Wetin na di sik we dɛn kɔl Tourette Syndrome? Lɛ wi tɔk bɔt am simpul wan.

Yu dɔn ɛva notis se sɔntɛnde yɔŋ pikin dɛn, ɛn sɔntɛnde big pipul dɛn kin blink dɛn yay ɔltɛm, ɔ dɛn kin shrug dɛn sholda, ɔ wantɛm wantɛm mek sawnd we de mek dɛn trot klia? I tan lɛk se dɛn tin ya de apin to dɛn we dɛn nɔ gɛt kɔntrol, nɔto so? Tourette syndrome na wan nyurolɔjik kɔndishɔn we de mek dɛn kayn muvmɛnt ɔ sawnd dɛn ya we dɛn nɔ ebul fɔ kɔntrol. Wi kin kɔl dɛn tiks ya insay mɛrɛsin. Nɔ fred we yu yɛri dis. Di tin we impɔtant pas ɔl na fɔ no dis gud gud wan.

Fɔ tɔk am simpul wan, wetin na di sik we dɛn kɔl Tourette Syndrome?

Tourette syndrome na wan nyurolɔjik disɔda wae de mek pɔrsin de mek muvmɛnt ɔ sawnd dɛn we i nɔ ebul fɔ kɔntrol wantɛm wantɛm, we i nɔ want. Dɛn kɔl dɛn tin ya `tics`. Fɔ ɛgzampul, pɔsin kin blink in yay bɔku bɔku tɛm, klin in trot, ɔ tɔk wɔd dɛn we i nɔ min.

Fɔ sɔm pipul dɛm, tritmɛnt kin ɛp fɔ kɔntrol dɛn tics ya. Bɔt fɔ ɔda pipul dɛn, dɛn sik ya nɔ kin so mɔna dɛn dat dɛn nɔ kin nid ɛni mɛrɛsin atɔl.

Bɔrku tɛm dis sik kin bigin wae dɛn smɔl. I kin apin bak pan bɔy pikin dɛn pas gyal pikin dɛn. Di bɛst tin na dat, bɔku tɛm dɛn sik ya kin stɔp as pikin dɛn de ol. Sɔntɛnde, dɛn kin dɔnawe wit dɛn kpatakpata.

Wetin mek dis kin apin? Wetin na di rizin dɛn?

Dɔktɔ dɛn stil de tray fɔ no di rayt tin we kin mek pɔsin gɛt di sik we dɛn kɔl Tourette syndrome, bɔt dɛn biliv se i gɛt sɔntin fɔ du wit di chenj dɛn we de apin na di we aw bɔku pat dɛn na di bren de wok. Risach pipul dεm biliv se chenj dεm na di basal ganglia, we de εp fכ kכntrכl di bכdi muvmεnt; di fכnt lכb dεm, we de kכntro di mכsul dεm; εn di kכtεks we de εp fכ kכmכnik bitwin difrεn pat dεm na di bren.

pan tap dat, wan imbalans na di kεmikכl dεm we de kכri mεsej to di bren, we dεn kכl `nyurotransmitta`, kin bi bak wan kכz. di men wan dεm na `(dopamin)`, `(sεrotonin)`, εn `(norepinephrine)`.

Apat frɔm dɛn rizin ya, ɔda rizin dɛn de we dɛn nɔ dɔn pruv gud gud wan yet, bɔt dɛn tink se dɛn gɛt pawa:

• Kɔmplikɛshɔn dɛn we kin apin we uman gɛt bɛlɛ
• Di wet we dɛn bɔn we dɛn bɔn smɔl
• Di wund dɛn we pɔsin kin gɛt na in ed
• Pɔyzin we dɛn kɔl kabon monoksayd
• Ɛnsɛfalaytis

Dis na sɔntin we kɔmɔt frɔm jɛnɛreshɔn?

Risach pipul dɛm biliv se Tourette syndrome ɔr ɔda kayn tik sik kin kɔmɔt frɔm am to sɔm mak. Dis min se sɔntɛm sɔntin de we gɛt fɔ du wit di jɛnɛtiks. Pan ɔl we i nɔ klia yet bɛtɛ bɛtɛ wan aw dis kin apin, pɔsin we gɛt Tourette syndrome gɛt lɛk 50% chans fɔ pas am to pikin. Bɔt na sɔm famili dɛn, bɔku pipul dɛn kin gɛt dis sik, ɛn na ɔda wan dɛn, na wan pɔsin nɔmɔ kin gɛt dis sik. Dɔn bak, lɛk wan pan ɛvri 20 pikin dɛn we gɛt dis sik nɔ gɛt ɛni famili histri bɔt dis sik.

Wetin na di sayn dɛm wae de sho se yu gɛt Tourette syndrome (Tics)?

