Ède dzesii kpɔ be ɣeaɖewoɣi ɖevi suewo, eye ɣeaɖewoɣi ame tsitsiwo hã nɔa ŋku ʋuʋum atraɖii, alo tsɔa abɔta, alo kasia woɖea ŋɔti me kɔ nyuiea? Edze abe nusiawo le dzɔdzɔm ɖe wo dzi woƒe ŋusẽ manɔmee ene, alo? Tourette ƒe dɔléle nye ahɔhɔ̃mekawo ƒe dɔléle si hea ʋuʋu alo gbeɖiɖi mawo siwo dzi womate ŋu aɖu o vɛ. Míeyɔa tics siawo le atikewɔwɔ me. Mègavɔ̃ ne èse nya sia o. Nu vevitɔ kekeakee nye be nànya esia nyuie.
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Kpuie ko la, nukae nye Tourette Dɔléle?
Tourette ƒe dɔléle nye ahɔhɔ̃mekawo ƒe dɔléle si nana ame wɔa ʋuʋu alo gbeɖiɖi siwo dzi mate ŋu aɖu o kpata, le lɔlɔ̃nu faa me. Woyɔa esiawo be tics. Le kpɔɖeŋu me, ame aɖe ate ŋu aʋuʋu ŋku enuenu, akɔ eƒe ŋɔti me, alo agblɔ nya siwo megblɔ o.
Le ame aɖewo gome la, atikewɔwɔ kpena ɖe ame ŋu be woaɖu tics siawo dzi. Gake le ame bubuwo gome la, dzesi siawo meɖea fu na wo ale gbegbe be womehiãa atike aɖeke kura o.
Zi geɖe la, nɔnɔme sia dzea egɔme tso ɖevime. Ebɔ ɖe ŋutsuviwo hã me wu nyɔnuviwo. Nu nyuitɔ kekeakee nye be zi geɖe la, dzesi siawo dzi ɖena kpɔtɔna ne ɖeviwo le tsitsim. Le go aɖewo me la, wobuna keŋkeŋ.
Nukatae esia dzɔna ɖo? Nukawoe nye susu siwo tae?
Ðɔktawo gale agbagba dzem kokoko be yewoanya nusi tututu hea Tourette ƒe dɔlélea vɛ, gake woxɔe se be edo ƒome kple tɔtrɔ siwo va le ahɔhɔ̃a ƒe akpa vovovowo ƒe dɔwɔwɔ me. Numekulawo xɔe se be tɔtrɔ siwo vaa basal ganglia, si kpena ɖe ame ŋu wòɖua ŋutilã ƒe ʋuʋu dzi; ŋgɔgbe ƒe lãkusiwo, siwo kpɔa lãmekawo dzi; kple ahɔhɔ̃meka si kpena ɖe ame ŋu be kadodo nɔa ahɔhɔ̃a ƒe akpa vovovowo dome.
Tsɔ kpe ɖe eŋu la, atike siwo tsɔa gbedasiwo yia ahɔhɔ̃a gbɔ ƒe masɔmasɔ, si woyɔna be ahɔhɔ̃mekawo, hã ate ŋu anye nusi gbɔ wòtso. Wo dometɔ vevitɔwoe nye (dopamine), (serotonin), kple (norepinephrine).
Tsɔ kpe ɖe esiawo ŋu la, susu bubuwo hã li siwo ŋu womeɖo kpee bliboe haɖe o, gake wosusu be wokpɔa ŋusẽ ɖe ame dzi:
- Kuxi siwo dona tso fufɔɣi
- Vidzidzi ƒe kpekpeme si bɔbɔ
- Ta ƒe abixɔxɔ
- Aɖi si nye carbon monoxide ƒe aɖi
- Tagbɔdɔléle
Ðe esia nye nusi dzɔ tso dzidzimewo mea?
Numekulawo xɔe se be Tourette ƒe dɔléle alo tic nɔnɔme mawo tɔgbe ate ŋu atso domenyiŋusẽfianu me vaseɖe afi aɖe. Esia fia be ɖewohĩ domenyiŋusẽfianu ƒe kadodo aɖe le wo dome. Togbɔ be womenya alesi tututu esia dzɔna haɖe o hã la, mɔnukpɔkpɔ si ade 50% le amesi ŋu Tourette ƒe dɔlélea le be wòatsɔe ana ɖevi. Gake le ƒome aɖewo me la, ame geɖe ŋue dɔlélea le, evɔ le bubuwo me la, ame ɖeka koe ate ŋu axɔe. Azɔ hã, ɖevi siwo ŋu dɔlélea le dometɔ siwo ade ɖeka le 20 ɖesiaɖe me mekpɔ dɔlélea le ƒomea me o.
