Uyafuna ukwazi ngalolu hlobo 'lokuxhuzula' okunzima nokuxhuzula? Ake sixoxe!

Ngezinye izikhathi kungenzeka ukuthi uke wabona umuntu ngokuzumayo elahlekelwa ingqondo, exhuzula, futhi ewa phansi ephuma amafinyila emlonyeni wakhe. Noma mhlawumbe nawe uke wabhekana nakho. Lokhu yilokho esikubiza ngokuthi ukuxhuzula. Kungaba yinto eyesabekayo. Kodwa uma wazi ukuthi kuyini, akukho okufanele ukwesabe. Ake sibone ukuthi kuyini ukuxhuzula, kungani kwenzeka, nokuthi yini okufanele uyenze.

Kuyini lokhu 'ukubanjwa'?

Kalula nje, ukuxhuzula kuwukwanda okungazelelwe, okungavamile komsebenzi kagesi phakathi kwamaseli ezinzwa (ama-neurons) ebuchosheni bakho. Cabanga ngobuchopho bakho njengohlelo oluncane lukagesi. Ngezinye izikhathi lokhu kungabangela 'umjikelezo omfushane'. Yilapho kuvela khona lezi zimpawu. Akuwona wonke umuntu oxhuzula ngendlela efanayo. Abanye abantu bangase balahlekelwe ingqondo futhi babe nokuxhuzula. Abanye bangase bangabi njalo, kodwa esikhundleni salokho bayeke abakwenzayo babheke ngaphandle kwesikhashana. Bangase bazizwe sengathi izingalo noma imilenze yabo iyanyakaza. Abanye abantu baxhuzula kanye kuphela empilweni yabo. Abanye bangase babe nakho izikhathi eziningana ngosuku. Ngakho-ke okuhlangenwe nakho kwakho kungase kuhluke kakhulu kokwabanye abantu.

Yiziphi izinhlobo eziyinhloko zokuxhuzula?

Manje ake sibone ukuthi yiziphi izinhlobo eziyinhloko zokuxhuzula. Kunezinhlobo ezimbili eziyinhloko:

1. Ukuxhuzula okuvamile (noma ukuxhuzula okuvamile): Lokhu kwenzeka lapho umsebenzi kagesi uqala khona kuzo zombili izinhlangothi zobuchopho ngesikhathi esisodwa. Ungase ube nokuxhuzula kuzo zombili izinhlangothi zomzimba wakho, noma uhlangothi olulodwa nje. Ngezinye izikhathi ungase ume lapho ngaphandle kokuxhuzula. Lolu hlobo luvame kakhulu ezinganeni ezincane kanye nentsha, kodwa lungenzeka kunoma ubani wanoma yimuphi ubudala.

2. Ukuquleka kwe-Focal (noma ukuquleka kokuqala): Kulolu hlobo lokuquleka, umsebenzi kagesi uqala ohlangothini olulodwa lobuchopho, noma endaweni ethile ("focus"). Izimpawu zivame ukuthinta uhlangothi olulodwa lomzimba. Ungase ube nomuzwa noma ungazi phakathi nalesi sikhathi. Lokhu kusho ukuthi ungase ukhumbule noma ungakhumbuli ukuquleka. Ukuquleka kwe-Focal ngezinye izikhathi kungaphela, noma kungasakazekela kuzo zombili izinhlangothi zobuchopho.

Yiziphi izinhlobo zokuxhuzula ezithinta ubuchopho bonke (`ukuxhuzula okuvamile`)?

Manje ake sibheke ngokuningiliziwe izinhlobo ezahlukene zokuxhuzula ezithinta ubuchopho bonke (`ukuxhuzula okuvamile`).

