Ingaba ngequbuliso uhlangabezana nemeko engaqhelekanga? Isenokuba kukuxhuzula okunzulu!

Ngaba ngamanye amaxesha ukhe uzive into engaqhelekanga ngequbuliso? Ngaba wakha waziva into engaqhelekanga, njengenxalenye yomzimba wakho ishukuma ngendlela engalindelekanga, okanye uve isandi kungekho mntu ukufutshane, okanye ulahlekelwe zingqondo okwethutyana? Ezi zinokuba ziimpawu zemeko ebizwa ngokuba yi-focal seizure, ebangelwa lutshintsho oluncinci lombane kwenye inxalenye yengqondo yakho. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha namhlanje, ngokungathi sithetha nomhlobo.

Yintoni i-focal seizure?

Ngamafutshane, i-focal seizure kukwanda okukhawulezileyo, okungalawulekiyo komsebenzi wombane okwenzeka kwinxalenye ethile yengqondo yakho . Cinga ngayo njengokuqhuma okuncinci kwemiqondiso yombane ehamba ngee-neurons engqondweni yakho. Ngenxa yokuba iqala kwindawo enye engqondweni, ibangela iimpawu ezithile kuloo ndawo. Oku ngaphambili kwakubizwa ngokuba yi-partial seizure.

Ngamanye amaxesha, xa kuvela iimpawu zokuqala zesifo sokuxhuzula esinzulu, usenokuba uyaqonda, oko kuthetha ukuba uyazi ukuba kwenzeka ntoni. Nangona kunjalo, ukuba esi sifo sisasazeka kwezinye iindawo zobuchopho, unokulahlekelwa zingqondo uze ukhule ube yimeko yokuxhuzula komzimba wonke (tonic-clonic seizures).

Yintoni umahluko phakathi kweFocal Seizures kunye neGeneralized Seizures?

Ubusazi na ukuba ingqondo yethu inamacala amabini aphambili, okanye ii-hemispheres? Ukuxhuzula okuqhelekileyo yimeko echaphazela zombini ii-hemispheres zobuchopho ngaxeshanye. Emva koko kunokuvela iimpawu ezichaphazela omabini amacala omzimba. Ezi zihlala zinzima kancinci.

Nangona kunjalo, ukuxhuzula okujoliswe kwingcinga kuqala kwindawo ethile yengqondo, kwelinye icala lobuchopho. Nangona kunjalo, njengoko imeko iqhubeka, lo msebenzi wombane unokusasazeka ukusuka kwenye indawo ukuya kwenye, kwaye ngamanye amaxesha ukusuka kwenye i-hemisphere yobuchopho ukuya kwenye. Ngamanye amaxesha ukuxhuzula okujoliswe kwingcinga kunokuqhubekela ekubeni kukuxhuzula komzimba wonke okubizwa ngokuba yi-"focal to bilateral tonic-clonic seizure."

Kubalulekile: Ukuxhuzula kunye nokuxhuzula zizinto ezimbini ezahlukeneyo. Ayizizo zonke izixhuzula ezixhuzula.

Ngubani ochaphazeleka kakhulu yile meko?

Enyanisweni, nabani na unokuba nokuxhuzula nangasiphi na isizathu. Nangona kunjalo, ukuba uneengxaki ezithile zobuchopho, unokuba nokuxhuzula okujolise kwingqondo yakho. Umzekelo:

• Ukulimala entloko
• Ezinye iingxaki zengqondo zokuzalwa
• Ukuxhuzula okubangelwa bubutsha ebuntwaneni
• Usulelo lobuchopho (umz. i-encephalitis)
• Istroke
• Iithumba zobuchopho

Le meko inokwenzeka ngenxa yezinto ezinjalo:

Zixhaphake kangakanani izifo zokuxhuzula ezibangelwa yi-focal seizures?

Enyanisweni, i-focal seizures lolona hlobo luqhelekileyo lwe-seizures . Zibangela ngaphezu kwesiqingatha sazo zonke ii-seizures. Ngokukodwa, i-focal seizures, ebandakanya kuphela ukuphazamiseka okuncinci kwengqondo, ibangela malunga nesithathu sazo zonke ii-seizures.

Le meko ichaphazela njani umzimba wam?

