Ubuncinane be-OCD buyakushukunyiswa ngoGawulayo
Ngaba i-OCD yoBantwana ingaba yi-Autoimmune Disorder?
Nangona sihlala sicinga ngeendlela zethu zokuzivikela njengesikhusela kuthi singabikho abahlaseli bangaphandle njengabaktheriya, ii-virus kunye nezinye iigciwane, kunokudideka kwaye kuhlasele umzimba wethu. Xa oku kwenzekayo kuthiwa sihlupheke kwi-dismune disorder.
Mhlawumbi sele sele uqaphela inani leengxaki ezizenzekelayo njenge-rheumatoid arthritis, uhlobo lwesifo sikashukela, i-lupus kunye ne-multiple sclerosis.
Nangona i -OCD) ixinzelelekile-i-OCD) idlalwa ukuba ibangelwa kukudibanisa uxinzelelo, ukuveliswa kwemvelo kunye nokuphazanyiswa kweemveliso ze-neurochemicals ezifana ne-serotonin, kukho ubungqina obuninzi bokuthi uhlobo oluthile lwe-OCD yobuntwaneni lungabangela ukuba luyi-disorder disorder.
Izifo zonyango ngokuzimela kwee-Neuropsychiatric Disorders ezidibene neZifo zoStptococcal (PANDAS)
Iingxaki zokuzibulala eziMzimbeni ze-Neuropsychiatric Disorders ezinxulumene nezifo ezithintekayo kwi-Streptococcal okanye i-"PANDAS" ye-OCD kucatshangelwa ukuba ibangelwa kukusuleleka kubhaktheriya obufanayo obangela umgca we-throp kunye nomkhuhlane omfusa. 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 .
Ngokuqinisekileyo, i-strep throat yintsholongwane eqhelekileyo kwaye akubona bonke abantwana abaphuhlise le ntsholongwane baya kuphuhlisa ifom ye-PANDAS ye-OCD.
Uphando luye lwabonisa ukuba kuphela abo bantwana abafakwe kwi-OCD okanye i-Tics kuphela abasengozini ekuphuhliseni le fomu ye-OCD.
Uhlobo lwe-PANDAS lwe-OCD oluchongiweyo njani?
Phantse i-25% yabantwana abane-OCD bane-subtype ye-PANDAS. Ifom ye-PANDAS ye-OCD inempawu ezimbalwa eziphambili ezivumela ukuba oogqirha bahlule kwiifom eziqhelekileyo ze-OCD yabantwana.
Umzekelo:
- Nangona iimpawu ze-OCD rhoqo zikhula ngokukhawuleza, ukuqala kohlobo lwe-PANDAS lwe-OCD lukhawuleza.
- Ifom ye-PANDAS ye-OCD ivela ngokubambisana ngokusondeleyo nokusuleleka kwe-strep. Nangona kunjalo, i-OCD rhoqo iya kwenzeka nanini na. Ukuqinisekiswa kwesifo se-strep isisetyenziswa ngokusetyenziswa kwenkcubeko yomlomo kunye / okanye ukuhlolwa kwegazi kwi-antiptic strep.
- Ngokungafani ne-OCD rhoqo, abantwana abanefom ye-PANDAS ye-OCD kaninzi banokunyakaza okungahambelaniyo kweengalo, imilenze kunye nobuso.
- Ifom ye-PANDAS ye-OCD ivame ukukhula phakathi kweminyaka engama-3 nangaphambi kokutshatyalaliswa.
Ezinye iimpawu zeFANDAS ifom ye-OCD zibandakanya:
- Ukutshatyalaliswa, ukuvutha komsindo, kunye neengxaki zomoya.
- Iindlobongela ezibuhlungu kunye nemisitho emitsha malunga nexesha lokulala.
- Ukuxhalabisa.
- Iingxaki ezintsha ngeemoto ezimnandi okanye izakhono zamatriki okanye iingxaki nezinye iinjongo.
I-PANDAS OCD ithathwa njani?
Nangona i-OCD rhoqo idlalwa ngamachiza afana ne -serotonin e-reuptake inhibitors (i-SSRIs) okanye ukwelashwa kokuziphatha kwengqondo , i-PANDAS ifom ye-OCD inokufuna unyango oluhlukile.
Ukuba ifom ye-PANAS ye-OCD iyakrokra, umgca wokuqala wonyango luyijikelezo lwee-antibiotics ukuze unqamle ukusuleleka kwe-strep. Ngamanye amaxesha ezinye iinkqubo ezingenayo i-invasive efana ne-plasma exchange exchange are necessary for removing antibodies eziyingozi kwigazi.
Ukutshintshwa kwePlasma ngokuqhelekileyo kubandakanya ukuya esibhedlele.
Nangona ininzi abantwana baya kuphuluka emva kwonyango ngamayeza okubulala, ngamanye amaxesha iimpawu ze-OCD zihlala zihlala. Ezi zimpawu zisele zingabakho unyango osebenzayo kunye nezokwelapha eziqhelekileyo ze-OCD eziqhelekileyo ezinjengeemithi okanye i-psychotherapy.
Ngaba abantu abadala baya kuphuhlisa i-PANDAS OCD?
Nangona kukho ubungqina bokuthi utshintsho kumajoni omzimba maxa wambi luhamba nezifo zengqondo ezifana nokudandatheka kunye ne-schizophrenia, akukho bungqina obucacileyo bokuthi iingxaki zesistim somzimba zihlobene nokuphuhliswa kweefom ze-OCD. Kuze kube ngoku, kubonakala ukuba izifo zengxowankulu zingabangela kuphela iimpawu ze-OCD kubantwana abaphakathi kweminyaka engama-3 kunye nosuku.
Imithombo:
> Arnold, PD & Richter, MA "Ngaba i-disorder-disulsive disorder is a disease autoimmune?" I- Canadian Medical Association Journal 13 Novemba 2001 165: 1353-1358.
> Filardi da Rocha, F., Correa, H., & Teixeira, AL "Ukukhathazeka ngokugqithisileyo kunye nokuzikhusela komzimba: ukuhlaziywa" Inkqubela phambili kwi-Neuro-Psychopharmacology ne-Biological Psychiatry 2008 32: 1139-1146.