Loaʻa iā ʻoe nā mea e like me ka ʻūlū ʻana o nā maka a me ka ʻūlū ʻana o ka ʻāʻī? E kamaʻilio kākou e pili ana i kēia mau maʻi Tic!

I kekahi manawa ua ʻike paha ʻoe, me ka ʻike ʻole ʻana, ke ʻālohilohi nei kou mau maka, ke kūlou nei kou mau poʻohiwi, a i ʻole he ʻeha kou puʻu. Malia paha ua makaʻu ʻoe i ka ʻike ʻana i kāu keiki e hana ana i kēia. ʻO kēia ka mea a mākou e kapa nei he 'tics'. He mau kūlana kēia e pili ana i kā mākou ʻōnaehana nerve . ʻO ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai kēia, akā he mea nui loa iā ʻoe a me kāu keiki e makaʻala i kēia.

He aha kēia mau maʻi Tic?

I ka ʻōlelo maʻalahi, ʻo ka maʻi tic kahi kūlana i loko o kā mākou ʻōnaehana nerve e hoʻoulu ai iā mākou i nā neʻe kino koke a hana hou ʻia a i ʻole nā ​​​​leo e paʻakikī ke kaohi. E noʻonoʻo, hoʻokahi o nā keiki ʻelima e ʻike i kēia kūlana i kekahi manawa o ko lākou ola.

Hoʻomaka pinepine kēia mau mea ma waena o nā makahiki 4 a me 6. Eia nō naʻe, ʻoi aku ka maʻamau o kēia mau hōʻailona ma waena o nā makahiki 10 a me 12. Hiki i nā maʻi Tic ke hele pū me nā pilikia olakino noʻonoʻo ʻē aʻe. No ka laʻana, nā kūlana e like me ke kaumaha, ADHD (Attention Deficit Hyperactivity Disorder), OCD (Obsessive-Compulsive Disorder), a me ka hopohopo.

He aha nā ʻano nui o nā maʻi tic?

ʻO ka puke a nā kauka e hoʻohana ai e ʻike i kēia mau kūlana, ʻo ia ka DSM-5-TR, e papa inoa ana i ʻekolu ʻano o nā maʻi tic. E nānā kākou i ke ʻano o lākou.

1. Ka Maʻi Tic Kūikawā: ʻO kēia ke ʻano maʻamau o ka maʻi tic . Hoʻopilikia ia ma kahi o 20% o nā keiki kula. Inā loaʻa i kāu keiki hoʻokahi a ʻoi aku paha nā tics motor a leo paha no ka ʻoi aku o hoʻokahi mahina akā ʻaʻole i hoʻokahi makahiki, hiki i kāu kauka ke ʻike iā ia me ka Provisional Tic Disorder.

2. Ka maʻi hoʻomau (Kronic) Motor a i ʻole Vocal tic : ʻOiai e nalowale pinepine nā tics manawa pōkole i loko o hoʻokahi makahiki, mau kēia ʻano tics no ka ʻoi aku ma mua o hoʻokahi makahiki. I kēia hihia, loaʻa paha i ke keiki nā tics motor wale nō a i ʻole nā ​​tics leo wale nō. Eia naʻe, ʻaʻole e hana pū ʻia nā ʻano ʻelua. Hoʻopilikia kēia i kahi 1 i loko o 100 mau keiki.

3. Tourette Syndrome: ʻO kēia ka maʻi tic koʻikoʻi loa a paʻakikī hoʻi. ʻOiai ke ʻano like me ka tic mau loa, hiki ke lilo i hōʻailona o ka Tourette syndrome. He keiki me kēia maʻiHoʻopili pū ʻia nā tics motor a me nā tics leo. Hoʻomaka pinepine kēia mau hōʻailona ma waena o nā makahiki 5 a me 10.

