Ua loaʻa anei i kekahi o kou ʻohana kahi maʻi hopu koʻikoʻi e like me kēia? E aʻo kākou e pili ana i nā hopu Tonic-Clonic (i ʻike ʻia hoʻi ʻo Grand Mal)!

Ua ʻike anei ʻoe i kekahi e lele koke ana a nalowale ka ʻike? Hiki paha iā lākou ke kahe i ka wai. Makaʻu mākou a pau ke ʻike mākou i ia ʻano hiʻohiʻona, ʻeā? Nui nā ʻano hopu e hana ʻia ma kēia ʻano. I kēia lā e kamaʻilio mākou e pili ana i ka hopu ʻana o Tonic-Clonic (Grand Mal), he ʻano hopu ʻoi aku ka koʻikoʻi akā ʻike nui ʻia i waena o nā poʻe he nui. E nānā kākou i ke ʻano maoli, no ke aha e hana ai, he aha nā hōʻailona, ​​a me nā mea e hana ai i ia ʻano kūlana.

He aha ka hoʻouka kaua tonic-clonic a i ʻole grand mal?

I ka ʻōlelo maʻalahi, ʻo ka tonic-clonic seizure kahi seizure koʻikoʻi kahi e hana koke ai nā ʻiʻo ma nā ʻaoʻao ʻelua o ko kākou kino a wili. ʻO kēia ke ʻano a ka hapa nui o ka poʻe e noʻonoʻo ai ke lohe lākou i ka huaʻōlelo "seizure" a maʻalahi hoʻi e ʻike. Ua kapa ʻia ʻo ia he "Grand Mal." He huaʻōlelo Farani ia e like me ka "maʻi nui."

ʻO ka inoa "Tonic-Clonic" e hōʻike ana he ʻelua mau hanana nui o kēia hopu ʻana.

1. Pae Tonic: ʻO kēia ka wā e ʻūlū koke ai nā ʻiʻo o ke kino holoʻokoʻa, ʻoiai nā lima a me nā wāwae.

2. Ka pae Clonic: Ma hope o kēia ka wili ʻana o ke kino, a i ʻole nā ​​​​​​hoʻopūʻiwa.

Pehea ka ʻokoʻa o kēia hopu ʻana mai nā ʻano hopu ʻē aʻe a me ka epilepsy?

Aia kekahi mau ʻano o nā hopu ʻana. Loaʻa i kekahi o lākou nā inoa like, hiki ke huikau. E nānā kākou i nā ʻokoʻa nui:

• Nā hopu ʻana o Atonic: Ua kapa ʻia hoʻi ʻo "drop attacks," he mau ʻūmiʻi koke kēia o nā ʻiʻo e hāʻule ai ke kanaka i ka honua. Hoʻonui kēia i ka pilikia o ka ʻeha mai ka hāʻule ʻana.
• Nā hopu ʻana o Tonic: Ua like kēia me nā hopu ʻana o tonic-clonic, akā, ʻaʻole i loaʻa ka wā clonic, a i ʻole ka jerking. Hiki i ke kanaka ke nalowale ka ʻike a lilo i ʻoʻoleʻa, akā, ʻaʻohe jerking.
• Nā hopu ʻana o Clonic: He hopu ʻana kēia e kū mai ana me ka ʻole o ka pae tonic, a komo koke i loko o kahi pae clonic. ʻO ke ʻano kēia, ʻaʻole e ʻoʻoleʻa ke kino, akā hoʻomaka ka ʻūlū a hiki ke nalowale ka ʻike.
• Nā hopu ʻana o Myoclonic: He ʻūlū koke kēia o kahi hui ʻiʻo. Ua like ia me ka pā ʻia ʻana e kahi haʻalulu uila. Inā pili ia i nā wāwae, hiki paha iā ʻoe ke hāʻule. (Akā eia kekahi mea liʻiliʻi: Ke hoʻūlū koke mākou i ko mākou kino i ka wā e hiamoe ana mākou, ua kapa ʻia ʻo ia he 'myoclonic jerk.' He mea maʻamau ia, ʻaʻole he hopu ʻana a i ʻole ka maʻi epilepsy. )
• ʻEpilepsy: ʻO ka Epilepsy kahi maʻi lolo e hoʻoulu ai i nā hopu pinepine a wehewehe ʻole ʻia. Hoʻoponopono nā kauka i ka epilepsy ma o:Hana pinepine ʻia inā ua loaʻa iā ʻoe ma ka liʻiliʻi ʻelua mau hopu ʻana i hoʻonāukiuki ʻole ʻia i loko o kahi manawa ʻoi aku ma mua o 24 mau hola, a i ʻole inā ua loaʻa iā ʻoe hoʻokahi hopu ʻana a he kiʻekiʻe ka pilikia o ka loaʻa ʻana o kekahi i loko o nā makahiki he 10 e hiki mai ana.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi? Pehea ka maʻamau o ia mea?

Hiki i kekahi ke loaʻa i ka maʻi hopu, akā ʻoi aku ka nui o ka loaʻa ʻana o kekahi poʻe i hoʻokahi. ʻOi aku ka maʻamau o nā hopu i nā keiki ʻōpio a me nā poʻe ma luna o 65 mau makahiki.

Ma keʻano holoʻokoʻa, ma kahi o 25% o ka poʻe i loaʻa i nā hopu ʻana he mau hopu tonic-clonic. Wahi a nā helu helu ma ʻAmelika Hui Pū ʻIa, ma kahi o 11% o ka poʻe e loaʻa i kahi hopu i ko lākou ola, a ma kahi o 3% o lākou e ʻike ʻia he maʻi epilepsy. Ma kahi o 1% o nā maʻi e hele mai ana i nā keʻena pilikia ʻo ia ka poʻe i hele mai ma muli o nā hopu ʻana.

Pehea ka hopena o kēia maʻi hoʻoulu i ke kino?

ʻO ka hopu ʻana he loli a hana hewa paha i ke ʻano o ka hoʻouna ʻana o ko kākou mau hunaola lolo, i kapa ʻia ʻo neurons, i nā hōʻailona uila. I ka wā o ka hopu ʻana, hoʻomau kēia mau neurons i ke ahi me ka ʻole o ke kāohi ʻia, kahi e laha ai i nā neurons ʻē aʻe.

ʻO ka hopu ʻana o ka tonic-clonic he 'hoʻopū maʻamau'. ʻO ia hoʻi , pili ia i nā ʻaoʻao ʻelua o ka lolo. Hoʻopilikia kēia i ka nalowale o ka ʻike, nāwaliwali o nā ʻiʻo ma ke kino holoʻokoʻa, a me nā neʻe hiki ʻole ke kāohi ʻia e like me ka ʻūlū ʻana a me ka haʻalulu.

Ke Kūlana Epilepticus - He mea weliweli kēia!

He mea nui: Inā loaʻa i kekahi kahi hopu ʻana i ʻoi aku ma mua o ʻelima mau minuke, a i ʻole inā pau kekahi hopu ʻana a loaʻa kekahi ma mua o ko lākou hoʻi hou ʻana i ka ʻike, ua kapa ʻia ia he status epilepticus . He pilikia olakino hoʻoweliweli kēia! Hiki iā ia ke hōʻeha mau loa i ka lolo a hiki i ka make.

Ma kahi o 98% o nā hopu ʻana e pau pinepine i loko o ʻelima mau minuke. Hiki ke loaʻa ke kūlana epilepticus no kekahi kumu e hiki ai ke kumu i kahi hopu ʻana.

Inā loaʻa i kekahi kahi hopu ʻana i ʻoi aku ma mua o 5 mau minuke ʻoiai ʻoe ma laila, a inā loaʻa kekahi ma mua o ka pau ʻana o ka mua, e ʻoluʻolu e kelepona koke iā 1990 (ka lawelawe ambulance ulia pōpilikia o Sri Lanka), a i ʻole e lawe iā lākou i ka haukapila kokoke loa. Inā lōʻihi ka status epilepticus, ʻoi aku ka paʻakikī i nā kauka ke hoʻōki iā ia, a ʻoi aku ka nui o ka manawa e hōʻino ʻia ai ka lolo.

He aha nā hōʻailona o ka hoʻouka kaua tonic-clonic?

Ke manaʻo ka hapa nui o ka poʻe i nā "seizures," manaʻo lākou i nā seizures tonic-clonic. ʻO ka maʻamau, he ʻoluʻolu a maʻalahi hoʻi ke ʻike i nā hōʻailona. ʻEkolu mau pae nui:

1. Pae Tonic (ma kahi o 10-30 kekona):

• I kēia hihia, nalowale koke kou ʻike.
• ʻO nā ʻiʻo o ke kino holoʻokoʻa, ʻoiai nā lima a me nā wāwae, e lilo i mea paʻa. Me he mea lā ua kūlou ke kino i hope a ke puka mai nei ka ʻōpū.
• I ka wā e ʻūlū ai nā ʻiʻo hanu, hiki i ka ea ke pakele mai loko mai o nā māmā, e hana ana i kahi leo hū.
• Inā ʻoe e hāʻule i kēia manawa, a inā ʻoe e ʻūmiʻi i kou mau niho a nahu i kou alelo , hiki iā ʻoe ke ʻeha.

2. Ka pae Clonic (30-60 kekona, i kekahi manawa ʻoi aku ka lōʻihi):

• ʻO kēia ka manawa e hoʻomaka ai ke kino holoʻokoʻa e haʻalulu a haʻalulu (convulsions).
• Hiki nō hoʻi iā ʻoe ke kuha i ka mucus mai kou waha.
• Ke emi mālie nei nā walaʻau, a ke oki mālie nei.
• I ka hopena o kēia kahua, hiki ke hoʻokuʻu ʻia ka mimi a me nā feces, ʻo ia hoʻi hiki iā lākou ke kau ma luna o nā lole.

3. Ka pae ho'ōla ma hope o ka hopu ʻana (ma kahi o 30 mau minuke):

• Hoʻi mālie ka hapa nui o ka poʻe i ka ʻike ma hope o ka pau ʻana o ka hopu ʻana.
• Akā, e huikau paha ʻoe, e ʻeha ke poʻo, a e ʻeha paha ke kino . He mea maʻamau kēia.
• I kekahi mau hihia koʻikoʻi, ʻoiai inā loaʻa kahi maʻi e like me ke 'Status epilepticus', hiki ke lōʻihi ka manawa e hoʻi hou ai ka ʻike.

He aha nā ʻano o nā hopu ʻana o ka lolo a me ka aura?

Nui ka poʻe i ʻike i kahi manaʻo, he foreboding, ma mua o ka hiki ʻana mai o kahi hopu ʻana. Ua kapa ʻia kēia he `prodrome`. I kekahi manawa hiki ke hele pū ʻia kēia foreboding me kahi `aura`. ʻO ka aura ka manaʻo e hoʻopilikia ʻia kekahi mau ʻāpana o ka lolo ke hoʻomaka ka hopu ʻana.

ʻO nā hopu ʻana maʻamau, e like me nā hopu tonic-clonic, ʻaʻohe aura. Eia nō naʻe, hiki i nā hopu focal - nā hopu e hoʻopilikia wale i hoʻokahi ʻaoʻao o ka lolo - ke laha i ka lolo holoʻokoʻa a lilo i hopu tonic-clonic. ʻO ka aura ma mua o ka hopu focal hiki ke lilo i hōʻailona hōʻailona e hiki mai ana kahi hopu tonic-clonic.

