Ukubanjwa okujwayelekile kwe-tonic-clonic

Ukubanjwa okujwayelekile kwe-tonic-clonic uhlobo lokudlikiza okubandakanya umzimba wonke. Kubizwa nangokuthi ukuquleka okukhulu kwe-mal. Amagama okubanjwa, ukudlikizela, noma isithuthwane imvamisa kuhlotshaniswa nokuhlaselwa okujwayelekile kwe-tonic-clonic.

Ukuquleka kubangelwa ukusebenza ngokweqile ebuchosheni. Ukuhlaselwa okujwayelekile kwe-tonic-clonic kungenzeka kubantu banoma yimuphi ubudala. Zingavela kanye (isiqephu esisodwa). Noma, zingenzeka njengengxenye yokugula okuphindaphindiwe, okungamahlalakhona (isithuthwane). Okunye ukuquleka kungenxa yezinkinga ezingokwengqondo (psychogenic).

Abantu abaningi abanesifo sokuwa ngokweqile se-tonic-clonic banombono, ukunambitha, ukuhogela, noma izinguquko zezinzwa, ukubona izinto ezingekho, noma isiyezi ngaphambi kokuquleka. Lokhu kubizwa ngokuthi i-aura.

Ukuquleka kuvame ukuholela emisipheni eqinile. Lokhu kulandelwa ukucindezela kwemisipha enobudlova nokulahlekelwa ukuqaphela (ukwazi). Ezinye izimpawu ezenzeka ngesikhathi sokubanjwa zingabandakanya:

• Ukuluma isihlathi noma ulimi
• Amazinyo ahlabile noma umhlathi
• Ukulahleka komchamo noma ukulawulwa kwesitokisi (incontinence)
• Kumiswe ukuphefumula noma ukuphefumula kanzima
• Umbala wesikhumba o-Blue

Ngemuva kokuquleka, umuntu angaba:

• Ukudideka
• Ukozela noma ukulala okuthatha ihora elingu-1 noma ngaphezulu (okubizwa ngokuthi yi-post-ictal state)
• Ukulahleka kwenkumbulo (amnesia) mayelana nesiqephu sokuquleka
• Ubuhlungu bekhanda
• Ubuthakathaka bengxenye eyodwa yomzimba imizuzu embalwa kuya emahoreni ambalwa kulandela ukubanjwa (okubizwa ngokuthi yi-Todd paralysis)

Udokotela uzokwenza ukuhlolwa komzimba. Lokhu kuzobandakanya isheke elinemininingwane yobuchopho nohlelo lwezinzwa.

Kuzokwenziwa i-EEG (electroencephalogram) ukuhlola ukusebenza kukagesi ebuchosheni. Abantu abanokuquleka bavame ukuba nemisebenzi kagesi engajwayelekile ebonwe kulolu vivinyo. Kwezinye izimo, ukuhlolwa kukhombisa indawo ebuchosheni lapho kuqala khona ukuqubuka. Ubuchopho bungabonakala bujwayelekile ngemuva kokuquleka noma phakathi kokuquleka.

Ukuhlolwa kwegazi kungabuye kuyalwe ukuthi kubhekwe ezinye izinkinga zempilo ezingadala ukubamba.

Iskena se-Head CT noma se-MRI singenziwa ukuthola imbangela nendawo yendawo ebuchosheni.

Ukwelashwa kokuquleka kwe-tonic-clonic kufaka phakathi imishanguzo, izinguquko endleleni yokuphila yabantu abadala nezingane, njengokusebenza nokudla, futhi kwesinye isikhathi ukuhlinzwa. Udokotela wakho angakutshela kabanzi ngalezi zinketho.

Ukuquleka - i-tonic-clonic; Ukuquleka - i-grand mal; Ukuqothulwa okukhulu; Ukuquleka - okwenziwe; Isithuthwane - ukuquleka okujwayelekile

• Ubuchopho
• Ukudlikizela - usizo lokuqala - uchungechunge

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