Yu pikin de shek in bɔdi we i nɔ ebul fɔ kɔntrol? Dɛn kin mek nɔys? Na (Tourette Syndrome) na dat?

Yu go mɔs dɔn si yu yon pikin, strenja in pikin, ɔ ivin na skul ɔ na strit, sɔm pikin dɛn kin blink dɛn yay wantɛm wantɛm, shrug dɛn sholda, tɔn dɛn nɛk strenj wan, ɔ jɔs mek nɔys we tan lɛk se dɛn de klia dɛn trot. Sɔntɛnde as big pipul, wi kin tink se, "Dis pikin de jok? Ɔ i de tray fɔ mek pɔsin pe atɛnshɔn to am?" Bɔt fɔ tru, dɛn tin ya na tin dɛn we dɛn nɔ ebul fɔ kɔntrol, dɛn kin jɔs apin bay dɛnsɛf. Tide wi go tɔk bɔt wan kɔndishɔn lɛk dis, we kɔmplikt smɔl, bɔt we dɛn dɔn ɔndastand am, dɛn kin ebul fɔ mɛn am bɔku pan am. Dat na `(Tourette Syndrome)` ɔ Tourette Syndrome, we na wan nyurolɔjik kɔndishɔn.

Wetin na `(Tourette Syndrome)`? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, `(Tourette Syndrome)` na wan sik we de afɛkt wi bren ɛn wi nervɔs sistɛm. Wetin kin apin pan dis na we pɔsin kin gɛt bɔdi muvmɛnt ɔ sawnd dɛn we i nɔ ebul fɔ kɔntrol wantɛm wantɛm. Wi kin kɔl dis pan mɛrɛsin `(tics)` ɔ `tics.` Tink bɔt am lɛk smɔl `switch` na wi bɔdi we de go `on-off`, bɔt wi nɔ kin ebul fɔ kɔntrol am lɛk aw wi want.

Tu men kayn dɛn de fɔ dɛn `(tics)`:

1. `(Motor tics)`: Dis na `(tics)` we involv bodi muvmεnt. Fɔ ɛgzampul, fɔ shrug yu sholda, fɔ blink yu yay, fɔ shek yu ed, ɛn fɔ flap yu an ɛn fut.

2. Vokal tics: Dis na tics we involv di vois. Fɔ ɛgzampul, fɔ mek nɔys lɛk fɔ klin yu trot, fɔ blo tru yu nos, fɔ kray, fɔ tɔk wɔd, ɛn sɔntɛnde fɔ ala.

כltu ``motor tics'' kin stat fכs, dεn kin fala ``vocal tics''. ``Tourette Syndrome'' na di wan we rili bad pan dɛn ``tik dizayd'' ya, ɔ di wan we gɛt di sik pas ɔl. Bɔrku tɛm, i kin bigin we dɛn smɔl, bitwin 5 ɛn 7 ia. I kin ivin go kpatakpata.

Aw kɔmɔn tin na `(Tourette Syndrome)`?

stכdi dεn sho se pan avεj, lεk wan pan 100 pikin dεm kin gεt sכm kayn ``tik dizayd.`` כltu, di insidεns fכ ``Tourette Syndrome`` kin sכmtεm sכmtεm. Dat min se na lɛk wan pan ɛvri 160 pikin dɛn nɔmɔ dɛn kin ripɔt se i gɛt ``Tourette Syndrome.``

Difrɛn kayn tik disɔda de? Na Tourette Syndrome nɔmɔ de?

Nɔ, Tourette Syndrome na jɔs wan kayn tik disɔda. Ɔda kayn dɛn de. Yu dɔktɔ go tɛl yu ustɛm di kayn tik disɔda yu gɛt bay di sayn dɛm we yu gɛt.

Tik dizayd kin bi mεntal klas dεm lεk dis:

• Prɔvishɔnal tik disɔda: Insay dis, ɔl tu di motoka tik, vokal tik, ɔ ɔl tu kin de fɔ lɛs wan ia.
• Persistent (chronic) tic disorder: Insay dis, na wan kɔmbaynshɔn fɔ ɔl tu di motoka tik ɔ vokal tik (bɔt nɔto ɔl tu) fɔ pas wan ia.
• Tourette Syndrome: Insay dis kes , ɔl tu di motoka tik ɛn vokal tik fɔ de fɔ pas wan ia.