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Check Availability →Nukae nye Tourette ƒe dɔléle (Tics) ƒe dzesiwo?
Tourette ƒe dɔlélea ƒe dzesi vevitɔe nye tics. tics aɖewo le sue ale gbegbe be womedea dzesi wo gɔ̃ hã o. Gake ɖewo dzɔna enuenu eye wodzena gaglãa. Nuwo abe nuteɖeamedzi , dzidzɔkpɔkpɔ, dɔléle, alo ɖeɖiteameŋu ene ate ŋu agblẽ wo ɖe edzi. tics sesẽ ateŋu ahe ŋukpe vɛ ɣeaɖewoɣi eye wòado kplamatse hadomegbenɔnɔ alo dɔwɔwɔ.
Hafi motor tic nadzɔ la, ame aɖewo ate ŋu ase le wo ɖokui me be yewoƒe ŋutilã le ʋuʋum, wole ƒoƒom, alo woƒe ŋutilã le ʋuʋum. Seselelãmea nu yina ne tic, alo ʋuʋu, dzɔ. Àte ŋu atɔ te tics la hena ɣeyiɣi aɖe, gake màte ŋu atɔ te wo keŋkeŋ o.
tics ƒomevi vevi eve li. Woawoe nye motor tics kple vocal tics. Wogama ƒomevi siawo dometɔ ɖesiaɖe ɖe hatsotso eve me: bɔbɔe kple esiwo sesẽ.
| Tic ƒomevi | Aɖaŋuɖoɖo Blewuwo | Tics Sesẽwo |
|---|---|---|
| Mɔ̃ɖaŋununya ƒe Tics |
| |
| Gbeɖiɖi ƒe Tics |
Nyateƒenya si ku ɖe gbegbɔgblɔ gbegblẽwo zazã ŋu (Coprolalia) .
Tourette ƒe dɔléle ƒe dzesi siwo tɔtɔa ame wu dometɔ ɖekae nye coprolalia. Esiae nye nya gbegblẽwo alo nya siwo mesɔ na hadomenuwɔnawo gbɔgblɔ le mɔ si dzi womate ŋu aɖu o nu. Nenema ke woyɔa asiwɔwɔ ɖe nya dzi nyɔŋuwo wɔwɔ si dzi womeɖu o be copropraxia. Esi woɖea amesiwo ŋu dɔlélea le fiana le television kple sinimawo me ta la, ame geɖe susuna be esia bɔ ŋutɔ. Gake nyateƒeae nye be, coprolalia alo copropraxia mele ame akpa gãtɔ siwo ŋu Tourette ƒe dɔlélea le o.
Nɔnɔme bubu siwo do ƒome kplii
Togbɔ be womenya nusi tututu gbɔ wòtso o hã la, ADHD (Attention Deficit Hyperactivity Disorder) ƒe dzesiwo hã dzena le amesiwo ŋu Tourette ƒe dɔlélea le dometɔ siwo ade afã ŋu, si fia be esesẽna na wo be woalé to ɖe nu ŋu, woƒe susu nanɔ nu ŋu, eye woawu dɔwo nu.
Tsɔ kpe ɖe eŋu la, Tourette ƒe dɔlélea ate ŋu ado ƒome kple nɔnɔme siawo hã:
- Dzitsitsi
- Nusɔsrɔ̃ ƒe kuxiwo, le kpɔɖeŋu me, nuxexlẽ ƒe kuxi
- Obsessive-compulsive disorder (OCD) nye nɔnɔme si me womate ŋu aɖu tamesusu kple nuwɔna siwo womedi o dzi o, le kpɔɖeŋu me, asikɔklɔ ɣesiaɣi.
Aleke ɖɔkta awɔ anya kple kakaɖedzi be Tourette ƒe dɔléleae nye esia?
Nu vevitɔe nye be dodokpɔ aɖeke meli si koŋ woatsɔ anya Tourette ƒe dɔlélea o. Wò ɖɔkta anɔ te ɖe nyatakaka siwo nèna tso ɖokuiwò alo viwò ŋu kple dzesi siwo wòkpɔna dzi awɔ dɔlélea.
