DAIM NTAWV QHIA: Phau Ntawv Qhia rau Cov Niam Txiv

Zoo Siab

• Cov tsos mob zoo li cas?
• Dab tsi ua rau nws?
• Leej twg yuav muaj kev pheej hmoo?
• Nws kuaj tau li cas?
• Dab tsi yog qhov kev kho mob?
• Kho cov kab mob strep
• Kho cov tsos mob puas siab puas ntsws
• Puas muaj lwm cov kev mob tshwm sim?
• Kuv tuaj yeem tau txais kev pab qhov twg?
• Qhov tshwm sim yog dab tsi?

PANDAS yog dabtsi?

PANDAS sawv cev rau kev kho qhov mob autoimmune neuropsychiatric mob cuam tshuam nrog streptococcus. Tus mob no cuam tshuam txog ntawm tus xeeb ceem, tus yam ntxwv, thiab txav mus los ntawm tus me nyuam tom qab kis mob Cov kab mob Streptococcus pyogenes (kab mob streptococcal-Ainfection).

Tus mob Strep tuaj yeem mob sib khuav xwb, tsis muaj ib yam dab tsi tshaj li mob me lossis mob qa. Ntawm qhov tod tes, lawv tuaj yeem ua rau mob qa mob caj pas, ua pob liab vog, thiab lwm yam mob. Strep yog pom sab hauv lub caj pas thiab ntawm daim tawv nqaij. Koj kis nws thaum tus neeg mob hnoos lossis txham thiab koj ua pa ntawm qhov mob me lossis kov cov chaw tsis huv, thiab tom qab ntawd kov koj lub ntsej muag.

Cov neeg feem ntau uas muaj tus kabmob hnoos qeev yuav ua rau rov zoo tuaj. Txawm li cas los xij, qee tus menyuam yaus tshwm sim lub cev thiab lub hlwb tam sim ntawd ob peb lub lis piam tom qab kis tau. Thaum lawv pib, cov tsos mob no zoo li sai heev.

Txuas ntxiv nyeem ntawv kom paub ntau ntxiv txog cov tsos mob ntawm PANDAS, yuav kho li cas, thiab koj tuaj yeem thov kev pab tau li cas.

Cov tsos mob zoo li cas?

Cov tsos mob ntawm PANDAS pib dheev, li plaub rau rau lub lis piam tom qab kis mob ua paug. Lawv suav nrog kev coj cwj pwm zoo ib yam li kev tsis txaus ntseeg (OCD) thiab Tourette syndrome. Cov tsos mob no tuaj yeem cuam tshuam mus kawm ntawv thiab ua rau poob ntsej muag sai. Cov tsos mob hnyav zuj zus thiab mus txog lawv qhov siab kawg feem ntau li ntawm ob mus rau peb hnub, tsis zoo li lwm cov kev puas siab puas ntsws thaum menyuam yaus loj hlob zuj zus.

Cov tsos mob hauv siab ntsws suav nrog:

• obsessive, compulsive, thiab rov ua dua tus cwj pwm
• kev ntxhov siab sib cais, ntshai thiab ntshai
• pheej tsis qw, txob taus, thiab hloov pauv ntau zaus
• kev xav thiab kev loj hlob regression
• pom los sis hnov ​​kev pom
• kev nyuaj siab thiab tua tus kheej txoj kev xav

Cov tsos mob ntawm lub cev yuav suav nrog:

• tics thiab txawv txav
• rhiab rhiab rau pom, suab, thiab kov
• kev tsis zoo ntawm kev tsav me me lossis cov ntawv nyeem tsis zoo
• hyperactivity los yog qhov tsis muaj peev xwm tsom
• teeb meem nco
• teeb meem pw tsaug zog
• tsis kam noj, uas tuaj yeem ua rau poob phaus
• mob tej pob txha
• nquag tso zis thiab pw tsaug zog
• ze rau lub xeev catatonic

Cov menyuam yaus nrog PANDAS tsis yog txhua tus ntawm cov tsos mob no, tab sis feem ntau lawv muaj cov tsos mob sib txawv hauv lub cev thiab lub siab.

