Hari umuntu wo mu muryango wawe wagize ikibazo gikomeye nk'iki? Reka twige ku ndwara ya Tonic-Clonic (izwi kandi nka Grand Mal)!

Ese wigeze ubona umuntu agwa mu kantu agahita ata ubwenge? Ashobora no gutemba. Twese tugira ubwoba iyo tubonye ahantu nk'aho, si byo se? Hari ubwoko bwinshi bw'indwara zo mu mutwe ziba muri ubu buryo. Uyu munsi tugiye kuvuga ku ndwara yo mu mutwe ya Tonic-Clonic (Grand Mal), ikaba ari indwara ikomeye gato ariko izwi cyane mu bantu benshi. Reka turebe neza icyo ari cyo, impamvu ibaho, ibimenyetso byayo, n'icyo twakora muri iyo mimerere.

Igisebe cya Tonic-Clonic cyangwa Grand Mal ni iki?

Mu magambo make, indwara yo mu mutwe (tonic-clonic seizure) ni indwara ikomeye aho imitsi yo ku mpande zombi z'umubiri wacu ihita ikora kandi igahinda. Iyi ni yo ndwara abantu benshi batekereza iyo bumvise ijambo "seizure" kandi ihita imenyekana. Yahoze yitwa "Grand Mal." Ni ijambo ry'igifaransa risobanura ikintu nk' "indwara ikomeye."

Izina "Tonic-Clonic" rigaragaza ko iyi ndwara ifite ibyiciro bibiri by'ingenzi.

1. Icyiciro cya Tonic: Iki ni igihe imitsi y'umubiri wose, cyane cyane amaboko n'amaguru, ihita ikomera.

2. Icyiciro cya Clonic: Ibi bikurikirwa no gutitira k'umubiri, cyangwa gucika intege.

Ni gute iyi ndwara y'igicuri itandukanye n'izindi ndwara z'igicuri n'igicuri?

Hari ubwoko butandukanye bw'indwara zo mu mutwe. Zimwe muri zo zifite amazina asa, bishobora gutera urujijo. Reka turebe itandukaniro ry'ingenzi:

• Indwara zo mu mutwe ziterwa n’indwara zo mu mutwe: Nanone zitwa "indwara zo mu mutwe ziterwa no kumanuka kw'imitsi," ni ukubyimba kw'imitsi mu buryo butunguranye, butunguranye, bigatuma umuntu agwa hasi. Ibi byongera ibyago byo gukomereka bitewe no kugwa.
• Ibisebe bya Tonic: Ibi bisa na tonic-clonic serpes, ariko clonic phase, cyangwa gutitira, ntibibaho. Umuntu ashobora guta ubwenge agakomera, ariko nta gutitira guhari.
• Ibisebe bya Clonic: Iyi ni indwara ifata umuntu nta kintu na kimwe gikozweho, hanyuma igahita ijya mu cyiciro cya Clonic. Ibi bivuze ko umubiri udakomera, ahubwo utangira kunyeganyega ndetse ushobora no guta ubwenge.
• Indwara ya myoclonic: Iyi ni ugukubita imitsi mu buryo butunguranye. Ni nko gukubitwa n'amashanyarazi. Iyo bigize ingaruka ku maguru, ushobora no kugwa. (Ariko dore ikintu gito: Iyo dukubita imibiri yacu mu buryo butunguranye iyo tugiye gusinzira, byitwa 'myoclonic jerk.' Ni ibisanzwe, ntabwo ari icyorezo cyangwa igicuri. )
• Igicuri: Igicuri ni indwara yo mu bwonko itera indwara zo mu bwonko zikunze kugaragara kandi zidasobanutse. Abaganga bapima igicuri bakoresheje:Ubusanzwe bikorwa iyo umaze kugira nibura isereri ebyiri zitavuzweho rumwe mu gihe kirenga amasaha 24, cyangwa niba waragize isereri rimwe kandi hari ibyago byinshi byo kugira indi mu myaka 10 iri imbere.

Ni nde wibasirwa cyane n'iki kibazo? Ni iki gikunze kugaragara?

Umuntu wese ashobora kugira indwara yo gucura, ariko hari abantu bashobora kuyirwara cyane. Indwara zo gucura zikunze kugaragara mu bana bato ndetse n'abantu barengeje imyaka 65.

Muri rusange, abantu bagera kuri 25% bafite indwara yo gucika intege bafite indwara yo gucika intege nke. Dukurikije imibare yo muri Leta Zunze Ubumwe za Amerika, abantu bagera kuri 11% bazagira indwara yo gucika intege mu buzima bwabo bwose, naho 3% muri bo bazafatwa n’indwara yo gucika intege. Abarwayi bagera kuri 1% baza mu bitaro byita ku barwayi ni abaza kubera indwara yo gucika intege.

