Ingabe ukuziphatha kwengane yakho kushintshe ngokuzumayo ngendlela exakile? Ake sifunde nge (PANDAS/PANS)!

Ingabe ingane yakho isiqale ukuziphatha ngendlela engalindelekile ngokuzumayo? Ingabe kubonakala kuwe ukuthi ingane yakho eyayiziphethe kahle "ishintshe ngobusuku obubodwa" ? Noma ingabe ingane yakho iqale ukwesaba okusha nemikhuba engavamile ngokuzumayo? Njengomzali, kungokwemvelo ukuthi ukhathazeke kakhulu uma ubona izinto ezinjengalezi. Ngezinye izikhathi imbangela yalezi zinguquko ezizumayo ingaba yizimo ezibizwa ngokuthi ama-PANDAS noma ama-PANS. Ake sixoxe ngalokhu ngemininingwane ethe xaxa futhi kalula.

Ziyini lezi PANDAS nama PANS? Ushintsho olukhulu oluzumayo!

Kalula nje, i-PANDAS ne-PANS yizimo ezimbili lapho ingane ivele ibe nezimpawu ze- Obsessive Compulsive Disorder (OCD) . I-OCD ibonakala ngemicabango eqhubekayo ngento ethile (obsessions) kanye nezifiso eziphindaphindwayo zokwenza izinto ezithile (compulsions). Ku-PANDAS/PANS, lezi zimpawu ze-OCD zivela ngokushesha kakhulu futhi zinzima. Akukhona lokho kuphela, kodwa ungase uqaphele nezinye izinguquko eziningi ezingazelelwe ekuziphatheni kwengane yakho. Abanye abazali bathi ingane yabo "ishintshe ngokuphelele ngobusuku obubodwa." Kodwa kunezindaba ezinhle. Kunemithi kanye nokwelashwa kwe-PANDAS ne-PANS. Odokotela kanye nochwepheshe bezempilo yengqondo bangakunikeza wena nomndeni wakho isiqondiso kanye nokusekelwa okudingayo ukuze udlule kulesi sikhathi esinzima.

Ziyini izimpawu ze-PANDAS ne-PANS?

Ingane ene-PANDAS noma i-PANS ingase ibhekane nesinye noma zombili lezi zinto ezilandelayo ngokuzumayo nangokubi kakhulu:

Ukuzidela

Lokhu kungabangela ingane ukuba ibe nokwesaba okusha, okunamandla kakhulu. Noma, ingase ikhathazeke ngezinto ezifana nakho konke okumele kuhlanzeke, kuhlanzeke, futhi kungcolile. Imicabango nezithombe eziphazamisayo zingahlala zifika engqondweni. Lokhu kwesaba, imicabango, nokukhathazeka kungaba nzima kakhulu kangangokuthi kungaba nzima kakhulu ukududuza ingane. Cabanga nje, ingane ebingenazo izinkinga ngaphambili iqala ukwesaba kakhulu amagciwane nokugula. Noma, ingase ikhathazeke ngokuthi konke kufanele "kulungile" futhi ikhathazeke kakhulu ngisho nangento encane kakhulu.

Izinto ongeke uyeke ukuzenza (Izinto Eziphoqelekile - Amasiko)

Kulesi simo, ingane ingase ilingeke ukugeza, ukuthinta, ukwenza, noma ukusho izinto ezithile ngokuphindaphindiwe. Ingase futhi ingakwazi ukuyeka ukuzenza bese iba umlutha wazo. Isibonelo, ingane ingase ingene futhi iphume ngomnyango izikhathi eziningana, icabanga ukuthi kufanele ikwenze "kahle." Noma, ingase icele abazali bayo ngokuphindaphindiwe isiqinisekiso ngento efanayo, "Ingabe kunjalo? Ingabe kunjalo?" Esinye isibonelo ukugeza izandla. Bageza izandla zabo njalo ngemizuzu emihlanu, kodwa basazizwa sengathi izandla zabo zingcolile. Ngaphezu kwalezi zimpawu ze-OCD, izingane ezine-PANDAS nama-PANS zingase zibe nezinye izimpawu ezintsha. Ezinye zalezi yilezi:

• Ukunyakaza okuxegayo, noma okuxegayo (njengokucwayiza iso noma ukunikina amahlombe).
• Ukukhathazeka , ukucindezeleka , noma ukushintshashintsha kwemizwa - ukuzizwa ujabule ngesinye isikhathi, bese kuba lusizi ngesinye isikhathi , noma ukuthukuthela ngokushesha.
• Ukuziphatha ngobudlova noma "ukuxhamazela," okubonisa ukungakwazi ukuhlala endaweni eyodwa .
• Ukukhuluma njengengane encane (inkulumo yobuntwana), ukunamathela kubazali, noma ukwesaba ukulala ebusuku .
• Ubunzima obungazelelwe ngokubhala ngesandla noma amanye amakhono okunyakaza komzimba . Isibonelo, ingane eyayibhala kahle ingase ibe nokubhala ngesandla okungahlelekile ngokuzumayo.
• Ubunzima obusha bokukhumbula, ukufunda, noma ukwenza izibalo .
• Ukuqala okusha kokuchama embhedeni ebusuku, ukungalali kahle.
• Ukwesaba okusha kokudla nokuphuza, ukubhajwa; ukungadli.
• Ukuzwela okusha emisindweni, ekuthinteni, ezingutsheni, nangaphandle . Isibonelo, ilebula elalingabalulekile ngaphambili engutsheni manje lingase libe yinkinga enkulu enganeni.

