htmlOctober 30 is the day of care for tic disorders. In order to increase the care of the whole society for children with tics, the pediatric clinic of Hunan Second People's Hospital will hold a free clinic on October 30 (Sunday). All children with suspected tics who come to the hospital are exempt from registration fees.
"The child blinked from time to time recently. At first, he thought that a foreign object had been in his eyes. After two days of eye drops, he didn't get better. He went to the ophthalmology department, but the doctor asked us to see the pediatric neurology department." This is a troublesome thing that a 9-year-old boy has encountered recently! Her child has blinked repeatedly in the past half month, and has appeared more than a dozen times in a minute, especially when he is nervous and stared at him. This phenomenon is even more obvious. It can only be relieved when he is relaxed alone or after falling asleep.
After diagnosis and treatment by an ophthalmologist, it was found that there was no problem with the eyes. To clarify the diagnosis, children's tic disorder needs to be identified and checked for diseases such as epilepsy, rheumatoid chorea , liver bean-like nuclear degeneration, psychogenic tics, etc. Therefore, the doctor will give electroencephalography , head MRI, ceruloplasmin , anti-streptococcus hemolysin O, psychological evaluation and other examinations according to the specific circumstances. In the end, the child was diagnosed with "tics" at the male chief physician Xue Yi of the Department of Pediatrics of Hunan Second People's Hospital, .
What is tic disorder?
Tic disorder (tics) usually starts from 4-6 years old, and the symptoms are most obvious when you are 10-12 years old. The main symptoms are motor tics or vocal tics, and the attack is involuntary.
Common manifestations of motor twitching include blinking, shrugging nose, crooked mouth, pouting, opening mouth, shaking head, nodding, turning head, shrugging shoulders, etc., and even twisting of the limbs or torso.
Voice twitching is manifested as sounds in the nasal cavity or mouth, such as nasal sucking, throat clearing, coughing, grunting, bird crying, etc., and even sound like "swearing" is produced.
Most tic disorders start with slight local tics or meaningless vocalization. These "inconspicuous" symptoms are often easily overlooked. Most parents do not realize that this is a pathological condition, thinking that it is caused by a child's bad habit or naughty and activeness. They often scold and scold the child, causing the condition to worsen.
What are the effects of tic disorders?
80~90% of children will gradually improve or disappear with age, but in the process of tics symptoms, it will cause different physical, psychological, learning and social damage to the children.
First, body impact: Children will fatigue the muscles on their bodies when they experience tics; if they blink for a long time, it will cause congestion and swelling of the eyelids; frequent nodding will cause stiffness and discomfort in the neck.
Second, psychological impact : When children experience tics, they often show shyness, inferiority, stay away from their peers, and then develop psychological disorders such as loneliness, depression, and insocialization. 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.
Third, the influence of learning : Under the influence of tics behavior, the attention of children with tics will significantly decrease in class, and they cannot listen carefully in class, which will affect their academic performance, leading to learning difficulties, and the academic performance of will significantly decline.
Fourth, the impact of social interaction : More than half of children with tic disorders may experience behavioral disorders such as ADHD, obsessive-compulsive disorder , emotional problems, etc. children with tic disorders will worry about tic symptoms in front of classmates or teachers, which will make them feel inferior and sham, and they are unwilling to interact with classmates, causing social disorders. Therefore, parents should pay more attention to their children's daily behavior and not underestimate any small move. If abnormalities are found, seek help from professional doctors in time.
How to treat tic disorder?
Most children with mild tic disorders can use simple psychological behavioral treatment.
The treatment principle for children with moderate to severe tic disorders is based on psychological behavioral treatment and drug treatment under the guidance of a doctor. Drug treatment should have a certain course of treatment and appropriate dosage, and follow the doctor's advice to take the medicine. It is not advisable to change the medicine too early or stop the medicine on your own.
After years of development, Hunan Provincial People's Hospital has introduced a variety of psychological assessment systems for children and adolescents to objectively evaluate the developmental behavior of children and adolescents. In addition to using Chinese and Western medicines, it is also combined with transcranial magnetic therapy instruments, psychological treatment, behavioral treatment (with positive reinforcement method, negative exercise method, relaxation therapy, self-supervision method), etc., which has accurate clinical efficacy in the diagnosis and treatment of tics in children, and has also alleviated the troubles of many children and parents with tics in disorders.
infringementContributed by: Department of Pediatrics, Second People's Hospital of Hunan Province Jin Mengni
Editor: Shi Rong
Picture: From the Internet, delete
