Ngaba nawe uyafuna ukwazi ngolu hlobo 'lokuxhuzula' okuqatha nokuxhuzula? Masithethe!

Ngamanye amaxesha usenokuba ukhe wabona umntu ngequbuliso elahlekelwa ziingqondo, exhuzula, aze awe phantsi ephuma incindi emlonyeni wakhe. Okanye mhlawumbi nawe ukhe wakubona oku. Oku sikubiza ngokuba kukuxhuzula. Kunokuba yinto eyoyikisayo. Kodwa xa usazi ukuba kuyintoni, akukho nto yokoyika. Makhe sibone ukuba kuthini ukuxhuzula, kutheni kusenzeka, kwaye kufuneka wenze ntoni.

Yintoni le 'i-thiizure'?

Ngamafutshane, ukuxhuzula kukwanda okungaqhelekanga komsebenzi wombane phakathi kweeseli zemithambo-luvo (ii-neurons) engqondweni yakho. Cinga ngengqondo yakho njengenkqubo encinci yombane. Ngamanye amaxesha oku kunokubangela 'umjikelo omfutshane'. Kulapho ezi mpawu zivela khona. Asinguye wonke umntu oxhuzula ngendlela efanayo. Abanye abantu banokulahlekelwa zingqondo baze baxhuzule. Abanye basenokungayenzi loo nto, kodwa endaweni yoko bayeke oko bakwenzayo baze bajonge bengenanto okwethutyana. Basenokude bazive ngathi iingalo okanye imilenze yabo iyaxhuzula. Abanye abantu baxhuzula kanye kuphela ebomini babo. Abanye banokuba nakho amaxesha amaninzi ngemini. Ngoko ke amava akho asenokuhluka kakhulu kowomnye umntu.

Ziziphi iintlobo eziphambili zesifo sokuxhuzula?

Ngoku makhe sibone ukuba zeziphi iintlobo eziphambili zesifo sokuxhuzula. Zimbini iintlobo eziphambili:

1. Ukuxhuzula okuqhelekileyo (okanye ukuxhuzula okuqhelekileyo): Oku kulapho umsebenzi wombane uqala khona kumacala omabini engqondo ngaxeshanye. Usenokuba nokuxhuzula kumacala omabini omzimba wakho, okanye icala elinye. Ngamanye amaxesha unokuma nje apho ungakhange uxhuzule. Olu hlobo luqheleke kakhulu kubantwana abancinci nakubantu abakwishumi elivisayo, kodwa lunokwenzeka nakubani na wanoma yimuphi ubudala.

2. Ukuxhuzula okujoliswe kwingcinga (okanye ukuxhuzula okujoliswe kwingcinga): Kolu hlobo lokuxhuzula, umsebenzi wombane uqala kwicala elinye lobuchopho, okanye kwindawo ethile ("ukugxila"). Iimpawu zihlala zichaphazela icala elinye lomzimba. Usenokuba ungazi okanye ungazi ngeli xesha. Oku kuthetha ukuba usenokukhumbula okanye awukhumbuli ukuxhuzula. Ukuxhuzula okujoliswe kwingcinga ngamanye amaxesha kunokuyeka, okanye kunokusasazeka kumacala omabini obuchopho.

Ziziphi iintlobo ze-seizures ezichaphazela ingqondo yonke (`i-Generalized seizures`)?

Ngoku makhe sijonge ngokweenkcukacha iintlobo ezahlukeneyo zokuxhuzula ezichaphazela ingqondo iphela (`ukuxhuzula okuqhelekileyo`).

