Matenda a Tourette ndi chikhalidwe chakumveka mobwerezabwereza kapena kusuntha kwa thupi kamene kawirikawiri kumatchulidwa ngati tic. Inu kapena mwana wanu mukhoza kukhala ndi zizindikiro zomwe zimakupangitsani kudabwa ndi matenda a Tourette kapena matenda a chidziwitso.
Dziwani kuti simuli nokha ndipo izi ndizovuta kwambiri kuposa momwe mukudziwira. Mukhoza kukhala ndi mafunso pa zomwe zikuwongolera zochita, zomwe muyenera kuyembekezera, komanso ngati zingakhale zabwino kapena zoipa.
Kodi Ticyani?
Tichi ndikumveka mwachidule kapena kusuntha kwa thupi komwe kawirikawiri kumabwerera mofanana ndendende pa miyezi kapena zaka. Amatsenga amodzi akuphatikiza diso, kunyezimira kapena nkhope kumaso, kupweteka, kupindika khosi, ndi kupotoza khosi.
Mutha kukhala ndi lingaliro lalikulu kuti mungathe kulepheretsa ma tepi mwakhama, monga momwe anthu ambiri akufotokozera chikhumbo chofuna kupanga kayendetsedwe kake kapena phokoso. Zochitazo kawirikawiri zimayang'aniridwa kwa kanthaŵi, koma kenaka chilakolakocho chimamangirira ndipo tics imachitika mofulumira m'njira yomwe imatchulidwa ngati 'yopasuka.'
Tics amayamba kawirikawiri kuyambira ali mwana, pakati pa zaka zisanu ndi ziwiri ndi zisanu ndi ziwiri. Nthawi zambiri, ma sosi sapitiriza kuchitika kwa nthawi yaitali kuposa chaka, ndipo nthawi zambiri amawongolera kapena kutha nthawi yomwe ali aunyamata.
Pali zinthu zambiri zomwe zimagwirizanitsidwa ndi tiyi, monga matenda a Giles de la Tourette, koma nthawi zambiri, ma sosi sagwirizana ndi matenda alionse.
Akatswiri amanena kuti pafupifupi 20 peresenti ya ana okalamba sukulu amakhala ndi mawonekedwe ena.
Kodi Gilles de la Tourette Syndrome ndi chiyani?
Matenda odziwika bwino otchedwa matenda a Giles de la Tourette, omwe amatchedwa Tourette, amadziwika ndi miyezi khumi ndi iwiri ya mtundu umodzi wa tic.
Anthu ambiri omwe ali ndi tics alibe Tourette.
Kawirikawiri, anthu omwe ali ndi Tourette amadziwa zizindikiro ndipo amatha kulamulira kanthawi kochepa. Kawirikawiri, munthu amene akukhala ndi Tourette akhoza kulepheretsa kayendetsedwe ka mawu kapena mawu omveka panthawi yochepa, monga momwe zimakhalira pazochitika za anthu kapena zapamwamba.
Ambiri mwa anthu omwe amakhala ndi matenda a Tourette amakhala ovuta kumva komanso / kapena mawu omveka bwino omwe sangasokoneze khalidwe labwino komanso lomwe silikusowa chithandizo chamankhwala. Komabe, ena omwe amakhala ndi zovuta za Tourette zomwe zimakhala zochititsa manyazi, zovuta kapena zopweteka komanso zotsutsana ndi kukhala ndi moyo wabwino, sukulu kapena umoyo.
Kodi Tics Adzapeza Bwino Kapena Zoipa?
Ambiri mwa ana omwe amatha kukhala ndi tics amapitilira bwino. Ndipo ambiri a ana ndi akulu omwe Tourette akuwongolera atatha msinkhu kapena kukhalabe olimba. Anthu ena okhala ndi tiyi kapena Tourette akuipiraipira ndi msinkhu wawo, ngakhale kuti kuwonjezereka kuwonjezeka sikukufala.
Anthu ena omwe ali ndi zovuta kapena zovuta zomwe zinachitikira Tourette zomwe zingathe kukhala kwa miyezi ingapo, makamaka panthawi yamavuto kapena nkhawa.
Palibe umboni wakuti kuyambanso kuthandizira kungathandize kuti zizindikiro zisapitirire. Pali umboni wina wakuti ana omwe amanyalanyazidwa kapena kunyalanyazidwa kwambiri amatha kukhala ndi nkhawa.
Kuchiza kwa Tichi ndi Tourette's Syndrome
Nthawi zambiri, kuzindikira ndi kumvetsetsa zizindikiro ndizofunikira kwambiri pankhani yokhudzana ndi ma tic ndi Tourette. Anthu ena amatha kuzindikira zomwe zimayambitsa ndipo akhoza kupanga njira zothetsera ma tepi nthawi yomwe kayendetsedwe kamvekedwe kake kamasokoneza kapena kusokoneza.
