Anɔ eme be èkpɔ wò ŋutɔ viwò, amedzro aɖe ƒe vi, alo le suku alo le ablɔdzi gɔ̃ hã, kasia ɖevi aɖewo ʋua ŋku, tsɔa abɔta, trɔa kɔ le mɔ wɔnuku aɖe nu, alo ɖeko wowɔa toɣliɖeɖe si ɖina abe ɖe wole woƒe ŋɔti me kɔm ene. Ɣeaɖewoɣi esi míetsi la, míate ŋu asusu be, "Ðe ɖevi sia le fefem? Alo ɖe wòle agbagba dzem be yeahe ame aɖe ƒe susua?" Gake le nyateƒe me la, nusiawo nye nusiwo dzi womate ŋu aɖu o, ɖeko wodzɔna le dzɔdzɔme nu. Egbea míele nu ƒom tso nɔnɔme sia tɔgbe ŋu, si sesẽ vie, gake ne wonya se egɔme ko la, woate ŋu akpɔ egbɔ le akpa gãtɔ me. Eyae nye `(Tourette Syndrome)` alo Tourette Syndrome, si nye ahɔhɔ̃mekawo ƒe dɔléle.
Nukae nye `(Tourette Dɔléle)`? Mina míase egɔme bɔbɔe!
Kpuie ko la, `(Tourette Syndrome)` nye nɔnɔme si gblẽa nu le míaƒe ahɔhɔ̃ kple lãmekawo ŋu. Nusi dzɔna le esia me enye be kasia ame ƒe ŋutilã ƒe ʋuʋu alo gbeɖiɖi siwo dzi mate ŋu aɖu o la va nɔa esi. Míeyɔa esia le atikewɔwɔ me be `(tics)` alo `tics.` Bu eŋu abe `switch` sue aɖe le míaƒe ŋutilã me si yia `on-off` ene, gake míate ŋu aɖu edzi abe alesi míedi ene o.
`(tics)` siawo ƒe ƒomevi vevi eve li:
1. `(Motor tics)`: Esiawo nye `(tics)` siwo lɔ ŋutilã ƒe ʋuʋu ɖe eme. Le kpɔɖeŋu me, abɔta ʋuʋu, ŋku ʋuʋu, ta ʋuʋu, kple abɔ kple afɔwo ʋuʋu.
2. Vocal tics: Esiawo nye tics siwo lɔ gbea ɖe eme. Le kpɔɖeŋu me, toɣliɖeɖewo abe ŋɔti me kɔklɔ, gbɔgbɔ to ŋɔti me, hũɖeɖe, nyawo gbɔgblɔ, kple ɣlidodo ɣeaɖewoɣi ene.
Zi geɖe la, ``motor tics'' dzea egɔme gbã, eye ``vocal tics'' kplɔe ɖo. ``Tourette Syndrome'' ye nye esi nu sẽ wu le ``tic dɔléle'' siawo dome, alo esi ɖe dzesi wu. Zi geɖe la, edzea egɔme tso ɖevime, tso ƒe 5 va ɖo ƒe 7. Dzɔgbenyuietɔe la, le ame geɖe gome la, nɔnɔme sia dzi ɖena kpɔtɔna ŋutɔ ne wole tsitsim, vevietɔ le woƒe ƒewuiwo me. Ate ŋu adzo keŋkeŋ gɔ̃ hã.
Aleke gbegbee `(Tourette Syndrome)` bɔe?
Numekukuwo ɖee fia be le mama dedie nu la, ɖevi siwo ade ɖeka le 100 ɖesiaɖe me ateŋu akpɔ ``tic disorder.`` Ke hã, ``Tourette Syndrome`` ƒe dzɔdzɔ le ʋɛ vie. Ema fia be ɖevi siwo ade ɖeka le 160 ɖesiaɖe me koe wogblɔ be ``Tourette Syndrome.``
Ðe tic dɔléle ƒomevi vovovowo lia? Ðe Tourette Dɔlélea koe lia?
Ao, Tourette Dɔléle nye tic dɔléle ƒomevi ɖeka ko. Wo ƒomevi bubuwo hã li. Wò ɖɔkta anɔ te ɖe wò dzesiwo dzi agblɔ tic dɔléle ƒomevi si tututu le ŋuwò na wò.
Woate ŋu ama tic disorders koŋ ɖe hatsotso siwo gbɔna me:
- Ɣeyiɣi kpui aɖe ƒe tic disorder: Le esia me la, motor tics, vocal tics, alo evea siaa nɔa anyi mede ƒe ɖeka o.
- Tike ƒe dɔléle si nɔa anyi ɖaa (si nɔa anyi didi): Le esia me la, lãmekawo ƒe ʋuʋu alo gbeɖiɖi ƒe ʋuʋu (gake menye evea siaa o) ƒe ƒuƒoƒo nɔa anyi wu ƒe ɖeka.
- Tourette Dɔléle: Le go sia me la , ele be lãmekawo ƒe ʋuʋu kple gbeɖiɖi ƒe ʋuʋu siaa nanɔ anyi wu ƒe ɖeka.
Nukae nye `(Tourette Syndrome)` ƒe dzesiwo?
Abe alesi míedzro eme va yi ene la, Tourette Dɔléle ƒe dzesi vevitɔe nye tics. Zi geɖe la, amesiawo dzea egɔme tso ƒe 5 va ɖo ƒe 7 dome, eye zi geɖe la, woɖoa woƒe kɔkɔƒe le ƒe 12 lɔƒo. Le ema megbe la, wo dzi ɖena kpɔtɔna vivivi.
`(tics)` siawo ateŋu anye `(simple)` alo `(complex)`:
Tics Blewuwo kple Tics Sesẽwo
- Simple tics: Esiawo nye ʋuʋu alo gbeɖiɖi siwo gbugbɔna kabakaba ŋutɔ, siwo zi geɖe la, lãmeka ʋɛ aɖewo koe nɔa eme. Bu abɔta ʋuʋu, ŋku ʋuʋu, alo gbɔgbɔ to ŋɔti me ŋu kpɔ.
- Tiksi sesẽwo: Esiawo lɔ ʋuʋu kple lãmekawo ƒe hatsotso vovovowo ɖe eme. Le kpɔɖeŋu me, titri yi dzi kple anyime, nya alo nyagbe aɖe gbugbɔgagblɔ zi gbɔ zi geɖe, nya siwo ame bubuwo gblɔ gbugbɔgagblɔ (echolalia), kple nya nyɔŋuwo gbɔgblɔ (coprolalia) nye tics sesẽwo ƒe kpɔɖeŋuwo.
`(Motor Tic)` ƒe kpɔɖeŋu bubu aɖewo:
- Abɔ kple afɔ ƒe ʋuʋu alo tsɔtsɔ ƒu gbe
- Be woabɔbɔ ɖe akɔta
- Ŋku ƒe ʋuʋu (enuenu) .
- Ta ƒe ʋuʋu alo eƒe ʋuʋu kpata
- Titri yi dzi
- Kɔsɔkɔsɔa ʋuʋu
- Mo ƒe dzedzeme siwo tro alo esiwo wota
`(Vocal Tic)` ƒe kpɔɖeŋu aɖewo:
- Toɣliɖeɖe abe avu si le ɣli dom ene
- Gbeɖiɖi si nye aɖuɖɔtoewɔwɔ
- Kasia ɣlidodo
- Gbɔgbɔ kple gbeɖiɖi si le ʋuʋum to ŋɔti me
- Kɔ me ʋuʋu enuenu
Ðe `(Tics)` siawo ate ŋu anye afɔku ɣeaɖewoɣia?
Zi geɖe la, tics megblẽa nu boo aɖeke o. Gake motor tics aɖewo ate ŋu ana ame nade abi ame ɖokui ŋu. Le kpɔɖeŋu me, ɖokuiwò ƒoƒo ɖe mo.