Iimpawu zesifo sokuxhuzula esijolise kwingcinga zixhomekeke ekubeni leliphi icala lobuchopho elichaphazelekileyo . Kubalulekile ukulawula isifo sokuxhuzula esijolise kwingcinga. Oku kungenxa yokuba, ukuba siqhubeka ixesha elide, sinokubangela iingxaki zokukhumbula, iingxaki zokucinga, kwaye sonyuse umngcipheko weengxaki zempilo yengqondo ezifana nokudakumba kunye nokuxhalaba.

Ngaba kukho iimpawu ezilumkisayo ngaphambi kokuba kwenzeke isifo sokuwa?

Ewe, abanye abantu banokuba ne-"aura" ngaphambi kokuba babanjwe yi-focal seizure. Le aura inokuba luphawu lokuqala lwe-focal seizure. Ngeli xesha, uyaqonda, oko kuthetha ukuba uyaqonda okwenzekayo. Ungafumana iimpawu ezahlukeneyo ngeli xesha le-aura. Ukuba i-focal seizure ayisasazeki, le aura isenokuba luphawu lodwa lwe-seizure.

I-aura inokuba ngeendlela ezininzi:

• Iimpawu zeemvakalelo: Amava angaqhelekanga anxulumene nokubona, ukuva, ukuvumba, ukungcamla, okanye ukuchukumisa.
• Utshintsho lweemvakalelo: Iimvakalelo zoloyiko, ixhala, okanye umsindo ngequbuliso.
• Iimpawu zokuzimela: Utshintsho kwimisebenzi yendalo yomzimba, njengokubila nokuqunjelwa.

Abantu abane-generalized epilepsy badla ngokungabi nazo ii-aura. Ukubakho kwe-aura luphawu lokuba i-focal epilepsy isenokuba ikhona. Ngamanye amaxesha, le aura inokuba luphawu lwesilumkiso ngaphambi kokuba i-surticul ivele, nto leyo ebangela ukuba umntu alahlekelwe zingqondo.

Ziziphi ezinye iimpawu ze-focal seizures?

Njengoko besitshilo ngaphambili, iimpawu ziyahluka ngokuxhomekeke kuhlobo lokuxhuzula kunye nendawo yengqondo echaphazelekileyo. Kukho iintlobo ezintathu eziphambili zokuxhuzula okujoliswe kuko:

1. Ukuxhuzula okuqaphelekayo: Ezi ngaphambili zazibizwa ngokuba yi-simple focal seizures okanye i-simple partial seizures. Into ephambili ngale nto kukuba uyazi xa ukuxhuzula kwenzeka . Oko kuza njenge-aura yi-seizure.

2. Ukuxhuzula kolwazi oluphazamisekileyo kwi-Focal: Ezi ngaphambili zazibizwa ngokuba yi-complex partial seizures okanye i-complex focal seizures. Kwezi , ulwazi lwakho luyaphazamiseka . Ukuba kuvela i-aura, ifika ngaphambi kokuba ulahlekelwe lulwazi. Ezi zihlala zingadluli kwimizuzu emithathu. Olu hlobo lokuxhuzula lubandakanya malunga ne-36% yazo zonke ii-seizures, nto leyo eyenza ukuba lube lolona hlobo luxhaphakileyo lwe-seizure .

3. I-focus to bilateral tonic-clonic seizure: Ngaphambili yayibizwa ngokuba yi-generalized tonic-clonic seizure, olu hlobo lwe-seizure lubandakanya umzimba wonke ukuba usebenze kwaye lubangele ukuxhuzula .

Iimpawu ze-focal seizures zinokwahlulwa zibe ziindidi ezine eziphambili. Zininzi kwezi ndidi ezinokubakho kwi-seizure enye:

• Injini
• Imvakalelo
• Ukuzimela
• Ingqondo

Iimpawu zemoto

Ukuxhuzula okunemiphumo yentshukumo kukuhambahamba okungalawulekiyo okanye okungalawulwayo kwamalungu omzimba . Kudla ngokuchaphazela iindawo zobuso, iingalo, nemilenze kwelinye icala. Kusenokuba kukungcangcazela, ukuxhuzula, ukuqina kwemisipha, okanye iintshukumo eziphindaphindayo okanye ezizenzekelayo ezifana nokutsala imilebe, ukuqhwanyaza amehlo, okanye ukucofa ngesandla okanye ngomnwe.

