Ese uhuye n'indwara idasanzwe mu buryo butunguranye? Ishobora kuba ari indwara yo mu mutwe!

Ese rimwe na rimwe wumva ikintu kidasanzwe mu buryo butunguranye? Ese wigeze wumva ikintu kidasanzwe, nk'igice cy'umubiri wawe gihindaguritse mu buryo butunguranye, cyangwa se ukumva urusaku rudafite umuntu uri hafi yawe, cyangwa se ugatakaza ubwenge igihe runaka? Ibi bishobora kuba ibimenyetso by'indwara yitwa focal seizure, iterwa n'impinduka nto z'amashanyarazi mu gice kimwe cy'ubwonko bwawe. Ntugahangayike, tuzavuga kuri ibi birambuye uyu munsi, nk'aho twavuganye n'inshuti yawe.

Igisebe cyo mu mutwe (focal seizure) ni iki?

Mu magambo make, gukubita no gucura ni ukwiyongera gutunguranye k'imikorere y'amashanyarazi, ku buryo butunguranye, biba mu gice runaka cy'ubwonko bwawe . Tekereza nk'urusaku ruto rw'ibimenyetso by'amashanyarazi binyura mu mitsi yo mu bwonko bwawe. Kubera ko bitangirira ahantu hamwe mu bwonko, bitera ibimenyetso byihariye kuri ako gace. Ibi byari byitwaga gukubita no gucura igice.

Hari igihe ibimenyetso by’indwara yo mu mutwe (focal seizure) bigaragaye, ushobora kuba ubizi, bivuze ko uzi ibiri kuba. Ariko, iyo indwara igeze mu bindi bice by’ubwonko, ushobora gutakaza ubwenge ugakura umubiri wose uhinda umushyitsi (tonic-clonic seizures).

Ni irihe tandukaniro riri hagati ya Focal Seizures na Generalized Seizures?

Ese wari uzi ko ubwonko bwacu bufite impande ebyiri z'ingenzi, cyangwa ibice bibiri by'ingenzi? Indwara rusange ni indwara ifata ibice byombi by'ubwonko icyarimwe. Hanyuma ibimenyetso bishobora kugaragara bikagira ingaruka ku mpande zombi z'umubiri. Ibi akenshi biba bikomeye kurushaho.

Ariko, indwara yo mu bwonko ifata ibice bimwe na bimwe, itangira mu gice kimwe cy'ubwonko, ku ruhande rumwe rw'ubwonko. Ariko, uko indwara igenda ikura, iyi mikorere y'amashanyarazi ishobora gukwirakwira mu gace kamwe ijya mu kandi, rimwe na rimwe ikava mu gice kimwe cy'ubwonko ijya mu kindi. Hari igihe indwara yo mu bwonko ishobora gutera indwara yo mu bwonko yose yitwa "focal to bilateral tonic-clonic seizure".

Icy'ingenzi: Indwara zo mu mutwe n'igicuri ni ibintu bibiri bitandukanye. Si indwara zose zo mu mutwe ziba ari igicuri.

Ni nde urebwa cyane n'iki kibazo?

Mu by’ukuri, umuntu uwo ari we wese ashobora kugira igicuri bitewe n’impamvu iyo ari yo yose. Ariko, niba ufite ibibazo bimwe na bimwe mu bwonko, ushobora kugira igicuri cy’ingorabahizi. Urugero:

• Ibikomere byo mu mutwe
• Hari ibintu bimwe na bimwe bidasanzwe mu bwonko bivukanwa
• Indwara zo mu mutwe ziterwa n'ibicurane mu bwana
• Indwara zo mu bwonko (urugero: indwara ya encephalite)
• Igisebe cy'imitsi
• Ibibyimba byo mu bwonko

Ibi bishobora guterwa n'ibintu nk'ibi:

Ni mu rugero rungana iki indwara zo mu mutwe zikunze kugaragara?

Mu by’ukuri, indwara zo mu mutwe ni zo zikunze kugaragara cyane . Zigize ibice birenga kimwe cya kabiri cy’indwara zose zo mu mutwe. By’umwihariko, indwara zo mu mutwe, ziterwa no kubura ubwenge gato, zigize kimwe cya gatatu cy’indwara zose zo mu mutwe.

