Ola kino, Maʻi a me nā kūlana
Nā symptoms o epilepsy i loko o nā keiki. Kumu,ʻike, lapaʻau
Kaʻia "epilepsy" poe akamai i kapa maʻi lolo maʻi i ua wehewehe aku ma kāna hana o poha o ka ha awina o kona keena. Ma na keiki, ia ia lŘlŘ loa pinepine i ka maʻi ma mua o nā mākua. Ma ka hapanui o hoopii, e hoike mai ai ia ia iho i loko o ka palapala o ke kāʻili 'ana.
hiki kumu
Kāhea nui kapa trauma, infectious lesions. La lakou no hoi e olelo ana ia mea he autoimmune maʻi. Kēia mana ua hookupaa iho la ia ma ka mea i loko o ke koko o nā mea maʻi me ka autoantibodies akomi i neyroantigenam.
Children hoʻonāukiuki i ka hoouka kaua ana o ka maʻi i ia i ke kēia mau kumu.
1. nā kūpuna mai. Akā,ʻepekema e olelo aku i ka mea i hewa i ka hoʻike i epilepsy ua ho'īli. Hereditary predisposition hiki ke loaa wale ma kona helehelena. Kēlā me kēia kanaka i ka kekahi kiʻekiʻe o ke kāʻili 'ana i haʻawina, akā, inā paha epilepsy, e ulu, hilinaʻi nui ma ka helu o nā kumu.
2. Brain kāna hana. Hewa i loko o ka Central ko mākou hopohopo'ōnaehana ana no ka mea, o ka hopena ma luna o ka fetus nā palapala waiwai maternal maʻi i hāpai keiki. No hoi, ka mea i kauoha aku e aaiaoe kāna hana.
3. Infectious lesions. I ka maʻi ke'ākoʻakoʻa ma hope e loaa ana meningitis a encephalitis. I ka Ia manawa i ke keiki pokii i, ka mea kiʻekiʻe i ka manawa o ka ulu hopu i loko o ka wā e hiki mai, ka paʻakikī i ka mea, e ia. Naʻe, ina ke kamaiki kiʻekiʻe hoʻomaopop 'ana i kiʻekiʻe o ke kāʻili' ana i ha awina, i ka maʻi hiki hoʻonāukiuki i kekahi maʻiʻaʻai.
4. nā palapū. Kekahi puu hua palaoa i kāhea hoouka kaua o ka epilepsy. Akā, i ka pilina mea i mau mea hiki ke hookupaa aku, no ka mea, o ka maʻi, aole ia i hoʻomaka koke.
Ike aha i na kumu o ka epilepsy i loko o nā keiki, hiki ke nānā 'ia me nā nā kaʻa mokulele o ka hou ninaninau a me ka lapaau.
Mea Maluna o ka maʻi
Inā ka pilikia hoʻomohala no ka mea, o ka mea mall mā o ka lolo, a laila ka mea, ina e he symptomatic epilepsy. Ua hiki ke'ākoʻakoʻa aie i ke kahua o cysts, hikoko a me hemorrhages i loko o ke kino. About idiopathic epilepsy ia mea i loko o ia mau hihia a pau, kahi i hiki loli ma ka lolo mea ole, akā, i ke keiki i ka aaiaoe predisposition i ulu i ka maʻi.
Akā, loaʻa nā hihia ma symptoms o epilepsy i loko o ke keiki haʻi, a me ka kumu o keia moku'āina hiki ole ke hookupaaia. ua kēiaʻano o ka maʻi i kapaia o cryptogenic.
Kekahi, poe akamai i maopopo IIeEeAIEUIeXAIIUE a me generalized ano o ka maʻi. Ma ka hihia mua, na ioauoa o ka ha awina ma ka lolo e loa i kaupalena '. Ka mea, e hana mau ana i loko o ka ia wahi o ka lolo'aʻaʻa. A ma generalized ano i loko o ka pathological kaʻina hana 'ole kokoke i ke cortex holoʻokoʻa.
