How to take good care of children with TIC disorder

Tourette syndrome in children has been gradually recognized in recent years, but it has also attracted the attention of parents and related people. However, even so, the parents of the children still can't correctly choose the treatment method for their children, which has not played a good guiding role. It is often when the child's symptoms are serious that he chooses to see a doctor, because he can't find a standardized and effective treatment.

The cause of disease

There are many reasons for inertial convulsions. At the beginning, some are fixed by protective or habitual actions due to discomfort in some parts, such as blinking, which can be caused by conjunctivitis or foreign bodies entering the eyes; Frowning and wrinkling can be caused by wearing a hat too small or improper glasses frame; Too tight a collar can lead to shaking your head or twisting your neck. After removing the above reasons, the action itself has lost its rationality, but due to the inert focus of excitement formed by the cerebral cortex, convulsions can occur repeatedly. In addition, imitating similar actions of others, psychological stimulation, physical diseases, etc. can also induce this disease. Common psychological stimulation factors are:

1. Be frightened, such as being suddenly attacked by a dog, almost being run over by a car when crossing the street, and so on.

2. Chronic anxiety such as parents' discord, parents' long-term illness, and mothers giving birth to children has dispersed the love for children. Common physical factors include acute tonsillitis, upper respiratory tract infection and other acute diseases.

3. The study found that a bad cold can also lead to convulsion disorder.

2 Clinical manifestations

1. motor convulsion

(1) Simple motor convulsions appear alternately, such as blinking, raising eyebrows, wrinkling nose, sticking out tongue, licking lips, nodding, shaking head, shrugging shoulders and snapping fingers.

(2) Complex motor twitch is characterized by relatively complete or slow twitch, such as special expressions caused by eye movements and facial twitch, and shoulders, arms, hands and feet make certain gestures. For example, sudden hand slapping, touching furniture, hitting the body or muscle dystonia, such as rotating, jumping, standing or bending the waist and abdomen, are often misunderstood and disgusted by people around, and children have to stop studying or stay at home, thus becoming withdrawn and hostile to others, leading to social function and personality disorders.

2. Voice trembling

(1) Simple voice twitching is characterized by rapid and meaningless monotonous repetition, such as constantly clearing your throat, coughing, and making involuntary screams such as "making anything ..." and "ahhh ...".

(2) There are some meaningful short sentences or complicated sentences in complex speech twitches, and some are repetitive, rigid and complete sentences, even foul language.

3. Other behavioral disorders

(1) Some children are inattentive, emotionally unstable, have difficulty in learning, scream, hit the wall, threaten and attack others during the attack, and some children have abnormal sexual behavior or obscene behavior.

(2) Obsessive-compulsive behavior and obsessive-compulsive concept appeared late in this disease, which interfered with the normal life of children and was very painful. Performance mandatory counting, mandatory inspection, mandatory cleaning, etc.

(3) Although children have learning difficulties, their IQ is often normal. Some children may have slight or unstable abnormal signs of nervous system, or nonspecific EEG changes, and most brain CT examinations are normal.

3 diagnosis

When the child is found to have twitching symptoms such as blinking, clearing his throat and shaking his head, accompanied by vocalization. He should take the child to the hospital for examination at once. The general examination items are trace element detection, American IVA detection, IQ and memory detection, and children's EEG detection can also be carried out if conditions permit. This can better cooperate with experts to diagnose whether the child has TIC disorder or ADHD. Through the detection of the above channels, you can effectively judge whether the child suffers from Tourette's or ADHD, and you can enter the treatment process after confirmation.

4 treatment

1. drug therapy

At present, the treatment of the disease is to control the symptoms, and there is no report on the etiology treatment. Nerves block dopamine receptors, thus controlling convulsions and other symptoms, among which the most commonly used drugs are haloperidol and tiapride. However, its corresponding side effects are also obvious, such as extrapyramidal side effects, slow movement, increased muscle tension and difficulty in opening mouth. In severe cases, it can affect the continuous treatment, and taking Antan can reduce the side effects. Phenothiazine drugs such as perphenazine are also effective. Some people think that symptom control and disease stability are not as good as the first two drugs. Tetrabenzoxazine, a drug that inhibits dopamine synthesis and consumption, also has a good effect on some patients, but its side effects are also obvious.

Traditional western medicine uses stimulants and antipsychotics to treat ADHD and TIC disorder in children. As we all know, although this method takes effect quickly, it cannot be cured radically, with obvious side effects, and it must be taken for a long time. Once it stops, it will get worse. Long-term use will not only lead to malnutrition in children, affect the growth and development of bones, but also turn ADHD, which may have healed itself, into a mental illness that lasts for a lifetime.

2. Biotherapy

"Minimally invasive biological gene targeted therapy system" (MOGT technology) uses a special gene protein implanter to implant a special biological protein (unique crystal BFG) and nerve growth factor NGF for treating human diseases into a specific part of children under the condition that the specific biological magnetic field reaches a certain critical value, so as to induce the body to produce a series of biological effects, participate in regulating the immune system, regulate endocrine and other body functions, balance the yin and yang of the human body, improve the internal environment of the human body, and suppress pathological information.

3. Management and treatment of Tourette's disease

Custody treatment of Tourette's syndrome is a compound characteristic diagnosis and treatment service model. According to the characteristics of children's psychological consciousness and behavior development and the overall technical quality requirements of Tourette's syndrome treatment, "outpatient treatment, hospitalization treatment and family treatment" are perfectly combined, and the green diagnosis and treatment technology displayed by the National Medical Quality Management Committee is entrusted, so that children with Tourette's syndrome can pass one-stop treatment in the hospital and then go home to consolidate their natural recovery.

4. Holistic level therapy

The "holistic therapy" system is based on syndrome differentiation of traditional Chinese medicine, and traditional medicine combines with western advanced technology to promote treatment and conditioning systematically and comprehensively, so as to achieve the effect of treating both the symptoms and the root causes.

5. Massage therapy for TIC disorder

Treatment: Massage bilateral Neiguan, Shenmen, Lingdao, Fengchi, Taiyang and Gu Feng 1 min; Push Tianxin, Qingxin Meridian and Liver Meridian 300 times each, and push Kanggong 10 times respectively. Treated with the above method for 2/kloc-0 times, the sleep returned to normal. Symptoms improved, and continued treatment 10 times, basically returned to normal.

(2) Psychotherapy

1. Psychobehavioral therapy

(1) Excluding the inducement in transient TIC disorder, especially for children with short TIC time, it is often not difficult to find the inducement in behavioral dating. Children's incentives are usually watching nervous TV or video programs, playing video games, hearing and seeing what they are afraid of. Therefore, it is very important to find the cause and eliminate it.

(2) Detailed analysis of psychological factors The psychological factors before the child's illness should be analyzed in detail to find out the possible pathogenic factors and then solve them. Older children often twitch because of accidents, family conflicts and too much study pressure. Such as the adjustment of various contradictions, family contradictions, spiritual contradictions, parents and grandparents' excessive demands on their children and nervousness caused by coercion, must be resolved. If there are school factors, you should contact the teacher to solve them together. For the factors that cannot be solved, supportive psychotherapy should be given to help children analyze mental causes and find out the correct treatment.

(3) Give parents the necessary guidance, explain the nature of the disease to their children's parents, and don't panic, so as to eliminate the reinforcement caused by parents' excessive attention. Parents are often too worried about convulsions, so parents should understand the causes of convulsions and arrange their children's life, study and activities reasonably. Don't remind children of convulsions. Blame and pay too much attention, because this will make children more nervous, which is not good for controlling convulsions. Instead, we should ignore the child's convulsions and let the symptoms gradually subside. Most patients' symptoms will disappear naturally after a few months. Help children eliminate incentives and provide a good and relaxed family environment.

2. Behavior modification

For young children, it is more effective to encourage children to control their own twitches and adopt positive reinforcement methods, such as rewarding their efforts to overcome and reduce twitches and reducing mental tension through relaxation.

5 prevention

Parents of children should actively cooperate with experts and not abuse their children; Don't focus on the child, especially don't look at him when he is convulsing, which will cause a psychological pressure on the child and is not conducive to his recovery.