Ukuzizwa Kwengqondo Ye-Psychogenic Present Present Like Epilepsy
Ake ngikunike isimo esicacile. U-Tina Gerald ungowesifazane oneminyaka engu-35 ubudala obhekene nokugubha kusukela eneminyaka engu-20 ubudala. Ukuqothulwa kwakhe kokuqala kwakuyi-classic big-mal , futhi umzimba wakhe wonke uzamazama ukugubha. Akakhumbuli ukuthi kwenzekani phakathi nalezo ziqephu, futhi akazange abe nalolu hlobo lokubamba iminyaka eminingi.
Njengabantu abaningi abanesithuthwane , uTina unezinye izinhlobo zokuwa .
Muva nje, uye waba neziqephu lapho ehlangana khona. Nakuba ukuhlukunyezwa kwakhe okukhulu kudala ukulahlekelwa kwengqondo futhi kwakunesigqi kanye nokulingana, lezi zihlaselo zibukeka sengathi zihamba phambili ngaphandle kwesigqi noma iphethini. Ngokungafani nohlobo lokuqala lokuthumba, uTina ukhumbula konke okwenzekayo nxazonke.
Ukuphila kukaTina akulula. Akakwazi ukusebenza ngenxa yokugubha kwakhe, futhi unomlando wokuhlukunyezwa yi-isoka lakhe langaphambili. Uye wazama imishanguzo engu-11 ehlukene yokulwa nokuthunjwa futhi manje uthatha ezine zazo. Muva nje wabhekene nokuxabana namaphoyisa; Kusukela ngaleso sikhathi, ukhononda ngezinkinga zokuhamba, ukukhanya kokukhanya, ubuthakathaka nokuthuthumela ezandleni zakhe.
Phakathi nokuhlolwa kwesifo sezinzwa, wayesebenzakala ngokungajwayelekile emzimbeni wakhe kodwa wakwazi ukuqhuba ingxoxo. Naphezu kokunyakaza kwakhe, wayekwazi ukuphuza ikhofi ngaphandle kokuchitha. Ukuzibonela kwakhe kwakubonakala kungaqineki, nakuba engakaze awe phansi.
Yiziphi Izimpikiswano Zengqondo Zengqondo?
Ngenkathi uTina enomlando ophoqelekile wokunqothuka kwesibindi, isikhathi sokuzikhukhumeza kwakhe okuqhubekayo ngokuqondile ngemuva kwesigameko esibuhlungu samaphoyisa, kuhlangene nomlando wakhe wezifo zengqondo kanye nezinye izimpawu, kubonisa ukuthi unesifo sengqondo esingenasifo sengqondo esingenasifo sengqondo.
Izazi ze-neurologists ziye zaphikisana ngokuthi zingabiza yini lezi zenzakalo ukuthi zifinyeleleke ngempela, ngoba abanye bakhetha ukugcina igama elithi "ukuthatha" ukuhlaselwa kwesibindi kuphela, okusho ukuthi kukhona okungavamile kagesi ebuchosheni.
Abanye bakhetha ukugxila kakhulu ekuhlangenwe nakho ngokwabo, besebenzisa igama elithi "ukuhlukunyezwa kwengqondo okungenasifo esiyingozi" (PNES). Enye igama elithi "pseudoseizure" lihlukanisa lo msebenzi kusukela ekuthunjweni kweqiniso, kodwa ochwepheshe abathile bathola lelo gama lihlambalaza abantu. Kungakhathaliseki ukuthi i-terminology, i-PNES noma i-pseudoseizure ichaza iziqephu ezizenzekelayo ezifana nokuqothulwa kweqiniso kwesibhukela kodwa zinezizathu ezingokwengqondo, hhayi izizathu ezingokwenyama.
I-PNES ingacatshangwa njengoluhlobo lokuguquka kwesifo. Ngenkathi umsebenzi kagesi obuchosheni awufani nokuqothulwa kwesibindi, lowo muntu akafaki izimpawu zakhe. Ukuthunjwa kubonakala kungokoqobo njengokwesinye isisu.