• `Ukuxhuzula okungekhoyo`: Kule nto, ngequbuliso uyeka into obuyenza, ujonge ungenanto, kwaye ubonakale ngathi awukwazi ukuva nantoni na okwethutyana. Kufana nokuba 'uphumile ehlabathini' okwethutyana. Oku kuyaphela ngokwako kwimizuzwana embalwa.
• `Ukuxhuzula kwe-Atonic` (okukwabizwa ngokuba yi-`drop seizures`): Kule meko, umzimba ngequbuliso ulahlekelwa kulawulo lwemisipha uze uwele phantsi.
• `Ukuxhuzula kweClonic`: Kule meko, omabini amacala omzimba ayaxhuzula, kwaye kusenokubakho ukulahleka kwengqondo. Ngamanye amaxesha icala elinye lomzimba linokuxhuzula, kwaye kusenokubakho ukungabikho kwengqondo.
• `Ukuxhuzula kwe-Myoclonic`: Kule nto, umsipha omnye okanye izihlunu ezininzi ezidityanisiweyo ziyaxhuzula ngequbuliso. Kufana nokushukuma okuncinci, njengokuxhuzula kombane.
• `Ukuxhuzula okuqhelekileyo kwesibini`: Kule meko, umsebenzi wombane uqala kuqala kwindawo enye yengqondo (`ukuxhuzula okunzulu`), uze emva koko usasazeke kuyo yonke ingqondo (`ukuxhuzula okuqhelekileyo`).
• `Ukuxhuzula ngeTonic-clonic`: Olu luhlobo abantu abaninzi abalucingayo xa besiva igama elithi `seizure`. Okokuqala, izihlunu zomzimba ziyaqina (`isigaba setonic`), emva koko ungabi nangqondo kwaye wonke umzimba uqala ukungcangcazela (`isigaba seclonic` - `ukuxhuzula`).
• Ukuxhuzula ngethoni: Kule meko, kukho ukuphelelwa yingqondo kwaye izihlunu zomzimba ziyaqina, kodwa ukuxhuzula (ukuxhuzula) akwenzeki.

Ziziphi iintlobo zesifo sokuxhuzula ezichaphazela inxalenye enye yobuchopho (`isifo sokuxhuzula esibizwa ngokuba yi-Focal seizures`)?

Ngoku makhe sijonge iintlobo zesifo sokuxhuzula ezichaphazela inxalenye enye yobuchopho (`isifo sokuxhuzula esibizwa ngokuba yi-Focal seizures`).

• Ukuxhuzula okujoliswe kwingcinga (eyayisaziwa ngokuba kukuxhuzula okungaphelelanga): Kolu hlobo lokuxhuzula, uyazi ukuba kwenzeka ntoni, nto leyo ethetha ukuba uyayiva, uze uyikhumbule emva koko.
• Ukuxhuzula okunzulu (ekwakusaziwa ngokuba yi-complex partial seizures): Xa uxhuzula, ulahlekelwa zingqondo, ungazi nto ngezinto ezikungqongileyo, kwaye awukhumbuli ukuba kwenzeke ntoni emva koko.

Zixhaphake kangakanani ii-seizures?

Usenokuba uzibuza ukuba zixhaphake kangakanani ezi zifo zokuxhuzula. Ehlabathini lonke, kuqikelelwa ukuba malunga nomntu omnye kwabalishumi uya kuba nesifo sokuxhuzula ubuncinane kanye ebomini bakhe. Ngoko ke oku akuqhelekanga kangako.

Zithini iimpawu zokuxhuzula?

Iimpawu zokuxhuzula ziyahluka ngokuxhomekeke kuhlobo kunye nobukhali bokuxhuzula, kodwa iimpawu eziqhelekileyo ziquka:

• Ukulahlekelwa yingqondo.
• Iintshukumo zomzimba ezingalawulekiyo (ukuxhuzula, ukuqaqamba kwemisipha, ukuxhuzula).
• Ukujonga, ngaphandle kokujonga nantoni na .

Ukongeza koku, kunokubakho nezinye iimpawu:

• Utshintsho olukhawulezileyo kwiimvakalelo (ukudideka, uloyiko, ulonwabo, ixhala).
• Isixhobo sokuhluza amazinyo.
• Ukuvuza amathe.
• Amehlo ahambahamba ngendlela engaqhelekanga.
• Ukulahlekelwa kulawulo lomchamo okanye amathumbu.
• Ukwenza iingxolo ezingaqhelekanga (ezifana nokugquma, ukufutha).

Kodwa khumbula, ezi mpawu zezokwexeshana . Zihlala zithatha imizuzwana embalwa ukuya kwimizuzu embalwa.

Zithini izigaba zokuxhuzula?

Ezinye izigulo zinezigaba ezahlukeneyo, kodwa ayinguye wonke umntu ohlangabezana nazo zonke ezi zigaba.

1. Isigaba seProdrome:Usenokubona utshintsho kwindlela ovakalelwa ngayo nendlela oziphatha ngayo kwiintsuku ezimbalwa ngaphambi kokuba uxhuzule. Usenokuziva unesiyezi, unengxaki yokugxila, okanye unengxaki yokulala.

2. Isigaba se-Aura: Usenokubona iimpawu ezithile ngaphambi kokuba iimpawu zokuqala zokuxhuzula ziqale. Ezi zinokubandakanya utshintsho embonweni (ukubona izibane ezikhanyayo, ukubona izinto zigqwethekile), intloko ebuhlungu, isiyezi, isicaphucaphu, iimvakalelo zoloyiko, ixhala, kunye notshintsho kwiimvakalelo zakho (utshintsho kwincasa, ivumba, isandi, kunye nokuchukumisa).

3. Isigaba sokuxhuzula: Kulapho ke kwenzeka khona ukuxhuzula. Kulapho ke uya kuba neempawu ezikhankanyiweyo ngaphambili.

4. Isigaba sokuxhuzula: Xa ukuxhuzula kuphelile, unokufumana ukudideka, ukudinwa kakhulu, iintlungu zomzimba, kunye neemvakalelo ezinamandla (usizi, umsindo, ulonwabo).

Into ebalulekileyo kukuba ayizizo zonke izixhuzula ezinesi sigaba sangaphambi komqondiso esibizwa ngokuba yi-"Aura." Uninzi lwexesha, izixhuzula zifika ngequbuliso, ngaphandle kwesilumkiso.

Ziziphi iimpawu ezibonisa ukuba umntu unesifo sokuwa ngaphambi kokuba ahlaselwe?

Abanye abantu banokufumana iimpawu ezilumkisayo ngaphambi kokuba baxhuzule, kodwa oku akuqhelekanga kuwo wonke umntu.

• Iimpawu zeemvakalelo: ukubona izibane ezikhanyayo, ukubona izinto ngendlela eyahlukileyo, ukuva izandi ezingaqhelekanga ngequbuliso, ukuva incasa ezingaqhelekanga (ezifana nentsimbi, ezikrakra) okanye amavumba, iimvakalelo ezingaqhelekanga eluswini (ezifana nokungaziva okanye ukurhawuzelela).
• Utshintsho lweemvakalelo: Ukuqala ngequbuliso kweemvakalelo ezinamandla (uloyiko, ulonwabo), ukuziva ngathi kukho into eyenzekileyo ngaphambili nangona intsha (`déjá vu`), okanye ukuziva ngathi yinto entsha nangona iqhelekile kakhulu (`jamais vu`).
• Iimpawu zokuzimela: Ezi ziimpawu ezichaphazela iinkqubo zomzimba ezilawulwa ngokuzenzekelayo yingqondo yakho. Imizekelo ibandakanya ukubila, ukuvuza amathe, isisu esibuhlungu, kunye nolusu olumhlophe.

Zithini izizathu zokuxhuzula?

Kutheni kukho ukuxhuzula? Njengoko benditshilo ngaphambili, imbangela ephambili yoku kukwanda okungalindelekanga, okungaqhelekanga, okungalawulekiyo komsebenzi wombane phakathi kweeseli zemithambo-luvo (`iiNeurons`) engqondweni yakho. Ezi seli zemithambo-luvo ziyanxibelelana ngemiqondiso yombane. Ngexesha lokuxhuzula, iiseli zengqondo ezichaphazelekayo zithumela le miqondiso kwezinye iiseli ezikummandla ongqongileyo ngaphandle kolawulo. Oku kusasazeka kakhulu komsebenzi wombane kuko okubangela iimpawu zokuxhuzula.

Izizathu zokuxhuzula zingahlulwahlulwa zibe ziindidi ezimbini eziphambili:

1. Ukuxhuzula okubangelwa kukuxhuzula (okanye ukuxhuzula okungekhoyo): Oku kubangelwa yimeko yexeshana okanye isiganeko esithile (esibizwa ngokuba yi-trigger). Oku kuthetha ukuba ukuxhuzula kubangelwa yinto ethile.

2. Ukuxhuzula okungavuswanga (`Ukuxhuzula okungavuswanga` okanye `ukuxhuzula okubangelwa kukuxhuzula`):Ezi zenzeka ngokuzenzekelayo, ngaphandle kwesizathu esibonakalayo. Zinokwenzeka rhoqo. Ezi zifo zokuxhuzula luphawu oluphambili lwesifo esibizwa ngokuba yi-epilepsy.

Ngamanye amaxesha, akukho sizathu sicacileyo esifumanekayo sokuba ne-seizures. Ezi zifo sizibiza ngokuba yi-'idiopathic seizures'.

Zithini izinto ezibangela ukuxhuzula?

Akukho zinto zibangela iingxaki ezifanayo kubo bonke abantu, kodwa nazi ezinye zezinto eziqhelekileyo:

• Amanqanaba eswekile egazini angaqhelekanga (aphantsi kakhulu okanye aphezulu kakhulu).
• Amanye amayeza (afana ne-`Wellbutrin®` okanye i-`bupropion`).
• Izibane ezikhanyayo, ezikhazimlayo okanye ezikhazimlayo.
• Isifo sobushushu.
• Umkhuhlane ophezulu.
• Ukungalali ngokwaneleyo.
• Uxinzelelo.
• Ukusetyenziswa kweziyobisi okanye utywala (ingakumbi iimpawu zokurhoxa xa uyeka utywala).

Ukuba unesifo sokuxhuzula rhoqo, kubaluleke kakhulu ukugcina ingxelo yoko ubukwenza kunye nokuba imeko yakho yayinjani ngaphambi kokuba uhlaselwe. Olu lwazi luya kunceda ugqirha wakho afumanise ukuba zeziphi izinto ezibangela ukuba uhlaselwe.

Ziziphi ezinye iimeko zempilo ezinokubangela ukuxhuzula?

Ukuxhuzula kunokubangelwa ziimeko ezahlukeneyo zonyango. Nazi imizekelo embalwa:

• Ukungaqheleki kakuhle kwimithambo yegazi yobuchopho (`ii-Aneurysms`).
• Iithumba zobuchopho.
• Ukunqongophala kweoksijini engqondweni (`i-cerebral hypoxia`).
• Isifo semithambo yegazi.
• Isifo seswekile.
• Ukulimala kakhulu entloko (`Ukubetheka okukhulu kwentloko` kunye `nokulimala kwengqondo okubuhlungu`), ingakumbi kwiimeko zokulahlekelwa yingqondo.
• Izifo eziye zibutyhafise kancinci kancinci ubuchopho, umzekelo, isifo sika-Alzheimer okanye isifo sengqondo esibangelwa yi-frontotemporal dementia.
• Uxinzelelo lwegazi oluphezulu kunye nokuxhuzula (`i-Eclampsia`) ngexesha lokukhulelwa.
• Iingxaki ze-electrolyte, ingakumbi amanqanaba aphantsi esodium (hyponatremia), calcium, okanye magnesium.
• Isifo sokuwa - Oku kubonakala ngokuwa rhoqo ngaphandle kwesizathu esicacileyo.
• Iimeko zemfuza.

Kunokubakho ezinye izizathu:

• Utshintsho lweeHormonal (`Utshintsho olunxulumene neeHormonal`).
• Iintsholongwane (ingakumbi i-encephalitis, i-meningitis, okanye i-sepsis).
• Ukudumba okubangelwa ziimeko zokuzikhusela komzimba.
• Iingxaki zempilo yengqondo (ezibizwa ngokuba yi-'psychogenic seizures'), umzekelo 'i-conversion disorder'.
• Iingxaki zokukhula kwengqondo ezenzeka ekuzalweni (`Iingxaki zobuchopho ezizalwa nazo`).
• Izibetho.
• Ukutyiwa kweetyhefu (ityhefu ye-carbon monoxide, ityhefu yesinyithi esinzima).
• Ukulunywa zinyoka okanye ezinye izilwanyana ezinetyhefu.

Ngubani osengozini enkulu yokuba nesifo sokuxhuzula?

Nabani na, nokuba uneminyaka emingaphi, unokuba nesifo sokuxhuzula. Nangona kunjalo, abanye abantu basengozini enkulu kancinci:

• Kwabo banezinye izifo.
• Ukuba kukho umntu kusapho oye waba nokuxhuzula (impembelelo yemfuza).
• Kubantwana (abangaphantsi kweminyaka eli-18 ubudala).
• Kwabo baneminyaka engaphezu kwama-50 ubudala.

Ziziphi iingxaki ezinokubakho xa umntu exhuzula?

Ngexesha lokuxhuzula, kukho umngcipheko omkhulu wokwenzakala , njengoko abantu behlala belahlekelwa zingqondo baze bawe. Iingozi zinokwenzeka xa bewa, okanye xa besenza enye into (njengokuqhuba imoto, ukusebenzisa oomatshini, okanye ukunyuka indawo ephakamileyo). Xa umzimba ushukuma, amalungu omzimba anokubetha izinto ezinzima, nto leyo ekhokelela ekuqhekekeni, ekuqhekekeni, kwanamathambo aphukileyo.

Isifo sokuxhuzula esibizwa ngokuba yi-status epilepticus sisifo esiyingozi. Sivela xa umntu exhuzula ixesha elingaphezu kwemizuzu emihlanu, okanye xa umntu exhuzula kwakhona ngaphambi kokuba aphile ngokupheleleyo emva kokuxhuzula okukodwa. Esi sisifo esingxamisekileyo esisongela ubomi. Sinokubangela umonakalo engqondweni kwanokufa.

Kukwakho nonxibelelwano oluqinileyo phakathi kokuxhuzula kunye nempilo yengqondo. Abantu abaxhuzula banamathuba amaninzi okuba neengxaki zempilo yengqondo ezifana nokuxhalaba kunye nokudakumba . Oku kungenxa yokuba ukuxhuzula kunokuphazamisana nemisebenzi yemihla ngemihla kunye nezinto abazithandayo. Usenokuziva uxhalabile kwaye ukhathazekile malunga nokuba nokuxhuzula okunye. Usenokungakwazi ukulala ebusuku uzibuza ukuba okulandelayo kuza nini. Ukuba uxhuzula phambi kwabanye, unokuziva uneentloni kwaye usenokungafuni ukuphuma okanye ukuchitha ixesha nabahlobo. Ekubeni ukuxhuzula kuyinto eyenzeka ngaphandle kolawulo lwakho, kuqhelekile ukuba nezi mvakalelo. Umcebisi wezempilo yengqondo angakunceda ukulawula ezi mvakalelo.

Uyibona njani into yokuba umntu unesifo sokuxhuzula?

Ugqirha, odla ngokuba yingcali yezifo zengqondo, ufumanisa ukuba kukho ukuxhuzula. Oku kubandakanya uvavanyo lomzimba, uvavanyo lwezifo zengqondo, kunye nezinye iimvavanyo. Ngexesha lovavanyo, ugqirha uya kukubuza ngeempawu zakho, imbali yakho yezonyango, kunye nokuba kukho nabani na kusapho lwakho okhe waba neemeko ezifanayo.

Kuluncedo kakhulu ukuzisa umntu okubonileyo ukuxhuzula kwakho ukuze abone ugqirha. Ekubeni ungakhumbuli ukuba kwenzeke ntoni ngelo xesha, loo mntu angamxelela ugqirha iinkcukacha.

Zeziphi iimvavanyo ezisetyenziswayo ukuxilonga isifo sokuxhuzula?

Olu vavanyo lunceda ekuqinisekiseni ukuba ngaba ngokwenene unesithuthwane, kwaye ukuba kunjalo, yintoni ebangele oko. Enye yezona zinto zibalulekileyo ekufumaniseni isithuthwane kukufumanisa ukuba kukho indawo ethile engqondweni (`ingongoma ephambili`) apho isithuthwane siqala khona. Nje ukuba esi 'ngongoma ephambili` sifunyenwe, kulula ukuba ugqirha acwangcise unyango.

Nazi ezinye zeemvavanyo ezisetyenziselwa ukuxilonga ukuxhuzula:

• Uvavanyo lwegazi.
• Iskeni ye-CT (`Iskeni ye-CT eqikelelweyo`).
• Uvavanyo lwe-EEG (`Electroencephalogram (EEG)`). Olu vavanyo lulinganisa umsebenzi wombane wengqondo.
• Uvavanyo lwemfuza.
• Iskeni se-MRI (i-Magnetic resonance imaging (MRI)).
• Iskeni yePET (i-Positron emission tomography (PET) scan).
• Ukubhoboza umqolo okanye i-lumbar puncture.

Ukuba ugqirha ukrokrela ukuba kukho ukwenzakala okanye ingxaki ebangelwe kukuxhuzula, angayalela uvavanyo. Ugqirha uza kukuxelela (okanye umntu okwenzela izigqibo zonyango) ukuba zeziphi iimvavanyo ezenziwayo kunye nesizathu.

Ziziphi iindlela zonyango zokuxhuzula?

