Yu pikin gɛt dɛn abit dɛn ya? Lɛ wi tɔk bɔt tics ɛn tik disɔda!

Sɔntɛnde, yu smɔl pikin kin blink ɔltɛm? Ɔ dɛn kin shrug dɛn sholda? Sɔntɛm jɔs mek yu trot klia sawnd? As mama ɔ papa, na nɔmal tin fɔ mek yu fil smɔl fɔ fred ɛn fred we yu si tin dɛn lɛk dis. Na dɛn tin ya wi kin kɔl tiks . Dis nɔto tin dɛn we yu kin du bay wilful, dɛn kin apin fɔ yusɛf. Natin nɔ de fɔ fred, lɛ wi tɔk bɔt dis ditayli ɛn simpul wan.

Wetin na Tiks? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, tiks na we yu de muv wantɛm wantɛm, kwik kwik wan ɔ sawnd we de apin na yu bɔdi we yu nɔ want ɛn bɔku tɛm. Dɛn nɔ ebul fɔ kɔntrol dɛn. Dɛn kin bi tin lɛk fɔ blink yu yay, fɔ shrug yu sholda, ɔ jɔs fɔ mek "hum" sawnd na yu trot. Dɛn kin apin ɛnisay na yu bɔdi – yu fes, yu sholda, yu an, yu leg. Sɔmtɛm dɛn tik ya kin chenj wan wan tɛm.

Bɔku tɛm, bifo pɔsin tik, i kin fil se i nɔ fayn ɔ i kin want fɔ du sɔntin. Sɔm pipul dɛn kin ol di tik fɔ sɔm tɛm, bɔt i nɔ kin rili fayn. Di diskɔmfɔt kin go afta di tik dɔn.

Dɛn tics ya kin apin to pikin dɛn, mɔ we dɛn ol bitwin 5 ɛn 10. Bɔku tɛm dɛn nɔ kin siriɔs ɛn dɛn kin stɔp ɔ stɔp ɔl as tɛm de go. Bɔt sɔmtɛm, dɛn tik ya kin bi sayn fɔ wan mɔr siriɔs tik disɔda wae nid tritmɛnt.

Us kayn tics de?

Wi sheb tiks to tu men kategori: Motor tics, we involv bodi muvment, en Vocal tics, we involv di vois. dεn tu dεm ya dεn sheb dεm fכs to "simpul" εn "kכmpleks."

Mɔtal tiks kin apia fɔs, dɔn dɛn kin kam wit wɔd tiks. Dɔn bak, simpul tiks kin apia bifo kɔmpleks tiks.

Simpul Mɔtɔ Tiks

Dis na rili shɔt muvmɛnt dɛn we kin apin wantɛm wantɛm ɛn we kin gɛt wan ɔ sɔm mɔsul grup dɛn nɔmɔ.

• Di we aw yu yay de muv, lɛk we yu de blink ɔltɛm ɛn we yu de rɔl yu yay
• Fɔ mek sɔl fes, fɔ mek yusɛf ful
• Sholda ɔg
• We yu de shek yu ed ɔ yu sholda

Simpul Vokal Tiks

Dɛn sawnd ya bak na shɔt sawnd dɛn we dɛn kin mek wantɛm wantɛm.

• Fɔ klia yu trot ɔltɛm
• Fɔ mek nɔys lɛk fɔ skrach di nos
• Fɔ mek sawnd lɛk dɔg we de ala
• Mek shɔt sawnd lɛk "hum", "ah".

Komplex Motor Tiks we de wok

Dis na sɔm ɔganayz, intakɔnekt muvmɛnt patɛn. Dɛn kin gɛt fɔ du wit sɔm difrɛn mɔsul grup dɛn na di bɔdi we de wok di sem tɛm.

• Muvmɛnt dɛn we gɛt fɔ du wit dis, lɛk fɔ ol yu sholda ɛn tɔn yu ed we yu de mek fes.
• Fɔ tɔch ɛn chɛk sɔntin, fɔ tɔch am (e.g., fɔ tɔch wan kɔna na tebul, fɔ tɔch buk).
• Jɔmp, jomp ɔp.
• Fɔ bɛn, fɔ twist.

Komplex Vokal Tiks

Dɛn tin ya kɔmpleks smɔl pas jɔs sawnd, ɛn dɛn kin bi wɔd ɔ frayz.

• Fɔ ripit wɔd ɔ frayz dɛn we dɛn dɔn tɔk.
• Fɔ ripit wɔd ɔ frayz dɛn we ɔda pipul dɛn tɔk jɔs lɛk aw dɛn se (wi kɔl dis Echolalia ).
• Yuz langwej we nɔ fayn, we de tɔk bad bɔt ɔda pipul dɛn, ɔ we nɔ fayn (wi kɔl dis Coprolalia ). Dis nɔto sɔntin we di pikin kin du bay wilful, bɔt na sɔntin we kin apin we i nɔ ebul fɔ kɔntrol am.

So, wetin na tik disɔda?

Tic Disorders na wan grup wae de afekt di nervous system. Na dεn kin mek pɔrsin gɛt tics. Dɛn tics ya ɛn di sayn dɛm wae gɛt fɔ du wit dɛn kin kɔmɔt frɔm smɔl to siriɔs . Bɔrku tɛm, tics nɔr kin pasmak ɛn nɔr kin nid tritmɛnt. Bɔku tɛm, dɛn kin go as pikin dɛn de ol. Bɔt sɔm tɛm, dɛn kin nid tritmɛnt fɔ kɔntrol tiks ɛn ɔda wɛlbɔdi prɔblɛm dɛn we kin kam wit am.

Wetin na di men kayn tik disɔda?

Tri men kayn tik disɔda de. Dɛn tin ya kin difrɛn fɔ di kayn tik wae de de (motor, verbal, ɔr ɔl tu) ɛn aw lɔng di sayn dɛm kin te.

1. Prɔvishɔnal Tik Disɔda / Transiɛnt Tik Disɔda:

• Dɛn pipul ya dɔn gɛt motor tics ɔ verbal tics (wan ɔ ɔl tu) fɔ lɛs wan ia .
• Dis na di kayn tik disɔda wae kin pasmak, wae kin afɛkt lɛk 10% pan di pikin dɛm wae de na dɛn fɔs skul ia.
• Di Diagnostic and Statistical Manual of Mental Disorders (DSM-5) , we na wan gayd we dɔktɔ dɛn kin yuz fɔ no if pɔsin gɛt maynd prɔblɛm, dɛn kin gi dis sik if:
• Wan ɔ mɔ motoka tiks fɔ de, ɔ wan ɔ mɔ tik we dɛn kin tɔk.
• Tik nɔ kin ebul fɔ de fɔ pas wan ia.
• Tiks fɔ dɔn bigin bifo i ol 18 ia.
• Dɛn sayn ya nɔr kin kam bikɔs ɔf ɔda mɛrɛsin (e.g., bren infεkshɔn) ɔr bay mɛrɛsin ɔr drɔgs we dɛn de tek.
• I pɔsibul bak se yu dɔn gɛt ɔda tik diagnosis.

2. Pɛrsistɛns / Kronik Tik Disɔda:

• Dɛn pipul ya dɔn gɛt motor tics ɔ verbal tics (nɔto ɔl tu di sem tɛm, na wan kayn nɔmɔ) fɔ pas wan ia .
• Dɛn kin si dis kɔndishɔn pan less dan 1% pan di pikin dɛm we dɔn rich skul ej.
• Akɔdin to di (DSM-5) , fɔ dis diagnosis:
• Wan ɔ mɔ motor tics fɔ de, ɔ wan ɔ mɔ verbal tics (nɔto ɔl tu).
• Tik fɔ apin bɔku tɛm insay di de, ɔlmost ɛvride, ɔ wan wan tɛm, fɔ pas 12 mɔnt.
• Tiks fɔ dɔn bigin bifo i ol 18 ia.
• Dɛn sayn ya nɔr kin kam bikɔs ɔf ɔda mɛrɛsin ɔr wae dɛn de tek mɛrɛsin ɔr drɔgs.
• I nɔ pɔsibul fɔ no se yu gɛt di sik we dɛn kɔl Tourette Syndrome.