Ngamanye amaxesha ezi mpawu zomzimba zinokusasazeka kulo lonke ilungu lomzimba elichaphazelekayo nakwezinye iindawo zomzimba. Oku kubizwa ngokuba yi- "Jacksonian march." Ezi zifo ziqala kwindawo encinci zize "zihambe" kulo lonke ilungu lomzimba, ngamanye amaxesha zisasazeka kwamanye amalungu omzimba kwicala elinye okanye ebusweni.

Emva kokuba iimpawu ze-focal motor zivele, abantu abaninzi banokukhubazeka okwethutyana kwamalungu omzimba achaphazelekayo. Oku kubizwa ngokuba yi- "Todd paralysis." Oku kukwexeshana, kodwa kunokuhlala iiyure ezininzi. Ukuxelela ugqirha wakho ngale nto kunokunceda ekuxilongweni nasekunyangweni.

Iimpawu zovakalelo

Xa kuvela i-aura, ukuba iiseli zemithambo-luvo ezikwingqondo yakho ezidityaniswe neemvakalelo zakho ziyachaphazeleka, ezo seli zinokusebenza ngempazamo ngokungathi ziva imvakalelo ethile. Ungaziva ngathi kukho into eyenzekayo engenzekiyo ngokwenene. Ezi mpawu, ezibizwa ngokuba yi-hallucinations , zinokuchaphazela zonke iinzwa zakho ezintlanu. Imizekelo:

• Okubonakalayo: Izibane ezikhanyayo, ukukhanya kuyabonakala. Indlela izinto ezibonakala ngayo iyatshintsha (zibonakala zinkulu okanye zincinci).
• Ukuva: Ngequbuliso uva izandi ezingaqhelekanga, iingxolo. Khawuthelekelele xa uwedwa uze uve umntu ethetha, kodwa xa ujonga, akukho mntu apho. Into efana naleyo.
• Ivumba: Ivumba elingaveli ndawo; ngequbuliso, ngendlela engalindelekanga.
• Incasa: Ngequbuliso ndiziva incasa engaqhelekanga; njengencasa yesinyithi, emuncu, okanye ekrakra.
• Ukuchukumisa: Imvakalelo engaqhelekanga eluswini ndaweni ithile; njengezikhonkwane neenaliti, ukurhawuzelela, into ehambayo, okanye ubushushu okanye intlungu.

Xelela ugqirha wakho ngokucacileyo kangangoko unako malunga nazo naziphi na iimpawu zeemvakalelo okanye imibono oyivayo, kuba ukwazi ukuba loluphi uhlobo lwengqondo oluchaphazelekileyo kuya kunceda oogqirha baqonde ukuba ukuxhuzula kwenzeka phi engqondweni.

Iimpawu ezizimeleyo

Xa kuvela i-aura, inokuchaphazela neenkqubo zomzimba ezilawulwa yingqondo yakho. Nazi ezinye zemizekelo:

• Ukubila.
• Ukuvuza amathe okanye ukuvuza amathe kakhulu.
• Utshintsho kumbala wolusu (ukuba mhlophe okanye ukuba bomvu).
• Imvakalelo engaqhelekanga yokunyuka esiswini ("ukuvukela esiswini").

Iimpawu zokuqonda

I-aura yakho inokubangela utshintsho kwimeko yakho yeemvakalelo. Imizekelo:

• Iimvakalelo ezingalunganga: uloyiko, ixhala, uloyiko, okanye umsindo.
• Iimvakalelo ezilungileyo: ulonwabo, uchulumanco, okanye ukuhleka okungalawulekiyo.
• Iingxaki ngenyani:Ukuziva ngathi usephupheni okanye ukhumbula iziganeko zangaphambili (iinkumbulo zangaphambili). Abanye abantu bathi baziva ngathi banamandla akhethekileyo okanye bathetha nothixo.
• I-Déjá vu: Igama lesiFrentshi. Imvakalelo yokuqhelana efika namava amatsha, ngokungathi sele kwenzekile ngaphambili.
• UJamais vu: Eli ligama lesiFrentshi. Libhekisa kumava aqhelekileyo, kodwa livakala ngathi yinto entsha.

Ezinye iinguqu zengqondo ezenzeka kwi-focal seizures ziquka utshintsho kwinqanaba lokuqonda, utshintsho kwimemori, utshintsho kwizakhono zolwimi okanye zonxibelelwano, kunye nokwehla kwamandla okunxibelelana nokusingqongileyo.

