Isifo seTourette

Umxholo

• Yintoni iTourette syndrome?
• Ziintoni iimpawu zeTourette syndrome?
• Iimoto
• Iimpawu zomsindo
• Yintoni ebangela iTourette syndrome?
• Ichongwa njani iTourette syndrome?
• Inyangwa njani iTourette syndrome?
• Unyango
• Amayeza
• Unyango lwe-Neurological
• Kutheni inkxaso ibalulekile?
• Ithini imbono yexesha elide?

Yintoni iTourette syndrome?

I-Tourette syndrome kukuphazamiseka kwemithambo-luvo. Kubangela ukuphindaphinda, ukungahambelani komzimba kunye nokugqabhuka kwezwi. Oyena nobangela awaziwa.

I-Tourette syndrome sisifo se-tic. Ii-Tics ziziphene zemisipha ezingazibandakanyi. Ziqukethe ukuguquka ngokukhawuleza kweqela leemisipha.

Iifom eziqhelekileyo ziquka:

• ukuqhwanyaza
• ukusezela
• ndimbombozela
• ukucoca umqala
• grimacing
• iintshukumo zamagxa
• iintshukumo zentloko

Ngokwe-National Institute of Neurological Disorders and Stroke (NINDS), malunga nabantu abangama-200,000 e-United States babonakalisa iimpawu ezibukhali zesifo seTourette.

Uninzi lwe-1 kwabali-100 baseMelika bafumana iimpawu ezinzima. Isifo sichaphazela abesilisa phantse amaxesha amane ngaphezulu kwabasetyhini.

Ziintoni iimpawu zeTourette syndrome?

Iimpawu ziyahluka ukusuka komnye umntu ukuya komnye. Zihlala zivela phakathi kweminyaka emi-3 ukuya kweli-9 ubudala, ukuqala ngemicu emincinci yentloko yakho nasentanyeni yakho. Ekugqibeleni, ezinye iicics zinokubonakala esiqwini sakho nasemilenzeni.

Abantu abafunyaniswe ukuba bane-Tourette syndrome bahlala benazo zombini iimoto tic kunye ne-vocal tic.

Iimpawu zihlala zisiba mandundu ngexesha loku:

• uchulumanco
• uxinzelelo
• ixhala

Ngokuqhelekileyo ziba qatha kakhulu ngexesha lokufikisa kwakho.

IiTics zihlelwa ngohlobo, njengemoto okanye ilizwi. Ukwahlula-hlula kubandakanya iiteki ezilula okanye ezinzima.

Iitics ezilula zihlala zibandakanya iqela elinye lemisipha kwaye zimfutshane. Iicics ezintsonkothileyo zilungelelaniswe iipateni zokuhamba okanye zokuvakala ezibandakanya amaqela emisipha aliqela.

Iimoto

Iimpawu zomsindo

Yintoni ebangela iTourette syndrome?

ITourette sisifo esintsonkothe ​​kakhulu. Kubandakanya ukungaqheleki kwiindawo ezahlukeneyo zobuchopho kunye neesekethe zombane ezidibanisa zona. Ukungaqheleki kunokuba khona kwi-basal ganglia yakho, icandelo lobuchopho bakho elinegalelo kulawulo lweemoto.

Imichiza ebuchotsheni bakho ehambisa iimpembelelo zemithambo-luvo nayo inokubandakanyeka. Ezi khemikhali zaziwa ngokuba zii-neurotransmitters.

Ziquka:

• dopamine
• Iiserotonin
• norepinephrin

Okwangoku, unobangela weTourette awaziwa, kwaye akukho ndlela yokuwuthintela. Abaphengululi bakholelwa kwelokuba kusenokwenzeka ukuba unobangela wemfuza. Basebenza ekuchongeni iintlobo ezithile ezinxulumene ngqo neTourette.

Nangona kunjalo, amaqela eentsapho achongiwe. Ezi klasta zikhokelela kubaphandi ukuba bakholelwe ukuba imizila yemfuza idlala indima kubantu abathile abaphuhlisa iTourette.

Ichongwa njani iTourette syndrome?

Umboneleli wakho wezempilo uya kukubuza malunga neempawu zakho. Ukuxilongwa kufuna ukuba zombini imoto kunye nelizwi elilodwa ubuncinane ngonyaka.

Ezinye iimeko zinokulinganisa iTourette, ke umboneleli wakho wezempilo unoku-odola izifundo zokucinga, ezinje nge-MRI, i-CT, okanye i-EEG, kodwa ezi zifundo zokucinga azidingeki ekwenzeni isifo.

Abantu abaneTourette bahlala benazo ezinye iimeko, ngokunjalo, kubandakanya:

• Ingxaki yokungahambi kakuhle (ADHD)
• Ukuphazamiseka okungafunekiyo (OCD)
• ukukhubazeka ekufundeni
• ingxaki yokulala
• ingxaki yokuxhalaba
• ukuphazamiseka kwemood

Inyangwa njani iTourette syndrome?

Ukuba iitics zakho azikho qatha, usenokungafuni unyango. Ukuba zinzima okanye zibangela iingcinga zokuzenzakalisa, unyango oluninzi luyafumaneka. Umboneleli wakho wezempilo unokucebisa nonyango ukuba i-tics yakho iya isiba mbi ebudaleni.

Unyango

Umboneleli wakho wezempilo unokucebisa unyango lokuziphatha okanye unyango lwengqondo. Oku kubandakanya ukucebisa umntu ngamnye kunye nengcali yezempilo yengqondo enelayisensi.

Unyango lokuziphatha lubandakanya:

• uqeqesho lokwazisa
• ukukhuphisana noqeqesho lokuphendula
• Ukungenelela kokuziphatha kwengqondo kwiitics

Olu hlobo lonyango lunokunceda ukunciphisa iimpawu ze:

• I-ADHD
• I-OCD
• ixhala

Ingcali yakho inokusebenzisa ezi ndlela zilandelayo ngexesha leseshoni yonyango lwengqondo:

• ngomlingo
• iindlela zokuphumla
• ukucamngca
• imithambo yokuphefumla nzulu

Unokufumana unyango lweqela luluncedo. Uyakufumana iingcebiso nabanye abantu abakwiminyaka efanayo nabo abaneTourette syndrome.

Amayeza

Akukho mayeza anokunyanga isifo seTourette.

Nangona kunjalo, umboneleli wakho wezempilo unokumisela elinye okanye ngaphezulu kwezi ziyobisi zilandelayo ukukunceda ulawule iimpawu zakho:

• IHaloperidol (Haldol), aripiprazole (Abilify), risperidone (Risperdal), okanye ezinye iziyobisi ze-neuroleptic: La mayeza anokunceda ukuvimba okanye ukunciphisa i-dopamine receptors kwingqondo yakho kwaye uncede ukulawula i-tics yakho. Iziphumo eziqhelekileyo ezichaphazelekayo zinokubandakanya ukuzuza ubunzima kunye nenkungu yengqondo.
• Ityhefu ye-Onabotulinum A (Botox): Inaliti yeBotox inokunceda ukulawula iimoto ezilula kunye nezwi elinamandla. Oku kukusetyenziswa kwelebheli engekho kwi-onabotulinum toxin A.
• Imethylphenidate (Ritalin): Ukukhuthaza amayeza, anjengeRitalin, anokunceda ukunciphisa iimpawu ze-ADHD ngaphandle kokunyusa itics yakho.
• Clonidine: I-Clonidine, amayeza oxinzelelo lwegazi, kunye nezinye iziyobisi ezifanayo, zinokunceda ukunciphisa i-tics, ukulawula uhlaselo lomsindo kunye nokuxhasa ulawulo lwempembelelo. Oku kukusetyenziswa kwelebheli engekho kwi-clonidine.
• I-Topiramate (iTopamax): I-Topiramate inokumiselwa ukunciphisa i-tics. Iingozi ezinxulunyaniswa nolu nyango zibandakanya iingxaki zokuqonda kunye nolwimi, ukuqaqanjelwa sisisu, ukwehla kobunzima, kunye namatye ezintso.
• Amayeza asekwe kwi-Cannabis: Kukho ubungqina obunqunyelweyo i-cannabinoid delta-9-tetrahydrocannabinol (dronabinol) inokumisa i-tics kubantu abadala. Kukho ubungqina obulinganiselweyo kwiintlobo ezithile zentsangu yezonyango. Amayeza asekwe kwi-Cannabis akufuneki anikwe abantwana kunye nabakwishumi elivisayo, kunye nabasetyhini abakhulelweyo okanye abanyisayo.

Ukusetyenziswa kweziyobisi ngaphandle kwelebheli kuthetha ukuba ichiza elivunyiweyo yi-FDA ngenjongo enye lisetyenziselwa injongo eyahlukileyo engavunyelwanga. Nangona kunjalo, ugqirha usenokulisebenzisa iyeza ukulungiselela loo njongo.

Kungenxa yokuba i-FDA ilawula ukuvavanywa kunye nokuvunywa kwamachiza, kodwa hayi indlela abagqirha abazisebenzisa ngayo iziyobisi ukunyanga izigulana zabo. Ke, ugqirha wakho unokuyalela ichiza kodwa bacinga ukuba kokona kulungileyo ukukhathalela kwakho.

Unyango lwe-Neurological

Ukukhuthaza ubuchopho obunzulu lolunye uhlobo lonyango olufumanekayo kubantu abaneetics ezinzima. Kubantu abaneTourette syndrome, ukusebenza kolu hlobo lonyango kusephantsi kophando.

Umboneleli wakho wezempilo unokufaka isixhobo esisebenza ngebhetri kwingqondo yakho ukukhuthaza iindawo ezilawula ukuhamba. Ngenye indlela, banokufaka iingcingo zombane kwingqondo yakho ukuze bathumele amandla ombane kwezo ndawo.

Le ndlela ibe luncedo kubantu abanee-tics ezibonwe kunzima kakhulu ukuzinyanga. Kuya kufuneka uthethe nomboneleli wakho wokhathalelo lwempilo ukuze ufunde malunga neengozi ezinokubakho kunye nezibonelelo zakho kwaye nokuba ngaba olu nyango luya kusebenza kakuhle kwiimfuno zakho zokhathalelo lwempilo.

Kutheni inkxaso ibalulekile?

Ukuhlala nesifo seTourette kungadala iimvakalelo zokuba wedwa kwaye ube wedwa. Ukungakwazi ukulawula ukudubuleka kunye neetics zakho kunokubangela ukuba uzive umadolw 'anzima ukuthatha inxaxheba kwizinto ezinokonwatyelwa ngabanye abantu.

Kubalulekile ukuba wazi ukuba kukho inkxaso ekhoyo yokunceda ukulawula imeko yakho.

Ukusebenzisa izibonelelo ezikhoyo kunokukunceda ukuba umelane nesifo seTourette. Umzekelo, thetha nomboneleli wakho wezempilo malunga namaqela enkxaso yendawo. Unokufuna kwakhona ukuqaphela unyango lweqela.

Amaqela enkxaso kunye nonyango lweqela kunokukunceda ujongane noxinzelelo kunye nokuba wedwa ekuhlaleni.

Ukudibana kunye nokuseka ubudlelwane phakathi kwabo banesimo esifanayo kunokunceda ukuphucula iimvakalelo zokuziva ulilolo. Uyakwazi ukumamela amabali abo buqu, kubandakanya uloyiso lwabo kunye nokuzabalaza, ngelixa ufumana ingcebiso onokuzibandakanya ebomini bakho.

Ukuba uya kwiqela lenkxaso, kodwa uzive ukuba ayingomdlalo ofanelekileyo, ungadimazeki. Kuya kufuneka uye kumaqela ahlukeneyo de ufumane elilungileyo.

Ukuba unomntu othandekayo ohlala neTourette syndrome, unokujoyina iqela lenkxaso yosapho kwaye ufunde okungakumbi ngale meko. Okukhona usazi ngeTourette, kokukhona unokunceda umntu omthandayo akwazi ukujongana naloo meko.

Umbutho waseTourette waseMelika (TAA) unokukunceda ufumane inkxaso yendawo.

Njengomzali, kubalulekile ukuba uxhase kwaye ube ngummeli womntwana wakho, onokubandakanya ukwazisa ootitshala babo ngemeko yabo.

Abanye abantwana abaneTourette syndrome banokuxhatshazwa ngoontanga babo. Abafundisi-ntsapho banokudlala indima ebalulekileyo ekuncedeni abanye abafundi baqonde imeko yomntwana wakho, enokuyeka ukuxhaphaza nokuhlekisa.

I-Tics kunye nezenzo zokuzibandakanya zinokuphazamisa umntwana wakho kumsebenzi wesikolo. Thetha nesikolo somntwana wakho ngokubanika ixesha elongezelelweyo lokugqiba iimviwo kunye neemviwo.

Ithini imbono yexesha elide?

Njengabantu abaninzi abane-Tourette syndrome, unokufumanisa ukuba iitics zakho ziyaphucuka kwiminyaka yakho yokufikisa nakwiminyaka yama-20. Iimpawu zakho zinokuma ngokuzimela nangokupheleleyo ebudaleni.

Nangona kunjalo, nokuba iimpawu zakho zeTourette zincipha kubudala, ungaqhubeka nokufumana amava kwaye udinga unyango lweemeko ezinxulumene noko, ezinje ngoxinzelelo, uloyiko kunye noxinzelelo.

Kubalulekile ukukhumbula i-Tourette syndrome yimeko yonyango engachaphazeli ubukrelekrele bakho okanye ixesha lokuphila.

Ngokuqhubela phambili kunyango, iqela lakho lokhathalelo lwempilo, kunye nokufikelela kwinkxaso kunye nezixhobo, unokulawula iimpawu zakho, ezinokukunceda ukuba uphile ubomi obanelisayo.