Ingaba umntwana wakho ukujongile nje? Kusenokuba 'kukubanjwa yi-Absence'! Singathetha?

Ngaba wakha wambona umntwana wakho ekujonga ngequbuliso emva kokudlala okanye ukumamela into oyithethayo? Kufana nokuba akekho kweli hlabathi. Akakuphenduli xa uthetha naye. Emva kwemizuzwana embalwa, ubuyela esiqhelweni. Usenokucinga, "Owu, ulahlekile kwihlabathi lamaphupha." Kodwa ngamanye amaxesha, akulula njengoko sicinga. Oku kungaba yimeko ebizwa ngokuba yi-absence seisurprisis .

Yintoni le 'Absence Seizure'? Ngamafutshane nje...

Ukuxhuzula kokungabikho, okwaziwa ngokuba yi-petit mal seizure, yimeko ende kakhulu efana nokuxhuzula. Kwenzeka xa ungazazi kwaphela izinto ezikungqongileyo. Umzekelo, wenza into ethile, uthetha nomntu, okanye umamele into ethile, uze ngequbuliso uyeke . Kuqala ngaphandle kwesilumkiso , kudla ngokuthatha imizuzwana emithathu ukuya kwelishumi elinesihlanu. Emva koko uqalisa apho ubuyeke khona, ngokungathi akukho nto yenzekileyo.

Ngoku, ukuba umntu ongayaziyo le nto uyayibona, usenokucinga ukuba uyaphupha, okanye ingqondo yakho ikwenye indawo, okanye awunikeli ngqalelo kwinto ethethwayo. Kodwa into eyenzekayo ngokwenene kukuxhuzula okuncinci ngaphakathi kwengqondo yakho, imeko efana nokuxhuzula. Olu 'kuxhuzula kokungabikho' luhlobo lokuxhuzula okuqhelekileyo . Kukho iintlobo ezimbini zoku, "eziqhelekileyo" kunye "nezingaqhelekanga". Eyona nto ingcono kukuba ugqirha anokunceda ukulawula le meko ngamayeza.

Zixhaphake kangakanani ii-absent stirries? Ngubani ozifumana rhoqo?

Ngokwezibalo, kuqikelelwa ukuba phakathi kwesithandathu nesibhozo kubantwana abayi-100,000 abangaphantsi kweminyaka eli-15 ubudala bafumana esi 'sithuthwane sokungabikho' minyaka le. Nangona kunjalo, asiqhelekanga kangako kubantu abadala. Siqheleke kakhulu kubantwana abancinci.

Zithini iimpawu zale meko? Uyibona njani?

Iimpawu zokuxhuzula ngaphandle ziquka:

• Ngequbuliso, okomzuzwana omfutshane, ujonge, ngokungathi "ujonge nje."
• Ndilahlekelwa yingqondo ngento eyenzekayo kufutshane nam.
• Izinto obuzenza ngelixa ubusecaleni lokuhlinzwa (njengokuthetha nokuhamba) ziyeka ngokupheleleyo.
• Ngamanye amaxesha kunokubakho ukuqhwanyaza, ukuthambekela kwentloko, okanye iintshukumo ezizenzekelayo zezandla okanye zomlomo (njengokugxotha imilebe). Ezi sizibiza ngokuba "ziintshukumo ezizenzekelayo".

Emva kokuba uKesare egqityiwe:

• Ungaqala kwakhona oko ukushiyileyo.
• Usenokuziva ngathi uphoswa yinto eyenzekayo kufutshane nawe.
• Ngamanye amaxesha usenokungazi nokuba kukho into eyenzekileyo.Ndivakalelwa kukuba ndicinga ngokucacileyo kwaye ndinomoya olungileyo.

Ezi mpawu zinokwenzeka amaxesha amaninzi ngemini, okanye zingenzeka rhoqo, njengokuba kube kanye kwiiveki okanye kwiinyanga ezimbalwa.

Ngaba uziva uphaphile xa ungekho?

Hayi. Awukho zingqondweni xa ungekho. Ngenxa yokuba iimpawu zenzeka kwimizuzwana embalwa, olu phazamiseko lwexeshana lunokuchaphazela okanye lungayichaphazeli incoko okanye umsebenzi obuwenza. Ungabuyela kuwo kwangoko emva kokuba uphelile.