3. Di sik we dɛn kɔl Tourette Syndrome:

• Dɛn pipul ya dɔn gɛt motor tics ɛn verbal tics (ɔl tu kayn) fɔ pas wan ia.De na.
• Dɛn kin tek dis as di kayn sik we tik kin gɛt we kin rili bad .
• Akɔdin to di (DSM-5) , fɔ dis diagnosis:
• Tu ɔ mɔ motoka tik dɛn fɔ de ɛn at le wan wɔd tik (dɛn nɔ nid fɔ de di sem tɛm).
• Tiks fɔ de fɔ at le wan ia. Dɛn tin ya kin apin bɔku tɛm insay di de (bɔku tɛm na smɔl smɔl tin dɛn we kin kɔntinyu fɔ apin), lɛk ɛvride, ɔ wan wan tɛm.
• Tiks fɔ dɔn bigin bifo i ol 18 ia.
• Dɛn sayn ya nɔr kin kam bikɔs ɔf ɔda mɛrɛsin ɔr wae dɛn de tek mɛrɛsin ɔr drɔgs.

Aw kɔmɔn tin fɔ gɛt tik disɔda?

Tik disɔda kin rili bɔku pas aw yu kin tink. Risach pipul dɛn se pan ɛvri 50 pikin dɛn kin gɛt wan sik we dɛn kɔl Tourette Syndrome ɔ ɔda tik disɔda .

Aw e kin fil we yu gɛt tik?

Bifo tik kam, yu kin fil tranga wan fɔ du am. Lɛk di want fɔ skrach say we yu it, ɔ di filin we yu kin fil se yu kroch de kam. Wan kayn tɛnsiɔn kin bil na di pat na di bɔdi usay di tik de kam, ɛn we di tik de kam, da tɛnsiɔn de kin kɔmɔt fɔ sɔm tɛm ɛn yu kin fil fri.

Sɔntɛnde, i pɔsibul fɔ kɔntrol di tik fɔ sɔm sɛkɔn to sɔm minit, bɔt i kin tek bɔku tray. As tɛm de go, di tin we kin mek i want fɔ du sɔntin kin bi pɔsin we i nɔ ebul fɔ bia.

I nɔ kin izi fɔ kɔntrol tik we yu strɛs pasmak . Tin dɛm lɛk strɛs ɛn taya kin mek tics bɔku. I sɔprayz fɔ no se sɔntɛnde tik kin bɔku we di bɔdi rilaks ɔ we yu de yu wan. If pɔsin tɔk bɔt di tik ɔ pɔynt am, di tik kin bɔku bak. Bɔt bɔku tɛm, tics nɔ kin apin we yu de slip . Dɔn bak, tik kin stɔp we yu de kɔnsɛntret pan sɔntin (e.g. skul wok, ɔda wok).

Ɛni kayn tik de we de ambɔg pɔsin ɛn we rili bad?

Yɛs, sɔm tik dɛn kin ambɔg pɔsin. Fɔ ɛgzampul, sɔm motoka tics kin mek yu nak yusɛf na yu fes ɔ mek yu nɛk pen bay we yu de shek yu nɛk bɔku tɛm.