Unyango lokuxhuzula luyahluka ngokuxhomekeke kuhlobo, ubukhali, kunye nesizathu. Ugqirha wakho angacebisa unyango olufana nolu:

• Ukunyanga unobangela okanye imeko engundoqo: Ugqirha uza kuqala azame ukunyanga imeko engundoqo ebangele ukuxhuzula (njengokuxhuzula okanye iswekile ephantsi egazini). Oku kunokunceda ukuthintela ukuxhuzula kwixesha elizayo.
• Ukusebenzisa amayeza okuthintela ukuxhuzula: La mayeza anokuthintela ukuxhuzula okanye anciphise ukuxhaphaka kokuxhuzula.
• Utyando: Ukususa okanye ukuguqula indawo ephambili engqondweni apho kuqala khona ukuxhuzula kunokunciphisa ukuxhaphaka nobunzima bokuxhuzula.
• Ukuvuselela ubuchopho: Ugqirha wotyando ufaka isixhobo esincinci engqondweni yakho. Oku kuhambisa umbane engqondweni. Lo mbane uphazamisa umsebenzi ongaqhelekanga wombane aze azame ukuwumisa. Kukho iintlobo ezahlukeneyo zokuvuselela ubuchopho, umzekelo omnye kukuvuselela imithambo-luvo ye-vagus.

Ukuba ezinye iindlela zonyango azisebenzi, ugqirha wakho unokucebisa ukuba utshintshe indlela otya ngayo. Ezinye izifundo zibonise ukuba ukutya okune-carbohydrate ephantsi okanye ukutya okune-ketogenic kunokunciphisa ukuxhaphaka kwesifo sokuxhuzula. Nangona kunjalo, oku kusaphandwa.

Ngawaphi amayeza asetyenziswa xa kuthe kwabakho isifo sokuwa?

Amayeza anokunceda ukulawula ukuxhuzula ngokuthi:

• Iyayeka kwangoko xa kuvela isithuthwane.
• Ithintela ukuxhuzula kwixesha elizayo.
• Inciphisa ubukhali bokuxhuzula.
• Inciphisa ukuxhaphaka kokuxhuzula.

Nazi ezinye iindlela eziqhelekileyo zokusebenzisa amayeza okuxhuzula (le yimizekelo nje; ugqirha wakho uya kugqiba ukuba loluphi unyango olufanelekileyo kuwe):

• `Benzodiazepine`
• `ICarbamazepine`
• `I-Diazepam`
• `Gabapentin`
• `I-Lamotrigine`
• `Oxcarbazepine`
• `Phenytoin`
• `I-Pregabalin`
• `I-asidi yeValproic`

Emva kokuba uqalise amayeza amatsha, ugqirha wakho uza kukujonga rhoqo ukuze abone ukuba asebenza kakuhle kangakanani na. Kungathatha iinyanga ezininzi ukuba wena nogqirha wakho nifumane amayeza afanelekileyo kunye nomlinganiselo. Nokuba uzive ungcono, kubaluleke kakhulu ukuqhubeka nokuthatha amayeza akho njengoko ugqirha wakho ekuxelela.

Izifundo zibonisa ukuba malunga nama-33% abantu abasebenzisa amayeza okuthintela ukuxhuzula bafumana isiqabu esipheleleyo kwiimpawu zabo zokuxhuzula. Abanye abangama-33% bathi iimpawu zabo ziyancipha emva kokuthatha amayeza.

Ngaba ukuxhuzula kungathintelwa?

Ngenxa yokuba ukuxhuzula sisiganeko esikhawulezileyo, akunakuthintelwa ngokupheleleyo. Eyona nto ingcono onokuyenza kukuphepha izinto ezinokubangela ukuxhuzula, okanye 'izinto ezibangela'. Umzekelo, lawula amanqanaba eswekile egazini lakho, kwaye uzikhusele kwizifo nasekwenzakaleni.

Kuza kwenzeka ntoni xa ndixhuzula? Ndimele ndilindele ntoni?

Bangaphantsi kwesiqingatha abantu abaye baxhuzula kanye ngaphandle kwesizathu baza kuba nesinye. Nangona kunjalo, ukuba kuqhambuka esinye, oogqirha badla ngokuqala amayeza okuthintela ukuxhuzula. Xa kuqhambuka isifo, umngcipheko wokuba nesinye isifo uxhomekeke kwinto ebangele ukuxhuzula kokuqala. Ukuba eso sizathu sinokunyangwa, amathuba okuba uphinde ube nesinye isifo (ngaphandle kokuba imeko efanayo nebangele ukuxhuzula kokuqala iphinda ivele).

