UkuLungisa, ukuTshaya iNtloko kungabonakalisa ukuzithobisa kwabantwana
Ukuba umntwana wakho uyadla okanye isigqithise ishukumisa inxalenye yomzimba wakhe ngaphambi okanye okanye ngexesha lokulala, oku kungabonisa imeko ebizwa ngokuba yintlungu yokuhamba yentsholongwane (RMD). Le meko inokude iqhubeke kubantu abadala. Yintoni i-RMD? Ziziphi iimeko ezinxulumene nayo kwaye zeziphi iziphazamiso ezifanayo kufuneka zikhutshwe ngaphandle? Funda malunga neengxaki zentshukumo yokuhamba, kuquka iinketho zokwelapha ukugcina umntwana wakho ephephile.
Iziphumo kwi-Rhythmic Movement Disorder
I-rhythmic disorder disorder (RMD) ingabonwa kubantwana abaselula ngexesha elide ngaphambi okanye ngexesha lokulala. Ngeli thuba, umntwana ochaphazelekayo unokugwala okanye athathe inxalenye yomzimba ngendlela eyingqungquthela. Oku kunokubandakanya ingalo, isandla, intloko, okanye i-trunk. Ezinye iziphatho ezifana nokukhwaza kwentloko okanye ukugqithisa kungabonwa.
Nangona ezi ntshukumo zingaba mnene kwaye zenze uhlobo lokuzithiba ukuze zikwazi ukulala, zingaphinde zibe nzima kakhulu. Ukunyuswa kwamachiza okuninzi kunokwenzeka kunye nokulimala kunokubangela.
Ngezinye izihlandlo imeko ibizwa ngokuba yi- jactatio capitis nocturna okanye i- rhythmie du sommeil , ebhekisela kwiingcaciso zangaphambili zemo meko ngo-1905.
Ingaba i-Rhythmic Movement Disorder ivele nini?
Abantwana abaneengxaki zentshukumo yokunyakaza bangathuthukisa imeko phambi kweminyaka engama-3. Kwiimeko ezininzi, iimpawu ziphela njengoko umntwana ekhula.
Ngokungafanekiyo iqhubekeka kubantu abadala.
I-RMD iqala ngokukhawuleza ngexesha lokulala, ngokuqhelekileyo ngexesha lokulala okanye ukungabikho kwe-REM . Ukunyakaza kuyancipha kwinqanaba 2 lokulala. Kungenzeka kwakhona ngexesha le-REM, nangona kunjalo, oko kunokukwenza kube nzima ukwahlula kwi- disability disorder .
Kukho ezinye iimeko ezinxulumene ne-RMD. Ezi ziquka:
- Ukunqongophala kwengxaki yokuxhatshazwa kwengxaki (ADHD)
- I-Tourette syndrome
- Autism
- I-Rett syndrome
- Angelman syndrome
- Ukulala ngomoya
Ubungqina bentshukumo ayithethi ukuba umntwana unokuhlakulela nayiphi na enye ingxaki.
I-Rhythmic Movement Disorder Diagnosed?
Abazali abaninzi banokuqonda ukunyuka kwabantwana babo. Kungaba kubalulekile ukuthetha nodokotela wezilwanyana malunga nokuqwalasela kwakho kunye nomlando wobuthongo obuninzi kakhulu. Kukho ezinye iimeko ezinokuthi zilingise i-RMD kwaye ezi zifuna unyango oluhlukileyo.
Ukunyuswa okungalawulwayo kwendima yomzimba kunokwenzeka njengenxalenye yokutshatyalaliswa kwelanga . Iintlangano zeemisipha, ezibizwa ngokuba yi-dystonia, zingabonakala zifana neengxaki zentshukumo. Kukho ukuphazamiseka ezithile zokulala kubantwana ezinokubandakanya ukuhamba, kubandakanywa i-parasomnias kunye nokuvusa ukudideka . Ukongezelela, ezinye iingxaki zokuziphatha zingabonakalisa ngeempawu ezifana ne-RMD.
Amanye amayeza angabangela ukunyakaza okugqithiseleyo ngexesha lokujikeleza ukulala kwaye oku kufuneka kuqwalaselwe. Ukuba umntwana wakho uthatha imishanguzo yokuphatha unyango, ukuhlanza, kunye nezimo ezithile zengqondo (kubandakanywa ne-antidepressants kunye neuroleptics), oku kungabandakanywa nje isizathu.
Kule meko, ukumisa imithi emva kokuxoxisana nayo kunye nezingane zakho kunokuncedisa ukuhamba.
Kungaba yimfuneko ukwenza iimvavanyo ezimbalwa ukuhlula iimeko zokuhamba. I- electroencephalogram yesiqhelo (EEG) ingenziwa. Ukulala kunokufundiswa ngokusemthethweni kunye ne- polysomnogram engabandakanya i-EEG njengenxalenye yayo.
Ziziphi iindlela zokwelapha ezikhoyo kwi-Rhythmic Movement Disorder?
Kukho amanyathelo angathathwa ukuze unciphise ithuba lokuba umntwana wakho azilimaze ngeli thuba.
Okokuqala, kubalulekile ukugcina ishedyuli yokulala rhoqo kwaye ubone izikhokelo ezingcono zokulala kubantwana.
Ezi nyathelo ziya kuqinisekisa ukulala okusemgangathweni kwaye zikhusele izinto ezinzima ezifana nokunyuswa kokulala.
Xa ukunyuka kukugqithiseleyo okanye kunokunyanzeliswa, okubangelwa ukuzilimaza, kunokufuneka ukuba uthathe amanyathelo okukhusela athile. Kungaba yimfuneko ukuhambisa umthamo kumgangatho wezantsi ukusuka ezindongeni zokulala okanye kwezinye izinto. Abanye abantwana abaneentloko ezinzima bebuthongo belele ebusweni.
Kwamanye amaxesha, ukuguqulwa kwamachiza kunokusetyenziswa ukunciphisa ukunyakaza. Ngokomzekelo, i-clonazepam yamayeza, esetyenziswa rhoqo ekuphatheni ixhala, isetyenzisiwe. Ezinye iindlela zokuphucula ziye zabikwa ukuba ziyasebenza.
Kwiimeko ezininzi, nangona ingxaki yokunyakaza kwengqondo ingaxakeka ukuba iyigcine, ayibubi. Abantwana abaxhatshazwa yiyo. Njengoko uninzi lwangaphandle kwelo mqathango, lungafunanga unyango lwexesha elide. Nangona oko kuqhubeka, kusenokungakhathazeki ngokukodwa kumntu ochaphazelekayo okanye kwabanye, ngakumbi ukuba ukunyakaza kunzima.
Ukuba ubona ukunyanzeliswa okungalawulwayo ngexesha lokulala kumntwana wakho, unokufisa ukuqala ngokutshekisha kunye nezingane zakudala ukuba uxoxe ukuba ngaba kuhlolwa okufunekayo.
Imithombo
Durmer, JS et al . "Iingcali zokulala zonyango." Ukuqhubeka kweeMpilo yokuFunda yonke i-Neurol 2007; 13 (3): 176.
Kohyama, J. et al . "I-Rhythmic Movement Disorder: Study and Polysomnographic Study and Summary of Cases." Brain Dev 2002; 24 (1): 33-38.
Stepanova, I. et al . "I-Rhythmic Movement Disorder in Sleep Sleeping to Childhood and Adulthood." Ukulala ngo- 2005; 28 (7): 851-857.