Iyi ndwara igira ingaruka zite ku mubiri wanjye?

Ibimenyetso by'indwara yo mu mutwe biterwa n'igice cy'ubwonko cyafashwe . Ni ngombwa kugenzura indwara yo mu mutwe. Ibi biterwa nuko iyo zimaze igihe kirekire zishobora gutera ibibazo byo kwibuka, ibibazo byo gutekereza, no kongera ibyago byo kugira ibibazo byo mu mutwe nko kwiheba no guhangayika.

Ese hari ibimenyetso by'umuburo mbere yuko umuntu afatwa n'igicuri?

Yego, hari abantu bashobora kugira "aura" mbere yo kugira isereri. Iyi aura ishobora kuba ikimenyetso cya mbere cy'isereri. Kuri iyi ngingo, uba usobanukiwe, bivuze ko usobanukiwe ibiri kuba. Ushobora kugira ibimenyetso bitandukanye muri iyi aura. Niba isereri idakwirakwiriye hose, iyi aura ishobora kuba ikimenyetso cyonyine cy'isereri.

Aura ishobora kugira imiterere myinshi:

• Ibimenyetso by'amarangamutima: Ibintu bidasanzwe bijyanye no kubona, kumva, guhumurirwa, uburyohe, cyangwa gukorakora.
• Impinduka mu byiyumvo: Gutinya, guhangayika, cyangwa uburakari butunguranye.
• Ibimenyetso by’umubiri: Impinduka mu mikorere karemano y’umubiri, nko kubira ibyuya no gucika amacandwe.

Abantu barwaye igicuri rusange akenshi ntibagira aura. Kuba hari aura ni ikimenyetso cy'uko igicuri gikomeye gishobora kuba kirimo. Hari igihe iyi aura ishobora kuba ikimenyetso cy'umuburo mbere yuko umuntu afatwa n'igicuri, bigatuma umuntu ata ubwenge.

Ni ibihe bindi bimenyetso by'indwara yo mu mutwe (focal sertillages)?

Nkuko twabivuze mbere, ibimenyetso biratandukanye bitewe n'ubwoko bw'igicuri n'agace ubwonko bwagizemo uruhare. Hari ubwoko butatu bw'ingenzi bw'igicuri:

1. Ibiheri byo kumenya neza: Ibi byahoze byitwa ibiheri byoroshye cyangwa ibiheri byoroshye. Ikintu cy'ingenzi kuri ibi ni uko uba uzi igihe ibiheri bibaho . Ikigaragara nk'aho ari aura mu by'ukuri ni ibiheri.

2. Ibibyimba byo mu mutwe bitagira ubushobozi bwo kumenya: Ibi byahoze byitwa ibibyimba bikomeye cyangwa ibibyimba bikomeye byo mu mutwe. Muri ibi , ubumenyi bwawe burahungabana . Iyo habayeho aura, ibaho mbere yo gutakaza ubwenge. Ibi akenshi ntibimara iminota itatu. Ubu bwoko bw'ibibyimba bugira hafi 36% by'ibibyimba byose, bigatuma ari bwo bwoko bukunze kugaragara cyane bw'ibibyimba .

3. Indwara yo gukubita no gukubita mu maraso: Iyi ndwara yakunze kwitwaga generalized tonic-clonic seizures, ubwo bwoko bw'indwara butuma umubiri wose ukora neza bigatera gucika intege .

Ibimenyetso by'indwara yo gupfuka kw'ijisho bishobora kugabanywamo ibyiciro bine by'ingenzi. Ibyiciro birenga kimwe muri ibi bishobora kugaragara mu ndwara imwe:

• Moteri
• Ifite ubushishozi
• Ubwigenga
• Imitekerereze

Ibiranga moteri

Gufatwa n'indwara zo mu mutwe ni ukwimuka kw'ibice by'umubiri bidakozwe ku bushake cyangwa bitagenzuwe . Bikunze kugira ingaruka ku bice by'isura, amaboko n'amaguru ku ruhande rumwe. Bishobora kuba ukujugumira, gutigita, gukaza imitsi, cyangwa kwimuka kenshi cyangwa mu buryo bwikora nko kwiruka iminwa, guhumbya amaso, cyangwa gukorakora ku kiganza cyangwa urutoki.

Hari igihe ibi bimenyetso by'imitsi bishobora gukwirakwira mu gice cy'umubiri cyafashwe ndetse no mu bindi bice by'umubiri. Ibi byitwa "Jacksonian march." Ibi bice bitangirira ahantu hato hanyuma "bikagenda" mu gice cyose cy'umubiri, rimwe na rimwe bigakwirakwira mu bindi bice by'umubiri ku ruhande rumwe cyangwa mu maso.

Nyuma y’uko ibimenyetso by’imikorere y’umubiri bigaragaye, abantu benshi bashobora kugira ubumuga bw’igihe gito bw’ingingo z’umubiri. Ibi byitwa "Todd paralysis." Ibi ni iby’igihe gito, ariko bishobora kumara amasaha menshi. Kubwira muganga wawe ibi bishobora gufasha mu gusuzuma no kuvura.

Imiterere y'ibyumviro

Iyo habayeho aura, iyo uturemangingo tw’imitsi two mu bwonko bwawe duhujwe n’ibyumviro byawe twagizweho ingaruka, utwo turemangingo dushobora gukora nabi nk’aho turimo kumva ikintu runaka. Ushobora kumva nk’aho hari ikintu kirimo kuba kitabaho mu by’ukuri. Ibi bimenyetso, byitwa hallucinations , bishobora kugira ingaruka ku byumviro byawe bitanu byose. Ingero:

• Ishusho: Amatara yaka cyane, urumuri ruragaragara. Uburyo ibintu bigaragara burahinduka (bisa n'ibinini cyangwa bito).
• Kumva: Uhita wumva amajwi adasanzwe, urusaku. Tekereza uri wenyine ukumva umuntu avuga, ariko iyo urebye, nta muntu uhari. Ikintu nk'icyo.
• Impumuro: Impumuro idaturuka ahantu hose; akenshi itunguranye, mu buryo butunguranye.
• Uburyohe: Ukumva uburyohe budasanzwe; nk'ubw'icyuma, ubushye, cyangwa ubusharire.
• Gukorakoraho: Kumva umeze nk'ufite uruhu rudasanzwe ahantu runaka; nk'udushinge, gukurura, ikintu kigenda, cyangwa ubushyuhe cyangwa ububabare.

Bwira muganga wawe neza uko bishoboka kose ibimenyetso by'ibyumviro cyangwa ibintu ubona bitagaragara, kuko kumenya uburyo bwo kumva ibintu byangiritse bizafasha abaganga kumenya aho mu bwonko habera igicuri.

Ibiranga ubwigenga

Iyo aura ibayeho, ishobora no kugira ingaruka ku mikorere y'umubiri igenzurwa n'ubwonko bwawe. Dore ingero zimwe na zimwe:

• Kubira ibyuya.
• Kunywa amacandwe menshi cyangwa gutemba amate.
• Ibara ry'uruhu rihinduka (ubururu cyangwa umutuku).
• Kumva umeze nk'uzamuka mu nda (“gutera hejuru mu gifu”).

Ibiranga ubushobozi bwo gutekereza

Aura yawe ishobora guteza impinduka mu byiyumvo byawe. Ingero:

• Amarangamutima mabi: ubwoba, guhangayika, guhangayika, cyangwa uburakari.
• Amarangamutima meza: ibyishimo, ibyishimo, cyangwa guseka ku buryo budasubirwaho.
• Ibibazo bijyanye n'ukuri:Kumva uri mu nzozi cyangwa wibuka ibyabaye mu bihe byashize (ibyabaye nyuma y'ibyabaye). Hari n'abantu bavuga ko bumva bafite imbaraga zidasanzwe cyangwa ko bavugana n'imana.
• Déjá vu: Ijambo ry'Igifaransa. Kumva umenyereye ibintu bishya, nk'aho byabayeho mbere.
• Jamais vu: Iri naryo ni ijambo ry'igifaransa. Risobanura uburambe busanzwe, nyamara bisa n'aho ari ikintu gishya.