Cabanga nje, uma lezi zimpawu zingaveli nje kuphela eyodwa noma ezimbili, kodwa eziningana ngesikhathi esisodwa, zingakapheli izinsuku ezimbalwa, yilokho okukhethekile nge-PANDAS/PANS.

Yini ebangela ama-PANDAS nama-PANS?

Kuyinkimbinkimbi kancane, kodwa nansi incazelo elula: Ochwepheshe bakholelwa ukuthi ama-PANDAS nama-PANS abangelwa ukungasebenzi kahle kwempendulo yesimiso sethu somzimba ekuthelelekeni . Ngokuvamile, lapho igciwane lingena emzimbeni wethu, isimiso sethu somzimba siyalwa futhi silibhubhise. Kodwa ku-PANDAS/PANS, esikhundleni sokuhlasela amagciwane, isimiso somzimba sokuzivikela sihlasela ngephutha ingxenye ethile yobuchopho . Le ngxenye ibizwa ngokuthi i-basal ganglia . Le ngxenye yobuchopho isiza ukulawula imicabango yethu, imizwa, ukunyakaza, kanye nokunye ukuziphatha. Ngakho-ke, ochwepheshe bacabanga ukuthi lokhu "kucasuka" kule ngxenye yobuchopho yikho okubangela izimpawu ezishiwo ngenhla.

Uyini umehluko phakathi kwe-PANDAS ne-PANS?

Imbangela eyinhloko yokuqubuka okukhulu nokungazelelwe kwezimpawu ze-OCD kanye nokudlikiza yisifo esibangelwa amagciwane esibizwa ngokuthi i-Group A Streptococcus (noma "strep") . Lesi yisifo esibangela lokho esivame ukukubiza ngokuthi "umphimbo we-strep." Ngakho-ke, uma izimpawu zengane zihlobene ngokusobala nokutheleleka kwe-strep, leso yisimo esibizwa ngokuthi i-PANDAS.I-PANDAS imele i -Pediatric Acute -onset Neuropsychiatric Disorders Associated with Streptococcus . Kuwukuqala okungazelelwe kwezifo ze-neuropsychiatric ezinganeni ezihlotshaniswa nokutheleleka kwe -streptococcus . I-PANS ukuqala okungazelelwe kwezimpawu ze-OCD ezihlotshaniswa nokutheleleka okunye . Lokhu kusho ukuthi kungabangelwa hhayi kuphela yi-strep, kodwa futhi nezinye izifo ezifana ne -influenza (flu), i-chickenpox, izifo ze-mycoplasma, kanye nesifo se-Lyme . I-PANS imele i -Pediatric Acute -onset Neuropsychiatric Syndrome . Kuwukuqala okungazelelwe kwe-neuropsychiatric syndrome ezinganeni. Kalula nje, i-PANDAS ibangelwa ukutheleleka kwe-strep. I-PANS ibangelwa ukutheleleka okungeyona i-strep. Izimpawu zifana kakhulu kuzo zombili izimo.

Odokotela baxilonga futhi baphathe kanjani i-PANDAS ne-PANS?

Lokhu kubaluleke kakhulu. Akuzona zonke izingane ezine-OCD ezine-PANDAS noma i-PANS. I-OCD ingabangelwa ezinye izimo. Ukuze kutholakale i-PANDAS noma i-PANS, udokotela wakho uzochitha isikhathi esiningi ekhuluma nawe futhi ekubuza imibuzo eminingi mayelana nezimpawu zengane yakho. Bazohlola ingane yakho futhi bangenza nokuhlolwa okuthile ukuhlola ukutheleleka. Isibonelo, bangathatha i-swab ukuhlola umphimbo obuhlungu. Ukwelashwa kuqala ngokwelapha ukutheleleka . Lokhu kusho ukuthi uma kuyigciwane elibangelwa amagciwane, kunganikezwa ama-antibiotic. Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) nakho kuyindlela ebalulekile yokwelapha i-OCD. Lokhu kwenziwa ngumhlinzeki wezempilo yengqondo oqeqeshiwe. Udokotela wengane yakho angakudlulisela kothile ofanelekayo. I-CBT ye-OCD inesakhi esikhethekile esibizwa ngokuthi i-Exposure and Response Prevention (ERP) . Lokhu kwelashwa kusiza ingane ukunciphisa amasiko ejwayele ukuwasebenzisa. Kalula nje, ingane ivezwa kancane kancane entweni eyesabekayo ngendlela elawulwayo, futhi ifundiswa ukuthi ingahlanganyeli ezinkingeni. Ukwelashwa kungabhekana nezinye izimpawu zokuziphatha nezemizwa ezingaba yingxenye ye-PANDAS noma i-PANS. Isibonelo, uma ingane inesifo sokudlikiza, i-Habit Reversal TherapyUkwelashwa okufana nalokhu: kungasiza. Odokotela bezokwelapha basebenzisana eduze nabazali. Banikeza abazali ukuqeqeshwa kokuthi bangasiza kanjani izimpawu zengane yabo zithuthuke. Banikeza nesiqondiso sendlela yokuphatha izimpawu ezicindezelayo zengane yabo kuze kube yilapho ziphela.

