Ukuhlukunyezwa Okuqine Kakhulu Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuhlukunyezwa okuqine kakhulu luhlobo lokuhlukunyezwa okuhlanganisa wonke ubuchopho bakho futhi kubangele izimpawu ezibonakalayo ezinjengokuqina kwemisipha nokuzungeza okujwayelekile. Lokhu kuhlukunyezwa, okwamanje kubizwa ngokuthi ukuhlukunyezwa kwe-tonic-clonic, kuyinto abantu abayibona uma becabanga ngesifo se-epilepsy, nakuba kungenzeka kubantu bonke ngaphansi kwezimo ezithile.

Nakuba ukubona noma ukuhlukunyezwa okuqine kakhulu kungase kubonakale kukhungathekisa, ukuqonda ukuthi kwenzekani emzimbeni wakho kungasiza ukunciphisa ukukhathazeka nokukukhomba endleleni efanele yokunakekelwa. Abantu abaningi abana lo mkhuba bangaphila impilo egcwele, esebenzayo ngokwelashwa okufanele nokwesekwa.

Ukuhlukunyezwa Okuqine Kakhulu Yini?

Ukuhlukunyezwa okuqine kakhulu kwenzeka lapho umsebenzi wamagetsi ebuchosheni bakho uba uqondile ngokungajwayelekile, okubangela amaseli ezinzwa ukuba asebenze ngokushesha nangokungenakulawuleka. Le mvula yamagetsi ithonya womabili amahlangothi obuchosho bakho ngesikhathi esifanayo, kungakho odokotela bebiza ngokuthi “ukuhlukunyezwa okuhlanganisiwe.”

Igama elithi “grand mal” livela esiFulentshini, lisho ukuthi “ukugula okukhulu,” kodwa leli gama elidala liye lasuselwa yigama elithi “tonic-clonic seizure” elichaza kangcono. Isigaba se-“tonic” sibhekisela ekuqineni kwemisipha, kuyilapho i-“clonic” ichaza ukuzungeza okujwayelekile okulandelayo.

Lokhu kuhlukunyezwa kuvame ukuphela phakathi kwemizuzu eyodwa kuya kwemithathu. Izindlela ezijwayelekile zamagetsi obuchosho bakho ziyaphazanyiswa, zivimbela ukuxhumana okujwayelekile phakathi kwamaseli ezinzwa okwesikhashana futhi zibangele izimpawu zomzimba ongazibona.

Ziyini Izimpawu Zokuhlukunyezwa Okuqine Kakhulu?

Ukuhlukunyezwa okuqine kakhulu kulandela iphethini elikhulu ngezigaba ezahlukene, ngayinye iletha izimpawu ezahlukene. Ukuqaphela lezi zigaba kungakusiza ukuqonda ukuthi kwenzekani nokuthi nini kufanele ucele usizo oluphuthumayo.

Ukubamba iqala ngokuvamile nezingxenye ze-tonic, lapho imisipha yakho iqina khona ngokuzumayo bese ulahlekelwa yikwazi. Ungase ukhale njengoba umoya ucindezelwa emaphaphwini akho, futhi cishe uzojwa phansi uma uqonde.

Phakathi nesigaba esiyinhloko sokubamba, uzobhekana nalokhu:

• Ukushukuma okuphindaphindayo kwezandla nezinyawo zakho
• Ukulahlekelwa ukulawula kwesisu noma izisu
• Ukuphefumula okunzima noma ukuyeka ukuphefumula okwesikhashana
• Umbala oluhlaza okwesibhakabhaka oqhele ngezindebe zakho noma ebusweni
• Ukuphuma kosizi emlonyeni
• Ukuklama olulimi (nakuba lokhu kungavamile kunalokho abantu abakucabanga)

Ngemva kokuba ukubamba kuphelile, uzothola okubizwa ngokuthi isigaba se-postictal. Lesi sikhathi sokuphulukiswa singathatha kusuka emaminithini kuya emahoreni, lapho ungase uzizwe udidekile, udiniwe, noma unesikhathi sokuqonda kahle.

Abanye abantu babhekana nezibonakaliso zezesixwayiso ezibizwa ngokuthi "i-aura" ngaphambi kokuba iqale ukubamba okukhulu. Lokhu kungafaka amaphunga ahlukile, ukunambitha, noma imizwa ye-déjà vu, nakuba akuwona wonke umuntu onalezi zibonakaliso zesixwayiso.

Yini ebangela ukubamba okukhulu?

Ukubamba okukhulu kungathuthukiswa ezinye izimo eziyinhloko noma izici eziqalayo, futhi ngezinye izikhathi isizathu esiqondile sihlala singaziwa. Ukuqonda izimbangela ezingaba khona kusiza odokotela ukuthi banqume indlela yokwelapha engcono kakhulu yesimo sakho esithile.

