Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
I-Tourette syndrome iyisimo sengqondo esenza abantu benze izinyathelo ezingalindelekile, eziphindaphindayo noma imisindo ebizwa ngokuthi yi-tics. Lezi tics zenzeka ngaphandle kokulawula komuntu, njengokungathi ukungathandabuzeki kwemisipha noma ukukhala okungaqondakali. Nakuba amafilimu avame ukubonisa i-Tourette syndrome ngokuthuka okukhulu, lokhu empeleni kuchaphazela izingxenye ezincane zabantu abanesimo. Abantu abaningi abane-Tourette syndrome baphila impilo egcwele, ezuzisayo ngokuqonda okuhle nokusekelwa okuhle.
I-Tourette syndrome iyisifo sobuchopho esingelinye lamaqembu ebizwa ngokuthi yi-tic disorders. Ibangele kokubili i-motor tics (izinyathelo ezingalindelekile) ne-vocal tics (imisindo noma amazwi engaqondakali) ehlala isikhathi esingaphezu konyaka. Lesi simo sivame ukuqala ebuntwaneni, ngokuvamile phakathi kweminyaka engu-5 nengu-10.
Cabanga nge-tics njengengqondo yakho ethumela imiyalezo ehlangene kwemisipha yakho noma emithanjeni yokukhala. Le miyalo idala izinyathelo noma imisindo ezizwa cishe njengokufuna okudingeka ukwaneliswe. Abantu abaningi bachaza ukuzizwa kokwakheka kokucindezeleka ngaphambi kokuba i-tic ibe khona, kulandele ukuphumula okwesikhashana ngemva kwalokho.
I-Tourette syndrome ichaphazela cishe umntwana o-1 kwangu-100 emhlabeni jikelele. Abayizi-boys banesibalo esiphezulu sokuxilongwa okungama-3 kuya kwangu-4 kunabesifazane. Ubunzima bungaba ukusuka e-tics ezincane kakhulu ezingaphazami impilo yansuku zonke kuya kwezinye eziphawulekayo ezidinga ukusekelwa nokuqonda okwengeziwe.
Izimpawu eziyinhloko ze-Tourette syndrome yi-tics, ezivela ngezinhlobo ezimbili eziyinhloko. I-motor tics ihilela izinyathelo ezingalindelekile, kuyilapho i-vocal tics ihilela imisindo noma amazwi engaqondakali. Zombili izinhlobo zingaba lula noma zibe nzima, kuye ngokuthi zingaki izigaba zemisipha ezihilelekile.
Nawa ama-motor tics avamile ongawaqaphela:
Ama-tics ezwi angaba ngamagama alula kuya kwemibono emikhulu:
Ama-tics avame ukuza futhi ahambe ngamaza. Ungase uwaphawule kakhulu ngezikhathi zokucindezeleka, ukuthokoza, noma ukukhathala. Okuthakazelisayo ukuthi abantu abaningi banganciphisa isikhashana ama-tics abo, ikakhulukazi ezimweni ezithulile noma ezigxile. Noma kunjalo, ukucima ama-tics kuvame ukubangela ukufuna okukhulu ukuwakhipha kamuva.
Odokotela abavami ukuhlukanisa i-Tourette syndrome zibe izinhlobo ezahlukene, kodwa bayayibona njengengxenye yesigaba sezifo ze-tic. Umehluko omkhulu ukhona ebukhali nasezinhlobonhlobo ze-tics ezikhona. Abanye abantu bane-tics ezincane kakhulu ezingabathinti kangako ekuphileni kwabo, kanti abanye baye baphethwe yi-tics ezingaphezulu noma eziphawulekayo.
I-Tourette syndrome ngokukhethekile idinga kokubili ama-tics omota nama-tics ezwi ahlale isikhathi esingaphezu konyaka. Uma umuntu enama-tics omota kuphela noma ama-tics ezwi kuphela, odokotela bangase bamxwayise ngesifo esingafani se-tic esikhundleni salokho. Isikhathi kanye nokuhlanganiswa kwama-tics kusiza odokotela ukuba benze ukuxilongwa okulungile.
