Ke loaʻa koke nei ʻoe i kahi kūlana ʻē? Hiki ke lilo i kahi hopu ʻana o ka lolo!

Ke manaʻo koke nei ʻoe i kekahi mea ʻē i kekahi manawa? Ua manaʻo paha ʻoe i kahi mea ʻē, e like me kahi ʻāpana o kou kino e ʻoni ana ma ke ʻano i manaʻo ʻole ʻia, a lohe paha i kahi leo me ka ʻole o kekahi e puni ana, a nalowale paha ka ʻike no kekahi manawa? He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia he focal seizure, i hoʻokumu ʻia e kahi loli uila liʻiliʻi ma kekahi ʻāpana o kou lolo. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia i kēia lā, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.

He aha ka hopu ʻana o ka lolo?

I ka ʻōlelo maʻalahi, ʻo ka hopu ʻana o ka lolo he piʻi koke ʻole ʻia o ka hana uila e hana ʻia ma kahi ʻāpana kikoʻī o kou lolo . E noʻonoʻo iā ia he pahū liʻiliʻi o nā hōʻailona uila e holo ana ma o nā neurons i loko o kou lolo. No ka mea hoʻomaka ia ma kahi hoʻokahi o ka lolo, hoʻoulu ia i nā hōʻailona kikoʻī i kēlā wahi. Ua kapa ʻia kēia ma mua he hopu hapa.

I kekahi manawa, ke ʻike ʻia nā hōʻailona mua o kahi hopu ʻana o ka lolo, ua ʻike paha ʻoe, ʻo ia hoʻi ua ʻike ʻoe i ka mea e hana nei. Eia nō naʻe, inā laha ke ʻano i nā ʻāpana ʻē aʻe o ka lolo, hiki iā ʻoe ke nalowale ka ʻike a lilo i kahi kūlana o ka holo ʻana o ke kino holoʻokoʻa (tonic-clonic seizures).

He aha ka ʻokoʻa ma waena o nā Focal Seizures a me nā Generalized Seizures?

Ua ʻike anei ʻoe he ʻelua ʻaoʻao nui ko ko kākou lolo, a i ʻole hemispheres? ʻO nā hopu ʻana maʻamau kahi maʻi e hoʻopilikia ai i nā hemispheres ʻelua o ka lolo i ka manawa like. A laila hiki ke loaʻa nā hōʻailona e hoʻopilikia ai i nā ʻaoʻao ʻelua o ke kino. ʻOi aku ka koʻikoʻi o kēia mau mea maʻamau.

Eia nō naʻe, hoʻomaka nā hopu ʻana o ka lolo ma kahi kikoʻī o ka lolo, ma kekahi ʻaoʻao o ka lolo. Eia nō naʻe, i ka holomua ʻana o ke kūlana, hiki i kēia hana uila ke laha mai kekahi wahi a i kekahi, a i kekahi manawa mai kekahi hemisphere o ka lolo a i kekahi. I kekahi manawa hiki i kahi hopu ʻana o ka lolo ke holomua i kahi hopu ʻana o ke kino holoʻokoʻa i kapa ʻia ʻo "focal to bilateral tonic-clonic seizure."

He mea nui: ʻElua mau mea like ʻole nā ​​hopu ʻana a me ka maʻi epilepsy. ʻAʻole nā ​​hopu ʻana a pau he maʻi epilepsy.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa i ka hopu ʻana no kekahi kumu. Eia nō naʻe, inā loaʻa iā ʻoe kekahi mau maʻi lolo, ʻoi aku ka nui o kou loaʻa ʻana i nā hopu ʻana o ka lolo. Eia kekahi laʻana:

• Nā ʻeha poʻo
• ʻO kekahi mau ʻano ʻino o ka lolo hānau
• Nā maʻi hoʻopaʻa febrile i ka wā kamaliʻi
• Nā maʻi lolo (e like me ka encephalitis)
• Hahau
• Nā puʻupuʻu lolo

Hiki ke hiki mai kēia kūlana ma muli o nā mea e like me:

Pehea ka maʻamau o nā hopu ʻana o ka lolo?

ʻO ka ʻoiaʻiʻo, ʻo nā hopu ʻana o ke kikowaena ka ʻano hopu maʻamau . Loaʻa iā lākou ma mua o ka hapalua o nā hopu āpau. ʻOi aku ka nui, ʻo nā hopu ʻana o ke kikowaena, kahi e pili ana i kahi hōʻino iki o ka ʻike, e pili ana i kahi hapakolu o nā hopu āpau.

Pehea ka hopena o kēia maʻi i koʻu kino?

ʻO nā hōʻailona o kahi hopu ʻana o ka lolo e pili ana i ka ʻāpana o ka lolo i hoʻopilikia ʻia . He mea nui e kāohi i nā hopu ʻana o ka lolo. ʻO kēia no ka mea, inā hoʻomau lākou no ka manawa lōʻihi, hiki iā lākou ke hoʻoulu i nā pilikia hoʻomanaʻo, nā pilikia me ka noʻonoʻo ʻana, a hoʻonui i ka pilikia o nā pilikia olakino noʻonoʻo e like me ke kaumaha a me ka hopohopo.

