Zh Nevrol Psikhiatr Im SS Korsakova. 2019;119(6):152-159. doi: 10.17116/jnevro2019119061152.
[Sengoloa ka Serussia; Thibelo e fumanehang ka Serussia ho mohatisi]
inahaneloang
Ho ea ka qeto ea tumellano ea WHO, bothata ba papali ea chelete, ho kenyeletsoa le mofuta oa bokhoba ba inthanete (IA), bo lokela ho kenyelletsoa karolong ea 'Mathata a susumetsang le ho lemalla boitšoaro' ba ICD-11. Lithuto tsa palo ea baahi USA le Europe li bonts'a ho ata ha IA ho tloha 1.5 ho isa ho 8.2%, mme linaheng tsa Asia Boroa-bochabela e fihla ho 20-30% har'a bacha. Tsena tsohle li hlahisa lipotso mabapi le nts'etsopele ea mekhoa e hlophisitsoeng ea kalafo le tokiso ea lefu lena. Tlhahlobo e akaretsa mekhoa ea litlhare le e seng ea litlhare. Liphuputso tse 'maloa le litlhahlobo tsa bongaka li sebelisitsoe mekhoeng ea kalafo ea kalafo ea IA, ho kenyeletsoa ts'ebeliso e atlehileng ea li-anti-depressing tse kang escitalopram, clomipramine le bupropion. Ho na le lintlha tse mabapi le katleho ea quetiapine, clonazepam, naltrexone le methylphenidate. Ka kakaretso, lipatlisiso li ne li lekantsoe ho haelloa ke mekhoa, ho kenyeletsoa boholo ba mehlala, ho haella ha lihlopha tsa taolo jj. Mananeo a khethehileng a CBT a ntlafatsoa a shebile bana le bacha. Ntle le CBT, ho sebelisitsoe mekhoa e meng ea psychotherapeutic bakeng sa tokiso ea IA: kalafo ea 'nete, mehato ea inthanete, kalafo ea ho amohela le boikarabello, kalafo ea malapa, mekhoa e rarahaneng. Linaheng tse ngata likampo tsa thuto ea bongaka li thehiloe (mohlala, lipapali kapa mesebetsi e meng ea kantle) bakeng sa bacha ba nang le IA. Lithuto tse ling lebaleng lia hlokahala ho nts'etsapele mekhoa ea kalafo le tlhaiso ea tlhahlobo ea IA.
LINKOTSO: Bokhoba ba marang-rang; kalafo ea kelello-boits'oaro; pharmacotherapy; psychotherapy
PMID: 31407696
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