Ubukhali bungashintsha ngokuhamba kwesikhathi. Abantwana abaningi bathola ama-tics abo efinyelela ezingeni eliphezulu eminyakeni yobusha bese kulungisa kakhulu ebuntwini. Ama-tics abanye abantu aba yinto encane kakhulu ebuntwini kangangokuba abasaphawuli.
I-Tourette syndrome ivela ngenxa yezinguquko endleleni izingxenye ezithile zobuchopho ezikhuluma ngayo. Imbangela eqondile ayiqondakali ngokuphelele, kodwa abacwaningi baye baqaphela izici eziningana ezihlanganyela ekukhuleni kwayo. I-genetics idlala indima ebalulekile, njengoba le simo sivame ukubhebhetheka emindenini.
Izici eziningana zingandisa amathuba okukhula kwe-Tourette syndrome:
Izifundo zokuhlola ubuchopho zibonisa ukuthi abantu abane-Tourette syndrome banezinguquko ezindaweni eziphethe ukunyakaza nokuziphatha. Lezi zindawo zihlanganisa i-basal ganglia, i-frontal cortex, nezinzila zazo ezihlangene. I-neurotransmitter dopamine nayo idlala indima kulezi zikrini zobuchopho.
Kubalulekile ukuqonda ukuthi i-Tourette syndrome ayibangelwa yilutho abazali noma abantwana abalwenzile okungalungile. Akulona iphuzu lokuhluleka kokukhuliswa kwabazali, ukulimala, noma izinkinga ezingokwengqondo. Kuyisimo esiqondile se-neurological esifanele ukuqondwa nokwesekwa.
Kufanele ucabange ukuya kudokotela uma uqaphela i-tics ehlala isikhathi eside ihlala amasonto noma izinyanga eziningi. Nakuba abantwana abaningi badlula ezigabeni ezifushane ze-tics eziqeda ngokwabo, i-Tourette syndrome ihilela i-tics eyaqhubeka ngaphezu konyaka. Ukubhekwa kwasekuqaleni kungasiza ekuhlinzekeni ukuthula kwengqondo nokusekelwa okufanele.
Funani usizo lwezokwelapha uma ama-tics ephazamisa imisebenzi yansuku zonke, ukusebenza esikoleni, noma ubudlelwano bomphakathi. Ngezinye izikhathi ama-tics angaphambanisa emakilasini noma abangele ukuhlazeka okuthinta ukuzethemba kwengane. Umhlinzeki wezinsizakalo zezempilo anganikeza amasu nokwelashwa okusiza ekuqondiseni lezi zinselele.
Kufanele futhi ubone udokotela uma ama-tics ehambisana nokuziphatha okukhathazayo noma izimpawu. Abantu abaningi abane-Tourette syndrome nabo bahlangabezana nezimo ezinjengoba yi-ADHD, ukukhathazeka, noma ukuziphatha okuqine kakhulu. Ukuthola ukulingwa okuphelele kusiza ukuqinisekisa ukuthi zonke izinhlangothi zempilo yakho noma yengane yakho ziqondwe.
Ungalindi uma ama-tics ebangela ukungakhululeki komzimba noma ukulimala. Amanye ama-tics omota angaba namandla okwanele ukubangela ubuhlungu bemisipha noma ngisho nokulimala. Umhlinzeki wezinsizakalo zezempilo angasiza ekuthuthukiseni amasu okuqondisa la ma-tics anzima ngokuphepha.
Ukuqonda izici ezingozi kungasiza imindeni ukuthi ibone ukuthi i-Tourette syndrome ingase ikhule nini. Isici esinamandla kakhulu yilokho okunembali yomndeni yama-tics noma i-Tourette syndrome. Uma umzali enesimo, abantwana babo banesilinganiso esingu-50% sokuzuza uhlobo oluthile lokuhlupheka kwe-tic.
