Ke hoʻoluliluli nei kāu keiki i kona kino me ka hiki ʻole ke kāohi? Ke hana nei lākou i nā walaʻau? ʻO ia anei ka (Tourette Syndrome)?

Ua ʻike paha ʻoe i kāu keiki ponoʻī, ke keiki a kahi malihini, a i ʻole ma ke kula a ma ke alanui paha, ʻālohilohi koke kekahi mau keiki i ko lākou mau maka, hāpai i ko lākou mau poʻohiwi, huli i ko lākou ʻāʻī me ke ʻano ʻē, a hana wale paha i kahi leo e like me ka mea e hoʻomaʻemaʻe ana i ko lākou puʻu. I kekahi manawa ma ke ʻano he poʻe mākua, manaʻo paha mākou, "Ke hoʻohenehene nei kēia keiki? A i ʻole ke hoʻāʻo nei ʻo ia e kiʻi i ka manaʻo o kekahi?" Akā ʻo ka ʻoiaʻiʻo, he mau mea kēia i hiki ʻole iā lākou ke kāohi, hana maoli lākou. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano e like me kēia, he ʻano paʻakikī iki, akā i ka wā e maopopo ai, hiki ke mālama nui ʻia. ʻO ia ka `(Tourette Syndrome)` a i ʻole Tourette Syndrome, he ʻano neurological.

He aha ka `(Tourette Syndrome)`? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo `(Tourette Syndrome)` kahi maʻi e hoʻopilikia ai i ko mākou lolo a me ka ʻōnaehana nerve. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka loaʻa koke ʻana o nā neʻe kino a i ʻole nā ​​​​leo i hiki ʻole iā lākou ke kaohi. Kāhea mākou i kēia ma ke ʻano lapaʻau he `(tics)` a i ʻole `tics.` E noʻonoʻo iā ia e like me kahi `switch` liʻiliʻi i loko o ko mākou kino e `on-off`, akā ʻaʻole hiki iā mākou ke kaohi iā ia e like me kā mākou makemake.

ʻElua ʻano nui o kēia mau `(tics)`:

1. `(Motor tics)`: ʻO kēia nā `(tics)` e pili ana i nā neʻe kino. Eia kekahi laʻana, ke kīkoʻo ʻana i nā poʻohiwi, ka ʻimo ʻana o nā maka, ke lulu ʻana o ke poʻo, a me ka hoʻolele ʻana i nā lālā.

2. Nā tics leo: ʻO kēia nā tics e pili ana i ka leo. Eia kekahi laʻana, ka hana ʻana i nā walaʻau e like me ka hoʻomaʻemaʻe ʻana i ka puʻu, ka hanu ʻana ma ka ihu, ka ʻū ʻana, ka ʻōlelo ʻana i nā huaʻōlelo, a i kekahi manawa e hoʻōho ana.

ʻO ka maʻamau, hoʻomaka mua nā "motor tics", a ukali ʻia e nā "vocal tics". ʻO ka "Tourette Syndrome" ka mea koʻikoʻi loa o kēia mau "maʻi tic", a i ʻole ka mea i ʻike nui ʻia nā hōʻailona. Hoʻomaka pinepine ia i ka wā kamaliʻi, ma waena o 5 a me 7 mau makahiki. ʻO ka mea pōmaikaʻi, no nā poʻe he nui, e emi nui ana kēia ʻano i ko lākou wā ʻelemakule, ʻoiai i ko lākou wā ʻōpio. Hiki paha ke nalo loa.

Pehea ka maʻamau o ka `(Tourette Syndrome)`?

Ua hōʻike ʻia nā haʻawina ma ka awelika, ma kahi o hoʻokahi i loko o 100 mau keiki e loaʻa paha kekahi ʻano o ka "maʻi tic." Eia naʻe, ʻoi aku ka haʻahaʻa o ka nui o ka "Tourette Syndrome". ʻO ia hoʻi, hoʻokahi wale nō i loko o 160 mau keiki i hōʻike ʻia he "Tourette Syndrome."

Aia kekahi mau ʻano maʻi tic like ʻole? ʻO Tourette Syndrome wale nō anei?

ʻAʻole, ʻo Tourette Syndrome kekahi ʻano o ka maʻi tic. Aia kekahi mau ʻano ʻē aʻe. E haʻi pololei kāu kauka iā ʻoe i ke ʻano o ka maʻi tic āu e loaʻa nei ma muli o kāu mau hōʻailona.