Kaawale loaa hou hui Lolina. Initially, ke kāʻili 'hoʻomaka me IIeEeAIEUIeXAIIUE, akā, i ka pulakaumaka o excitation ua hoʻomaka koke pālahalaha i ka cortex holoʻokoʻa.
Ka mua bele
All makua Pono, e ike i ka mea o ka symptoms o ka epilepsy i loko o nā keiki. Ma hope o nā mea a pau, o ka pilikia ua 'akomi i loko o 3% o na keiki ma lalo o ka makahiki o 9 makahiki. Ma na kamalii uuku ka mea, hiki ke hookahuli ai i kino ai haʻawina. Ke keiki huli i kona poʻo, 'Imi höʻike mau lima a me nā wāwae. Convulsive eiiiiiaiou ka mea, i ole mau ike.
Ho'āhewa wale ke'ākoʻakoʻa i kekahi mau makahiki. Akā, oi pinepine ka mea, ana ka wā o ka lolo, a me ka ua'emi nenoaia ua iʻoihana kaua hoakaka. Pathological pulakaumaka o excitation i loko o ia mau hihia hou maʻalahi.
Kekahi ho'āhewa wale paha,ʻaʻole e hiki i ka 'ē aʻe. Lakou hiki ole e lohe, e hiki i ka makua. Ka mea, eʻikeʻia i loko o ka "kau-i" Hawaii, i mau wale he mau kekona. Ka loa e like me ka ano o ka maʻi i loko o na keiki o ka wa e kaawale aku epilepsy (piknolepsiya). Iloko o ka hoouka i ke keiki nalowale ike paka, retropulsivnye kekahi 'neʻe o ke poo, na maka ke hele aku ma lalo o hala loa i luna. Ma ka pau 'ana o ke kaua pinepine mea akaka' akomi pharyngo-ku una ha ka noi. Ua hiki e hinu i na lehelehe, smacking, omo. Oia ho'āhewa wale pele hope i hou aku 30 kekona. Akā, ka mea hiki ke hou i na manawa, a hiki i ka lā hoʻokahi.
I nā mākua ë he mähele wale i keia symptoms o ka epilepsy i loko o nā keiki. E hoʻonāukiuki ho'āhewa wale o ka hiamoe kāna hana, ua hoʻemi paha, conversely, oiʻeleu hana o ka lolo, photic stimulation.
ano o ka maʻi
- n: ia lŘlŘ ku ei ke kāʻei kua o ka mahuahua kāʻili 'ana i ha awina ma o ka lolo;
- Secondary: ia lŘlŘ like me ka hopena o ka maʻiʻaʻai a traumatic poino;
- reflex: kupu ana i ka naoh i ka stimulus, mea paha e kekahi leo, flickering malamalama, i keʻala.
Ke kaumaha ma muli o ka makahiki i a ka mua hoailona o ka maʻi a me ka typical lapaʻau hoailona maopopo kēia mauʻano o ke kāʻili 'ana.
- propulsion nīnūnē, ka mea i ano o kaʻuʻuku mai;
- myoclonic - he neonatal palapala;
- impulsive, hana ana i puberty;
- psychomotor - ka mea, i ke ukali e convulsions a hele ole ia, ka mea e e sensory, auditory, adversivnye ho'āhewa wale, fits o kaʻakaʻaka.
Ke kaumaha ma muli o ka alapine (frequency) a me ka pāpana o ka ho'āhewa wale, līkaia no kēia mauʻano o ka epilepsy:
- me ka (emi o 1 no ka malama) uuku, pinepine (kekahi mau manawa o ka pule) ho'āhewa wale;
- me ka unevenness a me ka ulu kāʻili 'ana.
Ma ka manawa o ka helehelena hoomaopopo i kēia mauʻano o ka epilepsy:
- po;
- hoala mai la;
- generalized (ho'āhewa wale 'ana i kekahi manawa).
