Ese umwana wawe azunguza umubiri we mu buryo budasubirwaho? Ese avuza urusaku? Ese ni (Tourette Syndrome)?

Birashoboka ko wigeze ubona umwana wawe, umwana w'umuntu utazi, cyangwa ndetse no ku ishuri cyangwa mu muhanda, abana bamwe bahita bahumbya amaso, bagatemba amajosi, bagahindukira amajosi mu buryo butangaje, cyangwa bagatera urusaku rusa n'aho barimo gukoza imihogo. Hari igihe nk'abantu bakuru, dushobora gutekereza tuti: "Uyu mwana arimo arasetsa? Cyangwa arimo gushaka ko umuntu amwitaho?" Ariko mu by'ukuri, ibi ni ibintu badashobora kugenzura, bibaho mu buryo busanzwe. Uyu munsi tugiye kuvuga ku ndwara nk'iyi, igoye gato, ariko imaze kumvikana, ishobora gukemurwa ahanini. Iyo ni `(Tourette Syndrome)` cyangwa Tourette Syndrome, indwara y'imitsi.

`(Tourette Syndrome)` ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Mu magambo make, `(Tourette Syndrome)` ni indwara igira ingaruka ku bwonko bwacu no ku mitsi. Ibi bibaho ni uko umuntu ahita agira imigendere cyangwa amajwi adashobora kugenzura. Mu buvuzi ibi tubyita `(tics)` cyangwa `tics.` Tekereza nk'ikintu gito mu mubiri wacu kigenda `kizima`, ariko ntidushobora kugigenzura uko tubyifuza.

Hari ubwoko bubiri bw'ingenzi bw'ibi `(tics)`:

1. `(Imikorere y'imitsi)`: Iyi ni `(imikorere y'imitsi)` ikubiyemo imigendere y'umubiri. Urugero, guterura intugu, guhumeka amaso, kunyeganyega umutwe, no gukubita amaguru n'amaboko.

2. Imivugire y'ijwi: Iyi ni imivugire ikoresha ijwi. Urugero, gukora amajwi nko koza umuhogo, guhumeka mu mazuru, kuboroga, kuvuga amagambo, ndetse rimwe na rimwe no gusakuza.

Ubusanzwe "guhagarara kw'imitsi" bitangira mbere, hagakurikiraho "guhagarara kw'ijwi". "Guhagarara kw'imitsi" ni yo ndwara ikomeye cyane muri izi "guhagarara k'imitsi", cyangwa ibimenyetso byinshi. Akenshi itangira mu bwana, hagati y'imyaka 5 na 7. Ku bw'amahirwe, kuri benshi, iyi ndwara igabanuka cyane uko bagenda bakura, cyane cyane mu gihe cy'ubwangavu. Ishobora no kugenda burundu.

`(Tourette Syndrome)` ikunze kugaragara gute?

Ubushakashatsi bwerekana ko ugereranije, umwana umwe ku bana 100 ashobora kugira ubwoko runaka bwa "tique disorder." Ariko, umubare w'abana barwara "Tourette Syndrome" uri hasi gato. Ibyo bivuze ko umwana umwe gusa ku bana 160 ari we uvugwaho kugira "Tourette Syndrome."

Ese hari ubwoko butandukanye bw'indwara zo mu mutwe? Ese hari indwara ya Tourette gusa?

Oya, indwara ya Tourette ni ubwoko bumwe bw'indwara yo gutembera. Hari n'ubundi bwoko. Muganga wawe azakubwira neza ubwoko bw'indwara yo gutembera ufite hashingiwe ku bimenyetso byawe.

Indwara zo mu mutwe zishobora gushyirwa mu byiciro bikurikira:

• Indwara y'agahinda k'agateganyo: Muri ibi, haba ku mitsi y'umubiri, ku ijwi, cyangwa byombi bibaho mu gihe kitarenze umwaka.
• Indwara yo kutavuga ihoraho (idakira): Muri ibi, hari uruvange rw'imitsi y'amajwi cyangwa imitsi y'amajwi (ariko si byombi) mu gihe kirenga umwaka.
• Indwara ya Tourette: Muri iki gihe , imikorere y'imitsi n'amajwi bigomba kuba bihari mu gihe kirenga umwaka.

Ni ibihe bimenyetso bya `(Tourette Syndrome)`?

Nkuko twabiganiriyeho mbere, ikimenyetso nyamukuru cya Tourette Syndrome ni ritics. Ibi akenshi bitangira hagati y'imyaka 5 na 7, akenshi bigakomera ahagana ku myaka 12. Nyuma y'ibyo, bigenda bigabanuka buhoro buhoro.

