Ingaba umntwana wakho ushukumisa intloko yakhe aze ashukumise umzimba wakhe? (Intloko ibetha kwaye umzimba ushukuma) Masithethe ngale nto!

Ukuba ungumama okanye utata omtsha , kunokuba yinto eyoyikisayo ukubona umntwana wakho osandul’ ukuzalwa eshukumisa intloko yakhe ukusuka kwelinye icala ukuya kwelinye, ebethelela intloko yakhe kumqamelo, okanye eshukumisa umzimba wakhe ngasemva nangaphambili. Kuqhelekile ukuziva wothukile xa ubona ezi zinto. Kodwa ungakhathazeki, ezi zinto zixhaphake kakhulu kwiintsana ezincinci, ingakumbi xa zilele.

Kuthetha ukuthini oku kunqwala intloko nokungcangcazela umzimba?

Ngamafutshane, le yintshukumo enesingqi eyenziwa ziintsana ezincinci, kwaye ngamanye amaxesha nabantwana abadala, ukuze bazithomalalise. Khawuthelekelele, emva kokuba umbeke umntwana wakho ebhedini, mhlawumbi ukhe wambona elala ngokushukumisa intloko yakhe ukusuka kwelinye icala ukuya kwelinye, okanye ngokushukumisa umzimba wakhe ngasemva nangaphambili. Oku sikubiza ngokuba “kukubethela intloko” kunye “nokushukumisa umzimba.”

Ezi ndlela zokuziphatha azisoloko zilimaza umntwana. Nangona kunjalo, kwiimeko ezingaqhelekanga, ukuba zibangela ukwenzakala kumntwana okanye ziphazamise ubuthongo bomntwana, thina oogqirha sibiza le meko ngokuthi "Rhythmic Movement Disorders " okanye `(Rhythmic Movement Disorders – RMD)`. Kodwa khumbula, uninzi lwexesha oku akuyongxaki, kuyinto eqhelekileyo.

Zeziphi iintlobo zeentshukumo ezikhoyo?

Iintsana zibonisa ezi ntshukumo zinesingqi ngeendlela ezahlukeneyo. Makhe sijonge ezinye zezona ntlobo zixhaphakileyo:

• Ukubetheka entloko: Usana lubetheka entloko yalo emqamelweni, kumatrasi, okanye emacaleni ebhedi.
• Ukushukuma komzimba: Ukushukumisa umzimba wonke usiya phambili nangasemva, okanye ecaleni, ngendlela enesingqi.
• Ukuqengqeleka kwentloko okanye ukushukumisa icala necala: Ukushukumisa intloko rhoqo ukusuka kwelinye icala ukuya kwelinye ngelixa ulele.

Ezi zezona ntlobo zixhaphakileyo. Ukongeza, kukho ezinye iintlobo ezingaqhelekanga:

• Ukuqengqeleka komzimba: Intshukumo yomzimba ejikelezayo ngendlela enesingqi.
• Ukuqengqeleka kwemilenze: Isenzo sokushukumisa imilenze ngasemva nangaphambili ngendlela enesingqi.
• Ukubetheka kwemilenze: Ukubetheka kwemilenze kwinto efana nomatrasi.

Kuqheleke kangakanani oku?

Oku kuqheleke kakhulu kunokuba unokucinga. Izifundo zifumanise ukuba malunga nama-60% eentsana ezisempilweni zibonisa ezi ntshukumo zinesingqi xa zineenyanga ezili-9 ubudala. Oko kuthetha ukuba malunga neentsana ezintandathu kwezilishumi zenza ezi zinto.

Le ntshukumo ingabonakala ngaphandle kokwahluka phakathi kwamadoda nabafazi. Ngamanye amaxesha, ukuba kukho umntu kusapho okhe waba nale meko ``(RMD)`` ngaphambili, kukho ithuba elincinci lokuba nabantwana bezo ntsapho nabo baya kuhlangabezana nale meko.

