Tourette mob siab

Tourette syndrome yog ib yam mob uas ua rau tib neeg rov ua dua, txav ceev lossis suab uas lawv tsis tuaj yeem tswj tau.

Tourette syndrome muaj npe rau Georges Gilles de la Tourette, uas yog thawj zaug piav txog qhov kev tsis zoo no thaum xyoo 1885. Qhov kev tsis zoo no yuav kis tau los ntawm tsev neeg.

Tus mob yuav txuas rau cov teeb meem hauv qee qhov chaw ntawm lub hlwb. Tej zaum nws yuav tau ua nrog rau tshuaj khes mis (dopamine, serotonin, thiab norepinephrine) uas pab cov leeg hlwb teeb liab ntawm ib leeg.

Tourette syndrome tuaj yeem mob hnyav lossis hnyav. Coob tus neeg uas muaj qhov muag me me yuav tsis paub txog lawv thiab tsis nrhiav kev pab kho mob. Tsawg tsawg tus neeg thiaj li muaj ntau hom mob Tourette syndrome.

Tourette syndrome muaj 4 zaug feem ntau yuav tshwm sim hauv cov tub hluas ib yam li ntxhais. Muaj txoj hmoo 50% uas ib tug neeg uas mob Tourette mob yuav kis tus gene mus rau nws cov menyuam.

Cov tsos mob ntawm Tourette syndrome feem ntau pom tshwm thaum tseem yau, thaum muaj hnub nyoog 7 thiab 10 xyoo. Feem ntau cov menyuam yaus nrog Tourette syndrome kuj muaj lwm yam teebmeem mob. Cov no tuaj yeem suav nrog kev saib tsis taus hyperactivity tsis meej (ADHD), obsessive compulsive kev tsis sib haum (OCD), kev tswj qhov tsis zoo, lossis kev nyuaj siab.

Feem ntau cov tsos mob tshwm sim thawj zaug yog lub ntsej muag. Lwm yam tics yuav ua raws. Lub suab nrov yog qhov cia li nrawm, nrawm dua, tshem tas mus los yog lub suab.

Cov tsos mob ntawm Tourette syndrome tuaj yeem yog los ntawm cov me me, kev txav me me (xws li grunts, hnia, lossis hnoos) mus rau qhov txav thiab lub suab uas tsis tuaj yeem tswj tau.

Ntau hom kev sib txawv tuaj yeem suav nrog:

• Caj npab thrusting
• Qhov muag ntsais
• Dhia
• Kev ncaws
• Rov qog caj pas tshem lossis hnia
• Lub xub pwg nyom

Tics yuav tshwm sim ntau zaus nyob rau ib hnub. Lawv muaj peev xwm txhim kho lossis nce ntxiv nyob rau txawv sijhawm. Lub khaub zeeg cua yuav hloov nrog lub sijhawm. Cov tsos mob feem ntau mob heev ntxiv ua ntej thaum ib nrab xyoo.

Rov qab rau kev ntseeg nrov, tsuas yog tsawg tus neeg thiaj li siv cov lus foom tsis zoo lossis lwm cov lus lossis kab lus tsis tsim nyog (coprolalia).

Tourette syndrome nws txawv ntawm OCD. Cov neeg nrog OCD xav zoo li lawv yuav tsum coj tus cwj pwm. Qee zaum ib tus neeg tuaj yeem mob Tourette syndrome thiab OCD tib si.

Coob tus neeg uas mob Tourette mob tuaj yeem nres tic lub sijhawm. Tab sis lawv pom tias tic muaj zog rau ob peb feeb tom qab lawv cia nws pib dua. Feem ntau, lub pob khi qeeb qeeb los yog nres thaum pw tsaug zog.

Nws tsis muaj qhov kev sim rau kev sim kab mob Tourette syndrome. Tus kws saib xyuas kev noj qab haus huv yuav ua rau kev soj ntsuam los txiav txim rau lwm qhov ua rau cov tsos mob tshwm sim.

