Ingozi yokuhlutha i-stroke isithathu kathathu ngaphezu koluntu jikelele
Njengemeko yengqondo echaphazela inkqubo ye-nervous central, kubandakanya ingqondo, akuyikumangazi ukuba i- multiple sclerosis (MS) ibeka umntu kwindawo ephezulu yokubamba ukuxhwala nokuxhwala . Enyanisweni, uphando lwangoku lubonisa ukuba abaninzi abantu abangama-3 ekhulwini abahlala ne-MS banokuhluthwa-phantse kathathu umyinge wesizwe.
Ukuqonda ukuhluthwa nokuxhatshazwa
Ukutshatyalaliswa kubangelwa ngumsebenzi ongenakulungele okanye ogqithisileyo kagesi kwingqondo, ngokuqhelekileyo kwi-cortex ye-cerebral.
Ukuhluthwa, ngokuchaseneyo, kuchazwa njengemigudu ephindaphindiweyo ebangelwa ngulo hlobo lwengqondo engavamile.
Ngelixa abantu abaninzi bekwesaba ngenxa yecala lokubamba-ukuxiliswa kwemifanekiso ephazamisayo kwiidrama zeTV-ziyakwazi ukuhluka ngokuphawulekayo kwiimpawu zabo kunye nobunzima. Ezinye zihamba ngokukhawuleza kwaye ziphantse-imperceptible, ngelixa ezinye ziba nzima kakhulu kwaye zingabikho.
I-Tonic-Clonic Seizures
I-Tonic-clonic seizures ithathwa njengoluhlobo olunzulu kakhulu. Ziyabonakala ngokulahlekelwa kwengqondo kunye nokuqina komzimba (isiconic phase) ehamba kunye nokuxubana (isigaba se-clonic). Ngamanye amaxesha ekubhekiswe kuwo njengamahlumela amaninzi, amaninzi ahlala kumzuzu ukuya kwemizuzu.
Nangona ixinzelelo, abaninzi abantu abafumana i-tonic-clonic seizure abayivakalelwa ngokwenene. Kwiimeko ezininzi, umntu uya kufumana isibonakaliso sokulumkisa ngaphambi kokubanjwa, eyaziwa njenge- aura . Ezi zingabandakanya ukuvakalelwa okungahambi kakuhle okanye okuphuphayo, ukuvakala okungavamile okanye ukunambitheka, okanye ukuvakalelwa ngokukhawuleza.
Emva kokutshatyalaliswa kwe-tonic-clonic, umntu uya kuziva ephelile, ehlanjwe, kwaye ephazamisekile. Ngezinye iinkalo ukulimala komzimba kungenzeka xa umntu ehla xa engazi kakuhle. Ngelishwa, ngokwenene kwiidrama zeTV, abantu banokuluma ulwimi okanye imilomo ngexesha lokutshatyalaliswa. Ukufaka into enzima emlonyeni womntu akungaziwa ngoba oku kungabangela ukuba amazinyo aphule okanye ukuwa.
Elula okanye eNgqongqo
Ukutshatyalaliswa kokugxilwa (okubizwa ngokuba yi-partial or localized seizures) yiyo echaphazela enye indawo yobuchopho. Ukubonakala kwabo kunzima kakhulu kunokuba kuthathwe i-tonic-clonic seizures kwaye, kwezinye iimeko, kunokuba kungabonakali ukuba ngumntu ofumanayo. Ezi zithintelo zihlulwa ngokubanzi ngolu hlobo lulandelayo:
- Ukubambezeleka okuqhelekileyo akubangeli ukuba umntu alahleke ingqondo kodwa kunokuba enze konke kubonakale kwangoko "." Abantu bahlala bechaza iimvakalelo ezingaqhelekanga okanye ufumana utshintsho kwindlela izinto ezibukeka ngayo, izandi, ukuziva, ukuvumba, okanye ukunambitha. Kwezinye iimeko, iisifuba zomntu zinganamathela okanye ziqalise ukukhwaza, ngokuqhelekileyo kwicala elinye lomzimba okanye umzimba.
- Ukunciphisa iincinci ngokukhawulezileyo akunakubangela ukulahleka kwengqondo, kodwa, endaweni yoko, kubangelwa i-gap ngokukhawuleza. Kunjengokuthi umntu "uguqulwe" kunokuba aphume. Ngethuba lokubamba, umntu angakwazi ukuphendula kwaye uya kuhlala ehlala kwindawo okanye enze ngendlela ephindaphindiweyo (njengokutshiza izandla, ukukhangela, ukwenza izandi eziphindaphindayo). Kwiimeko ezininzi, umntu akayi kukukhumbula okwenzeka emva kokuhlaselwa.
Ukunyanga Ukuxhatshazwa Kwabantu Abantu abane-MS
Ukuqhayisa abantu abane-MS kubonakala kuba mnene kwaye kungabangela ukuba kubekho umonakalo ongunaphakade.
Kwiimeko ezininzi, amayeza e-anticonbulsant ayadingeka ukulawula okanye ukuphelisa ngokupheleleyo ukutshatyalaliswa. Okwangoku, kukho iindidi ezahlukeneyo zamachiza ezikhoyo ekuphatheni isithuthwane kunye neenzuzo ezihlukeneyo kunye nobungozi.
Nangona kunjalo, kubalulekile ukuba uqaphele ukuba ezininzi iimpawu ze-MS (ezibandakanya ukungcola , ukuphazamiseka kwemizwa , kunye nokuchasana okungaxeliweyo ) kunokulinganisa ukuhlutha okulula. Ukuba unobungozi obunzima bokubamba, kubalulekile ukuthetha nodokotela wakho ongakuthetha kwi-neurologist ukuze uphando olongezelelweyo.
Kungakhathaliseki ukuba yintoni isizathu, amayeza e-antiepileptic angasetyenziswa ukuba anciphise iziganeko zezi nenye iimpawu ze-neuromuscular.
> Umthombo
> Allen, A .; Seminog, O .; kunye ne-Goldacre, uM. "Umbutho phakathi kwe-multiple sclerosis kunye nokuhluthwa: iinjongo ezinkulu ezixhomekeke kwiinkcukacha zokuxhuma." BMC Neurology. 2013; 13: 189