Aia kekahi mau hōʻailona ma mua o ka hiki ʻana mai o ka hopu ʻana?

ʻAe, hiki i kekahi poʻe ke ʻike i kahi "aura" ma mua o ka loaʻa ʻana o ka maʻi hopu. Hiki i kēia aura ke lilo i hōʻailona mua o ka loaʻa ʻana o ka maʻi hopu. I kēia manawa, ua ʻike ʻoe, ʻo ia hoʻi ke hoʻomaopopo nei ʻoe i ka mea e hana nei. Hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole i ka wā o kēia aura. Inā ʻaʻole i laha ka loaʻa ʻana o ka maʻi hopu, ʻo kēia aura wale nō paha ka hōʻailona o ka loaʻa ʻana.

Hiki i ka aura ke hana i nā ʻano he nui:

• Nā hōʻailona ʻike: Nā ʻike ʻano ʻē e pili ana i ka ʻike, ka lohe, ke honi, ka ʻono, a i ʻole ka hoʻopā ʻana.
• Nā loli o ka naʻau: Nā manaʻo koke o ka makaʻu, ka hopohopo, a i ʻole ka huhū.
• Nā hōʻailona autonomic: Nā loli i nā hana kūlohelohe o ke kino, e like me ka hou ʻana a me ka salivation.

ʻO ka poʻe me ka maʻi epilepsy laulā ʻaʻohe o lākou auras. ʻO ke alo o kahi aura he hōʻailona ia e loaʻa paha ka epilepsy focal. I kekahi manawa, hiki i kēia aura ke lilo i hōʻailona hōʻailona ma mua o ka hiki ʻana mai o kahi hopu ʻana, e hoʻoulu ai i ka nalowale o ka ʻike.

He aha nā hōʻailona ʻē aʻe o nā hopu ʻana o ka focal?

E like me kā mākou i ʻōlelo ai ma mua, ʻokoʻa nā hōʻailona ma muli o ke ʻano o ka hopu ʻana a me ka wahi o ka lolo i hoʻopilikia ʻia. ʻEkolu mau ʻano nui o nā hopu ʻana o ka lolo:

1. Nā hopu ʻike maka: Ua kapa ʻia kēia mau mea ma mua he mau hopu maʻalahi a i ʻole nā ​​hopu hapa maʻalahi. ʻO ka mea nui e pili ana i kēia, ʻo ia kou ʻike i ka wā e hana ʻia ai ka hopu ʻana . ʻO ka mea e hele mai ana ma ke ʻano he aura, ʻo ia ka hopu ʻana.

2. Nā hopu ʻike i hoʻopilikia ʻia e ka noʻonoʻo: Ua kapa ʻia kēia mau mea ma mua he mau hopu hapa paʻakikī a i ʻole nā ​​hopu focal paʻakikī. I loko o kēia mau mea , ua hoʻopilikia ʻia kou ʻike . Inā loaʻa kahi aura, hiki mai ia ma mua o ka nalowale ʻana o ka ʻike. ʻAʻole mau kēia ma mua o ʻekolu mau minuke. ʻO kēia ʻano hopu no kahi 36% o nā hopu āpau, ʻo ia ke ʻano hopu maʻamau .

3. Hoʻopili ʻia i ka ʻelua mau ʻāpana o ka tonic-clonic seizure: Ua kapa ʻia ma mua he generalized tonic-clonic seizures, ʻo kēia ʻano hoʻopaʻa e pili ana i ke kino holoʻokoʻa e hana a hoʻoulu i nā ʻōhū .

Hiki ke hoʻokaʻawale ʻia nā hōʻailona o nā hopu ʻana i nā wahi koʻikoʻi i ʻehā mau ʻano nui. Hiki ke loaʻa ma mua o hoʻokahi o kēia mau ʻano i hoʻokahi hopu ʻana:

• Motika
• ʻIke
• ʻO ke kūʻokoʻa
• ʻIke loea

Nā ʻano mīkini

ʻO nā ʻōhū me nā hopena neʻe he mau neʻe ʻole a i ʻole kaohi ʻole ʻia o nā ʻāpana o ke kino . Hoʻopilikia pinepine lākou i nā ʻāpana o ka maka, nā lima, a me nā wāwae ma kekahi ʻaoʻao. Hiki iā lākou ke haʻalulu, ka ʻūlū ʻana, ka ʻūmiʻi ʻana o nā ʻiʻo, a i ʻole nā ​​neʻe hana hou a hana ʻakomi paha e like me ka ʻūmiʻi ʻana i nā lehelehe, ka ʻālohilohi ʻana i nā maka, a i ʻole ke kīkēkē ʻana me ka lima a i ʻole ka manamana lima.

