Tourette's Syndrome inowanzobatana ne OCD
Overview
Tourette's syndrome inonzi zita reFrance neurologist neurologist Georges Gilles de la Tourette, uyo akatanga kurondedzera chirwere ichi muna 1885. Uku kusununguka kwehutano hwemwana kunowanzobatanidzwa nekunetseka -kusagadzikana kwehutano (OCD) , kushaya hanya-kutadza (ADHD) , nezvimwe zvinetso . Kutaura zvazviri, 86 muzana yevana vane Tourette's syndrome vanewo humwe humwe hutsika, hwepfungwa, kana hunobudirira, uye yakawanda pane izvi ndeye OCD uye ADHD.
Zviratidzo
Chiratidzo chikuru chinosanganiswa naTretret's syndrome ndiko kuvapo kwei tic . Tics inotsvaga, inopfupi, inopindira kana kuti inenge ichizvidira-mhanya kana mhere.
Motor Tics
- Zvigadzirisheni zvemasikirini zvinosanganisira musero mumwe chete kana boka remiviri uye inogona kuva pfupfupi (kuvhara-ziso kana kuvhara mhuno), nguva refu (kutendeuka kwepafudzi kana kuti kuzarura muromo) kana kuchengetedza kwenguva yakareba (kuwedzera kana kushandura chikamu).
- Magetsi anonyanya kushandiswa uye anowanzofanana nekufamba kwakakwana sekusvetuka, kurova, kutura kana kugunzva; zvisinei, zvinowanzowira zvisina kukodzera kana kusanganisira zvisina kunaka kana kuti zvinyadzisa. Izvi zvinokonzera motokari zvinogona kukonzera kunyadziswa kukuru kune munhu akabatwa.
Mutinhiro kana Phonic Tics
- Zvinyoronyoro zvinyorwa zveponiki zvinowanzova mhere-mhere kana kutaura. Mienzaniso inowanzobatanidza inosanganisira kuputika, kukwezva, kuputika kuchenesa, kugunun'una, kunyorera kana kuvhara.
- Makombiyuta emaphonic mazwi ndiwo mazwi kana mashoko anosanganisira kusvibiswa, kurondedzera zvinotaurwa nevamwe, nekudzokorora zvataurwa zvako.
Tics inogona kudzvinyirirwa uye inowanzovandudza apo mwana akatsemuka; zvisinei, vanogona kuwana chero nguva. Kudzvinyirira tic kwenguva yakareba kunogona kutungamirira kukuwedzera kunoshamisa kwemasikisi gare gare.
Varwere vazhinji vanorondedzera kushungurudzika mumuviri vasati vaita titi. Vana vane hanya vanozoita titi nguva nenguva kusvikira inonzwa "zvakanaka."
Kuwanda
Tourette's syndrome haisi nyore, inowanikwa pasi pe1% yevanhu. Iyo yakawanda kaviri pane yakawanda pakati pevarume kupfuura vakadzi uye kazhinji inotanga pakati pemakore 8 ne10. Kune vana vazhinji, zviratidzo zvinowanzovandudza pakuguma kwevechiri kuyaruka uye nhamba shomanana inova zviratidzo-pasina.
Vana vazhinji vane Tourette vanewo ADHD , OCD uye mamwe matambudziko epfungwa, zvakadai sekuora mwoyo kana kuti vanhu vanogara . Zvimwe zvinetso zvehutano zvinowanzoonekwa nevana vane Tourette's syndrome hazvina kunaka kuronga, kusakwanisa kudzora kutsamwa, kusagadzikana kwepabonde nekusawirirana.
Zvinokonzera
Sezvo tic uye zvirwere zvinosanganiswa seOCD zvichivandudza nemishonga inoshandura uropi makemikari serotonin uye dopamine, zvakambofungidzirwa kuti Tourette's syndrome inogona kunge yakaguma nemhaka yezvisina kunaka mukukurukurirana kwezvinhu izvi zveurourochemicals.
Mukuwedzera, zvidzidzo zvakawanda zvakaona kusakanganiswa mukati mehuropi hunoti basal ganglia (inzvimbo inokosha pakuvambwa uye kupera kwekufamba) pakati pevanhu vane Tourette's syndrome.
Zvitsva zvinogonawo kuita basa pakuvandudza Tourette's syndrome. Hama dzepedyo dzevanhu vane Tourette's syndrome dzinowanzova tics, OCD kana ADHD.
Kurapa
Maitiro ekuita maitiro ane chinangwa chekuvandudza hutano hwevanhu, kuzviremekedza uye mararamiro ehupenyu ndiyo nzira yokutanga yekurapa kweTourette's syndrome. Kurapa kwemaitiro akajairika kunosanganisira kugadzirisa-maitiro ekurapa uye kurapa kurapa. Kubatanidza vabereki, vadzidzisi uye vaunodzidza navo muzviitiko zvinowanzokosha pakugadzirisa kurapwa.
Kana mwana wacho akabatwa zvakanyanya kana kuti aine tsika yekuzvikuvadza, mishonga inogona kudiwa. Mishonga inoshanda pakurapa zviratidzo zve Tourette's syndrome inosanganisira atypical antipsychotics, yakadai seHaldol (haloperidol) uye Orap (pimozide), uye atypical antipsychotics, dzakadai seRangersperdal (risperidone) uye Zyprexa (olanzapine).
Apo zviratidzo zveOCD, kuzvidya mwoyo uye kuora mwoyo zviripo, kurapwa kunogonawo kusanganisira zvinodzvinyirira, zvakadai seProzac (fluoxetine) kana Anafranil (clomipramine). Iva nechokwadi chekukurukura kuti ndeapi maitiro ekurapa angave akakodzera nachiremba wako.
Sources:
Jankovic, J. "Tourette's Syndrome" The New England Journal of Medicine 2001 345: 1184-1192.
Kenney, C., Kuo, SH, & Jimenez-Shahed, J. "Tourette's Syndrome" American Physician Physician 2008 77: 651-658.
http://www.ninds.nih.gov/disorders/tourette/detail_tourette.htm
http://www.cdc.gov/ncbddd/tourette/facts.html