Konke Okudingeka Ukwazi Ngesifo Sokuwa

-Delile

• Ziyini izimpawu zesifo sokuwa?
• Ukuhlaselwa okuqondile (okuyingxenye)
• Ukuquleka okujwayelekile
• Yini ebangela ukuquleka kwesithuthwane?
• Ingabe isithuthwane siyifa?
• Yini ebangela isithuthwane?
• Sitholakala kanjani isifo sokuwa?
• Silashwa kanjani isithuthwane?
• Imithi yokwelashwa yisifo sokuwa
• Ingabe ukuhlinzwa kuyindlela yokuphathwa kwesithuthwane?
• Izincomo zokudla kwabantu abanesifo sokuwa
• Isithuthwane nokuziphatha: Ingabe kukhona ukuxhumana?
• Ukuphila nesifo sokuwa: Yini ongayilindela
• Ingabe likhona ikhambi lesifo sokuwa?
• Amaqiniso nezibalo ngesifo sokuwa

Siyini isithuthwane?

Isifo sokuwa yisifo esingelapheki esidala ukuquleka okungavunyelwe, okuphindaphindayo. Ukuquleka kungukushesha okungazelelwe komsebenzi kagesi ebuchosheni.

Kunezinhlobo ezimbili eziyinhloko zokubamba. Ukuquleka okuvamile kuthinta bonke ubuchopho. Ukugxila okugxile, noma okuyingxenye, kuthinta ingxenye eyodwa kuphela yobuchopho.

Kungaba nzima ukubona ukuqubuka okuncane. Ingahlala imizuzwana embalwa lapho ungenakho ukuqaphela.

Ukuquleka okunamandla kungadala ama-spasms nokuxubana kwemisipha okungalawuleki, futhi kungahlala imizuzwana embalwa kuya emizuzwini embalwa. Ngesikhathi sokudlikiza okunamandla, abanye abantu bayadideka noma balahlekelwe ukwazi. Ngemuva kwalokho ungahle ungabi nayo inkumbulo yokuthi kwenzeka.

Kunezizathu eziningana ongase ube nokuquleka. Lokhu kufaka phakathi:

• umkhuhlane omkhulu
• ukuhlukumezeka ekhanda
• ushukela wegazi ophansi kakhulu
• ukuhoxiswa kotshwala

Isifo sokuwa yisifo esivamile sezinzwa esithinta abantu abayizigidi ezingama-65 emhlabeni jikelele. E-United States, kuthinta cishe abantu abayizigidi ezintathu.

Noma ngubani angaba nesifo sokuwa, kepha kuvame kakhulu ezinganeni ezincane nakubantu abadala asebekhulile. Kwenzeka kancanyana emadodeni kunabesifazane.

Alikho ikhambi lesifo sokuwa, kepha ukuphazamiseka kungalawulwa ngemithi nangezinye izindlela.

Ziyini izimpawu zesifo sokuwa?

Ukuquleka kuyisifo esiyinhloko sesifo sokuwa. Izimpawu ziyehluka kumuntu nomuntu nangohlobo lohlobo lokuquleka.

Ukuhlaselwa okuqondile (okuyingxenye)

A ukubanjwa okuyingxenye elula akubandakanyi ukulahlekelwa ukwazi. Izimpawu zifaka:

• ukuguqulwa kokuzwa kokunambitha, ukuhogela, ukubona, ukuzwa, noma ukuthinta
• isiyezi
• ukuluma nokuhayiza kwezitho

Ukuquleka okuyingxenye eyinkimbinkimbi kufaka ukulahleka kokuqwashisa noma ukwazi. Ezinye izimpawu zifaka:

• egqolozele engaboni
• ukungaphenduli
• ukwenza ukunyakaza okuphindaphindwayo

Ukuquleka okujwayelekile

Ukuquleka okuvamile kubandakanya ubuchopho bonke. Kunezinhlobo eziyisithupha:

Ukungabikho, okwakuthiwa “ukuquleka okuncane,” kubangela ukugqolozela okungenalutho. Lolu hlobo lokudlikiza lungahle futhi lubangele ukunyakaza okuphindaphindayo okufana nokushaya izindebe noma ukucwayiza. Kukhona futhi nokulahlekelwa okufishane kokuqwashisa.

