Kodi mwana wanu akungokuyang'anani? Kungakhale 'Kugwidwa ndi Khunyu'! Kodi tikambirane?

Kodi munayamba mwawonapo mwana wanu akukuyang'anani mwadzidzidzi atasewera kapena kumvetsera zomwe mukunena? Zili ngati kuti sali m'dziko lino. Sakuyankhani mukamalankhula naye. Pambuyo pa masekondi angapo, wabwerera mwakale. Mungaganize kuti, "O, wangotayika m'dziko la maloto." Koma nthawi zina, sizili zosavuta monga momwe timaganizira. Izi zitha kukhala vuto lotchedwa kukomoka .

Kodi 'Kugwidwa ndi Khunyu Kumeneku' n'chiyani? Mwachidule...

Khunyu losagwira ntchito, lomwe limadziwikanso kuti khunyu losagwira ntchito, ndi vuto la kanthawi kochepa lofanana ndi khunyu. Limachitika pamene simukudziwa bwino zomwe zikukuzungulirani. Mwachitsanzo, mukuchita chinachake, mukulankhula ndi winawake, kapena kumvetsera china chake, ndipo mwadzidzidzi mumasiya . Limayamba popanda chenjezo lililonse, nthawi zambiri limatenga masekondi atatu mpaka khumi ndi asanu. Kenako mumayambiranso pomwe munasiyira, ngati kuti palibe chomwe chachitika.

Tsopano, ngati wina amene sakudziwa bwino izi akuona, angaganize kuti mukulota, kapena maganizo anu ali kwinakwake, kapena simukumvetsera zomwe zikunenedwa. Koma chomwe chikuchitikadi ndi khunyu kakang'ono mkati mwa ubongo wanu, vuto lofanana ndi khunyu. 'Kugwidwa ndi Khunyu' kumeneku ndi mtundu wa khunyu wamba . Pali mitundu iwiri ya khunyu, "yachizolowezi" ndi "yosazolowereka". Gawo labwino kwambiri ndilakuti dokotala angathandize kuwongolera vutoli ndi mankhwala.

Kodi khunyu ndi lofala bwanji? Ndani amadwala matendawa nthawi zambiri?

Malinga ndi ziwerengero, akuti ana pakati pa asanu ndi mmodzi ndi asanu ndi atatu mwa ana 100,000 aliwonse osakwana zaka 15 amakumana ndi 'kukomoka kwa kusakhalapo' chaka chilichonse. Komabe, sikofala kwambiri pakati pa akuluakulu. Kumachitika kawirikawiri pakati pa ana aang'ono.

Kodi zizindikiro za vutoli ndi ziti? Kodi mumazindikira bwanji?

Zizindikiro za kugwidwa ndi khunyu ndi izi:

• Mwadzidzidzi, kwa kanthawi kochepa, mukuyang'ana, ngati "kuyang'ana kopanda kanthu."
• Ndikutaya chidziwitso cha zomwe zikuchitika mozungulira ine.
• Zinthu zomwe munkachita pamene munali mu gawo la opaleshoni (monga kulankhula ndi kuyenda) zimasiya kwathunthu.
• Nthawi zina pangakhale kuphethira, kupendekera mutu, kapena kusuntha manja kapena pakamwa popanda cholinga (monga kuthamangitsa milomo). Timatcha izi kuti "kusuntha kodzipangira".

Kaisara akamaliza:

• Mukhoza kuyambiranso zomwe mudasiya.
• Mungamve ngati mukuphonya zomwe zikuchitika mozungulira inu.
• Nthawi zina simungazindikire kuti chilichonse chachitika., ndikumva ngati ndikuganiza bwino komanso ndili ndi mzimu wabwino.

Zizindikiro zimenezi zingachitike kangapo patsiku, kapena zingachitike kawirikawiri, monga kamodzi pa milungu kapena miyezi ingapo.

Kodi mumadziwa bwino nthawi yomwe simunagwirepo ntchito?

Ayi. Simudziwa kalikonse mukadwala khunyu. Chifukwa zizindikiro zimachitika pakangopita masekondi ochepa, kusokonezeka kwakanthawi kumeneku kungakhudze kapena kusakhudze zokambirana kapena zochita zomwe munkachita. Kenako mutha kubwerera ku khunyu mukangomaliza.

Komabe, ngati muli ndi khunyu kawiri kapena kuposerapo motsatizana, mungaoneke wosokonezeka ndipo mungasokonezedwe ndi zinthu zina zomwe zikukuzungulirani. Mwachitsanzo, mungaphonye malangizo ochokera kwa aphunzitsi anu kapena china chake chomwe wina ananena pokambirana pamene mukudwala khunyu.

Kodi Kaisara uyu wakhalapo kwa nthawi yayitali bwanji?

Kawirikawiri, "kugwidwa ndi khunyu kwachizolowezi" kumatenga masekondi atatu mpaka khumi ndi asanu (``masekondi 3-15``). "Kugwidwa ndi khunyu kwachilendo" kungatenge nthawi yayitali.

N’chifukwa chiyani kusakhalapo kumachitika khunyu? Kodi chifukwa chake n’chiyani?

Mwachidule, izi zimachitika chifukwa cha kuphulika kwadzidzidzi kwa mphamvu zamagetsi kuchokera ku ma neuron muubongo wanu . Ma neuron awa amalandira malangizo olakwika ndipo amatumiza zizindikiro zamagetsi zambiri kumadera osiyanasiyana a ubongo.

Ofufuza akukhulupirira kuti mwina pali gawo la majini lomwe limayambitsa vutoli. Kafukufuku akupitilirabe momwe vutoli limapatsidwira kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo komanso majini enaake omwe akukhudzidwa.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

`Zoyambitsa` ndi zinthu zomwe zili m'dera lanu zomwe zingayambitse zizindikirozi. Zinthu ngati izi zingayambitse khunyu:

• Ma nyali owala, othwanima.
• Kupuma mokweza komanso mozama (kupuma mopitirira muyeso) .

Ndani ali pachiwopsezo chachikulu chotenga izi?

Mungakhale pachiwopsezo chachikulu chokhala ndi khunyu ngati:

• Kukhala ndi mtundu wina wa khunyu (monga "grand mal seizures", "myoclonus", kapena "atonic seizures").
• Mankhwala ena a khunyu (monga phenytoin, carbamazepine, ndi gabapentin) nthawi zina amatha kuwonjezera chiopsezo cha khunyu.

Zinthu zofunika kudziwa zokhudza kugwidwa ndi khunyu kwa ana

Ngakhale kuti khunyu la kusakhalapo lingachitike pa msinkhu uliwonse, limapezeka kwambiri mwa ana aang'ono. Nthawi zambiri limayamba pakati pa zaka 3 ndi 13, ndipo nthawi zambiri limapezeka pakati pa zaka 6-7.

Kodi kusakhalapo kwa khunyu n’koopsa?

"Nthawi zambiri izi sizili zoopsa."

Izi zili choncho chifukwa nthawi zambiri zimakhala za kanthawi kochepa, ndipo kugwedezeka sikuchitika kawirikawiri. Mwachitsanzo, ngati muli ndi khunyu mutayimirira, simungathe kugwa pansi. M'malo mwake, mudzakhalabe pomwe muli kwa masekondi angapo.

Kodi izi zingayambitse mavuto otani?

Kutengera mtundu wa khunyu yomwe muli nayo komanso nthawi yomwe imachitika, izi zitha kuchitika:

• N'zovuta kuganizira kwambiri.
• Kuvuta kutsatira malangizo.
• Kuvutika kuphunzira kusukulu.
• Kuvulala mwangozi kumachitika.

Komanso, zochita zomwe zimafuna chisamaliro chathunthu - monga kuyendetsa galimoto, kusambira, ndi kuyenda pansi - sizingakhale zotetezeka mpaka vutoli litathetsedwa. Dokotala wanu adzakupatsani mankhwala oletsa zizindikiro zanu, ndipo mudzatha kuchita zinthuzi mosamala. Dokotala wanu adzakuphunzitsaninso momwe mungakhalire otetezeka ngati muli ndi vutoli.