I-Epilepsy iyona nto evamile yokubamba okukhulu okuphindaphindayo. Ku-epilepsy, ubuchopho bakho bube nomkhuba wokukhiqiza umsebenzi wama-elekthronikhi ongajwayelekile, obuholela ekubambekeni okuphindaphindayo ngokuhamba kwesikhathi.

Izimo eziningi zezokwelapha zingabangela lokhu kubamba:

• Ukulimala kobuchopho okuvela ezingozi noma ekulimala
• Isiguli noma ezinye izimo ezihlobene nokugeleza kwegazi ebuchophweni
• Iziphumuzo zobuchopho noma ukutheleleka njenge-meningitis
• Izifo zofuzo ezihlobene nokuthuthukiswa kobuchopho
• I-hypoglycemia ebuhlungu noma ukungalingani kwe-electrolyte
• Ukuqina okukhulu, ikakhulukazi kubantwana abancinyane
• Ukukhipha utshwala noma izidakamizwa

Ngesinye isikhathi, ukuhlupheka okukhulu kwenzeka ngaphandle kwanoma yisiphi isimo esingaphansi esiqondakalayo. Odokotela babiza lokhu ngokuthi “ukubeletha okungaziwa,” okusho ukuthi imbangela ayaziwa kodwa cishe ihilela izici zezinto eziphilayo ezingabonakali.

Izimo ezithile ezingavamile zezinto eziphilayo zingabangela lezi zifo, kufaka phakathi i-Dravet syndrome, i-Lennox-Gastaut syndrome, noma izifo ezihlukahlukene ze-metabolic ezithinta indlela ubuchopho bakho obusebenzisa ngayo amandla.

Nini Okufanele Ubheke Udokotela Ngezikhathi Zokubeletha Okukhulu?

Kufanele ufuna ukunakekelwa kwezokwelapha okusheshayo uma wena noma omunye umuntu ehlupheka ngokubeletha okukhulu okuphela isikhathi esingaphezu kwemizuzu emihlanu, noma uma kukhona ukuhlupheka okuningi okwenzeka ngaphandle kokubuyela esimweni esijwayelekile phakathi kwabo. Lezi zimo zidinga ukunakekelwa kwezokwelapha okusheshayo.

Shaya u-911 ngokushesha uma umuntu ohlupheka ngokubeletha enenkinga yokuphefumula ngemuva kokuba ukuhlupheka kuphelile, ebonakala elilimele, noma engabuyele ekuqapheleni okujwayelekile ngesikhathi esifanele.

Hlela i-aphoyintimenti nodokotela wakho ngokushesha uma:

• Lokhu yikubeletha kwakho kokuqala
• Uhlupheka ngokubeletha okuvamile kunokujwayelekile
• Ukuhlupheka kwakho kuguquka ngephethini noma amandla
• Uhlangabezana nezimpawu ezintsha ngaphambi noma ngemuva kokubeletha
• Imithi yakho yangoku ayilawuli ukuhlupheka kwakho kahle

Ngisho noma uzizwa ukhulu ngemuva kokubeletha, kubalulekile ukubona umhlinzeki wezinsizakalo zezempilo ukuze uthole ukulinganiswa okufanele futhi uqede noma yiziphi izimo ezingaphansi ezingathi sína.

Yiziphi Izici Zengozi Zokubeletha Okukhulu?

Izici eziningi zingandisa amathuba akho okuhlupheka ngokubeletha okukhulu, yize ukuba nezici zengozi akusho ukuthi uzokuthuthukisa ngokuqinisekile. Ukuqonda lezi zici kuzokusiza wena nodokotela wakho ukubona ingozi yakho yonke.

Ubudala buwumsebenzi obalulekile engcupheni yokuhlupheka. Abantwana abaneminyaka engaphansi kwemibili nabantu abadala abangaphezu kweminyaka engama-65 banamathuba aphezulu okuthuthukisa ukuhlupheka, ngokuvamile ngenxa yezinkinga zokuthuthukiswa kobuchopho kubantwana noma ukuguquka kobuchopho obuhambisana nobudala kubantu abadala.

Umlando wemindeni uthinta kakhulu ingozi yakho, ikakhulu uma izihlobo eziseduze zine-epilepsy noma izifo zokuhlwitha. Izici ze-genetic zingenza ubuchopho bakho bube sengozini yokuhlwitha kwamandla kagesi okubangela ukuhlwitha.

Ezinye izici ezingaba yingozi zihlanganisa:

• Ukulimala kokhanda kwangaphambili noma ukulimala kobuchopho
• Isiguli noma ezinye izimo ze-cardiovascular
• Ukutheleleka kobuchopho noma izimo zokuvuvukala
• Ukuphazamiseka kokulala noma ukucindezeleka okuqhubekayo
• Ukusetshenziswa okukhulu kotshwala noma ukusebenzisa kabi izidakamizwa
• Imithi ethile ephansi izinga lokuhlwitha

Ezinye izimo ze-genetic ezingavamile ziphinde zikhulise ingozi yokuhlwitha, kuhlanganise i-tuberous sclerosis, i-neurofibromatosis, noma ukungalingani kwe-chromosomal okuthinta ukuthuthukiswa kobuchopho.

