So wo anaa wo ba no ahwe ase mpofirim a onnim hwee? Momma yɛnka saa (Atonic Seizure) ho asɛm.

So woahu pɛn, anaasɛ ato wo sɛ obi ahoɔden hwere mpofirim na ɔhwe fam a ntease biara nnim? Biribi a ɛwɔ wo nsam no hwe fam, w’aniwa mu... Eyi yɛ hu kakra ankasa. Ɛtɔ mmere bi a, ehu bɛn na awofo te nka bere a wohu sɛ abofra ketewa bi redi agoru na ɔhwe fam mpofirim te sɛ nea nkwa nnim no? Ɛnnɛ yɛrebɛka tebea a ɛte saa no biako ho asɛm. Ɛno yɛ akisikuru bi a wɔfrɛ no (Atonic Seizure) . Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm wɔ nsɛm a ɛnyɛ den mu.

Dɛn ne eyi (Atonic Seizure)?

Sɛ yɛbɛka no tiawa a, atonic seizure yɛ anyinam ahoɔden a ɛyera mpofirim wɔ amemene no mu , na ɛma yɛn nipadua mu ntini ahorow no ntumi nni so, anaasɛ ntini ahorow no ntumi nyɛ adwuma yiye .

Fa no sɛ abofra bi a wɔde nhama asɛn so. Abofra no tra hɔ tẽẽ kosi sɛ yɛbɛtwe nhama no, ɛnte saa? Sɛ yɛsansan nhama no a, dɛn na ɛba? Abofra no hwe ase a nkwa nnim, na ɔhwe ase. Saa na ɛte wɔ eyi ho. Sɛ (Atonic Seizure) bi ba a, ɛte sɛ nea abofra no nhama no ayɛ mmerɛw, na yɛn ntini ahorow no hwere ahoɔden, na yentumi nnyina hɔ. Ɛno nti na yɛtɔ fam mpofirim no.

Nanso eyi yɛ bere tiaa mu de . Sɛ akisikuru no ba awiei a, wo ntini ahorow no bɛsan adi so bio, na wubetumi agyina hɔ nantew sɛnea ɛsɛ. Ɛtɔ mmere bi a nnuruyɛfo frɛ saa akinetic seizures , anaa ‘ drop seizures ’ anaa ‘drop attacks’ , efisɛ ɛma wohwe fam mpofirim.

Sɛ wokɔ so nya atonic seizures a, wo duruyɛfo bɛkyerɛ wo ahwɛyiye a ɛsɛ sɛ woyɛ de bɔ wo ho ban.

Dɛn ne eyi ho sɛnkyerɛnne?

Atonic seizure ho sɛnkyerɛnne atitiriw ne sɛ:

• Ebia wobɛhwere ntini a ɛwɔ wo nipadua no fã biako pɛ (sɛ nhwɛso no, wo ti betumi ahwe ase), anaa wo nipadua nyinaa. Eyi kyerɛ sɛ wo ntini ahorow no mu yɛ mmerɛw mpofirim na ɛyɛ mmerɛw . Te sɛ nea wunni nkwa.
• Ɛtɔ da bi a, n’adwene betumi ayera. Ɛne sɛ, nea ɛrekɔ so wɔ wo ho ne nneɛma a atwa wo ho ahyia no ho nimdeɛ yera bere tiaa bi.

Nanso nea ɛho hia sen biara ne sɛ bere a (atonic seizure) no aba awiei no, wo ntini ahorow no san nya ahoɔden bio.

So (Atonic Seizures) yɛ nea asiane wom?

Nokwarem no, asiane a ɛwɔ hɔ sɛ obi bepira bere a atonic seizures no dɔɔso yiye . Wo de susuw ho hwɛ, sɛ woreyɛ biribi, ebia wo ne abofra redi agoru, na mpofirim ara woantumi anhyɛ wo nipadua so a, dɛn na ɛbɛba? Wubetumi ahwe ase, biribi a wokura mu betumi ahwe ase, w’ani betumi atoto. Bere a woreyɛ biribi a wususuwii sɛ ahobammɔ wom kɛse mpo no, nneɛma bi a ebetumi asi sɛ wohwere wo ntini ahorow so tumi mpofirim a, ni:

• Ntwitwa ne lacerations
• Akuru a ɛyɛ akuru
• Nnompe a abubu
• Wɔ nsɛm bi a emu yɛ den mu no , ti a wopirapira kɛse (amemene mu opira a ɛyɛ hu) betumi mpo aba.

Wo de susuw ho sɛ eyi to wo bere a wonam abɔnten, anaa bere a worenoa aduan, anaa bere a wote akongua so, anaa mpo bere a abofra bi reforo agode bi? Akyinnye biara nni ho sɛ ebetumi aba sɛ wubepira, ɛnte saa? Enti ɛsɛ sɛ nnipa a wɔwɔ saa tebea yi hwɛ yiye paa.

Afei nso, sɛ wunya akisikuru te sɛ eyi bere a woreyɛ adwuma a ɛhwehwɛ sɛ wode w’adwene si so koraa, te sɛ karka anaa mfiri a emu yɛ duru a wode redi dwuma a , ɛyɛ asiane kɛse . Efisɛ sɛ wohwere w’adwene sikɔne kakraa bi mpo a, ebetumi de wo nkwa ato asiane mu.

Bere tenten ahe na atonic seizure akɔ so?

Mpɛn pii no, atonic seizure di bere tiaa bi pɛ, bɛyɛ sikɔne 15 . Ebetumi ayɛ nea ennu saa mpo. Bere a akisikuru no aba awiei no, ebia wobɛte nka sɛ w'adwene atu afra kakra , te sɛ, "Dɛn na ɛtoo me?" Nanso mpɛn pii no, wo ho tɔ wo ntɛm na wubetumi asan akɔ nea na woreyɛ no so.

Nanso ɛtɔ mmere bi a, saa akisikuru yi betumi aba nnidiso nnidiso, mmiako mmiako. Sɛ wowɔ saa akisikuru yi akuwakuw a, ebia wobɛte nka sɛ woabubu na wuntumi nkɔ baabiara simma kakraa bi kosi nnɔnhwerew pii. Sɛ wowɔ akisikuru a ɛkyɛ bɛboro simma 15 a, wobu no sɛ ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ . Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Dɛn na ɛba bere a obi anya (Atonic Seizure) akyi?

Sɛnea yɛadi kan aka no, wo ntini ahoɔden san ba bere a atonic seizure no aba awiei no. Nanso, nnipa binom betumi anya obubuafo bere tiaa bi , baabi a wontumi ntutu wɔn nipadua wɔ sikɔne kakraa bi mu bere a akisikuru no aba awiei no.

Ebia wobɛte nka sɛ w’adwene atu afra kakra wɔ nea esii no ho. Eyi te saa efisɛ ebia na worenkɔ tebea koro no ara a na wowɔ ansa na worenya akisikuru no mu. Sɛ nhwɛso no, sɛ na wugyina hɔ a, ebia na woda fam bere a w’adwene san ba wo so no. Sɛ woapira a, ebia ɛho behia nso sɛ wogye w’ahome kakra.

Nanso ade a ɛyɛ nwonwa ne sɛ, mmofra nkumaa dodow no ara , gye sɛ wɔapirapira, nte nka bɔne dodo wɔ atonic seizure akyi. Sɛ wɔn ntini san nya ahoɔden ara pɛ a, wobetumi asan afi dwumadi anaa dwumadi ahorow a na wɔreyɛ ansa na akisikuru no reba no ase.

Dɛn nti na eyi (Atonic Seizure) ba?

Eyi te saa efisɛ anyinam ahoɔden dwumadi a ɛkɔ soro mpofirim wɔ yɛn amemene no mmeae a ɛhwɛ ntini ahorow so – sɛ nhwɛso no , anim fã ne amemene no dua. Ɛte sɛ circuit tiawa ketewaa bi. Nanso ɛtaa yɛ den sɛ wobɛkyerɛ nea ɛde eyi ba ankasa .

Hena na ɛda adi sɛ obenya eyinom? (Nneɛma a Ɛma Asiane) .

Ebia wobɛkɔ asiane kɛse mu sɛ wubenya atonic seizures sɛ:

• Sɛ wunnii mfe 18 a (eyi taa fi ase wɔ mmofraase).
• Sɛ woanya akisikuru bere a woyɛ abofra, kyerɛ sɛ, bere a woyɛ nkokoaa (nkokoaa a wɔn ho yɛ hyew ho abakɔsɛm) .
• Sɛ wowɔ aduruyɛ mu tebea pɔtee foforo a ɛhyɛ wo ase, te sɛ Lennox-Gastaut yare anaa Dravet yare a .

Atonic akisikuru bi betumi akɔ so akosi mpanyin afe so, nanso ɛntaa nsi sɛ ɔpanyin bi behu sɛ ɔwɔ saa tebea yi foforo.

Ɔkwan bɛn so na oduruyɛfo hu sɛ obi anya atonic seizure? (Nyare a Wɔahu) .

Oduruyɛfo bɛkyerɛ sɛ obi anya atonic seizures denam nipadua mu nhwehwɛmu , ntini mu nhwehwɛmu ne nhwehwɛmu afoforo a ɔbɛyɛ so . Wɔ nhwehwɛmu ahorow yi mu no, oduruyɛfo no betie wo akisikuru ho sɛnkyerɛnne no yiye.

Ɛho hia paa sɛ wobɛnya obi a ɔhunuu wo akisikuru – abusua muni anaa adamfo – ka wo ho berɛ a worekɔ oduruyɛfoɔ nkyɛn. Sɛ wuntumi a, ɛbɛyɛ papa nso sɛ wobɛma wɔakyerɛw nea wohui no ato hɔ. Eyi bɛboa oduruyɛfo no ma wate nea esii no ase. Ɛtɔ da bi a, sɛ wubetumi de wo fon akyere akisikuru no ho video a, ɛno betumi aboa wo kɛse.

Nhwehwɛmu titiriw betumi aboa wo duruyɛfo no ma wakyerɛ nea ɛde wo akisikuru no ba, anaasɛ wapow tebea afoforo a ebetumi ama ntini ahorow ayɛ mmerɛw mpofirim na w’adwene atu afra. Wobetumi ayɛ sɔhwɛ ahorow te sɛ eyinom:

• Mogya mu nhwehwɛmu
• Electroencephalogram (EEG) sɔhwɛ – Eyi hwɛ anyinam ahoɔden nhyehyɛe a ɛwɔ amemene no mu hwɛ sɛ nsakrae bi wɔ hɔ a ɛfa akisikuru ho anaa.
• Magnetic Resonance Imaging (MRI) scan – de hwɛ sɛ ɔhaw bi wɔ amemene no nhyehyɛe mu anaa.
• Positron Emission Tomography (PET) scan – de hwɛ amemene no dwumadi.

Sɛ na woapira bere a wo ho popoe no a, ebia ebehia sɛ wo duruyɛfo yɛ nhwehwɛmu afoforo te sɛ X-ray de hwɛ sɛ dompe bi abubu anaa, sɛ nhwɛso no.

Dɛn ne ayaresa a wɔde sa eyi?

Oduruyɛfo betumi akyerɛw nnuru a ekum akisikuru te sɛ eyinom de asa atonic seizures:

• Benzodiazepines (sɛ nhwɛso no, clonazepam anaa clobazam) .
• (Felbamate) .
• (Levetiracetam) (Nneɛma a wɔde yɛ aduru) .
• (Topiramate) .
• (Valproic acid) (aduru a wɔde yɛ aduru) .
• (Zonisamide a wɔde yɛ aduru) .

Wo duruyɛfo na ɔkyerɛ nnuru yi, a egyina wo tebea so. Sɛ woapira bere a worenya akisikuru no a, wo duruyɛfo no bɛsa ɛno nso ntɛm ara .

Sɛ nnuru a wɔde sa akisikuru yi ntumi nyɛ adwuma, anaasɛ wowɔ akisikuru a ɛkɔ so daa a ɛde opira kɛse ba a, wo duruyɛfo betumi asusuw ayaresa afoforo ho. Eyinom bi ne:

• Oprehyɛn – sɛ nhwɛso no, adeyɛ bi a wɔfrɛ no corpus callosotomy . Eyi ma anyinam ahoɔden nsɛnkyerɛnne a wɔmpɛ a ɛkɔ amemene no afã abien no ntam no so tew.
• Vagus nerve stimulation – Wɔde afiri ketewa bi a ɛkanyan ntini bi hyɛ koko no honam ani. Eyi boa ma akisikuru so tew.
• Ti nhwi a ɛbɔ wo ho ban a wɔhyɛ – sɛnea ɛbɛyɛ a wobɛtew ti a wopirapira so bere a obi ahwe ase no. Eyi ho hia titiriw ma mmofra a wɔtaa hwe ase.

Wɔ tebea horow bi mu no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wudi aduan titiriw bi akyi, te sɛ aduan a srade pii wom na carb kakraa bi na ɛwom a wɔfrɛ no ketogenic diet . Wɔahu nso sɛ eyi boa ma wodi akisikuru so.

Dɛn ne tebea yi ho anidaso? (Nsusuwii) .

Wo duruyɛfo betumi aka w’adwene akyerɛ wo yiye, efisɛ ɛsono obiara . Nnuru a wɔde ko tia akisikuru ne ayaresa afoforo betumi aboa ma wo akisikuru no so atew. Nanso, opira a wunya bere a drop seizure no betumi aka w’adwene. Wo duruyɛfo betumi ama wo afotu wɔ akwan a wobɛfa so asiw opira ano bere a woanya akisikuru no ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wote nka sɛ worenya atonic seizures pii , anaasɛ worepira mpɛn pii a , hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Afei wo duruyɛfo betumi ayɛ nsakrae wɔ w’ayaresa nhyehyɛe no mu ma afata wo yiye na wabɔ wo ho ban.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?

Sɛ ɛba saa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ER) anaasɛ wofrɛ adwumayɛbea a wɔhwɛ ntɛmpɛ so:

• Sɛ wunya akisikuru nea edi kan wɔ w’asetra mu a .
• Sɛ wopira kɛse bere a woreyɛ akisikuru (sɛ nhwɛso no, dompe a abubu, ɔhwe a emu yɛ den wɔ wo ti so).
• Sɛ wowɔ akisikuru pii a ɛtoatoa so (kyerɛ sɛ, akisikuru bɛboro mprɛnsa wɔ simma 30 mu, anaasɛ sɛ akisikuru biako di akyi bere tiaa bi).

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wowɔ (Atonic Seizures) a, ɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm te sɛ eyinom:

• Ayaresa bɛn na oduruyɛfo no kamfo kyerɛ me?
• So nsunsuanso bɔne bi wɔ saa ayaresa yi mu? Sɛ saa a, dɛn ne?
• Me fam noSo metumi aka kar? Anaasɛ ahwɛyiye bɛn na ɛsɛ sɛ meyɛ?
• Dwumadi ahorow bɛn na metumi ayɛ dwoodwoo? Nneɛma bɛn na ɛsɛ sɛ mekwati?

Nsonsonoe bɛn na ɛda atonic ne tonic akisikuru ntam?

Eyi yɛ biribi a nnipa pii bisa ho asɛm. Nsonsonoe titiriw a ɛda atonic ne tonic akisikuru ntam ne nea ɛto wo ntini bere a amemene no anyinam ahoɔden dwumadi sɛe mpofirim no:

• (Atonic) Akisikuru: Wo ntini yɛ mmerɛw na nkwa nnim. Wɔhwe ase te sɛ ntama asinasin.
• (Tonic) Akisikuru: Wo ntini yɛ den, te sɛ ɔbo. Wo nipadua bɛyɛ den na ebia wobɛhwe fam te sɛ mpuran.

Wɔ atonic seizure mu no, wubetumi ahwe fam mpofirim te sɛ nea nkwa nnim, anaasɛ wubetumi afi gyinabea ahwe ase. Wɔ tonic seizure mu no, ebia wobɛhwe fam tẽẽ te sɛ dua a wɔatwa. Wɔ atonic seizures mu no, mpɛn pii no, akisikuru mma, nanso ebia w’adwene bɛyera.

Nea yɛkaa ho asɛm wɔ ahome biako mu (Take-Home Message) .

(Atonic Seizure) Sɛ mpofirim ara w’adwene fi w’adwene mu na wohwe fam a wuntumi nni wo nipadua so a, ɛyɛ osuahu a ɛyɛ hu ankasa ma wo ne w’abusua. Ebia worennya bere mfa nkyere wo ho bere a woahwe ase no, na ebia wubepira a ɛyɛ yaw mpo. Eyi betumi ama wuntumi nkɔ sukuu, adwuma, anaa nneɛma a w’ani gye ho no.

Esiane sɛ saa akisikuru yi taa ba mpofirim nti, ɛho hia sɛ wokɔ ayaresabea. Wɔbɛyɛ w’ayaresa nhyehyɛe no ma ɛne w’ahiade pɔtee ne wo nipadua ahiade ahorow ahyia. Sɛ wowɔ nsɛmmisa bi fa atonic seizures ho anaasɛ wopɛ sɛ wuhu sɛnea wobɛkɔ so anya ahobammɔ a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Kae sɛ, sɛ wosa yare yiye na wote ase a, wubetumi adi tebea yi so na woatra ase a ahobammɔ wom. Mma ɛnhaw wo, aduruyɛ ho nyansahu akɔ anim yiye nnɛ.

` Atonic Seizure, akisikuru, ntini mu mmerɛwyɛ, drop seizure, akinetic akisikuru, akisikuru, amemene mu yare