Azɔ hã, `(vocal tic)` si woyɔna be `(coprolalia)` li. Enye nya ƒaƒãwo alo nya siwo mesɔ na hadomenuwɔnawo gbɔgblɔ si dzi womate ŋu aɖu o. Le esia ta la, ame bubuwo ate ŋu abui be ame sia ɖoe koŋ le fu ɖem na amewo hele fu ɖem na wo. Vevietɔ ne `(tic)` sia ƒomevi le ɖevi ŋu la, woate ŋu ahe to nɛ madzemadzee le suku alo le aƒeme.
Nu vevitɔ enye be nàse egɔme be ``tics`` siawo menye nusi ame aɖe ɖoe koŋ wɔna o. Wonye nusi dzɔna si dzi womate ŋu aɖu kura o.
Nukae hea Tourette Dɔlélea vɛ?
Womenya nusi tututu gbɔ Tourette Dɔlélea tso haɖe o . Gake esi wònye be nɔnɔmea te ŋu nɔa ƒomewo me ta la, dzɔdzɔmeŋutinunyalawo xɔe se be domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi aɖe le eŋu . Esia fia be mɔnukpɔkpɔ li be ɖeviwo nanyi nɔnɔmea dome tso wo dzilawo gbɔ.
Tsɔ kpe ɖe eŋu la, nufiafia aɖe hã li be tɔtrɔ aɖewo siwo va le ahɔhɔ̃mekawo ƒe dɔwɔwɔ me (esiawoe nye atike siwo kpɔa míaƒe nuwɔna kple ʋuʋu dzi) le míaƒe ahɔhɔ̃ me, vevietɔ dadasɔmakpɔmakpɔ le ahɔhɔ̃meka siwo woyɔna be dopamine me ate ŋu ana esia nadzɔ.
Nukawoe nye afɔku siwo ate ŋu ana Tourette Dɔlélea nadze ame dzi?
Afɔku vevi geɖewo li siwo gbɔ nɔnɔme sia tsona:
- Ŋutsu alo nyɔnu nyenye: Ŋutsuviwo ate ŋu axɔ Tourette Dɔlélea zi gbɔ zi etɔ̃ va ɖo ene wu nyɔnuviwo.
- Ƒome ŋutinya: Abe alesi míegblɔe va yi ene la, ne dɔléle sia le ame aɖe ŋu le ƒomea me la, woate ŋu atsɔe ato domenyiŋusẽfianu dzi na ɖeviwo.
- Lãmesẽ do ŋgɔ na vidzidzi: Ne vidadaa no atama le fufɔɣi alo lãmesẽkuxi bubuwo nɔ eŋu la, ke ate ŋu adzɔ be ɖevia naxɔ Tourette Dɔlélea. Ate ŋu ado ƒome kple vidzidzi ƒe kpekpeme si bɔbɔ hã.
Aleke wowɔna kpɔa Tourette Dɔlélea?
Be ɖɔkta nakpɔ `(tic disorder)` la, ele be `(tics)` la nadze egɔme hafi wòaxɔ ƒe 18. Be woakpɔe be `(Tourette Syndrome)` le eŋu la, ele be `(motor tics)` kple `(vocal tics)` siaa nanɔ anyi wu ƒe ɖeka .
Ʋudodokpɔ alo scan aɖeke koŋ meli si woatsɔ anya Tourette Dɔlélea o . Ke boŋ wò ɖɔkta aɖo to wò (alo viwòa) ƒe atikewɔwɔ ŋutinya kple dzesiwo nyuie. Nu aɖewo siwo nàdi be yeanya tso Tics ŋue nye esi:
- Zi nenie tics dzɔna?
- Ƒe nenie `(Tics)` dze egɔme?
- Nukae nye `(tics)` (si le bɔbɔe alo esi sesẽ) ƒe nɔnɔme?
