Kugonjetsa Kwambiri, Zowonongeka Zingayambitse Matenda Ogona
Mwana wogona kapena wosasamala ndi chifukwa chodera nkhawa. Nthawi yovuta ya chitukuko yomwe imayambira kuyambira ali mwana mpaka kukafika msinkhu imayambitsa maziko a moyo wa moyo wonse. Izi zimadalira malingaliro opuma ndi omvera. Mavuto omwe amawoneka ngati akupezeka kuti akulephera kudwala matendawa (ADHD) angakhale odziwa bwino, koma pali mavuto ena ogona omwe angawononge mwana wanu kuti aziphunzira.
Kodi vutoli limakhudza bwanji ana? Kodi zimapezeka bwanji ndipo mankhwalawa alipo? Phunzirani zambiri za matenda osokoneza bongo komanso momwe angakhudzire mwana wanu mosayembekezereka.
Zomwe Zimakhala Zovuta Kwambiri M'nyamata
Ngakhale kuti nthawi zambiri amaonedwa pakati pa anthu akuluakulu, vutoli limakhala ndi mapiri awiri. Kuchokera kwa msinkhu kumayambiriro kumawonekera kuyambira ali mwana ndi unyamata, kumawonekera pafupipafupi pafupi zaka khumi ndi zisanu ndi ziwiri (ndiyeno pambuyo pake akuwombera kachiwiri ali ndi zaka 35). Ndipotu, oposa theka la anthu omwe ali ndi vuto lopweteka matendawa amapereka chiyambi cha zizindikiro zawo asanakwanitse zaka 20.
Kufika kwa msinkhu wachinyamata kumayenderana ndi mbiri ya banja la matendawa. Kuonjezera apo, zizindikiro zomwe zimayambitsa matendawa zimakhala zovuta kwambiri kwa iwo amene amayamba matendawa kale.
Ngakhale kuti matendawa akhoza kukula ali wamng'ono, nthawi zambiri amachedwa kuchepetsa matendawa . Zizindikirozo zikhoza kunyalanyazidwa kapena kutanthauziridwa molakwika.
Izi zingachititse kuchedwa kuzindikiritsidwa kwa chikhalidwechi pafupifupi zaka khumi ndi zisanu ndi ziwiri chiyambireni chizindikiro.
Zizindikiro
Chimodzi mwa zizindikiro zoyambirira zomwe zimasonyeza kuti ana amatha kubwerera m'mbuyo mwa ana ndi kugona kwapakati pa tsiku , ndipo 65.5% amakhala ngati chizindikiro choyamba. Izi ndi zachilendo pakati pa zovuta za kugona kwa ana.
Mosiyana ndi achikulire omwe angawoneke akugona, ana angakhale ovuta kapena osakhumudwa pamene agona asokonezeka. Komabe, ngati munthu akudwala matenda osokoneza bongo, vuto la kugona kwambiri (kapena kuti hypersomnolence) lingakhale lovuta.
Kuwonjezera pa kugona kwakukulu, palinso zina zomwe zimakhala zovuta kwambiri . Mmodzi wa iwo, cataplexy, ndi wapadera kwambiri. Anthu omwe ali ndi vutoli amatha kusokonezeka mwadzidzidzi chifukwa cha zovuta zamaganizo. Mwachitsanzo, kudabwa kungabweretse maondo ndi kugwa mwadzidzidzi. Ngakhale kuti chizindikiro ichi chikhoza kuchitika pa 60 peresenti ya anthu omwe ali ndi vuto lachilombo, ana samakonda kupezeka ndi matenda.
Kafukufuku wina amasonyeza kuti pangakhale mavuto ndi kagayidwe kabwino ka ana omwe ali ndi vuto lachilombo. Metabolism imayang'aniridwa ndi mbali ya ubongo wotchedwa hypothalamus , ndi kutayika kumeneku komweku kumagwirizananso ndi vutoli. Izi zingachititse ana omwe ali olemera kwambiri kapena olemera kwambiri omwe ali ndi chiwerengero cha thupi lowonjezeka (BMI). Ana akhoza kulemera poyambira zizindikiro zawo zapachiyambi.