Dab tsi ua rau nws?

Qhov tseeb yog vim li cas PANDAS yog qhov kev kawm tshawb fawb txuas mus.

Ib qho kev tshawb xav pom tias nws yuav yog vim muaj qhov tsis muaj zog tiv thaiv kab mob rau tus mob strep. Cov kab mob Strep yog tshwj xeeb zoo ntawm kev zais ntawm qhov tiv thaiv kab mob. Lawv npog lawv tus kheej nrog cov lwg me me uas zoo ib yam li cov lwg me me uas pom hauv lub cev.

Tus tiv thaiv kab mob kis mus rau tus kab mob strep thiab pib tsim cov tshuaj tiv thaiv. Txawm li cas los xij, kev ua cuav txuas ntxiv txuas ntxiv rau cov tshuaj tiv thaiv. Vim li ntawd, cov tshuaj tiv thaiv tua lub cev cov ntaub so ntswg. Cov tshuaj tua kab mob tsom rau thaj chaw tshwj xeeb ntawm lub paj hlwb, qhov pib ntawm ganglia, tej zaum yuav ua rau cov tsos mob neuropsychiatric ntawm PANDAS.

Tib cov tsos mob tuaj yeem nqa tawm los ntawm kev kis mob uas tsis cuam tshuam nrog cov kab mob strep. Thaum qhov xwm txheej ntawd, nws tau hu ua kev mob hlwb-pib mob neuropsychiatric syndrome (PANS).

Leej twg yuav muaj kev pheej hmoo?

PANDAS yuav tshwm sim ntau rau cov menyuam yaus hnub nyoog 3 txog 12 xyoos uas tau muaj tus kabmob hnoos qeev nyob rau plaub mus rau rau asthiv.

Qee lwm yam kev pheej hmoo txaus ntshai suav nrog kev mob tshwm sim tus kab mob thiab kev kis tus kab mob.

Koj tus menyuam ntxim yuav kis tus kabmob hnoos qhuav rau lub caij nplooj zeeg lub caij nplooj zeeg thiab lub caij nplooj ntoo hlav thaum ntxov, tshwj xeeb tshaj yog thaum lawv mus nyob ze cov pab pawg coob. Txhawm rau tiv thaiv kab mob kis, qhia koj tus menyuam kom tsis txhob sib koom noj haus lossis haus khob, thiab ntxuav lawv txhais tes ntau zaus. Lawv yuav tsum tsis txhob kov lawv lub qhov muag thiab ntsej muag thaum ua tau.

Nws kuaj tau li cas?

Yog tias koj tus menyuam muaj cov tsos mob txawv tom qab kis mob txhua yam, teem caij nrog koj tus kws kho mob tam sim ntawd. Nws yuav pab tau yog koj sau ib phau ntawv xov xwm qhia txog cov tsos mob no, suav nrog thaum lawv tau pib thiab qhov ntawd cuam tshuam dab tsi rau koj tus menyuam lub neej. Nqa cov ntaub ntawv no, nrog rau cov npe tshuaj los yog cov tshuaj yuav tom khw uas koj tus menyuam noj lossis nyuam qhuav noj, thaum koj mus ntsib kws kho mob. Nco ntsoov qhia qhov mob los yog kev mob nkeeg uas tau kis ib ncig ntawm tsev kawm ntawv lossis hauv tsev.

Txhawm rau kuaj kab mob voos, koj tus kws kho mob yuav nqa caj pas los yog khiav ntshav mus ntsuas. Txawm li cas los xij, tsis muaj ib qho kev sim tshuaj lossis txoj hlab ntsha hauv lub siab kuaj txhawm rau kuaj PANDAS. Hloov chaw, koj tus kws kho mob yuav xav ua ntau yam kev kuaj ntshav thiab tso zis tawm los tswj qee qhov mob ntawm menyuam yaus.