Nangona kunjalo, ukuba unezihlaselo ezimbini okanye ngaphezulu ezilandelelanayo, ungabonakala udidekile kwaye ungaphazanyiswa zezinye izinto ezikungqongileyo. Umzekelo, ungaphoswa yimiyalelo evela kutitshala wakho okanye into ethethwe ngumntu kwincoko ngelixa unesifo sokuxhuzula.

UKesare lo sele ekho ixesha elingakanani?

Ngokwesiqhelo, "ukuxhuzula okuqhelekileyo kokungabikho" kuthatha imizuzwana emithathu ukuya kwelishumi elinesihlanu (``imizuzwana emi-3-15``). "Ukuxhuzula okungaqhelekanga kokungabikho" kunokuhlala ixesha elide.

Kutheni kukho ukuxhuzula xa ungekho? Yintoni unobangela?

Ngamafutshane, kubangelwa kukuqhuma ngequbuliso komsebenzi wombane ovela kwii-neurons ezikwingqondo yakho . Ezi neurons zifumana imiyalelo engalunganga kwaye zithumela imiqondiso emininzi yombane kwiindawo ezahlukeneyo zobuchopho.

Abaphandi bakholelwa ukuba kusenokwenzeka ukuba kukho icandelo lemfuza kule meko. Uphando lusaqhubeka malunga nendlela esi sifo esidluliselwa ngayo ukusuka kwisizukulwana ukuya kwesinye kunye nemfuza ethile ebandakanyekayo.

Zithini izinto ezibangela le meko?

`Izinto ezibangela ukuxhuzula` zizinto ezikungqongileyo ezinokubangela ezi mpawu. Izinto ezinje ngezi zinokubangela ukuxhuzula okungekhoyo:

• Izibane ezikhanyayo nezikhazimlayo.
• Ukuphefumla kakhulu nangokunzulu (ukukhupha umoya omninzi) .

Ngubani osengozini enkulu yokuphuhlisa oku?

Usenokuba semngciphekweni omkhulu wokuba ne-absence assuing stimuli ukuba:

• Ukuba nolunye uhlobo lokuxhuzula (olufana ``nokuxhuzula okukhulu'', ``i-myoclonus'', okanye ``ukuxhuzula okubangelwa yi-atonic'').
• Amanye amayeza okuxhuzula (umz., i-phenytoin, i-carbamazepine, kunye ne-gabapentin) ngamanye amaxesha anokunyusa umngcipheko wokuxhuzula ngaphandle.

Izinto ekufuneka uzazi malunga nokuxhuzula kokungabikho ebantwaneni

Nangona ukuxhuzula ngaphandle kunokwenzeka nakubani na ubudala, kuxhaphake kakhulu kubantwana abancinci. Ngokuqhelekileyo kuqala phakathi kweminyaka emi-3 neli-13, kwaye isiganeko siphezulu siqala kwiminyaka eyi-6-7 ubudala.

Ngaba ukungabikho kokuxhuzula kuyingozi?

"Ngokuqhelekileyo ezi azinabungozi."

Oku kungenxa yokuba zihlala ixesha elifutshane, kwaye ukuxhuzula kunqabile. Umzekelo, ukuba unesifo sokuxhuzula xa umi, akunakwenzeka ukuba uwele phantsi. Endaweni yoko, uya kuhlala apho ukhoyo imizuzwana embalwa.

Zeziphi iingxaki ezinokubangela oku?

Ngokuxhomekeke kuhlobo lokuxhuzula onakho kunye nokuba kwenzeka kangaphi, ezi zinto zinokwenzeka:

• Kunzima ukugxila.
• Ubunzima bokulandela imiyalelo.
• Ubunzima bokufunda esikolweni.
• Kwenzeka iingozi ngengozi.

