Ua ʻike anei ʻoe i kekahi e loaʻa koke ana i ka "kū"? Makaʻu nā kānaka a pau ke ʻike lākou i nā mea e like me ke kino e ʻoniʻoni ana a me ka nalowale ʻana o ka ʻike, ʻeā? Kāhea pinepine mākou i kēia maʻi he epilepsy. No laila, he aha maoli ka epilepsy? No ke aha e hana ʻia ai kēia? He mea weliweli anei? I kēia lā e kamaʻilio mākou e pili ana i kēia mau mea a pau me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka mea e hana maoli ana i loko o ka lolo?
I mea e hoʻomaopopo ai i kēia, e lawe kākou i kahi laʻana liʻiliʻi. E noʻonoʻo ua like ko kākou lolo me kahi ʻōnaehana uila i loko o kahi hale. Hoʻouna nā cell (neurons) i loko o ka lolo i nā leka kekahi i kekahi ma o nā hōʻailona uila liʻiliʻi. Hana ʻia nā mea āpau ma ke ʻano maʻamau a me ke ʻano rhythmic.
Eia nō naʻe, i loko o ka lolo o kekahi me ka maʻi epilepsy, ua "pōkole" koke kēia ʻōnaehana hōʻailona uila. Hoʻomaka koke nā cell ma kekahi a ʻoi aku paha mau wahi o ka lolo e puhi me ka ʻole o ke kāohi ʻia, e hana ana i nā hōʻailona uila nui loa. E like me ka ʻino uila. ʻO ia ka manawa e loaʻa ai iā mākou kahi maʻi i kapa ʻia he seizure . ʻO kēia haunaele uila ke kumu o ka nalowale ʻana o ka ʻike o ke kanaka, ka ʻūlū ʻana, a me ka hoʻololi ʻana i ke ʻano.
I ka ʻōlelo maʻalahi, ʻaʻole wale ka maʻi epilepsy he maʻi. He maʻi mau ia e kū mai ana i ka hana uila o ka lolo. ʻAʻole manaʻo kekahi hopu ʻana he maʻi epilepsy kekahi. Inā he mau hanana epilepsy hou, he maʻi epilepsy paha ia.
He aha nā ʻano hopu ʻana i laila?
Ke noʻonoʻo ka hapa nui o mākou i kahi 'fit', manaʻo mākou i kahi maʻi koʻikoʻi kahi e hāʻule ai mākou i ka honua, ʻūlū, a kahe ka wai. Akā ua ʻike anei ʻoe he nui nā ʻano hopu? Hiki ke hoʻokaʻawale ʻia kēia i ʻelua mau ʻano nui: hoʻokahi ma kahi o ka lolo e hoʻomaka ai ka hopu ʻana.
| Māhele hopu | Ka wehewehe a me nā hōʻailona |
|---|---|
| 1. Nā Hoʻopaʻa Kūlohelohe | Hoʻomaka kēia ma kahi kikoʻī ma kekahi ʻaoʻao o ka lolo. Aia kekahi ʻano ʻelua o kēia. Hoʻopaʻa ʻIke Kūlohelohe: • I kēia manawa, ua ʻike ka mea maʻi a hiki ke ʻike i nā mea e hana nei a puni iā ia. • ʻŌniʻoniʻo, e like me kekahi lima a i ʻole kekahi wāwae. • Manaʻo koke i kahi ʻala a i ʻole kahi ʻono ʻē. • Manaʻo e like me ʻoe e ʻike ana i nā kukui i mua o kou mau maka, ka poniuniu. Ka Hopu ʻana i ka ʻIke Kūpono ʻole: • I kēia manawa, hiki iā ʻoe ke nalowale iki ka ʻike, a i ʻole e lilo i mea ʻike ʻole i kou wahi a puni. • E haka pono ana me ka hakahaka. • Ke hana hou ʻana i nā mea like i nā manawa he nui, e like me ke kuʻi ʻana i nā lehelehe, ka hamo ʻana i nā lima, a i ʻole ke ʻimo ʻana o nā maka. |
| 2. Nā ʻōʻō e laha koke ana ma loko o ka lolo (Generallyized Onset Seizures) | Hoʻopilikia kēia i nā ʻaoʻao ʻelua o ka lolo i ka manawa hoʻokahi. ʻO nā ʻano a mākou e ʻike pinepine ai no kēia māhele. Nā hopu ʻana i ka nele: • Hana pinepine kēia i nā kamaliʻi ʻōpio. Hoʻōki koke lākou i kā lākou hana no kekahi mau kekona a haka pono me ka hakahaka. Me he mea lā ua komo lākou i loko o ka honua moeʻuhane. He nui ka poʻe e kuhihewa ana i kēia no ka moeʻuhane. Nā hopu ʻana o Tonic-Clonic: • ʻO kēia ke 'kūpono' a kākou a pau i ʻike ai (inoa kahiko ʻo Grand Mal). • I ka manawa koke, nalowale kou ʻike a hāʻule i ka honua. ʻO ka mua, ʻoʻoleʻa kou kino (Tonic phase), a laila hoʻomaka kou kino e ʻoni (Clonic phase). • Hiki ke ʻike ʻia ka wili ʻana o ke alelo, ka lawaiʻa ʻana, a me ka mimi/ʻōpala ma nā lole. ʻO ka maʻamau, he 1-5 mau minuke kēia e mau ai. Nā hopu ʻana o Atonic: • Ua kapa ʻia hoʻi kēia he 'Drop Seizure'. Ua nalowale koke ka mana o nā ʻiʻo o ke kino a hāʻule ʻoe i ka honua, e like me ka puppet i haki kona mau kaula. Nā hopu ʻana o Myoclonic: • Ka wili koke ʻana o ka lima, ka wāwae, a i ʻole ke kino holoʻokoʻa, me he mea lā ua pā ʻia e ka uila. He manawa pōkole kēia, ma kahi o hoʻokahi a ʻelua paha kekona. |
He aha nā mea hoʻonāukiuki no ka hopu ʻana?
