Ingabe ingane yakho iyanyakazisa ikhanda futhi inyakazisa umzimba wayo? (Ikhanda Lishaya Futhi Umzimba Unyakazisa) Ake sixoxe ngalokhu!

Uma ungumama noma ubaba omusha , kungaba yinto eyesabekayo ukubona ingane yakho esanda kuzalwa inyakazisa ikhanda layo kusukela kolunye uhlangothi kuya kolunye, ishaya ikhanda layo emcamelweni, noma inyakazisa umzimba wayo emuva naphambili. Kuvamile ukuzizwa ushaqekile uma ubona lezi zinto. Kodwa ungakhathazeki, lezi zinto zivame kakhulu ezinganeni ezincane, ikakhulukazi lapho zilele.

Kusho ukuthini lokhu kunqekuzisa ikhanda nokuthuthumela umzimba?

Kalula nje, lokhu ukunyakaza okunesigqi okwenziwa yizingane ezincane, futhi ngezinye izikhathi ngisho nezingane ezindala, ukuze ziziduduze. Cabanga nje, ngemva kokufaka ingane yakho embhedeni, cishe uke wayibona ilala ngokunikina ikhanda layo kusukela kolunye uhlangothi kuya kolunye, noma ngokunyakazisa umzimba wayo emuva naphambili. Lokhu yilokho esikubiza ngokuthi “ukushayisa ikhanda” kanye “nokunyakazisa umzimba.”

Lezi zenzo ngokuvamile azilimazi ingane. Kodwa-ke, ezimweni ezingavamile, uma zibangela ukulimala enganeni noma ziphazamise ubuthongo bomntwana, thina odokotela sibiza lesi simo ngokuthi "Rhythmic Movement Disorders " noma `(Rhythmic Movement Disorders – RMD)`. Kodwa khumbula, isikhathi esiningi lokhu akuyona inkinga, kuyinto evamile.

Yiziphi izinhlobo zokunyakaza ezikhona?

Izinsana zibonisa lezi zinguquko ezihambisana nesigqi ngezindlela ezahlukene. Ake sibheke ezinye zezinhlobo ezivame kakhulu:

• Ukushayisa ikhanda: Usana lushayisa ikhanda emcamelweni, kumatilasi, noma emaceleni ebhedi.
• Ukunyakazisa umzimba: Ukunyakazisa umzimba wonke emuva naphambili, noma eceleni, ngendlela enesigqi.
• Ukugingqika kwekhanda noma ukunyakazisa izinhlangothi: Ukunyakazisa ikhanda njalo kusukela kolunye uhlangothi kuya kolunye ngenkathi ulele.

Lezi yizinhlobo ezivame kakhulu. Ngaphezu kwalokho, kunezinhlobo ezingavamile kakhulu:

• Ukugingqika komzimba: Ukunyakaza komzimba okunesigqi okugingqika emuva naphambili.
• Ukugingqa imilenze: Isenzo sokuhambisa imilenze emuva naphambili ngendlela enesigqi.
• Ukushayisa imilenze: Ukushayisa imilenze entweni efana nomatrasi.

Kuvamile kangakanani lokhu?

Empeleni lokhu kuvame kakhulu kunalokho ongakucabanga. Izifundo zithole ukuthi cishe ama-60% ezinsana eziphilile abonisa lokhu kunyakaza okunesigqi ngesikhathi sezinezinyanga ezingu-9 ubudala. Lokho kusho ukuthi cishe izingane eziyisithupha kweziyishumi zenza lezi zinto.

Lokhu kuhamba kungabonakala ngaphandle kokuhlukanisa phakathi kwabesilisa nabesifazane. Ngezinye izikhathi, uma othile emndenini wake waba nalolu hlobo lwesimo ``(RMD)`` ngaphambili, kunethuba elincane lokuthi nezingane zaleyo mindeni nazo zizosithola.

Ziyini izimpawu ze-Rhythmic Movement Disorders (RMD)?

Into ebalulekile okufanele uyiqonde lapha ukuthi akuzona zonke izingane ezenza lokhu kunyakaza ezine-"disorder". Odokotela bakubheka nje "njenge-disorder" uma lokhu kunyakaza kuphazamisa ubuthongo bengane njalo, kubangela ukuthi ingane ilimale , noma kwenze kube nzima ngayo ukugxila emisebenzini emini.

Izingane ezibonisa ukunyakaza okunesigqi zingenza izinto ezinjengalezi:

• Umzimba wonke uyathuthumela ngesigqi.
• Ingxenye yomzimba kuphela, isibonelo ikhanda, ingalo, noma umlenze, enyakazisa ngendlela ethile.
• Ikhanda liyanyakaza kusukela kolunye uhlangothi kuya kolunye.
• Bashaya amakhanda abo emcamelweni noma kumatilasi.
• Ngezinye izikhathi lokhu kunyakaza kuhambisana nomsindo ohamba kancane, njengengoma, noma eminye imisindo (lokhu kuvame kakhulu ezinganeni ezine-RMD).