Hiki ke hoʻokaʻawale nui ʻia nā maʻi Tic e like me kēia:

• Ka maʻi tic kūikawā: Ma kēia, ʻo nā tics motor, nā tics leo, a i ʻole nā ​​​​mea ʻelua e kū nei no ka liʻiliʻi ma mua o hoʻokahi makahiki.
• Ka maʻi tic mau (mau): Ma kēia, aia kahi hui pū ʻana o nā tics motor a i ʻole nā ​​​​tic leo (akā ʻaʻole ʻelua) no ka ʻoi aku o hoʻokahi makahiki.
• ʻO ka Tourette Syndrome: I kēia hihia , pono e loaʻa nā tics motor a me nā tics leo no nā makahiki he ʻoi aku ma mua o hoʻokahi makahiki.

He aha nā hōʻailona o ka `(Tourette Syndrome)`?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ka hōʻailona nui o ka Tourette Syndrome ʻo ia nā tics. Hoʻomaka pinepine kēia ma waena o nā makahiki 5 a me 7, a piʻi pinepine a puni ka makahiki 12. Ma hope o kēlā, e emi mālie ana lākou.

Hiki i kēia mau `(tics)` ke `(simple)` a i ʻole `(complex)`:

Nā Tics maʻalahi a me nā Tics paʻakikī

• Nā tics maʻalahi: He mau neʻe wikiwiki loa kēia a i ʻole nā ​​​​leo e pili ana i kekahi mau hui ʻiʻo. E noʻonoʻo e hāpai i kou mau poʻohiwi, e ʻālohilohi i kou mau maka, a i ʻole e hanu ana ma kou ihu.
• Nā tics paʻakikī: Pili kēia i nā neʻe ʻana he nui a me nā hui ʻiʻo. No ka laʻana, ʻo ka lele ʻana i luna a i lalo, ka hana hou ʻana i kahi huaʻōlelo a i ʻole ka māmalaʻōlelo, ka hana hou ʻana i nā mea a haʻi e ʻōlelo nei (echolalia), a me ka ʻōlelo ʻana i nā huaʻōlelo pelapela (coprolalia) he mau laʻana ia o nā tics paʻakikī.

ʻO kekahi mau laʻana hou aʻe o ka `(Motor Tic)`:

• Ke lele ʻana o ka lālā a i ʻole ke kiola ʻana
• Ke kūlou nei ma ka pūhaka
• ʻŪmiʻi pinepine ʻana o nā maka
• Ka ʻūlū koke ʻana a i ʻole ka wili ʻana o ke poʻo
• Lele i luna
• Ke hoʻoneʻe nei i ka makau
• Nā helehelena helehelena i hoʻopāpā ʻia a i kaha ʻia paha

ʻO kekahi mau laʻana o `(Vocal Tic)`:

• Ke hana nei i kahi walaʻau e like me ka ʻīlio e hae ana
• Ke hana nei i ka leo hānō
• Uwau koke
• Ka hanu ʻana me ke kani ʻūlū ma ka ihu
• Hoʻomaʻemaʻe pinepine i ka ʻāʻī

Hiki i kēia mau `(Tics)` ke lilo i mea weliweli i kekahi manawa?

ʻO ka hapa nui o ka manawa, ʻaʻole nui ka pōʻino o nā tics. Akā hiki i kekahi mau tics motor ke hōʻeha iā ʻoe iho. Eia kekahi laʻana, ke kuʻi ʻana iā ʻoe iho ma ka maka.

Eia kekahi, aia kekahi `(vocal tic)` i kapa ʻia ʻo `(coprolalia)`. ʻO ia ka ʻōlelo ʻana i nā huaʻōlelo pelapela a kūpono ʻole paha i ka nohona. Ma muli o kēia, manaʻo paha kekahi poʻe e hoʻoluhi a hoʻopilikia ana kēia kanaka i nā poʻe ʻē aʻe. ʻOi loa aku inā loaʻa i ke keiki kēia ʻano `(tic)`, hiki ke hoʻopaʻi ʻia ʻo ia me ke kumu ʻole ma ke kula a ma ka home paha.

ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana ʻaʻole kēia mau "tics" he mea a kekahi e hana ai me ka manaʻo. He mea ia e hana ʻia ma waho loa o ke kaohi.

He aha ke kumu o ka Tourette Syndrome?