Izi `(tics)` zishobora kuba `(zoroshye)` cyangwa `(complex)`:

Amatike yoroshye n'amatike akomeye

• Gutembera byoroshye: Ibi ni ingendo cyangwa amajwi yihuta cyane, asubiramo kenshi akunze kuba agizwe n'imitsi mike gusa. Tekereza guterura ibitugu byawe, guhumeka amaso, cyangwa guhumeka mu mazuru.
• Gusimbuka cyane: Ibi bikubiyemo ingendo nyinshi n'imitsi. Urugero, gusimbuka hejuru no hasi, gusubiramo ijambo cyangwa interuro inshuro nyinshi, gusubiramo ibyo abandi bavuga (echolalia), no gukoresha imvugo iteye isoni (coprolalia) ni ingero z'udusimba tugoye kumva.

Ingero zimwe na zimwe za `(Motor Tic)`:

• Gukubita cyangwa guterera amaguru
• Gupfukama mu rukenyerero
• Kunyara kw'amaso (bikunze kubaho)
• Gutitira cyangwa kuzunguruka umutwe mu buryo butunguranye
• Gusimbuka hejuru
• Kwimura urushyi
• Isura igoramye cyangwa ishushanyije

Ingero zimwe na zimwe za `(Vocal Tic)`:

• Gutera urusaku nk'imbwa itogota
• Gukora urusaku rwo kwishima
• Induru itunguranye
• Guhumeka n'ijwi rirenga rinyuze mu mazuru
• Gusukura umuhogo kenshi

Ese izi '(Tics)' rimwe na rimwe zishobora guteza akaga?

Akenshi, ritique ntabwo itera ingaruka mbi nyinshi. Ariko ritique zimwe na zimwe zishobora gutera kwikomeretsa. Urugero, kwikubita mu maso.

Nanone, hari `(vocal tic)` yitwa `(coprolalia)`. Ni imvugo idasubirwaho y'amagambo ateye isoni cyangwa adakwiriye abantu. Kubera iyo mpamvu, abandi bashobora gutekereza ko uyu muntu arimo gutoteza no kubangamira abandi nkana. Cyane cyane niba umwana afite ubwo bwoko bwa `(tic)`, ashobora guhanwa bitari ngombwa ku ishuri cyangwa mu rugo.

Igikuru ni ukumenya ko ibi "bintu bidasanzwe" atari ikintu umuntu akora ku bushake. Ni ikintu kibaho mu buryo butunguranye.

Ni iki gitera indwara ya Tourette?

Impamvu nyayo ya Tourette Syndrome ntiramenyekana . Ariko, kubera ko iyi ndwara ikunze kugaragara mu miryango, abahanga mu bya siyansi bizera ko hari ingaruka za genetiki . Ibi bivuze ko hari amahirwe ko abana bazaragwa iyi ndwara n'ababyeyi babo.

Byongeye kandi, hari igitekerezo cy’uko impinduka zimwe na zimwe mu mikorere y’uturemangingo tw’ubwonko (izi ni zo ngirabuzimafatizo zigenga imyitwarire n’ingendo zacu) mu bwonko bwacu, cyane cyane kutagera ku rugero rwiza mu turemangingo tw’ubwonko twitwa dopamine, bishobora kugira uruhare muri ibi.

Ni ibihe bintu bishobora gutera indwara ya Tourette Syndrome?

Hari ibintu byinshi by'ingenzi bishobora gutera iyi ndwara:

• Igitsina: Abahungu bafite amahirwe akubye gatatu kugeza kuri kane yo kurwara indwara ya Tourette Syndrome kurusha abakobwa.
• Amateka y'umuryango: Nkuko byavuzwe mbere, iyo umuntu mu muryango afite iyi ndwara, ishobora kwanduzwa abana binyuze mu ngirabuzimafatizo.
• Ubuzima bw'umwana utaravuka: Niba umubyeyi yaranywaga itabi atwite cyangwa afite izindi ngorane z'ubuzima, umwana ashobora kuba afite ibyago byinshi byo kurwara indwara ya Tourette Syndrome. Ishobora kandi kuba ifitanye isano no kubyara umwana ufite ibiro bike.

Indwara ya Tourette ipimwa ite?

Kugira ngo umuganga amenye `(indwara ya tic)`, `(tics)` igomba kuba yaratangiye mbere y'imyaka 18. Kugira ngo umuntu amenye `(Tourette Syndrome)`, `(motor tics)` na `(vocal tics)` bigomba kuba bimaze igihe kirenga umwaka .