Kodi dokotala angadziwe bwanji ngati pali vuto la khunyu?

Dokotala adzazindikira ngati munthu ali ndi khunyu akangoyezedwa thupi ndi mayeso ena. Pa nthawi yoyezetsa, dokotala wanu adzakufunsani za zizindikiro zanu. Ndikofunikira kukumbukira zizindikiro zomwe mukukumana nazo komanso zomwe zinachitika musanayambe, panthawi, komanso pambuyo pake. Ngati izi zikuchitika kusukulu kapena kuntchito, lankhulani ndi munthu amene mumakhala naye nthawi yayitali ndipo mufunseni ngati awona khalidwe lililonse lachilendo.

Mungathe kuchita mayeso monga awa:

• Kuyesa kwa mpweya wothamanga kwambiri: Kupuma mokweza kwambiri (kupuma mothamanga kwambiri) kungayambitse khunyu. Dokotala adzakupemphani inu kapena mwana wanu kuti mupume mosalekeza papepala kapena chidole chopumira kwa mphindi ziwiri.
• Kuyesa kwa EEG (electroencephalogram): Mu mayeso awa, masensa amayikidwa pakhungu la mutu wanu kuti aziyang'anira momwe magetsi akugwirira ntchito muubongo wanu. Kukomoka kwa ubongo kumadziwika ndi mawonekedwe enaake a mafunde a ubongo.
• MRI (magnetic resonance imaging) kapena CT scan (computed tomography scan): Mayeso awa amafufuza zolakwika zilizonse muubongo zomwe zingayambitse khunyu.
• Kuyezetsa magazi ndi mkodzo: Dokotala wanu akhoza kuyitanitsa mayesowa kuti awone ngati pali vuto lina lachipatala lomwe likuyambitsa khunyu.

Kawirikawiri, anthu omwe sadziwa kuti muli ndi khunyu angaganize kuti ndi nthabwala kapena maloto. Kwa ambiri, kusamvetsetsana kumeneku kungayambitse kuchedwa kwa matenda.

Kodi kusiyana pakati pa 'Zodziwika' ndi 'Zosazolowereka' za Kusapezeka kwa Khunyu ndi Chiyani?

Pali mitundu iwiri ya khunyu losapezeka: 'zachizolowezi' ndi 'zosazolowereka'.

• Ngati munthu sakugona, zomwe zimachitika ndi kungoyang'ana ndikutaya chikumbumtima.
• Mu khunyu losazolowereka, mungaone machitidwe ena akuthupi, monga kuyang'ana ndi kutaya chikumbumtima, komanso kuphethira maso ndi kugwedeza manja. Izi nthawi zambiri zimakhala nthawi yayitali kuposa masiku onse. Khunyu losazolowereka nthawi zambiri limachitika limodzi ndi mitundu ina ya khunyu ndipo nthawi zambiri limakhudza ana omwe ali ndi vuto la kuphunzira komanso khunyu lalikulu.

Kodi mankhwala ochizira izi ndi otani?

Matenda a khunyu omwe amabwera chifukwa cha kusakhalapo kwa khunyu amachiritsidwa ndi mankhwala oletsa khunyu . Dokotala wanu adzawunika zizindikiro zanu ndikukupatsani mankhwala oyenera kwa inu.

Nthawi zina, ngati simukulandira bwino mankhwala, dokotala wanu angakulangizeni kuti mudye zakudya zokhala ndi ketogenic . Iyi ndi njira yodyera yokhala ndi mafuta ambiri komanso chakudya chochepa cha carb. Ngakhale kuti palibe umboni wokwanira wa zachipatala wotsimikizira ubwino wa zakudya zamtunduwu pa khansa yamtunduwu, zingakhale zothandiza kwa anthu ena.

Ngati zizindikiro sizingathe kuthetsedwa ndi mankhwala ndi kusintha moyo, dokotala angaganize zochita opaleshoni .

