He aha te Mate Tourette? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te mate Tourette he āhuatanga neurological e whakaatu ana i te hunga ki te mahi i ngā nekehanga, ngā oro rānei, ngā tikitiki e kiia nei. Ka puta enei tikitiki kahore he mana o te tangata, pēnei i ngā uaua e kore e manaakihia ana, ngā karangatanga reo rānei. Ahakoa ka whakaatuhia e ngā kiriata te mate Tourette me te kōrero kino, he iti noa te pēnehu o te hunga e pā ana ki te āhuatanga. Ko te nuinga o te hunga e pangia ana e te mate Tourette e ora ana i ngā oranga tino pai, hua pai me te mārama tika me te tautoko.

He aha te mate Tourette?

Ko te mate Tourette he mate o te roro e noho ana ki tētahi rōpū e kiia nei ko ngā mate tikitiki. Ka puta mai ngā tikitiki motor (ngā nekehanga ohorere) me ngā tikitiki reo (ngā oro, ngā kupu rānei ohorere) e mau tonu ana mo te neke atu i te tau. Ka timata te āhuatanga i te tamarikitanga, i te nuinga i waenga i ngā tau 5 me te 10.

Whakaarohia ngā tikitiki hei tuku karere whakauru o tō roro ki ō uaua, ki ō aho reo rānei. Ka hangaia e ēnei karere ngā nekehanga, ngā oro rānei e tata ana ki te hiahia e hiahia ana koe ki te makona. Ko te nuinga o te iwi e whakaatu ana i te ahua o te pehanga i mua i te putanga o te tikitiki, ka whai muri i te whakaora poto.

Ko te mate Tourette e pā ana ki te 1 o te 100 tamariki puta noa i te ao. Ko ngā tama e whakatauhia ana e 3 ki te 4 wā te maha atu i ngā kōhine. Ka rereke te kaha mai i ngā tikitiki ngawari rawa e kore e āwangawanga ki te oranga o ia rā ki ētahi atu e kitea ana e hiahia ana ki te tautoko atu me te mārama.

He aha ngā tohu o te mate Tourette?

Ko ngā tohu matua o te mate Tourette ko ngā tikitiki, he rua ngā momo matua. Ko ngā tikitiki motor e pā ana ki ngā nekehanga ohorere, ko ngā tikitiki reo e pā ana ki ngā oro, ngā kupu rānei ohorere. E rua ngā momo, he ngāwari, he uaua rānei, kei te whakawhirinaki ki te maha o ngā rōpū uaua e uru ana.

Ko ēnei ngā tikitiki motor tino noa ka kitea e koe:

• Te mimititi rānei te hurihuri o te kanohi
• Te wiri rānei te upoko
• Te whakaohooho o ngā pakihiwi
• Te whatiwhati rānei te wiri o te mata
• Ngā nekehanga o te ringa rānei o te pūkaha
• Te pūkaikino rānei te hurihuri (ngā tikitiki hōu uaua)
• Te pa atu anō ki ngā mea rānei ki ngā tāngata
• Te hanga i ngā tohu whakahihi (kaore i te noa, ka pā ki te kore atu i te 15% o te iwi)

Ka rereke ngā tikitiki reo mai i ngā oro ngāwari ki ngā kupu uaua atu:

• Te whakakore i te korokoro rānei te kōhure
• Te ngunguru rānei te hum
• Ngā oro piripiri rānei ngā oro pēkepeke
• Te hongi rānei te ngunguru
• Te whakahoki i ngā kupu rānei i ngā kupu whakarāpopoto
• Te kōrero i ngā kupu e kore e tika rānei e whakahawea (coprolalia, ka pā ki te 10-15% noa o te iwi)
• Te whakahoki i ngā kōrero a ētahi atu (echolalia)

Ka haere mai anō ngā tikitiki i roto i ngā ngaru. Ka kite pea koe i ētahi atu i ngā wā o te ahotea, te koa, rānei te ngenge. He mea whakamīharo, ka taea e te tini o te iwi te whakakore wā poto i ō rātou tikitiki, inā koa i ngā āhuatanga mārie rānei i ngā āhuatanga aro nui. Heoi, ko te whakakore i ngā tikitiki ka āhei te kaha ake o te hiahia ki te tuku i muri mai.