Zithini iimpawu zeRhythmic Movement Disorders (RMD)?

Into ebalulekileyo ekufuneka uyiqonde apha kukuba ayingomntwana wonke owenza ezi ntshukumo one "ngxaki." Oogqirha bacinga ukuba "yingxaki" kuphela ukuba ezi ntshukumo zihlala ziphazamisa ubuthongo bomntwana, zibangela ukuba umntwana alimale , okanye zenze kube nzima ukuba agxile kwimisebenzi emini.

Iintsana ezibonisa iintshukumo ezinesingqi zinokwenza izinto ezinje:

• Umzimba wonke ushukuma ngesingqi.
• Yinxalenye yomzimba kuphela, umzekelo intloko, ingalo, okanye umlenze, eshukumayo ngendlela ethile.
• Intloko iyashukuma ukusuka kwelinye icala ukuya kwelinye.
• Bazibethela entloko emqamelweni okanye kumatrasi.
• Ngamanye amaxesha ezi ntshukumo zihamba nesandi esicothayo sokucula, njengengoma, okanye ezinye izandi (oku kuqheleke kakhulu kubantwana abane-RMD).

Kutheni abantwana abancinci besenza izinto ezinje?

Abaphandi basazama ukufumanisa ukuba yintoni kanye kanye ebangela oku, kodwa kukho iingcamango ezimbini eziphambili.

1. Ukuzithomalalisa: Le yeyona ngcamango yamkelweyo kakhulu. Iintsana zenza ezi ntshukumo ukuze zizive zikhululekile kwaye zikhululekile. Zicinga ukuba ezi ntshukumo zibenza babe sempilweni, ngendlela efanayo naleyo baziva ngayo xa umama okanye utata wabo ebabamba aze abashukumise. Ngoko ke bazama ukuzithomalalisa ngale ndlela ngaphambi kokuba balale.

2. Ukungavuthwa kwenkqubo yemithambo-luvo : Enye ingcamango kukuba ngenxa yokuba iinkqubo zemithambo-luvo zeentsana azikaphuhli ngokupheleleyo, azikwazi ukulawula olu hlobo lwemisebenzi yentshukumo ngexesha lokulala.

Cinga ngako oku, xa wawusengumntwana, mhlawumbi wawunomkhwa wokulala owahlukileyo. Mhlawumbi ukugoba umqamelo, okanye ukuphakamisa umlenze omnye. Le yenye yezo zinto.

Ngaba kukho ezinye iimeko ezinokunxulunyaniswa nale ntshukumo?

Ukuba umntwana wakho ubonisa ezi ntshukumo zinesingqi, akuthethi ukuba kukho into engalunganga ngaye. Kwiimeko ezininzi, ezi ziyinxalenye eqhelekileyo yokukhula komntwana. Nangona kunjalo, kunqabile kakhulu, ezi ntshukumo zinokubonwa kunye nezinye iimeko. Ezinye zezi meko ziquka:

• Isifo se- Autism spectrum
• Ingxaki yokunqongophala kwengqwalasela/ yokungasebenzi kakuhle ( ADHD )
• Ukuphelelwa ngamandla kokulala
• Isifo seTourette
• Isifo seRett
• Isifo sika-Angelman

Into ebalulekileyo kukuba uninzi lwabantwana abanale ntshukumo yesingqisho abanazo ezinye iimeko zokukhula okanye zengqondo ezikhankanyiweyo. Ukuba awuqinisekanga ukuba iintshukumo zomntwana wakho ziqhelekile na ngokweminyaka yakhe, kungcono ukubona ugqirha wezingane. Yena angakunika iinkcazo kunye neengcebiso ezifunekayo.

Oogqirha bayifumana njani le nto?

Xa usiya kugqirha, baya kukubuza ngeepateni zokulala komntwana wakho, ukuba ezi ntshukumo ziqale nini, kwaye zide kangakanani. Oku kubizwa ngokuba "yimbali yokulala."

