Ka ruru te tinana o tāu tamaiti, ā, kāore e taea te whakahaere? Ka puta he haruru? Ko te "(Tourette Syndrome)" tēnā?

Kua kite pea koe i tāu ake tamaiti, i te tamaiti a tētahi tauhou, i te kura rānei, i te tiriti rānei, ka kite ohorere ētahi tamariki i ō rātou kanohi, ka hikihiki i ō rātou pakihiwi, ka huri kē i ō rātou kaki, ka puta noa rānei he haruru e rite ana ki te mea kei te horoi i ō rātou korokoro. I ētahi wā, hei pakeke, ka whakaaro pea tātou, "Kei te kata tēnei tamaiti? Kei te ngana rānei ia ki te kukume i te aro o tētahi?" Engari i roto i te ao tūturu, he mea ēnei kāore e taea e rātou te whakahaere, ka puta noa mai i te ao tūturu. I tēnei rā ka kōrero tātou mō tētahi āhuatanga pēnei, he ahua uaua, engari ki te mārama, ka taea te whakahaere i te nuinga o te wā. Koia te `(Tourette Syndrome)`, te Tourette Syndrome rānei, he āhuatanga io.

He aha te `(Tourette Syndrome)`? Kia mārama tātou!

Ki te kī māmā noa, ko te `(Tourette Syndrome)` he mate e pā ana ki tō tātou roro me te pūnaha io. Ko te mea ka tupu i roto i tēnei, ka puta whakarere mai he nekehanga tinana, he oro rānei, kāore e taea e te tangata te whakahaere. E kiia ana tēnei e tātou i roto i te rongoā he `(tics)`, he `tics rānei.` Whakaarohia he rite ki tētahi `pana` iti i roto i tō tātou tinana e `kā-weto` ana, engari kāore e taea e tātou te whakahaere i a ia e hiahia ana.

E rua ngā momo matua o ēnei `(tics)`:

1. `(Ngā nekehanga nekenekehanga)`: Ko ēnei ngā `(ngā nekehanga tinana)` e uru ana ki ngā nekehanga tinana. Hei tauira, te hiki i ngā pakihiwi, te kimo kanohi, te ruru i te mahunga, me te whakakorikori i ngā waewae.

2. Ngā tik reo: Ko ēnei ngā tik e uru ana te reo. Hei tauira, te hanga haruru pēnei i te horoi i te korokoro, te manawa mā te ihu, te aue, te kōrero kupu, me te hamama i ētahi wā.

Ko te tikanga ka tīmata tuatahi ngā "tika nekeneke", ā, muri iho ko ngā "tika reo". Ko te "Mate Tourette" te mea tino kino o ēnei "mate tika", te mea tino kitea rānei ngā tohu. Ka tīmata i te tamarikitanga, i waenga i te 5 me te 7 tau te pakeke. He waimarie, mō te tini o te tangata, ka tino heke tēnei āhuatanga i a rātou e pakeke haere ana, inā koa i roto i ō rātou taiohinga. Tērā pea ka ngaro katoa atu.

He pēhea te noa o te `(Tourette Syndrome)`?

E whakaatu ana ngā rangahau, i te toharite, tata ki te kotahi i roto i te 100 ngā tamariki ka pāngia e tētahi momo "mate tic." Heoi, he iti ake te auau o te "Tourette Syndrome". Ko te tikanga, tata ki te kotahi anake i roto i te 160 ngā tamariki e kīia ana he "Tourette Syndrome."

He rerekē ngā momo mate tic? Ko te Tourette Syndrome anake?

Kāo, ko te Tourette Syndrome tētahi momo mate tic anake. Tērā atu anō ētahi momo. Mā tō tākuta koe e kōrero tika ki te momo mate tic kei a koe i runga i ō tohumate.

Ko ngā mate tic ka taea te whakarōpū penei:

• Mate tītī rangitahi: I roto i tēnei, ko ngā tītī nekeneke, ko ngā tītī reo, ko ngā mea e rua rānei e kitea ana mō te iti iho i te tau.
• Mate tic pumau (mau tonu): I roto i tēnei, he huinga o ngā tic nekeneke, o ngā tic reo rānei (engari kāore i te rua) mō te neke atu i te tau.
• Te Mate Tourette: I tēnei āhuatanga , me noho ngā tics nekeneke me ngā tics reo mō te neke atu i te tau.

He aha ngā tohu o te `(Tourette Syndrome)`?

E ai ki tā tātou i kōrero ai i mua, ko te tohu matua o te Tourette Syndrome ko te tics. I te nuinga o te wā ka tīmata ēnei i waenga i te 5 me te 7 tau te pakeke, ā, ka piki haere i te 12 tau te pakeke. Whai muri i tēnā, ka heke haere.

Ka taea e ēnei `(tics)` te `(simple)` me te `(complex)` rānei:

Ngā Tics Ngāwari me ngā Tics Uaua

• Ngā tīki māmā: He nekehanga tere, he auau hoki ēnei, he oro rānei, he torutoru noa iho ngā rōpū uaua e uru ana. Whakaarohia te hiki i ō pakihiwi, te kimo o ō kanohi, te manawa rānei mā roto i tō ihu.
• Ngā tic uaua: He maha ngā nekehanga me ngā rōpū uaua e uru ana ki ēnei. Hei tauira, ko te pekepeke ake, te pekepeke iho, te whakahua anō i tētahi kupu, i tētahi rerenga kōrero rānei, te whakahua anō i ngā kōrero a ētahi atu (echolalia), me te whakamahi i te reo kino (coprolalia) he tauira ēnei o ngā tic uaua.

Ētahi atu tauira `(Motor Tic)`:

• Te papaki, te whiu rānei i te peka
• Te piko i te hope
• Te kimokimo o ngā kanohi (he maha tonu)
• Te oho ohorere, te takahuri rānei o te upoko
• Te peke ake
• Te neke i te matau
• Ngā āhua kanohi kua whakapēhia, kua tuhia rānei

Ko ētahi tauira o te `(Vocal Tic)`:

• He haruru e rite ana ki te auau a te kurī
• Te tangi o te ngongoro
• Kātahi ka hamama
• Te manawa me te tangi haruru mā te ihu
• Te horoi pinepine i te korokoro

Ka taea e ēnei `(Tics)` te noho morearea i ētahi wā?

I te nuinga o te wā, kāore e nui te kino o ngā tic. Engari ka taea e ētahi tic nekeneke te whara i a koe anō. Hei tauira, te patu i tō mata.

Waihoki, kei reira te `(vocal tic)` e kiia nei ko `(coprolalia)`. Ko te whakapuakitanga o ngā kupu whakarihariha, kupu kāore e tika ana mō te hapori, kāore e taea te whakahaere. Nā tēnei, ka whakaaro pea ētahi kei te āta whakatoi, kei te whakararuraru rānei tēnei tangata i ētahi atu. Ina koa mēnā he `(tic)` tēnei momo `(tic)` kei te tamaiti, ka whiua pea ia ki te kura, ki te kāinga rānei, kāore e tika ana.

Ko te mea nui ko te mārama ehara ēnei "tika" i te mea e mahia noatia ana e te tangata. He mea e tupu ana i waho o te mana whakahaere.

He aha te take o te mate Tourette?

Kāore anō kia mōhiotia te tino pūtake o te mate Tourette . Heoi, nā te mea ka puta te mate i roto i ngā whānau, e whakapono ana ngā kaipūtaiao he pānga ira kei roto. Ko te tikanga tēnei he tūponotanga ka riro i ngā tamariki te mate mai i ō rātou mātua.

Hei tāpiritanga, kei reira anō te ariā e kī ana ko ētahi huringa o te mahi a ngā neurotransmitters (koinei ngā matū e whakahaere ana i ā tātou whanonga me ngā nekehanga) i roto i tō tātou roro, inā koa ko te kore taurite o te neurotransmitter e kiia nei ko te dopamine, ka whai wāhi pea ki tēnei.

He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te Tourette Syndrome?

He maha ngā āhuatanga mōrearea matua e whai wāhi ana ki tēnei āhuatanga:

• Ira Tangata: E toru ki te whā ngā wā ka nui ake te tūponotanga o ngā tama ki te pāngia e te mate Tourette i ngā kōtiro.
• Hītori whānau: E ai ki te kōrero i mua ake nei, mēnā kei roto i te whānau tēnei mate, ka taea te tuku atu ki ngā tamariki mā roto i ngā ira.
• Hauora i mua i te whānautanga: Mena i momi hikareti te whaea i te wā e hapu ana, i pāngia rānei e ētahi atu raruraru hauora, tera pea ka nui ake te tūponotanga o te tamaiti ki te whakawhanake i te Tourette Syndrome. Tērā pea ka hono atu ki te taumaha iti i te whānautanga.

Me pēhea te tātaritanga o te mate Tourette Syndrome?

Kia taea ai e te tākuta te tautuhi i tētahi `(tic disorder)`, me tīmata te `(tics)` i mua i te 18 tau te pakeke. Kia taea ai te tautuhi i te `(Tourette Syndrome)`, me noho ngā `(motor tics)` me ngā `(vocal tics)` mō te neke atu i te tau .

Kāore he whakamātautau toto, he matawai rānei hei tautuhi i te mate Tourette Syndrome. Engari, ka whakarongo pai tō tākuta ki tō hītori hauora (me ngā tohumate rānei o tō tamaiti). Anei ētahi mea e hiahia ana koe ki te mōhio mō ngā Tics:

• E hia ngā wā ka puta mai ai ngā tics?
• I tehea tau i tīmata ai te `(Tics)`?
• He aha te āhua o te `(tics)` (he māmā, he uaua rānei)?

Waihoki, ka whakahaerehia e te tākuta ētahi whakamātautau hei whakakore i ētahi atu āhuatanga hauora e puta ai ngā tics.

Ka taea e ētahi atu āhuatanga hauora te pā mai me te `(Tourette Syndrome)`?

Ae, he maha ngā tāngata e pāngia ana e te Tourette Syndrome, tērā pea he mate hauora kotahi, neke atu rānei. He maha ngā wā he mate hinengaro, he mate whanonga rānei ēnei. Ko ētahi tauira ko:

• Ngā mate manukanuka
• Te Mate Hihiri Kore Aro (ADHD)
• Mate Autōmia (ASD)
• Te pouri
• Ngā ngoikoretanga ako
• Mate Whakahāwea-Ārai (OCD)
• Mate Whakahē Whakahē (ODD)

Nō reira, he mea tino nui kia whai whakaaro ki ēnei āhuatanga e pā ana i te wā e rongoātia ana te Tourette Syndrome.

He aha ngā maimoatanga mō te `(Tourette Syndrome)`?

Mena he tino ngawari ngā `(tics)`, arā, kāore he pānga nui ki ngā mahi o ia rā, kāore pea e hiahiatia he maimoatanga. Heoi, ki te mea he kino ngā `(tics)`, arā, ka whakararuraru i te mahi, i ngā mahi kura, i ngā whanaungatanga pāpori, ki te mea rānei ka whara koe i a koe anō i tētahi `(tics)`, me tino hiahiatia he maimoatanga.

Ko ngā rongoā me te rongoā whanonga te nuinga e whakamahia ana mō tēnei.

He āwhina ngā rongoā?

Ae, ka taea e te tākuta te tohu i tētahi momo rongoā e kiia nei ko ngā neuroleptics mō te Tourette Syndrome. Ka mahi ēnei rongoā mā te whakawhāiti i te mahi a tētahi matū e kiia nei ko te dopamine i roto i te roro. Nā te mea e whakaarohia ana ko te pikinga o ngā taumata dopamine te take o te pikinga o ngā tics.

Hei tāpiritanga, ka taea te hoatu rongoā motuhake mō ētahi atu āhuatanga e pā ana ki te Tourette Syndrome, pērā i te ADHD, te OCD rānei.

Me pēhea te āwhina a te rongoā whanonga?

I kī mātou i mua ko ngā tic e pā mai ana me te Tourette Syndrome he mea kore e taea te whakahaere, ā, he mea ohorere. Heoi anō, kei reira ngā rongoā whanonga hou hei āwhina i te whakahaere i ēnei tic me te whakaiti i ōna pānga kino ki te oranga o ia rā.

Ko tētahi o ngā maimoatanga matua ko te "Wāwaotanga Whanoke mō ngā Tics (CBIT)" . He māmā noa iho, ko tāna mahi ko tēnei:

1. Te ako me pēhea te urupare ki ngā `(tics)`: Ina rongo koe i te `(tic)` e haere mai ana, ka whakaharatau koe ki te mahi i tētahi mea e rerekē ana ki tēnā, arā, ki te mahi i tētahi atu nekehanga, i tētahi atu mahi rānei e pehi ana i te `(tic)`. Ka kiia tēnei he `(competing response)`. Hei tauira, ki te mea kei te pēhia koe e te kimo, ka whakaharatau koe ki te kati i ō kanohi kia piri.

2. Te whakangungu ki te mōhio ki ngā `(Tics)`: Ka rongo ētahi tāngata i te `hiahia matapae` i mua i te taenga mai o te `(tic)`. He rite ki te rongo i tētahi mea rerekē i roto i te ihu i mua i te tihe. Kia mōhio koe ki te mōhio ki tēnei hiahia matapae, ka taea e koe te ngana ki te pehi, ki te whakarerekē rānei i mua i te taenga mai o te `(tic)`.

3. Te āwhina ki te whakaiti i te `(Tics)`: Ka piki ake te `(tics)` ina mataku koe, ina ahotea, ina harikoa rawa rānei. Nō reira, mā te whakaharatau kia noho marino me te karo i ngā āhuatanga ahotea, ka taea e koe te whakaiti i te auau o te `(tics)`.

He aha te heke mai mō te tangata e pāngia ana e te `(Tourette Syndrome)`?

Kāore he rongoā mō te Tourette Syndrome. Heoi, e ai ki te kōrero i mua ake nei, he maha ngā wā ka pai ake te āhua i te kaumātuatanga o te tangata . Ahakoa ka mau tonu ngā tics, ko te nuinga o te tangata kāore e hiahia ki te rongoā, ki te rongoā whanonga rānei i te pakeketanga. He oranga noa te hunga whai Tourette Syndrome. Ko te tikanga ehara i te mea he mate mō te wā roa, he mate whakapoto i te oranga.

Ka taea te ārai i te mate Tourette Syndrome?

Kāo, kāore he huarahi hei ārai i te mate Tourette. Nā te mea he pānga ira tōna. Heoi, ki te kitea wawetia, ā, ka rongoatia tika , ka taea te ārai i te kino haere o te mate Tourette, ā, ka taea te whakaiti i tōna āhua tae noa ki te pakeketanga.

Me pēhea te mahi hei whakangawari ake i te noho tahi me te Tourette Syndrome?

He uaua te noho me te Matepukupuku Tourette, inā koa mō ngā tamariki. He uaua pea te arotahi ki ngā mahi kura me te taunekeneke ki ētahi atu. Nō reira, mā te tautoko kaha mai i ngā hoa, te whānau, me ngā kaiako ka āwhina nui i te tamaiti e pāngia ana e te Matepukupuku Tourette ki te whakahaere i te mate.

Tērā pea ka whai hua ngā tamariki whai Tourette Syndrome i:

• Te ako i roto i ngā akomanga me te iti o ngā ākonga.
• Te whiwhi aro whaiaro i te kura.
• Te whai wā atu anō hei mahi i ngā mahi pēnei i ngā mahi ā-ringa.

Ko te mea nui kia mārama tika te tamaiti, te whānau, me ngā kaiako ki tēnei āhuatanga. Kātahi, kaua e whakapae, e tawai rānei ki te tamaiti, ka taea e te katoa te āwhina i a ia, te tautoko hoki i a ia ki te whakawhanake i ōna pūkenga.

Āhea koe me toro atu ki te tākuta mō te `(Tourette Syndrome)`?

Mena ka kitea tētahi o ēnei tohu e te tangata whai Tourette Syndrome, me toro atu tonu rātou ki te tākuta :

• Ki te mea ka whanonga tutu koe.
• Ki te whara koe i a koe anō.
• Mena kei te kōrero koe mō te whakamomori. (I roto i ēnei āhuatanga, i Sri Lanka, ka taea hoki e koe te waea atu ki ngā ratonga tautoko pēnei i a 1926 Sumithrayo.) Mēnā he āhuatanga ohorere, waea atu ki te 119.

Ko te Tourette Syndrome he mate pūnaha io e meinga ai te tangata kia nekeneke, kia puta rānei he oro koretake (tic). I te nuinga o te wā ka tīmata te mate i te tamarikitanga, ā, ka pai ake i te pakeketanga. Ko te rongoā me te whakaora whanonga ngā maimoatanga matua mō te Tourette Syndrome. Ka rongoatia te mate e ngā tākuta pūnaha io, e ngā tākuta hinengaro rānei.

Karere Tangohia ki te Kāinga

Āe, me arotake tātou i ētahi o ngā mea i kōrerohia e tātou (te mate Tourette Syndrome) e whakaaro ana mātou he mea nui ki a koe:

• Ko te Tourette Syndrome he mate roro me te pūnaha io e pā ana ki ngā tamariki. Ka puta he tics (ngā wiri o ngā uaua me ngā reo) kāore e taea te whakahaere.
• Ehara ēnei "tikanga" i te mea āta whakaarohia. Nō reira kaua e whakapae i te tamaiti.
• I te nuinga o te wā, ka tino heke te āhua o tēnei mate i te kaumātuatanga, inā koa i roto i te hunga rangatahi.
• Ka taea te whakahaere pai i tēnei āhuatanga mā te rongoā me te rongoā whanonga hinengaro (CBIT).
• He mea tino nui te aroha, te māramatanga, me te tautoko e whakawhiwhia ana ki te tamaiti whai mate Tourette mai i te whānau, ngā kaiako me ngā hoa.
• Ki te hiahia koe ki te mōhio atu mō tēnei, ki te whakapae rānei koe kei tō tamaiti ēnei tohu, tirohia te tākuta tamariki, te tākuta roro, te tākuta hinengaro rānei mō ētahi tohutohu.

Kaua e manukanuka, he mate te Tourette Syndrome ka taea te rongoā angitu mā te mārama me te whakahaere tika.

Te Mate Tourette, Ngā Tics, Ngā Tics Motika, Ngā Tics Reo, Neurology, Pediatrics, Whakaora Whanoke