Hiki i kahi aura ke loaʻa nā ʻano like ʻole:

• Nā hōʻailona sensory: Inā pilikia nā ʻāpana o ka lolo e kaohi ana i kou mau ʻike, hiki iā ʻoe ke ʻike i nā manaʻo wahaheʻe āu e ʻike nei a lohe nei paha. Eia kekahi laʻana, hiki iā ʻoe ke ʻike i nā kukui kala, ʻike i nā mea e neʻe ana, lohe i nā leo, ʻike i nā ʻono a me nā ʻala ʻē, a i ʻole manaʻo i kahi mea e neʻe ana ma kou ʻili.
• Nā loli i nā manaʻo: Hiki i kekahi poʻe ke ʻike i nā manaʻo maikaʻi ʻole e like me ka makaʻu a me ka hopohopo. Hiki i kekahi ke ʻike i nā manaʻo maikaʻi e like me ka hauʻoli a me ka pīhoihoi. Hiki i kekahi ke ʻike i nā manaʻo e like me ka `déjá vu` (kahi manaʻo o ka maʻa mau me kahi ʻike hou) a i ʻole `jamais vu` (kahi manaʻo o ka maʻa mau me kahi ʻike hou).
• Nā hōʻailona autonomic: Hiki i kēia ke hoʻopilikia i nā mea a ko mākou kino e kaohi ai. No ka laʻana, ka hou ʻana, ka salivation nui, ka ʻili keʻokeʻo a ʻulaʻula paha, a me ka piʻi ʻana o ka ʻōpū.

He aha ke kumu o nā hoʻouka kaua tonic-clonic?

Nui nā kumu no kēia hopu ʻana. E nānā kākou i nā mea nui:

• Nā nāwaliwali o nā kīʻaha koko o ka lolo ('Aneurysms').
• Nā ʻano kūpono ʻole o ka puʻuwai ('Arrhythmias'), ʻoiai ke pilikia ka holo ʻana o ke koko i ka lolo.
• Nā puʻupuʻu lolo (maʻi ʻaʻai a me nā maʻi ʻaʻole).
• ʻAʻohe oxygen i ka lolo (ʻaʻohe cerebral hypoxia).
• Nā ʻeha i hoʻokumu ʻia e ka hahau ikaika i ke poʻo (concussion a me ka ʻeha o ka lolo traumatic).
• Nā maʻi e hoʻonāwaliwali mālie ai i ka lolo, e like me ka maʻi Alzheimer, ka dementia frontotemporal.
• Nā lāʻau lapaʻau a me ka waiʻona (ʻaʻole kēia wale nō nā lāʻau lapaʻau, nā lāʻau lapaʻau leʻaleʻa, akā ʻo ka caffeine hoʻi i loko o ke kofe).
• Nā kūlana e kū mai ana ma hope o ka hoʻōki ʻana i nā lāʻau lapaʻau a i ʻole ka waiʻona.
• ʻO Eclampsia (kahi maʻi e loaʻa ai i nā wahine hāpai nā hopu ma muli o ke koko kiʻekiʻe).
• Nā kaulike ʻole i loko o nā paʻakai kino (ʻoi aku ka haʻahaʻa o ka sodium - 'hyponatremia', calcium haʻahaʻa, magnesium).
• ʻO ke kuni, ʻoi aku hoʻi ke kuni nui (loaʻa iā mākou kahi ʻatikala ʻokoʻa e pili ana i nā hopu febrile i nā keiki).
• Nā kukuna mālamalama ʻālohilohi a ʻālohilohi (e like me ka mea i ʻike ʻia ma ke TV, nā kiʻiʻoniʻoni, nā pāʻani wikiō).
• Nā maʻi hoʻoilina hānau ʻia ('Nā maʻi hoʻoilina').
• Nā loli hormonal (e.g., catamenial epilepsy, kahi kūlana e loaʻa ai i kekahi mau wahine nā hopu hou aʻe i ka wā o ko lākou menstrual cycle).
• Nā maʻi (ʻoi aku ka encephalitis a i ʻole meningitis; hiki ke hana ʻia kēia mau mea e nā virus, bacteria, parasites, a fungi paha).
• Nā kūlana autoimmune i hoʻokumu ʻia e nā maʻi 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 olakino noʻonoʻo (ua kapa ʻia kēia he 'psychogenic seizures', e.g. 'conversion disorder').
• Nā pilikia me ke ʻano o ka lolo (ʻoi aku hoʻi ma muli o nā pilikia e kū mai ana i ka wā e ulu ana ka lolo i loko o ka ʻōpū).
• Sepsis (kahi kūlana hoʻoweliweli i ke ola kahi e laha ai kahi maʻi ma ke kino a pane nui ka ʻōnaehana pale).
• Nā hahau a i ʻole nā ​​​​hoʻouka ischemic transient (TIAs).
• Nā mea make (e like me ka lāʻau make carbon monoxide, ka lāʻau make metala kaumaha).

Nā hopu ʻana i hoʻonāukiuki ʻia a me ka hopu ʻole ʻia

Ke ʻike nā kauka i kahi maʻi hopu, nānā pū lākou inā he "hoʻonāukiuki" a "hoʻonāukiuki ʻole" paha.

