Yazi ukuthi kuyini, yiziphi izimpawu futhi uma isifo sokuwa siyelapheka

-Delile

• Izimpawu zesifo sokuwa
• Ukuxilongwa kwesifo sokuwa
• Izimbangela eziyinhloko zesifo sokuwa
• Ukwelashwa Kwesithuthwane
• Usizo lokuqala ngesikhathi sokuquleka kwesithuthwane

Isifo sokuwa yisifo sesistimu yezinzwa ephakathi lapho kukhishwa khona ugesi onamandla ongalawulwa ngumuntu uqobo, okudala izimpawu ezinjengokunyakaza okungalawuleki komzimba nokuluma kolimi, isibonelo.

Lesi sifo sezinzwa asinalo ikhambi, kepha singalawulwa ngemithi ekhonjiswe yisazi sezinzwa, njengeCarbamazepine noma i-Oxcarbazepine. Ezimweni eziningi, labo abanesifo sokuwa bangaba nempilo ejwayelekile, kepha kufanele bathole ukwelashwa impilo yabo yonke ukugwema ukuhlaselwa.

Noma ngubani angaba nokuquleka kwesithuthwane ngesikhathi esithile empilweni okungabangelwa ukuhlukumezeka kwekhanda, izifo ezinjenge-meningitis noma ukuphuza ngokweqile, isibonelo. Futhi kulezi zimo, lapho kulawulwa imbangela, iziqephu zesifo sokuwa zinyamalala ngokuphelele.

Izimpawu zesifo sokuwa

Izimpawu ezivame kakhulu zokubanjwa kwesithuthwane yilezi:

• Ukulahlekelwa ukwazi;
• Ukuncipha kwemisipha;
• Luma ulimi;
• Ukungasebenzi komchamo;
• Ukudideka kwengqondo.

Ngaphezu kwalokho, isithuthwane asihlali sivezwa yimisipha yemisipha, njengasesimweni senkinga yokungabikho, lapho umuntu emiswa khona, ngokubukeka okungacacile, njengokungathi unqanyuliwe emhlabeni cishe imizuzwana eyishumi kuya kwengu-30. Funda ngezinye izimpawu zalolu hlobo lwenkinga ku: Ungazibona kanjani futhi uziphathe kanjani inkinga yokungabikho.

Ukuquleka kuvame ukuthatha imizuzwana engama-30 kuye emizuzwini emi-5, kepha kunezimo lapho kungahlala khona kuze kube isigamu sehora futhi kulezi zimo kungaba nokulimala kobuchopho ngomonakalo ongalungiseki.

Ukuxilongwa kwesifo sokuwa

Ukuxilongwa kwesifo sokuwa kwenziwa ngencazelo eningiliziwe yezimpawu ezethulwe ngesikhathi sesiqephu sesifo sokuwa futhi kuqinisekiswa ngokuhlolwa okufana nalokhu:

• Electroencephalogram: ehlola ukusebenza kobuchopho;
• Ukuhlolwa kwegazi: ukuhlola amazinga kashukela, i-calcium ne-sodium, ngoba uma amanani awo ephansi kakhulu angaholela ekuhlaselweni yisifo sokuwa;
• I-Electrocardiogram: ukubheka ukuthi imbangela yesifo sokuwa idalwa yini yizinkinga zenhliziyo;
• I-Tomography noma i-MRI: ukubona ukuthi isithuthwane sibangelwa umdlavuza noma isifo sohlangothi.
• Ukubhoboza i-lumbar: ukubona ukuthi ngabe kubangelwa ukutheleleka kobuchopho.

Lezi zivivinyo kufanele zenziwe, okungcono, ngesikhathi sokuquleka kwesithuthwane ngoba lapho kwenziwa ngaphandle kokubanjwa, kungenzeka kungakhombisi ukushintsha kobuchopho.

Izimbangela eziyinhloko zesifo sokuwa

Isifo sokuwa singathinta abantu banoma isiphi ubudala, kufaka phakathi izingane noma asebekhulile, futhi kungadalwa yizinto ezithile ezifana nokuthi:

• Ukuhlukumezeka ekhanda ngemuva kokushaya ikhanda noma ukopha ngaphakathi ebuchosheni;
• Ukulungiswa kobuchopho ngesikhathi sokukhulelwa;
• Ukuba khona kwama-syndromes ezinzwa afana ne-West Syndrome noma i-Lennox-Gastaud Syndrome;
• Izifo zemizwa, njenge-Alzheimer's noma iStroke;
• Ukuntuleka komoya-mpilo ngesikhathi sokubeletha;
• Amazinga kashukela aphansi noma anciphise i-calcium noma i-magnesium;
• Izifo ezithathelwanayo ezifana ne-meningitis, encephalitis noma i-neurocysticercosis;
• Isigaxa sobuchopho;
• Umkhuhlane omkhulu;
• Isimo sangaphambi kofuzo.

Kwesinye isikhathi, imbangela yesifo sokuwa ayibonwa, lapho kuthiwa yi-idiopathic epilepsy futhi ingadalwa yizinto ezinjengomsindo omkhulu, ukukhanya okukhanyayo noma ukungalali amahora amaningi, ngokwesibonelo. Ukukhulelwa nakho kungadala ukwanda kokuquleka kwesithuthwane, ngakho-ke uma kunjalo, bona ukuthi wenzeni lapha.

Ngokuvamile, ukubanjwa kokuqala kwenzeka phakathi kweminyaka emi-2 nengu-14 ubudala futhi, esimweni sokuquleka okwenzeka ngaphambi kweminyaka emibili ubudala, kuhlobene nokukhubazeka kobuchopho, ukungalingani kwamakhemikhali noma imfiva ephezulu kakhulu. Ukubanjwa ngamandla okuqala ngemuva kweminyaka yobudala engama-25 kungenzeka kungenxa yokuhlukumezeka ekhanda, isifo sohlangothi noma isimila.

Ukwelashwa Kwesithuthwane

Ukwelashwa kwesifo sokuwa kwenziwa ngokusetshenziswa kwama-anticonvulsants impilo ekhonjiswe yisazi sezinzwa, njengePhenobarbital, Valproate, Clonazepam kanye neCarbamazepine, njengoba le mithi isiza umuntu ukuthi alawule ukusebenza kobuchopho.

Kodwa-ke, cishe iziguli ezingama-30% ezitholwe zinesifo sokuwa azikwazi ukulawula ukuqubuka noma ngabe zinemithi futhi, ngakho-ke, kwezinye izimo, njenge-neurocysticercosis, ukuhlinzwa kungakhonjiswa. Thola eminye imininingwane ye-Epilepsy Treatment.

Usizo lokuqala ngesikhathi sokuquleka kwesithuthwane

Ngesikhathi sokuhlaselwa yisifo sokuwa, umuntu kufanele abekwe ohlangothini lwakhe ukuze kube lula ukuphefumula, futhi akufanele asuswe ngesikhathi sokubanjwa, asuse izinto ezingase ziwe noma zilimaze umuntu. Isimo esibucayi kufanele sidlule kungakapheli imizuzu emihlanu, uma kuthatha isikhathi eside kuyanconywa ukuyisa lowo muntu egumbini labezimo eziphuthumayo noma ukubiza i-ambulensi ngokushayela u-192. Funda ukuthi wenzeni ku-Epilepsy Crisis.