I fa hian heng thil tih dan hi a nei em? tics leh tic disorder chungchang hi han sawi ila!

I naupang tê chu a châng chuan a mit a chhing chhunzawm zêl em? A nih loh leh an kekawrte chu an hrual em? Thlarau clearing sound siam mai mai pawh a ni mai thei? Nu emaw pa emaw i nih angin hetiang thil i hmuh hian tlem a hlauthawng leh hlauhna i neih hi thil pangngai tak a ni. Hengte hi tics kan tih te hi an ni . Hengte hi tumruh taka i tih a ni lo va, a takin a thleng thin. Hlauh tur a awm lo, he thu hi chipchiar tak leh awlsam takin sawi ila.

Tics hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, tics chu i taksaa i duh loh zawnga leh a lo awm leh fo thin, rang taka che emaw, thawm emaw a ni. Thunun theih loh an ni. I mit tihdel te, i kekawr ipte hrual te, i rilru chhunga "hum" ri chhuah mai mai te pawh a ni thei. I taksa khawi hmunah pawh – i hmai, i kekawrte, i kutphah, i keah te an awm thei. A chang chuan heng tics te hi a chang chuan a danglam thei bawk.

A tlangpuiin, tic hma hian taksaah harsatna engemaw zat a awm a, a nih loh leh hmanhmawhthlak takin a awm thin. Mi thenkhat chuan tic hi rei lo te chhung an lo dang thei a, mahse a nuam lo hle. Tic a zawh hnuah chuan a hrehawmna chu a bo vek.

Heng tics te hi naupang ah a awm fo thin a, a bik takin kum 5 leh 10 inkar ah a awm fo thin a, a na lo fo thin a , hun kal zelah a tlahniam emaw a tawp vek thei bawk. Mahse, a chang chuan heng tics te hi tic disorder na zawk, enkawl ngai a nihna chhinchhiahna a ni thei.

Eng chi tics nge awm?

tics hi chi hnihah kan ṭhen a, chungte chu Motor tics, taksa chetna a tel a, Vocal tics, aw inrawlhna a ni. Heng pahnih hi "simple" leh "complex" tiin an then belh leh a ni.

Motor tics hi a hmasa ber a ni tlangpui a, a dawtah hian verbal tics a awm. Tin, complex tics hmain simple tics hmuh tur a awm bawk.

Motor Tics awlsam tak tak

Chûngte chu a tawi hle a, a rang lutuk a, taksa peng pakhat emaw, a tlem emaw chauh a tel a ni.

• Mit chet dan te, mit khap fo leh mit hrual fo te
• Hmêl thlum siam, mahni â siam
• Shoulder a rawn kuah a
• Lu emaw, kekawrte emaw a ti nghing

Vocal Tics awlsam tak tak

Chûngte pawh chu thawm tawi, rang tak a ni.

• Thlalak tihfai fo thin
• Hnar hrual ang maia thawm siam
• Ui au thawm ang maia thawm siam
• "hum", "ah" tih ang chi ri tawi siam.

Motor Tics buaithlak tak tak

Chungte chu eng emaw chen inrual, inzawm tlat, inthlak danglamna (movement pattern) an ni. Taksa chhunga taksa peng hrang hrang engemaw zat chu a ruala thawk an ni.

• A kaihhnawih chetna, hmai siam laiin kekawrte man leh lu tihher ang chi.
• Thil khawih leh enfiah, khawih (e.g., dawhkan kil khat khawih, lehkhabu khawih).
• Jump, zuang chhuak.
• Bending, a inher chhuak.

Vocal Tics buaithlak tak tak

Hengte hi aw ringawt aiin a buaithlak deuh a, thumal emaw, thumal emaw pawh a ni thei.

• Thumal emaw, thumal emaw an sawi tawhte sawi nawn leh.
• Midangte sawi ang chiah chiah thu emaw, thumal emaw sawi nawn leh (hei hi Echolalia kan ti a ni ).
• Thumal dik lo, vulgar, a nih loh leh ṭawngkam mawi lo tak tak hman (hei hi Coprolalia kan ti a ni ). Hei hi naupangin tumruh taka a tih a ni lo va, thunun theih loh thil a ni.

Chuti a nih chuan, tic disorder hi eng nge ni?

Tic Disorders hi nervous system tichhe thei chi hrang hrang a ni. Miin tics a neih chhan chu anmahni hi an ni. Heng tics leh a kaihhnawih symptoms te hi a na lo atanga a nasat thlengin a awm thei . A tam zawkah chuan tics hi a na lo va, enkawl a ngai lo. Naupang an lo puitlin chuan an bo fo thin. Mahse, a then phei chuan tics leh a kaihhnawih hriselna lama harsatna dangte control nan enkawl a ngai thin.

Tic disorder chi hrang hrangte chu engte nge ni?

Tic disorder hi chi thum a awm a. Chungte chu tics awm chi (motor, verbal, emaw a pahnih) leh a symptoms eng chen nge a awm tih a zirin a inang lo.

1. Provisional Tic Disorder / Hun rei lote chhunga Tic Disorder:

• Heng mite hian kum khat pawh tling lo motor tics emaw verbal tics (pakhat emaw pahnih emaw) an nei tawh a ni .
• Hei hi tic disorder chi khat a ni ber. Naupang sikul kal tir zinga 10% vel chuan he natna hi an nei thei a ni.
• Doctor-te’n rilru lam harsatna an hriat theihna tura an hman kaihhruaina Diagnostic and Statistical Manual of Mental Disorders (DSM-5) -in a tarlan dan chuan, he diagnosis hi pek a ni a, chu chu:
• Motor tics pakhat emaw a aia tam emaw, verbal tics pakhat emaw a aia tam emaw a awm tur a ni.
• Ticks hi kum khat aia rei a awm thei lo.
• Tics hi kum 18 a tlin hmain a tan tawh ngei ang.
• Heng symptoms te hi damdawi lam thil dang (e.g., thluak natna) emaw, damdawi emaw damdawi emaw ei avanga lo awm thei a ni lo.
• Tic diagnosis dang i dawng tawh pawh a ni thei bawk.

2. Tic Disorder awm reng / Chronic: 1.1.

• Heng mite hian kum khat chuang zet motor tics emaw verbal tics (a pahnih hian a rualin ni lovin, chi khat chauh) an nei tawh a ni .
• Hetiang dinhmun hi sikul kal thei naupang 1% aia tlem loah hmuh a ni.
• (DSM-5) -in a sawi dan chuan, he diagnosis atan hian:
• Motor tics pakhat emaw a aia tam emaw, verbal tics pakhat emaw a aia tam emaw (a pahnih ni lo) a awm tur a ni.
• Tics hi ni khatah vawi tam tak, nitin deuhthaw emaw, a chang chuan thla 12 aia tam emaw a awm tur a ni.
• Tics hi kum 18 a tlin hmain a tan tawh ngei ang.
• Heng symptoms te hi damdawi lam thil dang vang emaw, damdawi emaw damdawi emaw ei avanga lo awm thei a ni lo.
• Tourette Syndrome a vei tih hriat theih a ni lo.

3. Tourette Syndrome natna vei te hi:

• Heng mite hian kum khat chuang zet motor tics leh verbal tics (a chi hnih) an nei tawh a ni.A awm.
• Hei hi tick-borne disease chi hrang hrang zingah chuan a na ber nia ngaih a ni.
• (DSM-5) -in a sawi dan chuan, he diagnosis atan hian:
• Motor tics pahnih emaw a aia tam emaw leh verbal tic pakhat tal a awm tur a ni (hengte hi a ruala awm a ngai lo).
• Tics hi kum khat tal a awm tur a ni. Chûngte chu ni khatah vawi engemaw zât (a tlangpuiin bout tenau, chhunzawm zel), ni tin deuhthaw, a nih loh leh a châng chuan a thleng thei a ni.
• Tics hi kum 18 a tlin hmain a tan tawh ngei ang.
• Heng symptoms te hi damdawi lam thil dang vang emaw, damdawi emaw damdawi emaw ei avanga lo awm thei a ni lo.

Tic disorder hi engtiang chiahin nge a awm?

Tic disorder hi a takah chuan i ngaihtuah aiin a tam zawk. Zirchiangtute chuan naupang 50 zinga pakhat velin Tourette Syndrome emaw tic disorder dang emaw an nei thei niin an chhut .

Tic i neih hian engtin nge i awm?

Tic a lo awm hmain tih duhna nasa tak i nei thei. Itchy spot scratch duhna ang chi, emaw crotch lo awm ang maiin. Taksa tic lo awm tur hmunah hian tension chi khat a lo awm a, tic a lo awm chuan chu tension chu rei lo te chhung a reh a, hahdamna i nei thin.

A chang chuan second tlemte atanga minute tlemte chhung tic control theih a ni a, mahse thawhrimna nasa tak a ngai a ni. A tâwpah chuan, chu duhna chu tuar theih loh khawpin a lo awm ta a ni.

A bik takin tic control hi a harsa hle a , stress nasa tak a awm chuan . Stress leh hahna ang chi thilte hian tics a tipung thei. Mak tak maiin, a chang chuan taksa a hahdam lai emaw, mahni chauha awm emaw hian tics a pung thin. Miin tic chungchang a sawi emaw, a kawhhmuh emaw chuan tics pawh a pung thei bawk. Mahse, tics hi mut laiin a awm lo tlangpui . Tin, thil engemaw (e.g. sikul hnathawh, hna dang) i ngaihtuah hian tics a tlahniam thei bawk.

Tics chi hrang hrang, chhiatna thlen thei, pawi tak tak a awm em?

Ni e, tics thenkhat chu a pawi thei hle. Entirnan, motor tics thenkhatah chuan i hmaiah i inhnek emaw, i kawng a tihngheh nawn fo avangin i kawng a na thei bawk.

Coprolalia , kan sawi tawh kha chu thumal leh thumal dik lo tak tak, mahni duhthua sawi chhuah a ni a, harsatna lian tak a ni thei bawk. Hei hian naupang chu tumruh taka midang tihbuai emaw, nungchang tha lo emaw angin a lantir thei a ni. Mahse a takah chuan thunun theih loh duhna a ni. Coprolalia vei naupangte chu sikul leh in lamah a tul lova hrem an ni thei a, naupang dangte pawhin an tihbuai thei bawk . Coprolalia hian Tourette syndrome vei naupang 10% leh 15% inkar a nghawng thei a ni.

Eng thilin nge tics hi a thlen?

Researcher te chuan tics awm chhan dik tak hi an la hre thei lo .Awle. Mahse scientist thenkhat chuan hengte hi thluaka chetna thununtu hmun hrang hrang inthlak danglamna avanga lo awm niin an ngai. Tin, tics hi thlah khat atanga thlah dang (biological family) thlenga kai theih a nih avangin, genetic link a awm thei niin an ngai bawk .

Tick-borne diseases nena inzawma hmuh theih dinhmun dang thenkhat chu:

• Attention-Deficit/Hyperactivity Disorder (ADHD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Lungkhamna (anxiety Disorder) a ni
• Obsessive-Compulsive Disorder (OCD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a.

A chang chuan hriselna lama harsatna dang, Huntington natna emaw encephalitis (thluak natna hrik) nei te pawhin tics emaw tic ang chi chetna emaw an nei thei bawk. Tics hi ruihhlo hman hnuah pawh a awm thei a, chu chu cocaine emaw amphetamines emaw a ni . Mahse, heng natna dang emaw damdawi emaw avanga tics lo awm hi tic disorder anga ngaih a ni lo.

Hetiang dinhmun hi engte nge ni?

Tics hi naupan laiah a tam ber a, a bik takin naupan laiah . Naupang kum 4 an nih atang pawhin tics an nei thei. Mahse, he natna hi kum 5 leh 10 inkar vel a ni tlangpui a, chubakah hmeichhia aiin mipa naupangin tics an nei tam zawk bawk.

Engtin nge tic disorder hi hmuhchhuah a nih?

I fa healthcare provider chuan i fa chu a enfiah ang a, an symptoms te ngun takin a ngaithla ang. A theih chuan i fain tic a neih lai video pakhat emaw pahnih emaw la rawh . Hei hian doctor chu i fain a tawrh dan dik tak a hriat theih nan a pui ang.

Tics chi hrang hrang leh an awm rei dan azirin doctor chuan naupang hian tic disorder a nei em tih a hre thei a ni. Doctor chuan tics nena inzawm thei dinhmun dang, ADHD emaw OCD emaw pawh a enfiah duh thei bawk.

Tic disorder hi engtin nge enkawl an nih?

Enkawlna chu naupang dinhmun chi leh a nasat danah a innghat a ni. Naupang dinhmun a na lo a nih chuan enkawlna a ngai lo mai thei . Tics pawh a mah chauhin a bo thei bawk. Mahni invenna atana thurawn awlsam tak tak, lungkhamna leh hahna laka invenna te hi naupang tam tak tan chuan a \angkai thei hle.

Mahse, i fate tics a nasat a, nitin nun a tibuai a nih chuan doctor chuan behavioral therapy , damdawi , a nih loh leh a pahnih a rawt thei a ni.

Thiltih dan (Behavioral Therapy) a ni

Habit Reversal Training neih a niBehavioural therapy hmang hian naupang chu an symptoms enkawl dan tur leh tic thlak nan competing response zir turin zirtir a ni. Entirnan, naupang tic chu shoulder tapping a nih chuan therapist chuan naupang kut chu a shoulder tap duhna a reh hma loh chuan a kut phar chhuakin a practice thei a ni.

Enkawlna dang chu Comprehensive Behavioral Intervention for Tics (CBIT) a ni. He enkawlna hian naupang kum upa zawkte chu an tics enkawl danah a pui thin. Habit reversal training, tics education, leh relaxation technique te a huam a ni.

Behavioural therapy a pek lai hian naupang rilru lam doctor chuan naupang chu chhungkaw anga enkawl dan tur leh naupangin an mamawh zirna lama puihna a dawn theih nan thurawn a pe thei bawk che a ni.

Damdawi ei tur

tics a awm reng a, naupang nun a tibuai chuan tics damdawi ei hian a pui thei a ni.

Minor tics tan: Damdawi clonidine leh guanfacine te hian a pui thei. Heng damdawi te hi ADHD leh lungkhamna enkawlna atan pawh hman a ni a, heng natna te hi tics nen hian an awm dun thei a ni.

Tics na zawk tan: Neuroleptic damdawi , aripiprazole leh olanzapine te hi a tangkai thei. Heng damdawi te hian taksa chetna control tu neurotransmitters te effect tihdanglamna hmangin hna an thawk a ni.

Eng chen nge tics hi a awm theih?

Tics hi hun kal zelah a tha tlangpui a, a tawp vek thei bawk. A châng chuan tic hi thla engemaw zât chauh a awm thei a, mahse a tam zâwk chuan kum tam tak chhûng a lo kal a, a kal leh ṭhin.

Tics hi kum 8 leh 17 inkar ah a na ber a, tics hi a tlangpuiin a tlahniam a, a puitlin hnuah a mah chauhin a bo thin.

tics hi ven theih a ni em?

Scientist-te chuan mi ṭhenkhatin tics an vei a, ṭhenkhatin an vei loh chhan chiang takin an la hre thei lo va, chuvangin an veng thei lo .

Ka fa hian tics a nei a nih chuan engtin nge ka enkawl ang?

I fain minor tics a neih chuan heng tips awlsam tak takte hian a pui thei che a ni:

• Lungkhamna leh lungkhamna pumpelh rawh: I fain a tih nuam leh a tih nuam tih thil pakhat zawng rawh. Entirnan, game emaw hobby emaw. I fa chu a stress emaw, a lungkham emaw a nih chuan tics a pung thei. I fa chu thil engemaw a tih chuan a inhmang nasa zawk ang a, a rilru a hah lo zawk ang.
• Chauhna pumpelh: Naupang a chau deuh deuh chuan tics a pung thei. Naupang chuZan mut tha tak i nei em tih en rawh.
• I fa tics chu ngaihthah tum ang che: I fa tics hi a tul lovah ngaihven suh. An chungchang sawi leh ngaihtuah hian tics a ti na zual thei.
• Hrem suh: I fain a tics laiin au suh la, chawlhsan turin hrilh suh. Hei hi a thunun theih loh thil a ni. Thinrim emaw, mawhpuh emaw hian buaina chu a chinfel sak dawn lo.
• Naupang thlamuan la, fuih rawh: Naupang chu engkim a tha tih leh tics hi zah tur a ni lo tih hrethiam tir rawh. An hnênah i awm tih inhriattîr rawh.
• Midangte hriattir lawk rawh: I fate tics chungchang hi i thiante leh chhungte hriattir hmasa phawt ang che. Chutiang chuan an hre chiang ang a, tic a awm chuan an hlauthawng lo ang a, an chhang lutuk lo vang.
• I fate sikul nen thawk ho rawh: I fa zirtirtu leh sikul thawktu dangte chu i fate tics chungchang hriattir zel ang che. I fate tics hian sikulah harsatna a thlen a nih chuan, a chinfel dan tur zawng turin thawk ho rawh. I fa hian exam neih laiin hmun hran emaw, hun pek belh emaw a mamawh mai thei.

Engtikah nge ka fa chu doctor hnenah ka hruai ang?

Tics thenkhat chu a serious lo. I fa tics te hi a te a, harsatna a awm loh chuan doctor pan a ngai lo mai thei. Tics chu a mah chauhin a bo mai thei. Mahse, i fate tics i ngaihtuah a nih chuan, emaw, tics chu hetiang hi a nih chuan, doctor pan turin appointment siam rawh:

• A lo thleng fo a nih chuan, emaw, a na zual emaw, a lo thleng fo emaw a nih chuan.
• Khawtlang emaw, rilru lama harsatna (e.g. naupang dangte hnen atanga tihduhdahna, mualphona) a thlen chuan.
• Natna emaw, hrehawmna emaw a thlen chuan .
• Sikul hnathawh emaw, nitin hna dang emaw a tihbuai chuan.
• Thinrimna, lungngaihna emaw, mahni intihhlum tumna emaw nena lo kal a nih chuan.

Ka fa doctor hnenah eng zawhna nge ka zawh ang?

I fain tics a neih chuan doctor hnenah hetiang zawhna hi i zawt thei ang:

• Ka fa tics hi minor nge a serious zawk?
• Ka fa hian tic disorder a nei em?
• Chutiang a nih chuan ka fa hian eng chi tick-borne disease nge a neih?
• Eng enkawlna tur nge i rawt?
• Heng rulhut te hi anmahni chauhin an bo dawn em ni?
• Hetiang dinhmun hian engtin nge ka fa zirlai leh khawtlang inlaichinna a nghawng theih? Engtin nge ka tih ang?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

I fain tic a neih hian lungkhamna, stress leh hlauhna i neih hi thil pangngai a ni. Mahse, tics hi hlauhawm tak a nih laiin, a nasat loh tlangpui . Dik tak chuan tics tenau te hi anmahni chauhin an bo fo thin.

A pawimawh ber chu i fain i hmangaihna, i hriatthiamna leh i thlawpna a dawn hi a ni.Naupang chu amah chauh a ni lo tih hrethiam tir la, hei hi a sualna a ni lo tih hrethiam tir rawh.

Mahse, i fate tics a awm fo emaw, a nasat emaw, nitin hnathawh emaw, sikul hnathawh emaw a tibuai a nih chuan doctor pan nghal rawh. Doctor chuan i fa tics chu uluk takin a enfiah thei ang a, eng enkawlna nge tha ber, a awm a nih chuan a hre thei ang. A pawimawh ber chu hlauthawng ni lovin, thu dik leh damdawi lam thurawn dawn a ni.

` Tics, tic disorder, thluak lam natna, nungchang lama enkawlna, Tourette syndrome, naupang rilru hriselna, chetna lama harsatna te