Indlela yokuxelela ukuba umntu uthatha inqununu
Ukuqhaqhaqhayisa kunzima, ngokunjalo kuchaza zonke iindlela ezinokuthi zibukeke ngumsebenzi onzima kakhulu. Gcinani nikhumbule ukuba nayiphi na umntu onokungazelelekanga engenaso isizathu sokuba kungekho mlando wezobugqirha ukuchaza ukuba ufanele ufowuni ku-911. Unyango oluthile lunokunyamekela kwaye lucela uncedo ukuba luyimfuneko.
Kwizigulane ezineembali ezingapheliyo zokuthintela, ukuxhatshazwa kwesinye isikhathi akusoloko kugunyazisa uhambo oluya esibhedlele.
Ngakolunye uhlangothi, kubalulekile ukuba uqaphele ukuba ukuxhatshazwa kwimeko (jonga ngezantsi) kunye nokuqala kwexesha lokuthintela iimeko zokuhlala zikhawulezileyo.
Iintlobo Zokuxhatshazwa
Kukho ezimbini iintlobo ezisisiseko zokuthintela: eziqhelekileyo kwaye zincinci . Ukubanjwa ngokuqhelekileyo kubandakanya umzimba wonke ngelixa ukuhluthwa ngokukodwa kunokubandakanya ingalo enye, umlenze omnye, ubuso nje, okanye nayiphi enye indawo yomzimba xa ushiya lonke umzimba. Ukutshatyalaliswa ngokukhethekileyo kuthiwa kuthiwa ukuxhamla kwendawo okanye ukugxotha.
Kukho ezininzi iindidi zokuthintela kunye nezindlela abanokuzijonga, kodwa injongo yale nqaku kukufundisa indlela yokuqonda iintlobo eziqhelekileyo zokuthintela.
Masiqale ngokubanjelwa ngokuqhelekileyo, okuyizona zinokuthi zithathe ingqalelo yakho-njengesigulane kunye nommeli.
Ukuqhawula ngokubanzi
Ukubanjelwa ngokuqhelekileyo kudla ngokubizwa ngokuba yi-grand mal seizures. Ezi zizaliswe ngumzimba ngokugcwele kwaye kubaluleke nakakhulu ukubizwa ngokuba yi- brain full.
Impembelelo engavumelekanga yokudubula kuyo yonke ingqondo ingabangela ukuba izihlunu zitshintshwe okanye zenze isivumelwano.
Ukubamba ngokuqhelekileyo kunesimo esifanayo esinezigaba ezintathu: i-pre-ictal, ictal and post-ictal .
- I-Pre-Ictal: Abantu abanembali yokubamba ingxaki banokukwazi ukuxelela xa beza kuba neyodwa. Oku kudla ngokuba yi- aura kwaye ayisoloko ibonakala. Kwezinye iimeko, amalungu omndeni angakwazi ukuqonda xa kuza kubanjwa. Ezinye izigulane zokubamba zinezinja zenkonzo ezingakwazi ukuqikelela xa isigulane siza kubanjwa kwaye singachazela isigulane okanye amalungu omndeni.
- Ictal: Oku kubanjwa. Eyona nto inomzimba ogcweleyo uyagula, isigulane asiyithobeli. Amehlo abo angahlala evulekile okanye avaliwe; ngokuqhelekileyo, baya kukhwankqisa isigqi. Uninzi lweengxaki zokuqala ziqala ngeengqamlezo zemizimba. Akukho nyikima kwilo nqanaba, i-muscle eninzi iyakwenza isivumelwano ngokukhawuleza. Ngexesha lesitoni, izigulana zinokuziva zikhuni okanye zinzima ukuya kumgca. Inxalenye ye tonic ilandelwa yiminyango ye-clonic, i-term yezobugqirha yokuxubusha. Ukunyakaza kweClonic yinto eninzi esiyicinga ngayo xa sicinga ngokuthintela. Ngokuqhelekileyo kwimijikelezo yezokwelapha, umzimba ogcweleyo unqabile njengolu lubizwa ngokuba yi- tonic-clonic seizure.
- I-Post-Ictal: Emva kokubamba, isigulane asiyi kuphendula ngokupheleleyo - njengokuba ulele kwaye akayi kuvuka - ngokukhawuleza uhlale ephapheme. Kungathatha imizuzu ukuya kwiiyure ukuba isiguli siqale ukufumana kwakhona, kwaye kaninzi sinokuthatha iiyure ukuze uphinde ufumane ngokupheleleyo.
Ukuxhatshazwa
Ukuthintela ngokukhethekileyo kunzima ukuchaza kuba kukho iindlela ezininzi ezinokuzihlakulela. Ukutshatyalaliswa okukodwa kwenzeka ngenxa yesizathu esifanayo kunye nokuthinjelwa ngokubanzi - kukho iziphumo ezingenangqondo ekuqhubhiseni ingqondo. Nangona kunjalo, ukutshatyalaliswa okuyingcipheko, nangona kunjalo, iimpembelelo zisendaweni ekude yengqondo kwaye ngoko ichaphazela kuphela indawo emide yomzimba.
Ukunyakaza kweClonic, njengaleyo ekubanjweni ngokubanzi, kunokubonakala kubanjwe ngokukhawuleza. Ulwahlulo olubini olukhulu kukuba isigulane asiyi kuba yinto engacacanga ngexesha lokutshatyalaliswa okukodwa, kwaye ukudibanisa kuya kuba kwindawo ethile: ingalo enye okanye icala elinye lobuso, umzekelo.
Ingqondo ihlukaniswe ngamacandelo amabini, ngakwesobunxele nangakwesobunxele. Icala lasekunene leengqondo lilawula ngokubanzi kwicala lesobunxele lomzimba kunye nangaphandle koko. Inqaku elibonakalayo lokuxhatshazwa kwincinci kukuba kuphela icala elinye lomzimba liya kuphazamiseka. Ngamanye amagama, awunakulindela ukubona zombini iingalo ekuhambeni kwe-clonic ngelixa umzimba wonke ungaphazamiseki.
Endaweni yoko, uya kubona ingalo enye okanye umlenze owodwa, okanye mhlawumbi elinye icala liphela linye lombutho liyazamazama kodwa elinye icala alikho.
Kukho iimeko ezinokubangela ukuhluthwa okukodwa ekuqaleni, oko kuqhubela phambili kwi-body full-seized seizure.
Iimeko zoKhuseleko
Ukubanjwa kweemeko, eyaziwa nangokuthi isimo se-epilepticus , yimeko engxamisekileyo yonyango. Kukho iinkcazo ezimbini zeengxaki zokuhlala kwimeko:
- Ukutshatyalaliswa kwexesha elide , ngokuqhelekileyo kudlulileyo ngaphezu kwemizuzu eyi-10 (oogqirha abahlukeneyo baya kuba nexesha eliqhelekileyo, kodwa imizuzu eyi-10 iyona eqhelekileyo).
- Ukugqithiswa okungaphezulu kweyodwa ngaphandle kokubuyisela ngokupheleleyo kwi-post-ictal state phakathi . Ngamanye amazwi, ukuba isigulane sinokubanjwa kwaye sisengenanto okanye i-groggy kwaye sinomnye, kuthathwa njengobunzima bendawo.