• Nā hopu ʻana i hoʻonāukiuki ʻia: Hiki mai kēia ma ke ʻano he hōʻailona o kekahi maʻi olakino a i ʻole ma ke ʻano he pane i kahi hanana kikoʻī (e laʻa, ke kuni nui, ke kō koko haʻahaʻa, ka haʻalele ʻana i nā lāʻau lapaʻau, nā lāʻau lapaʻau, a i ʻole ka waiʻona).
• Nā hopu ʻana i hoʻonāukiuki ʻole ʻia: ʻO kēia nā hopu ʻana i kū ʻole ma ke ʻano he hōʻailona o kahi maʻi pōkole a i ʻole kahi hanana kikoʻī. ʻO nā hopu ʻana e kū mai ana ma hope o ʻehiku mau lā, e like me ka ʻeha poʻo a i ʻole ka hahau ʻana, hāʻule pū kekahi i loko o kēia māhele.

He laha anei nā maʻi hoʻomaʻi tonic-clonic?

ʻAʻole, ʻaʻole laha nā hopu ʻana o ka tonic-clonic.Eia nō naʻe, hiki i kekahi mau mea, e like me nā maʻi e hoʻoulu ai i nā hopu ʻana, ke laha (ʻoiai ʻaʻole nā ​​​​maʻi āpau e hoʻoulu ai i nā hopu ʻana). Eia kekahi, ʻo kekahi mau kūlana e hoʻoulu ai i nā hopu ʻana he genetic (hiki ke hoʻoili ʻia mai nā mākua a i nā keiki).

Pehea e ʻike ʻia ai ka maʻi hoʻouka tonic-clonic?

Hiki i kāu kauka, ʻo ia hoʻi he neurologist, ke ʻike pinepine i kahi hopu tonic-clonic ma muli o nā hōʻailona. No ka mea ua nalowale kou ʻike i ka wā o kēia hopu ʻana, hiki iā ʻoe ke hoʻomanaʻo wale i kāu mea i manaʻo ai ma mua a ma hope o ka hopu ʻana. I kēlā hihia, hiki i ke kauka ke noi i kahi mea me ʻoe e wehewehe i ka mea i hana ʻia.

Inā ʻike ʻoe i kekahi e loaʻa ana i ka maʻi hopu, ʻoiai inā ʻoʻoleʻa lākou, ʻoniʻoni, a haʻalulu paha, e noi paha ke kauka iā ʻoe e wehewehe i nā hōʻailona. ʻO ka haʻi ʻana iā lākou i kāu mea e ʻike ai he mea kōkua nui ia i ka hoʻoholo ʻana i ke kumu.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Aia kekahi mau hoʻokolohua e hoʻoholo ai inā loaʻa iā ʻoe nā hopu tonic-clonic. ʻO nā hoʻokolohua maʻamau:

• Electroencephalogram (EEG): Ke ana kēia i ka hana uila o ka lolo.
• Nā hoʻāʻo koko: Ke nānā nei kēia mau mea i nā mea e like me nā maʻi metabolic, nā kaulike ʻole o ke kemika koko, nā pilikia ʻōnaehana pale, a me nā mea ʻawahia.
• ʻO ke kiʻi tomography kamepiula (CT scan): Lawe i nā kiʻi ʻokiʻoki o ka lolo.
• Magnetic resonance imaging (MRI): Lawe kēia i nā kiʻi kikoʻī o ka lolo.
• Spinal tap (lumbar puncture): No ka nānā ʻana i nā mea e like me nā maʻi ma ka lolo a me ke kaula spinal.

I ka wā e ʻike ai i ka maʻi epilepsy, hoʻāʻo nā kauka e ʻimi i kahi kikoʻī i loko o ka lolo (kahi `focal point`) kahi e hoʻomaka ai nā hopu ʻana. Inā hiki iā lākou ke loaʻa i kēia wahi, he hopena nui ia i ke ʻano o ka mālama ʻana.

Hiki i nā hopu ʻana o ka tonic-clonic ke hoʻoulu i ka nalowale o ka ʻike, ka ʻū ʻana o ka ʻauwae, a me ka pilikia o ka ʻeha mai ka hoʻoluliluli ʻana a i ʻole ke kuʻi ʻana i nā mea. Inā manaʻo nā kauka he mau ʻeha a pilikia paha mai ka hopu ʻana, hiki iā lākou ke kauoha i nā hoʻokolohua hou aʻe ma waho aʻe o nā mea i helu ʻia ma luna. E hiki i kāu kauka ke haʻi iā ʻoe i nā hoʻokolohua kūpono no kou kūlana a me ke kumu e hana ʻia ai.

Pehea e mālama ʻia ai nā hopu tonic-clonic? Hiki ke ho'ōla ʻia kēia?

ʻO ka maʻamau, pau nā hopu ʻana o ka tonic-clonic ma o lākou iho. No laila, ʻaʻohe lāʻau lapaʻau pololei no ka hopu ʻana i ka wā e hana ʻia ana. Eia nō naʻe, ʻokoʻa inā loaʻa iā ʻoe ke kūlana epilepticus (kahi hopu ʻana e mau ana ma mua o 5 mau minuke a ukali ʻia e kekahi ma mua o ka pau ʻana o ka mea ma mua).

ʻO ka lāʻau no nā hopu ʻana ma muli o ke kumu mua. Inā loaʻa iā ʻoe kahi 'hoʻoulu ʻia', pono e hoʻōki nā hopu ke mālama ʻia a hoʻōla ʻia paha ke ʻano kumu i hoʻokumu ai. Inā ʻaʻole hiki ke hoʻōla ʻia ke kumu kumu, e hoʻāʻo nā kauka e hōʻemi i ka alapine a me ke koʻikoʻi o nā hopu ʻana.

ʻAʻole ʻōlelo pinepine nā kauka e mālama i ka hopu mua ʻana i hoʻonāukiuki ʻole ʻia no ka mea ʻaʻohe ala e ʻike pono ai inā e loaʻa hou mai ana kekahi hopu ʻana, a inā pēlā, ʻaʻohe kumu e mālama ai.