Kwakhona, imisebenzi efuna ingqalelo epheleleyo - efana nokuqhuba imoto, ukudada, kunye nokuhamba intaba - isenokungakhuseleki de imeko ilawuleke. Ugqirha wakho uya kukunika amayeza okulawula iimpawu zakho, kwaye uya kukwazi ukwenza le misebenzi ngokukhuselekileyo. Ugqirha wakho uya kukufundisa nendlela yokuhlala ukhuselekile ukuba unale meko.

Ugqirha ufumanisa njani ngokuchanekileyo ukuba kukho ukuxhuzula okungekhoyo?

Ugqirha uza kuxilonga ukuba kukho ukuxhuzula okungekhoyo emva kovavanyo lomzimba kunye nezinye iimvavanyo. Ngexesha lovavanyo, ugqirha wakho uza kukubuza ngeempawu zakho. Kubalulekile ukukhumbula ukuba zeziphi iimpawu ozifumanayo kunye nokuba kwenzeke ntoni ngaphambi, ngexesha, nasemva kokuba kuxhuzule. Ukuba ezi ziganeko zenzeka esikolweni okanye emsebenzini, thetha nomntu ochitha ixesha elininzi naye kwaye ubuze ukuba ukhe waphawula na naluphi na uhlobo lokuziphatha olungaqhelekanga.

Ungenza uvavanyo olunje:

• Uvavanyo lokuphefumla kakhulu: Ukuphefumla kakhulu (ukukhupha umoya kakhulu) kunokubangela ukuba umntu angabikho. Ugqirha uza kukucela wena okanye umntwana wakho ukuba niphefumle rhoqo ephepheni okanye kwi-toy wind chime kangangemizuzu emibini.
• Uvavanyo lwe-EEG (electroencephalogram): Kolu vavanyo, ii-sensors zifakwa eluswini lwentloko yakho ukuze zijonge umsebenzi wombane engqondweni yakho. Ukuxhuzula kokungabikho kubonwa ngepatheni ethile yamaza obuchopho.
• I-MRI (magnetic resonance imaging) okanye i-CT scan (i-computed tomography scan): Olu vavanyo lwe-imaging lujonga naziphi na iingxaki engqondweni ezinokubangela ukuxhuzula.
• Uvavanyo lwegazi nomchamo: Ugqirha wakho unokuyalela olu vavanyo ukuze abone ukuba kukho enye ingxaki yezempilo ebangela ukuxhuzula.

Rhoqo, abantu abangayaziyo into yokuba unesifo sokuxhuzula xa ungekho basenokucinga ukuba yinto yokuhlekisa okanye iphupha. Kwabaninzi, oku kungaqondani kunokukhokelela ekulibazisekeni kokuxilongwa.

Yintoni umahluko phakathi kwe-'Eqhelekileyo' kunye ne-'Atypical' Absence Seizures?

Kukho iintlobo ezimbini ze-absence seizures: 'eziqhelekileyo' kunye 'nezingaqhelekanga'.

• Xa ungekho, into eyenzekayo kukuba ujonge uze ulahlekelwe zingqondo.
• Kwi -asymptomatic absence sharpes, unokubona ezinye iindlela zokuziphatha zomzimba, ezifana nokujonga nokulahlekelwa zingqondo, kunye nokuqhwanyaza amehlo kunye nokungcangcazela izandla. Ezi zihlala ixesha elide kunezo ziqhelekileyo. I-asymptomatic absence sharpes idla ngokuvela kunye nezinye iintlobo ze-sharpes kwaye zinokuchaphazela ngakumbi abantwana abaneengxaki zokufunda kunye ne-epilepsy enzima.

Zithini iindlela zonyango zoku?

Ukuxhuzula okungekhoyo kunyangwa ngamayeza okuthintela ukuxhuzula . Ugqirha wakho uya kuvavanya iimpawu zakho aze akucebise ngonyango olulungele wena.

Kwezinye iimeko, ukuba awusabeli kakuhle kumayeza, ugqirha wakho unokucebisa ukutya okune-ketogenic . Olu lucwangciso lokutya olunamafutha amaninzi, olune-carb ephantsi. Nangona kungekho bungqina buncinci bezonyango obuxhasa iingenelo zolu hlobo lokutya kolu hlobo lomhlaza, lunokuba luncedo kwabanye abantu.

