{"id":8048,"date":"2023-03-27T10:32:07","date_gmt":"2023-03-27T08:32:07","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=8048"},"modified":"2023-04-28T09:17:49","modified_gmt":"2023-04-28T07:17:49","slug":"depistarea-timpurie-a-autismului","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=8048","title":{"rendered":"Depistarea timpurie a autismului"},"content":{"rendered":"\n<p><em>Timp de lectur\u0103: 5 minute<\/em><\/p>\n\n\n\n<p>Aproximativ 1 din 44 de copii au fost identifica\u021bi cu tulbur\u0103ri de spectru autist \u00een Statele Unite ale Americii, \u00een 2018, potrivit Centrului pentru Controlul Bolilor (CDC). Ponderea are un trend cresc\u0103tor fa\u021b\u0103 de 1 din 54, \u00een 2016 \u0219i 1 din 88, \u00een 2008. La nivel mondial, rata actuala este 1 din 68, \u00een timp ce pentru Rom\u00e2nia studiile indica o rata de diagnosticare de 1 la 51 de copii.<\/p>\n\n\n\n<p>Mul\u021bi cercet\u0103tori declar\u0103 c\u0103 \u00eenc\u0103 nu este clar dac\u0103 cre\u0219terea num\u0103rului de cazuri \u00eenregistrat\u0103 \u00een ultimii ani se datoreaz\u0103 \u00een principal \u00eembun\u0103t\u0103\u021birii depist\u0103rii sau faptului c\u0103 apar mai multe cazuri de copii care dezvolt\u0103 autism. &#8222;<em>Este o combina\u021bie a ambilor factori<\/em>&#8222;, a declarat <a href=\"https:\/\/www.linkedin.com\/in\/wendy-fournier-52321ab\/\" target=\"_blank\" rel=\"noreferrer noopener\">Wendy Fournier<\/a>, pre\u0219edintele Asocia\u021biei Na\u021bionale pentru Autism din SUA. &#8222;<em>Exist\u0103 o mai mare con\u0219tientizare public\u0103 a semnelor timpurii ale autismului, ceea ce face ca p\u0103rin\u021bii s\u0103 fie mai predispu\u0219i s\u0103 abordeze problemele de dezvoltare cu medicii lor, \u00een timp ce ratele reale de prevalen\u021b\u0103 continu\u0103 s\u0103 creasc\u0103 an de an<\/em>.&#8221;<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/03\/autism.png\"><img width=\"485\" height=\"329\" src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/03\/autism.png\" alt=\"\" class=\"wp-image-8024\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/03\/autism.png 485w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/03\/autism-300x204.png 300w\" sizes=\"(max-width: 485px) 100vw, 485px\" \/><\/a><figcaption><em>Sursa foto: pluspng.com<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p>\u00cen acela\u0219i timp, din cauza inechit\u0103\u021bilor cu privire la accesul la serviciile de s\u0103n\u0103tate din SUA,<\/p>\n\n\n\n<p>cercet\u0103torii de la Rutgers University din SUA, care au condus recent un studiu publicat \u00een revista Pediatrics \u00een februarie 2023, subliniaz\u0103 c\u0103 este foarte probabil ca rata real\u0103 s\u0103 fie mai mare.&nbsp; &#8222;<em>Chiar dac\u0103 identificarea \u00een r\u00e2ndul grupurilor insuficient deservite se \u00eembun\u0103t\u0103\u021be\u0219te \u00een timp, studiul arat\u0103 c\u0103 exist\u0103 \u00eenc\u0103 disparit\u0103\u021bi \u00een identificarea autismului f\u0103r\u0103 dizabilitate intelectual\u0103 \u00een r\u00e2ndul unor grupuri din popula\u021bie<\/em>&#8222;.<\/p>\n\n\n\n<p>Astfel, \u00een trecut, copiii de culoare \u0219i hispanici din SUA au <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31868321\/\" target=\"_blank\" rel=\"noreferrer noopener\">fost diagnostica\u021bi cu autism la rate mai mici dec\u00e2t copiii albi<\/a>. Noua analiz\u0103 a ar\u0103tat c\u0103, \u00een r\u00e2ndul copiilor f\u0103r\u0103 dizabilit\u0103\u021bi intelectuale din zona New York\/New Jersey, probabilitatea ca copiii de culoare s\u0103 fie diagnostica\u021bi cu autism a fost cu 30% mai mic\u0103 dec\u00e2t pentru copiii albi. \u00cen plus, copiii care tr\u0103iesc \u00een zone bogate au avut cu 80% mai multe \u0219anse de a fi identifica\u021bi cu autism f\u0103r\u0103 dizabilit\u0103\u021bi intelectuale dec\u00e2t copiii care tr\u0103iesc \u00een zone mai s\u0103race. Echipa de cercet\u0103tori de la Universitatea Rutgers a calculat aceast\u0103 tendin\u021b\u0103 analiz\u00e2nd estim\u0103rile Centrului pentru Controlul Bolilor cu privire la num\u0103rul de copii care au fost identifica\u021bi ca av\u00e2nd tulbur\u0103ri din spectrul autist p\u00e2n\u0103 la v\u00e2rsta de 8 ani.