PANDAS: Kahi Alakaʻi no nā Mākua

Anter

• He aha nā hōʻailona?
• He aha ke kumu?
• ʻO wai ka pilikia?
• Pehea ia ʻike?
• He aha ka lāʻau?
• Ke mālama nei i ka maʻi strep
• Ka mālama ʻana i nā hōʻailona psychological
• Aia kekahi pilikia kūpono?
• Ma hea e loaʻa ai iaʻu ke kōkua?
• He aha ke kuanaʻike?

He aha ka PANDAS?

Kū ʻo PANDAS no nā maʻi neuropsychiatric pediatric autoimmune e pili ana me ka streptococcus. Hoʻopili ka maʻi i nā hoʻololi nui a pinepine pinepine i ka pilikino, ka lawena, a me ka neʻe ʻana i nā keiki ma hope o kahi maʻi e pili ana ʻO Streptococcus pyogenes (streptococcal-Ainfection).

Hiki i nā maʻi Strep ke akahai, ke kumu ʻole i ka maʻi ʻili liʻiliʻi a ʻeha puʻu paha. Ma ka ʻaoʻao ʻē aʻe, hiki iā lākou ke hōʻeha i ka puʻu strep, ka ʻulaʻula, a me nā maʻi ʻē aʻe. Loaʻa ʻo Strep i loko o ka ʻāʻī a ma ka ʻili o ka ʻili. Hoʻopaʻa ʻoe ia i ka wā e puʻu ai a ʻūlū ai paha kahi mea maʻi a hāhā ʻoe i nā droplets a i ʻole e pā i nā papa haumia, a laila e hoʻopā i kou alo.

ʻO ka hapa nui o nā poʻe me ka maʻi strep e hoʻōla hou. Eia nō naʻe, ulu kekahi mau keiki i nā ʻōuli kino a me nā hōʻailona psychiatric i kekahi mau pule ma hope o ka maʻi. I ka manawa e hoʻomaka ai, e piʻi wikiwiki ana kēia mau ʻōuli.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i nā ʻōuli o PANDAS, pehea e mālama ʻia ai, a kahi e hiki ai iā ʻoe ke huli no ke kōkua.

He aha nā hōʻailona?

Hoʻomaka koke nā ʻōuli o PANDAS, ma kahi o ʻehā a ʻeono pule ma hope o ka maʻi strep. Hoʻopili lākou i nā ʻano e like me ka maʻi obsessive-compulsive (OCD) a me Tourette syndrome. Hiki i kēia mau ʻōuli ke hoʻopili i ke kula a lilo koke i mea nāwaliwali. Piʻi nā ʻōuli a hōʻea i ko lākou piko ma waena o ʻelua a ʻekolu mau lā, ʻokoʻa ka nā maʻi psychiatric kamaliʻi e ulu mālie.

Pākuʻi ʻia paha nā hōʻailona Psychological:

• hana hoʻowahāwahā, hoʻoluhi, a repetitive
• hoʻokaʻawale hopohopo, makaʻu, a me ka weliweli weliweli
• ʻū ʻū ʻole, hoʻonāukiuki, a me nā loli maʻamau pinepine
• regression naʻau a me ka hoʻomohala
• nā hoʻohiwahiwa ʻike a hoʻolohe paha
• kaumaha a me nā manaʻo suicidal

Pili pū paha nā ʻōuli kino:

• tics a me nā neʻe ʻokoʻa
• nā sensitivities i ke kukui, kani, a me ka hoʻopā
• hōʻino ʻana o nā mākau kaʻa liʻiliʻi a kākau lima maikaʻi ʻole paha
• hyperactivity a i ʻole hiki ʻole ke kālele
• pilikia pilikia hoʻomanaʻo
• pilikia hiamoe
• hōʻole ʻana e ʻai, kahi e hiki ai ke hōʻemi kino
• ʻeha pū
• urination pinepine a me ka bedwetting
• kokoke i ka moku catatonic

ʻAʻole loaʻa mau nā keiki me PANDAS i kēia mau hōʻailona āpau, akā loaʻa ka launa o kekahi o nā hōʻailona o ke kino a me ka psychiatric.