Ni gute iyi ndwara igira ingaruka ku mubiri?

Indwara yo gupfuka ni impinduka cyangwa imikorere mibi mu buryo uturemangingo tw’ubwonko bwacu, twitwa neuron, twohereza ibimenyetso by’amashanyarazi. Mu gihe cyo gupfuka, utwo tunyangingo duhora dushyuha mu buryo budasubirwaho, bigakwirakwira no mu zindi neuron.

Indwara ya tonic-clonic ni "indwara rusange". Ibi bivuze ko igira ingaruka ku mpande zombi z'ubwonko. Ibi bitera gutakaza ubwenge, intege nke z'imitsi mu mubiri wose, no kugenda buhoro buhoro nko kunyeganyega no guhindagura.

Indwara y'igicuri - Ibi ni akaga!

Icy'ingenzi: Iyo umuntu agize isereri imara iminota irenga itanu, cyangwa iyo isereri imwe irangiye indi ikaza mbere gato yo kongera kugarura ubwenge, byitwa status epilepticus . Iki ni ikibazo cyihutirwa cy’ubuvuzi gishyira ubuzima mu kaga! Gishobora kwangiza ubwonko burundu ndetse n’urupfu.

Hafi 98% by'indwara zo mu mutwe zirangira mu minota itarenze itanu. Indwara yo mu mutwe ishobora guterwa n'impamvu iyo ari yo yose ishobora gutera indwara yo mu mutwe.

Niba umuntu afite isereri imara iminota irenga 5 uri aho, cyangwa indi ibaye mbere yuko iya mbere irangira, nyamuneka hamagara 1990 (ambulance yihutirwa ya Sri Lanka) ako kanya, cyangwa umujyane ku bitaro biri hafi. Iyo indwara ya epilepticus imaze igihe kirekire, biragoye ko abaganga bayihagarika, kandi hari amahirwe menshi yo kwangirika k'ubwonko.

Ni ibihe bimenyetso by'indwara ya tonic-clonic?

Iyo abantu benshi batekereje ku "gufatwa n'indwara zo mu mutwe," batekereza ku ndwara zo mu mutwe zifata amaguru n'amaboko. Ibimenyetso akenshi biba byoroshye kandi byoroshye kubimenya. Hari ibyiciro bitatu by'ingenzi:

1. Icyiciro cya Tonic (nk'amasegonda 10-30):

• Muri iki gihe, uhita utakaza ubwenge.
• Imitsi y'umubiri wose, cyane cyane amaboko n'amaguru, irakomera. Bishobora kugaragara nk'aho umubiri ugonze inyuma kandi inda iri kuzamuka.
• Uko imitsi yo guhumeka irushaho gukomera, umwuka usohoka mu bihaha, bigatanga urusaku rw'ifirimbi.
• Uramutse uguye muri iki gihe, cyangwa ugafata amenyo ukaruma ururimi , ushobora gukomereka.

2. Icyiciro cya Clonic (amasegonda 30-60, rimwe na rimwe kirekire):

• Iki ni cyo gihe umubiri wose utangira kunyeganyega no guhinda umushyitsi (guhungabana).
• Ushobora kandi gusohora amacandwe mu kanwa kawe.
• Urusaku rugenda rugabanuka buhoro buhoro, kandi buhoro buhoro rurahagarara.
• Mu mpera z'iki cyiciro, inkari n'amase bishobora kurekurwa, bivuze ko bishobora kwambara imyenda.

3. Icyiciro cyo gukira nyuma yo gukubita (iminota 30):

• Abantu benshi bagaruka buhoro buhoro nyuma y’uko icyorezo kirangiye.
• Ariko ushobora kumva utazi icyo ukora, urwaye umutwe, cyangwa ukagira ububabare mu mubiri . Ibi ni ibisanzwe.
• Mu bihe bimwe na bimwe bikomeye, cyane cyane iyo habayeho indwara nka `Status epilepticus`, bishobora gufata igihe kirekire kugira ngo wongere umenye.

Ibisebe byo mu mutwe (focal serpents) na aura (aura) ni iki?

Abantu benshi bagira ibyiyumvo, ubwoba, mbere yuko igicuri kiba. Ibi byitwa `prodrome`. Hari igihe ubu bwoba bushobora guherekezwa na `aura`. Aura ni ibyiyumvo by'uko ibice bimwe na bimwe by'ubwonko bigira ingaruka iyo igicuri gitangiye.

Ibisebe bisanzwe, nka tonic-clonic seizures, ntabwo bigira aura. Ariko, ibisebe bireba uruhande rumwe rw'ubwonko - rimwe na rimwe bishobora gukwirakwira mu bwonko bwose bikaba tonic-clonic seizure. Aura ibanziriza iyo focal seizure ishobora kuba ikimenyetso cy'uko icyorezo cya tonic-clonic kirimo kuza.