Ubani othola i-PNES?
Ukuqubuka kwengqondo kungase kwenzeke kunoma iyiphi inhlangano yobudala kodwa iningi libachaphazela abantu abadala. Kanti futhi, amaphesenti angu-70 alabo abathintekayo yibo besifazane. Izimo ezikhona ezivame ukuba nengxenye ethile yengqondo, njenge- fibromyalgia , ubuhlungu obungapheli , nokukhathala okungapheli , ukwandisa amathuba okuba i-PNES. Kuningi umlando wezifo zengqondo futhi ngokuvamile umlando wokuhlukunyezwa noma ukuhlukunyezwa ngokobulili. U-Tina, isibonelo, unomlando wokucindezeleka, ukukhathazeka nokuhlukunyezwa. Njengazinye izifo eziguqulwayo, ukukhononda kwezinzwa (kulokhu kwenzeka umsebenzi wokunqoba) kuvela ngemuva kwesenzakalo esibuhlungu (ukulwa namaphoyisa).
I-PNES ihlolwe kanjani?
Ukuhlukanisa phakathi kwesithuthwane kanye ne-PNES kuyinkinga evamile ku-neurologist. Amaphesenti angaba ngu-20 kuya kwangu-30 eziguli ezibhekiswe ekutheni ukutholakala kwesifo sokuthunjwa kutholakala nge-PNES. Ngenye yezimo ezivame kakhulu ukungaziwa kahle njengesifo sokuphuza, okwenza kube ngamaphesenti angama-90 okungaqondakali kahle. Ukuncintisana ngezinto, amaphesenti angu-15 abantu abane-psychogenic seizure nabo banesifo sokuhlushwa. Lokhu kwenza imbangela yangempela yomsebenzi othile onjengobuhlungu kunzima ukuhlunga.
Izinto eziningana zingase zibonise udokotela ukuba ahlungwe ngengqondo ye-psychogenic kunokuba athwale ukuthumba.
Ukumelana nezidakamizwa zokulwa nesifo sofuba ngokuvamile kuyisiqalo sokuqala - amaphesenti angu-80 weziguli ezine-PNES ziye zaphathwa ngama-anticonvulsants kuqala, ngokuvamile engaphumelelanga. Ngakolunye uhlangothi, cishe amaphesenti angaba ngu-25 e-epileptics awasizwa ngemithi ephikisayo.
U-Tina wabhekana nokunyakaza okungavamile kwezinhlangothi zombili zomzimba wakhe. Ngokuvamile, lapho izingxenye zombili zomzimba zihilelekile ekuthunjweni kwesithuthwane, lowo muntu ulahlekelwa ukwazi, kodwa lokhu akuzange kwenzeke kuTina. Ngaphezu kwalokho, ukuthuthumela kwakhe kwathuthuka lapho ephazanyiswa (yingakho engazange achithe ikhofi yakhe). Ngokungafani neziguli ezinesithuthwane, labo abane-PNES abavame ukuzilimaza ngesikhathi behlaselwa.
Ama-PNES afana nomqondo womuntu wokuthunjwa okungaphezu kokuqothulwa kwangempela kwesithuthwane. Isibonelo, ukuhlukunyezwa kwithelevishini kuvame ukubandakanya umuntu ukushayela ngaphandle kwephethini ethile, kepha ukuhlukunyezwa kwangempela kwesibindi ngokuvamile kuvamile nokuphindaphindiwe. Ukukhala noma ukukhuluma ngesikhathi sokuqothulwa kwesifo sofuba nakho konke okuvamile, kodwa okuvame kakhulu ku-PNES.
