Ingabe wena noma othile oseduze nawe unesifo sokuwa njalo? Ake sixoxe ngesifo sokuwa!

Uma sibona omunye wabathandekayo bethu eba nesifo sokuwa, exhuzula, elahlekelwa ingqondo, futhi ewela phansi, sonke besiyokwesaba kakhulu, akunjalo? Ngempela kuyinto eyesabekayo. Kodwa uma siqaphela kahle lesi simo, sizoba namandla kakhulu ukusiza lowo muntu futhi siphile nalesi sifo. Ngakho-ke namuhla, ake sixoxe ngalesi sifo esibizwa ngokuthi isifo sokuwa, noma njengoba abantu abaningi besazi.

Kuyini isifo sokuwa? Masiqonde kalula!

Kalula nje, isifo sokuwa yisifo esingamahlalakhona. Sibangelwa ukungajwayelekile kwezimpawu zikagesi ezivela emangqamuzaneni ethu obuchopho, okubangela ukuxhuzula okuphindaphindiwe. Cabanga ngakho njengezibani ezincane zokukhanya. Zixhumene futhi zisebenza ngendlela ethile kagesi. Kodwa ebuchosheni bomuntu onesifo sokuwa, le nqubo kagesi ngokuzumayo iba yiphutha, ikhiqiza amandla kagesi angalawuleki njengesiphepho sombani. Yilapho-ke kwenzeka khona ukuxhuzula. Lokhu kungabangela izinguquko ekuqondeni kwakho, ukulawula imisipha (njengokugxumagxuma kwezingalo nemilenze), imizwa, imizwa, kanye nokuziphatha. Lokhu kubizwa nangokuthi isifo sokuwa .

Ubani ongathuthukisa lobu buqili?

Eqinisweni, noma ubani, kungakhathaliseki ubudala, kungakhathaliseki ubulili, noma uhlanga, angaba nesifo sokuqaqamba kwamalunga. Ngakho-ke kunzima ukucabanga ukuthi, "Ngeke ngisithole."

Sivame kangakanani lesi simo emhlabeni?

E-United States kuphela, abantu ababalelwa ezigidini ezingu-3.4 bane-migraines. Lokho kungabantu abadala ababalelwa ezigidini ezintathu kanye nezingane ezingu-470,000. Emhlabeni wonke, abantu ababalelwa ezigidini ezingu-65 bahlushwa yilesi simo. Ngakho-ke akuyona into engavamile kangako.

Kwenzekani ngempela ngaphakathi kobuchopho ngesikhathi sokuwa?

Amaseli asebuchosheni bethu athumela futhi amukele imiyalezo emzimbeni wonke. Le miyalezo ihamba njengezintambo zikagesi, isuka kwelinye iseli iye kwelinye ngesimo semizwa kagesi. Isifo sokuwa sibangelwa ukuphazamiseka kwale ndlela kagesi ebushelelezi nenesigqi. Esikhundleni salokho, kuba nokwanda kwamandla kagesi okungazelelwe phakathi kwamaseli endaweni eyodwa noma ngaphezulu yobuchopho, njengesiphepho sombani esingalindelekile . Lokhu kuphazamiseka kukagesi kubangela ukulahlekelwa ukwazi, izinguquko ekuzweni, izinguquko emizweni, kanye nokunyakaza kwemisipha okungalawuleki.

Yiziphi izinhlobo zesifo sofuba kanye nezimpawu zaso?

Odokotela bahlukanisa ukuxhuzula ngokusekelwe kuhlobo lokuxhuzula okwenzekayo. Lokhu kuhlukaniswa kuncike ekutheni ukuxhuzula kuqala kuphi ebuchosheni, ukuthi uqaphela kangakanani ngesikhathi sokuxhuzula, nokuthi ngabe kukhona yini ukunyakaza kwemisipha noma cha.

Kunezinhlobo ezimbili eziyinhloko zokuquleka:

1. Ukuquleka Okugxile

Lolu hlobo lokuquleka luqala ohlangothini olulodwa lobuchopho, endaweni ethile noma kunethiwekhi yamaseli. Lokhu kwakubizwa ngaphambilini ngokuthi "ukuquleka okuyingxenye" ​​(partial beginning seizure). Kukhona nezinhlobo ezimbili zalokhu:

• Ukuwa okuqaphelekile kokuqalisa okugxile:Phakathi nalokhu, usuke uqaphile futhi uqaphela okwenzekayo. Lokhu kwakubizwa ngokuthi 'ukuquleka okungaphelele'. Izimpawu zingafaka:
• Izinguquko ezinzwa zakho - izinguquko ekunambithekeni, ekuhogeni nasekuzweni.
• Izinguquko emizweni.
• Ukunyakazisa kwemisipha okungalawuleki, ngokuvamile ezingalweni noma emilenzeni.
• Uzizwa sengathi ubona ukukhanya, uzizwa unesizungu, uzizwa ungazizwa kahle.

• Ukuquleka kokuqwashisa okubangelwa ukukhubazeka kokugxila: Kulokhu, ukuqwashisa kwakho kuyadideka, noma ungase ulahlekelwe ingqondo ngokuphelele. Lokhu kwakubizwa ngaphambilini ngokuthi 'ukuquleka okungaphelele okuyinkimbinkimbi'. Izimpawu zingafaka:
• Ukubuka indawo eyodwa ngaphandle kokubona lutho.
• Ukuphinda izinto ezifanayo ngokuphindaphindiwe, njengokucwayiza, ukusunduza izindebe, ukwenza sengathi uhlafuna okuthile, noma ukuhlikihla izandla.

2. Ukuquleka Okujwayelekile

Lolu hlobo lokuquleka luthinta inethiwekhi yamaseli kuzo zombili izinhlangothi zobuchopho ngesikhathi esisodwa. Kunezinhlobo eziyisithupha eziyinhloko:

• Ukuquleka kokungabikho: Lokhu ukuquleka okungazelelwe, okungaphenduli, okusho ukuthi kulahlekelwa ingqondo okwesikhashana. Kungase kuhambisane nokunyakaza kwemisipha emincane njengokucwayiza, ukusunduza izindebe, noma ukunyakaza kwezandla okuncane. Lokhu kuvame kakhulu ezinganeni futhi kuhlala imizuzwana embalwa (ngokuvamile kungaphansi kwemizuzwana eyi-10). Ngokuvamile kungaphanjaniswa nokuphupha emini. Kwakubizwa ngokuthi 'ukuquleka kwe-petit mal'.

• Ukuquleka kwe-Atonic: `Atonic` kusho ``ngaphandle kwethoni.`` Lokhu kusho ukuthi phakathi nalokhu kuquleka, ukulawula kwemisipha yakho kuyalahleka noma kubuthakathaka. Izinto ezifana nezinkophe zakho nekhanda zingase ziwele phansi ngokuzumayo, noma ungase uwele phansi ngokuzumayo. Lokhu futhi kuquleka okufushane (ngokuvamile okungaphansi kwemizuzwana eyi-15). Lokhu kubizwa nangokuthi ``ukuquleka kwe-drop`` noma ``ukuhlaselwa kwe-drop``.

• Ukuquleka kwe-Tonic: `Tonic` kusho ``ukuthonisa umzimba``. Lokhu kwenzeka lapho imisipha yakho iqina ngokuzumayo, njengokungathi iyathuthumela. Izingalo zakho, imilenze, umhlane, noma umzimba wonke ungase uqine, futhi ungase uwe. Phakathi nalokhu kuquleka okufushane (ngokuvamile okungaphansi kwemizuzwana engama-20), ungase uphaphame, noma ungase ube noshintsho oluncane engqondweni.

• Ukuwa kwe-Clonic: I-Clonus ukufinyela kwemisipha okusheshayo nokuphindaphindayo ("ukugxumagxuma"). Kulokhu, imisipha iyaqhubeka nokushukuma imizuzwana embalwa kuya kumzuzu, noma imisipha ifinyele bese igxuma imizuzwana embalwa kuya kwemibili.

• Ukuquleka kwe-Tonic-clonic: Lolu uhlobo abantu abaningi abalucabangayo lapho bezwa igama elithi "seizure".Lokhu kuyinhlanganisela yokuqaqamba kwemisipha ye-tonic kanye ne-clonic. Odokotela bakubiza nangokuthi 'ukuquleka', futhi kwakuvame ukubizwa ngokuthi 'ukuquleka okukhulu'. Lokhu kuhilela ukulahlekelwa ukwazi, ukuwa phansi, kanye nokuqaqamba kwemisipha okuhlala umzuzu owodwa kuya kwemihlanu. Ulimi lungase lubambeke, amathe angase aconse emlonyeni, futhi indle noma umchamo kungakhishwa.

Cabanga nje, umngane wakho uKamal uvele akhale awe phansi. Bese umzimba wakhe uyathuthumela, bese imilenze yakhe iqala ukunyakazisa ngokushesha. Ukhipha amafinyila emlonyeni wakhe, futhi mhlawumbe lapho ebuya engqondweni, usemanzise izingubo zakhe engazi. Yileyo ndlela okubangelwa ngayo lesi sifo sokuwa kwe-tonic-clonic.

• Ukuquleka kwemisipha okubangelwa yi-myoclonic: Lokhu kuwukugxumagxuma noma ukujikijela kwemisipha ngokuzumayo, okufana nogesi ("myo" kusho imisipha, "clonus" kusho ukujikijela kwemisipha). Ngokuvamile kuthatha imizuzwana embalwa.

Njengoba udokotela wakho eqhubeka ehlola isimo sakho, uhlobo lwakho lokuxhuzula lungashintsha lube olunye lwezinhlobo ezimbili: `focal` noma `generalized beginning seizure`.

Ingabe zikhona izimbangela ezithile (izimbangela zokuquleka) zokuquleka?

Yebo, kunezinto ezithile ezenzeka ngaphambi kokuba kuqale ukuxhuzula, noma ezisiza ukuthi kuvele ukuxhuzula. Lokhu sikubiza ngokuthi yizimbangela zokuxhuzula .

Izimbangela ezivame ukubikwa yilezi:

• Ukucindezeleka.
• Izinkinga ezihlobene nokulala - njengokungalali ngokwanele, ukungalali ngokwanele, ukukhathala ngokweqile, ukuphazamiseka kokulala, kanye nezinkinga zokulala ezifana nokuthi "(Sleep apnea)".
• Ukusebenzisa utshwala, ukuyeka utshwala, ukusebenzisa izidakamizwa.
• Izinguquko zama-hormone, ikakhulukazi lezo ezihambisana nomjikelezo wokuya esikhathini kwabesifazane.
• Ukugula, umkhuhlane.
• Izibani noma amaphethini akhanyayo.
• Ukungadli ukudla okunempilo nokulinganiselayo, ukungaphuzi amanzi anele; ukuntuleka kwamavithamini namaminerali, ukungadli ukudla.
• Ukukhathala ngokomzimba.
• Ukudla okuthile (i-caffeine iyimbangela evamile).
• Ukuphelelwa amanzi emzimbeni.
• Izikhathi ezithile zasemini noma zasebusuku.
• Ukusetshenziswa kwemithi ethile. Isithako esithi ``(Diphenhydramine)`` esitholakala kweminye imithi yomkhuhlane, yokungezwani komzimba, kanye neyokulala sibikwe njengesibangela.
• Ukungasithathi isikhathi sokuthatha imithi yokuxhuzula.

Ngingayithola kanjani ukuthi yiziphi izinto ezibangela ukuxhuzula kwami?

Abanye abantu bathola ukuthi ukuxhuzula kwabo kwenzeka ngesikhathi esithile sosuku, noma kuhambisana nesenzakalo esithile noma esinye isici. Ungagcina idayari yokuxhuzula.Yigcine. Bhala phansi isikhathi sokuxhuzula, noma yiziphi izehlakalo ezikhethekile ezenzeke phakathi naleso sikhathi, nokuthi uzizwe kanjani. Uma ucabanga ukuthi kukhona okubangela lokhu, zama ukuthola ukuthi kubangelwa yini. Isibonelo, uma ucabanga ukuthi i-caffeine iyimbangela, bheka ukuthi uthola yini ukuxhuzula njalo uma udla noma uphuza into equkethe i-caffeine, noma uma udla inani "x" le-caffeine, noma uma uphuza i-caffeine ngesikhathi esithile sosuku. Kungase kungabi yimbangela ngemva kwesikhashana.

Yiziphi izimpawu zokuxhuzula okubangelwa yi-convulsive?

Uphawu oluyinhloko lwesifo sokuwa yisifo sokuwa esiphindaphindayo. Kodwa-ke, izimpawu ziyahlukahluka kuye ngohlobo lwesifo sokuwa onaso.

Izimpawu nezimpawu ezivamile zifaka:

• Ukulahlekelwa ingqondo okwesikhashana noma ukuncipha kwengqondo.
• Ukunyakaza kwemisipha okungalawulwa, ukudikiza kwemisipha, ukulahlekelwa yithoni yemisipha.
• Kubukeka sengathi ubheke endaweni eyodwa engenalutho.
• Ukudideka kwesikhashana, ukucabanga kancane, ubunzima bokukhuluma nokuqonda.
• Izinguquko emizweni efana nokuzwa, ukubona, ukunambitha, ukuhogela, ukungazweli, noma ukuthuthumela.
• Ubunzima bokukhuluma noma ukuqonda.
• Isisu esibuhlungu, ukuzizwa kushisa noma kubanda, noma ukuba nekhanda elibuhlungu.
• Ukunyakaza okufana nokusunduza izindebe, ukuhlafuna okuthile, ukuhlikihla izandla, ukwenza okuthile ngeminwe.
• Izimpawu zengqondo ezifana nokwesaba, ukwethuka, ukukhathazeka, noma i-déjà vu (umuzwa onjengalona wake waba khona ngaphambili).
• Ukwanda kwesilinganiso senhliziyo kanye/noma izinga lokuphefumula.

Abantu abaningi abanesifo sokuwa bahlala benohlobo olufanayo lokuwa. Ngakho-ke, izimpawu ziyafana ngokuwa ngakunye.

Ziyini izimbangela zesifo sokuwa?

Ezimweni eziningi (cishe ama-70% wamacala) , akukho mbangela engatholakala yokuquleka. Ezinye zezimbangela ezaziwayo zifaka:

• Izakhi zofuzo: Ezinye izinhlobo zesifo sokuwa (isb., isifo sokuwa se-myoclonic sentsha, isifo sokuwa sokungabikho kwengane) zingase zivele emindenini. Abacwaningi bakholelwa ukuthi ezinye izakhi zofuzo ziyabandakanyeka, kodwa lezi zakhi zofuzo zandisa ingozi yokuba nesifo sokuwa, kanti nezinye izici nazo zingadlala indima.
• I-Mesial temporal sclerosis: Lesi yisifo esikhula ohlangothini lwangaphakathi lwe-temporal lobe yobuchopho. Singabangela ukuquleka okugxile.
• Ukulimala ekhanda : Kungabangelwa izingozi zezimoto, ukuwa, noma okunye ukushaywa ekhanda.
• Ukutheleleka kobuchopho: Izibonelo zifaka phakathi `(ithumba lobuchopho)`, `(i-meningitis)`, `(i-encephalitis)` kanye `(i-neurocysticercosis)`.
• Izinkinga zokuzivikela komzimba: Izimo lapho amasosha omzimba wakho ehlasela khona amangqamuzana obuchopho (izifo ezizimele) zingabangela ikhanda elibuhlungu.
• Izinkinga zokukhula:Ukukhubazeka ebuchosheni okwenzeka lapho kuzalwa kuyimbangela evamile yesifo sokuwa, ikakhulukazi kulabo abanesifo sokuwa esingenakulawuleka ngemithi. Izibonelo: `(focal cortical dysplasia)`, `(polymicrogyria)`, `(tuberous sclerosis)`.
• Izinkinga ze-Metabolic: Abantu abanezinkinga ngendlela umzimba othola ngayo amandla (isimo se-metabolic) bangase babe ne-migraines.
• Izifo zobuchopho kanye nokukhubazeka kwemithambo yegazi: I-migraines ingabangelwa ukukhubazeka kwemithambo yegazi njengokumila kobuchopho, isifo sohlangothi, i-dementia, kanye nokukhubazeka kwemithambo yegazi.

Kutholakala kanjani lokhu?

Ngobuchwepheshe, uma uke waba nokuquleka okubili noma ngaphezulu, futhi kungabangelwa esinye isizathu esaziwayo (isib. ukuyeka utshwala, ushukela wegazi ophansi), kubhekwa ukuthi unesifo sokuquleka. Ngaphambi kokuthola ukuthi unesifo sokuquleka, udokotela wakho (noma udokotela ochwepheshe besifo sokuquleka) uzokwenza ukuhlolwa ngokomzimba, abuze ngomlando wakho wezokwelapha, futhi angase acele ukuhlolwa kwegazi (ukususa ezinye izimbangela). Bazobuza ngezimpawu zakho ngesikhathi sokuquleka futhi bangase bacele nezinye izivivinyo.

Udokotela angase akubuze wena noma ilungu lomndeni elibone ukuxhuzula kwakho ukuthi ngabe lezi zinto ezilandelayo zenzeke yini ngesikhathi sokuxhuzula:

• Ingabe udonse imisipha yakho?
• Ingabe imisipha yaqina?
• Ingabe waphuma indle noma umchamo?
• Ingabe kwaba noshintsho ekuphefumuleni?
• Ingabe umbala wesikhumba sakho uphenduke waba mhlophe?
• Ubulinde ngaphandle kokumamatheka?
• Ulahlekelwe ingqondo?
• Ingabe ube nobunzima bokukhuluma noma ukuqonda okushiwoyo?

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Ukuhlolwa okuyinhloko yile:

• I-Electroencephalography (EEG): Lokhu kulinganisa ukusebenza kukagesi kobuchopho bakho. Amanye amaphethini kagesi angajwayelekile ahlotshaniswa nokuxhuzula.
• Ukuskena kobuchopho: Ukuhlolwa okufana nokuhlola `(Magnetic Resonance Imaging - MRI)` kwezinto ezifana nezimila zobuchopho, izifo, noma ukungasebenzi kahle kwemithambo yegazi.

Yiziphi izindlela zokwelapha i-migraines?

Ukwelashwa kokulawula i-migraine kufaka phakathi imithi yokulwa nokuquleka, izindlela zokudla ezikhethekile (ngokuvamile ezihambisana nemithi), kanye nokuhlinzwa .

Imithi yokulwa nokuquleka

Le mithi ingalawula ukuquleka kubantu abangu-60% kuya ku-70% abanesifo sokuquleka. Ukusebenza kahle kwale mithi kuyahlukahluka kuye ngomuntu nomuntu. I-U.S. Food and Drug Administration (FDA) ivumile imithi engaphezu kuka-20 yokwelapha isifo sokuquleka. Udokotela wakho angazama imithi ehlukene aze athole umuthi ofanele, umthamo, noma inhlanganisela yemithi efanele.

Uma ukhetha umuthi, cabanga ngalezi zinto:

• Uhlobo lokuquleka.
• Indlela owasabela ngayo emithini yokuxhuzula yangaphambilini.
• Ezinye izifo onazo.
• Kukhona amathuba okuba nemiphumela emibi ngeminye imithi oyithathayo.
• Imiphumela emibi yemithi yokuxhuzula (uma ikhona).
• iminyaka yakho.
• Isimo sempilo esijwayelekile.
• Izindleko.

Okubalulekile: Eminye imithi yokulwa nokuquleka ingaba yingozi enganeni ngesikhathi sokukhulelwa, ngakho qiniseka ukuthi wazisa udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa.

Uma imithi yokulwa nokuquleka ingalawuli ukuquleka kwakho, udokotela wakho uzoxoxa ngezinye izindlela zokwelapha, ezingase zihlanganise ukudla okukhethekile, amadivayisi ezokwelapha, noma ukuhlinzwa.

Ukwelashwa ngokudla okunempilo

Ukudla okune-ketogenic kanye nokudla okuguquliwe kwe-Atkins — kokubili ukudla okunamafutha amaningi, okuneprotheyini ephakathi nendawo, kanye nokudla okune-carbohydrate ephansi — kunconywa kwabanye abantu abanesifo sokuwa. Ngokuvamile kunconywa ezinganeni ezingakaphenduli emithini futhi ezingafaneleki ukuhlinzwa. Ukudla okunenkomba ye-glycemic ephansi kungasiza ekunciphiseni ukuxhuzula kwabanye abantu.

Ukuhlinzwa kanye namadivayisi

Uma imithi ingalawuli ukuquleka kwakho, futhi ukuquleka kwakho kukhulu, udokotela wakho angase acabangele ukuhlinzwa. Uma ukuquleka kwakho kungalawulwa ngemithi engaphezu kwemibili, ukuhlinzwa kwesifo sokuwa kungaba ukwelashwa okuphephile nokuphumelelayo. Uma ukuquleka kwakho kungalawulwa ngemithi, kubalulekile ukuhlolwa esikhungweni sesifo sokuwa ukuze kubonakale ukuthi ungumuntu ofanele yini ukuhlinzwa.

Izinketho zokuhlinzwa zifaka phakathi ukuhlinzwa kokususwa kwezicubu ezingavamile, ukunqanyulwa kwemicu exhumanisa izingxenye zobuchopho, ukuhlinzwa kwe-stereotactic radiosurgery (ukubhujiswa okuqondiwe kwezicubu zobuchopho ezingavamile), noma ukufakwa kwamadivayisi e-neuromodulation. Lawa madivayisi athumela ama-pulse kagesi ebuchosheni, okunciphisa ukuxhuzula ngokuhamba kwesikhathi.

Ingabe isifo sokuwa singavinjelwa?

Nakuba izinto eziningi ezibangela i-migraines ziyizinto esingenakuzilawula noma sizivimbele, unganciphisa ingozi yakho yokuthola ezinye zezimo ezingaholela ku-migraines:

• Nciphisa ingozi yokulimala kobuchopho okubuhlungu: Gqoka ibhande lesihlalo njalo uma ushayela futhi ushayele ngokuphepha; gqoka isigqoko sokuzivikela uma ugibela ibhayisikili; gcina izinto ezingadingekile nezintambo zingangeni phansi ekhaya ukuze uvimbele ukuwa; gwema ukukhwela izitebhisi.
• Nciphisa ingozi yakho yokushaywa yisifo sohlangothi: Yidla ukudla okunempilo (isib. ukudla kwaseMedithera), gcina isisindo esinempilo, futhi uvivinye umzimba njalo.
• Thola ukwelashwa kokusebenzisa kabi izidakamizwa. Utshwala nezinye izidakamizwa ezingekho emthethweni kungalimaza ubuchopho bakho, okungaholela ekulahlekelweni yingqondo.

Ingabe ikhona ikhambi eliphelele le-migraine?

Cha, okwamanje akukho ukwelashwa okuphelele kwe-migraines. Kodwa-ke, kunezindlela eziningi zokwelapha i-migraines.

Ingabe ngizohlala nginesifo sokuwa?

Uma kwelashwa ngendlela efanele, cishe abantu abangu-70% bazobe bengenaso isifo sokuwa eminyakeni embalwa. Abanye abangu-30% banesifo esibizwa ngokuthi isifo sokuwa esingamelana nemithi. Laba bantu kufanele baye esikhungweni sesifo sokuwa ukuze babone ukuthi bakulungele yini ukuhlinzwa kwesifo sokuwa.

Kuzodingeka ngithathe imithi yokuxhuzula isikhathi esingakanani?

Kuya ngohlobo lwesifo sokuwa onaso nokuthi usabela kanjani emithini. Abanye abantu asebeneminyaka eminingi bengenaso isifo sokuwa bangase bakwazi ukuyeka ukuthatha imithi yabo. Lesi sinqumo senziwa udokotela wakho. Uzocabangela izinto eziningi, njengokungabikho kwezilonda zobuchopho ku-MRI yakho, amarekhodi e-EEG, kanye nomlando wakho wezokwelapha. Abanye abantu kungadingeka bathathe imithi impilo yabo yonke.

Kufanele ngimbone nini udokotela? Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Uma ungakaze ube nesifo sokuwa ngaphambili, futhi ucabanga ukuthi unaso - noma uma abantu abakuzungezile bethi "uvalelwe ngaphandle" noma uqulekile - bheka udokotela womndeni wakho. Angakudlulisela kudokotela wezinzwa ukuze ahlolwe okwengeziwe.

Isimo Esiphuthumayo! Uma unesifo sokuwa esihlala isikhathi esingaphezu kwemizuzu emihlanu, noma uma unesifo sokuwa esiningi silandelana futhi ungakwazi ukuphinde uphaphame, shayela u-911 ngokushesha (noma utshele umngane noma othile oseduze ukuthi ashayele u-911). ESri Lanka, shayela i-Suwaseriya Ambulance Service ka-1990.

Ngingabhekana kanjani nokuquleka kwami?

Lezi zinto zingakusiza ukuphatha ukuxhuzula kwakho:

• Thatha umuthi wakho njengoba nje udokotela wakho ekuyalele. Uma uphuthelwe umthamo, shayela udokotela wakho ngokushesha.
• Lala ngokwanele (ngokuvamile phakathi kwamahora ayisikhombisa kuya kwayisishiyagalolunye ebusuku).
• Lawula ukucindezeleka. Ukucindezeleka kukhipha amakhemikhali athile ezindaweni zobuchopho ezivame kakhulu ukuxhuzula. Zama i-yoga, ukuzindla, ukuvivinya umzimba ngokuphefumula okujulile, i-biofeedback, noma ezinye izindlela zokuphumula ukuze unciphise ukucindezeleka.
• Vivinya umzimba njalo (cishe imizuzu engama-30 ngosuku, izinsuku ezinhlanu ngesonto).
• Gwema ukuphuza utshwala ngokweqile.
• Tshela bonke odokotela bakho ukuthi unesifo sokuwa. Uma omunye udokotela ekubhalela imithi yesinye isimo, buza udokotela owelapha isifo sakho sokuwa. Eminye imithi, njengemithi yokucindezeleka, ama-antihistamine, kanye nezikhuthazi, ingaphazamisa ukusebenza kahle kwemithi yakho yokuwa noma ibangele imiphumela emibi.
• Tshela udokotela wakho njalo ngakho konke okuthathayo - imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, izithasiselo, kanye nemithi yendabuko.
• Thola izinto ezibangela ukuquleka kwakho bese uzigwema.
• Yidla ukudla okunempilo.

Ngingakwazi yini ukushayela uma nginesifo sokuwa?

ESri Lanka, umbiko wezokwelapha uyadingeka uma ufaka isicelo noma uvuselela ilayisensi yokushayela. Uma unesifo esifana nesifo sokuwa, kufanele wazise udokotela wakho. Buza udokotela wakho ukuthi ungakwazi yini ukushayela. Ngokuvamile, akukhuthazwa ukushayela kuze kube yilapho ukuwa kwakho sekulawulekile kahle.

Yiziphi izinkinga ezisongela ukuphila ze-migraine?

Ukuquleka kungabangela ukulimala okukhulu ngokomzimba. Ngaphezu kwalokho, izimo ezisongela ukuphila ezihambisana nokuquleka zifaka phakathi i-status epilepticus kanye ne-Sudden Unexplained Death in Epilepsy (SUDEP).

Isimo se-epilepticus

Lokhu ukuquleka okuhlala isikhathi eside (imizuzu emi-5 kuya kwengama-30), noma uchungechunge lokuquleka okwenzeka ngokulandelana, ngaphandle kwesikhathi sokululama phakathi kwalokhu. Lokhu kubhekwa njengesimo esiphuthumayo sezokwelapha.

Lokhu okulandelayo kungenziwa njengokwelashwa okuphuthumayo esibhedlela:

• Ukunikeza imithi, umoya-mpilo, kanye noketshezi ngomthambo.
• Ukunikeza imithi yokubulala izinzwa ukuze kubangele i-coma nokuqeda ukuxhuzula.
• Ukuqapha i-EEG ukuze ubone ukuthi usabela kanjani ekwelashweni.
• Ukuhlolwa ukuthola imbangela yokuquleka.

Ukufa Okungazelelwe Okungachazeki Kwesifo Sokuxhuzula (i-SUDEP)

Ukufa okungazelelwe okubangelwa yisifo sokuwa kuyisimo esingavamile lapho umuntu ophilile, osemusha noma osekhulile onesifo sokuwa efa ngaphandle kwesizathu esibonakalayo. Ngokuvamile, lokhu kufa kwenzeka ebusuku noma ngesikhathi sokulala, kungabonwa. Abacwaningi bacabanga ukuthi ezinye zezimbangela ezingaba khona yilezi:

• Ukushaya kwenhliziyo okungajwayelekile: Ukuquleka kungabangela inkinga enkulu yesigqi senhliziyo noma ukumiswa kwenhliziyo.
• Ubunzima bokuphefumula: Uma ukuphefumula kuyeka (isibonelo, ngenxa ye-sleep apnea), ukuntuleka komoya-mpilo enhliziyweni nasebuchosheni kungaba yingozi empilweni. Futhi, ngezinye izikhathi ngesikhathi sokuxhuzula, indlela yokuphefumula ingavimbeka, okungabangela ukuminyana.
• Ukuhlanza: Ukuhlanza ngesikhathi noma ngemva kokuxhuzula kungavimba indlela yokuphefumula.
• Ukuphazamiseka kokusebenza kobuchopho: Ukuxhuzula kungaphazamisa izindawo zobuchopho ezilawula ukuphefumula nokushaya kwenhliziyo.

Cishe umuntu oyedwa kwabayi-1,000 abanesifo sokuwa uyafa minyaka yonke ngenxa ye-SUDEP. Yisona sizathu esiyinhloko sokufa kubantu abane-seizures ezingalawuleki. Ukuze unciphise ingozi yakho ye-SUDEP, yazi futhi ugweme izinto ezibangela ukuwa, thatha imithi yakho njengoba uyalelwe, bese ulandela imikhuba ejwayelekile yezempilo (lala ngokwanele, uvivinye umzimba, udle ukudla okunempilo, ugweme ukubhema, futhi ugweme ukusebenzisa utshwala ngokweqile noma izidakamizwa).

Uyini umehluko phakathi "kokuxhuzula", "ukuquleka" kanye "nesithuthwane"?

• Ukudlikizela:Lesi yisimo esibangela ukudikiza kwemisipha okungalawuleki kanye nokulahlekelwa ukwazi. Kodwa-ke, abantu abaningi basebenzisa amagama athi "ukudlidliza" kanye nelithi "ukuquleka" ngokushintshana. Igama elithi "ukudlidliza" liphinde lisetshenziswe ukubhekisela ekudlidlizeni kwe-tonic-clonic.
• Ukuquleka: Lokhu kubangelwa ukusebenza kukagesi okungajwayelekile okuvela emangqamuzaneni akho obuchopho. Ungaba nokuquleka noma ungenazo izimpawu. Odokotela bakubiza lokhu ngokuthi 'ukuquleka kwe-EEG' (okungatholakala ngokuhlolwa kwe-EEG). Ngokuvamile, ukuquleka kuzohambisana nezimpawu ezahlukene ezishiwo ngenhla. Ukuquleka kuwuphawu lokuquleka, kodwa akuzona zonke iziqubu ezibangelwa ukuquleka.
• Isifo Sokuxhuzula: Lesi yisifo esithinta uhlelo lwezinzwa. Sichazwa njengokuxhuzula okuphindaphindiwe nokuqhubekayo. Isifo Sokuxhuzula siyisimo esihlala impilo yonke.

Ekugcineni, khumbula lokhu !

Isifo sokuwa asivamile njengoba ungase ucabange. Abantu abaningi emhlabeni wonke baphila nalesi simo. Into ebalulekile ukuthi singalawulwa.

Khumbula, awuwedwa. Ngokwelashwa okufanele, izinguquko ezinhle endleleni yokuphila, kanye nokusekelwa abathandekayo, ungaphila ngempumelelo nalesi simo.

• Uma wena noma othile omaziyo enekhanda elibuhlungu, landela iseluleko sezokwelapha esifanele.
• Thatha imithi yakho ngesikhathi.
• Thola izinto ezibangela ukuquleka kwakho bese uzigwema.
• Zama ukulala kahle, udle ukudla okunempilo, futhi uphile impilo engenakucindezeleka okukhulu.
• Ungalokothi ulahle ithemba. Njengoba ubuchwepheshe buthuthuka, kuvela izindlela ezintsha zokwelapha.

Uma uneminye imibuzo mayelana nalokhu, ungesabi ukukhuluma nodokotela wakho. Bahlala bekulungele ukukusiza!

I- migraine, ukuquleka, isifo sokuwa, isifo sobuchopho, isifo sezinzwa, ukuquleka, ukwelashwa