Ingabe ingane yakho ithukuthele njalo? Ingabe iyaqhuma? Lokhu kungaba yisimo esibizwa ngokuthi (DMDD)!

Ingabe ingane yakho encane ihlale ithukuthele? Ingabe iyaqhuma ngezinto ezincane kakhulu? Ngezinye izikhathi ungase ucabange, 'Hawu Nkulunkulu, yini inkinga ngale ngane, ihlala ithukuthele'. Eqinisweni, ezinye izingane zingaba nalolu hlobo lwentukuthelo enamandla, eqhubekayo kanye nokucasuka okuvamile. Namuhla sikhuluma ngesimo esinjalo, okuyi -Disruptive Mood Dysregulation Disorder (DMDD) .

Iyini le nkinga yokungezwani kwemizwelo (DMDD)?

Kalula nje, lesi sifo esiphazamisayo semizwa, noma i-DMDD ngamafuphi, yisimo sempilo yengqondo esithinta izingane. Kulokhu, ingane iba nentukuthelo ende, enamandla kanye nokucasuka . Futhi iba neziqephu ezivame ukuthukuthela, noma ukuqhuma kwentukuthelo .

Ngokuvamile, izingane ezincane zinezikhathi zokuba nenkani kancane futhi zithukuthele. Lokho kuyinto evamile. Kodwa "(DMDD)" kuyisimo esibi kakhulu nesiqhubekayo . Lokhu kuqhuma kwentukuthelo kukhulu kakhulu futhi akuhambisani nhlobo nesimo ngaleso sikhathi. Lokho kusho ukuthi zithukuthela kakhulu ngisho nangezinto ezincane kakhulu, ngezinye izikhathi ziklabalasa, ziphonsa izinto phansi, noma zishaya abanye.

Okubaluleke kakhulu, lesi simo siphazamisa kakhulu impilo yengane yansuku zonke, umsebenzi wesikole, ubudlelwano nomndeni nabangane . Ukuze kutholakale ukuthi unalesi simo, izimpawu kumele zibe ziqale ngaphambi kweminyaka eyi-10 .

Ingabe i-(DMDD) ifana ne-(ODD) noma i-(Bipolar Disorder)? Uyini umehluko?

Manje ungase uzibuze, ingabe lokhu ``(DMDD)`` kufana nesifo sokungathandi ukuphikiswa esike sezwa ngaso, njengokuthi ``(Oppositional Defiant Disorder - ODD)``, noma ``(Bipolar Disorder)``? Nakuba kukhona ukufana phakathi kwalokhu, kunomehluko ocacile. Ake sibone ukuthi kuyini.

Isifo Sokuphikisa Esiphikisanayo (ODD) kanye (DMDD)

`(ODD)` yisimo lapho ingane iqhubeka nokukhombisa indlela yokuziphatha engalaleli, ephikisayo, futhi ngezinye izikhathi ngisho nenzondo kubantu abanegunya (isib. abazali, othisha) . Ezinye zezimpawu ze-`(ODD)` zingase zifane ne-`(DMDD)`. Kodwa-ke, i-`(DMDD)` ibhekwa njengesimo esibi kakhulu. Ngoba, ku-`(DMDD)`, ikakhulukazi kukhona ukuphazamiseka okukhulu kwemizwelo .

Cabanga nje, uma ingane inezimpawu `(ODD)` kanye `(DMDD)`, odokotela bavame ukuyixilonga njengene `(DMDD)`. Okusho ukuthi, `(DMDD)` inamandla kakhulu kune `(ODD)`.

Isifo se-Bipolar kanye (DMDD)

I-Bipolar Disorder (BD) iyisifo sengqondo esithinta impilo yonke esibonakala ngokushintsha okukhulu kwemizwa, amazinga amandla, izindlela zokucabanga, kanye nokuziphatha.Lezi zinguquko zingahlala izinsuku, amasonto, noma ngisho nezinyanga. Zingathinta nekhono lakho lokwenza imisebenzi yansuku zonke.

Manje, bheka, kungase kube khona ukufana phakathi kwe-`(BD)` kanye ne-`(DMDD)`. Kodwa-ke, izimpawu ze-`(BD)` ziza ngeziqephu, okungukuthi, ngesimo se- `(DMDD)`. Kodwa-ke, izimpawu ze-`(BD)` ziyaqhubeka futhi azipheli .

