Mwana wako anogara akatsamwa here? Anogara achiputika here? Ichi chingava chirwere chinonzi (DMDD)!

Mwana wako mudiki anogara akatsamwa here? Anogara achingogumbuka nezvinhu zvidiki here? Dzimwe nguva ungafunga kuti, 'Mwari wangu, chii chiri kunetsa pamwana uyu, anogara akatsamwa'. Kutaura zvazviri, vamwe vana vanogona kuva nehasha dzakadai, dzinogara dzichiitika uye kugara vachitsamwa. Nhasi tiri kutaura nezvechirwere chakadai, chinonzi Disruptive Mood Dysregulation Disorder (DMDD) .

Chii chinonzi chirwere ichi chinovhiringidza mafungiro (DMDD)?

Zvichitaurwa zviri nyore, chirwere ichi chepfungwa chinovhiringidza, kana kuti DMDD muchidimbu, chirwere chepfungwa chinokanganisa vana. Muizvi, mwana anogara aine hasha dzakanyanya uye hasha . Anowanzo shatirwa, kana kuti hasha dzinoputika .

Kazhinji, vana vadiki vane nguva dzekuva vakaoma musoro uye vane hasha. Izvozvo zvakajairika. Asi ``(DMDD)`` chirwere chakanyanya kuoma, chinoenderera mberi . Kutsamwa uku kwakanyanya uye hakuenderani nemamiriro ezvinhu panguva iyoyo. Izvi zvinoreva kuti vanotsamwa zvikuru kunyangwe nezvinhu zvidiki, dzimwe nguva vachipopota, vachikanda zvinhu pasi, kana kurova vamwe.

Chinonyanya kukosha ndechekuti chirwere ichi chinokanganisa zvakanyanya hupenyu hwemwana hwezuva nezuva, basa rake rechikoro, hukama hwake nemhuri neshamwari . Kuti zvionekwe kuti ane chirwere ichi, zviratidzo zvinofanira kunge zvakatanga asati asvitsa makore gumi .

Ko (DMDD) yakafanana here ne (ODD) kana kuti (Bipolar Disorder)? Musiyano uripo ndeupi?

Zvino ungave uchishamisika kuti, iyi ``(DMDD)`` yakafanana here nedambudziko rekusagadzikana rinopikisa ratakanzwa nezvaro, rakaita se``(Oppositional Defiant Disorder - ODD)``, kana ``(Bipolar Disorder)``? Kunyangwe paine zvimwe zvakafanana pakati peizvi, pane musiyano wakajeka. Ngationei kuti chii.

Dambudziko reOppositional Defiant (ODD) uye (DMDD)

`(ODD)` chirwere umo mwana anoramba achiratidza maitiro asingateereri, asingateereri, uye dzimwe nguva anotovenga vanhu vane masimba (semuenzaniso, vabereki, vadzidzisi) . Zvimwe zvezviratidzo zve`(ODD)` zvinogona kunge zvakafanana ne`(DMDD)`. Zvisinei, `(DMDD)` inoonekwa sechirwere chakakomba . Nekuti, mu`(DMDD)`, pane chirwere chikuru chepfungwa .

Fungidzira, kana mwana aine zviratidzo zve `(ODD)` uye `(DMDD)`, vanachiremba vanowanzoona kuti ane `(DMDD)`. Kureva kuti, `(DMDD)` inonyanya kutonga kupfuura `(ODD)`.

Dambudziko reBipolar uye (DMDD)

Dambudziko reBipolar (BD) chirwere chepfungwa chinogara kwenguva refu chinoratidzwa nekuchinja kukuru kwemafungiro, simba, mafungiro, uye maitiro.Kuchinja uku kunogona kugara kwemazuva, mavhiki, kana mwedzi. Kunogonawo kukanganisa kugona kwako kuita mabasa ezuva nezuva.

Zvino, tarisai, panogona kunge paine kufanana pakati pe `(BD)` ne `(DMDD)`. Zvisinei, zviratidzo zve `(BD)` zvinouya muzvikamu, kureva kuti, muchimiro che `(DMDD)`. Zvisinei, zviratidzo zve `(BD)` zvinoramba zvichienderera mberi uye hazvimiri .

