Khawucinge nje, umntwana wakho wayevuya kakhulu kwaye eqhelekile de kwaba izolo. Kodwa kusasa uvukile waza waba ngumntu owahlukileyo ngokupheleleyo. Ngequbuliso uyakhala, uyacaphuka, akafuni ukuba kude nawe okomzuzwana... kwaye ngamanye amaxesha wenza into efanayo ngokuphindaphindiweyo. Ukubona into enje, wonke umama notata bayoyika kakhulu, akunjalo? Isizathu soku sisenokuba yinto ongayicingi nokuyicinga. Leyo yimeko ebizwa ngokuba yiPANDAS Syndrome. Masithethe ngale nto ngokulula nangokucacileyo.
Yintoni kanye kanye iPANDAS Syndrome?
Ngamafutshane, i-PANDAS yimeko yemithambo-luvo neyengqondo eyenzeka kwabanye abantwana emva kokuba befumene usulelo lwe-strep throat. Igama elithi PANDAS lisisifinyezo sePediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. Nangona igama lisenokuvakala liyinkimbinkimbi, unobangela oyintloko ulula kakhulu.
Oogqirha bethu bakholelwa ukuba esi sisifo sokuzikhusela komzimba. Yile nto ithethwa yile nto. Xa umntwana efumana i-strep bacteria, inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela, iqala ukulwa nale bacteria. Kodwa ngamanye amaxesha, ezinye iindawo zale strep bacteria zifana kakhulu neendawo zeeseli eziphilileyo engqondweni yethu. Ngoko ke , inkqubo yethu yokuzikhusela, eqala ukuhlasela intsholongwane, kwaye ngempazamo, iqala ukuhlasela iiseli zethu zobuchopho eziphilileyo. Kulapho sibona khona olu tshintsho olukhawulezileyo lokuziphatha.
Le meko idla ngokubonakala kubantwana abaphakathi kweminyaka emi-3 neli-12 ubudala. Nangona kunjalo, inokwenzeka nakubantu abadala. Le yimeko engaqhelekanga kakhulu. Kungoko ke, kubaluleke kakhulu ukuyiqonda ngokupheleleyo le nto ngaphambi kokuba uxhalabe.
Zithini iimpawu zoku? Uzibona njani?
Uphawu oluphambili lwe-PANDAS kukuba yonke into iqala ngequbuliso, phantse ngobusuku obunye. Indlela umntwana aziphethe ngayo itshintsha kakhulu. Ezi mpawu zinokuhlala iintsuku okanye iiveki ezimbalwa. Ngamanye amaxesha zinokuphela zize ziphinde zivele.
Jonga itafile engezantsi ukuze ufumane iimpawu eziphambili.
| Uhlobo oluneempawu | Izinto ezinokubonwa ngumntwana |
|---|---|
| Utshintsho kwindlela yokuziphatha (njenge-OCD) | Iindlela zokuziphatha ezinyanzelekileyo ezifana nokuhlamba izandla rhoqo, ukubuza umbuzo ofanayo rhoqo, kunye nokujonga rhoqo ukuba iingcango zitshixiwe na (Obsessive-Compulsive Disorder - OCD) |
| Iingxaki zeemvakalelo | Uloyiko olukhulu lokungahlukaniswa nabazali (ixhala lokuhlukana), ukugqabhuka ngumsindo ngequbuliso, ukukhala, nokuhleka ungenanjongo. |
| Iintshukumo zomzimba (iiTics) | Iintshukumo ezikhawulezayo nezishukumisayo ezifana nokuqhwanyaza okungalawulekiyo, ukujija intamo, kunye nokushukumisa amagxa. |
| Imiba yezemfundo | Ubunzima bokubhala, ukuzoba, ukungakwazi ukugxila kumsebenzi wesikolo, ukubonisa iimpawu ze-ADHD. |
| Ezinye iimpawu | Ukulahlekelwa ngumdla wokutya, iingxaki zokulala, ukuchama ebhedini, iintlungu zamalungu, kunye nokungaziva kukukhanya. |
Yintoni umahluko phakathi kwePANS kunye nePANDAS?
Usenokuba ukhe weva igama elithi PANS. I-PANDAS yimeko ekuluhlu olubanzi olubizwa ngokuba yi-PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome). I-PANS ineempawu ezifanayo neze-PANDAS. Nangona kunjalo, akufuneki ukuba ibangelwe lusulelo lwe-strep. I-PANS inokubangelwa zezinye izifo, izinto ezingqongileyo, okanye ezinye iingxaki ngenkqubo yomzimba yokuzikhusela.
Ugqirha uyixilonga njani i-PANDAS?
Ukuchonga i-PANDAS kunokuba nzima kuba akukho vavanyo lucacileyo lokuqinisekisa oko. Ugqirha wakho uza kumhlola umntwana wakho ngononophelo, akubuze ngeempawu zakho, aze akhuphe ezinye iimeko. Ezi zilingo zilandelayo zinokwenziwa:
- I-throat swab luvavanyo olujonga iintsholongwane ze-strep.