Gake ahiã be wò ɖɔkta nalé ŋku ɖe nu bubu siwo ate ŋu ahe wò tics vɛ hã ŋu. Le kpɔɖeŋu me, ŋku ƒe ʋuʋu atraɖii ate ŋu atso ŋku ƒe nukpɔkpɔ nyuie gbɔ, alo ŋɔti ƒe ʋuʋu atraɖii ate ŋu atso nulɔdɔ aɖe gbɔ. Le nɔnɔme mawo me la, woate ŋu aɖo wò be woawɔ dodokpɔwo abe ʋudodokpɔ alo wò ahɔhɔ̃ ƒe MRI-dɔdamɔnu ene. Woate ŋu abia tso asiwò hã be nàwɔ EEG (electroencephalogram), si dzidzea ahɔhɔ̃a ƒe ƒutsotsoewo ƒe nɔnɔme.
Wò ɖɔkta ate ŋu abia nya siawo tɔgbe:
- Nukae ʋã wò nèva afisia egbea?
- Ðe wò alo viwòa ƒe ŋutilã ƒe ʋuʋu si dzi womate ŋu aɖu oa? Ɣeyiɣi didi kae esia le edzi yim?
- Ðe nèsea nya alo gbeɖiɖi siwo dona tso nu me evɔ mèbu tame oa? Ɣekaɣie esia dze egɔme?
- Ðe nane nana dzesi siawo nyona ɖe edzia? Nukae na wogavloe ɖe edzi?
- Ðe wò alo viwòa tsia dzimaɖi alo wòsesẽna na wò be wòatsɔ susu aɖo nu ŋua?
- Ðe dzesi siawo le ame bubu aɖe ŋu le ƒomea mea?
Tsɔ kpe ɖe eŋu la, ɖɔkta la bua dzidzenu siawo hã ŋu:
- Do tics nye ʋuʋu kple gbeɖiɖi ƒe hatsotso eveawo siaa me (mehiã be woadzɔ le ɣeyiɣi ɖeka me o).
- Zi nenie woɖava gbesiagbe o, ɖe esiawo anɔ anyi ƒe ɖeka ya tetia?
- Ðe wòdze egɔme hafi wòxɔ ƒe 18a?
- Ðe menye atikewo alo nu bubuwo gbɔe nusiawo tsona oa?
- Ðe tics la toa vovo le zi gbɔ zi geɖe, woƒe ƒomevi, woƒe sesẽme, alo ne wole bɔbɔe va ɖo esiwo sesẽ dzia?
Nukawoe nye atike siwo wozãna na esia?
Womekpɔ atike aɖeke na Tourette ƒe dɔlélea haɖe o. Gake le ame akpa gãtɔ gome la, tics la mesẽ ale gbegbe be wòahiã be woawɔ atike nɛ o. Gake ne wole nu gblẽm le wò agbe ŋu la, wò ɖɔkta ate ŋu aŋlɔ atike na wò.
Atikewo
Atike ƒomevi vovovowo li siwo ate ŋu akpe ɖe ame ŋu be woaɖe tics. dzi akpɔtɔ.Woŋlɔa esiawo dometɔ aɖewo hã na nɔnɔme bubuwo. Esia le alea elabena wokpɔe hã be atike mawo ɖea tics. dzi kpɔtɔna
- Atike siwo gblẽa nu le dopamine ŋu: Fluphenazine, Haloperidol, Pimozide, Risperidone.
- Ʋusɔgbɔdɔ ƒe atikewo: abe Clonidine, Guanfacine ene.
- Blanuilélenutsitikewo: Fluoxetine (Prozac), Sertraline (Zoloft).
- Atike siwo wozãna na ADHD: abe Methylphenidate (Ritalin LA) ene.
- Atike siwo wozãna na asrãdɔ: abe Topiramate (Topomax) ene.
Nu vevitɔe nye be, mègadze atike aɖeke zazã gɔme alo adzudzɔ wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o. Ate ŋu axɔ ɣeyiɣi aɖe hafi woake ɖe atike kple agbɔsɔsɔme si sɔ ŋu.
Atikewɔwɔ
Tsɔ kpe ɖe atikewo ŋu la, atikewɔmɔnu siwo wozãna tsɔ daa dɔe hã kpena ɖe ame ŋu ŋutɔ le nɔnɔme sia dzi kpɔkpɔ me.
- Nuƒoƒo ƒe atikewɔwɔ: Àte ŋu aƒo nu kple susuŋutinunyala alo atikewɔla si wona hehee be nàsrɔ̃ alesi nàwɔ akpɔ Tourette ƒe dɔlélea kple nɔnɔme siwo do ƒome kplii abe ADHD, OCD, alo dzimaɖitsitsi ene gbɔe.
