Ingabe wena noma ingane yakho nivele naquleka ngokuzumayo? Ake sixoxe ngalokho (Atonic Seizure).

Wake wambona, noma wake wakwehlela, umuntu ephelelwa amandla ngokuzumayo awe phansi ngaphandle kwesizathu? Into ethile esandleni sakho iwela phansi, amehlo akho avaliwe... Lokhu kuyesabeka ngempela. Ngezinye izikhathi, abazali bazizwa besaba kangakanani lapho bebona ingane encane idlala futhi ngokuzumayo iwela phansi njengokungathi ayinampilo? Namuhla sizokhuluma ngesinye isimo esinjalo. Lolu uhlobo lokuxhuzula olubizwa ngokuthi (i-Atonic Seizure) . Ungakhathazeki, sizoxoxa ngakho konke ngamagama alula.

Kuyini lokhu (i-Atonic Seizure)?

Kalula nje, ukuquleka kwe-atonic kuwukulahlekelwa umsebenzi kagesi ngokuzumayo ebuchosheni , okubangela imisipha emzimbeni wethu ukuba ilahlekelwe ukulawula, noma ithoni yemisipha .

Cabanga ngopopi olenga ngezintambo. Upopi uhlala uqonde kuze kube yilapho sidonsa izintambo, akunjalo? Kwenzekani uma sikhulula izintambo? Upopi uyawa ungapheli amandla, bese ewa phansi. Kunjalo-ke ngalokhu. Lapho kwenzeka (i-Atonic Seizure), kuba sengathi izintambo zopopi zikhululekile, futhi imisipha yethu ilahlekelwa amandla ayo, futhi asikwazi ukuma. Yingakho siwa phansi ngokuzumayo.

Kodwa lokhu kungokwesikhashana . Uma ukuxhuzula sekuphelile, imisipha yakho izophinde ilawule, futhi uzokwazi ukuma nokuhamba ngendlela evamile. Odokotela ngezinye izikhathi babiza lokhu ngokuthi ukuxhuzula okune-akinetic , noma ' ukuxhuzula okune-drop ' noma ' ukuhlaselwa kokuhuzula okune-drop' , ngoba kukwenza uwele phansi ngokuzumayo.

Uma uqhubeka nokuba nokuquleka kwe-atonic, udokotela wakho uzokutshela ukuthi yiziphi izinyathelo zokuphepha okudingeka uzithathe ukuze uzivikele.

Ziyini izimpawu zalokhu?

Izimpawu eziyinhloko zokuthintwa yi-atonic ukuquleka ukulahlekelwa okungazelelwe, okwesikhashana:

• Ungase ulahlekelwe yimisipha engxenyeni eyodwa yomzimba wakho (isibonelo, ikhanda lakho lingase liwe), noma wonke umzimba wakho. Lokhu kusho ukuthi imisipha yakho ivele ikhululeke futhi ibe buthakathaka . Njengokungathi ayinampilo.
• Ngezinye izikhathi, ukulahlekelwa ukwazi kungenzeka. Okusho ukuthi, ukuqaphela okwenzekayo eduze kwakho nendawo okuzungezile kuyalahleka okwesikhashana.

Kodwa into ebaluleke kakhulu ukuthi ngemva kokuba (ukuquleka kwe-atonic) sekuphelile, imisipha yakho ithola amandla ayo.

Ingabe (i-Atonic Seizures) iyingozi?

Eqinisweni, ingozi yokulimala ngenxa yokuxhuzula kwe-atonic iphezulu kakhulu . Cabanga, bekuzokwenzekani uma ubuwenza okuthile, mhlawumbe udlala nengane, bese ulahlekelwa ukulawula umzimba wakho ngokuzumayo? Ungawa, into obuyiphethe ingawa, amehlo akho angavaleka. Ngisho nalapho ubuwenza into obucabanga ukuthi iphephile kakhulu, nazi ezinye izinto ezingenzeka uma ulahlekelwa ukulawula imisipha yakho ngokuzumayo:

• Ukusikeka kanye nokusikeka
• Imivimbo
• Amathambo aphukile
• Kwezinye izimo ezinzima kakhulu , ukulimala okukhulu ekhanda (ukulimala kobuchopho okubuhlungu) kungenzeka.

Cabanga uma lokhu kwenzeka kuwe ngenkathi uhamba emgwaqweni, noma ngenkathi upheka, noma uhleli esihlalweni, noma ngisho nalapho ingane ikhwela ithoyizi? Kungenzeka ukuthi ulimele, akunjalo? Ngakho-ke abantu abanalesi simo kudingeka baqaphele kakhulu.

Futhi, kuyingozi kakhulu uma uba nokuquleka okunje ngenkathi wenza umsebenzi odinga ukunaka kwakho okugcwele, njengokushayela noma ukusebenzisa imishini esindayo . Ngoba noma ungalahlekelwa ukunaka kwakho imizuzwana embalwa, kungaba nemiphumela esongela impilo.

Sekuyisikhathi esingakanani ukuxhuzula kwe-atonic kuqhubeka?

Ukuquleka kwe-atonic kuvame ukuhlala isikhathi esifushane kakhulu, cishe imizuzwana eyi-15 . Kungaba ngaphansi nakakhulu. Ngemva kokuba ukuquleka sekuphelile, ungase uzizwe udidekile kancane, njengokuthi, "Kwenzekeni kimi?" Kodwa esikhathini esiningi, uyalulama ngokushesha futhi ungaphindela kulokho obukwenza.

Kodwa ngezinye izikhathi, lokhu kuquleka kungavela ngokulandelana, okunye kulandelana. Uma uneqoqo lalokhu kuquleka, ungase uzizwe ukhubazekile futhi ungakwazi ukunyakaza imizuzu embalwa kuya emahoreni amaningana. Uma unesifo sokuquleka esithatha imizuzu engaphezu kwengu-15, kubhekwa njengesimo esiphuthumayo sezokwelapha . Uma lokhu kwenzeka, kufanele uye esibhedlela ngokushesha.

Kwenzekani ngemva kokuhlaselwa yisifo sohlangothi (i-Atonic Seizure)?

Njengoba kushiwo ngaphambili, amandla emisipha yakho ayabuya uma ukuxhuzula kwe-atonic sekuphelile. Kodwa-ke, abanye abantu bangase babe nokukhubazeka kwesikhashana , lapho bengakwazi ukuhambisa imizimba yabo imizuzwana embalwa ngemva kokuphela kokuxhuzula.

Ungase uzizwe udidekile kancane ngokwenzekile. Lokhu kungenxa yokuthi ungase ungabi sesimweni esifanayo naso ngaphambi kokuxhuzula. Isibonelo, uma ubumi, ungase ulale phansi lapho uphinda uqaphile. Uma ulimele, ungase udinge nokuphumula isikhashana.

Kodwa into emangalisayo ukuthi, iningi lezingane ezincane , ngaphandle kokuthi zilimele, azizizwa kabi kakhulu ngemva kokuxhuzula okubangelwa yi-atonic. Lapho nje imisipha yazo ithola amandla, zingaqhubeka nemisebenzi noma imisebenzi ezaziyenza ngaphambi kokuxhuzula.

Kungani lokhu (i-Atonic Seizure) kwenzeka?

Lokhu kungenxa yokuthi kukhona ukwanda okungazelelwe komsebenzi kagesi ezindaweni zobuchopho bethu ezilawula ithoni yemisipha - isibonelo , i-frontal lobe kanye ne-brainstem. Kufana ne-short circuit encane. Kodwa ngokuvamile kunzima ukukhomba imbangela eqondile yalokhu.

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici Eziyingozi)

Ungase ube sengozini enkulu yokuthola ukuquleka kwe-atonic uma:

• Uma ungaphansi kweminyaka eyi-18 ubudala (lokhu kuvame ukuqala ebuntwaneni).
• Uma wake waba nokuxhuzula usengumntwana, okungukuthi, ngesikhathi usengumntwana (umlando wokuxhuzula kosana) .
• Uma unesinye isimo sezokwelapha esiyisisekelo, njenge -Lennox-Gastaut syndrome noma i-Dravet syndrome .

Ezinye izigameko zokuwa kwe-atonic zingaqhubeka zize zibe mdala, kodwa akuvamile ukuthi umuntu omdala atholakale enesifo esinjalo.

Udokotela uhlonza kanjani ukuquleka kwe-atonic? (Ukuxilongwa)

Udokotela uzohlonza ukuquleka kwe-atonic ngokwenza ukuhlolwa ngokomzimba , ukuhlolwa kwezinzwa , kanye nokunye ukuhlolwa . Phakathi nalezi zivivinyo, udokotela uzolalela ngokucophelela izimpawu zakho zokuquleka.

Kubaluleke kakhulu ukuba nomuntu owakubona ukuxhuzula kwakho – ilungu lomndeni noma umngane – nawe uma uya kudokotela. Uma ungakwazi, kungumqondo omuhle futhi ukuba abhale phansi lokho akubonile. Lokhu kuzosiza udokotela ukuthi aqonde okwenzekile. Ngezinye izikhathi, uma ungaqopha ividiyo yokuxhuzula ngocingo lwakho, lokho kungaba usizo kakhulu.

Ukuhlolwa okukhethekile kungasiza udokotela wakho ukuqinisekisa imbangela yokuquleka kwakho, noma ukuqeda ezinye izimo ezingabangela ubuthakathaka bemisipha ngokuzumayo kanye nokulahlekelwa ukwazi. Ukuhlolwa okufana nalokhu kungenziwa:

• Ukuhlolwa kwegazi
• Ukuhlolwa kwe -Electroencephalogram (EEG) - Lokhu kuhlola amaphethini kagesi obuchopho ukuze kubonakale ukuthi kukhona yini izinguquko ezihlobene nokuquleka.
• Ukuskena kwe-Magnetic Resonance Imaging (MRI) – ukuze kubonakale ukuthi kukhona yini inkinga ngesakhiwo sobuchopho.
• Ukuskena kwe-Positron Emission Tomography (PET) – ukubheka umsebenzi wobuchopho.

Uma ube nokulimala ngesikhathi sokuwa kwakho, udokotela wakho kungadingeka enze izivivinyo ezengeziwe, njenge- X-ray ukuze abone ukuthi ithambo liphukile yini, isibonelo.

Iyini indlela yokwelapha lokhu?

Udokotela angase anikeze imithi yokuvimbela ukuquleka efana nalena yokwelapha ukuquleka kwe-atonic:

• Ama-Benzodiazepine (isib. i-clonazepam noma i-clobazam)
• (I-Felbamate)
• (I-Levetiracetam)
• (I-Topiramate)
• (I-Valproic acid) (i-valproate)
• (I-Zonisamide)

Le mithi inqunywa udokotela wakho, kuye ngesimo sakho. Uma ulimale ngesikhathi sokuxhuzula, udokotela wakho uzokwelapha lokho ngokushesha .

Uma le mithi yokuquleka ingasebenzi, noma uma unesifo sokuquleka esiqhubekayo esibangela ukulimala okukhulu, udokotela wakho angase acabangele ezinye izindlela zokwelapha. Lokhu kufaka phakathi:

• Ukuhlinzwa – isibonelo, inqubo ebizwa ngokuthi i-corpus callosotomy . Lokhu kunciphisa ukuhamba kwezimpawu zikagesi ezingafuneki phakathi kwezingxenye ezimbili zobuchopho.
• Ukuvuselelwa kwemizwa ye-vagus - Ithuluzi elincane elivuselela imizwa lifakwa ngaphansi kwesikhumba sesifuba. Lokhu kusiza ekunciphiseni ukuxhuzula.
• Ukugqoka izigqoko zokuzivikela ekhanda - ukunciphisa ukulimala ekhanda uma kwenzeka kuwa. Lokhu kubaluleke kakhulu ezinganeni eziwa njalo.

Kwezinye izimo, udokotela wakho angase akuncome ukuthi ulandele ukudla okukhethekile, njengokudla okunamafutha amaningi, okunama-carbohydrate aphansi okubizwa ngokuthi ukudla kwe-ketogenic . Lokhu kutholakale futhi kusiza ukulawula ukuxhuzula.

Iyini inhloso yalesi simo? (Indlela yokubuka)

Udokotela wakho angakutshela kangcono ngendlela obheka ngayo izinto, njengoba ziyahlukahluka kuye ngomuntu nomuntu . Imithi yokulwa nokuquleka kanye nezinye izindlela zokwelapha zingasiza ekunciphiseni ukuquleka kwakho kaningi. Kodwa-ke, ukulimala okwenzeka ngesikhathi sokuquleka kwe-drop kungathinta indlela obheka ngayo izinto. Udokotela wakho angakunikeza iseluleko ngezindlela zokuvimbela ukulimala ngesikhathi sokuquleka.

Kufanele ngimbone nini udokotela?

Uma uzizwa sengathi unesifo sokuwa esibangelwa yi-atonic, noma uma ulimala kaningi , qiniseka ukuthi ubona udokotela. Udokotela wakho angashintsha uhlelo lwakho lokwelashwa ukuze lukufanela kangcono futhi lukuvikele.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Kulesi simo, kufanele nakanjani uye egumbini lezimo eziphuthumayo (ER) noma ushayele izinsizakalo eziphuthumayo:

• Uma unesifo sokuwa okokuqala empilweni yakho .
• Uma ulimele kakhulu ngesikhathi sokuwa (isibonelo, ithambo eliphukile, ukushaywa kanzima ekhanda).
• Uma une-seizures eziningi zilandelana (okungukuthi, i-seizures ezingaphezu kwezintathu zingakapheli imizuzu engama-30, noma uma i-seizure eyodwa ilandelwa enye ngokushesha ngemva kwalokho).

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma une-(Atonic Seizures), kuwumqondo omuhle ukubuza udokotela wakho imibuzo efana nale:

• Hlobo luni lokwelashwa udokotela angincoma lona?
• Ingabe ikhona imiphumela emibi kulokhu kwelashwa? Uma kunjalo, iyini?
• KwamiNgingakwazi yini ukushayela? Noma yiziphi izinyathelo zokuphepha okufanele ngizithathe?
• Yimiphi imisebenzi engingayenza ngokuphephile? Yiziphi izinto okufanele ngizigweme?

Uyini umehluko phakathi kwe-atonic seizures kanye ne-tonic seizures?

Lokhu kuyinto abantu abaningi abazibuza yona. Umehluko omkhulu phakathi kwe-atonic seizures kanye ne-tonic seizures yilokho okwenzeka emisipheni yakho lapho kuba nokuphazamiseka okungazelelwe emsebenzini kagesi wobuchopho:

• Ukuquleka (Atonic): Imisipha yakho iba buthakathaka futhi ingabi nampilo. Iyawa njengendwangu.
• (Ukuhlushwa) Ukuquleka: Imisipha yakho iyaqina, njengetshe. Umzimba wakho uyaqina futhi ungase uwe phansi njengepulangwe.

Uma unesithuthwane esibangelwa yi-atonic, ungase uwele phansi ngokuzumayo sengathi awuphili, noma ungase uwe phansi umi endaweni yokuma. Uma unesithuthwane esibangelwa yi-tonic, ungase uwele phansi ngqo njengomuthi ogawuliwe. Uma unesithuthwane esibangelwa yi-atonic, ukuxhuzula akuvamile ukwenzeka, kodwa ungase ulahlekelwe ingqondo.

Lokho esikukhulume ngakho kanye (Umyalezo Wokuya Ekhaya)

(Atonic Seizure) Uma ulahlekelwa ingqondo ngokuzumayo bese uwela phansi ngaphandle kokulawula umzimba wakho, kuyinto eyesabekayo ngempela kuwe nomndeni wakho. Ungase ungabi nesikhathi sokuzibamba lapho uwa, futhi ungase ulimale kabuhlungu. Lokhu kungakushiya ungakwazi ukuya esikoleni, emsebenzini, noma ukwenza izinto ozithandayo.

Ngenxa yokuthi lokhu kuqubuka kuvame ukwenzeka kungazelelwe, kubalulekile ukufuna usizo lwezokwelapha. Uhlelo lwakho lokwelashwa luzohambisana nezidingo zakho ezithile kanye nezidingo zomzimba wakho. Uma unemibuzo mayelana nokuqubuka kwe-atonic noma ufuna ukwazi ukuthi ungahlala kanjani uphephile, ungangabazi ukukhuluma nodokotela wakho. Khumbula, ngokwelashwa okufanele nokuqonda, ungalawula lesi simo futhi uphile impilo ephephile. Ungakhathazeki, isayensi yezokwelapha isithuthuke kakhulu namuhla.

Ukuquleka kwemisipha , ukuquleka, ubuthakathaka bemisipha, ukuquleka kwe-drop, ukuquleka kwe-akinetic, isifo sokuwa, isifo sobuchopho