Izindi mpinduka mu mitekerereze zibaho mu gihe umuntu arwaye indwara zo mu mutwe zirimo impinduka mu rwego rw'ubwenge, impinduka mu kwibuka, impinduka mu bumenyi bw'ururimi cyangwa itumanaho, ndetse no kugabanuka k'ubushobozi bwo gukorana n'ibidukikije.

Ni iki gitera indwara zo mu mutwe (focal seizures)?

Hari impamvu nyinshi zitandukanye zitera indwara yo gucika intege (focal seizures). Zimwe muri zo ni izi:

• Ibibazo ku mitsi ijyana amaraso mu bwonko (urugero: aneurysms).
• Ubudahangarwa bw'imitsi y'umutima (arrhythmias).
• Ibibyimba byo mu bwonko (harimo na kanseri).
• Kubura umwuka wa ogisijeni mu bwonko (hypoxia yo mu bwonko).
• Gukomereka mu bwonko no gukomereka mu mutwe.
• Indwara zigenda zisenya ubwonko buhoro buhoro (urugero: indwara ya Alzheimer, indwara yo kwibagirwa imbere mu gihe cyo kuruhuka).
• Kureka gukoresha ibiyobyabwenge cyangwa inzoga.
• Umuvuduko ukabije w'amaraso mu gihe cyo gutwita (Eclampsia).
• Kutagera ku rugero rw'umunyu mu mubiri (cyane cyane umunyu muke - hyponatremia, kalisiyumu nke cyangwa manyeziyumu).
• Umuriro, cyane cyane umuriro mwinshi (ibicurane).
• Indwara z’uruhererekane rw’umubiri (indwara zikomoka ku babyeyi).
• Impinduka mu misemburo (hari abagore bashobora kugira ibibyimba mu minsi imwe n'imwe y'imihango - igicuri cya catamenial).
• Indwara zandurira mu bwonko (cyane cyane indwara zo mu bwonko nka encephalite cyangwa meningitis; izi zishobora guterwa na virusi, bagiteri, cyangwa udukoko).
• Ububyimbirwe buterwa n'ibibazo by'ubudahangarwa bw'umubiri.
• Kubura ibitotsi n'ibindi bibazo bifitanye isano n'ibitotsi.
• Ibibazo by’imikorere y’umubiri (cyane cyane isukari nyinshi mu maraso - hyperglycemia cyangwa isukari nke mu maraso - hypoglycemia).
• Ibibazo ku miterere y'ubwonko (cyane cyane ibyo umuntu abaho igihe yavukaga).
• Ubudahangarwa bw'umubiri bushobora guhangana n'ubwandu bukwirakwira mu mubiri wose (Sepsis).
• Ibitero byo mu bwonko cyangwa ibitero by’indwara z’umutima bihita (TIAs).
• Gukoresha ibiyobyabwenge n'inzoga (harimo imiti yanditswe na muganga, ibiyobyabwenge bitemewe n'amategeko, na kawa).

Ese indwara yo mu mutwe (focal sertillaries) yandura?

Oya, indwara zo mu mutwe ntizandura. Ariko, zimwe mu ndwara zitera indwara zo mu mutwe zishobora kuba ari iz’ababyeyi (bivuze ko ushobora kuzikura ku babyeyi bawe, kandi ushobora no kuzikura ku bana bawe).

Ni gute wamenya indwara yo gukubita (focal serpents)?

Ubusanzwe umuganga w’indwara z’imitsi azasuzuma indwara zo mu mutwe bitewe n’ibimenyetso byawe (cyangwa ibyo abandi bavuze) n’ibisubizo by’ibizamini. Ibi bizamini bishobora kugufasha kumenya niba warigeze kugira indwara yo mu mutwe kandi niba yaratewe n’icyorezo cyangwa itaratewe n’icyorezo. Gupima imiterere y’uturemangingo bishobora kandi kugaragaza indwara uvukana zitera indwara zo mu mutwe.

Ikintu cy'ingenzi cyane mu gusuzuma indwara y'ibicurane ni ukumenya aho indwara itangirira (focal point) . Kubona aho hantu ni ingirakamaro cyane mu kuvura.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane iyi ndwara?