Yintoni ebangela ukuxhuzula okujolise kwingcinga?

Zininzi izizathu ezahlukeneyo ze-focal seizures. Ezinye zazo zezi:

• Iingxaki zemithambo yegazi engqondweni (umz. ii-aneurysms).
• Ukungahambi kakuhle kwesingqisho sentliziyo (arrhythmias).
• Iithumba zobuchopho (kuquka nomhlaza).
• Ukunqongophala kweoksijini engqondweni (i-cerebral hypoxia).
• Ukuxinana kwengqondo kunye nokwenzakala kwengqondo okubuhlungu.
• Izifo ezitshabalalisa ingqondo kancinci kancinci (umz. isifo sika-Alzheimer, isifo sengqondo esibangelwa yi-frontotemporal dementia).
• Ukuyekisa ukusebenzisa iziyobisi okanye utywala.
• Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (i-Eclampsia).
• Ukungalingani kwinani leetyuwa emzimbeni (ingakumbi i-sodium ephantsi - i-hyponatremia, i-calcium ephantsi okanye i-magnesium).
• Umkhuhlane, ingakumbi umkhuhlane ophezulu (ukuxhuzula okubangelwa yifiva).
• Izifo zofuzo (izifo ezizuzwe kubazali).
• Utshintsho kwi-hormone (abanye abafazi banokuba nokuxhuzula kwiintsuku ezithile zomjikelo wokuya esikhathini - i-catamenial epilepsy).
• Iintsholongwane (ingakumbi izifo zobuchopho ezifana ne-encephalitis okanye i-meningitis; ezi zinokubangelwa ziintsholongwane, iibhaktheriya, okanye iiparasite).
• Ukudumba okubangelwa ziingxaki zenkqubo yomzimba yokuzikhusela.
• Ukungalali kakuhle nezinye iingxaki ezinxulumene nokulala.
• Iingxaki zemetabolism (ingakumbi iswekile ephezulu yegazi - i-hyperglycemia okanye iswekile ephantsi yegazi - i-hypoglycemia).
• Iingxaki ngesakhiwo sobuchopho (ingakumbi ezo zikhoyo ekuzalweni).
• Ukusabela okuqatha kwenkqubo yomzimba yokuzikhusela kwisifo esisasazeka emzimbeni wonke (iSepsis).
• Iistroke okanye uhlaselo lwe-ischemic olukhawulezileyo (ii-TIA).
• Ukusetyenziswa kweziyobisi notywala (kuquka amayeza kagqirha, iziyobisi ezingekho mthethweni, kunye nekofu).

Ngaba isifo sokuxhuzula esibangelwa kukugculelwa sisifo esosulelayo?

Hayi, i-focal seizures ayisuleli. Nangona kunjalo, ezinye iimeko ezibangela i-focal seizures zinokuba zezofuzo (oko kuthetha ukuba ungazizuza kubazali bakho, kwaye ungazidlulisela kubantwana bakho).

Indlela yokubona ukubanjwa yi-focal seizures?

Ingcali yezifo zengqondo idla ngokuxilonga isifo sokuxhuzula esijolise kwisifo sakho (okanye oko abanye bakuchazileyo) kunye neziphumo zovavanyo. Olu vavanyo lunokunceda ekuqinisekiseni ukuba ukhe waxhuzula na kwaye nokuba uvuselelwe okanye awuvuswanga. Uvavanyo lwemfuza lunokubonisa neemeko ezizuzwe njengelifa ezibangela isifo sokuxhuzula.

Eyona nto ibalulekileyo ekufumaniseni isifo sokuxhuzula esibizwa ngokuba yi-focal seizures kukufumana indawo echanekileyo (indawo ejolise kuyo) apho isifo sokuxhuzula siqala khona . Ukufumana esi sixhobo luncedo olukhulu kunyango.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Kukho iimvavanyo ezininzi ezinokwenziwa kwimeko yokuxhuzula:

• Uvavanyo lwegazi: Olu vavanyo lujonga ukungalingani kwe-metabolic kunye ne-blood chemistry, iingxaki ze-immune system, iityhefu, kunye namanqanaba amayeza anikwayo xa umntu exhuzula.
• I-Electroencephalogram (EEG): Uvavanyo olulinganisa umsebenzi wombane wengqondo.
• Ukubeka esweni i-Video-EEG.
• I-Magnetic Resonance Imaging (MRI): Ithatha imifanekiso eneenkcukacha zobuchopho.
• Iskeni sePositron Emission Tomography (PET).
• I-Ictal Single-Photon Emission Computed Tomography (SPECT).
• I-Magnetoencephalography (MEG).
• Ukubeka esweni i-EEG ngaphakathi kwentloko: Uvavanyo olubandakanya ukubeka ii-electrode engqondweni, ngamanye amaxesha emva kotyando.
• Ukubhoboza i-Lumbar: Oku kwenziwa ukuba ugqirha ukrokrela ukuba isifo sokuwa sibangelwa lusulelo okanye sisifo senkqubo yomzimba yokuzikhusela.

Oogqirha banokucebisa nezinye iimvavanyo zokujonga nakuphi na ukwenzakala, iziphumo ebezingalindelekanga, okanye iingxaki ezibangelwa kukuxhuzula. Ugqirha wakho ngumntu ofanelekileyo ukukuxelela ukuba zeziphi iimvavanyo ezikulungeleyo kunye nesizathu sokuba zenziwe.

Zinyangwa njani izifo ezibangelwa kukuxhuzula? Ngaba zinokunyangeka?

Ukuxilongwa kunye nonyango lwe-focal seizures luqala ngokufumanisa ukuba zicatshukisiwe okanye azicatshukiswanga. Ukuba kunokwenzeka, ukunyanga unobangela oyintloko we-accused seizure kunokunceda ekuyekeni i-seizures . Ukuba unobangela oyintloko awunakunyangwa, oogqirha badla ngokunyanga i-seizures ukuze banciphise ubukhali bazo okanye ukuphindaphindeka kwazo.

Ukuba unesithuthwane sokuqala esingachazwanga , kwaye awukho semngciphekweni omkhulu wokuba nesinye, oogqirha abasoloko becebisa unyango. Nangona kunjalo, ukuba usemngciphekweni omkhulu, okanye ukhe wanesithuthwane esingachazwanga ngaphambili, oogqirha banokukufumanisa ukuba unesifo sokuwa baze bacebise ukuba uqale unyango.

Loluphi uhlobo lonyango okanye unyango olusetyenziswayo?

Unyango lwe-focal seizures lwahluka kakhulu. Kwi-seizures ezinesizathu, unyango luhlala luxhomekeke kwisizathu. Unyango lwe-seizures ezingenamvukelo kunye ne-epileptic luxhomekeke kuhlobo lwe-seizure, unobangela we-seizure, kunye nonyango olusebenza kakuhle.

Kukho iindlela ezahlukeneyo zonyango zokuxhuzula ezibangelwa sisifo sokuxhuzula:

• Amayeza: Ukongeza kumayeza athintela ukuxhuzula xa kuvela, kukwakho namayeza anokuthintela ukuxhuzula okanye anciphise ukuxhaphaka kwawo. Amanye anikwa ngemithambo yegazi (IV) xa kuvela ukuxhuzula. Amanye athathwa njengeepilisi yonke imihla.
• Utshintsho kwindlela yokutya: Ukutya okune-carbohydrate ephantsi okanye engekhoyo (umz., i-ketogenic) ngamanye amaxesha kunokuthintela ngokupheleleyo ukuxhuzula okanye kunciphise ukuxhaphaka kwako.
• Utyando lwe-epilepsy: Ngamanye amaxesha, utyando lunokuthintela ukuxhuzula ngokususa inxalenye yengqondo echaphazelekayo okanye ukuyihlukanisa nezinye iindawo zengqondo.
• Ukukhuthazwa kweNerve yeVagal (VNS): Ukukhuthazwa kombane kwenerve yevagus kwicala lasekhohlo lobuchopho, eqhagamshelwe ngqo nengqondo, kunokunciphisa ukuxhaphaka kokuxhuzula.
• I-Responsive Neurostimulation (RNS): Oku kubandakanya isixhobo esibona umsebenzi we-epileptic engqondweni yakho kwaye sihambise ukuvuselelwa kombane ngqo kwinxalenye yengqondo yakho ebangela lo msebenzi. Esi sixhobo se-RNS sinokunciphisa ukuxhuzula kwakho ngokuhamba kwexesha.
• Ukukhuthazwa koBuchopho obuNzulu (i-DBS): Olu nyango lubandakanya ukuncamathisela isixhobo kwindawo ethile yobuchopho ngeengcingo. Esi sixhobo sinikezela ngombane othambileyo ophazamisa iimpembelelo zombane ezenzeka ngexesha lokuxhuzula.

