Ukuhlushwa Yisifo Se-Epilepsy: Izimpawu, Izimbangela, Nokwelashwa

I-Epilepsy yisimo sengqondo lapho ubuchopho bakho buhlushwa yizifo ezivamile ezingabangelwa ukukhanya okusheshayo kwamandla kagesi. Cabanga ngakho njengomoya onamandla kagesi ebuchophweni bakho obuphazamisa ukusebenza okuvamile okwesikhashana. Nakuba lokhu kungase kubukeke kuyesabekayo, i-epilepsy ilawuleka kakhulu kubantu abaningi ngokunakekelwa komtholampilo okufanele nokwelashwa.

Cishe abantu abayizigidi ezingu-50 emhlabeni jikelele baphila behlushwa yi-epilepsy, okwenza kube yisimo esivamile kakhulu sezifo zengqondo. Izindaba ezinhle ukuthi ngokwelashwa kwamanje, cishe amaphesenti angu-70 abantu abane-epilepsy bangaphila impilo engenazo izifo.

Iyini i-Epilepsy?

I-Epilepsy ihlonishwa uma othile enezifo ezimbili noma ngaphezulu ezingaphethwe eziqala okungenani amahora angu-24 ngaphandle. Isifiso siqala lapho amaseli ezinzwa ebuchophweni bakho ethumela imiyalezo yamandla kagesi ngokushesha nangokungahambi kahle kunokujwayelekile.

Ubuchopho bakho buthumela imiyalezo yamandla kagesi ngendlela ehlelekile ukuze ulawule konke kusukela ekuhambeni kuya emicabangweni. Phakathi nesifo, le nqubo ehlelekile iphazamiseka, ibangele ukuguquka okwesikhashana ekuziphatheni, ekuhambeni, emizweni, noma ekuqapheleni.

Kubalulekile ukuqonda ukuthi ukuba nesifo esisodwa akusho ukuthi une-epilepsy. Abantu abaningi bahlushwa yisifo esisodwa ngenxa yomkhuhlane, ushukela oluphansi, noma ezinye izimo zesikhashana futhi abaphinde babe nesinye.

Ziyini Izimpawu Ze-Epilepsy?

Izimpawu zesifo zingase zihluke kakhulu kumuntu nomuntu, futhi ungase umangale ukwazi ukuthi akuzona zonke izifo ezibandakanya ukuxakuxaka okukhulu okuvamise ukubonwa kuma-movie. Ake sihlole izindlela ezahlukene ezibonakala ngazo izifo.

Izifo ezibanzi zithinta kokubili izinhlangothi zobuchopho bakho futhi zihlanganisa:

• Ukubamba okuhlanganisiwe nokuqhaqhazela (okwakuthiwa yi-grand mal) - kuhilela ukuqina nokuqhaqhazela komzimba, ukulahlekelwa yi-consciousness, futhi kungathatha imizuzu engu-1-3
• Ukubamba okungabonakali - iziqephu ezifushane lapho ubheka khona ngokungazi lutho futhi ubonakala ungaxhunyiwe, ngokuvamile kuthe i-10-30
• Ukubamba kwe-Myoclonic - ukuqhaqhazela okusheshayo, okufushane kwemisipha okungabonakala sengathi uthinteka yikagesi
• Ukubamba kwe-Atonic - ukulahlekelwa ngokuzumayo komsindo wemisipha okubangela ukuthi uwaze phansi
• Ukubamba kwe-Tonic - ukuqina kwemisipha okungakubangela ukuthi uwaze emuva

Ukubamba okufokal kuqala endaweni eyodwa yengqondo yakho futhi kungaba:

• Ukubamba okufokal okulula - uhlala uqaphile kodwa ungaba nezinto ezingavamile, iphunga, ukunambitha, noma imizwa
• Ukubamba okufokal okuyinkimbinkimbi - ukuqaphela kwakho kuguquka futhi ungenza imisebenzi ephindaphindwayo njengokugqolozela izindebe noma ukususa izandla

Abanye abantu baba nezibonakaliso zezesixwayiso ezibizwa ngokuthi yi-auras ngaphambi kokuba kuqale ukubamba. Lezi zingafaka iphunga elingavamile, imizwa ye-déjà vu, ukwesaba, noma imizwa yokukhahlela.