I kekahi manawa hiki i kēia mau hōʻailona neʻe ke laha ma loko o ke kino i hoʻopilikia ʻia a i nā ʻāpana ʻē aʻe o ke kino. Ua kapa ʻia kēia he "Jacksonian march." Hoʻomaka kēia mau hopu ʻana ma kahi liʻiliʻi a "hele" ma ke kino holoʻokoʻa, i kekahi manawa e laha ana i nā ʻāpana ʻē aʻe o ke kino ma ka ʻaoʻao like a i ʻole ke alo.

Ma hope o ka hoʻomohala ʻana o nā hōʻailona motor focal, hiki i nā poʻe he nui ke loaʻa i ka maʻi lolo manawa pōkole o nā ʻāpana kino i hoʻopilikia ʻia. Ua kapa ʻia kēia ʻo "Todd paralysis." He manawa pōkole kēia, akā hiki ke mau no kekahi mau hola. ʻO ka haʻi ʻana i kāu kauka e pili ana i kēia hiki ke kōkua i ka ʻike ʻana a me ka mālama ʻana.

Nā ʻano sensory

Ke hana ʻia kahi aura, inā pilikia nā ʻiole nerve i loko o kou lolo e pili ana i kou mau manaʻo, hiki i kēlā mau ʻiole ke hana hewa me he mea lā ke ʻike nei lākou i kahi manaʻo. Manaʻo paha ʻoe me he mea lā e hana nei kekahi mea ʻaʻole maoli e hana nei. ʻO kēia mau hōʻailona, ​​​​i kapa ʻia he hallucinations , hiki ke hoʻopilikia i kou mau manaʻo ʻelima. Nā laʻana:

• ʻIke: ʻIke ʻia nā kukui ʻālohilohi, ʻike ʻia ke kukui. Hoʻololi ke ʻano o nā mea (ʻike nui a liʻiliʻi paha).
• Lohe: Lohe koke ʻoe i nā leo ʻē, nā walaʻau. E noʻonoʻo i kou wā hoʻokahi a lohe ʻoe i kekahi e kamaʻilio ana, akā i kou nānā ʻana, ʻaʻohe mea ma laila. He mea like me ia.
• ʻAla: He ʻala e puka mai ana mai kahi ʻole mai; maʻamau koke, me ka wānana ʻole ʻia.
• ʻOno: Manaʻo koke i kahi ʻono ʻē; e like me ka ʻono metala, ʻawaʻawa, a ʻawaʻawa paha.
• Hoʻopā: He manaʻo ʻē ma ka ʻili ma kekahi wahi; e like me ke kui a me nā nila, ke ʻūlū ʻana, kekahi mea e neʻe ana, a i ʻole ka wela a i ʻole ka ʻeha.

E haʻi maopopo i kāu kauka e like me ka hiki ke pili i nā hōʻailona sensory a i ʻole nā ​​​​hallucinations āu e ʻike ai, no ka mea, ʻo ka ʻike ʻana i ke ʻano o ka manaʻo i hoʻopilikia ʻia e kōkua i nā kauka e hoʻoholo i kahi o ka lolo e hana ʻia ai ka hopu ʻana.

Nā ʻano kūʻokoʻa

Ke hana ʻia kahi aura, hiki iā ia ke hoʻopilikia i nā ʻōnaehana kino i kāohi ʻia e kou lolo. Eia kekahi mau laʻana:

• Ke hou nei.
• Nui ka salivation a i ʻole ka drooling.
• Nā loli o ke kala o ka ʻili (ke keʻokeʻo a ʻulaʻula paha).
• He manaʻo ʻē o ka piʻi ʻana mai ka ʻōpū ("gastric uprising").

Nā ʻano noʻonoʻo

Hiki i kou aura ke hoʻololi i kou kūlana naʻau. Nā laʻana:

• Nā manaʻo maikaʻi ʻole: makaʻu, hopohopo, hopohopo, a huhū paha.
• Nā manaʻo maikaʻi: hauʻoli, pīhoihoi, a i ʻole ka ʻakaʻaka hiki ʻole ke kāohi.
• Nā pilikia me ka ʻoiaʻiʻo:Manaʻo e like me ʻoe i loko o ka moeʻuhane a i ʻole e hoʻomanaʻo ana i nā hanana i hala (flashbacks). Wahi a kekahi poʻe ua manaʻo lākou he mana kūikawā ko lākou a ke kamaʻilio nei paha me ke akua.
• ʻO Déjá vu: He huaʻōlelo Palani. ʻO ka manaʻo o ka maʻa mau e hele mai me kahi ʻike hou, me he mea lā ua hana mua ʻia.
• Jamais vu: He huaʻōlelo Palani nō hoʻi kēia. Pili ia i kahi ʻike maʻamau, akā ua like ia me kahi mea hou.

ʻO nā loli ʻē aʻe o ka noʻonoʻo e kū mai ana i nā hopu ʻana o ka lolo e pili ana i nā loli i ka pae o ka ʻike, nā loli i ka hoʻomanaʻo, nā loli i ka ʻōlelo a i ʻole nā ​​mākau kamaʻilio, a me ka emi ʻana o ka hiki ke launa pū me ke kaiapuni.

