Ðe wò ƒomea me tɔ aɖe xɔ alɔ̃madɔmadɔ sesẽ aɖe abe esia enea? Mina míasrɔ̃ nu tso Tonic-Clonic (si woyɔna hã be Grand Mal) ƒe alɔ̃madɔmadɔ ŋu!

Èkpɔ ame aɖe wòʋuʋu zi ɖeka eye wòtsi dzodzodzoe kpɔa? Woate ŋu aƒu tsi gɔ̃ hã. Mí katã míevɔ̃na ne míekpɔ nukpɔkpɔ sia tɔgbe, alo? Alɔ̃madɔmadɔ ƒomevi vovovowo li siwo dzɔna le mɔ sia nu. Egbea míele nu ƒom tso Tonic-Clonic (Grand Mal) ƒe alɔ̃madɔmadɔ, si nye alɔ̃madɔmadɔ si nu sẽ vie gake wonya nyuie le ame geɖe dome ŋu. Na míakpɔ nusi tututu wònye, nusita wòdzɔna, dzesi siwo le eŋu, kple nusi wòle be míawɔ le nɔnɔme sia tɔgbe me ɖa.

Nukae nye tonic-clonic alo grand mal seizure?

Kpuie ko la, tonic-clonic seizure nye alɔ̃madɔmadɔ sesẽ si me lãmeka siwo le míaƒe ŋutilã ƒe akpa eveawo va wɔa dɔ zi ɖeka eye woʋuʋuna. Esia nye ƒomevi si ame akpa gãtɔ susuna ne wose nya "alɔ̃madɔmadɔ" eye wokpɔnɛ dzea sii bɔbɔe. Tsã la, woyɔnɛ be "Grand Mal." Enye Fransegbe me nya si gɔmee nye nane abe "dɔléle gã" ene.

Ŋkɔ "Tonic-Clonic" fia be afɔɖeɖe vevi eve le alɔ̃dɔdɔ sia ŋu.

1. Tonic phase: Esiae nye esime ŋutilã bliboa ƒe lãmekawo, vevietɔ abɔwo kple afɔwo, sesẽna zi ɖeka.

2. Clonic phase: Esia kplɔa ŋutilã ƒe ʋuʋu, alo ʋuʋudedi, kplɔnɛ ɖo.

Aleke alɔ̃madɔmadɔ sia to vovo tso alɔ̃madɔmadɔ kple asrã ƒomevi bubuwo gbɔe?

Alɔ̃madɔmadɔ ƒomevi vovovowo li. Wo dometɔ aɖewo ƒe ŋkɔwo ɖi wo nɔewo, si ate ŋu atɔtɔ ame. Mina míalé ŋku ɖe vovototo vevi siwo le wo dome ŋu:

• Atonic seizures: Wogayɔnae be "drop attacks," esiawo nye lãmekawo ƒe tete kpata, le lɔlɔ̃nu faa me, si nana amea dzea anyigba. Esia dzia abixɔxɔ le ame ƒe anyidzedze me ƒe afɔkua ɖe edzi.
• Tonic seizures: Esiawo sɔ kple tonic-clonic seizures, gake clonic phase, alo jerking, medzɔna o. Amea ate ŋu abu eye wòasesẽ, gake ʋuʋudedi aɖeke manɔ eme o.
• Clonic seizures: Esia nye alɔ̃madɔmadɔ si dzɔna tonic phase manɔmee, eye kasia wògena clonic phase me. Esia fia be ŋutilãa mesẽna o, ke boŋ edzea ʋuʋu gɔme eye ate ŋu abu gɔ̃ hã.
• Myoclonic seizures: Esia nye lãmekawo ƒe ƒuƒoƒo aɖe ƒe ʋuʋu kpata. Ðeko wòle abe elektrikŋusẽ aɖe ƒo wò ene. Ne edze afɔwo dzi la, àte ŋu adze anyi gɔ̃ hã. (Gake nu sue aɖee nye esi: Ne míeʋuʋu míaƒe ŋutilã zi ɖeka ne míele alɔ̃ dɔm la, woyɔnɛ be `myoclonic jerk.' Enye nusi sɔ, menye alɔ̃madɔmadɔ alo asrãdɔ o. )
• Aɖuɖɔtoedɔ: Aɖuɖɔtoe nye ahɔhɔ̃medɔ si nana ame ƒe lãme gbãna enuenu, si womenya o. Ðɔktawo dea dzesi asrãdɔ to:Zi geɖe la, wowɔa esia ne èxɔ alɔ̃madɔmadɔ zi eve ya teti si womeʋã o le ɣeyiɣi si wu gaƒoƒo 24 me, alo ne èxɔ alɔ̃dɔdɔ ɖeka eye afɔku gã aɖe le eme be nàgadze bubu le ƒe 10 siwo gbɔna me.

Ameka ŋue nɔnɔme sia gblẽa nu le wu? Aleke gbegbe wòbɔe?

Amesiame ate ŋu axɔ alɔ̃madɔmadɔ, gake ame aɖewo ya ate ŋu axɔe. Ðevi suewo kple amesiwo xɔ wu ƒe 65 ƒe alɔ̃madɔmadɔ bɔ wu.

Le blibo me la, amesiwo ƒe alɔ̃madɔmadɔ le ƒe 25% lɔƒo xɔa tonic-clonic seizures. Le akɔntabubu siwo le United States nu la, ame siwo ade 11% axɔ alɔ̃dɔdɔ le woƒe agbenɔɣi, eye woakpɔe be wo dometɔ siwo ade 3% ye xɔ asrãdɔ. Dɔnɔ siwo vaa dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ la dometɔ siwo ade 1% nye amesiwo va le alɔ̃madɔmadɔ ta.

Aleke alɔ̃madɔmadɔ sia kpɔa ŋusẽ ɖe ŋutilãa dzii?

Alɔ̃madɔmadɔ nye tɔtrɔ alo dɔmawɔmawɔ nyuie le alesi míaƒe ahɔhɔ̃menugbagbevi siwo woyɔna be ahɔhɔ̃mekawo ɖoa elektrikŋusẽ ƒe dzesiwo ɖa me. Le alɔ̃madɔmadɔ me la, ahɔhɔ̃meka siawo nɔa dzo dam atraɖii, eye esia kakana ɖe ahɔhɔ̃meka bubuwo me.

Tonic-clonic seizure nye `alɔ̃madɔmadɔ si bɔ`. Esia fia be ekpɔa ŋusẽ ɖe ahɔhɔ̃a ƒe akpa eveawo siaa dzi. Esia nana ame ƒe susu meganɔa nu ŋu o, lãmekawo gbɔdzɔna le ŋutilã bliboa me, eye wònana ame ƒe ʋuʋu si dzi womate ŋu aɖu o abe ʋuʋu kple ʋuʋu ene.

Status Epilepticus - Esia nye afɔku!

Vevietɔ: Ne alɔ̃madɔmadɔ aɖe xɔ ame aɖe si xɔ wu miniti atɔ̃, alo ne alɔ̃madɔmadɔ ɖeka wu enu eye bubu gadze hafi eƒe susu gaɖo eŋu teti la, woyɔnɛ be status epilepticus . Esia nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me! Ate ŋu agblẽ nu le ahɔhɔ̃a ŋu tegbee eye wòaku gɔ̃ hã.

Zi geɖe la, alɔ̃madɔmadɔ siwo ade 98% wu enu le ɣeyiɣi si mede miniti atɔ̃ o me. Status epilepticus ate ŋu adzɔ le susu ɖesiaɖe si ate ŋu ana ame nadze alɔ̃ ta.

Ne ame aɖe ƒe alɔ̃madɔmadɔ si xɔ wu miniti 5 esime nèle afima, alo ne bubu aɖe gadzɔ hafi gbãtɔa wu enu la, taflatse ƒo ka na 1990 (Sri Lanka ƒe dɔnɔdzikpɔƒe si kpɔa dɔnɔwo gbɔ kpata) enumake, alo kplɔ wo yi kɔdzi si te ɖe ŋuwò. Ne status epilepticus nɔa anyi didi la, esesẽna na ɖɔktawo be woadzudzɔe, eye mɔnukpɔkpɔ geɖe li be ahɔhɔ̃a nagblẽ.

Nukae nye tonic-clonic seizures ƒe dzesiwo?

Ne ame akpa gãtɔ bu "alɔ̃madɔmadɔ" ŋu la, woƒe susu nɔa tonic-clonic alɔ̃madɔmadɔ ŋu. Zi geɖe la, dzesiawo mesẽna o eye wodzea sii bɔbɔe. Akpa vevi etɔ̃e li:

1. Tonic phase (anɔ abe sɛkɛnd 10-30 ene):

• Le go sia me la, kasia wò susu meganɔa nu ŋu o.
• Ŋutilã bliboa ƒe lãmekawo, vevietɔ abɔwo kple afɔwo, va nɔa sesẽm. Ate ŋu adze abe ɖe ŋutilãa bɔbɔ ɖe megbe eye dɔgboa do ɖe gota ene.
• Ne lãmeka siwo le gbɔgbɔm la le sesẽm la, ya ate ŋu ado le lãkusiwo me, eye wòawɔ ɣlidodo.
• Ne èdze anyi le ɣeyiɣi sia me, alo ne èmi aɖuwo heɖu wò aɖe , àte ŋu axɔ abi.

2. Clonic phase (sɛkɛnd 30-60, ɣeaɖewoɣi didi wu):

• Esiae nye esime ŋutilã bliboa dzea ʋuʋu kple ʋuʋu gɔme (ʋuʋudedi).
• Àte ŋu aƒo ʋuʋudedi hã le wò nu me.
• Toɣliɖeɖeawo le ɖiɖim vivivi, eye vivivi la, wodzudzɔna.
• Kaka afɔɖeɖe sia nawu enu la, aɖuɖɔ kple aɖuɖɔ ate ŋu ado, si fia be woate ŋu age ɖe awuwo dzi.

3. Afɔɖeɖe si me wòhayana le alɔ̃madɔmadɔ megbe (anɔ abe miniti 30 ene):

• Vivivi la, ame akpa gãtɔ ƒe susu gaɖoa wo ŋu ne alɔ̃madɔmadɔa wu enu.
• Gake àte ŋu atɔtɔ, ta le veve sem na wò, alo wò ŋutilã le veve sem . Esiawo sɔ.
• Le nɔnɔme sesẽ aɖewo me la, vevietɔ ne nɔnɔme aɖe abe `Status epilepticus` ene do mo ɖa la, ate ŋu axɔ ɣeyiɣi didi hafi ame ƒe susu nagaɖo eŋu.

Nukae nye alɔ̃madɔmadɔ kple aura?

Ame geɖe sea seselelãme aɖe, si nye nusi wogblɔ do ŋgɔ, hafi alɔ̃madɔmadɔ dzɔna. Woyɔa esia be `prodrome`. Ɣeaɖewoɣi la, `aura` ate ŋu akpe ɖe ŋgɔdonya sia ŋu. Aura nye seselelãme be ahɔhɔ̃a ƒe akpa aɖewo gblẽa nu le ame ŋu ne alɔ̃dɔdɔ dze egɔme.

Aura aɖeke mele alɔ̃madɔmadɔ siwo bɔ abe tonic-clonic seizures ene o. Ke hã, focal seizures – alɔ̃madɔmadɔ si gblẽa nu le ahɔhɔ̃a ƒe akpa ɖeka ko ŋu – ateŋu akaka ɖe ahɔhɔ̃ bliboa me ɣeaɖewoɣi eye wòazu tonic-clonic seizure. Aura si doa ŋgɔ na focal seizure ate ŋu anye nuxlɔ̃amedzesi be tonic-clonic seizure gbɔna.

Nɔnɔme siwo gbɔna ate ŋu anɔ aura si:

• Seselelãme ƒe dzesiwo: Ne ahɔhɔ̃a ƒe akpa siwo kpɔa ŋusẽ ɖe wò sidzenuwo dzi la, àte ŋu akpɔ alakpa seselelãme siwo nèle kpɔkpɔm alo le sesem ŋutɔŋutɔ. Le kpɔɖeŋu me, àte ŋu akpɔ akaɖi siwo le amadede vovovowo me, akpɔ nuwo woanɔ ʋuʋum, ase gbeɖiɖiwo, ase vivi kple ʋeʋẽ siwo wɔ nuku, alo ase nane le ʋuʋum le wò ŋutigbalẽ ŋu.
• Seselelãme ƒe tɔtrɔ: Ame aɖewo ate ŋu akpɔ seselelãme gbegblẽwo abe vɔvɔ̃ kple dzimaɖitsitsi ene. Ame bubuwo ate ŋu akpɔ seselelãme nyuiwo abe dzidzɔ kple dzidzɔkpɔkpɔ ene. Ame aɖewo ate ŋu ase seselelãmewo abe `déjá vu` (sese le wo ɖokui me be yewonya nuteƒekpɔkpɔ yeye aɖe nyuie) alo `jamais vu` (sese le wo ɖokui me be yewonya nuteƒekpɔkpɔ yeye aɖe nyuie).
• Dzesi siwo dzena le eɖokui si: Esiawo ate ŋu akpɔ ŋusẽ ɖe nusiwo dzi míaƒe ŋutilã kpɔa ŋusẽ ɖo le eɖokui si dzi. Le kpɔɖeŋu me, fifia, aɖuɖɔ dodo fũ, ŋutigbalẽ si le ɣie alo biã, kple dɔgbo ƒe aglãdzedze.

Nukae hea tonic-clonic seizures vɛ?

Susu geɖe ate ŋu anɔ anyi si tae wòxɔa alɔ̃dɔdɔ sia ɖo. Mina míalé ŋku ɖe vevitɔwo ŋu:

• Gbɔdzɔgbɔdzɔ le ahɔhɔ̃a ƒe ʋukawo me (`Aneurysms`).
• Dzi ƒe tsotso ƒe masɔmasɔ (`Arrhythmias`), vevietɔ ne ʋu ƒe sisi yi ahɔhɔ̃a me gblẽ.
• Ahɔhɔ̃ me dɔdzẽ (kansa kple esiwo menye kansa o).
• Oxygen ƒe anyimanɔmanɔ na ahɔhɔ̃a (`Cerebral hypoxia`).
• Nuveviwɔame siwo tso ƒoƒo sesẽ aɖe ta (ʋuʋudedi kple ahɔhɔ̃ ƒe abi si nu sẽ).
• Dɔléle siwo gbɔdzɔa ahɔhɔ̃a vivivi, e.g. Alzheimer ƒe dɔléle, ŋkume kple ŋkume ƒe tagbɔdɔ.
• Atike vɔ̃ɖiwo kple aha sesẽ (menye atikewo, modzakaɖetikewo koe esia lɔ o, ke boŋ caffeine si le kɔfi me gɔ̃ hã ɖe eme).
• Nɔnɔme siwo dzɔna le atike muamewo zazã alo ahanono dzudzɔ megbe.
• Eclampsia (nɔnɔme si me funɔwo ƒe alɔ̃madɔmadɔ le ʋusɔgbɔdɔ ta).
• Masɔmasɔ le ŋutilã ƒe dzewo me (vevietɔ sodium si mesɔ gbɔ o - `hyponatremia`, calcium si mesɔ gbɔ o, magnesium).
• Asrã, vevietɔ asrã sesẽ (nyati bubu aɖe le mía si ku ɖe asrã ƒe alɔ̃madɔmadɔ le ɖeviwo me ŋu).
• Kekeli ƒe keklẽ siwo le keklẽm, siwo le keklẽm (abe alesi wokpɔnɛ le TV, sinimawo, videofefewo me ene).
• Domenyiŋusẽfianudɔléle siwo wodzina (`Domenyiŋusẽfianu ƒe dɔlélewo`).
• Lãmetsiŋusẽ ƒe tɔtrɔ (e.g., catamenial epilepsy, nɔnɔme si me nyɔnu aɖewo ƒe alɔ̃madɔmadɔ geɖe wu le woƒe dzinukpɔkpɔ me).
• Dɔlékuiwo (vevietɔ tagbɔdɔ alo taɖuame; dɔlékuiwo, dɔlékuiwo, dɔlékuiwo, alo fungiwo ate ŋu atso esiawo gbɔ).
• Dɔlélenutsiŋutete ƒe nɔnɔme siwo dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie hena vɛ.
• Alɔ̃madɔmadɔ kple alɔ̃dɔdɔ ƒe kuxi bubuwo.
• Lãmetsiŋusẽ ƒe kuxiwo (vevietɔ sukli si sɔ gbɔ ɖe ʋu me - `suklidɔ` alo sukli si bɔbɔ ɖe ʋu me - `suklidɔ`).
• Susu ƒe lãmesẽkuxiwo (woyɔa esiawo be `susu ƒe alɔ̃madɔmadɔ`, e.g. `trɔtrɔ ƒe dɔléle`).
• Kuxi siwo le ahɔhɔ̃ ƒe wɔwɔme ŋu (vevietɔ le kuxi siwo doa mo ɖa ne ahɔhɔ̃a le tsitsim le vidzidɔa me ta).
• Sepsis (nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me si me dɔlékui aɖe kaka ɖe ŋutilã bliboa me eye dɔlélenutsiŋutete wɔa nu wògbɔa eme).
• Ʋusɔgbɔdɔ alo ʋumenugbagbeviɣidɔ si nɔa anyi ɣeyiɣi kpui aɖe (TIAs).
• Aɖiwo (e.g. carbon monoxide ƒe aɖi, ga kpekpewo ƒe aɖi).

Alɔ̃madɔmadɔ si wodo dziku na kple esi medo dziku na o

Ne ɖɔktawo kpɔe be alɔ̃madɔmadɔ le ame ŋu la, woléa ŋku ɖe eŋu hã nenye be `wodo dziku` alo `womedo dziku o`.

• Alɔ̃madɔmadɔ si doa dziku na ame: Esiawo dzɔna abe atikewɔwɔ ƒe nɔnɔme bubu ƒe dzesi ene alo le nudzɔdzɔ aɖe koŋ ƒe ŋuɖoɖo me (e.g., dzoxɔxɔ sesẽ, sukli ƒe agbɔsɔsɔ si medea ʋu me o, atikewo, atike vɔ̃ɖiwo, alo ahanono ƒe asiɖeɖe le eŋu).
• Alɔ̃madɔmadɔ si meʋãna o: Esiawo nye alɔ̃madɔmadɔ siwo medzɔna abe dɔléle si nɔa anyi ɣeyiɣi kpui aɖe alo nudzɔdzɔ aɖe koŋ ƒe dzesi ene o. Alɔ̃madɔmadɔ siwo dzɔna le ŋkeke adre megbe, abe le abixɔxɔ le ta alo ʋusɔgbɔdɔ megbe ene hã dzena le hatsotso sia me.

Ðe tonic-clonic seizures xɔa ame mea?

Ao, tonic-clonic seizures mexɔa ame o.Gake nu aɖewo, abe dɔlékui siwo hea alɔ̃dɔdɔ vɛ ene, ate ŋu axɔ ame (togbɔ be menye dɔlékuiwo katãe hea alɔ̃dɔdɔ vɛ o hã). Azɔ hã, nɔnɔme aɖewo siwo hea alɔ̃dɔdɔ vɛ la tso domenyiŋusẽfianu gbɔ (woate ŋu atso dzilawo gbɔ ayi ɖeviwo gbɔ).

Aleke wowɔa dea dzesi tonic-clonic seizure ?

Zi geɖe la, wò ɖɔkta, si nye ahɔhɔ̃ŋutinunyala, ate ŋu anɔ te ɖe dzesiawo dzi anya tonic-clonic seizure. Esi wònye be mètsia dzodzodzoe le alɔ̃madɔmadɔ sia me ta la, ɖewohĩ nusi nèse le ɖokuiwò me do ŋgɔ na alɔ̃dɔdɔa kple emegbe koe nàɖo ŋku edzi. Le nɔnɔme sia tɔgbe me la, ɖɔkta ate ŋu abia tso ame aɖe si nɔ gbɔwò si be wòaɖe nusi dzɔ la me na wò.

Ne èkpɔ be ame aɖe le alɔ̃madɔmadɔ lém, vevietɔ ne eƒe lãme sẽ, le ʋuʋum, alo le ʋuʋum la, ɖɔkta ate ŋu abia tso asiwò be nàgblɔ dzesiawo. Nusi nèkpɔ la gbɔgblɔ na wo ate ŋu akpe ɖe ŋuwò ŋutɔ le nusi gbɔ wòtso nyanya me .

Dodokpɔ ka ƒomevie wowɔna?

Dodokpɔ geɖe li woatsɔ anya nenye be tonic-clonic seizures le ŋuwò alo mexɔe o. Dodokpɔ siwo bɔ wue nye:

• Electroencephalogram (EEG): Esia dzidzea ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ.
• Ʋudodokpɔ: Esiawo dia nuwo abe lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe kuxiwo, ʋumenu siwo mesɔ o, dɔlélenutsiŋutete ƒe kuxiwo, kple aɖinuwo ene.
• Kɔmpiuta dzi tomography scan (CT scan): Eɖea ahɔhɔ̃a ƒe nɔnɔmetata siwo woɖe ɖe vovo.
• Magnetic resonance imaging (MRI): Esia hã ɖea ahɔhɔ̃a ƒe nɔnɔmetata tsitotsito.
• Spinal tap (lumbar puncture): Be woalé ŋku ɖe nuwo abe dɔlékui siwo le ahɔhɔ̃ kple aklã me ene ŋu.

Ne ɖɔktawo le dzesi dem asrãdɔ la, wodzea agbagba be yewoadi teƒe aɖe koŋ le ahɔhɔ̃a me (a `focal point`) afisi alɔ̃madɔmadɔawo dzea egɔme tsoe. Ne woate ŋu ake ɖe teƒe sia ŋu la, ekpɔa ŋusẽ gã aɖe ɖe alesi wowɔa dɔae dzi.

Tonic-clonic seizures ate ŋu ana ame ƒe susu nabu, aɖuwo natsi, eye wòate ŋu axɔ abi le nuwo ƒe ʋuʋu alo ƒoƒo me. Ne ɖɔktawo susui be abi bubuwo alo kuxi bubuwo le alɔ̃madɔmadɔa me la, woate ŋu abia be woawɔ dodokpɔ bubuwo kpe ɖe esiwo míeyɔ ɖe etame ŋu. Wò ɖɔkta ate ŋu agblɔ dodokpɔ siwo sɔ na wò nɔnɔmea kple nusita wole wo wɔm na wò.

Aleke wodaa tonic-clonic ƒe alɔ̃madɔmadɔe? Ðe woate ŋu ada esiaa?

Zi geɖe la, tonic-clonic seizures nu tsona le wo ɖokui si. Eyata atike aɖeke meli tẽ na alɔ̃madɔmadɔ esime wòle edzi yim o. Gake eto vovo ne status epilepticus (si nye alɔ̃madɔmadɔ si xɔa wu miniti 5 eye bubu kplɔe ɖo hafi esi do ŋgɔ la wu enu) le ŋuwò.

Atikewɔwɔ na alɔ̃madɔmadɔ nɔ te ɖe nusi gbɔ wòtso le gɔmedzedzea me dzi. Ne `provoked seizure` le ŋuwò la, ele be alɔ̃madɔmadɔa nadzudzɔ ne wonya da dɔ na nɔnɔme si gbɔ wòtso alo da gbe le eŋu ko. Ne womate ŋu ada nusi gbɔ wòtso o la, ɖɔktawo adze agbagba aɖe alɔ̃madɔmadɔa ƒe dzidziɖedzi kple eƒe sesẽ dzi akpɔtɔ.

Zi geɖe la, ɖɔktawo mekafui be woada alɔ̃madɔmadɔ gbãtɔ si womeʋã o elabena mɔ aɖeke meli si dzi woato anya kakaɖedzitɔe nenye be alɔ̃madɔmadɔ bubu agadzɔ o, eye ne ele nenema la, viɖe aɖeke mele edada me o.

Ðɔktawo ate ŋu anya nenye be afɔku le eme be nàgadze alɔ̃ bubu ne èlé ŋku ɖe wò atikewɔwɔ ŋutinya, EEG, CT scan, alo MRI scan ŋu.

Atike alo atikewɔwɔ ƒomevi kawoe wozãna?

Abe alesi wòle le alɔ̃madɔmadɔ ƒomevi ɖesiaɖe gome ene la, atike geɖe li na tonic-clonic alɔ̃madɔmadɔ si asrãdɔ hena vɛ. Ame aɖewo ate ŋu aɖu woƒe alɔ̃dɔdɔ dzi to atike ɖeka ko zazã me. Ame bubuwo hã ate ŋu ahiã atikewo kple atike bubuwo zazã ɖekae.

Atike siwo wozãna na tonic-clonic seizures si asrãdɔ hena vɛ dometɔ aɖewoe nye:

• Atikewo: Atike aɖewo li siwo woate ŋu ana be woatsɔ atɔ te alɔ̃madɔmadɔ; ke hã, zi geɖe la, nɔnɔme si nye status epilepticus koe wonaa esiawo. Atikekui aɖewo hã li siwo wonona gbesiagbe be woatsɔ axe mɔ ɖe alɔ̃madɔmadɔ nu alo be woaɖe edzi akpɔtɔ. Esiawoe nye atike gbãtɔ siwo wonana na alɔ̃madɔmadɔ si asrãdɔ hena vɛ.
• Amekoko: Ne atikewo mewɔ dɔ o la, ɣeaɖewoɣi la, woate ŋu awɔ amekoko atsɔ atɔ te alɔ̃madɔmadɔ to ahɔhɔ̃a ƒe akpa (si nye teƒe si alɔ̃madɔmadɔa dzea egɔme tsoe) ɖeɖeɖa me, alo to eɖeɖe ɖe aga tso ahɔhɔ̃a ƒe akpa bubuwo me. Ne alɔ̃madɔmadɔ yi edzi togbɔ be wono atike ƒomevi eve siwo tsia alɔ̃madɔmadɔ nu le agbɔsɔsɔ si wokafu me hã la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ na ame na asrãdɔ.
• Nuɖuɖu ƒe tɔtrɔ: Nuɖuɖu siwo me carb sɔ gbɔ ɖo alo esiwo me carb mele o (`ketogenic diets`) ate ŋu atɔ te alɔ̃dɔdɔ keŋkeŋ ɣeaɖewoɣi alo aɖe alɔ̃madɔmadɔ ƒe dzidziɖedzi dzi akpɔtɔ. Togbɔ be nuɖuɖu siawo dzi wɔwɔ ate ŋu asesẽ hã la, woate ŋu aɖe vi na amesiwo mewɔ nu ɖe ​​atike ŋu o alo amesiwo ƒe atikewo gblẽ nu le wo ŋu vevie. Wonye tiatia aɖe hã na amesiwo medi be woawɔ dɔ na yewo o.
• Ahɔhɔ̃ ƒe ʋuʋu: Esia bia be woatsɔ mɔ̃ sue aɖe ade ahɔhɔ̃a me eye woatsɔ elektrikŋusẽ aɖe ayi ahɔhɔ̃a me. Elektrikŋusẽ sia gblẽa elektrikŋusẽ si le alɔ̃madɔmadɔ me eye wòdzea agbagba be yeatɔ tei. Mɔnu eve li fifia, ahɔhɔ̃a ƒe ʋuʋu deto kple ahɔhɔ̃mekawo ƒe dɔwɔwɔ si wɔa dɔ.
• Vagal nerve stimulation: Míaƒe tagbɔ ƒe lãmeka ewolia, si nye vagal nerve, do ƒome kple ahɔhɔ̃a tẽ. Elektrikŋusẽ ƒe ʋuʋu le lãmeka sia ƒe miame ate ŋu aɖe alɔ̃madɔmadɔ dzi akpɔtɔ.

Ðe atikewɔwɔa ƒe nugbegblẽ le ame ŋu alo kuxi aɖewo lia?

Atike siawo ƒe nugbegblẽ le ame ŋu kple kuxi siwo dona tso eme nɔ te ɖe atikewɔwɔa, wò lãmesẽ ŋutinya kple nɔnɔme siwo me nèle, kple asrãdɔ ƒomevi si le ŋuwò dzi. Wò ɖɔkta ate ŋu agblɔ nya geɖe tso esia ŋu na wò. Ate ŋu agblɔ nu siwo ŋu nànɔ ŋudzɔ ɖo kple ale si nàɖe woƒe ŋusẽkpɔɖeamedziwo dzi akpɔtɔ hã na wò.

Aleke malé be na ɖokuinye ahakpɔ nye dzesiwo gbɔe?

Mègada alɔ̃dɔdɔ le ɖokuiwò si gbeɖe o, kple susu be alɔ̃madɔmadɔ koe wònye. Zi geɖe la, alɔ̃madɔmadɔ ate ŋu anye nɔnɔme sesẽ aɖe si gblẽa nu le ahɔhɔ̃a ŋu ƒe dzesi. Esi wònye be tonic-clonic seizures nana ame ƒe susu meganɔa nu ŋu o ta la, ɖewohĩ mànya nusi dzɔ le alɔ̃dɔdɔa me o.

Ne wò alo ame aɖe si te ɖe ŋuwò la xɔ alɔ̃dɔdɔ zi gbãtɔ la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ. Ðɔkta bibi ate ŋu alé ŋku ɖe alɔ̃madɔmadɔa ƒe dzesiwo kple nusiwo ate ŋu atsoe ŋu.

Ke ne alɔ̃madɔmadɔ aɖe dze ame aɖe dzi esime mele afima ya ɖe?

Ne ame aɖe ƒe lãme gbã esime nèle afima la, kpekpeɖeŋunadɔ gbãtɔ aɖewo li siwo nàte ŋu awɔ. Nu siwo wòle be woawɔ kple esiwo mele be woawɔ o dometɔ aɖewoe nye esi:

Nusiwo Nàwɔ (Dos):

• Kpɔe ɖa be ate ŋu agbɔ ya hã. Ðe awu si le eƒe kɔ ŋu la ɖa.
• Ðe nu ɖesiaɖe si me afɔku le ɖa le eŋu. Ðe nusiwo ate ŋu agbã alo nusianu si ate ŋu adze edzi la ɖa. Ne edo ŋkumeɖobolo la, ɖe wo ɖa nyuie eye nàda wo ɖe vovo.
• Trɔe ɖe eƒe axadzi (xɔname ƒe nɔnɔme). Nɔnɔme sia nana gbɔgbɔ nɔa bɔbɔe eye wòxea mɔ na aɖuɖɔ alo ʋuʋudedi be wòagage ɖe yaƒoƒomɔ̃a me o .
• Dze agbagba nàŋlɔ ɣeyiɣi didi si alɔ̃madɔmadɔa xɔ la ɖi alesi nàte ŋui. Nyatakaka sia ate ŋu anɔ vevie ŋutɔ na ɖɔkta. Ate ŋu akpe ɖe ame ŋu hã be woanya nenye be atikewɔwɔ ƒe kpekpeɖeŋu kpata hiã.
• Nɔ amea gbɔ ne alɔ̃madɔmadɔa wu enu kple vaseɖe esime eƒe susu gaɖo eŋu. Ame si ŋu alɔ̃dɔdɔ le la ate ŋu atɔtɔ eye vɔvɔ̃ naɖo ye ne yeƒe susu gaɖo eŋu. Fa akɔ na wo eye nàde dzi ƒo na wo.
• Ne eƒe susu gaɖo eŋu vɔ la, lé ŋku ɖe eŋu be eƒe lãme sẽ hã. Kpɔe ɖa be abi aɖe le eŋu le alɔ̃madɔmadɔa ta hã eye ne ehiã be woakpɔ egbɔ hã. Ne eƒo ta, alo ne èsusu be ɖewohĩ abi aɖe le eƒe kɔ alo akɔta la, anyo wu be nàyi atikewɔƒe. Emegbe míate ŋu alé ŋku ɖe abi gã aɖeke si míate ŋu akpɔ o ŋu.
• Ne status epilepticus le ŋuwò la, yɔ kpekpeɖeŋu. Ne alɔ̃madɔmadɔa xɔ wu miniti atɔ̃, alo ne bubu gadzɔ hafi gbãtɔa wu enu la, ƒo ka na 1990 (Sri Lanka ƒe dɔnɔdzikpɔƒe si kpɔa dɔnɔwo gbɔ kpata) enumake. Esia de ame ƒe agbe afɔku me!

Mègawɔe o:

• Mègadze agbagba be yealée ɖe anyi alo ana wòaʋuʋu o. Wò alo ame kemɛa ate ŋu axɔ abi.
• Mègatsɔ naneke de nu me o. Nyakpakpa geɖe li ku ɖe alɔ̃madɔmadɔ ŋu. Ðekae nye be ele be nàtsɔ nane abe gavi alo alidziblanu ene ade nu me be màgaɖu wò aɖe o. Taflatse mègawɔe nenema o.Menyo be woatsɔ nane ade ame aɖe si le alɔ̃madɔmadɔ lém la ƒe nu me o. Àte ŋu awɔ nuvevi ɖokuiwò alo ame kemɛa.
• Mega tsi dzi o. Nɔ anyi kpoo. Ne ame siwo dome nèle la tsi dzimaɖi la, dze agbagba nàfa akɔ na woawo hã.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Ɣeyiɣi si woatsɔ ahaya la nɔ te ɖe atike si wowɔ kple nusi na wòxɔ alɔ̃madɔmadɔa dzi. Wò ɖɔkta ate ŋu agblɔ nya geɖe tso esia ŋu na wò, ɣeyiɣi didi si wòaxɔ, kple ɣeyiɣi si nàse le ɖokuiwò me be yeƒe lãme asẽ.

Aleke mawɔ aɖe esia ƒe afɔkua dzi akpɔtɔ? Ðe woate ŋu axe mɔ ɖe alɔ̃madɔmadɔ nua?

Esi wònye be ame sia ame ate ŋu axɔ alɔ̃dɔdɔ le nɔnɔme nyuitɔ me ta la, manya wɔ be woaxe mɔ ɖe alɔ̃madɔmadɔ nu keŋkeŋ o. Ke hã, ame aɖewo te ŋu xɔa alɔ̃dɔdɔ wu. Eyata nanewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ.

Nu nyuitɔ kekeake siwo nàte ŋu awɔ atsɔ aɖe afɔku si le wò alɔ̃dɔdɔ me dzi akpɔtɔe nye:

• Ðu nuɖuɖu si da sɔ eye nàlé wò lolo si naa lãmesẽ me ɖe asi. Esia ateŋu akpeɖeŋu be woaxe mɔ ɖe ʋu ƒe sisi ƒe dɔlélewo (e.g. ʋusɔgbɔdɔ) kple elektrikŋusẽ ƒe masɔmasɔ nu.
• Mègaŋe aɖaba ƒu dɔlékuiwo dzi o. Dɔlékuiwo dada ate ŋu aɖe alɔ̃dɔdɔ ƒe afɔkua dzi akpɔtɔ, eɖanye dɔlékui aɖe alo asrã sesẽ si do ƒome kplii gbɔe wòtso o.
• Do dedienɔnɔ ƒe dɔwɔnuwo. Gakukuwo kple zikpuimekawo ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe alɔ̃madɔmadɔ si ta abixɔxɔ hena vɛ nu.
• Mègazã aha sesẽ, atikewo, alo atike vɔ̃ɖiwo ɖe mɔ gbegblẽ nu o. Esiawo zazã alo wo dzudzɔ ate ŋu ana ame naxɔ alɔ̃. Ne aha alo atike muamewo zazã zu numame na wò la, wò ƒomea ƒe ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ teƒewo kple dɔ tɔxɛ siwo ate ŋu akpe ɖe ŋuwò nàɖe wo ɖa.
• Dzra wò lãmesẽnyawo ɖo. Dɔléle siwo nɔa anyi didi alo nɔnɔme bubu siwo do ƒome kple alɔ̃madɔmadɔ ate ŋu ahe alɔ̃dɔdɔ vɛ tẽ. Le kpɔɖeŋu me, ne suklidɔ le ŋuwò (suklidɔ Ƒomevi 1 alo suklidɔ Ƒomevi 2) la, kpɔ wò ʋumesukli ƒe agbɔsɔsɔ dzi.
• Ƒo asa na nusiwo ate ŋu ahe alɔ̃dɔdɔ vɛ. Ele be amesiwo xɔ alɔ̃dɔdɔ va yi le nuwo abe akaɖi siwo le keklẽm ene ta naƒo asa na nu mawo alesi woate ŋui.

Ne tonic-clonic seizures ɖeka alo esi wu nenema dze dzinye kpɔ la, nukae wòle be makpɔ mɔ na?

Ame siwo ƒe alɔ̃madɔmadɔ si womedo dziku na o la dometɔ siwo ade afã agaxɔ bubu. Ame siwo xɔ alɔ̃madɔmadɔ zi evelia la dometɔ siwo ade 75% axɔ geɖe wu. Esia tae ɖɔktawo kpɔe be alɔ̃madɔmadɔ evelia si womeʋã o la nye asrãdɔ eye wodzea edada gɔme.

Le amesiwo dze atikewo zazã gɔme gome la, ate ŋu ahiã be woate atike geɖe, alo atike siwo wotsɔ ƒo ƒui kpɔ tsɔ wu be woate ɖeka ko kpɔ. Ne atikewo mekpena ɖe ame ŋu o hã la, atikewɔmɔnu bubuwo li siwo ate ŋu akpe ɖe ame ŋu wòaɖe alɔ̃madɔmadɔ kple eƒe sesẽ dzi akpɔtɔ.

Ɣeyiɣi didi kae nɔnɔme sia anɔ anyi?

Nenye be alɔ̃madɔmadɔ siwo `do dziku` adzudzɔ alo madzudzɔ o la nɔ te ɖe ne woate ŋu ada dɔléle alo kuxi si gbɔ wòtso la dzi. Le ame akpa gãtɔ gome la, ne kuxi si gbɔ wòtso la nu yi ko la, alɔ̃madɔmadɔa magadzɔ ake o, negbe ɖe wògatrɔ gbɔ hafi.

Aɖuɖɔtoedɔ nye dɔléle si le ame ƒe agbemeŋkekewo katã me elabena womate ŋu adae o. Gake le go aɖewo me la, woate ŋu ada nusi gbɔ alɔ̃madɔmadɔa tso. Ne wowɔe nenema, eye nète ŋu nɔa alɔ̃madɔmadɔ me la, wogblɔna be wò nɔnɔmea "le tsɔtsɔke me."

Nukae nye mɔkpɔkpɔ na tonic-clonic seizures?

Le tonic-clonic seizures siwo doa dziku na ame gome la, ŋgɔdonya nɔ te ɖe nɔnɔme si gbɔ wòtso dzi. Ne woate ŋu ada dɔlélea, eye nèxɔ atike kaba la, zi geɖe la, ŋgɔdonya la nyona. Wò ɖɔkta ate ŋu agblɔ nusi wogblɔ ɖi na wò nɔnɔmea kple nusi nàte ŋu awɔ na wò nyuie wu.

Togbɔ be woate ŋu ada alɔ̃madɔmadɔ siwo doa dziku na ame siwo dzɔna kple atikewɔwɔ me nɔnɔme siwo nɔa anyi ɖaa alo esiwo nu sẽ (e.g., kansa, ahɔhɔ̃ ƒe gbegblẽ tegbee) ɣeaɖewoɣi hã la, zi geɖe la, nyagblɔɖia menyona o le nusi gbɔ wòtso ta. Alɔ̃madɔmadɔ si domenyiŋusẽfianu kple dzidzi me nɔnɔmewo hena vɛ hã ƒe ŋgɔdonya medea ame dzi o.

Mɔkpɔkpɔ na alɔ̃madɔmadɔ si womeʋã o nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye nɔnɔme si gbɔ wòtso, alɔ̃madɔmadɔa ƒe sesẽme, zi nenie wòdzɔna, kple ne atikewɔwɔ le kpekpem ɖe ame ŋu.

Ku kpata si womele mɔ kpɔm na o le asrãdɔ (SUDEP) me .

SUDEP nye dɔléle si mebɔ o si ate ŋu adze amesiame si ŋu asrãdɔ le dzi, gake medzɔna ne wodae boo o. Ame ɖeka le 150 ɖesiaɖe si ŋu asrãdɔ si womeda o le la le afɔku me be wòaxɔ SUDEP, gake ame ɖeka le 1,000 ɖesiaɖe si ŋu asrãdɔ si womeda atike na o le afɔku me.

Eŋutinunyalawo menya nusita tututu SUDEP dzɔna haɖe o. Numeɖeɖe nyuitɔ kekeake fifia enye be dzi alo gbɔgbɔtsixe ƒe kuxi siwo ate ŋu adzɔ kpe ɖe alɔ̃madɔmadɔ ŋu gbɔe wòtso.

Aleke malé be na ɖokuinye?

Ne tonic-clonic seizure dze dziwò zi ɖeka la, anyo be nànya nusi nàwɔ ne bubu dze ŋuwò. Ne alɔ̃madɔmadɔ bubu aɖe gadze ŋuwò alo ne atikewɔwɔ me dɔléle aɖe le ŋuwò si ate ŋu ana nàxɔ alɔ̃ la, yi ɖɔkta gbɔ kaba ale si nàte ŋui.

Ne wò ɖɔkta kpɔe be asrãdɔ le ŋuwò la, nu geɖe li nàte ŋu awɔ atsɔ akpe ɖe ŋuwò nàkpɔ dɔlélea gbɔ:

• No wò atikeawo abe alesi woŋlɔe na wò ene. Ele vevie be nàyi wò atikeawo nono dzi, ne wò lãme sẽ gɔ̃ hã. Ne èƒo nu kple wò ɖɔkta vɔ eye ne egblɔ na wò vɔ ko hafi wòle be nàdzudzɔ wò atikewo nono.
• Ðo dze kple wò ɖɔkta tso tiatia siwo nàte ŋu awɔ ŋu. Ne èdi be yeaɖe yeƒe atikewo dzi akpɔtɔ alo atrɔ ɖe atike bubu ŋu la, ƒo nu kple wò ɖɔkta. Ate ŋu afia mɔ wò le alesi nàwɔ esia dedie kple tiatia siwo li ŋu.
• Kpɔ ɖɔkta abe alesi woɖoe ene.Ɣeyiɣi siawo le vevie ŋutɔ be nàkpɔ wò nɔnɔmea gbɔ, alé ŋku ɖe eŋu, ahakpɔe ɖa be wò atikewo kple atikewɔwɔwo le dɔ wɔm nyuie hã.
• Mègaŋe aɖaba ƒu dzesiawo dzi o. Ne wokpɔe dze sii kaba eye wodae la, ate ŋu ana tɔtrɔ gã aɖe nava le alɔ̃madɔmadɔ kple asrãdɔ dada me.

Ɣekaɣie wòle be mayi xɔ si me wowɔa dɔ kpata le?

Ne nudzɔdzɔ aɖe dzɔ si me wò susu megale dɔ wɔm o eye mènya nusitae o la, ele be nàyi xɔ si me wowɔa dɔ kpata le. Ame geɖe ƒoa xlã wo ne woxɔ alɔ̃madɔmadɔ zi gbãtɔ, gake menye amesiamee ƒoa xlã wo o. Ne wò ɖeka koe li eye nèsusu be yeƒe alɔ̃dɔdɔ zi gbãtɔ le ye ŋu la, ele be nàyi ɖɔkta gbɔ enumake.

Ne amesi ŋu alɔ̃madɔmadɔ le nya be asrãdɔ le ye ŋu la, zi geɖe la, mehiã be woayɔ dɔnɔdzikpɔʋu o. Gake ne alɔ̃madɔmadɔa na woxɔ abi la, ate ŋu ahiã be woakpɔ wo gbɔ le atikewɔƒe.

Ɣekaɣie wòle be mabia kpekpeɖeŋu?

Ne alɔ̃madɔmadɔ dze ame aɖe dzi esime nèle afima la, ɖo ŋku nusiawo dzi:

• Ne esiae nye eƒe alɔ̃dɔdɔ zi gbãtɔ la, ke di kpekpeɖeŋu. Ele be ɖɔkta nada amesiame si ŋu alɔ̃dɔdɔ zi gbãtɔ, eɖanye esi wosusu alo woɖo kpe edzi o, akpɔ. Zi geɖe la, alɔ̃madɔmadɔ nyea lãmesẽkuxi sesẽ aɖe ƒe dzesi.
• Ne status epilepticus le ŋuwò la, di kpekpeɖeŋu. Ne alɔ̃madɔmadɔa xɔ wu miniti atɔ̃, alo ne bubu gadzɔ hafi gbãtɔa wu enu la, ƒo ka na 1990 (Sri Lanka ƒe dɔnɔdzikpɔƒe si kpɔa dɔnɔwo gbɔ kpata) enumake. Esia de ame ƒe agbe afɔku me! Ne mègakpɔ ŋudzedze ɖe ŋuwò o alo nèwɔ nu nyuie wu miniti 10-15 le alɔ̃madɔmadɔa nu tsotso vɔ megbe la, ele be nàdi kpekpeɖeŋu kpata. Esia ate ŋu anye dzesi be alɔ̃madɔmadɔa gakpɔtɔ le ahɔhɔ̃a me, togbɔ be ɖewohĩ mèle ʋuʋum o hã.

Ne asrãdɔ le ŋunye la, ɖe wòle dedie be mafɔ fu esime mele atikewo nom?

Zi geɖe la, nyɔnu siwo ŋu asrãdɔ le ate ŋu adzi vi. Gake atike geɖe siwo wozãna tsɔ daa asrãdɔ la mele dedie be woano le fufɔɣi o, elabena woate ŋu ado kplamatse vidzĩa ƒe tsitsi le vidzidɔa me.

Dzɔgbenyuietɔe la, atike bubuwo li siwo woate ŋu azã hena ɣeyiɣi aɖe le fufɔɣi, alo le ɣeyiɣi aɖe me le fufɔɣi. Ame nyuitɔ si nàƒo nu tso esia ŋu nae nye wò ɖɔkta. Ate ŋu ana mɔfiame wò tẽ alo aɖo wò ɖe eŋutinunyala bibi aɖe gbɔ.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Tonic-clonic seizures nye alɔ̃madɔmadɔ ƒomevi aɖe si woate ŋu ade dzesii bɔbɔe eye zi geɖe la, edoa vɔvɔ̃ na ame. Enye nusi sɔ be vɔvɔ̃ naɖo wò ne èkpɔ wo alo ne wole asiwò. Ke hã, zi geɖe la, wotɔna le wo ɖokui si le aɖabaƒoƒo ʋɛ aɖewo ko me. Togbɔ be woate ŋu adzɔ le susu geɖe ta hã la, zi geɖe la, alɔ̃madɔmadɔ siawo nu yina, vevietɔ ne woda dɔléle si gbɔ wòtso. Ne alɔ̃madɔmadɔ siawo dzɔ kple asrãdɔ la, mɔ geɖe li siwo dzi woato ada wo. Ne wowɔ atike nyuie la, ame geɖe siwo ŋu alɔ̃madɔmadɔ siawo le – amesiwo ŋu asrãdɔ le gɔ̃ hã – ate ŋu anɔ agbe si me dzidzɔ le, akpɔ dzidzedze, eye dzidzeme le.

Eyata ne kuxi aɖe le wò alo ame aɖe si nènya ŋu le nane si le abe esia ene ŋu la, mègavɔ̃ be yeadi atikewɔlawo ƒe aɖaŋuɖoɖo o. Atikewɔwɔ kabakaba ate ŋu atrɔ nu geɖe wòanyo.

` Tonic-clonic seizures, grand mal seizures, asrã, alɔ̃madɔmadɔ ƒe dzesiwo, kpekpeɖeŋu gbãtɔ na alɔ̃madɔmadɔ, status epilepticus, nusiwo gbɔ alɔ̃madɔmadɔ tsona