Ngenkathi kunezinye izindlela eziningi zokusiza ukuhlukanisa phakathi kwengqondo ye-psychogenic ne-epileptic, akukho noyedwa owephutha ngokuphelele. Lapho uhlola i-PNES kumuntu onomlando okholisayo wokufelwa, udokotela kufanele aqaphele ezinye izinkinga zezempilo eziziqhenya njengo-PNES. Ukwehla kwangempela okuvela ku-lobe yangaphambili, isibonelo, kuvame ukukhumbuza odokotela be-PNES.
Indlela engcono kakhulu yokutshela i-psychogenic kusukela ekuqotheni kwesithuthuthu ukusebenzisa i- electroencephalogram ebhala umsebenzi wokuthunjwa. Ukuqothulwa kwesifo sofuba kubangela ukungalingani okukhethekile kwi-EEG engabonakali ngesikhathi sokuthunjwa kwengqondo.
Izimpikiswano Zengqondo Zithathwa Kanjani?
Imfundo ibalulekile, njengoba ukufunda ngale ndaba yokuguquka ngokuvamile kuthinta indlela abantu abayithola ngayo. Ngokwezibalo ezithile, abantu abangamaphesenti angama-50 kuya kwangu-70 abantu abane-PNES aba mahhala izimpawu ngemva kokuba kutholakala ukuthi kutholakala yini. Esifundweni sami, leli phesenti linethemba eliphezulu, kodwa imfundo isalokhu isinyathelo sokuqala esibalulekile ekuphulukiseni.
Abantu abaningi baqala ukusabela lapho bexilongwa nganoma yisiphi isifo sokuguquka ngokungakholelwa, ukuphika, intukuthelo ngisho nokuzonda, ikakhulukazi uma sekutholwe ukuthi banezifo ezinjenge-epilepsy. Udokotela wezempilo yengqondo kufanele abonisane ukuze aphathe ukukhathazeka noma ukucindezeleka. Ngisho noma isiguli sisetshenziselwa ezinye izimbangela zesithuthwane, cishe amaphesenti angu-50 abantu abanesithuthwane abhekene nokucindezeleka futhi futhi bazozuza ekuhloleni kwengqondo.
Yini Ethuthukisa Amathuba Okubuyiselwa Okuvela Emiphumeleni Yengqondo?
Abantu abancane uma ukuxilongwa kwenziwa, ngezinye izikhalazo nezinye iziqephu ezinamandla, banethuba eliphakeme lokuthuthukisa. Isici esibaluleke kakhulu isikhathi sokugula. Uma othile eseqedile iminyaka ephathwa ngokuba nesithuthwane, ngisho noma enezibonakaliso zenguquko yokuguqulwa, lowo muntu akanamathuba okuphulukisa.
Isizathu sokuthi abantu abanezinkinga zokuguqulwa bancane amathuba okuthuthukisa uma belashwa isikhathi eside isikhathi eside mhlawumbe kuhilela umqondo wokuqiniswa. Ngokwalolu mbono, iphilisi ngalinye elibhekene nokufelwa kwesifo, udokotela ngamunye owenza ucwaningo olungalungile, ngisho nabangane abamsekelayo lo muntu baqinisa inkolelo engazi ukuthi izimpawu zibangelwa ukuqubuka. Inkolelo enjalo egxilile kakhulu kunzima ukuyiqeda, ngisho nokuhlonza okuyiqiniso futhi okunembile.
Njengezinye izinhlobo zokuguqulwa kwesifo, i-PNES ixilongwa ngokukhipha. Lokhu kusho ukuthi udokotela okwenza lokhu kuhloliswa kufanele ahlale engqondweni evulekile futhi acabange ukuthi kukhona okungaphezu kokukhononda kwengqondo okwenza umsebenzi wokuqothulwa, bese wenza konke okusemandleni ukulawula lokho. Ngokufanayo, kubalulekile ukuthi iziguli zigcine ingqondo evulekile mayelana nokuthi kungenzeka ukuthi inkinga yabo ingokwengqondo futhi bathole usizo abayidingayo.
Imithombo
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