He aha ke kumu o nā hopu ʻana o ka lolo?

Nui nā kumu like ʻole o nā hopu ʻana o ka lolo. ʻO kekahi o lākou:

• Nā pilikia me nā kīʻaha koko i loko o ka lolo (e.g. aneurysms).
• Nā ʻano hewa o ka manawa o ka puʻuwai (arrhythmias).
• Nā puʻupuʻu lolo (me ke kanesa).
• ʻAʻohe oxygen i ka lolo (Cerebral hypoxia).
• ʻO ka haʻalulu a me ka ʻeha o ka lolo.
• Nā maʻi e hoʻopau mālie i ka lolo (e like me ka maʻi Alzheimer, ka dementia frontotemporal).
• Ka haʻalele ʻana i ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona.
• Ke koko kiʻekiʻe i ka wā hāpai (Eclampsia).
• Nā kaulike ʻole i ka nui o nā paʻakai i loko o ke kino (ʻoi aku ka haʻahaʻa o ka sodium - hyponatremia, haʻahaʻa calcium a magnesium paha).
• Kuni, ʻoi aku hoʻi ke kuni nui (nā kuʻi febrile).
• Nā maʻi hoʻoilina (nā maʻi i hoʻoilina ʻia mai nā mākua mai).
• Nā loli hormonal (hiki i kekahi mau wahine ke loaʻa nā hopu ma kekahi mau lā o ka menstrual cycle - catamenial epilepsy).
• Nā maʻi (ʻoi aku ka maʻi o ka lolo e like me ka encephalitis a i ʻole meningitis; hiki ke hana ʻia kēia mau mea e nā virus, bacteria, a i ʻole parasites).
• Ka mumū i hoʻokumu ʻia e nā pilikia o ka ʻōnaehana pale.
• ʻO ka insomnia a me nā pilikia hiamoe ʻē aʻe.
• Nā pilikia metabolic (ʻoi aku hoʻi ke kō koko kiʻekiʻe - hyperglycemia a i ʻole ke kō koko haʻahaʻa - hypoglycemia).
• Nā pilikia me ke ʻano o ka lolo (ʻoi aku hoʻi nā mea i loaʻa i ka wā hānau).
• Ka pane koʻikoʻi o ka ʻōnaehana pale i kahi maʻi e laha ana ma ke kino holoʻokoʻa (Sepsis).
• Nā hahau a i ʻole nā ​​​​hoʻouka ischemic transient (TIAs).
• Ka hoʻohana ʻana i nā lāʻau lapaʻau a me ka waiʻona (me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau kū ʻole i ke kānāwai, a me ke kofe).

He laha anei nā maʻi hoʻokahe koko?

ʻAʻole, ʻaʻole laha nā hopu ʻana o ka focal. Eia nō naʻe, hiki i kekahi mau maʻi e hoʻoulu ai i nā hopu ʻana o ka focal ke genetic (ʻo ia hoʻi, hiki iā ʻoe ke hoʻoilina iā lākou mai kou mau mākua mai, a hiki iā ʻoe ke hoʻoili iā lākou i kāu mau keiki).

Pehea e ʻike ai i nā hopu ʻana o ka focal?

ʻO ka maʻamau, e ʻike kahi loea neurologist i nā hopu ʻana ma muli o kāu mau hōʻailona (a i ʻole nā ​​​​mea a haʻi i wehewehe ai) a me nā hopena hoʻāʻo. Hiki i kēia mau hoʻāʻo ke kōkua i ka hoʻoholo ʻana inā ua loaʻa iā ʻoe kahi hopu ʻana a inā paha i hoʻonāukiuki ʻia a i ʻole i hoʻonāukiuki ʻole ʻia. Hiki i ka hoʻāʻo genetic ke hōʻike i nā kūlana hoʻoilina e hoʻoulu ai i nā hopu ʻana.

ʻO ka mea nui loa i ka ʻike ʻana i nā hopu ʻana o ka maʻi, ʻo ia ka loaʻa ʻana o ka wahi kikoʻī (focal point) kahi e hoʻomaka ai ka hopu ʻana . He kōkua nui ka loaʻa ʻana o kēia wahi i ka mālama ʻana.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia maʻi?