Nta gipimo cy’amaraso cyangwa isuzuma ryihariye rikorwa kugira ngo hamenyekane indwara ya Tourette Syndrome. Ahubwo, muganga wawe azatega amatwi witonze amateka yawe (cyangwa y’umwana wawe) n’ibimenyetso by’uburwayi bwawe. Dore bimwe mu bintu ushobora gushaka kumenya kuri Tics:

• Ni kangahe indwara yo kunanirwa kwifata imbonankubone ibaho?
• `(Tics)` yatangiye afite imyaka ingahe?
• Ni iyihe miterere ya `(tics)` (yoroshye cyangwa igoye)?

Nanone, muganga ashobora gukora ibizamini bimwe na bimwe kugira ngo amenye izindi ndwara zishobora gutera iyi ndwara.

Ese hari izindi ndwara zishobora kubaho hamwe na `(Tourette Syndrome)`?

Yego, abantu benshi barwaye indwara ya Tourette bashobora kugira indi ndwara imwe cyangwa nyinshi. Izi akenshi ziba ari indwara zo mu mutwe cyangwa imyitwarire. Ingero zimwe ni izi:

• Indwara zo guhangayika
• Indwara yo kudakora neza (ADHD)
• Indwara ya Autism Spectrum (ASD)
• Ihungabana
• Ubumuga mu myigire
• Indwara yo kwiheba no guhangayika (OCD)
• Indwara yo Kurwanya Ubugambanyi (ODD)

Kubwibyo, ni ngombwa cyane gusuzuma izi ndwara zifitanye isano mugihe uvura indwara ya Tourette.

Ni ubuhe buryo bwo kuvura `(Tourette Syndrome)`?

Niba `(ticks)` ari nto cyane, bivuze ko nta ngaruka zigira ku mirimo ya buri munsi, ubuvuzi bushobora kuba budakenewe. Ariko, niba `(ticks)` ikomeye, bivuze ko ibangamira akazi, akazi k'ishuri, imibanire n'abandi, cyangwa niba `(ticks)` zimwe na zimwe zitera kwiyangiza, ubuvuzi burakenewe rwose.

Imiti n'ubuvuzi bw'imyitwarire ni byo ahanini bikoreshwa kuri ibi.

Ese imiti irafasha?

Yego, muganga ashobora kuguha ubwoko bw'imiti yitwa neuroleptics for Tourette Syndrome. Iyi miti ikora mu kugabanya imikorere y'ikinyabutabire cyitwa dopamine mu bwonko. Kubera ko kwiyongera kwa dopamine bifatwa nk'impamvu yo kwiyongera kwa ritiques.

Byongeye kandi, imiti itandukanye ishobora gutangwa ku zindi ndwara ziterwa na Tourette Syndrome, nka ADHD cyangwa OCD.

Ni gute ubuvuzi bushingiye ku myitwarire bufasha?

Twavugaga ko indwara ziterwa na Tourette Syndrome zidashoboka kuzigenzura kandi zibaho mu buryo butunguranye. Ariko, hari uburyo bushya bwo kuvura imyitwarire bushobora gufasha mu gucunga izi ndwara no kugabanya ingaruka mbi zabyo ku buzima bwa buri munsi.

Bumwe mu buryo bw'ingenzi bwo kuvura ni "Ubuvuzi Burambuye ku Bitekerezo bya Tics (CBIT)" . Muri make, bukora ibi:

1. Kwiga uko wakwitwara kuri `(tics)`: Iyo wumvise `(tics)` ije, witoza gukora ikintu gitandukanye na cyo, ni ukuvuga gukora ikindi gikorwa cyangwa igikorwa gikuraho `(tics)`. Ibi byitwa `(igisubizo cyo guhatana)`. Urugero, niba wumva ugiye guhumbya amaso, witoza gufunga amaso yawe neza nkana.

2. Gutozwa kumenya `(Tics)`: Hari abantu bumva ``ubushake bwo kwihutira`` mbere yuko `(tic)` iza. Nk'aho wumva ikintu kidasanzwe mu mazuru mbere yo kwitsamura. Umaze kumenya ubwo bushake bwo kwihutira, ushobora kugerageza kubuhagarika cyangwa kubuhindura mbere yuko `(tic)` iza.

3. Gufasha kugabanya `(Tics)`: `(tics)` bikunze kwiyongera iyo ufite ubwoba, stress, cyangwa wishimye cyane. Rero, witoza kuguma utuje uko bishoboka kose no kwirinda ibintu biguhangayikisha, ushobora kugabanya inshuro `(tics)`.

Ejo hazaza h'umuntu ufite `(Tourette Syndrome)` ni he?