• `Ukuquleka kokungabikho`: Kulokhu, ngokuzumayo uyeka lokho obukwenza, ubheke ngaphandle kolwazi, futhi ubonakale sengathi awukwazi ukuzwa lutho isikhashana. Kufana nokuthi 'usuhambile emhlabeni' isikhashana. Lokhu kuyaziphelela ngemizuzwana embalwa.
• `Ukuxhuzula kwe-Atonic` (okubizwa nangokuthi `ukuxhuzula kwe-drop`): Kulokhu, umzimba ulahlekelwa ukulawula imisipha ngokuzumayo bese uwela phansi.
• `Ukuquleka kwe-Clonic`: Kulokhu, izinhlangothi zombili zomzimba ziyagxumagxuma, futhi kungase kube nokulahlekelwa ukwazi. Ngezinye izikhathi uhlangothi olulodwa kuphela lomzimba lungagxumagxuma, bese kungase kungabikho ukulahlekelwa ukwazi.
• `Ukuquleka kwe-Myoclonic`: Kulokhu, umsipha owodwa noma imisipha eminingana exhunywe ndawonye ngokuzumayo iyagxumagxuma. Kufana nokushaqeka okuncane, njengokushaqeka kukagesi.
• `Ukuxhuzula okuvamile kwesibili`: Kulokhu, umsebenzi kagesi uqala engxenyeni eyodwa yobuchopho (`ukuxhuzula okugxile`), bese usakazekela ebuchosheni bonke (`ukuxhuzula okuvamile`).
• `Ukuquleka kwe-Tonic-clonic`: Lolu uhlobo abantu abaningi abalucabangayo lapho bezwa igama elithi `seizure`. Okokuqala, imisipha yomzimba iyaqina (`isigaba se-tonic`), bese kuba ukungazi lutho bese umzimba wonke uqala ukuthuthumela (`isigaba se-clonic` - `ukuquleka`).
• Ukuquleka kwemizwa: Kulokhu, kuba nokulahlekelwa ukwazi kanye nemisipha yomzimba iba lukhuni, kodwa ukudlikiza (ukuquleka) akwenzeki.

Yiziphi izinhlobo zokuxhuzula ezithinta ingxenye eyodwa yobuchopho (`i-Focal seizures`)?

Manje ake sibheke izinhlobo zokuxhuzula ezithinta ingxenye eyodwa yobuchopho (`Focal seizures`).

• Ukuquleka okugxile (okwakwaziwa ngokuthi ukuquleka okungaphelele): Kulolu hlobo lokuquleka, uyazi ukuthi kwenzekani, okusho ukuthi uyakuzwa, bese ukukhumbula ngemva kwalokho.
• Ukuwa kwe-Focal (okwakwaziwa ngokuthi ukuwa kwe-complex partial): Uma kwenzeka ukuwa, ulahlekelwa ingqondo, ungazi lutho ngendawo ekuzungezile, futhi awukhumbuli okwenzeka ngemva kwalokho.

Zivame kangakanani izithuthwane?

Ungase uzibuze ukuthi lezi zimo zokuxhuzula zivame kangakanani. Emhlabeni wonke, kulinganiselwa ukuthi cishe umuntu oyedwa kwabayi-10 uzobhekana nokuxhuzula okungenani okukodwa empilweni yakhe. Ngakho-ke lokhu akuyona into engavamile kangako.

Ziyini izimpawu zokuxhuzula?

Izimpawu zokuxhuzula ziyahlukahluka kuye ngohlobo kanye nobukhali bokuxhuzula, kodwa izimpawu ezivamile zifaka:

• Ukulahlekelwa ukwazi.
• Ukunyakaza komzimba okungalawuleki (ukudlikizela, ukuqaqamba kwemisipha, ukugxumagxuma).
• Ukubuka, ngaphandle kokubheka lutho .

Ngaphezu kwalokhu, kungase kube nezinye izici:

• Izinguquko ezingazelelwe emizweni (ukudideka, ukwesaba, injabulo, ukukhathazeka).
• I-toothpick.
• Ukuvuza amathe.
• Amehlo ahambahamba ngendlela engavamile.
• Ukulahlekelwa ukulawula umchamo noma amathumbu.
• Ukwenza imisindo engavamile (njengokubhonga, ukuhogela).

Kodwa khumbula, lezi zimpawu zingezesikhashana . Ngokuvamile zihlala kusukela kumasekhondi ambalwa kuya kwemizuzu embalwa.

Yiziphi izigaba zokuxhuzula?

Ezinye izithuthwane zinezigaba eziningana ezihlukene, kodwa akuwona wonke umuntu obhekana nazo zonke lezi zigaba.

1. Isigaba se-Prodrome:Ungase uqaphele izinguquko esimweni sakho sengqondo nasekuziphatheni kwakho ezinsukwini ezimbalwa ngaphambi kokuba uhlaselwe yisifo sokuwa. Ungase uzizwe unesizungu, unenkinga yokugxilisa ingqondo, noma ube nenkinga yokulala.

2. Isigaba se-Aura: Ungase ube nezimpawu ezithile ngaphambi kokuba izimpawu zokuqala zokuxhuzula ziqale. Lokhu kungafaka phakathi izinguquko embonweni (ukubona ukukhanya okukhanyayo, ukubona izinto ziphambene), ikhanda elibuhlungu, isiyezi, isicanucanu, imizwa yokwesaba, ukukhathazeka, kanye nezinguquko ezinzwa zakho (izinguquko ekunambithekeni, ehogweni, emsindweni, nasekuthinteni).

3. Isigaba sokudlikiza: Yilapho ukuquleka kwenzeka khona ngempela. Yilapho uzobhekana khona nezimpawu okukhulunywe ngazo ekuqaleni.

4. Isigaba sokuhlushwa yisifo: Uma ukuxhuzula sekuphelile, ungase ube nokudideka, ukukhathala okukhulu, ubuhlungu bomzimba, kanye nemizwa enamandla (ukudabuka, intukuthelo, injabulo).

Into ebalulekile ukuthi akuzona zonke izithuthwane ezinalesi sigaba sangaphambi kwesignali esibizwa ngokuthi "i-Aura." Esikhathini esiningi, izithuthwane zifika ngokuzumayo, ngaphandle kwesixwayiso.

Yiziphi izimpawu eziyisixwayiso ngaphambi kokuquleka?

Abanye abantu bangase babe nezimpawu eziyisixwayiso ngaphambi kokuba kube nokuquleka, kodwa lokhu akuvamile kuwo wonke umuntu.

• Izimpawu zokuzwa: ukubona izibani ezikhanyayo, ukubona izinto ngendlela ehlukile, ukuzwa imisindo engavamile ngokuzumayo, ukuzwa ukunambitheka okungavamile (njengokungathi kunsimbi, okubabayo) noma amaphunga, imizwa engavamile esikhumbeni (njengokungazweli noma ukuqaqamba).
• Izinguquko ezingokomzwelo: Ukuqala ngokuzumayo kwemizwa enamandla (ukwesaba, injabulo), ukuzizwa sengathi kukhona okwenzekile ngaphambili yize kuyinto entsha (`déjá vu`), noma ukuzizwa njengento entsha yize kuyinto evamile kakhulu (`jamais vu`).
• Izimpawu zokuzimela: Lezi yizimpawu ezithinta izinhlelo zomzimba ezilawulwa ngokuzenzakalelayo ubuchopho bakho. Izibonelo zifaka phakathi ukujuluka, ukuvuza amathe, isisu esibuhlungu, kanye nesikhumba esikhanyayo.

Ziyini izimbangela zokuxhuzula?

Kungani kwenzeka ukuxhuzula? Njengoba ngishilo ekuqaleni, imbangela enkulu yalokhu ukwanda okungazelelwe, okungavamile, okungalawuleki komsebenzi kagesi phakathi kwamaseli ezinzwa (`ama-Neuron') ebuchosheni bakho. Lawa maseli ezinzwa axhumana ngezibonakaliso zikagesi. Ngesikhathi sokuxhuzula, amaseli obuchopho athintekile athumela lezi zibonakaliso kwamanye amaseli endaweni ezungezile ngaphandle kokulawula. Lokhu kusabalala ngokweqile komsebenzi kagesi yikho okubangela izimpawu zokuxhuzula.

Izimbangela zokuquleka zingahlukaniswa ngezigaba ezimbili eziyinhloko:

1. Ukuxhuzula okubangelwa yisifo (noma ukuxhuzula okungenasifo sesibindi): Lokhu kubangelwa yisimo sesikhashana noma isenzakalo esithile (esibizwa ngokuthi i-trigger). Lokhu kusho ukuthi ukuxhuzula kubangelwa yinto ethile.

2. Ukuxhuzula okungavuswanga (`Ukuxhuzula okungavuswanga` noma `ukuxhuzula okubangelwa yisifo sokuwa`):Lokhu kwenzeka ngokuzenzakalelayo, ngaphandle kwesizathu esibonakalayo. Kungabuye kwenzeke njalo. Lokhu kuxhuzula kuyisibonakaliso esiyinhloko sesimo esibizwa ngokuthi i-epilepsy.

Ngezinye izikhathi, asikho isizathu esicacile esingatholakala salesi sifo. Lokhu sikubiza ngokuthi 'isithuthwane esingama-idiopathic'.

Yiziphi izinto ezibangela ukuxhuzula?

Azikho izimbangela ezifanayo kuwo wonke umuntu, kodwa nazi ezinye ezivamile:

• Amazinga kashukela egazini angajwayelekile (aphansi kakhulu noma aphezulu kakhulu).
• Eminye imithi (njenge-`Wellbutrin®` noma i-`bupropion`).
• Izibani ezikhanyayo, ezikhanyayo noma ezikhazimulayo.
• Isifo sokushisa.
• Umkhuhlane ophezulu.
• Ukungalali kahle.
• Ukucindezeleka.
• Ukusetshenziswa kwezidakamizwa noma utshwala (ikakhulukazi izimpawu zokuhoxa lapho uyeka utshwala).

Uma unesifo sokuwa njalo, kubaluleke kakhulu ukugcina irekhodi lalokho obekwenza nokuthi indawo yakho yayinjani ngaphambi kokuwa. Lolu lwazi luzosiza udokotela wakho ukuthola ukuthi yiziphi izimbangela zakho.

Yiziphi ezinye izimo zezokwelapha ezingabangela ukuquleka?

Ukuquleka kungabangelwa ezinye izimo zezokwelapha ezahlukahlukene. Nazi izibonelo ezimbalwa:

• Ukuphazamiseka kwemithambo yegazi yobuchopho (`Aneurysms`).
• Izimila zobuchopho.
• Ukuntuleka komoya-mpilo ebuchosheni (`i-cerebral hypoxia`).
• Isifo semithambo yegazi.
• Isifo sikashukela.
• Ukulimala okukhulu ekhanda (`Ukushaqeka okukhulu` kanye `nokulimala kobuchopho okubuhlungu`), ikakhulukazi ezimweni zokulahlekelwa ukwazi.
• Izifo ezenza ubuchopho bube buthaka kancane kancane, isibonelo, isifo i-Alzheimer's noma i-frontotemporal dementia.
• Umfutho wegazi ophezulu kanye nokuquleka (`i-Eclampsia`) ngesikhathi sokukhulelwa.
• Izinkinga ze-electrolyte, ikakhulukazi amazinga aphansi e-sodium (hyponatremia), i-calcium, noma i-magnesium.
• Isifo Sokuxhuzula - Lokhu kubonakala ngokuxhuzula okuvamile ngaphandle kwesizathu esisobala.
• Izimo zofuzo.

Kungase kube nezinye izizathu:

• Izinguquko zama-hormone (`izinguquko ezihlobene nama-hormone`).
• Ukutheleleka (ikakhulukazi i-encephalitis, i-meningitis, noma i-sepsis).
• Ukuvuvukala okuvela ezimweni zokuzivikela komzimba.
• Izinkinga zempilo yengqondo (ezibizwa ngokuthi 'ukuquleka kwengqondo'), isibonelo 'isifo sokuguquka'.
• Izinkinga zokukhula kobuchopho ezenzeka ngesikhathi sokuzalwa (`Ukukhubazeka kobuchopho bokuzalwa`).
• Ukushaya kwenhliziyo.
• Ukungenisa ubuthi (ubuthi be-carbon monoxide, ubuthi bensimbi esindayo).
• Ukulunywa yizinyoka noma okunye ukulunywa yizilwane okunobuthi.

Ubani osengozini enkulu yokuba nesifo sokuwa?

Noma ubani, kungakhathaliseki ubudala, angaba nesifo sokuwa. Kodwa-ke, abanye abantu basengozini enkulu kancane:

• Kulabo abanezinye izimo zezokwelapha.
• Uma othile emndenini eke waba nokuxhuzula (ithonya lezakhi zofuzo).
• Kwabantwana (abangaphansi kweminyaka eyi-18).
• Kulabo abaneminyaka engaphezu kwengu-50 ubudala.

Yiziphi izinkinga ezingaba khona zokuxhuzula?

Ngesikhathi sokuwa, kunobungozi obukhulu bokulimala , njengoba abantu bevame ukulahlekelwa ingqondo bese bewa. Izingozi zingavela lapho bewa, noma ngenkathi benza okunye (njengokushayela imoto, ukusebenzisa imishini, noma ukukhuphuka indawo ephakeme). Lapho umzimba ugxumagxuma, izitho zingashaya izinto eziqinile, okuholela ekusikeni, ukuphuka, ngisho namathambo aphukile.

I-Status epilepticus iyisimo esiyingozi. Kwenzeka lapho ukuxhuzula kuthatha imizuzu engaphezu kwemihlanu, noma lapho kuvela okunye ukuxhuzula ngaphambi kokuba umuntu alulame ngokugcwele ekuxhuzuleni okukodwa. Lesi yisimo esiphuthumayo sezokwelapha esisongela impilo. Singabangela ukulimala kobuchopho ngisho nokufa.

Kukhona futhi ukuxhumana okuqinile phakathi kokuxhuzula nempilo yengqondo. Abantu abaxhuzula banamathuba amaningi okuthola izinkinga zempilo yengqondo njengokukhathazeka nokucindezeleka . Lokhu kungenxa yokuthi ukuxhuzula kungaphazamisa imisebenzi yansuku zonke nezinto abazijabulelayo. Ungase uzizwe ukhathazekile futhi ukhathazekile ngokuba nokuxhuzula okunye. Ungase ungakwazi ukulala ebusuku uzibuza ukuthi okulandelayo kuzofika nini. Uma uxhuzula phambi kwabanye, ungase uzizwe unamahloni futhi ungase ungafuni ukuphuma noma ukuchitha isikhathi nabangani. Njengoba ukuxhuzula kuyinto eyenzeka ngaphandle kwamandla akho, kuvamile ukuba nale mizwa. Umeluleki wezempilo yengqondo angakusiza ukuthi ulawule le mizwa.

Uyibona kanjani i-seizure?

Udokotela, ngokuvamile udokotela wezinzwa, uthola ukuthi unesifo sokuwa. Lokhu kuhilela ukuhlolwa ngokomzimba, ukuhlolwa kwezinzwa, kanye nokunye ukuhlolwa. Phakathi nalezi zivivinyo, udokotela uzobuza ngezimpawu zakho, umlando wakho wezokwelapha, kanye nokuthi kukhona yini emndenini wakho oke waba nezimo ezifanayo.

Kuwusizo kakhulu ukuletha umuntu owakubona ukuxhuzula kwakho nawe ukuze azobona udokotela. Njengoba ungase ungakhumbuli okwenzekile ngaleso sikhathi, lowo muntu angatshela udokotela imininingwane.

Yiziphi izivivinyo ezisetshenziswa ukuxilonga ukuxhuzula?

Lezi zivivinyo zisiza ukuqinisekisa ukuthi ngabe ngempela unesifo sokuwa, futhi uma kunjalo, yini ebangele lokho. Enye yezinto ezibaluleke kakhulu ekuxilongeni isifo sokuwa ukuthola ukuthi kukhona yini indawo ethile ebuchosheni (`iphuzu eliqondile`) lapho kuqala khona isifo sokuwa. Uma lesi 'phuzu eliqondile' selitholakele, kuba lula ngodokotela ukuhlela ukwelashwa.

Nazi ezinye zezivivinyo ezisetshenziswa ukuxilonga ukuquleka:

• Ukuhlolwa kwegazi.
• I-CT scan (`I-computer tomography (CT) scan`).
• Ukuhlolwa kwe-EEG (`Electroencephalogram (EEG)`). Lokhu kulinganisa umsebenzi kagesi wobuchopho.
• Ukuhlolwa kofuzo.
• Ukuskena kwe-MRI (i-Magnetic resonance imaging (MRI)).
• Ukuskena kwe-PET (i-Positron emission tomography (PET) scan).
• Ukubhoboza umgogodla noma i-lumbar puncture.

Uma udokotela esola ukuthi kukhona ukulimala noma inkinga ebangelwe ukuxhuzula, angase futhi acele ukuhlolwa. Udokotela uzokutshela (noma othile okuthathela izinqumo zezokwelapha) ukuthi yiziphi izivivinyo ezenziwayo nokuthi kungani.

Yiziphi izindlela zokwelapha isithuthwane?

Ukwelashwa kwesifo sokuwa kuyahlukahluka kuye ngohlobo, ubukhulu, kanye nembangela. Udokotela wakho angase asikisele ukwelashwa okufana nalokhu:

• Ukwelapha imbangela noma isimo esiyisisekelo: Udokotela uzoqala azame ukwelapha isimo esiyisisekelo esibangele ukuxhuzula (njengokushaywa unhlangothi noma ushukela wegazi ophansi). Lokhu kungasiza ekuvimbeleni ukuxhuzula esikhathini esizayo.
• Ukuthatha imithi yokuvimbela ukuquleka: Le mithi ingamisa ukuquleka noma inciphise ukuquleka kaningi.
• Ukuhlinzwa: Ukususa noma ukuguqula indawo egxile ebuchosheni lapho kuqala khona ukuxhuzula kunganciphisa ukuvama kanye nobukhali bokuxhuzula.
• Ukuvuselela ubuchopho: Udokotela ohlinzayo ufaka idivayisi encane ebuchosheni bakho. Lokhu kuletha ugesi ebuchosheni. Lo gesi uphazamisa umsebenzi kagesi ongajwayelekile futhi uzama ukuwumisa. Kunezinhlobo eziningana zokuvuselela ubuchopho, isibonelo esisodwa ukuvuselela imizwa ye-vagus.

Uma ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angase asikisele ukushintsha ukudla kwakho. Ezinye izifundo zibonise ukuthi ukudla okunama-carbohydrate aphansi noma ukudla okune-ketogenic kunganciphisa ukuvama kokuquleka. Kodwa-ke, lokhu kusacwaningwa.

Yimiphi imithi esetshenziswayo yokwelapha isifo sofuba?

Imithi ingasiza ekulawuleni ukuxhuzula ngokuthi:

• Iyayeka ngokushesha nje lapho kuvela ukuxhuzula.
• Kuvimbela ukuquleka kwesikhathi esizayo.
• Kunciphisa ubukhali bokuxhuzula.
• Kunciphisa ukuvama kokuxhuzula.

Nazi ezinye zemithi ejwayelekile yokwelapha ukuxhuzula (lezi yizibonelo nje; udokotela wakho uzonquma ukuthi yimuphi umuthi ofanele wena):

• `Benzodiazepine`
• `I-Carbamazepine`
• `I-Diazepam`
• `Gabapentin`
• `I-Lamotrigine`
• `I-Oxcarbazepine`
• `I-Phenytoin`
• `I-Pregabalin`
• `I-Valproic acid`

Ngemva kokuqala umuthi omusha, udokotela wakho uzokubheka njalo ukuze abone ukuthi usebenza kahle kangakanani. Kungathatha izinyanga eziningana ukuthi wena nodokotela wakho nithole umuthi kanye nomthamo ofanele. Ngisho noma uzizwa ungcono, kubaluleke kakhulu ukuqhubeka uthatha umuthi wakho njengoba udokotela wakho ekutshela.

Ucwaningo lubonisa ukuthi cishe abantu abangu-33% abasebenzisa imithi yokuvimbela ukuquleka bathola impumuzo ephelele ezimpawini zabo zokuquleka. Abanye abangu-33% babika ukuthi izimpawu zabo ziyancipha ngemva kokuthatha imithi.

Ingabe ukuxhuzula kungavinjelwa?

Ngenxa yokuthi ukuxhuzula kuyisenzakalo esizumayo, akunakuvinjelwa ngokuphelele. Into engcono kakhulu ongayenza ukugwema izinto ezingabangela ukuxhuzula, noma 'izisusa'. Isibonelo, lawula amazinga kashukela egazini lakho, futhi uzivikele ezifweni nasekulimaleni.

Kwenzekani uma ngiba nokuxhuzula? Yini okufanele ngiyilindele?

Abantu abangaphansi kwengxenye abaye baba nokuquleka okukodwa ngaphandle kwesizathu bazoba nokunye. Kodwa-ke, uma kwenzeka ukuquleka kwesibili, odokotela bavame ukuqala imithi yokuvimbela ukuquleka. Uma kwenzeka ukuquleka okucasukile, ingozi yokuba nokuquleka okunye incike ekutheni yini ebangele ukuquleka kokuqala. Uma leyo nkinga ingelashwa, mancane amathuba okuba uphinde ube nokuquleka (ngaphandle uma isimo esifanayo esibangele ukuquleka kokuqala siphinde sivele).

Imithi ingamisa ukuquleka noma yehlise ukuvama kwako. Kodwa-ke, ngezinye izikhathi kufanele uzame imithi eminingana (noma inhlanganisela yemithi) ukuze uthole okusebenzela wena.

Kwezinye izimo, ukuxhuzula kungaba nzima ukukulawula ngemithi yodwa. Ezimweni ezinjalo, udokotela angase ancome ukuhlinzwa, ukudla okukhethekile, noma ezinye izindlela zokwelapha.

Uma unesifo sokuwa njalo, udokotela wakho uzokutshela ngezinyathelo zokuphepha ezingakusiza uhlale uphephile. Ungagqoka noma uphathe isongo noma ikhadi le-ID yezokwelapha. Lokhu kuzokwazisa abanye ukuthi benzeni uma unesifo sokuwa.

Sekuyisikhathi esingakanani kusukela waba nesifo sokuwa?

Izimpawu zokuquleka zivame ukuhlala kusukela kumasekhondi ambalwa kuya kwemizuzu embalwa, isikhathi esiphezulu singaba yimizuzu eyi-15. Kodwa-ke, uma kuvela ukuquleka okuningana kulandelana (lokhu kuyisimo esiphuthumayo sezokwelapha), izimpawu zingase zihlale isikhathi eside.

Uzoba yini umbono wami wesikhathi esizayo mayelana nokuquleka?

Ngenxa yokuthi ulwazi lomuntu wonke lokuxhuzula luhlukile, indlela abantu abazizwa ngayo ingahluka kakhulu. Kuncike ezintweni eziningana:

• Uthole isizathu?
• Ingabe leso sizathu singalashwa futhi silawulwe?
• Uhlobo luni lokuxhuzula owake waba nalo?
• Ukuxhuzula kwakukubi kangakanani futhi kwahlala isikhathi esingakanani?
• Ingabe lokhu kuqubuka kwakho kokuqala?
• Ingabe unesifo esithile esiyisisekelo esibangela ukuquleka?
• Yiziphi izindlela zokwelapha ezitholakalayo zokuphatha lolu hlobo lokuquleka?

Udokotela wakho ungumuntu ongcono kakhulu ukukunikeza ulwazi lwakamuva mayelana nokuthi yini ongayilindela. Qiniseka ukuthi uyambuza uma unemibuzo.

Kufanele ngimbone nini udokotela?

Uma unesifo sokuwa okokuqala empilweni yakho , noma uma ulahlekelwa ingqondo futhi ungayazi imbangela, kufanele nakanjani uye ekamelweni lezimo eziphuthumayo.Uma ucabanga ukuthi unesifo sokuwa okokuqala ngesikhathi uwedwa, kufanele ubonane noma ukhulume nodokotela ngokushesha okukhulu.

Uma uke waba nokuquleka ngaphambilini, kubalulekile ukuqaphela izimpawu zokuquleka okunye. Uma uke waba nokuquleka okwesibili, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu. Lokhu kungenxa yokuthi ukuquleka kungabangela izinguquko ebuchosheni bakho, okwenza kube nokwenzeka kakhulu ukuthi ube nokuquleka okunye. Ngakho-ke, kungcono ukuthola ukuxilongwa bese uqala ukwelashwa ngokushesha okukhulu.

Uma umuntu enesithuthwane njalo, kungase kungadingeki ukushayela i-ambulensi ngemva kwesithuthwane ngasinye. Kodwa-ke, noma ngabe uyazi ukuthi kungani unesithuthwane, ukulimala okubangelwe yiso kungase kudinge usizo lwezokwelapha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma unesifo sokuwa, ungabuza udokotela wakho imibuzo efana nale:

• Kungani ngibe nalesi sifo sokuwa?
• Ngingazigwema kanjani 'izinto ezibangela i-trigger'?
• Hlobo luni lokwelashwa olungincomayo?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Ingabe ngizophinde ngibe nesifo sokuwa?
• Ngingahlala kanjani ngiphephile?

Yiziphi izinhlobo zokuxhuzula ezithinta izingane?

Izingane zingaba nokuxhuzula. Izimbangela ezifanayo zokuxhuzula kubantu abadala zivame ukuthinta izingane. Nazi ezinye zezinhlobo ezivame kakhulu zokuxhuzula kanye nezinkinga zokuxhuzula ezinganeni (lezi yizibonelo nje):

• Ukuquleka kokungabikho (okubizwa nangokuthi i-epilepsy yokungabikho kobuntwana).
• Isifo sokuwa ezinganeni.
• Ukuquleka okubangelwa yi-febrile.
• Ukuqaqamba kwemisipha yengane.
• Isifo sokuwa kwe-myoclonic sabantwana.
• "I-Lennox-Gastaut syndrome"
• `Ukuxhuzula kwe-Tonic-clonic`.

Ingabe kuphephile ukukhulelwa uma nginesifo sokuwa?

Yebo, ungaba nokukhulelwa okuphephile uma unesifo sokuwa. Kodwa udokotela wakho uzofuna ukuhlola impilo yakho neyengane yakho njalo. Eminye imithi yokulwa nesifo sokuwa ayifanele ukusetshenziswa ngesikhathi sokukhulelwa. Udokotela wakho uzobe esekwazi ukukunikeza eminye imithi ephephile ukusiza ukulawula izimpawu zakho. Uma unemibuzo noma ukukhathazeka ngalokhu, umuntu ongcono kakhulu ongakhuluma naye udokotela wakho.

Nakuba ukuxhuzula kungase kubonakale njengento oyibona ku-TV noma kuma-movie, kungaba yinto wena noma othandekayo wakho enibhekana nayo nsuku zonke, noma kaningi. Empeleni akujabulisi ukuyibona, futhi kwesabisa nakakhulu ukuyibuka. Ungase uzizwe sengathi awuyena wena ngaphambi, ngesikhathi, nangemva kwayo, futhi kungathatha isikhathi ukululama.

Ngisho noma ukuquleka kwakho kungaphezu kwamandla akho, udokotela angakusiza ukubhekana nezimpawu kusenesikhathi. Udokotela wakho angase akufundise izindlela zokuphatha isimo sakho esiyisisekelo, noma akusize ubone futhi ugweme izimbangela. Imithi ingasiza ekunciphiseni ukuquleka okuvamile, futhi ukuhlinzwa kungaba yindlela ongakhetha kuyo uma ezinye izindlela zokwelapha zingasebenzi.

Yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba? (Umyalezo Wokuya Ekhaya)

Kulungile, nansi eminye yemibono okufanele uyikhumbule kulokho esikhulume ngakho:

• Ukuquleka kuyisimo esingajwayelekile emsebenzini kagesi wobuchopho. Nakuba kungase kwesabise, kunezindlela zokwelapha ezitholakalayo kuye ngembangela nohlobo.
• Akuzona zonke izithuthwane ezifanayo. Abanye abantu banyakaza ngokudlikiza, abanye bamane bakubheke. Izimpawu zingahluka kakhulu.
• Uma unesithuthwane okokuqala ngaphandle kwesizathu, noma uma ulahlekelwa ingqondo, funa iseluleko sezokwelapha ngokushesha. Ngisho noma kwenzeka okwesibili, bona udokotela ngokushesha.
• Kubaluleke kakhulu ukuthatha imithi oyinikezwe udokotela wakho ngesikhathi esifanele. Ungayeki ukuyithatha wedwa.
• Thola ukuthi yiziphi 'izimbangela' zakho bese uzama ukuzigwema.
• Awuwedwa. Kukhona odokotela, umndeni, nabangani abangasiza futhi basekele abantu abanesifo sokuwa. Nakekela impilo yakho yengqondo.
• I-Status epilepticus (ukuquleka okuhlala imizuzu engaphezu kwemi-5 noma ukuquleka okuqhubekayo) kuyisimo esiphuthumayo sezokwelapha. Kudinga ukulaliswa esibhedlela ngokushesha.

Uma wena noma othile omaziyo eneminye imibuzo mayelana nokuxhuzula, ungesabi ukukhuluma nodokotela. Bazokusiza.

Ukuquleka , Isithuthwane, Isifo Sobuchopho, Isifo Sezinzwa, Izimpawu