Zithini iingxaki/iziphumo ebezingalindelekanga zonyango?

Iingxaki ezibangelwa lunyango lokuxhuzula zixhomekeke kwisizathu, uhlobo lokuxhuzula, kunye nezinye izinto ezininzi. Ugqirha wakho ngumntu ofanelekileyo ukukuxelela into omawuyilindele, okanye into omawuyilindele, kuba angakunika ulwazi oluphathelele imeko yakho ethile.

Ndingazinyamekela njani/ndizilawula njani iimpawu?

Akufanele uzame ukuxilonga okanye ukunyanga isifo sokuxhuzula esijolise kwingqondo yakho wedwa . Ukuxhuzula kudla ngokuba luphawu lwengxaki enkulu yobuchopho. Ukuba wena okanye umntu omthandayo unesifo sokuxhuzula okokuqala, bonana nogqirha ngokukhawuleza. Ugqirha wakho uza kukuxelela ukuba zeziphi iimpawu okanye iziphumo omele uzifunele unyango ukuba unesifo sokuxhuzula.

Ndiza kuziva bhetele nini emva konyango?

Ixesha lokuchacha lixhomekeke kuhlobo lokuxhuzula okufumeneyo kunye nonyango olufumanayo. Ugqirha wakho uza kukuxelela into omawuyilindele, ixesha elingakanani eliza kuthatha ukuze uphile, kunye nexesha oza kuqala ngalo ukuziva ungcono.

Ndingawunciphisa njani umngcipheko wam? Ngaba ukuxhuzula okubangelwa ziingcinga kungathintelwa?

Wonke umntu usengozini yokuxhuzula, kwaye akunakwenzeka ukuqikelela ukuba kuya kwenzeka nini. Ngoko ke akunakwenzeka ukuba ukuthintela ngokupheleleyo. Eyona nto ingcono onokuyenza kukunciphisa amathuba okuba nokuxhuzula ngokuphepha izinto ezinokubangela oko.

Kukho amanyathelo abalulekileyo onokuwathatha ukunciphisa umngcipheko wokuba nesithuthwane:

• Yitya ukutya okunesondlo kwaye ugcine ubunzima obusempilweni. Iimeko ezininzi ezinxulumene nenkqubo yakho yokujikeleza kwegazi kunye nentliziyo zingonakalisa iindawo ezithile zobuchopho bakho. Istroke kunye neemeko ezinxulumene nayo zinxulunyaniswa kakhulu nokuxhuzula okugxile kwi-focal.
• Musa ukungazinanzi iintsholongwane. Iintsholongwane zamehlo neendlebe kufuneka zinyangwe ngokukhawuleza. Ukuba ezi ntsholongwane zisasazeka ziye engqondweni, zinokubangela ukuxhuzula. Iintsholongwane zinokubangela nomkhuhlane ophezulu, onokubangela nokuxhuzula.
• Nxiba izixhobo zokhuseleko. Ukulimala entloko yeyona nto ibangela ukuxhuzula okujolise kwingcinga. Ukunxiba izixhobo zokhuseleko nanini na xa kuyimfuneko kunokunceda ekuthinteleni umonakalo wengqondo onokubangela ukuxhuzula okujolise kwingcinga okanye okunokubangela ukuba kwenzeke kwixesha elizayo. Imizekelo: izigcina-ntloko, iibhanti zesihlalo.
• Lawula iimeko zakho zempilo. Ukulawula iimeko ezingapheliyo kunokunceda ekuthinteleni ukuxhuzula, ingakumbi ukuxhuzula okunxulumene namanqanaba eswekile egazini ngenxa yesifo seswekile (isifo seswekile sohlobo 1 okanye isifo seswekile sohlobo 2).

Yintoni endimele ndiyilindele ukuba ndinesithuthwane esinye okanye ezingaphezulu?

