Makemake pū ʻoe e ʻike e pili ana i kēia ʻano ʻeha koʻikoʻi a me ka hoʻohaunaele? E kamaʻilio kākou!

I kekahi manawa ua ʻike paha ʻoe i kekahi e nalowale koke ana ka ʻike, e ʻūlū ana, a hāʻule i lalo me ka mucus e puka mai ana mai ko lākou waha. A i ʻole ua ʻike paha ʻoe iā ia iho. ʻO kēia ka mea a mākou e kapa nei he hopu ʻana. Hiki ke lilo i mea weliweli. Akā i kou ʻike ʻana i ke ʻano o ia mea, ʻaʻohe mea e makaʻu ai. E nānā kākou i ke ʻano o ka hopu ʻana, no ke aha e hana ʻia ai, a me ka mea e hana ai.

He aha kēia 'hopu'?

I ka ʻōlelo maʻalahi, ʻo ka hopu ʻana he piʻi koke a maʻamau ʻole o ka hana uila ma waena o nā ʻāpana nerve (neurons) i loko o kou lolo. E noʻonoʻo i kou lolo e like me kahi ʻōnaehana uila liʻiliʻi. I kekahi manawa hiki i kēia ke hana i kahi 'pōkole pōkole'. ʻO kēia ka manawa e ʻike ʻia ai kēia mau hōʻailona. ʻAʻole loaʻa i nā kānaka a pau ka hopu ʻana ma ke ʻano like. Hiki i kekahi poʻe ke nalowale ka ʻike a loaʻa i nā ʻōhū. ʻAʻole paha kekahi, akā e hoʻōki i kā lākou hana a haka pono no kekahi manawa. Manaʻo paha lākou e like me ka ʻūlū ʻana o ko lākou mau lima a i ʻole nā ​​wāwae. Hoʻokahi wale nō hopu ʻana o kekahi poʻe i ko lākou ola. Loaʻa paha i kekahi poʻe i nā manawa he nui i ka lā. No laila, ʻokoʻa loa paha kou ʻike mai ko kekahi.

He aha nā ʻano nui o nā hopu ʻana?

I kēia manawa, e nānā kākou i nā ʻano nui o nā hopu ʻana. ʻElua ʻano nui:

1. Nā hopu ʻana maʻamau (a i ʻole nā ​​hopu hoʻomaka maʻamau): ʻO kēia ka manawa e hoʻomaka ai ka hana uila ma nā ʻaoʻao ʻelua o ka lolo i ka manawa like. Loaʻa paha iā ʻoe nā ʻūlū ma nā ʻaoʻao ʻelua o kou kino, a i ʻole hoʻokahi ʻaoʻao wale nō. I kekahi manawa kū wale paha ʻoe ma laila me ka ʻole o nā ʻūlū. ʻOi aku ka maʻamau o kēia ʻano i nā keiki ʻōpio a me nā ʻōpio, akā hiki ke hana i kekahi o kēlā me kēia makahiki.

2. Nā hopu maka (a i ʻole nā ​​hopu maka): Ma kēia ʻano hopu maka, hoʻomaka ka hana uila ma kekahi ʻaoʻao o ka lolo, a i ʻole ma kahi kikoʻī hoʻokahi ("focus"). Hoʻopilikia pinepine nā hōʻailona i kekahi ʻaoʻao o ke kino. Hiki paha iā ʻoe ke ʻike a ʻaʻole paha i kēia manawa. ʻO ke ʻano kēia e hoʻomanaʻo paha ʻoe i ka hopu maka. Hiki i nā hopu maka ke oki i kekahi manawa, a i ʻole hiki iā lākou ke laha i nā ʻaoʻao ʻelua o ka lolo.

He aha nā ʻano hopu e hoʻopilikia ai i ka lolo holoʻokoʻa ('Nā hopu laulā')?

E nānā pono kākou i nā ʻano hopu like ʻole e hoʻopilikia ai i ka lolo holoʻokoʻa ('Nā hopu laulā').