Azɔ hã, ɖɔkta ate ŋu awɔ dodokpɔ aɖewo atsɔ agbe atikewɔwɔ me nɔnɔme bubu siwo ate ŋu ahe tics la vɛ o.
Ðe lãmesẽ ƒe nɔnɔme bubuwo ate ŋu adzɔ kple `(Tourette Syndrome)`?
Ẽ, lãmesẽkuxi bubu ɖeka alo esi wu nenema ate ŋu anɔ ame geɖe siwo ŋu Tourette Syndrome le la ŋu. Zi geɖe la, esiawo nyea susu alo nuwɔna ƒe lãmesẽkuxiwo. Kpɔɖeŋu aɖewoe nye:
- Dzimaɖitsitsidɔlélewo
- Susu ƒe Dɔmawɔmawɔ nyuie ƒe Dɔléle (ADHD) .
- Autism Spectrum Disorder (ASD) ƒe Dɔléle .
- Teteɖeanyi
- Nusɔsrɔ̃ ƒe kuxiwo
- Nukpɔsusu ƒe Dɔléle (OCD) .
- Tsitretsiɖeŋulawo ƒe Tsitretsitsi ƒe Dɔléle (ODD) .
Eyata ele vevie ŋutɔ be woabu nɔnɔme siawo siwo do ƒome kplii ŋu ne wole Tourette Dɔlélea dam.
Nukae nye atike siwo wozãna na `(Tourette Syndrome)`?
Ne `(tics)` la fa ŋutɔ, si fia be womekpɔa ŋusẽ gã aɖeke ɖe gbesiagbedɔwo dzi o la, ɖewohĩ atikewɔwɔ mahiã o. Ke hã, ne `(tics)` la nu sẽ, si fia be wodoa kplamatse dɔwɔwɔ, sukudɔwo, hadomekadodowo, alo ne `(tics)` aɖewo gblẽa nu le ame ɖokui ŋu la, atikewɔwɔ hiã godoo.
Atikewo kple nuwɔna ŋuti dɔdamɔnu koŋue wozãna na esia.
Ðe atikewo kpena ɖe ame ŋua?
Ẽ, ɖɔkta ate ŋu aŋlɔ atikewo ƒe hatsotso aɖe si woyɔna be ahɔhɔ̃mekawo ƒe dɔlékuiwutikewo na Tourette Dɔlélea. Atike siawo wɔa dɔ to atike aɖe si woyɔna be dopamine ƒe dɔwɔwɔ le ahɔhɔ̃a me dzi ɖeɖe kpɔtɔ me. Elabena wosusu be dopamine ƒe agbɔsɔsɔ si dzina ɖe edzi gbɔe tics ƒe dzidziɖedzi tsona.
Tsɔ kpe ɖe eŋu la, woate ŋu ana atike vovovowo na nɔnɔme bubu siwo dona le Tourette Dɔlélea me, abe ADHD alo OCD ene.
Aleke nuwɔna ŋuti dɔdamɔnu ate ŋu akpe ɖe ame ŋui?
Míegblɔna tsã be tics siwo va kple Tourette Syndrome la nye esiwo dzi womate ŋu aɖu o eye wodzɔna le wo ɖokui si. Gake nuwɔna ŋuti dɔdamɔnu yeyewo li siwo ate ŋu akpe ɖe ame ŋu wòaɖu tics siawo dzi eye wòaɖe ŋusẽ gbegblẽ si wokpɔna ɖe gbesiagbegbenɔnɔ dzi dzi akpɔtɔ.
