Tourette chèng-hāu-kûn

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Tourette syndrome
Head and shoulders of a man with a shorter Edwardian beard and closely cropped hair,怹a circa-1870 French coat and collar
Georges Gilles de拉Tourette (1857–1904),
namesake of Tourette syndrome
類別佮外部資源
唐義詞 Tourette's syndrome, Tourette's disorder, Gilles de拉Tourette syndrome (GTS), combined vocal and multiple motor tic disorder[de 拉Tourette]
醫學專科 Pediatricsneurologypsychiatry[1]

Tourette症候群 (chèng-hāu-kûn) (華語 (Hôa-gí): 妥瑞氏症; 英語 (Eng-gí): Tourette('s) syndrome, Tourette Spectrum (TS), Tourette's disorder, he̍k Gilles de la Tourette syndrome) ()1 (chióng)神經學 (sîn-keng-ha̍k) (he̍k)神經化學 (sîn-keng-hòa-ha̍k) (ê)障礙病症 (chiàng-gāi-pēⁿ-chèng) (disorder),是 (í)發現者 (hoat-hiān-chiá)Georges Gilles de (la)Tourette (miâ) (lâi)號的 (hō--ê)

這个 (Chit-ê) (pēⁿ)特曾 (te̍k-cheng)tics, 1種重複 (tiông-ho̍k)發生 (hoat-seng)無法度 (bô-hoat-tō͘)控制 (khòng-chè)快速 (khoài-sok)核燃 (hu̍t-jiân)動作 (tōng-chok)發出 (hoat-chhut)聲音 (siaⁿ-im)症狀 (Chèng-chōng)包括 (pau-koah)鬼仔長 (kúi-á-chióng)的動作tics (kap)1 (ê)濟的 (chē-ê)聲音的tics。遮的 (Chia-ê)tics () (tiong)有時 (ū-sî)毋過 (m̄-koh)無定 (bô-tiāⁿ)共提 (kāng-sî) (ē)發生; (khah)捷的 (chia̍p--ê) (múi)1 (kang)發生tics鬼仔擺 (kúi-á-pái)或者是 (he̍k-chiá-sī)久的 (kú--ê)鬼仔東 (kúi-á-tang)時間 (sî-kan) (lāi)有當時仔 (ū-tang-sî--á)發生有當時仔 (koh)好好 (hó-hó); tics發生的位置 (ūi-tì)種類 (chióng-lūi)頻率 (pîn-lu̍t)取素 (chhù-sò͘) (ū)週期性 (chiu-kî-sèng)變化 (piàn-hòa)而且 (jî-chhiáⁿ)發作 (hoat-chok)強度 (kiông-tō͘)沓沓仔 (tau̍h-tau̍h-á)增加 (cheng-ka)閣沓沓仔減少 (kiám-chió); 逐擺 (ta̍k-pái)發作之間 (chi-kan)症狀會消失 (siau-sit)幾禮拜 (kúi-lé-pài)幾古月 (kúi-kó͘-go̍eh); 發病 (hoat-pēⁿ)佇18 (hòe)進前 (chìn-chêng)定佇 (tiāⁿ-tī)5~8歲出現 (chhut-hiān)

聲音 (hêng)的tics若共 (nā-kā)分類 (hun-lūi),有echolalia (chhīⁿ (kông) (teh)重複別人 (pa̍t-lâng) ()講過 (kóng--kòe)話語 (ōe-gí)),palilalia (強迫 (kiông-pek)家己 (ka-tī) (kóng)家己拄講的 (kóng--ê)話語),lexilalia (無通 (bô-thang)阻止 (chó͘-chí)重複講拄 (khòaⁿ)/讀過 (tha̍k--kòe)語詞 (gí-sû)),佮上賢 (siāng-gâu)引起 (ín-khí)議論 (gī-lūn)coprolalia (自發性 (chū-hoat-sèng)來講 (chhut)社會 (siā-hōe)禁忌 (kìm-kī)的話語,好比礦 (hó-pí-kóng)挖設 (óe-siat)的話語佮人種 (jîn-chéng)種族 (chéng-cho̍k)騎是 (khî-sī)話語)。猶毋過 (Iah-m̄-koh)嘛有 (mā-ū)誠濟 (chiâⁿ-chē)聲音的tics是佇遮的以話語重複 (chò)根據 (kin-kù)的分類以外的 (í-gōa--ê)好比 (hó-pí)認遐 (jīn-hô)短短 (té-té)的聲音,親像 (chhan-chhiūⁿ) (chheng)嚨喉 (nâ-âu)咳嗽 (ka-sàu), hiⁿ-hiⁿ哼哼 (haiⁿ-haiⁿ)焓焓 (hâⁿ-hâⁿ)hńg-hńg的 (siaⁿ)

動作型的tics有呢目睭 (nih-ba̍k-chiu)稱篇仔 (chhèng-phiⁿ-á)喙角 (chhùi-kak)掣洞 (chhoah-tōng), tìm (thâu)搖頭 (iô-thâu)扭曲 (niú-khiau)面部 (bīn-pō͘)表情 (piáu-chêng)身軀 (sin-khu)蟯蟯動 (ngia̍uh-ngia̍uh-tāng),或做出 (chò-chhut)設體 (siat-thái)的動作。

專心 (choan-sim)代誌 (tāi-chì)大睏 (tōa-khùn) (), tics定會 (tiāⁿ-ē)短暫 (toán-chiām)消失。環境 (Khoân-kéng)因素 (in-sò͘)毋是 (m̄-sī) (i)病因 (pēⁿ-in),毋過壓力 (ap-le̍k)無聊 (bô-liâu)厭懶 (ià-lán),佮緊張 (kín-tiuⁿ)會得 (ē-tit)加重 (ka-tāng)tics的發生頻率佮強度。 (Saⁿ)siâng (chì)四成 (sì-sêng)患者 (hōan-chiá)長大 (tióng-tōa)以後 (í-āu)tics會消失,三siâng會明顯 (bêng-hián)減少,其他 (kî-thaⁿ)三分之一 (saⁿ-hun-chi-it) (kàu)成人 (sêng-jîn)易過 (ia̍h-koh)仝款 (kāng-khoán)。這个病 (bōe)致使 (tì-sú)智能 (tì-lêng)退化 (thòe-hòa),毋過定會干擾 (kan-jiáu)讀冊 (tha̍k-chheh)寫字 (siá-jī)上課 (siōng-khò)未專心,致使成績 (sêng-chek)退步 (thòe-pō͘) ()定定 (tiāⁿ-tiāⁿ)合併 (ha̍p-pèng)有其他的文題 (bûn-tê)親像 (chhin-chhiūⁿ)契動症 (khòe-tōng-chèng)強迫症 (kiông-pek-chèng)憂鬱症 (iu-ut-chèng)

藥物 (Io̍h-bu̍t)治療 (tī-liâu)主耀 (chú-iāu)史上 (sú-siōng)topamine結空劑 (kiat-khàng-che) (tùi)70 (pha)到80拋的病酮 (pēⁿ-tông)有效 (ū-hāu)斯然 (Su-jiân)有三分之一个患者 (hoān-chiá)大漢 (tōa-hàn)了後 (liáu-āu)症狀未好 (bōe-hó),毋過 (in)會曉 (ē-hiáu)修四 (siu-sì)掩崁 (am-khàm)katī的症狀。

註解 (Tsù-kái)[修改]

  1. Müller-Vahl KR, Szejko N, Verdellen C,, et al. (July 2021). "European clinical guidelines for Tourette syndrome and other tic disorders: summary statement". Eur Child Adolesc Psychiatry. 31 (3): 377–382. doi:10.1007/s00787-021-01832-4. PMC 8940881Freely accessible Check |pmc= value (help). PMID 34244849 Check |pmid= value (help).  Unknown parameter |s2cid= ignored (help); Vancouver style error: initials (help)