• ʻO nā ʻōhū ʻana o ka naʻaupō: Ma kēia, ua hoʻōki koke ʻoe i kāu mea e hana nei, e haka pono ana, a me he mea lā ʻaʻole hiki iā ʻoe ke lohe i kekahi mea no kekahi manawa. Me he mea lā ua 'hele ʻoe i waho o ke ao nei' no kekahi manawa. Nalo wale kēia i loko o kekahi mau kekona.
• ʻO nā ʻōhū ʻAtonic (i kapa ʻia hoʻi ʻo 'drop seizures'): Ma kēia, nalowale koke ke kino i ka mana o nā ʻiʻo a hāʻule i ka honua.
• ʻO nā ʻōhū Clonic: Ma kēia, ʻūlū nā ʻaoʻao ʻelua o ke kino, a nalowale paha ka ʻike. I kekahi manawa hoʻokahi wale nō ʻaoʻao o ke kino e ʻūlū, a laila ʻaʻohe nalowale o ka ʻike.
• ʻO nā ʻōkuʻi myoclonic: Ma kēia, hoʻokahi a i ʻole kekahi mau ʻiʻo i pili pū kekahi e ʻūlū koke. Ua like ia me kahi haʻalulu liʻiliʻi, e like me ka haʻalulu uila.
• ʻO nā hopu ʻana o ka lolo maʻamau lua: Ma kēia, hoʻomaka mua ka hana uila ma kekahi ʻāpana o ka lolo (ʻo ka hopu ʻana maʻamau), a laila laha ia i ka lolo holoʻokoʻa (ʻo ka hopu ʻana maʻamau).
• ʻO nā ʻōhū Tonic-clonic: ʻO kēia ke ʻano a ka hapa nui o ka poʻe e noʻonoʻo ai ke lohe lākou i ka huaʻōlelo ʻo "seizure." ʻO ka mua, ʻoʻoleʻa nā ʻiʻo o ke kino (ʻano tonic), a laila nalowale ka ʻike a hoʻomaka ke kino holoʻokoʻa e haʻalulu (ʻano clonic - convulsions).
• Nā kuʻi ʻana o ka tonic: Ma kēia, aia ka nalowale o ka ʻike a paʻakikī nā ʻiʻo o ke kino, akā ʻaʻole i loaʻa ka jerking (convulsions).

He aha nā ʻano o nā hopu ʻana e hoʻopilikia wale ana i hoʻokahi ʻāpana o ka lolo ('Focal seizures')?

I kēia manawa, e nānā kākou i nā ʻano o nā hopu ʻana e hoʻopilikia wale ana i hoʻokahi ʻāpana o ka lolo ('Focal seizures').

• Nā hopu maka (i ʻike mua ʻia ʻo nā hopu hapa maʻalahi): Ma kēia ʻano hopu, ua ʻike ʻoe i ka mea e hana nei, ʻo ia hoʻi ke manaʻo nei ʻoe, a hoʻomanaʻo iā ia ma hope.
• Nā hopu maka (i ʻike mua ʻia ʻo nā hopu hapa paʻakikī): Ke loaʻa kahi hopu, nalowale ʻoe i ka ʻike, lilo ʻoe i ka ʻike ʻole i kou puni, a ʻaʻohe ou hoʻomanaʻo i ka mea i hana ma hope.

Pehea ka maʻamau o nā hopu ʻana?

Ke noʻonoʻo nei paha ʻoe i ka maʻamau o kēia mau hopu ʻana. Ma ka honua holoʻokoʻa, ua manaʻo ʻia ma kahi o hoʻokahi i loko o 10 mau kānaka e loaʻa i hoʻokahi hopu ʻana i ko lākou ola. No laila, ʻaʻole kēia he mea kupanaha loa.

He aha nā hōʻailona o ka hopu ʻana?

ʻOkoʻa nā hōʻailona o ka hopu ʻana ma muli o ke ʻano a me ke koʻikoʻi o ka hopu ʻana, akā ʻo nā hōʻailona maʻamau:

• Ka nalowale o ka ʻike.
• Nā neʻe kino i hiki ʻole ke kāohi ʻia (ka haʻalulu, nā ʻūmiʻi ʻiʻo, ka ʻūlū ʻana).
• E haka pono ana, me ka nānā ʻole i kekahi mea .

Ma waho aʻe o kēia, aia paha nā ʻano ʻē aʻe:

• Nā loli koke o nā manaʻo (huikau, makaʻu, hauʻoli, hopohopo).
• ʻŌwili niho.
• Ke kahe nei ka wai.
• Nā maka e neʻe ana a puni i ke ʻano kūlohelohe ʻole.
• Ka nalowale ʻana o ke kaohi ʻana o ka mimi a i ʻole ka ʻōpū.
• Ke hana ʻana i nā leo ʻē (e like me ka ʻū ʻana, ka hanu ʻana).

Akā e hoʻomanaʻo, he manawa pōkole kēia mau hōʻailona. ʻO ka maʻamau, mai kekahi mau kekona a i kekahi mau minuke.

He aha nā pae o ka hopu ʻana?

He mau pae like ʻole kekahi o nā hopu ʻana, akā ʻaʻole nā ​​​​kānaka a pau e ʻike i kēia mau pae āpau.

1. Ka pae Prodrome:E ʻike paha ʻoe i nā loli i kou ʻano a me kou ʻano i kekahi mau lā ma mua o ka loaʻa ʻana o ka maʻi hopu. E manaʻo paha ʻoe ua puni kou poʻo, paʻakikī ke noʻonoʻo pono, a pilikia paha ʻoe i ka hiamoe.

2. Ka pae Aura: Hiki iā ʻoe ke ʻike i kekahi mau hōʻailona ma mua o ka hoʻomaka ʻana o nā hōʻailona mua o ka hopu ʻana. Hiki i kēia ke komo pū me nā loli i ka ʻike (ʻike ʻana i nā kukui ʻālohilohi, ʻike ʻana i nā mea i hoʻopilikia ʻia), nā poʻo ʻeha, ka poniuniu, ka nausea, nā manaʻo makaʻu, ka hopohopo, a me nā loli i kou mau manaʻo (nā loli i ka ʻono, ke ʻala, ke kani, a me ka hoʻopā).

3. Ka pae Ictal: ʻO kēia ka manawa e kū maoli ai ka hopu ʻana. ʻO kēia ka manawa e ʻike ai ʻoe i nā hōʻailona i ʻōlelo ʻia ma mua.

4. Ka pae postictal: Ke pau ka hopu ʻana, hiki iā ʻoe ke ʻike i ka huikau, ka luhi nui, nā ʻeha kino, a me nā manaʻo ikaika (kaumaha, huhū, hauʻoli).

ʻO ka mea nui, ʻaʻole i loaʻa i nā maʻi āpau kēia pae hōʻailona mua i kapa ʻia ʻo "Aura." ʻO ka hapa pinepine, hiki koke mai nā maʻi me ka ʻole o ka hōʻike.

He aha nā hōʻailona ma mua o ka hoʻomaka ʻana o ka maʻi ʻōpū?

Hiki i kekahi poʻe ke ʻike i nā hōʻailona hōʻike ma mua o ka hiki ʻana mai o ka hopu ʻana, akā, ʻaʻole maʻamau kēia no nā mea a pau.

• Nā hōʻailona ʻike: ʻike ʻana i nā kukui ʻālohilohi, ʻike ʻana i nā mea ʻokoʻa, lohe koke i nā leo ʻē, manaʻo koke i nā ʻono ʻē (e like me ka metala, ʻawaʻawa) a i ʻole nā ​​​​ʻala, nā manaʻo ʻē i ka ʻili (e like me ka mae a i ʻole ke kani ʻana).
• Nā loli o ka naʻau: Ka hoʻomaka koke ʻana o nā manaʻo ikaika (makaʻu, hauʻoli), manaʻo e like me ka mea i hana ʻia ma mua ʻoiai he mea hou ia (`déjá vu`), a i ʻole ka manaʻo e like me kahi mea hou ʻoiai he mea maʻa loa ia (`jamais vu`).
• Nā hōʻailona autonomic: ʻO kēia nā hōʻailona e hoʻopilikia i nā ʻōnaehana kino i hoʻomalu ʻia e kou lolo. ʻO nā laʻana e komo pū me ka hou ʻana, ka drooling, ka ʻōpū huhū, a me ka ʻili keʻokeʻo.

He aha nā kumu o nā hopu ʻana?

No ke aha e loaʻa ai nā hopu ʻana? E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia, ʻo ia ka piʻi koke ʻana o ka hana uila ma waena o nā hunaola nerve ('Neurons') i loko o kou lolo. Kamaʻilio kēia mau hunaola nerve kekahi i kekahi ma o nā hōʻailona uila. I ka wā o ka hopu ʻana, hoʻouna nā hunaola lolo i kēia mau hōʻailona i nā hunaola ʻē aʻe ma kahi e pili ana me ka ʻole o ke kaohi. ʻO kēia laha nui ʻana o ka hana uila ke kumu o nā hōʻailona o ka hopu ʻana.

Hiki ke hoʻokaʻawale ʻia nā kumu o ka ʻāʻī i ʻelua mau ʻāpana nui:

1. Nā hopu ʻana i hoʻonāukiuki ʻia (a i ʻole nā ​​hopu ʻaʻole epileptic): Hoʻokumu ʻia kēia e kahi kūlana manawa pōkole a i ʻole kahi hanana kikoʻī (i kapa ʻia he trigger). ʻO ke ʻano kēia ua hoʻoulu ʻia ka hopu ʻana e kekahi mea.

2. Nā hopu ʻana i hoʻonāukiuki ʻole ʻia ('Nā hopu ʻana i hoʻonāukiuki ʻole ʻia' a i ʻole 'nā hopu epileptic'):Hiki koke mai kēia mau mea, me ke kumu ʻole. Hiki nō hoʻi iā lākou ke hana pinepine. ʻO kēia mau hopu ʻana ka hōʻailona nui o kahi maʻi i kapa ʻia ʻo epilepsy.

I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu maopopo no nā hopu ʻana. Kāhea mākou i kēia mau 'hopu idiopathic'.