Aia kekahi mau hoʻokolohua e hiki ke hana ʻia i ka wā o ka hopu ʻana:

• Nā hoʻāʻo koko: Nānā kēia i nā kaulike ʻole o ka metabolic a me ke kemika koko, nā pilikia o ka ʻōnaehana pale, nā mea ʻawahia, a me nā pae o nā lāʻau lapaʻau i hāʻawi ʻia no nā hopu ʻana.
• Electroencephalogram (EEG): He hoʻāʻo e ana i ka hana uila o ka lolo.
• Ka nānā ʻana i ka wikiō-EEG.
• Magnetic Resonance Imaging (MRI): Lawe i nā kiʻi kikoʻī o ka lolo.
• Ke nānā ʻana o ka Positron Emission Tomography (PET).
• ʻO ka Ictal Single-Photon Emission Computed Tomography (SPECT).
• ʻO ke kaʻina hana Magnetoencephalography (MEG).
• Ka nānā ʻana i ka Intracranial EEG: He hoʻāʻo e pili ana i ke kau ʻana i nā electrodes i loko o ka lolo, i kekahi manawa ma hope o ke ʻoki ʻana.
• ʻO ka puncture lumbar: Hana ʻia kēia inā manaʻo ke kauka ua hoʻokumu ʻia ka maʻi epilepsy e kahi maʻi a i ʻole ka maʻi ʻōnaehana pale.

Hiki i nā kauka ke paipai i nā hoʻokolohua ʻē aʻe e nānā i nā ʻeha, nā hopena ʻaoʻao, a i ʻole nā ​​​​pilikia mai kahi hopu ʻana. ʻO kāu kauka ke kanaka maikaʻi loa e haʻi iā ʻoe i nā hoʻokolohua kūpono loa iā ʻoe a me ke kumu e hana ʻia ai.

Pehea e mālama ʻia ai nā hopu ʻana o ka lolo? Hiki ke ho'ōla ʻia?

Hoʻomaka ka ʻike a me ka mālama ʻana i nā hopu ʻana o ka maʻi maʻi me ka hoʻoholo ʻana inā ua hoʻonāukiuki ʻia a i ʻole ʻaʻole i hoʻonāukiuki ʻia. Inā hiki, hiki i ka mālama ʻana i ke kumu kumu o kahi hopu ʻana ke kōkua i ka hoʻōki ʻana i nā hopu ʻana . Inā ʻaʻole hiki ke mālama ʻia ke kumu kumu, mālama pinepine nā kauka i nā hopu ʻana e hōʻemi i ko lākou koʻikoʻi a i ʻole ka pinepine.

Inā loaʻa iā ʻoe kahi hopu mua i wehewehe ʻole ʻia , a ʻaʻole ʻoe i ka pilikia nui o ka loaʻa ʻana o kekahi, ʻaʻole ʻōlelo pinepine nā kauka i ka lāʻau lapaʻau. Eia nō naʻe, inā he pilikia nui ʻoe, a i ʻole ua loaʻa iā ʻoe kahi hopu i wehewehe ʻole ʻia ma mua, hiki i nā kauka ke ʻike iā ʻoe me ka maʻi epilepsy a paipai i ka hoʻomaka ʻana o ka lāʻau lapaʻau.

He aha ke ʻano o ka lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau e hoʻohana ʻia?

ʻOkoʻa loa nā lāʻau lapaʻau no nā hopu ʻana o ka maʻi. No nā hopu ʻana i loaʻa ke kumu, pili mau ka lāʻau lapaʻau i ke kumu. Pili ka lāʻau lapaʻau no nā hopu ʻole i hoʻoulu ʻia a me nā hopu epileptic i ke ʻano o ka hopu ʻana, ke kumu o ka hopu ʻana, a me nā lāʻau lapaʻau e hana maikaʻi loa.

Aia kekahi mau lāʻau lapaʻau i loaʻa no ka mālama ʻana i nā hopu ʻana i hoʻokumu ʻia e ka epilepsy:

• Nā lāʻau lapaʻau: Ma waho aʻe o nā lāʻau lapaʻau e hoʻōki ai i nā hopu ʻana i ka wā e loaʻa ai, aia kekahi mau lāʻau lapaʻau e hiki ke pale i nā hopu ʻana a hōʻemi paha i ko lākou alapine (pinepine). Hāʻawi ʻia kekahi ma ke ʻano intravenous (IV) ke loaʻa kahi hopu ʻana. Lawe ʻia kekahi ma ke ʻano he mau pila i kēlā me kēia lā.
• Nā Hoʻololi i ka ʻAi: Hiki i nā ʻai haʻahaʻa a ʻaʻohe kalapona (e.g., ketogenic) ke hoʻōki loa i nā hopu epileptic a hōʻemi paha i ko lākou alapine (pinepine).
• ʻO ke ʻoki ʻana i ka maʻi epilepsy: I kekahi manawa, hiki i ke ʻoki ʻana ke hoʻōki i nā hopu ʻana ma ka wehe ʻana i ka ʻāpana i hoʻopilikia ʻia o ka lolo a i ʻole ka hoʻokaʻawale ʻana iā ia mai nā ʻāpana ʻē aʻe o ka lolo.
• ʻO ka hoʻoulu ʻana o ke aʻalolo vagus (VNS): ʻO ka hoʻoulu ʻana o ke aʻalolo vagus ma ka ʻaoʻao hema o ka lolo, kahi i pili pono i ka lolo, hiki ke hoʻemi i ke alapine o ka hopu ʻana.
• ʻO ka Neurostimulation Pane (RNS): Pili kēia i kahi mea hana e ʻike ai i ka hana epileptic i loko o kou lolo a hāʻawi pololei i ka hoʻoulu uila i ka ʻāpana o kou lolo e hoʻoulu ai i ka hana. Hiki i kēia mea hana RNS ke hōʻemi i kāu mau hopu ʻana i ka hala ʻana o ka manawa.
• Hoʻoulu ʻana i ka lolo hohonu (DBS): Pili kēia lāʻau i ka hoʻopili ʻana i kahi hāmeʻa i kahi ʻāpana kikoʻī o ka lolo ma o nā uea. Hāʻawi ka hāmeʻa i kahi au uila mālie e hoʻopilikia ai i nā impulses uila e kū mai ana i ka wā o nā hopu ʻana.