Ana omwe ali ndi vutoli amatha kupezeka kuti ali ndi vuto linalake kapena matenda ena. Kugona mopitirira muyeso kungayambitse mavuto, kusamala, ndi kuphunzira.
Izi zingachititse kuti munthu adziwe za ADHD. Ana omwe ali ndi vuto lotha msinkhu amatha kuoneka ngati akuvutika maganizo, ogona, kapena "aulesi." Iwo amatha ngakhale kuganiza kuti alibe vuto lokhalitsa matenda.
Kudziwa
Kuwunika mosamala kwa dokotala wa ana, makamaka amene amadziwa bwino matenda okhudza kugona, ndiye sitepe yoyamba kuti apeze matenda osokoneza bongo. Kafukufuku wowonjezera angagwiritsidwe ntchito kuti azindikire vutoli.
Phunziro lagona tulo limatchedwa polysomnogram . Poganizira za matenda opatsirana pogonana, nthawi zambiri amaphatikizidwa pa ana opitirira zaka zisanu ndi zitatu ndi maphunziro ena omwe amatchedwa multiple sleep latency test (MSLT). Mayeserowa angakhale othandiza kuthetsa mavuto ena ogona, kuphatikizapo kugonana kwapakati kapena matenda a miyendo ya periodic movement.
Angathe kuzindikira kusintha kwa malo ogona, akuwonetsera kuchepa kwa kugona komanso kuyambitsa kugona kwa maso (REM).
Pali mayeso ena angapo omwe angagwiritsidwe ntchito pozindikira ana omwe ali ndi vutoli. Kufufuza kwa cerebrospinal fluid (CSF) kumawunikira kwambiri kuti zikhale zosaoneka bwino za mankhwala, kapena neurotransmitter, yotchedwa hypocretin-1. Kuyesedwa kwa DQB1-0602 ya munthu leukocyte antigen ikhoza kupangidwanso (ngakhale antigen iyi nthawi zambiri imakhalapo kwa iwo omwe alibe matendawa, kuwapangitsa kukhala opanda phindu).
Njira Zothandizira
Mofanana ndi anthu akuluakulu omwe ali ndi vuto lachiwerewere, njira zothandizira ana omwe ali ndi vutoli zimakhala zolimbikitsa kuchepetsa kugona kwa usana komanso othandizira kuti asokoneze REM.
Mankhwala opatsa mankhwala, kuphatikizapo mankhwala a amphetamine monga modafinil (ogulitsidwa pansi pa dzina lakuti Provigil), amagwiritsidwa ntchito kuthetsa kugona kwa tsiku ndi tsiku komwe kumakhala kovuta kwambiri kwa ana.
Kuwonjezera apo, zingakhale zothandiza kuthetsa REM kugona ndi mankhwala, monga serotonin reuptake inhibitors (SSRIs) ndi tricyclic antidepressants (TCAs). Monga momwe matendawa amatha kukhalira ndi vuto chifukwa cha vuto la kugona, zomwe zimabweretsa REM kugona mosayenera pakumuka, mankhwalawa ndi othandiza. Mankhwalawa nthawi zambiri amasungidwa ngati ziwalo zina zothandizidwa ndi matendawa zimakhalapo, kuphatikizapo matendawa, kuphatikiza, ndi kugona.
Potsirizira pake, mpweya wa sodium (wogulitsidwa monga Xyrem) wapezeka kuti uli wodzichepetsa pochepetsa kuchepa kwa tsiku ndi tsiku komanso kugawanika kwa ana.
Ngati mukudandaula kuti mwana wanu akhoza kukhala ndi tulo tosana kwambiri tsiku ndi tsiku komanso mavuto ena omwe amachititsa kuti mukhale ndi vutoli, mungayambe mwakulankhula ndi ana anu za nkhawa zanu. Kuyesanso kuyesetsedwe kungapangidwe kuti mudziwe ngati vutoli likhoza kukuthandizani nkhawa zanu, zomwe zingalepheretse kuchepetsa ndikudziwitsa mwana wanu panthawi yovuta imeneyi.
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