A châng chuan naupang tê tê, a châng chuan puitlingte pawhin an mit an chhing chhunzawm zêl a, a nih loh leh an kekawrte an hrual a, a nih loh leh rang takin an rilru a tifai tih i hmu ngai em? Heng thilte hi an thunun theih lohvin an chungah a thleng niin a lang, a dik em? Tourette syndrome hi thluak lam natna a ni a, chutiang thunun theih loh chetna emaw, aw ri emaw a thlen thin. Heng tics te hi damdawi lam tawngin kan ti thin. He thu i hriat hian hlau suh. A pawimawh ber chu hei hi a famkima hriat chian a ni.
A awlsam zawngin, Tourette Syndrome hi eng nge ni?
Tourette syndrome hi neurological disorder a ni a, mi pakhatin a duh loh zawnga chetna emaw, a thunun theih loh thawm emaw a siam nghal a ni. Chungte chu `tics` an ti a. Entîr nân, mi pakhatin a mit a chhing nawn leh thei a, a rilru a tifai thei a, a sawi tum loh thu a sawi thei bawk.
Mi thenkhat tan chuan enkawlna hian heng tics te hi a control thei a ni. Mahse midang tan chuan heng symptoms te hi a buaithlak lutuk lo va, damdawi engmah an mamawh lo.
Hetiang dinhmun hi naupan lai atang hian a intan fo thin. Hmeichhia aiin mipaah a tam zawk bawk. A tha ber chu naupangte an lo puitlin chuan heng symptoms te hi a tlahniam fo thin. A then phei chuan an bo vek.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Doctor-te chuan Tourette syndrome thlentu dik tak chu an la chhui chhuak mek a, mahse thluak hmun eng emaw zat hnathawh dan inthlak danglamna nen a inzawm niin an ngai. Researcher-te chuan taksa chetna control-na atana puitu basal ganglia-a inthlak danglamna; frontal lobes, taksa ruh (muscles) control tu; leh thluak hmun hrang hrang inkara inbiakpawhna atana puitu cortex te pawh a ni.
Chu bâkah, thluaka thuchah thlentu chemical, `neurotransmitters` an tihte inthlauhna pawh a awm thei bawk. A bulpui ber chu `(dopamine)`, `(serotonin)`, leh `(norepinephrine)` te an ni.
Heng bakah hian chhan dang, chiang taka la finfiah loh, mahse nghawng nei nia ngaih a awm bawk:
- Naupai laiin harsatna a awm thin
- Nau piang rit lo
- Lu hliam
- Carbon monoxide avanga rimchhia a awm
- Encephalitis natna a ni
Hei hi thlah kal zel atanga lo chhuak thil a ni em?
Zirchiangtute chuan Tourette syndrome emaw, chutiang chi tic condition emaw hi eng emaw chen chu thlahtute atanga lo chhuak a ni thei niin an ngai. Hei hian genetic link a awm thei tihna a ni. Engtin nge hetiang hi a awm tih chiang taka hriat ni lo mah se, Tourette syndrome vei chuan naupang hnenah a kai theihna chance 50% vel a nei a ni. Mahse, chhungkaw thenkhatah chuan mi engemaw zatin he natna hi an nei a, thenkhatah chuan mi pakhat chauhvin a vei thei bawk. Tin, naupang 20 zinga pakhat velin he natna hi an nei lo.
Tourette syndrome (Tics) natna lan chhuah dan chu engte nge ni?
Tourette syndrome chhinchhiahna ber chu `tics` a ni. `tics` thenkhat chu a te lutuk a, hriat theih pawh a ni lo. Mahse ṭhenkhat chu a awm fo va, a langsar hle bawk. Anmahni chu stress , phurna, natna, a nih loh leh hahna ang chi thilte hian a tizual thei a ni. `tics` na tak hian a chang chuan mualphona a thlen thei a, khawtlang nun emaw hnathawhna emaw a tibuai thei bawk.
Motor tic a awm hma hian mi thenkhat chuan an taksaah tingling, prickling, tightness emaw an nei thei. Chu lungawi lohna chu tic, a nih loh leh chetna a lo awm chuan a bo vek a ni. Hun engemaw chen chu tics hi i titawp thei a, mahse i titawp vek thei lo mai thei.
`tics` hi chi hnih a awm a. Chungte chu `motor tics` leh `vocal tics` te an ni. Heng chi hrang hrangte hi chi hnih ah then belh a ni a, chungte chu simple leh complex te an ni.
| Tic type a ni | Tics awlsam tak tak | Tics buaithlak tak tak |
|---|---|---|
| Motor Tics a awm bawk |
| |
| Vocal Tics a ni |
Foul language hman chungchanga thudik (Coprolalia) .
Tourette syndrome chhinchhiahna buaithlak ber pakhat chu `coprolalia` a ni. Hei hi thunun loha thu tha lo emaw, khawtlang nun nena inmil lo emaw sawina a ni. Chutiang bawkin thunun loha kut zungtang mawi lo tak tak siam chu `copropraxia` an ti a. He natna vei te hi TV leh movie-ah te an inlan avangin mi tam tak chuan hei hi thil awmze nei tak niin an ngai a. Mahse thudik tak chu Tourette syndrome vei tam zawk hian `coprolalia` emaw `copropraxia` emaw an nei lo.
A kaihhnawih dinhmun dangte
A chhan dik tak hriat chian ni lo mah se, Tourette syndrome vei zinga a chanve vel chuan ADHD (Attention Deficit Hyperactivity Disorder) symptoms an nei bawk a, chu chu ngaihven, ngaihtuahna fim tak leh hna thawh zawh harsa an ti tihna a ni.
Chu bakah, Tourette syndrome hi heng natna te nen hian a inzawm thei bawk:
- Hlauhthawnna
- Zirna lama harsatna nei, entirnan dyslexia
- Obsessive-compulsive disorder (OCD) hi thil duh loh ngaihtuahna leh thiltih te thunun theih loh, entirnan kut sil reng reng a ni.
Engtin nge doctor chuan hei hi Tourette syndrome a nih leh nih loh chiang taka a hriat theih ang?
A pawimawh ber chu Tourette syndrome hriat theihna tur test bik a awm lo. I doctor chuan nangmah emaw, i fa emaw chungchanga i information pek leh an symptoms an hmuh dan a\angin diagnosis a siam ang.
Mahse, i doctor chuan i tics awm chhan dang a enfiah a ngai mai thei. Entirnan, mit khap reng reng hi mit hmuh that loh vang a ni thei a, hnar picking reng reng hi allergy vang a ni thei bawk. Chutiang hunah chuan thisen test emaw, i thluak MRI scan emaw ang chi test atan refer i ni thei. EEG (electroencephalogram) tih pawh i ti thei a, chu chuan thluak wave pattern a teh a ni.
I doctor chuan hetiang zawhna hi a zawt thei ang:
- Vawiin hian hetah hian lo kal turin eng thilin nge a fuih che?
- Nang emaw i fa emaw hian taksa chetna thunun theih loh in nei em? Eng chen nge hetiang hian a awm tawh?
- Ngaihtuah ngai lova i kâ aṭanga thu emaw, thawm emaw lo chhuak i hre em? Hei hi engtikah nge a lo intan?
- Eng emaw hian heng symptoms te hi a ti tha zawk em? Eng thilin nge an ti na zual?
- Nang emaw, i fa emaw hian lungkhamna emaw, ngaihtuahna seng harsa emaw i nei em?
- Chhungkaw zingah hian heng symptoms hi tu emaw dangin an nei em?
Chu bakah, doctor chuan heng tehfungte hi a ngaihtuah bawk a:
- Do `tics` hi movement leh sound category pahnihah a tel ve ve (a ruala thleng tur a ni lo).
- Ni khatah vawi engzat pawh lo kal mah se, hengte hi kum khat tal a awm ang em?
- Kum 18 a tlin hma khan a intan em?
- Heng thilte hi damdawi emaw thil dang emaw avanga lo awm a ni lo em ni?
- Tics hi a frequency, type, severity, a nih loh leh simple atanga complex thlengin a inang lo em?
Hei hi eng enkawlna nge ni?
Tourette syndrome hi damdawi a la awm lo. Mahse, mi tam zawk tan chuan tics hi a na tawk lo va, enkawl ngai a ni. Mahse, i nun tibuaitu an nih chuan i doctor chuan damdawi a pe thei a ni.
Damdawi chi hrang hrang
`tics` tihziaawmna tur damdawi chi hrang hrang a awm a, chung zinga ṭhenkhat chu natna dang atan pawh an pe bawk. Chu chu chu damdawi te pawhin `tics.` a tihziaawm tih hmuhchhuah a nih vang a ni
- Dopamine tichhe thei damdawi te chu: Fluphenazine, Haloperidol, Pimozide, Risperidone te an ni.
- Thisen sang damdawi: `Clonidine`, `Guanfacine` ang chi te .
- Lungngaihna tihdamna damdawi: Fluoxetine (Prozac), Sertraline (Zoloft) te a ni.
- ADHD damdawi: `Methylphenidate (Ritalin LA)` ang chi te.
- Epilepsy damdawi: `Topiramate (Topomax)` ang chi te.
A pawimawh ber chu, i doctor thurawn tel lo chuan damdawi engmah ei tan emaw, titawp emaw suh. Damdawi dik tak leh a hman dan tur dik tak hmuh nan hun engemaw chen a ngai thei.
Therapy hmanga enkawl a ni
Damdawi bakah hian damdawi hmanga enkawlna pawh hian he natna enkawlna kawngah hian a pui hle bawk.
- Talk therapy: Tourette syndrome leh a kaihhnawih ADHD, OCD, emaw lungkhamna ang chi te hmachhawn dan tur zir turin psychologist emaw trained therapist emaw i biak thei ang.
- Cognitive Behavioral Therapy (CBT): Hei hian tics hmaa sensation awmte hriatchhuah a, chu chu chhanna atana thil dang tih practice a huam a ni. Hei hian tics control-na kawngah nasa takin a pui thei a ni.
- Deep Brain Stimulation (DBS): Hei hi experimental treatment a la ni reng a. Damdawi dang dawng lo, natna khirh tak tak nei tan ngaihtuah a ni. Hemiah hian surgery hmangin thluak chhunga chetna controltu peng hrang hrangah electrical stimulation pe thei device an dah a ni.
Tourette syndrome nei naupang enkawltu nu leh pate tan tips
Hetiang natna nei naupang enkawl hi nu leh pate tan chuan thil harsa tak a ni thei. Naupang tleirawl laiah tics hi a sang ber fo thin a, an upat deuh deuh chuan a tlahniam zauh zauh thin tih hre reng ang che.
Chutih lai chuan, i tanpui thei tur thil thenkhat chu hetiang hi a ni:
- I fa chu an tics tihtawp tir tir suh. Anmahni hmuh emaw hriat emaw chu a lungchhiatthlak thei a, mahse thunun tumna chuan naupang rilru hahna a tipung thei a, tics a ti na zual thei bawk.
- Naupang nunah puitlingte hriattir rawh. School zirtirtu te, school van khalhtu te, class zirtirtu te, naupangin hun tam tak a hmanpui coach te hriattir rawh. Thil awmdan chu hrilhfiah la, naupang mamawh puihna chu hmu rawh.
- I fate mahni inngaihhlutna siam turin tanpui rawh. I fa chu a ngaihven leh talent (infiamna, art, music ang chi) zawm turin fuih rawh. Chu chuan ṭhian siamin, thil thar zirin, mahni inrintawkna a siam ang.
- I fa chu midang fiamthu sawi dan tur zirtir rawh. I fa nen inbia la, naupang dangte fiamthu leh zawhna chhan dan tur zirtir rawh.
- Support pawh dawng bawk ang che. Hetiang naupang nu leh pate tan support group a awm em tih zawng rawh. Chu chuan chakna nasa tak a pe bawk ang che.
Take-Home Thuchah a ni
- Tourette syndrome hi thluak lam natna a ni a, thunun theih loh che leh thawm (tics) a thlen thin.
- Hei hi a chhan dik tak hriat chhuah ni lo mah se, thluaka chemical leh genetic influence te hi a inrawlh thei a ni.
- A lan chhuah dan a nasat loh chuan enkawl a ngai lo fo. Naupangte an lo puitlin chuan symptoms a tlahniam duh hle.
- Coprolalia, thunun theih loh thutiam chhinchhiahna hi i ngaihtuah angin a awm lo.
- Nangmah emaw i fa emaw hian heng symptoms te hi i neih chuan hlauthawng suh la, doctor thiam tak hnen atangin thurawn la rawh. Enkawlna dik tak nen chuan nun pangngai, active takin i nung thei ang.











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