Hiki i nā kauka ke hoʻoholo inā paha ʻoe i ka pilikia o ka loaʻa ʻana o kahi hopu hou ma ka nānā ʻana i kāu mōʻaukala lapaʻau, EEG, CT scan, a i ʻole MRI scan.

He aha nā ʻano lāʻau lapaʻau a i ʻole nā ​​​​​​lāʻau lapaʻau i hoʻohana ʻia?

E like me nā ʻano hopu āpau, he nui nā lāʻau lapaʻau no nā hopu tonic-clonic i hoʻokumu ʻia e ka maʻi epilepsy. Hiki i kekahi poʻe ke kāohi i ko lākou hopu ʻana me hoʻokahi lāʻau lapaʻau wale nō. Pono paha kekahi i ka hui pū ʻana o nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe.

ʻO kekahi o nā lāʻau lapaʻau no ka hopu ʻana i ka tonic-clonic i hoʻokumu ʻia e ka epilepsy:

• Nā lāʻau lapaʻau: Aia nā lāʻau lapaʻau IV e hiki ke hāʻawi ʻia e hoʻōki i nā hopu ʻana; akā naʻe, hāʻawi pinepine ʻia kēia mau mea i nā hihia o ke kūlana epilepticus. Aia kekahi mau pila i lawe ʻia i kēlā me kēia lā e pale aku i nā hopu ʻana a i ʻole e hōʻemi i ko lākou alapine (frequency). ʻO kēia nā lāʻau lapaʻau mua i hāʻawi ʻia no nā hopu ʻana i hoʻokumu ʻia e ka epilepsy.
• ʻO ke ʻoki ʻana i ka maʻi ʻepilepsy: Inā ʻaʻole holo pono ka lāʻau lapaʻau, i kekahi manawa hiki ke hana ʻia ke ʻoki ʻana e hoʻōki i nā hopu ʻana ma ka wehe ʻana i ka ʻāpana o ka lolo (ke kikowaena) kahi e hoʻomaka ai nā hopu ʻana, a i ʻole ma ka hoʻokaʻawale ʻana mai nā ʻāpana ʻē aʻe o ka lolo. Inā hoʻomau nā hopu ʻana me ka lawe ʻana i ʻelua ʻano lāʻau anti-seizure ma nā dosis i ʻōlelo ʻia, hiki i nā kauka ke ʻōlelo aku i ke ʻoki ʻana i ka maʻi ʻepilepsy.
• Nā Hoʻololi ʻAi: Hiki i nā papaʻai haʻahaʻa-carb a ʻaʻohe-carb paha (`ketogenic diets`) ke hoʻōki loa i nā hopu ʻana a hōʻemi paha i ke alapine o nā hopu ʻana. ʻOiai he paʻakikī ke hahai i kēia mau papaʻai, hiki iā lākou ke kōkua no ka poʻe i pane ʻole i ka lāʻau lapaʻau a i ʻole ka poʻe i loaʻa nā hopena ʻino mai ka lāʻau lapaʻau. He koho nō hoʻi lākou no ka poʻe makemake ʻole e hana ʻoki kino.
• Hoʻoulu ʻana i ka lolo: Pili kēia i ke kau ʻana i kahi mea liʻiliʻi i loko o ka lolo a hāʻawi i kahi au uila i ka lolo. Hoʻopilikia kēia au i ka hana uila o kahi hopu ʻana a hoʻāʻo e hoʻōki iā ia. Aia ʻelua mau ʻano i kēia manawa, ka hoʻoulu ʻana i ka lolo hohonu a me ka neurostimulation pane.
• Hoʻoulu ʻana o ke aʻalolo vagal: ʻO ko mākou aʻalolo cranial ʻumi, ʻo ke aʻalolo vagal, ua pili pono i ka lolo. Hiki i ka hoʻoulu uila ʻana o ka ʻaoʻao hema o kēia aʻalolo ke hōʻemi i ke alapine o nā hopu ʻana.

Aia kekahi mau hopena ʻaoʻao a i ʻole nā ​​pilikia o ka lāʻau lapaʻau?

ʻO nā hopena ʻaoʻao a me nā pilikia o kēia mau lāʻau lapaʻau e pili ana i ka lāʻau lapaʻau, kou mōʻaukala olakino a me nā kūlana, a me ke ʻano o ka maʻi epilepsy āu. Hiki i kāu kauka ke haʻi iā ʻoe hou aʻe e pili ana i kēia. Hiki iā ia ke haʻi iā ʻoe i ka mea e makaʻala ai a pehea e hōʻemi ai i ko lākou hopena.

Pehea wau e mālama ai iaʻu iho a hoʻokele i kaʻu mau hōʻailona?

Mai mālama i ka hopu ʻana iā ʻoe iho, me ka manaʻo he hopu wale nō ia. Hiki i nā hopu ke lilo i hōʻailona o kahi maʻi koʻikoʻi e hoʻopilikia ai i ka lolo. ʻOiai ʻo nā hopu tonic-clonic ke kumu o ka nalowale o ka ʻike, ʻaʻole paha ʻoe e ʻike i ka mea i hana ʻia i ka wā o ka hopu ʻana.

Inā loaʻa iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe kahi maʻi hopu no ka manawa mua, he mea nui loa ia e ʻike i ke kauka. Hiki i ke kauka kūpono ke nānā i nā hōʻailona o ka hopu ʻana a me nā kumu kūpono.

A pehea inā loaʻa i kekahi ka maʻi ʻōʻili i koʻu wā ma laila?

