Indlela yokutshela ukuthi kukhona umuntu othunjwa
Ukuhlukunyezwa kuyinkimbinkimbi, ngakho kuchaza zonke izindlela ezingase zibukeke kuwumsebenzi onzima kakhulu. Khumbula ukuthi noma yikuphi umuntu okungazelelwe angazi lutho ngenxa yeso sizathu esingenalo umlando wezokwelapha ukuchaza ukuthi ufanelwe ucingo ku-911. Ukwelapha okuthungayo kuqukethe ukunakekelwa okusekelayo nokucela usizo uma kunesidingo.
Kuziguli ezinomlando ongapheli wokugubha, ukuhlushwa okukodwa akusho njalo ukuthi uhambo oluya esibhedlela.
Ngakolunye uhlangothi, kubalulekile ukuqaphela ukuthi ukuhlukunyezwa kwesimo (bheka ngezansi) kanye nokuqothulwa kwesikhathi sokuqala kuhlale kuphuthumayo kwezokwelapha.
Izinhlobo Zokwenqaba
Kunezinhlobo ezimbili eziyisisekelo zokubanjwa: okujwayelekile futhi okuyingxenye . Ukuhlukunyezwa okujwayelekile kuhilela wonke umzimba ngenkathi ukuthunjwa okuyingxenye kungabandakanya kuphela ingalo eyodwa, umlenze owodwa, ubuso nje, noma enye indawo yomzimba ngenkathi ushiya umzimba wonke uqobo. Ukuqothulwa okuyingxenye kaningi kubizwa ngokuthi ukutakula kwendawo noma ukugxila okugxile.
Kunezinhlobo eziningi zokwehluleka nezindlela abazozibuka, kodwa injongo yalesi sihloko ukukufundisa indlela yokubona izinhlobo ezivame kakhulu zokubamba.
Ake siqale ngokuhlukunyezwa okujwayelekile, okuyinto engenzeka kakhulu ukunakekisa - njengesiguli kanye nomlindi.
Ukuhlukunyezwa Okujwayelekile
Ukuqothulwa ngokujwayelekile kuvame ukubizwa ngokuthi i-grand mal seizures. Lezi zigcwele ukuqina komzimba futhi okubaluleke nakakhulu kufanele zibizwa ngokuthi yizicucu zobuchopho obugcwele.
Izimo ezingavamile ezishisayo kulo lonke ubuchopho zingabangela imisipha ukuba iguquke noma inkontileka.
Ukuqothulwa okujwayelekile kuphethini evamile ehlanganisa izigaba ezintathu: pre-ictal, ictal kanye post-ictal .
- I-Pre-Ictal: Abantu abanomlando wokuwayeka bangakwazi ukutshela ukuthi bazoba nini. Lokhu kuvame ukubizwa ngokuthi i- aura futhi akusobala ngaso sonke isikhathi. Kwezinye izimo, amalungu omndeni angaqaphela uma ukuthunjwa kuzokwenzeka. Ezinye iziguli ezithathelisayo zinezinja zenkonzo ezingakwazi ukubikezela ukuthi isiguli sizoba yini ukuthunjwa futhi zingakwazisa isiguli noma amalungu omndeni.
- Ictal: Lona ukuthunjwa. Ekuguleni komzimba okugcwele, isiguli asiphenduli ngokuphelele. Amehlo abo angase ahlale evulekile noma avaliwe; ngokuvamile, bayobe beqhaqhazela ngokomzimba. Iningi lokugula liqala nge-tonic muscle contractions. Akukho ukuzamazama ngalesosikhathi, nje yonke imisipha eminingi iyakwenza isivumelwano ngaso leso sikhathi. Phakathi nengxenye ye-tonic, iziguli zingase zizwe ziqinile noma zikhuthele ukuthinta. Ingxenye ye-tonic ilandelwa ukunyakaza kwe-clonic, i-term medical ye-convulsions. Ukunyakaza kweClonic yilokho iningi lethu elikucabangayo uma sicabanga ngokugabha. Ngokuvamile emibuthanweni yezokwelapha, ukugwinya komzimba okugcwele njengalokhu kubhekiswa njengokuthunjwa kwe- tonic-clonic .
- I-Post-Ictal: Ngemva kokumisa, isiguli ngeke siphendule ngokuphelele - njengokuthi ulele futhi ngeke avuke - kancane kancane avuke ngokugcwele. Kungathatha amaminithi amahora ukuze isiguli siqale ukubuyiswa, futhi ngokuvamile singathatha amahora ukubuyisela ngokuphelele.
Ukuhlukunyezwa okuyingxenye
Ukuthathwa okuncane kunzima ukuchaza ngoba kunezindlela eziningi kakhulu abangazihlakulela. Ukuqothulwa okuyingxenye kwenzeka ngokufanayo ngenxa yokuhlukunyezwa okujwayelekile - kunemizamo engahleliwe edubula ebuchosheni. Uma kwenzeka ukuhlushwa okuyingxenye, izimpendulo zisezindaweni ezikude zobuchopho futhi ngenxa yalokho zithinta indawo engasodwa yomzimba.
Ukunyakaza kwe-Clonic, njengalabo abasengozini ejwayelekile, kungabonakala ekuthunjweni okuyingxenye. Ukuhlukana okukhulu okubili ukuthi isiguli ngeke sisazi lutho ngesikhathi sokuhlukunyezwa okuyingxenye, futhi ukuxubana kuyoba kuphela endaweni ethile: ingalo eyodwa noma uhlangothi olulodwa lwesbuso, isibonelo.
Ubuchopho buhlukaniswe ngama-halves amabili, kwesokudla nangakwesobunxele. Uhlangothi lwesokudla lobuchopho lulawula kakhulu uhlangothi lwesobunxele lomzimba futhi ngokuphambene nalokho. Okuphawulekayo kokuqothula okuyingxenye ukuthi ingxenye eyodwa yomzimba izothinteka. Ngamanye amazwi, awungeke ulindele ukubona zombili izingalo ngokunyakaza kwe-clonic ngenkathi wonke umzimba ungathinteki.
Esikhundleni salokho, uzobona ingalo eyodwa noma umlenze owodwa, noma mhlawumbe uhlangothi olulodwa lomzimba luzamazama kodwa olunye uhlangothi alukho.
Kunezimo ezithile ezingabangela ukuthunjwa okuyingxenye okokuqala, okube sekuqhubekela phambili ekuziphatheni okugcwele komzimba.
Ukuhluleka Kwesimo
Izimo ezihlukumeza isimo, eyaziwa nangokuthi isimo se-epilepticus , yisimo esiphuthumayo sezempilo. Kunezincazelo ezimbili zesimangalo sezinga:
- Ukwehliswa isikhathi eside , ngokuvamile okuhlala isikhathi esingaphezu kwemizuzu eyi-10 (odokotela abahlukene bazoba nezikhathi ezihlukene, kodwa imizuzu eyishumi iyona evamile).
- Ukuthunjwa okungaphezu kweyodwa ngaphandle kokuthola ngokugcwele isimo se-post-ictal phakathi . Ngamanye amazwi, uma isiguli sinqotshwa futhi sisengenalwazi noma i-groggy futhi sinomunye, kuthathwa njengesihluku somumo.