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka Tourette Syndrome . Eia nō naʻe, no ka mea, he mea maʻamau ka holo ʻana o ke ʻano i loko o nā ʻohana, manaʻoʻiʻo nā kānaka ʻepekema he mana hoʻoilina ko lākou. ʻO ia hoʻi, aia kahi manawa e hoʻoilina ai nā keiki i ke ʻano mai ko lākou mau mākua mai.

Eia kekahi, aia kekahi manaʻo e pili ana i kekahi mau loli i ka hana o nā neurotransmitters (ʻo ia nā kemika e kaohi i kā mākou ʻano a me nā neʻe ʻana) i loko o ko mākou lolo, ʻoiai kahi kaulike ʻole i ka neurotransmitter i kapa ʻia ʻo dopamine, hiki ke kōkua i kēia.

He aha nā kumu pilikia e hoʻonui ai i ka Tourette Syndrome?

Aia kekahi mau kumu pilikia nui e kōkua i kēia maʻi:

• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o ka Tourette Syndrome i nā keikikāne ʻekolu a ʻehā manawa ma mua o nā kaikamahine.
• Moʻolelo ʻohana: E like me ka mea i ʻōlelo ʻia ma mua, inā loaʻa kēia maʻi i kekahi o ka ʻohana, hiki ke hoʻoili ʻia i nā keiki ma o nā genes.
• Olakino ma mua o ka hānau ʻana: Inā puhipaka ka makuahine i ka wā hāpai a i ʻole he mau pilikia olakino ʻē aʻe, hiki i ke keiki ke piʻi aʻe ka pilikia o ka loaʻa ʻana o ka Tourette Syndrome. Hiki ke pili pū me ke kaumaha hānau haʻahaʻa.

Pehea e ʻike ʻia ai ka Tourette Syndrome?

I mea e ʻike ai ke kauka i kahi `(maʻi tic)`, pono e hoʻomaka ka `(tics)` ma mua o ka piha ʻana o ka makahiki 18. I mea e ʻike ʻia ai me ka `(Tourette Syndrome)`, pono e loaʻa nā `(motor tics)` a me nā `(vocal tics)` no hoʻokahi makahiki a ʻoi .

ʻAʻohe hoʻāʻo koko kikoʻī a scan paha e ʻike ai i ka Tourette Syndrome. Akā, e hoʻolohe pono kāu kauka i kāu mōʻaukala olakino a me nā hōʻailona (a i ʻole kāu keiki). Eia kekahi mau mea āu e makemake ai e ʻike e pili ana i nā Tics:

• ʻEhia pinepine ka hana ʻana o nā tics?
• I ka makahiki hea i hoʻomaka ai ʻo `(Tics)`?
• He aha ke ʻano o ka `(tics)` (maʻalahi a paʻakikī paha)?

Eia kekahi, hiki i ke kauka ke hana i kekahi mau hoʻokolohua e hoʻopau i nā kūlana olakino ʻē aʻe e hiki ai ke hoʻoulu i nā tics.

Hiki ke loaʻa nā pilikia olakino ʻē aʻe me ka `(Tourette Syndrome)`?

ʻAe, he nui ka poʻe me ka Tourette Syndrome e loaʻa paha i hoʻokahi a ʻoi aku paha nā maʻi olakino ʻē aʻe. ʻO kēia mau maʻi he mau maʻi olakino noʻonoʻo a ʻano paha. Eia kekahi mau laʻana:

• Nā maʻi hopohopo
• Ka maʻi hoʻonui ʻole o ka nānā ʻana (ADHD)
• Ka Maʻi ʻAutism Spectrum (ASD)
• Kaumaha
• Nā kīnā aʻo
• Ka maʻi hoʻopilikia-koʻikoʻi (OCD)
• Ka Maʻi Kūʻē Kūʻē (ODD)

No laila, he mea nui loa e noʻonoʻo i kēia mau kūlana pili i ka wā e mālama ai i ka Tourette Syndrome.

He aha nā lāʻau lapaʻau no ka `(Tourette Syndrome)`?

Inā he ʻoluʻolu loa nā `(tics)`, ʻo ia hoʻi, ʻaʻole nui ko lākou hopena i nā hana o kēlā me kēia lā, ʻaʻole pono paha ka lāʻau lapaʻau. Eia nō naʻe, inā koʻikoʻi nā `(tics)`, ʻo ia hoʻi ke hoʻopilikia nei lākou i ka hana, ke kula, nā pilina pilikanaka, a inā paha kekahi `(tics)` e hōʻeha iā ʻoe iho, pono maoli ka lāʻau lapaʻau.