Ziyini Izinhlobo Ze-Epilepsy?

I-Epilepsy ihlelwa ngokusekelwe lapho ukubamba kuqala khona ebuchosheni bakho nokuthi yini ebakubangela. Ukuqonda uhlobo lwakho oluthile kusiza udokotela wakho ukuba akhethe indlela yokwelapha ephumelelayo.

I-Epilepsy efokal imelela cishe u-60% wazo zonke izimo. Ukubamba kuqala endaweni ethile yengqondo yakho, nakuba ngezinye izikhathi kungasakazeka kwamanye amazwekazi. Izimpawu ziyahluka kuye ngokuthi yisiphi isigaba sengqondo esithintekile.

I-Epilepsy ejwayelekile ihilela ukubamba okuthinta womabili amahlangothi engqondo kusukela ekuqaleni. Lolu hlobo ngokuvamile lube nezingxenyekazi zezakhiwo futhi ngokuvamile luqala ebuntwaneni noma ebusheni.

Ukubamba kwe-epilepsy olukhulu kanye nokuhlukaniswe kuvamile kancane kodwa kuhilela womabili uhlobo lwezifo ezinye umuntu. Lokhu kwenza ukwelashwa kube nzima kakhulu kodwa kusaphatheka kakhulu.

Yini ebangela i-Epilepsy?

Kubantu abangaba yingxenye yabantu abane-epilepsy, odokotela abakwazi ukubona imbangela ethile, futhi lokhu kubizwa ngokuthi i-epilepsy ye-idiopathic noma i-cryptogenic. Noma kunjalo, uma imbangela ingabonakala, ngokuvamile iwa ezinhlotsheni eziningana.

Izici ze-genetic zidlala indima ezimweni eziningi. Amanye ama-epilepsy agijima emindenini, nakuba ukuba nomzali onale epilepsy kukhuphula kancane kuphela ingozi yakho. Abantwana abaningi babazali abane-epilepsy abathuthuki kule simo.

Ukulimala kwengqondo kanye nezinguquko zesakhiwo kungabangela i-epilepsy, okuhlanganisa:

• Ukulimala kwekhanda okuvela ezingozi noma ekulimaleni kwezemidlalo
• Isifo sokuqhaqhazela noma ukungasebenzi kahle kwezinsimbi zegazi ebuchosheni
• Iziphumuzo zengqondo, kokubili ezinhle kanye nezimbi
• Ukutheleleka kwengqondo njenge-meningitis noma i-encephalitis
• Ukungaqondakali kokuthuthukiswa kwengqondo okukhona kusukela ekuzalweni

Isimo se-metabolic kanye ne-immune singase futhi sibe nomthelela ekukhuleni kwezifo. Lokhu kuhlanganisa ushukela ophansi kakhulu wegazi, ukwehluleka kwesibindi noma isibindi, kanye nezimpawu ze-autoimmune ezithinta ubuchopho.

Ezimweni ezimbalwa, i-epilepsy ingathuthuka ngenxa yezifo zengqondo eziqhubekayo noma izifo ze-genetic metabolic ezithinta indlela amaseli engqondo asebenza ngayo ngokuhamba kwesikhathi.

Nini okufanele ubona udokotela nge-Epilepsy?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nesifo sakho sokuqala noma ubona umuntu enesifo. Ngisho noma isifo siyeka ngokwaso, kubalulekile ukuhlolwa ukuze kutholakale imbangela nokuthi ukwelashwa kuyadingeka yini.

Shaya izinsizakalo eziphuthumayo (911) uma isifo sihlala isikhathi esingaphezu kwemizuzu emi-5, uma umuntu enezifo eziningi ngaphandle kokubuyela ekuqapheleni, uma belimalile ngesikhathi sesifo, noma uma benenkinga yokuphefumula ngemva kwalokho.