Izici eziningi phakathi nokukhulelwa nokuzalwa zingandisa ingozi:
Ukuba owesilisa kukhuphula kakhulu ingozi, abafana banethuba elingu-3-4 lokuthuthukisa i-Tourette syndrome kunabesifazane. Lokhu kusikisela ukuthi ama-hormone noma izici ze-genetic ezihlobene nobulili zingase zidlale indima ekuthuthukiseni lesimo.
Izimo zemvelo ngemva kokuzalwa zingase futhi zifake isandla, nakuba ucwaningo lusaluqhubeka. Amanye ama-study abonisa ukuthi ukucindezeleka okukhulu, ukutheleleka okuthile, noma ukusebenza kabuhlungu kwe-autoimmune kungase kuqalise ama-tics ezinganeni ezinamahloni ngokufanele. Noma kunjalo, lezi zixhumanisi azikafakazelwa ngokugcwele.
Nakuba i-Tourette syndrome ngokwayo ingayingozi eyingozi, ingaletha izinselele ezihlukahlukene ezihlobene nokuphuza impilo. Imikhakha evamile kakhulu ihilela ubunzima bomphakathi nokuzwela kunokungezona izinkinga zempilo yomzimba. Ukuqonda lezi zinkinga ezingase zenzeke kusiza imindeni ukuba ilungiselele futhi ifune ukwesekwa okufanele.
Izinselele zomphakathi zivame ukuvela ngoba ama-tics angase angaqondwa abanye:
Abantu abaningi abane-Tourette syndrome baphuthuma ezinye izimo ezingenza impilo yabo ibe nzima. Lezi zimo ezihambisana nazo zihlanganisa i-ADHD (ukukhubazeka kokugxila nokuhamba okukhulu), i-obsessive-compulsive disorder, izifo zokukhathazeka, nobunzima bokufunda. Ukuphatha izimo eziningi ngesikhathi esisodwa kungaba inselele kodwa kungenzeka ngokuqinisekile ngokwesekwa okufanele.
Imikhakha yomzimba ayivamile kodwa ingase ibe khona ngama-tics amandla okuqhuba. Abanye abantu bahlangabezana nobuhlungu bemisipha, izikhathi zokukhathazeka, noma ngisho nokulimala okuvela kuma-tics amandla. Ezimweni ezingavamile, izinkinga zomhlane noma ezinye zingase zithuthukiswe ngokuphindaphinda kokunyakaza kwekhanda noma amahlombe.
Izinkinga zokulala ngezinye izikhathi zenzeka, noma ngama-tics aqhubeka ngesikhathi sokulala noma ngokucindezeleka kokuphatha isimo. Ukulala okubi kungabe kwenza ama-tics abe mabi, kudale isikhathi esidinga ukuphathwa ngokucophelela.
Okwamanje, ayikho indlela eyaziwayo yokuvimbela i-Tourette syndrome njengoba ikakhulu iyisimo sezofuzo. Kodwa-ke, abesifazane abakhulelwe bangathatha izinyathelo ezingase zinciphisa ingozi yezimo ezahlukahlukene zokuthuthukiswa, kufaka phakathi izifo ze-tic. Lezi zinyathelo zisekela ukuthuthukiswa kwengqondo nokuphila kahle.
Phakathi kokukhulelwa, ukugcina amasiko aphile kahle kungasiza:
Nakuba lezi zinyathelo zingaqinisekisi ukuvimbela, zisekela ukuthuthukiswa kwengqondo enempilo futhi zinganciphisa ingozi yezimo ezahlukahlukene zezinzwa. Into ebaluleke kakhulu okumele uyikhumbule ukuthi uma i-Tourette syndrome ithuthuka, akuyona iphutha lomuntu.
Emindenini enomlando wezifo ze-tic, ukwelulekwa ngezofuzo kungakunikeza ulwazi oluwusizo mayelana nezingozi nohlelo lokukhulelwa. Lokhu akushintshi umphumela, kodwa kungasiza imindeni ukuba ilungiselele futhi ithathe izinqumo ezinolwazi.