Wetin na di sayn dɛm fɔ `(Tourette Syndrome)`?

As wi bin dɔn tɔk bifo tɛm, di men sayn fɔ Tourette Syndrome na tics. Dɛn kin bigin bitwin 5 ɛn 7 ia, ɛn bɔku tɛm dɛn kin rich arawnd di ej 12. Afta dat, dɛn kin stɔp smɔl smɔl.

Dɛn `(tiks)` ya kin bi `(simpul)` ɔ `(kɔmpleks)`:

Simpul Tiks ɛn Kɔmpleks Tiks

• Simpul tiks: Dis na muvmɛnt ɔ sawnd dɛn we kin rili kwik, we kin ripit we kin gɛt fɔ du wit sɔm mɔsul grup dɛn nɔmɔ. Tink bɔt fɔ shrug yu sholda, fɔ blink yu yay, ɔ fɔ blo tru yu nos.
• Komplex tics: Dɛn tin ya kin gɛt fɔ du wit bɔku muvmɛnt ɛn mɔsul grup dɛn. Fɔ ɛgzampul, fɔ jomp ɔp ɛn dɔŋ, fɔ ripit wan wɔd ɔ frayz ɔva ɛn ɔva, fɔ ripit wetin ɔda pipul dɛn se (echolalia), ɛn fɔ tɔk dɔti wɔd dɛn (coprolalia) na ɛgzampul dɛn fɔ kɔmpleks tiks.

Sɔm mɔ `(Motor Tic)` ɛgzampul dɛn:

• Limb flap ɔ trowe
• Fɔ bɛn na di wes
• Ay twitching (bɔku tɛm) .
• Di ed we de jɔk ɔ twist wantɛm wantɛm
• Fɔ jomp ɔp
• Fɔ muv di huk
• Fes ɛksprɛshɔn dɛn we dɔn chenj ɔ we dɛn drɔ

Sɔm ɛgzampul dɛn fɔ `(Vocal Tic)`:

• Mek nɔys lɛk dɔg we de bark
• Fɔ mek wan sawnd we de mek pɔsin snor
• Wantɛm wantɛm, i de ala
• Brith wit rasping sawnd tru di nos
• Fɔ klia yu trot ɔltɛm

Dɛn `(Tics)` ya kin bi denja sɔm tɛm?

Bɔrku tɛm, tics nɔr kin kɔz bɔrku harm. Bɔt sɔm motoka tiks kin mek pɔsin wund insɛf. Fɔ ɛgzampul, fɔ nak yusɛf na yu fes.

כlso, wan `(vokal tik)` de we dεn kכl `(coprolalia)`. Na fɔ tɔk dɔti wɔd dɛn we nɔ fayn ɔ we nɔ fayn fɔ pipul dɛn we dɛn nɔ ebul fɔ kɔntrol. Bikɔs ɔf dis, ɔda pipul dɛn kin tink se na bay wilful dis pɔsin de mɔna ɛn mɔna ɔda pipul dɛn. Ɛspɛshali if pikin gɛt dis kayn `(tik)`, dɛn kin pɔnish am we nɔ nid fɔ de na skul ɔ na os.

Di tin we impɔtant pas ɔl na fɔ ɔndastand se dɛn ``tics`` ya nɔto sɔntin we ɛnibɔdi de du bay wilful. Dɛn na sɔntin we kin apin we pɔsin nɔ ebul fɔ kɔntrol insɛf.

Wetin kin mek pɔsin gɛt di sik we dɛn kɔl Tourette Syndrome?

Dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt di sik we dɛn kɔl Tourette Syndrome . Bɔt bikɔs di sik kin apin na famili, sayɛnsman dɛn biliv se i gɛt sɔntin fɔ du wit in jɛnɛtiks . Dis min se chans de fɔ mek pikin dɛn gɛt di sik frɔm dɛn mama ɛn papa.

apat frכm dat, wan tiori de bak se sכm chenj dεm na di wok we di nyurotransmit dεm (dεn kεmεkal dεm ya we de kכntro wi bihayvya εn muvmεnt) na wi bren, spεshal wan imbalans na di nyurotransmitta we dεn kכl dopamin, kin kכntribyut to dis.

Wetin na de risk factor fɔ gɛt Tourette Syndrome?

Bɔku men tin dɛn de we kin mek pɔsin gɛt dis sik:

• Jɛnda: Bɔy pikin dɛn kin gɛt di sik we dɛn kɔl Tourette Syndrome tri to 4 tɛm pas gyal pikin dɛn.
• Famili istri: As wi bin dɔn tɔk, if pɔsin na di famili gɛt dis sik, i kin pas to pikin dɛn tru di jin.
• Hεlth bifo di pikin bכn: If di mama bin smok we i bεlε כ i bin gεt כda hεlth prכblεm, di pikin kin gεt di risk fכ gεt Tourette Syndrome. I kin gɛt fɔ du bak wit di smɔl wet we dɛn bɔn pikin.

Aw dɛn kin no se pɔsin gɛt di sik we dɛn kɔl Tourette Syndrome?

Fɔ mek dɔktɔ no se i gɛt `(tik dizayd)`, di `(tics)` fɔ dɔn bigin bifo i ol 18. Fɔ no se i gɛt `(Tourette Syndrome)`, ɔl tu di `(motor tics)` ɛn `(vocal tics)` fɔ dɔn de fɔ pas wan ia .

Nɔr patikyula blɔd tɛst ɔ skan nɔr de fɔ no if yu gɛt Tourette Syndrome. Bifo dat, yu dɔktɔ go tek tɛm lisin to yu (ɔ yu pikin) in mɛdikal istri ɛn di sayn dɛn we i gɛt. Na sɔm tin dɛn we yu go want fɔ no bɔt Tics:

• Aw ɔltɛm tik kin apin?
• Na us ej `(Tics)` bigin?
• Wetin na di kayn we aw `(tics)` (simpul ɔ kɔmpleks)?

Dɔn bak, di dɔktɔ kin du sɔm tɛst dɛn fɔ no ɔda tin dɛn we kin mek pɔsin gɛt di tiks.

Ɔda wɛl bɔdi kɔndishɔn kin apin wit `(Tourette Syndrome)`?

Yɛs, bɔrku pipul dɛm wae gɛt Tourette Syndrome kin gɛt wan ɔr mɔr ɔda wɛl bɔdi prɔblɛm. Bɔrku tɛm, dis kin bi mental ɔr bihayvya wɛl bɔdi prɔblɛm. Sɔm ɛgzampul dɛn na:

• Di prɔblɛm dɛn we kin mek pɔsin wɔri
• Atɛnshɔn Dɛfisit Haypa Aktiviti Disɔda (ADHD) .
• Ɔtizm Spɛktrum Disɔda (ASD) .
• Pwɛl at
• Disabiliti fɔ lan
• Obsesiv-Kɔmpulsiv Disɔda (OCD) .
• Oposishɔnal Defiant Disɔda (ODD) .

So, i rili impɔtant fɔ tink bɔt dɛn kayn tin ya we gɛt fɔ du wit am we yu de trit di sik we dɛn kɔl Tourette Syndrome.

Wetin na di tritmɛnt fɔ `(Tourette Syndrome)`?

If di `(tics)` dɛn rili mild, we min se dɛn nɔ gɛt big impak pan di tin dɛn we dɛn kin du ɛvride, i nɔ kin nid fɔ gɛt tritmɛnt. Bɔt if di `(tics)` rili bad, we min se dɛn de ambɔg wok, skul wok, soshal rilayshɔnship, ɔ if sɔm `(tics)` de mek pɔsin du bad to insɛf, dɛn rili nid fɔ gɛt tritmɛnt.

Dɛn kin yuz mɛrɛsin ɛn bihayvya tɛrapi mɔ fɔ dis.