He aha ngā momo o te mate Tourette?

Kāore ngā tākua i te whakaingoa i te mate Tourette ki ngā momo motuhake, engari ka whakaaetia e rātou he wāhanga tēnei o te whānuitanga o ngā mate tikitiki. Ko te rerekētanga matua kei te kaha me ngā momo tikitiki kei te noho. He iti rawa ngā tikitiki a ētahi atu, kāore rātou e pā ki ō rātou oranga, engari ko ētahi atu ka wheako i ngā tikitiki e kitea ana rānei e noho ana.

Ko te mate Tourette e hiahiatia ana ngā tikitiki hōu me ngā tikitiki reo kua roa atu i te tau kotahi. Ki te mea he tikitiki hōu anake tetahi tangata, he tikitiki reo anake rānei, ka taea e ngā tākua te whakaingoa i tētahi mate tikitiki ke. Ko te wā me te whakakotahitanga o ngā tikitiki ka āhei te tākua ki te mahi i te whakaingoa tika.

Ka taea hoki te whakarerekē o te kaha i runga i te wā. Ka kite te tini o ngā tamariki i ō rātou tikitiki i te tau tekau mā rima, katahi ka pai ake te whakapai i te pakeke. Ko ētahi o ngā tikitiki o te iwi ka noho ngāwari i te pakeke, kāore rātou e kitea atu.

He aha te take o te mate Tourette?

Ka puta te mate Tourette na te rerekētanga o te huarahi e hono ai ētahi wāhanga o te roro. Kāo te take tino tika e mōhiotia ana, engari kua kitea e ngā kairangahau ētahi take e āwhina ana ki tōna whanaketanga. He tino nui te mahi a te ira, i te mea ka tupu ngā mate i roto i ngā whānau.

He maha ngā take ka piki ake te tūponotanga o te whanaketanga o te mate Tourette:

• Te hītori whānau o ngā tics, te mate rānei Tourette
• Ko te tane (ka pā atu ki ngā tamaiti kāreka atu i ngā kōhine)
• Ngā raruraru i te wā hapu, i te wā whānau rānei
• Te iti o te taumaha whānau
• Ngā mate i te wā hapu
• Te kai hikareti i te wā hapu
• Te ruaki nui me te ruaki i te wā hapu

Ka whakaatu ngā rangahau whakaahua roro ko ngā tāngata e pangia ana e te mate Tourette he rerekētanga kei ngā wāhi e whakahaere ana i te nekehanga me te whāinga. Kei roto i ēnei wāhi te basal ganglia, te kiri o mua, me ō rātou ara hono. Kei te mahi hoki te neurotransmitter dopamine i roto i ēnei huringa roro.

He mea nui kia mōhio ko te mate Tourette kāo te take i tetahi mea i he ai ngā mātua, ngā tamariki rānei. Kāo te hua o te whakatipu tamariki kino, te mamae, te raruraru hinengaro rānei. He āhuatanga neurological pono tēnei e tika ana kia mārama me te tautoko.

Nōhea te kite i te taote mō te mate Tourette?

Me whakaaro koe ki te kite i te taote ki te kite koe i ngā tics pumau e roa ana mo ngā wiki, ngā marama rānei. Ahakoa he maha ngā tamariki e haere ana i ngā wā poto o ngā tics e mutu ana i a rātou anō, kei roto i te mate Tourette ngā tics e haere tonu ana mo te neke atu i te tau. Ka taea e te aromatawai wawe te awhina i te whakawhiwhi i te rangimarie o te ngākau me te tautoko tika.

Rapua te awhina hauora mena ka whakaroahia ngā mahi o ia rā, te mahi kura, te whānau hōu rānei e ngā tics. I ētahi wā ka raru ngā tics i roto i ngā wā kāinga, kāinga rānei, ka puta he whakama e pā ana ki te whakawhirinaki o te tamaiti. Ka taea e te kaiwhakarato hauora te tuku i ngā rautaki me ngā maimoatanga hei awhina i te whakahaere i ēnei wero.