Ukuhlola i-Tourette syndrome kuncike ikakhulu ekubukeni izimpawu nokuqoqa umlando wezokwelapha onemininingwane. Ayikho i-test eyodwa engakuqinisekisa ukuhlolwa. Kunalokho, odokotela basebenzisa izindinganiso ezithile ukuze baqonde ukuthi umuntu une-Tourette syndrome noma olunye uhlobo lwesifo se-tic.
Ukuze bahlole i-Tourette syndrome, odokotela bafuna lezi zici eziyisisekelo:
Inqubo yokuxilonga ivame ukubandakanya izikhathi eziningi zokuqokwa ukuze kubonwe ama-tics ngokuhamba kwesikhathi. Odokotela bangase bakucela ukuba ugcine idayari ye-tic, ubhale ukuthi ama-tics avele nini nokuthi yiziphi izinto ezingase zenze kube ngcono noma kubi. Ukurekhoda amavidiyo kungasiza futhi ekuboniseni odokotela ukuthi ama-tics abonakala kanjani.
Ngezinye izikhathi odokotela bayala ukuhlolwa ukuze kuvinjwe ezinye izimo ezingase zibangele izimpawu ezifanayo. Lokhu kungafaka ukuhlolwa kwegazi ukuhlola ukutheleleka noma ukucubungula ubuchopho uma kukhona ukukhathazeka ngezimo zezinzwa. Noma kunjalo, le mihlola ayisetshenziswa ekuxilongeni i-Tourette syndrome ngokwayo.
Ukuthola ukuxilongwa okuqondile kubalulekile ngoba kusiza imindeni ukuqonda ukuthi yini ehlangana nayo nokufinyelela ezinsizakalweni zokusekela ezifanele. Kusiza futhi ukwahlukanisa i-Tourette syndrome kwezinye izimo ezingase zidinga ukwelashwa okuhlukile.
Ukuphathwa kwe-Tourette syndrome kugxile ekuphathweni kwezimpawu nokwenza impilo ibe ngcono kunokwelapha isimo. Abantu abaningi abana-tics abalula abadingi ukwelashwa nhlobo. Isinqumo sokwelapha siyancika ekutheni ama-tics aphazamisa kangakanani impilo yansuku zonke, esikoleni, emsebenzini, noma ebuhlotsheni.
Izindlela zokwelapha eziphathelene nokuziphatha zivame ukuba yilona lwesiqalo lokwelapha futhi zingasebenza kakhulu:
I-CBIT isebenza kakhulu futhi ifundisa abantu ukuthi baqonde isidingo esiza ngaphambi kwe-tic bese besebenzisa ukuziphatha okuqhudelanayo ukuyephula. Lolu lwelo lwenezeluleko oluqinile lokuhlaziya futhi lunganciphisa kakhulu ubukhulu nobunzima be-tic.
Imithi ingase icelwe uma i-tics iqinile noma iphazamisa kakhulu ukusebenza. Imithi evamile ihlanganisa i-antipsychotics efana ne-haloperidol noma i-aripiprazole, imithi yegazi eliphezulu njenge-clonidine, futhi ngezinye izikhathi i-botulinum toxin injections ye-tics ethile. Yimuphi umuthi unamafutha nawo amibi okumele acatshangelwe ngokucophelela.
Kubantu abanezinhlungu ezihambisana njenge-ADHD noma ukukhathazeka, ukwelapha lezi zimo ngezinye izikhathi kungasiza ekunciphiseni i-tics. Le ndlela ephelele ibheka zonke izinhlangothi zempilo yomuntu nokuthula kwakhe.
Ezimweni ezingavamile ze-tics ezinzima, ezingelapheki, odokotela bangase bacabangele i-deep brain stimulation (DBS). Lolu hlelo lokusebenza lokuhlinzwa luhilela ukufaka ama-electrodes ezindaweni ezithile zobuchopho ukuze kusizwe ukulawula i-tics. Lisetshenziswa kuphela uma ezinye izindlela zokwelapha azisebenzi futhi i-tics ithonya kakhulu ikhwalithi yokuphila.
