Matenda a Tourette

Zamkati

• Kodi Tourette syndrome ndi chiyani?
• Kodi zizindikiro za Tourette syndrome ndi ziti?
• Njinga zamoto
• Zolemba zamatsenga
• Nchiyani chimayambitsa matenda a Tourette?
• Kodi matenda a Tourette amapezeka bwanji?
• Kodi matenda a Tourette amachiritsidwa bwanji?
• Chithandizo
• Mankhwala
• Mankhwala amitsempha
• Chifukwa chiyani kuthandizira kuli kofunika?
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi Tourette syndrome ndi chiyani?

Matenda a Tourette ndimatenda amitsempha. Zimayambitsa kuyenda mobwerezabwereza, mosaganizira komanso kuphulika kwa mawu. Zomwe zimayambitsa sizikudziwika.

Matenda a Tourette ndi matenda a tic. Tics ndi mitsempha yodzipangira yokha. Amakhala ndi zopindika mwadzidzidzi zamitsempha yamagulu.

Mitundu yambiri yamatsenga imaphatikizapo:

• kuphethira
• kununkhiza
• kunyinyirika
• kutsuka kukhosi
• wachisoni
• kusuntha kwamapewa
• kusuntha kwamutu

Malinga ndi National Institute of Neurological Disorders and Stroke (NINDS), pafupifupi anthu 200,000 ku United States amawonetsa zisonyezo zazikulu za Tourette syndrome.

Ambiri mwa anthu 100 ku America amakhala ndi zizindikiro zoopsa. Matendawa amakhudza amuna pafupifupi kanayi kuposa akazi.

Kodi zizindikiro za Tourette syndrome ndi ziti?

Zizindikiro zimatha kusiyanasiyana pamunthu wina. Amakonda kuwonekera azaka zapakati pa 3 ndi 9 wazaka, kuyambira ndi tinthu tating'onoting'ono tomwe timakhala m'mutu mwanu ndi m'khosi. Potsirizira pake, ma tiki ena amatha kuwonekera m thunthu lanu ndi miyendo yanu.

Anthu omwe amapezeka ndi matenda a Tourette nthawi zambiri amakhala ndi mota komanso mawu.

Zizindikiro zimayamba kukulira nthawi:

• chisangalalo
• nkhawa
• nkhawa

Nthawi zambiri amakhala ovuta kwambiri mukamakula.

Tics amagawidwa ndi mtundu, monga wamagalimoto kapena mawu. Gulu lina limaphatikizapo tinthu tosavuta kapena tovuta.

Mafanizo osavuta nthawi zambiri amakhala ndi gulu limodzi lokha ndipo amakhala achidule. Zovuta zofananira ndizolumikizidwa m'njira zosunthira kapena mawu omwe amakhudza magulu angapo am'mimba.

Njinga zamoto

Zolemba zamatsenga

Nchiyani chimayambitsa matenda a Tourette?

Tourette ndi matenda ovuta kwambiri. Zimakhudza zodetsa mbali zosiyanasiyana zaubongo wanu komanso magudumu amagetsi omwe amawalumikiza. Zachilendo zitha kupezeka mgulu lanu la basal, gawo laubongo wanu lomwe limathandizira kuwongolera kuyendetsa magalimoto.

Mankhwala muubongo wanu omwe amatulutsa zomwe zimakhudza mitsempha amathanso kutengapo gawo. Mankhwalawa amadziwika kuti ma neurotransmitters.

Zikuphatikizapo:

• dopamine
• serotonin
• norepinephrine

Pakadali pano, chifukwa cha Tourette sichikudziwika, ndipo palibe njira yoletsera. Ofufuzawo amakhulupirira kuti mwina vuto lobadwa nalo. Iwo akugwira ntchito kuti azindikire majini enieni okhudzana ndi Tourette.

Komabe, masango amabanja adadziwika. Masango awa amatsogolera ofufuza kuti akhulupirire kuti ma genetics amathandizira anthu ena omwe akupanga Tourette.

Kodi matenda a Tourette amapezeka bwanji?

Wothandizira zaumoyo wanu adzakufunsani za matenda anu. Matendawa amafunika magalimoto amodzi ndi mawu amodzi kwa chaka chimodzi.

Zina mwazomwe zitha kutsanzira Tourette, kuti wopereka chithandizo chamankhwala atha kuyitanitsa maphunziro azithunzi, monga MRI, CT, kapena EEG, koma maphunziro azithunzi awa sakufunika kuti mupeze matenda.