Me kōrero atu hoki ki te taote mena ka haere tahi ngā tics me ētahi atu whāinga rānei tohu rānei e awangawanga ana. He tokomaha ngā tāngata e pangia ana e te mate Tourette e pā ana hoki ki ngā āhuatanga penei i te ADHD, te manukanuka, te whāinga rānei obsessive-compulsive. Ko te whiwhi i te aromatawai whānui ka awhina i te whakarite kia whakahaerea ngā āhuatanga katoa o tō hauora, o te hauora o tō tamaiti rānei.

Kaua e tatari mena ka pā te mamae tinana, te whara rānei e ngā tics. Ka kaha te kaha o ētahi tics motor ki te puta he mamae uaua, te whara rānei. Ka taea e te kaiwhakarato hauora te awhina i te whakawhanake i ngā rautaki hei whakahaere i ēnei tics tino raruraru.

He aha ngā take morearea mō te mate Tourette?

Ko te mōhiotanga i ngā take morearea ka taea te awhina i ngā whānau ki te mohio ina pea ka tupu ake te mate Tourette. Ko te take morearea tino kaha ko te whakapapa whānau o ngā tics, o te mate Tourette rānei. Ki te pangia te mātua e te āhuatanga, kei a rātou tamariki te tūponotanga 50% o te whiwhi i tētahi momo mate tic.

He maha ngā take i te wa hapu me te whānau ka piki ake te morearea:

• Te kai hikareti a te whaea i te wa hapu
• Te mate ata o te ata nui, te hyperemesis gravidarum rānei
• Teitei o te ahotea i te wa hapu
• Ngā raruraru i te wa whānau
• Te whānau wawe, te iti o te taumaha whānau rānei
• Ngā mate a te whaea i te wa hapu

Ko te mea he tane ka piki ake te morearea, ko ngā tamaiti he 3-4 wā te tūponotanga ki te whanake i te mate Tourette atu i ngā kōhine. Ka whakaatu mai tenei ko ngā homoni, ngā take ira-hononga rānei ka takaro i tētahi wāhi i te whanaketanga o te āhuatanga.

Ka taea hoki te whakauru mai o ngā take taiao i muri i te whānautanga, ahakoa kei te haere tonu te rangahau. E whakaatu ana etahi rangahau ko te pouri nui, ētahi mate, te āhuatanga whakahē whai-a-tinana rānei pea ka whakaoho i ngā tics i ngā tamariki kua whakaritea kē te ira. Heoi, kāotia tonu ēnei hononga.

He aha ngā raruraru pea o te mate Tourette?

Ahakoa ehara te mate Tourette i te mate mate-kino, ka taea te arahi ki ngā wero maha e pā ana ki te kounga o te ora. Ko ngā raruraru tino noa ko ngā raruraru whānau me ngā raruraru hinengaro, kāore ko ngā raruraru hauora tinana. Ko te mārama ki ēnei take pea ka āwhina i ngā whānau ki te whakarite me te rapu tautoko tika.

Ka puta mai ngā wero whānau i te mea ka taea te kore-mōhiotia o ngā tics e ētahi atu:

• Te whakatoitoi, te whakahi i te kura
• Te wehe atu i te whānau, te uaua ki te whakarite hoa
• Te whakama i ngā wā tūmatanui
• Te whakakahore i ngā wāhi mātauranga, mahi rānei
• Ngā raruraru whānau
• Ngā take whakaaro iti

He tokomaha ngā tāngata e pangia ana e te mate Tourette e whānau ana hoki i ētahi atu āhuatanga e taea ai te whakawhāiti i ō rātou oranga. Ko ēnei āhuatanga e puta tahi ana ko te ADHD (te mate kore-āta whakaaro nui), te mate obsessive-compulsive, ngā mate manukanuka, me ngā raruraru ako. Ka uaua te whakahaere i ngā āhuatanga maha i te wā kotahi, engari he tino taea me te tautoko tika.

