Kuenzanisa kwekufa
Kuenzanisa kwekufa kwechifuyo kunobva pamagariro ekugumburwa, kuchinja muhuropi hunoitwa muEEG, kuwanikwa kwechirwere chepfungwa muuropi, kuvapo kwechimwe chinhu chinokonzera kana chinokonzera kukura kwekugumburwa, pamwe nezera remurwere.
Mafomu ekugumburwa kweputi
Kushungurudzika kwepfungwa kunoparadzaniswa kuva huwandu uye hutsika.
Kugadziriswa kwemagetsi
Muchiitiko ichi, pane kupararira kwebasa rekufa kwepfungwa kubva pane zvakananga kusvika kuhupi hwose. Iko kunotevera maitiro evanhu vakawanda vanogumburwa:
• Tonic-clonic seizure (kukurira kukuru) - pamwe nekurasika kwekuziva. Muchiitiko ichi, murwere pakutanga anotasva pane chero nzvimbo, ipapo kune kuora kwemuviri wose. Ikoko kunogona kunge kusina kukodzera kana kukanganiswa;
• Anon-inogadziriswa yakawandisa seiko (kubata zvishoma) - pamwe chete nekurasikirwa kamwe kamwe kwekuziva, kazhinji kwemaawa mashomanana chete, izvo zvingaenda zvisingaoneki.
Zvimwe zvinhumba zvevana, uye zvingaita sekuti mwana ari kungofunga;
• Kutambura kweAtonic - kazhinji inowanikwa muvana; kuenda pamwe nekuwirwa kamwe kamwe;
• Chirwere chekushaya chifuva - kugumburwa kunoitika nguva dzose pasina nguva yekudzoka kwekuziva; zvinokonzera kufa.
Kusagadzikana kusarura
Nekugumburwa zvishoma, chikamu chimwe chete cheuropi chinobatanidzwa mukugadzirisa zvirwere. Kazhinji ivo ndezvenhengo yehupenyu hwehutano. Kusagadzikana kunokonzerwa kunogona kupfuurira mumagumo evanhu vakawanda. Inogona kuva:
• kukanganisa nyore - murwere anoona kuchinja mukuona pasina kurasikirwa;
• kuoma kunokonzera - nekurasika kwekuziva.
Diagnostics
Imwe yenzira dzekutsvaga kuora mwoyo ndeye electroencephalography (EEG). Electrodes yakaiswa pachidzitiro chemurwere anoona mafungiro emagetsi anogadzirwa ne cortex yeuropi. Aya mafungiro anoratidza hutano huno uye basa remasero emagetsi. Anomalies oropi anoshanda kazhinji apo basa rakarongeka remasero rinodengenyeka. Iyi EEG inoratidza basa remagetsi rehupi hwehupenyu hwakanaka. EEG yemurwere ane hosha inogona kuona magetsi asingagoneki emagetsi. Kazhinji, nzira yeEEG inenge inenge maminitsi gumi nemashanu, asi mune dzimwe nguva haifaniri kujekesa kuchinja kwehuropi hunoita sehuputi. Saka, kuwana chikonzero chekuongororwa, zvidzidzo zvakawanda zveEEG zvinogona kudiwa.
Anamnesis wechirwere
Zvakakosha kudzidza nhoroondo yakazara yemurwere, kusanganisira tsanangudzo yehupenyu uye huwandu hwekugumburwa. Kunatswa kwemaitiro ekugumburwa kunogona kubatsira mukugadzirisa maitiro ekufa uye kugarisa kwechinangwa chekushandiswa kwemagetsi. Mamwe mhando dzekugumburwa dzinotangira neanonzi ara, uye mushure mekurwisa murwere anokwanisa kunyunyuta kuvhiringidzika, musoro uye kurwadziwa mumisungo. Tsanangudzo yakarurama yekubatwa kwevapupuri inokosha zvakare pakuongororwa.
Kuongororazve
Kuongororwa kwakajeka kunogona kudikanwa kuti tsanangurire kuti kubatwa kunowanzobatanidzwa nekufa, kuongorora chimiro chayo uye chinokonzera. Zvidzidzo zvinotevera zvinogona kudiwa:
• Kurwara kwehutupa kunotangira kubva kumusoro kusvika pakugumburwa. Kucherechedza kwezviratidzo zvehama kana shamwari kunogona kubatsira pakuongorora chirwere chacho.
- kuongororwa kweropa kuti vaone kuchinja kwehuwandu hwemakemikari akasiyana siyana;
• Magnetic resonance imaging (MRI) - kuona hupenyu hwehutano hwehuropi.
Mushure mekunyatsorwara kwekufa, murwere anorayirwa anticonvulsant therapy. Pari zvino, pane dzakawanda dzinowanika anticonvulsants, kusanganisira carbamazepine uye sodium valproate, asi hapana chimwe chazvo chinowanikwa mukurapa kwemarudzi ose ehuputi. Kusarudzwa kweanticonvulsant kunobva pamhando yekufa, nguva yemurwere uye kuvapo kwekupikisa, sekuita pamuviri. Pakutanga, murwere anopiwa chirwere chiduku chechirwere, icho chinobva chasimuka kusvika pakugadzirisa zvakakwana pamusoro pekugumburwa. Kana chirwere ichi chapfuura, zvinobvira kukudziridza migumisiro yechirwere, kubva pakubata kusvikira kune bvudzi rakawandisa. Dzimwe nguva kuongorora zvakare kunokosha, zvichibatsira kusarudza chiyero chakanaka, sezvo chiyero chakafanana chechirwere chinogona kukonzera kukanganisa kwakasiyana kune varwere vakasiyana.
Mushonga wokuvhiya
Kurapa kunoshandiswa kunoshandiswa mazuva ano muzviitiko zvisingawanzoitiki - apo kushandisa mishonga inodhaka isingabatsiri, uye kuputika kwepfungwa muuropi kunonyatsozivikanwa.
• Kana munhu akarasikirwa panguva yekurwiswa, asi akakwanisa kufema oga, zvakakosha kumupa nzvimbo yakatsamira. Izvi zvingatadzisa kufema kumira.
First Aid
Nzira yekutanga ye tonic-clonic epileptic yakafanana ndeyotevera:
• Nzvimbo yakapoteredza murwere inosunungurwa nekuda kwekuchengeteka zvose kune murwere uye kune mutarisiri;
• Vhura zvipfeko zvakabviswa;
• Pasi pemusoro wemurwere, isa chimwe chinhu chinonyorera;
• Kana murwere asingapfuri, kupfutidzira kunobatsira kunopiwa.
Pangopera kunetseka mumigumo, murwere anofanira kuiswa panzvimbo yakasimba. Iwe haugone kuisa chinhu mumuromo make. Chero mamiriro ezvinhu, iwe unoda kudana ambulensi, kunyanya kana iyi ndiyo yakakodzera, yakagara kwemaminitsi matatu kana murwere akawana chero kukuvara. Vakawanda vanorwara vakambotarisana nekunyekwa kwechipiri kunoitika chiitiko chechipiri mukati memakore maviri anotevera. Izvi zvinowanzoitika mukati memavhiki mashomanana mushure mekurwa kwekutanga. Chisarudzo chokusarudza kurapwa mushure mekukodzera kwechipiri kunobva pane zvinogona kuitika zvechirwere pamushandi wehutano uye hupenyu hwehupenyu.
Zvinodhaka
Kurapwa kunopa hutano hwakakwana pamusoro pekugumburwa uye zvinowedzera kuderedza nguva yavo muchetatu wevarwere. Inenge zvikamu zviviri kubva muzvitatu zvevarwere vane chirwere cheputika mushure mokunge vatora kugadziriswa kunogona kumira kurapwa. Zvisinei, zvinodhaka zvinofanira kubudiswa zvishoma nezvishoma, sezvo kugumburwa kunogona kutangazve nekuderera kwehuwandu hwezvinodhaka mumutumbi.
Social aspects
Kutambudzika, zvinosuruvarisa, zvichiri kuonekwa nevakawanda senzira yekushorwa. Nokudaro, varwere kazhinji havasati vaudza chirwere chavo kune shamwari, vashandi pamwe nevashandi, vanotya mafungiro asina kunaka ivo pachavo.
Zvibvumirano
Varwere vanorwara nehutupa, pakati pezvimwe zvikanganiso, vanorambidzwa mukana wekuwana chikwata chekutyaira uye kuita zvimwe zvinhu. Vana vane hosha havafaniri kushambidza kana kutasva bhasikoro pasina kutarisa vanhu vakuru. Neine chirwere chakakodzera, chirwere chakarurama uye zvidziviriro zvese, varwere vakawanda vanogona kutarisa nzira yezvirwere zvavo. Kufananidzira kwevana vane chirwere chekufa kunowanzofarirwa. Sekuchengeteka, mwana anofanira kugara achitamba kana kushambira pasi pekutariswa kwevakuru.