Pali mankhwala ena omwe amapezeka kuti azitha kulamulira, kuphatikizapo risperidone, pimozide, aripiprazole, clonidine, clonazepam, ndi tetrabenazine.
Mankhwala atatu oyambirira amagawidwa ngati antipsychotics chifukwa adapangidwira matenda osokoneza maganizo ndipo ndiwo omwe amagwiritsidwa ntchito kwambiri. Komabe, ngati dokotala akulembera limodzi mwa mankhwalawa kuti azitha kulamulira ma tepi kapena ana anu, onetsetsani kuti izi sizikutanthauza kuti muli ndi matenda a psychotic. Mankhwala ena omwe amachititsa kuti tizilombo tizilombo tizilombo tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
Njira ina yothetsera zovuta za Tourette ndi njira yotchedwa deep brain stimulation (DBS). DBS imaphatikizapo kupanga opaleshoni ya chipangizo chomwe chimagwirizanitsa magulu a ubongo. DBS ndi njira yotetezeka yomwe imapangitsa kuti ntchito yopanga opaleshoni ikhale yovuta komanso yokonzekera bwino. DBS wakhala ikugwiritsidwa ntchito monga chithandizo cha ziwalo zingapo za mitsempha, kuphatikizapo khunyu ndi matenda a Parkinson. Sikuti aliyense amene ali ndi Tourette akuyenera kupindula ndi DBS, ndipo akulimbikitsidwa kuti zinthu zikhale zovuta komanso zosamalidwa bwino.
Kodi Tic kapena Tourette Zimayambitsa Maganizo?
Pali zifukwa zina zomwe zimaoneka ngati zofala pakati pa anthu omwe ali ndi ma Tourette, monga kuchepa kwa matenda osokoneza bongo (ADHD), matenda osokoneza maganizo (OCD), nkhawa, ndi kupsinjika maganizo. Anthu omwe ali ndi zovuta kapena Tourette ali ndi msinkhu wofanana ndi anzeru monga omwe alibe zifukwa izi.
Mavuto Amene Angasokonezedwe ndi Akasi ndi Tourette
Pali zizoloŵezi zina zomwe zimagwirizanitsidwa ndi zikhalidwe. Kulimbitsa ndi kayendetsedwe kake ndi kachitidwe kamene kamakhala kowonongeka komanso kosabwereza mobwerezabwereza kuposa tichi. Mitengo, monga yomwe imawonetseredwa mu matenda a Parkinson kapena kutentha kwakukulu kwa thupi, sizongowonongeka ngati tic ndipo nthawi zambiri zimaipiraipira nthawi. Kugonjetsedwa kumakhala ndi kayendetsedwe kodzidzimutsa ndi / kapena kusintha kwa chidziwitso, pamene palibe kusintha kwa kuzindikira kapena kuzindikira komwe kumagwirizanitsidwa ndi tiyi.
N'chifukwa Chiyani Anthu Ena Amakhala ndi Tics Kapena Tourette?
Pakadali pano, sizikuwonekeratu chifukwa chake izi zikuchitika. Zikuwoneka kuti ndizomwe zimayambitsa zamoyo, ndipo malipoti ambiri a sayansi akunena mobwerezabwereza pafupifupi 50 peresenti mbiri ya banja ya tics. Pakhoza kukhalanso zinthu zina zachilengedwe kapena chitukuko chomwe sichikudziwikabe.
Zonsezi, ma tiki ndi matenda a Tourette akhala akuchulukana kwambiri poyerekezera ndi anthu ambiri ndipo zikuwoneka kuti sakukula kapena kuchepa. Izi zimachitika padziko lonse lapansi mwachangu.
Mawu ochokera
Kwa anthu ambiri, kukhala ndi azinthu kapena Tourette sikumakhala kovuta kwambiri kusiyana ndi kudandaula ndi ma TIC kapena Tourette. Makolo ambiri amakhumudwa, amada nkhaŵa komanso amawopsyeza za tsogolo la mwana wawo akawona mwana wawo akupanga kayendedwe kawirikawiri kapena phokoso. Muyenera kukambirana za chizindikiro ndi dokotala wa mwana wanu, yemwe angathandize kuthetsa nkhawa zomwe mukukumana nazo ndikusankha ngati chithandizo chilichonse chamankhwala kapena chithandizo chamankhwala n'chofunika.
> Zotsatira:
> Smeets AY, Duits AA, Leentjens AF, Schruers K, ndi al, Thalamic Deep Brain Kulimbikitsidwa kwa Refractory Tourette Syndrome: Chipatala Chotsimikizirika Chochulukitsa Kusokonezeka kwa Zotsatira Zothandizira ndi Zotsatira Zowonongeka Kwambiri, Neuromodulation. 2017 Jan 19. 19.: 10.1111 / ner.12556