Mankhwala operekedwa

Dokotala akhoza kukupatsani mankhwala ena kuti athetse vuto la khunyu:

• `Ethosuximide (Zarontin ®)`
• `Lamotrigine (Lamictal ®)`
• `Topiramate (Topamax ®)`
• `Valproate (Depakene ®)`

Mankhwala ena oletsa khunyu - mwachitsanzo, phenytoin, carbamazepine, gabapentin, pregabalin, ndi vigabatrin - nthawi zambiri sagwiritsidwa ntchito pochiza khunyu. Amatha kukulitsa khunyu.

Onetsetsani kuti mwadziwitsa dokotala wanu ngati zizindikiro zanu zikuipiraipira kapena ngati mukukumana ndi zotsatirapo zina zilizonse chifukwa cha mankhwala anu. Mutha kupeza mpumulo mwa kusintha mlingo kapena kusintha mankhwala ena.

Kodi gulu lachipatala likukuthandizani ndi ndani?

Gulu la akatswiri lidzakuthandizani kuthana ndi khunyu lanu losakhalapo. Gululi likhoza kuphatikizapo:

• Akatswiri a za ubongo
• Madokotala a mabanja (Madokotala osamalira ana aang'ono - PCPs)
• Akatswiri azakudya
• Akatswiri azaumoyo wamaganizo

Kodi kusakhalapo kwa khunyu kungapewedwe?

Mwatsoka, palibe njira yopewera khunyu kuyambira pachiyambi. Izi zimachitika makamaka chifukwa cha majini. Komabe, mukazindikira, njira yabwino yopewera khunyu ndikumwa mankhwala anu monga momwe mwalangizidwira komanso kukhala pafupi ndi dokotala wanu.

Kodi munthu amene ali ndi khunyu ayenera kuyembekezera chiyani?

Ngakhale kuti ndi nthawi yochepa, khunyu losapezeka nthawi zambiri limasokoneza kwambiri. Mungakhale nalo kawirikawiri kapena pafupipafupi. Anthu ena amanena kuti amakumana ndi khunyu losapezeka nthawi 10 mpaka 30 patsiku. Nthawi zina, makamaka kwa ana, pakhoza kukhala khunyu zambirimbiri patsiku. Zingakhudze luso lanu lophunzira ndikuyang'ana kwambiri pa ntchito. Komabe, pali njira zabwino zochiritsira, ndipo mankhwala nthawi zambiri amatha kulamulira zizindikirozo bwino.

Ana ambiri amakula bwino akamakula, ndipo makamaka ana omwe ali ndi khunyu lokhalokha komanso omwe alibe mitundu ina ya khunyu, nthawi zambiri amakula kwambiri kuposa khunyu lonselo.

Kugwidwa ndi khunyu kungakhudze kwambiri thanzi lanu la maganizo, kudzidalira, komanso kudzidalira. Anthu ambiri amaona kuti n'kothandiza kulankhula ndi mlangizi wa zaumoyo wamaganizo pamene akulandira chithandizo china.

Kodi ndingadziwe bwanji ngati mwana wanga akungolota kapena akudwala khunyu?

Funso ili ndi lofunika kwambiri. Njira yachangu yodziwira ngati mwana wanu akulota ndikulankhula naye.

• Kulota masana: Nthawi zambiri kumabwera chifukwa cha kutopa, ndipo kumayamba pang'onopang'ono. Ngati mulankhula naye, mwina adzakuyankhani.
• Kugwidwa ndi Khunyu: Ngati mwana wanu ali ndi 'khunyu losagwidwa ndi khunyu', sadzatha kuyankha kwa inu panthawi ya khunyu. Kutaya chidwi kwawo kumachitika mwadzidzidzi ndipo sikungatheke.

Tangoganizirani mwana wanu akusewera. Ngati mutamutchula dzina lake ndipo akukuyang'anani n'kufunsani kuti, "Chavuta ndi chiyani, Amayi/Abambo?", mwina ndi lingaliro chabe. Komabe, ngati apitiriza kukuyang'anani osayankha ngakhale mutamuyimbira foni kangapo, kungakhale kukomoka.