Ka iti ake te puta mai o ngā raruraru tinana, engari ka puta mai pea me ngā tics nekehanga nui. Ka pāngia etahi i te mamae o te uaua, te mamae o te mahunga, te whara rānei i ngā tics kaha. I etahi wā, ka puta mai ngā raruraru kaki, tuara rānei i ngā nekehanga upoko, pokohiwi rānei.

Ka puta mai pea ngā raruraru moe, mai i ngā tics e haere tonu ana i te moe, i te ahotea rānei o te whakahaere i te āhuatanga. Ka taea e te moe ngoikore te whakaiti i ngā tics, te hanga i te huringa e hiahia ana ki te whakahaere tika.

Me pēhea te aukati i te mate Tourette?

I te wā nei, kāore he huarahi e mohiotia ana hei ārai i te mate huānga o Tourette, nā te mea he mate ira tino nui ia. Heoi, ka taea e ngā wāhine hāpai te mahi i ētahi mahi ka whakaiti pea i te tūponotanga o ngā momo āhuatanga whanaketanga, tae atu ki ngā mate pūngāwerewere. Ko ēnei mahi hei tautoko i te whanaketanga o te roro me te hauora katoa.

I te wā hapu, ko te pupuri i ngā mahi hauora pai ka āhei pea ki te:

• Te karo i te wāhine kai paipa me te waipiro
• Te whakahaere i ngā taumata ahotea
• Te whiwhi i te tiaki whānau pai
• Te rongoā wawe i ngā mate
• Te tango i ngā huaora whānau e rite ana
• Te pupuri i te kai hauora

Ahakoa kāore ēnei mahi e whakamana i te ārai, ka tautoko ratou i te whanaketanga hauora o te roro, ā, ka whakaiti pea i te tūponotanga o ngā momo āhuatanga neurological. Ko te mea nui rawa atu hei mahara ko te mea ka puta te mate huānga o Tourette, ehara i te he o tetahi tangata.

Mō ngā whānau he hītori o ngā mate pūngāwerewere, ka taea e te tohutohu ira te whakarato i ngā korero whai hua mō ngā tūponotanga me te whakatōpū whānau. Kāore tēnei e whakarereke i te hua, engari ka taea te awhina i ngā whānau kia whakaritea, kia mahi ai i ngā whakatau whakamārama.

Me pēhea te whakatau i te mate huānga o Tourette?

Ko te whakatau i te mate huānga o Tourette e whakawhirinaki ana tino ki te tirotiro i ngā tohu me te kohikohi i te hītori hauora taipitopito. Kāore he whakamātautau kotahi e taea te whakau i te whakatau. Engari, ka whakamahi ngā tākua i ngā paerewa motuhake hei whakatau mena he mate huānga o Tourette tetahi tangata, he momo mate pūngāwerewere rerekē.

Hei whakatau i te mate huānga o Tourette, ka titiro ngā tākua ki ēnei āhuatanga matua:

• Me noho ngā pūngāwerewere motor me ngā pūngāwerewere reo
• Me roa ake i te tau te roa o ngā pūngāwerewere
• Me tīmata ngā pūngāwerewere i mua i te 18 tau
• Ka puta ngā pūngāwerewere i te maha, ahakoa ehara i te rā katoa
• Kāore ngā tohu e puta mai i ngā rongoā rānei i ētahi atu āhuatanga hauora

Ko te tikanga o te tukanga whakamātautau he maha ngā whakaritenga kia kitea ngā tics i te wā. Ka ui pea ngā tākuta ki a koe kia pupuri i te puka tics, me tuhi te wā e puta ai ngā tics me ngā mea ka pā te pai ake rānei te kino ake rānei. Ka āwhina hoki ngā whakaahua ataata ki te whakaatu ki ngā tākuta te ahua o ngā tics.

I etahi wā ka tono ngā tākuta i ngā whakamātautau hei whakakore i ētahi atu āhuatanga ka pāngia e ngā tohu rite. Ka uru pea ēnei ki ngā whakamātautau toto hei tirotiro i ngā mate, i te whakaahua roro rānei mēnā he awangawanga mō ētahi atu āhuatanga neurology. Heoi, kāo ēnei whakamātautau e whakamahia ana hei whakamātautau i te mate Tourette.