Outbreaks o excitation e ia i loko o ka occipital, cortical, kino, diencephalic a me nā lolo wahi.
Ka papa kuhikuhiE symptoms
Mau symptoms o epilepsy i loko o ke keiki mea,ʻaʻole e mau ana i nanaia, no laila, na makua mai,ʻaʻole e mau ana e lohe ia ia. Ma mua na keiki, ka mea, ke lawe ia no ka maʻamau ka hihia. Akā, he mau hoailona i,ʻo noonoo. Kēia cessation o ka hanu, Muscle hoʻopilikia kino, i ua pu ma ka mea ana i ke keiki i ka lena, a unbend na lala, malama convulsive contraction, involuntary defecation, urination. Ke hoomanawanui e nahu i kona alelo, kekahi ho'ōho i ke kāʻili 'ana.
I kekahi manawa kanaka i ke kāʻili 'hiki e malama e lulu wale kenekulia, e hoolei ana i ke poʻo hoʻi, e nānā i kekahi wahi. Ka mea, e i pane koke i ka mawaho stimuli. Akā, he nui na mea i hiki ke hoʻomaopopo epileptic kāʻili 'ana, ina aole lakou e ole pu ma convulsions, a kowali ma luna o ka papahele.
E Pono e ike, a ua epileptics e hoʻonele, ua nawaliwali ia. Ka mea, pinepine e ae, mai keʻano o psycho-mea naʻau kāna hana. Ka mea, i kekahi e ka iini, kaumaha i ke ahulau. Ka mea, i wehewehe aku e uuku-manao a me ka quarrelsome ano, ka mea, pinepine i bouts o aggression. People me ka epilepsy wehewehe aku ma excessive picky, vindictiveness, rancor. Poe akamai i kapa ia epileptic külana.
ʻike, no ka maʻi
Ka lōkahi i ke keiki i ka manawa o ka mae wale a jerky neʻe, e pono koke hele aku i ke kauka. Wale i ka piha hookolokolo a me ka wae ana o ka pololei lapaʻau hiki hoʻi i ka maʻamau kanaka ola.
Kekahi o na kumu ano o ka anamanaʻo mea electroencephalography. Eia naʻe, aneane hapalua o na nā mea maʻi i loko o ka wā ma waena o ka ho'āhewa wale ma luna o ka mea hiki ole ia i kekahi mea hou. Ma ka hooko ana mai ooieoeiiaeuiuo ho'āʻo ma (hyperventilation, hiamoe deprivation, photic stimulation) i loko o 90% o nā mea maʻi, he ano symptoms o ka epilepsy.
Ma waho aʻeo ia EEG, hoʻohana hiku o ka kekahi. Kēia like hōʻike lolo pōʻino, ai kaʻike,, prognosis a me ka hooholo hou lapaʻau ka hoʻolālā. Kēia mau kiʻina hana nā kamepiula a me kaʻume mākenēki resonance tomography. No hoi, e hoomanawanui i lawe i ka Ikepili o ka mimi a me ke koko. Hoʻoholo i ka nui o nā immunoglobulins, nā'ūhū, albumin, eletrolitov, kalipuna, 'ākilikai phosphatase, makanekiuma, monakō koko, a me ka hao, prolactin, thyroid hormones a me ka 'ē aʻe.
Additional noiʻi pili ECG ka mālamaʻana, Doppler brachiocephalic ipu koko, cerebrospinal loli Ka Ikepili.
Ka iapaau ana i ke kaʻina hana
Normalize i ke keiki ka ana a me ka emi i ka alapine (frequency) o ka ho'āhewa wale, ina e hoʻopau ia i hiki i loko o ka hihia o ka maikaʻi-wae Inc. Eia naʻe, manaʻo, e pakele no ka pilikia i loko o ka malama mua ka i ke kumukuai o ia. I kekahi manawa 'oe i ka lawe huaale mau makahiki i ka noʻonoʻo epilepsy emi ana, a me ka ho'āhewa wale' oki loa.
Inc E e hulina. Ma waho aʻeo i ka OAXA i hoakakaia lapaʻauʻia, i kekahi hihia i mea e pono neurosurgical lapaau. Ua mea i paʻakikī i ka hana me ka psychotherapeutic kākoʻo. Me ka hele pono ke loaʻa i ka pilina paʻa ke kala ana i ka 75% o ka opiopio nā mea maʻi.
Ma waho aʻeo ia ka lapaʻauʻia, e aʻo aku ai iā kauka e hookupaa nui ae i ka maopopo pololei o ka lā i ke keiki, a kau aku la ia ma luna o ka kūikawāʻai. Kēiaʻaoʻao o ke ola ka mea i lilo i ka maʻa. Ma hope o aaeei minimizes ka pahiki o excitation foci i loko o ka lolo. Kauka i kuhikuhi mai i ka mea i maikai hualoaʻa i loaa ma ka ketogenicʻai. Kona o Mānoa, ke moe i loko o ka mea ana e pono eʻaiʻai me ke kiʻekiʻe momona maʻiʻo. I ka Ia manawa hoi e pono e emi ka nui o nā carbohydrates.
No lāʻau Inc
Ka hoʻoholo 'ana pehea e hana epilepsy i loko o kēlā me kēia hihia, ke kahuna lapaau e me ka lawa ka hoao ana wale. Ma hope o nā mea a pau, no laila ia mea nui, e koho i ka lapaau i ka mea, e lawe mai i kā mākou pomaikai me ka palena haʻahaʻa adverse loa. Lapaʻau Ua hoʻokumu pū ua hoʻokūpaʻa wale ma hope o kaʻike,. E hāʻawi aku i kekahi lāʻau, e hooholo i ke kahuna lapaau e pono i ke ano o ke kāʻili 'ana, e noonoo i nā hiʻona o ka maʻi. O ka hana hoʻokani ma ka makahiki ma i hoomaka ai ka ino, i ko lakou alapine (frequency), i ke ahonui o ka intellect, ke alo o neurological symptoms. I lawe i ka mooolelo o ka kaʻawahia o laau lapaau, a me ka likelihood o kaʻaoʻao loa. E koho ai '(i hoakaka ia no ka epilepsyʻano nui anticonvulsants), ke kahuna lapaau e uku hou noonoo ana i ke ano o ke kāʻili' ana, he ano o ka maʻi, i ka wa ia mea emi nui.
No ka pākōlea hana ka mea, IeAUPIIe, IAa IO nā mea maʻi i hoakakaia mahele lāʻau o ka makahiki. Eia naʻe, pono ke hookipa aku ka kauka HW noaia. Ma hope o nā mea a pau, hoʻomaka inu antiepileptic ai 'ma ka lalo mahele lāʻau. Inā ka hopena ma luna o lākou? Eaia 'aʻole i hōʻike, a me ka mea, e ia māhunehune kekahi', he mea pono i ke kiʻekiʻe o hoʻonui i ka laʻau heluna. A hiʻona o ka iapaau ana o keia maʻi mea pono i ka mea e nā ai 'hoʻololi i mea undesirable. Inā i ke kino, aole ia i pane, oe wale hoomahuahua i ka helu ana o kekahi-manawa kālā loaa. 'Oiai, ka hola 1-3% o nā mea maʻi ke kala ana i hiki ke loaʻa ma ka hoʻohanaʻana i waena-elemakule hoemiia laʻau heluna.
koho ana ai '
Aia mau hihia, i ka wa i ka hookohu o ka lāʻau, aole ia i kōkua. Ma keia hoike i ka nele o ka hana hou i ka mahina, aka i ka i kā mākou mau makahiki i ka laʻau heluna ua loaʻa. Ma ia wahi, i hiki ia mea e pono e hoʻololi i ka lapaʻauʻia. Akā, i kēia mea,ʻaʻole pēlā mea. Aia He He kekahi kaapuni, e pono epilepsy ka hoʻohana 'ana like' ole lapaʻauʻia.