Txhawm rau kuaj xyuas nrog Tourette syndrome, tus neeg yuav tsum:

• Tau muaj ntau lub cev muaj zog thiab ib lossis ntau lub suab nrov, txawm hais tias cov tics no tej zaum yuav tsis tshwm sim tib lub sijhawm.
• Tau txais cov tics uas tshwm sim ntau zaus hauv ib hnub, yuav luag txhua hnub lossis hnub tawm thiab tawm, ntev mus ntau dua 1 xyoos.
• Tau pib qhov tics ua ntej hnub nyoog 18 xyoo.
• Tsis muaj lwm yam teebmeem ntawm lub hlwb uas tuaj yeem ua tus mob tshwm sim.

Cov neeg muaj mob mentsis tsis kho. Qhov no yog vim hais tias cov kev mob tshwm sim ntawm cov tshuaj kuj yuav mob heev dua cov tsos mob ntawm Tourette syndrome.

Ib hom kev tham nrog kev kho (lub tswv yim kho tus cwj pwm) hu ua kev coj tus cwj pwm tuaj yeem pab txo kev tics.

Muaj ntau yam tshuaj sib txawv los kho Tourette syndrome. Tus tshuaj tseeb uas siv tau nyob ntawm cov tsos mob thiab lwm yam teeb meem kev kho mob.

Nug koj tus kws kho mob yog tias kev siv hlwb sib sib zog nqus yog qhov kev xaiv rau koj. Nws tab tom raug soj ntsuam rau cov tsos mob tseem ceeb ntawm Tourette syndrome thiab tus cwj pwm tsis sib haum xeeb. Txoj kev kho mob tsis raug pom zoo thaum cov tsos mob tshwm sim hauv tib tus neeg.

Xav paub ntau ntxiv thiab txhawb nqa rau cov neeg uas mob Tourette syndrome thiab lawv tsev neeg tuaj yeem nrhiav tau ntawm:

• Koom Haum Tourette of America - tourette.org/online-Support-groups-tourette-syndrome/

Cov tsos mob feem ntau tsis zoo rau lub sijhawm thaum muaj hnub nyoog xyoo thiab tom qab ntawd txhim kho thaum lawv tseem hluas. Nyob hauv qee tus neeg, cov tsos mob ploj tag nrho rau ob peb xyoos thiab tom qab ntawd rov qab los. Hauv ob peb tus neeg, cov tsos mob tsis rov qab tag nrho.

Cov mob uas yuav tshwm sim rau cov neeg uas muaj Tourette syndrome muaj xws li:

• Cov teeb meem npau taws tswj hwm
• Qhov cuam tshuam hyperactivity tsis meej (ADHD)
• Cwj pwm cwj pwm
• Obsessive-compulsive tsis meej
• Cov neeg tsis paub qab hau

Cov mob no yuav tsum kuaj thiab kho.

Teem lub sijhawm nrog koj tus kws khomob yog tias koj lossis tus menyuam muaj cov ntawv tawv nqaij uas hnyav lossis pheej ua, lossis yog tias lawv cuam tshuam nrog lub neej txhua hnub.

Tsis muaj kev paub txog kev tiv thaiv.

Gilles de la Tourette syndrome; Tsau cem quav - mob Tourette mob

Jankovic J. Kab Mob Parkinson thiab lwm yam kev txawv txav. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: tshooj 96.

Martinez-Ramirez D, Jimenez-Shahed J, Leckman JF, li al. Kev ua tau zoo thiab kev nyab xeeb ntawm kev sib sib zog ntawm lub hlwb kev ua haujlwm hauv Tourette syndrome: International Tourette Syndrome Kev Tshawb Pom Hlwb Hauv Tib Neeg Database thiab Sau Npe. JAMA NeurolCov. Xyoo 2018; 75 (3): 353-359. PMID: 29340590 pubmed.ncbi.nlm.nih.gov/29340590/.

Ryan CA, Walter HJ, DeMaso DR. Lub cev muaj zog tsis xws luag thiab tus cwj pwm. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 37.