Ingabe ukhona emndenini wakho oke waba nokuquleka okukhulu okunje? Ake sifunde nge-Tonic-Clonic (eyaziwa nangokuthi i-Grand Mal) ukuquleka!

Wake wambona umuntu eqhaqhazela ngokuzumayo futhi alahlekelwe ingqondo? Angase adede amathe. Sonke siyasaba uma sibona isimo esinjalo, akunjalo? Kunezinhlobo eziningana zokuxhuzula ezenzeka ngale ndlela. Namuhla sizokhuluma ngokuxhuzula kwe-Tonic-Clonic (Grand Mal), okuwuhlobo lokuxhuzula olunzima kancane kodwa olwaziwa kakhulu kubantu abaningi. Ake sibone ukuthi kuyini ngempela, kungani kwenzeka, yiziphi izimpawu, nokuthi yini okufanele siyenze esimweni esinjalo.

Kuyini ukuquleka kwe-tonic-clonic noma i-grand mal?

Kalula nje, i-tonic-clonic seizure iyi-seizure enzima lapho imisipha ezinhlangothini zombili zomzimba wethu ivele isebenze futhi inyakaze. Lolu uhlobo abantu abaningi abalucabangayo lapho bezwa igama elithi "seizure" futhi kulula ukulibona. Lalibizwa ngokuthi "i-Grand Mal." Liyigama lesiFulentshi elisho into efana "nokugula okukhulu."

Igama elithi "Tonic-Clonic" lisikisela ukuthi lokhu kuqubuka kunezigaba ezimbili eziyinhloko.

1. Isigaba se-Tonic: Lokhu kwenzeka lapho imisipha yomzimba wonke, ikakhulukazi izingalo nemilenze, iqina ngokuzumayo.

2. Isigaba se-Clonic: Lokhu kulandelwa ukudlikizela komzimba, noma ukudlikizela.

Lokhu kuqubuka kwehluke kanjani kwezinye izinhlobo zokuqubuka kanye nesifo sokuwa?

Kunezinhlobo eziningana ze-seizures. Ezinye zazo zinamagama afanayo, okungadida. Ake sibheke umehluko omkhulu:

• Ukuquleka kwemisipha okubangelwa yi-Atonic: Okubizwa nangokuthi "ukuhlaselwa kokuwa," lokhu kuwukuquleka kwemisipha okungazelelwe, okungahleliwe okubangela ukuba umuntu awe phansi. Lokhu kwandisa ingozi yokulimala ngenxa yokuwa.
• Ukuquleka kwe-Tonic: Lokhu kufana nokuquleka kwe-tonic-clonic, kodwa isigaba se-clonic, noma ukuquleka, akwenzeki. Umuntu angase alahlekelwe ingqondo futhi aqine, kodwa akukho ukuquleka.
• Ukuquleka kwe-Clonic: Lokhu ukuquleka okwenzeka ngaphandle kwesigaba sokuthonisa, bese ngokuzumayo kuba yisigaba sokuquleka. Lokhu kusho ukuthi umzimba awuqini, kodwa kunalokho uqala ukudlikiza futhi ungase ulahlekelwe ngisho nokuqaphela.
• Ukuquleka kwemisipha: Lokhu kuwukuquleka kwemisipha ngokuzumayo. Kufana nokushaywa ugesi. Uma kuthinta imilenze, ungase uwe. (Kodwa nansi into encane: Lapho siquleka imizimba yethu ngokuzumayo lapho sizolala, kubizwa ngokuthi 'ukuquleka kwemisipha.' Kuvamile, hhayi ukuquleka noma isithuthwane. )
• Isifo Sokuxhuzula: Isifo Sokuxhuzula yisimo sobuchopho esibangela ukuxhuzula okuvamile, okungachazeki. Odokotela baxilonga isifo sokuxhuzula ngokuthi:Ngokuvamile kwenziwa uma uke waba nokuquleka okungenani okubili okungabangelwanga esikhathini esingaphezu kwamahora angu-24, noma uma uke waba nokuquleka okukodwa futhi kunengozi enkulu yokuba nokunye eminyakeni eyi-10 ezayo.

Ubani othinteka kakhulu yilesi simo? Sivame kangakanani?

Noma ubani angaba nesifo sokuwa, kodwa abanye abantu banamathuba amaningi okuba naso. Ukuwa kuvame kakhulu ezinganeni ezincane nakubantu abaneminyaka engaphezu kwengu-65.

Sekukonke, cishe abantu abangu-25% abane-seizures bane-tonic-clonic seizures. Ngokwezibalo e-United States, cishe abantu abangu-11% bazoba ne-seizures empilweni yabo, kanti cishe abangu-3% babo bazotholakala benesifo se-epilepsy. Cishe u-1% weziguli eziza eminyangweni yezimo eziphuthumayo yilabo abafika ngenxa ye-seizures.

Lokhu kuqubuka kuwuthinta kanjani umzimba?

Ukuxhuzula kuwushintsho noma ukungasebenzi kahle kwendlela amangqamuzana ethu obuchopho, abizwa ngokuthi ama-neurons, athumela ngayo izimpawu zikagesi. Ngesikhathi sokuxhuzula, la ma-neurons aqhubeka nokuqhuma ngokungalawuleki, okusakazekela kwamanye ama-neurons.

Ukuwa kwe-tonic-clonic 'kuyi-generalized seizure'. Lokhu kusho ukuthi kuthinta izinhlangothi zombili zobuchopho. Lokhu kubangela ukulahlekelwa ukwazi, ubuthakathaka bemisipha emzimbeni wonke, kanye nokunyakaza okungalawuleki njengokugxumagxuma nokuthuthumela.

Isimo se-Epilepticus - Lokhu kuyingozi!

Okubalulekile: Uma umuntu eba nokuquleka okuhlala isikhathi esingaphezu kwemizuzu emihlanu, noma uma ukuquleka okukodwa kuphela bese kuvela okunye ngaphambi nje kokuba aphinde aqonde, kubizwa ngokuthi isimo sokuquleka . Lesi yisimo esiphuthumayo sezokwelapha esisongela ukuphila! Kungabangela ukulimala kobuchopho okungapheli ngisho nokufa.

Cishe ama-98% okuxhuzula avame ukuphela ngaphansi kwemizuzu emihlanu. Isimo sokuxhuzula singavela nganoma yisiphi isizathu esingabangela ukuxhuzula.

Uma othile eba nokuquleka okuhlala imizuzu engaphezu kwemi-5 ngenkathi ulapho, noma uma kuvela okunye ngaphambi kokuba okokuqala kuphele, sicela ushayele ucingo ku-1990 (isevisi ye-ambulensi ephuthumayo yaseSri Lanka) ngokushesha, noma umyise esibhedlela esiseduze. Uma isimo sokuquleka sihlala isikhathi eside, kunzima kakhulu ngodokotela ukukuvimba, futhi kunethuba elikhulu lokulimala kobuchopho.

Ziyini izimpawu ze-tonic-clonic seizures?

Uma abantu abaningi becabanga "ngokuquleka," bacabanga ngokuquleka kwe-tonic-clonic. Izimpawu ngokuvamile zilula futhi kulula ukuzibona. Kunezigaba ezintathu eziyinhloko:

1. Isigaba se-Tonic (cishe imizuzwana eyi-10-30):

• Kulokhu, ulahlekelwa ingqondo ngokuzumayo.
• Imisipha yomzimba wonke, ikakhulukazi izingalo nemilenze, iyaqina. Kungase kubonakale sengathi umzimba ugobile emuva futhi isisu siyaphuma.
• Njengoba imisipha yokuphefumula iqina, umoya uyaphuma emaphashini, wenze umsindo wokushaya ikhwela.
• Uma uwa ngalesi sikhathi, noma uma ubamba amazinyo akho futhi uluma ulimi lwakho , ungalimala.

2. Isigaba se-Clonic (imizuzwana engama-30-60, ngezinye izikhathi isikhathi eside):

• Yilapho umzimba wonke uqala ukuthuthumela nokuqhaqhazela (ukudlikizela).
• Ungakhafula futhi amafinyila emlonyeni wakho.
• Imisindo iyancipha kancane kancane, futhi kancane kancane iyayeka.
• Ekupheleni kwalesi sigaba, umchamo nendle kungase kukhishwe, okusho ukuthi zingangena ezingutsheni.

3. Isigaba sokululama ngemva kokuxhuzula (cishe imizuzu engama-30):

• Iningi labantu liphinde libuyele engqondweni kancane kancane ngemva kokuphela kokuquleka.
• Kodwa ungase uzizwe udidekile, uphethwe yikhanda, noma uzwe ubuhlungu bomzimba . Lokhu kujwayelekile.
• Kwezinye izimo ezinzima, ikakhulukazi uma kuvela isimo esifana ne-'Status epilepticus', kungathatha isikhathi eside ukuthi umuntu aphinde aqonde.

Kuyini ukuquleka okugxile kanye ne-aura?

Abantu abaningi banomuzwa, isenzakalo esibi, ngaphambi kokuba kube nokuxhuzula. Lokhu kubizwa ngokuthi 'i-prodrome'. Ngezinye izikhathi lokhu kuxhuzula kungahambisana ne-'aura'. I-aura umuzwa wokuthi izingxenye ezithile zobuchopho ziyathinteka lapho kuqala ukuxhuzula.

Ukuwa okujwayelekile, njengokuwa kwe-tonic-clonic, akunawo i-aura. Kodwa-ke, ukuwa okugxile - ukuwa okuthinta uhlangothi olulodwa lobuchopho - ngezinye izikhathi kungasakazeka kuyo yonke ingqondo futhi kube yi-tonic-clonic seizure. I-aura eyandulela ukuwa okugxile ingaba uphawu oluyisixwayiso sokuthi ukuwa kwe-tonic-clonic kuyeza.

I-aura ingaba nezici ezilandelayo:

• Izimpawu zemizwa: Uma izingxenye zobuchopho ezilawula izinzwa zakho zithintekile, ungase uzwe imizwa engamanga oyibonayo noma oyizwayo ngempela. Isibonelo, ungase ubone izibani ezinemibala, ubone izinto zihamba, uzwe imisindo, uzwe ukunambitheka nokunuka okungajwayelekile, noma uzwe okuthile kuhamba esikhumbeni sakho.
• Izinguquko emizweni: Abanye abantu bangase babe nemizwa engemihle njengokwesaba nokukhathazeka. Abanye bangase babe nemizwa emihle njengenjabulo nokuthokoza. Abanye bangase babe nemizwa efana ne-`déjá vu` (umuzwa wokujwayelana nokuhlangenwe nakho okusha) noma i-`jamais vu` (umuzwa wokujwayelana nokuhlangenwe nakho okusha).
• Izimpawu zokuzimela: Lezi zingathinta izinto umzimba wethu ozilawulayo ngokuzenzakalelayo. Isibonelo, ukujuluka, ukuvuza amathe ngokweqile, isikhumba esikhanyayo noma esibomvu, kanye nokuvuka kwesisu.

Yini ebangela ukuquleka kwe-tonic-clonic?

Kungaba nezizathu eziningi zalokhu kubanjwa. Ake sibheke eziyinhloko:

• Ubuthakathaka emithanjeni yegazi yobuchopho (`Aneurysms`).
• Ukuphazamiseka kwesigqi senhliziyo (`Arrhythmias`), ikakhulukazi lapho ukugeleza kwegazi kuya ebuchosheni kuphazamiseka.
• Izimila zobuchopho (ezinomdlavuza kanye nezingezona umdlavuza).
• Ukuntuleka komoya-mpilo ebuchosheni (`i-cerebral hypoxia`).
• Ukulimala okubangelwa ukushaywa kanzima ekhanda (ukubhajwa kwekhanda kanye nokulimala kobuchopho okubuhlungu).
• Izifo ezenza ubuchopho bube buthaka kancane kancane, isib. isifo i-Alzheimer's, i-frontotemporal dementia.
• Izidakamizwa notshwala (lokhu akubandakanyi imithi, izidakamizwa zokuzijabulisa kuphela, kodwa ngisho ne-caffeine ekhofini).
• Izimo ezenzeka ngemva kokuyeka izidakamizwa noma utshwala.
• I-Eclampsia (isimo lapho abesifazane abakhulelwe beba nokuxhuzula ngenxa yomfutho wegazi ophakeme).
• Ukungalingani kosawoti womzimba (ikakhulukazi i-sodium ephansi - `i-hyponatremia`, i-calcium ephansi, i-magnesium).
• Umkhuhlane, ikakhulukazi umkhuhlane ophakeme (sinesihloko esihlukile mayelana nokuquleka komkhuhlane ezinganeni).
• Imisebe yokukhanya ekhanyayo, ekhanyayo (njengoba kubonakala ku-TV, kuma-movie, emidlalweni yevidiyo).
• Izifo zofuzo zokuzalwa ('izinkinga zofuzo').
• Izinguquko zama-hormone (isib. isifo sokuwa esibangelwa yi-catamenial, isimo lapho abanye besifazane beba nokuwa kakhulu ngesikhathi sokuya esikhathini).
• Ukutheleleka (ikakhulukazi i-encephalitis noma i-meningitis; lokhu kungabangelwa amagciwane, amabhaktheriya, ama-parasite, noma isikhunta).
• Izimo zokuzivikela komzimba ezibangelwa ukuphazamiseka kwesimiso somzimba sokuzivikela.
• Ukungalali kanye nezinye izinkinga zokulala.
• Izinkinga ze-metabolic (ikakhulukazi ushukela ophezulu egazini - `i-hyperglycemia` noma ushukela ophansi egazini - `i-hypoglycemia`).
• Izinkinga zempilo yengqondo (lezi zibizwa ngokuthi 'ukuquleka kwengqondo', isib. 'ukuphazamiseka kokuguquka').
• Izinkinga ngesakhiwo sobuchopho (ikakhulukazi ngenxa yezinkinga ezenzeka lapho ubuchopho bukhula esibelethweni).
• I-Sepsis (isimo esisongela ukuphila lapho ukutheleleka kusakazeka khona emzimbeni wonke futhi amasosha omzimba asabela ngokweqile).
• Ukuhlaselwa yisifo sohlangothi noma ukuhlaselwa yi-ischemic okuhamba kancane (TIAs).
• Ubuthi (isib. ubuthi be-carbon monoxide, ubuthi bensimbi esindayo).

Ukuquleka okucasukile nokungacasuki

Uma odokotela bethola ukuthi umuntu unesifo sokuwa, babheka nokuthi ngabe `kucasuliwe` noma `akucasuliwe`.

• Ukuquleka okubangelwa yisifo: Lokhu kwenzeka njengophawu lwesinye isimo sezokwelapha noma ngenxa yesigameko esithile (isib. umkhuhlane ophakeme, ushukela ophansi egazini, ukuyeka imithi, izidakamizwa, noma utshwala).
• Ukuquleka okungavuswanga: Lokhu ukuquleka okungaveli njengophawu lokugula kwesikhashana noma isenzakalo esithile. Ukuquleka okwenzeka ngemva kwezinsuku eziyisikhombisa, njengokulimala ekhanda noma isifo sohlangothi, nakho kuwela kulesi sigaba.

Ingabe ukuquleka kwe-tonic-clonic kuyathelelana?

Cha, ukuquleka kwe-tonic-clonic akuthelelani.Kodwa-ke, ezinye izinto, njengezifo ezibangela ukuxhuzula, zingathelelana (nakuba kungezona zonke izifo ezibangela ukuxhuzula). Futhi, ezinye izimo ezibangela ukuxhuzula ziwufuzo (zingadluliselwa kusuka kubazali kuya ezinganeni).

Itholakala kanjani i-tonic-clonic seizure?

Udokotela wakho, ngokuvamile udokotela wezinzwa, angakwazi ukuxilonga ukuxhuzula kwe-tonic-clonic ngokusekelwe ezimpawini. Ngenxa yokuthi ulahlekelwa ingqondo phakathi nalesi sixhuzula, ungase ukhumbule kuphela lokho owakuzwa ngaphambi nangemva kwaso. Esimweni esinjalo, udokotela angacela othile owayenawe ukuthi akuchazele okwenzekile.

Uma ubona umuntu enesithuthwane, ikakhulukazi uma eqine, eqhaqhazela, noma ethuthumela, udokotela angase akucele ukuthi uchaze izimpawu. Ukumtshela lokho okubonayo kungaba usizo kakhulu ekutholeni imbangela.

Hlobo luni lokuhlolwa okwenziwayo?

Kunezinhlobo eziningana zokuhlolwa ukuze kutholakale ukuthi une-tonic-clonic seizures noma cha. Ukuhlolwa okuvame kakhulu yile:

• I-Electroencephalogram (EEG): Lokhu kulinganisa umsebenzi kagesi wobuchopho.
• Ukuhlolwa kwegazi: Lokhu kuhlola izinto ezifana nokuphazamiseka kwe-metabolic, ukungalingani kwamakhemikhali egazini, izinkinga zesistimu yomzimba kanye nobuthi.
• I-computerized tomography scan (CT scan): Ithatha izithombe zobuchopho ezihlanganisa izingxenye ezahlukene.
• Ukuthwebula izithombe ze-magnetic resonance (MRI): Lokhu futhi kuthatha izithombe ezinemininingwane zobuchopho.
• Ukumpompa komgogodla (ukubhoboza i-lumbar): Ukuhlola izinto ezifana nokutheleleka ebuchosheni nasemgogodleni.

Lapho bexilonga isifo sokuwa, odokotela bazama ukuthola indawo ethile ebuchosheni ('indawo egxile') lapho kuqala khona ukuwa. Uma bengathola le ndawo, kunomthelela omkhulu endleleni yokwelashwa.

Ukuquleka kwe-Tonic-clonic kungabangela ukulahlekelwa ukwazi, ukucinana kwemihlathi, kanye nengozi yokulimala ngenxa yokugxuma noma ukushaya izinto. Uma odokotela besola ukuthi kukhona okunye ukulimala noma izinkinga ezivela ngenxa yokuquleka, bangase bacele ukuhlolwa okwengeziwe ngaphezu kwalokhu okubalwe ngenhla. Udokotela wakho uzokwazi ukukutshela ukuthi yiziphi izivivinyo ezifanele isimo sakho nokuthi kungani zenziwa.

Kulashwa kanjani ukuquleka kwe-tonic-clonic? Ingabe lokhu kungelapheka?

Ukuquleka kwe-Tonic-clonic kuvame ukuyeka ngokwako. Ngakho-ke, akukho ukwelashwa okuqondile kokuquleka ngesikhathi kwenzeka. Kodwa-ke, kuhlukile uma une-status epilepticus (ukuquleka okuhlala imizuzu engaphezu kwemi-5 bese kulandelwa okunye ngaphambi kokuba okudlule kuphele).

Ukwelashwa kokuquleka kuncike ekutheni yini ekubange kwasekuqaleni. Uma unesifo sokuquleka esivuselelwe, ukuquleka kufanele kume uma isimo esiyisisekelo esibangele lesi sifo seselashwa noma seselaphekile. Uma imbangela eyisisekelo ingelapheki, odokotela bazozama ukunciphisa ukuvama nobukhali baso.

Odokotela ngokuvamile abancomi ukwelapha ukuquleka kokuqala okungavuswanga ngoba ayikho indlela yokwazi ngokuqinisekile ukuthi kuzophinde kwenzeke yini ukuquleka, futhi uma kunjalo, akunasizathu sokwelapha.

Odokotela banganquma ukuthi usengozini yokuba nesinye isifo sokuwa ngokubheka umlando wakho wezokwelapha, i-EEG, i-CT scan, noma i-MRI scan.

Yiziphi izinhlobo zemithi noma ukwelashwa ezisetshenziswayo?

Njengazo zonke izinhlobo zokuquleka, kunezindlela eziningi zokwelapha ukuquleka kwe-tonic-clonic okubangelwa yi-epilepsy. Abanye abantu bangalawula ukuquleka kwabo ngomuthi owodwa nje. Abanye bangadinga inhlanganisela yemithi kanye nezinye izindlela zokwelapha.

Ezinye zezindlela zokwelapha ukuquleka kwe-tonic-clonic okubangelwa yi-epilepsy zifaka:

• Imithi: Kunemithi ye-IV enganikezwa ukuvimba ukuxhuzula; nokho, le mithi ivame ukunikezwa kuphela ezimweni ze-status epilepticus. Kukhona namaphilisi athathwa nsuku zonke ukuvimbela ukuxhuzula noma ukunciphisa ukuvama kwawo. Lena imithi yokuqala enikezwa ukuxhuzula okubangelwa ukuxhuzula.
• Ukuhlinzwa kwesifo sokuwa: Uma imithi ingasebenzi, ngezinye izikhathi ukuhlinzwa kungenziwa ukuze kumiswe ukuwa ngokususa ingxenye yobuchopho (indawo eyinhloko) lapho kuqala khona ukuwa, noma ngokuyihlukanisa nezinye izingxenye zobuchopho. Uma ukuwa kuqhubeka naphezu kokuthatha izinhlobo ezimbili zemithi yokulwa nokuwa ngemithamo enconyiwe, odokotela bangase batuse ukuhlinzwa kwesifo sokuwa.
• Izinguquko ekudleni: Ukudla okunama-carbohydrate aphansi noma okungenawo ama-carbohydrate (`ketogenic diet`) ngezinye izikhathi kungamisa ukuxhuzula ngokuphelele noma kunciphise ukuxhamazela kokuxhuzula. Nakuba lokhu kudla kungaba nzima ukukulandela, kungaba usizo kubantu abangazange baphendule emithini noma abanemiphumela emibi kakhulu evela emithini. Futhi kuyindlela yokukhetha kubantu abangafuni ukuhlinzwa.
• Ukuvuselela ubuchopho: Lokhu kuhilela ukufaka idivayisi encane ebuchosheni bese uletha ugesi ebuchosheni. Lo mbane uphazamisa umsebenzi kagesi wesifo sokuwa bese uzama ukuwumisa. Okwamanje kunezindlela ezimbili, ukuvuselela ubuchopho okujulile kanye nokuvuselela imizwa okuphendulayo.
• Ukuvuselelwa kwemizwa ye-vagal: Inzwa yethu yeshumi ye-cranial, i-vagal nerve, ixhunywe ngqo ebuchosheni. Ukuvuselelwa kukagesi kohlangothi lwesobunxele lwale nzwa kunganciphisa ukuvama kokuxhuzula.

Ingabe ikhona imiphumela emibi noma izinkinga zokwelashwa?

Imiphumela emibi kanye nezinkinga zalokhu kwelashwa kuncike ekwelashweni, emlandweni wakho wezempilo kanye nezimo, kanye nohlobo lwesifo sokuwa onaso. Udokotela wakho angakutshela okwengeziwe ngalokhu. Angakutshela nokuthi yini okufanele uyiqaphele nokuthi ungayinciphisa kanjani imiphumela yaso.

Ngingazinakekela kanjani futhi ngiphathe kanjani izimpawu zami?

Ungalokothi welaphe ukuxhuzula wedwa, ucabanga ukuthi ukuxhuzula nje. Ukuxhuzula kungaba uphawu lwesimo esibi esithinta ubuchopho. Njengoba ukuxhuzula kwe-tonic-clonic kubangela ukulahlekelwa ukwazi, ungase ungazi ukuthi kwenzekeni ngesikhathi sokuxhuzula.

Uma wena noma othile oseduze nawe enesifo sokuwa okokuqala, kubaluleke kakhulu ukubona udokotela. Udokotela oqeqeshiwe angahlola izimpawu zalesi sifo kanye nezimbangela ezingaba khona.

Kuthiwani uma othile eba nesifo sokuwa ngesikhathi ngilapho?

Uma othile eba nokuxhuzula ngesikhathi ulapho, kunezindlela zosizo lokuqala ongazithatha. Nazi ezinye izinto okufanele uzenze nezinto okungafanele uzenze:

Izinto okufanele zenziwe (Okufanele Uzenze):

• Bheka ukuthi angaphefumula yini. Khulula izingubo ezimboze intamo yakhe.
• Susa noma yiziphi izinto eziyingozi ezimzungezile. Susa noma yiziphi izinto eziphukayo noma yini engase iwele phezu kwakhe. Uma egqoke izibuko, zisuse ngokucophelela bese uzibeka eceleni.
• Mphendulele ohlangothini lwakhe (indawo yokutakula). Le ndlela yenza kube lula ukuphefumula futhi ivimbele amathe noma ukuhlanza ukuthi kungangeni endleleni yokuphefumula .
• Zama ukurekhoda ubude bokuxhuzula ngangokunokwenzeka. Lolu lwazi lungaba lubaluleke kakhulu kudokotela. Lungasiza futhi ekunqumeni ukuthi luyadingeka yini usizo lwezokwelapha oluphuthumayo.
• Hlala nomuntu ngemva kokuba ukuxhuzula sekuphelile futhi aze aphinde aqonde. Umuntu obe nokuxhuzula angase azizwe edidekile futhi esaba lapho ephinde aqonde. Mduduze futhi umkhuthaze.
• Ngemva kokuba esephinde waphaphama, hlola ukuze ubone ukuthi uphilile yini. Hlola ukuze ubone ukuthi unazo yini izilima ezibangelwe yilesi sifo nokuthi udinga usizo lwezokwelapha. Uma eshayeke ekhanda, noma uma ucabanga ukuthi angase abe nokulimala entanyeni noma emhlane, kungcono kakhulu ukufuna usizo lwezokwelapha. Ngemuva kwalokho singahlola noma yikuphi ukulimala okukhulu esingakwazi ukukubona.
• Uma une-status epilepticus, shayela usizo. Uma ukuxhuzula kuthatha imizuzu engaphezu kwemihlanu, noma uma kwenzeka okunye ngaphambi kokuba okokuqala kuphele, shayela u-1990 (isevisi ye-ambulensi ephuthumayo yaseSri Lanka) ngokushesha. Lokhu kusongela impilo!

Okungafanele ukwenze:

• Ungazami ukumcindezela phansi noma ukumvumela anyakaze. Wena noma omunye umuntu ningalimala.
• Ungafaki lutho emlonyeni wakho. Kunezinganekwane eziningi mayelana nokuxhuzula. Enye ukuthi kufanele ufake into efana nesipuni noma ibhande emlonyeni wakho ukuze ugweme ukuluma ulimi lwakho. Sicela ungakwenzi lokho.Akuyona into enhle ukufaka noma yini emlonyeni womuntu onesifo sokuwa. Ungazilimaza wena noma omunye umuntu.
• Ungakhathazeki. Hlala uzolile. Uma abantu abakuzungezile bekhathazekile, zama ukubaduduza nabo.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Isikhathi sokululama sincike ekutheni ukwelashwa okunikezwe nokuthi yini ebangele ukuxhuzula. Udokotela wakho angakutshela okwengeziwe ngalokhu, ukuthi kuzothatha isikhathi esingakanani, nokuthi uzozizwa ungcono nini.

Ngingayinciphisa kanjani ingozi yalokhu? Ingabe ukuxhuzula kungavinjelwa?

Njengoba noma ubani angaba nokuquleka ngaphansi kwezimo ezifanele, akunakwenzeka ukuvimbela ngokuphelele ukuquleka. Kodwa-ke, abanye abantu banamathuba amaningi okuba nokuquleka. Ngakho-ke, kunezinto ongazenza ukuze unciphise ingozi yakho.

Izinto ezinhle kakhulu ongayenza ukuze unciphise ingozi yakho yokuthola isifo sokuwa yilezi:

• Yidla ukudla okulinganiselayo futhi ugcine isisindo esinempilo. Lokhu kungasiza ekuvimbeleni izifo zesimiso sokujikeleza kwegazi (isib. isifo sohlangothi) kanye nokungalingani kwama-electrolyte.
• Ungakushayi indiva ukutheleleka. Ukwelapha ukutheleleka kunganciphisa ingozi yokuxhuzula, kungakhathaliseki ukuthi kubangelwa ukutheleleka noma umkhuhlane ophezulu ohambisana nakho.
• Gqoka imishini yokuphepha. Izigqoko zokuzivikela namabhande esihlalo kungasiza ekuvimbeleni ukuxhuzula okubangelwa ukulimala ekhanda.
• Ungasebenzisi kabi utshwala, imithi, noma izidakamizwa. Ukusebenzisa noma ukuyeka lokhu kungabangela ukuquleka. Uma uluthekile otshwaleni noma izidakamizwa, udokotela wakho womndeni angakusiza ukuthola izindawo nezinsizakalo ezikhethekile ezingakusiza ukuthi uziqede.
• Lawula izimo zakho zempilo. Ukuquleka kungabangelwa ngqo yizifo ezingamahlalakhona noma ezinye izimo ezihlobene nokuquleka. Isibonelo, uma unesifo sikashukela (uhlobo 1 sikashukela noma uhlobo 2 sikashukela), lawula amazinga kashukela egazini lakho.
• Gwema izinto ezingabangela ukuxhuzula. Abantu abake baba nokuxhuzula esikhathini esidlule ngenxa yezinto ezifana nezibani ezikhanyayo kufanele bagweme izinto ezinjalo ngangokunokwenzeka.

Uma ngike ngaba ne-tonic-clonic seizures eyodwa noma ngaphezulu, yini okufanele ngiyilindele?

Cishe ingxenye yabantu abake baba nokuquleka okungavuswanga bazoba nokuquleka okunye. Cishe abantu abangu-75% abake baba nokuquleka okwesibili bazoba nokuningi. Yingakho odokotela bethola ukuquleka okwesibili okungavuswanga njengesithuthwane bese beqala ukwelashwa ngakho.

Kulabo abaqala imithi, kungadingeka ukuthi bazame imithi eminingana, noma inhlanganisela yemithi, kunokuba bazame owodwa nje. Ngisho noma imithi ingasizi, kunezinye izindlela zokwelapha ezingasiza ekunciphiseni ukuvama kokuquleka kanye nobunzima bako.

Lesi simo sizohlala isikhathi esingakanani?

Ukuthi ukuquleka 'okucasulayo' kuzophela noma cha kuncike ekutheni isifo noma inkinga ebangele lokhu kungelashwa yini. Kubantu abaningi, uma inkinga eyisisekelo isihambile, ukuquleka ngeke kuphinde kwenzeke, ngaphandle kokuthi kubuye.

Isifo sokuwa yisimo esihlala impilo yonke ngoba asinakwelashwa. Kodwa-ke, kwezinye izimo, imbangela eyinhloko yalesi sifo ingelashwa. Uma lokho sekwenziwe, futhi usukwazi ukuhlala ungenaso isifo sokuwa, kuthiwa isimo sakho "sisesimeni esihle."

Iyini inhloso ye-tonic-clonic seizures?

Uma unesifo sokuwa esibangelwa yi-tonic-clonic, isibikezelo sincike esimweni esiyisisekelo. Uma lesi simo singelapheka, futhi uthola ukwelashwa kusenesikhathi, isibikezelo sivame ukuba sihle. Udokotela wakho angakutshela kangcono ukuthi yisiphi isibikezelo sesimo sakho nokuthi yini ongayenza.

Nakuba ukuquleka okubangelwa yizimo zezempilo ezihlala njalo noma ezimbi (isib. umdlavuza, ukulimala kobuchopho okuhlala njalo) ngezinye izikhathi kungelashwa, ukuquleka ngokuvamile kuba kubi ngenxa yembangela eyinhloko. Ukuquleka okubangelwa yizimo zofuzo kanye nokuzalwa nakho kunezimo ezimbi.

Umbono we-seizures ezingavuselelwanga uncike ezintweni eziningana, okuhlanganisa isimo esiyisisekelo, ubukhali be-seizures, ukuthi zenzeka kangaki, nokuthi ukwelashwa kuyasiza yini.

Ukufa okungazelelwe kwesifo sokuwa (i-SUDEP)

I-SUDEP yisimo esingavamile esingathinta noma ubani onesifo sokuwa, kodwa mancane amathuba okuba sivele uma selashwa. Umuntu oyedwa kwabayi-150 onesifo sokuwa esingalashwanga usengozini yokuthola i-SUDEP, uma kuqhathaniswa nomuntu oyedwa kwabayi-1,000 onesifo sokuwa esilashwayo.

Ochwepheshe abakakazi kahle ukuthi kungani i-SUDEP yenzeka. Incazelo engcono kakhulu okwamanje ukuthi ibangelwa izinkinga zenhliziyo noma zokuphefumula ezingase zenzeke kanye nokuxhuzula.

Ngizinakekela kanjani?

Uma wake waba nokuquleka kwe-tonic-clonic, kuwumqondo omuhle ukwazi ukuthi wenzeni uma unesinye. Uma uquleka futhi noma uma unesifo esingabangela ukuquleka, bheka udokotela wakho ngokushesha okukhulu.

Uma udokotela wakho ethola ukuthi unesifo sokuwa, kunezinto eziningana ongazenza ukuze usize ekulawuleni lesi simo:

• Thatha imithi yakho njengoba uyalelwe. Kubalulekile ukuqhubeka uthatha imithi yakho, noma ngabe uzizwa ungcono. Kufanele uyeke ukuthatha imithi yakho kuphela ngemva kokukhuluma nodokotela wakho futhi uma ekutshela ukuthi uyeke.
• Khuluma nodokotela wakho ngezinketho zakho. Uma ufuna ukunciphisa imithi yakho noma ukushintshela komunye umuthi, khuluma nodokotela wakho. Angakuqondisa ukuthi ungakwenza kanjani lokhu ngokuphephile nokuthi yiziphi izinketho ezitholakalayo.
• Bona udokotela njengoba kuhleliwe.Lokhu kuhlangana kubaluleke kakhulu ukuphatha isimo sakho, ukusiqapha, nokubona ukuthi imithi yakho kanye nokwelashwa kwakho kusebenza kahle yini.
• Ungazinaki izimpawu. Ukuqashelwa kusenesikhathi kanye nokwelashwa kungenza umehluko omkhulu ekwelapheni ukuxhuzula kanye nesifo sokuwa.

Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Uma kwenzeka isigameko lapho ulahlekelwa khona ingqondo futhi ungazi ukuthi kungani, kufanele uye egumbini lezimo eziphuthumayo. Abantu abaningi banabantu ababazungezile lapho beba nokuquleka kokuqala, kodwa akubona bonke ababa khona. Uma uwedwa futhi ucabanga ukuthi unesifo sokuquleka kokuqala, kufanele ubonane nodokotela ngokushesha.

Uma umuntu onesifo sokuwa azi ukuthi unesifo sokuwa, ngokuvamile akudingekile ukushayela i-ambulensi. Kodwa-ke, uma isifo sokuwa sibangele ukulimala, angase adinge usizo lwezokwelapha.

Kufanele ngicele nini usizo?

Uma othile eba nesifo sokuwa ngesikhathi ukhona, khumbula lezi zinto:

• Uma lokhu kungukuqala kwakhe ukuquleka, funa usizo. Noma ubani oqale ukuquleka, kungakhathaliseki ukuthi kuyasolwa noma kuqinisekisiwe, kufanele ahlolwe udokotela. Ukuquleka ngokuvamile kuyisibonakaliso senkinga enkulu yempilo.
• Uma unesimo sokuwa, funa usizo. Uma ukuwa kuthatha imizuzu engaphezu kwemihlanu, noma uma kwenzeka okunye ngaphambi kokuba owokuqala uphele, shayela u-1990 (isevisi ye-ambulensi ephuthumayo yaseSri Lanka) ngokushesha. Lokhu kusongela impilo! Uma ungabuyi uqaphile noma ungasabeli kahle imizuzu engaphezu kweyi-10-15 ngemva kokuba ukuwa sekuphelile, kufanele ufune usizo oluphuthumayo. Lokhu kungaba uphawu lokuthi ukuwa kusaqhubeka ebuchosheni, noma ngabe ungase ungahambi.

Uma nginesifo sokuwa, kuphephile yini ukukhulelwa ngenkathi ngithatha imithi?

Abesifazane abanesifo sokuwa bavame ukuba nezingane. Kodwa-ke, imithi eminingi esetshenziswa ukwelapha isifo sokuwa ayiphephile ukuyithatha ngesikhathi sokukhulelwa, njengoba ingaphazamisa ukukhula komntwana esibelethweni.

Ngenhlanhla, kuneminye imithi engasetshenziswa okwesikhashana ngesikhathi sokukhulelwa, noma ngesikhathi esithile. Umuntu ongcono kakhulu ongakhuluma naye ngalokhu udokotela wakho. Angakunikeza isiqondiso esiqondile noma akuthumele kuchwepheshe.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuquleka kwe-Tonic-clonic uhlobo lokuquleka okulula ukukubona futhi okuvame ukwesabisa. Kuvamile ukuzizwa wesaba uma uzibona noma uma unazo. Kodwa-ke, isikhathi esiningi, ziyayeka zodwa phakathi nemizuzu embalwa. Nakuba zingase zenzeke ngezizathu eziningi, lezi ziqubuko zivame ukuphela, ikakhulukazi uma isimo esiyisisekelo selashwa. Uma lezi ziqubuko zenzeka ngesifo sokuquleka, kunezindlela eziningi zokuzelapha. Ngokwelashwa okuphumelelayo, abantu abaningi abanalezi ziqubuko - ngisho nalabo abanesifo sokuquleka - bangaphila impilo ejabulisayo, ephumelelayo, neyanelisayo.

Ngakho-ke, uma wena noma othile omaziyo enenkinga ngento efana nale, ungesabi ukufuna iseluleko sezokwelapha. Ukwelashwa okusheshayo kungashintsha izinto eziningi zibe ngcono.

Ukuwa kwe - Tonic-clonic, ukuwa okukhulu, isifo sokuwa, izimpawu zokuwa, usizo lokuqala lokuwa, isimo sokuwa, izimbangela zokuwa