Aura ishobora kugira ibi bikurikira:

• Ibimenyetso by'amarangamutima: Iyo ibice by'ubwonko bigenzura ibyumviro byawe bigizweho ingaruka, ushobora kugira ibyumviro bitari byo urimo kubona cyangwa kumva. Urugero, ushobora kubona amatara y'amabara, kubona ibintu bigenda, kumva amajwi, kumva uburyohe n'impumuro bidasanzwe, cyangwa kumva ikintu kigenda ku ruhu rwawe.
• Impinduka mu byiyumvo: Hari abantu bashobora kugira amarangamutima mabi nko gutinya no guhangayika. Abandi bashobora kugira amarangamutima meza nk'ibyishimo n'ibyishimo. Hari n'abashobora kugira amarangamutima nka `déjá vu` (kumva ko bamenyereye ibintu bishya) cyangwa `jamais vu` (kumva ko bamenyereye ibintu bishya).
• Ibimenyetso by’umubiri: Ibi bishobora kugira ingaruka ku bintu umubiri wacu ugenzura mu buryo bwikora. Urugero, ibyuya, amacandwe menshi, uruhu rwerurutse cyangwa rutukura, no kubyuka mu gifu.

Ni iki gitera indwara ya tonic-clonic sepsis?

Hari impamvu nyinshi zishobora gutera iyi ndwara. Reka turebere hamwe izikuru:

• Intege nke mu mitsi y'amaraso yo mu bwonko (`Aneurysms`).
• Ihindagurika ry'imitsi y'umutima (`Arrhythmias`), cyane cyane iyo amaraso atembera mu bwonko yangiritse.
• Ibibyimba byo mu bwonko (bya kanseri n'ibitari kanseri).
• Kubura umwuka wa ogisijeni mu bwonko (`hypoxia yo mu bwonko`).
• Ibikomere biterwa no gukubitwa bikomeye ku mutwe (gukomereka mu mutwe no gukomereka mu bwonko).
• Indwara zigabanya ubwonko buhoro buhoro, urugero nk'indwara ya Alzheimer, indwara yo kwibagirwa imbere mu bwonko.
• Ibiyobyabwenge n'inzoga (ibi birimo imiti, ibiyobyabwenge byo kwidagadura gusa, ndetse na kafeyine iri mu ikawa).
• Ingorane zibaho nyuma yo guhagarika ibiyobyabwenge cyangwa inzoga.
• Eclampsia (indwara abagore batwite bagira ibibyimba bitewe n'umuvuduko ukabije w'amaraso).
• Kutagera ku munyu mu mubiri (cyane cyane umunyu muke - `hyponatremia`, kalisiyumu nke, manyeziyumu).
• Umuriro, cyane cyane umuriro mwinshi (dufite inkuru itandukanye ivuga ku ndwara z'ibicurane ku bana).
• Imirasire y'urumuri irabagirana (nk'uko bigaragara kuri televiziyo, filime, imikino ya videwo).
• Indwara z'uturemangingo twavukanye (`indwara z'uturemangingo`).
• Impinduka mu misemburo (urugero: igicuri cya catamenial, indwara aho bamwe mu bagore bagira ibibyimba byinshi mu gihe cy'imihango yabo).
• Indwara zandurira mu maraso (cyane cyane indwara ya encephalite cyangwa meningitis; izi zishobora guterwa na virusi, bagiteri, udukoko, cyangwa fungi).
• Indwara z’ubwirinzi bw’umubiri ziterwa n’imikorere mibi y’ubudahangarwa bw’umubiri.
• Kubura ibitotsi n'ibindi bibazo byo gusinzira.
• Ibibazo by’imikorere y’umubiri (cyane cyane isukari nyinshi mu maraso - `hyperglycemia` cyangwa isukari nke mu maraso - `hypoglycemia`).
• Ibibazo by'ubuzima bwo mu mutwe (ibi byitwa ``indwara zo mu mutwe``, urugero ``indwara yo guhindura imikorere``).
• Ibibazo ku miterere y'ubwonko (cyane cyane bitewe n'ibibazo bibaho iyo ubwonko buri gukura mu nda).
• Sepsis (indwara ishobora gushyira ubuzima mu kaga aho ubwandu bukwirakwira mu mubiri wose kandi ubudahangarwa bw'umubiri bukarushaho gukabya).
• Ibitero byo mu bwonko cyangwa ibitero by’indwara z’umutima bihita (TIAs).
• Uburozi (urugero: uburozi bwa monoxide de carbone, uburozi bwa metal ikabije).

