Cabanga nje, ingane yakho ibijabule kakhulu futhi ijwayelekile kwaze kwaba izolo. Kodwa ekuseni namhlanje ivukile yaba umuntu ohluke ngokuphelele. Kungazelelwe iyakhala, ithukuthele, ayifuni ukuba kude nawe isikhashana... futhi ngezinye izikhathi yenza into efanayo ngokuphindaphindiwe. Uma ubona into efana nale, wonke umama nobaba bayesaba kakhulu, akunjalo? Isizathu salokhu kungaba yinto ongayicabangi nhlobo. Leso yisimo esibizwa ngokuthi i-PANDAS Syndrome. Ake sixoxe ngalokhu kalula nangokucacile.
Iyini ngempela i-PANDAS Syndrome?
Kalula nje, i-PANDAS yisimo sezinzwa nesengqondo esenzeka kwezinye izingane ngemuva kokuthola ukutheleleka kwe-strep throat. Igama elithi PANDAS liyisifinyezo se-Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. Nakuba igama lingase lizwakale liyinkimbinkimbi, imbangela eyisisekelo empeleni ilula kakhulu.
Odokotela bethu bakholelwa ukuthi lokhu kuyisifo sokuzivikela komzimba. Yilokhu okushoyo. Lapho ingane ithola amabhaktheriya e-strep, uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela, luqala ukulwa nala mabhaktheriya. Kodwa ngezinye izikhathi, ezinye izingxenye zala mabhaktheriya e-strep zifana kakhulu nezingxenye zamaseli anempilo ebuchosheni bethu. Ngakho-ke , uhlelo lwethu lokuzivikela, oluya ngokudlangalaleni, luqala ukuhlasela amabhaktheriya futhi, ngephutha, luqala ukuhlasela amaseli ethu obuchopho anempilo. Yilapho-ke esibona khona lezi zinguquko zokuziphatha ezingazelelwe.
Lesi simo sivame ukubonakala ezinganeni ezineminyaka ephakathi kuka-3 no-12. Kodwa-ke, singase senzeke nasezinganeni ezindala. Lesi yisimo esingavamile kakhulu. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu ngokuphelele ngaphambi kokwethuka.
Ziyini izimpawu zalokhu? Ukubona kanjani?
Isici esiyinhloko se-PANDAS ukuthi konke kuqala ngokuzumayo, cishe ngobusuku obubodwa. Ukuziphatha kwengane kushintsha kakhulu. Lezi zimpawu zingahlala izinsuku ezimbalwa noma amasonto. Ngezinye izikhathi zingaphela bese ziphinde zivele.
Bheka ithebula elingezansi ukuthola izimpawu eziyinhloko.
| Uhlobo oluyisici | Izinto ezingabonwa ngumntwana |
|---|---|
| Izinguquko zokuziphatha (njenge-OCD) | Ukuziphatha okuphoqelekile njengokugeza izandla njalo, ukubuza umbuzo ofanayo kaninginingi, kanye nokuhlola njalo ukuthi iminyango ikhiyiwe yini (Obsessive-Compulsive Disorder - OCD) |
| Izinkinga ezingokomzwelo | Ukwesaba okukhulu ukuhlukaniswa nabazali (ukukhathazeka ngokuhlukana), ukuqhuma kwentukuthelo ngokuzumayo, ukukhala, nokuhleka ngaphandle kwenhloso. |
| Ukunyakaza komzimba (ama-Tics) | Ukunyakaza okungazelelwe, okuxegayo njengokucwayiza okungalawuleki, ukujikijela intamo, kanye nokukhuhla amahlombe. |
| Izinkinga zemfundo | Ubunzima bokubhala, ukudweba, ukungakwazi ukugxila emsebenzini wesikole, okubonisa izimpawu ze-ADHD. |
| Ezinye izici | Ukulahlekelwa yisifiso sokudla, izinkinga zokulala, ukuchama embhedeni, ubuhlungu bamalunga, kanye nokuzwela ukukhanya. |
Uyini umehluko phakathi kwe-PANS ne-PANDAS?
Kungenzeka ukuthi uke wezwa igama elithi PANS. I-PANDAS yisimo esiyingxenye yesigaba esibanzi esibizwa ngokuthi i-PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome). I-PANS inezimpawu ezifanayo neze-PANDAS. Kodwa-ke, akudingeki ukuthi ibangelwe ukutheleleka kwe-strep. I-PANS ingabangelwa nezinye izifo, izici zemvelo, noma ezinye izinkinga ngesistimu yomzimba.
Udokotela uyixilonga kanjani i-PANDAS?
Ukuxilonga i-PANDAS kungaba yinselele ngoba akukho ukuhlolwa okuqondile okuqinisekisa lokho. Udokotela wakho uzohlola ingane yakho ngokucophelela, akubuze ngezimpawu zakho, futhi akhiphe ezinye izimo. Ukuhlolwa okulandelayo kungenziwa:
- I-throat swab iyisivivinyo esihlola amagciwane e-strep.