Chimwe chinhu ndechekuti `(Bipolar Disorder)` haiwanzoitiki muvana vadiki nevechiri kuyaruka. Zvakare, `(BD)` inowanzova chirwere chehupenyu hwese. Zvisinei, mwana ane `(DMDD)` anowanzova nematambudziko akadai se`(Major Depression Disorder)` kana `(Generalized Anxiety Disorder)` pave paya muhupenyu, kureva kuti, paanenge akura.

Kutaura zvazviri, DMDD isati yazivikanwa zviri pamutemo sechirwere muna 2013, vana vazhinji vane DMDD vakaonekwa zvisirizvo sevanhu vane Bipolar Disorder.

Ndiani anowana chirwere cheDMDD? Chinowanikwa kakawanda sei?

Zviratidzo zveDMDD zvinowanzotanga vasati vasvitsa makore gumi. Saka, vanachiremba havaoni vana vari pasi pemakore matanhatu kana vechidiki vane makore anopfuura gumi nemasere vane DMDD.

Nekuti chirwere cheDMDD chirwere chitsva, hapana tsvakurudzo yakakwana yekutaura kuti chakajairika sei. Zvisinei, ongororo yekutanga inoratidza kuti chirwere ichi chinogona kukanganisa pakati pe2% ne5% yevana muUnited States. Panogona kunge paine vana vane chirwere ichi muSri Lanka zvakare, asi zvakaoma kutaura nhamba chaiyo.

Ndezvipi zviratidzo zvechirwere ichi (DMDD)?

Sezvatakambotaura kare, zviratidzo zve `(DMDD)` zvinowanzotanga asati asvitsa makore gumi. Mwana ane `(DMDD)` anogona kusangana nezvinhu zvakaita se:

• Kutsamwa kana kutsamwa zuva rose, kazhinji nguva dzese. Fungidzira mwana anogara akatsamwa uye asingafari kubva panguva yaanomuka mangwanani kusvika arara husiku.
• Kutsamwa kwakanyanya (kungave nemashoko kana maitiro) kusingakodzeri mamiriro acho ezvinhu. Izvi zvinowanzoitika katatu kana kupfuura pasvondo. Semuenzaniso, mwana anogona kuchema, kuchema, kugumburwa, uye kukanda zvinhu kune vamwe, kunyangwe pamusoro pechinhu chidiki sechitoyi chakatyoka. Anogonawo kuzvirova, kuzviruma, kana kurova vamwe.
• Kushatirwa uku kunogona kuita kuti zviome kushanda munzvimbo dzinopfuura imwe chete, kungave kumba, kuchikoro, kana neshamwari. Hasha idzi hadzingogumiri kumba chete. Dzinogonawo kukonzera matambudziko kuchikoro, kuvadzidzisi, uye kushamwari.

Chinhu chinonyanya kukosha ndechekuti kana uchifunga kuti mwana wako ane DMDD, zvakakosha kuti aone mupi wezano wehutano hwepfungwa uye atsvage kurapwa.Zvakakosha zvikuru. Nekuti, chirwere che `(DMDD)` chinogona kukanganisa hupenyu hwemwana, basa rechikoro. Chinogonawo kukanganisa hukama hwemhuri neshamwari.

Chii chinokonzera DMDD?

Nekuti DMDD chirwere chitsva, vaongorori havasati vanyatsonzwisisa chinokonzera chirwere ichi. Kufanana neODD neBD, DMDD ingangodaro inokonzerwa nemusanganiswa wakaoma wezvinhu zvehupenyu, majini, uye zvakatipoteredza .

• Patinotaura nezvezvinhu zvemuviri , pamwe shanduko mune mamwe makemikari muuropi (neurotransmitters), kana shanduko mumashandiro anoita zvimwe zvikamu zveuropi, zvingave zvichibatanidzwa.
• Kana tichitaura nezvezvinhu zvinokonzerwa nemajini , kana mumwe munhu mumhuri akambova nematambudziko epfungwa akadai, panogona kunge paine mukana wekuti mwana wacho azovawo nawo.
• Zvinhu zvinokanganisa nharaunda zvinogona kusanganisira nzvimbo inokurira mwana, kushushikana mumhuri, uye matambudziko anosangana nemwana.