Kev kuaj mob ntawm PANDAS xav tau keeb kwm kev kho mob thiab kuaj lub cev. Cov qauv rau kev kuaj mob yog:

• ua neej nyob nruab nrab ntawm peb xyoos thiab tiav nkauj tiav nraug
• cia li pib mob lossis nrawm dua ntawm cov kev mob uas twb muaj lawm, nrog rau cov tsos mob hnyav dua rau lub sijhawm
• muaj kev saib pom kev xav-ua kom yuam kev, tic tsis meej, lossis ob qho tib si
• cov pov thawj ntawm lwm cov tsos mob neuropsychiatric, xws li hyperactivity, hloov mus ob peb vas, hloov kev loj hlob, lossis ntxhov siab
• kis tus kab mob hnoos qeev yav dhau los lossis tam sim no-A, paub tseeb los ntawm caj pas lossis kuaj ntshav

Dab tsi yog qhov kev kho mob?

Kho PANDAS suav nrog daws ob qho tib si ntawm kev puas cev nqaij daim tawv thiab lub hlwb. Txhawm rau pib, koj tus kws kho mob plaub hau yuav saib xyuas kom tus mob kis mus tag. Koj kuj yuav tsum tau ua haujlwm nrog cov kws muaj ntawv pov thawj kev noj qab haus huv paub txog OCD thiab PANDAS.

Kho cov kab mob strep

Mob Strep yog kho nrog tshuaj tua kab mob. Feem ntau cov mob hnoos qhuav tau zoo kho nrog ib hom tshuaj tua kab mob. Qee cov tshuaj tua kab mob siv los kho cov mob qog:

• amoxicillin
• azithromycin
• cephalosporin
• tshuaj penicillin

Koj yuav tsum tau txiav txim siab coj lwm tus neeg hauv tsev neeg mus kuaj ntshav tawm vim tias nws muaj peev xwm nqa tau cov kab mob txawm tias koj tsis muaj tsos mob dab tsi. Txhawm rau pab tiv thaiv kom tsis txhob rov kis mob ntxiv, hloov koj tus menyuam txhuam hniav tam sim ntawd thiab rov siv thaum lawv tag lawv cov tshuaj tua kab mob.

Kho cov tsos mob puas siab puas ntsws

Cov kev puas siab puas ntsws yuav pib txhim kho nrog cov tshuaj tua kab mob, tab sis lawv kuj tseem yuav xav tau nrog sib cais. OCD thiab lwm yam kev puas siab puas ntsws yog kho nrog txoj kev paub cwj pwm.

OCD tseem feem ntau teb zoo rau xaiv serotonin reuptake inhibitors, ib hom tshuaj tiv thaiv kab mob siab. Qee hom tuaj yeem suav nrog:

• fluoxetine
• fluvoxamine
• sertraline
• paroxetine

Cov tshuaj no yuav raug muab teev hauv cov tshuaj me me kom pib. Lawv tuaj yeem maj mam nce ntxiv yog tias tsim nyog.

Lwm txoj kev kho yog qhov teebmeem thiab yuav tsum txiav txim siab los ntawm ib kis mus rau ib kis. Qee tus kws kho mob tuaj yeem sau corticosteroids, xws li prednisone, txhawm rau txhim kho cov tsos mob ntawm OCD. Txawm li cas los xij, cov tshuaj steroids tuaj yeem ua rau tics mob ntxiv. Ntxiv rau, thaum cov tshuaj steroids ua haujlwm, lawv tsuas siv tau rau lub sijhawm luv. Txij ntawm lub sijhawm no, cov tshuaj steroids tsis yog ib txwm pom zoo rau kev kho mob ntawm PANDAS.