Hlela isikhathi sokubona udokotela wakho uma uhlangabezana neziqephu zokubuka, ukuthungatha komalunga okufushane, ukuwa okungaqondakali, noma yikuphi ukushintsha okungaqondakali ekuqapheleni noma ekuziphatheni okungaba yizifo.

Uma usuvele une-epilepsy, xhumana nodokotela wakho uma izifo zakho zishintsha iphethini, ziqale kaningi, noma uma imithi yakho ibonisa imiphumela emibi ephazamisayo.

Iyini Izingozi Ze-Epilepsy?

Ngesikhathi i-epilepsy ingathuthuka kunoma iyiphi iminyaka, izici ezithile zingandisa amathuba akho okukhula lesimo. Ukuqonda lezi zici zingozi kungakusiza ukuba ube nezingxoxo ezicacile nodokotela wakho.

Izici ezihlobene nobudala zibonisa ukuthi i-epilepsy iqala kakhulu ebuntwaneni noma ngemva kweminyaka engama-60. Ebantwaneni, ngokuvamile kuhlobene nezici zezakhiwo noma izinkinga zokuthuthuka, kuyilapho kubantu abadala, ngokuvamile kuhlobene nokushaya noma ezinye izinguquko ezingqondweni.

Umlando womndeni udlala indima, yize kubalulekile ukwazi ukuthi abantu abaningi abanomlando womndeni we-epilepsy abayithuthuki.

Isimo sezempilo esingandisa ingozi ye-epilepsy sihlanganisa:

• Ukulimala kwekhanda kwangaphambili, ikakhulukazi okukhulu
• Ukushaya noma ezinye izinkinga ze-vascular ebuchosheni
• Ukutheleleka kobuchopho noma ukushisa okuphezulu ebuntwaneni
• Ezinye izimo zezakhiwo
• Ukuhlupheka kwe-Autism spectrum
• I-Alzheimer's disease nezinye izinhlobo ze-dementia

Ukuba nalezi zici zingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile i-epilepsy. Abantu abaningi abanezingozi eziningi abazange bahlangabezane nezifo.

Ziyini Izinhlungu Ezingaba khona Ze-Epilepsy?

Ngesikhathi abantu abaningi abane-epilepsy bephila impilo egcwele, evamile, kubalulekile ukwazi izinhlungu ezingaba khona ukuze uthathe izinyathelo zokunciphisa ubungozi nokufuna usizo uma kudingeka.

Ukulimala komzimba ngesikhathi sezigwegwe kuyinkinga ephambili. Ukuwa, ukushisa, noma ukuhlushwa emanzini kungenzeka uma izingwegwe zenzeka ngezikhathi ezingahleli. Kodwa-ke, unganciphisa kakhulu lezi zingcindezi ngokuqapha okuhle nokuphathwa kwezigwegwe.

I-Status epilepticus iyisimo esingavamile kodwa esibucayi lapho isigwegwe sihlala isikhathi esingaphezu kwemizuzu engama-30 noma izingwegwe zenzeka ngokulandelana ngaphandle kokubuyela esimweni esijwayelekile. Lokhu kudinga ukwelashwa okusheshayo kwezimo eziphuthumayo kodwa kuchaphazela abantu abangaphansi kwama-5% abanephilosi.

Izinselele zempilo yengqondo zingase zivele, kufaka phakathi ukucindezeleka nokukhathazeka. Lokhu akumangalisi uma kubhekwa ukucindezeleka kokuphila nesimo esingapheli, kodwa kukhona ukwelashwa okuphumelelayo kokubili kwe-epilepsy nanoma yiziphi izinkinga zempilo yengqondo ezihambisana nayo.