Enye into ukuthi `(Bipolar Disorder)` ayivamile ezinganeni ezincane kanye nasebasha. Futhi, `(BD)` ivame ukuba yisimo sokuphila konke. Kodwa-ke, ingane ene `(DMDD)` inamathuba amaningi okuthuthukisa izimo ezifana `(Major Depression Disorder)` noma `(Generalized Anxiety Disorder)` kamuva ekuphileni, okungukuthi, lapho isikhulile.

Eqinisweni, ngaphambi kokuba i-DMDD iqashelwe ngokusemthethweni njengokuxilongwa ngo-2013, izingane eziningi ezine-DMDD zahlonzwa ngokungalungile njengezine-Bipolar Disorder.

Ubani othola i-DMDD? Kuvamile kangakanani lokhu?

Izimpawu ze-DMDD zivame ukuqala ngaphambi kweminyaka eyi-10. Ngakho-ke, odokotela abazixilongi izingane ezingaphansi kweminyaka eyi-6 noma abantu abadala abasebasha abangaphezu kweminyaka eyi-18 abane-DMDD.

Ngenxa yokuthi i-DMDD iyisifo esisha kakhulu, asikho ucwaningo olwanele lokusho ukuthi sivame kangakanani ngempela. Kodwa-ke, ucwaningo lwasekuqaleni lubonisa ukuthi lesi simo singathinta phakathi kuka-2% no-5% wezingane e-United States. Kungase kube nezingane ezinalesi simo eSri Lanka, kodwa kunzima ukusho inani eliqondile.

Ziyini izimpawu zalesi simo (DMDD)?

Njengoba sesikhulume kancane ngaphambili, izimpawu ze-`(DMDD)` zivame ukuqala ngaphambi kweminyaka eyi-10. Ingane ene-`(DMDD)` ingase ibhekane nezinto ezifana nalezi:

• Ukuthukuthela noma ukucasuka cishe usuku lonke, cishe ngaso sonke isikhathi. Cabanga ngengane ehlala ithukuthele futhi ingajabule kusukela ngesikhathi ivuka ekuseni kuze kube yilapho ilala ebusuku.
• Ukuqhuma okukhulu kwentukuthelo (kungaba ngamazwi noma ngokuziphatha) okungafaneleki nhlobo kulesi simo. Lokhu kuvame ukwenzeka kathathu noma ngaphezulu ngesonto. Isibonelo, ingane ingase ikhale, ikhale, igingqike, futhi iphonse izinto kwabanye, ngisho naphezu kwento encane njengethoyizi eliphukile. Ingase izishaye yona, izilume, noma ishaye abanye.
• Lokhu kucasuka kungenza kube nzima ukusebenza ezindaweni ezingaphezu kweyodwa, kungaba sekhaya, esikoleni, noma nabangani. Le ntukuthelo ayigcini ekhaya kuphela. Ingabangela nezinkinga esikoleni, kothisha, nakubangane.

Into ebaluleke kakhulu ukuthi uma ucabanga ukuthi ingane yakho ine-DMDD, kubalulekile ukuthi ibone umeluleki wezempilo yengqondo futhi ifune ukwelashwa.Kubaluleke kakhulu. Ngoba, isimo `(DMDD)` singaba nomthelela omkhulu ezingeni lempilo yengane, umsebenzi wesikole. Kungathinta kabi nobudlelwano nomndeni nabangane.

Yini ebangela i-DMDD?

Ngenxa yokuthi i-DMDD iyisifo esisha kakhulu, abacwaningi abakaqondi ngokugcwele ukuthi siyibangelani. Njenge-ODD ne-BD, i-DMDD kungenzeka ibangelwa inhlanganisela eyinkimbinkimbi yezinto eziphilayo, izakhi zofuzo kanye nezemvelo .

• Uma sikhuluma ngezinto eziphilayo , mhlawumbe izinguquko kumakhemikhali athile ebuchosheni (ama-neurotransmitter), noma izinguquko endleleni izingxenye ezithile zobuchopho ezisebenza ngayo, zingase zihileleke.
• Uma sikhuluma ngezici zofuzo , uma othile emndenini eke waba nalezi zinkinga zempilo yengqondo, kungase kube nengozi encane yokuthi nengane izoba nazo.
• Izici zemvelo zingafaka phakathi indawo lapho ingane ikhulela khona, ukucindezeleka emndenini, kanye nokuhlangenwe nakho okunzima ingane ebhekene nakho.