Ingabe izifo ezithathelwanayo yi-PANDAS ne-PANS?

Cha. I-PANDAS ne-PANS azithelelani. Ingane ayikwazi ukuthola lezi zimo komunye umuntu. Zombili i-PANDAS ne-PANS ziyizimo ezingavamile . Kodwa-ke, ukutheleleka okuyisisekelo (njenge-strep throat) kungathelelana. Kodwa-ke, i-PANDAS/PANS ayithelelani.

Ngingamsiza kanjani ingane yami?

Uma ucabanga ukuthi ingane yakho ingaba ne-PANDAS noma i-PANS, bona udokotela wengane yakho ngokushesha okukhulu. Kungcono ukuqala ukwelashwa ngokushesha okukhulu. Udokotela wakho angakusiza ukuthola uchwepheshe wezempilo yengqondo omuhle. Noma, ungasebenzisa izinsiza ezifana newebhusayithi ye-International OCD Foundation ukuthola uchwepheshe oqeqeshwe ukuhlinzeka ngokwelashwa kokuziphatha kwengqondo (CBT) kwe-OCD ezinganeni. Nazi ezinye izinto ongazenza ukusiza ingane yakho ukuthi ilulame:

• Qala ukusebenza nodokotela wezokwelapha ngokushesha okukhulu. Uma ukwelashwa kuqala ngokushesha, imiphumela iba ngcono.
• Qiniseka ukuthi awuphuthelwa yinoma yiziphi izikhathi zokwelapha zengane yakho. Yonke isikhathi sibalulekile.
• Buza udokotela wakho ngezindlela ezinhle kakhulu zokududuza nokududuza ingane yakho, ngoba ngezinye izikhathi ukuyiduduza ngendlela esicabanga ukuthi ingenza izimpawu zayo ze-OCD zibe zimbi kakhulu.
• Nika ingane yakho yonke imithi udokotela wakho ayinikezayo. Kubaluleke kakhulu ukunikeza ingane yakho imithi ngendlela efanele nangesikhathi.
• Uma lokhu kubangelwa ukutheleleka, nika ingane yakho ibhulashi lamazinyo elisha ukuqinisekisa ukuthi wonke amagciwane aphelile.

Ukubuka ingane ihlushwa izimpawu ze-PANDAS noma i-PANS kungaba yinto ecindezelayo kakhulu futhi eyinselele kubazali. Kuyaqondakala ukuthi kunjalo. Ithimba lakho lokunakekela likhona ukukusekela nokukuqondisa. Ungalokothi unqikaze ukufuna usizo neseluleko sabo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ama-PANDA nama-PANS yizimo ezibangela izinguquko ezisheshayo nezinzima ekuziphatheni nasekuzizweni kwezingane.
• Lokhu kuthinteka kakhulu yizinto ezifana nezimpawu ze-OCD kanye nokudlikiza .
• Imbangela iwukusabela okungalungile kwamasosha omzimba ekuthelelekeni.Lokhu kungenxa yokuthi ingxenye ethile yobuchopho (i-Basal Ganglia) iyathinteka.
• Uma kuhlotshaniswa nokutheleleka kwe-strep , kubizwa ngokuthi i-PANDAS, futhi uma kuhlotshaniswa nezinye izifo, kubizwa ngokuthi i-PANS.
• Lezi akuzona izifo ezithelelanayo.
• Ukutholwa kusenesikhathi, ukwelashwa kokutheleleka, kanye nokuhlinzekwa kokwelashwa (ikakhulukazi i-CBT ye-OCD) kungasiza ingane ukuba ilulame.
• Njengabazali, aniwedwa. Thola usizo kodokotela nakwabelaphi.

Uma unenkinga ngengane yakho, sicela ufune iseluleko sezokwelapha. Ukungenelela kusenesikhathi kungasiza ingane yakho ukuthi ilulame ngokushesha.

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Ama - PANDA, ama-PANS, i-OCD, izifo zezingane, izinguquko zokuziphatha ezizumayo, izifo ezibangelwa yi-strep, impilo yengqondo