Ukuthathwa kweTonic-Clonic ngokubanzi

Umxholo

• Oonobangela bokubanjwa kweetoni
• Ngubani osemngciphekweni wokuthimba ngokubanzi i-tonic-clonic?
• Iimpawu zokubanjwa ngokubanzi kwe-tonic-clonic
• Kufunyaniswa njani ukuba i-tonic-clonic seizures ifunyenwe ngokubanzi?
• Imbali yezonyango
• Uvavanyo lwe-Neurological
• Uvavanyo lwegazi
• Ukucinga ngonyango
• Ukunyanga ukuxhwaleka kwe-tonic-clonic ngokubanzi
• Amayeza antiepileptic
• Ugqirha
• Unyango olongezelelekileyo
• Umbono wabantu abaxhuzulekileyo ngenxa yethoni
• Uthintelo lokuthimba ngokubanzi i-tonic-clonic

Ukubanjwa ngokubanzi kweetoni-clonic

Ukubanjwa okuqhelekileyo kwe-tonic-clonic, ngamanye amaxesha kubizwa ngokuba kukuhlutha okungalunganga, kukuphazamiseka ekusebenzeni kwamacala omabini engqondo yakho. Olu phazamiso lubangelwa ziimpawu zombane ezisasazeka ngengqondo ngokungafanelekanga. Rhoqo oku kuya kukhokelela ekubeni imiqondiso ithunyelwe kwimisipha yakho, kwimithambo-luvo, okanye kumadlala. Ukusasazeka kwale miqondiso kwingqondo yakho kunokukwenza ukuba ulahlekelwe sisazela kwaye ube nezihlunu ezinzima zemisipha.

Ukuxhuzula kunxulunyaniswa nemeko ekuthiwa sisathuthwane. Ngokuka, malunga nezigidi ezi-5.1 zabantu e-United States banembali yokuxhuzula. Nangona kunjalo, ukubanjwa kunokwenzeka ngenxa yokuba unefiva ephezulu, ukulimala entloko, okanye iswekile esezantsi yegazi. Ngamanye amaxesha, abantu banokubanjwa njengenxalenye yenkqubo yokurhoxa kwikhoboka leziyobisi okanye lotywala.

Ukubanjwa kwe-Tonic-clonic bafumana igama labo kumanqanaba abo amabini ahlukeneyo. Kwinqanaba le-tonic lokubanjwa, izihlunu zakho ziyaqina, ulahlekelwa sisazela, kwaye ungawa phantsi. Isigaba se-clonic siqukethe ukukhawulezisa izihlunu ngokukhawuleza, ngamanye amaxesha okubizwa ngokuba kukuxhuzula. I-Tonic-clonic seizures ihlala ihleli emva kwemizuzu eyi-1-3. Ukuba ukuxhuzula kuhlala ixesha elingaphezu kwemizuzu emihlanu, yinto engxamisekileyo kwezonyango.

Ukuba unesifo sokuxhuzula, ungaqala ukuba nokubanjwa okuthe gabalala kwitoniic-clonic ebuntwaneni okanye ebusheni. Olu hlobo lokubanjwa alufane lubonwe kubantwana abangaphantsi kweminyaka emi-2.

Ukubanjwa okukodwa okungahambelani nokuxhuzula kungenzeka nakweliphi na inqanaba lobomi bakho. Olu hlaselo luhlala luziswa sisiganeko esidala ukutshintsha kwengqondo yakho okwethutyana.

Ukubanjwa ngokubanzi kwe-tonic-clonic kungabakho kwimeko engxamisekileyo kwezonyango. Nokuba ukuthathwa kungxamiseko kwezonyango kuxhomekeke kwimbali yakho yokuxhuzula okanye ezinye iimeko zempilo. Funa uncedo olukhawulezileyo lwezonyango ukuba ngaba kukuqala kwakho ukuxhuzula, ukuba wenzakele ngexesha lokuthimba, okanye ukuba uneqela lokuthimba.

Oonobangela bokubanjwa kweetoni

Ukuqala kokuthimba ngokubanzi kwe-tonic-clonic kunokubangelwa ziimeko ezahlukeneyo zempilo. Ezinye zeemeko ezinzima kakhulu zibandakanya ithumba lobuchopho okanye umthambo wegazi ophukileyo kwingqondo yakho, enokubangela ukubetha. Ukulimala kwentloko kunokubangela ukuba ingqondo yakho ibangele ukuxhuzula. Ezinye izinto ezinokubangela ukubanjwa okungalunganga kunokubandakanya:

• amanqanaba asezantsi esodiyam, ikhalsiyam, iswekile, okanye imagniziyam emzimbeni wakho
• ukusetyenziswa gwenxa kweziyobisi okanye utywala okanye ukurhoxa
• iimeko ezithile zemfuza okanye ukuphazamiseka kwemithambo-luvo
• ukwenzakala okanye usulelo

Ngamanye amaxesha, oogqirha abakwazi ukufumanisa ukuba yintoni ebangele ukuqala kokuxhuzula.

Ngubani osemngciphekweni wokuthimba ngokubanzi i-tonic-clonic?

Unokuba semngciphekweni omkhulu wokuba nokuhlutha i-tonic-clonic ngokubanzi ukuba unembali yosapho yokuxhuzula. Ukulimala kwengqondo okunxulumene nokwenzakala entloko, usulelo, okanye ukubetha kukwabeka emngciphekweni omkhulu. Ezinye izinto ezinokunyusa amathuba akho okuba uxhuzule ngokugqibeleleyo kubandakanya:

• ukungalali ngokwaneleyo
• ukungalingani kwe-electrolyte ngenxa yezinye iimeko zonyango
• ukusetyenziswa kweziyobisi okanye utywala

Iimpawu zokubanjwa ngokubanzi kwe-tonic-clonic

Ukuba une-tonic-clonic seizure, ezinye okanye zonke ezi mpawu zinokwenzeka:

• imvakalelo engaqhelekanga okanye imvakalelo, ebizwa ngokuba yi-aura
• ukukhwaza okanye ukukhala ngokungazikhetheli
• Ukuphulukana nolawulo lwesinyi sakho kunye namathumbu nokuba kungexesha okanye emva kokubanjwa
• ukudlula nokuvuka beziva bedidekile okanye bozele
• intloko ebuhlungu emva kokubanjwa

Ngokwesiqhelo, umntu ophethe i-tonic-clonic seizure uyaqina kwaye awe ngexesha lesigaba se tonic. Imilenze kunye nobuso babo buya kubonakala ngathi buxhuma ngokukhawuleza xa izihlunu zabo zixubana.

Emva kokuxhuzula okungathethekiyo, unokuziva udidekile okanye ulele iiyure ezininzi ngaphambi kokuba uchache.

Kufunyaniswa njani ukuba i-tonic-clonic seizures ifunyenwe ngokubanzi?

Zininzi iindlela zokufumanisa isifo sokuxhuzula okanye into ebangele ukuxhuzula kwakho:

Imbali yezonyango

Ugqirha wakho uya kukubuza imibuzo malunga nokunye ukuxhuzula okanye iimeko zonyango onazo. Banokubuza abantu ababenani ngexesha lokuthimba ukuba bachaze ababonileyo.

Ugqirha wakho usenokukucela ukuba ukhumbule into owawuyenza kwangoko ngaphambi kokuba ukuxhuzule kwenzeke. Oku kunceda ukufumanisa ukuba yeyiphi imisebenzi okanye indlela yokuziphatha enokubangela ukubanjwa.

Uvavanyo lwe-Neurological

Ugqirha wakho uya kwenza iimvavanyo ezilula ukujonga ibhalansi, ulungelelwaniso kunye nengqondo yakho. Baza kuvavanya ithoni yemisipha kunye namandla. Baya kugweba kwakhona indlela obamba ngayo kwaye uhambisa umzimba wakho nokuba imemori kunye nokugweba kwakho kubonakala kungaqhelekanga.

Uvavanyo lwegazi

Ugqirha wakho unoku-odola uvavanyo lwegazi ukuba ajonge iingxaki zonyango ezinokuthi zichaphazele ukuqala kokubanjwa.

Ukucinga ngonyango

Ezinye iintlobo zokuvavanywa kwengqondo zinokunceda ugqirha wakho ukuba abeke iliso ekusebenzeni kwengqondo yakho. Oku kunokubandakanya i-electroencephalogram (EEG), ebonisa iipateni zomsebenzi wombane kwingqondo yakho. Inokubandakanya iMRI, enika umfanekiso opheleleyo weenxalenye ezithile zobuchopho bakho.

Ukunyanga ukuxhwaleka kwe-tonic-clonic ngokubanzi

Ukuba ukhe waxhuzula, kusenokwenzeka ukuba sisiganeko esizimeleyo esingadingi nyango. Ugqirha wakho unokuthatha isigqibo sokukubeka esweni ngokubanjwa ngakumbi ngaphambi kokuqala unyango lwexesha elide.

Amayeza antiepileptic

Uninzi lwabantu lulawula ukuxhuzula kwabo ngamayeza. Uya kuqala ngethamo eliphantsi lelinye ichiza. Ugqirha wakho uya kwandisa ngokuthe ngcembe idosi njengoko kufuneka. Abanye abantu bafuna amayeza angaphezu kwelinye ukunyanga ukubanjwa kwabo. Kungathatha ixesha ukumisela eyona dosi isebenzayo kunye nohlobo lonyango lwakho. Kukho amayeza amaninzi asetyenziselwa ukunyanga isifo sokuwa, kubandakanya:

• levetiracetam (Keppra)
• icarbamazepine (iCarbatrol, iTegretol)
• I-phenytoin (iDilantin, iPhenytek)
• oxcarbazepine (iTrileptal)
• lamotrigine (Lamictal)
• ifumanobarbital
• ILorazepam (Ativan)

Ugqirha

Utyando lobuchopho lunokuba lukhetho ukuba amayeza akaphumelelanga ekulawuleni ukuxhuzula kwakho. Olu khetho lukholelwa ekubeni lusebenza ngakumbi ekuthinjweni okukodwa okuchaphazela inxenye encinci yengqondo kunaleyo yenziwa ngokubanzi.

Unyango olongezelelekileyo

Zimbini iintlobo zonyango olongezelelekileyo okanye ezizezinye zokubanjwa kohlobo olukhulu. Ukuvuselelwa kwentliziyo yeVagus kubandakanya ukumiliselwa kwesixhobo sombane esivuselela ngokuzenzekelayo intambo entanyeni yakho. Ukutya ukutya kwe ketogenic, okunamafutha aphezulu kunye neecarbohydrate ezisezantsi, kukwabizwa ukuba kunceda abanye abantu ukuba banciphise iintlobo ezithile zokubanjwa.

Umbono wabantu abaxhuzulekileyo ngenxa yethoni

Ukubanjwa kwe-tonic-clonic ngenxa yokuqala kwexesha elinye kunokungakuchaphazeli ixesha elide.

Abantu abanengxaki yokuthimba banokuhlala ubomi obupheleleyo kunye nemveliso. Oku kuyinyani ngakumbi ukuba ukubanjwa kwabo kulawulwa ngamayeza okanye ezinye iindlela zonyango.

Kubalulekile ukuqhubeka nokusebenzisa amayeza okuhlutha njengoko kumiselwe ngugqirha wakho. Ukuyekisa amayeza akho ngequbuliso kunokubangela ukuba umzimba wakho uxhuzule ixesha elide okanye uphindaphinde, nto leyo enokusongela ubomi.

Abantu abane-tonic-clonic seizures eziqhelekileyo ezingalawulwa ngamayeza ngamanye amaxesha bafa ngesiquphe. Oku kukholelwa ukuba kubangelwa kukuphazamiseka kwisingqi sentliziyo yakho njengesiphumo sokuxhuzula kwezihlunu.

Ukuba unembali yokuxhuzula, ezinye izinto zisenokungakhuseleki kuwe. Ukuxhuzula xa uqubha, uhlamba, okanye uqhuba, umzekelo, kunokuba yingozi ebomini.

Uthintelo lokuthimba ngokubanzi i-tonic-clonic

Ukuhlutha akuqondwa kakuhle. Ngamanye amaxesha, akunakwenzeka ukuba uthintele ukuxhuzula ukuba ukuxhuzula kwakho kungabonakali kunesiphumo esithile.

Unokuthatha amanyathelo kubomi bakho bemihla ngemihla ukukunceda ukukhusela ukuxhuzula. Iingcebiso zibandakanya:

• Kuphephe ukwenzakala engqondweni ngokusebenzisa iminqwazi yezithuthuthu, amabhanti okhuseleko neemoto ezinee-airbags.
• Sebenzisa ucoceko olufanelekileyo kwaye uziqhelanise nokuphatha ukutya okufanelekileyo ukunqanda ukosuleleka, i-parasitic okanye enye indlela, ebangela isathuthwane.
• Nciphise umngcipheko we-stroke, equka uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, ukutshaya kunye nokungasebenzi.

Abafazi abakhulelweyo kufuneka babe nononophelo olwaneleyo lokubeleka. Ukufumana ukhathalelo olufanelekileyo ngaphambi kokubeleka kunceda ukuthintela iingxaki ezinokuthi zibe negalelo kuphuhliso lwesifo sokubanjwa kusana lwakho. Emva kokuba ubelekile, kubalulekile ukuba umntwana wakho agonywe izifo ezinokuchaphazela kakubi inkqubo ye-nervous system kunye negalelo lokuphazamiseka.