A châng chuan, i hriat loh pawhin, i mit a chhing a, i ke a hrual a, a nih loh leh i rilru a na mai mai tih i hre tawh mai thei. I fain hetiang thil a tih lai i hmuh pawhin i hlau tawh mai thei. Hengte hi ‘tics’ kan tihte chu an ni. Hengte hi kan nervous system nena inzawm condition te an ni . A tam zawkah chuan hei hi ngaihtuahawm tur a ni lo, mahse nang leh i fa tan chuan hei hi in hriat chian a pawimawh hle.
Heng Tic Disorder te hi engte nge ni?
A awlsam zawngin sawi ila, tic disorder chu kan nervous system-a kan taksa chetna emaw, thunun harsa tak tak ri emaw kan neih thut, repetitive tak tak kan neih chhan hi a ni. Naupang panga zinga pakhat chuan an dam chhungin engtik lai pawhin hetiang dinhmun hi a tawng ang tih han ngaihtuah teh.
Hengte hi kum 4 leh 6 inkar atanga intan a ni tlangpui a, mahse heng natna hi kum 10 leh 12 inkarah a langsar ber a, Tic disorder hi a chang chuan rilru lam harsatna dang nen a inzawm thei bawk. Entirnan, lungngaihna, ADHD (Attention Deficit Hyperactivity Disorder), OCD (Obsessive-Compulsive Disorder), leh lungkhamna te.
A tha ber chu a tam zawkah chuan kan upat deuh deuh hian heng tics te hi a tlahniam a, a chang chuan a bo vek bawk.
Tic disorder chi hrang hrangte chu engte nge ni?
Doctor-te’n heng natna an hriat theihna tura an hman lehkhabu, DSM-5-TR-ah hian tic disorder chi thum a tarlang a. Eng nge an nih i han thlir teh ang.
1. Provisional Tic Disorder: Hei hi tic disorder chi khat zingah chuan a tam ber a ni . Sikul kal thei naupang 20% vel a nghawng a ni. I fa hian thla khat aia rei motor emaw vocal tics pakhat emaw a aia tam emaw nei mahse kum khat aia rei lo a neih chuan i doctor chuan Provisional Tic Disorder a nei tih a hmuchhuak thei ang.
2. Persistent (Chronic) Motor or Vocal tic disorder : Temporary tics hi kum khat chhungin a bo tlangpui laiin, he tics chi hi kum khat aia rei a awm reng thung. Chutiang a nih chuan naupang chuan motor tics chauh emaw, vocal tics chauh emaw a nei thei. Mahse, chi hnih hi a awm dun lo. Hei hian naupang 100 zinga 1 vel a nghawng a ni.
3. Tourette Syndrome: Hei hi tic disorder zingah chuan a na ber leh a buaithlak ber a ni. Chronic tic angin lang mahse, Tourette syndrome symptom a ni thei. Hetiang dinhmun nei naupangMotor tics leh vocal tics te hi a awm dun vek a. Heng symptoms te hi kum 5 leh 10 inkar atanga tan a ni tlangpui.
Lungkhamna leh tics inzawmna
Vawi tam tak chu stress emaw, lungkhamna emaw kan neih hian heng tics te hi a pung thin. A chhan chu stress kan neih hian kan taksa thunun theihna a tlahniam vang pawh a ni thei. Tin, lungkhamna hian tics a tipung thei bawk.
Engvangin nge heng tic disorder te hi a lo awm?
Hei hi a chhan dik tak hi hriat chian a la ni lo a, mahse zirchiangtute chuan thil engemaw zatin he thil hi a thlen niin an ngai.
- Genetics: Hengte hi chhungkuaah a kal tlangpui a, chu chu nu leh pa emaw, chhungte hnai ber emawin an neih chuan naupangin a nei tam zawk tihna a ni.
- Nungchang lama harsatna dang: Hengte hi ADHD leh OCD ang chi dinhmun nen a inzawm thei a, chu chu a hmaa kan sawi tawh a ni.
- Naupai laiin harsatna: He hlauhawmna hi naupai laiin nuin meizuk a zuk leh naute pian tirh atanga a rihna hniam tak a pian vang te pawhin a tipung thei niin an ngai.
Hmeichhia aiin mipa naupangah he natna hi a vei theihna chance hi a let thum atanga a let li velin a sang zawk a ni.
Hei hi eng symptoms nge ni thei ang?
Heng symptoms te hi chi hnih ah then theih a ni a, chungte chu Motor Tics leh Vocal Tics te an ni. Category tin hian component awlsam leh complex tak tak an nei vek a. Hengte hi dawhkan pakhatah han en ila.
| Tick type a ni | Entirnan |
|---|---|
| Motor tics a ni | |
| Motor Tics awlsam tak tak (Muscle group pakhat chauh a tel) |
|
| Motor Tics buaithlak tak tak (Muscle group engemaw zat a inrawlh) | |
| Vocal Tics a ni | |
| Vocal Tics awlsam tak tak |
|
| Vocal Tics buaithlak tak tak | |
Engtin nge doctor chuan hei hi natna a nih thu a hriat theih?
Doctor i pan chuan hei hi tic disorder a nih leh nih loh chu thil engemaw zat enin a hre thei ang.
- Eng chi tics nge i neih? (Tisa lam, aw lam emaw, a pahnih lam emaw?)
- Hengte hi eng chen nge an awm tawh ?
- Hengte hi kum engzat atang khan nge an lo intan ?
- I chhungkuaah hian hetiang dinhmun hi an nei/nei em?
- Natna dang atan damdawi i ei em ?
A tlangpuiin hei hi hriat chian nan thisen test emaw scan emaw a ngai lo. Mahse, a tlem hle a, heng chhinchhiahnate hi damdawi lam thil dang avanga lo awm nia rinhlelhna a awm chuan i doctor chuan thisen test emaw, MRI emaw, CT scan emaw, EEG emaw a ti thei a ni.
He natna hi eng enkawlna nge ni?
Tic natna hi damdawi a awm lo. Mahse, enkawlna tam tak a awm a, chu chuan natna lan chhuahna control leh tihtlem a pui thei a, nun pangngaia i nun theih nan a pui thei bawk. Tics hian natna a thlen a, hliam a thlen a, nitin hnathawh a tibuai a, rilru lama harsatna nasa tak a thlen a nih chauhvin enkawl hi ngaihtuah a ni tlangpui.
Damdawi chi hrang hrang
I doctor chuan natna lan chhuahna na tak takte control nan damdawi a pe thei ang. Mahse, heng damdawi te hian tics hi a ti bo vek dawn lo va, a control mai dawn a ni.
- Alpha-adrenergic agonists: Hengte hi pek hmasak ber tur an ni. Entirnan: `Clonidine`, `Guanfacine` tih te hi a ni.
- Antipsychotics: Hengte hi symptoms control harsa a nih chuan pek thin a ni. Entirnan: `Haloperidol`, `Risperidone` tih te hi a ni.
- Antiseizure damdawi: Epilepsy enkawlna atana hman thin damdawi thenkhat, Topiramate (Topamax) te hian Tourette syndrome vei thenkhat tan a pui thei tih hmuhchhuah a ni.
- Botox injection: Tic na tak chu taksa ruh pakhatah `Botox` injection injection hmanga tihdam theih a ni.
Thiltih dan (Behavioral Therapy) a ni
Hei hi enkawl dan pawimawh tak a ni. Heta thil thleng hi tics awm tam leh nasat loh nan hmanraw hrang hrang i practice thin.
- Habit Reversal Therapy: Hetah hian tic a lo thlen hmaa i hriatna chu i hmuchhuak a, chutih laia tic thlak nan thil dang (a competing response) tih i practice thin. Entirnan, lu-rubbing tic i neih chuan i hriatna a lo thlen veleh i khup chungah kut dah ang mai a ni.
- CBIT (Comprehensive Behavioral Intervention for Tics): Hei hi Habit Reversal therapy, tics chungchanga zirtirna, leh relaxation technique te inzawmkhawma enkawlna kawng zau tak a ni.
Thluak thuk tak tihchak (DBS) .
Hei hi research stage-a la awm enkawlna a ni a, natna khirh tak tak, enkawlna dang dawng lote tan chauh ngaihtuah a ni. He enkawlnaah hian thluaka hmanraw te tak te dahin electrical signal a thawn chhuak thin.
Naupang tic disorder nei chu engtin nge kan tanpui ang?
I fain he natna hi a neih chuan nu leh pa anga i tih theih tam tak a awm.
- School hriattir: Zirtirtu leh principal te hnenah i fa dinhmun hriattir la, chutiang chuan class-ah a tul anga puihna an pe thei ang a, naupang dangte nen harsatna an awm loh nan.
- Mahni inrintawkna siam rawh: I fate chu a thil tih nuam ti tûra ṭanpui la, a thiamnate tipung la, ṭhian siam tûrin fuih bawk ang che.
- I fa chu dem suh: Hei hi a pawimawh hle. Naupang hian tumruh takin heng thilte hi a ti lo. Chuvangin "Engvangin nge hetiang hian i tih?" emaw, "Titawp rawh." Chu ai chuan hrethiam la, thlawp rawh.
- Damdawi lam thurawn zawm rawh: I doctor thupek zawm la, therapy appointment-ah kal rawh.
Take-Home Thuchah a ni
- Tic disorders hi neurological condition, nangmah emaw i fain emaw i thunun theih loh a ni. Tum tum an ni lo.
- A tam zawkah chuan he natna hi kum upat danah a tlahniam a, a chang chuan a bo vek bawk.
- I fa hian heng symptoms te hi a nei a nih chuan, mawhpuh aiin, hriatthiam leh thlawp a pawimawh hle.
- A natna lan chhuah dan a nasat a, nitin hnathawh a tibuai a nih chuan doctor thiam tak hnenah thurawn dil ngei ngei tur a ni.
- Heng symptoms te hi damdawi leh behavioral therapy hmangin hlawhtling takin control theih a ni.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh