Ingabe ingane yakho ikubhekile nje? Kungaba 'ukuquleka kokungabikho'! Sizoxoxa?

Wake wambona umntwana wakho omncane ekubheka ngokuzumayo ngemva kokudlala noma ukulalela okuthile okushoyo? Kufana nokuthi akekho kuleli zwe. Akakuphenduli uma ukhuluma naye. Ngemva kwemizuzwana embalwa, usebuyele esimweni esijwayelekile. Ungase ucabange, "O, ulahlekile nje ezweni lamaphupho." Kodwa ngezinye izikhathi, akulula njengoba sicabanga. Lesi kungaba yisimo esibizwa ngokuthi ukuquleka kokungabikho .

Kuyini lokhu 'Ukuquleka Kokungabikho'? Kalula nje...

Ukuquleka kokungabikho, okwaziwa nangokuthi ukuquleka okuncane, kuyisimo esifana nokuquleka esifushane kakhulu. Kwenzeka uma ungazi nhlobo indawo ekuzungezile. Isibonelo, wenza okuthile, ukhuluma nothile, noma ulalele okuthile, bese ngokuzumayo uyeka . Kuqala ngaphandle kwesixwayiso , ngokuvamile kuthatha imizuzwana emithathu kuya kweyishumi nanhlanu. Bese uqala lapho ugcine khona, njengokungathi akukho okwenzekile.

Manje, uma umuntu ongayazi kahle le nto ekubona, angase acabange ukuthi uyaphupha, noma ingqondo yakho ikwenye indawo, noma awukunaki okushiwoyo. Kodwa okwenzekayo ngempela ukuquleka okuncane ngaphakathi kobuchopho bakho, isimo esifana nokuquleka. Lokhu 'Ukuquleka Kokungabikho' uhlobo lokuquleka okuvamile . Kunezinhlobo ezimbili zalokhu, "okuvamile" kanye "nokungajwayelekile". Ingxenye engcono kakhulu ukuthi udokotela angasiza ekulawuleni lesi simo ngemithi.

Kuvame kangakanani ukuba nesifo sokuwa lapho ungekho? Ubani osithola njalo?

Ngokwezibalo, kulinganiselwa ukuthi phakathi kwezingane eziyisithupha neziyisishiyagalombili kweziyi-100,000 ezingaphansi kweminyaka eyi-15 zibhekana nalokhu 'kubanjwa yisifo sokuwa' minyaka yonke. Kodwa-ke, akuvamile kangako kubantu abadala. Kuvame ukubonwa ezinganeni ezincane.

Ziyini izimpawu zalesi simo? Uzibona kanjani?

Izimpawu zokuthi umuntu unesifo sokuwa zihlanganisa:

• Kungazelelwe, okwesikhashana, uyabuka, njengokubuka okungenalutho.
• Ngilahlekelwa ukuqonda okwenzekayo nxazonke zami.
• Izinto obuzenza ngesikhathi usesesibelethweni sikaCaesarean (njengokukhuluma nokuhamba) ziyeka ngokuphelele.
• Ngezinye izikhathi kungase kube nokucwayiza, ukuthambekela kwekhanda, noma ukunyakaza okungahleliwe kwezandla noma umlomo (njengokusunduza izindebe). Lokhu sikubiza ngokuthi "ukunyakaza okuzenzakalelayo".

Ngemva kokuba uKesari eseqedile:

• Ungaqhubeka nalokho okushiyile.
• Ungase uzizwe sengathi uphuthelwa yilokho okwenzekayo eduze kwakho.
• Ngezinye izikhathi ungase ungaboni ngisho nokuthi kukhona okwenzekile., Ngizizwa sengathi ngicabanga kahle futhi nginomoya omuhle.

Lezi zimpawu zingavela izikhathi eziningana ngosuku, noma zingavela kaningi, njengalapho nje emavikini ambalwa noma ezinyangeni ezimbalwa.

Ingabe uqaphile ngesikhathi sokuquleka ungekho?

Cha. Awuzizwa kahle ngesikhathi sokuwa ungekho. Ngenxa yokuthi izimpawu zenzeka ngemizuzwana embalwa, lokhu kuphazamiseka kwesikhashana kungase kuthinte noma kungathinteli ingxoxo noma umsebenzi obuwenza. Ungabe usubuyela kukho ngokushesha nje lapho ukuwa sekuphelile.

Kodwa-ke, uma une-seizure ezimbili noma ngaphezulu zilandelana, ungase ubonakale udidekile futhi ungase uphazanyiswe ezinye izinto ezikuzungezile. Isibonelo, ungase uphuthelwe yimiyalelo evela kuthisha wakho noma okuthile okushiwo othile engxoxweni ngenkathi unesifo se-seizure.

Sekuyisikhathi esingakanani uKhesari ekhona?

Ngokuvamile, "ukubanjwa kokungabikho okuvamile" kuthatha imizuzwana emithathu kuya kweyishumi nanhlanu (``imizuzwana emi-3-15``). "Ukubanjwa kokungabikho okungavamile" kungahlala isikhathi eside.

Kungani kwenzeka ukuquleka kokungabikho? Iyini imbangela?

Kalula nje, kubangelwa ukuqhuma okungazelelwe komsebenzi kagesi ovela kuma-neurons ebuchosheni bakho . La ma-neurons athola imiyalelo engalungile futhi athumela izimpawu zikagesi eziningi kakhulu ezingxenyeni ezahlukene zobuchopho.

Abacwaningi bakholelwa ukuthi kungenzeka ukuthi kukhona ingxenye yezakhi zofuzo kulesi simo. Ucwaningo lusaqhubeka mayelana nendlela lesi simo esidluliselwa ngayo kusukela esizukulwaneni kuya kwesinye kanye nezakhi zofuzo ezithile ezihilelekile.

Yiziphi izinto ezibangela lesi simo?

`Izinto ezibangela ukuquleka` yizinto ezisendaweni okuyo ezingabangela lezi zimpawu. Izinto ezinjengalezi zingaba nomthelela ekubanjweni yisifo sokuwa:

• Izibani ezikhanyayo, ezikhanyayo.
• Ukuphefumula kakhulu nangokujulile (ukuphefumula ngokweqile) .

Ubani osengozini enkulu yokuthuthukisa lokhu?

Ungase ube sengozini enkulu yokuba ne-absent seizure uma:

• Ukuba nolunye uhlobo lokuxhuzula (njengokuthi "grand mal seizures", "myoclonus", noma "atonic seizures").
• Eminye imithi yokuxhuzula (isib. i-phenytoin, i-carbamazepine, kanye ne-gabapentin) ngezinye izikhathi ingandisa ingozi yokuxhuzula ngaphandle.

Izinto okufanele uzazi mayelana nokuquleka kokungabikho ezinganeni

Nakuba ukuquleka kokungabikho kungenzeka kunoma yimuphi ubudala, kuvame kakhulu ezinganeni ezincane. Ngokuvamile kuqala phakathi kweminyaka engu-3 no-13, kanti ukuqubuka okukhulu kwenzeka eminyakeni engu-6-7 ubudala.

Ingabe ukungabikho kokuquleka kuyingozi?

"Ngokuvamile lokhu akulona ingozi."

Lokhu kungenxa yokuthi zivame ukuba zesikhashana, futhi ukuxhuzula akuvamile. Isibonelo, uma unesifo sokuxhuzula umi, cishe ngeke uwele phansi. Kunalokho, uzohlala lapho ukhona imizuzwana embalwa.

Yiziphi izinkinga ezingabangelwa yilokhu?

Kuye ngohlobo lokuquleka onakho kanye nokuthi kwenzeka kangaki, lezi zinto zingase zenzeke:

• Kunzima ukugxila.
• Ubunzima bokulandela imiyalelo.
• Ukuthola ubunzima bokufunda esikoleni.
• Kuvela ukulimala ngengozi.

