Isithuthwane: Iinyani, Izibalo, kunye nawe

Umxholo

• Iindidi
• Ukuhlutha okujolise
• Ukubanjwa ngokubanzi
• Ayaziwa (okanye isifo sokuwa)
• Ubuninzi
• Amaxesha ahluphekileyo
• Ukucaciswa kobuhlanga
• Isini ngokuthe ngqo
• Imiba yomngcipheko
• Iingxaki
• Uthintelo lokuzibulala
  
• Oonobangela
• Iimpawu
• Uvavanyo kunye noxilongo
• Unyango
• Amayeza
• Ugqirha
• Ukukhuthaza imithambo-luvo yeVagus
• Ukutya
• Nini ukubona ugqirha
• Ukuxela kwangaphambili
• Iinyani zehlabathi
• Uthintelo
• Iindleko
• Ezinye iinyani okanye ulwazi olothusayo

Isathuthwane kukuphazamiseka kwemithambo-luvo okubangelwa yimisebenzi yeseli yemithambo-luvo engaqhelekanga kwingqondo.

Unyaka ngamnye, malunga ne-150,000 yamaMelika afunyaniswa enale nkqubo yokuphazamiseka kwengqondo ibangela ukuxhuzula. Ngaphezulu kwexesha lokuphila, 1 kubantu abangama-26 base-US baya kufunyaniswa benesifo.

Isifo sokuwa sisifo esibuhlungu emva kwemigraines, stroke, kunye ne-Alzheimer's.

Ukuxhuzula kunokubangela uluhlu lweempawu, ukusuka okomzuzwana ukhangele ngaphandle kwelahleko lolwazi kunye nokuntywila okungalawulekiyo. Olunye uhlaselo lunokuba mandundu kunolunye, kodwa nokuhlutha okuncinci kunokuba yingozi xa kusenzeka ngexesha lokudada okanye ukuqhuba.

Nantsi into ekufuneka uyazi:

Iindidi

Ngo-2017, i-International League Against Epilepsy (i-ILAE) ihlaziye ukuhlelwa kwayo kokubanjwa kwamaqela amabini aphambili ukuya kwabathathu, utshintsho olusekwe kwizinto ezintathu eziphambili zokubanjwa:

• apho ukuxhuzula kuqala khona kwingqondo
• inqanaba lokwazisa ngexesha lokubanjwa
• ezinye izinto zokubanjwa, njengezakhono zemoto kunye neeurora

Ezi ntlobo zintathu zokuthimba zezi:

• Ukuqala kokugxila
• ngokubanzi
• ukuqala okungaziwayo

Ukuhlutha okujolise

Ukuxhuzula okujolise kwingqondo- ngaphambili kwakubizwa ngokuba kukuhlutha okungathathi ntweni - kuvela kwinethiwekhi ye-neuronal kodwa kuthintelwe kwinxalenye enye yecebral hemisphere.

Ukuxhuzula okwenzekileyo kubangelwa malunga neepesenti ezingama-60 zako konke ukuxhuzula. Bahlala umzuzu omnye ukuya kwemibini kwaye baneempawu ezibukhali ezinokuthi umntu akwazi ukusebenza ngazo, njengokuqhubeka nokuhlamba izitya.

Iimpawu zingabandakanya:

• iimoto, iimvakalelo, kunye ne-psychic (njenge-deja vu) engaqhelekanga
• ngesiquphe, iimvakalelo ezingachazekiyo zovuyo, umsindo, usizi, okanye isicaphucaphu
• oomatshini bokuphinda-phinda, njengokuqhwanyaza, ukujija, ukubamba, ukuhlafuna, ukugwinya, okanye ukuhamba kwizangqa
• i-auras, okanye imeko yesilumkiso okanye yokwazisa ngokubanjwa okuzayo

Ukubanjwa ngokubanzi

Ukubanjwa ngokubanzi kuvela kwinethiwekhi yamazwe amabini asasaza i-neuronal. Banokuqala ngokugxila, emva koko babe ngokubanzi.

Oku kunokubangela:

• ukulahleka kwengqondo
• ukuwa
• izihlunu ezinzima

Ngaphezulu kweepesenti ezingama-30 zabantu abanamava okuxhuzula ngokubanzi.

Banokuchongwa ngakumbi ngala macandelwana:

• Itoni. Olu hlobo lubonakaliswa kukuqinisa izihlunu ikakhulu ezingalweni, emilenzeni nasemqolo.
• Clonic. Ukubanjwa kwe-Clonic kubandakanya ukuhamba okuphindaphindayo kokuhamba kwamacala omabini omzimba.
• Myoclonic. Kolu hlobo, ukunyikima okanye iintshukumo ezijijekileyo zenzeka ezingalweni, emilenzeni, okanye emzimbeni ongasentla.
• I-Atonic. Ukubanjwa kwe-Atonic kubandakanya ukulahleka kwethoni yemisipha kunye nenkcazo, ekugqibeleni kukhokelela ekuweni okanye ukungakwazi ukubamba intloko.
• I-Tonic-clonic. Ukubanjwa kwe-Tonic-clonic ngamanye amaxesha kubizwa ngokuba kukuxhuzula okukhulu. Banokubandakanya ukudityaniswa kwezi mpawu zahlukeneyo.

Ayaziwa (okanye isifo sokuwa)

Imvelaphi yokubanjwa ayaziwa. Babonisa ngokwandiswa ngesiquphe okanye ukujijeka kwemida. Ngaphaya koko, zinokuphinda zenzeke ngokwamaqela.

Ukuya kuthi ga kwiipesenti ezingama-20 zabantu abanamava okuxhuzula (NES), athi abonakale njengokuxhuzula, kodwa angadibani nokukhutshwa kombane okuqhelekileyo okufumaneka kwingqondo.

Ubuninzi

Kuqikelelwa ukuba malunga nabantu base-U.S. Banesifo sokuwa. Oku kuphuma kubantu abamalunga ne-3.4 yezigidi kwilizwe liphela-nangaphezulu kwezigidi ezingama-65 kwihlabathi liphela.

Ukongeza, malunga ne-1 kubantu abangama-26 baya kuba nesithuthwane ngaxa lithile ebomini babo.

Isathuthwane siqala nanini na. Izifundo azikhange zichonge ixesha lokuxilongwa, kodwa izinga leziganeko liphezulu kakhulu kubantwana abancinci abangaphantsi kweminyaka emi-2 kunye nabantu abadala abaneminyaka eyi-65 okanye nangaphezulu.

Ngethamsanqa, ngokwe-Child Neurology Foundation, malunga neepesenti ezingama-50 ukuya kuma-60 zabantwana abanokuxhuzula ekugqibeleni baya kukhula baphume kubo kwaye bangaze bafumane ukuxhuzula njengomntu omdala.

Amaxesha ahluphekileyo

Ehlabathini lonke, kuwo onke amatyala esifo sokuxhuzula asezabantwana.

Kumatyala angaphezu kwama-470,000 ngabantwana. Iakhawunti yabantwana ye.

Isifo sokuwa siqhele ukuxilongwa ngaphambi kweminyaka engama-20 okanye emva kweminyaka engama-65, kwaye inqanaba lamatyala amatsha lonyuka emva kweminyaka engama-55 xa abantu kusenokwenzeka ukuba baphuhlise imivumbo, amathumba kunye nesifo i-Alzheimer's.

Ngokwe-Child Neurology Foundation:

• Phakathi kwabantwana abanesathuthwane, ama-30 ukuya kuma-40 ekhulwini anesifo kuphela ngaphandle kokuxhuzula. Banobukrelekrele obuqhelekileyo, amandla okufunda kunye nokuziphatha.
• Malunga neepesenti ezingama-20 zabantwana abanesathuthwane banokukhubazeka kwengqondo.
• Phakathi kwama-20 ukuya kuma-50 eepesenti abantwana babanobukrelekrele obuqhelekileyo kodwa bakhubazekile ngokufunda okuthile.
• Inani elincinci kakhulu linengxaki yokuphazamiseka kwengqondo, njenge-cerebral palsy.

Ukucaciswa kobuhlanga

Abaphandi akukacaci ukuba ubuhlanga budlala indima yokuba ngubani oba nesifo sokuxhuzula.

Ayicacanga. Abaphandi banobunzima bokubamba ugqatso njengesizathu esibalulekileyo sokuwa. Nangona kunjalo, jonga olu lwazi luvela kwiSiseko sokuwa:

• Ukuxhuzula kwenzeka rhoqo kwi-Hispanics kunase-non-Hispanics.
• Ukuxhuzula okusebenzayo kuxhaphake kakhulu kwabamhlophe kunabantsundu.
• Abantu abamnyama banobomi obuphezulu obuphezulu kunabamhlophe.
• Uqikelelo lweepesenti ezi-1.5 zabantu baseAsia baseMelika ngoku banesathuthwane.

Isini ngokuthe ngqo

Ngokubanzi, akukho sini kunokwenzeka ukuba sikhule isifo sokuwa kunesinye. Nangona kunjalo, kunokwenzeka ukuba isini ngasinye kunokwenzeka ukuba siphuhlise iintlobo ezithile zesifo sokuwa.

Umzekelo, kwafunyaniswa ukuba isifo sokuxhuzula esineempawu zomzimba zixhaphake kakhulu emadodeni kunabafazi. I-Idiopathic generalised epilepsies, kwelinye icala, yayixhaphake kakhulu kubantu basetyhini.

Nawuphi na umahluko onokubakho unokuchaphazeleka kwiyantlukwano yebhayoloji kubantu besini esahlukileyo, kunye notshintsho lwehomoni kunye nomsebenzi wentlalo.

Imiba yomngcipheko

Zininzi izinto ezinobungozi ezikunika ithuba eliphezulu lokuba nesifo sokuwa. Oku kubandakanya:

• Ubudala. Ukuxhuzula kungaqala nangaliphi na ixesha, kodwa abantu abaninzi bafunyanwa kwizigaba ezibini ezahlukeneyo ebomini: ebuntwaneni nasemva kweminyaka engama-55.
• Usulelo lobuchopho. Usulelo-olunjenge-meningitis-luvutha ingqondo kunye nentambo yomqolo, kwaye lunokunyusa umngcipheko wokuba nesifo sokuwa.
• Ukuxhuzula kwabantwana. Abanye abantwana bakhula ukuxhuzula okungahambelani nokuxhuzula ebuntwaneni. Iimfiva eziphezulu kakhulu zinokubangela oku kuthinjwa. Njengoko bekhula, nangona kunjalo, abanye baba bantwana banokuba nesathuthwane.
• Isifo sengqondo esiyingozi. Abantu abahlangabezana nokwehla kokusebenza kwengqondo nabo banokuphuhlisa isifo sokuwa. Oku kuqhelekileyo kubantu abadala.
• Imbali yosapho. Ukuba ilungu losapho elisondeleyo linokuxhuzula, kunokwenzeka ukuba ube nesi sifo. Abantwana abanabazali abanesathuthwane basemngciphekweni wepesenti ezi-5 wokuhlaselwa sisifo ngokwabo.
• Ukwenzakala entloko. Ukuwa kwangaphambili, ukubetha, okanye ukonzakala entlokweni yakho kunokubangela isifo sokuwa. Ukuthatha amanyathelo okhuseleko ngexesha lezinto ezinje ngebhayisikile, ukuskiya, kunye nokuhamba ngesithuthuthu kunokunceda ukukhusela intloko yakho ekonzakaleni kwaye kuthintele ukuxilongwa kwesithuthwane kwixesha elizayo.
• Izifo zeVascular. Izifo zemithambo yegazi kunye nemivumbo kunokubangela ukonakala kwengqondo. Ukonakala kuyo nayiphi na indawo yengqondo kunokubangela ukuxhuzula kwaye ekugqibeleni isifo sokuwa. Eyona ndlela yokuthintela isifo sokuwa esibangelwa zizifo ezinemithambo kukukhathalela intliziyo yakho kunye nemithambo yegazi ngokutya okusempilweni kunye nokuzilolonga rhoqo. Kulumkele ukusebenzisa icuba kunye nokusela kakhulu utywala.

Iingxaki

Ukuba nesathuthwane kwandisa umngcipheko weengxaki ezithile. Ezinye zezi zixhaphakile kunezinye.

Ezona ngxaki zixhaphakileyo zibandakanya:

Iingozi zeemoto

Amazwe amaninzi akayikhuphi iphepha-mvume lokuqhuba abantu abanembali yokuxhuzula bade babe bengaxhuzuli kangangexesha elithile.

Ukuhluthwa kunokubangela ukulahleka kolwazi kwaye kuchaphazele ukubanakho kwakho ukulawula imoto. Ungazenzakalisa okanye wenzakalise abanye ukuba uxhuzula ngelixa uqhuba.

Ukurhaxwa

Abantu abanesathuthwane kunokwenzeka ukuba barhaxwe kunabanye abantu. Kungenxa yokuba abantu abanesathuthwane banokuxhuzula ngelixa bekwiphuli yokudada, ichibi, ibhafu, okanye amanye amanzi.

Basenokungakwazi ukuhamba okanye baphulukane nokwazisa ngemeko yabo ngexesha lokuthimba. Ukuba uyadada kwaye unembali yokuhlutha, qiniseka ukuba umlondolozi osemsebenzini uyayazi imeko yakho. Ungaze udade uwedwa.

Ubunzima bempilo ngokweemvakalelo

amava oxinzelelo kunye noxinzelelo- eyona nto ixhaphakileyo kwesi sifo.

Abantu abanesathuthwane banamathuba angama-22 okusweleka ngokuzibulala kunabantu ngokubanzi.

Uthintelo lokuzibulala

1. Ukuba ucinga ukuba umntu usemngciphekweni wokuzenzakalisa okanye wenzakalise omnye umntu:
2. • Tsalela umnxeba ku-911 okanye inombolo yakho yongxamiseko yasekuhlaleni.
3. • Hlala naloo mntu de kufike uncedo.
4. • Susa nayiphi na imipu, iimela, amayeza, okanye ezinye izinto ezinokubangela ingozi.
5. • Mamela, kodwa musa ukugweba, ukuphikisa, ukugrogrisa, okanye ukukhwaza.
6. Ukuba wena okanye umntu omaziyo ucinga ngokuzibulala, fumana uncedo kwingxaki okanye kumnxeba wokukhusela ukuzibulala. Zama iNqanaba lokuSebenza lokuThintela ukuzibulala ku-800-273-8255.

Ukuwa

Ezinye iintlobo zokubanjwa zichaphazela ukuhamba kweemoto zakho. Unokuphulukana nolawulo lwemisipha ngexesha lokuhlutha kwaye uwele emhlabeni, ubethe intloko yakho kwizinto ezikufuphi, kwaye ude wophule ithambo.

Oku kuqhelekile kukubanjwa kwe-atonic, ekwabizwa ngokuba kukuhlaselwa kwethontsi.

Iingxaki ezinxulumene nokukhulelwa

Abantu abanesathuthwane banokukhulelwa kwaye babe nokukhulelwa okusempilweni kunye neentsana, kodwa ke kufuneka kuthathwe amanyathelo okhuseleko ngakumbi.

Phantse iipesenti ezili-15 ukuya kuma-25 zabantu abakhulelweyo baya kuba nokuxhatshazwa ngexesha lokukhulelwa. Kwelinye icala, i-15 ukuya kwi-25 yepesenti iya kubona ukuphucuka.

Olunye unyango olunokubangela ukukhubazeka kokuzalwa, ke wena nogqirha kufuneka uvavanye ngononophelo amayeza akho ngaphambi kokuba ucwangcise ukukhulelwa.

Iingxaki ezincinci eziqhelekileyo zibandakanya:

• Isimo sokuwa. Ukuxhuzula kakhulu-okuhlala ixesha elide okanye kwenzeka rhoqo kakhulu-kunokubangela imeko yesithuthwane. Abantu abakule meko kunokwenzeka ukuba baphuhle ukonakala kwengqondo okungapheliyo.
• Ngesiquphe unexplukufa okunesifo sokuxhuzula (SUDEP). Ngequbuliso, ukufa okungachazwanga kunokwenzeka kubantu abanesathuthwane, kodwa kunqabile. Kwenzeka ngokuxhuzula kwaye kubekwa kwindawo yesibini kuphela ukubetha ngoonobangela abakhokelela ekufeni kwesi sifo. Oogqirha abazi ukuba yintoni ebangela i-SUDEP, kodwa ithiyori inye ibonisa ukuba imiba yentliziyo kunye nokuphefumla inokuba negalelo.

Oonobangela

Malunga nesiqingatha samatyala okuwa, unobangela awaziwa.

Oonobangela abane abaqhelekileyo bokuxhuzula zezi:

• Usulelo lobuchopho. Usulelo olufana noGawulayo, isifo sokudumba kwenwebu yobuchopho, kunye ne-encephalitis yentsholongwane lubonakalisile ukuba lubangela isifo sokuwa.
• Ithumba lobuchopho. Izidudu ebuchotsheni zinokuphazamisa ukusebenza kweeseli zengqondo kwaye zibangele ukuxhuzula.
• Ukubandezeleka kwentloko. Ukwenzakala entloko kungakhokelela kwisifo sokuwa. Oku kwenzakala kunokubandakanya ukonzakala kwezemidlalo, ukuwa, okanye iingozi.
• Ukubetha. Izifo zeVascular kunye neemeko, ezinje ngokubetha, kuphazamisa amandla engqondo okusebenza ngendlela eqhelekileyo. Oku kunokubangela isifo sokuwa.

Ezinye izizathu zokuxhuzula zibandakanya:

• Ukuphazamiseka kwengqondo kwi-Neurodevelopmental. I-Autism kunye neemeko zophuhliso ezinokubangela isifo sokuwa.
• Izinto zofuzo. Ukuba nelungu elisondeleyo losapho elinesathuthwane kwandisa umngcipheko wokuba nesifo sokuwa. Oku kuphakamisa ukuba ufuzo oluzuzwe njengelifa kunokubangela isifo sokuwa. Kwakhona kunokwenzeka ukuba izakhi zofuzo zenza ukuba umntu athambekele kwizinto ezinokubangela ukuba ahlaselwe.
• Izinto zokubeleka. Ngexesha lokukhula kwabo, iimveku zichaphazeleka ngokukodwa kumonakalo wobuchopho. Lo monakalo unokuba sisiphumo sokwenzakala komzimba, kunye nokungondleki kakuhle kunye nokunciphisa ioksijini. Zonke ezi zinto zinokubangela isifo sokuwa okanye ezinye iingxaki kubuchopho kubantwana.

Iimpawu

Iimpawu zokuxhuzula zixhomekeka kuhlobo lokuhlutha ojamelana nalo kwaye zeziphi iindawo zobuchopho ezichaphazelekayo.

Ezinye zeempawu eziqhelekileyo zokuxhuzula zibandakanya:

• Umlingo oqaqambileyo
• ukudideka
• ukulahleka kokuqonda okanye ukuqonda
• intshukumo engalawulekiyo, njengokuxhuzula nokutsala
• ukuphinda-phinda iintshukumo

Uvavanyo kunye noxilongo

Ukuchonga isifo sokuwa kufuna iintlobo ezahlukeneyo zovavanyo kunye nezifundo ukuqinisekisa ukuba iimpawu kunye neemvakalelo ziziphumo zokuxhuzula hayi enye imeko ye-neurological.

Iimvavanyo ezisetyenziswa ngoogqirha zibandakanya:

• Uvavanyo lwegazi. Ugqirha wakho uza kuthatha iisampulu zegazi lakho ukuvavanya usulelo olunokwenzeka okanye ezinye iimeko ezinokuthi zichaze iimpawu zakho. Iziphumo zovavanyo zisenokuchonga izizathu ezinokubangela isifo sokuwa.
• I-EEG. I-electroencephalogram (EEG) sisixhobo esichonga ngempumelelo isifo sokuwa. Ngexesha le-EEG, oogqirha babeka ii-electrode esikhumbeni sakho. Ezi electrode zivakala kwaye zirekhode imisebenzi yombane eyenzeka kwingqondo yakho. Oogqirha banokuvavanya iipateni zakho zobuchopho kwaye bafumane umsebenzi ongaqhelekanga, onokuthi ubonakalise isifo sokuwa. Olu vavanyo lunokuchonga isifo sokuwa nokuba awuxhuzuli.
• Uvavanyo lwe-Neurological. Njengalo naluphi na utyelelo lweofisi kagqirha, ugqirha wakho uya kufuna ukugcwalisa imbali yezempilo epheleleyo. Bazakufuna ukuqonda ukuba ziqale nini iimpawu zakho kunye nezinto ozifumeneyo. Olu lwazi lunokunceda ugqirha wakho ukuba aqonde ukuba zeziphi iimvavanyo ezifunekayo kwaye zeziphi iintlobo zonyango ezinokukunceda kwakube kufunyenwe unobangela.
• Ukuskena i-CT. Iskena sekhompyuter ye-tomography (CT) sithatha imifanekiso yecandelo lengqondo yakho. Oku kuvumela oogqirha ukuba babone kuluhlu ngalunye lobuchopho bakho kwaye bafumane izizathu ezinokubangela ukubamba, kubandakanya ii-cysts, tumors kunye nokopha.
• IMRI. Imagnetic resonance imaging (MRI) ithatha umfanekiso opheleleyo wobuchopho bakho. Oogqirha banokusebenzisa imifanekiso eyenziwe yi-MRI ukuba ifunde iindawo ezineenkcukacha ezininzi kwingqondo yakho kwaye mhlawumbi ufumane ukungahambi kakuhle okunokuba negalelo ekubanjweni kwakho.
• fMRI. I-MRI esebenzayo (fMRI) ivumela oogqirha bakho ukuba babone ubuchopho bakho ngokweenkcukacha ezisondele kakhulu. I-fMRI ivumela oogqirha ukuba babone ukuba igazi lihamba njani ngengqondo yakho. Oku kunokubanceda baqonde ukuba zeziphi iindawo zobuchopho ezichaphazelekayo ngexesha lokuthimba.
• Ukuskena i-PET: Ukuskena i-positron emission tomography (PET) isebenzisa izixa ezincinci zedosi ephantsi yokunceda oogqirha babone ubuchwephesha bengqondo yakho. Izinto eziphathekayo zifakwe kwi-vein kwaye umatshini angathatha imifanekiso yezinto eziphathekayo xa sele yenze indlela eya kwingqondo yakho.

Unyango

Ngonyango, abantu abanesithuthwane banokuxolelwa, bafumane ukukhululeka kunye nokukhululeka kwiimpawu zabo.

Unyango lunokuba lulula njengokuthatha iyeza lokulwa nesifo sokuwa, nangona ama-30 ukuya kuma-40 epesenti yabantu abanesathuthwane baya kuqhubeka nokuxhuzula ngaphandle konyango ngenxa yokuxhathisa okunganyangekiyo ngamayeza. Abanye banokufuna unyango olungaphaya.

Nazi iindlela zonyango oluqhelekileyo lwesifo sokuwa:

Amayeza

Kukho ngaphezu kwe-20 iyeza lokuthintela ukhuseleko ezikhoyo namhlanje. Amayeza e-antiepileptic asebenza kakhulu kubantu abaninzi.

Kuyenzeka ukuba ube nakho ukuyeka ukuthatha la mayeza kwiminyaka emibini ukuya kwemithathu, okanye kangangeminyaka emine ukuya kwemihlanu.

Kwi-2018, ichiza lokuqala le-cannabidiol, i-Epidolex, lavunywa yi-FDA kunyango lwe-Lennox-Gastaut kunye ne-Dravet syndromes kubantwana abangaphezulu kweminyaka yobudala be-2. Sisiyobisi sokuqala esivunyiweyo se-FDA ukubandakanya isiyobisi esicocekileyo esivela intsangu (kwaye ayenzi ukuba ube nemincili).

Ugqirha

Ngamanye amaxesha, iimvavanyo zokucinga zinokubona indawo yengqondo ejongene nokubanjwa. Ukuba le ndawo yengqondo incinci kakhulu kwaye ichazwe kakuhle, oogqirha banokwenza utyando ukuze kususwe iinxalenye zobuchopho ezinoxanduva lokuthimba.

Ukuba ukuxhuzula kwakho kuvela kwinxalenye yengqondo engenakususwa, ugqirha wakho usenokukwazi ukwenza inkqubo enokukunceda ukuthintela ukubamba ukusasazeka kwezinye iindawo zobuchopho.

Ukukhuthaza imithambo-luvo yeVagus

Oogqirha banokufaka isixhobo phantsi kwesikhumba sesifuba sakho. Esi sixhobo sidityaniswe ne-vagus nerve entanyeni. Esi sixhobo sithumela ukugqabhuka kombane kwimbilini nakwingqondo. Ezi pulses zombane zibonisiwe ukunciphisa ukubanjwa ngama-20 ukuya kuma-40 epesenti.

Ukutya

Ukutya okune-ketogenic kubonakalise ukuba kuyasebenza ekunciphiseni ukuxhuzula kubantu abaninzi abanesathuthwane, ngakumbi abantwana.

Ngaphezu kokuzama ukutya kwe ketogenic kunokuphuculwa okungaphezulu kwama-50% kulawulo lokuthimba, kunye neepesenti ezili-10 zokufumana inkululeko epheleleyo ekubanjweni.

Nini ukubona ugqirha

Ukuhlutha kungoyikisa kakhulu, ngakumbi ukuba kuyenzeka okokuqala.

Nje ukuba ufunyaniswe unesifo sokuwa, uya kufunda ukulawula ukuxhuzula kwakho ngendlela esempilweni. Nangona kunjalo, iimeko ezimbalwa zinokufuna wena okanye umntu okufutshane nawe ukuba afune uncedo kwangoko. Ezi meko zibandakanya:

• uzenzakalise xa ubambe
• ukuxhuzula okungaphezu kwemizuzu emihlanu
• ukusilela ukubuyela ezingqondweni okanye ukungaphefumli emva kokuphela kokubanjwa
• ukuba nomkhuhlane omkhulu ukongeza ekubanjweni
• unesifo seswekile
• ukubanjwa okwesibini kwangoko emva kokuqala
• ukuxhuzula okubangelwa kukudinwa bubushushu

Kuya kufuneka wazise abantu osebenza nabo, abahlobo kunye nabantu obathandayo ukuba unale meko kwaye ubancede bazi ukuba mabenze ntoni.

Ukuxela kwangaphambili

Ukuxelwa kwangaphambili komntu kuxhomekeke ngokupheleleyo kuhlobo lwesifo sokuwa abanaso kunye nokuxhuzula okubangelwa kuko.

Ukuza kuphendula ngokuqinisekileyo kwichiza lokuqala le-antiepileptic elimiselweyo kubo. Abanye banokufuna uncedo olongezelelekileyo ekufumaneni iyeza elisebenza kakhulu.

Emva kokuthimba ngaphandle kweminyaka emibini, iipesenti ezingama-68 zabantu ziya kuyeka amayeza. Emva kweminyaka emithathu, iipesenti ezingama-75 zabantu bayakuyeka amayeza abo.

Umngcipheko wokubanjwa okuphindayo emva kwamanqanaba okuqala ngokubanzi ukusuka.

Iinyani zehlabathi

Ngokwe-Epilepsy Action Australia, bangama-65 ezigidi abantu ehlabathini jikelele abanesathuthwane. Phantse iipesenti ezingama-80 zaba bantu bahlala kumazwe asakhasayo.

Isifo sokuwa sinokunyangwa ngempumelelo, kodwa ngaphezulu kwama-75 epesenti yabantu abahlala kumazwe asaphuhlayo abalufumani unyango abalufunayo ngokuxhuzula kwabo.

Uthintelo

Isathuthwane asinalo unyango kwaye asinakuthintelwa ngokupheleleyo. Nangona kunjalo, ungathatha amanyathelo okhuseleko, kubandakanya:

• Ukukhusela intloko yakho ekonzakaleni. Iingozi, ukuwa kunye nokwenzakala entloko kunokubangela isifo sokuwa. Nxiba izithsaba zokhuselo xa uhamba ngebhayisikile, uskiya, okanye ubandakanyeka kuwo nawuphi na umsitho okubeka emngciphekweni wokonzakala entloko.
• Ukubopha phezulu. Abantwana kufuneka bahambe ngezihlalo ezifanelekileyo zemoto kubudala babo kunye nobungakanani. Wonke umntu emotweni makanxibe ibhanti lokuphepha ukunqanda ukwenzakala entloko okunxulunyaniswa nesifo sokuwa.
• Ukuzikhusela ekonzakaleni kokubeleka. Ukuzinakekela ngelixa ukhulelwe kunceda ukukhusela umntwana wakho kwiimeko ezithile zempilo, kubandakanya isifo sokuwa.
• Ukufumana ugonyo. Ukugonywa kwabantwana kunokukhusela kwizifo ezinokukhokelela kwisifo sokuwa.
• Ukugcina impilo yakho yentliziyo. Ukulawula uxinzelelo lwegazi kunye nezinye iimpawu zesifo sentliziyo kunokunceda ukunqanda isithuthwane njengoko uneminyaka yobudala.

Iindleko

Unyaka nonyaka, abantu baseMelika bachitha ngaphezulu kokunyanga nokunyanga isifo sokuwa.

Iindleko zokhathalelo ngqo kwisigulana ngasinye zinokuvela. Iindleko ezithile zesifo sokuwa ngonyaka zinokuxabisa ngaphezulu kwe- $ 20,000.

Ezinye iinyani okanye ulwazi olothusayo

Ukuxhuzula akuthethi ukuba unesathuthwane. Ukuhlutha okungakhuselekanga akubangelwa sisifo sokuwa.

Nangona kunjalo, ukubanjwa okubini okanye nangaphezulu okungakhuselekanga kunokubonisa ukuba unesathuthwane. Uninzi lonyango aluyi kuqala de kube kuthathwe okwesibini.

Ngokuchasene nembono ethandwayo, akunakwenzeka ukuba uginye ulwimi lwakho ngexesha lokubanjwa - okanye ngalo naliphi na elinye ixesha ngexesha.

Ikamva lonyango lokuxhuzula lukhangeleka liqaqambile. Abaphandi bakholelwa ukuba ukuvuselelwa kwengqondo kunokunceda abantu bafumane ukuxhuzula okumbalwa. Ii-electrode ezincinci ezibekwe kwingqondo yakho zinokuhambisa ukubetha kombane kwingqondo kwaye kunokunciphisa ukubanjwa. Kwangokunjalo, amayeza ale mihla, njenge-Epidolex efunyanwa yintsangu, anika abantu ithemba elitsha.