He mea nui te whiwhi i te whakamātautau tika, nā te mea ka āwhina i ngā whānau ki te mārama ki te mea kei te whakahaerehia e rātou, me te uru atu ki ngā ratonga tautoko tika. Ka āwhina hoki ki te wehewehe i te mate Tourette i ētahi atu āhuatanga ka hiahia pea ki ētahi atu rongoā.

He aha te rongoā mō te mate Tourette?

Ko te rongoā mō te mate Tourette e arotahi ana ki te whakahaere i ngā tohu me te whakapai ake i te kounga o te ora, kāore i te whakaora i te mate. Kāore te nuinga o te hunga he tics ngawari e hiahia ana ki tetahi rongoā. Ko te whakatau ki te rongoā e whakawhirinaki ana ki te nui o te āwangawanga o ngā tics ki te oranga o ia rā, ki te kura, ki te mahi, ki ngā whanaungatanga rānei.

Ko ngā rongoā whānau te nuinga o te raina tuatahi o te rongoā, ā, ka tino whai hua:

• Te Whakauru Whānau Whānui mō ngā Tics (CBIT)
• Te whakangungu whakahuri i te tikanga
• Te whakaatu me te aukati whakautu
• Ngā tikanga whakahaumaru
• Ngā rautaki whakahaere ahotea

He tino whai hua te CBIT, ā, e whakaako ana i te iwi ki te mohio ki te hiahia e puta mai i mua i te tic, katahi ka whakamahi i tetahi mahi whakataetae hei whakakore i taua mea. He kaha te tautoko rangahau o tēnei rongoā, ā, ka taea te whakaiti i te auau me te kaha o te tic.

Ka tūtohutia pea ngā rongoā mena he nui te kino o ngā tics, kāore rānei e taea te mahi pai. Ko ngā rongoā whānui ko ngā antipsychotics pēnei i te haloperidol, i te aripiprazole rānei, ngā rongoā toto pēnei i te clonidine, ā, i etahi wā ngā whakaurunga botulinum toxin mō ngā tics motuhake. He painga me ngā pānga o ia rongoā e hiahiatia ana te whakaaro nui.

Mō te hunga he āhuatanga tahi pēnei i te ADHD, te manukanuka rānei, ko te whakaora i ēnei āhuatanga ka taea te whakaiti i ngā tics. Ko tēnei huarahi whānui e whakahaere ana i ngā āhuatanga katoa o te hauora me te oranga o te tangata.

I roto i ngā take onge rawa atu o ngā tics kino, kaore e taea te whakaora, ka whakaaro pea ngā tākuta ki te whakamahana roro hohonu (DBS). Ko tēnei mahi pokanga e whakauru ana i ngā electrodes ki ngā wāhanga motuhake o te roro hei āwhina i te whakahaere i ngā tics. Ka whakamahia noa i te wā kaore i mahi ētahi atu maimoatanga, ā, he kino te pānga o ngā tics ki te kounga o te ora.

Me pēhea te whakahaere i te mate Tourette ki te kāinga?

Ko te whakahaere i te mate Tourette ki te kāinga e whakauru ana i te hanga i te taiao tautoko me te whakawhanake i ngā rautaki mahi mō te oranga o ia rā. Ko te whāinga ko te whakaiti i te ahotea me ngā mea whakaohooho me te hanga i te whakawhirinaki me ngā pūkenga whakahaere. He tino nui te tautoko me te mārama o te whānau ki te whakahaere angitu.

Ko te hanga i te taiao kāinga mārama, whakarite ka āwhina i te whakaiti i te auau o te tic:

• Whakaritea ngā wā moe noa
• Whakaitihia te ahotea me te nui o te whakaohooho
• Whakatenatenahia te whakakori tinana me te mahi tinana
• Whakaitihia te inu kofe me te huka
• Whakamahia ngā tikanga whakahaere tahi
• Kaua e kukume i te aro ki ngā tics

Ko te mātauranga tētahi o ngā taputapu kaha rawa atu kei a ngā whānau. Ko te ako mō te mate Tourette e āwhina ana i ngā mema o te whānau ki te mārama ko ngā tics ehara i te mea ngākau, ā, ko te tohu atu i ā rātou, te tono atu rānei ki tetahi kia mutu, ka tino kino ake. Engari, aro atu ki ngā kaha me ngā whakatutukitanga o te tangata.