ʻAʻole loaʻa mau i ke kanaka me ka maʻi epilepsy nā hopu ʻana. Akā hiki i kekahi mau mea ke hoʻonui i ka pilikia o ka loaʻa ʻana o kahi hopu ʻana. Kāhea mākou i kēia mau mea he mau mea hoʻoulu . Hiki ke ʻokoʻa kēia mau mea mai kēlā kanaka a i kēia kanaka.
- Ka haʻalele ʻana i ka lāʻau lapaʻau: ʻO kēia ke kumu nui. Inā ʻaʻole ʻoe e lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka i ka manawa kūpono, aia kahi manawa kiʻekiʻe o ka loaʻa ʻana o ka maʻi hopu.
- ʻAʻohe hiamoe: ʻO nā mea e like me ka nele o ka hiamoe a me ka hoʻoikaika nui ʻana hiki ke hoʻopilikia i ka lolo.
- Kaumaha: Hiki ke hana ʻia nā hopu ʻana e nā mea e like me ke kaomi nui a me ka hopohopo.
- Ka maʻi a me ke kuni: Ke komo kahi maʻi i loko o ke kino a ulu ke kuni, hiki ke loli ka hana o ka lolo.
- Mālamalama ʻōlinolino: Hiki i nā kukui ʻālohilohi, kekahi mau pāʻani wikiō, a me nā hōʻike kīwī ke hoʻopilikia i kekahi poʻe.
- ʻOna a me nā lāʻau lapaʻau:ʻO ka hoʻohana ʻana i ka waiʻona, ʻoiai i ka wā o ka haʻalele ʻana, hiki ke hana i ka hopu ʻana.
- Nā loli hormonal i nā wahine: Loaʻa i kekahi mau wahine nā kuʻi me nā loli hormonal e pili ana i kā lākou pōʻaiapuni menstrual.
- ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau no nā anu a me nā maʻi allergies (e.g., nā mea i loaʻa ka diphenhydramine) hiki ke contraindicated i nā poʻe me ka migraines.
He aha nā kumu o ka migraines?
I ka hapanui o nā hihia, ma kahi o 70% o nā hihia, ʻaʻohe kumu kikoʻī e loaʻa ai no ka migraines. Eia nō naʻe, aia kekahi mau kumu i ʻike ʻia.
- ʻIke Hoʻoilina: Inā loaʻa kekahi o ka ʻohana i ka migraines, aia kahi pilikia liʻiliʻi e loaʻa pū kekahi i nā poʻe ʻē aʻe. Akā, ʻaʻole ia he manaʻo e loaʻa maoli nō iā lākou.
- Nā ʻeha poʻo: ʻO nā ʻeha poʻo koʻikoʻi, e like me kahi ulia kaʻa a hāʻule paha, hiki ke hōʻino i ka lolo a hoʻoulu i ka haʻalulu.
- Nā maʻi lolo: Hiki ke hana ʻia kēia ʻano e nā maʻi e like me ka encephalitis a me ka meningitis, ka mea e hōʻino ai i ka lolo.
- ʻO ka hahau ʻana a me nā puʻupuʻu lolo: Ke hoʻopau ʻia ke kahe o ke koko i ka lolo ma muli o ka hahau ʻana a i ʻole ke ulu ʻana o kahi puʻupuʻu lolo, hiki ke hōʻino ʻia nā hunaola o ka lolo a hoʻomaka ka hopu ʻana.
- Nā pilikia i ka wā hānau: Hiki ke hana ʻia ka maʻi ʻūlū e ka nele o ka oxygen i ka lolo i ka wā hānau, a i ʻole kekahi mau pilikia me ka ulu ʻana o ka lolo.
Pehea e ʻike ʻia ai kēia?
Inā loaʻa iā ʻoe kahi maʻi hopu, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. E nīnau ʻo ia iā ʻoe a me kekahi mea nāna i ʻike maka i ka maʻi hopu e wehewehe i ka mea i hana ʻia.
