Fungidzira, mwana wako aifara zvikuru uye akajairika kusvika nezuro. Asi mangwanani ano akamuka akava munhu akasiyana zvachose. Kamwe kamwe anochema, anotsamwa, haadi kuva kure newe kwechinguva ... uye dzimwe nguva anoita chinhu chimwe chete kakawanda. Uchiona chimwe chinhu chakadai, amai nababa vese vanotya zvikuru, handiti? Chikonzero cheizvi chingave chimwe chinhu chausingatombofungi nezvacho. Icho chirwere chinonzi PANDAS Syndrome. Ngatitaurei nezvazvo zviri nyore uye zvakajeka.
Chii chinonzi PANDAS Syndrome?
Zvichitaurwa zviri nyore, PANDAS chirwere chetsinga nepfungwa chinoitika mune vamwe vana mushure mekunge vabatwa nechirwere che strep throat. Izwi rekuti PANDAS ipfupiso yePediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. Kunyange hazvo zita racho ringanzwika serakaoma, chikonzero chacho chiri nyore.
Vanachiremba vedu vanotenda kuti ichi chirwere chinokonzerwa ne autoimmune disorder. Izvi ndizvo zvinoreva. Kana mwana awana strep bacteria, dziviriro yemuviri wedu, iyo immune system, inotanga kurwisa bacteria iyi. Asi dzimwe nguva, zvimwe zvikamu zve strep bacteria idzi zvakafanana nezvikamu zvemasero ane hutano muuropi hwedu. Saka , dziviriro yedu, iyo inoshanduka kuita mhirizhonga, inotanga kurwisa bacteria uye, nekukanganisa, inotanga kurwisa masero edu ane hutano muuropi. Ndipo patinoona shanduko idzi dzehunhu kamwe kamwe.
Dambudziko iri rinowanzoonekwa muvana vari pakati pemakore matatu negumi nemaviri. Zvisinei, rinogonawo kuitika kuvana vakuru. Iri idambudziko risingawanzoitiki. Saka, zvakakosha kuti uzive izvi zvizere usati watya.
Ndezvipi zviratidzo zveizvi? Unozviziva sei?
Hunhu hukuru hwePANDAS ndehwekuti zvese zvinotanga kamwe kamwe, kanenge husiku. Maitiro emwana anochinja zvakanyanya. Zviratidzo izvi zvinogona kugara kwemazuva mashoma kana mavhiki. Dzimwe nguva zvinogona kudzikira zvozodzokazve.
Ona tafura iri pazasi kuti uone zviratidzo zvikuru.
| Rudzi rwehunhu | Zvinhu zvinoonekwa kubva kumwana |
|---|---|
| Kuchinja kwemaitiro (senge OCD) | Maitiro ekumanikidzwa akadai sekugeza maoko nguva nenguva, kubvunza mubvunzo mumwe chete kakawanda, uye kugara uchitarisa kuti magonhi akakiyiwa here (Obsessive-Compulsive Disorder - OCD) |
| Matambudziko emanzwiro | Kutya zvakanyanya kuparadzaniswa nevabereki (kuzvidya mwoyo kwekuparadzana), kutsamwa kamwe kamwe, kuchema, uye kuseka zvisina chinangwa. |
| Kufamba kwemuviri (Tics) | Kufamba-famba kamwe kamwe, kuzununguka kwakadai sekupenya kusingadzoreki, kutenderedza mutsipa, uye kusimudza mapendekete. |
| Nyaya dzedzidzo | Kuoma nekunyora, kudhirowa, kutadza kuisa pfungwa pabasa rechikoro, kuratidza zviratidzo zveADHD. |
| Zvimwe zvinhu | Kushaya chido chekudya, matambudziko ekurara, weti pamubhedha, kurwadziwa kwemajoini, uye kunzwa chiedza. |
Musiyano uripo pakati pePANS nePANDAS ndeupi?
Ungave wakambonzwa izwi rekuti PANS. PANDAS chirwere chiri muboka guru rinonzi PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome). PANS ine zviratidzo zvakafanana nePANDAS. Zvisinei, hazvifanirwe kunge zvichikonzerwa nehutachiona hwestrep. PANS inogonawo kukonzerwa nezvimwe zvirwere, zvinhu zvakatipoteredza, kana mamwe matambudziko nemasoja emuviri.
Chiremba anoongorora sei chirwere chePANDAS?
Kuongororwa kwePANDAS kunogona kuoma nekuti hapana bvunzo chaiyo yekusimbisa. Chiremba wako achaongorora mwana wako nokungwarira, obvunza nezvezviratidzo zvako, uye obvisa zvimwe zvirwere. Miedzo inotevera inogona kuitwa:
- Kusveta pahuro inzira yekuongorora mabhakitiriya emudumbu.