Ukuphatha i-Tourette syndrome ekhaya kuhilela ukwakha indawo yokusekela nokwenza amasu asebenzayo empilweni yansuku zonke. Umgomo ukunciphisa ukucindezeleka nokuphazamisa ngenkathi wakha ukuzethemba namakhono okumelana. Ukusekela komndeni nokuqonda kudlala indima ebalulekile ekuphatheni okuphumelelayo.
Ukwenza indawo yasekhaya ethulile, ehlelekile kungasiza ekunciphiseni ubukhulu be-tic:
Imfundo ingenye yamathuluzi anamandla kakhulu imindeni enayo. Ukufunda nge-Tourette syndrome kusiza amalungu omndeni ukuqonda ukuthi i-tics ayisiyona into yokuzithanda futhi ukuthi ukuyibonisa noma ukucela umuntu ukuba ayeke ngokuvamile kuyenza ibe mbi kakhulu. Esikhundleni salokho, gxila ezinzwini zomuntu nempumelelo yakhe.
Ukuphathwa kwengcindezi kubaluleke kakhulu ngoba ingcindezi ingenza izimpawu zibe zimbi. Siza ukuthola izinto ezibangela ingcindezi bese wakha amasu okusingatha ngempumelelo afana nokuphumula okujulile, ukuzivocavoca, noma ukuhlanganyela emisebenzini ejabulisayo. Ukuzivocavoca okuvamile kungaba usizo kakhulu ekunciphiseni ingcindezi kanye nobunzima bezimpawu.
Ukuxhumana nezikole kubalulekile kubantwana abane-Tourette syndrome. Sebenza nothisha nabacebisi besikole ukuqinisekisa ukuthi bayayiqonda le meko futhi bangakwazi ukunikeza ukulungiswa okufanele. Lokhu kungafaka ukunikeza isikhathi sokuhambahamba, ukunikeza indawo ethule uma kudingeka, noma ukuguqula imisebenzi phakathi nezinkathi lapho izimpawu zikhathaza kakhulu.
Ukulungiselela ukubona udokotela wakho kungakusiza uqinisekise ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi unikeze umhlinzeki wakho wezempilo ulwazi aludingayo. Ukulungiselela okuhle kuholela ekuqondeni kangcono nasezincomo zokwelashwa eziphumelelayo.
Ngaphambi kokubona udokotela, gcina idayari enemininingwane yezimpawu okungenani isonto noma amabili:
Cabanga ukuqopha amavidiyo amafushane ezimpawu ezivamile, njengoba kungase zingabonakali ngesikhathi sokuhambela. Lokhu kungaba usizo kakhulu ekuboniseni odokotela ukuthi izimpawu zikhangeka kanjani nokuthi zinzima kangakanani.
Lungiselela uhlu lwemibuzo okumele uyibuze udokotela wakho. Ungase ufune ukwazi ngezinketho zokwelashwa, ukuthi yini okufanele uyilindele esikhathini esizayo, ukuthi ungasiza kanjani ekhaya, noma ukuthi ungaxhumana kanjani nabantu besikole. Unganqikazi ukubuza noma yini ekukhathazayo.
Letha uhlu oluphelele lwanoma iyiphi imithi, izongezelelo, noma izindlela zokwelapha ngezitshalo ezithathwayo. Letha nemininingwane mayelana nanoma yibaphi abanye abahlinzeki bezempilo abahilelekile ekunakekelweni, njengoba ukubambisana phakathi kwabahlinzeki kubalulekile ekwelapheni okuphelele.
Into ebaluleke kakhulu okumele uyiqonde nge-Tourette syndrome ukuthi iyisimo sengqondo sangempela esifanele ukuqondwa nokusekelwa, hhayi ukwahlulelwa noma ukuhleka. Abantu abane-Tourette syndrome bangaphila impilo egcwele, ephumelelayo ngokuphathwa okuhle nokusekelwa komphakathi. Isimo asihlungi ukuhlakanipha komuntu, ubuntu, noma amathuba.