Indwara ziterwa n'icyorezo n'izidafite impamvu

Iyo abaganga basuzumye indwara y'igicuri, bareba niba ari ``yarakuruwe`` cyangwa ``itarakuruwe``.

• Indwara ziterwa n'ibisebe: Ibi bibaho nk'ikimenyetso cy'indi ndwara cyangwa bitewe n'ikibazo runaka (urugero: umuriro mwinshi, isukari nke mu maraso, kureka imiti, ibiyobyabwenge, cyangwa inzoga).
• Ibicurane bidateye ubwoba: Ibi ni ibicurane bidaterwa n'indwara y'igihe gito cyangwa ikintu runaka. Ibicurane bibaho nyuma y'iminsi irindwi, nko nyuma yo gukomereka mu mutwe cyangwa gucika intege mu bwonko, nabyo biri muri iki cyiciro.

Ese indwara ya tonic-clonic sepsis yandurira mu buryo butunguranye?

Oya, indwara ya tonic-clonic cerebrals ntabwo yandurira mu buryo bwanduzanya.Ariko, hari ibintu bimwe na bimwe, nk'indwara zitera indwara zo mu mutwe, zishobora kwanduzanya (nubwo atari indwara zose zitera indwara zo mu mutwe). Nanone, zimwe mu ndwara zitera indwara zo mu mutwe ziba ari iz’uruhererekane rw’amaraso (zishobora kwanduzwa n’ababyeyi ku bana).

Indwara ya tonic-clonic ipimwa ite?

Muganga wawe, ubusanzwe inzobere mu by’imitsi, arashobora gusuzuma indwara ya tonic-clonic akurikije ibimenyetso. Kubera ko utakaza ubwenge muri iki gihe cyo kurwara, ushobora kwibuka gusa ibyo wumvise mbere na nyuma yo kurwara. Muri icyo gihe, muganga ashobora gusaba umuntu wari kumwe nawe gusobanura ibyabaye.

Niba ubonye umuntu ufite igicuri, cyane cyane iyo akomeretse, ahinda umushyitsi, cyangwa ahinda umushyitsi, muganga ashobora kugusaba gusobanura ibimenyetso. Kumubwira ibyo ubona bishobora gufasha cyane mu kumenya impamvu.

Ni ubuhe bwoko bw'ibizamini bikorwa?

Hari ibizamini byinshi byo kumenya niba ufite indwara ya tonic-clonic. Ibizamini bikunze kugaragara ni ibi bikurikira:

• Electroencephalogram (EEG): Iyi ni electroencephalogram ipima imikorere y'amashanyarazi y'ubwonko.
• Ibipimo by'amaraso: Ibi bireba ibintu nk'ibibazo by'imikorere y'umubiri, kutagenda neza kw'ibinyabutabire mu maraso, ibibazo by'ubudahangarwa bw'umubiri, n'uburozi.
• Isuzuma rya tomography ryakoreshejwe kuri mudasobwa (CT scan): Rifata amashusho y'ubwonko mu bice bitandukanye.
• Ishusho ya Magnetic Resonance (MRI): Ibi kandi binafata amashusho arambuye y'ubwonko.
• Gupfuka umugongo (gupfuka umugongo): Gusuzuma ibintu nk'indwara zo mu bwonko no mu ruti rw'umugongo.

Iyo abaganga basuzuma indwara y'igicuri, bagerageza gushaka ahantu runaka mu bwonko (aho bita "focal point") aho indwara y'igicuri itangirira. Iyo babonye aho hantu, bigira ingaruka zikomeye ku buryo ubuvuzi bukorwa.

Indwara ya Tonic-clonic ishobora gutera gutakaza ubwenge, gucika urwasaya, ndetse n'ibyago byo gukomereka bitewe no gukubita cyangwa gukubita ibintu. Niba abaganga bakeka ko hari izindi mvune cyangwa ingorane zikomoka kuri iyo ndwara, bashobora gusaba izindi suzuma ziyongera ku zindi zavuzwe haruguru. Muganga wawe azashobora kukubwira ibizamini bikwiye indwara yawe n'impamvu birimo gukorwa.

Ese indwara zo mu mutwe ziterwa n'indwara ya tonic-clonic zivurwa zite? Ese ibi bishobora kuvurwa?

Indwara ya Tonic-clonic ikunze kwihagararaho ubwayo. Kubwibyo, nta buryo bwo kuyivura mu gihe ibaye. Ariko, biratandukanye iyo ufite igicuri (igicuri kimara iminota irenga 5 hanyuma kigakurikirwa n'ikindi mbere yuko icyabanje kirangira).

