Zithini ezi PANDAS nee PANS? Utshintsho olukhulu ngequbuliso!
Ngamafutshane, ii-PANDAS kunye nee-PANS ziimeko ezimbini apho umntwana ngequbuliso eba neempawu ze- Obsessive Compulsive Disorder (OCD) . I-OCD ibonakaliswa ziingcinga ezingapheliyo ngento ethile (ii-obsessions) kunye neminqweno ephindaphindiweyo yokwenza izinto ezithile (ii-compulsions). Kwi-PANDAS/PANS, ezi mpawu ze-OCD zivela ngokukhawuleza kwaye zinzima. Akunjalo kuphela, kodwa unokubona nezinye utshintsho oluninzi olukhawulezileyo kwindlela umntwana wakho aziphethe ngayo. Abanye abazali bathi umntwana wabo "utshintshe ngokupheleleyo ngobusuku obunye." Kodwa kukho iindaba ezimnandi. Kukho amayeza kunye nonyango lwe-PANDAS kunye ne-PANS. Oogqirha kunye neengcali zempilo yengqondo banokukunika wena nosapho lwakho ulwalathiso kunye nenkxaso oyifunayo ukuze udlule kweli xesha linzima.Zithini iimpawu zePANDAS kunye nePANS?
Umntwana one-PANDAS okanye i-PANS unokufumana ngequbuliso nangokubi kakhulu enye okanye zombini ezi zinto zilandelayo:Ukuzikhathaza kakhulu
Oku kunokubangela umntwana ukuba abe noloyiko olutsha nolunamandla kakhulu. Okanye, basenokuxhalaba ngezinto ezifana nayo yonke into ekufuneka icoceke, icoceke, kwaye ingcolile. Iingcinga eziphazamisayo kunye nemifanekiso zinokuhlala zifika engqondweni. Olu loyiko, iingcinga, kunye nokukhathazeka kunokuba nzima kakhulu ukuthuthuzela umntwana. Khawuthelekelele, umntwana owayengenazo iingxaki ngaphambili uqala ngequbuliso ukoyika kakhulu iintsholongwane aze agule. Okanye, basenokuxhalaba ukuba yonke into kufuneka "ilunge" baze baxhalabe kakhulu nangayo nantoni na encinci.Izinto ongenakuziyeka ukuzenza (Izinto ezinyanzelekileyo - Amasiko)
Kwimeko enjalo, umntwana unokulingeka ukuba ahlambe, achukumise, enze, okanye athethe izinto ezithile ngokuphindaphindiweyo. Basenokungakwazi ukuyeka ukuzenza baze babe ngamakhoboka azo. Umzekelo, umntwana usenokungena aze aphume emnyango amaxesha amaninzi, ecinga ukuba kufuneka akwenze "ngokuchanekileyo." Okanye, banokubuza abazali bakhe ngokuphindaphindiweyo ukuba bamqinisekise ngento efanayo, "Ingaba kunjalo? Ingaba kunjalo?" Omnye umzekelo kukuhlamba izandla. Bahlamba izandla zabo rhoqo ngemizuzu emihlanu, kodwa basaziva ngathi izandla zabo zingcolile. Ukongeza kwezi mpawu ze-OCD, abantwana abane-PANDAS kunye ne-PANS banokuvelisa ezinye iimpawu ezintsha. Ezinye zezi:- Iintshukumo zokushukuma, okanye ukushukuma, (ezifana nokuqhwanyaza iliso okanye ukushukumisa igxalaba).
- Ukuxhalaba , ukudakumba , okanye ukutshintsha kweemvakalelo - ukuziva wonwabile umzuzwana omnye, uze ube lusizi olandelayo , okanye ukucaphuka ngokukhawuleza.
- Ukuziphatha ngobundlobongela okanye "ukugqithisela," okubonisa ukungakwazi ukuhlala kwindawo enye .
- Ukuthetha njengomntwana omncinci (intetho yosana), ukunamathela kubazali, okanye ukuba noloyiko olutsha lokulala ebusuku .
- Ubunzima obukhawulezileyo bokubhala ngesandla okanye ezinye izakhono zomzimba ezintle . Umzekelo, umntwana owayebhala kakuhle usenokuba nokubhala okungcolileyo ngequbuliso.
- Ubunzima obutsha bokukhumbula, ukufunda, okanye ukwenza izibalo .
- Ukuqala ngokutsha kokuchama ebhedini ebusuku, ukungalali kakuhle.
- Uloyiko olutsha lokutya nokusela, lokubanjwa; ukungatyi.