Asi izvi zvichiri muchikamu chekutsvagisa. Hazvisati zvanyatsojeka kuti titaure kuti chii chaizvo chinokonzera.

Chirwere cheDMDD chinoonekwa sei?

Nyanzvi dzehutano hwepfungwa dzinoongorora chirwere cheDMDD kana mwana wako achizadzisa zvinodiwa zvakanyorwa muDiagnostic and Statistical Manual of Mental Disorders (DSM-5), bhuku rekushandisa rezvirwere zvepfungwa rakabudiswa neAmerican Psychiatric Association , kwemwedzi gumi nemiviri .

Kana mwana wako achiratidza zviratidzo zveDMDD, angangoda kuona chiremba wepfungwa wevana nevechiri kuyaruka kana chiremba wepfungwa . Nyanzvi idzi dzehutano hwepfungwa dzakagadzira kubvunzurudza uye maturusi ekuongorora. Dzinoshandisa izvi kuongorora kana mwana ane chirwere chepfungwa.

Vanachiremba vepfungwa nevanoongorora pfungwa vanowanzo tsvaga ruzivo kubva kuvabereki vemwana, vanun'una, shamwari, nevadzidzisi kuti vanzwisise zvakakwana maitiro emwana.

DMDD dzimwe nguva inogona kuitika pamwe chete nezvimwe zvirwere zvine chekuita nekutsamwa. Semuenzaniso, inogona kuitika neAttention -Deficit/Hyperactivity Disorder (ADHD) kana anxiety disorders . Saka, chiremba wepfungwa wemwana wako kana chiremba wepfungwa achaongorora mwana wako zvakakwana uye opa kuongororwa kwakarurama.

Ndeapi marapirwo eDMDD?

Nekuti DMDD chirwere chitsva, hapana tsvakurudzo yakawanda parizvino pamusoro pekurapa kwayo. Marapirwo aripo iye zvino anonyanya kubva pakutsvagurudza kwakaitwa pane zvimwe zvirwere zvevana zvine chekuita nekushatirwa, zvakaita sekuzvidya mwoyo uye ADHD.Mashoko akanaka ndeekuti akawanda emishonga iyi anoshandawo zvinobudirira pakurapa DMDD.

Nzira mbiri huru dzekurapa DMDD dzinosanganisira kurapa kwepfungwa kana kutaura nemishonga . Kazhinji, vanachiremba vanokurudzira kurapa kwepfungwa vasati vashandisa mishonga.

Kurapa kwepfungwa

Kurapa kwepfungwa, kana kuti kutaura, muunganidzwa wenzira dzakasiyana dzekurapa dzinobatsira munhu kuziva nekushandura manzwiro asina kunaka, pfungwa, uye maitiro.

Iyi nzira yekurapa kwepfungwa inopihwa nenyanzvi yehutano hwepfungwa yakadzidziswa uye ine rezinesi, yakaita senyanzvi yepfungwa kana yepfungwa. Inopa mwana wako nemhuri yako rutsigiro, dzidzo, uye nhungamiro yavanoda kuti vararame neDMDD.

Kune marudzi akasiyana-siyana ekurapa kwepfungwa anogona kubatsira neDMDD:

• Kurapa Nepfungwa Nemaitiro (CBT): Iyi ndeimwe yenzira dzinonyanya kushandiswa dzekurapa kwepfungwa. MuCBT yeDMDD, nyanzvi yehutano hwepfungwa inobatsira mwana kunyatsoongorora pfungwa nemanzwiro ake. Mwana anodzidza kuti pfungwa dzake dzinokanganisa sei zviito zvake. Kuburikidza neCBT, mwana anogona kudzidza kurega pfungwa nemaitiro asina kunaka, uye kukudziridza mafungiro nemaitiro ane hutano . Nyanzvi yehutano hwepfungwa inogona kubatsira mwana kudzidza kubata nekugumbuka pasina kushatirwa.
• Kurapa Maitiro Ekutaura (DBT): DBT yakavakirwawo paCBT, asi yakagadzirirwa vanhu vane manzwiro akasimba . DBT inogona kubatsira mwana wako kudzidza kudzora manzwiro ake uye kudzivirira kutsamwa kwakanyanya kana kwenguva refu.
• Kudzidziswa kwevabereki: Chiremba wemwana wenyu anogona kukurudzira kudzidziswa kwevabereki pamwe chete nekurapwa kwemwana wenyu. Kurapa uku kunodzidzisa vabereki kana vanochengeta vana maitiro ekuita zvinobudirira kune maitiro ekutsamwa . Semuenzaniso, nekuziva uye kudzivirira mamiriro ezvinhu anogona kutsamwisa mwana wenyu. Kunosimbisawo kukosha kwekugara muchienderana nemwana wenyu, uye kushandisa simba rakanaka kuderedza maitiro asingadiwe uye kukurudzira maitiro ane hutano.

Mishonga

Parizvino, US Food and Drug Administration (FDA) haisati yabvumidza chero mishonga yekurapa DMDD. Zvisinei, vanachiremba vanogona kunyora mimwe mishonga yekubatsira kudzora zviratidzo zveDMDD. Izvi zvinosanganisira:

• Zvinokurudzira: Vanachiremba vanowanzo nyora mishonga yekurapa ADHD. Tsvagiridzo inoratidza kuti mishonga yekukurudzira inogonawo kubatsira kuderedza kushatirwa muvana vane ADHD.
• Mishonga yekuderedza kushushikana: Dzimwe nguva vanachiremba vanopa mishonga yekuderedza kushushikana kuti varape matambudziko ekutsamwa uye emanzwiro anogona kusangana nevana vane DMDD. Imwe ongororo yakawana kuti mushonga weCitalopram, kana ukasanganiswa nemethylphenidate (chinhu chinosimudzira kushushikana), unoderedza kushatirwa muvana vane DMDD.
• Mimwe mishonga isingawanzoitiki yekurwisa psychotic / neuroleptic: Dzimwe nguva vanachiremba vanopa mishonga iyi kurapa vana vane hasha, hasha dzakakomba, kana kuti vane hasha. Zvisinei, vanachiremba vanopa mishonga iyi chete yeDMDD kana mimwe mishonga yese yakundikana.

Zvakakosha: Mishonga yese ine migumisiro yakaipa. Zvakakosha kuti mwana wako anyatsotarisa migumisiro yakaipa uye kuzivisa chiremba wemwana wako kana paine migumisiro yakaipa.

Ko DMDD inogona kudzivirirwa here?

DMDD ingasave chinhu chinodziviririka zvachose. Zvisinei, kuziva uye kupindura zviratidzo nekukurumidza pazvinenge zvaonekwa kunogona kubatsira kuderedza kushushikana pamwana wako nemhuri yako. Zvinogonawo kubatsira kudzivirira matambudziko mazhinji ane chekuita nechirwere ichi. Izvi zvinoreva kuti kupindira nekukurumidza kwakakosha .

Ramangwana richava rakaita sei kumwana ane DMDD?

Vana vane DMDD vanogona kuva nematambudziko makuru kuchikoro, kumba, uye muhukama hwevanhu.

Kana vana vane DMDD vakasarapwa, vari panjodzi yakakura yekuora mwoyo uye/kana matambudziko ekuzvidya mwoyo pavanenge vakura. Saka, kana mwana wako achiratidza zviratidzo zveDMDD, zvakakosha kutsvaga rubatsiro nekukurumidza .

Ndingabatsira sei mwana wangu?

