Tourette's Syndrome yog feem ntau nrog OCD
Txheeb xyuas
Tus mob hu ua Tourette's syndrome no npe hu ua tom qab tus kws kho mob paj hlwb hu ua Georges Gilles de la Tourette, nws tau piav txog qhov teeb meem no thaum xyoo 1885. Qhov teeb meem me nyuam yaus pib muaj feem nrog obsessive-compulsive disorder (OCD) , kev tsis nco qab (ADHD) , thiab lwm yam mob . Qhov tseeb, 86% ntawm cov menyuam uas muaj tus mob Tourette's syndrome kuj muaj tsawg kawg yog ib tus cwj pwm, hlwb, lossis kev loj hlob, thiab feem ntau ntawm cov no yog OCD thiab ADHD.
Cov tsos mob
Cov tsos mob ntawm tus mob hu ua Tourette's syndrome yog qhov tshwm sim ntawm tics . Tics yog cov lus ceeb toom, luv luv, tsis tuaj yeem los yog ib nrab ywj siab los yog lub suab.
Motor Tics
- Yooj yim lub cev muaj peev xwm tsuas yog ib leeg ib leeg lossis ib pab pawg neeg mob xwb thiab tuaj yeem nyhav (qhov muag-ntsws los yog qhov ntswg), ntev (xub pwg lossis lub qhov ncauj qhib) los sis pab ntev ntev (txuas ntxiv los yog ua ib txoj hlua).
- Tawm hauv lub cev muaj zog ntau dua thiab feem ntau zoo li txav xws li dhia, ntaus, ntuav los yog kov; txawm li cas los xij, feem ntau lawv tshwm sim hauv cov chaw tsis raug cai los yog muaj kev tsis tsim nyog lossis qias neeg. Cov kev sib tw no ua rau muaj kev txaj muag heev rau tus neeg raug mob.
Lub suab los yog Phonic Tics
- Cov suab paj nruag yooj yim feem ntau yog cov lus tsis muaj qab hau lossis kev hais lus. Cov kev piv txwv muaj xws li tshuab ntswg, hnoos, caj pas ntshiab, grunting, sniffing los yog hiccuping.
- Cov xov tooj cua yog cov lus los yog tej kab lus uas muaj kev sib cav, sib tham txog yam uas lwm tus hais, thiab rov hais dua ib tus kheej cov lus.
Tics tuaj yeem ua tau suppressed thiab feem ntau yog zoo dua thaum tus me nyuam cuam tshuam; txawm li cas los xij, lawv tuaj yeem rov qab tuaj txhua lub sijhawm. Kev ua rau lub tsho ntev ntev yuav tuaj yeem ua rau ua rau kev ua kom muaj kev sib haum xeeb tom qab.
Ntau tus neeg mob qhia txog kev tsis zoo hauv lub cev ua ntej ua ntej muaj kev nruj. Cov me nyuam uas cuam tshuam yuav ua tus nyuj ua dua rov mus txog thaum nws xav tias "qhov yog."
Prevalence
Tourette tus syndrome no kuj tsawg, tshwm sim hauv tsawg tshaj li 1% ntawm cov neeg. Nws yog tsib zaus tshaj ntawm cov caug tshaj li cov pojniam thiab feem ntau pib ntawm hnub nyoog 8 thiab 10 xyoos. Rau feem ntau ntawm cov me nyuam, cov tsos mob yuav zoo dua los ntawm qhov kawg ntawm thaum tiav hluas thiab muaj tsawg tus kab mob.
Muaj ntau tus menyuam nrog Tourette tseem muaj ADHD , OCD thiab lwm yam teebmeem hauv kev puas hlwb, xws li kev nyuaj siab lossis kev phobia . Lwm cov teeb meem coj cwj pwm uas feem ntau rau cov menyuam yaus nrog Tourette's syndrome yog cov tsis muaj zog tswj kev tswjhwm, tsis muaj peevxwm tswj tau kev npau taws, tsis raug tsimtxom kev ua phem thiab kev coj cwj pwm phem.
Ua rau
Raws li tics thiab kab mob kev mob zoo li OCD zoo nrog cov tshuaj uas hloov lub hlwb cov paj hlwb nodochemicals serotonin thiab dopamine, nws tau raug soj ntsuam tias Tourette's syndrome yuav yog ib feem ntawm qhov txawv txav hauv kev sib txuas lus ntawm cov kab mob neurochemicals.
Ntxiv rau, ntau cov kev tshawb fawb tau pom txawv txav hauv cheeb tsam ntawm lub hlwb hu ua basal ganglia (thaj chaw tseem ceeb rau kev pib thiab kev txiav tawm ntawm kev txav mus) ntawm cov neeg uas muaj Tourette's syndrome.
Noob kuj tseem tuaj yeem ua lub luag haujlwm hauv kev nthuav tawm Tourette's syndrome. Cov txheeb ze ze ntawm cov neeg uas muaj tus mob Tourette's syndrome feem ntau muaj tics, OCD lossis ADHD.
Kev kho mob
Kev coj cwj pwm coj zoo uas yog ua kom muaj kev sib raug zoo, kev saib tus kheej thiab kev muaj lub neej zoo yog thawj qhov kev kho mob rau Tourette's syndrome. Cov cwj pwm coj cwj pwm zoo yog muaj kev paub txog tus cwj pwm kev coj cwj pwm thiab kev kho kom zoo. Kev koom nrog cov niam txiv, cov xibfwb qhia ntawv thiab cov neeg koom nrog txoj haujlwm yog qhov tseem ceeb rau kev kho mob.
Yog tias tus menyuam raug mob lossis cuam tshuam rau nws tus kheej tus cwj pwm, yuav tsum tau noj tshuaj. Cov tshuaj kho mob uas zoo rau kev kho cov tsos mob ntawm Tourette's syndrome muaj xws li atypical antipsychotics, xws li Haldol (haloperidol) thiab Orap (pimozide), thiab atypical antipsychotics, xws li Risperdal (risperidone) thiab Zyprexa (olanzapine).
Thaum cov tsos mob ntawm OCD, kev ntxhov siab thiab kev nyuaj siab tseem muaj, kev kho kuj yuav muaj xws li antidepressants, xws li Prozac (fluoxetine) los yog Anafranil (clomipramine). Nco ntsoov tham txog seb yam kev xaiv twg yuav zoo tshaj rau koj tus kws kho mob.
Qhov chaw:
Jankovic, J. "Tourette's Syndrome" Phau Ntawv Xov Xwm Tshiab Txog Tshuaj Kho Mob Tshiab 2001 345: 1184-1192.
Kenney, C., Kuo, SH, & Jimenez-Shahed, J. "Tourette's Syndrome" American Family Physician 2008 77: 651-658.
http://www.ninds.nih.gov/disorders/tourette/detail_tourette.htm
http://www.cdc.gov/ncbddd/tourette/facts.html