Futhi, imisebenzi edinga ukunakwa okugcwele - njengokushayela, ukubhukuda, nokuhamba ngezinyawo - ingase ingaphephile kuze kube yilapho isimo sesilawulwa. Udokotela wakho uzokunikeza imithi yokulawula izimpawu zakho, futhi uzokwazi ukwenza le misebenzi ngokuphepha. Udokotela wakho uzokufundisa nokuthi ungahlala kanjani uphephile uma unalesi simo.

Udokotela uhlonza kanjani ngokunembile ukuquleka kokungabikho?

Udokotela uzohlonza ukuxhuzula okungekho ngemuva kokuhlolwa ngokomzimba kanye nezinye izivivinyo. Ngesikhathi sokuhlolwa, udokotela wakho uzokubuza ngezimpawu zakho. Kubalulekile ukukhumbula ukuthi yiziphi izimpawu ozizwayo nokuthi kwenzekeni ngaphambi, ngesikhathi, nangemva kokuxhuzula. Uma lezi zenzakalo zenzeka esikoleni noma emsebenzini, khuluma nomuntu ochitha isikhathi esiningi naye bese umbuza ukuthi ukubonile yini ukuziphatha okungajwayelekile.

Ungenza izivivinyo ezinjengalezi:

• Ukuhlolwa kokuphefumula ngokweqile: Ukuphefumula kakhulu (ukuphefumula ngokweqile) kungabangela ukuquleka kokungabikho. Udokotela uzokucela wena noma ingane yakho ukuba niphefumule njalo ephepheni noma ku-wind chime yethoyizi cishe imizuzu emibili.
• Ukuhlolwa kwe-EEG (electroencephalogram): Kulokhu kuhlolwa, izinzwa zifakwa esikhumbeni sekhanda lakho ukuze ziqaphe umsebenzi kagesi ebuchosheni bakho. Ukuquleka kokungabikho kutholwa ngephethini ethile yamagagasi obuchopho.
• I-MRI (magnetic resonance imaging) noma i-CT scan (i-computed tomography scan): Lezi zivivinyo ze-imaging zibheka noma yikuphi ukukhubazeka ebuchosheni okungabangela ukuquleka.
• Ukuhlolwa kwegazi nomchamo: Udokotela wakho angase akuyalele lokhu kuhlolwa ukuze abone ukuthi kukhona yini esinye isimo sezokwelapha esibangela ukuxhuzula.

Ngokuvamile, abantu abangazi ukuthi unesifo sokuwa bangase bacabange ukuthi uyadlala noma uphupha. Kwabaningi, lokhu kungaqondi kahle kungaholela ekubambezelekeni kokuxilongwa.

Uyini umehluko phakathi kwe-'Okuvamile' kanye ne-'Atypical' Absence Seizures?

Kunezinhlobo ezimbili ze-absence seizures: 'ejwayelekile' kanye 'ne-atypical'.

• Uma ungekho, okwenzekayo nje ukuthi ubheke phansi bese ulahlekelwa ingqondo.
• Ekuqulekeni okungekho ngendlela engavamile, ungase ubone ezinye izindlela zokuziphatha zomzimba, njengokubuka nokulahlekelwa ukwazi, kanye nokucwayiza kwamehlo nokuqhaqhazela izandla. Lokhu kuvame ukuhlala isikhathi eside kunezivamile. Ukuqulekeni okungekho ngendlela engavamile kuvame ukwenzeka kanye nezinye izinhlobo zokuquleke futhi kungenzeka kakhulu ukuthinta izingane ezinokukhubazeka kokufunda kanye nesifo sokuquleka esibi.

Yiziphi izindlela zokwelapha lokhu?

Ukuquleka okungekho kwelashwa ngemithi yokuvimbela ukuquleka . Udokotela wakho uzohlola izimpawu zakho futhi akuncomele umuthi ofanele wena.

Kwezinye izimo, uma ungasabeli kahle emithini, udokotela wakho angase akuncome ukudla okune-ketogenic . Lolu uhlelo lokudla olunamafutha amaningi, olunama-carbohydrate aphansi. Nakuba buncane ubufakazi bezokwelapha obusekela izinzuzo zalolu hlobo lokudla kulolu hlobo lomdlavuza, lungaba usizo kwabanye abantu.

Uma izimpawu zingenakulawuleka ngemithi kanye nokushintsha indlela yokuphila, udokotela angase acabangele ukuhlinzwa .

Imithi enikeziwe

Udokotela angase anikeze omunye wale mithi yokwelapha ukuquleka:

• `I-Ethosuximide (Zarontin ®)`
• `I-Lamotrigine (i-Lamictal ®)`
• `I-Topiramate (i-Topamax ®)`
• `I-Valproate (i-Depakene ®)`

Eminye imithi yokulwa nokuxhuzula – isibonelo, i-phenytoin, i-carbamazepine, i-gabapentin, i-pregabalin, kanye ne-vigabatrin – ayivame ukusetshenziswa ekwelapheni ukuxhuzula okungekho. Ingenza ukuxhuzula kube kubi kakhulu.

Qiniseka ukuthi wazisa udokotela wakho uma izimpawu zakho ziba zimbi kakhulu noma uma uhlangabezana nanoma yimiphi imiphumela emibi evela emithini yakho. Ungathola impumuzo ngokushintsha umthamo noma ukushintshela komunye umuthi.

Ubani okusizayo ithimba lezokwelapha?

Ithimba lochwepheshe lizokusiza ukuphatha ukuquleka kwakho kokungabikho. Leli thimba lingafaka:

• Odokotela bezinzwa
• Odokotela bomndeni (Odokotela bokunakekelwa okuyinhloko - ama-PCP)
• Ochwepheshe bezokudla
• Ochwepheshe bezempilo yengqondo

Ingabe ukuquleka kokungabikho kungavinjelwa?

Ngeshwa, ayikho indlela yokuvimbela ukuquleka kokungabikho kwasekuqaleni. Lokhu kungenxa kakhulu yezakhi zofuzo. Kodwa-ke, uma sekutholakale ukuthi unesifo, indlela engcono kakhulu yokuvimbela ukuquleka ukuphuza imithi yakho njengoba uyalelwe futhi uhlale useduze nodokotela wakho.

Yini okufanele ilindelwe ngumuntu onesifo sokuwa okungekho?

Nakuba zingapheli isikhathi esifushane, ukuquleka kokungabikho kuyaphazamisa kakhulu. Ungase ube nakho kaningi noma kaningi. Abanye abantu babika ukuthi baquleka izikhathi eziyi-10 kuya kwezingama-30 ngosuku. Ngezinye izikhathi, ikakhulukazi ezinganeni, kungaba namakhulu okuquleka ngosuku. Kungathinta ikhono lakho lokufunda nokugxila emsebenzini. Kodwa-ke, kunezindlela ezinhle zokwelapha, futhi imithi ivame ukulawula izimpawu ngempumelelo.

Izingane eziningi zikhula zidlule ekubanjweni kwazo yizithuthwane ngesikhathi sokuthomba. Ikakhulukazi, izingane ezinezithuthwane zokungabikho kuphela futhi ezingenazo ezinye izinhlobo zezithuthwane cishe zizokhula zidlule kuzo ngokuphelele.

Ukuquleka kungaba nomthelela omkhulu empilweni yakho yengqondo, ukuzethemba, kanye nokuzethemba. Abantu abaningi bakuthola kuwusizo ukukhuluma nomeluleki wezempilo yengqondo ngenkathi bethola ezinye izindlela zokwelapha.

Ngingazi kanjani ukuthi ingane yami iphupha nje noma inesifo sokuwa?

Lona umbuzo obaluleke kakhulu. Indlela esheshayo yokuthola ukuthi ingane yakho iyaphupha yini ukukhuluma nayo.

• Ukuphupha emini: Ngokuvamile kuvela ekudinweni, futhi kuqala kancane kancane. Uma ukhuluma naye, cishe uzokuphendula.
• Ukuquleka Kokungabikho: Uma ingane yakho 'iquleka kokungabikho', ngeke ikwazi ukuphendula ngesikhathi sokuquleka. Ukulahlekelwa kwayo ukunaka kwenzeka ngokuzumayo futhi akunakuvinjelwa.

