Ese wowe cyangwa umwana wawe mwaguye mu gituza? Reka tubiganireho (Atonic Seizure).

Ese wigeze ubona, cyangwa se byarakubayeho, umuntu atakaza imbaraga mu buryo butunguranye agagwa hasi nta mpamvu? Ikintu kiri mu ntoki zawe kigwa hasi, amaso yawe afunze... Ibi biteye ubwoba cyane. Hari igihe ababyeyi bagira ubwoba bungana iki iyo babonye umwana muto akina agahita agwa hasi nk'aho nta buzima afite? Uyu munsi tugiye kuvuga kuri imwe muri izo ndwara. Ubwo ni ubwoko bw'indwara yo gupfukama yitwa (Atonic Seizure) . Ntugahangayike, tuzavuga kuri byose mu buryo bworoshye.

Iki ni iki (Atonic Seizure)?

Mu magambo make, ihungabana ry’ubwonko ni ugutakaza ingufu z’amashanyarazi mu bwonko , bigatuma imitsi yo mu mubiri wacu itakaza ubushobozi bwo kuyigenzura, cyangwa imitsi igatakaza imiterere yayo .

Tekereza igipupe gimanitse ku migozi. Igipupe gikomeza kugororoka kugeza igihe dukuye imigozi, sibyo? Bigenda bite iyo dufunguye imigozi? Igipupe kiragwa kidakora, maze kigwa hasi. Uko ni ko bimeze kuri ibi. Iyo habayeho (Atonic Seizure), ni nk'aho imigozi y'igipupe yarekuye, imitsi yacu ikabura imbaraga, kandi ntidushobora guhagarara. Niyo mpamvu duhita tugwa hasi.

Ariko ibi ni iby'igihe gito . Iyo indwara yo gucika intege irangiye, imitsi yawe izasubira kwifata, kandi uzabasha guhagarara no kugenda nk'uko bisanzwe. Hari igihe abaganga babyita indwara yo gucika intege mu buryo bw'umubiri , cyangwa ' drop seizures ' cyangwa 'drop attacks' , kuko bituma ugwa hasi mu buryo butunguranye.

Niba ukomeje kugira indwara yo gucika intege, muganga wawe azakubwira ingamba ugomba gufata kugira ngo wirinde.

Ni ibihe bimenyetso by'ibi?

Ibimenyetso by'ingenzi by'indwara yo mu mutwe ni ugutakaza by'agateganyo kandi bitunguranye:

• Ushobora gutakaza imitsi mu gice kimwe cy'umubiri wawe (urugero, umutwe wawe ushobora kunama), cyangwa umubiri wawe wose. Ibi bivuze ko imitsi yawe ihita irekura kandi igacika intege . Nk'aho nta buzima ufite.
• Hari igihe umuntu ashobora gutakaza ubwenge . Ni ukuvuga ko kumenya ibiri kuba hirya no hino yawe n'ibikukikije bibura by'igihe gito.

Ariko icy'ingenzi ni uko nyuma y'uko (atonic seizure) irangiye, imitsi yawe yongera kugira imbaraga.

Ese (Atonic Seizures) ni akaga?

Mu by’ukuri, ibyago byo gukomereka bitewe n’indwara zo mu mutwe (atonic igicuri) biri hejuru cyane . Tekereza, byagenda bite uramutse urimo gukora ikintu runaka, wenda ukinisha umwana, hanyuma ukumva umubiri wawe utakibasha kugikurikirana? Ushobora kugwa, ikintu wari ufashe gishobora kugwa, amaso yawe agafunga. Nubwo waba urimo gukora ikintu watekerezaga ko kitari gitekanye, dore ibintu bimwe na bimwe bishobora kubaho uramutse unaniwe kugikurikirana mu buryo butunguranye:

• Gutema no gucika kw'ibisebe
• Ibikomere
• Amagufwa yavunitse
• Mu bihe bimwe na bimwe bikomeye , ibikomere bikomeye byo mu mutwe (ibikomere byo mu bwonko bikomeretsa umutima) bishobora no kubaho.