O ia hoʻi, no ka mea, ke kūapoʻana i ka lua o ka i koho hoʻomanaʻo ua lawelawe iho la no ke kiʻekiʻe, ka poʻe ana i ka mua kekahi. Akā, i kēia ua hana smoothly. I kekahi manawa, he loli o ka lāʻau ua hoopanee no kekahi mau pule. Inā ke hoʻomanawanui i ka haʻi withdrawal, ia mea i makemake loa ia i ka noniakahi Inc benzodiazepines a me barbiturates.
Ma ka hapanui o hoopii, e hiki ke ola epilepsy. Kauka pākahi Nāna e koho i anticonvulsant a me ka antiepileptic ai '. Pinepine hoakaka "Diazepam", "Phenobarbital", "carbamazepine". Koho mea kupono, e hāʻawi aku i nā mea i loko o i kaʻeleu waiwai ua hookuu lohi. Ma hope o nā mea a pau, kā lākou hoʻohana ho'ēmi i kā ka pilikia o kaʻaoʻao loa. Ia ai 'nā nā mea loaʻa o valproicʻakika a me ka carbamazepine. Mau nā huaale "valparin XP", "Konvulsofin", "Enkorat", "Konvuleks" "Depakine Enterik 300", "Finlepsin", "Apo-Carbamazepine."
hiki complications
Pono koho Inc hiki symptoms o epilepsy i loko o ke keiki loa wehe 'ia i loko o kekahi mau makahiki. Ma kekahi mau hihia, sequential monotherapy ua,ʻaʻole hoʻi i kāpiliʻia ho'āhewa wale. He mea hiki me ka lāʻau e kū'ē'ē mai. Ua Ua loa olelo ike i loko o kēlā mau hoʻomanawanui iki mai i ka hoʻomaka 'ana i kakahiaka nui ho'āhewa wale no mahina mea oi aku 4 ho'āhewa wale, aia no i ka emi o ke akamai a me ka cerebral dysgenesis. Ma ia manawa, he wahi okoa noaia E e hana lolo epilepsy. Ke kahuna lapaau e pono ke koi 'ia i ka wā hoʻokahi? Eaia o ai' elua.
ka'ālike huakai kaapuni pono e hana ia no kekahi mau makahiki, a hiki ma hope o ka piha cessation o ke kāʻili 'ana. Ke kaumaha ma muli o ka ano o ka epilepsy, i kēia wā hiki e mai ka 2 a hiki i 4 makahiki. Akā, i ka premature withdrawal o ka lāʻau hiki i mea hōʻemi. Kāʻili 'hiki hookahi hou ka hoʻomau' ana. A hiki ma hope o ka pau ana o keia manawa, o ka ke kāpaeʻana o nā kālā e e hana ke kiʻekiʻe ma luna o 3-6 mahina. He nui ia mau kanaka hoʻoponopono i ke ano o ka hoʻohana 'ana EEG. Ma kekahi mau hihia, Inc mea lifelong.
E hoʻomaopopo i ka mua o ka maʻi ua hoʻomaka ', i ka oi nui nō ka hopena o ka epilepsy. O ke kumu ho i ka mea e ma ka kakahiaka nui elemakule, ke kanaka lolo mea nōʻiliahi, a, me ka hopena, oi kūlana. I nā mākua Pono e lawe seriously ka hoakakaia lapaʻau, no ka mea, ina oe e ole hoopili aku i ka iapaau ana regimen koho, skip huaale a ana i ko lakou iho, i ke keiki i ka hoʻomau 'ino a me ka hōʻeaʻana mai o ke kūlana epilepticus. Keia ano ua wehewehe aku ma ka mea ana i ke keiki o ke kāʻili 'ana i kekahi ma hope o ka mea'ē aʻe me ka haʻahaʻa, me ka manaʻo ua ole i akaka ma waena o lākou.
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