Kulanda kulibe

Kulanda komwe kulibe ndiye nthawi yakugwidwa kwamtundu wina wophatikizira kutchera. Kugwidwa kwamtunduwu kumakhala kwakanthawi (nthawi zambiri yochepera masekondi 15) kusokonekera kwa ubongo chifukwa cha magwiridwe antchito amagetsi muubongo.

Zovuta zimayamba chifukwa chogwiritsa ntchito kwambiri ubongo. Nthawi zambiri, anthu osakwanitsa zaka 20 amakumana ndi zovuta, makamaka ana azaka 4 mpaka 12.

Nthawi zina, kugwidwa kumayambitsidwa ndi magetsi owala kapena pamene munthu amapuma mofulumira komanso mozama kuposa masiku onse (hyperventilates).

Zitha kuchitika ndi kugwidwa kwamtundu wina, monga kugwidwa kwama tonic-clonic (kukomoka kwakukulu), kupindika kapena kugwedeza (myoclonus), kapena kutaya mwadzidzidzi mphamvu yamphamvu ya minyewa (atonic khunyu).

Nthawi zambiri kulandidwa kumakhala masekondi ochepa. Nthawi zambiri zimakhudza kuwonera zigawo. Magawo akhoza:

• Zimachitika kangapo patsiku
• Zimachitika kwa milungu mpaka miyezi musanazindikiridwe
• Sokonezani sukulu komanso kuphunzira
• Khalani olakwika chifukwa chosowa chidwi, kulota kapena kuchita zina zosayenera

Mavuto osamvetsetseka kusukulu komanso zovuta kuphunzira zitha kukhala chizindikiro choyamba cha kulanda.

Pakulanda, munthuyo atha:

• Lekani kuyenda ndikuyambiranso masekondi angapo pambuyo pake
• Lekani kuyankhula pakatikati pa sentensi ndikuyambiranso masekondi angapo pambuyo pake

Munthuyo nthawi zambiri sagwa panthawi yolanda.

Akangolanda, munthu nthawi zambiri amakhala:

• M'maso
• Kuganiza bwino
• Osazindikira zakugwidwa

Zizindikiro zenizeni zakumenyedwa komwe kulipo ndi monga:

• Kusintha kwa ntchito zaminyewa, monga kusuntha, kukwapula m'manja, zikope zam'maso, kukwapula milomo, kutafuna
• Kusintha kwa kukhala tcheru (kuzindikira), monga kuyang'ana magawo, kusazindikira za malo, kuyimilira mwadzidzidzi, kuyenda, ndi zina

Nthawi zina kukomoka kumayamba pang'onopang'ono ndipo kumatenga nthawi yayitali. Izi zimatchedwa kugwidwa kwakanthawi kochepa. Zizindikiro zimafanana ndi kugwidwa komwe kulibe, koma kusintha kwa minofu kumawonekera kwambiri.

Dokotala amupima. Izi ziphatikiza kuyang'ana mwatsatanetsatane 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 komwe kulibe chimaphatikizapo mankhwala, kusintha kwa moyo wa akulu ndi ana, monga zochitika ndi zakudya, ndipo nthawi zina opaleshoni. Dokotala wanu akhoza kukuwuzani zambiri zazomwe mungachite.

Kulanda - petit mal; Kulanda - kusapezeka; Petit mal kulanda; Khunyu - kusowa khunyu

• Khunyu akuluakulu - zomwe mungafunse dokotala wanu
• Khunyu mwa ana - zomwe mungafunse dokotala wanu

• Ubongo

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.

Kanner AM, Ashman E, Gloss D, ndi al. Chidule cha malangizo othandizira: Kuchita bwino ndi kulekerera mankhwala atsopano a antiepileptic I: Chithandizo cha khunyu chatsopano: Lipoti la Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology. 2018; 91 (2): 74-81. PMID: 29898971 pubed.ncbi.nlm.nih.gov/29898971/.

[Adasankhidwa] Marcdante KJ, Kliegman RM. Kugwidwa. Mu: Marcdante KJ, Kliegman RM, olemba. Nelson Zofunikira pa Matenda a Ana. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 181.

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