
shradha, motor niyanthranam, dhaarana ennivayile poraaymakal

christopher gilberg vibhavanam cheytha oru maanasika aashayamaanu-shradha, motor niyanthranam, dhaarana ennivayile kuravu. shradhayude prasnangal, mothavum mikachathumaaya chalana vaidagdhyam, bodhakshayam, samsaarabhaashayile vaikalyangal enningane anchu gunangalude saannidyamaanu nanaye nirvachikkunnath. scandinavian rajyangalil pathivayi roganirnayam nadathumbol, lokathinte mattu bhaagangalil roganirnayam nirasikkappettittund. developmental coordination desorder (dcd), vyapakamaaya shradhakkuravu ennivayude samyojanamaayaan nanavulla cheria kesukal ekadesham nirvachikkappedunnathu.
1960kalil roopeekaricha minimal braine disfungshion (emm. bii. dii) enna aashayathin samaanamaan eerppam. athinusesham ithu attanshan dephisit hyper aaktivitti disorderaayi amgeekarikkappettu. rund ashayangalum hyper aaktivitti polulla chila maanasika avasthakalumaayi bandhappettirikkunnu. emm. bii. dii enna ashayathe sarr maikkal rutter shakthamayi vimarshichu [gilberg, 2003, peju. 904] umm mattu niravadhi gaveshakarum, ithu 1980kalil athu upekshikkunnathilekku nayichu. athesamayam, samanamaaya enthengilum aavasyamaanennu gaveshanangal theliyichu. oru badal ashayam attanshan dephisit hyper aaktivitti desorder (adhd) aayirunnu. gilberg mattoru badal nirddeshichu nananja. 1980 kalude thudakkathil gilberginte ashayam roopappeduthukayum 1986 ll gilberg prasidheekaricha oru prabandhatthil eee padam avatharippikkukayum cheythu (gilberg [1986] kaanuka). (eerppamullathu adisthaanaparamaayi rogakaarana anumaanangalillathe emm. bii. dii aanu.)
nanavu enna ashayam ganyamaaya vimarsanathinu vidheyamaayi. udaaharanathinu, saar maikkal rutter (ADHD-yill ninnu vyathyasthamayi) eee ashayam "kuzhappathilaaya" vum "aantharikamaaya yojip bahyamaaya vivechanaparamaaya saadhuthayum illa" ennum prasthaavichu... ithinu prakadamaaya chikitsayo roganirnayaparamaaya prathyaaghaathangalo illa "; eee ashayam upekshikkanamennu addeham nigamanam cheythu. karolinska instittyoottile child saikyatriyude professoraaya perr-aandezhs raideliyasinte vimarsanamaanu mattoru udaaharanam, nanavinte nirvachanam valare avyakthamaanenn addeham vaadichu "nananjathum perumatta vaikalyangalum thammilulla athirthi vyakthamalla... nananjathum ADHD [] thammilulla athirthi vyakthamalla; "eee ashayam punaravalokanam aavasyamaanennu" addeham nigamanam cheythu. 2000-ll, lundu sarvakalaashaalayile saamoohyashaasthranjayaaya ivaa carfway, nanavu sambandhicha gilberginte pravartthanangal nirasikkanamenn vaadicha oru pusthakam prasidheekarichu.
orupakshe nanayekkurichulla ettavum sakthamaaya vimarsanam gilberg gothenberghile sahapravarthakarum maathramaan nanayekkurichu gaveshanam nadathunnathu ennathaanu. vaasthavathil, 2003ll gilberg prasidheekaricha damp avalokanathil, "ekadesham 50" gaveshana prabandhangal maathrame eerppathekkurichu prasidheekarichittumle "ivayil bhooribhaagavum rachayithaavinte swantham klinikkal, gaveshana krameekaranatthil ninnaan uthbhavichathennum allengil addeham melnottam vahikkukayum/allengil saha-rachayithaavaayi pravartthikkukayum cheythuvennum" [gilberg, 2003, peju. 904]. aayirakkanakkin prabandhangal" prasidheekaricha adhdyil ninnu ithu vyathyasthamaan [gilberg, 2003, peju. 905]. klinikkal praakteesine sambandhichidatholam, dimp praadhamikamaayi gilberginte thaddesheeya sweeden, denmark [gilberg, 2003, peju. 904], aaa rajyangalil polum sveekaaryatha sammisramaanu.
2003-ll gilberg nanavu enna thante nirvachanam parishkarichu. puthiya nirvachanam iprakaaramaanu
ennirunnaalum, nanavinekkurichulla sakthamaaya vimarsanam thudarunnu. prathyekichum, "eerppathinte saadhuthayum upayogavum athinte ghadaka vaikalyangal thammilulla ovarlaappinte prathyeka nilayude sakthamaaya thelivukal nalkunnathuvare avyakthamaayi thudarum" ennu nireekshikkappettundu.
2005-ll sweedish televisionil oru manikkoor dairkhyamulla television paripadi prakshepanam cheyyappettu, lokathil eathaandu ottaykkaaya sweeden eee nananja nirmmaanam sweekarikkunnathu enthukondaanennu chodyam cheythu. sarr maikkal rattarinte vimarsanaathmakamaaya vyaakhyaanamaanu paripaadiyil ulppeduthiyirunnathu. nanavulla kuttikalekkurichulla gilberginte gothenberg padanathekkurichulla chila vivaadangalum ithu pariganichu.
nanavu (shradha, motor niyanthranam, dhaarana ennivayile kuravu) enna ashayam ekadesham 20 varshamaayi scandinaviayil klinikkal upayogathilaanu. gurutharamaaya patana vaikalyamo cerebral palsio illaatha kuttikalil konkomittant attanshan dephisit/hyper aaktivitti desorder, developmental coordination desorder ennivayude adisthaanathilaanu eerppam nirnnayikkunnath. vaidyashaasthraparamaayi kadinamaaya roopathil, ithu 7 vayassulla kuttikalude pothuvaaya janasamkhyayude 1.5 shathamaanathe badhikkunnu; 3-6% kooduthal mithamaaya vakabhedangalaal baadhikkappedunnu. aankuttikale amithamaayi prathinidheekarikkunnu; penkuttikalkku nilavil roganirnayam kuravaayirikkaam. perumatta vaikalyam, vishaadam/uthkanda, academic parajayam ennivayulppede niravadhi comorbid prasnangal/overlapping avasthakalundu. kadutha nanavulla sthalangalil oottisam spectrum disordezhsumaayi sakthamaaya bandhamund. kudumba gadakangalum prasavathinu munbullathum perinaattal apakadasaadhyatha gadakangalumaanu vyathyaasathinte bhooribhaagavum. psychosocial risk gadakangal nanavullappol adayaalappeduthiya maanasika asaadhaaranathayude apakadasaadhyatha vardhippikkunnathaayi kaanapedunnu. praayapoorthiyaayavaril aadyakaala phalangal oru padanatthil ekadesham 60 sathamaanam marunnillaatha kesukalil maanasika saamoohikamaayi moshamaayirunnu. nanavulla sthalangalil abhimukeekarikkunna pala prasnangalkkum phalapradamaaya edapedalukal labhyamaan.