Yu tink se mɛrɛsin dɛn kin ɛp?

Yɛs, di dɔktɔ kin gi yu wan klas mɛrɛsin we dɛn kɔl nyurolɛptik fɔ di sik we dɛn kɔl Tourette Syndrome. Dɛn drɔgs ya de wok bay we dɛn de mek wan kemikal we dɛn kɔl dopamine nɔ wok na di bren. Bikɔs dɛn tink se we di dopamin lɛvɛl go ɔp na in de mek di tiks go ɔp.

Apat frɔm dat, dɛn kin gi difrɛn mɛrɛsin fɔ ɔda sik dɛn we kin apin wit Tourette Syndrome, lɛk ADHD ɔ OCD.

Aw bihayvya tritmɛnt kin ɛp?

Wi bin de se di tics wae kin kam wit Tourette Syndrome nɔr kin ebul fɔ kɔntrol ɛn kin apin fɔ dɛnsɛf. Bɔt nyu bihayvya tritmɛnt dɛn de we kin ɛp fɔ mɛn dɛn tics ya ɛn ridyus di bad bad impak we dɛn kin gɛt pan ɛvride layf.

Wan pan di men tritmɛnt dɛm na ``Kɔmprɛhɛnsif Biɛvhɔral Intɛrvɛnshɔn fɔ Tiks (CBIT)`` . Fɔ tɔk am simpul wan, i de du dis:

1. Lan aw fɔ ansa to `(tics)`: We yu fil se `(tic)` de kam, yu de praktis fɔ du sɔntin we de agens am, dat na fɔ du ɔda muvmɛnt ɔ akshɔn we de stɔp di `(tic)`. Dɛn kɔl dis `(kɔmpitin rispɔns)`. Fɔ ɛgzampul, if yu fil lɛk se yu go blink, yu kin praktis fɔ lɔk yu yay tayt bay wilful insted.

2. Trenin fɔ no `(Tics)`: Sɔm pipul kin fil ``premonitory urge`` bifo wan `(tic)` kam. Lɛk fɔ fil sɔntin we strenj na yu nos bifo yu sniz. Wae yu lan fכ no dis prεmonitory urge, yu kin tray fכ sכpres כ chenj am bifo di `(tic)` kam.

3. Ɛp fɔ ridyus `(Tics)`: `(tics)` kin bɔku we yu de fred, strɛs, ɔ gladi pasmak. So, bay we yu praktis fɔ de kol as yu ebul ɛn avɔyd tin dɛn we de mek yu strɛs, yu kin ridyus di frɛkuɛns fɔ `(tics)`.

Wetin na di fiuja fɔ pɔsin we gɛt `(Tourette Syndrome)`?

No mɛrɛsin nɔ de fɔ mɛn di sik we dɛn kɔl Tourette Syndrome. Bɔt lɛk aw wi bin dɔn tɔk, bɔku tɛm di sik kin bɛtɛ pasmak as pipul dɛn de ol . Pan ɔl we tics kin kɔntinyu, bɔku pipul dɛn nɔ nid mɛrɛsin ɔr bihayvya tritmɛnt we dɛn dɔn big. Pipul wae gɛt Tourette Syndrome de liv nɔrmal layf span . Dis min se i nɔto tin we kin mek pɔsin in layf shɔt, ɛn we kin mek pɔsin in layf shɔt.

Yu tink se dɛn kin ebul fɔ avɔyd di sik we dɛn kɔl Tourette Syndrome?

Nɔ, no we nɔ de fɔ mek yu nɔ gɛt di sik we dɛn kɔl Tourette Syndrome. Dis na bikɔs i gɛt tin dɛn we de ambɔg di jɛnɛtiks. Bɔt if dɛn no di sik kwik kwik wan ɛn trit am di rayt we , dɛn kin avɔyd di sik we dɛn kɔl Tourette Syndrome fɔ mek i nɔ wɔs ɛn i kin ridyus am te i big.

Wetin dɛn kin du fɔ mek i izi fɔ liv wit di sik we dɛn kɔl Tourette Syndrome?

