Indlela Abazali Abasha Abayithola Ngayo Naphezu Kokufa Kwezingane Zabo
Zimbalwa izinto ezinjengezinhliziyo ezinomntwana onenkinga enkulu yokubeletha. Kodwa ngenkathi ezinye izigameko zingabangela izinkinga ezinkulu ekuthuthukiseni izingane, ngokubonga akuzona zonke izigameko ezithinta izingane ezisanda kuzalwa.
Ama-syndromes ajwayelekile okwenziwe ezinganeni
Ukuqothulwa ngokujwayelekile kubizwa kanjalo ngoba kubonakala sengathi kwenzeka kuwo wonke umzimba ngesikhathi esisodwa.
I- electroencephalogram (i-EEG) ibonisa umsebenzi ongavamile kagesi ohilela lonke ubuchopho ngesikhathi esisodwa.
I-Benign Neonatal Convulsions
Kunezinhlobo ezimbili zezinkinga zokubeletha ezinganeni ezingenayo imiphumela engathà sina kwengane esanda kuzalwa. Ukuhlukunyezwa kwezingane ezibangelwa yi-Benin (BFNS) ne-benign idiopathic neonatal yokugula ngokuvamile kuhlotshaniswa nomphumela omuhle.
I-BFNS ivame ukuqala emasontweni ambalwa okuqala okuphila ngokutholwa okuncane kodwa okuvame kakhulu. Phakathi kokubamba, ingane ijwayelekile. Isiqephu esibaluleke kunazo zonke ekwenzeni ukuxilongwa kwe-BFNS ngumlando womndeni wokuhlukunyezwa. I-BFNS izuzwe njengefa lokuzimela, okusho ukuthi uma ingane inayo, kungenzeka ukuthi omunye wabazali unayo. Nakuba izigameko zivame ukuzixazulula ekuqaleni kokusencane, amaphesenti angaba ngu-8 ukuya kwangu-16 ezingane aqhubeka nokuhlaselwa isithuthwane kamuva ekuphileni.
Izinkinga ze-neonatal ze-neodatal ze-neonatal ziphinde zenzeke nakwamanye abantwana azalwa ngokujwayelekile. Izimpawu zivame ukuqala ngolusuku lwesihlanu lokuphila futhi zibe lubi nakakhulu, ngezinye izikhathi zifike ekugcineni kwesimo se-epilepticus . Ngemuva kwamahora angu-24, ukuqubuka kuyaqhubeka.
I-Epileptic Generally nge-Febrile Seizures Plus
Isithuthwane esijwayelekile ngokubanjwa kwe-febrile kanye (GEFS +) kungathinta izingane kusukela ebuntwaneni kuya ebusheni, kodwa ngenhlanhla, ukugwinya komzimba okuvame ukulimaza ngokuvamile akusizi ngalutho futhi ngokuvamile akuholeli ezinkingeni eziqhubekayo. Kodwa ku-GEFS +, noma kunjalo, i-febrile seizures ihamba ngaphezu kweminyaka engu-6 futhi ihambisana nezinye izinhlobo zokuwa. Njenge-BFNS, i-GEFS + izuzwe njengefa elimangalisayo. Kodwa ngenxa yalokho okubizwa ngokuthi ukuguquguquka okuguquguqukayo kokuguqulwa komzimba, phakathi kwamaphesenti angu-20 kuya kwangu-40 kwabazali kungenzeka bangenayo izimpawu, ngisho noma banezakhi zomzimba eziguquguqukayo.
Iningi lezingane ezine-GEFS + lizophucula, nakuba amaphesenti angama-30 angathuthukisa isifo sofuba esinamandla kakhulu.
I-Myoclonic Astatic Epilepsy (Doose Syndrome)
I-Myoclonus iyisisindo esisheshayo kakhulu semisipha enezimbangela ezihlukahlukene, kufaka phakathi ukuhlukunyezwa kwesisu. Isithuthwane se-myoclonic astatic (MAE) sithinta ingane eyodwa kwabangu-10 000. Ngaphezu kwe-myoclonus, izingane zinezinye izinhlobo zokuthungatha kanye nokubandakanya i-atonic, lapho zivele zingene khona. I-Doose syndrome ingaqala ezinyangeni eziyisikhombisa, noma ngasekupheleni kweminyaka engu-6 ubudala. I- electroencephalogram (EEG) ingaba usizo ekwenzeni ukuxilongwa.
I-Doose syndrome ayihlotshaniswa njalo nomphumela omuhle. Nakuba iningi lezingane ezine-MAE lizokhula ngendlela evamile, amaphesenti angama-41 azoba ne-IQ yemingcele noma ukukhubazeka kwengqondo. Abanye bayohlakulela isithuthwane esingenakwenzeka.