Qee qhov mob loj heev ntawm PANDAS yuav tsis teb rau kev siv tshuaj kho thiab kho mob. Yog tias qhov no tshwm sim, kev hloov ntshav ntshav los txhawm rau tshem tawm cov kev ua txhaum ntawm lawv cov ntshav qee zaum raug pom zoo. Koj tus kws kho mob menyuam yaus kuj tseem yuav qhia cov tshuaj tiv thaiv kab mob rau cov tshuaj immunoglobulin. Qhov txheej txheem no siv cov khoom pub ntshav muaj ntshav pub dawb tuaj yeem pab txhim kho koj tus menyuam lub cev tsis muaj zog tiv thaiv kab mob. Txawm hais tias qee tus kws kho mob tau tshaj tawm txog kev ua tiav nrog cov kev kho mob no, tsis muaj kev tshawb fawb paub tseeb tias lawv ua haujlwm.

Puas muaj lwm cov kev mob tshwm sim?

Cov tsos mob ntawm PANDAS tuaj yeem ua rau koj tus menyuam tsis tuaj yeem ua haujlwm hauv tsev kawm lossis hauv qhov xwm txheej. Yog tsis kho, cov tsos mob ntawm PANDAS yuav ua rau mob ntxiv thiab tuaj yeem ua rau lub hlwb kev puas tsuaj mus tas li. Rau qee cov menyuam yaus, PANDAS tuaj yeem dhau los ua cov mob autoimmune mob.

Kuv tuaj yeem tau txais kev pab qhov twg?

Muaj menyuam nrog PANDAS tuaj yeem ntxhov siab heev vim tias nws zoo li yuav tshwm sim yam tsis ceeb toom rau. Nyob rau ob peb hnub, koj yuav pom qhov kev hloov pauv tus yam ntxwv yam tsis muaj qhov ua rau pom tseeb. Ntxiv rau qhov kev sib tw no yog qhov tseeb tias tsis muaj ib qho kev sim rau PANDAS, txawm hais tias kev kuaj mob tau ua tiav. Nws yog ib qho tseem ceeb kom paub meej tias cov qauv no tau ntsib ua ntej kuaj xyuas PANDAS.

Yog hais tias koj xav tias dhau heev, xav txog cov peev txheej no:

• PANDAS Network muaj cov ncauj lus dav dav, xov xwm hais txog qhov kev tshawb fawb tshiab tshaj plaws, thiab cov npe kws kho mob thiab pab pawg txhawb nqa.
• International OCD Foundation muaj cov ntaub ntawv hais txog OCD nyob rau hauv cov menyuam yaus thiab tseem muaj ntawv rub tawm cov ntaub ntawv piv rau OCD rau PANDAS thiab PANS. Qhov no muaj txiaj ntsig zoo dua yog tias koj tus kws kho mob tsis paub txog PANDAS.
• PANDAS Cov Kws Kho Mob Network muaj PANDAS Cov Kws Qhia Npe, cov ntaub ntawv tshawb fawb txog cov kws kho mob paub txog PANDAS.

Koj tus menyuam kuj tseem xav tau kev pab ntxiv nyob tom tsev kawm thiab. Tham nrog lawv tus kws qhia ntawv lossis cov thawj tswj tsev kawm ntawv hais txog kev kuaj mob, nws txhais li cas, thiab koj tuaj yeem sib koom ua haujlwm li cas txhawm rau qhov zoo tshaj rau koj tus menyuam.

Qhov tshwm sim yog dab tsi?

PANDAS tsis tau hais kom txog xyoo 1998, yog li tsis muaj kev tshawb nrhiav ntev ntev txog cov menyuam yaus nrog PANDAS. Txawm li cas los xij, qhov no tsis tau txhais hais tias koj tus menyuam tsis muaj peev xwm zoo dua qub.

Qee tus menyuam yaus txhim kho sai tom qab pib siv tshuaj tua kab mob, txawm hais tias cov tsos mob tuaj yeem rov qab yog tias lawv kis tus kabmob tshiab. Feem ntau zoo tsis muaj mob ntev ntev. Rau lwm tus, nws tuaj yeem dhau los ua ib qho teeb meem txuas ntxiv uas yuav tsum tau siv tshuaj tua kab mob tsis tu ncua los tswj cov kab mob sib kis uas tuaj yeem ua rau muaj qhov tuaj pwm.