ʻO ka pilina ma waena o ka hopohopo a me nā tics

I ka manawa pinepine, hoʻonui ʻia kēia mau tics ke kaumaha a hopohopo paha kākou. ʻO ke kumu paha o kēia, ʻo ia ka emi ʻana o ko kākou hiki ke kāohi i ko kākou kino ke kaumaha kākou. Eia kekahi, hiki i ka hopohopo ke hoʻonui i ke alapine o nā tics.

No ke aha e loaʻa ai kēia mau maʻi tic?

ʻAʻole i ʻike ʻia ke kumu maoli o kēia, akā ua manaʻo nā kānaka noiʻi he nui nā kumu e kōkua i kēia.

• ʻIke ʻia nā ʻano hoʻoilina: Hoʻopili pinepine kēia mau mea i loko o nā ʻohana, ʻo ia hoʻi inā loaʻa i kahi makua a i ʻole kekahi hoahānau pili, ʻoi aku ka nui o ka loaʻa ʻana o ke keiki iā lākou.
• Nā pilikia ʻē aʻe o ka hana: Hiki ke pili kēia i nā kūlana e like me ADHD a me OCD, a mākou i kūkākūkā ai ma mua.
• Nā pilikia i ka wā hāpai: Ua manaʻo ʻia e hoʻonui ʻia kēia pilikia e nā kumu e like me ka puhipaka ʻana o ka makuahine i ka wā hāpai a me ka hānau ʻia ʻana o ka pēpē me ke kaumaha hānau haʻahaʻa.

ʻO ka pilikia o ka hoʻomohala ʻana i kēia maʻi i nā keikikāne he ʻekolu a ʻehā manawa ke kiʻekiʻe aʻe ma mua o nā kaikamahine.

He aha nā hōʻailona o kēia?

Hiki ke hoʻokaʻawale ʻia kēia mau hōʻailona i ʻelua mau māhele nui: Motor Tics a me Vocal Tics. Loaʻa i kēlā me kēia ʻano nā ʻāpana maʻalahi a paʻakikī. E nānā kākou i kēia mau mea ma kahi papa.

Pehea e ʻike ai ke kauka i kēia ma ke ʻano he maʻi?

Ke hele ʻoe e ʻike i ke kauka, e hoʻoholo ʻo ia inā he maʻi tic kēia ma muli o kekahi mau kumu.

• He aha ke ʻano o nā tics āu e loaʻa nei? (Kino, leo, a i ʻole nā ​​​​mea ʻelua?)
• ʻEhia ka lōʻihi o kēia mau mea a puni ?
• I ka makahiki hea i hoʻomaka ai kēia mau mea ?
• Aia kekahi o kou ʻohana i loaʻa i kēia maʻi?
• Ke lawe nei ʻoe i ka lāʻau lapaʻau no kekahi maʻi ʻē aʻe ?

ʻO ka maʻamau, ʻaʻole pono nā hoʻokolohua koko a i ʻole nā ​​scan e ʻike ai i kēia. Eia nō naʻe, he mea kākaʻikahi loa, inā he kānalua ua hoʻokumu ʻia kēia mau hōʻailona e kekahi maʻi ʻē aʻe, hiki i kāu kauka ke kauoha i nā hoʻokolohua koko, kahi MRI, CT scan, a i ʻole EEG.

He aha nā lāʻau lapaʻau no kēia maʻi?

ʻAʻohe lāʻau lapaʻau no nā maʻi tic. Eia nō naʻe, he nui nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi a me ka hōʻemi ʻana i nā hōʻailona, ​​a kōkua iā ʻoe e ola i kahi ola maʻamau. Manaʻo pinepine ʻia ka lāʻau lapaʻau inā hoʻoulu ka tics i ka ʻeha, ka ʻeha, ke hoʻopilikia i nā hana o kēlā me kēia lā, a i ʻole ke kumu o ka pilikia nui o ka noʻonoʻo.

Nā lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i nā hōʻailona koʻikoʻi. Eia nō naʻe, ʻaʻole e hoʻopau loa kēia mau lāʻau i nā tics, e kāohi wale iā lākou.

