I-Psychogenic I-Nonepileptic I-Seizures Ekhoyo Njengokuhlutha
Makhe ndikunike imeko ecacileyo. UTina Gerald ngumfazi oneminyaka engama-35 ubudala oye wahlutha ngenxa yokuba sele eneminyaka engama-20 ubudala. Ukuqala kwakhe ukuxhwaba kwakuyi-classical grand-mal , kunye nomzimba wakhe wonke ugungqungqungquthela. Akakhumbuli oko kwenzeka ngexesha lazo ziqendu, kwaye akazange abe naloo hlobo lokuthintela iminyaka emininzi.
Njengabantu abaninzi abanesithuthwane , uTina unayo nezinye iintlobo zokuthintela .
Kungekudala, uye wafumana iziqwenga apho adibana khona. Nangona ubuhlungu bakhe bubuhlungu bubangelwa ukulahlekelwa kwengqondo kwaye bebuchule kunye nobudlelwane, ezi zihlaselo zikhangeleka njengokuba iphosa yonke ingekho isigqi okanye iphethini. Ngokungafani nohlobo lokuqala lokuthatha, uTina ukhumbula yonke into eyenzeka kuyo.
Ubomi bukaTina abukho lula. Akakwazi ukusebenza ngenxa yokubanjwa kwakhe, kwaye unembali yokuphathwa kakubi ngumfana wakhe wokuqala. Uye wazama amayeza ahlukeneyo angama-11 anqabileyo kwaye ngoku uwathatha amane. Kungekudala ubenobundlobongela ngamapolisa; Ukususela ngaloo ndlela, ukhonkxa ngobunzima bokuhamba, ukukhanyisa ukukhanya, ubuthathaka kunye nokuthuthumela ezandleni zakhe.
Ngethuba lokuvavanya i-neurologist, wayenokungazitholi ngokungaqhelekanga kwendoda yakhe kodwa wakwazi ukuqhuba intetho. Naphezu kokunyakaza kwakhe, wayekwazi ukusela ikofi ngaphandle kokuchitha. Umdla wakhe wawubonakala unganyaniseki, nangona akazange awele.
Ziziphi iinjongo ze-Psychogenic Nonepileptic?
Nangona uTina enomlando obangeleko wokuthinteka kwesifo, ukufika kweempawu ezibuhlungu ngokukhawuleza emva kwesiganeko esibuhlungu ngamapolisa, kunye kunye nembali yakhe yengqondo kunye nezinye iimpawu, zibonisa ukuba unesifo sengqondo esingenanto.
Iingcali ze-neurologists zixubushe ukuba ingaba zibiza ezi ziganeko zithintelo, kuba abanye bathanda ukugcina igama elithi "ukuthatha" ukuhlaselwa kwesibetho kuphela, oku kuthetha ukuba kukho umbane ongaqhelekanga kwingqondo.
Abanye banqwenela ukugxininisa ngakumbi kumava ngokwabo, besetyenziswe igama elithi "ingxaki yokugula kwengqondo" (PNES). Esinye isigama, "i-pseudoseizure," ihlukanisa umsebenzi ukususela ekuthinjweni kwenene, kodwa ezinye iingcali zifumanisa ukuba igama lihlazisa abantu. Kungakhathaliseki ukuba isigama-magama, i-PNES okanye i-pseudoseizure ichaza iziqabana ezizenzekelayo ezifana nokuxhamla kwangempela kwintlungu kodwa zineengqondo, kunokuba zibuhlungu.
I-PNES inokucingwa njengoluhlobo lokuguquka kwesifo. Nangona umbane wendlela engqondweni awufani nokuhluthwa kwesithuthwane, loo mntu akayifaki impawu zakhe. Ukubanjwa kweentlungu kubonwa njengokwenene.
Ngubani ofumana i-PNES?
Iingxaki zengqondo zenzeke kunoma yiphina inqanaba leminyaka kodwa ininzi ichaphazela abantu abadala. Kwakhona, iipesenti ezingama-70 zabahluphekayo ngabafazi. Iimeko ezihlala zihlala zineenkalo zengqondo, ezifana ne- fibromyalgia , ubuhlungu obungapheliyo kunye nokukhathala okungapheliyo , ukwandisa amathuba oku-PNES. Kukho rhoqo imbali yengqondo kwaye kaninzi imbali yobundlobongela okanye ukuxhatshazwa ngokwesondo. U-Tina, umzekelo, unembali yokudakumba, ukuxhalaba kunye nokusetyenziswa kakubi. Njengayezinye iziphazamiso zokuguquka, isikhalazo se-neurological (kulo mzekelo umsebenzi owenzela ukutshatyalaliswa) siza emva kwesiganeko esibuhlungu (ukulwa namapolisa).
I-PNES ichongwa njani?
Ukwahlula phakathi kokunyuka kwesifo kunye ne-PNES yinto eqhelekileyo kwi-neurologist. Amaphesenti angama-20 ukuya kuma-30 ezigulane ezibhekiselele kwiindawo zokuhluthwa kweempawu zokuxhamla zifunyaniswa ne-PNES. Ngenye yeemeko eziqhelekileyo ukuba zingabonakali kakuhle njenge-stroke, egalela kwi-90 ekhulwini yeengxaki ezingekhoyo. Imiba enzima, iipesenti ezili-15 zabantu abaneengxaki zokugula kwengqondo zithintekile. Oku kwenza ukuba kubonakale kunzima ukwenza umsebenzi owenzayo wokuthatha.
Izinto ezininzi zingabonakalisa ugqirha kwi-diagnostic ye-psychogenic kunokuba ihluthe ukuxhwaba.
Ukuchasana nezidakamizwa zokulwa ne-stroke kudla ngokuba yinkcazo yokuqala - iipesenti ezingama-80 zezigulane ezine-PNES ziye zaphathwa ngama-anticonbulsants kuqala, ngokuqhelekileyo zingaphumeleli. Ngakolunye uhlangothi, malunga neepesenti ezingama-25 zezihlunu azixhaswanga ngamachiza aphikisayo.
U-Tina wahlushwa ukunyuka okungaqhelekanga kwamacala omabini omzimba wakhe. Ngokuqhelekileyo, xa amabini omabili omzimba abandakanyeka ekuthinjweni kwesithuthwane, umntu ulahlekelwa ingqalelo, kodwa oku akuzange kwenzeke kuTina. Ngaphezu koko, ukugubha kwakhe kuphuculwe xa ephazamiseka (yintoni engazange aphule ikhofi yayo). Ngokungafani nezigulane ezinokuhluthwa, abo abane-PNES abayithandabuzeki ngokwabo xa bexhatshazwa.
I-PNES ifanelana nombono womntu wokubamba ngakumbi kunokwenyaniswa kwe-stem. Ngokomzekelo, ukuxhonywa kumabonwakude kubandakanyeka umntu ejikeleza ngaphandle kwendlela ethile, kodwa inyaniso yokuxhwaba ixhepha kwaye iphindaphinda. Ukulila okanye ukuthetha ngexesha lokuhlutha kwesifo soxinzelelo luqhelekanga, kodwa luqhelekileyo kwi-PNES.
Nangona kukho ezinye iindlela ezininzi zokuncedisa ukuhlula phakathi kwengqondo yengqondo kunye nokuhlutha kwesibetho, akukho namnye kubo ongenasiphene ngokupheleleyo. Xa ufumanisa i-PNES kumntu onomlando okholisayo wokuhluthwa, ugqirha kufuneka alumkelele ezinye iingxaki zempilo ezizenza njengePNES. Ukutshatyalaliswa kwangempela okuvela kwi-lobe yangaphambili, umzekelo, kaninzi ukukhumbuza oogqirha be-PNES.
Indlela efanelekileyo yokuxelela ingqondo yengqondo kwi-seippure ye-stroke kukuba isebenzise i- electroencephalogram ebhala umsebenzi wokubamba. Ukuxhwaleka kwe-Epileptic kubangele ukungaqhelekanga kwi-EEG engabonakali ngexesha lokutshatyalaliswa kwengqondo.
Iingxaki Zengqondo Zithathwa Njani?
Imfundo ibaluleke kakhulu, njengoko ukufunda malunga nale ngxaki yokuguquka rhoqo kuthintela indlela abantu abayifumana ngayo. Ngokutsho koqikelelo oluthile, malunga nama-50 ukuya kuma-70 ekhulwini abantu abanama-PNES baya kuba neempawu emva kokuxilongwa. Kwamava am, eli phesenti lixhomekeke kakhulu, kodwa imfundo isala isinyathelo sokuqala sokuphulukisa.
Abantu abaninzi baqala ukusabela xa befumanisa ingxaki yokuguquka ngokungakholelwa, ukukhanyela, umsindo kunye nobutshaba, ngakumbi ukuba sele sele befumene isifo esifana nesifo sokufa. Iingcali zempilo yengqondo kufuneka zibonisane ukuphatha uxhalaba okanye ukuxinezeleka. Nangona isigulane sisetyenziselwa ezinye izizathu zokuhluthwa, ama-50 ekhulwini abantu abanesithuthwane baxinezelekile kwaye baya kuzuza ngokuvavanywa kwengqondo.
Yintoni Ephucula Amathuba Wokubuyiselwa Kweengxaki Zengqondo?
Abantu abancinci xa i-diagnostic eyenziwa, kunye nezinye izikhalazo kunye neziqwenga ezinamandla, zinethuba eliphezulu lokuphucula. Into ebalulekileyo kukuba ubude bexesha lokugula. Ukuba umntu uchithe iminyaka ephathwa ngayo ngenxa yokuhluthwa, nangona benayo yonke impawu yenguqu yokuguqulwa, loo mntu akayi kubuyiselwa.
Isizathu sokuba abantu abaneengxaki zokuguquka abanako ukuphucula ukuba baphethwe ukuhluthwa ixesha elide mhlawumbi kubandakanywa umgaqo wokuqiniswa. Ngokwale ngqungquthela, ipilisi nganye ithathelwe ukuhlanjululwa, ugqirha ngamnye owenza i-diagnostic engafanelekanga, nokuba ngabahlobo bamxhasa umntu ukuqinisa ingcamango yokuba akukho nto ibangelwa yimfucuza. Inkolelo enjalo enzulu kakhulu kunzima ukuyilahla, nangona ukuxilongwa okunyanisekileyo nokuchanekileyo.
Njengazo ezinye iimeko zokuguquka kwengxaki, i-PNES ixilongwa yokukhutshwa. Oku kuthetha ukuba ugqirha okwenza oku kuxilongwa kufuneka agcine ingqondo evulekile kwaye acinge ukuba mhlawumbi into ngaphandle kwesikhalazo sengqondo kubangele ukuthatha imisebenzi, kwaye wenze yonke imizamo yokulawula ezo zinto. Ngokufanayo, kubalulekile ukuba izigulana zihlale zicinga ngengqondo yokuba ingxaki yabo ingokwengqondo kwaye bafumane uncedo abayidingayo.
Imithombo
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