Ukuba iimpawu azinakulawulwa ngamayeza kunye notshintsho kwindlela yokuphila, ugqirha unokuqwalasela utyando .

Amayeza anikiweyo

Ugqirha angakunika enye yala mayeza ukunyanga ukuxhuzula xa ungekho:

• `I-Ethosuximide (Zarontin ®)`
• `I-Lamotrigine (iLamictal ®)`
• `I-Topiramate (i-Topamax ®)`
• `I-Valproate (iDepakene ®)`

Amanye amayeza okulwa nokuxhuzula – umzekelo, i-phenytoin, i-carbamazepine, i-gabapentin, i-pregabalin, kunye ne-vigabatrin – awasetyenziswa rhoqo ukunyanga ukuxhuzula okungekhoyo. Angenza ukuxhuzula kube mandundu.

Qiniseka ukuba wazisa ugqirha wakho ukuba iimpawu zakho ziya zisiba mandundu okanye ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezivela kumayeza akho. Unokufumana isiqabu ngokutshintsha idosi okanye ukutshintshela kwelinye iyeza.

Ngubani okuncedayo iqela lezonyango?

Iqela leengcali liza kukunceda ulawule ukuxhuzula kwakho xa ungekho. Eli qela lingabandakanya:

• Iingcali ze-Neurology
• Oogqirha bosapho (Oogqirha bonyango oluphambili - ii-PCP)
• Iingcali zezondlo
• Iingcali zempilo yengqondo

Ngaba ukuxhuzula xa ungekho kungathintelwa?

Ngelishwa, akukho ndlela yokuthintela ukuxhuzula kokungabikho kwasekuqaleni. Oku kungenxa yezizathu zemfuza. Nangona kunjalo, xa sele kufunyenwe ukuba unayo, eyona ndlela ilungileyo yokuthintela ukuxhuzula kukuthatha amayeza akho njengoko kuyalelwe kwaye uhlale unxibelelene nogqirha wakho.

Yintoni ekufuneka ilindelwe ngumntu onesifo sokuxhuzula xa engekho?

Nangona zithatha ixesha elifutshane, ukuxhuzula ngaphandle kuyaphazamisa kakhulu. Usenokuba nazo rhoqo okanye rhoqo. Abanye abantu baxela ukuba ukuxhuzula ngaphandle izihlandlo ezili-10 ukuya kwezingama-30 ngosuku. Ngamanye amaxesha, ingakumbi ebantwaneni, kunokubakho amakhulu okuxhuzula ngosuku. Zinokuchaphazela ubuchule bakho bokufunda nokugxila kumsebenzi othile. Nangona kunjalo, kukho iindlela ezilungileyo zonyango, kwaye amayeza adla ngokulawula iimpawu ngempumelelo.

Abantwana abaninzi bayayeka ukuba neengqele xa befikisa. Ngokukodwa, abantwana abaneengqele xa bengekho kuphela kwaye bengenazo ezinye iintlobo zeengqele banamathuba amaninzi okuba badlule kuzo ngokupheleleyo.

Ukuxhuzula kunokuba nefuthe elikhulu kwimpilo yakho yengqondo, ukuzithemba, kunye nokuzihlonipha. Abantu abaninzi bakufumanisa kuluncedo ukuthetha nomcebisi wezempilo yengqondo ngelixa befumana olunye unyango.

Ndingaqiniseka njani ukuba umntwana wam uyaphupha nje okanye unesifo sokuxhuzula?

Lo ngumbuzo obaluleke kakhulu. Indlela ekhawulezayo yokufumanisa ukuba umntwana wakho uyaphupha kukuthetha naye.

• Ukuphupha emini: Ngokuqhelekileyo kuvela ekukruqukeni, kwaye kuqala kancinci kancinci. Ukuba uthetha naye, mhlawumbi uza kukuphendula.
• Ukuxhuzula kokungabikho: Ukuba umntwana wakho unesifo sokuxhuzula kokungabikho, akayi kukwazi ukukuphendula ngexesha lokuxhuzula. Ukulahlekelwa kwakhe yingqwalasela kwenzeka ngequbuliso kwaye akunakunqandwa.