He aha nā mea hoʻonāukiuki no ka hopu ʻana?

ʻAʻole like nā mea hoʻonāukiuki no kēlā me kēia kanaka, akā eia kekahi mau mea maʻamau:

• Nā pae kō koko kūpono ʻole (haʻahaʻa loa a kiʻekiʻe loa paha).
• Kekahi mau lāʻau lapaʻau (e like me `Wellbutrin®` a i ʻole `bupropion`).
• Nā kukui ʻālohilohi, ʻālohilohi a ʻālohilohi paha.
• Maʻi wela.
• Kuni kiʻekiʻe.
• Ka nele i ka hiamoe.
• Kaumaha.
• Ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona (ʻoiai nā hōʻailona haʻalele i ka wā e haʻalele ai i ka waiʻona).

Inā loaʻa pinepine iā ʻoe nā hopu ʻana, he mea nui loa ia e mālama i kahi moʻolelo o kāu mea i hana ai a me ke ʻano o kou wahi ma mua o ka hopu ʻana. E kōkua kēia ʻike i kāu kauka e ʻike i nā mea hoʻonāukiuki iā ʻoe.

He aha nā kūlana olakino ʻē aʻe e hiki ai ke hoʻoulu i nā hopu ʻana?

Hiki ke hana ʻia nā ʻōhū e nā ʻano maʻi like ʻole. Eia kekahi mau laʻana:

• Nā ʻano ʻē i loko o nā kīʻaha koko o ka lolo ('Aneurysms').
• Nā puʻupuʻu lolo.
• ʻAʻohe oxygen i ka lolo (ʻaʻohe cerebral hypoxia).
• Ka maʻi lolo.
• Ka maʻi diabetes.
• Nā ʻeha poʻo koʻikoʻi ('Severe concussion' a me 'traumatic brain injury'), ʻoiai hoʻi i nā hihia o ka nalowale ʻana o ka ʻike.
• Nā maʻi e hoʻonāwaliwali mālie ai i ka lolo, no ka laʻana, ka maʻi Alzheimer a i ʻole ka dementia frontotemporal.
• Ke koko kiʻekiʻe a me nā ʻōʻō ('Eclampsia') i ka wā hāpai.
• Nā pilikia electrolyte, ʻoiai nā haʻahaʻa haʻahaʻa o ka sodium (hyponatremia), calcium, a magnesium paha.
• Epilepsy - Hōʻike ʻia kēia e nā hopu pinepine ʻana me ke kumu ʻike ʻole ʻia.
• Nā kūlana hoʻoilina.

Aia paha he mau kumu ʻē aʻe:

• Nā loli hormonal ('Nā loli e pili ana i ka hormone').
• Nā maʻi (ʻoi aku ka encephalitis, meningitis, a i ʻole sepsis).
• Ka mumū mai nā kūlana autoimmune.
• Nā pilikia olakino noʻonoʻo (i kapa ʻia ʻo 'psychogenic seizures'), no ka laʻana ʻo 'conversion disorder'.
• Nā pilikia me ka ulu ʻana o ka lolo i kū mai i ka wā hānau ('Nā ʻano ʻino o ka lolo hānau').
• Nā hahau.
• Ka ʻai ʻana i nā mea ʻawaʻawa (ka lāʻau make carbon monoxide, ka lāʻau make metala kaumaha).
• Nā nahu ʻana o nā nahesa a i ʻole nā ​​nahu ʻana o nā holoholona ʻawahia ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā maʻi hopu?

Hiki i kekahi kanaka, i kēlā me kēia makahiki, ke loaʻa i ka maʻi hopu. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe:

• No ka poʻe me nā maʻi ʻē aʻe.
• Inā ua loaʻa i kekahi o ka ʻohana nā hopu ʻana (ka mana hoʻoilina).
• No nā keiki (ma lalo o 18 mau makahiki).
• No nā poʻe ma luna o 50 mau makahiki.

He aha nā pilikia e hiki mai ana o nā hopu ʻana?

I ka wā o ka hopu ʻana, aia kahi pilikia nui o ka ʻeha , no ka mea, nalowale pinepine ka ʻike o ka poʻe a hāʻule. Hiki ke loaʻa nā ulia i ka wā e hāʻule ai, a i ʻole i ka wā e hana ana i kahi mea ʻē aʻe (e like me ka hoʻokele kaʻa, ka hoʻohana ʻana i nā mīkini, a i ʻole ke piʻi ʻana i kahi kiʻekiʻe). Ke ʻūlū ke kino, hiki i nā lālā ke paʻi i nā mea paʻakikī, e hopena ana i nā ʻoki, nā palapū, a me nā iwi haki.

He kūlana weliweli ka status epilepticus . Hana ʻia ia ke mau ka hopu ʻana ma mua o ʻelima mau minuke, a i ʻole ke loaʻa hou kahi hopu ʻana ma mua o ka hoʻōla piha ʻana o ke kanaka mai hoʻokahi hopu ʻana. He pilikia olakino hoʻoweliweli kēia. Hiki iā ia ke hōʻino i ka lolo a me ka make.

Aia kekahi pilina ikaika ma waena o nā hopu ʻana a me ke olakino noʻonoʻo. ʻOi aku ka nui o ka poʻe i loaʻa i nā hopu ʻana i ka loaʻa ʻana o nā pilikia olakino noʻonoʻo e like me ka hopohopo a me ke kaumaha . ʻO kēia no ka mea hiki i nā hopu ke hoʻopilikia i nā hana o kēlā me kēia lā a me nā mea a lākou e hauʻoli ai. Hiki iā ʻoe ke hopohopo a hopohopo e pili ana i ka loaʻa ʻana o kahi hopu hou. ʻAʻole paha ʻoe e hiamoe i ka pō me ka noʻonoʻo ʻana i ka wā e hiki mai ai ka mea aʻe. Inā loaʻa iā ʻoe kahi hopu i mua o nā poʻe ʻē aʻe, hiki iā ʻoe ke hilahila a ʻaʻole makemake e hele i waho a hoʻolilo manawa me nā hoaaloha. ʻOiai ʻo nā hopu kahi mea e hana ʻia ma waho o kou mana, he mea maʻamau ka loaʻa ʻana o kēia mau manaʻo. Hiki i kahi kākā'ōlelo olakino noʻonoʻo ke kōkua iā ʻoe e hoʻokele i kēia mau manaʻo.

Pehea ʻoe e ʻike ai i kahi hopu?

ʻO ke kauka, ʻo ia hoʻi he neurologist, e ʻike i kahi maʻi hopu. Pili kēia i kahi hoʻokolohua kino, kahi hoʻokolohua neurological, a me nā hoʻokolohua ʻē aʻe. I loko o kēia mau hoʻokolohua, e nīnau ke kauka e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a inā paha ua loaʻa i kekahi o kou ʻohana nā kūlana like.

He mea kōkua nui ka lawe ʻana mai i kahi mea nāna i ʻike maka i kou maʻi ʻeha me ʻoe e ʻike i ke kauka. No ka mea, ʻaʻole paha ʻoe e hoʻomanaʻo i ka mea i hana ʻia i ia manawa, hiki i kēlā kanaka ke haʻi i ke kauka i nā kikoʻī.

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

Kōkua kēia mau hoʻāʻo e hōʻoia inā loaʻa maoli iā ʻoe kahi hopu ʻana, a inā pēlā, he aha ke kumu. ʻO kekahi o nā mea nui loa i ka ʻike ʻana i kahi hopu ʻana, ʻo ia ka ʻike ʻana inā he wahi kikoʻī i loko o ka lolo ('focal point') kahi e hoʻomaka ai ka hopu ʻana. Ke loaʻa kēia 'focal point', ʻoi aku ka maʻalahi o ke kauka e hoʻolālā i ka lāʻau.

Eia kekahi o nā hoʻokolohua i hoʻohana ʻia no ka ʻike ʻana i nā hopu ʻana:

• Nā hoʻāʻo koko.
• ʻO ke kiʻi CT (ʻO ke kiʻi tomography i helu ʻia (CT)`).
• Hoʻāʻo EEG (`Electroencephalogram (EEG)`). Ke ana kēia i ka hana uila o ka lolo.
• Nā hoʻāʻo hoʻoilina.
• ʻO ke kiʻi MRI (MRI)).
• Nānā PET (Positron emission tomography (PET) scan).
• ʻO ke kī ʻana o ka iwi kuamoʻo a i ʻole ka puncture lumbar.

Inā kānalua ke kauka he ʻeha a he pilikia paha i hoʻokumu ʻia e ka hopu ʻana, hiki iā ia ke kauoha i nā hoʻokolohua. E haʻi aku ke kauka iā ʻoe (a i ʻole kekahi mea nāna e hoʻoholo i nā hoʻoholo lapaʻau nou) i nā hoʻokolohua e hana ʻia nei a no ke aha.

He aha nā lāʻau lapaʻau no nā hopu ʻana?