Uburyo bwo kuvura indwara y'igicuri buterwa n'icyayiteye. Niba ufite "igicuri cyatewe n'ubukana", indwara y'igicuri igomba guhagarara igihe indwara yateye indwara imaze kuvurwa cyangwa igakira. Niba impamvu y'ubukana idakira, abaganga bazagerageza kugabanya inshuro n'ubukana bw'indwara y'igicuri.

Muri rusange abaganga ntibagira inama yo kuvura indwara yo mu mutwe ya mbere idafite impamvu kuko nta buryo bwo kumenya neza niba indi ndwara izongera kubaho, kandi niba ari uko bimeze, nta mpamvu yo kuyivura.

Abaganga bashobora kumenya niba uri mu kaga ko kongera kugira igicuri barebye amateka y'ubuzima bwawe, EEG, CT scan, cyangwa MRI scan.

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

Kimwe n'ubwoko bwose bw'indwara zo mu mutwe, hari uburyo bwinshi bwo kuvura indwara zo mu mutwe ziterwa n'igicuri. Hari abantu bashobora kurwanya indwara zo mu mutwe bakoresheje umuti umwe gusa. Abandi bashobora gukenera imiti ivanze n'ubundi buryo bwo kuvura.

Bumwe mu buryo bwo kuvura indwara zo mu mutwe ziterwa n'igicuri ni ubu buryo bukurikira:

• Imiti: Hari imiti ya IV ishobora gutangwa kugira ngo igabanye igicuri; icyakora, iyi ikunze gutangwa gusa mu gihe cy'indwara y'igicuri. Hariho kandi ibinini bifatwa buri munsi kugira ngo birinde igicuri cyangwa bigabanye inshuro zabyo. Iyi ni yo miti ya mbere itangwa ku igicuri giterwa n'igicuri.
• Kubaga indwara y'igicuri: Iyo imiti idakora, rimwe na rimwe kubaga bishobora gukorwa kugira ngo hakorwe igicuri gikurwaho igice cy'ubwonko (aho indwara y'igicuri itangiriye), cyangwa kikagitandukanya n'ibindi bice by'ubwonko. Iyo indwara y'igicuri ikomeje nubwo yafashe ubwoko bubiri bw'imiti igabanya ubukana ku rugero rwagenwe, abaganga bashobora gusaba kubagwa indwara y'igicuri.
• Guhindura imirire: Indyo irimo karubohidrati nke cyangwa idafite karubohidrati (`ketogenic diet`) rimwe na rimwe ishobora guhagarika burundu igicuri cyangwa ikagabanya inshuro zo gucika intege. Nubwo izi ndyo zishobora kugorana kuzikurikiza, zishobora gufasha abantu batakiriye imiti cyangwa bafite ingaruka mbi zikomeye zikomoka ku miti. Ni amahitamo kandi ku bantu badashaka kubagwa.
• Gukangura ubwonko: Ibi bikubiyemo gushyira igikoresho gito mu bwonko no kugeza umuriro w'amashanyarazi mu bwonko. Uyu muyaga ubangamira imikorere y'amashanyarazi y'igicuri kandi ukagerageza kuwuhagarika. Ubu hari uburyo bubiri, gukangura ubwonko mu buryo bwimbitse no gukangura ubwonko mu buryo bwihuse.
• Gukangura imitsi yo mu nda: Imitsi yacu ya cumi yo mu nda, umutsi wo mu nda, ifitanye isano itaziguye n'ubwonko. Gukangura uruhande rw'ibumoso rw'uyu mutsi bishobora kugabanya inshuro zo gukubita.

Ese hari ingaruka mbi cyangwa ingorane zikomoka ku buvuzi?

Ingaruka mbi n'ingorane z'ubu buryo bwo kuvura biterwa n'uburyo wavuwe, amateka y'ubuzima bwawe n'indwara zawe, ndetse n'ubwoko bw'igicuri ufite. Muganga wawe ashobora kukubwira byinshi kuri ibi. Ashobora kandi kukubwira icyo ugomba kwitondera n'uburyo bwo kugabanya ingaruka zabyo.

Ni gute nakwiyitaho no gucunga ibimenyetso byanjye?

Ntukigere wivura indwara y'igicuri wenyine, utekereza ko ari indwara y'igicuri gusa. Gufatwa n'igicuri akenshi bishobora kuba ikimenyetso cy'indwara ikomeye igira ingaruka ku bwonko. Kubera ko indwara y'igicuri ya tonic-clonic itera guta ubwenge, ushobora kutamenya ibyabaye mu gihe cy'indwara y'igicuri.

Niba wowe cyangwa umuntu wawe wa hafi ufite igicuri ku nshuro ya mbere, ni ngombwa cyane kubonana na muganga. Umuganga wujuje ibisabwa ashobora gusuzuma ibimenyetso by'igicuri n'impamvu zishobora kukitera.

Bite ho niba hari umuntu ufite isereri mu gihe ndi aho?

Niba umuntu afite isereri uri aho ngaho, hari ingamba z'ubutabazi bw'ibanze ushobora gufata. Dore ibintu bimwe na bimwe ugomba gukora n'ibyo utagomba gukora:

Ibintu byo gukora (ibyo gukora):

• Reba niba ashobora guhumeka. Mworore imyenda yari mu ijosi rye.
• Kuraho ibintu byose biteje akaga biri hafi ye. Kuraho ibintu byose bishobora kuvunika cyangwa ikindi kintu cyose gishobora kumugwaho. Niba yambaye indorerwamo, zikuremo witonze hanyuma uzishyire ku ruhande.
• Muhindukirize ku ruhande rwe (aho ahagaze). Iyi myanya ituma byoroha guhumeka kandi ikarinda amacandwe cyangwa kuruka kwinjira mu nzira y'ubuhumekero .
• Gerageza kwandika igihe indwara yafashwe uko bishoboka kose. Aya makuru ashobora kuba ingenzi cyane kuri muganga. Bishobora kandi gufasha kumenya niba ubufasha bwihutirwa bukenewe.
• Gumana n'uwo muntu nyuma y'uko afashwe n'igicuri kugeza igihe azongera kugira ubwenge. Umuntu wafashwe n'igicuri ashobora kumva atazi icyo akora kandi afite ubwoba igihe azongera kugira ubwenge. Muhumurize kandi umutere inkunga.
• Nyuma yo kugarura ubwenge, reba niba ameze neza. Reba niba hari ibikomere afite byatewe n'icyorezo kandi niba akeneye ubufasha bwa muganga. Niba yakubise umutwe, cyangwa niba ubona ko ashobora kuba yakomeretse mu ijosi cyangwa mu mugongo, ni byiza gushaka ubufasha bwa muganga. Hanyuma dushobora gusuzuma niba hari ibikomere bikomeye tutabona.
• Niba ufite igicuri, hamagara ubufasha. Niba igicuri kimaze iminota irenga itanu, cyangwa ikindi kibaye mbere yuko icya mbere kirangira, hamagara 1990 (ambulance yo muri Sri Lanka) ako kanya. Ibi bibangamiye ubuzima!

Ntugakore:

• Ntugerageze kumubuza cyangwa ngo umureke yigire hasi. Wowe cyangwa undi muntu mushobora gukomereka.
• Ntugashyire ikintu mu kanwa. Hari ibinyoma byinshi bivuga ku ndwara yo gupfuka. Kimwe ni uko ugomba gushyira ikintu nk'ikiyiko cyangwa umukandara mu kanwa kugira ngo wirinde kurya ururimi rwawe. Nyamuneka ntukabikore.Si byiza gushyira ikintu icyo ari cyo cyose mu kanwa k'umuntu ufite igicuri. Ushobora kwikomeretsa cyangwa kugirira nabi undi muntu.
• Ntugahangayike. Komeza gutuza. Niba abantu bagukikije bahangayikishijwe, gerageza no kubahumuriza.

Nzumva meze neza nyuma y'igihe kingana iki?

Igihe cyo gukira giterwa n'ubuvuzi bwatanzwe n'icyateye icyorezo. Muganga wawe ashobora kukubwira byinshi kuri ibi, igihe bizatwara, n'igihe uzumva umeze neza.

Nigute nagabanya ibyago byo kurwara ibi? Ese ibicurane bishobora kwirindwa?

Kubera ko umuntu wese ashobora kugira igicuri mu bihe bikwiye, ntibishoboka kwirinda burundu igicuri. Ariko, hari abantu bashobora kugira igicuri. Kubwibyo, hari ibyo wakora kugira ngo ugabanye ibyago byo kurwara.

Ibintu byiza ushobora gukora kugira ngo ugabanye ibyago byo kurwara indwara y'igicuri ni ibi bikurikira:

• Kurya indyo yuzuye no kugira ibiro byiza. Ibi bishobora gufasha kwirinda indwara z’imiyoboro y’amaraso (urugero: gucika intege mu bwonko) no kudahuza kw’amashanyarazi mu mubiri.
• Ntukirengagize indwara zandura. Kuvura indwara zishobora kugabanya ibyago byo kurwara indwara z'igicuri, zaba ziterwa n'indwara cyangwa umuriro mwinshi ujyana na zo.
• Ambara ibikoresho by'umutekano. Ingofero n'imikandara yo mu modoka bishobora gufasha mu kwirinda indwara zo mu mutwe ziterwa n'ibikomere.
• Ntugakoreshe nabi inzoga, imiti cyangwa ibiyobyabwenge. Kubikoresha cyangwa kubihagarika bishobora gutera indwara zo mu mutwe. Niba waratwawe n'inzoga cyangwa ibiyobyabwenge, muganga wawe w'umuryango ashobora kugufasha kubona ahantu n'izindi serivisi zihariye zishobora kugufasha kubikuramo.
• Genzura uburwayi bwawe. Indwara zo mu mutwe zishobora guterwa n'indwara zidakira cyangwa izindi ndwara zifitanye isano n'igicuri. Urugero, niba urwaye diyabete (ubwoko bwa 1 cyangwa diyabete yo mu bwoko bwa 2), genzura urugero rw'isukari mu maraso yawe.
• Irinde ibintu bishobora gutera indwara y'igicuri. Abantu barwaye indwara y'igicuri mu bihe byashize bitewe n'ibintu nk'amatara yaka cyane bagomba kwirinda ibintu nk'ibyo uko bishoboka kose.

Niba narigeze kugira isereri imwe cyangwa nyinshi za tonic-clonic, ni iki nkwiye kwitega?

Hafi kimwe cya kabiri cy'abantu bafashwe n'igicuri kidateye ubwoba bazagira ikindi. Hafi 75% by'abantu bafashwe n'igicuri cya kabiri bazagira byinshi. Niyo mpamvu abaganga basuzuma igicuri cya kabiri kidateye ubwoba nk'igicuri maze bagatangira kugivura.

Ku batangira imiti, bishobora kuba ngombwa kugerageza imiti myinshi, cyangwa imiti ivanze, aho kugerageza umwe gusa. Nubwo imiti idafasha, hari ubundi buryo bwo kuvura bushobora kugabanya inshuro zo gukubita no gukomeretsa kwabyo.

Iki kibazo kizamara igihe kingana iki?

Kuba indwara y'ibicurane "ikangura" izahagarara cyangwa ntizahagarara biterwa n'uko indwara cyangwa ikibazo cyayiteye gishobora kuvurwa. Ku bantu benshi, iyo ikibazo cy'ibicurane kimaze kurangira, indwara y'ibicurane ntizongera kubaho, keretse igarutse.

Igicuri ni indwara ibaho ubuzima bwose kuko idashobora gukira. Ariko, rimwe na rimwe, impamvu nyamukuru itera ibicuri ishobora kuvurwa. Iyo ibyo birangiye, kandi ukaba ushobora kugumana ibicuri, bivugwa ko indwara yawe "ikiri mu kaga."

Ni iki kizabaho ku ndwara ya tonic-clonic sepsis?

Ku ndwara yatewe na tonic-clonic, ubwiyongere bw'indwara biterwa n'indwara yateye. Iyo indwara ishobora kuvurwa, kandi ukavurwa hakiri kare, ubwiyongere bw'indwara akenshi buba bwiza. Muganga wawe ashobora kukubwira neza ubwiyongere bw'indwara yawe n'icyo wakora.

Nubwo indwara ziterwa n’indwara ziterwa n’indwara zihoraho cyangwa zikomeye (urugero: kanseri, kwangirika k’ubwonko burundu) rimwe na rimwe zishobora kuvurwa, ariko indwara ziba mbi bitewe n’impamvu nyamukuru. Indwara ziterwa n’indwara zikomoka ku ngirabuzimafatizo n’indwara zivukana nazo ziba mbi cyane.

Uko indwara y’igicuri igaragara ihagaze biterwa n’ibintu byinshi, birimo indwara itera, uburemere bw’indwara, inshuro zikunze kugaragara, ndetse niba ubuvuzi bufasha.

Urupfu rutunguranye rw'igicuri (SUDEP)

SUDEP ni indwara idakunze kugaragara ishobora kwibasira umuntu wese urwaye igicuri, ariko ntabwo ikunze kugaragara iyo ivuwe. Umuntu umwe kuri 150 urwaye igicuri kitavuwe afite ibyago byo kurwara SUDEP, ugereranyije n'umuntu umwe ku 1000 urwaye igicuri.

Impuguke ntizimenya neza impamvu SUDEP ibaho. Igisobanuro cyiza ubu ni uko iterwa n'ibibazo by'umutima cyangwa guhumeka bishobora gutera hamwe n'igicuri.

Nitwara nte?

Niba wigeze kugira ikibazo cyo gukubita no gukubita, ni byiza kumenya icyo wakora niba ufite ikindi. Niba ufite ikindi gisebe cyangwa niba ufite ikibazo cy’uburwayi gishobora gutera igicuri, jya kwa muganga wawe vuba bishoboka.