Kodwa lokhu kusesesigabeni socwaningo. Kusesekusha kakhulu ukusho ukuthi iyini imbangela yangempela.

Itholakala kanjani i-DMDD?

Ochwepheshe bezempilo yengqondo baxilonga i-DMDD uma ingane yakho ihlangabezana nezindinganiso ezichazwe ku-Diagnostic and Statistical Manual of Mental Disorders (DSM-5), incwadi ejwayelekile yezinkinga zengqondo eshicilelwe yi-American Psychiatric Association , okungenani izinyanga ezingu-12 .

Uma ingane yakho ibonisa izimpawu ze-DMDD, cishe kuzodingeka ibone udokotela wengqondo wezingane kanye nentsha noma udokotela wezifo zengqondo . Laba ochwepheshe bezempilo yengqondo banezingxoxo ezikhethekile namathuluzi okuhlola. Basebenzisa lokhu ukuhlola ukuthi ingane inesimo sempilo yengqondo yini.

Odokotela bezifo zengqondo kanye nodokotela bezengqondo bavame ukuthola ulwazi kubazali bomntwana, abafowabo nodadewabo, abangani, kanye nothisha ukuze bathole ukuqonda okuphelele ngokuziphatha komntwana.

I-DMDD ngezinye izikhathi ingenzeka nezinye izimo ezihlotshaniswa nokucasuka. Isibonelo, ingenzeka nge -Attention-Deficit/Hyperactivity Disorder (ADHD) noma izinkinga zokukhathazeka . Ngakho-ke, isazi sokusebenza kwengqondo noma isazi sezifo zengqondo sengane yakho sizohlola ingane yakho kahle futhi sinikeze ukuxilongwa okunembile.

Yiziphi izindlela zokwelapha i-DMDD?

Ngenxa yokuthi i-DMDD iyisimo esisanda kutholakala, akukacwaningwa kakhulu okwamanje ngokwelashwa kwayo. Ukwelashwa kwamanje kusekelwe kakhulu ocwaningweni olwenziwe kwezinye izimo zobuntwana ezihlobene nokucasuka, njengokukhathazeka kanye ne-ADHD.Izindaba ezinhle ukuthi eziningi zalezi zindlela zokwelapha ziyasebenza futhi ngempumelelo ku-DMDD.

Izindlela ezimbili zokwelapha eziyinhloko ze-DMDD ukwelashwa kwengqondo noma ukwelashwa ngokukhuluma kanye nemithi . Ngokuvamile, odokotela batusa ukwelashwa kwengqondo ngaphambi kokusebenzisa imithi.

Ukwelapha ngengqondo

Ukwelashwa kwengqondo, noma ukwelashwa ngokukhuluma, iqoqo lezindlela zokwelapha ezahlukene ezisiza umuntu ukuthi abone futhi ashintshe imizwa, imicabango kanye nokuziphatha okungenampilo.

Lolu hlobo lwezokwelapha luhlinzekwa uchwepheshe wezempilo yengqondo oqeqeshiwe nonelayisensi, njengodokotela wengqondo noma wezifo zengqondo. Lunikeza ingane yakho kanye/noma umndeni wakho ukwesekwa, imfundo, kanye nesiqondiso abasidingayo ukuze babhekane ne-DMDD.

Kunezinhlobo eziningana ze-psychotherapy ezingasiza nge-DMDD:

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lolu olunye lwezinhlobo ezisetshenziswa kakhulu ze-psychotherapy. Ku-CBT ye-DMDD, uchwepheshe wezempilo yengqondo usiza ingane ukuthi ibheke ngokujulile imicabango nemizwa yayo. Ingane ifunda ukuthi imicabango yayo ithinta kanjani izenzo zayo. Nge-CBT, ingane ingafunda ukuyeka imicabango nemikhuba emibi, futhi ithuthukise amaphethini nemikhuba yokucabanga enempilo . Uchwepheshe wezempilo yengqondo angasiza ingane ukuthi ifunde ukubhekana nokukhungatheka ngaphandle kokuthukuthela.
• Ukwelashwa Kokuziphatha Kokukhuluma (i-DBT): I-DBT nayo isekelwe ku-CBT, kodwa yenzelwe ngqo abantu ababhekana nemizwa enamandla . I-DBT ingasiza ingane yakho ukuthi ifunde ukulawula imizwa yayo futhi igweme ukuqhuma okukhulu noma okuhlala isikhathi eside kwentukuthelo.
• Ukuqeqeshwa kwabazali: Udokotela wengane yakho angancoma ukuqeqeshwa kwabazali kanye nokwelashwa kwengane yakho. Lokhu kwelashwa kufundisa abazali noma abanakekeli indlela yokusabela ngokuphumelelayo ekuziphatheni okuthukuthele . Isibonelo, ngokuhlonza nokugwema izimo ezingenza ingane yakho ithukuthele. Kugcizelela nokubaluleka kokuhambisana nomntwana wakho, nokusebenzisa ukuqinisa okuhle ukunciphisa ukuziphatha okungafuneki nokukhuthaza ukuziphatha okunempilo.

Imithi

Njengamanje, i-US Food and Drug Administration (FDA) ayikavumi noma yimiphi imithi yokwelapha i-DMDD. Kodwa-ke, odokotela bangase banikeze imithi ethile ukusiza ukuphatha izimpawu ze-DMDD. Lokhu kufaka phakathi:

• Izikhuthazi: Odokotela bavame ukunikeza izikhuthazi ukwelapha i-ADHD. Ucwaningo lubonisa ukuthi izikhuthazi zingasiza ekunciphiseni ukucasuka ezinganeni ezine-ADHD.
• Ama-antidepressant: Odokotela ngezinye izikhathi banikeza ama-antidepressant ukwelapha ukucasuka nezinkinga zemizwa ezingase zibhekane nezingane ezine-DMDD. Ucwaningo olulodwa luthole ukuthi umuthi i-citalopram, uma uhlanganiswa ne-methylphenidate (isikhuthazi), unciphisa ukucasuka ezinganeni ezine-DMDD.
• Imithi ethile ye-antipsychotic/neuroleptic engavamile: Odokotela ngezinye izikhathi banikeza le mithi ukwelapha izingane ezinokucasuka, intukuthelo enkulu, noma ulaka. Kodwa-ke, odokotela banikeza le mithi ye-DMDD kuphela uma zonke ezinye izindlela zokwelapha zehlulekile.

Okubalulekile: Yonke imithi inemiphumela emibi. Kubaluleke kakhulu ukuqapha ingane yakho ngokucophelela ukuze uthole noma yimiphi imiphumela emibi futhi wazise udokotela wengane yakho uma kuvela imiphumela emibi.

Ingabe i-DMDD ingavinjelwa?

I-DMDD ingase ingavinjelwa ngokuphelele. Kodwa-ke, ukuqaphela nokusabela ezimpawini ngokushesha nje lapho zivela kungasiza ekunciphiseni ukucindezeleka enganeni yakho nasemndenini wakho. Kungasiza futhi ekuvimbeleni izinkinga eziningi ezihambisana nalesi simo. Lokhu kusho ukuthi ukungenelela kusenesikhathi kubalulekile .

Liyoba njani ikusasa lomntwana one-DMDD?

Izingane ezine-DMDD zingaba nezinkinga ezinkulu esikoleni, ekhaya, kanye nasebudlelwaneni nabantu.

Uma zingelashwa, izingane ezine-DMDD zisengozini enkulu yokuthola ukucindezeleka kanye/noma izinkinga zokukhathazeka njengoba sezikhulile. Ngakho-ke, uma ingane yakho ibonisa izimpawu ze-DMDD, kubalulekile ukufuna usizo ngokushesha okukhulu .

Ngingamsiza kanjani ingane yami?