- Uvakalelo olutsha kwizandi, ukuchukumisa, impahla, kunye nokuphuma ngaphandle . Umzekelo, ilebhile eyayingasasebenzi kangako kwimpahla ngoku isenokuba yingxaki enkulu kumntwana.
Khawucinge nje, ukuba ezi mpawu azibonakali nje enye okanye ezimbini, kodwa zibonakala zininzi ngaxeshanye, kwiintsuku ezimbalwa, yiloo nto ikhethekileyo ngePANDAS/PANS.
Yintoni ebangela iiPANDAS kunye neePANS?
Kunzima kancinci, kodwa nantsi ingcaciso elula: Iingcali zikholelwa ukuba iiPANDAS kunye neePANS zibangelwa kukungasebenzi kakuhle kwenkqubo yethu yokuzikhusela kwintsholongwane . Ngokwesiqhelo, xa intsholongwane ingena emzimbeni wethu, inkqubo yethu yokuzikhusela iyalwa ize iyitshabalalise. Kodwa kwiPANDAS/PANS, endaweni yokuhlasela iintsholongwane, inkqubo yokuzikhusela ihlasela ngempazamo inxalenye ethile yobuchopho . Le nxalenye ibizwa ngokuba yi-basal ganglia . Le nxalenye yobuchopho inceda ukulawula iingcinga zethu, iimvakalelo, iintshukumo, kunye nezinye iindlela zokuziphatha. Ngoko ke, iingcali zicinga ukuba oku "kucaphuka" kule nxalenye yobuchopho yikona okubangela iimpawu ezikhankanyiweyo apha ngasentla.Yintoni umahluko phakathi kwePANDAS kunye nePANS?
Eyona nto ibangela ukuqhambuka okukhulu kweempawu ze-OCD kunye ne-tics yintsholongwane yebhaktiriya ebizwa ngokuba yiGroup A Streptococcus (okanye "strep") . Le yintsholongwane ebangela oko sikubiza ngokuba yi "strep throat." Ngoko ke, ukuba iimpawu zomntwana zidibene ngokucacileyo nosulelo lwe-strep, loo nto yimeko ebizwa ngokuba yi-PANDAS.I-PANDAS imele iPediatric Acute -onset Neuropsychiatric Disorders Associated with Streptococcus . Kukuqala ngequbuliso kweengxaki ze-neuropsychiatric kubantwana ezinxulumene nosulelo lwe -streptococcus . I-PANS kukuqala ngequbuliso kweempawu ze-OCD ezinxulumene nosulelo olunye . Oku kuthetha ukuba inokubangelwa kungekuphela nje yi-strep, kodwa nakwezinye izifo ezifana ne -influenza (flu), i-chickenpox, izifo ze-mycoplasma, kunye nesifo se-Lyme . I-PANS imele iPediatric Acute -onset Neuropsychiatric Syndrome . Kukuqala ngequbuliso kwe-neuropsychiatric syndrome ebantwaneni. Ngamafutshane, i-PANDAS ibangelwa lusulelo lwe-strep. I-PANS ibangelwa lusulelo olungelulo lwe-strep. Iimpawu zifana kakhulu kuzo zombini iimeko.Oogqirha baxilonga baze banyange njani iiPANDAS kunye neePANS?
Oku kubaluleke kakhulu. Ayingabo bonke abantwana abane-OCD abane-PANDAS okanye i-PANS. I-OCD inokubangelwa zezinye iimeko. Ukuze kufunyaniswe i-PANDAS okanye i-PANS, ugqirha wakho uya kuchitha ixesha elininzi ethetha nawe kwaye ekubuza imibuzo emininzi malunga neempawu zomntwana wakho. Baza kumhlola umntwana wakho kwaye banokwenza novavanyo oluthile ukujonga usulelo. Umzekelo, banokuthatha i-swab ukujonga umphimbo obuhlungu. Unyango luqala ngokunyanga usulelo . Oku kuthetha ukuba ukuba lusulelo lwebhaktheriya, ii-antibiotics zinokunikwa. Unyango lokuziphatha kwengqondo (i-CBT) nalo lunyango olubalulekileyo lwe-OCD. Oku kwenziwa ngumboneleli wezempilo yengqondo oqeqeshiweyo. Ugqirha womntwana wakho unokukuthumela kumntu ofanelekileyo. I-CBT ye-OCD inecandelo elikhethekileyo elibizwa ngokuba yi-Exposure and Response Prevention (ERP) . Olu nyango lunceda umntwana ukunciphisa amasiko aqhele ukuwasebenzisa. Ngamafutshane, umntwana utyhileka kancinci kancinci kwinto eyoyikwayo ngendlela elawulwayo, kwaye ufundiswa ukuba angazibandakanyi kwimikhwa yokunyanzelisa. Unyango lunokujongana nezinye iimpawu zokuziphatha kunye neemvakalelo ezinokuba yinxalenye ye-PANDAS okanye i-PANS. Umzekelo, ukuba umntwana une-tics, unyango lokuguqula imikhwaUnyango olufana nolu: lunokunceda. Iingcali zonyango zisebenza ngokusondeleyo nabazali. Zibonelela ngoqeqesho kubazali malunga nendlela yokunceda iimpawu zomntwana wabo ziphucuke. Zikwabonelela ngesikhokelo sendlela yokulawula iimpawu ezibangela usizi zomntwana wabo de ziphele.Ngaba izifo ezisulelayo zePANDAS kunye nePANS?