He mea nui te whakahaere i te ahotea, nā te mea ka kaha ake te ahotea i ngā tikitiki. Āwhina ki te kimi i ngā mea whakaohooho i te ahotea, ā, whakawhanakehia ngā rautaki whakaora hauora penei i te manawa hohonu, te whakakori tinana, te whakauru rānei ki ngā mahi whakangahau. Ka tino whai hua te mahi tinana ā-rangi ki te whakaiti i te ahotea me te kaha o ngā tikitiki.

He mea nui te whakawhitiwhiti kōrero ki ngā kura mō ngā tamariki e pangia ana e te mate Tourette. Mahi tahi me ngā kaiako me ngā kaitohutohu kura kia mohio rātou ki te mate, ā, kia taea te whakarato i ngā whakaritenga tika. I ēnei pea te āhei i ngā wā okioki neke, te whakarato i te wā māhorahora ina hiahiatia, te whakarerekē rānei i ngā mahi i ngā wā e tino raruraru ana ngā tikitiki.

Me pēhea te whakarite mō tō hui ki te taote?

Ka taea e te whakarite mō tō hui ki te taote te āwhina kia whiwhi koe i te hua nui rawa atu i tō haerenga, ā, kia whakarato ai i tō kaiwhakarato hauora ki ngā mōhiohio e hiahia ana rātou. Ka ārahi te whakarite pai ki te mārama pai ake me ngā tohutohu rongoā whai hua ake.

I mua i tō hui, pupurihia he tātai tikitiki taipitopito mo te kotahi wiki, rua wiki rānei:

• Tūtohuhia te wā e puta mai ai ngā tikitiki me te roa o te roa
• Tātaihia ngā mea whakaohooho e āhei ana te whakapai ake i ngā tikitiki, te whakaiti rānei
• Aroturukihia te pānga o ngā tikitiki ki ngā mahi o ia rā
• Tuhia ngā tauira e kitea ana e koe
• Tūtohuhia ngā tohu e puta tahi ana penei i te awangawanga, te raruraru aro rānei

Whakaarohia te tuhi i ngā ataata poto o ngā tikitiki noa, i te mea ka kore pea e puta i te wā o te hui. Ka tino whai hua pea tēnei ki te whakaatu ki ngā taote te ahua o ngā tikitiki me te kaha o rātou.

Whakaritea he rārangi o ngā pātai hei ui ki tō taote. Ka hiahia pea koe ki te mohio mō ngā whiringa rongoā, te aha e tatari ana i te heke mai, te āwhina i te kāinga, te whakawhitiwhiti kōrero rānei ki ngā kaimahi kura. Kaua e whakaroa ki te ui mō tetahi mea e awangawanga ana koe.

Mauria mai te rārangi kapi katoa o ngā rongoā, ngā taapiri kai, me ngā rongoā tāonga e inuhia ana. Mauria mai hoki ngā kōrero mō ētahi atu kaiwhakarato hauora e whai wāhi ana ki te tiaki, i te mea he mea nui te hononga i waenga i ngā kaiwhakarato mō te whakaora whānui.

He aha te mea nui e pā ana ki te mate Tourette?

Ko te mea nui rawa atu hei mārama ki te mate Tourette ko te tikanga neurology pono tēnei e tika ana te mārama me te tautoko, ehara i te whakahe me te whakakore. Ka taea e te hunga mate Tourette te ora ngākau nui, te ora angitu me te whakahaere tika me te tautoko hapori. Kāohore te āhuatanga e whakatau ana i te mohio, te āhua, te kaha rānei o te tangata.

He tino nui te whakauru wawe me te mātauranga ki ngā hua. Ina mārama ngā whānau, ngā kura, me ngā hapori ki te mate Tourette, ka taea e rātou te whakarato i te tautoko e hiahiatia ana e te hunga mate kia ora. Hei tāpiri atu ki te mohio ko ngā tics ehara i te mea whakahaerehia, me aro ki ngā kaha o te tangata, ehara i ō rātou tics.

