{"id":27109,"date":"2017-01-28T16:37:38","date_gmt":"2017-01-28T15:37:38","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27109"},"modified":"2017-01-28T16:37:38","modified_gmt":"2017-01-28T15:37:38","slug":"tiky-jsou-pry-jako-nutkani-se-podrbat","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27109","title":{"rendered":"Tiky jsou pr\u00fd jako nutk\u00e1n\u00ed se podrbat"},"content":{"rendered":"<p>Tourette\u016fv syndrom je vrozen\u00e9 onemocn\u011bn\u00ed, trp\u00ed j\u00edm asi jeden \u010dlov\u011bk z tis\u00edce. P\u0159ich\u00e1z\u00ed obvykle v d\u011btstv\u00ed kolem 6 a\u017e 7 let v\u011bku a projevuje se pohybov\u00fdmi a zvukov\u00fdmi tiky, b\u011bhem dosp\u00edv\u00e1n\u00ed se zm\u00edr\u0148uje, nebo zcela vymiz\u00ed. <!--more-->Nemoc poprv\u00e9 ucelen\u011b popsal v roce 1885 francouzsk\u00fd l\u00e9ka\u0159 Georges G. de la Tourette (na sn\u00edmku). Syndrom je nevyl\u00e9\u010diteln\u00fd a pat\u0159\u00ed mezi neuropsychiatrick\u00e9 poruchy, jejich\u017e podstata nen\u00ed zcela jasn\u00e1, ale p\u0159edpokl\u00e1d\u00e1 se vliv genetiky.<br \/>\nTiky jsou n\u00e1hl\u00e9, bez\u00fa\u010deln\u00e9, opakuj\u00edc\u00ed se nutkav\u00e9 \u010dinnosti. Nemocn\u00fd nap\u0159\u00edklad vyplazuje jazyk, trh\u00e1 hlavou i kon\u010detinami, m\u016f\u017ee napodobovat masturbaci nebo t\u0159eba na eskal\u00e1torech d\u011bl\u00e1, \u017ee str\u010d\u00ed n\u011bkoho dol\u016f. Tiky se vyskytuj\u00ed i mnohokr\u00e1t za den, ru\u0161\u00ed norm\u00e1ln\u00ed aktivitu. Zm\u00edr\u0148uj\u00ed se v klidu a p\u0159i psychick\u00e9 pohod\u011b, naopak p\u0159i stresu se zhor\u0161uj\u00ed. Posti\u017een\u00fd m\u016f\u017ee c\u00edtit nutk\u00e1n\u00ed prov\u00e1d\u011bt je neust\u00e1le, i n\u011bkolikr\u00e1t za minutu, co\u017e mu velmi komplikuje \u017eivot. Tiky mohou b\u00fdt na \u010das potla\u010deny v\u016fl\u00ed, av\u0161ak p\u0159i del\u0161\u00edm zadr\u017eov\u00e1n\u00ed zes\u00edl\u00ed vnit\u0159n\u00ed nap\u011bt\u00ed natolik, \u017ee je nelze d\u00e9le potla\u010dovat a doch\u00e1z\u00ed k intenzivn\u00edmu vyb\u00edjen\u00ed.<br \/>\nNemocn\u00ed to ostatn\u00edm popisuj\u00ed jako nutk\u00e1n\u00ed se podrbat. I to m\u016f\u017eete odd\u00e1lit, ov\u0161em \u010d\u00edm d\u00e9le to trv\u00e1, t\u00edm je nutk\u00e1n\u00ed v\u011bt\u0161\u00ed a nakonec si \u010dlov\u011bk m\u00edsto drbe o to v\u00edce a siln\u011bji. Zvukov\u00e9 projevy jsou r\u016fzn\u00e1 poka\u0161l\u00e1v\u00e1n\u00ed, chrocht\u00e1n\u00ed, p\u00edsk\u00e1n\u00ed, vyk\u0159ikov\u00e1n\u00ed slov \u010di vulgarism\u016f \u2013 tzv. koprol\u00e1lie. V\u011bt\u0161ina nemocn\u00fdch s Touretteov\u00fdm syndromem nicm\u00e9n\u011b koprol\u00e1lii v\u016fbec nem\u00e1.<br \/>\nN\u011bkte\u0159\u00ed lid\u00e9 sv\u00e9 projevy maskuj\u00ed tak, \u017ee je vt\u011bluj\u00ed do zd\u00e1nliv\u011b \u00fa\u010deln\u00fdch \u010dinnost\u00ed, nap\u0159\u00edklad po trhnut\u00ed hlavou nazna\u010duj\u00ed upravov\u00e1n\u00ed \u00fa\u010desu. L\u00e9\u010dba z\u00e1vis\u00ed na t\u00ed\u017ei p\u0159\u00edznak\u016f.<\/p>\n<p>5plus2<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Tourette\u016fv syndrom je vrozen\u00e9 onemocn\u011bn\u00ed, trp\u00ed j\u00edm asi jeden \u010dlov\u011bk z tis\u00edce. P\u0159ich\u00e1z\u00ed obvykle v d\u011btstv\u00ed kolem 6 a\u017e 7 let v\u011bku a projevuje se <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27109\" title=\"Tiky jsou pr\u00fd jako nutk\u00e1n\u00ed se podrbat\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27112,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-27109","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=27109"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27109\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27112"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}