Amayeza anokuthintela ukuxhuzula okanye anciphise ukuxhaphaka kwawo. Nangona kunjalo, ngamanye amaxesha kuya kufuneka uzame amayeza aliqela (okanye indibaniselwano yamayeza) ukuze ufumane elikulungeleyo.

Kwezinye iimeko, ukuxhuzula kunokuba nzima ukulawula ngamayeza kuphela. Kwiimeko ezinjalo, ugqirha unokucebisa utyando, ukutya okukhethekileyo, okanye olunye unyango.

Ukuba unesithuthwane rhoqo, ugqirha wakho uza kukuxelela ngamanyathelo okhuseleko anokukunceda uhlale ukhuselekile. Unganxiba okanye uphathe i-bracelet okanye ikhadi lesazisi sezonyango. Oku kuya kwazisa abanye abantu into abamele bayenze ukuba unesithuthwane.

Kudala kangakanani ukusukela oko waba nesifo sokuxhuzula?

Iimpawu zokuxhuzula zihlala ziqala kwimizuzwana embalwa ukuya kwimizuzu embalwa, ixesha elide liyimizuzu eli-15. Nangona kunjalo, ukuba kuvela ukuxhuzula okuliqela ngokulandelelana (oku kungxamiseko lwezonyango), iimpawu zinokuhlala ixesha elide.

Liza kuba njani ikamva lam ngesifo sokuwa?

Ngenxa yokuba amava omntu wonke okuxhuzula ahlukile, indlela abantu abajonga ngayo izinto inokwahluka kakhulu. Kuxhomekeke kwizinto ezininzi:

• Ngaba ufumene isizathu?
• Ngaba loo nto inganyangwa kwaye ilawulwe?
• Luhlobo luni lokuxhuzula owakha walufumana?
• Bekunzima kangakanani ukuxhuzula kwaye kuthathe ixesha elingakanani?
• Ingaba le yingxaki yakho yokuqala yokuxhuzula?
• Ngaba unesifo esithile esibangela ukuba uxhuzule luphawu oluqhelekileyo?
• Ziziphi iindlela zonyango ezikhoyo zokulawula olu hlobo lokuxhuzula?

Ugqirha wakho ngumntu ofanelekileyo ukukunika ulwazi lwamva nje malunga nokuba ulindele ntoni. Qiniseka ukuba umbuza ukuba unemibuzo.

Ndifanele ndimbone nini ugqirha?

Ukuba unesithuthwane okokuqala ebomini bakho , okanye ukuba ulahlekelwa zingqondo kwaye awuyazi imbangela, ngokuqinisekileyo kuya kufuneka uye kwigumbi likaxakeka.Ukuba ucinga ukuba unesithuthwane okokuqala ngelixa uwedwa, kufuneka ubone okanye uthethe nogqirha ngokukhawuleza.

Ukuba ukhe waxhuzula ngaphambili, kubalulekile ukuba uqaphele iimpawu zesinye isifo. Ukuba ukhe waxhuzula okwesibini, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza. Oku kungenxa yokuba isifo sinokubangela utshintsho engqondweni yakho, nto leyo enokubangela ukuba ube nesinye isifo. Ke ngoko, kungcono ukufumana isifo kwaye uqale unyango ngokukhawuleza.

Ukuba umntu uxhuzula rhoqo, kusenokungabi yimfuneko ukubiza i-ambulensi emva kokuxhuzula ngakunye. Nangona kunjalo, nokuba uyazi ukuba kutheni uxhuzule, ukwenzakala okubangelwe kuko kusenokufuna unyango.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba unesifo sokuxhuzula, ungabuza ugqirha wakho imibuzo efana nale:

• Kutheni ndibe nesi sifo sokuxhuzula?
• Ndingaziphepha njani izinto ezibangela ukuba ndibe nomsindo?
• Luhlobo luni lonyango olundicebisayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
• Ngaba ndiza kuphinda ndibe nesithuthwane?
• Ndingahlala njani ndikhuselekile?

Ziziphi iintlobo zesifo sokuwa ezichaphazela abantwana?