Eia kekahi, hiki ke hana ʻia ʻelua mau hoʻokolohua nui.
1. EEG (Electroencephalography): Pili kēia i ka hoʻopili ʻana i nā mea ʻike liʻiliʻi i kou poʻo a me ka hoʻopaʻa ʻana i nā ʻano uila i loko o kou lolo. Inā loaʻa iā ʻoe ka maʻi epilepsy, hiki iā ia ke ʻike i kekahi mau ʻano ʻē.
2. Nā Scan Lolo: Hiki i kahi hoʻokolohua e like me ka scan MRI (Magnetic Resonance Imaging) ke nānā i nā hōʻailona o ka hōʻino i loko o ka lolo, e like me kahi puʻupuʻu, kahi ʻeha, a i ʻole kahi hahau.
He aha nā lāʻau lapaʻau?
ʻAʻole he mea e makaʻu ai ka maʻi ʻūlū, no ka mea, he maʻi ia e hiki ke kāohi ʻia i ka nui.
Nā lāʻau lapaʻau anti-haʻi
ʻO ka lāʻau lapaʻau nui ka lāʻau anticonvulsant. Ma kahi o 70% o nā maʻi hiki ke hoʻomalu piha i ko lākou mau hopu ʻana me ka lāʻau lapaʻau. E koho kāu kauka i ka lāʻau lapaʻau kūpono nāu ma muli o kou ʻano hopu ʻana, ka makahiki, a me nā kūlana olakino ʻē aʻe. ʻO ka mea nui loa, ʻaʻole loa e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
ʻAi Lapaʻau
No kekahi mau keiki, ʻoiai ka poʻe i pane ʻole i ka lāʻau lapaʻau, hiki i ke kauka ke ʻōlelo aku i kahi papaʻai kūikawā, e like me ka papaʻai ketogenic . He papaʻai momona kiʻekiʻe kēia, haʻahaʻa ka carbohydrate.
ʻoki kino
No ka poʻe me nā maʻi ʻōʻō i kāohi ʻole ʻia e ka lāʻau lapaʻau a hoʻomaka ma kahi hoʻokahi i loko o ka lolo, he koho ke ʻoki kino. Pili kēia i ka wehe ʻana i ka ʻāpana ʻē o ka lolo kahi e hoʻomaka ai nā maʻi ʻōʻō. ʻOiai ʻaʻole hiki kēia no nā mea āpau, hiki ke holomua loa no ke kanaka kūpono.
Nā manawa e pono ai mākou e makaʻala
ʻO ka maʻamau, pau ka hopu ʻana iā ia iho i loko o 1-2 mau minuke, akā i kekahi mau hihia, pono ʻoe e hele koke i ka haukapila.
I ka manawa hea e hele koke ai i ka ETU (Emergency Treatment Unit):
* Inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o 5 mau minuke.
* Inā pau kekahi hopu ʻana a loaʻa mai kekahi ma mua o ka hoʻi ʻana mai o ka ʻike.
* Inā pilikia ʻoe i ka hanu ʻana i ka wā o ka hopu ʻana.
* Inā hōʻeha nui ka maʻi hopu.
* Inā loaʻa i ka wahine hāpai a i ʻole kekahi kanaka me ka maʻi diabetes ka maʻi ʻōʻili.
He ʻōlelo e pili ana iā SUDEP
He mea weliweli paha kēia, akā he mea nui e ʻike. ʻO SUDEP (Sudden Unexplained Death in Epilepsy) ka wā e make koke ai kekahi me ka maʻi epilepsy me ke kumu ʻole. He hanana kakaikahi loa kēia. ʻOi aku ka nui o ka pilikia o ka poʻe i loaʻa i nā hopu ʻana i kāohi pono ʻole ʻia. ʻO ke ala maikaʻi loa e hōʻemi ai i kēia pilikia, ʻo ia ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka a kāohi i kāu mau hopu ʻana.
Leka Lawe-Home
- ʻAʻole he maʻi noʻonoʻo ka maʻi ʻEpilepsy a i ʻole he mea e hilahila ai. He maʻi neurological ia o ka lolo.
- Hiki i ka hapa nui o ka poʻe ke kaohi maikaʻi i ko lākou mau hopu ʻana me ka lāʻau lapaʻau a ola i nā ola maʻamau.
- He mea nui e lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai iā ʻoe i ka manawa kūpono a me ka nui kūpono. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau iā ʻoe iho.
- E ʻike i nā mea hoʻoulu o kou hopu ʻana a e pale aku iā lākou i ka hiki (e like me ka hiamoe, ka hoʻokele koʻikoʻi).
- Inā loaʻa iā ʻoe ka dementia, he mea nui e hoʻomaopopo i kou ʻohana a me nā hoaaloha pili e hiki ai iā lākou ke kōkua iā ʻoe i kahi pilikia.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia, e kūkākūkā ākea me kāu kauka.
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