ʻOkoʻa ka mālama ʻana no nā hopu ʻana ma muli o ke ʻano, ke koʻikoʻi, a me ke kumu. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Ke mālama ʻana i ke kumu a i ʻole ke kūlana kumu: E hoʻāʻo mua ke kauka e mālama i ke kūlana kumu i hoʻoulu ai i ka hopu ʻana (e like me ka hahau ʻana a i ʻole ke kō koko haʻahaʻa). Hiki paha i kēia ke kōkua i ka pale ʻana i nā hopu ʻana i ka wā e hiki mai ana.
• Ke lawe nei i nā lāʻau antiseizure: Hiki i kēia mau lāʻau ke ho'ōki i nā hopu ʻana a hōʻemi paha i ke alapine o nā hopu ʻana.
• ʻO ke ʻoki kino: ʻO ka wehe ʻana a i ʻole ke hoʻololi ʻana i ke kiko kikowaena i ka lolo kahi e hoʻomaka ai nā hopu ʻana e hiki ke hōʻemi i ke alapine a me ke koʻikoʻi o nā hopu ʻana.
• Hoʻoulu ʻana i ka lolo: Hoʻokomo kekahi kauka lapaʻau i kahi mea liʻiliʻi i loko o kou lolo. Hāʻawi kēia i kahi au uila i ka lolo. Hoʻopilikia kēia au i ka hana uila maʻamau ʻole a hoʻāʻo e hoʻōki iā ia. Nui nā ʻano hoʻoulu ʻana i ka lolo, ʻo kahi laʻana ka hoʻoulu ʻana o ke aʻalolo vagus.

Inā ʻaʻole holo pono kekahi mau lāʻau lapaʻau, e ʻōlelo paha kāu kauka e hoʻololi i kāu papaʻai. Ua hōʻike kekahi mau noiʻi e hiki i ka papaʻai haʻahaʻa-carb a ketogenic paha ke hōʻemi i ke alapine o nā hopu ʻana. Eia nō naʻe, ke noiʻi ʻia nei kēia.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no ka ʻōhū ʻana?

Hiki i nā lāʻau lapaʻau ke kōkua i ka mālama ʻana i nā maʻi hopu ma o:

• Hoʻōki ia i ka wā e loaʻa ai ka maʻi ʻōʻili.
• Pale i nā hopu ʻana i ka wā e hiki mai ana.
• Hoʻemi i ke koʻikoʻi o nā hopu ʻana.
• Hoʻemi i ke alapine (frequency) o nā hopu ʻana.

Eia kekahi mau lāʻau lapaʻau maʻamau no ka hopu ʻana (he mau laʻana wale nō kēia; na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono iā ʻoe):

• ʻO ka Benzodiazepine
• ʻO Carbamazepine
• ʻO Diazepam
• ʻO Gabapentin
• ʻO Lamotrigine
• ʻO ka ʻOxcarbazepine
• ʻO Phenytoin
• ʻO Pregabalin
• ʻAkika Valproic

Ma hope o kou hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e nānā mau kāu kauka iā ʻoe e ʻike i kona maikaʻi. Hiki ke hala kekahi mau mahina no ʻoe a me kāu kauka e ʻike i ka lāʻau lapaʻau kūpono a me ka nui. ʻOiai inā ʻoe e manaʻo maikaʻi ana, he mea nui loa ia e hoʻomau i ka lawe ʻana i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe.

Ua hōʻike ʻia nā haʻawina e pili ana i ka 33% o ka poʻe e lawe ana i nā lāʻau antiseizure e ʻike i ka hōʻoluʻolu piha mai ko lākou mau hōʻailona hopu. Ua hōʻike kekahi 33% e emi ana ko lākou mau hōʻailona ma hope o ka lawe ʻana i ka lāʻau.

Hiki ke pale ʻia nā hopu ʻana?

No ka mea, he hanana koke nā hopu ʻana, ʻaʻole hiki ke pale loa ʻia. ʻO ka mea maikaʻi loa āu e hana ai, ʻo ia ke pale aku i nā mea e hiki ai ke hoʻoulu i nā hopu ʻana, a i ʻole nā ​​​​​​mea hoʻoulu. Eia kekahi laʻana, e kaohi i kou pae kō koko, a pale iā ʻoe iho mai nā maʻi a me nā ʻeha.

He aha ka mea e hana ʻia inā loaʻa iaʻu kahi maʻi ʻōʻili? He aha kaʻu e manaʻo ai?

ʻOi aku ka liʻiliʻi o ka hapalua o ka poʻe i loaʻa i hoʻokahi hopu ʻana me ke kumu ʻole e loaʻa hou. Eia nō naʻe, inā loaʻa ka lua o ka hopu ʻana, hoʻomaka pinepine nā kauka i nā lāʻau antiseizure. I kahi hopu i hoʻonāukiuki ʻia, ʻo ka pilikia o ka loaʻa ʻana o kahi hopu hou e pili ana i ka mea i hoʻokumu i ka hopu mua. Inā hiki ke mālama ʻia kēlā kumu, ʻaʻole ʻoe e loaʻa hou i kahi hopu hou (ke ʻole ke ʻano like i hoʻokumu i ka hopu mua).

