Wake wambona umuntu ngokuzumayo "eba nesifo sokuwa"? Wonke umuntu uyasaba lapho ebona izinto ezifana nokudikiza komzimba nokulahlekelwa ingqondo, akunjalo? Sivame ukubiza lesi simo ngokuthi isifo sokuwa. Ngakho-ke, siyini ngempela isifo sokuwa? Kungani lokhu kwenzeka? Ingabe kuyingozi? Namuhla sizokhuluma ngakho konke lokhu kalula, ngendlela ongayiqonda.
Kwenzekani ngempela ngaphakathi kobuchopho?
Ukuze siqonde lokhu, ake sithathe isibonelo esincane. Cabanga ukuthi ubuchopho bethu bufana nohlelo lukagesi endlini. Amaseli (ama-neurons) ebuchosheni athumelana imiyalezo ngezibonakaliso ezincane zikagesi. Konke kwenzeka ngendlela ehlelekile kakhulu, enesigqi.
Kodwa-ke, ebuchosheni bomuntu onesifo sokuwa, lolu hlelo lokubonisana ngogesi ngokuzumayo 'luyanqamuka'. Amaseli endaweni eyodwa noma ngaphezulu yobuchopho ngokuzumayo aqala ukudubula ngokungalawuleki, okubangela izimpawu zikagesi eziningi kakhulu. Njengesiphepho sombani. Yilapho-ke siba nesimo esibizwa ngokuthi ukuxhuzula . Lokhu kuphazamiseka kukagesi kubangela umuntu ukuba alahlekelwe ingqondo, aqhaqhazele, futhi ashintshe ukuziphatha.
Kalula nje, isifo sokuwa akusona isifo nje kuphela. Yisimo esingamahlalakhona esenzeka emsebenzini kagesi wobuchopho. Ukuwa okukodwa akusho ukuthi umuntu unesifo sokuwa. Uma kunezigameko eziphindaphindayo zesifo sokuwa, kungaba isifo sokuwa.
Yiziphi izinhlobo zokuxhuzula ezikhona?
Uma iningi lethu licabanga 'ngokuqina', sicabanga ngesimo esibi lapho siwela phansi, siqhumuke, futhi siphume amathe. Kodwa bewazi ukuthi kunezinhlobo eziningi zokuxhuzula? Lokhu kungahlukaniswa ngezigaba ezimbili eziyinhloko: esinye sisekelwe ekutheni ukuxhuzula kuqala kuphi ebuchosheni.
| Isigaba sokubanjwa | Incazelo kanye nezimpawu |
|---|---|
| 1. Ukuquleka Okugxile | Lokhu kuqala endaweni ethile ohlangothini olulodwa lobuchopho. Kukhona nezinhlobo ezimbili zalokhu. Ukuqunjelwa Okuqaphelekayo: • Ngalesi sikhathi, isiguli sisuke siqaphile futhi singazizwa izinto ezenzeka eduze kwaso. • Ukuqaqamba, njengasengalweni eyodwa noma emlenzeni owodwa. • Ngokungazelelwe uzizwa iphunga noma ukunambitheka okungajwayelekile. • Ukuzizwa sengathi ubona ukukhanya phambi kwamehlo akho, isiyezi. Ukuqwashisa Ngokungaqondi Okugxile: • Ngalesi sikhathi, ungase ulahlekelwe ingqondo kancane, noma ungazi lutho ngendawo ekuzungezile. • Ukubuka ngaphandle kokubona lutho. • Ukuphinda izinto ezifanayo ngokuphindaphindiwe, njengokusunduza izindebe, ukuhlikihla izandla, noma ukucwayiza amehlo. |
| 2. Ukuquleka okusabalala ebuchosheni bonke ngesikhathi esisodwa (Ukuquleka Okujwayelekile) | Lokhu kuthinta izinhlangothi zombili zobuchopho ngesikhathi esisodwa. Izinhlobo esizibonayo zivame ukuba ngezalesi sigaba. Ukuquleka Kokungabikho: • Lokhu kuvame ukwenzeka ezinganeni ezincane. Ziyeka ngokuzumayo lokho ezikwenzayo imizuzwana embalwa bese zibuka zingenalutho. Kufana nokuthi zingene ezweni lamaphupho. Abantu abaningi bacabanga ukuthi lokhu kuwukuphupha emini. Ukuquleka kwe-Tonic-Clonic: • Lokhu 'kufanele' sonke esikwaziyo (igama elidala elithi Grand Mal). • Kungazelelwe, ulahlekelwa ingqondo bese uwela phansi. Okokuqala, umzimba wakho uyaqina (isigaba se-Tonic), bese umzimba wakho uqala ukudikiza (isigaba se-Clonic). • Kungase kube nokuqunjelwa kolimi, ukuqunjelwa amathe, kanye nomchamo/indle ezingutsheni. Lokhu kuvame ukuthatha imizuzu eyi-1-5. Ukuquleka kwe-Atonic: • Lokhu kubizwa nangokuthi 'Ukuquleka Okuwayo'. Imisipha yomzimba ilahlekelwa amandla ngokuzumayo bese uwela phansi, njengopopi ozintambo zakhe ziphuke. Ukuquleka kwe-Myoclonic: • Ukugxumagxuma okungazelelwe kwengalo, umlenze, noma umzimba wonke, njengokungathi kushaywe umbani. Lokhu kuhlala isikhathi esifushane, cishe umzuzwana noma emibili. |
Yiziphi izinto ezibangela ukuxhuzula?
Umuntu onesifo sokuwa akahlali eba nesifo sokuwa. Kodwa izinto ezithile zingandisa ingozi yokuba nesifo sokuwa. Lokhu sikubiza ngokuthi yizimbangela . Lokhu kungahlukahluka kumuntu nomuntu.
- Ukweqa imithi: Lesi yisona sizathu esiyinhloko. Uma ungayithathi imithi oyinikezwe udokotela ngesikhathi, kunethuba elikhulu lokuxhuzula.
- Ukuntuleka kokulala: Izinto ezifana nokuntuleka kokulala nokuzikhandla ngokweqile zingathinta ubuchopho.
- Ukucindezeleka: Ukuquleka kungabangelwa nezinto ezifana nokucindezeleka okukhulu nokukhathazeka.
- Ukugula kanye nomkhuhlane: Uma ukutheleleka kungena emzimbeni futhi kukhula umkhuhlane, ukusebenza kobuchopho kungashintsha.
- Ukukhanya okukhanyayo: Izibani ezikhanyayo, eminye imidlalo yevidiyo, kanye nezinhlelo zethelevishini kungathinta abanye abantu.
- Utshwala nezidakamizwa:Ukusetshenziswa kotshwala, ikakhulukazi ngesikhathi sokuhoxa, kungabangela ukuquleka.
- Izinguquko zama-hormone kwabesifazane: Abanye besifazane bahlushwa yizinhlungu ezihambisana nokushintsha kwama-hormone okuhambisana nomjikelezo wabo wokuya esikhathini.
- Imithi ethile: Eminye imithi yomkhuhlane kanye nokungezwani komzimba (isib. leyo equkethe i-diphenhydramine) ingase ingavunyelwe kubantu abane-migraines.
Ziyini izimbangela ze-migraines?
Ezimweni eziningi, cishe ama-70% amacala, awekho imbangela ethile engatholakala yekhanda elibuhlungu. Kodwa-ke, kunezimbangela eziningana ezitholakele.
- Izakhi zofuzo: Uma othile emndenini enesifo sokuqaqamba kwamalunga, kunethuba elincane lokuthi nabanye bazosithola. Kodwa akusho ukuthi nakanjani bazosithola.
- Ukulimala Ekhanda: Ukulimala okukhulu ekhanda, njengokulimala kwemoto noma ukuwa, kungalimaza ubuchopho futhi kubangele ukuxhuzula.
- Ukutheleleka kobuchopho: Lesi simo singabangelwa izifo ezifana ne-encephalitis kanye ne-meningitis, ezilimaza ubuchopho.
- Isifo Sohlangothi kanye Nezimila Zobuchopho: Lapho ukugeleza kwegazi ebuchosheni kuphazamiseka ngenxa yesifo sohlangothi noma lapho kuvela isimila sobuchopho, amangqamuzana obuchopho angonakala futhi kungaqala ukuxhuzula.
- Izinkinga ngesikhathi sokuzalwa: Isimungumungwane singabangelwa ukuntuleka komoya-mpilo ebuchosheni ngesikhathi sokuzalwa, noma izinkinga ezithile zokukhula kobuchopho.
Kutholakala kanjani lokhu?
Uma unesifo sokuwa, into yokuqala okufanele uyenze ukubona udokotela. Uzocela wena nanoma ubani owabona lesi sifo ukuthi achaze okwenzekile.
Ngaphezu kwalokho, kungenziwa izivivinyo ezimbili eziyinhloko.
1. I-EEG (i-Electroencephalography): Lokhu kuhilela ukunamathisela izinzwa ezincane ekhanda lakho nokuqopha amaphethini kagesi ebuchosheni bakho. Uma unesifo sokuwa, singabona amaphethini athile angajwayelekile.
2. Ukuskena Kobuchopho: Ukuhlolwa okufana nokuskena kwe -MRI (Magnetic Resonance Imaging) kungahlola izimpawu zomonakalo ngaphakathi kobuchopho, njengesimila, isibazi, noma isifo sohlangothi.
Yiziphi izindlela zokwelapha?
Isimungumungwane akuyona into okufanele uyesabe, njengoba kuyisimo esingalawulwa ngezinga elikhulu.
Imithi yokulwa nokuquleka
Ukwelashwa okuyinhloko umuthi wokulwa nokuquleka. Cishe ama-70% eziguli angalawula ukuquleka kwazo ngokuphelele ngemithi. Udokotela wakho uzokukhetha umuthi ofanele wena ngokusekelwe ohlotsheni lwakho lokuquleka, ubudala, kanye nezinye izimo zezokwelapha. Into ebaluleke kakhulu ukuthi ungayeki ukuthatha umuthi wakho noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
Ukwelashwa Kokudla
Kwabanye abantwana, ikakhulukazi labo abangasabeli kahle emithini, udokotela angase atuse ukudla okukhethekile, njengokudla okune-ketogenic . Lokhu ukudla okunamafutha amaningi, okunama-carbohydrate aphansi.
Ukuhlinzwa
Kubantu abane-epilepsy engalawulwa yimithi futhi eqala endaweni eyodwa ebuchosheni, ukuhlinzwa kuyindlela yokukhetha. Lokhu kuhilela ukususa ingxenye engavamile yobuchopho lapho kuqala khona i-epilepsy. Nakuba lokhu kungenzeki kuwo wonke umuntu, kungaba yimpumelelo enkulu kumuntu ofanele.
Izikhathi lapho kudingeka siqaphele khona
Ngokuvamile, ukuquleka kuyaphela kungakapheli imizuzu eyi-1-2, kodwa kwezinye izimo, udinga ukuya esibhedlela ngokushesha.
Isikhathi sokuya e-ETU (Emergency Treatment Unit) ngokushesha:
* Uma ukuxhuzula kuthatha imizuzu engaphezu kwemi-5.
* Uma ukuxhuzula okukodwa kuphela bese kuvela okunye ngaphambi kokuba ubuye uqonde.
* Uma unenkinga yokuphefumula ngesikhathi sokuxhuzula.
* Uma ukuquleka kubangela ukulimala okukhulu.
* Uma owesifazane okhulelwe noma umuntu onesifo sikashukela enesifo sokuwa.
Izwi mayelana ne-SUDEP
Lokhu kungase kuzwakale kusabisa, kodwa kubalulekile ukwazi. I-SUDEP (Ukufa Okungazelelwe Okungachazeki Kwesifo Sokuxhuzula) yilapho umuntu onesifo sokuxhuzula efa ngokuzumayo ngaphandle kwesizathu esibonakalayo. Lesi yisenzakalo esingavamile kakhulu. Abantu abanesifo sokuxhuzula esingalawulwa kahle basengozini enkulu. Indlela engcono kakhulu yokunciphisa le ngozi ukuphuza imithi yakho njengoba nje udokotela wakho ekuyalele futhi ulawule isifo sokuxhuzula.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sokuwa asisona isifo sengqondo noma into okufanele ube namahloni ngayo. Siyisifo sezinzwa zobuchopho.
- Iningi labantu lingalawula ukuxhuzula kwabo kahle ngemithi futhi baphile impilo ejwayelekile.
- Kubalulekile ukuthatha umuthi udokotela wakho akunike wona ngesikhathi esifanele nangesilinganiso esifanele. Ungalokothi uyeke ukuthatha umuthi wakho wedwa.
- Thola izinto ezibangela ukuquleka kwakho bese uzigwema ngangokunokwenzeka (isib. ukulala, ukulawula ukucindezeleka).
- Uma unesifo sokulahlekelwa yingqondo, kubalulekile ukwazisa umndeni wakho nabangani bakho abaseduze ngaso ukuze bakwazi ukukusiza esimweni esiphuthumayo.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho.
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