Izinkinga ezingavamile kodwa ezinzima zihlanganisa:

• SUDEP (Ukufa Okungaqondakali Ngokuzumayo ku-Epilepsy) - kuyinto engavamile kakhulu kodwa kungenzeka kakhulu ngezingwegwe ezingalawulwa
• Izinkinga zokukhumbula nokucabanga, ngokuvamile ezincane futhi zivame ukuxhumene nemiphumela emibi yemithi
• Izinselele zenhlalo nezemfundo ezingaxazululwa ngokusekelwa okuhle

Isigijimi esiyinhloko lapha ukuthi ukulawulwa okuhle kwezigwegwe kunciphisa kakhulu ingozi yezinkinga. Abantu abaningi abanephilosi elawulwayo kahle babhekene nezinkinga ezimbalwa kakhulu.

Ukuvimbela i-Epilepsy Kungenzeka Kanjani?

Nakuba ungakwazi ukuvimbela zonke izinhlobo ze-epilepsy, ikakhulukazi lezo ezinimbangela ezivela ezifundweni, ungathatha izinyathelo zokunciphisa ingozi yakho yokuthuthukisa i-epilepsy evela ezingcelweni ezingavimbeka.

Ukuvimbela ukulimala kwekhanda kuyinye yezinyathelo ezibaluleke kakhulu ongazithatha. Gqoka njalo izingubo zokuphepha ezifanele ngesikhathi semidlalo, sebenzisa izibopho zezihlalo nezihlangu, futhi wenze ikhaya lakho libe liphephile ngokususwa kwezinto ezingabangela ukuwa.

Ukulawula ezinye izimo zempilo kahle kungasiza futhi. Lokhu kuhlanganisa ukulawula ukucindezeleka kwegazi ukuvimbela isikhubekiso, ukwelapha ukutheleleka ngokushesha, nokulawula ushukela ukuvimbela ukuguquguquka okukhulu kweswekile egazini.

Phakathi kokukhulelwa, ukuthatha ama-supplements e-folic acid nokugwema utshwala neziyobisi kungasiza ekunqobeni izinkinga zokuthuthukiswa kobuchopho ezingase ziholele ekuguleni kwesifo se-epilepsy kubantwana.

Kubantu abasanda kutholakala besine-epilepsy, ukuvimbela ukubamba kwezinye izifo ngokuphathwa kahle kwemithi kanye nokuziphatha okuhle kubalulekile impilo yengqondo yesikhathi eside.

I-Epilepsy Ihlonishwa Kanjani?

Ukuhlola i-epilepsy kuhilela ukuhlolwa okuningiliziwe njengoba kungekho ukuhlolwa olulodwa olungaqinisekisa ngokuqinisekile isimo. Udokotela wakho uzoqala ngokuthola incazelo eningiliziwe yalokho okwenzekile ngesikhathi seziqephu zakho zokubamba.

Umbiko wezokwelapha kanye nencazelo yokubamba kuyisisekelo sokuhlola. Udokotela wakho uzokubuzisa ngesikhathi, izimbangela, nemininingwane ethile yokubamba kwakho. Ukuba nomboni ochaza lokho abakubonile kungaba usizo kakhulu.

I-Electroencephalogram (EEG) ukuhlolwa okubaluleke kakhulu kwe-epilepsy. Le nqubo engenabuhlungu irekhoda umsebenzi wogesi ebuchosheni bakho usebenzisa ama-electrodes abekwe ekhanda lakho. Ngezinye izikhathi ungase udinga ukuqapha okwandisiwe noma ama-EEGs angalali ukuze ubanjwe amaza angajwayelekile ebuchosheni.

Izivivinyo zokubuka izithombe zobuchopho zisiza ekutholeni izimbangela zesakhiwo:

• I-MRI scans inikeza izithombe ezinemininingwane yesakhiwo sobuchopho
• I-CT scans ingakwazi ukubona ngokushesha ukuphuza igazi, iziphundu, noma ezinye izinkinga ezicacile
• I-PET noma i-SPECT scans ingase isetshenziswe ezimweni eziyinkimbinkimbi ukubonisa umsebenzi wobuchopho

Izivivinyo zegazi ziphenya ukutheleleka, izimo ze-genetic, noma izinkinga ze-metabolic ezingase zibangele ukubamba. Lezi zivivinyo zisiza ekuqedeni ezinye izimo ezingafana ne-epilepsy.