I-Epileptic Epilepsy Syndromes ezinsaneni nasezingane
Ngokungafani nokuhlukunyezwa okujwayelekile, ukuqubuka okuyingxenye kuqale endaweni eyodwa bese kungasakazwa ukubandakanya ezinye izingxenye zobuchopho. Ngenkathi ngezinye izikhathi ukuxoshwa okuyingxenye kungenxa yokungajwayelekile kwengqondo efana nengqikithi yesitsha segazi, inkinga ngezinye izikhathi kuvela lapho kuzalwa.
I-Benign Infantile Ukuxuba Okujwayelekile
Ukuhlukunyezwa komndeni osencane ku-Benign kuqala lapho ingane iphakathi kwezinyanga ezingu-3.5 kuya kwezi-12 ubudala. Ingane iyayeka ukuhamba bese ishaya imilenze cishe izikhathi ezinhlanu kuya kwezingu-10 ngosuku. Njengoba igama lisho, i-disorder ye-seizure izuzwe ngefa. Kukhona iphethini yesici ku-EEG okungase kube usizo ekwenzeni ukuxilongwa. Ngokuvamisekile, ukuhlukunyezwa kuxazulula ngokuzenzekelayo njengoba ingane ikhula, futhi ukuthuthukiswa kuvamile.
I-Benign Epileptic Partial in Infancy
Le-syndrome ye-seizure ifana kakhulu nokuxubana komndeni okungenangqondo - umahluko omkhulu ukuthi kule fomu, ukuguquguquka kwezakhi zofuzo ngokuvamile akubonakali.
Ukukhubazeka Kwabantwana NgeParoxysms Occipital (iPanayiotopoulos Syndrome)
Le syndrome ngokuvamile ivela ezinganeni zasenkulisa asebekhulile kodwa kungenzeka uma uneminyaka eyodwa ubudala. Ukuqothuka kwe-Panayiotopoulos syndrome kuhlotshaniswa ikakhulukazi ne- dysautonomia , enezibonakaliso ezifana nesicashu, ukuhlanza nokuhamba. I-EEG inephethini lobuciko lwamagagasi abukhali ngemuva kwekhanda, okuthiwa ama-paroxysms e-occipital. Izimpikiswano ngokuvamile zixazulula ngeminyaka engu-1 ukuya kwemibili.
I-Benign Childhood Epilepsy nge-Centrotemporal Spikes (i-Benign Rolandic Epilepsy)
Isifo sesithuthwane esinama-rolandic ngokuvamile siqala ezinganeni ezineminyaka engu-7 kuya kwengu-10 ubudala, kodwa ngezinye izikhathi kubonakala ezinganeni ezincane njengonyaka owodwa ubudala. Ukuhlukunyezwa kuhlotshaniswa nezinguquko ze-dropoling nezinzwa. Izimpikiswano ngokuvamile zivela ekuguleni noma ekulele. I-EEG iyasiza kakhulu kule syndrome, njengoba ibonisa amagagasi abukhali ezindaweni eziyinhloko zebuchopho. Nakuba lezi zinkinga ziyesabisa izingane (ezihlala ziphapheme kulo lonke), aziyingozi futhi zivame ukuzixazulula zodwa ngeminyaka engu-16.
Ngaphansi
Njengoba usubonile, kanti iningi lalezi zifo zine- syndromes zinomphumela omuhle, ezinye zazo zandisa ingozi yokuthi ingane ngeke ibe nokuphila okuvamile. Njengokudabukisayo njengalokhu, kuqhathaniswa namanye ama-syndromes lapho kutholakala khona imiphumela embi, lezi zinkinga zivumela abazali ukuba babe nesilinganiso esithile sokuqiniseka.
Ngenkathi abazali abambalwa bebengathanda ukuthi ingane yabo ikwazi ukugwinya, iningi lama-syndromes ngenhla, umphumela kungenzeka kakhulu impilo ejwayelekile - ngezinye izikhathi ngisho ngaphandle kwemithi. Ukugxila ezintweni ezinhle, kuyilapho kuhlelwe ngokuqondile imiphumela emibi kakhulu, kungavumela izingane ukuba ziphile impilo engcono kakhulu ekuphefumuleni.
Imithombo:
U-Elaine Wirrell, uKatherine C. Nickels. I-Continuum: Isithuthwane, Umqulu 16, Inombolo 3, June 2010.
UGerald M Finichel. I-Neurology Yezokwelapha Zomtholampilo. I-6th Edition. Sanders-Elsevier, 2009.