Hari ibizamini byinshi bishobora gukorwa mu gihe umuntu afashwe n'igicuri:

• Ibipimo by'amaraso: Ibi bipima ubusumbane mu mikorere y'umubiri n'imiti mu maraso, ibibazo by'ubudahangarwa bw'umubiri, uburozi, n'urugero rw'imiti itangwa ku ndwara z'igicuri.
• Electroencephalogram (EEG): Ikizamini gipima imikorere y'amashanyarazi y'ubwonko.
• Gukurikirana amashusho na EEG.
• Ishusho ya Magnetic Resonance (MRI): Ifata amashusho arambuye y'ubwonko.
• Isuzuma rya Positron Emission Tomography (PET).
• Tomografia ya Ictal Single-Photon Emission (SPECT).
• Isuzuma ry'imyanya y'amarenga (MEG).
• Gukurikirana EEG mu bwonko: Ikizamini gikubiyemo gushyira electrodes mu bwonko, rimwe na rimwe nyuma yo kubagwa.
• Gutobora mu kibuno: Ibi bikorwa iyo muganga akeka ko igicuri giterwa n'ubwandu cyangwa indwara y'ubudahangarwa bw'umubiri.

Abaganga bashobora kandi kukugira inama yo gukoresha ibindi bipimo kugira ngo barebe niba hari ibikomere, ingaruka mbi cyangwa ingorane zikomoka ku cyorezo. Muganga wawe ni we muntu mwiza wo kukubwira ibizamini bikubereye n'impamvu birimo gukorwa.

Ese indwara zo mu mutwe zivurwa zite? Ese zishobora gukira?

Gusuzuma no kuvura indwara z’ibicurane bitangirana no kumenya niba ziterwa n’ubushyuhe cyangwa se nta burakari. Niba bishoboka, kuvura impamvu y’ubushyuhe buterwa n’ubushyuhe bishobora gufasha guhagarika ubushyuhe . Iyo impamvu y’ubushyuhe idashobora kuvurwa, abaganga basanzwe bavura ubushyuhe kugira ngo bagabanye ubukana bwazo cyangwa inshuro zabyo.

Niba ugize igicuri cya mbere kidasobanutse , kandi utari mu kaga gakomeye ko kurwara ikindi, abaganga ntibakugira inama yo kuvura. Ariko, niba uri mu kaga gakomeye, cyangwa warigeze kugira igicuri kidasobanutse mbere, abaganga bashobora kugusuzuma bakagira inama yo gutangira kuvurwa.

Ni ubuhe bwoko bw'imiti cyangwa uburyo bwo kuvura bukoreshwa?

Uburyo bwo kuvura indwara z’igicuri buratandukanye cyane. Ku ndwara z’igicuri zifite impamvu, ubuvuzi hafi ya bwose buterwa n’impamvu. Uburyo bwo kuvura indwara z’igicuri zitaratangira cyangwa izirwaye igicuri buterwa n’ubwoko bw’indwara z’igicuri, impamvu y’indwara z’igicuri, n’uburyo bwo kuvura bukora neza.

Hari uburyo butandukanye bwo kuvura indwara zo mu mutwe ziterwa n'igicuri:

• Imiti: Uretse imiti ihagarika indwara zo mu mutwe iyo zibayeho, hari n'imiti ishobora gukumira indwara zo mu mutwe cyangwa ikagabanya inshuro zikunze kugaragara. Imwe itangwa mu mitsi (IV) iyo indwara yo mu mutwe ibayeho. Indi ifatwa nk'ibinini buri munsi.
• Guhindura imirire: Indyo irimo karubohidrati nke cyangwa nta karubohidrati (urugero: ketogenic) rimwe na rimwe ishobora guhagarika burundu indwara y'igicuri cyangwa ikagabanya inshuro nyinshi.
• Kubaga indwara y'igicuri: Hari igihe kubaga bishobora guhagarika indwara y'igicuri hakoreshejwe gukuraho igice cy'ubwonko cyagize ikibazo cyangwa kugitandukanya n'ibindi bice by'ubwonko.
• Gukangura imitsi yo mu nda y'ubwonko (VNS): Gukangura imitsi yo mu nda y'ubwonko ku ruhande rw'ibumoso rw'ubwonko, ifitanye isano n'ubwonko, bishobora kugabanya inshuro zo gukubita.
• Gukangura Ubwonko (RNS): Ibi bikubiyemo igikoresho kimenya imikorere y'igicuri mu bwonko bwawe kandi kigatanga amashanyarazi mu gice cy'ubwonko bwawe gitera icyo gikorwa. Iki gikoresho cya RNS gishobora kugabanya indwara zo mu bwonko uko igihe kigenda gihita.
• Gukangura Ubwonko Bwimbitse (DBS): Ubu buryo bwo kuvura bukubiyemo gushyira igikoresho ku gice runaka cy'ubwonko hakoreshejwe insinga. Icyo gikoresho gitanga amashanyarazi yoroheje abangamira impulses z'amashanyarazi zibaho mu gihe cyo gukubita.

Ni izihe ngorane/ingaruka mbi zo kuvurwa?

Ingorane ziterwa no kuvura indwara yo gupfukama biterwa n'icyayiteye, ubwoko bw'indwara yo gupfukama, n'ibindi bintu byinshi. Muganga wawe ni we muntu mwiza wo kukubwira icyo ugomba kwitega, cyangwa icyo ugomba kwitega, kuko ashobora kuguha amakuru yihariye ajyanye n'imimerere yawe.

Ni gute nakwiyitaho/nshobora guhangana n'ibimenyetso?

Ntugomba kugerageza gusuzuma cyangwa kuvura indwara y’igicuri wenyine . Indwara zo mu bwonko akenshi ni ikimenyetso cy’indwara ikomeye yo mu bwonko. Niba wowe cyangwa uwo ukunda agize iyi ndwara bwa mbere, jya kwa muganga vuba bishoboka. Muganga wawe azakubwira ibimenyetso cyangwa ingaruka ugomba gushaka ubuvuzi niba ufite igicuri.

Nzumva meze neza nyuma y'igihe kingana iki?

Igihe cyo gukira giterwa n'ubwoko bw'igicuri urwaye n'uburyo uvurwa. Muganga wawe azakubwira icyo utegereje, igihe bizatwara kugira ngo uruhuke, n'igihe uzatangira kumererwa neza.

Nigute nagabanya ibyago byanjye? Ese ibisebe by'umutwe bishobora kwirindwa?

Buri wese afite ibyago byo kurwara indwara zo mu mutwe, kandi ntibishoboka kumenya igihe zizabera. Rero ntibishoboka kuzikumira burundu. Ikintu cyiza wakora ni ukugabanya amahirwe yo kurwara indwara yo mu mutwe wirinda ibintu bishobora kuyitera.

Hari intambwe z'ingenzi ushobora gufata kugira ngo ugabanye ibyago byo kugira isereri:

• Kurya indyo yuzuye kandi ugire ibiro byiza. Indwara nyinshi zijyanye n'imiyoboro y'amaraso n'umutima zishobora kwangiza ibice by'ubwonko bwawe. Indwara zo mu bwonko n'izindi ndwara zifitanye isano cyane n'indwara zo mu bwonko.
• Ntukirengagize indwara zandura. Indwara z'amaso n'amatwi zigomba kuvurwa vuba. Iyo izi ndwara zigeze mu bwonko, zishobora gutera indwara z'igicuri. Indwara zishobora no gutera umuriro mwinshi, ushobora no gutera indwara z'igicuri.
• Ambara ibikoresho byo kwirinda. Gukomereka mu mutwe ni byo bituma umuntu agira ibisebe byo mu mutwe. Kwambara ibikoresho byo kwirinda igihe cyose bibaye ngombwa bishobora gufasha mu gukumira kwangirika k'ubwonko bishobora gutera ibisebe byo mu mutwe cyangwa bigatuma bishobora kubaho mu gihe kizaza. Urugero: ingofero, imikandara yo mu modoka.
• Gucunga indwara zawe. Gucunga indwara zidakira bishobora gufasha mu kwirinda indwara zo mu mutwe, cyane cyane indwara zo mu mutwe ziterwa n'isukari mu maraso ziterwa na diyabete (Diyabete yo mu bwoko bwa 1 cyangwa Diyabete yo mu bwoko bwa 2).

Ni iki nkwiye kwitega mu gihe mfite isereri imwe cyangwa nyinshi?

Abantu benshi bahuye n'indwara yo mu mutwe bwa mbere bashobora kongera kugira iyindi ndwara yo mu mutwe nta mpamvu igaragara ihari. Kubwibyo, ni ngombwa kuvugana na muganga kugira ngo bamenye niba indwara yabo iterwa n'indwara yabo kandi bayivure. Bamwe mu bantu barwaye indwara yo mu mutwe bashobora kurwara indwara yitwa "indwara yo mu mutwe idakira imiti cyangwa indwara yo mu mutwe idakira imiti." Ibi bivuze ko indwara yabo yo mu mutwe idakira imiti ihagije. Indwara yo mu mutwe idakira imiti ikunze kuvurwa no kubagwa. Ni ngombwa gushaka ubuyobozi ku muganga w'inzobere mu kubaga igicuri.

Nzamara igihe kingana iki mfite iyi ndwara?

Mu ndwara ziterwa n’igicuri, ibyago byo kurwara ikindi biterwa n’icyateye icya mbere. Niba impamvu ishobora kuvurwa, ntabwo ushobora kurwara ikindi (keretse iyo impamvu yongeye kugaruka).

Mu gihe cy'igicuri kidateye ikibazo, inyinshi muri zo zishobora kugenzurwa hakoreshejwe imiti ikwiye yo kurwanya ihungabana ry'ihungabana . Ariko, niba ihungabana ry'ihungabana rikomeje, ni ngombwa gushaka ubuvuzi mu kigo cyita ku barwayi b'igicuri. Iyo ihungabana rimaze kugabanuka, ushobora kutazongera kugira ihungabana ubuzima bwawe bwose.

Ni iki giteganyijwe kuri iki kibazo?

Uko indwara y’igicuri n’igicuri bihagaze biterwa n’impamvu, uburemere bwacyo, ndetse niba imiti igabanya ubukana bw’indwara y’igicuri ifasha. Muri rusange, indwara y’igicuri ntabwo ari mbi, ariko ishobora gushyira ubuzima mu kaga, nko kurwara indwara ya tonic-clonic.Bishobora guteza akaga iyo bimara igihe kirekire cyangwa bikaza kenshi.

Muri rusange, indwara zo mu mutwe zitera ibisebe zifite icyizere cyiza iyo zikoresheje imiti cyangwa kubagwa.

Muganga wawe ni we muntu mwiza wo kuganira nawe ku bijyanye n'uko indwara y'igicuri n'igicuri ihagaze, ndetse n'icyo ushobora kwitega. Ashobora kuguha amakuru ajyanye n'uko umerewe n'uko umerewe, kandi akagufasha kumenya icyagufasha muri izi ndwara.

Urupfu rutunguranye rw'igicuri (SUDEP)

Abantu barwaye igicuri bafite ibyago bike byo kurwara indwara yitwa "Imfu zitunguranye mu gihe cy'igicuri" (SUDEP) . Impuguke zemeza ko SUDEP iterwa n'ibibazo by'umutima cyangwa ibibazo byo guhumeka, ariko impamvu nyayo ntiramenyekana.

Mu bantu barwaye igicuri gifatwa neza, igipimo cy’impfu ku mwaka ni hafi umwe ku 1.000. Mu bantu barwaye igicuri kidafatwa neza, igipimo cy’impfu ku mwaka ni hafi babiri ku 1.000. Nubwo ibi ari ibyago bike, ni ngombwa kubimenya.

Niyitaho nte? (Niba naramenye igicuri)

Niba warigeze kugira ikibazo cyo gucura umutwe rimwe mu bihe byashize, ni ngombwa gushaka inama kwa muganga kugira ngo bagupime bikwiye. Niba ukomeje kugira ikibazo cyo gucura umutwe, ni ngombwa cyane gushaka ubuvuzi mu kigo cyita ku barwayi b'igicuri cyihariye mu gupima abantu bafite igicuri kidacungwa. Ibi biterwa nuko, iyo umaze igihe kirekire ufite ikibazo cyo gucura umutwe, ubwonko bwawe bushobora guhinduka, bigatuma bugira ibyago byinshi byo kugira ikibazo cyo gucura umutwe kandi bigira ingaruka ku bushobozi bwawe bwo gutekereza no kwibuka. Byongeye kandi, indwara zo gucura umutwe zijyana n'ibyago byo kurwara izindi ndwara zo mu bwonko, nko kwiheba no guhangayika. Gusuzuma indwara hakiri kare no kuzivura bishobora kugufasha.