Coprolalia , we wi bin dɔn tɔk bɔt, na fɔ tɔk wɔd ɛn frayz dɛn we nɔ fayn fɔ insɛf, ɛn i kin bi big prɔblɛm bak. Dis kin mek di pikin tan lɛk se na bay wilful dɛn de mɔna ɔda pipul dɛn ɔr de biev bad. Bɔt fɔ tru, na sɔntin we pɔsin nɔ ebul fɔ kɔntrol. Pikin dɛn we gɛt kɔprolalia kin gɛt pɔnishmɛnt we nɔ nid na skul ɛn na os, ɛn ɔda pikin dɛn kin buli dɛn . di kכprolalia kin afekt bitwin 10% εn 15% pan di pikin dεm we gεt Tourette sεndrכm.

Wetin kin mek pɔsin gɛt tiks?

Risach pipul dɛn stil nɔ ebul fɔ no di rayt tin we kin mek pɔsin gɛt tics.Yɛs. Bɔt sɔm sayɛnsman dɛn biliv se na di chenj dɛn we de apin na di bren we de kɔntrol di we aw pɔsin de muv, kin mek dɛn tin ya. Dɔn bak, bikɔs dɛn kin pas tics frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn (bayolojikal famili dɛn), dɛn kin tink se sɔntɛm wan jɛnɛtik link de .

Sɔm ɔda tin dɛm wae yu kin si wit di sik dɛm wae tik kin kam wit na:

• Atɛnshɔn-Dɛfisit/Haypa Aktiviti Disɔda (ADHD) .
• Disɔda we de mek pɔsin wɔri
• Obsesiv-Kɔmpulsiv Disɔda (OCD) .

Sɔmtɛm, pipul dɛm wae gɛt ɔda wɛl bɔdi prɔblɛm, lɛk Huntington’s disease ɔr encephalitis (wan infekshɔn na di bren), kin gɛt tik ɔr muvmɛnt lɛk tik bak. Tiks kin apin bak afta yu dɔn yuz drɔgs, lɛk kɔkɛyn ɔ amfɛtamin . Bɔt dɛn nɔ kin tek di tik we dɛn ɔda tin ɔ drɔgs ya kin kam wit as tik disɔda.

Wetin na de risk factor fɔ dis sik?

Tiks kin apin mɔs pan pikin dɛn, mɔ we dɛn smɔl . Pikin dεm kin gεt tics as yכng lεk 4 ia. Bɔt dis sik kin apin mɔ bitwin di ej dɛm we dɛn ol 5 ɛn 10. Dɔn bak, bɔy pikin dɛn kin gɛt tiks pas gyal pikin dɛm.

Aw dɛn kin no bɔt tik disɔda?

Di pɔsin we de kia fɔ yu pikin go chɛk yu pikin ɛn tek tɛm lisin to dɛn sik dɛn. If i pɔsibul, tek wan ɔ tu fim dɛn we yu pikin gɛt tik . Dis go ɛp di dɔktɔ fɔ si di rayt tin we yu pikin de go tru.

Di dɔktɔ kin no if di pikin gɛt tik disɔda, i kin dipen pan di kayn tik ɛn aw lɔng dɛn dɔn de de. Di dɔktɔ kin want fɔ chɛk bak fɔ ɔda tin dɛn we kin kam wit tics, lɛk ADHD ɔ OCD .

Aw dɛn kin trit tik disɔda?

Di tritmɛnt dipen pan di kayn ɛn aw di pikin in sik bad. If di pikin in sik nɔ kin izi, dɛn nɔ kin nid ɛni tritmɛnt . Tiks kin go bak fɔ dɛnsɛf. Simpul advays dɛn fɔ ɛp yusɛf, lɛk fɔ avɔyd strɛs ɛn taya, kin ɛp bɔku pikin dɛn.

Bɔt if yu pikin in tiks bad bad wan ɛn i de ambɔg in layf ɛvride , di dɔktɔ kin tɛl yu fɔ gi yu bihayvya tritmɛnt , mɛrɛsin , ɔ ɔl tu.