Ukuquleka kwamathoni kubangele ukuqina kwemisipha.

Ukuquleka kwe-Atonic kungaholela ekulahlekelweni kokulawulwa kwemisipha futhi kungakwenza uwe phansi ngokuzumayo.

Ukuquleka kwe-Clonic zibonakala ngokunyakaza okuphindaphindayo, kokunyakaza kwemisipha kobuso, intamo, nezingalo.

Ukuquleka kwe-Myoclonic kubangela ukuzamazama okuzenzekelayo kwezingalo nemilenze.

Ukuquleka kwe-Tonic-clonic kwakuvame ukubizwa ngokuthi “ukuquleka okukhulu.” Izimpawu zifaka:

• ukuqina komzimba
• eqhaqhazela
• ukulahleka kwesinye noma ukulawulwa kwamathumbu
• ukuluma kolimi
• ukulahlekelwa ukwazi

Ukulandela ukuquleka, ungahle ungakhumbuli unakho, noma ungazizwa ugula kancane amahora ambalwa.

Yini ebangela ukuquleka kwesithuthwane?

Abanye abantu bayakwazi ukubona izinto noma izimo ezingadala ukuqubuka.

Izimbangela ezimbalwa ezibikwa kakhulu yilezi:

• ukungalali
• ukugula noma umkhuhlane
• ukucindezeleka
• amalambu akhanyayo, amalambu akhanyayo, noma amaphethini
• i-caffeine, utshwala, imithi, noma izidakamizwa
• ukweqa ukudla, ukudla ngokweqile, noma izithako ezithile zokudla

Ukukhomba izimbangela akulula ngaso sonke isikhathi. Isigameko esisodwa asisho ngaso sonke isikhathi ukuthi okuthile kuyisiqalo. Imvamisa kuyinhlanganisela yezici ezibangela ukuquleka.

Indlela enhle yokuthola izingcipho zakho ukugcina iphephabhuku lokuthathwa. Ngemuva kokuquleka ngakunye, phawula okulandelayo:

• usuku nesikhathi
• yimuphi umsebenzi obukade ubambe iqhaza kuwo
• bekwenzekani eduze kwakho
• izinto ezingavamile, iphunga, noma imisindo
• izingcindezi ezingavamile
• ubukade udlani noma bekuyisikhathi esingakanani selokhu wadla
• izinga lakho lokukhathala nokuthi ulale kahle kanjani izolo ebusuku

Ungasebenzisa futhi iphephabhuku lakho lokuquleka ukuthola ukuthi imithi yakho iyasebenza yini. Qaphela ukuthi uzizwe kanjani ngaphambi nje nangemva nje kokuquleka kwakho, nanoma yimiphi imiphumela emibi.

Letha iphephabhuku lapho uvakashela udokotela. Kungaba wusizo ekulungiseni imishanguzo yakho noma ekuhloleni ezinye izindlela zokwelashwa.

Ingabe isithuthwane siyifa?

Kungaba nezakhi zofuzo ezingaba ngu-500 ezihlobene nesifo sokuwa. Izakhi zofuzo zingakunika futhi “umkhawulo wokudliwa” ngokwemvelo. Uma uzuza umkhawulo wokudlikiza ophansi, usengozini kakhulu yokungenwa yizimbangela. Umkhawulo ophakeme usho ukuthi mancane amathuba okuthi ube nokuquleka.

Isifo sokuwa kwesinye isikhathi siba semindenini. Noma kunjalo, ubungozi bokuthola lesi simo buphansi impela. Iningi labazali abanesifo sokuwa abanazo izingane ezinesifo sokuwa.

Ngokuvamile, ingozi yokuba nesifo sokuwa eneminyaka engama-20 ingamaphesenti ayi-1, noma umuntu oyedwa kubantu abayi-100. Uma unomzali onesifo sokuwa ngenxa yesizathu sofuzo, ingozi yakho inyuka iye endaweni ethile phakathi kwamaphesenti amabili kuya kwamahlanu.

Uma umzali wakho enesifo sokuwa ngenxa yesinye isizathu, njengokushaywa unhlangothi noma ukulimala ebuchosheni, akuthinti amathuba akho okuba nesifo sokuwa.

Izimo ezithile ezingavamile, njenge-tuberous sclerosis ne-neurofibromatosis, zingadala ukuquleka. Lezi yizimo ezingasebenza emindenini.