- Kuongororwa kweropa kuti vaone kana masoja emuviri achishanda zvakanaka.
- Dzimwe nguva kuongorora uropi.
- Tsvaga rubatsiro kubva kune nyanzvi yehutano hwepfungwa kuti uve nechokwadi chekuti hapana zvimwe zvirwere zvepfungwa.
Chinhu chakakosha ndechekuti, kana mwana asati ambova nechirwere chestrep kana kuti asina chirwere ichi parizvino, hazvigoneke kuti iPANDAS. Asi zviratidzo izvozvo zvinogona kunge zviri chirwere chinonzi PANS. Saka, zvakakosha kuona chiremba uye kutsvaga mazano chero zvodini.
Ndezvipi zvinorapwa izvi?
Kana chirwere ichi chikaonekwa nekukurumidza uye chikarapwa, mikana yemwana yekupora inowedzera. Kurapa kunowanzo sanganisira musanganiswa wemishonga nekurapwa.
| Nzira yekurapa | Zvichitaurwa zviri nyore... |
|---|---|
| Mishonga inorwisa mabhakitiriya | Chinhu chekutanga chauchaita kupa mishonga inorwisa mabhakitiriya kuti iuraye hutachiona hwe strep. Uchafanira kuitora kwevhiki imwe kusvika mbiri. |
| Kurapa Kwepfungwa Nemaitiro (CBT) | Izvi zvinobatsira kudzora maitiro emwana nekutya kwakafanana nekweOCD. Zvinodzidzisa mwana maitiro ekubata nepfungwa idzodzo. |
| Mishonga inorwisa kuzvimba | Mapiritsi eSteroid kana NSAIDs akadai seIbuprofen anogona kupihwa kudzikamisa masoja emuviri anomhanya zvakanyanya. |
| Mishonga yekuderedza kushushikana | Mishonga yeSSRI inogona kupihwa kudzora zviratidzo zveOCD. Zvisinei, inofanira kushandiswa chete pasi pekutarisirwa kwachiremba , sezvo dzimwe nguva ichigona kukonzera migumisiro yakaipa muvana vane PANDAS. |
| IVIG / Plasmapheresis | Kana mamwe marapirwo asingabudirire, uye zviratidzo zvacho zvakanyanya, nzira idzi dzinoshandiswa 'kudzoreredza' masoja emuviri. Aya marapirwo akaomarara. |
Mamiriro ezvinhu aya achanaka here? Chii chatinofanira kuita sevabereki?
Ehe, aya ndiwo mashoko akanakisa. Vana vazhinji vanopora zvachose nekurapwa kwakakodzera. Mushure mekunge chirwere che strep charapwa, zviratidzo zvinopera zvishoma nezvishoma mumwedzi mishoma. Asi dzimwe nguva zvinogona kunaya zvozodzoka.
Chinhu chinonyanya kukosha ndechekuti kana mwana wako akawana strep infection zvakare, zviratidzo zvePANDAS zvinogona kuoneka zvakare. Saka, ibasa rako kudzivirira mwana wako kubva kuzvirwere.
Ita zvinhu izvi:
- Ita tsika dzakanaka dzehutsanana , dzakadai sekugeza maoko ako nguva nenguva uye kusasangana nevanhu vanorwara.
- Chinja bhurashi rako remazino nguva nenguva.
- Dzimwe nguva, vamwe vemumhuri vanogona kunge vaine mabhakitiriya estrep vasina zviratidzo (vanotakura). Kana zvichidikanwa, taura nachiremba wako nezvekuongororwa kwemunhu wese mumhuri yako.
Vamwe vanachiremba vanokurudzira mishonga inorwisa mabhakitiriya kwenguva refu kudzivirira kutapukirwa mune ramangwana, vamwe vachikurudzira kubviswa kwe tonsillectomy, asi kushanda kwenzira idzi kuchiri kuongororwa.
Mharidzo Yekuenda Nayo Kumba
- PANDAS Syndrome chirwere chepfungwa uye chepfungwa chinogona kukonzerwa nehutachiona hwe strep throat.
- Chiratidzo chikuru kuchinja kamwe kamwe, kwakakura mumaitiro emwana aimbova neutano hwakanaka.
- Kana ukaona zviratidzo izvi pamwana wako, usavhunduke kana kutya, asi enda kuna chiremba wevana nekukasika.
- Kana vana vazhinji vakarapwa zvakanaka, vanopora zvizere.
- Kudzivirira mwana wako kuti asawane strep throat zvakare kwakakosha zvikuru kudzivirira chirwere ichi kuti chisadzokorore.
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