Kulanda Kwambiri Tonic-Clonic

Zamkati

• Zomwe zimayambitsa kugwidwa kwama tonic-clonic
• Ndani ali pachiwopsezo cha kugwidwa kwama tonic-clonic?
• Zizindikiro za kulanda kwamtundu wa tonic-clonic
• Kodi matenda opatsirana pogonana amapezeka bwanji?
• Mbiri yazachipatala
• Kuyesa kwamitsempha
• Kuyesa magazi
• Kujambula zamankhwala
• Kuchiza matenda opatsirana a tonic-clonic
• Mankhwala a antiepileptic
• Opaleshoni
• Mankhwala owonjezera
• Chiyembekezo cha anthu omwe ali ndi khunyu la tonic-clonic wamba
• Kupewa kugwidwa kwamtundu wa tonic-clonic

Zowonongeka zowononga kwambiri

Kugwidwa kwapadera kwa tonic-clonic, komwe nthawi zina kumatchedwa kugwidwa kwakukulu, ndiko kusokoneza magwiridwe antchito ammbali zonse ziwiri za ubongo wanu. Kusokonekera uku kumachitika chifukwa cha magetsi omwe amafalikira muubongo mosayenera. Nthawi zambiri izi zimapangitsa kuti zizitumizidwa ku minofu yanu, misempha, kapena gland. Kufalikira kwa zizindikilozi muubongo wanu kumatha kukupangitsani kuti mukhale osazindikira komanso kukhala ndi mitsempha yayikulu.

Khunyu nthawi zambiri imakhudzana ndi matenda otchedwa khunyu. Malinga ndi a, anthu pafupifupi 5.1 miliyoni ku United States ali ndi vuto lakhunyu. Komabe, kugwidwa kumatha kuchitika chifukwa muli ndi malungo akulu, kuvulala pamutu, kapena shuga wotsika magazi. Nthawi zina, anthu amakhala ndi khunyu ngati gawo limodzi loti achoke pakumwa mankhwala osokoneza bongo kapena mowa.

Kulandidwa kwa matani-toni amatenga dzina lawo magawo awo awiri osiyana. Pakadutsa nthawi yolanda, minofu yanu imawuma, mumatha kukomoka, ndipo mutha kugwa. Gawo laphokoso limakhala ndi kutupikana kwa minyewa yofulumira, nthawi zina kumatchedwa kugwedezeka. Kugwidwa ndi tonic-clonic nthawi zambiri kumakhala kwa mphindi 1-3. Ngati kulanda kumatenga nthawi yopitilira mphindi zisanu, ndizadzidzidzi zamankhwala.

Ngati muli ndi khunyu, mutha kuyamba kukhala ndi matenda opatsirana mwakachetechete muubwana kapena unyamata. Kugwidwa kotereku sikuwoneka kawirikawiri mwa ana ochepera zaka ziwiri.

Kugwidwa kwakanthawi kosagwirizana ndi khunyu kumatha kuchitika nthawi iliyonse ya moyo wanu. Izi zimachitika chifukwa cha zovuta zomwe zimasintha ubongo wanu kwakanthawi.

Kugwidwa kwa tonic-clonic kungakhale kwadzidzidzi kwachipatala. Kaya kugwidwa ndi vuto lachipatala kumadalira mbiri yanu ya khunyu kapena matenda ena. Funani thandizo lachipatala mwachangu ngati uku ndikulanda kwanu koyamba, ngati mwavulazidwa panthawi yolanda, kapena ngati muli ndi tsango la khunyu.

Zomwe zimayambitsa kugwidwa kwama tonic-clonic

Kuyamba kwa kugwidwa kwama tonic-clonic kumatha kubwera chifukwa cha matenda osiyanasiyana. Zina mwazovuta kwambiri zimaphatikizira chotupa chaubongo kapena chotupa chamagazi chotupa muubongo wanu, chomwe chimatha kuyambitsa sitiroko. Kuvulala pamutu kumayambitsanso ubongo wanu kuti ugwere. Zina zomwe zingayambitse kugwidwa kwakukulu kungaphatikizepo:

• magulu otsika a sodium, calcium, glucose, kapena magnesium mthupi lanu
• kumwa mankhwala osokoneza bongo kapena kumwa mowa mwauchidakwa kapena kusiya
• matenda ena kapena matenda amitsempha
• kuvulala kapena matenda

Nthawi zina, madokotala samatha kudziwa chomwe chinayambitsa khunyu.

Ndani ali pachiwopsezo cha kugwidwa kwama tonic-clonic?

Mutha kukhala pachiwopsezo chachikulu chotenga khunyu ngati muli ndi mbiri yakunyumba yakhunyu. Kuvulala kwaubongo komwe kumakhudzana ndi kupwetekedwa mutu, matenda, kapena sitiroko kumakuikiranso pachiwopsezo chachikulu. Zinthu zina zomwe zingakulitse mwayi wanu wokhala ndi kugwidwa kwakukulu ndi izi:

• kusowa tulo
• Kusalinganika kwa electrolyte chifukwa cha matenda ena
• kumwa mankhwala osokoneza bongo kapena mowa

Zizindikiro za kulanda kwamtundu wa tonic-clonic

Ngati muli ndi vuto la tonic-clonic, zina kapena zizindikilozi zitha kuchitika:

• kumverera kwachilendo kapena kutengeka, komwe kumatchedwa aura
• kukuwa kapena kulira mosadzipangira
• kutaya chikhodzodzo ndi matumbo anu nthawi kapena ikadzatha
• kudutsa ndikudzuka ndikusokonezeka kapena kugona
• mutu wopweteka pambuyo poti agwidwa

Nthawi zambiri, wina yemwe ali ndi kachilombo ka tonic-clonic kaphokoso adzauma ndikugwa nthawi ya tonic. Miyendo ndi nkhope zawo ziziwoneka ngati zikugwedezeka msanga minofu yawo ikamasunthika.

Mukadwala khunyu, mumatha kusokonezeka kapena kugona tulo kwa maola angapo musanachiritse.

Kodi matenda opatsirana pogonana amapezeka bwanji?

Pali njira zingapo zodziwira khunyu kapena zomwe zidakupangitsani kugwidwa:

Mbiri yazachipatala

Dokotala wanu adzakufunsani mafunso okhudza kugwidwa kwina kapena matenda omwe mwakhala nawo. Akhoza kufunsa anthu omwe mudali nawo panthawi yolanda kuti afotokoze zomwe adawona.

Dokotala wanu amathanso kukupemphani kuti mukumbukire zomwe mumachita nthawi yomweyo asanakomoke. Izi zimathandizira kudziwa zomwe zikuchitika kapena machitidwe omwe adayambitsa kulanda.

Kuyesa kwamitsempha

Dokotala wanu adzakuyesani kosavuta kuti muwone momwe mulili, kulumikizana kwanu, ndi malingaliro anu. Adzayesa momwe thupi lanu lilili komanso mphamvu. Aweruzanso momwe mumagwirira ndikusunthira thupi lanu komanso ngati kukumbukira kwanu ndikuweruza kwanu kukuwoneka kwachilendo.

Kuyesa magazi

Dokotala wanu atha kuyitanitsa mayeso amwazi kuti awone zovuta zamankhwala zomwe zingayambitse kugwidwa.

Kujambula zamankhwala

Mitundu ina yamawonekedwe aubongo imatha kuthandiza dokotala kuti aziona momwe ubongo wanu ukugwirira ntchito. Izi zitha kuphatikizira electroencephalogram (EEG), yomwe imawonetsa magwiridwe antchito amagetsi muubongo wanu. Ikhozanso kuphatikiza MRI, yomwe imapereka chithunzi chatsatanetsatane cha magawo ena aubongo wanu.

Kuchiza matenda opatsirana a tonic-clonic

Ngati mwakhalapo ndi vuto limodzi lalikulu, mwina chinali chochitika chapadera chomwe sichikufuna chithandizo. Dokotala wanu atha kusankha kuti akuwunikireni khunyu musanamwe mankhwala a nthawi yayitali.

Mankhwala a antiepileptic

Anthu ambiri amatha kugwidwa ndi mankhwalawa. Mwinamwake mungayambe ndi mankhwala ochepa a mankhwala amodzi. Dokotala wanu adzawonjezera pang'onopang'ono mlingo pakufunika. Anthu ena amafunikira mankhwala opitilira umodzi kuti athane ndi khunyu. Zingatenge nthawi kuti mudziwe mtundu woyenera wa mankhwala ndi mtundu wa mankhwala kwa inu. Pali mankhwala ambiri omwe amagwiritsidwa ntchito pochiza khunyu, kuphatikizapo:

• levetiracetam (Keppra)
• carbamazepine (Carbatrol, Tegretol)
• phenytoin (Dilantin, Phenytek)
• oxcarbazepine (Trileptal)
• lamotrigine (Lamictal)
• anayankha
• Lorazepam (Ativan)

Opaleshoni

Kuchita opaleshoni yaubongo kungakhale kosankha ngati mankhwala sakuyendetsa bwino khunyu lanu. Njirayi imakhulupirira kuti ndi yothandiza kwambiri kugwidwa pang'ono komwe kumakhudza gawo limodzi laling'ono laubongo kuposa momwe zimakhalira.

Mankhwala owonjezera

Pali mitundu iwiri ya zochiritsira zowonjezera kapena zochiritsira zochiritsira zazikulu. Kukondoweza kwa mitsempha ya Vagus kumaphatikizapo kukhazikitsidwa kwa chida chamagetsi chomwe chimangotulutsa mitsempha m'khosi mwanu. Kudya chakudya cha ketogenic, chomwe chimakhala ndi mafuta ambiri komanso chakudya chochepa, chimanenedwa kuti chimathandiza anthu ena kuchepetsa mitundu ina yakugwa.

Chiyembekezo cha anthu omwe ali ndi khunyu la tonic-clonic wamba

Kukhala ndi kugwidwa kwa tonic-clonic chifukwa choyambitsa kamodzi sikungakukhudzeni m'kupita kwanthawi.

Anthu omwe ali ndi vuto la kulanda amatha kukhala ndi moyo wabwino komanso wopindulitsa. Izi ndizowona makamaka ngati kugwidwa kwawo kumayendetsedwa ndi mankhwala kapena mankhwala ena.

Ndikofunika kupitiriza kugwiritsa ntchito mankhwala anu olanda monga mwauzidwa ndi dokotala wanu. Kuyimitsa mwadzidzidzi mankhwala anu atha kupangitsa kuti thupi lanu lizilandira kwa nthawi yayitali kapena mobwerezabwereza, zomwe zingawononge moyo wanu.

Anthu omwe ali ndi kugwidwa kwa tonic-clonic komwe sikulamuliridwa ndi mankhwala nthawi zina amafa mwadzidzidzi. Izi zimakhulupirira kuti zimayambitsidwa ndi kusokonezeka kwa kamvekedwe ka mtima wanu chifukwa cha kugwedezeka kwa minofu.

Ngati muli ndi mbiri yakukomoka, zochitika zina sizingakhale zotetezeka kwa inu. Mwachitsanzo, kukomoka posambira, kusamba, kapena kuyendetsa galimoto kungakhale pangozi.

Kupewa kugwidwa kwamtundu wa tonic-clonic

Kugwidwa sikumveka bwino. Nthawi zina, mwina sizingatheke kuti mupewe kugwidwa ngati kulanda kwanu sikuwoneka kuti kukuyambitsa.

Mutha kuchitapo kanthu pamoyo wanu watsiku ndi tsiku kuti muteteze kugwa. Malangizo ndi awa:

• Pewani kuvulala koopsa kwamagalimoto pogwiritsa ntchito zipewa zamoto, malamba achitetezo, komanso magalimoto okhala ndi ma airbags.
• Gwiritsani ntchito ukhondo woyenera ndikuyeserera zakudya zoyenera kuti mupewe matenda, tiziromboti kapena zina, zomwe zimayambitsa khunyu.
• Kuchepetsa ziwopsezo zomwe zingachitike chifukwa cha sitiroko, monga kuthamanga kwa magazi, cholesterol, kusuta, komanso kusagwira ntchito.

Amayi apakati ayenera kukhala ndi chisamaliro chokwanira asanabadwe. Kupeza chithandizo choyenera cha kubadwa kumathandiza kupewa zovuta zomwe zingapangitse kuti mwana wanu azikhala ndi matenda okomoka. Mukabereka, ndikofunikira kuti mwana wanu azitetezedwa ku matenda omwe angakhudze mitsempha yawo yayikulu ndikuthandizira pamavuto.