- Ukuhlolwa kwegazi ukuhlola ukusebenza kwesimiso somzimba sokuzivikela.
- Ngezinye izikhathi ukuskena kobuchopho.
- Funa usizo lochwepheshe wezempilo yengqondo ukuqinisekisa ukuthi azikho ezinye izimo zempilo yengqondo.
Into ebalulekile ukuthi, uma ingane ingakaze ibe nokutheleleka kwe-strep noma ingenayo njengamanje, akukwazi ukuthi kube yi-PANDAS. Kodwa lezo zimpawu zingaba yisimo esibizwa ngokuthi i-PANS. Ngakho-ke, kubalulekile ukubona udokotela nokufuna iseluleko kunoma yisiphi isimo.
Yiziphi izindlela zokwelapha lokhu?
Uma lesi simo sisheshe sitholakale futhi selashwe, amathuba engane okululama ayanda. Ukwelashwa kuvame ukuhilela inhlanganisela yemithi kanye nokwelashwa.
| Indlela yokwelapha | Kalula nje... |
|---|---|
| Ama-antibiotic | Into yokuqala oyoyenza ukunikeza ama-antibiotic ukubulala ukutheleleka kwe-strep. Kuzodingeka uwathathe isonto elilodwa kuya kwamabili. |
| Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) | Lokhu kusiza ukulawula ukuziphatha kwengane okufana ne-OCD kanye nokwesaba. Kufundisa ingane indlela yokubhekana naleyo micabango. |
| Imithi yokulwa nokuvuvukala | Amaphilisi e-steroid noma ama-NSAID afana ne-ibuprofen anganikezwa ukuze kuthuliswe amasosha omzimba asebenza ngokweqile. |
| Imithi yokucindezeleka | Imithi ye-SSRI inganikezwa ukulawula izimpawu ze-OCD. Kodwa-ke, kufanele isetshenziswe kuphela ngaphansi kokuqondisa kukadokotela , njengoba ngezinye izikhathi ingabangela imiphumela emibi ezinganeni ezine-PANDAS. |
| I-IVIG / I-Plasmapheresis | Uma ezinye izindlela zokwelapha zingaphumeleli, futhi izimpawu zimbi kakhulu, lezi zindlela zisetshenziselwa 'ukuvuselela' isimiso somzimba sokuzivikela. Lezi izindlela zokwelapha eziyinkimbinkimbi kakhulu. |
Ingabe lesi simo sizoba ngcono? Yini okufanele siyenze njengabazali?
Yebo, lezi yizindaba ezinhle kakhulu. Iningi lezingane liyalulama ngokuphelele ngokwelashwa okufanele. Ngemva kokuba ukutheleleka kwe-strep sekwelaphekile, izimpawu ziyaphela kancane kancane ezinyangeni ezimbalwa. Kodwa ngezinye izikhathi zingaba ngcono bese zibuya.
Into ebaluleke kakhulu ukuthi uma ingane yakho iphinda ithola ukutheleleka kwe-strep, izimpawu ze-PANDAS cishe zizophinde zivele. Ngakho-ke, kungumthwalo wakho ukuvikela ingane yakho ezifweni.
Yenza lezi zinto:
- Zijwayeze imikhuba emihle yokuhlanzeka , njengokugeza izandla njalo nokugwema abantu abagulayo.
- Shintsha ibhulashi lakho lamazinyo njalo.
- Ngezinye izikhathi, amanye amalungu omndeni angaba namagciwane e-strep ngaphandle kwezimpawu (abathwali bawo). Uma kudingeka, khuluma nodokotela wakho mayelana nokuhlola wonke umuntu emndenini wakho.
Abanye odokotela batusa ama-antibiotic esikhathi eside ukuvimbela ukutheleleka esikhathini esizayo, kanti abanye batusa ukususwa kwama-tonsill, kodwa ukusebenza kahle kwalezi zindlela kusaphenywa.
Umlayezo Wokuya Nawe Ekhaya
- I-PANDAS Syndrome yisimo sangempela sezinzwa nezengqondo esingabangelwa ukutheleleka kwe-strep throat.
- Uphawu oluyinhloko ushintsho olusheshayo noluphawulekayo ekuziphatheni kwengane eyayinempilo ngaphambili.
- Uma ubona lezi zimpawu enganeni yakho, ungesabi noma ukhathazeke, kodwa bonana nodokotela wezingane ngokushesha.
- Ngokwelashwa okufanele, izingane eziningi ziyalulama ngokuphelele.
- Ukuvimbela ingane yakho ukuthi ingaphinde ihlaselwe yi-strep throat kubaluleke kakhulu ukuvimbela lesi sifo ukuthi singaphinde sivele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho