Kulanda pang'ono (kofunikira)

Zonsezi zimayambitsidwa chifukwa cha kusokonezeka kwamagetsi muubongo. Kugwidwa pang'ono (kozama) kumachitika pamene magetsi amagwirabe gawo lochepa la ubongo. Kugwidwa nthawi zina kumatha kukhala khunyu, komwe kumakhudza ubongo wonse. Izi zimatchedwa generalization yachiwiri.

Kugwidwa pang'ono kungagawidwe mu:

• Zosavuta, zosakhudza kuzindikira kapena kukumbukira
• Zovuta, zomwe zimakhudza kuzindikira kapena kukumbukira zochitika zisanachitike, nthawi, komanso atangolanda, ndikukhudza machitidwe

Kugwidwa pang'ono ndi komwe kumakonda kugwidwa mwa anthu chaka chimodzi kapena kupitilira apo. Kwa anthu achikulire kuposa 65 omwe ali ndi matenda amitsempha yamagazi am'mimba kapena zotupa zamaubongo, khunyu pang'ono ndilofala.

Anthu omwe ali ndi zovuta zochepa amatha kukumbukira kapena sangakumbukire chilichonse kapena zizindikilo kapena zochitika panthawi yomwe alanda.

Kutengera ndi komwe kulanda kumayamba muubongo, zizindikilo zimatha kuphatikiza:

• Kupindika kwa minyewa yachilendo, monga mutu wosayenda kapena miyendo
• Kuyang'ana, nthawi zina ndikubwereza mobwerezabwereza monga kutola zovala kapena kukwapula milomo
• Maso akuyenda uku ndi uku
• Zovuta zachilendo, monga dzanzi, kumva kulasalasa, kukwawa (monga nyerere zikukwawa pakhungu)
• Zoyerekeza, kuona, kununkhiza, kapena nthawi zina kumva zinthu zomwe kulibe
• Kupweteka m'mimba kapena kusapeza bwino
• Nseru
• Kutuluka thukuta
• Nkhope
• Ophunzira opunduka
• Kuthamanga kwamtima / kuthamanga kwa mtima

Zizindikiro zina zitha kuphatikiza:

• Kudandaula kwamdima wakuda, nthawi yayitali yotayika kukumbukira
• Zosintha m'masomphenya
• Kutengeka kwa déjà vu (kumverera ngati malo apano ndi nthawi zidakhalapo kale)
• Kusintha kwa malingaliro kapena kutengeka
• Kulephera kwakanthawi kuyankhula

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 kwapadera 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 kwakukulu; Kulanda kwa Jacksonian; Kulanda - tsankho (lolunjika); Kulanda kwakanthawi kwakanthawi; Khunyu - khunyu pang'ono

• 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. Tsatirani malangizo omasulira mwachidule: magwiridwe antchito ndi kulekerera mankhwala atsopano a antiepileptic I: chithandizo cha khunyu chatsopano: Report of the 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/.

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