Isithuthwane asithinti ikhono lakho lokuthola izingane. Kodwa eminye imithi yesithuthwane ingathinta ingane yakho engakazalwa. Ungayeki ukuthatha imishanguzo yakho, kepha khuluma nodokotela wakho ngaphambi kokukhulelwa noma ngokushesha nje lapho ufunda ukuthi ukhulelwe.

Uma unesifo sokuwa futhi ukhathazekile ngokuqala umndeni, cabanga ukuhlela ukubonisana nomeluleki wezofuzo.

Yini ebangela isithuthwane?

Kubantu abangu-6 kwabangu-10 abanesithuthwane, imbangela ayikwazi ukunqunywa. Izinto ezahlukahlukene zingaholela ekuqulekeni.

Izimbangela ezingaba khona zifaka:

• ukulimala okubuhlungu kwengqondo
• isibazi ebuchosheni ngemuva kokulimala kobuchopho (post-traumatic epilepsy)
• ukugula okungathi sína noma umkhuhlane omkhulu kakhulu
• unhlangothi, okuyimbangela ehamba phambili yesifo sokuwa kubantu abaneminyaka engaphezu kwengama-35
• ezinye izifo zemithambo yegazi
• ukuntuleka komoya-mpilo ebuchosheni
• isimila sobuchopho noma i-cyst
• ukuwohloka komqondo noma isifo i-Alzheimer's
• ukusetshenziswa kwezidakamizwa komama, ukulimala ngaphambi kokubeletha, ukungasebenzi kahle kobuchopho, noma ukungabikho komoya-mpilo lapho kuzalwa
• izifo ezithathelwanayo njenge-AIDS kanye ne-meningitis
• ukuphazamiseka kofuzo noma kokuthuthuka noma izifo zemizwa

Ufuzo ludlala indima kwezinye izinhlobo zesifo sokuwa. Kubantu jikelele, kunethuba lephesenti elilodwa lokuhlaselwa yisifo sokuwa ngaphambi kweminyaka engama-20 ubudala. Uma unomzali onesifo sokuwa esixhunyaniswe nezakhi zofuzo, lokho kwandisa ubungozi bakho bube ngamaphesenti ama-2 kuye kwangama-5.

Izakhi zofuzo zingenza abanye abantu babe sengozini yokubanjwa yizimbangela zezemvelo.

Isithuthwane singakhula nganoma yisiphi isikhathi. Ukuxilongwa kuvame ukuvela ebuntwaneni noma ngemuva kweminyaka engama-60.

Sitholakala kanjani isifo sokuwa?

Uma usola ukuthi uke waquleka, bheka udokotela wakho ngokushesha okukhulu. Ukuquleka kungaba uphawu lwenkinga enkulu yezokwelapha.

Umlando nezimpawu zakho zokwelashwa kuzosiza udokotela wakho anqume ukuthi iziphi izivivinyo ezizosiza. Mhlawumbe uzoba nokuhlolwa kwezinzwa ukuhlola amakhono akho ezimoto nokusebenza kwengqondo.

Ukuze uhlolisise isithuthwane, ezinye izimo ezibangela isithuthwane kufanele zikhishwe. Udokotela wakho mhlawumbe uzo-oda inani eliphelele legazi namakhemikhali egazi.

Ukuhlolwa kwegazi kungasetshenziselwa ukubheka:

• izimpawu zezifo ezithathelwanayo
• ukusebenza kwesibindi nezinso
• amazinga eglucose egazini

I-Electroencephalogram (i-EEG) isivivinyo esivame kakhulu esetshenziswa ekuhloleni isifo sokuwa. Okokuqala, ama-electrode anamathiselwe ekhanda lakho ngopende. Kuyisivivinyo esingahlaseli, esingenabuhlungu. Ungacelwa ukuthi wenze umsebenzi othile. Kwezinye izimo, ukuhlolwa kwenziwa ngesikhathi sokulala. Ama-electrode azoqopha umsebenzi kagesi wobuchopho bakho. Noma ngabe uquleka noma cha, izinguquko kumaphethini omqondo wobuchopho obujwayelekile zivamile esithuthweni.

Ukuhlolwa kokufanekisa kungaveza izimila nokunye okungajwayelekile okungadala ukuquleka. Lezi zivivinyo zingafaka:

• Iskena se-CT
• I-MRI
• I-positron emission tomography (PET)
• i-single-photon emission ikhompyutha ye-tomography

Isifo sokuwa sivame ukutholakala uma unesifo sokuwa ngaphandle kwesizathu esibonakalayo noma esiguqukayo.

Silashwa kanjani isithuthwane?

Abantu abaningi bangakwazi ukuphatha isithuthwane. Uhlelo lwakho lokwelashwa luzosuselwa ebukhali bezimpawu, impilo yakho, nokuthi uphendula kahle kangakanani ekwelashweni.

Ezinye izinketho zokwelashwa zifaka:

• Imithi elwa nesithuthwane (i-anticonvulsant, antiseizure): Le mithi inganciphisa inani lokuquleka onakho. Kwabanye abantu, baqeda ukuquleka. Ukuze usebenze kahle, umuthi kufanele uphuzwe njengoba kunqunyiwe.
• Isikhuthazi sezinzwa zeVagus: Le divayisi ihlinzekwa ngaphansi kwesikhumba esifubeni futhi ngogesi ivuselela imizwa egijima entanyeni yakho. Lokhu kungasiza ukuvimbela ukuquleka.
• Ukudla kwe-Ketogenic: Abantu abangaphezu kwengxenye yabantu abangayiphenduli imishanguzo bayazuza kulokhu kudla okunamafutha amaningi, okuphansi kwe-carbohydrate.
• Ukuhlinzwa kobuchopho: Indawo yobuchopho ebangela umsebenzi wokubanjwa ingasuswa noma ishintshwe.

Ucwaningo ngezindlela ezintsha zokwelapha luyaqhubeka. Ukwelashwa okungahle kutholakale ngokuzayo ukugqugquzela ubuchopho obujulile. Kuyinkqubo lapho kufakwa khona ama-electrode ebuchosheni bakho. Ngemuva kwalokho kufakwa i-generator esifubeni sakho. I-generator ithumela amandla kagesi ebuchosheni ukusiza ukwehlisa isithuthwane.

Enye indlela yocwaningo ihilela umshini onjenge-pacemaker. Kungabheka iphethini yokusebenza kobuchopho bese kuthumela inkokhiso kagesi noma isidakamizwa ukumisa ukuquleka.

Ukuhlinzwa okuncane okuhlasele kanye nama-radiosurgery nakho kuyaphenywa.

Imithi yokwelashwa yisifo sokuwa

Ukwelashwa kolayini wokuqala kwesifo sokuwa yimithi yokuqeda isifo. Le mithi isiza ekwehliseni imvamisa nobukhali bokuquleka. Abakwazi ukumisa ukuquleka osekuvele kuqhubeka, futhi akulona ikhambi lesifo sokuwa.

Umuthi umunca isisu. Lapho-ke iyahamba egazini iye ebuchosheni. Ithinta ama-neurotransmitters ngendlela eyehlisa umsebenzi kagesi oholela ekubanjweni.

Imithi yokwelapha isisu idlula emgudwini wokugaya bese ishiya umzimba ngomchamo.

Kunemithi eminingi yokulwa nezidakamizwa emakethe. Udokotela wakho angakunikeza umuthi owodwa noma inhlanganisela yezidakamizwa, kuya ngohlobo lokuquleka onakho.

Imithi ejwayelekile yesifo sokuwa ihlanganisa:

• i-levetiracetam (Keppra)
• i-lamotrigine (Lamictal)
• i-topiramate (Topamax)
• i-valproic acid (iDepakote)
• i-carbamazepine (Tegretol)
• i-ethosuximide (Zarontin)

Le mithi ivame ukutholakala kumafomu wethebhulethi, oketshezi, noma wokujova futhi ithathwa kanye noma kabili ngosuku. Uzoqala ngomthamo ophansi ongaba khona, ongalungiswa uze uqale ukusebenza. Le mithi kufanele iphuzwe ngokungaguquguquki futhi njengoba kunqunyiwe.

Eminye imiphumela emibi engaba khona ingafaka:

• ukukhathala
• isiyezi
• ukuqubuka kwesikhumba
• ukusebenzisana kabi
• izinkinga zememori

Okuvamile, kepha imiphumela emibi kakhulu ifaka ukudana nokuvuvukala kwesibindi noma ezinye izitho.

Isithuthwane sihlukile kuwo wonke umuntu, kepha abantu abaningi bayathuthuka ngemithi yokwelapha isisu. Ezinye izingane ezinesithuthwane ziyeke ukuquleka futhi zingayeka ukuthatha imishanguzo.

Ingabe ukuhlinzwa kuyindlela yokuphathwa kwesithuthwane?

Uma umuthi ungehlisi inani lokuquleka, enye inketho ukuhlinzwa.

Ukuhlinzwa okuvame kakhulu ukuthengiswa kabusha. Lokhu kubandakanya ukususa ingxenye yobuchopho lapho kuqala khona ukuqubuka. Imvamisa, i-lobe yesikhashana iyasuswa ngenqubo eyaziwa njenge-temporal lobectomy. Kwezinye izimo, lokhu kungamisa umsebenzi wokubamba.

Kwezinye izimo, uzohlala uphapheme phakathi nalokhu kuhlinzwa. Lokho kwenzelwa ukuthi odokotela bakwazi ukukhuluma nawe futhi bagweme ukususa ingxenye yobuchopho elawula imisebenzi ebalulekile njengokubona, ukuzwa, ukukhuluma, noma ukunyakaza.

Uma indawo yobuchopho inkulu kakhulu noma ibalulekile ukuthi ingasuswa, kunenye inqubo ebizwa ngokuthi yi-multiple subpial transection, noma ukunqanyulwa. Udokotela ohlinzayo usika ebuchosheni ukuphazamisa indlela yezinzwa. Lokho kugcina ukuquleka kungasabalali kuye kwezinye izindawo zobuchopho.

Ngemuva kokuhlinzwa, abanye abantu bayakwazi ukunciphisa imishanguzo yokuqeda imishanguzo noma bayeke nokuyiphuza.

Kunezingozi kunoma yikuphi ukuhlinzwa, kufaka phakathi ukusabela okungalungile ku-anesthesia, ukuphuma kwegazi nokutheleleka. Ukuhlinzwa kobuchopho kwesinye isikhathi kungaholela ekuguqukeni kwengqondo. Xoxa ngobuhle nobubi bezinqubo ezahlukahlukene nodokotela wakho ohlinzayo bese ufuna umbono wesibili ngaphambi kokwenza isinqumo sokugcina.

Izincomo zokudla kwabantu abanesifo sokuwa

Ukudla kwe-ketogenic kuvame ukunconywa ezinganeni ezinesifo sokuwa. Lokhu kudla kunama-carbohydrate amancane futhi kunamafutha amaningi. Ukudla kuphoqa umzimba ukuthi usebenzise amanoni ukuthola amandla esikhundleni se-glucose, inqubo ebizwa nge-ketosis.

Ukudla kudinga ibhalansi eqinile phakathi kwamafutha, ama-carbohydrate, namaprotheni. Yingakho kungcono ukusebenzisana nesazi sokudla noma isazi sokudla. Izingane ezikulesi sidlo kufanele zihlolwe ngokucophelela ngudokotela.

Ukudla kwe-ketogenic akusizi wonke umuntu. Kepha uma ilandelwa kahle, ivame ukuphumelela ekwehliseni imvamisa yokuquleka. Kusebenza kangcono kwezinye izinhlobo zesifo sokuwa kunezinye.

Yentsha kanye nabantu abadala abanesifo sokuwa, kunganconywa ukudla okuguquliwe kwe-Atkins. Lokhu kudla futhi kunamafutha amaningi futhi kubandakanya ukudla okulawulwayo kwe-carb.

Cishe isigamu sabantu abadala abazama ukudla okuguquliwe kwe-Atkins babhekana nokuquleka okumbalwa. Imiphumela ingabonakala ngokushesha njengezinyanga ezimbalwa.

Ngoba lokhu kudla kuvame ukuba nefayibha encane futhi kunamafutha amaningi, ukuqunjelwa kungumphumela ojwayelekile.

Khuluma nodokotela wakho ngaphambi kokuqala ukudla okusha futhi uqiniseke ukuthi uthola izakhamzimba ezibalulekile. Kunoma ikuphi, ukungadli ukudla okwenziwe kusetshenzisiwe kungasiza ekuthuthukiseni impilo yakho.