E tonu ana te whakapai ake o ngā whiringa maimoatanga, ā, he tokomaha te hunga e kite ana i te whakahaere pai ake o ō rātou tics i te roanga o te wā. Me ngā maimoatanga whānau, ngā rongoā ina hiahiatia, me ngā pūnaha tautoko kaha, ka taea e te nuinga o te hunga mate Tourette te whai wāhi tino ki te kura, te mahi, me ngā mahi pāpori.

Kia mahara ko te mate Tourette he maha ngā kaha whakamiharo hoki. He maha ngā tangata mate nei he auaha, he ngākau aroha, he pakari. He maha ngā wa ka whānau mai he pūkenga whakaoti rapanga kaha me te whakatau i te ako ki te whakatere i te ora me ngā tics.

Ngā pātai e ui ana te iwi e pā ana ki te mate Tourette

E kōrero kino ana rānei, e whakamahi ana rānei i te reo koretake te hunga mate Tourette?

Kāo, ko tēnei tetahi o ngā whakaaro he nui rāwa e pā ana ki te mate Tourette. Ko te 10-15% noa iho o te hunga e pangia ana e te mate Tourette e pā ana ki te coprolalia (te kōrero whakahē rānei, te reo kore take). Ko te nuinga o te hunga e pangia ana e te mate Tourette kaore rawa e whiwhi i tēnei momo tikitiki reo. Ko ngā whakaaturanga pāpāho, te ahua kē, kua hanga i tēnei whakaaro teka e pā ana ki te āhua o te titiro a te tangata ki te āhuatanga.

Ka taea te whakahaere, te mutu rānei o ngā tikitiki?

Ko te nuinga o te hunga e pangia ana e te mate Tourette ka taea te whakakore i ō rātou tikitiki mō tētahi wā poto, ina koa ka aro nui rānei, i ngā wā māhainga. Heoi, ko te whakakore i ngā tikitiki ka puta he nui o te pehanga ka mutu ka nui ake ngā tikitiki i muri mai. He rite tēnei ki te pupuri i te ngunguru – ka taea mō tētahi wā poto, engari kāore e roa.

Kei te kino haere ngā tikitiki i te pakeke?

Ko te tikanga, ka pai ake ngā tikitiki i te pakeke mō te nuinga o te iwi. Ko te nuinga o ngā tamariki ka kite i ō rātou tikitiki i te tau tekau mā rima, katahi ka heke nui i te pakeketanga. Ko ētahi o ngā tikitiki o te tangata ka ngoikore rawa i te pakeketanga, no reira kaore rātou e kite. Heoi, ko te ahotea, te mate, te rerekētanga nui o te ora ka taea te whakaiti i ngā tikitiki i tetahi tau.

He hononga te mate Tourette ki ētahi atu āhuatanga hauora hinengaro?

He tokomaha o te hunga e pangia ana e te mate Tourette e pangia ana hoki e ētahi atu āhuatanga penei i te ADHD, ngā mate manukanuka, te mate obsessive-compulsive. Ko ēnei āhuatanga e puta tahi ana i te maha atu i te tūponotanga, e whakaatu ana pea kei a rātou ētahi tikanga roro. Ko te maha o ngā āhuatanga ka taea te whakahaere i te whakahaere, engari ka taea te whakaora pai katoa me te tiaki tika.

Ka taea te whakaora i te mate Tourette?

I te wā nei, kāore he rongoā mō te mate Tourette, engari ehara tena i te tikanga kaore e taea e te tangata te ora i te ora kākā, harikoa me te mate. He maha ngā maimoatanga whai hua ka taea te awhina i te whakahaere i ngā tohu, ā, ka whakapai ake i te kounga o te ora. Kei te haere tonu te rangahau ki ngā rongoā hou, ā, he tokomaha ngā tāngata e kite ana i ō rātou tikitiki e nui ake te whakahaere i te wā, i etahi wā tae noa ki te taumata kaore rātou e āwangawanga nui ki te ora o ia rā.