Niba muganga agusuzumye arwaye igicuri, ushobora gukora ibi bikurikira kugira ngo wifashe:

• Fata imiti yawe uko wabitegetswe. Imiti igabanya igicuri ishobora kugabanya inshuro n'ubukana bw'indwara yawe. Kubwibyo, ni ngombwa gufata imiti yawe uko wabitegetswe. Ntugomba guhagarika gufata imiti yawe nta buyobozi n'ubuyobozi bya muganga wawe.
• Vugana na muganga wawe ku byerekeye amahitamo yawe. Niba ukeneye kugabanya cyangwa guhindura imiti, muganga wawe ashobora kugufasha kumenya niba iyo nzira izagenda neza n'uko wabikora mu mutekano.
• Jyana na muganga wawe buri gihe. Muganga wawe azaguteganyiriza gahunda yo gukurikira. Iyi gahunda ni ingenzi kuko yemerera muganga wawe gukurikirana uburwayi bwawe no guhindura imiti yawe.
• Ntukirengagize cyangwa ngo wirengagize ibimenyetso. Icyizere cy'indwara y'igicuri n'igicuri akenshi kiba cyiza iyo indwara imenyekanye kandi ikavurwa hakiri kare.

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

Niba utarigeze ugira isereri mbereNiba uhita utakaza ubwenge cyangwa ugatakaza ubwenge nta mpamvu, ugomba kujya kwa muganga. Niba ubona ko urwaye indwara yo kurwara uri wenyine, hamagara muganga wawe vuba bishoboka.

Abantu barwaye igicuri akenshi ntibakenera guhamagara imbangukiragutabara cyangwa kujya kwa muganga nyuma yo kugira isereri. Ariko, iyo isereri iteye imvune cyangwa iyo isereri imara igihe kirekire (iminota irenga ibiri) , bashobora gukenera ubufasha bwa muganga.

Indwara yo mu mutwe ishobora gutera ibimenyetso bitandukanye. Ibyinshi muri byo, niba utarigeze ubibona mbere, bishobora gutera urujijo cyangwa ubwoba. Izi ndwara zikunze kugaragara ku bana, kandi zishobora gutera ubwoba ku bana ndetse n'ababyeyi. Ariko, indwara yo mu mutwe n'igicuri akenshi ni indwara zishobora kuvurwa. Akenshi, abana barwaye indwara yo mu mutwe bakura uko bakura kandi bagakomeza kubaho badafatwa n'indwara yo mu mutwe ubuzima bwabo bwose. Abantu bakuru bashobora kandi kubaho bafite indwara yo mu mutwe n'igicuri, kandi iyo bavuwe kandi bakitabwaho, abantu benshi bashobora kubaho badahuye n'ingaruka mbi cyane z'indwara yabo.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

• Indwara yo mu bwonko (focal seizure) ni ukwiyongera gutunguranye k'imikorere y'amashanyarazi bitangirira mu gace kamwe k'ubwonko.
• Ibimenyetso bishobora gutandukana cyane bitewe n'aho ubwonko bwagize ingaruka (nk'imitsi, impumuro/amajwi adasanzwe, impinduka mu byiyumvo, gutakaza ubwenge).
• Umucyo ushobora kuba ikimenyetso cy'umuburo wumva mbere yo kugira igicuri.
• Niba wowe cyangwa umwana wawe mufite isereri ku nshuro ya mbere, menya neza ko mwagiye kwa muganga .
• Indwara zo mu mutwe n'igicuri akenshi bishobora kugenzurwa hakoreshejwe imiti ndetse rimwe na rimwe no kubagwa.
• Ni ngombwa cyane gukurikiza amabwiriza ya muganga witonze no gufata imiti yawe uko byategetswe.
• Wihangayika, ushobora kwihanganira ibi bibazo neza. Ntabwo uri wenyine, shaka ubufasha.