Kulanda kwapafupipafupi kwa tonic-clonic

Kulanda kwapadera kwa tonic-clonic ndi mtundu wa kulanda komwe kumakhudza thupi lonse. Amatchedwanso Grand mal seizure. Mawu akuti khunyu, khunyu, kapena khunyu nthawi zambiri amagwirizanitsidwa ndi kugwidwa kwama tonic-clonic.

Zovuta zimayamba chifukwa chogwiritsa ntchito kwambiri ubongo. Kugwidwa kwama tonic-clonic kumatha kuchitika kwa anthu amisinkhu iliyonse. Zitha kuchitika kamodzi (gawo limodzi). Kapena, zimatha kuchitika ngati gawo la matenda obwerezabwereza, (khunyu). Ena amagwidwa chifukwa cha mavuto amisala (psychogenic).

Anthu ambiri omwe ali ndi khunyu wamba amakhala ndi masomphenya, kulawa, kununkhiza, kapena kusintha kwamalingaliro, kuyerekezera zinthu m'maganizo, kapena chizungulire asanagwidwe. Izi zimatchedwa aura.

Khunyu nthawi zambiri limapangitsa minofu yolimba. Izi zimatsatiridwa ndi minyewa yaukali ndi kutaya chidwi (chidziwitso). Zizindikiro zina zomwe zimachitika panthawi yolanda zitha kuphatikizira izi:

• Kuluma tsaya kapena lilime
• Mano atavundikira kapena nsagwada
• Kutaya mkodzo kapena kuwongolera chimbudzi (kusadziletsa)
• Anasiya kupuma kapena kupuma movutikira
• Mtundu wabuluu wakhungu

Atagwidwa, munthuyo akhoza kukhala ndi:

• Kusokonezeka
• Kugona kapena kugona komwe kumatenga ola limodzi kapena kupitilira apo (kotchedwa post-ictal state)
• Kutayika kwakumbukiro (amnesia) chokhudzana ndi kulanda
• Mutu
• Kufooka kwa gawo limodzi la thupi kwa mphindi zochepa mpaka maola ochepa kutsatira kugwidwa (kotchedwa Todd ziwalo)

Dokotala amupima. Izi ziphatikiza kuwunika mwatsatanetsatane kwa ubongo ndi dongosolo lamanjenje.

EEG (electroencephalogram) idzachitika poyang'ana momwe magetsi amagwirira ntchito muubongo. Anthu omwe ali ndi khunyu nthawi zambiri amakhala ndi magetsi achilendo omwe amawoneka pamayesowa. Nthawi zina, mayeso amawonetsa dera lomwe lili muubongo pomwe khunyu limayambira. Ubongo ukhoza kuwoneka wabwinobwino atagwidwa kapena atagwidwa.

Mayeso amwazi amathanso kulamulidwa kuti aunike za mavuto ena azaumoyo omwe angayambitse kugwidwa.

Kujambula kwa mutu wa CT kapena MRI kungachitike kuti mupeze chomwe chikuyambitsa vutoli muubongo.

Chithandizo cha kugwidwa kwa tonic-clonic kumaphatikizapo mankhwala, kusintha kwa moyo wa akulu ndi ana, monga zochitika ndi zakudya, ndipo nthawi zina opaleshoni. Dokotala wanu akhoza kukuwuzani zambiri zazomwe mungachite.

Kulanda - tonic-clonic; Kulanda - wamkulu mal; Kulanda kwakukulu; Kulanda - zowombetsa mkota; Khunyu - zowombetsa mkota khunyu

• Ubongo
• Kugwedezeka - chithandizo choyamba - mndandanda

Pezani nkhaniyi pa intaneti Abou-Khalil BW, Gallagher MJ, Macdonald RL. Khunyu. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 101.

Wophunzira JP, Davenport RJ. Neurology. Mu: Ralston SH, ID ya Penman, Strachan MWJ, Hobson RP, olemba. Mfundo ndi Zochita za Mankhwala a Davidson. Wachitatu. Philadelphia, PA: Elsevier; 2018: chap 25.

Thijs RD, Akukwera R, O'Brien TJ, Sander JW. Khunyu akuluakulu. Lancet. 2019; 393 (10172): 689-701. PMID: 30686584 pubed.ncbi.nlm.nih.gov/30686584/.

Wiebe S. Khunyu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 375.