<\/p>\n\n\n\n<p>Ca urmare a rezultatelor studiului, echipa de cercet\u0103tori a recomandat ca to\u021bi copiii mici (18 \u2013 24 luni) s\u0103 treac\u0103 la pediatru printr-un screening de autism, ceea ce e foarte probabil s\u0103 \u00eembun\u0103t\u0103\u021beasc\u0103 identificarea acestei tulbur\u0103ri \u00een r\u00e2ndul comunit\u0103\u021bilor cu insuficient acces la serviciile de s\u0103n\u0103tate.<\/p>\n\n\n\n<p>De asemenea, o alt\u0103 evolu\u021bie \u00eembucur\u0103toare pentru depistarea timpurie a autismului, inclusiv \u00een comunit\u0103\u021bile insuficient deservite, se poate schimba odat\u0103 cu apari\u021bia unui algoritm bazat pe dosarele de s\u0103n\u0103tate ale nou-n\u0103scu\u021bilor, conform <a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2800898?utm_source=For_The_Media&amp;utm_medium=referral&amp;utm_campaign=ftm_links&amp;utm_term=020223\">unui studiu al Universit\u0103\u021bii Duke<\/a> din SUA publicat tot \u00een februarie 2023, \u00een revista JAMA (Journal of American Medical Association). &nbsp;<\/p>\n\n\n\n<p>Cercet\u0103torii au analizat fi\u0219ele medicale electronice a 45.000 de copii mici trata\u021bi \u00een cadrul sistemului de s\u0103n\u0103tate al Universit\u0103\u021bii Duke \u00eentre 2006 \u0219i 2020. Ace\u0219tia au creat un algoritm care prognozeaz\u0103 ce copiii vor fi diagnostica\u021bi ulterior cu autism. Sunt aceia care au avut probleme oftalmologice, neurologice, gastrointestinale sau care au trecut prin terapie fizic\u0103. &#8222;<em>Un num\u0103r foarte mare de factori din profilul de s\u0103n\u0103tate al sugarului<\/em>&#8221; au fost inclu\u0219i \u00een modele, a declarat coautorul studiului, Dr. Matthew Engelhard, profesor asistent de Biostatistic\u0103 \u0219i Bioinformatic\u0103. &#8222;<em>Fiecare dintre ace\u0219ti factori contribuie \u00een mod incremental<\/em>&#8222;.<\/p>\n\n\n\n<p>Rezultatele studiului dau speran\u021be foarte mari pentru depistarea c\u00e2t mai timpurie a cazurilor, astfel \u00eenc\u00e2t copiii s\u0103 poat\u0103 fi ajuta\u021bi c\u00e2t mai repede, a subliniat \u0219i Geraldine Dawson, autoarea studiului, care conduce Centrul Duke pentru autism \u0219i dezvoltarea creierului.<\/p>\n\n\n\n<p>\u00cen copil\u0103ria timpurie, creierul este considerat mult mai u\u0219or de schimbat \u0219i, prin urmare, interven\u021biile pot avea un efect mai mare, subliniaz\u0103 cercet\u0103torii.<\/p>\n\n\n\n<p>Tratamentele actuale pentru autism se bazeaz\u0103 pe terapia comportamental\u0103. Una dintre cele mai utilizate strategii se nume\u0219te terapie de analiz\u0103 comportamental\u0103 aplicat\u0103, care folose\u0219te instrumente precum cartona\u0219ele pentru a consolida \u00een\u021belegerea emo\u021biilor faciale. O echip\u0103 de cercet\u0103tori din SUA a construit o versiune computerizat\u0103 a acestei terapii. Sistemul folose\u0219te o camer\u0103 pe ochelari de realitate augmentat\u0103.<\/p>\n\n\n\n<p>Copiii cu autism care au folosit aceast\u0103 tehnologie au prezentat \u00eembun\u0103t\u0103\u021biri \u00een ceea ce prive\u0219te comportamentele sociale. Echipa testeaz\u0103 o abordare complementar\u0103 \u00eentr-o aplica\u021bie care \u00eei ajut\u0103 pe copii s\u0103 \u00eenve\u021be s\u0103 ac\u021bioneze \u00een func\u021bie de emo\u021bii. Aceste instrumente le ofer\u0103 copiilor cu autism ajutorul suplimentar de care au nevoie pentru a-\u0219i \u00een\u021belege lumea social\u0103.<\/p>\n\n\n\n<p>Se testeaz\u0103 \u0219i tehnici de teatru, ce implic\u0103 participarea copiilor cu tulbur\u0103ri de spectru autist \u00een piese de teatru, pentru perfec\u021bionarea abilit\u0103\u021bilor lor sociale \u0219i emo\u021bionale. &nbsp;Un studiu clinic condus de Dr. Blythe Corbett de la Universitatea Vanderbilt din SUA a constatat c\u0103 persoanele cu autism care au participat la piesele de teatru \u0219i-au \u00eembun\u0103t\u0103\u021bit \u00een\u021belegerea social\u0103 \u0219i interac\u021biunile cu cei din jur.<\/p>\n\n\n\n<p>Deoarece autismul este diferit pentru fiecare persoan\u0103 \u00een parte, cercet\u0103torii caut\u0103 diferi\u021bi \u201cmarkeri\u201d care sunt asocia\u021bi cu diferite tipuri de dificult\u0103\u021bi sociale \u0219i, de asemenea, modalit\u0103\u021bi de a identifica ce tratamente vor func\u021biona cel mai bine pentru fiecare persoan\u0103 \u00een parte.