Abantu abaninzi abaye baba ne-focal seizure yabo yokuqala banokuba ne-focal seizure enye ngaphandle kwesizathu esibonakalayo. Ke ngoko, kubalulekile ukuthetha nogqirha ukuze kufunyanwe isifo kunye nonyango. Abanye abantu abane-focal epilepsy banokuba nemeko ebizwa ngokuba yi- "drug-resistant or medically refractory epilepsy." Oku kuthetha ukuba i-epilepsy yabo ayifumani ncedo lwaneleyo kumayeza. I-epilepsy engamelaniyo namayeza idla ngokunyangwa ngotyando. Kubalulekile ukufuna isikhokelo kugqirha ochwephesha kutyando lwe-epilepsy.

Ndiza kuba nale meko ixesha elingakanani?

Kwi-accused seizures, umngcipheko wokuba nesinye isifo uxhomekeke ekubeni yintoni ebangele esokuqala. Ukuba imbangela iyanyangeka, akunakwenzeka ukuba ube nesinye isifo (ngaphandle kokuba imbangela iphinda ivele).

Kwimeko yokuxhuzula okungavuswanga, uninzi lungalawulwa ngamayeza afanelekileyo okulwa nokuxhuzula . Nangona kunjalo, ukuba ukuxhuzula okugxile kuyaqhubeka, kubalulekile ukufuna unyango kwiziko le-epilepsy. Xa i-epilepsy isiphelile, ungaphila ubomi bakho bonke.

Iyintoni ikamva lale meko?

Imbonakalo yesifo sokuxhuzula esibangelwa yingcinga kunye nesifo sokuwa ixhomekeke kwisizathu, ubukhali, kunye nokuba amayeza okulwa nokuxhuzula ayanceda na. Ngokubanzi, isifo sokuxhuzula esibangelwa yingcinga asiyongozi, kodwa sinokubeka ubomi esichengeni, njengesifo sokuxhuzula esibangelwa yingcinga ye-tonic-clonic.Zinokuba yingozi ukuba zihlala ixesha elide okanye ziza rhoqo.

Uninzi lwexesha, i-focal seizures inembono entle ngamayeza okanye utyando.

Ugqirha wakho ngumntu ongcono onokuthetha naye malunga nemeko yokuxhuzula kunye nesifo sokuwa kunye noko unokukulindela. Angakunika ulwazi oluhambelana nemeko yakho, aze akunike isikhokelo malunga noko kunokukunceda kwezi meko.

Ukufa okungalindelekanga ngequbuliso kwisifo sokuwa (i-SUDEP)

Abantu abanesifo sokuwa basengozini encinci yokuba nesifo esibizwa ngokuba yi "Sudden Unexpected Death in Epilepsy" (SUDEP) . Iingcali zikholelwa ukuba i-SUDEP ibangelwa ziingxaki zesingqisho sentliziyo okanye iingxaki zokuphefumla, kodwa isizathu esichanekileyo asikaziwa okwangoku.

Phakathi kwabantu abanesifo sokuwa esilawulwa kakuhle, izinga lokufa ngonyaka limalunga nomntu omnye kwi-1,000. Phakathi kwabantu abanesifo sokuwa esingalawulekiyo, izinga lokufa ngonyaka limalunga nabantu ababini kwi-1,000. Nangona oku kuyingozi encinci, kubalulekile ukukwazi.

Ndingazinyamekela njani? (Ukuba ndifunyenwe ndine-epilepsy)

Ukuba ukhe waba ne-focal seizure enye ngaphambili, kubalulekile ukufuna ingcebiso kagqirha ukuze ufumane uvavanyo olufanelekileyo. Ukuba uqhubeka nokuba ne-seizure, kubaluleke kakhulu ukufuna unyango kwiziko le-epilepsy eligxile kuvavanyo oluphambili lwabantu abane-epilepsy engalawulekiyo. Oku kungenxa yokuba, xa unesifo se-seizure ixesha elide, ingqondo yakho inokutshintsha, nto leyo eyenza kube lula ukuba ne-seizure ezininzi kwaye ichaphazele amandla akho okucinga nokukhumbula. Ukongeza, i-seizure engalawulekiyo inxulunyaniswa nomngcipheko okhulayo wezinye iimeko zobuchopho, ezinje ngokudakumba kunye noxinzelelo. Ukuxilongwa kwangoko kunye nonyango kunokunceda koku.