Ukongeza, ezinye iimvavanyo zingenziwa ukuze kuthintelwe ezinye iimeko. Umzekelo:

• Ukuphelelwa ngamandla kokulala
• I-Narcolepsy
• isifo semilenze engapheliyo

Ukuze ugweme ezo zinto, unokufuna ukwenza ezi vavanyo zilandelayo:

• Uphononongo lokulala (i-polysomnogram): Oku kubandakanya ukujonga amaza obuchopho, ukuphefumla, kunye nesantya sentliziyo ngelixa umntwana elele.
• I-Electroencephalogram (EEG): Oku kuvavanya ukusebenza kwengqondo, ingakumbi ukuba kukho imeko efana nokuxhuzula ekrokrelwayo.

Ngaba ikhona indlela yokunyanga oku?

Uninzi lwexesha, abantwana abenza ezi ntshukumo zinesingqi abadingi naluphi na unyango, njengoko oku kuyinxalenye eqhelekileyo yokukhula kwabo.

Nangona kunjalo, ukuba ugqirha ufumanisa ukuba umntwana wakho unemeko "ye-RMD", kwaye ngenxa yoko usemngciphekweni wokwenzakala, ugqirha unokucebisa izinto ezifana nezi:

• Isigcina-ntloko sokhuseleko umntwana wakho anokusinxiba xa elele.
• Ukubeka umatrasi womntwana phantsi, okanye ukubeka ibhedi kude nodonga (ukuthintela umntwana ukuba angabetheki ngentloko eludongeni).

Ukuba iimpawu zomntwana wakho zinzima ngakumbi, ugqirha unokucebisa ezinye iindlela.

Ndingenza ntoni ukuze umntwana wam anganikini intloko yakhe ukusuka kwelinye icala ukuya kwelinye aze ashukumise umzimba wakhe ngasemva nangaphambili?

Enyanisweni, ukuba umntwana wakho akazilimazi ngezi ntshukumo, akufuneki wenze nantoni na ekhethekileyo ukuze umnqande. Yithathe nje njengenxalenye yokukhula kwakhe.

Nangona kunjalo, ukuba ubona ukuba umntwana wakho wenza oku ngokugqithisileyo, okanye uyoyika ukuba uza kwenzakala, kungcono ukufuna ingcebiso kagqirha njengoko kukhankanyiwe apha ngasentla.

Le meko iza kuhlala ixesha elingakanani?

Le yingxaki ebanayo abazali abaninzi. Iindaba ezimnandi zezokuba ezi ndlela zokuziphatha zihlala ziphela ngokwazo xa beneminyaka emi-2 okanye emi-3 ubudala. Kubantwana abangenazo naziphi na iingxaki zempilo ezifihlakeleyo, yipesenti encinci kakhulu, malunga ne-5%, ebonisa ezi ndlela zokuziphatha xa beneminyaka emi-5 ubudala.

Liyintoni ikamva labantwana abancinci abaneentshukumo ezinjalo?

Ezi ntshukumo zidla ngokunyamalala zodwa njengoko umntwana ekhula, oko kukuthi, ebuntwaneni. Ezi mpawu azibonakali rhoqo kubantu abakwishumi elivisayo nakubantu abadala.

Kwiimeko ezininzi, ezi ntshukumo ziyinxalenye eqhelekileyo nesempilweni yokukhula komntwana. Nokuba bafunyenwe bene-RMD, abo bantwana badla ngokukhula badlule kubo baze baphile ubomi obusempilweni ngokupheleleyo.

Ngaba kufuneka ndikhathazeke kukuba umntwana wam ashukumise intloko yakhe ukusuka kwelinye icala ukuya kwelinye aze ashukumise umzimba wakhe?