Kungani izingane ezincane zenza izinto ezinje?

Abacwaningi basazama ukuthola ukuthi yini ngempela ebangela lokhu, kodwa kunemibono emibili eyinhloko.

1. Ukuziduduza: Lona umbono owamukelwa kabanzi. Izingane zenza lokhu kunyakaza ukuze zizizwe zikhululekile futhi zikhululekile. Zicabanga ukuthi lokhu kunyakaza kuzinika umuzwa wenhlalakahle, ofana nomuzwa eziwuthola lapho unina noma uyise ebabamba futhi ebashukumisa. Ngakho-ke zizama ukuziduduza ngale ndlela ngaphambi kokulala.

2. Ukungavuthwa kwesimiso sezinzwa : Enye inkolelo-mbono ukuthi ngenxa yokuthi izinhlelo zezinzwa zezingane azikakhuli ngokugcwele, azikwazi ukulawula lezi zinhlobo zemisebenzi yokunyakaza ngesikhathi sokulala.

Cabanga ngakho, ngesikhathi useyingane, cishe wawunomkhuba wokulala ohlukile. Mhlawumbe ukugona umcamelo, noma ukuphakamisa umlenze owodwa. Lena enye yalezo zinto.

Zikhona yini ezinye izimo ezingase zihlotshaniswe nalokhu kuhamba?

Uma ingane yakho ibonisa lezi zinyathelo ezihambisana nesigqi, akusho ukuthi kukhona okungahambi kahle ngayo. Ezimweni eziningi, lezi ziyingxenye evamile yokukhula kwengane. Kodwa-ke, akuvamile kakhulu, lezi zinyathelo zingabonakala zihambisana nezinye izimo. Ezinye zalezi zimo zifaka:

• Isifo se- Autism spectrum
• Isifo sokungakwazi ukunaka/ sokungasebenzi kahle ( ADHD )
• Ukuphefumula komoya ngesikhathi sokulala
• I-Tourette syndrome
• I-Rett syndrome
• I-Angelman syndrome

Into ebalulekile ukuthi iningi lezingane ezinalezi zinguquko ezihambisana nesigqi azikho ezinye izimo zokukhula noma zobuchopho ezishiwoyo. Uma ungaqiniseki ukuthi ukunyakaza kwengane yakho kuvamile yini ngokweminyaka yayo, kungcono ukubona udokotela wezingane. Angakunikeza izincazelo nezeluleko ezidingekayo.

Odokotela bakuthola kanjani lokhu?

Uma uya kudokotela, bazokubuza ngemikhuba yokulala kwengane yakho, ukuthi le mikhuba yaqala nini, nokuthi sekuyisikhathi esingakanani yenzeka. Lokhu kubizwa ngokuthi "umlando wokulala."

Ngaphezu kwalokho, ezinye izivivinyo zingenziwa ukuze kunqunywe ezinye izimo. Isibonelo:

• Ukuphefumula komoya ngesikhathi sokulala
• I-Narcolepsy
• I-syndrome yemilenze engapheli

Ukuze ugweme izinto ezinjalo, ungase ufune ukwenza izivivinyo ezilandelayo:

• Ucwaningo lokulala (i-polysomnogram): Lokhu kuhilela ukuqapha amaza obuchopho, ukuphefumula, kanye nokushaya kwenhliziyo ngesikhathi umntwana elele.
• I-Electroencephalogram (EEG): Lokhu kuhlola ukusebenza kobuchopho, ikakhulukazi uma kusolwa isimo esifana nokuquleka.

Ingabe ikhona indlela yokwelapha lokhu?

Esikhathini esiningi, izingane ezenza lokhu kunyakaza okunesigqi azidingi ukwelashwa, njengoba lokhu kuyingxenye evamile yokukhula kwazo.

Kodwa-ke, uma udokotela ethola ukuthi ingane yakho inesimo "se-RMD", ngakho-ke isengozini yokulimala, udokotela angasikisela izinto ezinjengalezi:

• Isigqoko sokuvikela ingane yakho okufanele isigqoke lapho ilele.
• Ukubeka umatrasi womntwana phansi, noma ukubeka umbhede kude kancane nodonga (ukuvimbela umntwana ukuthi angashayi ikhanda lakhe odongeni).

Uma izimpawu zomntwana wakho zimbi kakhulu, udokotela angase asikisele ezinye izindlela.

Yini engingayenza ukuze ngivimbele ingane yami ukuthi inganyakazisi ikhanda layo kusukela kolunye uhlangothi kuya kolunye futhi inyakazise umzimba wayo emuva naphambili?

Eqinisweni, uma ingane yakho ingazilimazi ngalezi zinyathelo, awudingi ukwenza lutho olukhethekile ukuze uyimise. Vele ukubheke njengengxenye yokukhula kwayo.

Kodwa-ke, uma ubona ukuthi ingane yakho yenza lokhu ngokweqile, noma wesaba ukuthi izolimala, kungcono ukufuna iseluleko sezokwelapha njengoba kushiwo ngenhla.