Ukuba ugqirha ufumanisa ukuba unesifo sokuwa, ungenza ezi zinto ukuze uzincede:

• Sela amayeza akho njengoko kuyalelwe. Amayeza okulwa nesifo sokuwa anokunciphisa ukuxhaphaka nobunzima bokuxhuzula kwakho. Ngoko ke, kubalulekile ukuthatha amayeza akho njengoko kuyalelwe. Akufuneki uyeke ukuwathatha amayeza akho ngaphandle kolwalathiso nolawulo lukagqirha wakho.
• Thetha nogqirha wakho malunga neendlela onokukhetha kuzo. Ukuba kufuneka unciphise okanye utshintshe amayeza, ugqirha wakho unokukukhokela ekubeni loo nkqubo iza kuphumelela na kwaye ungayenza njani ngokukhuselekileyo.
• Bona ugqirha wakho rhoqo. Ugqirha wakho uza kucwangcisa utyelelo olulandelayo. Ezi ntlanganiso zibalulekile kuba zivumela ugqirha wakho ukuba ajonge imeko yakho aze alungise amayeza akho.
• Musa ukuzityeshela okanye ukuzityeshela iimpawu. Ithuba lokuxhuzula kunye nokuxhuzula lihlala lingcono ukuba imeko ifunyaniswe kwaye inyangwa kwangethuba.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba awukaze ube nesifo sokuxhuzula ngaphambiliUkuba ngequbuliso ulahlekelwa ziingqondo okanye ulahlekelwe ziingqondo ngaphandle kwesizathu, kufuneka uye esibhedlele. Ukuba ucinga ukuba unesifo sokuxhuzula ngelixa uwedwa, fowunela ugqirha wakho ngokukhawuleza.

Abantu abanesifo sokuwa abasoloko befuna ukubiza i-ambulensi okanye baye esibhedlele emva kokuba benesifo sokuwa. Nangona kunjalo, ukuba isifo sokuwa sibangela ukwenzakala okanye ukuba isifo sokuwa sithatha ixesha elide (ngaphezu kwemizuzu emibini) , banokufuna uncedo lwezonyango.

Ukuxhuzula okujoliswe kwizifo ezithile (focal seizures) kunokubangela iimpawu ezahlukeneyo. Uninzi lwazo, ukuba awukaze uzibone ngaphambili, zinokubangela ukudideka okanye uloyiko. Ezi zixhuzula zixhaphakile ebantwaneni, kwaye zinokuba luloyiko ebantwaneni nakubazali. Nangona kunjalo, ukuxhuzula okujoliswe kwizifo ezithile (focal seizures) kunye nokuxhuzula (epilepsy) zihlala zizifo ezinokunyangwa. Kwiimeko ezininzi, abantwana abane-focal epilepsy bayakhula njengoko bekhula kwaye bahlale bengenazo iintsholongwane ubomi babo bonke. Abantu abadala banokuphila ne-focal seizures kunye nokuxhuzula, kwaye ngonyango nokhathalelo, abantu abaninzi banokuphila ngaphandle kwempembelelo ingako kwimeko yabo.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ukuxhuzula okujolise ngqo kukwanda ngequbuliso komsebenzi wombane oqala kwindawo ethile yengqondo.
• Iimpawu zinokwahluka kakhulu ngokuxhomekeke ekubeni ingqondo ichaphazeleke phi (njengokurhawuzelela, ivumba/izandi ezingaqhelekanga, utshintsho kwimo yengqondo, ukulahlekelwa zingqondo).
• I-aura inokuba luphawu olulumkisayo oluvakalayo ngaphambi kokuba uxhuzule.
• Ukuba wena okanye umntwana wakho unesithuthwane okokuqala, qiniseka ukuba ubonana nogqirha .
• Ukuxhuzula okubangelwa ziingcinga kunye nesifo sokuwa kunokulawulwa ngamayeza kwaye ngamanye amaxesha ngotyando.
• Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngononophelo kwaye uthathe amayeza akho njengoko kumiselwe.
• Ungakhathazeki, ungaphila nale meko ngempumelelo. Awuwedwa, fumana uncedo.

Ukuxhuzula okunzulu , isifo sokuwa, ukuxhuzula, izifo zobuchopho, izifo zemithambo-luvo, iimpawu zokuxhuzula, unyango lokuxhuzula