If childhood is the most beautiful stave movement in life, then children are the most colorful notes on this stave. Children are the seedlings in the greenhouse, children are the flowers of the future of the motherland, children are the stop for innocent life, children are the cradle of happy hours, children are the kind of fire that flourishes in the future, and children are the most intense color spread on the picture of the years One stroke.
quotes the verse of Xi Murong, "The sun is gentle and innocent, and a candy can be happy for a long time." However, have you ever thought that the shadow hidden behind the sun is always threatening This is the most beautiful time?
Nowadays, the prevalence of tic disorder in school-age children remains high all over the world. As early as 2019, the American popular medical journal Neurology even had a questioning discussion on the treatment of this disease, which once became a hot topic. However, in my country, according to statistics, the incidence of children with multiple tics and the population of the right age group have also begun to show an upward trend. Therefore, it is necessary for us to remind all parents to strengthen their attention and prevention.
What is tic disorder in children ?
Children's tic disorder is a relatively common type of dyskinesia symptom. According to statistics, 15% of children will have such problems at a certain stage of their lives. It occurs in children and adolescents, and is more common in preschool and early school age.
tics The specific symptoms of are: involuntary, intermittent, rapid movement twitching and vocal twitching of one or more muscles. Such as blinking, frowning, twitching the corners of the mouth, nodding, shaking the head, shrugging and so on. When the symptoms are severe, there will be vocal twitching such as sucking, chewing, and many other behaviors such as yawning, jumping feet, and shaking arms.
Because tic disorder has not been understood and recognized by the public, it is easy to be ignored by careless parents when children have mild symptoms, and they may even think that the child may have fatigue and lack of self-control. Therefore, simple and rude education methods are used for control,It has not been effectively treated and dredged, but it has aggravated the inner troubles of the children and produced rebellious emotions and aggravated the symptoms.
If parents find that their child has the above symptoms, they can seek medical treatment in time. They can check whether they have childhood tic disorder through blood draw, EEG and dynamic monitoring.
Prevention and treatment in daily life
There are many incentives for children to develop tic symptoms. In daily life, parents need to supervise and care for their children carefully, which can effectively avoid the occurrence or aggravation of symptoms. Here are some suggestions for parents.
1) The use of electronic products should be moderate
We are currently in a highly electronic and information age. Both office and study are gradually becoming paperless, especially since 2020, due to the impact of the new crown epidemic, online education that was unfamiliar in the past has begun to enter thousands of households, and children have greatly increased their dependence on computers, tablets and other electronic products in their studies. Let children who already watch TV and play video games become more addicted to electronic products.
In the process of indulging, the onset of tics will be triggered by excessive concentration, which will cause mental tension. Therefore, parents should pay attention to controlling the time that their children use electronic products, and make a time plan, so that learning, relaxation and health do not conflict.
2) Reasonable work and rest
Due to the aggravation of the current schoolwork, children also need to preview and consolidate after completing their daily homework, which to a certain extent caused a decrease in the quality of night sleep. Even because of the heavy schoolwork, I couldn't go to bed late at night, and I couldn't get up normally the next day. If things go on like this, the schedule of work and rest is disordered, causing physical fatigue and triggering and exacerbating tics. Therefore, it is hoped that children need to maintain a regular schedule, no matter whether they are daily or during holidays, and do not overdraw their health and fatigue.
3) A reasonable diet
In daily life,Due to dietary habits, there may be some irregularities. Children with tics generally have a hot physique, and it is not suitable to eat too much food that induces heat or over-stimulation and spicy food. It is very necessary to do a good job in the corresponding diet management.
Eat hot meats such as beef and lamb appropriately, and eat less nut foods such as peanuts and melon seeds and candy foods such as chocolate. In addition, some of the functional drinks on the market also need to be consumed with caution. At the same time pay attention to the child's diet, match meat and vegetables, and avoid overeating.
4) Maintain a happy mood
Children are sensitive. Parents should not put too much pressure on their children or pass on some negative emotions from work and society to their children. Frequently talk with children and discuss about schoolwork and life matters, so that children can maintain a good mood, without too much pressure or even panic, and spend every day in a relaxed and harmonious atmosphere.
Effective treatment:
The child is suffering from tic disorder and needs to choose the appropriate treatment in time. Most of the treatments are carried out in a combination of Chinese and Western medicine.
Chinese medicine treatment: licorice, jujube, hawthorn, fried malt, Jiao Shenqu, ginger magnolia, uncaria _span, lily, fried amber and sour jujube . At the same time, inosine and vitamin B complex were given. And instructed to stop irritating and frozen drinks, and exercise moderately. [1]
Western medicine treatment includes clonidine , tiapride , haloperidol , pimozide, Clonazepam . However, in view of the various side effects of the drug, you need to follow the doctor's advice during the medication process and remember to take the drug indiscriminately.
In addition, we must also pay attention to vitamin D supplementation. Vitamin D may protect the dopamine system by regulating the expression of dopamine transcription protein. Vitamin D deficiency of may increase the risk of tics. [2]
In addition to medication, it is more important to provide psychological counseling to restore the child's physical and mental health and let the sun continue to bloom in the bright season.
References
[1] Liu Fang, Tang Zhijuan, Huang Lihua, Nong Ruizhen, Zhang Wenliu. Efficacy of Ganmai Dazao Jianpi Decoction combined with inosine and multivitamin B tablets in the treatment of 56 cases of children with multiple tics Observation. Pediatrics of Integrated Traditional Chinese and Western Medicine, 2020, 2(12):1-3.
[2] Ge Li, Jin Xia, Zhu Li. Levels of 25-hydroxyvitamin D and nerve growth factor in the serum of children with tic disorder And related research. Labeled immunoassay and clinical, 2020, 11 (27): 1943-1946.
(by Zhang Zhiyi, the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University)
■ Shanghai Renhui Biopharmaceutical Co., Ltd. special Support
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