Dysthymia , inonziwo dysthymic disorder kana DD, inotyisa asi isingagadziriswi kuora mwoyo kunowanzoonekwa muvana.
Nzira yeDysthymia
Kufanana nezvimwe zvinetso zvinokonzera kushungurudzika, boka reyysthymia rinosiyana nevana. Kunyange zvazvo chirongwa che DSM-IV chichida mwana kuti aone zviratidzo zvekuda kwegore rimwe kuti aonekwe ne dysthymia, chikamu chemuviri chinonzi dysthymic chikamu chemakore 3.9.
Inenge 3 muzana yevana inosangana nemirairo ye dysthymia. Vamwe vatsvakurudzi vanopesana kuti chikamu chepamusoro chevana chaizvoizvo vane DD, asi nekuda kwechimiro chisingaperi, zviratidzo zvinowanzowanzoreva kuti zvakasvibiswa kuva munhu. Kutaura zvazviri, vana vane DD vangave vasina kunyunyuta nezvekunzwa vakaora mwoyo kana kusuruvara nokuti havazivi mafungiro avo sevakasiyana neavo vanowanzonzwa.
Zviratidzo zveDysthymia
Zviratidzo zveDD zvakafanana neyekunyanya kunetseka kwepfungwa, asi hazvirevi zvakanyanya uye hazvikwanisi kuparadza basa rezuva nezuva.
Zviratidzo zvinogona kusanganisira:
- Kushungurudzika mafungiro
- Kusuruvara
- Manzwiro ekusava netariro uye / kana kusakosha
- Kubva kune shamwari neshamwari
- Kunyanya kuzviremekedza
- Kudya kana kurara muenzaniso kunoshanduka
- Zvirwere zvisingaoneki zvomuviri
- Kusina kwekufungidzira
- Pfungwa kana chiito chokuzvikuvadza kana kuzviuraya
- Kusakwanisa kuwana mufaro kana mufaro
- Kusvibiswa
- Kusagadzikana kana kuneta
Pasinei nezviratidzo zvakaoma zvekushaya dysthymia, zvichiri kufungidzirwa kuti zvisikwa zvisingagumi zvinogona kukanganisa kukura kwevana kweukama hwakanaka, kuzvikudza kwakanaka, uye unyanzvi hwokugadzirisa matambudziko.
Kudzorera uye Kuderedza Kuviri
Kudzorera kwevana vane dysthymia inogona kunge. Zvisinei, ruzhinji rwevana ruchava nedzimwe dysthymic episode munguva yemberi. Vanenge 75 muzana yevana vanoona dysthymic episode vachawanawo kuora mwoyo kukuru kwechiitiko, shorter but more severe depression disorder.
Apo mwana ane dysthymia anonzwa kushungurudzika kukuru kwechiitiko, kusanganiswa kunonzi kuderedzwa kaviri .
Zvimwe zvinogona kuwedzera mukana wekudzidzira kuora mwoyo kaviri zvakaratidzwa naDkt. Daniel Klein uye vashandi pamwe chete mumakore gumi ekutevera vana vane dysthymia. Kuzivikanwa pangozi zvinhu zvaive:
- Kutanga dysthymic episode mudiki
- Co-existing anxiety disorder
- Imba yemhuri yakasimba yekurwara kukuru kwepfungwa
- Urombo husina hukama neamai
- Nhoroondo yekushungurudzwa kwepabonde
- Kunyoresa unhu hwehutano
Izvo zvave zvichiratidzwa kuti vana vane kuora mwoyo kaviri vanogona kunge vane zvikamu zviduku zvepfungwa huru yekuora mwoyo. Maererano naChishopi Kovacs nevamwe vashandi, izvi zviri nyore kuti mwana adzoke kune imwe nheyo yepamusoro ye dysthymia, kana kuti kuora mwoyo kwezviratidzo, kupfuura chiyero chekutanga uye pasina kuvapo kwezviratidzo zvekuora mwoyo . Kunyange zvakadaro, kushungurudzika kwose kunokonzera kurapa vana.
Kutsvaka rubatsiro
Kufanana nedambudziko rekuora mwoyo, dysthymic disorder inobatanidza nemigumisiro yakaipisisa- uye yakareba kwenguva yakareba , yakadai sevasingadi kudzidza uye kushandiswa kwevanhu, kushandiswa kwezvinodhaka, uye kuwedzerwa njodzi yekuzviuraya . Ichokwadi kuti havasi vana vose vane dysthymia vachawana zvikanganiso zvisina kunaka, asi vachipiwa sangano, kurapa kunorudzirwa.
Kurapa kwevana vane dysthymia inowanzoita psychotherapy , mishonga, kana kusanganiswa kwekutaura.
Iva nechokwadi chekutaura nevana vevana vako kana mamwe mazano epfungwa heath kana ane zviratidzo zveDysthymia kana imwe dambudziko rekuora mwoyo. Kushungurudzika kunetseka hakufaniri kumbosiyiwa kusati kwarapwa kuvana.
Sources:
American Psychiatric Association. Kuongorora uye Statistical Manual yeMental Disorders, 4th Edition, Text Revision. Washington, DC: American Psychiatric Association: 2000.
Daniel N. Klein, Ph.D., Stewart A. Shankman, Ph.D., Suzanne Rose, MADYsthymic Disorder uye Double Kuora Mwoyo: Kufanidzirwa kweMakore gumi Okudzidza Trajectories neMigumisiro. Nyaya Yokutsvakurudza Psychiatry April 2008 42 (5): 408-415.
Kushungurudzika uye kuzviuraya muvana nevana vaduku. Mental Health: Mushumo wechiremba Mukuru. Yakasvika: 02/12/2011. http://mentalhealth.about.com/library/sg/chapter3/blsec5.htm
Hana M. Vujeva, Wydol Furman. Zviratidzo Zvinoshungurudza uye Kuratidzana Nehukama Unhu kubva Kubva Kuyaruka Kuburikidza Nekukura Kwevanhu Vakuru: Kuongorora Kwenguva Yakareba yeZvhiringidziro. Clinical Child & Adolescent Psychology. 40 (1): 123-135.
Kovacs M, Obrosky DS, Gatsonis C, Richards C. Kutanga-Chikamu Major Kushungurudzika uye Dysthymic Matambudziko muhuduku: Clinical uye Sociodemographic Factors muKudzorera. Zvinyorwa zveAmerican Academy of Child Nevana Vechidiki Psychiatry. 1997, 36: 777-784.