Tekereza niba ibi byakubaho igihe wari ugenda mu muhanda, cyangwa igihe wari urimo guteka, cyangwa wicaye ku ntebe, cyangwa ndetse n'igihe umwana yari arimo kuzamuka ku gikinisho? Birashoboka rwose gukomereka, sibyo? Rero abantu bafite iyi ndwara bagomba kwitonda cyane.

Nanone, ni bibi cyane iyo ugize igicuri nk'iki mu gihe ukora akazi gasaba kwitabwaho cyane, nko gutwara imodoka cyangwa gukoresha imashini ziremereye . Kuko nubwo watakaza ubwenge bwawe mu masegonda make, bishobora kugira ingaruka zishobora gushyira ubuzima bwawe mu kaga.

Indwara yo gucika intege imaze igihe kingana iki ibaho?

Indwara yo mu mutwe (atonic brain) ikunze kumara igihe gito cyane, amasegonda agera kuri 15. Ishobora no kuba ntoya kurushaho. Iyo indwara irangiye, ushobora kumva utazi neza , nk'aho uti "Ni iki cyambayeho?" Ariko akenshi, ukira vuba kandi ushobora gusubira mu byo wakoraga.

Ariko rimwe na rimwe, izi ndwara zishobora kubaho mu buryo butandukanye, imwe ikurikira indi. Niba ufite izi ndwara nyinshi , ushobora kumva ufite ubumuga kandi ntushobora kwimuka mu gihe cy'iminota mike cyangwa amasaha menshi. Niba ufite indwara y'igicuri imara iminota irenga 15, bifatwa nk'ikibazo cyihutirwa cy'ubuvuzi . Ibi nibibaho, ugomba kujya kwa muganga vuba.

Ni iki kibaho nyuma yo gufatwa n'indwara ya Atonic?

Nkuko byavuzwe mbere, imbaraga z'imitsi yawe ziragaruka iyo indwara yo gucika intege irangiye. Ariko, hari abantu bashobora kugira ubumuga bw'igihe gito , aho badashobora kwimura umubiri wabo mu masegonda make nyuma y'uko indwara yo gucika intege irangiye.

Ushobora kumva utazi neza ibyabaye. Ibi biterwa nuko ushobora kuba utari mu mwanya nk'uwo wari uri mbere yo gufatwa n'indwara. Urugero, niba wari uhagaze, ushobora kuba uryamye hasi igihe wongeye kugira ubwenge. Niba ufite igikomere, ushobora no kuruhuka gato.

Ariko igitangaje ni uko abana benshi bato , keretse bakomeretse, ntibababara cyane nyuma yo kugira isereri. Iyo imitsi yabo igarutse gukomera, bashobora kongera gukora imirimo bakoraga mbere yo kugira isereri.

Kuki ibi (Atonic Seizure) bibaho?

Ibi biterwa nuko habaho kwiyongera gutunguranye kw'imikorere y'amashanyarazi mu bice by'ubwonko bwacu bigenzura imitsi - urugero , igice cyo imbere n'umutwe w'ubwonko. Ni nk'uruziga rugufi. Ariko akenshi biragoye kumenya impamvu nyayo ibitera.

Ni nde ufite amahirwe menshi yo kubyibasira? (Ibintu bishobora gutera ibyago)

Ushobora kuba ufite ibyago byinshi byo kurwara indwara yo gucika intege nke mu gihe:

• Niba uri munsi y'imyaka 18 (ibi akenshi bitangira mu bwana).
• Niba warigeze kugira ibibyimba ukiri umwana, ni ukuvuga mu gihe cy'ubwana (amateka y'imitsi y'uruhinja) .
• Niba ufite indi ndwara yihariye, nka Lennox-Gastaut syndrome cyangwa Dravet syndrome .

Indwara zimwe na zimwe zo mu mutwe zishobora gukomeza kugeza umuntu akuze, ariko ni gake cyane umuntu mukuru afatwa n’iyi ndwara.

Ni gute muganga asuzuma indwara yo gupfukama kw'amagufwa? (Isuzuma)

Muganga azasuzuma indwara zo mu mutwe, akore isuzuma ry’imitsi n’ibindi bizamini . Muri ibi bizamini, muganga azatega amatwi yitonze ibimenyetso by’indwara zo mu mutwe.

Ni ingenzi cyane kugira umuntu wabonye iyo ndwara yo gupfusha - umuntu wo mu muryango wawe cyangwa inshuti - uri kumwe nawe igihe ugiye kwa muganga. Niba utabishoboye, ni byiza kandi ko yandika ibyo yabonye. Ibi bizafasha muganga gusobanukirwa ibyabaye. Hari igihe, niba ushobora gufata amashusho y'iyo ndwara ukoresheje telefoni yawe, ibyo bishobora kugufasha cyane.

Ibizamini byihariye bishobora gufasha muganga wawe kwemeza icyateye indwara yo gucika intege, cyangwa se kugabanya izindi ndwara zishobora gutera intege nke z'imitsi no guta ubwenge. Ibizamini nk'ibi bishobora gukorwa:

• Gupima amaraso
• Ikizamini cya Electroencephalogram (EEG) - Iki gipimo gisuzuma imiterere y'amashanyarazi y'ubwonko kugira ngo harebwe niba hari impinduka zijyanye n'indwara zo mu bwonko.
• Isuzuma rya Magnetic Resonance Imaging (MRI) - kugira ngo harebwe niba hari ikibazo mu miterere y'ubwonko.
• Isuzuma rya Positron Emission Tomography (PET) - kugira ngo harebwe imikorere y'ubwonko.

Niba waragize imvune igihe wafatwaga, muganga wawe ashobora gukenera gukora ibindi bipimo, urugero nko gupimwa X-ray kugira ngo arebe niba igufwa ryavunitse, urugero.

Ni ubuhe buryo bwo kuvura ibi?

Muganga ashobora kuguha imiti yo kugabanya ihungabana nk'iyi kugira ngo avure indwara zo mu mutwe:

• Benzodiazepines (urugero: clonazepam cyangwa clobazam)
• (Felbamate)
• (Levetiracetam)
• (Topiramate)
• (Aside Valproic) (valproate)
• (Zonisamide)

Iyi miti igenwa na muganga wawe, bitewe n'uko umeze. Niba ufite imvune mu gihe cyo kurwara, muganga wawe na we azahita ayivura .

Niba iyi miti yo gukubita idakora, cyangwa niba ufite igicuri kidashira gitera imvune ikomeye, muganga wawe ashobora kugufasha ubundi buryo bwo kuvura. Muri ubwo buryo harimo:

• Kubaga – urugero, uburyo bwitwa corpus callosotomy . Ibi bigabanya urujya n'uruza rw'ibimenyetso by'amashanyarazi bidakenewe hagati y'ibice bibiri by'ubwonko.
• Gukangura imitsi yo mu nda y'igituza - Agakoresho gato gakangura imitsi gashyirwa munsi y'uruhu rw'igituza. Ibi bifasha kugabanya ibibyimba.
• Kwambara ingofero zo mu mutwe zirinda indwara - kugira ngo ugabanye imvune zo mu mutwe mu gihe umuntu aguye. Ibi ni ingenzi cyane cyane ku bana bagwa kenshi.

Mu bihe bimwe na bimwe, muganga wawe ashobora kukugira inama yo gukurikiza indyo yihariye, urugero nk'indyo irimo ibinure byinshi kandi irimo karubohidrati nkeya yitwa indyo ya ketogenic . Ibi kandi byagaragaye ko bifasha mu kurwanya indwara zo mu mutwe.

Ni iki giteganijwe kuri iki kibazo? (Icyizere)

Muganga wawe ashobora kukubwira neza uko ubona ibintu, kuko bitandukana bitewe n'umuntu ku giti cye . Imiti igabanya ubukana n'ubundi buryo bwo kuvura bishobora kugufasha kugabanya inshuro urwara ibicurane. Ariko, ibikomere uhura nabyo mu gihe cyo gukubita igitonyanga bishobora kugira ingaruka ku buryo ubona ibintu. Muganga wawe ashobora kuguha inama z'uburyo bwo kwirinda ibikomere mu gihe cyo gukubita igisebe.

Ni ryari ngomba kujya kwa muganga?

Niba wumva urimo kugira ibisebe bikabije byo mu mutwe, cyangwa niba ukunze gukomereka , menya neza ko wagiye kwa muganga. Muganga wawe ashobora guhindura gahunda yawe yo kuvura kugira ngo ikubere nziza kandi ikurinde.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Muri iki gihe, ugomba kujya mu cyumba cy’ubutabazi bw’ibanze (ER) cyangwa ugahamagara serivisi z’ubutabazi bw’ibanze:

• Niba ufite indwara yo gucurama ku nshuro ya mbere mu buzima bwawe .
• Niba wakomeretse bikomeye mu gihe cyo gukubita (urugero, igufwa ryavunitse, gukubitwa bikomeye ku mutwe).
• Niba ufite indwara zo mu mutwe inshuro nyinshi zikurikiranye (ni ukuvuga indwara zo mu mutwe zirenze eshatu mu minota 30, cyangwa niba indwara imwe ikurikirwa n'indi nyuma gato).

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba ufite (Atonic Seizures), ni byiza kubaza muganga wawe ibibazo nk'ibi:

• Ni ubuhe bwoko bw'ubuvuzi muganga yangiriye inama?
• Ese hari ingaruka mbi ziterwa n'ubu buvuzi? Niba ari byo, ni izihe?
• Kuri njyeEse nshobora gutwara imodoka? Cyangwa ni izihe ngamba nkwiye gufata?
• Ni ibihe bikorwa nshobora gukora mu mutekano? Ni ibihe bintu nkwiye kwirinda?

Ni irihe tandukaniro riri hagati y’indwara ya atonic n’indwara ya tonic?

Iki ni ikintu abantu benshi bibaza. Itandukaniro rikomeye riri hagati y’indwara ya atonic na tonic ni uko imitsi yawe ihura n’ikibazo gitunguranye mu mikorere y’ubwonko:

• Indwara zo mu mutwe (Atonic): Imitsi yawe iracika intege kandi ntigire ubuzima. Iragwa nk'igitambaro.
• (Tonic) Gufatwa n'indwara: Imitsi yawe irakomera, nk'ibuye. Umubiri wawe urakomera kandi ushobora kugwa hasi nk'imbaho.

Mu gihe cy’indwara yo mu mutwe, ushobora kugwa hasi mu buryo butunguranye nk’aho nta kintu kizima kirimo, cyangwa ukagwa uhagaze. Mu gihe cy’indwara yo mu mutwe, ushobora kugwa hasi nk’igiti cyatemwe. Mu gihe cy’indwara yo mu mutwe, ubusanzwe ntabwo habaho gucika intege , ariko ushobora guta ubwenge.

Ibyo twaganiriyeho icyarimwe (Ubutumwa bwo kujyana mu rugo)

(Atonic Seizure) Iyo utakaje ubwenge mu buryo butunguranye ukagwa hasi nta bushobozi umubiri wawe ufite bwo kugenzura, ni ibintu biteye ubwoba cyane kuri wowe n'umuryango wawe. Ushobora kutagira umwanya wo kwifata iyo uguye, ndetse ushobora no gukomereka bibabaza. Ibi bishobora gutuma udashobora kujya ku ishuri, ku kazi, cyangwa gukora ibintu ukunda.

Kubera ko izi ndwara zo mu mutwe zikunze kugaragara mu buryo butunguranye, ni ngombwa gushaka abaganga. Gahunda yawe yo kuvura izahuzwa n'ibyo ukeneye byihariye n'ibyo umubiri wawe ukeneye. Niba ufite ikibazo icyo ari cyo cyose kijyanye n'indwara zo mu mutwe cyangwa ushaka kumenya uko wakwirinda, ntutindiganye kuvugana na muganga wawe. Wibuke ko, iyo uvuwe neza kandi ukumva neza, ushobora kugenzura iyi ndwara no kubaho ubuzima bwiza. Ntugahangayike, siyansi y'ubuvuzi irateye imbere cyane muri iki gihe.

Indwara zo mu bwonko ziterwa n'imisemburo, gucika intege kw'imitsi, gucika intege kw'imitsi, gucika intege kw'imitsi, gucika intege kw'imitsi, igicuri, indwara z'ubwonko