Ukungenelela kwasekuqaleni nemfundo kwenza umehluko omkhulu emiphumeleni. Uma imindeni, izikole, nemiphakathi ikuqonda i-Tourette syndrome, inganikeza ukusekelwa okudingekayo kubantu abanesimo ukuze baphile kahle. Lokhu kuhlanganisa ukuqaphela ukuthi ama-tics awenziwa ngokuzithandela nokugxila ezinzwini zomuntu kunama-tics abo.
Amathuba okwelapha aqhubeka ephucuka, futhi abantu abaningi bathola ukuthi ama-tics abo aba lula ngokuhamba kwesikhathi. Ngokwelashwa kokuziphatha, imithi uma kudingeka, namasiko asekelayo aqinile, abantu abaningi abane-Tourette syndrome bangabamba iqhaza ngokugcwele esikoleni, emsebenzini, nasemisebenzini yomphakathi.
Khumbula ukuthi i-Tourette syndrome ivame ukuba namandla amakhulu kakhulu. Abantu abaningi abanesimo banokwakha, uzwela, futhi baqinile. Bavame ukukhula amakhono okuqondisa izinkinga naqiniso ekuqondeni ukuphila ngama-tics.
Cha, lokhu kuyinye kwezimanga ezinkulu mayelana ne-Tourette syndrome. Abantu abangaba ngu-10-15% kuphela abane-Tourette syndrome ababhekana ne-coprolalia (ukukhuluma amazwi angcolile noma ulimi olungafanele ngokungazi). Iningi labantu abane-Tourette syndrome alikaze libe nale ndlela yokukhwehlela. Ukubonakaliswa kwezindaba kuye kwadala lo mbono oyiphutha othonya indlela abantu ababona ngayo lesi simo.
Abantu abane-Tourette syndrome bangakwazi ukucindezela ukukhwehlela kwabo okwesikhashana, ikakhulukazi uma bagxile noma besesimweni esithulile. Noma kunjalo, ukucindezela ukukhwehlela kuvame ukubangela ukwakheka kokucindezeleka okugcina kuholela ekukhwehleleni okukhulu kamuva. Kufana nokuzama ukuvimba ukuthandaza - kungenzeka isikhashana, kodwa akukwazi ukugcinwa isikhathi eside.
Eqinisweni, ukukhwehlela kuvame ukuthuthuka njengoba abantu bekhula. Abantwana abaningi bathola ukuthi ukukhwehlela kwabo kufinyelela ezingeni eliphezulu eminyakeni yobusha bese kunciphisa kakhulu ebuntwini. Ukukhwehlela kwabanye abantu kuba buthambile ebuntwini kangangokuba abakuboni. Noma kunjalo, ukucindezeleka, ukugula, noma izinguquko ezinkulu ekuphileni kungenza ukukhwehlela kube sibi okwesikhashana kunoma iyiphi iminyaka.
Abantu abaningi abane-Tourette syndrome banesinye isimo njenge-ADHD, izifo zokukhathazeka, noma i-obsessive-compulsive disorder. Lezi zimo zenzeka ndawonye kaningi kunokuba kube ngengozi, okubonisa ukuthi zingaba nezindlela ezifanayo zengqondo. Ukuba nezimo eziningi kungenza ukuphathwa kube nzima, kodwa konke kungaphathwa kahle ngokunakekelwa okuhle.
Okwamanje, ayikho imithi yokwelapha i-Tourette syndrome, kodwa lokhu akusho ukuthi abantu abakwazi ukuphila impilo egcwele, enenjabulo ngalesi simo. Ziningi izindlela zokwelapha ezisebenza kahle ezingasiza ekulawuleni izimpawu nokuthuthukisa ikhwalithi yempilo. Ucwaningo luyaqhubeka ngezindlela zokwelapha ezintsha, futhi abantu abaningi bathola ukuthi ama-tics abo abaqondakala kakhulu ngokuhamba kwesikhathi, ngezinye izikhathi baze bafike ezingeni lokuba abangaphazami impilo yansuku zonke.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.