Amaxesha amaninzi, ukungcangcazela intloko nokungcangcazela umzimba ziintshukumo eziqhelekileyo kwaye akukho nto ibalulekileyo. Nangona kunjalo, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuba:

• Ukuba umntwana wakho ubonakalisa ezi ndlela zokuziphatha emini: Hayi nje kuphela ngexesha lokulala, kodwa nangexesha edlala naxa evukile.
• Ukuba umntwana uneempawu zosulelo okanye ukwenzakala: umkhuhlane, amaqhakuva, imikrwelo, imikrwelo, njl.
• Ukuba umntwana uzenzakalisa, okanye ukuba uyoyika ukuba uza kwenzakala.
• Ukuba uqaphela ukuba umntwana wakho urhona kakhulu, uneempawu ze-sleep apnea, okanye uhlala enengxaki yokulala,
• Ezi mpawu zinokuba mandundu xa umntwana enomsindo okanye exinezelekile.
• Ukuba umntwana ulele kakhulu, okanye ukuba kunzima ukumvusa kusasa.
• Ukuba umntwana wakho ubonakala enengxaki yokukujonga ngqo nokukujonga emehlweni.
• Ukuba uqaphela ukuba umntwana wakho uyalibaziseka ekukhuleni: umzekelo, ukuqina kwemisipha, ubunzima bokulawula intloko nentamo yakhe, okanye ubunzima bokuginya (dysphagia).
• Ukuba ukrokrela ukuba umntwana wakho unesifo sokuxhuzula.

Ukuba ubona into efana nale, ngokuqinisekileyo funa ingcebiso kagqirha.

Kutheni abantwana abancinci benikina iintloko zabo ukusuka kwelinye icala ukuya kwelinye?

Ixesha elininzi, iintsana zishukumisa iintloko zazo ukusuka kwelinye icala ukuya kwelinye ukuze zizithobe. Kuqhelekile ukuba zenze oku xa zizama ukulala.

Kutheni abantwana abancinci bezama ukungcangcazela imizimba yabo?

Ukucula ngesandi esinesingqi kukwayindlela yokuzithuthuzela. Kunceda abantwana bazive bezolile kwaye bekhululekile – ingakumbi xa bezama ukulala okanye ebusuku.

Njengomzali, kuyinto eqhelekileyo ukuziva ungakhululekanga kwaye usoyika xa ubona umntwana wakho enikina intloko yakhe enikina umzimba wakhe. Kodwa khumbula, kwiimeko ezininzi, ezi ndlela zokuziphatha azinabungozi. Kusenokwenzeka ukuba umntwana wakho akakho ngxakini – uzama nje ukuzithuthuzela. Nangona kunjalo, ukuba ubona nantoni na ekukhathazayo, qiniseka ukuba uthetha nogqirha wakho wezingane. Angakuxelela ukuba umntwana wakho ufuna olunye uvavanyo na.

Okokugqibela, izinto ekufuneka uzikhumbule

Kulungile, masishwankathele size sikukhumbuze ngamanqaku abalulekileyo koko sithethe ngako:

• Kuqhelekile ukuba iintsana zishukumise iintloko zazo zize zishukumise imizimba yazo, kwaye yinto eziyenzayo ukuze zizithomalalise.
• Oku kudla ngokuba njaloIya kunyamalala yodwa emva kweminyaka emi-2-3.
• Ukuba umntwana akazilimazi, akukho nto inokubangela ixhala.
• Nangona kunjalo, ukuba ezi zinto zenzeka emini, ukuba umntwana wenzakele, ukuba ziphazamisa kakhulu ubuthongo, okanye ukuba kukho ezinye iimpawu ezixhalabisayo, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
• Ukuba unamathandabuzo okanye uloyiko, ungaze ungathandabuzi ukuthetha nogqirha ngayo loo nto.

Kubaluleke kakhulu ukunyamekela impilo yomntwana wakho. Ndiyathemba ukuba olu lwazi luza kukunceda!