Atikewɔwɔ vevitɔwo dometɔ ɖekae nye ``Nuwɔna ƒe Nudede Nyawo me Bliboe na Tics - CBIT'' . Kpuie ko la, ewɔa esia:
1. Alesi woawɔ nu ɖe `(tics)` ŋu sɔsrɔ̃: Ne èse le ɖokuiwò me be `(tic)` aɖe gbɔna la, èsrɔ̃a nusi tsi tre ɖe eŋu wɔwɔ, si fia be nàwɔ ʋuʋu alo nuwɔna bubu si tea `(tic)` la ɖe to. Woyɔa esia be `(hoʋiʋli ƒe ŋuɖoɖo)`. Le kpɔɖeŋu me, ne èse le ɖokuiwò me be yeagbã ŋku la, èsrɔ̃nɛ be yeɖoe koŋ mia ŋku sesĩe ɖe eteƒe.
2. Hehenana be woade dzesi `(Tics)`: Ame aɖewo sena le wo ɖokui me be ``premonitory urge`` hafi `(tic)` aɖe va. Abe alesi nàse nane si wɔ nuku le ŋɔti me hafi aɖu aɖuɖɔ ene. Ne ènya srɔ̃ alesi nàde dzesi didi sia si wokpɔna do ŋgɔ ko la, àte ŋu adze agbagba atɔ te alo atrɔe hafi `(tic)` la nava.
3. Kpekpeɖeŋu nana be woaɖe `(Tics)` dzi akpɔtɔ: Zi geɖe la, `(tics)` dzina ɖe edzi ne ètsi dzodzodzoe, nu te ɖe dziwò, alo nèle dzidzɔ kpɔm akpa. Eyata, ne èsrɔ̃ alesi nànɔ anyi kpoo alesi nàte ŋui eye nèƒo asa na nɔnɔme siwo me nuteɖeamedzi le la, àte ŋu aɖe `(tics)` ƒe dzidziɖedzi dzi akpɔtɔ.
Nukae nye amesi ŋu `(Tourette Syndrome)` le ƒe etsɔme?
Atike aɖeke meli na Tourette Dɔlélea o. Gake abe alesi míegblɔe va yi ene la, zi geɖe la, nɔnɔmea nyona ɖe edzi ŋutɔ ne amewo le tsitsim . Togbɔ be tics ate ŋu anɔ anyi hã la, ame akpa gãtɔ mehiã atike alo nuwɔna ƒe atikewɔwɔ ne wotsi o. Ame siwo ŋu Tourette Dɔlélea le la nɔa agbe si sɔ . Esia fia be menye agbemeŋkekewo katã ƒe nɔnɔme si nana ame ƒe agbenɔƒe nɔa kpuie o.
Ðe woate ŋu axe mɔ ɖe Tourette Dɔlélea nua?
Ao, mɔ aɖeke meli si dzi woato axe mɔ ɖe Tourette Dɔlélea nu o. Esia le alea elabena domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedziwo le eŋu. Gake ne wokpɔe kaba eye wodae nyuie la , woate ŋu axe mɔ na Tourette Dɔlélea be wòagagblẽ ɖe edzi o eye woate ŋu aɖe edzi akpɔtɔ vaseɖe afi aɖe vaseɖe esime ame tsitsi.
Nukae woate ŋu awɔ be agbenɔnɔ kple Tourette Dɔlélea nanɔ bɔbɔe?
Tourette Dɔlélea ƒe agbenɔnɔ ate ŋu asesẽ, vevietɔ na ɖeviwo. Ate ŋu asesẽ be míaƒe susu nanɔ sukudɔdasiwo ŋu ahawɔ nu kple ame bubuwo. Eyata xɔlɔ̃wo, ƒometɔwo, kple nufialawo ƒe kpekpeɖeŋu sesẽ ate ŋu awɔ akpa gã aɖe le kpekpeɖeŋu nana ɖevi si ŋu Tourette Dɔlélea le be wòakpɔ dɔlélea gbɔ.
Ðevi siwo ŋu Tourette Dɔléle le hã ate ŋu aɖe vi tso:
- Nusɔsrɔ̃ le sukuxɔ siwo me sukuvi ʋɛ aɖewo koe le me.
- Ame ŋutɔ ƒe beléle xɔxɔ le suku.
