I fa hian thunun theih lohvin an taksa a ti nghing em? Thawm an siam em? Chu chu (Tourette Syndrome) a ni em?

I fa ngei emaw, mi hriat loh fa emaw, sikul emaw kawngpuiah emaw pawh naupang thenkhat chuan an mit an chhing nghal a, an ke an beng a, mak tak maiin an kawr an hawi a, a nih loh leh an rilru tifai ang maia thawm an siam mai mai tih i hmu tawh ngei ang. A châng chuan puitling kan nih tawh chuan, "He naupang hian fiamthu a ti em? A nih loh leh mi ngaihven a tum em?" Mahse a takah chuan hengte hi an thunun theih loh thil a ni a, a pianphung anga thleng mai mai a ni. Vawiin hian hetiang dinhmun hi kan sawi dawn a, chu chu a buaithlak deuh a, mahse vawi khat hriatthiam a nih chuan a tam zawkah chuan enkawl theih a ni. Chu chu `(Tourette Syndrome)` emaw Tourette Syndrome emaw, thluak lam natna a ni.

`(Tourette Syndrome)` tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin `(Tourette Syndrome)` hi kan thluak leh kan nervous system tichhe thei natna a ni. Hemia thil thleng chu mi pakhatin taksa chetna emaw, a thunun theih loh thawm emaw a neih thut mai hi a ni. Hei hi damdawi lamah chuan `(tics)` emaw `tics` emaw kan ti a. Kan taksaa `switch` tlemte `on-off` kal ang maiin ngaihtuah la, mahse kan duh angin kan thunun thei lo.

Heng `(tics)` hi chi hnih a awm a:

1. `(Motor tics)`: Chungte chu taksa chetna telh `(tics)` an ni. Entîr nân, ke ruh hruihrual, mit chhing, lu nghing, leh ke ruh tliak hrual.

2. Vocal tics: Hei hi aw inrawlhna tics a ni. Entirnan, rilru tifai, hnar atanga thawk, tap, thu sawi, leh a chang chuan au chhuah te ang chi thawm siam te.

A tlangpuiin ``motor tics'' hi a intan hmasa a, a hnuah ``vocal tics'' a awm leh thin. Heng ``tic disorders'' zingah hian ``Tourette Syndrome'' hi a na ber, a nih loh leh a symptomatic ber a ni. Naupan lai atanga tan a ni tlangpui a, kum 5 leh 7 inkar a ni a, vanneihthlak takin mi tam tak tan chuan he natna hi an upat deuh deuh chuan a tlahniam nasa hle a, a bik takin an tleirawl lai hian a tlahniam nasa hle. A bo vek thei hial a ni.

Engtiang chiahin nge `(Tourette Syndrome)` hi a hluar?

Zirna hrang hrangah chuan a vaiin naupang 100 zinga pakhat vel hian ``tic disorder'' chi khat emaw an nei thei tih a tarlang.`` Mahse, ``Tourette Syndrome`` vei hi a tlem zawk hle. Chumi awmzia chu naupang 160 zinga pakhat vel chauhvin ``Tourette Syndrome.`` an nei tih an sawi tihna a ni

Tic disorder chi hrang hrang a awm em? Tourette Syndrome chauh a awm em?

Ni lo, Tourette Syndrome hi tic disorder chi khat chauh a ni. A chi dang pawh a awm. I doctor chuan i symptoms a zirin eng tic disorder chi nge i neih tih chiang takin a hrilh ang che.

Tic disorder hi a hnuaia mi ang hian kan thliar hrang thei ber a ni.

• Provisional tic disorder: Hetah hian motor tics emaw, vocal tics emaw, a pahnih emaw hi kum khat aia rei lovah a awm thin.
• Persistent (chronic) tic disorder: Hetah hian kum khat aia rei motor tics emaw vocal tics (mahse a pahnih ni lo) emaw inzawmkhawm a awm a.
• Tourette Syndrome: Hetiang a nih chuan , motor tics leh vocal tics te hi kum khat aia rei a awm tur a ni.

`(Tourette Syndrome)` natna lan chhuah dan chu engte nge ni?

Kan sawi tawh ang khan Tourette Syndrome chhinchhiahna ber chu tics a ni. Hengte hi kum 5 leh 7 inkar atanga tan a ni tlangpui a, kum 12 vel atanga a sang ber a ni fo a, chumi hnuah chuan a tlahniam zauh zauh thin.

Heng `(tics)` te hi `(simple)` emaw `(complex)` emaw pawh a ni thei:

Tics awlsam tak leh Tics complex tak tak te

• Simple tics: Hengte hi a chak em em, a repetitive movement emaw sound emaw a ni a, a tlangpuiin muscle group tlemte chauh a tel thin. I kekawrte hrual emaw, i mit khap emaw, i hnar hmanga thawk chhuah emaw hi han ngaihtuah teh.
• Complex tics: Hengte hian chetna leh taksa peng hrang hrang a huam a. Entirnan, zuang chho leh chhuk, thumal emaw thumal emaw sawi nawn leh nawn leh te, midang sawi nawn leh (echolalia), leh tawngkam mawi lo hman (coprolalia) te hi complex tics entir nan hman a ni.

`(Motor Tic)` entirnan thenkhat:

• Limb flapping emaw, paih emaw
• A kawrfual ah bending
• Mit a hrual (a awm fo) .
• Lu a hrual emaw, a hrual emaw nghal
• A zuang chhuak ta a
• Hook chu a sawn chhuak
• Hmêl lan dân dik lo emaw, a lem (draw) emaw

`(Vocal Tic)` entirnan thenkhat:

• Ui au ang maia thawm siam
• Thawm ri chhuak
• Vawikhatmah a au chhuak ta
• Hnar atanga rasping sound nen thawk chhuah
• Thlalak tihfai fo thin

Heng `(Tics)` te hi a chang chuan a hlauhawm thei em?

A tam zawkah chuan tics hian harsatna a thlen vak lo. Mahse motor tics thenkhat chuan mahni intihhlimna a thlen thei. Entirnan, i hmaiah i inhnek.

Tin, `(vocal tic)` `(coprolalia)` an tih pawh a awm bawk. Thusawi theih loh khawpa thu tenawm emaw, khawtlang nun nena inmil lo emaw sawi chhuah hi a ni. Chumi avang chuan mi dangte chuan he mi hian tumruh takin midangte a tibuai a, a tibuai niin an ngai mai thei. A bik takin naupangin hetiang `(tic)` a neih chuan sikulah emaw, in lamah emaw a tul lova hrem a ni thei.

A pawimawh ber chu heng ``tics`` te hi tumahin tumruh taka an tih tur a ni lo tih hriatthiam hi a ni. Thunun theih loh khawpa thil thleng an ni.

Tourette Syndrome hi eng thilin nge a thlen?

Tourette Syndrome hi a chhan dik tak hi hriat a la ni lo . Mahse, he natna hi chhungkaw zingah a kal tlangpui avangin, scientist-te chuan genetic influence a awm niin an ngai . Hei hian naupangte hian an nu leh pate hnen atangin he dinhmun hi an rochun theihna chance a awm tihna a ni.

Chu bakah, kan thluaka neurotransmitter (hengte hi kan nungchang leh kan chetna control tu chemicals) hnathawh dan inthlak danglamna thenkhat , a bik takin dopamine an tih neurotransmitter-a inthlauhna hian hei hi a thlen thei tih theory a awm bawk.

Tourette Syndrome vei theihna tur risk factors te chu engte nge ni?

Hetiang dinhmun thlentu risk factor lian tak tak engemaw zat a awm a:

• Mipa leh hmeichhia: Mipa naupangte hian hmeichhia aiin Tourette Syndrome hi a let thum atanga a let li velin an vei tam zawk.
• Chhungkaw chanchin: A hmaa kan sawi tawh ang khan chhungkuaa mi tu emaw hian he natna hi a nei a nih chuan genes hmangin naupangte hnenah a kai thei a ni.
• Nau neih hmaa hriselna: Nuin naupai laiin zu a in emaw, hriselna lama harsatna dang a neih emaw chuan naupang chu Tourette Syndrome vei theihna a sang thei hle. Nau piang rihna hniam nen pawh a inzawm thei bawk.

Tourette Syndrome hi engtin nge an hriat theih?

Doctor-in `(tic disorder)` a hriat theih nan chuan `(tics)` hi kum 18 a tlin hmain a lo intan tawh tur a ni a, `(Tourette Syndrome)` a vei tih hriat theih nan `(motor tics)` leh `(vocal tics)` te hi kum khat aia tam an awm tawh tur a ni

Tourette Syndrome hriat theihna tur thisen test leh scan bik a awm lo . Chu ai chuan i doctor chuan i (or i fa) medical history leh symptoms te chu uluk takin a ngaithla ang. Tics chungchanga hriat duh i neih theih tur thenkhat chu hetiang hi a ni:

• Eng chen nge tics hi a lo awm thin?
• Kum engzat nge `(Tics)` hi a tan?
• `(tics)` (simple emaw complex emaw) hi eng nge a nih?

Tin, doctor chuan tics thlentu damdawi lam thil dang a awm loh nan test thenkhat a ti thei bawk.

`(Tourette Syndrome)` nen hian hriselna lama harsatna dang a awm thei em?

Ni e, Tourette Syndrome vei tam tak chuan hriselna lama harsatna dang pakhat emaw a aia tam emaw an nei thei. Chungte chu rilru lam emaw, nungchang lama harsatna emaw a ni fo thin. Entirna thenkhat chu:

• Lungkhamna (anxiety disorder) a awm
• Attention Deficit Hyperactivity Disorder (ADHD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Autism Spectrum Disorder (ASD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk.
• Lungngaihna
• Zirna lama harsatna nei te
• Obsessive-Compulsive Disorder (OCD) tih a ni a, a rilru a buai em em a, a rilru a hah em em bawk.
• Oppositional Defiant Disorder (ODD) tih a ni a, a rilru a buai em em a, a rilru a hah em em bawk.

Chuvangin Tourette Syndrome enkawlnaah hian heng a kaihhnawih natna te hi ngaihtuah a pawimawh hle.

`(Tourette Syndrome)` enkawl dan tur engte nge ni?

`(tics)` hi a nêm hle a, nitin hnathawhnaah nghawng lian tak a nei lo tihna a nih chuan enkawl a ngai lo mai thei. Mahse, `(tics)` te hi a nasat em em a, chu chu hnathawhna, sikul hnathawh, khawtlang inlaichinna tibuaitu tihna a nih chuan, a nih loh leh `(tics)` thenkhatin mahni intihhlumna a thlen chuan enkawlna a ngai tak zet a ni.

Chumi atan chuan damdawi leh nungchang lama enkawlna (behavioural therapy) te hi hman a ni ber.

Damdawi hian a pui em?

Ni e, doctor chuan Tourette Syndrome tan hian damdawi chi khat neuroleptics an tih chu a pe thei a ni. Heng damdawi te hian thluaka chemical pakhat dopamine an tih hnathawh tihtlem hmangin hna an thawk a ni. A chhan chu dopamine level sang hi tics tihpun chhan nia ngaih a ni.

Tin, Tourette Syndrome natna dang, ADHD emaw OCD emaw tan pawh damdawi hran pek theih a ni bawk.

Engtin nge behavioral therapy hian a puih theih ang?

Tourette Syndrome nena inzawm tics hi thunun theih loh leh mahni insiam chhuak a ni kan ti thin. Mahse, heng tics te hi enkawl dan tur leh nitin nunah a nghawng tha lo tihziaawm thei tur behavioral therapies thar a awm a ni.

Enkawlna ber pakhat chu ``Comprehensive Behavioral Intervention for Tics (CBIT)`` tih hi a ni. A awlsam zawngin, hetiang hian a ti a ni:

1. `(tics)` chhan dan zir: `(tic)` lo thleng tur i hriat hian a kalh zawnga thil tih i practice a, chu chu `(tic)` titawptu movement emaw action dang emaw tih tihna a ni. Hei hi `(competing response)` an ti a. Entirnan, mit i chhing dawn nia i hriat chuan, chu ai chuan tumruh takin i mit khap tlat i practice thin.

2. `(Tics)` hriat theihna tura training: Mi thenkhat chuan `(tic)` a lo thlen hmain ``premonitory urge`` an nei thin. Hnar hmaa hnar chhunga thil mak tak tak hriat ang mai. He premonitory urge hi hriat chian i zir hnu chuan `(tic)` a lo thlen hmain tihtawp emaw, tihdanglam emaw i tum thei ang.

3. `(Tics)` tihtlem tura tanpui: `(tics)` hi i hlauthawng, i stress, i hlim lutuk hian a pung fo thin. Chuvangin, a theih ang anga rilru hahdam taka awm dan practice leh stressful situations pumpelh hian `(tics)` awm tam lutuk hi i tihtlem thei a ni.

`(Tourette Syndrome)` vei te hmalam hun eng nge ni?

Tourette Syndrome hi damdawi a awm lo . Mahse, a hmaa kan sawi tawh ang khan, mi an lo upat deuh deuh chuan chu natna chu nasa takin a ṭha chho fo . Tics hi a awm reng thei a, mahse mi tam zawk chuan puitling an nih chuan damdawi emaw, behavioral therapy emaw an mamawh lo. Tourette Syndrome vei te hi dam chhung pangngaiin an hmang thin . Chumi awmzia chu dam chhung zawng, dam chhung titawp thei dinhmun a ni lo tihna a ni.

Tourette Syndrome hi ven theih a ni em?

Ni lo, Tourette Syndrome hi ven dan tur a awm lo. Hei hi a chhan chu genetic influence a neih vang a ni. Mahse, a hmaa hmuhchhuah a nih a, a \ha taka enkawl a nih chuan , Tourette Syndrome hi a na zual loh nan a veng thei a, puitlin thlengin eng emaw chen a tlahniam thei bawk.

Tourette Syndrome natna vei awlsam zawk nan eng nge tih theih ang?

Tourette Syndrome natna vei hi a harsa thei hle a, a bik takin naupang tan chuan a harsa thei hle. Sikul hnathawh ngaihtuah leh midangte nena inpawh tawn chu thil harsa tak a ni thei. Chuvangin, ṭhiante, chhungte leh zirtirtuten an thlawpna nasa tak chuan Tourette Syndrome vei naupang chu a natna enkawlna kawngah kawng thui tak a zawh thei a ni.

Tourette Syndrome vei naupangte pawhin:

• Zirlai tlem zawk awmna classroom-a zirlai.
• Sikul-a mimal ngaihsakna dawng.
• Assignment ang chi thil tih nan hun tam zawk neih.

A pawimawh ber chu naupang, chhungkua leh zirtirtuten he dinhmun hi hriatthiamna dik tak an neih hi a ni. Tichuan, naupang chu mawhpuh emaw, nuihzat emaw ai chuan mi zawng zawngin an pui thei a, a theihna tihhmasawn kawngah an thlawp thei bawk.

`(Tourette Syndrome)` chungchangah engtikah nge doctor i hmuh ang?

Tourette Syndrome vei chuan heng symptoms te hi a lantir chuan doctor pan nghal tur a ni :

• Tharum thawhna i tih chuan.
• Nangmah i inhliam a nih chuan.
• Mahni intihhlum chungchang i sawi a nih chuan. (Chutiang hunah chuan Sri Lanka-ah chuan 1926 Sumithrayo ang chi support services te pawh i call thei bawk.) Emergency a nih chuan 119 ah call rawh.

Tourette Syndrome hi thluak lam natna a ni a, mi pakhatin a duh loh zawnga chetna emaw, aw (tics) emaw a siam thin. He natna hi naupan lai atanga intan a ni tlangpui a, an upat deuh deuh chuan a lo tha chho zel bawk. Tourette Syndrome enkawl dan ber chu damdawi leh nungchang lama enkawlna a ni. Neurologist emaw psychiatrist emaw te chuan he natna hi an enkawl thin.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh (Tourette Syndrome) thenkhat i tana pawimawh nia kan hriatte kha han thlir let leh ila:

• Tourette Syndrome hi naupang thluak leh nervous system natna a ni. Control theih loh tics (muscle twitches leh vocalizations) a thlen thin.
• Heng ``tics`` te hi tumruhna a ni lo. Chuvangin naupang chu dem suh.
• A tam zawkah chuan he natna hi kum upat danah a tlahniam nasa hle a, a bik takin thalai zingah a tlahniam nasa hle.
• He natna hi damdawi leh cognitive behavioral therapy (CBIT) hmangin tha takin enkawl theih a ni.
• Tourette Syndrome vei naupangin chhungte, zirtirtu leh ṭhiante hnen aṭanga hmangaihna, hriatthiamna leh ṭanpuina a dawn hi a pawimawh hle.
• Hemi chungchang hi hriat belh i duh chuan, emaw, i fain heng symptoms te hi a nei nia i rinhlelh chuan pediatrician, neurologist, psychiatrist hnenah thurawn dil rawh.

Ngaihtuah buai suh, Tourette Syndrome hi hriatthiamna leh enkawl dan dik tak hmanga hlawhtling taka hmachhawn theih a ni.

` Tourette Syndrome, Tics, Motor Tics, Vocal Tics, Neurology, Naupang enkawlna, Nungchang lam enkawlna