<\/p>\n\n\n\n<p><em>Mirela Musta\u021b\u0103, Redactor executiv E-asistent<\/em><\/p>\n\n\n\n<p><em><u>Surse de documentare:<\/u><\/em><\/p>\n\n\n\n<p>1.<a href=\"https:\/\/www.webmd.com\/brain\/autism\/news\/20230209\/algorithm-can-spot-signs-of-autism-in-babies-study-says?ecd=soc_tw_230210_cons_news_autismbabies&amp;linkId=100000184957736\" target=\"_blank\" rel=\"noreferrer noopener\">Algorithm Can Spot Signs of Autism in Babies, Study Says (webmd.com)<\/a> &#8211; WebMD News Brief<\/p>\n\n\n\n<p>2. <a href=\"https:\/\/www.usnews.com\/news\/health-news\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.usnews.com\/news\/health-news<\/a> &#8211; <a href=\"https:\/\/www.usnews.com\/news\/health-news\/articles\/2023-01-26\/childhood-autism-diagnosis-is-getting-better-but-not-for-everyone\">Childhood Autism Diagnosis Is Getting Better, But Not for Everyone (usnews.com)<\/a><\/p>\n\n\n\n<p>3. <a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2800898?utm_source=For_The_Media&amp;utm_medium=referral&amp;utm_campaign=ftm_links&amp;utm_term=020223\" target=\"_blank\" rel=\"noreferrer noopener\">Predictive Value of Early Autism Detection Models Based on Electronic Health Record Data Collected Before Age 1 Year | Autism Spectrum Disorders | JAMA Network Open | JAMA Network<\/a><\/p>\n\n\n\n<p>4.<a href=\"https:\/\/www.nbcnews.com\/health\/health-news\/autism-rates-rising-more-prevalent-versus-more-screening-rcna67408\" target=\"_blank\" rel=\"noreferrer noopener\">Autism rates have tripled. Is it more common or are we better at diagnosis? (nbcnews.com)<\/a><\/p>\n\n\n\n<p>5. <a href=\"https:\/\/www.chconline.org\/resourcelibrary\/autism-spectrum-disorder-engaging-in-a-social-world\/\" target=\"_blank\" rel=\"noreferrer noopener\">Autism Spectrum Disorder: Engaging in a Social World &#8211; CHC Resource Library | CHC | Services for Mental Health and Learning Differences for Young Children, Teens and Young Adults | Palo Alto, San Jose, Ravenswood (chconline.org)<\/a><\/p>\n\n\n\n<p>6.<a href=\"https:\/\/publications.aap.org\/pediatrics\/article-abstract\/151\/2\/e2022056594\/190525\/Prevalence-and-Disparities-in-the-Detection-of?redirectedFrom=fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">Prevalence and Disparities in the Detection of Autism Without Intellectual Disability | Pediatrics | American Academy of Pediatrics (aap.org)<\/a><\/p>\n\n\n\n<p>7.<a href=\"https:\/\/helpautism.ro\/proiecte-externe\/campanie-de-diagnostic-precoce-a-intarzierilor-in-dezvoltare\/1-din-51-de-copii-este-diagnosticat-cu-autism-rezultatele-proiectului-pilot-campanie-de-diagnostic-precoce-a-intarzierilor-in-dezvoltare\" target=\"_blank\" rel=\"noreferrer noopener\">1 din 51 de copii este diagnosticat cu autism (helpautism.ro)<\/a><\/p>\n\n\n\n<p>8. <a href=\"https:\/\/www.who.int\/news-room\/feature-stories\/detail\/training-caregivers-to-transform-children-s-lives\" target=\"_blank\" rel=\"noreferrer noopener\">Training caregivers to transform children\u2019s lives (who.int)<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Timp de lectur\u0103: 5 minute Aproximativ 1 din 44 de copii au fost identifica\u021bi cu tulbur\u0103ri de spectru autist \u00een Statele Unite ale Americii, \u00een 2018, potrivit Centrului pentru Controlul Bolilor (CDC). Ponderea are un trend cresc\u0103tor fa\u021b\u0103 de 1 din 54, \u00een 2016 \u0219i 1 din 88, \u00een 2008. La nivel mondial, rata actuala [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":8024,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,3],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8048"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8048"}],"version-history":[{"count":1,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8048\/revisions"}],"predecessor-version":[{"id":8049,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8048\/revisions\/8049"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/8024"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8048"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8048"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8048"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}