He aha nā pilikia/nā hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻO nā pilikia mai ka mālama ʻana i ka hopu ʻana e pili ana i ke kumu, ke ʻano o ka hopu ʻana, a me nā kumu ʻē aʻe he nui. ʻO kāu kauka ke kanaka maikaʻi loa e haʻi iā ʻoe i ka mea e manaʻo ai, a i ʻole ka mea e manaʻo ai, no ka mea hiki iā ia ke hāʻawi iā ʻoe i ka ʻike e pili ana i kou kūlana kikoʻī.

Pehea wau e mālama ai iaʻu iho/hoʻokele i nā hōʻailona?

ʻAʻole ʻoe e hoʻāʻo e ʻike a mālama paha i kahi hopu ʻana ma kāu iho . ʻO nā hopu pinepine he hōʻailona ia o kahi maʻi lolo koʻikoʻi. Inā loaʻa iā ʻoe a i ʻole kahi mea aloha kahi hopu no ka manawa mua, e ʻike koke i ke kauka. E haʻi aku kāu kauka iā ʻoe i nā hōʻailona a i ʻole nā ​​​​hopena āu e ʻimi ai i ke kōkua lapaʻau inā loaʻa iā ʻoe ka maʻi epilepsy.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

Aia ka manawa hoʻōla i ke ʻano o ka hopu ʻana i loaʻa iā ʻoe a me ka lāʻau lapaʻau āu e loaʻa ai. E haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai, pehea ka lōʻihi e hoʻōla ai, a me ka manawa e hoʻomaka ai ʻoe e ʻoluʻolu.

Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia? Hiki ke pale ʻia nā hopu ʻana o ka lolo?

Loaʻa i nā kānaka a pau ka pilikia o ka loaʻa ʻana o nā hopu ʻana, a he mea hiki ʻole ke wānana i ka wā e hiki mai ai. No laila, he mea hiki ʻole ke pale loa iā lākou. ʻO ka mea maikaʻi loa āu e hana ai, ʻo ia ke hōʻemi i nā manawa kūpono o ka loaʻa ʻana o ka hopu ʻana ma ka pale ʻana i nā mea hoʻonāukiuki e hiki ke hoʻonāukiuki iā ia.

Aia kekahi mau hana koʻikoʻi e hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka hopu ʻana:

• E ʻai i ka meaʻai kaulike a mālama i ke kaumaha olakino. Hiki i nā kūlana he nui e pili ana i kāu ʻōnaehana kahe koko a me ka puʻuwai ke hōʻino i nā ʻāpana o kou lolo. Pili loa ka hahau ʻana a me nā kūlana e pili ana me nā hopu ʻana o ka lolo.
• Mai hoʻowahāwahā i nā maʻi. Pono e mālama koke ʻia nā maʻi maka a me ka pepeiao. Inā pālahalaha kēia mau maʻi i ka lolo, hiki iā lākou ke hoʻoulu i nā hopu. Hiki i nā maʻi ke hoʻoulu i ke kuni nui, hiki ke hoʻoulu i nā hopu.
• E komo i nā lako palekana. ʻO nā ʻeha poʻo kekahi kumu nui o nā hopu ʻana o ka lolo. ʻO ke komo ʻana i nā lako palekana i ka wā e pono ai hiki ke kōkua i ka pale ʻana i ka hōʻino ʻana o ka lolo e hiki ai ke hoʻoulu i nā hopu ʻana o ka lolo a i ʻole e hoʻonui i ka hiki ke hana ʻia i ka wā e hiki mai ana. Nā laʻana: nā mahiole, nā kāʻei noho.
• E hoʻokele i kou mau kūlana olakino. Hiki i ka hoʻokele ʻana i nā kūlana maʻi ke kōkua i ka pale ʻana i nā hopu ʻana, ʻoiai nā hopu e pili ana i nā pae kō koko ma muli o ka maʻi diabetes (type 1 diabetes a i ʻole type 2 diabetes).

He aha kaʻu e manaʻo ai inā loaʻa iaʻu hoʻokahi a ʻoi aku paha nā hopu ʻana o ka focal?