Inā loaʻa i kekahi ka maʻi ʻōʻili i kou wā ma laila, aia kekahi mau hana kōkua mua hiki iā ʻoe ke hana. Eia kekahi mau mea e hana ai a me nā mea ʻaʻole e hana:

Nā mea e hana ai (Dos):

• E nānā inā hiki iā ia ke hanu. E wehe i ke kapa a puni kona ʻāʻī.
• E wehe i nā mea weliweli mai ona a puni. E wehe i nā mea hiki ke haki a i ʻole nā ​​mea e hāʻule ma luna ona. Inā ʻo ia e ʻaʻahu ana i nā aniani maka, e wehe pono iā lākou a waiho i ka ʻaoʻao.
• E hoʻohuli iā ia ma kona ʻaoʻao (kūlana hoʻopakele). ʻO kēia kūlana e maʻalahi ai ka hanu ʻana a pale i ka kuha a i ʻole ka luaʻi ʻana mai ke komo ʻana i ke ala ea .
• E ho'āʻo e hoʻopaʻa i ka lōʻihi o ka hopu ʻana i ka hiki. Hiki i kēia ʻike ke lilo i mea nui loa i ke kauka. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā pono ke kōkua lapaʻau ulia pōpilikia.
• E noho me ke kanaka ma hope o ka pau ʻana o ke kuʻi ʻana a hiki i ka wā e hoʻi hou ai ko lākou ʻike. Hiki i ka mea i loaʻa i ka kuʻi ʻana ke manaʻo huikau a makaʻu paha ke hoʻi hou lākou i ka ʻike. E hōʻoluʻolu a paipai iā lākou.
• Ma hope o kona hoʻi hou ʻana i ka ʻike, e nānā inā ua maikaʻi ʻo ia. E nānā inā he mau ʻeha kona mai ka hopu ʻana a inā pono ʻo ia i ke kōkua lapaʻau. Inā ua kuʻi kona poʻo, a inā manaʻo ʻoe he ʻeha kona ma kona ʻāʻī a i ʻole ke kua, ʻoi aku ka palekana o ka ʻimi ʻana i ke kōkua lapaʻau. A laila hiki iā mākou ke nānā no nā ʻeha koʻikoʻi a mākou e ʻike ʻole ai.
• Inā loaʻa iā ʻoe ke kūlana epilepticus, e kāhea no ke kōkua. Inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o ʻelima mau minuke, a inā paha e loaʻa hou kekahi ma mua o ka pau ʻana o ka mua, e kāhea koke i ka 1990 (ka lawelawe ambulance ulia pōpilikia o Sri Lanka). He mea hoʻoweliweli kēia i ke ola!

Nā mea pono ʻole:

• Mai ho'āʻo e hoʻopaʻa iā ia i lalo a hoʻokuʻu paha iā ia e neʻe. Hiki iā ʻoe a i ʻole ke kanaka ʻē aʻe ke ʻeha.
• Mai hoʻokomo i kekahi mea i loko o kou waha. Nui nā moʻolelo wahaheʻe e pili ana i nā maʻi hopu. ʻO kekahi, pono ʻoe e hoʻokomo i kahi mea e like me ka puna a i ʻole ke kāʻei i loko o kou waha e pale aku ai iā ʻoe mai ka nahu ʻana i kou alelo. E ʻoluʻolu, mai hana ʻoe i kēlā.ʻAʻole ia he manaʻo maikaʻi e hoʻokomo i kekahi mea i loko o ka waha o kekahi e loaʻa ana i ka maʻi hopu. Hiki iā ʻoe ke hōʻeha iā ʻoe iho a i ʻole kekahi kanaka ʻē aʻe.
• Mai hopohopo. E noho mālie. Inā hopohopo ka poʻe a puni ʻoe, e hoʻāʻo e hōʻoluʻolu iā lākou pū kekahi.

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

Aia ka manawa hoʻōla i ka lāʻau i hāʻawi ʻia a me ke kumu o ka hopu ʻana. Hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i kēia, pehea ka lōʻihi o ka manawa e lawe ai, a me ka manawa e ʻoi aku ai kou maikaʻi.

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

ʻOiai hiki i kekahi ke loaʻa i ka maʻi hopu ma lalo o nā kūlana kūpono, ʻaʻole hiki ke pale loa i nā maʻi hopu. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o kekahi poʻe i ka maʻi hopu. No laila, aia nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia.

ʻO nā mea maikaʻi loa āu e hiki ai 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 kēia ke kōkua i ka pale ʻana i nā maʻi o ka ʻōnaehana kahe koko (e like me ka hahau ʻana) a me nā hemahema electrolyte.
• Mai hoʻowahāwahā i nā maʻi. Hiki i ka mālama ʻana i nā maʻi ke hōʻemi i ka pilikia o nā hopu ʻana, inā paha i hana ʻia e kahi maʻi a i ʻole ke kuni kiʻekiʻe e pili ana me ia.
• E komo i nā lako palekana. Hiki i nā mahiole a me nā kāʻei noho ke kōkua i ka pale ʻana i nā hopu ʻana i hoʻokumu ʻia e nā ʻeha poʻo.
• Mai hoʻomāinoino i ka waiʻona, nā lāʻau lapaʻau, a i ʻole nā ​​​​lāʻau lapaʻau. ʻO ka hoʻohana ʻana a i ʻole ka hoʻōki ʻana i kēia mau mea hiki ke hoʻoulu i nā hopu. Inā ʻoe e hoʻopili ʻia i ka waiʻona a i ʻole nā ​​​​lāʻau lapaʻau, hiki i kāu kauka ʻohana ke kōkua iā ʻoe e ʻimi i nā wahi a me nā lawelawe kūikawā e hiki ke kōkua iā ʻoe e hoʻopau iā lākou.
• E hoʻokele i kou mau kūlana olakino. Hiki ke hana pololei ʻia nā ʻōʻō e nā maʻi mau a i ʻole nā ​​​​kūlana ʻē aʻe e pili ana i nā ʻōʻō. No ka laʻana, inā loaʻa iā ʻoe ka maʻi diabetes (type 1 diabetes a i ʻole type 2 diabetes), e kaohi i kou pae kō koko.
• E pale i nā mea e hiki ai ke hoʻoulu i nā hopu ʻana. ʻO ka poʻe i loaʻa i nā hopu ʻana ma mua ma muli o nā mea e like me nā kukui ʻālohilohi e pono e pale i kēlā mau mea i ka hiki.