Lesi simo sizohlala isikhathi esingakanani?

Lena inkinga abazali abaningi abanayo. Izindaba ezinhle ukuthi lezi zindlela zokuziphatha zivame ukuphela zodwa lapho beneminyaka engu-2 noma engu-3. Ezinganeni ezingenazo izimo zezokwelapha eziyisisekelo, iphesenti elincane kakhulu, cishe u-5%, libonisa lezi zindlela zokuziphatha lapho lineminyaka engu-5.

Liyini ikusasa lezingane ezincane ezinezintshukumo ezinjalo?

Lezi zinguquko ezihambisana nesigqi zivame ukunyamalala zodwa njengoba umntwana ekhula, okungukuthi, ebuntwaneni bokuqala. Lezi zimpawu azivamile ukubonakala kubantu abasha nakubantu abadala.

Ezimweni eziningi, lokhu kunyakaza kuyingxenye evamile nenempilo yokukhula kwengane. Ngisho noma kutholakale ukuthi bane-RMD, labo bantwana bavame ukukhula badlule kubo futhi baqhubeke nokuphila impilo enempilo ngokuphelele.

Ingabe kufanele ngikhathazeke ngokuthi ingane yami inyakazisa ikhanda layo kusukela kolunye uhlangothi iye kolunye futhi inyakazise umzimba wayo?

Esikhathini esiningi, ukunikina ikhanda nokunikina umzimba kuyizinto ezivamile futhi akukho okufanele ukhathazeke ngakho. Kodwa-ke, kufanele nakanjani ubone udokotela uma:

• Uma ingane yakho ibonisa lezi zenzo emini: hhayi nje ngesikhathi sokulala, kodwa futhi nalapho idlala futhi ivukile.
• Uma ingane inezimpawu zokutheleleka noma ukulimala: umkhuhlane, ukuqubuka, imihuzuko, imihuzuko, njll.
• Uma ingane izilimaza, noma uma wesaba ukuthi izolimala.
• Uma ubona ukuthi ingane yakho ihona kakhulu, inezimpawu ze-sleep apnea, noma ihlala inenkinga yokulala,
• Lezi zimpawu zingase zibe zimbi kakhulu uma ingane ithukuthele noma icindezelekile.
• Uma ingane ilele kakhulu, noma uma kunzima ukuyivusa ekuseni.
• Uma ingane yakho ibonakala inenkinga yokukubheka ngqo nokuqhubeka nokukubheka emehlweni.
• Uma ubona ukuthi ingane yakho iyalibaziseka ekukhuleni: isibonelo, ukuqina kwemisipha, ubunzima bokulawula ikhanda nentamo yayo, noma ubunzima bokugwinya (i-dysphagia).
• Uma usola ukuthi ingane yakho inesimo esifana nesithuthwane.

Uma ubona into efana nale, funa iseluleko sezokwelapha nakanjani.

Kungani izingane ezincane zinikina amakhanda azo kusukela kolunye uhlangothi kuya kolunye?

Esikhathini esiningi, izingane zinyakazisa amakhanda azo kusukela kolunye uhlangothi kuya kolunye ukuze ziziduduze. Kuvamile kakhulu ukuthi zenze lokhu uma zizama ukulala.

Kungani izingane ezincane zinyakazisa imizimba yazo emuva naphambili?

Ukujikijela okunesigqi nakho kuyindlela yokuziduduza. Kusiza izingane zizizwe zizolile futhi zikhululekile – ikakhulukazi uma zizama ukulala noma ebusuku.

Njengomzali, kuvamile ukuzizwa ungakhululekile futhi wesaba uma ubona ingane yakho inikina ikhanda futhi inikina umzimba wayo. Kodwa khumbula, ezimweni eziningi, lezi zenzo azinangozi. Cishe, ingane yakho ayikho enkingeni - izama nje ukuziduduza. Kodwa-ke, uma ubona noma yini ekukhathazayo, qiniseka ukuthi ukhuluma nodokotela wezingane. Angakutshela ukuthi ingane yakho idinga ukuhlolwa okwengeziwe.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, ake sifingqe futhi sikukhumbuze amaphuzu abalulekile kulokho esikhulume ngakho:

• Kujwayelekile ukuthi izingane zinikine amakhanda futhi zinyakazise imizimba yazo, futhi kuyinto eziyenzayo ukuze ziziduduze.
• Lokhu kuvame ukubaIzonyamalala yodwa ngemva kweminyaka engu-2-3.
• Uma umntwana engazilimazi, akukho okufanele akhathazeke ngakho.
• Kodwa-ke, uma lezi zinto zenzeka emini, uma ingane ilimele, uma kuphazamisa kakhulu ubuthongo, noma uma kunezinye izimpawu ezikhathazayo, kufanele nakanjani ubone udokotela.
• Uma unokungabaza noma ukwesaba, ungalokothi unqikaze ukukhuluma nodokotela ngakho.

Kubaluleke kakhulu ukunakekela impilo yengane yakho. Ngithemba ukuthi lolu lwazi luzokusiza!