Hoʻohana nui ʻia nā lāʻau lapaʻau a me ka hoʻoponopono ʻana i ka hana no kēia.

Kōkua anei nā lāʻau lapaʻau?

ʻAe, hiki i ke kauka ke kuhikuhi i kahi papa o nā lāʻau i kapa ʻia ʻo neuroleptics no ka Tourette Syndrome. Hana kēia mau lāʻau ma ka hoʻopaʻa ʻana i ka hana o kahi kemika i kapa ʻia ʻo dopamine i loko o ka lolo. No ka mea, ʻo ka piʻi ʻana o nā pae dopamine ua manaʻo ʻia he kumu ia o ka hoʻonui ʻia ʻana o nā tics.

Eia kekahi, hiki ke hāʻawi ʻia nā lāʻau lapaʻau kaʻawale no nā kūlana ʻē aʻe e kū mai ana me ka Tourette Syndrome, e like me ADHD a i ʻole OCD.

Pehea e hiki ai i ka behavioral therapy ke kōkua?

Ua ʻōlelo mākou ma mua he hiki ʻole ke kāohi a hiki koke mai nā tics e hele mai me ka Tourette Syndrome. Eia nō naʻe, aia nā ʻano hana hou e hiki ke kōkua i ka hoʻokele ʻana i kēia mau tics a hōʻemi i ko lākou hopena maikaʻi ʻole i ke ola o kēlā me kēia lā.

ʻO kekahi o nā lāʻau lapaʻau nui ʻo ia ka "Comprehensive Behavioral Intervention for Tics (CBIT)" . I ka ʻōlelo maʻalahi, hana ia i kēia:

1. Ke aʻo ʻana pehea e pane aku ai i ka `(tics)`: Ke manaʻo ʻoe e hiki mai ana kahi `(tic)`, hoʻomaʻamaʻa ʻoe e hana i kahi mea kūʻē iā ia, ʻo ia hoʻi, e hana ana i kahi neʻe a hana ʻē aʻe e kāohi ana i ka `(tic)`. Ua kapa ʻia kēia he `(competing response)`. Eia kekahi laʻana, inā manaʻo ʻoe e ʻālohilohi ana ʻoe, hoʻomaʻamaʻa ʻoe e pani pono i kou mau maka.

2. Ke aʻo ʻana e ʻike i ka `(Tics)`: Manaʻo kekahi poʻe i kahi ``makemake mua`` ma mua o ka hiki ʻana mai o kahi `(tic)`. E like me ka manaʻo ʻana i kahi mea ʻē ma ka ihu ma mua o ka ʻūhā ʻana. Ke aʻo ʻoe e ʻike i kēia makemake mua, hiki iā ʻoe ke hoʻāʻo e kāohi a hoʻololi paha iā ia ma mua o ka hiki ʻana mai o ka `(tic)`.

3. Kōkua i ka hōʻemi ʻana i ka `(Tics)`: Hoʻonui pinepine ka `(tics)` i ka wā e hopohopo ai ʻoe, kaumaha, a hauʻoli nui paha. No laila, ma ka hoʻomaʻamaʻa ʻana e noho mālie i ka hiki a me ka pale ʻana i nā kūlana hopohopo, hiki iā ʻoe ke hōʻemi i ke alapine o nā `(tics)`.

He aha ka wā e hiki mai ana o kekahi me ka `(Tourette Syndrome)`?

ʻAʻohe lāʻau lapaʻau no ka Tourette Syndrome. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, hoʻomaikaʻi pinepine ke ʻano i ka wā e ʻelemakule ai ka poʻe . ʻOiai e hoʻomau paha nā tics, ʻaʻole pono ka hapa nui o ka poʻe i ka lāʻau lapaʻau a i ʻole ka hoʻōla ʻana i ka wā e makua ai. Ola ka poʻe me ka Tourette Syndrome i kahi ola maʻamau . ʻO ke ʻano kēia, ʻaʻole ia he kūlana e ola lōʻihi ana, e hoʻopōkole ana i ke ola.

Hiki ke pale ʻia ka Tourette Syndrome?

ʻAʻole, ʻaʻohe ala e pale aku ai i ka Tourette Syndrome. ʻO kēia no ka mea he mau mana hoʻoilina kona. Eia nō naʻe, inā ʻike mua ʻia a mālama pono ʻia , hiki ke pale ʻia ka Tourette Syndrome mai ka lilo ʻana i mea ʻino a hiki ke hoʻemi ʻia i kekahi ʻano a hiki i ka wā makua.