Bihayvya Tɛrapi

Trenin fɔ Rivɛl AbitTru bihayvya tεrapi, dεn kin tich di pikin fכ mεnεj dεn simptom dεm εn lan wan kכmpεt rεspכns fכ riples di tik. Fɔ ɛgzampul, if di pikin in tik de tap in sholda, di dɔktɔ kin praktis fɔ ol di pikin in an dɛn te i nɔ want fɔ tap in sholda.

Wan ɔda tritmɛnt na Kɔmprɛhɛnsif Biɛvhɔral Intɛrvɛnshɔn fɔ Tiks (CBIT) . Dis tritmɛnt de ɛp big pikin dɛn fɔ manej dɛn tics. I gɛt fɔ du wit trenin fɔ chenj di abit, ɛdyukeshɔn fɔ tiks, ɛn fɔ rilaks.

We dɛn de gi di pikin in bihayvya tɛrapi, di saykayatrist kin advays yu bak bɔt aw fɔ sɔpɔt di pikin as famili ɛn mek shɔ se di pikin de gɛt di edyukeshɔn sɔpɔt we dɛn nid.

Mɛrɛsin we dɛn kin gi

If tiks kɔntinyu ɛn ambɔg pikin in layf, mɛrɛsin fɔ tiks kin ɛp.

Fɔ smɔl smɔl tiks: Mɛrɛsin lɛk klonidin ɛn guanfasin kin ɛp. Dɛn kin yuse dɛn mɛrɛsin ya bak fɔ trit ADHD ɛn wɔri, bikɔs dɛn kayn tin ya kin de togɛda wit tics.

Fɔ mɔ siriɔs tics: Nyurolɛptik mɛrɛsin , lɛk aripiprazole ɛn olanzapine, kin wok fayn. Dɛn mɛrɛsin ya kin wok bay we dɛn kin chenj di tin dɛn we di nyurotransmitta dɛn we de kɔntrol di we aw di bɔdi de muv kin du.

Aw lɔŋ tics kin las?

Tiks kin bɛtɛ as tɛm de go ɛn kin ivin stɔp ɔltogɛda. Sɔntɛnde, tik kin jɔs las fɔ sɔm mɔnt, bɔt bɔku tɛm dɛn kin kam ɛn go fɔ lɔng lɔng tɛm.

Tik kin tranga pasmak bitwin 8 ɛn 17 ia .

Yu tink se dɛn kin mek dɛn nɔ gɛt tik?

Sayɛnsman dɛn stil nɔ ebul fɔ no klia wan wetin mek sɔm pipul dɛn kin gɛt tics ɛn ɔda wan dɛn nɔ kin gɛt tics, so dɛn nɔ kin ebul fɔ stɔp dɛn .

If mi pikin gɛt tiks, aw a go tek kia ɔf am?

If yu pikin gɛt smɔl smɔl tiks, dɛn simpul advays ya kin ɛp:

• Nɔ wɔri ɛn strɛs: Fɛn sɔntin we yu pikin lɛk fɔ du ɛn we i lɛk fɔ du. Fɔ ɛgzampul, wan gem ɔ sɔntin we pɔsin lɛk fɔ du. Tiks kin bɔku we yu pikin de fil strɛs ɔr de wɔri. We yu pikin de du sɔntin, i go de du sɔntin mɔ ɛn i nɔ go strɛs.
• Nɔ taya: Tiks kin bɔku as di pikin de taya mɔ ɛn mɔ. Di pikinSi if yu get gud nait slip.
• Tray fɔ ignore yu pikin in tiks: Nɔ pe atɛnshɔn to yu pikin in tiks we nɔ nid fɔ du. Fɔ tɔk bɔt dɛn ɛn tink bɔt dɛn kin mek di tiks wɔs.
• Nɔ pɔnish: Nɔ ala pan yu pikin we i tik ɔ tɛl am fɔ stɔp. Dis na sɔntin we i nɔ ebul fɔ kɔntrol. We yu vɛks ɔ blem am, dat nɔ go sɔlv di prɔblɛm.
• Kɔmfɔt ɛn ɛnkɔrej di pikin: Mek di pikin ɔndastand se ɔltin fayn ɛn tiks nɔto natin fɔ shem. Mek dɛn fil se yu de wit dɛn.
• Tɛl ɔda pipul dɛn bifo tɛm: Tɛl yu padi ɛn fambul dɛn bɔt yu pikin in tiks bifo tɛm. Dis we ya, dɛn go no bɔt am ɛn dɛn nɔ go panik ɔ riak tumɔs we tik apin.
• Wok wit yu pikin in skul: Mek yu pikin in ticha ɛn ɔda pipul dɛn we de wok na di skul no bɔt yu pikin in tiks. If yu pikin in tiks de mek prɔblɛm na skul, wok wit dɛn fɔ fɛn sɔlv. Yu pikin kin nid fɔ gɛt sɛpret ples ɔ ɛkstra tɛm we dɛn de du ɛgzam.