He aha ke kumu?

ʻO ke kumu kikoʻī o PANDAS ke kumuhana o ka noiʻi mau.

Hāʻawi kekahi kumumanaʻo no ka hopena maikaʻi ʻole o ka pale pale i ka maʻi strep. Maikaʻi loa nā bacteria Strep i ka hūnā ʻana mai ka ʻōnaehana pale. Hoʻopili lākou iā lākou iho me nā mole e like like me nā molekole maʻamau i loaʻa i ke kino.

Lilo ka ʻōnaehana pale ʻole i nā koʻohune strep a hoʻomaka i ka hana ʻana i nā mea ʻino. Eia nō naʻe, hoʻomau ka mea huna i ka huikau o nā mea ʻino. ʻO ka hopena, hoʻouka nā mea ʻino i nā kino o ke kino. Nā Antibodies e kuhikuhi ana i kahi kikoʻī o ka lolo, ka ganglia basal, hiki ke kumu i nā ʻōuli neuropsychiatric o PANDAS.

Hiki ke lawe ʻia ke ʻano like o nā ʻōuli e nā maʻi i pili ʻole i ka bacteria bacteria. I ka manawa o kēlā hihia, ua kapa ʻia ʻo pediatric acute-onset neuropsychiatric syndrome (PANS).

ʻO wai ka pilikia?

E ulu paha ʻo PANDAS i nā keiki ma waena o 3 a 12 mau makahiki i loaʻa i ka maʻi strep i loko o ʻehā a ʻeono pule i hala.

ʻO kekahi mau kumu pilikia ʻē aʻe e pili ana i kahi predisposition a me nā maʻi hou.

Loaʻa paha i kāu keiki i kahi maʻi maʻi strep i ka hopena o ka hāʻule a me ke kakahiaka nui, keu hoʻi i ka wā e kokoke ana lākou me nā hui nui o ka poʻe. I mea e pale aku ai i ka maʻi maʻi strep, e aʻo i kāu keiki ʻaʻole e kaʻana like i nā mea ʻai a i ʻole nā ​​aniani inu, a holoi pinepine i ko lākou mau lima. Pono lākou e hōʻalo i ka hoʻopā ʻana i ko lākou mau maka a me ka maka ke hiki.

Pehea ia ʻike?

Inā hōʻike kāu keiki i nā hōʻailona maʻamau ma hope o ka maʻi ʻana o kēlā me kēia ʻano, e hoʻopaʻa i kāu manawa me kāu kauka kauka koke. He mea kōkua paha ka mālama ʻana i kahi puke pai e hōʻike ana i kēia mau ʻōuli, me ke ʻano a lākou i hoʻomaka ai a pehea e pili ai i ke ola o kāu keiki. Lawe mai i kēia ʻike, a me ka papa inoa o nā lāʻau a me nā lāʻau i loaʻa mai paha i lawe ʻia e kāu keiki a i ʻole lawe ʻia, i kou kipa ʻana i ke kauka. E hōʻike pono i nā maʻi a i ʻole nā ​​maʻi e hele a puni ana i ke kula a home paha.

No ke kuhi ʻana i kahi maʻi strep, hiki i kāu pediatrician ke lawe i kahi moʻomeheu ʻāʻī a holo i kahi hoʻokolohua koko. Eia nō naʻe, ʻaʻohe hale hōʻikeʻike a neurological paha e hōʻoia ai iā PANDAS. Ma kahi o, makemake paha kāu kauka e hana i nā ʻano like ʻole o ke koko a me ka mimi e hōʻalo ai i nā maʻi kamaliʻi ʻē aʻe.

