Abantwana abaninzi abane-autism banempawu ze-ADHD
Phantse i-third-child yabantwana abane-autism disorder disorder ( ASD ) banempawu ezibalulekileyo zecandelo lokunqongophala koxinzelelo (hydactivity disorder) (i-ADHD), ngokutsho kophandi kwi-Institute of Kennedy Krieger Institute abaphanda ngokubambisana kwe-ASD kunye ne-ADHD. Ezi zihlandlo ezithathu ziphezulu kuneziganeko kubemi jikelele. Uhlolisiso, "Umbutho phakathi kobuqhetseba bokuziphatha kunye neengxaki zokungabikho komonakalo ezibangelwa zizifo ezibangelwa zizifo ezinobungozi be-autism" ezipapashwe kwi- Autism: I-International Journal kunye nokuSebenza (kwi-intanethi ngoJuni 5, 2013), kwafumanisa ukuba abantwana abane- I-ASD kunye ne-ADHD ibhekene nokukhubazeka okukhulu kwaye banokufunda okunzima kunye nokuhlalisana xa kuthelekiswa nabantwana abane-ASD kuphela.
I-Autism ne-ADHD ifana njani nahlukileyo?
Zombini i-ASD kunye ne-ADHD ziyizifo ezingenayo i-neurovelopmental disorders kunye nokuqala kweempawu ebuntwaneni. I-ASD ibonakaliswe yimpembelelo ekunxibelelweni nasekuhambeni kwezenhlalo kunye nokuziphatha okuphindaphindiweyo kunye / okanye okuphindaphindiweyo, kunye neempawu ezibonisa ukususela ebuntwaneni. I-ADH ibonakaliswe ngamanqanaba angafanelekanga okungafanelekanga, ukungafuneki, kunye / okanye ukuxhatshazwa kunye nezipho ngaphambi kweminyaka eyi-12. Iimpawu ezihambelana ne-ASD kunye ne-ADHD zibangele iingxaki ezibalulekileyo zokuziphatha, ezentlalo, kunye neengxaki kwiimeko zasekhaya, zesikolo kunye noluntu.
Nangona iimpawu ze-ADHD zidlalwa kubantwana abakwi-ASD, kude kube sekufutshane i-ASD kunye ne-ADHD ayinakufunyanwa ngokusemthethweni phantsi kwezikhokelo zoxilongo. Ngomhla ka-Meyi 2013, ukukhutshwa kweFifth Edition ye-Diagnostic and Statistical Manual of Disabilities (DSM-5) kukhishwe kwaye olu hlobo olulungisiweyo luvumela ukuxilongwa kabini kwe-ASD kunye ne-ADHD.
"Siyabona ngokugqithiseleyo ukuba ezi ngxaki zivela kunye kunye nokuqonda ngakumbi ukuba zixhamlana njani kunye ekugqibeleni ziphucula iziphumo kunye nomgangatho wobomi kule nxalenye yabantwana," kusho uDkt. Rebecca Landa, umbhali ophezulu wokufunda kunye nomlawuli Isiko se-Autism kunye neengxaki ezichaphazelekayo eKennedy Krieger eBaltimore, MD.
Utshintsho olutshanje kwiNcwadana yokuHlola kunye neSatistim of Disabilities (DSM-5) ukususa ukukhutshwa kwe-double diagnosis ye-autism kunye ne-ADHD ibalulekileyo ebalulekileyo. "
Iziphumo zoFundo eziPhakamisayo Ukuqhagamshela phakathi kwe-Autism kunye ne-ADHD
Uhlolisiso luhlolisise amazinga omzali ochazwe ngeempawu ezibonakalayo zeklinikhi ze-ADHD ekuqaleni kwabantwana abaneminyaka engama-8 ubudala kunye ne-ASD. "Sigxininise kubantwana abancinci abakwiziko elidala ngenxa yokuba singenakukwazi ukubona le nxalenye yabantwana, ngaphambili sinoyilo lokungenelela," kusho uDkt. Landa. "Ukwenyulwa kwamalungiselelo kunokuphucula iziphumo zabo, eziba zibi kakhulu kunezoontanga zihamba nge autism kuphela."
Abathathi-nxaxheba babandakanye abantwana abangama-162 ababhalise kwixesha elizayo lokufunda ngokuphuhlisa abantwana. Abantwana baqale bahlula kwi-ASD kunye namaqela angewona ama-ASD. Baye bahlulwa ngokwengeziwe ngokwempawu ezichazwe ngumzali ze-ADHD. Ku-63 abantwana abafumene i-ASD, 18 (iipesenti ezingama-29) bavotelwe ngabazali babo njengempawu ezibonakalayo ze-ADHD. Abantwana abane-ASD kunye ne-ADHD nabo bafumaneke benemisebenzi engaphantsi kwengqiqo, ukuphazamiseka kakhudlwana kwezentlalo , kunye nokulibaziseka okukhulu ekusebenzeni okuguquguqukayo kunabantwana abane-ASD kuphela.
Ezi ziphumo zigqamisa imfuno yokuvavanya iimpawu ze-ADH kwixesha elidala kubantwana abaxilongwa nge-ASD. Xa i-ASD kunye ne-ADHD yenzeka kunye nomngcipheko omkhulu wokwandisa izinga lokukhubazeka. Xa iimpawu ze-ADHD zihlala zingabonakali kwaye zingaphenduliwe, iziphumo ezintle ziyancipha. Uphando luyadingeka ukuchonga amanyathelo angenelelo kubantwana abancinci abane-ASD kunye ne-ADHD engadliyo ukwenzela ukuphucula iziphumo zala bantwana kunye neentsapho.
Umthombo:
U Patricia A Rao noRebecca J Landa; I-Kennedy Krieger Institute. "Ukubambisana Phakathi kobuqhetseba beNkhenotype yokuziphatha kunye neNkcazo yokuThatyalaliswa kweeMpawu eziMngcipheko kwiIzingane ezine-Autism Disecters Spectrum", i- Autism: I-International Journal kunye neNkqubo , ipapashwe nge-intanethi ngo-5 Juni 2013; INGXELO: 10.1177 / 1362361312470494
I-Kennedy Krieger Institute, " Phantse omnye-Okwesithathu wabantwana abane-Autism kunye ne-ADHD ,"
Amaziko eZiko lezeMpilo, "i-Autism, i-ADHD kaninzi ivela kunye, imibukiso yophando," i-MedlinePlus / HealthDay.