Anthu omwe ali ndi Tourette nthawi zambiri amakhala ndi zovuta zina, kuphatikizapo:

• kusowa kwa chidwi cha vuto la kuchepa kwa mphamvu (ADHD)
• matenda osokoneza bongo (OCD)
• kulephera kuphunzira
• vuto la kugona
• matenda ovutika maganizo
• kusokonezeka kwa malingaliro

Kodi matenda a Tourette amachiritsidwa bwanji?

Ngati ma tiki anu sali ovuta, mwina simudzafunika chithandizo. Ngati ali ovuta kwambiri kapena amadzipweteketsa, pali mankhwala angapo. Wothandizira zaumoyo wanu angakulimbikitseni chithandizo ngati ma tics anu akuipiraipira pakukula.

Chithandizo

Wothandizira zaumoyo wanu akhoza kukulangizani zamankhwala kapena psychotherapy. Izi zimaphatikizapo upangiri wa m'modzi ndi m'modzi wokhala ndi zilolezo zamisala.

Chithandizo chamakhalidwe chimaphatikizapo:

• kuphunzitsa kuzindikira
• maphunziro oyankha opikisana
• Kulowerera pamachitidwe amisala

Chithandizo chamtunduwu chingathandize kuchepetsa zizindikiro za:

• ADHD
• OCD
• nkhawa

Wothandizira anu angagwiritsenso ntchito njira zotsatirazi panthawi yama psychotherapy:

• kutsirikidwa
• njira zopumulira
• kusinkhasinkha motsogoleredwa
• kupuma kozama

Mutha kupeza chithandizo chamagulu chothandiza. Mudzalandira uphungu ndi anthu ena azaka zomwezonso omwe ali ndi matenda a Tourette.

Mankhwala

Palibe mankhwala omwe angachiritse matenda a Tourette.

Komabe, wothandizira zaumoyo wanu akhoza kukupatsani mankhwala amodzi kapena angapo kuti akuthandizeni kuthana ndi matenda anu:

• Haloperidol (Haldol), aripiprazole (Abilify), risperidone (Risperdal), kapena mankhwala ena amitsempha: Mankhwalawa amatha kuthandizira kuletsa kapena kufooketsa ma dopamine receptors muubongo wanu ndikuthandizani kuwongolera ma tics anu. Zotsatira zoyipa zambiri zimatha kuphatikizira kunenepa komanso kuwonongeka kwamaganizidwe.
• Poizoni wa Onabotulinum A (Botox): Majakisoni a Botox atha kuthandiza kusamalira zovuta zamagalimoto komanso mawu. Uku ndi kugwiritsa ntchito poizoni wa onabotulinum A.
• Methylphenidate (Ritalin): Limbikitsani mankhwala, monga Ritalin, atha kuthandizira kuchepetsa zizindikilo za ADHD popanda kuwonjezera luso lanu.
• Clonidine: Clonidine, mankhwala a kuthamanga kwa magazi, ndi mankhwala ena ofanana nawo, amatha kuthandiza kuchepetsa kukanika, kuthana ndiukali komanso kuthandizira kuwongolera. Izi ndizogwiritsa ntchito clonidine.
• Topiramate (Topamax): Topiramate imatha kuperekedwa kuti ichepetse tics. Zowopsa zomwe zimapezeka ndi mankhwalawa zimaphatikizapo mavuto amalingaliro ndi chilankhulo, kusokonezeka mutu, kuonda, ndi miyala ya impso.
• Mankhwala opangidwa ndi khansa: Pali umboni wochepa cannabinoid delta-9-tetrahydrocannabinol (dronabinol) itha kuyimitsa ma tiki akuluakulu. Palinso umboni wochepa pazovuta zina za chamba chamankhwala. Mankhwala ozikidwa pa khansa sayenera kuperekedwa kwa ana ndi achinyamata, komanso amayi apakati kapena oyamwitsa.

Kugwiritsa ntchito mankhwala osokoneza bongo kumatanthauza kuti mankhwala omwe avomerezedwa ndi FDA pacholinga chimodzi amagwiritsidwa ntchito pazinthu zina zomwe sizinavomerezedwe. Komabe, dokotala amatha kugwiritsabe ntchito mankhwalawa pazifukwa izi.

Izi ndichifukwa choti a FDA amayang'anira kuyesa ndi kuvomereza mankhwala, koma osati momwe madotolo amagwiritsira ntchito mankhwala pochizira odwala awo. Chifukwa chake, adotolo amatha kukupatsani mankhwala ngakhale akuganiza kuti ndi bwino kuti musamalire.