Niba muganga wawe asanze urwaye igicuri, hari ibintu byinshi wakora kugira ngo ufashe mu guhangana n'iyi ndwara:

• Fata imiti yawe uko wabitegetswe. Ni ngombwa gukomeza gufata imiti yawe, nubwo waba wumva umeze neza. Ugomba guhagarika gufata imiti yawe gusa nyuma yo kuvugana na muganga wawe kandi akabikubwira.
• Vugana na muganga wawe ku byerekeye amahitamo yawe. Niba ushaka kugabanya imiti yawe cyangwa guhindura indi miti, vugana na muganga wawe. Ashobora kugufasha kumenya uburyo wabikora mu mutekano n'amahitamo aboneka.
• Reba muganga uko byateganyijwe.Izi gahunda ni ingenzi cyane mu gucunga indwara yawe, kuyikurikirana, no kureba niba imiti yawe n'uburyo bwo kuvura bikora neza.
• Ntukirengagize ibimenyetso. Kubimenya hakiri kare no kuvura bishobora kugira uruhare runini mu kuvura indwara z'igicuri n'igicuri.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ufite ikibazo cyaguteye gutakaza ubwenge kandi utazi impamvu, wagakwiye kujya mu cyumba cy’ubutabazi bw’ibanze. Abantu benshi baba bafite abantu babakikije iyo bafashwe n’igicuri cya mbere, ariko si bose baba bafite. Niba uri wenyine kandi utekereza ko ufashwe n’igicuri cya mbere, wagakwiye guhita ubona muganga.

Iyo umuntu ufite igicuri azi ko arwaye igicuri, akenshi si ngombwa guhamagara imbangukiragutabara. Ariko, niba igicuri cyamuteye imvune, ashobora gukenera ubufasha bwa muganga.

Ni ryari nkwiye gusaba ubufasha?

Niba hari umuntu ufite isereri mu gihe uhari, ibuka ibi bikurikira:

• Niba ari ubwa mbere afite igicuri, shaka ubufasha. Umuntu wese ufite igicuri cya mbere, cyaba gikekwa cyangwa cyemejwe, agomba gusuzumwa na muganga. Icyorezo akenshi ni ikimenyetso cy'ikibazo gikomeye cy'ubuzima.
• Niba ufite ikibazo cy'igicuri, shaka ubufasha. Niba icyorezo kimaze iminota irenga itanu, cyangwa ikindi kibaye mbere yuko icya mbere kirangira, hamagara 1990 (ambulance yo muri Sri Lanka) ako kanya. Ibi bigushyira mu kaga! Niba utagarutse mu bwenge cyangwa ngo usubize neza mu gihe kirenze iminota 10-15 nyuma y'uko icyorezo kirangiye, ugomba gushaka ubufasha bwihutirwa. Iki gishobora kuba ikimenyetso cy'uko icyorezo kigikomeje mu bwonko, nubwo ushobora kuba utari kugenda.

Niba mfite igicuri, ese nta kibazo mfite cyo gutwita mugihe nyfata imiti?

Abagore barwaye igicuri bakunze kubyara abana. Ariko, imiti myinshi ikoreshwa mu kuvura igicuri ntabwo ari myiza kuyifata mu gihe batwite, kuko ishobora kubangamira imikurire y'umwana uri mu nda.

Ku bw'amahirwe, hari indi miti ishobora gukoreshwa by'agateganyo mu gihe cyo gutwita, cyangwa mu gihe runaka. Umuntu mwiza wo kuganira na we kuri ibi ni muganga wawe. Ashobora kuguha ubuyobozi butaziguye cyangwa akakohereza kwa muganga w'inzobere.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Indwara ya Tonic-clonic ni ubwoko bw'indwara yo mu mutwe isanzwe imenyekana kandi ikunze gutera ubwoba. Ni ibisanzwe kugira ubwoba iyo uyibonye cyangwa iyo uyirwaye. Ariko, akenshi, ihagarara ubwayo mu minota mike. Nubwo ishobora kubaho kubera impamvu nyinshi, iyi ndwara ikunze kurangira, cyane cyane iyo indwara isanzwe ivuwe. Iyo iyi ndwara ibayeho ikoresheje igicuri, hari uburyo bwinshi bwo kuyivura. Iyo habayeho ubuvuzi bwiza, abantu benshi bafite iyi ndwara - ndetse n'abafite igicuri - bashobora kubaho ubuzima bwiza, bushimishije kandi bushimishije.

Niba wowe cyangwa undi muntu uzi afite ikibazo nk'iki, ntutinye gushaka inama kwa muganga. Kuvurwa vuba bishobora guhindura ibintu byinshi bikarushaho kuba byiza.

Ibibyimba bya Tonic -clonic, ibibyimba bikomeye, igicuri, ibimenyetso by'ibibyimba, ubufasha bw'ibanze ku bibyimba, igicuri cyo mu gihe cy'ihungabana, impamvu zitera ibibyimba