Ustɛm a fɔ kɛr mi pikin go to dɔktɔ?

Sɔm tics nɔ kin siriɔs. If yu pikin in tiks smɔl ɛn nɔ prɔblɛm de, yu nɔ go nid fɔ go to dɔktɔ. Di tiks kin go fɔ dɛnsɛf. Bɔt if yu de wɔri bɔt yu pikin in tik, ɔ if di tik tan lɛk dis, mek apɔntinmɛnt fɔ go to dɔktɔ:

• If e kin apun ɔltɛm, ɔr if e kin wɔs ɔr kin apun bɔrku tɛm.
• If i mek sɔshal ɔ imɔshɔnal prɔblɛm (e.g. buli frɔm ɔda pikin dɛn, shem).
• If i de mek pɔsin fil pen ɔ nɔ fil fayn .
• If i de ambɔg di wok we dɛn de du na skul ɔ ɔda tin dɛn we dɛn kin du ɛvride.
• If e kam wit wamat, pwɛl hat, ɔr de tink bɔt fɔ du bad to insɛf.

Us kwɛstyɔn dɛn a fɔ aks mi pikin in dɔktɔ?

If yu pikin gɛt tik, yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Mi pikin in tiks smɔl ɔ i siriɔs?
• Mi pikin gɛt tik disɔda?
• If na so, us kayn sik we tik kin kam wit mi pikin?
• Us tritmɛnt dɛn yu kin advays?
• Yu tink se dɛn tik ya go go fɔ dɛnsɛf?
• Aw dis tin kin afɛkt mi pikin in lanin ɛn aw i de wit ɔda pipul dɛn? Wetin a fɔ du bɔt am?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Na nɔmal tin fɔ fil wɔri, strɛs, ɛn fred we yu pikin gɛt tik. Bɔt pan ɔl we tik kin mek pɔsin fred, bɔku tɛm i nɔ kin siriɔs . Infakt, bɔku tɛm, smɔl smɔl tik dɛn kin go fɔ dɛnsɛf.

Di tin we impɔtant pas ɔl na fɔ mek yu pikin gɛt yu lɔv, ɔndastandin, ɛn sɔpɔt am.Mek di pikin ɔndastand se nɔto in wangren de, ɛn dis nɔto in fɔlt.

Bɔt if yu pikin in tiks kin apin ɔltɛm, i kin tranga, ɔ i kin ambɔg di tin dɛn we i kin du ɛvride ɔ fɔ wok na skul, go to dɔktɔ wantɛm wantɛm. Di dɔktɔ go ebul fɔ tek tɛm chɛk yu pikin in tiks ɛn no us tritmɛnt bɛtɛ, if ɛni wan de. Di tin we impɔtant pas ɔl na fɔ nɔ panik, bɔt fɔ gɛt kɔrɛkt infɔmeshɔn ɛn advays frɔm dɔktɔ.

` Tik, tik dizayd, nyurolɔjik sik, bihayvya tɛrapi, Tourette sindrom, pikin dɛn maynd wɛlbɔdi, muvmɛnt dizayd