- Cognitive Behavioral Therapy (CBT): Esia bia be woade dzesi seselelãme siwo doa ŋgɔ na tics la eye woasrɔ̃ nu bubu aɖe wɔwɔ le wo ŋu. Esia ate ŋu anye kpekpeɖeŋu gã aɖe le tics la dzi ɖuɖu me.
- Deep Brain Stimulation (DBS): Esia gakpɔtɔ nye atikewɔwɔ si wodo kpɔ. Wobua eŋu na amesiwo ƒe dɔlélea nu sẽ ŋutɔ siwo mewɔ dɔ ɖe atikewɔwɔ bubuwo dzi o. Le esia me la, amekoko dea mɔ̃ aɖe si naa elektrikŋusẽ ƒe dɔwɔwɔ yia ahɔhɔ̃a ƒe akpa siwo kpɔa ʋuʋu dzi.
Aɖaŋuɖoɖowo na dzila siwo le ɖevi si ŋu Tourette ƒe dɔlélea le dzi kpɔm
Ðevi si ŋu nɔnɔme sia le dzi kpɔkpɔ ate ŋu anye kuxi na dzilawo. Ðo ŋku edzi be zi geɖe la, tics ɖoa eƒe kɔkɔƒe le ɖevia ƒe ƒewuiwo ƒe gɔmedzedze eye vivivi la, edzi ɖena kpɔtɔna ne ele tsitsim.
Hafi ɣemaɣi naɖo la, nu aɖewo siwo akpe ɖe ŋuwòe nye esi:
- Mègazi viwòa dzi be wòadzudzɔ woƒe tics o. Ate ŋu aɖe fu na ame be woakpɔ wo alo ase wo, gake agbagbadzedze be woaɖu wo dzi ate ŋu ana ɖevia ƒe nuteɖeamedzi nadzi ɖe edzi eye wòana tics la nagado gã ɖe edzi.
- Na ame tsitsi siwo le ɖevia ƒe agbe me nanya. Na sukunufialawo, sukua ƒe ʋukula, klass nufiala, kple hehenala siwo ɖevia zãa ɣeyiɣi geɖe kplii la nanya. Ðe nɔnɔmea me na wo eye nàxɔ kpekpeɖeŋu si ɖevia hiã.
- Kpe asi ɖe viwòa ƒe bubudede eɖokui ŋu. De dzi ƒo na viwòa be wòati nusiwo me wòtsɔ ɖe le kple ŋutetewo (abe kamedefefe, aɖaŋudɔwo, hadzidzi ene) yome. Esia akpe ɖe wo ŋu woadze xɔlɔ̃wo, asrɔ̃ nu yeyewo, eye woatu kakaɖedzi ɖo na wo ɖokui.
- Fia viwòa ale si wòawɔ nu ɖe ame bubuwo ƒe fefenyawo ŋu. Ðo dze kple viwòa eye nàna hehee le ale si wòaɖo ɖevi bubuwo ƒe fefenyawo kple nyabiasewo ŋui ŋu.
- Na kpekpeɖeŋu hã nasu asiwò. Kpɔe ɖa be kpekpeɖeŋunahawo li na vi siwo le abe esia ene dzilawo hã. Ema ana ŋusẽ geɖe nanɔ ŋuwò hã.
Gbedasi si Wotsɔ Yi Aƒeme
- Tourette ƒe dɔléle nye ahɔhɔ̃mekawo ƒe dɔléle si nana ame ƒe ʋuʋu alo gbeɖiɖi siwo dzi womate ŋu aɖu o (tics).
- Togbɔ be womeke ɖe nusi tututu gbɔ esia tso ŋu haɖe o hã la, ahɔhɔ̃ me atikewo kple domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi ate ŋu anɔ eme.
- Zi geɖe la, mehiã be woawɔ atike nɛ o negbe ɖe dzesiawo nu sẽ hafi. Dzesiawo dzi ɖena kpɔtɔna ne ɖeviwo le tsitsim.
- Coprolalia, si nye atamkaka si dzi womate ŋu aɖu o ƒe dzesi, mebɔ abe alesi nàsusui ene o.
- Ne dzesi siawo dometɔ aɖe le ŋuwò alo viwòa ŋu la, mègatsi dzodzodzoe eye nàdi aɖaŋuɖoɖo tso ɖɔkta bibi gbɔ o. Ne èkpɔ egbɔ nyuie la, àte ŋu anɔ agbe si sɔ, si me dzo le.
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