Abantwana banokuba nokuxhuzula. Ezi zinto zibangela ukuxhuzula kubantu abadala zihlala zichaphazela abantwana. Nazi ezinye zezona ntlobo zixhaphakileyo zokuxhuzula kunye neengxaki zokuxhuzula ebantwaneni (le yimizekelo nje):

• Ukuxhuzula okungekhoyo (okukwabizwa ngokuba yi-epilepsy yokungabikho komntwana).
• Isifo sokuwa ebantwaneni.
• Ukuxhuzula okubangelwa kukufa.
• Ukuqaqamba kwabantwana.
• Isifo sokuwa esibangelwa yi-myoclonic yabantwana.
• `Isifo sikaLennox-Gastaut`.
• `Ukuxhuzula ngeTonic-clonic`.

Ingaba kukhuselekile ukukhulelwa xa ndinesifo sokuxhuzula?

Ewe, ungakhulelwa ngokukhuselekileyo ukuba unesifo sokuwa. Kodwa ugqirha wakho uya kufuna ukujonga impilo yakho kunye neyomntwana wakho rhoqo. Amanye amayeza okulwa nesifo sokuwa awafanelekanga ukusetyenziswa ngexesha lokukhulelwa. Ugqirha wakho uya kukwazi ukukunika amanye amayeza akhuselekileyo ukunceda ukulawula iimpawu zakho. Ukuba unemibuzo okanye iinkxalabo malunga noku, umntu ofanelekileyo ukuthetha naye ngugqirha wakho.

Nangona ukuxhuzula kunokubonakala ngathi yinto oyibonayo kwiTV okanye kwiimuvi, kusenokuba yinto wena okanye umntu omthandayo ohlangabezana nayo yonke imihla, okanye rhoqo. Enyanisweni akubi mnandi ukuyifumana, kwaye kuyoyikisa ukuyibukela. Usenokuziva ngathi awungomntu wakho ngaphambi, ngexesha, nasemva kokuxhuzula, kwaye kungathatha ixesha ukuba uphile.

Nokuba ukuxhuzula kwakho akunakulawulwa nguwe, ugqirha unokukunceda ujongane neempawu kwangethuba. Ugqirha wakho angakufundisa iindlela zokulawula imeko yakho engaphantsi, okanye akuncede uchonge kwaye uphephe izinto ezibangela oku. Amayeza anokunceda ukunciphisa ukuxhuzula rhoqo, kwaye utyando lunokuba lukhetho ukuba ezinye iindlela zonyango azisebenzi.

Zeziphi izinto ezibalulekileyo esifuna ukuzithatha ekhaya kweli bali? (Umyalezo Wokubuyela Ekhaya)

Kulungile, nazi izinto ekufuneka uzikhumbule koko sithethe ngako:

• Ukuxhuzula kukungaqheleki komsebenzi wombane wengqondo. Nangona kunokuba yinto eyoyikisayo, kukho unyango olufumanekayo ngokuxhomekeke kwisizathu kunye nohlobo.
• Ayizizo zonke iintlungu zokuxhuzula ezifanayo. Abanye abantu baneentshukumo zokuxhuzula, abanye bakujonga nje. Iimpawu zingahluka kakhulu.
• Ukuba unesithuthwane okokuqala ngaphandle kwesizathu, okanye ukuba ulahlekelwa zingqondo, funa ingcebiso kagqirha ngoko nangoko. Nokuba kwenzeka okwesibini, bona ugqirha ngoko nangoko.
• Kubaluleke kakhulu ukusela amayeza owanikwe ngugqirha wakho ngokuchanekileyo nangexesha elifanelekileyo. Musa ukuyeka ukuwasela wedwa.
• Fumanisa ukuba zeziphi 'izinto ezikubangelayo' uze uzame ukuziphepha.
• Awuwedwa. Kukho oogqirha, usapho, kunye nabahlobo abanokunceda kwaye baxhase abantu abanesithuthwane. Nyamekela impilo yakho yengqondo.
• Isifo sokuwa esihlala ixesha elingaphezu kwemizuzu emi-5 okanye ukuxhuzula okuqhubekayo) yingxaki yezonyango. Sifuna ukulaliswa esibhedlele ngoko nangoko.

Ukuba wena okanye umntu omaziyo unemibuzo engaphezulu malunga nokuxhuzula, ungoyiki ukuthetha nogqirha. Baza kukunceda.

Ukuxhuzula , Ukuxhuzula, Isifo Sobuchopho, Isifo Semithambo-luvo, Iimpawu