Indlela Abazali abatsha Abaya Kuyihlaziya Ngaphandle Kohlwaywa Kwabantwana Babo
Zimbalwa izinto ezinjengeenkwenkwezi ezinjengomntwana onenkathazo enkulu yokubeletha. Kodwa nangona ezinye iimbandezelo zingabangela iingxaki ezinzulu ekuphuhlisweni kwabantwana, ngokubonga akubakho konke ukuxhatshazwa okuchaphazela iintsana ezinzulu.
I-Systromatic Systromes kwiNtsana
Ukutshatyalaliswa okuqhelekileyo kuthiwa ngokuba kubonakala ngathi kuvela kuwo wonke umzimba ngexesha elifanayo.
I- electroencephalogram (i-EEG) ibonisa umsebenzi ongaqhelekanga kagesi oquka lonke ubuchopho ngokukhawuleza.
I-Benign Neonatal Convulsions
Kukho iintlobo ezimbini zeengxaki zokubeletha ezingenayo imiphumo enomntwana osandul 'ukuzalwa. Ubunzima bentsapho ye-Benin (BFNS) kunye ne-bladns ne-bladder idiopathic i-neonatal seizures idla ngokudibanisa nesiphumo esihle.
I-BFNS iqala ngokuqala kwiiveki ezimbalwa zobomi ngokufutshane kodwa ngokukhawuleza. Phakathi kokuthintela, umntwana uqhelekile. Isiqabane esibaluleke kakhulu ekwenzeni ukuxilongwa kwe-BFNS yimbali yentsapho yokuxhatshazwa. I-BFNS ilifa kwi-autosomal fashion fence, oku kuthetha ukuba ukuba umntwana unayo, omnye wabazali mhlawumbi unalo. Nangona ukuxhonywa kuvame ukusombulula ukususela ekuqaleni kwasekusaneni, malunga ne-8 ukuya kwe-16 kweepesenti yabantwana bayaqhubeka nokuhluthwa xa bephila.
Ubunzima be-neonatal ne-infatal ne-baby-born bwenzeka nakwezinye iintsana eziqhelekileyo. Iimpawu zivame ukuqala ngosuku lwesibini lobomi kwaye zibe zibi kakhulu, ngamanye amaxesha zigqitywe kwiimeko zesifo . Emva kweeyure ezingama-24, ukuxhwaba kuphucula.
Isifo soKhuseleko ngokubanzi kunye neFririle Seizures Plus
Ukuhluthwa ngokuqhelekileyo kunye ne-febrile seizures kunye (i-GEFS +) inokuchaphazela abantwana ukususela ebusaneni ukuya kwintsholongwane, kodwa ngelitye, ukutshatyalaliswa kwamathambo ngokuqhelekileyo akunakucala kwaye kaninzi akukhokelela kwiingxaki ezingaphezulu. Kwi-GEFS +, nangona kunjalo, i-febrile seizures ihamba ngaphezu kweminyaka engama-6 kwaye ihamba kunye nezinye iintlobo zokuthintela. Njenga-BFNS, i-GEFS + ilifa kwi-autosomal fashion. Kodwa ngenxa yezinto ezibizwa ngokuba yimpembelelo yokungena kwenguqu, ukususela kuma-20 ukuya kuma-40 ekhulwini kwabazali abanakho iimpawu, nokuba ngaba bane-genetic mutation.
Uninzi lwabantwana abane-GEFS + luya kuphucula, nangona ukuya kuma-30 ekhulwini lunokuphuhliswa kwesifo sokufa kwesifo.
I-Myoclonic Astatic Epilepsy (Doose Syndrome)
I-Myoclonus ihamba ngokukhawuleza ngokunyakaza kwezinto ezinobangela, kubandakanywa nokuhlutha kwesifo. Ukufa kwesifo se-Myoclonic astatic (MAE) sichaphazela malunga nabantwana abayi-10 000. Ukongeza kwi-myoclonus, abantwana banezinye iintlobo zokubamba kunye nokubandakanya i-atonic, apho bavele baxhamle. I-Doose syndrome inokuqala ezinyangeni ezisixhenxe, okanye ekupheleni kweminyaka eyi-6 ubudala. I- electroencephalogram (i-EEG) inokuba luncedo ekwenzeni ukuxilongwa.
I-Doose syndrome ayisoloko ihambelana nesiphumo esihle. Ngoxa uninzi lwabantwana abane-MAE luya kuphuhlisa ngokuqhelekileyo, ukuya kuma-41 ekhulwini kuya kuba ne-IQ yomda okanye umkhuhlane wengqondo. Abanye baya kuhlakulela isithuthwane esingenakunqandwa.
Iimpawu zeSifo seSifo seNtlungu kwiintsana nabantwana
Ngokungafani nokuhluthwa ngokubanzi, ukuxhatshazwa okuyingxenye kuqale kwindawo enye kwaye kunokusasazeka ukubandakanya ezinye iindawo zobuchopho. Nangona ngamanye amaxesha ukutshatyalaliswa kweengcambu kubangelwa kukungalingani kwengqondo engafanelekanga njengomkhumbi wegazi, ingxaki ngezinye iimeko zivela apho kuzalwa.
I-Benign Infantile Ukuxhamla kwemizimba
Ukuqhaqhazeka kweentsapho zeBenign kuqala xa umntwana ephakathi kweenyanga ezi-3.5 ukuya kwezi-12 ubudala. Umntwana uqala ukufuduka aze ahlasele iilungu malunga ne-5 ukuya kwezihlandlo ezili-10 ngosuku. Njengoko igama libhekisela, ukuphazamiseka kwengxaki yokubamba i-genetic inheritance. Kukhona umzekelo wesimo kwi-EEG enokuba luncedo ekwenzeni ukuxilongwa. Ngokuqhelekileyo, ukuthatha isigqibo ngokukhawuleza njengoko umntwana ekhula, kwaye uphuhliso luqhelekile.
Ubunzima Bokuhluthwa Kwesinye KwiNtsana
Le ngxaki yokubamba i-syndrome ifana kakhulu neyantlupheko yentsapho yokuxhamla - umbahluko omkhulu kukuba kule fomu, ukuguqulwa komzimba akuqhelekanga.
Ubunzima beNtlungu kunye neParoxysms yama-Occipital (iPanayiotopoulos Syndrome)
Le syndrome ngokuqhelekileyo ivela kwizingane ezineminyaka engama-10 ubudala ezinokuqala kodwa ziyakwenzeka ngokukhawuleza uneminyaka elilodwa ubudala. Ukutshatyalaliswa kwe-Panayiotopoulos syndrome kubandakanyeka kakhulu ne- dysautonomia , kunye neempawu ezinjengezonyameko, ukuhlanza kunye nobunzima. I-EEG inomzekelo wesimo samagagasi abukhali emva kwentloko, ebizwa ngokuthi i-occipital paroxysms. Iingxaki zisoloko zixazulula kwiminyaka eyi-1 ukuya kweyesi-2.
I-Benign Childhood Epilepsy nge-Centrotemporal Spikes (uBenign Rolandic Epilepsy)
Ubunzima bokuthwala i-rolandic kakhulu buqala kubantwana abaneminyaka engama-7 ukuya kwe-10 ubudala, kodwa ngamanye amaxesha kubonakala kubantwana abancinci ubudala. Ukuqhaqhaqhayisa kunxulumene nokuguquka nokuguquka kwezinto. Ukuqhayisa ngokuqhelekileyo kubangelwa ukulala okanye ukulala. I-EEG inceda kakhulu kule syndrome, njengoko ibonisa amaza abukhali kwimimandla ye-centrotemporal yengqondo. Nangona ezi zinto zixhalabisayo zisoyikisa abantwana (abahlala bephapheme kulo lonke), abayingozi kwaye bahlala bezinyulisa ngokwabo ngeminyaka eyi-16.
Okukwintsusa
Njengoko ubonile, ngelixa uninzi lwala ma- syndromes anesiphumo esihle, ezinye zazo zandisa ingozi yokuba umntwana akayi kuba nobomi obuqhelekileyo. Njengobu buhlungu njengoko oku, xa kuthelekiswa namanye ama-syndromes apho isiphumo esibi siqinisekile, ezi zi-syndromes zivumela abazali ukuba babe neqondo elithile lokuthemba.
Nangona abazali abambalwa banqwenela ukuba umntwana abo abe ne-seizures, eninzi ye-syndromes apha ngasentla, isiphumo esinokubakho siqhelekileyo-ngamanye amaxesha ngaphandle kweyeza. Ukugxininisa kwiziphumo, ngelixa ukucwangcisa ngokucacileyo iziphumo ezingenakwenzeka kakhulu, kunokuvumela abantwana ukuba baphile ubomi obuhle kakhulu abanakho ngokuthwala.
Imithombo:
U-Elaine Wirrell, uKatherine C. Nickels. I-Continuum: I-Epilepsy, uMqulu 16, iNombolo 3, ngoJuni 2010.
UGerald M Finichel. I-Neurology yeZonyango. 6th Edition. Sanders-Elsevier, 2009.