Cabanga ngengane yakho idlala. Uma ubiza igama layo bese ikubheka bese ibuza, "Kwenzenjani, Mama/Baba?", mhlawumbe kumane kungumqondo nje. Kodwa-ke, uma iqhubeka ikubuka ingaphenduli ngisho nangemva kokuba uyishayele ucingo izikhathi eziningana, kungaba ukuquleka kokungabikho.

Uyini umehluko phakathi kwe-Childhood Absence Epilepsy (CAE) kanye ne-absence seizure ejwayelekile?

Izici eziyinhloko ezinquma ukuthi ukuquleka kokungabikho kubhekwa njenge-Childhood Absence Epilepsy (CAE) yilezi:

• Ubudala bokuqala: Izimpawu ze-CAE ziqala ebuntwaneni, ngokuvamile phakathi kweminyaka engu-3 no-8.
• Ukuphindaphinda kwezimpawu: Ukungabikho kokuquleka okwenzeka nge-CAE kungenzeka kaningi, izikhathi eziningana ngosuku, ngezinye izikhathi kuze kube izikhathi ezingu-200 ngosuku.
• Amaphethini ezimpawu: Izimpawu ze-CAE ziqala ngokuzumayo futhi zihlale imizuzwana embalwa.

Ukuquleka kokungabikho kungenzeka ngaphandle kokuxilongwa kwangaphambilini kwesifo sokuwa. Isibonelo, ukuquleka kokungabikho kungenzeka kunoma yimuphi ubudala, kuyahlukahluka ngokuvama, futhi kungenzeka kungenzeki ngendlela ethile.

Ngingayibona nini udokotela?

Uma ucabanga ukuthi unezimpawu zokuquleka okungekho, qiniseka ukuthi ubona udokotela. Ngokuvamile, umuntu ochitha isikhathi esiningi naye nguyena oqala ukuqaphela lezi zimpawu, njengoba ungase ungazi ukuthi ziyenzeka kuwe.

Uma udokotela esekutholile ukuthi unesifo sokuwa ngenxa yokungabikho kwezimpawu, yazisa udokotela wakho uma uthola izimpawu ezintsha, uma izimpawu zakho ziba zimbi kakhulu, noma uma uhlangabezana nemiphumela emibi evela emithini yakho.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Kungani mina/ingane yami ngiba nalezi zinhlungu?
• Yimiphi imisebenzi ephephile okufanele mina/ingane yami ngiyenze? Yini okufanele ngiyigweme?
• Singakuvimbela kanjani lokhu 'kubanjwa kokungabikho' ukuthi kwenzeke esikhathini esizayo?
• Hlobo luni lokwelashwa olunconywayo?
• Ingabe ikhona imiphumela emibi evela ekwelashweni?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuphila nezimpawu zokuxhuzula ukungabikho kungaba yinto edidayo futhi ekhungathekisayo. Njengoba ungeke ukwazi ukubikezela ukuthi zizofika nini, zingakususa ngokuzumayo kunoma yini oyenzayo. Cabanga nje, ulalele ihlaya bese kuvela ukuxhuzula ngaphambi kokuthi usho impendulo efanele... Uma uvuka, wonke umuntu okuzungezile uyahleka, kodwa awukwazi ukuthola ukuthi kungani.

Ukuquleka okungekho kwenzeka isikhathi esifushane, kodwa kungavela kaningi ngosuku. Kodwa ungakhathazeki. Udokotela angakusiza ukuphatha lezi zinhlobo zokuquleka. Imithi yokuvimbela ukuquleka ivame ukunciphisa izimpawu. Lokhu kuzokuvumela ukuthi uhlale uqaphile futhi uxhumene nomhlaba okuzungezile ngaso sonke isikhathi.

Uma usola ngisho nokuncane ukuthi wena noma ingane yakho inanoma yiziphi zalezi zimpawu, sicela ufune iseluleko sezokwelapha. Ukutholwa kusenesikhathi kanye nokwelashwa okufanele kungenza impilo ibe lula kakhulu.

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