Ingabe ubhekene nesimo esingajwayelekile ngokuzumayo? Kungaba ukuquleka okugxile!

Ingabe ngezinye izikhathi uzizwa into engavamile ngokuzumayo? Wake wazizwa into engavamile, njengengxenye yomzimba wakho inyakaza ngendlela engalindelekile, noma wezwa umsindo ongenamuntu eduze, noma walahlekelwa ingqondo isikhashana? Lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-focal seizure, esibangelwa ushintsho oluncane lukagesi kwenye ingxenye yobuchopho bakho. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe namuhla, njengokungathi sikhuluma nomngane.

Kuyini ukuquleka okugxile?

Kalula nje, ukuquleka okugxile kuwukwanda okungazelelwe, okungalawuleki komsebenzi kagesi okwenzeka engxenyeni ethile yobuchopho bakho . Cabanga ngakho njengokuqhuma okuncane kwezimpawu zikagesi ezihamba ngama-neurons ebuchosheni bakho. Ngoba kuqala endaweni eyodwa ebuchosheni, kubangela izimpawu ezithile kuleyo ndawo. Lokhu ngaphambilini kwakubizwa ngokuthi ukuquleka okungaphelele.

Ngezinye izikhathi, lapho kuvela izimpawu zokuqala zesifo sokuwa okugxile, ungase uqaphe, okusho ukuthi uyazi ukuthi kwenzekani. Kodwa-ke, uma lesi simo sisakazekela kwezinye izingxenye zobuchopho, ungase ulahlekelwe ingqondo futhi ukhule ube yisimo sokudlikiza komzimba wonke (tonic-clonic seizures).

Uyini umehluko phakathi kwe-Focal Seizures kanye ne-Generalized Seizures?

Ubuwazi ukuthi ubuchopho bethu bunezinhlangothi ezimbili eziyinhloko, noma ama-hemispheres? Ukuquleka okuvamile kuyisimo esithinta womabili ama-hemispheres obuchopho ngesikhathi esisodwa. Ngemuva kwalokho kungavela izimpawu ezithinta womabili ama-hemispheres omzimba. Lokhu kuvame ukuba kubi kakhulu.

Nokho, ukuquleka kwe-focal kuqala endaweni ethile yobuchopho, kolunye uhlangothi lobuchopho. Kodwa-ke, njengoba isimo siqhubeka, lo msebenzi kagesi ungasakazeka usuka kwenye indawo uye kwenye, futhi ngezinye izikhathi usuka kwenye ingxenye yobuchopho uye kwenye. Ngezinye izikhathi ukuquleka kwe-focal kungaqhubekela ekubeni ukuquleka komzimba wonke okubizwa ngokuthi "ukuquleka kwe-focal to bilateral tonic-clonic."

Okubalulekile: Ukuquleka kanye nesifo sokuwa kuyizinto ezimbili ezihlukene. Akuzona zonke izifo zokuwa ezibangelwa isifo sokuwa.

Ubani othinteka kakhulu yilesi simo?

Eqinisweni, noma ubani angaba nokuquleka nganoma yisiphi isizathu. Kodwa-ke, uma unezinkinga ezithile zobuchopho, kungenzeka kakhulu ukuthi ube nokuquleka okugxile. Isibonelo:

• Ukulimala ekhanda
• Ukukhubazeka okuthile kobuchopho bokuzalwa
• Ukuquleka okungapheli ebuntwaneni
• Ukutheleleka kobuchopho (isib. i-encephalitis)
• Isifo sohlangothi
• Izimila zobuchopho

Lesi simo singabangelwa yizinto ezifana nalezi:

Zivame kangakanani izithiyo ezigxile ekubanjweni?

Eqinisweni, ukuxhuzula okugxile kakhulu uhlobo oluvame kakhulu lokuxhuzula . Kubangela okungaphezu kwengxenye yazo zonke izixuku. Ikakhulukazi, ukuxhuzula okugxile, okubandakanya ukuphazamiseka okuncane kokungazi, kubangela cishe ingxenye yesithathu yazo zonke izixuku.

Lesi simo sithinta kanjani umzimba wami?

Izimpawu zokuquleka okugxile zincike ekutheni iyiphi ingxenye yobuchopho ethintekile . Kubalulekile ukulawula ukuquleka okugxile. Lokhu kungenxa yokuthi, uma kuqhubeka isikhathi eside, kungabangela izinkinga zokukhumbula, izinkinga zokucabanga, futhi kwandise ingozi yezinkinga zempilo yengqondo njengokucindezeleka nokukhathazeka.

Ingabe zikhona izimpawu eziyisixwayiso ngaphambi kokuba kube nokuquleka?

Yebo, abanye abantu bangaba ne- "aura" ngaphambi kokuba ne-focal seizure. Le aura ingaba uphawu lokuqala lwe-focal seizure. Kuleli qophelo, usuyazi, okusho ukuthi uyaqonda ukuthi kwenzekani. Ungaba nezimpawu ezahlukahlukene phakathi nale aura. Uma i-focal seizure ingasakazekile, le aura ingaba wukuphela kophawu lwe-seizure.

I-aura ingaba ngezindlela eziningi:

• Izimpawu zokuzwa: Okuhlangenwe nakho okungajwayelekile okuhlobene nokubona, ukuzwa, ukuhogela, ukunambitha, noma ukuthinta.
• Izinguquko zemizwa: Imizwa yokwesaba, ukukhathazeka, noma intukuthelo engazelelwe.
• Izimpawu zokuzimela: Izinguquko emisebenzini yemvelo yomzimba, njengokujuluka kanye nokuqunjelwa.

Abantu abanesifo sokuwa esivamile ngokuvamile abanazo i-aura. Ukuba khona kwe-aura kuyisibonakaliso sokuthi kungenzeka ukuthi kukhona isifo sokuwa esigxile. Ngezinye izikhathi, lesi sifo singaba uphawu oluyisixwayiso ngaphambi kokuba kube nokuwa, okubangela ukulahlekelwa ukwazi.

Yiziphi ezinye izimpawu ze-focal seizures?

Njengoba sishilo ngaphambili, izimpawu ziyahlukahluka kuye ngohlobo lokuquleka kanye nendawo yobuchopho ethintekile. Kunezinhlobo ezintathu eziyinhloko zokuquleka okugxile:

1. Ukuwa okuqaphelekile: Lokhu kwakubizwa ngokuthi ukuwa okuqondile noma ukuwa okungaphelele. Into ebalulekile ngalokhu ukuthi uyazi ukuthi ukuwa kwenzeka nini . Okuza njenge-aura empeleni ukuwa.

2. Ukuquleka kokuqwashisa okuphazamisekile kwe-focal: Lokhu ngaphambili kwakubizwa ngokuthi ukuquleka okungaphelele noma ukuquleka okuyinkimbinkimbi kwe-focal. Kulokhu , ukuqwashisa kwakho kuyaphazamiseka . Uma kwenzeka i-aura, ifika ngaphambi kokulahlekelwa ukuqwashisa. Lokhu ngokuvamile akudluli imizuzu emithathu. Lolu hlobo lokuquleka lubalelwa cishe ku-36% wazo zonke iziqubu, okwenza kube uhlobo oluvame kakhulu lokuquleka .

3. Ukuthintwa kwe-tonic-clonic okugxile ku-bilateral tonic: Ngaphambilini okwakubizwa ngokuthi i-generalized tonic-clonic seizures, lolu hlobo lokuthintwa luhilela ukuthi wonke umzimba ube matasa futhi lubangele ukuxhuzula .

Izimpawu ze-focal seizures zingahlukaniswa ngezigaba ezine eziyinhloko. Kungaba nezigaba ezingaphezu kweyodwa ku-seizure eyodwa:

• Injini
• Inzwa
• Okuzenzakalelayo
• Ukuqonda

Izici zemoto

Ukuquleka okunemiphumela yokunyakaza komzimba kuwukunyakaza okungahleliwe noma okungalawulwa kwezingxenye zomzimba . Ngokuvamile kuthinta izingxenye zobuso, izingalo, nemilenze ohlangothini olulodwa. Kungaba ukuthuthumela, ukudlikiza, ukuqinisa imisipha, noma ukunyakaza okuphindaphindiwe noma okuzenzakalelayo njengokusunduza izindebe, ukucwayiza amehlo, noma ukuthinta ngesandla noma ngomunwe.

Ngezinye izikhathi lezi zimpawu zomzimba zingasakazeka kulo lonke ingxenye yomzimba ethintekile nakwezinye izingxenye zomzimba. Lokhu kubizwa ngokuthi "i-Jacksonian march." Lokhu kuqubuka kuqala endaweni encane bese "kuhamba" kulo lonke ingxenye yomzimba, ngezinye izikhathi kusakazeka kwezinye izingxenye zomzimba ohlangothini olufanayo noma ebusweni.

Ngemva kokuba izimpawu ze-focal motor zivele, abantu abaningi bangase babe nokukhubazeka kwesikhashana kwezingxenye zomzimba ezithintekile. Lokhu kubizwa ngokuthi "ukukhubazeka kukaTodd." Lokhu kungokwesikhashana, kodwa kungahlala amahora amaningana. Ukutshela udokotela wakho ngalokhu kungasiza ekuxilongweni nasekwelashweni.

Izici zokuzwa

Uma kwenzeka i-aura, uma amangqamuzana ezinzwa ebuchosheni bakho axhunywe ezinzwa zakho ethintekile, lawo maseli angenza ngephutha sengathi azwa umuzwa. Ungase uzizwe sengathi kukhona okwenzekayo okungenzeki ngempela. Lezi zimpawu, ezibizwa ngokuthi ama-hallucinations , zingathinta zonke izinzwa zakho ezinhlanu. Izibonelo:

• Okubonakalayo: Izibani ezikhanyayo, ukukhanya kuyabonakala. Indlela izinto ezibonakala ngayo iyashintsha (zibonakala zinkulu noma zincane).
• Ukuzwa: Kungazelelwe uzwa imisindo engavamile, imisindo. Cabanga uma uwedwa futhi uzwa othile ekhuluma, kodwa uma ubheka, akekho lapho. Into efana naleyo.
• Iphunga: Iphunga elivela endaweni ethile; ngokuvamile ngokuzumayo, ngendlela engalindelekile.
• Ukunambitha: Ngokungazelelwe uzizwa ukunambitheka okungajwayelekile; njengokunambitheka kwensimbi, okumuncu, noma okubabayo.
• Ukuthinta: Umuzwa ongavamile esikhumbeni ndawana thize; njengezikhonkwane nezinaliti, ukuthuthumela, into ethile ehambayo, noma ukushisa noma ubuhlungu.

Tshela udokotela wakho ngokucacile ngangokunokwenzeka nganoma yiziphi izimpawu zezinzwa noma imibono engekho, ngoba ukwazi ukuthi yimuphi umuzwa othintekayo kuzosiza odokotela ukuthi banqume ukuthi ukuquleka kwenzeka kuphi ebuchosheni.

Izici ezizimele

Uma kwenzeka i-aura, ingathinta nezinhlelo zomzimba ezilawulwa ubuchopho bakho. Nazi ezinye izibonelo:

• Ukujuluka.
• Ukuvuza amathe ngokweqile noma ukuvuza amathe.
• Ukushintsha kombala wesikhumba (ukuphaphatheka noma ukubomvu).
• Umuzwa ongavamile wokuvuka esiswini ("ukuvukela kwesisu").

Izici zokuqonda

I-aura yakho ingabangela izinguquko esimweni sakho somzwelo. Izibonelo:

• Imizwa engemihle: ukwesaba, ukukhathazeka, ukwesaba, noma intukuthelo.
• Imizwa emihle: injabulo, injabulo, noma ukuhleka okungalawuleki.
• Izinkinga ngeqiniso:Ukuzizwa sengathi usephusheni noma ukhumbula izenzakalo zesikhathi esidlule (izinkumbulo zesikhathi esidlule). Abanye abantu bathi bazizwa sengathi banamandla akhethekile noma bakhuluma nonkulunkulu.
• I-Déjá vu: Igama lesiFulentshi. Umuzwa wokujwayelana ohambisana nokuhlangenwe nakho okusha, njengokungathi sekwenzekile ngaphambili.
• I-Jamais vu: Leli futhi igama lesiFulentshi. Libhekisela kokuhlangenwe nakho okujwayelekile, kodwa kuzwakala sengathi kuyinto entsha.

Ezinye izinguquko zengqondo ezenzeka ekubanjweni yizigigaba zifaka phakathi izinguquko ezingeni lokuqwashisa, izinguquko ekukhumbuleni, izinguquko kumakhono olimi noma okuxhumana, kanye nokwehla kwekhono lokuxhumana nendawo ezungezile.

Yini ebangela ukuxhuzula okugxile?

Kunezimbangela eziningi ezahlukene ze-focal seizures. Ezinye zazo yilezi:

• Izinkinga ngemithambo yegazi ebuchosheni (isib. ama-aneurysms).
• Ukuphazamiseka kwesigqi senhliziyo (i-arrhythmias).
• Izimila zobuchopho (kufaka phakathi umdlavuza).
• Ukuntuleka komoya-mpilo ebuchosheni (i-cerebral hypoxia).
• Ukulimala kobuchopho okubuhlungu kanye nokulimala kobuchopho okubuhlungu.
• Izifo ezibhubhisa ubuchopho kancane kancane (isib. isifo i-Alzheimer's, i-frontotemporal dementia).
• Ukuhoxa ekusebenziseni izidakamizwa noma utshwala.
• Umfutho wegazi ophezulu ngesikhathi sokukhulelwa (i-Eclampsia).
• Ukungalingani kwenani likasawoti emzimbeni (ikakhulukazi i-sodium ephansi - i-hyponatremia, i-calcium ephansi noma i-magnesium).
• Umkhuhlane, ikakhulukazi umkhuhlane ophakeme (ukuquleka komkhuhlane).
• Izifo zofuzo (izifo ezizuzwe njengefa kubazali).
• Izinguquko zama-hormone (abanye besifazane bangase babe nokuquleka ezinsukwini ezithile zomjikelezo wokuya esikhathini - isifo sokuwa esibizwa ngokuthi i-catamenial epilepsy).
• Ukutheleleka (ikakhulukazi ukutheleleka kobuchopho njenge-encephalitis noma i-meningitis; lokhu kungabangelwa amagciwane, amabhaktheriya, noma ama-parasite).
• Ukuvuvukala okubangelwa izinkinga zesimiso somzimba sokuzivikela.
• Ukungalali kanye nezinye izinkinga ezihlobene nokulala.
• Izinkinga ze-metabolic (ikakhulukazi ushukela ophezulu egazini - i-hyperglycemia noma ushukela ophansi egazini - i-hypoglycemia).
• Izinkinga ngesakhiwo sobuchopho (ikakhulukazi lezo ezikhona ngesikhathi sokuzalwa).
• Ukusabela okukhulu kwamasosha omzimba ekuthelelekeni okusakazeka kuwo wonke umzimba (i-Sepsis).
• Ukuhlaselwa yisifo sohlangothi noma ukuhlaselwa yi-ischemic okwesikhashana (ii-TIA).
• Ukusetshenziswa kwezidakamizwa notshwala (kufaka phakathi izidakamizwa zikadokotela, izidakamizwa ezingekho emthethweni, kanye nekhofi).

Ingabe ukuquleka okugxile kuyathelelana?

Cha, ukuqubuka kwesifo esibangelwa yi-focal seizures akuthelelani. Kodwa-ke, ezinye izimo ezibangela ukuqubuka kwesifo esibangelwa yi-focal seizures zingaba yizakhi zofuzo (okusho ukuthi ungazithola njengefa kubazali bakho, futhi ungadlulisela ezinganeni zakho).

Ungazibona kanjani izithiyo ezigxile ekubanjweni?

Udokotela wezinzwa uvame ukuxilonga ukuxhuzula okugxile ezimpawu zakho (noma lokho abanye abakuchazile) kanye nemiphumela yokuhlolwa. Lokhu kuhlolwa kungasiza ekunqumeni ukuthi uke waba nokuxhuzula nokuthi ngabe kwabangelwa yini noma cha. Ukuhlolwa kofuzo kungaveza nezimo ezizuzwe njengefa ezibangela ukuxhuzula.

Into ebaluleke kakhulu ekuxilongeni ukuxhuzula okugxile ekuqondeni indawo eqondile (indawo egxile kuyo) lapho ukuxhuzula kuqala khona . Ukuthola le ndawo kuwusizo olukhulu ekwelapheni.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Kunezivivinyo eziningana ezingenziwa esimweni sokuwa:

• Ukuhlolwa kwegazi: Lokhu kuhlola ukungalingani kwe-metabolic kanye ne-chemistry yegazi, izinkinga zesistimu yomzimba, ubuthi, kanye namazinga emithi enikezwayo yokuhlaselwa yisifo sokuwa.
• I-Electroencephalogram (EEG): Ukuhlolwa okulinganisa umsebenzi kagesi wobuchopho.
• Ukuqapha i-Video-EEG.
• I-Magnetic Resonance Imaging (MRI): Ithatha izithombe eziningiliziwe zobuchopho.
• Ukuskena kwe-Positron Emission Tomography (PET).
• I-Ictal Single-Photon Emission Computed Tomography (SPECT).
• I-Magnetoencephalography (MEG).
• Ukuqapha i-EEG yangaphakathi kwekhanda: Ukuhlolwa okuhilela ukubeka ama-electrode ebuchosheni, ngezinye izikhathi ngemva kokuhlinzwa.
• Ukubhoboza i-Lumbar: Lokhu kwenziwa uma udokotela esola ukuthi isifo sokuwa sibangelwa ukutheleleka noma isifo samasosha omzimba.

Odokotela bangase batuse nezinye izivivinyo zokuhlola ukulimala, imiphumela emibi, noma izinkinga ezibangelwa ukuxhuzula. Udokotela wakho ungumuntu ongcono kakhulu ukukutshela ukuthi yiziphi izivivinyo ezikulungele wena nokuthi kungani zenziwa.

Kulashwa kanjani ukuxhuzula okugxile ekhanda? Ingabe kungelapheka?

Ukuxilongwa nokwelashwa kwe-focal seizures kuqala ngokunquma ukuthi ivukile noma cha. Uma kungenzeka, ukwelapha imbangela eyisisekelo ye-stimulation evukile kungasiza ekumiseni i-stimulation . Uma imbangela eyisisekelo ingelapheki, odokotela bavame ukwelapha i-stimulation ukuze banciphise ubukhulu bayo noma ukuvama kwayo.

Uma unesithuthwane sokuqala esingachazeki , futhi ungekho engozini enkulu yokuba nesinye, odokotela abavamile ukuncoma ukwelashwa. Kodwa-ke, uma usengozini enkulu, noma uke waba nesithuthwane esingachazeki ngaphambilini, odokotela bangase bakuxilonge ukuthi unesifo sokuwa futhi batuse ukuthi uqale ukwelashwa.

Uhlobo luni lomuthi noma ukwelashwa olusetshenziswayo?

Ukwelashwa kokuquleka okugxile kuyahlukahluka kakhulu. Ngokuquleka okunembangela, ukwelashwa cishe njalo kuncike embangela. Ukwelashwa kokuquleka okungavuswanga kanye nokuquleka kuncike ohlotsheni lokuquleka, imbangela yokuquleka, kanye nokuthi yiziphi izindlela zokwelapha ezisebenza kahle kakhulu.

Kunezindlela eziningana zokwelapha ukuxhuzula okubangelwa yisifo sokuxhuzula:

• Imithi: Ngaphezu kwemithi evimba ukuxhuzula lapho kwenzeka, kukhona nemithi engavimbela ukuxhuzula noma yehlise ukuvama kwakho. Eminye inikezwa ngemithambo yegazi (IV) uma kwenzeka ukuxhuzula. Eminye ithathwa njengamaphilisi nsuku zonke.
• Izinguquko ekudleni: Ukudla okunama-carbohydrate aphansi noma angenawo (isib., i-ketogenic) ngezinye izikhathi kungamisa ngokuphelele ukuquleka kwesifo sokuwa noma kunciphise ukuvama kwako.
• Ukuhlinzwa kwesifo sokuwa: Ngezinye izikhathi, ukuhlinzwa kungamisa ukuwa ngokususa ingxenye yobuchopho ethintekile noma ukuyihlukanisa nezinye izingxenye zobuchopho.
• Ukukhuthazwa Kwemizwa Yesitho Sangasese Somuntu (VNS): Ukukhuthazwa kukagesi kwemizwa yesitho sangasese somuntu ohlangothini lwesobunxele lobuchopho, exhunywe ngqo ebuchosheni, kunganciphisa ukuvama kokuxhuzula.
• I-Responsive Neurostimulation (RNS): Lokhu kuhilela idivayisi ethola umsebenzi wesifo sokuwa ebuchosheni bakho futhi ilethe ukuvuselelwa kagesi ngqo engxenyeni yobuchopho bakho ebangela umsebenzi. Le divayisi ye-RNS inganciphisa ukuxhuzula kwakho ngokuhamba kwesikhathi.
• Ukukhuthazwa Kobuchopho Okujulile (i-DBS): Lokhu kwelashwa kuhilela ukunamathisela idivayisi engxenyeni ethile yobuchopho ngezintambo. Le divayisi inikeza ugesi omnene ophazamisa imizwa kagesi eyenzeka ngesikhathi sokuwa.

Yiziphi izinkinga/imiphumela emibi yokwelashwa?

Izinkinga ezibangelwa ukwelashwa kokuquleka zincike embangela, uhlobo lokuquleka, nezinye izici eziningi. Udokotela wakho ungumuntu ongcono kakhulu ukukutshela ukuthi yini ongayilindela, noma yini ongayilindela, ngoba angakunikeza ulwazi oluqondene nesimo sakho esithile.

Ngizinakekela kanjani/ngiphatha kanjani izimpawu?

Akufanele uzame ukuxilonga noma ukwelapha isifo sokuwa esigxile ekhanda ngokwakho . Ukuwa ngokuvamile kuyisibonakaliso sesimo esibucayi sobuchopho. Uma wena noma othandekayo wakho eba nesifo sokuwa okokuqala, bonana nodokotela ngokushesha okukhulu. Udokotela wakho uzokutshela ukuthi yiziphi izimpawu noma imiphumela okufanele uyifunele usizo lwezokwelapha uma unesifo sokuwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Isikhathi sokululama sincike ohlotsheni lokuquleka onakho kanye nokwelashwa okutholayo. Udokotela wakho uzokutshela ukuthi yini ongayilindela, ukuthi kuzothatha isikhathi esingakanani ukululama, nokuthi uzoqala nini ukuzizwa ungcono.

Ngingayinciphisa kanjani ingozi yami? Ingabe ukuquleka okugxile kungavinjelwa?

Wonke umuntu usengozini yokuxhuzula, futhi akunakwenzeka ukubikezela ukuthi kuzokwenzeka nini. Ngakho akunakwenzeka ukukuvimbela ngokuphelele. Into engcono kakhulu ongayenza ukunciphisa amathuba okuba nokuxhuzula ngokugwema izinto ezingakubangela.

Kunezinyathelo ezibalulekile ongazithatha ukuze unciphise ingozi yokuba nesithuthwane:

• Yidla ukudla okulinganiselayo futhi ugcine isisindo esinempilo. Izimo eziningi ezihlobene nohlelo lwakho lokujikeleza kwegazi kanye nenhliziyo zingalimaza izingxenye zobuchopho bakho. Isifo sohlangothi kanye nezimo ezihlobene naso zihlotshaniswa kakhulu nokuquleka okugxile.
• Ungakushayi indiva ukutheleleka. Ukutheleleka kwamehlo nendlebe kufanele kwelashwe ngokushesha. Uma lokhu kutheleleka kusakazekela ebuchosheni, kungabangela ukuxhuzula. Ukutheleleka kungabangela nomkhuhlane omkhulu, okungabangela nokuxhuzula.
• Gqoka izimpahla zokuphepha. Ukulimala ekhanda kuyimbangela enkulu yokuxhuzula okugxile ekhanda. Ukugqoka izimpahla zokuphepha noma nini lapho kudingeka kungasiza ekuvimbeleni ukulimala kobuchopho okungabangela ukuxhuzula okugxile ekhanda noma kukwenze kube nokwenzeka kakhulu esikhathini esizayo. Izibonelo: izigqoko zokuzivikela, amabhande esihlalo.
• Lawula izimo zakho zempilo. Ukulawula izimo ezingamahlalakhona kungasiza ekuvimbeleni ukuxhuzula, ikakhulukazi ukuxhuzula okuhlobene namazinga kashukela egazini abangelwa isifo sikashukela (isifo sikashukela sohlobo 1 noma isifo sikashukela sohlobo 2).

Yini okufanele ngiyilindele uma nginesifo sokuwa esisodwa noma ngaphezulu?

Abantu abaningi abake baba ne-focal seizure yabo yokuqala bangase babe ne-focal seizure futhi ngaphandle kwesizathu esibonakalayo. Ngakho-ke, kubalulekile ukukhuluma nodokotela ukuze bathole ukuxilongwa nokwelashwa. Abanye abantu abanesifo se-focal epilepsy bangase babe nesimo esibizwa ngokuthi "i-drug-resistant noma i-medically refractory epilepsy." Lokhu kusho ukuthi isifo sabo se-epilepsy asitholi usizo olwanele emithini. I-epilepsy engamelani nemithi ivame ukuphulukiswa ngokuhlinzwa. Kubalulekile ukufuna isiqondiso kudokotela ochwepheshe ekuhlinzeni isifo se-epilepsy.

Ngizoba nalesi simo isikhathi esingakanani?

Uma unesithuthwane esicasulayo, ingozi yakho yokuba nesinye incike ekutheni yini ebangele esokuqala. Uma imbangela ingelapheka, cishe ngeke ube nesinye (ngaphandle uma imbangela iphinde ivele).

Uma kwenzeka ukuxhuzula okungavuswanga, okuningi kungalawulwa ngemithi efanele yokulwa nokuxhuzula . Kodwa-ke, uma ukuxhuzula okugxile kuqhubeka, kubalulekile ukufuna ukwelashwa esikhungweni se-epilepsy. Uma isifo sokuxhuzula sesiphelile, ungase ungabi naso isifo sokuxhuzula impilo yakho yonke.

Iyini ikusasa lalesi simo?

Umbono we-focal seizures kanye ne-epilepsy uncike embangela, ubukhali, nokuthi imithi yokulwa ne-seizure iyasiza yini. Sekukonke, i-focal seizures ayiyona ingozi, kodwa ingaba yingozi empilweni, njenge -tonic-clonic seizures.Zingaba yingozi uma zihlala isikhathi eside noma ziza njalo.

Ngokuvamile, ukuquleka okugxile emzimbeni kunesimo sengqondo esihle ngemithi noma ngokuhlinzwa.

Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye mayelana nesimo sokuwa kanye nesifo sokuwa kanye nalokho ongakulindela. Angakunikeza ulwazi olufanele isimo sakho nesimo sakho, futhi akuqondise ngalokho okungakusiza ngalezi zimo.

Ukufa okungazelelwe kwesifo sokuwa (i-SUDEP)

Abantu abanesifo sokuwa basengozini encane yokuba nesimo esibizwa ngokuthi "Ukufa Okungazelelwe Esifweni Sokuwa" (SUDEP) . Ochwepheshe bakholelwa ukuthi i-SUDEP ibangelwa izinkinga zesigqi senhliziyo noma izinkinga zokuphefumula, kodwa imbangela eqondile ayaziwa okwamanje.

Phakathi kwabantu abanesifo sokuwa esilawulwa kahle, izinga lokufa ngonyaka lingaba ngu-1 kwabayi-1,000. Phakathi kwabantu abanesifo sokuwa esingalawuleki, izinga lokufa ngonyaka lingaba ngababili kwabayi-1,000. Nakuba lokhu kuyingozi encane, kubalulekile ukukuqaphela.

Ngingazinakekela kanjani? (Uma kutholakale ukuthi nginesifo sokuwa)

Uma uke waba nokuquleka okukodwa esikhathini esidlule, kubalulekile ukufuna iseluleko sezokwelapha ukuze uthole ukuhlolwa okufanele. Uma uqhubeka nokuba nokuquleka, kubaluleke kakhulu ukufuna ukwelashwa esikhungweni se-epilepsy esigxile ekuhlolweni okuthuthukisiwe kwabantu abanesifo sokuquleka esingalawuleki. Lokhu kungenxa yokuthi, uma unesifo sokuquleka isikhathi eside, ubuchopho bakho bungashintsha, okwenza kube nokwenzeka kakhulu ukuba nokuquleka okwengeziwe futhi kuthinte ikhono lakho lokucabanga nokukhumbula. Ngaphezu kwalokho, ukuquleka okungalawuleki kuhlotshaniswa nengozi eyengeziwe yezinye izimo zobuchopho, njengokucindezeleka nokukhathazeka. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ngalokhu.

Uma udokotela ekuxilonga ukuthi unesifo sokuwa, ungenza lezi zinto ukuze uzisize:

• Thatha imithi yakho njengoba uyalelwe. Imithi yokulwa nesifo sokuwa inganciphisa ukuvama kanye nobukhali bokuxhuzula kwakho. Ngakho-ke, kubalulekile ukuthatha imithi yakho njengoba uyalelwe. Akufanele uyeke ukuthatha imithi yakho ngaphandle kwesiqondiso nokuqondisa kukadokotela wakho.
• Khuluma nodokotela wakho mayelana nezinketho zakho. Uma udinga ukunciphisa noma ukushintsha imithi, udokotela wakho angakuqondisa ukuthi leyo nqubo izophumelela yini nokuthi ungayenza kanjani ngokuphephile.
• Bona udokotela wakho njalo. Udokotela wakho uzohlela ukuvakasha okulandelayo. Lokhu kuhlangana kubalulekile ngoba kuvumela udokotela wakho ukuthi aqaphe isimo sakho futhi alungise imithi yakho.
• Ungazinaki noma ungazinaki izimpawu. Umbono wesifo sokuwa kanye nesifo sokuwa uvame ukuba ngcono uma lesi simo sitholakala futhi selashwa kusenesikhathi.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma ungakaze ube nesifo sokuwa ngaphambiliUma ulahlekelwa ingqondo ngokuzumayo noma ulahlekelwa ingqondo ngaphandle kwesizathu, kufanele uye esibhedlela. Uma ucabanga ukuthi unesifo sokuwa ngesikhathi uwedwa, shayela udokotela wakho ngokushesha okukhulu.

Abantu abanesifo sokuwa abadingi ukubiza i-ambulensi noma ukuya esibhedlela ngemva kokuwa. Kodwa-ke, uma ukuwa kubangela ukulimala noma uma ukuwa kuqhubeka isikhathi eside (ngaphezu kwemizuzu emibili) , bangase badinge usizo lwezokwelapha.

Ukuquleka okugxile kungabangela izimpawu ezahlukahlukene. Eziningi zazo, uma ungakaze uzibone ngaphambili, zingadida noma zesabise. Lezi ziqubuko zivame ezinganeni, futhi zingaba zesabisayo ezinganeni nakubazali. Kodwa-ke, ukuquleka okugxile ku-focal kanye nesifo sokuwa kuvame ukuba yizimo ezingelapheka. Ezimweni eziningi, izingane ezine-focal epilepsy ziyakhula njengoba zikhula futhi zihlala zingenaso isifo sokuwa impilo yazo yonke. Abantu abadala bangaphila ne-focal epilepsy kanye nesifo sokuwa, futhi ngokwelashwa nokunakekelwa, abantu abaningi bangaphila ngaphandle komthelela omkhulu esimweni sabo.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ukuquleka okugxile kungukwanda okungazelelwe komsebenzi kagesi oqala endaweni ethile yobuchopho.
• Izimpawu zingahluka kakhulu kuye ngokuthi ubuchopho buthinteke kuphi (njengokuthuthumela, iphunga/imisindo engavamile, izinguquko zemizwa, ukulahlekelwa ukwazi).
• I-aura ingaba uphawu oluyisixwayiso oluzwayo ngaphambi kokuba uhlaselwe yisifo sokuwa.
• Uma wena noma ingane yakho ninesithuthwane okokuqala, qiniseka ukuthi nibonana nodokotela .
• Ukuquleka okubangelwa yizici zofuzo kanye nesifo sokuwa ngokuvamile kungalawulwa ngemithi futhi ngezinye izikhathi ngokuhlinzwa.
• Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngokucophelela futhi uthathe imithi yakho njengoba uyalelwe.
• Ungakhathazeki, ungaphila nalezi zimo ngempumelelo. Awuwedwa, thola usizo.

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