Ukungabi bikho

Ukungabanjwa okungaba khona yigama lohlobo lokuquleka okubandakanya ukugqolozela. Lolu hlobo lokudlikiza luyisiphazamiso esifushane (imvamisa esingaphansi kwemizuzwana eyi-15) sokusebenza kobuchopho ngenxa yomsebenzi kagesi ongajwayelekile ebuchosheni.

Ukuquleka kubangelwa ukusebenza ngokweqile ebuchosheni. Ukungabikho kwesifo kwenzeka kaningi kubantu abangaphansi kweminyaka engama-20, imvamisa ezinganeni ezineminyaka engama-4 kuye kwengu-12.

Kwezinye izimo, ukuquleka kudalwa ngamalambu abenyezelayo noma lapho umuntu ephefumula ngokushesha nangokujule kakhulu kunokujwayelekile (ama-hyperventilates).

Zingahle zivele nezinye izinhlobo zokuquleka, njengokuhlaselwa okujwayelekile kwe-tonic-clonic (i-grand mal seizures), ama-twitch noma ama-jerks (myoclonus), noma ukulahleka okungazelelwe kwamandla emisipha (i-atonic seizures).

Ukuquleka okuningi kokungabikho kuhlala kuphela imizuzwana embalwa. Imvamisa zibandakanya ukubuka iziqephu. Iziqephu zinga:

• Zenzeka kaningi ngosuku
• Yenzeka amasonto kuya ezinyangeni ngaphambi kokuba uqaphele
• Phazamisa isikole nokufunda
• Yiba nephutha ngokunganakwa, ukuphupha noma okunye ukungaziphathi kahle

Ubunzima obungachazeki esikoleni nobunzima bokufunda kungaba yisibonakaliso sokuqala sokuquleka kokungabikho.

Ngesikhathi sokudlikiza, umuntu anga:

• Misa ukuhamba bese uqala futhi ngemuva kwemizuzwana embalwa
• Misa ukukhuluma phakathi komusho bese uqala futhi imizuzwana embalwa kamuva

Umuntu uvame ukuwa ngesikhathi sokudlikiza.

Ngemuva nje kokuquleka, umuntu uvame ukuba:

• Phapheme
• Ukucabanga kahle
• Engazi ngokubanjwa

Izimpawu ezithile zokuhlaselwa okungajwayelekile kungabandakanya:

• Izinguquko ekusebenzeni kwemisipha, njengokunganyakazi, ukuphulula izandla, amajwabu amehlo ashayayo, ukushaya izindebe, ukuhlafuna
• Izinguquko ekuqapheliseni (ukwazi), njengokugqolozela iziqephu, ukungazi okwenzekayo, ukuma okungazelelwe ekuhambeni, ukukhuluma, kanye neminye imisebenzi yokuphaphama

Ukuhlaselwa okuthile kokungabikho kuqala kancane futhi kuhlala isikhathi eside. Lokhu kubizwa ngokubanjwa kokungabikho okungajwayelekile. Izimpawu ziyefana nokuquleka kokungabikho okuvamile, kepha izinguquko zomsebenzi wemisipha zingabonakala kakhulu.

Udokotela uzokwenza ukuhlolwa komzimba. Lokhu kuzobandakanya ukubukeka okuningiliziwe ebuchosheni nasesimisweni sezinzwa.

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 okungabibikho kufaka nemithi, izinguquko endleleni yokuphila yabantu abadala nezingane, njengokusebenza nokudla, futhi kwesinye isikhathi ukuhlinzwa. Udokotela wakho angakutshela kabanzi ngalezi zinketho.

Ukuquleka - petit mal; Ukuthathwa - ukungabikho; Petit mal seizure; Isithuthwane - ukungabi bikho

• Isifo sokuwa kubantu abadala - okufanele ubuze udokotela wakho
• Isifo sokuwa ezinganeni - yini ongayibuza udokotela wakho

• Ubuchopho

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UKanner AM, u-Ashman E, uGloss D, et al. Isifinyezo sokubuyekeza umhlahlandlela wokuzijwayeza: Ukusebenza nokubekezeleleka kwemithi emisha yokulwa nesifo sokuwa I: Ukwelashwa kwesifo sokuwa esanda kuqala: Umbiko Wekomidi Elincane Lokuthuthukiswa Komhlahlandlela, Ukusatshalaliswa, kanye Nokusetshenziswa Kwe-American Academy of Neurology kanye neAmerican Epilepsy Society. Neurology. 2018; 91 (2): 74-81. I-PMID: 29898971 pubmed.ncbi.nlm.nih.gov/29898971/.

UMarcdante KJ, uKliegman RM. Ukuquleka. Ku: UMarcdante KJ, uKliegman RM, ama-eds. UNelson Essentials Pediatrics. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 181.

Wiebe S. Isifo sokuwa. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 375.