He aha nā mea e hiki ke hana ʻia e maʻalahi ai ka noho ʻana me ka Tourette Syndrome?

Hiki ke paʻakikī ke noho me ka Tourette Syndrome, ʻoiai no nā keiki. Hiki ke paʻakikī ke kālele i ka hana kula a me ka launa pū ʻana me nā poʻe ʻē aʻe. No laila, ʻo ke kākoʻo ikaika mai nā hoaaloha, ka ʻohana, a me nā kumu e hiki ke kōkua nui i kahi keiki me Tourette Syndrome e hoʻokele i ke kūlana.

Hiki i nā keiki me Tourette Syndrome ke pōmaikaʻi mai:

• Ke aʻo ʻana ma nā lumi papa me nā haumāna emi.
• Ke loaʻa ʻana o ka nānā pilikino ma ke kula.
• ʻO ka loaʻa ʻana o ka manawa keu e hana i nā mea e like me nā haʻawina.

ʻO ka mea nui loa, ʻo ia ka maopopo pololei o ke keiki, ka ʻohana, a me nā kumu i kēia kūlana. A laila, ma kahi o ka hoʻāhewa ʻana a i ʻole ka hoʻohenehene ʻana i ke keiki, hiki i nā mea a pau ke kōkua iā ia a kākoʻo iā ia i ka hoʻomohala ʻana i kona mau hiki.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka no ka `(Tourette Syndrome)`?

Inā hōʻike kekahi kanaka me Tourette Syndrome i kekahi o kēia mau hōʻailona, ​​​​pono lākou e ʻike koke i ke kauka :

• Inā ʻoe e hana ʻino.
• Inā ʻoe e hōʻeha iā ʻoe iho.
• Inā ʻoe e kamaʻilio nei e pili ana i ka pepehi kanaka. (I ia mau hihia, ma Sri Lanka, hiki iā ʻoe ke kelepona i nā lawelawe kākoʻo e like me 1926 Sumithrayo.) I kahi pilikia, e kelepona i ka 119.

ʻO ka Tourette Syndrome kahi maʻi neurological e hoʻoulu ai i ke kanaka e hana i nā neʻe a i ʻole nā ​​​​leo i makemake ʻole ʻia (tics). Hoʻomaka pinepine ka maʻi i ka wā kamaliʻi a hoʻomaikaʻi pinepine i ko lākou wā ʻelemakule. ʻO ka lāʻau lapaʻau a me ka behavioral therapy nā lāʻau lapaʻau nui no ka Tourette Syndrome. Mālama nā neurologists a i ʻole psychiatrist i ke kūlana.

Leka Lawe-Home

ʻAe, e nānā hou kākou i kekahi o nā mea a mākou i kamaʻilio ai (Tourette Syndrome) a mākou e manaʻo nei he mea nui iā ʻoe:

• ʻO ka Tourette Syndrome kahi maʻi lolo a me ka ʻōnaehana nerve e kū nei i nā keiki. Hoʻoulu ia i nā tics hiki ʻole ke kāohi ʻia (nā neʻe ʻana o nā ʻiʻo, nā leo).
• ʻAʻole kēia mau "tics" i manaʻo ʻia. No laila, mai hoʻāhewa i ke keiki.
• I ka hapanui o nā hihia, e emi nui ana kēia ʻano me ka ʻelemakule, ʻoiai hoʻi i nā poʻe ʻōpio.
• Hiki ke mālama maikaʻi ʻia kēia kūlana me ka lāʻau lapaʻau a me ka cognitive behavioral therapy (CBIT).
• He mea nui loa ke aloha, ka hoʻomaopopo ʻana, a me ke kākoʻo e loaʻa ana i kahi keiki me ka Tourette Syndrome mai ka ʻohana, nā kumu, a me nā hoaaloha.
• Inā makemake ʻoe e ʻike hou aʻe e pili ana i kēia, a inā kānalua ʻoe he mau hōʻailona kēia o kāu keiki, e nīnau aku i kahi pediatrician, neurologist, a psychiatrist paha no ka ʻōlelo aʻo.

Mai hopohopo, ʻo Tourette Syndrome kahi maʻi e hiki ke mālama pono ʻia me ka hoʻomaopopo pono a me ka hoʻokele pono.

ʻO ka Tourette Syndrome, Tics, Motor Tics, Vocal Tics, Neurology, Pediatrics, Behavioral Therapy