Ulwahlulo olubalulekileyo phakathi kwe-OCD kubantu abadala kunye nabantwana
Nangona abaninzi abantu bacinga nge- OCD njengengxaki echaphazela abantu abadala kuphela, abantwana bachaphazelekayo. Nangona kukho ukufana okuninzi phakathi kokuqala kwabantu abadala kunye ne-OCD yokuqala komntwana, kukho izinto ezininzi ezibalulekileyo. Makhe sibone.
I-OCD kwiBantwana: ngokubanzi
I-OCD kuthiwa yintsapho-ukuqala ukuba iimpawu ezifana nokugqithwa kunye nokunyanzeliswa kwenzeka ngaphambi kokuphelelwa ngumntwana.
Phakathi ko-1 no-3% wabantwana baya kuphuhlisa i-OCD kwaye ubudala beminyaka yokuqala buphakathi kweminyaka eyi-10 ubudala, nangona abantwana abaselula njengama-5 okanye-6 bangahlakulela ukugula. Okuthakazelisayo kukuba, ngelixa abafana bexhatshazwa kakhulu ngo-OCD, abantwana baqala ukutshatyalaliswa. Kwakhona, abafana abaqala ukukhulelwa abantwana be-OCD kubonakala benomngcipheko omkhulu kwiimeko ezihambelanayo eziquka ukuphazamiseka kweziqu.
Njengokuba abantwana bahlala befunda ukucinga ngokucacileyo, baninzi banengqiqo encinci kwizinto zabo ezingaphezu kwabantu abadala. Oku, kudibaniswe nekhono elincinci kunye / okanye ukuphuhlisa ikhono lomlomo kunokukwenza kube nzima ukwenza uvavanyo olufanelekileyo.
Kwakhona, umxholo weentlungu zezingane unokungafani nawabantu abadala. Ngokomzekelo, akuqhelekanga ukuba abantwana abane-OCD babe neengxaki ezithile eziphathelene nokufa kwabazali babo. Amasiko okanye ukunyanzeliswa kwabantwana banokuthi banokubandakanya okanye bajolise kumalungu entsapho kunabantu abadala.
Kananjalo, ukunyuka kwezingane kungekho nto igxininisa imixholo yesondo, nangona kubalulekile ukuba uqaphele ukuba abantwana abaselula bayakwazi ukufumana iziganeko ezinkulu zokugonywa ngocansi. Ekugqibeleni, abantwana abane-OCD banokuthi bahlasele ngokuphindaphindiweyo kunabantu abadala abanenkinga.
U-OCD ukuqala kwabantwana kubonakala kubonakalisa umngcipheko ophezulu wokutshatyalaliswa kofuzo lwe-OCD, ukuphazamiseka kwengxaki kunye nokusilela ingxaki yokuxhatshazwa kwempilo (ADHD) .
Ukunyanga i-OCD kubantwana
Njengoko u-OCD uqala ukukhupha abantu abadala, i-OCD yonyango oluthatywayo olwenziwe ngokubaluleka komntwana luququzelelo lwenkcazo yomntu ngamnye okanye iqela lokuziphatha (CBT) kunye namachiza anokunyusa amazinga e-serotonin ye-neurochemical efana ne -serotonin sele i-reuptake inhibitors (SSRIs) .
Xa senza i-CBT nabantwana, kubalulekile ukuba abazali bafundiswe kwaye babandakanyeke. Enyanisweni, uphando lubonisa ukuba ukubandakanyeka kwabazali kukuqulunqwa ngamandla kwimpatho yempatho.
Kwakhona kunokuba luncedo ukugxininisa kubantwana ukuba ngu-OCD wabo "ongubi" onoxanduva lweempawu zabo kwaye bona nabazali babo "ngabafana abalungileyo." Indlela enjalo inokunceda ukunciphisa amathuba okuba umntwana uya uzive utyhola okanye uhlazo ngenxa yokuba ne-OCD.
Ngokuqinisekileyo, kunikezelwa ngamanye amaxesha amandla okuqonda okulinganiselwe abantwana, inkcazo yeengcamango ezingabonakali kufuneka zenziwe ngendlela efanelekileyo kwiminyaka yomntwana.
I-PANDAS: Inkalo ekhethekileyo ye-OCD kubantwana
Ngamanye amaxesha i-OCD kubantwana ingabangelwa ukusabela ngokuzenzekelayo ngaphakathi kwengqondo. Isifo esaziwa ngokuba yizifo ezithintekayo nge-Neuropsychiatric Disorders ezichaphazelekayo kunye ne-Streptococcal infections (okanye "PANDAS") kucatshangelwa ukuba zibangelwa intsholongwane yebhaktheriya efanayo edala umququzekiso we-throp ne-red fever.
Njengoko isistim somzimba somntwana silwa nosulelo lwe-strep, ludideka kwaye luqala ukuhlasela indawo yengqondo ebizwa ngokuba yi-basal ganglia. Nangona utshintsho kwiindawo ezininzi zeengqondo zibonakalisa iimpawu ze-OCD, ukungaqhelekanga kwe-basal ganglia kuye kwadibana neempawu ze-OCD . Nangona iimpawu ze-OCD rhoqo zikhula ngokukhawuleza, ukuqala kohlobo lwe-PANDAS lwe-OCD lukhawuleza.
Imithombo:
Kalra, SK, & Swedo, SE "Abantwana abanengxaki yokunyanzelisa ingxaki: ngaba nje ngabantu abadala?" Umbhalo woPhando lwezonyango ngo- Apreli 2009 119: 737-746.
Geller, DA "Ukukhathazeka okugqithisileyo kunye neentrumbu kubantwana nakwishumi elivisayo" Iiklinikhi zeeNgqondo zaseNyakatho Melika 2006 29: 353-370.