Nta muti uhari wa Tourette Syndrome. Ariko, nk'uko byavuzwe mbere, iyi ndwara ikunze kumera neza uko abantu bakura . Nubwo indwara yo kunanirwa kwifata ishobora gukomeza, abantu benshi ntibakenera imiti cyangwa uburyo bwo kuvura imyitwarire mu gihe bamaze gukura. Abantu barwaye Tourette Syndrome babaho ubuzima busanzwe . Ibi bivuze ko atari indwara ipfa kubaho, ipfa kugabanuka.

Ese indwara ya Tourette syndrome ishobora kwirindwa?

Oya, nta buryo bwo kwirinda indwara ya Tourette Syndrome buhari. Ibi biterwa nuko ifite ingaruka ku miterere y'umubiri. Ariko, iyo igaragaye hakiri kare kandi ikavurwa neza , indwara ya Tourette Syndrome ishobora kwirindwa ko irushaho kuba mbi kandi ishobora kugabanuka kugeza ikuze.

Ni iki cyakorwa kugira ngo ubuzima busanzwe burusheho koroha ku bantu bafite indwara ya Tourette Syndrome?

Kubana na Tourette Syndrome bishobora kugorana, cyane cyane ku bana. Bishobora kugorana kwibanda ku kazi ko ku ishuri no gusabana n'abandi. Kubwibyo, inkunga ikomeye ituruka ku nshuti, umuryango, n'abarimu ishobora gufasha cyane umwana urwaye Tourette Syndrome guhangana n'iyi ndwara.

Abana barwaye indwara ya Tourette Syndrome nabo bashobora kungukirwa na:

• Kwigira mu byumba by'amashuri birimo abanyeshuri bake.
• Kwitabwaho ku giti cye ku ishuri.
• Kugira umwanya w'inyongera wo gukora ibintu nk'imirimo.

Igikuru ni uko umwana, umuryango n'abarimu basobanukirwa neza iki kibazo. Hanyuma, aho gushinja cyangwa gushinyagurira umwana, buri wese ashobora kumufasha no kumushyigikira mu guteza imbere ubushobozi bwe.

Ni ryari wagombye kujya kwa muganga ku bijyanye n'indwara ya `(Tourette Syndrome)`?

Iyo umuntu urwaye indwara ya Tourette agaragaje kimwe muri ibi bimenyetso, agomba guhita ajya kwa muganga :

• Niba witwara nabi.
• Niba wikomeretsa.
• Niba uvuga ibyo kwiyahura. (Mu bihe nk'ibyo, muri Sri Lanka, ushobora no guhamagara serivisi z'ubufasha nka 1926 Sumithrayo.) Mu gihe cyihutirwa, hamagara 119.

Indwara ya Tourette ni indwara y’imitsi ituma umuntu akora ingendo cyangwa amajwi atabishaka (tics). Iyi ndwara ikunze gutangirira mu bwana kandi ikunze kumera neza uko agenda akura. Imiti n’ubuvuzi bw’imyitwarire ni byo bivura indwara ya Tourette. Inzobere mu ndwara zo mu mutwe cyangwa mu ndwara zo mu mutwe ni zo zivura iyi ndwara.

Ubutumwa bwo kujyana mu rugo

Sawa, reka turebere hamwe bimwe mu bintu twavuzeho (Tourette Syndrome) tubona ko ari ingenzi kuri wewe:

• Indwara ya Tourette ni indwara y’ubwonko n’imitsi ifata abana. Itera gutitira ku buryo budashobora kugenzurwa (imitsi, amajwi).
• Ibi "bigambiriwe" ntabwo ari ubushake. Rero ntugashinje umwana.
• Kenshi na kenshi, iyi ndwara igabanuka cyane uko imyaka igenda ishira, cyane cyane mu rubyiruko.
• Iyi ndwara ishobora gukemurwa neza hakoreshejwe imiti n'ubuvuzi bw'imyitwarire yo mu mutwe (CBIT).
• Urukundo, kumva no gushyigikira umwana urwaye indwara ya Tourette Syndrome ahabwa n'umuryango, abarimu n'inshuti ni ingenzi cyane.
• Niba ushaka kumenya byinshi kuri ibi, cyangwa niba ukeka ko umwana wawe afite ibi bimenyetso, reba muganga w'abana, inzobere mu ndwara zo mu mutwe, cyangwa inzobere mu ndwara zo mu mutwe kugira ngo akugire inama.

Ntugahangayike, indwara ya Tourette ni indwara ishobora gukemurwa neza iyo umuntu ayisobanukiwe kandi akayicunga neza.

Indwara ya Tourette , Tics, Motor Tics, Vocal Tics, Neurology, Pediatrics, Uburyo bwo kuvura imyitwarire