He nui ka poʻe i loaʻa i kā lākou hopu mua ʻana i ka maʻi epilepsy e loaʻa hou paha i kahi hopu mua me ke kumu ʻole. No laila, he mea nui e kamaʻilio me ke kauka e loaʻa ai kahi hōʻailona a me ka lāʻau lapaʻau. Hiki i kekahi poʻe me ka epilepsy focal ke loaʻa i kahi maʻi i kapa ʻia ʻo "drug-resistant a medically refractory epilepsy." ʻO ke ʻano kēia ʻaʻole i loaʻa i kā lākou epilepsy ke kōkua lawa mai ka lāʻau lapaʻau. ʻO ka epilepsy i kū ʻole i ka lāʻau lapaʻau hiki ke ho'ōla pinepine ʻia me ke ʻoki kino. He mea nui e ʻimi i ke alakaʻi mai ke kauka loea i ke ʻoki kino epilepsy.

Pehea ka lōʻihi o koʻu loaʻa ʻana i kēia maʻi?

I nā hopu ʻana i hoʻonāukiuki ʻia, ʻo kou pilikia o ka loaʻa ʻana o kekahi ma muli o ke kumu o ka mea mua. Inā hiki ke mālama ʻia ke kumu, ʻaʻole paha ʻoe e loaʻa hou i kekahi (ke ʻole e hoʻi hou ke kumu).

I ke ʻano o nā hopu ʻana i hoʻoulu ʻole ʻia, hiki ke kāohi ʻia ka hapa nui me nā lāʻau anti-seizure kūpono . Eia nō naʻe, inā hoʻomau nā hopu focal, he mea nui e ʻimi i ka lāʻau lapaʻau ma ke kikowaena epilepsy. Ke hoʻomaha ʻia ka epilepsy, ʻaʻole paha ʻoe e hopu ʻia no ke koena o kou ola.

He aha ka manaʻo no kēia kūlana?

ʻO ka nānā ʻana no nā hopu ʻana o ka maʻi poʻo a me ka maʻi epilepsy e pili ana i ke kumu, ke koʻikoʻi, a inā he kōkua nā lāʻau anti-seizure. Ma keʻano holoʻokoʻa, ʻaʻole weliweli nā hopu ʻana o ka poʻo, akā hiki iā lākou ke hoʻoweliweli i ke ola, e like me nā hopu ʻana o ka tonic-clonic.Hiki iā lākou ke lilo i mea weliweli inā lōʻihi ko lākou mau manawa a i ʻole e hele pinepine mai ana.

No ka hapa nui, loaʻa i nā hopu ʻana o ka focal kahi hiʻohiʻona maikaʻi me ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana.

ʻO kāu kauka ke kanaka maikaʻi loa e kamaʻilio pū me ia e pili ana i ka nānā ʻana no nā hopu ʻana a me ka maʻi epilepsy a me nā mea hiki iā ʻoe ke manaʻo. Hiki iā ia ke hāʻawi i ka ʻike e pili ana i kou kūlana a me kou kūlana, a alakaʻi iā ʻoe i ka mea e hiki ke kōkua iā ʻoe me kēia mau kūlana.

Ka make koke ʻana i ka maʻi epilepsy (SUDEP)

Loaʻa i ka poʻe me ka maʻi epilepsy kahi pilikia liʻiliʻi o kahi maʻi i kapa ʻia ʻo "Sudden Unexpected Death in Epilepsy" (SUDEP) . Manaʻo nā loea ua hoʻokumu ʻia ʻo SUDEP e nā pilikia o ka puʻuwai a i ʻole nā ​​pilikia hanu, akā ʻaʻole i ʻike ʻia ke kumu pololei.

Ma waena o ka poʻe me ka maʻi epilepsy i mālama pono ʻia, ʻo ka nui o ka make i kēlā me kēia makahiki ma kahi o hoʻokahi i loko o 1,000. Ma waena o ka poʻe me ka maʻi epilepsy i kāohi ʻole ʻia, ʻo ka nui o ka make i kēlā me kēia makahiki ma kahi o ʻelua i loko o 1,000. ʻOiai he pilikia liʻiliʻi kēia, he mea nui e makaʻala i ia mea.

Pehea e mālama ai iaʻu iho? (Inā ʻike ʻia ka maʻi epilepsy)

Inā ua loaʻa iā ʻoe kahi hopu hoʻokahi ma mua, he mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau no ka hoʻāʻo kūpono. Inā hoʻomau ʻoe i ka loaʻa ʻana o nā hopu, he mea nui loa ia e ʻimi i ka lāʻau lapaʻau ma kahi kikowaena epilepsy e loea ana i ka hoʻāʻo holomua no ka poʻe me ka epilepsy i kāohi ʻole ʻia. ʻO kēia no ka mea, ke loaʻa iā ʻoe nā hopu no ka manawa lōʻihi, hiki i kou lolo ke loli, e ʻoi aku ka nui o ka loaʻa ʻana o nā hopu a hoʻopilikia i kou hiki ke noʻonoʻo a hoʻomanaʻo. Eia kekahi, pili nā hopu i kāohi ʻole ʻia me ka hoʻonui ʻia o ka pilikia o nā maʻi lolo ʻē aʻe, e like me ke kaumaha a me ka hopohopo. Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i kēia.