Mankhwala amitsempha

Kukondoweza kwa ubongo ndi njira ina yamankhwala yomwe imapezeka kwa anthu omwe ali ndi zovuta kwambiri. Kwa anthu omwe ali ndi matenda a Tourette, kuthandizidwa kwa chithandizo chamtunduwu kukufufuzidwabe.

Wothandizira zaumoyo wanu amatha kuyika chida chogwiritsira ntchito batri muubongo wanu kuti chilimbikitse magawo omwe amayendetsa kuyenda. Kapenanso, atha kuyika mawaya amagetsi muubongo wanu kuti atumize zoyambitsa magetsi kumadera amenewo.

Njirayi yakhala yopindulitsa kwa anthu omwe ali ndi ma tiki omwe amaonedwa kuti ndi ovuta kuwachiza. Muyenera kukambirana ndi omwe amakuthandizani kuti muphunzire za zomwe zingakuwonjezereni komanso ngati chithandizo ichi chithandizire pazithandizo zanu.

Chifukwa chiyani kuthandizira kuli kofunika?

Kukhala ndi Tourette syndrome kumatha kupangitsa kuti mukhale osungulumwa komanso osungulumwa. Kulephera kuthana ndi kupsa mtima kwanu komanso zomwe mumakonda kumatha kukupangitsani kuti musafune kuchita nawo zinthu zomwe anthu ena angasangalale nazo.

Ndikofunika kudziwa kuti pali thandizo lomwe lingakuthandizeni kuthana ndi vuto lanu.

Kugwiritsa ntchito zinthu zomwe zilipo kungakuthandizeni kuthana ndi matenda a Tourette. Mwachitsanzo, lankhulani ndi omwe amakuthandizani azaumoyo pamagulu othandizira akomweko. Mwinanso mungafune kuganizira za mankhwala am'magulu.

Magulu othandizira ndi othandizira pagulu angakuthandizeni kuthana ndi kukhumudwa komanso kudzipatula pagulu.

Kukumana ndikukhazikitsa ubale ndi iwo omwe ali ndi vuto lofananako kumathandizira kukulitsa kusungulumwa. Mutha kumvera nkhani zawo, kuphatikiza kupambana kwawo ndi zovuta zawo, komanso kulandira upangiri womwe mungaphatikizepo m'moyo wanu.

Ngati mupita pagulu lothandizira, koma mukumva kuti silofanana, musataye mtima. Muyenera kupita kumagulu osiyanasiyana mpaka mutapeza yoyenera.

Ngati muli ndi wokondedwa wanu yemwe ali ndi matenda a Tourette, mutha kulowa nawo gulu lothandizira mabanja ndikuphunzira zambiri za vutoli. Mukamadziwa zambiri za Tourette, ndimomwe mungathandizire wokondedwa wanu kuthana ndi vutoli.

Tourette Association of America (TAA) itha kukuthandizani kuti mupeze chithandizo cham'deralo.

Monga kholo, ndikofunikira kuthandizira ndikukhala woimira mwana wanu, zomwe zitha kuphatikizira kudziwitsa aphunzitsi za momwe alili.

Ana ena omwe ali ndi matenda a Tourette amatha kuzunzidwa ndi anzawo. Ophunzitsa atha kugwira nawo gawo lofunikira pothandiza ophunzira ena kumvetsetsa momwe mwana wanu alili, zomwe zitha kusiya kuzunza komanso kunyoza.

Matiski ndi zochita zosadziperekanso zitha kusokoneza mwana wanu ku sukulu. Lankhulani ndi sukulu ya mwana wanu za kuwapatsa nthawi yowonjezera kuti amalize mayeso ndi mayeso.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Mofanana ndi anthu ambiri omwe ali ndi matenda a Tourette, muthanso kuwona kuti ma tiki anu amasintha mukamatha zaka 20 kapena 20. Zizindikiro zanu zimatha kuyima zokha komanso mutakula.

Komabe, ngakhale zizindikiro zanu za Tourette zichepa ndi ukalamba, mutha kupitiliza kumva ndikufunikira chithandizo cha zovuta zina, monga kukhumudwa, mantha, komanso nkhawa.

Ndikofunika kukumbukira Tourette syndrome ndi matenda omwe samakhudza luntha lanu kapena chiyembekezo cha moyo.

Ndi kupita patsogolo kwamankhwala, gulu lanu lazachipatala, komanso mwayi wothandizidwa ndi zothandizira, mutha kuthana ndi zizindikilo zanu, zomwe zingakuthandizeni kukhala ndi moyo wabwino.