Kungenzeka kanjani ukuthi i-Seizure emva kokulimala kwe-Brain Traumatic?
Abantu abangaba ngu-10% abaye babhekana nokuhlukunyezwa kwekhanda okukhulu ngokwanele ukuba bangene esibhedlela, baqede ukuthunjwa. Esikhathini esiningi, uma umuntu esengozini yokuthumba emva kwe-TBI kwenzeka ezinsukwini ezimbalwa zokuqala noma amasonto ngemuva kwengozi. Kodwa-ke, ngenxa yamaphesenti amancane okulimala kwekhanda, ukuhlukunyezwa kungadala izinyanga noma iminyaka kamuva.
Kuncike ekufikeni kokuthoma kokuqala, bahlukaniswa ngokuhlukile:
- Ukuzamazama Kokuqala Okuthuthumayo: Lokhu kwenzeka ezinsukwini ezingu-7 zokuqala ngemva kokulimala kokuchofoza ebuchosheni. Abantu abangaba ngu-25% abathola ukuthunjwa okusheshayo ngemuva kokuthungatha abanye banomunye ukuhlushwa esikhathini esizayo
- Ukuzamazama Kwesifo Esihamba Ngemva Kamuva: Lezi yizinkinga ezenzeka ngaphezu kwesonto ngemuva kokulimala kokuchofoza ebuchosheni. Okuthakazelisayo nge-retard after-traumatic seizures, ukuthi cishe ama-80% weziguli ze-TBI ezithola eyodwa zizokwazi ukunqoba okunye okungenani ngesikhathi sokuphila.
- Isifo sokuphuza: Noma nini lapho kunezinkinga eziphindaphindiwe, lowo muntu uthathwa njengesifo sokufa. Cishe ingxenye yengxenye yabantu abanesifo sokuphuza ngenxa yokulimala kokuchofoza ebuchosheni baqhubeka behlupha ukuphila kwabo bonke.
Kwenzekani Ngesikhathi Sokuzibulala?
Ukuqothulwa kwenzeka lapho umsebenzi ojwayelekile kagesi wengqondo ulahlekelwa ibhalansi. Lokhu kungenzeka ngezizathu ezihlukahlukene emva kokuhlukunyezwa kwekhanda kusuka ezintweni ezifana nokulimala kwesakhiwo , ukuvuvukala noma ukuphuma.
Uma izimpawu zikagesi zilahlekelwa indlela yazo evamile, zingakwazi ukuzungeza, okushoyo. Kungase kube khona ukuqhutshwa komsebenzi kagesi.
Ukuhlukunyezwa kubangela izimpawu eziningi . Ezinye izimpawu zinomoya omnene, kunzima ukubona ngokubonwa nje. Ngaphesheya kokuphambene kombono, umsebenzi wokuqothulwa ungabangela ukunyakaza komzimba okunodlame nokungalawuleki, ukulahlekelwa kwememori nokungazi.
Ezinye izibonakaliso zokuthumba zihlanganisa:
- Iqala ukuphuma emkhathini futhi ingaphenduli izwi noma ukuthinta
- Ukunyakaza kwamehlo okungalawuleki
- Lip smacking, ukufuna
- Ngokungazelelwe, ukukhathala okukhulu noma ngaphandle kwesiyezi
- Ukungakwazi ukukhuluma noma ukuqonda abanye
- Ukugoqa okungalawulwa kwekhanda, imilenze yemilenze, i-torso. Ukuzamazama komhlaba jikelele
Ngaphezu kokusebenza kokuthunjwa, kungase kube nokulahlekelwa kwesilonda noma isisindo somzimba. Ngemuva kokubanjwa, kungathatha isikhashana ukuba 'uvuke', uqaphele ukuthi ubambe ukuthunjwa futhi uqaphele imvelo. Ngenxa yokwehla okudlula isikhathi esingaphezu kwemizuzu emibili, kungathatha izinsuku ezimbalwa ukuphola ngokugcwele futhi ungase uzwe ukudideka okukhulu, ukuhlupheka ukuhamba nokukhuluma.
Yini Engandisa Ingozi Yokuzizwa?
Kunezici eziningana ezidlala engozini yomuntu wokwakha isifo sengculazi ngemva kokuhlukunyezwa kwekhanda.
Ukulimala okunomthelela, njengamahlumela okudubula, kunakho konke okusemandleni okuholela ekuthomeni. Kulinganiselwa ukuthi phakathi kuka-60-70% wabantu abanokulimala okubuhlungu ebuchosheni obuyingozi bazoba nokuthunjwa.
Uma ukuhlinza kabili noma ngaphezulu kobuchopho kwakudingeka ukulungisa umonakalo noma ukususa ama-blood clots ebuchosheni ngemuva kokuhlukunyezwa kwekhanda, ingozi yokuthumba ingaba ngu-35%.
Uma ukuhlukumeza ikhanda kuqukethe ngokuphelele ku-skull (akukho ukulimala okungenayo noma ukuhlinzwa) ingozi ingaba ngu-20%.
Kunezinye izici, ezinye zazo ozilawulayo, ezingakhuphula futhi ingozi yomuntu okubhekene ne-TBI.
Ukusetshenziswa kwezidakamizwa nokuphuza utshwala obuncane bokubamba kungakhathaliseki ukulimala kwangaphambi kobuchopho. Ngemuva kokuhlukunyezwa kwekhanda, izidakamizwa nokuphuza utshwala kukhulisa kakhulu amathuba okubamba. Lokhu kuyingozi kakhulu ngoba uma uphuze noma uthatha ezinye izidakamizwa ongase uzihlanza ngesikhathi sokuthunjwa futhi ngeke ube nokulawula okwanele phezu kwe-gag yakho ne-reflexes yakho yokukhwehlela.
Lokhu kungaholela ekuhloleni (ukufakaza) okuqukethwe kwesisu emaphashini angaba yingozi.
Ukungatholi ngokwanele nokulala ngokwanele nokucindezeleka kunciphisa umgqa wokuthunjwa. Ngezinye izikhathi ukuthunjwa kwenzeka eminyakeni eminyaka emva kokulimala kobuchopho lapho umuntu engaphansi kwengcindezi enkulu futhi ecindezelekile.
Ezinye izifo ezingahambisani nokuhlukunyezwa kwekhanda nazo zingandisa ingozi yokuthola ingozi. Ukuba nomkhuhlane ophezulu, ukuhlanza nokuhuda kungabangela umsebenzi wokuthumba.
Imithombo:
Huang, Y., Liao, C., Chen, W., no-O, C. (2015). Ukuziqhenya kwe-post-craniectomy enzima kakhulu ezigulini ezilimazayo zobuchopho. I-Seizure: I-European Journal Of Epilepsy , 25 150-154. doi: 10.1016 / j.seizure.2014.10.008
Lucke-Wold, BP, Nguyen, L., Turner, RC, Logsdon, AF, Chen, Y., Smith, KE, & ... Richter, E. (2015). Ukubukeza: Ukulimala kokuchofoza ebuchosheni nokufelwa kwesisu: Izindlela ezingaphansi kokuholela ekuthunjweni. I-Seizure: I-European Journal Of Epilepsy , 33 13-23. doi: 10.1016 / j.seizure.2015.10.002