Kodi pali kusiyana kotani pakati pa khunyu la mwana (CAE) ndi khunyu la mwana nthawi zambiri?

Zinthu zazikulu zomwe zimatsimikiza ngati khunyu la kusakhalapo limatchulidwa kuti Khunyu la Kusakhalapo kwa Ana (CAE) ndi:

• Zaka zoyambira: Zizindikiro za CAE zimayamba ali mwana, nthawi zambiri pakati pa zaka 3 ndi 8.
• Kubwerezabwereza kwa zizindikiro: Kusowa kwa khunyu komwe kumachitika ndi CAE kumatha kuchitika pafupipafupi, kangapo patsiku, nthawi zina mpaka 200 patsiku.
• Mawonekedwe a zizindikiro: Zizindikiro za CAE zimayamba mwadzidzidzi ndipo zimatha kwa masekondi angapo.

Kukomoka chifukwa cha kusakhalapo kwa khunyu kungachitike popanda kudziwitsidwa kale kuti ndi khunyu. Mwachitsanzo, kukomoka chifukwa cha kusakhalapo kwa khunyu kungachitike pa msinkhu uliwonse, kumasiyana pafupipafupi, ndipo sikungachitike mwanjira inayake.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati mukuganiza kuti muli ndi zizindikiro za khunyu, onetsetsani kuti mwaonana ndi dokotala. Nthawi zambiri, munthu amene mumakhala naye nthawi yayitali ndiye woyamba kuzindikira zizindikirozi, chifukwa mwina simungadziwe kuti zikukuchitikirani.

Ngati dokotala wakupezani kale ndi khunyu losapezeka, dziwitsani dokotala wanu ngati mukupeza zizindikiro zatsopano, ngati zizindikiro zanu zikuipiraipira, kapena ngati mukukumana ndi zotsatirapo zoyipa kuchokera ku mankhwala anu.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mungafune kufunsa dokotala wanu mafunso monga awa:

• N’chifukwa chiyani ine/mwana wanga timamva kupweteka m’mimba?
• Kodi ndi zinthu ziti zomwe ndiyenera kuchita kuti ine/mwana wanga asamavutike nazo? Kodi ndiyenera kupewa chiyani?
• Kodi tingapewe bwanji 'kugwidwa ndi kusowa' kumeneku kuti kusachitike mtsogolo?
• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Kodi pali zotsatirapo zilizonse zomwe zingachitike chifukwa cha chithandizochi?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kukhala ndi zizindikiro za kukomoka kungakhale kosokoneza komanso kokhumudwitsa. Popeza simungathe kuneneratu nthawi yomwe zidzabwere, zingakuchotseni mwadzidzidzi pa chilichonse chomwe mukuchita. Tangoganizirani, mukumvetsera nthabwala ndipo kukomoka kumachitika musanayankhe bwino... Mukadzuka, aliyense amene akuzungulirani akuseka, koma simungathe kudziwa chifukwa chake.

Kukomoka chifukwa cha kusakhalapo kwa matendawa nthawi zambiri kumakhala kwa kanthawi kochepa, koma kumatha kuchitika kangapo patsiku. Koma musadandaule. Dokotala angakuthandizeni kuthana ndi matendawa. Mankhwala oletsa kugwidwa nthawi zambiri amatha kuchepetsa zizindikiro. Izi zidzakuthandizani kukhalabe odziwa bwino zinthu komanso ogwirizana ndi dziko lozungulira inu nthawi zonse.

Ngati mukukayikira ngakhale pang'ono kuti inu kapena mwana wanu ali ndi zizindikiro izi, chonde funsani upangiri kwa dokotala. Kuzindikira msanga ndi kulandira chithandizo choyenera kungathandize kwambiri moyo.

` kusakhalapo khunyu, matenda aang'ono, khunyu, khunyu, ana, ntchito yamagetsi ya ubongo, EEG, khunyu