- Ɣeyiɣi bubu ƒe amesinɔnɔ atsɔ awɔ nuwo abe dɔdasiwo ene.
Nu vevitɔe nye be ɖevia, ƒomea, kple nufialawo nase nɔnɔme sia gɔme nyuie. Emegbe le esi teƒe be amesiame nabu fɔ ɖevia alo aɖu fewu le eŋu la, ate ŋu akpe ɖe eŋu ahakpe ɖe eŋu le eƒe ŋutetewo tutuɖo me.
Ɣekaɣie wòle be nàkpɔ ɖɔkta tso `(Tourette Syndrome)` ŋu?
Ne amesi ŋu Tourette Dɔléle le ɖe dzesi siawo dometɔ aɖe fia la, ele be wòakpɔ ɖɔkta enumake :
- Ne èwɔa nu ŋutasesẽtɔe.
- Ne ède abi ɖokuiwò ŋu.
- Ne ameɖokuiwuwu ŋue nèle nu ƒom tsoe. (Le nɔnɔme mawo me la, le Sri Lanka la, àte ŋu aƒo ka na kpekpeɖeŋunahabɔbɔwo abe 1926 Sumithrayo ene hã.) Ne nɔnɔme kpata aɖe dzɔ la, ƒo ka na 119.
Tourette Syndrome nye ahɔhɔ̃mekawo ƒe dɔléle si nana ame wɔa ʋuʋu alo gbeɖiɖi siwo melɔ̃na o (tics). Zi geɖe la, dɔlélea dzea egɔme tso ɖevime eye zi geɖe la, enyona ɖe edzi ne wole tsitsim. Atikewo kple nuwɔna ƒe atikewɔwɔe nye Tourette Dɔlélea ƒe atike vevitɔwo. Ahɔhɔ̃ŋutinunyalawo alo tagbɔdɔdalawo daa dɔlélea.
Gbedasi si Wotsɔ Yi Aƒeme
Enyo, eyata mina míato nusiwo ŋu míeƒo nu tsoe (Tourette Syndrome) siwo míesusu be wole vevie na wò la dometɔ aɖewo me:
- Tourette Syndrome nye ahɔhɔ̃ kple lãmekawo ƒe dɔléle si dzɔna ɖe ɖeviwo dzi. Ehea tics (lãmekawo ƒe ʋuʋu, gbeɖiɖi) si dzi womate ŋu aɖu o vɛ.
- Menye ɖe woɖoe koŋ wɔ ``tics`` siawo o. Eyata mègabu fɔ ɖevia o.
- Zi geɖe la, nɔnɔme sia dzi ɖena kpɔtɔna ŋutɔ ne ame tsi, vevietɔ le sɔhɛwo gome.
- Woate ŋu akpɔ nɔnɔme sia gbɔ nyuie to atikewo kple susuŋudɔwɔwɔ ƒe atikewɔwɔ (CBIT) zazã me.
- Lɔlɔ̃, nugɔmesese, kple kpekpeɖeŋu si ɖevi si ŋu Tourette Dɔléle le xɔna tso eƒe ƒometɔwo, nufialawo, kple xɔlɔ̃wo gbɔ le vevie ŋutɔ.
- Ne èdi be yeanya nu geɖe tso esia ŋu, alo ne èsusu be dzesi siawo le viwòa ŋu la, yi ɖeviwo ƒe dɔdala, ahɔhɔ̃ŋutinunyala, alo tagbɔdɔdala gbɔ hena aɖaŋuɖoɖo.
Mègatsi dzi o, Tourette Dɔléle nye dɔléle si woate ŋu akpɔ dzidzedzetɔe ne wose egɔme nyuie eye wokpɔ edzi nyuie.
` Tourette Dɔléle, Tics, Motor Tics, Gbe ƒe Tics, Ahɔhɔ̃ŋutinunya, Ðeviwo ƒe Dɔléle, Nuwɔna ƒe Dɔdamɔnu











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