- Uvavanyo lwegazi ukujonga ukusebenza kwenkqubo yomzimba yokuzikhusela.
- Ngamanye amaxesha kwenziwa iskeni yobuchopho.
- Funa uncedo kwingcali yezempilo yengqondo ukuqinisekisa ukuba azikho ezinye iimeko zempilo yengqondo.
Into ebalulekileyo kukuba, ukuba umntwana akakabi nayo okanye akanayo okwangoku intsholongwane ye-strep, ayinakuba yi-PANDAS. Kodwa ezo mpawu zinokuba yimeko ebizwa ngokuba yi-PANS. Ngoko ke, kubalulekile ukubona ugqirha kwaye ufumane ingcebiso kuyo nayiphi na imeko.
Zithini iindlela zonyango zoku?
Okukhona le meko ifunyaniswa ngokukhawuleza kwaye inyangwa, kokukhona amathuba omntwana okuphila ngcono. Unyango ludla ngokubandakanya indibaniselwano yamayeza kunye nonyango.
| Indlela yonyango | Kalula nje... |
|---|---|
| Ii-antibiotics | Into yokuqala oza kuyenza kukunika amayeza okubulala iintsholongwane ukubulala usulelo lwe-strep. Kuya kufuneka uwathathe iveki enye ukuya kwezimbini. |
| Unyango lokuziphatha kwengqondo (i-CBT) | Oku kunceda ekulawuleni ukuziphatha komntwana okufana ne-OCD kunye noloyiko. Kumfundisa indlela yokujongana nezo ngcinga. |
| Amayeza okulwa nokuvuvukala | Iipilisi ze-steroid okanye ii-NSAID ezifana ne-ibuprofen zinokunikwa ukuze kuthomalaliswe inkqubo yomzimba yokuzikhusela esebenza kakhulu. |
| Amayeza okudakumba | Amayeza e-SSRI anokunikwa ukulawula iimpawu ze-OCD. Nangona kunjalo, afanele asetyenziswe kuphela phantsi kweliso likagqirha , njengoko ngamanye amaxesha anokubangela iziphumo ebezingalindelekanga kubantwana abane-PANDAS. |
| I-IVIG / iPlasmapheresis | Ukuba ezinye iindlela zonyango aziphumeleli, kwaye iimpawu zinzima kakhulu, ezi ndlela zisetyenziselwa 'ukubuyisela' inkqubo yomzimba yokuzikhusela. Ezi ziindlela zonyango ezintsonkothileyo kakhulu. |
Ingaba le meko iya kuba ngcono? Simele senze ntoni njengabazali?
Ewe, ezi zezona ndaba zilungileyo. Uninzi lwabantwana luyaphola ngokupheleleyo ngonyango olufanelekileyo. Emva kokuba usulelo lwe-strep lunyangiwe, iimpawu ziyaphela kancinci kancinci kwiinyanga ezimbalwa. Kodwa ngamanye amaxesha zinokuphola zize zibuye.
Eyona nto ibalulekileyo kukuba ukuba umntwana wakho ufumana usulelo lwe-strep kwakhona, iimpawu ze-PANDAS zisenokuphinda zivele. Ngoko ke, luxanduva lwakho ukukhusela umntwana wakho kwiintsholongwane.
Yenza ezi zinto:
- Ziqhelise ukucoceka , njengokuhlamba izandla zakho rhoqo kunye nokuphepha abantu abagulayo.
- Tshintsha ibhrashi yakho yamazinyo rhoqo.
- Ngamanye amaxesha, amanye amalungu osapho anokuba ne-strep bacteria ngaphandle kwempawu (abathwali). Ukuba kuyimfuneko, thetha nogqirha wakho malunga nokuvavanya wonke umntu kusapho lwakho.
Abanye oogqirha bacebisa amayeza okubulala iintsholongwane ahlala ixesha elide ukuthintela usulelo kwixesha elizayo, ngelixa abanye becebisa ukususwa kweetoni, kodwa ukusebenza kwezi ndlela kusaphandwa.
Umyalezo Wokuya Ekhaya
- I-PANDAS Syndrome yimeko yokwenyani ye-neurological and psychological enokubangelwa lusulelo lwe-strep throat.
- Uphawu oluphambili lutshintsho olukhawulezileyo noluphawulekayo kwindlela yokuziphatha komntwana owayesempilweni ngaphambili.
- Ukuba ubona ezi mpawu kumntwana wakho, musa ukoyika okanye ukoyika, kodwa bonana nogqirha wabantwana ngokukhawuleza.
- Ngonyango olufanelekileyo, uninzi lwabantwana luyachacha ngokupheleleyo.
- Ukuthintela umntwana wakho ukuba angabi naso isifo somqala kwakhona kubaluleke kakhulu ukuthintela ukuba esi sifo singaphindi sibuye.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho