Ua hāʻule koke anei ʻoe a i ʻole kāu keiki i ka ʻike ʻole? E kamaʻilio kākou e pili ana i kēlā (Atonic Seizure).

Ua ʻike anei ʻoe, a i ʻole ua hiki mai paha iā ʻoe, ua nalowale koke ka ikaika o ke kanaka a hāʻule i ka honua me ke kumu ʻole? Hāʻule kekahi mea ma kou lima i ka honua, pani kou mau maka... He mea weliweli iki kēia. I kekahi manawa, pehea ka makaʻu o nā mākua ke ʻike lākou i kahi keiki liʻiliʻi e pāʻani ana a hāʻule koke i ka honua me he mea lā ua make? I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano maʻi. ʻO ia ke ʻano o ka hopu ʻana i kapa ʻia (Atonic Seizure) . Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.

He aha kēia (ʻeha hoʻāʻo ʻana)?

I ka ʻōlelo maʻalahi, ʻo ka hopu ʻana o ka atonic ka nalowale koke ʻana o ka hana uila i loko o ka lolo , e hoʻolilo ana i nā mākala i loko o ko mākou kino i ka mana, a i ʻole ke kani o nā mākala .

E noʻonoʻo i kahi puppet e kau ana ma nā kaula. Noho pololei ka puppet a hiki i ko mākou huki ʻana i nā kaula, ʻeā? He aha ka mea e hana ai ke wehe mākou i nā kaula? Kūlou ke ola o ka puppet, a hāʻule i lalo. Pēlā nō kēia. Ke loaʻa kahi (Atonic Seizure), me he mea lā ua hemo nā kaula o ka puppet, a nalowale ko mākou mau ʻiʻo i ko lākou ikaika, a ʻaʻole hiki iā mākou ke kū i luna. ʻO ia ke kumu e hāʻule koke ai mākou i ka honua.

Akā, he manawa pōkole kēia. Ke pau ka hopu ʻana, e loaʻa hou i kou mau ʻiʻo ke kaohi, a hiki iā ʻoe ke kū a hele maʻamau. I kekahi manawa kapa nā kauka i kēia mau hopu akinetic , a i ʻole ' drop seizures ' a i ʻole 'drop attacks' , no ka mea, ke kumu ia e hāʻule koke ai ʻoe i ka honua.

Inā hoʻomau ʻoe i ka loaʻa ʻana o nā hoʻouka ʻana o ka atonic, e haʻi aku kāu kauka iā ʻoe i nā mea e pono ai ʻoe e hana e pale iā ʻoe iho.

He aha nā hōʻailona o kēia?

ʻO nā hōʻailona nui o ka hopu ʻana o ka atonic ʻo ia ka nalowale koke ʻana o:

• Hiki paha iā ʻoe ke nalowale ke ʻano o nā ʻiʻo ma kekahi ʻāpana o kou kino (no ka laʻana, hiki i kou poʻo ke kūlou), a i ʻole kou kino holoʻokoʻa. ʻO ke ʻano kēia, e lilo koke kou mau ʻiʻo i palupalu a palupalu . Me he mea lā ua make ʻoe.
• I kekahi manawa, hiki ke nalowale ka ʻike . ʻO ia hoʻi, ua nalowale ka ʻike i nā mea e hana nei a puni ʻoe a me kou wahi e puni ana no kekahi manawa.

Akā ʻo ka mea nui loa, ma hope o ka pau ʻana o ka (atonic seizure), e hoʻi hou kou mau ʻiʻo i ko lākou ikaika.

He mea weliweli anei (Atonic Seizures)?

ʻO ka ʻoiaʻiʻo, kiʻekiʻe loa ka pilikia o ka hōʻeha ʻana me nā hopu ʻana o ka atonic . E noʻonoʻo, he aha ka mea e hana ʻia inā ʻoe e hana ana i kekahi mea, e pāʻani ana paha me kahi keiki, a nalowale koke ke kaohi o kou kino? Hiki iā ʻoe ke hāʻule, hiki i kahi mea āu e paʻa nei ke hāʻule, hiki i kou mau maka ke pani. ʻOiai ke hana nei ʻoe i kahi mea āu i manaʻo ai he palekana loa, eia kekahi mau mea e hiki ke hana inā nalowale koke ke kaohi o kou mau ʻiʻo:

• Nā ʻoki a me nā ʻokiʻoki
• Nā palapū
• Nā iwi haki
• I kekahi mau hihia koʻikoʻi , hiki ke loaʻa nā ʻeha poʻo koʻikoʻi (ʻeha lolo traumatic) .

E noʻonoʻo inā hiki kēia iā ʻoe i kou hele ʻana ma ke alanui, a i ʻole ʻoe e kuke ana, a i ʻole ʻoe e noho ana ma luna o kahi noho, a i ʻole ʻoiai ke piʻi nei kahi keiki ma luna o kahi mea pāʻani? He hiki nō ke ʻeha, ʻeā? No laila, pono ka poʻe me kēia maʻi e makaʻala loa.

Eia kekahi, he mea weliweli loa ia inā loaʻa iā ʻoe kahi maʻi ʻōʻō e like me kēia i ka wā e hana ana i kahi hana e pono ai kou nānā piha, e like me ka hoʻokele kaʻa ʻana a i ʻole ka hoʻohana ʻana i nā mīkini kaumaha . No ka mea, inā nalowale kou nānā no kekahi mau kekona, hiki iā ia ke loaʻa nā hopena e hoʻoweliweli ai i ke ola.

ʻEhia ka lōʻihi o ka hoʻomaka ʻana o kahi maʻi hoʻomaʻi atonic?

ʻO ka maʻamau , he manawa pōkole loa ka loaʻa ʻana o kahi hopu ʻana o ka atonic, ma kahi o 15 kekona . Hiki ke emi iki aku. Ma hope o ka pau ʻana o ka hopu ʻana, hiki paha iā ʻoe ke huikau iki, e like me, "He aha ka mea i hana iaʻu?" Akā ʻo ka hapa nui o ka manawa, hoʻōla koke ʻoe a hiki ke hoʻi i kāu mea e hana nei.

Akā i kekahi manawa, hiki i kēia mau hopu ʻana ke hana ʻia ma kahi moʻo, kekahi ma hope o kekahi. Inā loaʻa iā ʻoe kahi hui o kēia mau hopu ʻana, hiki iā ʻoe ke manaʻo ua lolo ʻoe a ʻaʻole hiki ke neʻe no kekahi mau minuke a i kekahi mau hola. Inā loaʻa iā ʻoe nā hopu ʻana e mau ana ma mua o 15 mau minuke, ua manaʻo ʻia he pilikia olakino . Inā hana ʻia kēia, pono ʻoe e hele koke i ka haukapila.

He aha ka mea e hana ma hope o kahi (Atonic Seizure)?

E like me ka mea i ʻōlelo ʻia ma mua, hoʻi hou kou ikaika o nā ʻiʻo ke pau ka hopu ʻana o ka atonic. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i kahi maʻi lolo no ka manawa pōkole , kahi hiki ʻole iā lākou ke hoʻoneʻe i ko lākou kino no kekahi mau kekona ma hope o ka pau ʻana o ka hopu ʻana.

E huikau iki paha ʻoe i ka mea i hana ʻia. ʻO kēia no ka mea ʻaʻole paha ʻoe i ke kūlana like āu i noho ai ma mua o ka hopu ʻana. Eia kekahi laʻana, inā ʻoe e kū ana, e moe ana paha ʻoe ma ka honua ke hoʻi hou ʻoe i ka ʻike. Inā loaʻa iā ʻoe kahi ʻeha, pono paha ʻoe e hoʻomaha no kekahi manawa.

Akā, ʻo ka mea kupaianaha, ʻo ka hapa nui o nā keiki ʻōpio , ke ʻole lākou i ʻeha, ʻaʻole lākou e manaʻo nui ma hope o kahi hopu ʻana o ka atonic. I ka wā e loaʻa hou ai ka ikaika o ko lākou mau ʻiʻo, hiki iā lākou ke hoʻi hou i nā hana a i ʻole nā ​​hana a lākou e hana nei ma mua o ka hopu ʻana.

No ke aha e hana ʻia ai kēia (Atonic Seizure)?

ʻO kēia no ka mea aia kahi piʻi koke o ka hana uila ma nā wahi o ko kākou lolo e kaohi ana i ke kani o nā ʻiʻo - no ka laʻana , ka lobe mua a me ka brainstem. Ua like ia me kahi kaapuni pōkole liʻiliʻi. Akā he paʻakikī pinepine ke kuhikuhi i ke kumu pololei o kēia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia mau mea? (Nā kumu pilikia)

Aia paha ʻoe i ka pilikia nui o ka hoʻomohala ʻana i nā hoʻouka kaua atonic inā ʻoe:

• Inā ʻoe ma lalo o 18 mau makahiki (hoʻomaka pinepine kēia i ka wā kamaliʻi).
• Inā ua loaʻa iā ʻoe nā ʻōʻō i kou wā kamaliʻi, ʻo ia hoʻi, i ka wā kamaliʻi (moʻolelo o nā ʻōʻō pēpē) .
• Inā loaʻa iā ʻoe kekahi maʻi olakino ʻē aʻe, e like me ka Lennox-Gastaut syndrome a i ʻole Dravet syndrome .

Hiki i kekahi mau maʻi ʻūlū atonic ke hoʻomau a hiki i ka wā makua, akā he mea kakaikahi ka ʻike hou ʻia ʻana o kahi pākeke me kēia maʻi.

Pehea e ʻike ai ke kauka i kahi hopu ʻana o ka atonic? (Diagnosis)

E ʻike ke kauka i nā hopu ʻana o ka maʻi atonic ma ka hana ʻana i kahi hoʻokolokolo kino , kahi hoʻokolokolo neurological , a me nā hoʻokolohua ʻē aʻe. I loko o kēia mau hoʻokolohua, e hoʻolohe pono ke kauka i kāu mau hōʻailona hopu.

He mea nui loa ka loaʻa ʻana o kekahi mea i ʻike maka i kou hopu ʻana - he lālā o ka ʻohana a he hoaaloha paha - me ʻoe i kou hele ʻana i ke kauka. Inā ʻaʻole hiki iā ʻoe, he manaʻo maikaʻi nō hoʻi e kākau lākou i kā lākou mea i ʻike ai. E kōkua kēia i ke kauka e hoʻomaopopo i ka mea i hana ʻia. I kekahi manawa, inā hiki iā ʻoe ke hoʻopaʻa wikiō i ka hopu ʻana me kāu kelepona, hiki ke kōkua nui ia.

Hiki i nā hoʻokolohua kūikawā ke kōkua i kāu kauka e hōʻoia i ke kumu o kou mau hopu ʻana, a i ʻole e kāpae i nā kūlana ʻē aʻe e hiki ai ke hoʻonāwaliwali koke i nā ʻiʻo a me ka nalowale o ka ʻike. Hiki ke hana ʻia nā hoʻokolohua e like me kēia:

• Nā hoʻāʻo koko
• Hoʻāʻo Electroencephalogram (EEG) - Nānā kēia i nā ʻano uila o ka lolo e ʻike inā he mau loli e pili ana i nā hopu ʻana.
• ʻO ke kiʻi Magnetic Resonance Imaging (MRI) - e ʻike inā he pilikia me ke ʻano o ka lolo.
• ʻO ke kiʻi ʻana o ka Positron Emission Tomography (PET) - e nānā i ka hana o ka lolo.

Inā loaʻa iā ʻoe kahi ʻeha i ka manawa o kou hopu ʻana, pono paha kāu kauka e hana i nā hoʻokolohua hou aʻe, e like me ka X-ray e ʻike ai inā ua haki kahi iwi, no ka laʻana.

He aha ka lāʻau lapaʻau no kēia?

Hiki i ke kauka ke kuhikuhi i nā lāʻau antiseizure e like me kēia e mālama ai i nā hopu ʻana o ka atonic:

• ʻO nā Benzodiazepines (e like me clonazepam a i ʻole clobazam)
• (Felbamate)
• (Levetiracetam)
• (Topiramate)
• (Waika Valproic) (valproate)
• (Zonisamide)

Hoʻoholo ʻia kēia mau lāʻau lapaʻau e kāu kauka, ma muli o kou kūlana. Inā loaʻa iā ʻoe kahi ʻeha i ka wā o ka hopu ʻana, e mālama koke kāu kauka i kēlā .

Inā ʻaʻole hana kēia mau lāʻau hoʻopaʻa, a inā he mau hoʻopaʻa mau kou e hōʻeha nui ai, e noʻonoʻo paha kāu kauka i nā lāʻau ʻē aʻe. ʻO kēia mau mea:

• ʻO ke ʻoki kino - no ka laʻana, kahi hana i kapa ʻia ʻo corpus callosotomy . Hoʻemi kēia i ke kahe o nā hōʻailona uila i makemake ʻole ʻia ma waena o nā hemispheres ʻelua o ka lolo.
• Hoʻoulu ʻana i ke aʻalolo vagus - Hoʻokomo ʻia kahi mea liʻiliʻi e hoʻoulu ai i ke aʻalolo ma lalo o ka ʻili o ka umauma. Kōkua kēia i ka hōʻemi ʻana i nā hopu ʻana.
• Ke komo ʻana i ke poʻo pale - e hōʻemi i nā ʻeha poʻo i ka wā e hāʻule ai. He mea nui loa kēia no nā keiki e hāʻule pinepine ana.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hahai i kahi papaʻai kūikawā, e like me ka papaʻai momona kiʻekiʻe, haʻahaʻa-carb i kapa ʻia ʻo ka papaʻai ketogenic . Ua ʻike ʻia hoʻi kēia e kōkua i ka kaohi ʻana i nā hopu ʻana.

He aha ka manaʻo no kēia kūlana? (Manaʻo)

Hiki i kāu kauka ke haʻi maikaʻi loa iā ʻoe e pili ana i kou ʻano, no ka mea, he ʻokoʻa ia mai kēlā kanaka a kēia kanaka . Hiki i nā lāʻau lapaʻau anti-seizure a me nā lāʻau lapaʻau ʻē aʻe ke kōkua i ka hōʻemi ʻana i ke alapine o kāu mau hopu ʻana. Eia nō naʻe, hiki i nā ʻeha i loaʻa i ka wā o ka hāʻule ʻana o ka hopu ke hoʻopilikia i kou ʻano. Hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo no nā ala e pale aku ai i nā ʻeha i ka wā o ka hopu ʻana.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe e loaʻa ana iā ʻoe nā hopu ʻana o ka atonic, a inā paha e ʻeha pinepine ana ʻoe , e ʻike pono i ke kauka. A laila hiki i kāu kauka ke hoʻololi i kāu hoʻolālā lapaʻau e kūpono iā ʻoe a pale iā ʻoe.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

I kēia hihia, pono ʻoe e hele i kahi lumi pilikia (ER) a kāhea paha i nā lawelawe pilikia:

• Inā loaʻa iā ʻoe kahi ʻōhū no ka manawa mua i kou ola .
• Inā ʻeha nui ʻoe i ka wā o ka hopu ʻana (e laʻa me ka iwi haki, ka hahau ikaika i ke poʻo).
• Inā loaʻa iā ʻoe nā hopu he nui i ka lālani (ʻo ia hoʻi, ʻoi aku ma mua o ʻekolu mau hopu i loko o 30 mau minuke, a i ʻole inā ukali ʻia kekahi hopu e kekahi ma hope koke iho).

