Matenda a Tic Motor

Zamkati

• Nchiyani chimayambitsa matendawa?
• Ndani ali pachiwopsezo chazovuta zamagalimoto?
• Kuzindikira zizindikilo za matenda amisala yayikulu
• Kuzindikira zovuta zamagalimoto
• Kuchiza matenda aakulu a mota tic
• Chithandizo chamakhalidwe
• Mankhwala
• Mankhwala ena
• Kodi tingayembekezere chiyani pakapita nthawi?

Kodi motor motor tic disorder ndi chiyani?

Matenda a motor tic tic ndi omwe amaphatikizapo mayendedwe achidule, osalamulirika, ngati kuphipha kapena kutulutsa mawu (kotchedwa phonic tics), koma osati zonse ziwiri. Ngati kuphulika kwakuthupi ndi mawu kulipo, vutoli limadziwika kuti Tourette syndrome.

Matenda achilengedwe amafala kwambiri kuposa matenda a Tourette, koma ocheperako kuposa matenda osakhalitsa a tic. Izi ndizanthawi yayitali komanso yopanda malire yofotokozedwa ndi ma tiki. Mtundu wina ndimatekinoloje amtundu wa dystonic, omwe amawoneka ngati akuphulika mwadzidzidzi motsatizana ndi chidule chokhazikika.

Matenda achilengedwe amayamba asanakwanitse zaka 18, ndipo amatha kuthana ndi zaka 4 mpaka 6. Chithandizo chingathandize kuchepetsa zotsatira zake kusukulu kapena pantchito.

Nchiyani chimayambitsa matendawa?

Madokotala samadziwa kwenikweni zomwe zimayambitsa matenda amtundu wamagalimoto kapena chifukwa chake ana ena amakhala nawo msanga kuposa ena. Ena amaganiza kuti matenda obwera chifukwa cha kuchepa kwamagalimoto amayamba chifukwa cha zovuta zina zakuthupi kapena zamankhwala muubongo.

Ma Neurotransmitters ndi mankhwala omwe amatumiza maubongo muubongo wonse. Atha kukhala akusokoneza kapena osalankhulana bwino. Izi zimapangitsa "uthenga" womwewo kutumizidwa mobwerezabwereza. Zotsatira zake ndi thupi lanyama.

Ndani ali pachiwopsezo chazovuta zamagalimoto?

Ana omwe ali ndi mbiri yakale ya banja kapena zovuta nthawi zambiri amakhala ndi vuto lodana ndi magalimoto. Anyamata amakhala ndi vuto lodana ndi magalimoto nthawi yayitali kuposa atsikana.

Kuzindikira zizindikilo za matenda amisala yayikulu

Anthu omwe ali ndi matenda osachiritsika amtunduwu amatha kuwonetsa izi:

• nkhope yoyipa
• kuphethira kwambiri, kugwedezeka, kugwedezeka, kapena kugwedezeka
• mwadzidzidzi, kusuntha kwa miyendo, mikono, kapena thupi
• kumveka monga kutsuka kummero, kubuula, kapena kubuula

Anthu ena amakhala ndi zotengera zachilendo thupi lisanachitike. Nthawi zambiri amatha kuletsa zizindikilo zawo kwakanthawi kochepa, koma izi zimafuna khama. Kupereka kwa tic kumabweretsa mpumulo.

Ma Tic atha kukulitsidwa ndi:

• chisangalalo kapena kukondoweza
• kutopa kapena kusowa tulo
• nkhawa
• kutentha kwambiri

Kuzindikira zovuta zamagalimoto

Ma Tics amapezeka nthawi zambiri nthawi yakusankhidwa kwaofesi ku dokotala. Zofunikira ziwiri izi ziyenera kukwaniritsidwa kuti inu kapena mwana wanu alandire matenda opatsirana:

• Zithunzizi ziyenera kuchitika pafupifupi tsiku lililonse kupitilira chaka chimodzi.
• Amisili ayenera kukhalapo popanda nthawi yopanda maphunziro yopitilira miyezi itatu.
• Matikitiwa ayenera kuti adayamba asanakwanitse zaka 18.

Palibe mayeso omwe angazindikire vutoli.

Kuchiza matenda aakulu a mota tic

Mtundu wa chithandizo chomwe mumalandira chifukwa cha matenda opatsirana motere udalira kukula kwa vutolo komanso momwe zimakhudzira moyo wanu.

Chithandizo chamakhalidwe

Njira zochiritsira zitha kuthandiza mwana kuphunzira kuletsa kanthawi kochepa. Malinga ndi kafukufuku wa 2010 wofalitsidwa mu Journal of the American Medical Association, njira yothandizira yotchedwa CBIT idasintha kwambiri zikhalidwe za ana.

Mu CBIT, ana omwe ali ndi ma tiki amaphunzitsidwa kuzindikira kufunitsitsa kwa tic, ndikugwiritsa ntchito poyankha kapena kupikisana m'malo mwa tic.

Mankhwala

Mankhwala angathandize kuchepetsa kapena kuchepetsa tics. Mankhwala omwe amagwiritsidwa ntchito nthawi zambiri kuwongolera ma tiki ndi awa:

• haloperidol (Haldol)
• pimozide
• risperidone (Risperdal)
• aripiprazole (Limbikitsani)
• topiramate (Topamax)
• clonidine
• guanfacine
• mankhwala ozunguza bongo

Pali maumboni ochepa oti cannabinoid delta-9-tetrahydrocannabinol (dronabinol) imathandizira kuyimitsa ma tiki akuluakulu. Komabe, zopangidwa ndi khansa siziyenera kuperekedwa kwa ana ndi achinyamata, kapena amayi apakati kapena oyamwitsa.

Mankhwala ena

Majekeseni a poizoni wa botulinum (omwe amadziwika kuti jakisoni wa Botox) amatha kuthana ndi zovuta zina. Anthu ena amapeza mpumulo ndikulowetsedwa kwama elekitirodi muubongo.

Kodi tingayembekezere chiyani pakapita nthawi?

Ana omwe amakhala ndi matenda azitha pakati pa 6 ndi 8 nthawi zambiri amachira. Zizindikiro zawo zimatha popanda chithandizo m'zaka 4 mpaka 6.

Ana omwe amakhala ndi vutoli akakula ndikupitilizabe kukhala ndi zizindikilo m'zaka zawo za m'ma 20 mwina sangapitirire matendawa. Zikatero, atha kukhala moyo wamoyo wonse.