Pono kahi hōʻailona o PANDAS i kahi moʻolelo olakino akahele a me ka hoʻokolokolo kino. ʻO nā pae hoʻohālikelike no ka ʻike maʻi:

• aia ma waena o ʻekolu mau makahiki a me ka wā ʻōpio
• ka hoʻomaka koke ʻana a i ʻole ke ʻino ʻana o nā ʻōuli e kū nei, me nā ʻōuli e lilo i ʻoi aku ka koʻikoʻi no nā manawa o ka manawa
• ke kū ʻana o nā ʻano obsessive-compulsive, maʻi tic, a i ʻole ʻelua paha
• nā hōʻike o nā hōʻailona neuropsychiatric ʻē aʻe, e like me hyperactivity, hoʻololi i ke ʻano, ka hoʻomohala hoʻomohala ʻana, a i ʻole ka hopohopo
• maʻi ma mua a i ʻole o strep-A i hōʻoia ʻia e ka moʻomeheu ʻāʻī a i ʻole ka hoʻāʻo ʻana i ke koko

He aha ka lāʻau?

ʻO ka mālama ʻana iā PANDAS e pili ana i ka hoʻoponopono ʻana i nā hōʻailona o ke kino a me ka psychiatric. E hoʻomaka, e kau kāu kauka pediatric i ka ʻike ʻana ua hala loa ka maʻi maʻi strep. Pono ʻoe e hana pū me kahi ʻoihana laikini noʻonoʻo laikini me OCD a me PANDAS.

Ke mālama nei i ka maʻi strep

Mālama ʻia nā maʻi Strep me nā antibiotic. ʻO ka hapa nui o nā maʻi strep e mālama maikaʻi ʻia me kahi papa antibiotic. ʻO kekahi o nā antibiotic i hoʻohana ʻia e mālama i ka strep:

• 'āmixicillin
• azithromycin
• cephalosporin
• penikila

Pono ʻoe e noʻonoʻo e hoʻāʻo i nā lālā ʻohana ʻē aʻe no ka strep no ka mea hiki ke hāpai i ka bacteria inā ʻaʻohe ou ʻōuli. I mea e hōʻalo ai i ka maʻi hou ʻana, e kāwele koke i ka palaki niho o kāu keiki i ka manawa hou a pau i kā lākou papa antibiotics piha.

Ka mālama ʻana i nā hōʻailona psychological

E hoʻomaka paha ka hoʻomaikaʻi o nā hōʻailona psychiatric me nā antibiotic, akā e pono nō paha e kamaʻilio ʻokoʻa ʻia. ʻO ka OCD a me nā ʻōuli psychiatric ʻē aʻe e mālama pinepine ʻia me ka lāʻau cognitive behavioral therapy.

Pēlā nō ʻo OCD e pane maikaʻi ai i nā mea kāohi i ke serotonin reuptake, kahi ʻano antidepressant. Aia kekahi o nā mea maʻamau:

• fluoxetine
• fluvoxamine
• sertraline
• paroxetine

E kuhikuhi ʻia kēia mau lāʻau i nā lāʻau liʻiliʻi e hoʻomaka. Hiki ke hoʻonui lohi iā lākou inā pono.

Kūpilikiʻi nā lāʻau lapaʻau ʻē aʻe a pono e hoʻoholo ʻia ma kēlā me kēia hihia. Hiki paha i kekahi kauka ke kuhikuhi i nā corticosteroids, e like me prednisone, e hoʻomaikaʻi i nā ʻōuli o OCD. Eia nō naʻe, hiki i nā steroid ke hana i nā tics iʻoi aku ka maikaʻi. Eia hou, ke hana nā steroid, hiki ke hoʻohana ʻia iā lākou no kahi wā pōkole. I kēia manawa i ka manawa, ʻaʻole koi pinepine ʻia nā steroid no ka mālama ʻana iā PANDAS.

ʻAʻole pane paha kekahi mau hihia koʻikoʻi o PANDAS i nā lāʻau a me ka lāʻau. Inā kū kēia, hoʻololi ʻia kahi pālolo wai koko e lawe aku i nā ʻaoʻao ʻino mai loko o ko lākou koko i kekahi manawa. Hiki i kāu kauka kauka ke paipai i ka hoʻōla immunoglobulin intravenous. Hoʻohana kēia kaʻina hana i nā huahana plasma koko olakino olakino e kōkua i ka hoʻoikaika ʻana i ka ʻōnaehana pale maʻi o kāu keiki. ʻOiai kekahi o nā kauka e hōʻike nei i ka kūleʻa me kēia mau mālama ʻana, ʻaʻohe ʻike e hōʻoia ana e holo ana lākou.

Aia kekahi pilikia kūpono?

Hiki i nā ʻōuli o PANDAS ke haʻalele i kāu keiki hiki ʻole ke hana ma ke kula a i ʻole nā ​​hanana kaiaulu. Hoʻomaʻamaʻa ʻole ʻia, mau paha nā ʻōuli o PANDAS i ka ʻino a hiki i ka hopena o ka hōʻino mau o ka ʻike. No kekahi mau keiki, hiki i ka PANDAS ke lilo i kūlana autoimmune mau.

Ma hea e loaʻa ai iaʻu ke kōkua?

ʻO ka loaʻa ʻana o kahi keiki me PANDAS hiki ke lilo i mea kaumaha loa no ka mea ke hele mai ia me ka ʻole o ka ʻōlelo aʻoaʻo. I loko o kekahi mau lā, ʻike paha ʻoe i nā loli kolohe a me ke kumu ʻole. Hoʻohui i kēia hōʻaʻo ka ʻoiaʻiʻo ʻaʻohe mea hōʻike hoʻokahi no PANDAS, ʻoiai ua hoʻomohala ʻia nā pae diagnostic. He mea nui ia e hōʻoia i ka hoʻokō ʻia o kēia mau pae hoʻohālikelike ma mua o ka hōʻoia ʻana iā PANDAS.

Inā kaumaha ʻoe, e noʻonoʻo i kēia mau kumuwaiwai:

• Hāʻawi ʻo PANDAS Pūnaewele i ka ʻike ākea, nā nūhou e pili ana i ka noiʻi hou loa, a me nā papa inoa o nā kauka a me nā hui kākoʻo.
• Loaʻa i ka International OCD Foundation ka ʻike e pili ana iā OCD i nā keiki a me kahi pepa ʻike hoʻoiho e hoʻohālikelike ana iā OCD iā PANDAS a me PANS. He mea kōkua nui kēia inā ʻaʻole kamaʻāina loa kāu pediatrician me PANDAS.
• Hāʻawi ka Pūnaewele Kauka PANDAS i ka Papa Kuhikuhi Hoʻomaʻamaʻa PANDAS, kahi waihona i hiki ke huli ʻia o nā kauka i kamaʻāina me PANDAS.

Pono paha i kāu keiki i ke kōkua hou ma ke kula. E kamaʻilio me ko lākou kumu a i ʻole luna hoʻomalu o ke kula e pili ana i ka hōʻailona, ​​ke ʻano o ia mea, a pehea e hiki ai iā ʻoe ke hana pū i ka pono o kāu keiki.

He aha ke kuanaʻike?

ʻAʻole ʻike ʻia ʻo PANDAS a hiki i ka makahiki 1998, no laila ʻaʻohe haʻawina lōʻihi o nā keiki me PANDAS. Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole hiki i kāu keiki ke maikaʻi.

Hoʻomaikaʻi wikiwiki kekahi mau keiki ma hope o ka hoʻomaka ʻana o nā lāʻau antibiotic, ʻoiai hoʻi e hoʻi nā ʻōuli inā loaʻa iā lākou i kahi maʻi strep hou. Hoʻihoʻi ka hapanui me ka ʻole o nā hōʻailona koʻikoʻi lōʻihi. No nā poʻe ʻē aʻe, hiki ke lilo i pilikia mau e koi ana i ka hoʻohana manawa ʻana o nā lāʻau ʻalopika e kāohi ai i nā maʻi hiki ke hoʻoulu ʻia.