Hiki i nā lāʻau lapaʻau ke hoʻōki i nā hopu ʻana a hōʻemi paha i ko lākou alapine (pinepine). Eia nō naʻe, i kekahi manawa pono ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau (a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau) e ʻike i ka mea e pono ai iā ʻoe.

I kekahi mau hihia, paʻakikī paha ke kāohi i nā hopu ʻana me ka lāʻau lapaʻau wale nō. I ia mau hihia, hiki i ke kauka ke ʻōlelo aku i ke ʻoki kino, kahi papaʻai kūikawā, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

Inā loaʻa pinepine iā ʻoe nā hopu ʻana, e haʻi aku kāu kauka iā ʻoe e pili ana i nā hana palekana e hiki ke kōkua iā ʻoe e noho palekana. Hiki iā ʻoe ke komo a lawe paha i kahi kūpeʻe lima ID lapaʻau a i ʻole kāleka. E hōʻike kēia i nā poʻe ʻē aʻe i ka mea e hana ai inā loaʻa iā ʻoe kahi hopu ʻana.

ʻEhia ka lōʻihi o ka wā i loaʻa ai iā ʻoe kahi maʻi ʻōʻō?

ʻO ka maʻamau, mau nā hōʻailona o ka hopu ʻana mai kekahi mau kekona a i kekahi mau minuke, me ka lōʻihi o 15 mau minuke. Eia nō naʻe, inā loaʻa kekahi mau hopu ʻana i ka lālani (he pilikia olakino kēia), hiki i nā hōʻailona ke lōʻihi aʻe.

He aha koʻu hiʻohiʻona i ka wā e hiki mai ana no nā maʻi ʻōʻili?

No ka mea, ʻokoʻa ka ʻike o kēlā me kēia kanaka i ka hopu ʻana, hiki ke ʻokoʻa loa ka nānā ʻana. Aia ia i kekahi mau kumu:

• Ua loaʻa iā ʻoe ke kumu?
• Hiki ke mālama ʻia a hoʻokele ʻia kēlā kumu?
• He aha ke ʻano o ka hopu ʻana i loaʻa iā ʻoe?
• Pehea ka nui o ka hopu ʻana a pehea ka lōʻihi o ia mea?
• ʻO kou maʻi ʻeha mua kēia?
• Loaʻa iā ʻoe kahi maʻi lapaʻau maʻamau e lilo ai nā hopu ʻana i hōʻailona maʻamau?
• He aha nā lāʻau lapaʻau e loaʻa ana no ka mālama ʻana i kēia ʻano hopu ʻana?

ʻO kāu kauka ke kanaka kūpono loa e hāʻawi iā ʻoe i ka ʻike hou loa e pili ana i ka mea e manaʻo ai. E hōʻoia e nīnau iā ia inā he mau nīnau kāu.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi ʻōhū no ka manawa mua i kou ola , a inā nalowale kou ʻike a ʻike ʻole i ke kumu, pono ʻoe e hele i kahi lumi pilikia.Inā manaʻo ʻoe ua loaʻa iā ʻoe kahi hopu ʻana no ka manawa mua ʻoiai ʻoe mehameha, pono ʻoe e ʻike a kamaʻilio paha me ke kauka i ka hikiwawe loa.

Inā ua loaʻa iā ʻoe kahi hopu ma mua, he mea nui e makaʻala i nā hōʻailona o kekahi. Inā loaʻa iā ʻoe kahi hopu ʻelua, he mea nui loa e ʻike koke i ke kauka. ʻO kēia no ka mea hiki i nā hopu ke hoʻololi i kou lolo, e ʻoi aku ka maʻalahi o ka loaʻa ʻana o kahi hopu hou. No laila, ʻoi aku ka maikaʻi o ka loaʻa ʻana o kahi hōʻailona a hoʻomaka i ka lāʻau lapaʻau i ka hikiwawe.

Inā loaʻa pinepine kekahi i nā hopu ʻana, ʻaʻole pono paha e kāhea i kahi kaʻa kaʻa ma hope o kēlā me kēia hopu ʻana. Eia nō naʻe, inā ʻike ʻoe i ke kumu o kou hopu ʻana, pono nō paha ke kōkua lapaʻau i nā ʻeha i hana ʻia e ia.

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

Inā loaʻa iā ʻoe ka maʻi ʻeha, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:

• No ke aha i loaʻa ai iaʻu kēia ʻōʻiliʻili?
• Pehea e pale aku ai i nā 'mea hoʻoulu'?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
• Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
• E loaʻa hou anei iaʻu kahi maʻi ʻōʻili?
• Pehea e hiki ai iaʻu ke noho palekana?

He aha nā ʻano maʻi ʻōʻili e hoʻopilikia ai i nā keiki?