Fɔ liv wit di sik we dɛn kɔl Tourette Syndrome kin tranga, mɔ fɔ pikin dɛn. I kin tranga fɔ pe atɛnshɔn pan skul wok ɛn fɔ tɔk to ɔda pipul dɛn. So, strɔng sɔpɔt frɔm padi dɛm, fambul dɛm, ɛn ticha dɛm kin go fa fɔ ɛp pikin we gɛt Tourette Syndrome fɔ mɛn di sik.

Pikin dɛn we gɛt Tourette Syndrome kin bɛnifit bak frɔm:

• Lanin na klasrum dɛn we nɔ gɛt bɔku studɛnt dɛn.
• Fɔ gɛt pɔsin in yon atɛnshɔn na skul.
• Fɔ gɛt ɛkstra tɛm fɔ du tin dɛn lɛk asaynmɛnt dɛn.

Di tin we impɔtant pas ɔl na fɔ mek di pikin, in famili, ɛn di ticha dɛn ɔndastand dis kayn tin kɔrɛkt wan. Dɔn, bifo ɔlman blem ɔ provok di pikin, ɔlman kin ɛp am ɛn sɔpɔt am fɔ mek i ebul fɔ du wetin i ebul fɔ du.

Ustɛm yu fɔ si dɔktɔ bɔt `(Tourette Syndrome)`?

If pɔsin we gɛt Tourette Syndrome sho ɛni wan pan dɛn sayn ya, i fɔ go to dɔktɔ wantɛm wantɛm :

• If yu de biev wit fɛt-fɛt.
• If yu wund yusɛf.
• If yu de tɔk bɔt fɔ kil yusɛf. (Insay dɛn kayn kes ya, na Sri Lanka, yu kin kɔl sɔpɔt savis dɛn bak lɛk 1926 Sumithrayo.) If ɛnitin apin, kɔl 119.

Tourette Syndrome na wan nyurolɔjik kɔndishɔn we kin mek pɔsin mek muvmɛnt ɔ sawnd we i nɔ want (tics). Bɔrku tɛm, dis sik kin bigin wae dɛn smɔl ɛn bɔrku tɛm i kin bɛtɛ as dɛn de ol. Mεdikeshכn εn bihayvya tεrapi na di men tritmεnt fכ Tourette Syndrome. Nyurolɔjis ɔ saykayatrist dɛn kin trit dis sik.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi rivyu sɔm pan di tin dɛm we wi bin tɔk bɔt (Tourette Syndrome) we wi tink se impɔtant to yu:

• Tourette Syndrome na wan sik we de apin to pikin dɛn na di bren ɛn di nervous system. I de mek tiks we yu nɔ ebul fɔ kɔntrol (di mɔsul dɛn we de muv, we yu de vɔys).
• Dɛn ``tics`` ya nɔto bay wilful. So nɔ blem di pikin.
• Bɔrku tɛm, dis sik kin go dɔŋ pasmak wit di ej, mɔr lɛk pan yɔŋ pipul dɛm.
• Dis kכndyushכn kin mεnεj fayn fayn wan wit mεdikeshכn εn kכgnitiv bihayvכral tεrapi (CBIT).
• Di lɔv, ɔndastandin, ɛn sɔpɔt we pikin we gɛt Tourette Syndrome kin gɛt frɔm in fambul, ticha, ɛn padi dɛn rili impɔtant.
• If yu want fɔ no mɔ bɔt dis, ɔ if yu tink se yu pikin gɛt dɛn sik ya, go to dɔktɔ we de mɛn pikin dɛn, nyurolɔjis, ɔ dɔktɔ we de mɛn dɛn maynd fɔ advays.

Nɔ wɔri, Tourette Syndrome na wan sik wae dɛn kin ebul fɔ dil wit fayn fayn wan wit ɔndastandin ɛn manejmɛnt fayn fayn wan.

` Tourette Syndrome, Tiks, Mɔtɔ Tiks, Vokal Tiks, Nyurolɔji, Pidiatrik, Bihayvya Tɛrapi