• Nā agonists Alpha-adrenergic: ʻO kēia nā mea mua e hāʻawi ʻia. Nā laʻana: `Clonidine`, `Guanfacine`.
• Nā lāʻau antipsychotic: Hāʻawi ʻia kēia mau mea inā paʻakikī ke kāohi i nā hōʻailona. Nā laʻana: 'Haloperidol', 'Risperidone'.
• Nā lāʻau lapaʻau antiseizure: Ua ʻike ʻia kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi epilepsy, e like me Topiramate (Topamax), e kōkua i kekahi poʻe me ka Tourette syndrome.
• Nā inikini Botox: Hiki ke hoʻomaha ʻia kahi tic ʻeha ma ke inikini ʻana i kahi inikini 'Botox' i loko o kahi ʻiʻo.

Hoʻōla Hana

He ʻano lapaʻau koʻikoʻi loa kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ke hoʻomaʻamaʻa ʻana i nā ʻano hana like ʻole e hōʻemi i ke alapine (frequency) a me ke koʻikoʻi o nā tics.

• Lapaʻau Hoʻohuli Manaʻo: Ma kēia, ʻike ʻoe i ka manaʻo āu e manaʻo ai ma mua o ka hiki ʻana mai o ka tic a hoʻomaʻamaʻa i ka hana ʻana i kahi mea ʻē aʻe (he pane hoʻokūkū) e pani i ka tic i kēlā manawa. No ka laʻana, inā he tic hamo poʻo kou, ua like ia me ke kau ʻana i kou mau lima ma kou mau kuli i ka wā e hiki mai ai ka manaʻo.
• CBIT (Comprehensive Behavioral Intervention for Tics): He ʻano lapaʻau piha kēia e hoʻohui i ka Habit Reversal therapy, ka hoʻonaʻauao e pili ana i nā tics, a me nā ʻano hana hoʻomaha.

Hoʻoulu ʻana i ka lolo hohonu (DBS)

He lāʻau lapaʻau kēia e mau ana i ke kahua noiʻi a ua noʻonoʻo wale ʻia no ka poʻe me nā hihia koʻikoʻi loa i pane ʻole i nā lāʻau lapaʻau ʻē aʻe. Ma kēia lāʻau lapaʻau, ua hoʻokomo ʻia kahi mea liʻiliʻi i loko o ka lolo a hoʻouna i nā hōʻailona uila.

Pehea e hiki ai iā mākou ke kōkua i kahi keiki me ka maʻi tic?

Inā loaʻa i kāu keiki kēia maʻi, nui nā mea hiki iā ʻoe ke hana ma ke ʻano he makua.

• E hoʻomaopopo i ke kula: E hoʻomaopopo i nā kumu a me ke poʻo kula e pili ana i ke kūlana o kāu keiki i hiki iā lākou ke hāʻawi i ke kākoʻo e pono ai ma ka papa a hōʻoia i ʻole he pilikia me nā keiki ʻē aʻe.
• Kūkulu i ka hilinaʻi iā ʻoe iho: E kōkua i kāu keiki e hana i nā mea a lākou e makemake ai, e hoʻomohala i ko lākou mau talena, a paipai iā lākou e hana i nā hoaaloha.
• Mai hoʻāhewa i kāu keiki: He mea nui loa kēia. ʻAʻole hana ke keiki i kēia mau mea me ka manaʻo. No laila, mai hōʻeha i kāu keiki ma ka ʻōlelo ʻana i nā mea e like me "No ke aha ʻoe e hana nei i kēia?" a i ʻole "E hoʻōki." Akā, e hoʻomaopopo a kākoʻo iā lākou.
• E hahai i nā ʻōlelo aʻoaʻo lapaʻau: E hahai i nā ʻōlelo aʻoaʻo a kāu kauka a hele i nā manawa hoʻonohonoho lapaʻau.