Kodi mwana wanu wagwidwa ndi khunyu chifukwa cha malungo? (Febrile Seizure) - Musadandaule, tiyeni tikambirane za izi!

Zingakhale zoopsa bwanji ngati mwana wanu akanakhala akusewera bwino kenako mwadzidzidzi n’kuyamba kutentha thupi, kenako n’kuyamba kunjenjemera, mwinanso kutaya chikumbumtima. Ndizachibadwa kukhala ndi nkhawa panthawiyo. Mtundu uwu wa khunyu womwe umabwera ndi malungo ndi umene madokotala amati 'khunyu lotentha' . N’zomveka kuti makolo atsopano azida nkhawa akaona izi. Koma ngati tadziwitsidwa bwino za izi, tingathe kukumana ndi vuto lotere mofatsa. Ndiye, tiyeni tikambirane za izi mwatsatanetsatane lero, sichoncho?

Kodi khunyu lotchedwa febrile ndi chiyani?

Mwachidule, khunyu lokhala ndi malungo ndi vuto lomwe limayamba chifukwa cha ntchito yamagetsi yolakwika muubongo pamene mwana wanu ali ndi malungo . Zizindikiro zodziwika bwino ndi mayendedwe osalamulirika a thupi, omwe amadziwika kuti 'kugwedezeka' , komanso kutaya chidziwitso kwakanthawi kochepa.

Mtundu uwu wa khunyu wokhudzana ndi malungo nthawi zambiri umapezeka mwa ana azaka zapakati pa miyezi 6 ndi zaka 5. Umapezeka kwambiri makamaka m'zaka zitatu zoyambirira za moyo.

Chabwino kwambiri n'chakuti, khunyu zambiri za malungo sizovuta kwambiri . Komabe, monga kholo, zimatha kukuopsani kwambiri. Chifukwa chake, ngati mwana wanu akumana ndi vuto lotere, ndi bwino kupita naye kuchipatala kuti akamuone.

Kodi pali mitundu ya matenda a malungo?

Inde, matenda a khunyu angagawidwe m'magulu awiri akuluakulu:

1. Kugwidwa ndi malungo:

• Mtundu uwu wa khunyu umatenga mphindi zosakwana 15 .
• Kawirikawiri munthu sadziwa kalikonse ndipo amanjenjemera.
• Mwanayo amagwidwa ndi khunyu kamodzi kokha kotere mkati mwa maola 24.

2. Kugwidwa ndi malungo koopsa:

• Izi zitha kutenga mphindi zoposa 15 .
• Nthawi zina kupweteka kwa m'mimba kumatha kuima ndikuyambanso, kapena kumatha kupitirira.
• Ana ena angasonyeze zizindikiro mbali imodzi yokha ya thupi.
• N'zotheka kukhala ndi khunyu kangapo mkati mwa maola 24.

Ndikofunikira kudziwa za mitundu iwiriyi, chifukwa zidzakhala zothandiza pofotokozera dokotala tsatanetsatane.

Kodi zizindikiro za khunyu lokhala ndi malungo ndi ziti?

Ngati chibayo chikuchitika, zizindikiro zotsatirazi zingawonekere:

• Kusuntha kwa minofu kosalamulirika (kugwedezeka): Izi zingawoneke ngati mwana akugwidwa ndi khunyu. Nthawi zina minofu imatha kulimba, kukoka, kapena kugwedezeka.
• Kukomoka: Mwanayo akhoza kukomoka. Maso akenso akhoza kutembenuka panthawiyi.
• Kulephera kudziletsa thupi: Izi zingaphatikizepo zinthu monga kugwetsa malovu, kusanza, ndi kukodza kapena kuchita chimbudzi mosadzifunira.

Mu khunyu losavuta la malungo, zizindikirozi nthawi zambiri zimakhala kuyambira masekondi angapo mpaka mphindi zingapo. Komabe, mu khunyu lovuta la malungo, nthawi yake imatha kupitirira mphindi 15 ndipo imatha kuchitika kangapo patsiku.