Hayi. IiPANDAS kunye neePANS azisuleli. Umntwana akanakuzifumana ezi meko komnye umntu. Zombini iiPANDAS kunye neePANS ziimeko ezingaqhelekanga . Nangona kunjalo, usulelo olusisiseko (njengomqala obuhlungu) lunokosulela. Nangona kunjalo, iiPANDAS/PANS azisuleli.Ndingamnceda njani umntwana wam?
Ukuba ucinga ukuba umntwana wakho unokuba ne-PANDAS okanye i-PANS, bonana nogqirha womntwana wakho ngokukhawuleza. Kungcono ukuqala unyango ngokukhawuleza. Ugqirha wakho angakunceda ufumane ingcali yezempilo yengqondo elungileyo. Okanye, ungasebenzisa izixhobo ezifana newebhusayithi ye-International OCD Foundation ukufumana ingcali eqeqeshwe ukubonelela ngonyango lokuziphatha kwengqondo (CBT) kwi-OCD ebantwaneni. Nazi ezinye izinto onokuzenza ukunceda umntwana wakho aphile:- Qala ukusebenza nogqirha wengqondo ngokukhawuleza. Okukhona unyango luqala ngokukhawuleza, kokukhona iziphumo zingcono.
- Qiniseka ukuba awuphoswa naziziphi na iiseshoni zonyango zomntwana wakho. Yonke iseshoni ibalulekile.
- Buza ugqirha wakho wengqondo malunga neendlela ezilungileyo zokuthuthuzela nokuthomalalisa umntwana wakho, kuba ngamanye amaxesha ukumthuthuzela ngendlela esicinga ukuba ingenza iimpawu zakhe ze-OCD zibe zimbi ngakumbi.
- Nika umntwana wakho onke amayeza achazwe ngugqirha wakho. Kubaluleke kakhulu ukunika umntwana amayeza ngokuchanekileyo nangexesha elifanelekileyo.
- Ukuba oku kubangelwa sisifo, nika umntwana wakho ibrashi yamazinyo entsha ukuqinisekisa ukuba zonke iintsholongwane azisekho.
Ukubukela umntwana ehlushwa ziimpawu zePANDAS okanye iPANS kunokuba nzima kakhulu kubazali. Kuyaqondakala ukuba kunjalo. Iqela lakho lokhathalelo likho ukukuxhasa nokukukhokela. Ungaze ungathandabuzi ukufuna uncedo kunye neengcebiso zabo.
Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
- IIPANDA kunye nePANS ziimeko ezibangela utshintsho olukhawulezileyo nolunzima kwindlela abaziphatha ngayo abantwana kunye neemvakalelo zabo.
- Ezi zichaphazeleka kakhulu zizinto ezifana neempawu ze-OCD kunye nokuxinezeleka .
- Isizathu kukuba amajoni omzimba awasabelanga kakuhle kwisifo.Oku kungenxa yokuba inxalenye ethile yobuchopho (iBasal Ganglia) iyachaphazeleka.
- Ukuba inxulunyaniswa nosulelo lwe-strep , ibizwa ngokuba yi-PANDAS, kwaye ukuba inxulunyaniswa nezinye izifo, ibizwa ngokuba yi-PANS.
- Ezi ayizozifo ezosulelayo.
- Ukufunyanwa kwangoko, unyango losulelo, kunye nokubonelela ngonyango lonyango (ingakumbi i-CBT ye-OCD) kunokunceda umntwana ukuba aphile kwakhona.
- Njengabazali, aniwedwa. Fumana uncedo koogqirha kunye nabezonyango.
IiPANDA , iiPANS, i-OCD, iiPediatrics, utshintsho olukhawulezileyo lokuziphatha, usulelo lwe-strep, impilo yengqondo











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