Tourette chirwere

Tourette syndrome chiitiko chinokonzeresa kuti munhu aite akadzokorora, nekukurumidza kufamba kana kurira kwavasingakwanise kudzora.

Tourette syndrome yakatumidzwa zita raGeorges Gilles de la Tourette, uyo akatanga kutsanangura kusagadzikana uku muna 1885. Dambudziko iri rinogona kunge richipfuura nemumhuri.

Iyo syndrome inogona kuve yakabatana nematambudziko mune dzimwe nzvimbo dzehuropi. Inogona kunge iine chekuita nemakemikari zvinhu (dopamine, serotonin, uye norepinephrine) iyo inobatsira maseru etsinga anonongedzana.

Tourette syndrome inogona kunge iri yakaoma kana yakapfava. Vanhu vazhinji vane hunyoro hunyoro vanogona kunge vasingazvizive uye vasingazombotsvaga rubatsiro rwekurapa. Vanhu vashoma kwazvo vane mafomu akaomarara eTourette syndrome.

Tourette syndrome ingangoita kanokwana kuita muvakomana sevasikana. Pane mukana we50% wekuti munhu ane Tourette syndrome apfuure jeni kuvana vake.

Zviratidzo zveTourette syndrome zvinowanzoonekwa kutanga pahudiki, pakati pemakore manomwe kusvika gumi. Vana vazhinji vane Tourette syndrome vanewo mamwe matambudziko ekurapa. Izvi zvinogona kusanganisira kucherechedzwa kwekushomeka kwehutano kusagadzikana (ADHD), obsessive kusagadzikana kusagadzikana (OCD), yekumanikidza kudzora kusagadzikana, kana kushushikana.

Chiratidzo chekutanga chakajairika ndeye tic yechiso. Mimwe tiki inogona kutevera. Tic inongoerekana yaitika, nekukurumidza, inodzokororwa kufamba kana kurira.

Zviratidzo zveTourette syndrome zvinogona kubva pane zvidiki, zvidiki kufamba (senge kugunun'una, kufembedza, kana kukosora) kuenda kungo famba uye kurira kusingagoni kudzorwa.

Mhando dzakasiyana dzetiki dzinogona kusanganisira:

• Ruoko ruchikanda
• Ziso kubwaira
• Kusvetuka
• Kicking
• Kudzokororwa huro kuchenesa kana kunhuwa
• Kubata bendekete

Tiki inogona kuitika kakawanda pazuva. Ivo vanowanzo kusimudzira kana kuwedzera kuipa panguva dzakasiyana. Iwo matiki anogona kuchinja nekufamba kwenguva. Zviratidzo zvinowanzoitika zvakanyanya pamberi pemakore ekuyaruka.

Kupesana nekutenda kwakakurumbira, vashoma chete vanhu vanoshandisa mazwi ekutuka kana mamwe mazwi asina kukodzera kana zvirevo (coprolalia).

Tourette syndrome yakasiyana neOCD. Vanhu vane OCD vanonzwa sekunge vanofanirwa kuita hunhu. Dzimwe nguva munhu anogona kuve neese maviri Tourette syndrome uye OCD.

Vanhu vazhinji vane Tourette syndrome vanokwanisa kurega kuita tic kwenguva. Asi ivo vanoona kuti iyo tiki yakasimba kwemaminetsi mashoma mushure mekutendera kuti itange futi. Kazhinji, iyo tiki inononoka kana kumira panguva yekurara.

Iko hakuna bvunzo bvunzo yekuongorora Tourette syndrome. Anopa hutano anozoita ongororo kutonga zvimwe zvikonzero zvezviratidzo.

Kuti aonekwe aine Tourette syndrome, munhu anofanira:

• Wakave nemota tiki dzakawanda uye imwe kana anopfuura mazwi ezwi, kunyangwe aya matiki angave asina kuitika panguva imwe chete.
• Iva netiki dzinoitika kakawanda pazuva, rinenge zuva rega rega kana kuvharwa uye kudzimwa, kwenguva inopfuura gore rimwe chete.
• Ndatanga matiki pamberi pemakore gumi nemasere.
• Usave nerimwe dambudziko rehuropi iro rinogona kunge riri chikonzero chechiratidzo.

Vanhu vane zvinyoro zviratidzo havasi kurapwa. Izvi zvinodaro nekuti mhedzisiro yemishonga inogona kunge yakaipa kudarika zviratidzo zveTourette syndrome.

Rudzi rwekurapa kwekutaura (kugona kuzvibata maitiro ekurapa) kunodaidzwa kudzosera kumashure kunogona kubatsira kudzikisira tiki.

Mishonga yakasiyana iripo yekurapa Tourette syndrome. Iyo chaiyo mishonga inoshandiswa inoenderana nezviratidzo uye chero mamwe matambudziko ekurapa.

Kumbira mupi wako kana yakadzika uropi kukurudzira iri sarudzo kwauri. Iri kuongororwa zvikwangwani zvikuru zveTourette syndrome uye nehunhu-hwekumanikidza maitiro. Iyo yekurapa haina kukurudzirwa kana izvi zviratidzo zvikaitika mumunhu mumwe chete.

Rumwe ruzivo uye rutsigiro rwevanhu vane Tourette syndrome nemhuri dzavo zvinogona kuwanikwa pa:

• Tourette Association yeAmerica - tourette.org/online-support-groups-tourette-syndrome/

Zviratidzo zvinowanzo kuve zvakaipisisa mukati memakore ekuyaruka uye zvobva zvasimukira mukukura kwekutanga. Mune vamwe vanhu, zviratidzo zvinopera zvachose kwemakore mashoma uyezve zvinodzoka. Mune vanhu vashoma, zviratidzo hazvidzoke zvachose.

Mamiriro ezvinhu anogona kuitika kune vanhu vane Tourette syndrome anosanganisira:

• Nyaya dzekudzora hasha
• Kucherekedza kushomeka kwehutano kusagadzikana (ADHD)
• Maitiro ekukurumidza
• Kutarisa-kumanikidza kusagadzikana
• Hunyanzvi hwehukama hwemagariro

Aya mamiriro anoda kuongororwa uye kurapwa.

Ita musangano nemupi wako kana iwe kana mwana aine tiki dzakaomarara kana dzinoomerera, kana kana dzichikanganisa hupenyu hwezuva nezuva.

Iko hakuna kunozivikanwa kudzivirira.

Gilles de la Tourette chirwere; Matambudziko eTic - Tourette syndrome

Jankovic J. Parkinson chirwere uye zvimwe zvinetso zvekufamba. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 96.

Martinez-Ramirez D, Jimenez-Shahed J, Leckman JF, et al. Kubudirira uye chengetedzo yeakadzika huropi kukurudzira muTourette syndrome: Iyo International Tourette Syndrome Yakadzika Brain Stimulation Veruzhinji Dhatabhesi uye Registry. JAMA Neurol. 2018; 75 (3): 353-359. PMID: 29340590 pubmed.ncbi.nlm.nih.gov/29340590/.

Ryan CA, Walter HJ, DeMaso DR. Dambudziko remotokari uye maitiro. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 37.