Kodi n’chiyani chimayambitsa matenda a malungo?

Kugwa kwa matenda a febrile kungakhale ndi zifukwa zambiri. Mawu oti "febrile" amatanthauza "zokhudzana ndi malungo." Izi nthawi zambiri zimachitika masiku oyamba a matenda pamene mwana ali ndi kutentha kwambiri. Nthawi zambiri amapezeka malungowo akapitirira madigiri 38.3 Celsius, koma izi zimatha kusiyana malinga ndi mwana. Kugwa kwa matenda kumatha kuchitika chifukwa cha matenda omwe amayambitsa malungo, monga:

• Nthomba
• Coronavirus (COVID-19)
• Matenda a m'khutu
• Fuluwenza (fuluwenza)
• Kachilombo ka RSV (RSV - kachilombo koyambitsa kupuma)
• Matenda opatsirana m'mapapo apamwamba

Tangoganizani, nthawi zina mwana amatha kugwidwa ndi khunyu asanatenge malungo. Zimenezi n'zothekanso.

Chinthu china chofunika kukumbukira ndichakuti katemera wina wa ana angayambitse malungo ngati zotsatirapo zake. Ngakhale kuti sizichitika kawirikawiri, ngati mwana ali ndi khunyu loopsa atalandira katemera, ndi chifukwa cha malungo, osati katemera weniweniwo. Izi ndi zofunika kukumbukira.

Matenda a muubongo ndi msana, monga encephalitis'' (kutupa kwa ubongo) ndi meningitis'' (meningitis), samayambitsa matenda a malungo. Komabe, matendawa angayambitse mitundu ina ya khunyu (osati chifukwa cha malungo).

Kodi matenda a malungo ndi majini?

Inde, pali majini ena okhudzana ndi khunyu la malungo. Izi zikutanthauza kuti, chiopsezo cha mwana chotenga matendawa chikhoza kuwonjezeka ndi majini amenewo. Zapezeka kuti pakati pa 10% ndi 33% ya ana omwe amadwala khunyu la malungo ali ndi wachibale wapafupi yemwe adadwala khunyu . Izi zikutanthauza kuti ngati wina m'banja mwanu adadwalapo khunyu kale, pali mwayi wochepa woti mwana wanu nayenso adzadwala khunyu la malungo.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a malungo?

Vutoli ndi lofala kwambiri - ndi mtundu wofala kwambiri wa khunyu ali mwana. Mwana wanu akhoza kukhala pachiwopsezo chachikulu chokhala ndi khunyu loopsa pazifukwa zotsatirazi:

• Kukhala khanda losakwana chaka chimodzi kapena losakwana zaka 5.
• Kugonekedwa m'chipatala m'chipinda chosamalira odwala omwe ali ndi matenda a shuga (NICU) kwa masiku opitilira 28.
• Kukhala ndi kuchedwa kwa chitukuko.
• Kukhala ndi matenda.
• Kukhala ndi mbiri ya banja la munthu amene wagwidwa ndi khunyu.

Nthawi zina khunyu imachitika kamodzi kokha. Komabe, mwana wanu akhoza kukhala pachiwopsezo chachikulu chokhala ndi khunyu kangapo ngati:

• Ngati khunyu loyamba linachitika asanakwanitse miyezi 12.
• Ngati wina m'banjamo ali ndi mbiri ya khunyu.
• Ngati khunyu layamba ngati chizindikiro choyamba cha matenda, zizindikiro zina zisanawonekere.

Kodi zotsatira za nthawi yayitali za khunyu la malungo ndi ziti?

Nthawi zambiri, khunyu lokhala ndi malungo si loopsa, ndipo nthawi zambiri silimayambitsa zotsatirapo zilizonse kwa nthawi yayitali. Choncho musachite mantha kwambiri.

Mwana wanu akhoza kukhala ndi khunyu kangapo asanakwanitse zaka 5. Izi sizachilendo. Komabe, ngati mwana wanu ali ndi khunyu kangapo, kafukufuku wina wapeza kuti akhoza kukhala ndi vuto lofika pamlingo wokulirapo wa chilankhulo womwe ukuyembekezeka pa msinkhu umenewo.

Kuphatikiza apo, kafukufuku wapeza kuti kugwidwa ndi matenda a malungo ovuta kungawonjezere pang'ono chiopsezo chokhala ndi matenda a khunyu mtsogolo.

Kodi mungazindikire bwanji matenda a malungo?

Kuti adziwe vutoli, dokotala adzatenga mbiri ya matenda a mwana wanu ndikumuyesa thupi. Izi zitha kuchitika m'chipinda chodzidzimutsa kapena ku ofesi ya dokotala wa mwana wanu. Dokotala adzayang'ana malungo a mwana wanu ndikufunsa za zizindikiro zake. Akhozanso kuyesa magazi kapena mkodzo kuti adziwe chomwe chikuyambitsa malungo.

Kodi mumatani ndi matenda a khunyu?

Ngati ndi khunyu loyamba la mwana wanu lomwe limatchedwa kuti malungo, akhoza kuchira msanga. Komabe, muyenera kuonana ndi dokotala wa mwana wanu kapena kupita kuchipatala chadzidzidzi kuti mutsimikizire kuti ndi khunyu la malungo kapena china chake choopsa.

Dokotala angalimbikitse chithandizo cha chifukwa cha malungo, monga mankhwala ochepetsa malungo oyenera msinkhu monga acetaminophen (monga Tylenol®), ibuprofen (monga Motrin®), kapena mankhwala ena.

Mankhwala a khunyu zovuta za malungo

Khunyu lovuta la malungo (khunyu lomwe limatenga nthawi yoposa mphindi zisanu, kapena khunyu loposa kamodzi m'maola 24) limafuna chithandizo. Zikatero, dokotala wanu angakupatseni mankhwala monga:

• Midazolam imaperekedwa m'mphuno (intranasal midazolam).
• Benzodiazepines yogwiritsidwa ntchito m'mitsempha.
• Diazepam ya m'chiberekero.

Mankhwalawa amaperekedwa kuti athetse khunyu. Koma mankhwalawa amaperekedwa pokhapokha ngati dokotala walangiza.

Kodi mumatani mukakhala ndi chikomokere cha malungo?

Ngati mwana wanu adadwalapo malungo kale, dokotala wa mwana wanu adzakupatsani malangizo okhudza thandizo loyamba komanso chithandizo kunyumba. Kawirikawiri, muyenera kuchita izi:

• Khalani chete: N’zoona kuti zingakhale zoopsa kwambiri kuona mwana wanu akugwidwa ndi khunyu. Komabe, ndikofunikira kukhala chete momwe mungathere. Ngati muchita mantha, simudzatha kuthandiza bwino.
• Chongani nthawi: Lembani nthawi yomwe khunyu la mwana lakhala likuchitika.Ngati khunyu limatenga mphindi zoposa 5, muyenera kuyimba 119 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo.
• Goletsani mwana wanu pang'onopang'ono komanso mosamala: Musamuike mwana wanu patebulo kapena pabedi. Komanso, musayese kumugwira ndi manja anu kapena kumugwira mwamphamvu. Kuchita zimenezi kumawonjezera chiopsezo chovulala.
• Tembenuzani mwana chammbali: Tembenuzani mwana chammbali kuti madzi (malovu kapena kusanza) asalowe m'mapapo n'kumamatira.
• Musaike chilichonse mkamwa: Chotsani zinthu monga zoseweretsa mkamwa mwa mwana. Musaike chilichonse mkamwa chomwe chingatsekere.

Ndikofunikira kwambiri kudziwa malangizo awa othandizira oyamba bwino, chifukwa ngati muchita izi popanda kuchita mantha panthawiyo, zidzakhala zothandiza kwambiri kwa mwana.

Kodi mungayembekezere chiyani mutatha kugwidwa ndi malungo?

Si ana onse omwe amachita chimodzimodzi akagwidwa ndi khunyu. Ndizachibadwa kuti mwana asokonezeke komanso atopa akachira. Zingatenge mphindi zochepa kuti mwanayo ayambenso kuchita zinthu mwachizolowezi. Ndikofunikira kusamalira bwino mwanayo panthawiyi. Lolani mwanayo apumule. Lumikizanani ndi dokotala wa mwanayo ndikutsatira malangizo ake.

Kodi khunyu lokhala ndi malungo limatenga nthawi yayitali bwanji?

Khunyu la matenda opatsirana nthawi zambiri limatenga mphindi zochepa chabe. Khunyu losavuta limatha kuyambira masekondi ochepa mpaka mphindi 15. Khunyu lovuta limatha kupitirira mphindi 15.

Kusunga nthawi ndikofunikira kwambiri. Vuto losowa kwambiri ndi vuto lotchedwa febrile status epilepticus . Izi zimachitika pamene khunyu limatenga mphindi zoposa 30. Izi ndi zadzidzidzi zachipatala.

Kodi matenda a malungo angapewedwe?

Matenda a chifuwa chachikulu ndi ovuta kuneneratu ndipo nthawi zambiri sangapeweke. Ngakhale mutachiza malungo a mwana wanu, pali chiopsezo choti matendawa angachitike.

Kodi muyenera kupita kwa dokotala liti?

Ngati mwana wanu wagwidwa ndi khunyu koyamba, muyenera kufunsa upangiri kwa dokotala. Ngati mwana wanu wagwidwa ndi khunyu koyamba, funsani dokotala kapena ogwira ntchito zadzidzidzi.

Ngati mwana wanu ali ndi mbiri ya khunyu, dokotala wa ana a mwana wanu adzatha kukupatsani upangiri wabwino kwambiri pa zomwe mungachite pankhaniyi. Adzakuuzaninso zizindikiro zomwe muyenera kudziwa.

Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?

Muyenera kupeza chithandizo chamankhwala mwamsanga ngati muli ndi khunyu loopsa pa milandu yotsatirayi:

• Uku ndi kuyamba kwa khunyu kwa mwana.
• Ngati khunyu limatenga mphindi zoposa 5.
• Ngati mwana akuvutika kupuma .
• Zizindikiro za matenda a ubongo kapena msana mwa mwana(monga kuuma kwa khosi kapena kupweteka, kugona tulo tofa nato, kusanza kosalekeza).
• Ngati mwanayo akuchedwa kuchira (ngati zimatenga ola limodzi kapena kuposerapo kuti abwerere mwakale).
• Ngati mwana wavulala panthawi ya khunyu.

Pomaliza, zinthu zoti muzikumbukira

Kugwidwa ndi matenda a febrile kungakhale koopsa kwambiri, makamaka ngati mwana wanu sanakhalepo ndi matenda amenewa kale. Komabe, nthawi zambiri, kugwidwa kumeneku kumakhala kwakanthawi kochepa, ndipo ana amachira msanga popanda zotsatirapo zake kwa nthawi yayitali.

Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi izi, lankhulani ndi dokotala wa ana a mwana wanu. Iye angakupatseni malangizo ndi chidziwitso chomwe mukufuna kuti muchepetse mantha anu. Komanso, mufunseni za momwe mungathandizire mwana wanu ngati atagwidwa ndi khunyu. Mwanjira imeneyi, ngati mwana wanu agwidwa ndi khunyu mtsogolo, mudzakhala okonzeka. Musachite mantha, chofunika kwambiri ndi kudziwa zambiri!

Kugwidwa ndi matenda a febrile , khunyu mwa ana, malungo, khunyu, ana, thandizo loyamba, thanzi la ana