Isithuthwane nokuziphatha: Ingabe kukhona ukuxhumana?

Izingane ezinesifo sokuwa zivame ukuba nezinkinga eziningi zokufunda nezokuziphatha kunalezo ezingenazo. Kwesinye isikhathi kukhona ukuxhumana. Kodwa lezi zinkinga azibangelwa yisifo sokuwa njalo nje.

Cishe amaphesenti ayi-15 kuye kwangama-35 ezingane ezikhubazeke ngokwengqondo nazo zinesifo sokuwa. Imvamisa, zivela entweni efanayo.

Abanye abantu babhekana noshintsho ekuziphatheni emaminithini noma emahoreni ngaphambi kokuquleka. Lokhu kungahle kuhlobene nomsebenzi wobuchopho obungajwayelekile owandulela ukuquleka, futhi kungafaka:

• ukunganaki
• ukucasuka
• ukukhathazeka ngokweqile
• ulaka

Izingane ezinesifo sokuwa zingahlangabezana nokungaqiniseki ezimpilweni zazo. Ithemba lokuquleka okungazelelwe phambi kwabangane nofunda nabo lingaba nzima. Le mizwa ingadala ukuthi umntwana enze noma ahoxe ezimweni zomphakathi.

Iningi lezingane lifunda ukuzivumelanisa nokuhamba kwesikhathi. Kwabanye, ukungasebenzi kahle komphakathi kungaqhubeka nokuba mdala. Phakathi kwamaphesenti angama-30 kuye kwangama-70 abantu abanesithuthwane nabo banokudangala, ukukhathazeka, noma kokubili.

Imishanguzo yokulwa nezidakamizwa nayo ingaba nomthelela ekuziphatheni. Ukushintsha noma ukwenza ukulungisa emithini kungasiza.

Izinkinga zokuziphatha kufanele zilungiswe ngesikhathi sokuvakashelwa odokotela. Ukwelashwa kuzoya ngohlobo lwenkinga.

Ungase futhi uzuze ekwelashweni ngawodwana, ekwelashweni komndeni, noma ekujoyineni iqembu lokukulekelela ukuze ubhekane nakho.

Ukuphila nesifo sokuwa: Yini ongayilindela

Isifo sokuwa yisifo esingelapheki esingathinta izingxenye eziningi zempilo yakho.

Imithetho iyahlukahluka kuye ngesifundazwe, kepha uma ukuhlwanyelwa kwakho kungalawulwa kahle, kungenzeka ungavunyelwa ukushayela.

Ngoba awazi ukuthi ukuqhwaqisa kuzokwenzeka nini, imisebenzi eminingi yansuku zonke njengokuwela umgwaqo omatasa, ingaba yingozi. Lezi zinkinga zingaholela ekulahlekelweni kwenkululeko.

Ezinye izinkinga zesifo sokuwa zingabandakanya:

• ingozi yokulimala unomphela noma ukufa ngenxa yokuquleka okunzima okungaphezu kwemizuzu emihlanu (status epilepticus)
• ingozi yokubanjwa njalo ngaphandle kokuthola ukwazi phakathi (isimo sesithuthwane)
• ukufa okungazelelwe okungazelelwe ngesithuthwane, okuthinta cishe iphesenti elilodwa kuphela labantu abanesifo sokuwa

Ngaphezu kokuvakashelwa odokotela njalo nokulandela uhlelo lwakho lokwelashwa, nazi ezinye izinto ongazenza ukubhekana nazo:

• Gcina idayari yokubamba iqhaza ukuze usize ekuboneni izinto ezingadala izimbangela ukuze ukwazi ukuzigwema.
• Gqoka isongo lesaziso sokwelashwa ukuze abantu bazi ukuthi benzeni uma unesifo sokuwa futhi ungakwazi ukukhuluma.
• Fundisa abantu osondelene nabo kakhulu ngokuquleka nokuthi benzeni esimeni esiphuthumayo.
• Funa usizo lochwepheshe ngezimpawu zokucindezeleka noma zokukhathazeka.
• Joyina iqembu lokusekela labantu abanezinkinga zokuquleka.
• Nakekela impilo yakho ngokudla ukudla okunomsoco nokuvivinya umzimba njalo.