Kana mwana wako aine DMDD, pamusoro pekupa kurapwa kwenyanzvi, kune nzira dzakawanda dzaungabatsira nadzo iwe nemwana wako:

• Dzidza zvakawanda sezvaunokwanisa nezveDMDD: Taura nachiremba wemwana wako kana nyanzvi yehutano hwepfungwa. Bvunza mibvunzo nezvesarudzo dzekurapa uye tsvakiridzo itsva paDMDD.
• Taura nachiremba wemwana wako nguva nenguva: Zvakakosha kushanda pamwe chete nachiremba wemwana wako kuti uite sarudzo dzakanakisa dzekurapa mwana wako.
• Shanda nemudzidzisi wemwana wako kana mupi wezano wechikoro: Pamwe chete, munogona kugadzira nzira dzekubatsira mwana wenyu kubudirira kuchikoro.
• Tora nguva yekuzorora kana kumbozorora kana zvichidikanwa:Kana uchifunga kuti uri kutowedzera kusawirirana nemwana wako pane kuita kuti zvinhu zvimufambire zvakanaka, tora nguva wobva waenda. Izvi zvinopa muenzaniso wakanaka kumwana wako. Kana mwana wako akasarudza kuzorora kuti adzivise mamiriro ezvinhu akaipa kuti asawedzera, mutsigire.
• Zvichengete: Ramba uchifarira zvinhu zvaunofarira, gadzirisa kushushikana, uye shanda nevamwe vakuru vari kubata nemwana wako uye edza kuwana rutsigiro rwavo.

Mwana anofanira kuona chiremba rini?

Kana mwana wenyu akaonekwa kuti ane chirwere cheDMDD, uye kana maitiro emwana wenyu ari kuwedzera kuipa kana kuti ari kukanganisa hupenyu hwemhuri kana hwechikoro, taurai nachiremba wemwana wenyu.

Vana nevana vadiki vanogara vakashatirwa vanogona kuva dambudziko guru kuvabereki. Kunyange zvazvo zvakajairika kuti vana vadiki nevakuru vechidiki vave nehasha nguva nenguva, maitiro anopfuurira uye anovhiringidza anogona kuratidza chirwere chinonzi '(DMDD)'.

Zvakakosha kutanga kurapwa kweDMDD nekukurumidza . Danho rekutanga rekurapwa nderekutaura nachiremba kana mupi wezano wehutano hwepfungwa . Usatya kubvunza chiremba wemwana wako mibvunzo. Varipo kuti vakubatsire.

Saka, ndezvipi zvinhu zvakakosha zvatinofanira kuyeuka kubva munyaya iyi?

Zvakanaka, saka ndinovimba wava kunzwisisa zviri nani chirwere chinonzi ``(DMDD)``` chatataura nezvacho nhasi. Yeuka, kunyange zvazvo zvakajairika kuti mwana wese atsamwe, ``(DMDD)`` chirwere chakadzama chinokanganisa hupenyu hwemwana.

• Kana hasha dzemwana wako nekutsamwa zviri pamusoro pemazinga akajairwa uye zvichiramba zviripo , uye kana zvichikanganisa basa rake rechikoro, hupenyu hwake hwepamba, kana hukama hwake neshamwari , funga nezvazvo.
• ``(DMDD)``` haisi chaiyo ``(ODD)`` kana ``(Bipolar Disorder),`` kune misiyano yakawanda kupfuura iyoyo.
• Zvakakosha kutsvaga rubatsiro kubva kune nyanzvi yezvehutano hwepfungwa kuti uongorore uye urape chirwere ichi.
• Kurapa kwepfungwa uye dzimwe nguva mishonga inzira inoshanda yekurapa izvi.
• Sevabereki, rutsigiro rwenyu, kunzwisisa kwenyu, uye mwoyo murefu wenyu zvinokosha kumwana wenyu. Zvakakoshawo kuti muzvitarisire.
• Kuziva chirwere ichi nekukurumidza uye kutanga kurapwa kunobatsira zvikuru mwana kuti ave neramangwana rakanaka uye rinofadza.

Usazvidya moyo, kune nzira dzekubatsira mumamiriro ezvinhu akadai. Chinhu chakakosha kuziva kuti hausi wega wowana rubatsiro rwaunoda.

` DMDD, hutano hwepfungwa hwemwana, hasha dzemwana, matambudziko ehunhu, matambudziko emanzwiro, kurapa kwepfungwa kwevana, mazano ekurera vana