Di men simptom fɔ Tourette syndrome na `tics`. Sɔm `tik` dɛn so smɔl dat dɛn nɔ kin ivin notis. Bɔt sɔm kin apin ɔltɛm ɛn i kin klia. Dɛn kin wɔs pan tin dɛm lɛk strɛs , gladi gladi, sik, ɔr taya. Sɔmtɛm, siriɔs `tics` kin mek yu shem ɛn ambɔg soshal layf ɔ wok.

Bifo motoka tik apin, sɔm pipul dɛn kin fil se dɛn bɔdi de swɛt, dɛn de prik, ɔ dɛn tayt. Di diskɔmfɔt kin dɔn we di tik, ɔ muvmɛnt, apin. Yu kin ebul fɔ stɔp di tik fɔ sɔm tɛm, bɔt yu nɔ go ebul fɔ stɔp dɛn ɔl.

Tu men kayn `tics` de. Dɛn na `motor tics` ɛn `vocal tics`. Dɛn sheb ɛni wan pan dɛn kayn tin ya mɔ to tu kategori: simpul ɛn kɔmpleks.

Di tru tin bɔt fɔ yuz dɔti langwej (Coprolalia) .

wan pan di simptom dεm we de kכnfyus fכ di Tourette syndrome na `coprolalia`. Dis na fɔ tɔk bad wɔd ɔ tin dɛn we nɔ fayn fɔ pipul dɛn we dɛn nɔ ebul fɔ kɔntrol. semweso, di we aw pipul dεn nכ de kכntro fכ mek dεn jכs dεm we dεn nכ de kכntro dεn kכl am `copropraxia`. Bikɔs dɛn kin sho pipul dɛn we gɛt dis sik na TV ɛn fim, bɔku pipul dɛn kin tink se dis kin rili kɔmɔn. Bɔt di trut na dat, bɔrku pipul dɛm wae gɛt Tourette syndrome nɔr kin gɛt `coprolalia` ɔr `copropraxia`.

Ɔda tin dɛn we gɛt fɔ du wit dis

Pan ɔl we dɛn nɔ no klia wan di rayt tin we kin mek dɛn gɛt dis sik, lɛk af pan di pipul dɛn we gɛt Tourette syndrome kin gɛt sayn dɛn bak we gɛt ADHD (Attention Deficit Hyperactivity Disorder), we min se i nɔ kin izi fɔ dɛn fɔ pe atɛnshɔn, fɔ pe atɛnshɔn, ɛn fɔ dɔn di wok dɛn we dɛn fɔ du.

Apat frɔm dat, di sik we dɛn kɔl Tourette syndrome kin gɛt fɔ du bak wit dɛn tin ya:

• Wɔri
• Disabiliti fɔ lan, fɔ ɛgzampul dislɛksia
• Obsessive-compulsive disorder (OCD) na wan sik wae de kam wae yu nɔr kin ebul fɔ kɔntrol de tink ɛn du tin wae yu nɔr want, fɔ ɛgzampul, fɔ was yu an ɔltɛm.

Aw dɔktɔ go no fɔ tru if dis na Tourette syndrome?

Bɔt yu dɔktɔ kin nid fɔ chɛk fɔ ɔda tin dɛn we kin mek yu gɛt tics. Fɔ ɛgzampul, we yu de blink yu yay ɔltɛm, i kin bi bikɔs yu nɔ de si fayn, ɔ yu kin pik yu nos ɔltɛm bikɔs yu gɛt alɛji. If na so i bi, dɛn kin sɛn yu fɔ du tɛst lɛk fɔ tɛst yu blɔd ɔ fɔ du MRI skan na yu bren. Dɛn kin aks yu bak fɔ du EEG (electroencephalogram), we de mɛzhɔ di we aw yu bren de wev.

Yu dɔktɔ kin aks yu kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek yu kam ya tide?
• Yu ɔ yu pikin gɛt bɔdi we yu nɔ ebul fɔ kɔntrol? Aw lɔng dis dɔn de apin?
• Yu de yɛri wɔd ɔ sawnd dɛn de kɔmɔt na yu mɔt we yu nɔ tink? Ustɛm dis bigin?
• Ɛnitin kin mek dɛn sayn ya bɛtɛ? Wetin kin mek dɛn wɔs?
• Yu ɔ yu pikin kin wɔri ɔ i nɔ kin izi fɔ yu fɔ pe atɛnshɔn?
• Ɛni ɔda pɔsin na di famili gɛt dɛn sik ya?

Apat frɔm dat, di dɔktɔ kin tink bak bɔt dɛn tin ya:

• Do `tics` de pan ɔl tu di kategori dɛm fɔ muvmɛnt ɛn sawnd (dɛn nɔ nid fɔ apin di sem tɛm).
• I nɔ mata ɔmɔs tɛm dɛn kam insay di de, dɛn tin ya go las fɔ at le wan ia?
• Yu tink se i bigin bifo i ol 18 ia?
• Nɔto mɛrɛsin ɔ ɔda tin dɛn kin mek dɛn tin ya?
• Yu tink se di tics kin difrɛn pan frɛkuɛns, kayn, aw i kin tranga, ɔ if dɛn kin kɔmɔt frɔm simpul to kɔmpleks?

