I believe many people, especially parents with children, have heard a word - tic disorder. These children diagnosed with tic disorders are often accompanied by blinking, shaking their heads, shrugging their shoulders and other actions. Don’t think that they are just "lively". Get rid of the troubles of tic disorders, children, let’s take your time...
The current incidence of tic disorders is increasing year by year. According to statistics, the incidence of tic disorders in my country has increased by 6 times in the past 10 years, and 1 in every 10 children is a tic disorder patient.
Xiaowei asked
What is tic disorder? What "small movements" does children have? Parents should be alert to the possibility of tic disorders?
Doctors preach
Tic disorder is what people often call tic disorder. It is a neurodevelopmental disorder that starts in children and adolescents, with tic symptoms as the main manifestation. Twitch symptoms include exercise tics and vocal tics , with various forms of expression.
Timmersion disorder can be manifested as exercise twitching, including contraction movements of muscles in multiple parts of the head, neck, shoulders, trunk and limbs, manifested as frequent blinking, frequent head shaking or shaking eyes, kicking, hand swinging, even abdominal muscle twitching, whole body twitching, etc. Twitching disorders can also be manifested as vocal twitching. The muscle contraction movement of the nose, mouth, and throat during twitching occurs. The abnormal sound is caused by the airflow through the nasal cavity, mouth or throat, which is manifested as nasal sucking sound, clearing throat, and dry cough , etc., and even swearing or making some strange calls like animals.
Tic disorder symptoms fluctuate and fluctuate repeatedly. After a symptom appears, it is likely that it will disappear after a period of time, and new symptoms will appear. You can also superimpose new symptoms on the basis of previous symptoms.
tic disorder patients have various forms of expression and are accompanied by other diseases. More than half of the patients with tic disorder are accompanied by one or more other diseases, such as ADHD, Obsessive-compulsive disorder , anxiety, Depression , and some may also have learning difficulties, sleep disorder , etc.
Xiaowei asked a question
What is the cause of tics disorder?
Doctor preached
History of medical circles has not yet clarified the cause and pathogenesis of tic disorders. It is speculated that it may be related to genetic factors, environmental factors, psychological factors, biological factors, etc., and is the result of the combined effect of various factors in the process of neurodevelopment. The specific situation is not very clear so far.
Xiaowei asked a question
What should I do if my child tends to have tic disorders? Which department should I go to for treatment?
Doctors preach
"Children have many small movements", so they should be regarded as an abnormal behavior, and beware of the possibility of tic disorders. At this time, it is recommended that parents take their children to the hospital for treatment in time. In a comprehensive hospital, they can go to pediatric , and in children's specialty hospitals, they can go to pediatric neurology, pediatric care , developmental behavioral department, and psychiatric psychiatry for treatment.
Xiaowei asked a question
What harm will tic disorder bring to children?
Doctor preaches
Tic disorder will cause functional damage to children, will affect children's study, daily life and social interactions , etc. For patients with school-age tic disorders, if they frequently tic in school or even make some weird sounds during class, it will not only affect themselves and other classmates' listening, but will also bring a great psychological burden to themselves .
At the same time, children with tic disorders often do not concentrate enough and cannot listen carefully in class. This will affect their academic performance and lead to learning difficulties in . In addition, children with tic disorders will be worried about tic symptoms in front of classmates or teachers, which will cause them to feel inferiority and feel inferior , and they are unwilling to interact with classmates, causing social disorder .
Xiaowei asked a question
Some manifestations of tic disorder are similar to ADHD. Is there any difference between the two?
Doctor preaches
Tits and hyperactivity are Tits and hyperactivity are two different concepts , tic disorders and ADHD are two different diseases . We have just introduced typical tics symptoms, such as motor tics and vocal tics. For ADHD, it usually manifests as abnormal behavior. Children are often very active, unable to sit still, jump up and down, lack of concentration, and cannot concentrate on doing something. In addition, such children are often willful, tantrums, unruly, and have poor self-control.
Although tic disorder and ADHD are two different diseases, both can exist in the same patient. More than half of patients with tic disorder have ADHD clinically, this situation needs to attract the attention of clinicians.
Xiaowei asked
What is the best treatment for tic disorders?
Doctor preaches
For children with mild tic symptoms and short course of illness, they often need psychological counseling and family guidance, and do not require medication, so they can wait for observation.
If the symptoms of tics are severe and the condition is obvious, it has affected the child's study, life and even social interactions. At this time, it is necessary to provide medication on the basis of psychological counseling and family guidance.
Doctors will formulate individualized treatment plans based on the different conditions of patients with tic disorders to control the patient's condition. The treatment of tic disorders requires family cooperation. Only when medical staff and parents work together can the children be given comprehensive treatment and care.
Xiaowei asked a question
What should parents do if the child has tics disorder?
Doctors preach
For patients with tic disorders with mild symptoms and short course of illness, parents can observe them. mainly depends on whether tic disorders affect children's study, life and social behavior. As parents, we must first establish a correct understanding of tic disorders and be able to face tic disorders correctly. Twitching is a symptom of disease rather than a child’s naughty behavior, and the disease itself can be treated. On this basis, parents should have a relaxed mindset, and many parents will be very anxious in , which will have adverse effects on their children's subsequent treatment. Twitch disorders are neither hereditary nor infectious diseases, and have no special impact on intelligence. As long as you cooperate with the doctor to conduct standardized treatment, the child's condition can be controlled.
here specially reminds parents, Do not over-remind their children about their tic symptoms. Whether it is exercise tics or vocal tics, the more parents say, the more stress the child is, the more serious the symptoms may become. Sometimes parents can even turn a blind eye to the symptoms of children's tics. They should give their children more companionship, care, and provide positive guidance instead of beating, scolding, and corporal punishment. Sometimes strict discipline is often counterproductive. Of course, boot needs to be appropriate, and don’t be too spoiled.
Patients with tic disorders need to receive education. If the child is in a serious condition, parents need to communicate well with the school teachers so that the teacher can clearly understand that a series of behaviors of the child are caused by diseases, not naughty.For patients with tic disorders at school age, if they can gain the understanding of the teacher, it will help the child's subsequent treatment. In addition to teachers, students' understanding is also very important. Teachers and parents should work together to eliminate discrimination against their children by students.
In daily life, for patients with tic disorders, parents should avoid them from being exposed to some adverse stimuli. such as video games, bloody gunfight movies and nervous horror movies, are all bad stimulations. In terms of diet, children should eat less irritating foods. The diet of should be lighter, do not eat too salty, and do not eat too sweet; eat less chocolate and other snacks, and avoid drinking beverages containing caffeine . The above suggestions are conducive to the recovery of diseases.
Also note that it is very important to let the child do some relaxation training . In school, children should participate in more physical activities and literary activities. Patients with tic disorders are often particularly energetic and need to release their energy through exercise, which will also help relieve the condition. Some sports, such as playing ball, running, and cycling, are very helpful to children.
In addition, parents should also pay attention to the daily life management of patients with tic disorders, which is very necessary. Many parents have strict requirements for their children's learning, and their children's learning burden is relatively heavy. Parents should appropriately reduce their learning burden for their children and ensure their children's sleep. Deficiency of sleep can also have an adverse effect on the condition.
Xiaowei asked a question
What is the prognosis of tic disorder?
Doctors preach
Clinical, tic disorders are related to neurodevelopment and have a relatively good prognosis. More than half of the children can reach clinical cure during adolescence or after adulthood. The symptoms are controlled and they can study, live and work normally. There are still 30% to 40% of children who still have symptoms of tics after adulthood, and they even have some manifestations of other diseases, but the degree is relatively mild and has little impact on study and work, so they can be ignored for treatment. The above are the conclusions we draw through long-term clinical observations.
Tic disorder is a treatmentable disease. As long as parents can actively cooperate with medical staff and allow their children to receive standardized diagnosis and treatment, most children can achieve clinical cure and enjoy normal study and life, and their work and marriage after adulthood will not be affected.
I hope that families, schools and society can view tic disorders correctly, give these children more care and help so that they can grow up healthily.
Content source: Renwei Health WeChat public account
Organized and edited by: Journal of Integrated Traditional Chinese and Western Medicine
Correspondent: Li Xin Sun Lei Qin Shasha Wang Jingjing Dong Wei