Uma ingane yakho ine-DMDD, ngaphezu kokunikeza ukwelashwa kochwepheshe, kunezindlela eziningana ongasiza ngazo wena nengane yakho:

• Funda okuningi ngangokunokwenzeka nge-DMDD: Khuluma nodokotela wengane yakho noma uchwepheshe wezempilo yengqondo. Buza imibuzo mayelana nezinketho zokwelapha kanye nocwaningo olusha nge-DMDD.
• Khuluma njalo nodokotela wengane yakho: Kubaluleke kakhulu ukusebenzisana eduze nodokotela wengane yakho ukuze wenze izinqumo zokwelashwa ezingcono kakhulu zengane yakho.
• Sebenzisana nothisha wengane yakho noma umeluleki wesikole: Ndawonye, ​​ningakha amasu nezindlela zokuxazulula izinkinga ezizosiza ingane yakho iphumelele esikoleni.
• Thatha 'isikhathi sokuphumula' noma ikhefu uma kudingeka:Uma uzizwa sengathi wenza ingxabano nengane yakho ibe yimbi kakhulu kunokuba ibe ngcono, thatha ikhefu uhambe. Lokhu kuyisibonelo esihle enganeni yakho. Uma ingane yakho inquma ukuthatha ikhefu ukuze ivimbele isimo esibi ukuba singabi sibi, yisekele.
• Zinakekele: Gcina izinto ozithandayo nezinto ozithandayo, lawula ukucindezeleka, futhi usebenze nabanye abantu abadala ababhekene nengane yakho bese uzama ukuthola ukwesekwa yibo.

Ingane kufanele ibone nini udokotela?

Uma ingane yakho itholakale ine-DMDD, futhi uma ukuziphatha kwengane yakho kuba kubi kakhulu noma kuphazamisa impilo yomndeni noma yesikole, khuluma nodokotela wengane yakho.

Izingane nezingane ezincane ezihlala zithukuthele zingaba yinselele enkulu kubazali. Nakuba kuvamile ukuthi izingane ezincane kanye nabantu abadala abasebasha babe nemizwa eguquguqukayo ngezikhathi ezithile, ukuziphatha okuqhubekayo nokuphazamisayo kungabonisa isimo esibizwa ngokuthi '(DMDD)'.

Kubalulekile ukuqala ukwelashwa kwe-DMDD kusenesikhathi . Isinyathelo sokuqala sokwelashwa ukukhuluma nodokotela noma umeluleki wezempilo yengqondo . Ungesabi ukubuza udokotela wengane yakho imibuzo. Bakhona ukukusiza.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba?

Kulungile, ngakho-ke ngithemba ukuthi ususiqonda kangcono isimo esibizwa ngokuthi ``(DMDD)``` esikhulume ngaso namuhla. Khumbula, nakuba kuyinto evamile ukuba ingane ngayinye ithukuthele, ``(DMDD)`` yisimo esijulile esithinta impilo yengane.

• Uma intukuthelo yengane yakho kanye nokucasuka kwayo kungaphezu kwamazinga ajwayelekile futhi kuqhubeka , futhi uma kuthinta umsebenzi wayo wesikole, impilo yasekhaya, noma ubudlelwano bayo nabangani , khathazeka.
• ``(DMDD)``` akuyona ``(ODD)`` noma ``(Bipolar Disorder),`` kunezinhlobo eziningi zomehluko kunalokho.
• Kubalulekile ukufuna usizo lomeluleki wezempilo yengqondo ofanelekayo ukuze uxilonge futhi welaphe lesi simo.
• Ukwelashwa kwengqondo kanye nemithi ngezinye izikhathi kuyindlela yokwelapha ephumelelayo kulokhu.
• Njengabazali, ukusekela kwenu, ukuqonda, kanye nokubekezela kubaluleke kakhulu enganeni yenu. Kubalulekile futhi ukuthi nizinakekele.
• Ukuhlonza lesi simo kusenesikhathi nokuqala ukwelashwa kuzosiza kakhulu ekusizeni ingane ukuthi iqhubekele phambili ekusaseni elinempilo nelijabulisayo.

Ungakhathazeki, kunezindlela zokusiza ezimweni ezinjengalezi. Into ebaluleke kakhulu ukuqaphela ukuthi awuwedwa bese uthola usizo oludingayo.

` I-DMDD, impilo yengqondo yengane, intukuthelo yengane, izinkinga zokuziphatha, ukuphazamiseka kwemizwelo, ukwelashwa kwengqondo kwengane, iseluleko sokukhulisa izingane