Inā ua loaʻa iaʻu hoʻokahi a ʻoi aku paha mau hoʻouka tonic-clonic, he aha kaʻu e manaʻo ai?

Ma kahi o ka hapalua o ka poʻe i loaʻa i kahi hopu ʻole i hoʻonāukiuki ʻia e loaʻa hou i hoʻokahi. Ma kahi o 75% o ka poʻe i loaʻa i ka lua o ka hopu ʻana e loaʻa hou aku. ʻO ia ke kumu e ʻike ai nā kauka i ka lua o ka hopu ʻole i hoʻonāukiuki ʻia he epilepsy a hoʻomaka i ka mālama ʻana no ia.

No ka poʻe e hoʻomaka ana i ka lāʻau lapaʻau, pono paha e hoʻāʻo i kekahi mau lāʻau lapaʻau, a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau, ma mua o hoʻokahi wale nō. ʻOiai inā ʻaʻole kōkua ka lāʻau lapaʻau, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke kōkua i ka hōʻemi ʻana i ke alapine o nā hopu ʻana a me ko lākou koʻikoʻi.

Pehea ka lōʻihi o kēia kūlana?

ʻO ka pau ʻana o nā hopu ʻana i hoʻonāukiuki ʻia, aia ia ma muli o ka hiki ke mālama ʻia ka maʻi a i ʻole ka pilikia i hoʻokumu ai. No ka hapa nui o ka poʻe, ke pau ka pilikia, ʻaʻole e hana hou ʻia nā hopu ʻana, ke ʻole ia e hoʻi hou mai.

He maʻi ʻo Epilepsy no ke ola holoʻokoʻa no ka mea ʻaʻole hiki ke ho'ōla ʻia. Eia nō naʻe, i kekahi mau hihia, hiki ke mālama ʻia ke kumu o nā hopu ʻana. Ke hana ʻia kēlā, a hiki iā ʻoe ke noho me ka ʻole o ka hopu ʻana, ua ʻōlelo ʻia kou maʻi he "remission."

He aha ka manaʻolana no ka hopu ʻana i nā maʻi tonic-clonic?

No nā hopu tonic-clonic i hoʻonāukiuki ʻia, hilinaʻi ka wānana i ke kūlana kumu. Inā hiki ke mālama ʻia ke kūlana, a loaʻa iā ʻoe ka lāʻau lapaʻau i ka wā mua, maikaʻi ka wānana. Hiki i kāu kauka ke haʻi maikaʻi iā ʻoe i ke ʻano o ka wānana no kou kūlana a me kāu mea hiki ke hana.

ʻOiai hiki ke mālama ʻia i kekahi manawa nā hopu ʻana i hoʻonāukiuki ʻia e kū mai ana me nā kūlana olakino mau loa a koʻikoʻi paha (e like me ke kanesa, ka hōʻino mau ʻana o ka lolo), ʻaʻole maikaʻi ka prognosis ma muli o ke kumu. ʻOi aku ka maikaʻi ʻole o ka prognosis o nā hopu ʻana i hoʻokumu ʻia e nā kūlana genetic a me nā kūlana hānau.

ʻO ka nānā ʻana no nā hopu ʻana i hoʻonāukiuki ʻole ʻia e hilinaʻi ana i kekahi mau kumu, me ke kūlana kumu, ke koʻikoʻi o nā hopu ʻana, ka pinepine o ko lākou hana ʻana, a inā paha e kōkua ana ka lāʻau.

Ka make koke ʻana i ka maʻi epilepsy (SUDEP)

He maʻi laha ʻole ka SUDEP e hiki ke hoʻopilikia i kekahi me ka maʻi epilepsy, akā ʻaʻole paha e hiki ke mālama ʻia. Hoʻokahi i loko o 150 mau kānaka me ka maʻi epilepsy i mālama ʻole ʻia e pilikia ana i ka SUDEP, hoʻohālikelike ʻia me hoʻokahi i loko o 1,000 mau kānaka me ka maʻi epilepsy i mālama ʻia.

ʻAʻole maopopo i nā loea ke kumu o ka SUDEP. ʻO ka wehewehe maikaʻi loa i kēia manawa, ua hana ʻia e nā pilikia o ka puʻuwai a i ʻole ka hanu ʻana e hiki ke hana pū me nā hopu ʻana.

Pehea wau e mālama ai iaʻu iho?

Inā ua loaʻa iā ʻoe kahi hopu tonic-clonic i hoʻokahi manawa, he manaʻo maikaʻi e ʻike i ka mea e hana ai inā loaʻa iā ʻoe kekahi. Inā loaʻa iā ʻoe kekahi hopu a inā he maʻi olakino kou e hiki ai ke hoʻoulu i nā hopu, e ʻike koke i kāu kauka.