Khawuthelekelele umntwana wakho edlala. Ukuba ubiza igama lakhe aze akujonge aze akubuze athi, "Kutheni, Mama/Tata?", mhlawumbi yingcinga nje leyo. Nangona kunjalo, ukuba baqhubeka bekujonge bengaphenduli nokuba sele ubafowunele izihlandlo ezininzi, isenokuba kukuxhuzula kokungabikho.

Yintoni umahluko phakathi kwe-Childhood Absence Epilepsy (CAE) kunye ne-absence seithuthwane eqhelekileyo?

Izinto eziphambili ezibonisa ukuba ukuxhuzula kokungabikho kuthathwa njenge-Childhood Absence Epilepsy (CAE) zezi:

• Ubudala bokuqala: Iimpawu ze-CAE ziqala ebuntwaneni, zihlala ziphakathi kweminyaka emi-3 ne-8 ubudala.
• Ukuphinda kweempawu: Ukungabikho kokuxhuzula okwenzeka nge-CAE kunokubakho rhoqo, amaxesha amaninzi ngemini, ngamanye amaxesha ukuya kuthi ga kwi-200 ngemini.
• Iipateni zeempawu: Iimpawu ze-CAE ziqala ngequbuliso kwaye zihlala imizuzwana embalwa.

Ukuxhuzula okungekhoyo kunokwenzeka ngaphandle kokuba umntu afumanise ukuba une-epilepsy. Umzekelo, ukuxhuzula okungekhoyo kunokwenzeka nakubani na ubudala, kwahluka ngokuphindaphindiweyo, kwaye kusenokungenzeki ngendlela ethile.

Ndifanele ndibonane nogqirha nini?

Ukuba ucinga ukuba uneempawu zokuxhuzula xa ungekho, qiniseka ukuba ubona ugqirha. Ngokwesiqhelo, umntu ochitha ixesha elininzi naye uqala ukuqaphela ezi mpawu, njengoko usenokungazi ukuba ziyenzeka kuwe.

Ukuba ugqirha sele ekufumanise ukuba une-absence seithuthwane, yazisa ugqirha wakho ukuba kukho naziphi na iimpawu ezintsha ozifumanayo, ukuba iimpawu zakho ziya zisiba mandundu, okanye ukuba ufumana iziphumo ebezingalindelekanga ezivela kumayeza akho.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Usenokubuza ugqirha wakho imibuzo efana nale:

• Kutheni mna/umntwana wam sifumana ezi ntlungu?
• Zeziphi izinto ezikhuselekileyo ekufuneka ndizenze/umntwana wam? Yintoni endifanele ndiyiphephe?
• Singakuthintela njani oku 'kubanjwa kokungabikho' ukuba kwenzeke kwixesha elizayo?
• Luhlobo luni lonyango olucetyiswayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga ezivela kunyango?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuphila neempawu zokuxhuzula xa ungekho kunokukubhida kwaye kukwenze udideke. Ekubeni ungenakukwazi ukuqikelela ukuba ziza kufika nini, zinokukugxotha ngequbuliso kuyo yonke into oyenzayo. Khawuthelekelele, umamele ihlaya uze uxhuzule ngaphambi kokuba uphendule ngendlela eyiyo... Xa uvuka, wonke umntu okungqongileyo uyahleka, kodwa awukwazi ukuqonda ukuba kutheni.

Ukuxhuzula okungekhoyo kuhlala ixesha elifutshane, kodwa kunokubakho kaninzi ngemini. Kodwa ungakhathazeki. Ugqirha angakunceda ulawule olu hlobo lokuxhuzula. Amayeza okuthintela ukuxhuzula adla ngokunciphisa iimpawu. Oku kuya kukuvumela ukuba uhlale uphaphile kwaye unxibelelene nehlabathi elikungqongileyo ngamaxesha onke.

Ukuba unesikrokro sokuba wena okanye umntwana wakho unayo nayiphi na kwezi mpawu, nceda ufune ingcebiso kagqirha. Ukufunyanwa kwangoko kunye nonyango olufanelekileyo kunokwenza ubomi bube lula kakhulu.

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