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā loaʻa iā ʻoe (Atonic Seizures), he mea maikaʻi ke nīnau i kāu kauka i nā nīnau e like me kēia:

• He aha ke ʻano o ka lāʻau lapaʻau a ke kauka e ʻōlelo mai ai noʻu?
• Aia kekahi mau hopena ʻaoʻao i kēia lāʻau lapaʻau? Inā pēlā, he aha ia mau mea?
• NaʻuHiki iaʻu ke hoʻokele? A i ʻole he aha nā hana palekana e pono ai iaʻu e hana?
• He aha nā hana e hiki iaʻu ke hana me ka palekana? He aha nā mea e pono iaʻu e pale aku?

He aha ka ʻokoʻa ma waena o nā kuʻi atonic a me nā kuʻi tonic?

He mea kēia a ka poʻe he nui e nīnau ai. ʻO ka ʻokoʻa nui ma waena o nā hopu atonic a me nā hopu tonic ʻo ia ka mea e hana ʻia i kou mau ʻiʻo ke loaʻa kahi haunaele koke i ka hana uila o ka lolo:

• (Atonic) Nā ʻūlū: Lilo kou mau ʻiʻo i nāwaliwali a make. Hāʻule lākou e like me kahi ʻāpana lole.
• (Tonic) Hoʻopaʻa: Lilo kou mau ʻiʻo i ʻoʻoleʻa, e like me ka pōhaku. Lilo kou kino i ʻoʻoleʻa a hāʻule paha ʻoe i ka honua e like me ka papa lāʻau.

I loko o kahi hopu ʻana o ka maʻi ʻaʻohe ona ʻike (atonic seizure), hiki iā ʻoe ke hāʻule koke i ka honua me he mea lā ua make ʻoe, a i ʻole e hāʻule paha ʻoe mai ke kūlana kū. I loko o kahi hopu ʻaʻohe ona ʻike (tonic seizure), hiki iā ʻoe ke hāʻule pololei i ka honua e like me kahi lāʻau i kua ʻia. I loko o nā hopu ʻaʻohe ona ʻike (atonic seizure), ʻaʻole pinepine nā hoʻopūʻiwa , akā hiki iā ʻoe ke nalowale ka ʻike.

ʻO nā mea a mākou i kamaʻilio ai i hoʻokahi hanu (Leka Lawe-Home)

(Atonic Seizure) Ke nalowale koke kou ʻike a hāʻule i ka honua me ka ʻole o ke kaohi ʻana i kou kino, he ʻike weliweli maoli ia nou a me kou ʻohana. ʻAʻole paha ʻoe e loaʻa ka manawa e hopu ai iā ʻoe iho ke hāʻule ʻoe, a hiki paha iā ʻoe ke ʻeha i nā ʻeha ʻeha. Hiki i kēia ke waiho iā ʻoe ʻaʻole hiki ke hele i ke kula, hana, a hana paha i nā mea āu e aloha ai.

Ma muli o ka hiki pinepine ʻana mai o kēia mau hopu ʻana me ka manaʻo ʻole ʻia, he mea nui e ʻimi i ke kōkua lapaʻau. E hoʻopilikino ʻia kāu hoʻolālā lapaʻau i kāu mau pono kikoʻī a me nā pono o kou kino. Inā he mau nīnau kāu e pili ana i nā hopu ʻana o ka atonic a makemake paha ʻoe e ʻike pehea e noho palekana ai, mai kānalua e kamaʻilio me kāu kauka. E hoʻomanaʻo, me ka mālama pono ʻana a me ka hoʻomaopopo ʻana, hiki iā ʻoe ke kāohi i kēia kūlana a ola i kahi ola palekana. Mai hopohopo, ua holomua loa ka ʻepekema lapaʻau i kēia lā.

ʻO ka hopu ʻana o ka ʻiʻo, ka ʻōhūhū, nāwaliwali o nā ʻiʻo, ka hopu ʻana i ka hāʻule ʻana, ka hopu ʻana o ke kino, ka maʻi ʻōpū, ka maʻi lolo