Ukuthola ukuxilongwa okuchane kungaqeda isikhathi, futhi ungase udinga ukuhlolwa okuningi noma ukubonisana nochwepheshe. Lokhu kuqonda kuqinisekisa ukuthi uthola ukwelashwa okufanele kakhulu.

Iyini Ukwelashwa kwe-Epilepsy?

Umgomo wokwelapha isifo se-epilepsy ukuqeda ukubamba kwemisipha ngokuphelele ngaphandle kwemiphumela emibi, futhi lokhu kungenzeka kubantu abaningi. Ukwelashwa kuvame ukuqala ngemithi yokulwa nokubamba kwemisipha, kepha kunezinketho eziningi uma imithi ingasebenzi kahle.

Imithi yokulwa nokubamba kwemisipha yilona lwesiqalo lokwelapha futhi isebenza kahle kubantu abangaba ngu-70%. Udokotela wakho uzokukhethela imithi ngokuya ngohlobo lokubamba kwemisipha, iminyaka yakho, ezinye izimo zezempilo, kanye nemiphumela emibi engenzeka. Ukufumana imithi efanele kanye nomthamo kungathatha isikhathi esithile nokwenza izinguquko.

Imithi evamile yokulwa nokubamba kwemisipha ihlanganisa:

• I-Phenytoin, i-carbamazepine, ne-valproic acid (imithi endala enemiphumela eyazaziwa kahle)
• I-Levetiracetam, i-lamotrigine, ne-topiramate (izinketho ezintsha ezivame ukuba nemiphumela emibi emincane)
• Imithi ekhethekile yezinhlobo ezithile zokubamba kwemisipha noma izifo ze-epilepsy

Izinketho zokucathulwa zingacatshangelwa uma imithi ingalawuli ukubamba kwemisipha futhi ukubamba kwemisipha kuchaphazela kakhulu ikhwalithi yokuphila kwakho. Ukuhlinzwa kusebenza kangcono uma ukubamba kwemisipha kuqala endaweni ethile, esuswayo yengqondo.

Izindlela zokwelapha ezihlukile ze-epilepsy engaphenduli emithini zihlanganisa:

• Ukuvuselelwa komthambo we-vagus (VNS) - idivayisi ethumela ama-pulses kagesi ebuchosheni
• Ukudla kwe-Ketogenic - ukudla okukhethekile okunamafutha amaningi, okune-carbohydrate encane okunganciphisa ukubamba kwemisipha
• Ukuvuselelwa kwe-neurostimulation (RNS) - ukufakwa kwengqondo okuthola futhi kuqede ukubamba kwemisipha

Abantu abaningi bafumana indlela yokwelapha ephumelelayo, nakuba kungase kudingeke kubekezelelo nokusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuze uthole okuhambelana nawe.

Indlela Yokwelapha Ekhaya Ngesikhathi Se-Epilepsy?

Ukuphatha i-epilepsy ekhaya kuhilela okungaphezu nje kokuthatha imithi, nakuba ukulandela imithi kubaluleke kakhulu ekulawuleni ukubamba kwemisipha. Ukudala indawo yasekhaya enesekelo kungathuthukisa kakhulu ikhwalithi yokuphila kwakho.

Ukuphathwa kwemithi kuyindlela ebaluleke kakhulu yansuku zonke. Thatha imithi ngezikhathi ezifanayo nsuku zonke, sebenzisa abahlanganisi bemithi ukuze ugweme ukulahlekelwa yizingxenye, futhi ungalokothi uyeke imithi ngokuzumayo ngaphandle kokunakekelwa kwezokwelapha. Gcina idayari yokubamba ukuze uqaphele noma yikuphi ukubamba okuphumayo nokukhuthaza okungenzeka.

Ukushintsha indlela yokuphila kungasiza ekuthuthukiseni ubukhulu bokuthinta:

• Gcina amashejuli okulala ajwayelekile futhi uthole ukuphumula okwanele
• Khawukhawulela ukusetshenziswa kotshwala futhi ugweme izidakamizwa zokuzilibazisa
• Phatha ukucindezeleka ngezindlela zokuphumula noma ngokwelulekwa
• Zivocavoca njalo, kodwa gwema imisebenzi lapho ukuthinta kungabangela khona ukulimala
• Hlala uthambile futhi ugcine amazinga e-shuga egazini aqinile

Izinyathelo zokuphepha endlini yakho zingavimbela ukulimala. Cabanga ngezitulo zokuhlanza esikhundleni samabhati, sebenzisa iphadi lokukhuselwa emakhoneni afudumele efenisha, futhi ugweme ukupheka wedwa uma kungenzeka uma unezinkinga ezivamile.

Ukulungiselela izingozi kusho ukuba neqembu lokusebenza lokuthinta eliqondwa amalungu omndeni. Lokhu kufanele kuhlanganise ukuthi nini kufanele ubizwe izinsizakalo eziphuthumayo, ukuthi ungazigcina kanjani uphephile ngesikhathi sokuthinta, nolwazi olubalulekile lwezokwelapha kubaphenduli bokuqala.

Khumbula ukuthi ukunakekela okuhle kwakho akuyona nje into yokuvimbela ukuthinta - kuphathelene nokulondoloza impilo yakho yonke nokuthuthukiswa ngenkathi uphila ne-epilepsy.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ukulungiselela kahle izivivinyo zakho kungasiza udokotela wakho ukuba anikeze ukunakekelwa okungcono kakhulu futhi kuqinisekise ukuthi uthola izimpendulo zemibuzo yakho ebalulekile. Ukulungiselela kancane kuhamba ibanga elide ekwenzeni lezi zivivinyo zibe nomphumela omkhulu.

Gcina amarekhodi anemininingwane ngaphambi kokuya kwakho. Bhala phansi ukuthi nini ukuthinta kwenzeka, ukuthi wawenzani ngaphambi kwalokho, ukuthi bekude kangakanani, nokuthi wazizwa kanjani ngemva kwalokho. Uma othile ebona ukuthinta kwakho, cela ukuba abhale phansi lokho abakubonile.

Ulwazi mayelana nemithi kufanele lube lusezingeni eliphezulu. Letha yonke imithi yakho yangamanje, kuhlanganise nemithi yokuthengwa ngaphandle kwelokugunyazwa lodokotela kanye nezinye izongezelelo. Qaphela noma yiziphi izingozi ezibe khona futhi uma ulahlekelwe yinoma iyiphi imithamo muva nje.

Lungiselela imibuzo yakho kusengaphambili uyibhale phansi. Ungase ufune ukubuza ngokuthi:

• Uma uhlelo lwakho lokwelashwa olukhona lusebenza kahle
• Noma yiziphi izimpawu ezintsha noma ukukhathazeka okuqaphile
• Ukulinganiselwa kwemisebenzi nokuthi yini ephephile kuwe ukuyenza
• Ukubuka kwesikhathi eside kanye nezincazelo zokuhlela umndeni
• Nini okufanele ufuna ukunakekelwa okuphaphandayo

Letha ukwesekwa uma kungenzeka. Ukuba nomuntu womndeni noma umngani ezikhathini zokubonisana kungakusiza ukuba ukhumbule ulwazi olubalulekile futhi unikeze ukuqaphela okwengeziwe ngesimo sakho.

Ungangabazi ukucela incazelo uma ungaqondi lutho. Udokotela wakho ufuna ukuqinisekisa ukuthi ulwazi ngokuphelele ngesimo sakho kanye nezinketho zokwelashwa.

Iyini i-Key Takeaway Mayelana ne-Epilepsy?

