Umbhali: Marcus Baldwin
Umhla Wokudalwa: 22 Isilimela 2021
Hlaziya Umhla: 16 Eyenkanga 2024
Anonim
Ukubanjwa ngokubanzi kweetoni-clonic - Iyeza
Ukubanjwa ngokubanzi kweetoni-clonic - Iyeza

Ukubanjwa ngokubanzi kweetoni-clonic luhlobo lokubanjwa okubandakanya umzimba uphela. Ikwabizwa ngokuba kukuhlutha okungalunganga. Imigaqo yokubanjwa, ukuxhuzula, okanye ukuxhuzula zihlala zinxulunyaniswa nokubanjwa kwe-tonic-clonic ngokubanzi.

Ukuhluthwa kubangelwa kukungasebenzi kwengqondo. Ukubanjwa okuqhelekileyo kwe-tonic-clonic kungenzeka kubantu bayo nayiphi na iminyaka. Ziyakwenzeka kube kanye (isiqendu esinye). Okanye, zinokwenzeka njengenxalenye yokugula okuphindaphindiweyo, okungapheliyo (isifo sokuwa). Olunye uhlaselo lubangelwa ziingxaki zengqondo (i-psychogenic).

Abantu abaninzi abane-tonic-clonic seizures ngokubanzi banombono, ukunambitheka, ukuvumba, okanye utshintsho lweemvakalelo, ukubona izinto ezingekhoyo, okanye isiyezi ngaphambi kokubanjwa. Oku kubizwa ngokuba yi-aura.

Ukuxhuzula kuhlala kukhokelela kwimisipha eqinileyo. Oku kulandelwa kukuchasana kwezihlunu ezinobundlobongela kunye nokulahleka kokuphaphama (ukwazi). Ezinye iimpawu ezenzeka ngexesha lokubanjwa zinokubandakanya:

  • Ukuluma isidlele okanye ulwimi
  • Amazinyo atshisiweyo okanye umhlathi
  • Ukuphulukana nomchamo okanye ulawulo lwestool (incontinence)
  • Ukuyeka ukuphefumla okanye ukuphefumla nzima
  • Umbala wolusu oluhlaza okwesibhakabhaka

Emva kokubanjwa, umntu unokuba:


  • Ukudideka
  • Ukozela okanye ukulala okuhlala iyure e-1 okanye ngaphezulu (ebizwa ngokuba yi-post-ictal state)
  • Ukuphulukana nenkumbulo (amnesia) malunga nesiqendu sokubanjwa
  • Intloko ebuhlungu
  • Ubuthathaka becala elinye lomzimba kangangemizuzu embalwa ukuya kwiiyure ezimbalwa emva kokubanjwa (okubizwa ngokuba kukukhubazeka kukaTodd)

Ugqirha uya kwenza uvavanyo lomzimba. Oku kuya kubandakanya ukukhangela okunzulu kwengqondo kunye nenkqubo yovalo.

Kuya kwenziwa i-EEG (electroencephalogram) ukukhangela umbane kwingqondo. Abantu abanokuxhuzula bahlala benomsebenzi ongaqhelekanga wombane kolu vavanyo. Kwezinye iimeko, uvavanyo lubonisa indawo kwingqondo apho ukuxhuzula kuqala khona. Ingqondo inokubonakala iqhelekile emva kokubanjwa okanye phakathi kokubanjwa.

Iimvavanyo zegazi zinokuyalelwa ukuba zikhangele ezinye iingxaki zempilo ezinokubangela ukubanjwa.

Intloko ye-CT okanye i-MRI scan inokwenziwa ukufumana unobangela kunye nendawo yengxaki kwingqondo.

Unyango lokuxhuzula i-tonic-clonic lubandakanya amayeza, utshintsho kwindlela yokuphila yabantu abadala kunye nabantwana, njengokusebenza kunye nokutya, kwaye ngamanye amaxesha utyando. Ugqirha wakho unokukuxelela ngakumbi ngezi ndlela unokukhetha kuzo.


Ukuhlutha - i-tonic-clonic; Ukuhlutha - enkulu Uhlaselo olukhulu; Ukuhlutha - ngokubanzi; Ukuxhuzula - ukubanjwa ngokubanzi

  • Ingqondo
  • Ukuxhuzula-uncedo lokuqala-uthotho

UAbou-Khalil BW, uGallagher MJ, uMacdonald RL. Ukuxhuzula. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl. 101.

Umfundi JP, Davenport RJ. Neurology. Ku: Ralston SH, ID Penman, Strachan MWJ, Hobson RP, ii-eds. Imigaqo kaDavidson kunye nokuSebenza kweyeza. Umhla we-23. IPhiladelphia, PA: Elsevier; I-2018: isahluko 25.

I-Thijs RD, i-Surges R, i-O'Brien TJ kunye ne-Sander JW. Ukuxhuzula kubantu abadala. ILancet. Ngo-2019; 393 (10172): 689-701. IINKCUKACHA: 30686584 pubmed.ncbi.nlm.nih.gov/30686584/.


I-Wiebe S. Ukuxhuzula. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 375.

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