Wetin na di tritmɛnt dɛm fɔ dis?

No mɛrɛsin nɔ de fɔ mɛn di sik we dɛn kɔl Tourette syndrome yet. Bɔt fɔ bɔku pipul dɛn, di tics nɔ kin tranga fɔ mek dɛn nid tritmɛnt. Bɔt if dɛn de ambɔg yu layf, yu dɔktɔ kin gi yu mɛrɛsin.

Di mɛrɛsin dɛn we dɛn kin yuz

difrεn kayn mεdikeshכn dεm de we kin εp fכ ridyus `tiks.` Sכm pan dεm ya dεn kin gi dεm bak fכ כda kכndyushכn dεm. Dat na bikɔs dɛn dɔn si bak se dɛn mɛrɛsin dɛn de kin ridyus `tiks.`

• Drug dεm we de afekt dopamin: Fluphenazine, Haloperidol, Pimozide, Risperidone.
• Di mɛrɛsin dɛn we de na di ay blɔd prɛshɔn: lɛk `Clonidine`, `Guanfacine`.
• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad: Fluoxetine (Prozac), Sertraline (Zoloft).
• Mεdikeshכn dεm fכ ADHD: lεk `Methylphenidate (Ritalin LA)`.
• Mεdikeshכn dεm fכ εpilepshכn: lεk `Topiramate (Topomax)`.

Tɛrapi we dɛn kin gi

Apat frɔm di mɛrɛsin dɛn, di tritmɛnt dɛn we dɛn kin gi kin rili ɛp bak fɔ mɛn dis sik.

• Tɔk tritmɛnt: Yu kin tɔk to sayɛnsman ɔr tren tritmɛnt fɔ lan aw fɔ dil wit Tourette syndrome ɛn ɔda tin dɛm wae gɛt fɔ du wit am lɛk ADHD, OCD, ɔr wɔri.
• Cognitive Behavioral Therapy (CBT): Dis involv fɔ no di sɛns dɛm we de bifo di tiks ɛn praktis fɔ du ɔda tin fɔ ansa dɛn. Dis kin bi big ɛp fɔ kɔntrol di tics.
• Dip Bren Stimuleshɔn (DBS): Dis stil na tritmɛnt we dɛn kin tray fɔ du. Dɛn kin tink bɔt am fɔ pipul dɛm wae gɛt bɔrku sik wae nɔr dɔn du ɔda tritmɛnt. insay dis, dεn kin כpכt wan divays we de gi ilektrikal stimulashכn to di pat dεm na di bren we de kכntro di muvmεnt.

Tips fɔ mama ɛn papa dɛn we de kia fɔ pikin we gɛt Tourette syndrome

Fɔ kia fɔ pikin we gɛt dis sik kin tranga fɔ mama ɛn papa dɛn. Mɛmba se, bɔku tɛm, tiks kin bɔku we di pikin de rich tɛn ia ɛn smɔl smɔl i kin stɔp as i de ol.

Insay dis tɛm, na sɔm tin dɛn we go ɛp yu:

• Nɔ fos yu pikin fɔ stɔp dɛn tiks. I kin mek i fil bad fɔ si ɔ yɛri dɛn, bɔt if yu tray fɔ kɔntrol dɛn, dat kin mek di pikin strɛs mɔ ɛn mɔ ɛn mek di tik dɛn wɔs.
• Infɔm di big pipul dɛm na di pikin in layf. Tɛl di skul ticha dɛn, di skul vɛn drayva, di klas ticha, ɛn di kɔch dɛn we di pikin de spɛn bɔku tɛm wit. Ɛksplen di tin to dɛn ɛn gɛt di sɔpɔt we di pikin nid.
• Ɛp fɔ mek yu pikin gɛt rɛspɛkt fɔ insɛf. Ɛnkɔrej yu pikin fɔ du di tin dɛn we i lɛk ɛn di tin dɛn we i sabi du (lɛk spɔt, art, myuzik). Dis go ɛp dɛn fɔ mek padi dɛn, lan nyu tin dɛn, ɛn gɛt kɔnfidɛns pan dɛnsɛf.
• Tich yu pikin aw fɔ dil wit ɔda pipul dɛn jok. Tɔk to yu pikin ɛn tren am aw fɔ ansa ɔda pikin dɛn jok ɛn kwɛstyɔn dɛn.
• Get sɔpɔt bak. Fɛn ɔut if sɔpɔt grup dɛn de fɔ mama ɛn papa dɛn we gɛt pikin dɛn lɛk dis. Dat go gi yu bɔku trɛnk bak.