Inā ʻike ke kauka iā ʻoe me ka epilepsy, hiki iā ʻoe ke hana i kēia mau mea e kōkua iā ʻoe iho:

• E lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi ʻana. Hiki i nā lāʻau antiepileptic ke hōʻemi i ke alapine a me ke koʻikoʻi o kāu mau hopu ʻana. No laila, he mea nui e lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi ʻana. ʻAʻole loa ʻoe e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ke alakaʻi ʻole a me ka nānā ʻana o kāu kauka.
• E kamaʻilio me kāu kauka e pili ana i kāu mau koho. Inā pono ʻoe e hōʻemi a hoʻololi paha i nā lāʻau lapaʻau, hiki i kāu kauka ke alakaʻi iā ʻoe inā e holomua kēlā kaʻina hana a pehea e hana palekana ai.
• E ʻike pinepine i kāu kauka. E hoʻonohonoho kāu kauka i nā kipa hoʻomau. He mea nui kēia mau manawa no ka mea e ʻae lākou i kāu kauka e nānā i kou kūlana a hoʻoponopono i kāu mau lāʻau lapaʻau.
• Mai hoʻowahāwahā a hoʻowahāwahā paha i nā hōʻailona. ʻOi aku ka maikaʻi o ka nānā ʻana no nā maʻi hopu a me ka maʻi epilepsy inā ʻike ʻia a mālama ʻia ke ʻano i ka wā mua.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Inā ʻaʻole ʻoe i loaʻa i kahi hopu ma muaInā nalowale koke kou ʻike a nalowale paha kou ʻike me ke kumu ʻole, pono ʻoe e hele i ka haukapila. Inā manaʻo ʻoe e loaʻa ana iā ʻoe kahi maʻi hopu i kou wā hoʻokahi, e kāhea koke aku i kāu kauka.

ʻAʻole pono pinepine ka poʻe me ka maʻi epilepsy e kāhea i kahi kaʻa kaʻa a i ʻole e hele i ka haukapila ma hope o ka loaʻa ʻana o ka maʻi hopu. Eia nō naʻe, inā hōʻeha ka maʻi hopu a inā lōʻihi ka loaʻa ʻana (ʻoi aku ma mua o ʻelua mau minuke) , pono paha lākou i ke kōkua lapaʻau.

Hiki i nā hopu ʻana o ka maʻi focal ke hana i nā ʻano hōʻailona like ʻole. He nui o lākou, inā ʻaʻole ʻoe i ʻike mua iā lākou, hiki ke huikau a weliweli paha. He mea maʻamau kēia mau hopu ʻana i nā keiki, a hiki ke weliweli i nā keiki a me nā mākua. Eia nō naʻe, ʻo nā hopu ʻana o ka maʻi focal a me ka epilepsy he mau kūlana hiki ke mālama ʻia. I ka hapanui o nā hihia, ʻoi aku ka ulu ʻana o nā keiki me ka epilepsy focal i ke kūlana i ko lākou ulu ʻana a noho mau me ka ʻole o nā hopu ʻana no ke koena o ko lākou ola. Hiki i nā pākeke ke noho me nā hopu ʻana o ka maʻi focal a me ka epilepsy, a me ka mālama ʻana a me ka mālama ʻana, hiki i nā poʻe he nui ke ola me ka hopena liʻiliʻi mai ko lākou kūlana.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• ʻO ka hopu ʻana o ka focal ka piʻi koke ʻana o ka hana uila e hoʻomaka ana ma kekahi wahi kikoʻī o ka lolo.
• Hiki ke ʻokoʻa loa nā hōʻailona ma muli o kahi o ka lolo i hoʻopilikia ʻia (e like me ke kani ʻana, nā ʻala/leo ʻē, nā loli o ke ʻano, ka nalowale o ka ʻike).
• Hiki i ka aura ke hōʻailona maʻamau o ka maʻi ma mua o ka loaʻa ʻana o kahi hopu.
• Inā loaʻa iā ʻoe a i ʻole kāu keiki kahi ʻōhū no ka manawa mua, e ʻike pono i ke kauka .
• Hiki ke hoʻomalu pinepine ʻia nā maʻi hopu a me ka maʻi epilepsy me ka lāʻau lapaʻau a i kekahi manawa ke ʻoki ʻana.
• He mea nui loa e hahai pono i nā ʻōlelo a ke kauka a lawe i kāu lāʻau lapaʻau e like me ke kauoha.
• Mai hopohopo, hiki iā ʻoe ke ola me kēia mau kūlana me ka holomua. ʻAʻole ʻoe hoʻokahi, e kiʻi i ke kōkua.

Nā hopu maka, ka maʻi epilepsy, nā ʻōhūhū, nā maʻi lolo, nā maʻi neurological, nā hōʻailona hopu, ka mālama ʻana i ka hopu ʻana