereza ko umwana wawe ashobora kuba afite PANDAS cyangwa PANS, reba muganga w'umwana wawe vuba bishoboka. Ni byiza gutangira kuvurwa vuba bishoboka. Muganga wawe ashobora kugufasha kubona umuvuzi mwiza w'indwara zo mu mutwe. Cyangwa, ushobora gukoresha ibikoresho nka urubuga rwa International OCD Foundation kugira ngo ubone inzobere yahuguriwe gutanga ubuvuzi bw'imyitwarire mu bwenge (CBT) ku bana bafite OCD. Dore bimwe mu bintu ushobora gukora kugira ngo ufashe umwana wawe gukira:

• Tangira gukorana n'umuvuzi vuba bishoboka. Uko ubuvuzi butangira vuba, ni ko umusaruro uba mwiza.
• Menya neza ko utazasiba amasomo yo kuvura umwana wawe. Buri somo ni ingenzi.
• Baza umuganga wawe uburyo bwiza bwo guhumuriza no kuruhura umwana wawe, kuko rimwe na rimwe kumuhumuriza uko tubona bishobora gutuma ibimenyetso bya OCD bye birushaho kwiyongera.
• Ha umwana wawe imiti yose muganga yakwandikiye. Ni ngombwa cyane gutanga imiti neza kandi ku gihe.
• Niba ibi biterwa n'ubwandu, ha umwana wawe uburoso bushya bw'amenyo kugira ngo urebe neza ko mikorobe zose zashize.

Kureba umwana arwaye ibimenyetso bya PANDAS cyangwa PANS bishobora gutera stress cyane kandi bigoranye ku babyeyi. Birumvikana ko ari byo. Itsinda ryita ku bana rihari kugira ngo rigufashe kandi rikuyobore. Ntugatinye gusaba ubufasha n'inama zabo.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

• PANDA na PANS ni indwara zitera impinduka zitunguranye kandi zikomeye mu myitwarire n'imyumvire y'abana.
• Ibi bikunze kugirwaho ingaruka n'ibintu nk'ibimenyetso bya OCD n'indwara zo kunanirwa kwifata .
• Impamvu ni uko ubudahangarwa bw'umubiri budashobora kwitwara neza ku bwandu.Ibi biterwa nuko igice kimwe cy'ubwonko (Basal Ganglia) kiba cyaragizweho ingaruka.
• Iyo bifitanye isano n'ubwandu bwa strep , byitwa PANDAS, kandi iyo bifitanye isano n'izindi ndwara, byitwa PANS.
• Izi si indwara zandura.
• Gusuzuma hakiri kare, kuvura ubwandu, no gutanga ubuvuzi buvura (cyane cyane CBT kuri OCD) bishobora gufasha umwana gukira.
• Nk'ababyeyi, nturi wenyine. Shaka ubufasha ku baganga n'abavuzi.

Niba ufite impungenge ku mwana wawe, nyamuneka shaka inama kwa muganga. Gutabara hakiri kare bishobora gufasha umwana wawe gukira vuba.

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PANDAS , PANS, OCD, ubuvuzi bw'abana, impinduka zitunguranye mu myitwarire, indwara zo mu mutwe, ubuzima bwo mu mutwe