Inā hoʻoholo kāu kauka he maʻi epilepsy kou, aia kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka mālama ʻana i ke kūlana:

• E lawe i kāu lāʻau lapaʻau e like me ke kauoha. He mea nui e hoʻomau i ka lawe ʻana i kāu lāʻau lapaʻau, ʻoiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi. Pono ʻoe e hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau ma hope o ke kamaʻilio ʻana me kāu kauka a inā ʻōlelo ʻo ia iā ʻoe.
• E kamaʻilio me kāu kauka e pili ana i kāu mau koho. Inā makemake ʻoe e hōʻemi i kāu lāʻau lapaʻau a hoʻololi paha i kahi lāʻau lapaʻau ʻē aʻe, e kamaʻilio me kāu kauka. Hiki iā ia ke alakaʻi iā ʻoe pehea e hana ai i kēia me ka palekana a me nā koho i loaʻa.
• E ʻike i ke kauka e like me ka mea i hoʻonohonoho ʻia.He mea nui kēia mau manawa i hoʻonohonoho ʻia no ka mālama ʻana i kou kūlana, nānā iā ia, a ʻike inā e hana pono ana kāu mau lāʻau lapaʻau a me nā ʻano lapaʻau.
• Mai hoʻowahāwahā i nā hōʻailona. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hana i kahi ʻokoʻa nui i ka mālama ʻana i nā hopu a me ka maʻi epilepsy.

Āhea wau e hele ai i ka lumi pilikia?

Inā loaʻa iā ʻoe kahi hanana kahi i nalowale ai kou ʻike a ʻaʻole ʻoe i ʻike i ke kumu, pono ʻoe e hele i ka lumi pilikia. He nui ka poʻe e noho kokoke ana iā lākou i ka wā e loaʻa ai iā lākou kā lākou hopu mua ʻana, akā ʻaʻole nā ​​​​mea āpau. Inā ʻoe mehameha a manaʻo ʻoe e loaʻa ana kāu hopu mua ʻana, pono ʻoe e ʻike koke i ke kauka.

Inā ʻike ka mea i loaʻa i ka maʻi hopu he maʻi epilepsy ko lākou, ʻaʻole pono pinepine ke kāhea aku i kahi kaʻa kaʻa. Eia nō naʻe, inā ua hōʻeha ka maʻi hopu, pono paha lākou i ke kōkua lapaʻau.

Āhea wau e noi ai i ke kōkua?

Inā loaʻa i kekahi ka hopu ʻana i kou wā e noho ana, e hoʻomanaʻo i kēia mau mea:

• Inā ʻo kēia kona hopu mua ʻana, e ʻimi i ke kōkua. ʻO kēlā me kēia mea i loaʻa i ka hopu mua ʻana, inā paha i manaʻo ʻia a hōʻoia ʻia paha, pono e loiloi ʻia e ke kauka. ʻO ka hopu pinepine ʻana he hōʻailona ia o kahi pilikia olakino koʻikoʻi.
• Inā loaʻa iā ʻoe ke kūlana epilepticus, e ʻimi i ke kōkua. Inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o ʻelima mau minuke, a inā paha e loaʻa hou kekahi ma mua o ka pau ʻana o ka mua, e kelepona koke iā 1990 (ka lawelawe ambulance ulia pōpilikia o Sri Lanka). He mea hoʻoweliweli kēia i ke ola! Inā ʻaʻole ʻoe e hoʻi hou i ka ʻike a pane pono paha no nā minuke he 10-15 ma hope o ka pau ʻana o ka hopu ʻana, pono ʻoe e ʻimi i ke kōkua ulia pōpilikia. He hōʻailona paha kēia e hoʻomau mau ana ka hopu ʻana i loko o ka lolo, ʻoiai ʻaʻole paha ʻoe e neʻe ana.

Inā loaʻa iaʻu ka maʻi epilepsy, palekana anei ke hāpai i ka wā e lawe ana i ka lāʻau lapaʻau?

Hiki i nā wāhine me ka maʻi epilepsy ke loaʻa pinepine nā keiki. Eia nō naʻe, ʻaʻole palekana ka lawe ʻana i nā lāʻau lapaʻau he nui i hoʻohana ʻia e mālama i ka maʻi epilepsy i ka wā hāpai, no ka mea hiki iā lākou ke hoʻopilikia i ka ulu ʻana o ka pēpē i loko o ka ʻōpū.

ʻO ka mea pōmaikaʻi, aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke hoʻohana ʻia no kekahi manawa i ka wā hāpai, a i ʻole i kekahi manawa i loko o ia wā. ʻO ke kanaka maikaʻi loa e kamaʻilio pū me kēia ʻo ia kāu kauka. Hiki iā ia ke hāʻawi pololei iā ʻoe i ke alakaʻi a kuhikuhi paha iā ʻoe i kahi loea.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO nā hopu ʻana o ka Tonic-clonic kahi ʻano hopu maʻalahi e ʻike a hoʻoweliweli pinepine. He mea maʻamau ka makaʻu ke ʻike ʻoe iā lākou a i ʻole ke loaʻa iā ʻoe. Eia nō naʻe, ʻo ka hapa nui o ka manawa, pau lākou i loko o kekahi mau minuke. ʻOiai hiki ke loaʻa no nā kumu he nui, nalo pinepine kēia mau hopu, ʻoiai ke mālama ʻia ke kūlana kumu. Ke loaʻa kēia mau hopu me ka maʻi epilepsy, nui nā ala e mālama ai iā lākou. Me ka mālama pono ʻana, hiki i nā poʻe he nui me kēia mau hopu - ʻoiai ka poʻe me ka maʻi epilepsy - ke ola hauʻoli, holomua, a hoʻokō.

No laila, inā he pilikia kou a i ʻole kekahi āu i ʻike ai me kekahi mea e like me kēia, mai makaʻu e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. Hiki i ka mālama wikiwiki ke hoʻololi i nā mea he nui no ka maikaʻi.

Nā hopu ʻana o ka tonic -clonic, nā hopu grand mal, epilepsy, nā hōʻailona hopu, kōkua mua no nā hopu ʻana, status epilepticus, nā kumu o nā hopu ʻana