Hiki i nā keiki ke loaʻa i nā ʻōhū pū kekahi. ʻO nā kumu like o nā ʻōhū i nā pākeke e hoʻopilikia pinepine i nā keiki. Eia kekahi o nā ʻano ʻōhū maʻamau a me nā maʻi ʻōhū i nā keiki (he mau laʻana wale nō kēia):

• ʻO nā kuʻi ʻana o ka nele (i kapa ʻia hoʻi he epilepsy nele o ke kamaliʻi).
• ʻEpilepsy i nā keiki.
• Nā ʻōhū wela.
• Nā ʻūmiʻi pēpē.
• ʻO ka maʻi epilepsy myoclonic ʻōpio.
• ʻO ka maʻi Lennox-Gastaut.
• ʻO nā hopu ʻana o ka tonic-clonic.

He palekana anei ke hāpai inā loaʻa iaʻu nā ʻōʻō?

ʻAe, hiki iā ʻoe ke hāpai palekana inā loaʻa iā ʻoe ka maʻi epilepsy. Akā makemake kāu kauka e nānā pinepine iā ʻoe a me ke olakino o kāu pēpē. ʻAʻole kūpono kekahi mau lāʻau anti-epileptic no ka hoʻohana ʻana i ka wā hāpai. A laila hiki i kāu kauka ke hāʻawi iā ʻoe i nā lāʻau lapaʻau ʻē aʻe palekana e kōkua i ka kaohi ʻana i kāu mau hōʻailona. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, ʻo ke kanaka maikaʻi loa e kamaʻilio pū me kāu kauka.

ʻOiai ke ʻano o nā hopu ʻana me he mea lā āu e ʻike ai ma ke TV a i ʻole ma nā kiʻiʻoniʻoni, he mea paha ia āu a i ʻole kahi mea aloha e ʻike ai i kēlā me kēia lā, a ʻoi aku paha pinepine. He mea ʻoluʻolu ʻole lākou e ʻike ai, a ʻoi aku ka weliweli ke nānā aku. Manaʻo paha ʻoe ʻaʻole ʻoe ʻo ʻoe iho ma mua, i ka wā, a ma hope o ka hopu ʻana, a hiki ke lōʻihi ka manawa e hoʻōla ai.

ʻOiai inā ʻaʻole hiki iā ʻoe ke kaohi i kou mau hopu ʻana, hiki i ke kauka ke kōkua iā ʻoe e hoʻoponopono i nā hōʻailona i ka wā mua. Hiki i kāu kauka ke aʻo iā ʻoe i nā ala e hoʻokele ai i kou kūlana kumu, a i ʻole e kōkua iā ʻoe e ʻike a pale i nā mea hoʻonāukiuki. Hiki i nā lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā hopu pinepine, a he koho paha ke ʻoki kino inā ʻaʻole holo pono nā lāʻau ʻē aʻe.

He aha nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo? (Leka Lawe-Home)

ʻAe, eia kekahi mau mea e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai:

• He ʻano ʻē ka hopu ʻana i ka hana uila o ka lolo. ʻOiai hiki ke hopohopo, aia nā lāʻau lapaʻau e loaʻa ana ma muli o ke kumu a me ke ʻano.
• ʻAʻole like nā ʻōʻili āpau. Loaʻa i kekahi poʻe nā neʻe ʻūlū, nānā wale kekahi poʻe iā ʻoe. Hiki ke ʻokoʻa loa nā hōʻailona.
• Inā loaʻa iā ʻoe kahi ʻōhū no ka manawa mua me ke kumu ʻole, a inā nalowale kou ʻike, e ʻimi koke i ke kōkua lapaʻau. Inā paha e hana hou ʻia no ka lua o ka manawa, e ʻike koke i ke kauka.
• He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka me ka pololei a me ka manawa kūpono. Mai ho'ōki i ka lawe ʻana iā ʻoe iho.
• E ʻike i kāu mau "mea hoʻonāukiuki" a e hoʻāʻo e pale aku iā lākou.
• ʻAʻole ʻoe hoʻokahi. Aia nā kauka, ʻohana, a me nā hoaaloha e hiki ke kōkua a kākoʻo i ka poʻe me nā maʻi hopu. E mālama pū i kou olakino noʻonoʻo.
• He pilikia olakino ka status epilepticus (nā hopu ʻana ma mua o 5 mau minuke a i ʻole nā ​​hopu mau). Pono ia e hoʻokipa koke ʻia i ka haukapila.

Inā he mau nīnau hou kāu a i ʻole kekahi āu i ʻike ai e pili ana i nā hopu ʻana, mai makaʻu e kamaʻilio me ke kauka. E kōkua lākou iā ʻoe.

ʻO ka hopu ʻana, ka maʻi ʻepilepsy, ka maʻi lolo, ka maʻi neurological, nā hōʻailona