Into ebaluleke kakhulu okumele uyiqonde nge-epilepsy ukuthi iyisimo esiphatheka kalula esingafanele sichaze noma silimise impilo yakho. Ngokunakekelwa okufanele kwezokwelapha, abantu abaningi abane-epilepsy bangafinyelela ekulawuleni okuhle kokubamba futhi baphile impilo evamile ngokuphelele.

Ukuphathwa kwamanje kwe-epilepsy kuye kwaqhubeka kakhulu, ngezinketho eziningi zemithi kanye nezinye izindlela zokwelapha ezitholakalayo uma izindlela zokuqala zokwelapha zinganelisi. Ikhona ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo nokuba nesineke njengoba uthola indlela efanele yokwelashwa.

Nakuba i-epilepsy idinga ukuphathwa okuqhubekayo, izigidi zabantu emhlabeni jikelele zihlala ngempumelelo ngalesi simo. Basebenza, bakhulise imindeni, balandele imisebenzi yabo, futhi bafinyelele imigomo yabo njenganoma ubani.

Khumbula ukuthi ukuba nephango alikusizi lutho noma alikuvimbeli. Ngokulawulwa okuhle kokubamba, izinyathelo ezifanele, kanye nesistimu eqinile yokusekela, ungalwela ngokuqiniseka ukuphila ofuna ukuliphila.

Imibuzo Evame Ukubuzwa Mayelana Nephango

Ingabe abantu abanehango bangashaya imoto?

Yebo, abantu abaningi abanehango bangashaya imoto, kodwa imithetho ihluka ngendawo. Izindawo eziningi zidinga ukuthi ungabi nazinkinga zokubamba isikhathi esithile (ngokuvamile izinyanga eziyi-6-12) ngaphambi kokuvunyelwa ukushayela. Udokotela wakho angakusiza ukuqonda izidingo zendawo yakini futhi anqume ukuthi nini kuphephile ukuthi ushayele futhi.

Ingabe uhango luyafa?

Ezinye izinhlobo zehango zinezinto ezivela kubazali, kodwa abantwana abaningi babazali abanehango abawutholi umqondo. Uma unehango, ingozi yengane yakho iphakeme kancane nje kunengozi yabantu abavamile. Ukuqondisa ngezinto ezivela kubazali kungakunika ulwazi oluqondile ngesimo sakho.

Ingabe ukucindezeleka kungabangela ukubamba?

Ukucindezeleka kungaba yimbangela yokubamba kwabanye abantu, nakuba kungesona isizathu esiqondile sephango ngokwalo. Ukuphatha ukucindezeleka ngezindlela zokuphumula, ukulala okwanele, ukuzivocavoca njalo, nokuqondisa uma kudingeka kungasiza ukunciphisa ubukhulu bokubamba kulabo abanomzwelo wokucindezeleka.

Kufanele ngenzeni uma ngibona umuntu obamba?

Hlala uzolile futhi ugcine umuntu ephephile. Susa izinto eziyingozi, qinisa ikhanda labo uma kungenzeka, bese ubala isikhathi sokubamba. Ungafaki lutho emlonyeni wabo noma uzama ukubabamba phansi. Shaya i-ambulensi uma ukubamba kuqhubeka isikhathi esingaphezu kwemizuzu emi-5, uma belimele, noma uma kuyikubamba kwabo kokuqala okwaziwayo.

Ingabe ngizodinga ukusebenzisa imithi impilo yonke?

Akuyona into eqinisekile. Abanye abantu, ikakhulu izingane ezinezinye izinhlobo ze-epilepsy, bangase bakhule bephephile kule simo. Abanye bangase bakwazi ukuyeka ukusebenzisa imithi uma sebeqedile iminyaka embalwa bengenawo ukuhlupheka. Noma kunjalo, abantu abaningi bayawasebenzisa imithi isikhathi eside, futhi lokhu kuphatheka kahle ngokwelashwa kwamanje okunemiphumela emibi emincane.