Ingabe likhona ikhambi lesifo sokuwa?

Alikho ikhambi lesifo sokuwa, kodwa ukwelashwa kusenesikhathi kungenza umehluko omkhulu.

Ukuquleka okungalawuleki noma isikhathi eside kungaholela ekulimaleni kwengqondo. Isifo sokuwa siphakamisa nengozi yokufa okungazelelwe okungaqondakali.

Isimo singaphathwa ngempumelelo. Ukuquleka kungalawulwa ngemithi.

Izinhlobo ezimbili zokuhlinzwa kobuchopho zinganciphisa noma ziqede ukuquleka. Uhlobo olulodwa, olubizwa ngokuthi i-resection, lubandakanya ukususa ingxenye yobuchopho lapho kuvela khona ukuquleka.

Lapho indawo yobuchopho obhekene nokuquleka ibaluleke kakhulu noma inkulu kakhulu ukuthi ingasuswa, udokotela ohlinzayo angenza ukunqamula. Lokhu kubandakanya ukuphazamisa indlela yezinzwa ngokusika ebuchosheni. Lokhu kugcina ukuquleka kungasabalali kufike kwezinye izingxenye zobuchopho.

Ucwaningo lwakamuva luthole ukuthi amaphesenti angama-81 abantu abanesithuthwane esinamandla cishe kwaphela izinyanga eziyisithupha ngemuva kokuhlinzwa. Ngemuva kweminyaka eyi-10, amaphesenti angama-72 ayengasenakho ngokuphelele noma cishe angabanjwa.

Ziningi ezinye izindlela zokucwaninga ngezimbangela, ukwelashwa, kanye nokwelashwa okungaba khona kwesifo sokuwa kuyaqhubeka.

Yize lungekho ikhambi ngalesi sikhathi, ukwelashwa okulungile kungaholela ekuthuthukeni okuphawulekayo esimweni sakho nasezingeni lakho lempilo.

Amaqiniso nezibalo ngesifo sokuwa

Emhlabeni wonke, abantu abayizigidi ezingama-65 banesifo sokuwa. Lokho kufaka phakathi abantu ababalelwa ezigidini ezintathu e-United States, lapho kuneziguli ezintsha ezingama-150,000 zesifo sokuwa ezitholwa unyaka nonyaka.

Izakhi zofuzo ezingaba ngu-500 zingase zihlobane nesifo sokuwa ngandlela thile. Kubantu abaningi, ingozi yokuhlaselwa yisifo sokuwa ngaphambi kweminyaka engama-20 ingamaphesenti ayi-1. Ukuba nomzali onesifo sokuwa esixhumene nezakhi zofuzo kukhulisa leyo ngozi ibe ngamaphesenti amabili kuya kwamahlanu.

Kubantu abaneminyaka engaphezu kwengama-35, imbangela ehamba phambili yesifo sokuwa yisifo sohlangothi. Kubantu abayi-6 kwabangu-10, imbangela yokushaqeka ayikwazi ukunqunywa.

Phakathi kwamaphesenti ayi-15 kuye kwangama-30 ezingane ezinokukhubazeka kwengqondo zinesifo sokuwa. Phakathi kwabantu abangamaphesenti angama-30 kuya kwangu-70 abanesithuthwane nabo banokudangala, ukukhathazeka, noma kokubili.

Ukufa okungazelelwe okungazelelwe kuthinta cishe iphesenti elilodwa labantu abanesifo sokuwa.

Phakathi kwamaphesenti angama-60 kuya kwangama-70 abantu abanesithuthwane baphendula ngokugculisayo kumuthi wokuqala wokulwa nesithuthwane abazama ngawo. Cishe amaphesenti angama-50 angayeka ukuthatha imishanguzo ngemuva kweminyaka emibili kuya kwemihlanu ngaphandle kokuquleka.

Ingxenye eyodwa kwezintathu zabantu abanesithuthwane banokuquleka okungalawuleki ngoba abakatholi ukwelashwa okusebenzayo. Ngaphezu kwesigamu sabantu abanesithuthwane abangaphenduli emithini bayathuthuka ngokudla okune-ketogenic. Isigamu sabantu abadala abazama ukudla okuguquliwe kwe-Atkins banokubanjwa okumbalwa.