Ukuba nokunye noma ngaphezulu kwezici ezingaba yingozi akusho ukuthi uyahlwitha, kodwa kusho ukuthi kufanele uqaphele izimpawu zokuqala futhi uxoxe ngamasu okuvimbela nodokotela wakho.

Ziyini Izingozi Ezingaba khona Zokuhlwitha Okukhulu?

Nakuba ukuhlwitha okukhulu kuningi kuphela ngaphandle kokubangela ukulimala okungapheli, izingozi zingase zenzeke, ikakhulu ngokuhlwitha okuvamile noma okude. Ukuba uqaphele lezi zinto kukunceda uthathe izinyathelo ezifanele futhi ufuna ukunakekelwa kwonyango ngesikhathi.

Ukulimala komzimba kubonisa ukukhathazeka okukhulu ngesikhathi sokuhlwitha. Ungase uzilimaze ngokuwa, noma uthole izikhumba neziqongo ngokuthinta izinto eziseduze ngesikhathi sokuhlwitha.

Izingozi ezivamile zihlanganisa:

• Ukulimala okuvela ekuweni noma ukuthinta izinto ngesikhathi sokuhlwitha
• Ukuklema olunye noma ukulimala kwamazinyo
• Ubunzima bokuthinta ngesikhathi noma ngemuva nje kokuhlwitha
• Ukugwinya uma ukukhahlela kungena emaphashini
• Ukudideka okukhulu noma izinkinga zememori ngemuva kokuhlwitha
• Usizi noma ukukhathazeka okuhlobene nokuphila nokuhlwitha

Izinkinga ezingathi sína kodwa ezingavamile zingafaka i-status epilepticus, lapho ukuhlwitha kuhlala isikhathi esingaphezu kwemizuzu emihlanu noma ukuhlwitha kuqala ngokulandelana ngaphandle kokubuyela esimweni esijwayelekile. Lokhu kuyisimangalo sezokwelapha esidinga ukwelashwa esibhedlela ngokushesha.

Izinkinga ezingavamile zingafaka i-SUDEP (Ukufa Okungaqondakali Ngokuzumayo Ngokuhlwitha), nakuba lokhu kuchaphazela abantu abangaphansi kuka-1% abanokuhlwitha futhi kungenzeka kakhulu uma ukuhlwitha kungalawulwa kahle.

Izindaba ezinhle ukuthi izinhlungu eziningi zingavinjelwa ngokulawulwa kahle kokuhwitha, ukulandela imithi, nezinyathelo zokuphepha endaweni yakho yansuku zonke.

Ukuvimbela Ukuhlwitha Okukhulu Kungenzeka Kanjani?

Nakuba ungakwazi ukumisa ngokuphelele ukuhlwitha okukhulu, unganciphisa kakhulu ubukhulu nokuvamile kwako ngezindlela zokulawula eziqhubekayo. Okubalulekile ukubona nokuqeda izinto ezibangela ukuhlwitha kwakho ngenkathi ugcina impilo yengqondo iyonke.

Ukuthatha imithi yokulwa nokuhlwitha njengoba isiqondiso sisho yithuluzi lakho elibaluleke kakhulu lokuvimbela. Le mithi isebenza ngokulinganisa amandla kagesi ebuchosheni bakho, okwenza ukuhlwitha kube nzima kakhulu ukuvela.

Ukushintsha indlela yokuphila okungasiza ekuvimbeleni ukuhlwitha kufaka phakathi:

• Ukuthola ukulala okwanele (amahora angu-7-9 ebusuku ngabantu abadala abaningi)
• Ukulawula ukucindezeleka ngezindlela zokupumula noma ukwelulekwa
• Ukugwema ukusebenzisa utshwala ngokweqile
• Ukudla ukudla okuvamile ukuze ugcine ushukela egazini uzinzile
• Ukuhlala unomswakama futhi ugcine ibhalansi efanele yama-electrolyte
• Ukugwema izinto ezibangela ukuhlwitha njengokukhanya okukhanya (uma une-photosensitive)

Abanye abantu bathola ukuthi ukugcina idayari yokuhlwitha kusiza ekutholeni izindlela noma izinto ezibangela ukuhlwitha ababengazi ngazo. Ukubhala lapho ukuhlwitha kuqala khona, lokho obekwenza, nokuthi wazizwa kanjani ngaphambi kokuba kuqale kungakunika ulwazi oluwusizo.

Ekubeni ukuhlushwa yi-seizures kubangelwa izimo zezokwelapha ezingaphansi, ukwelapha lezo zimo ngokuphumelelayo ngokuvamile kunciphisa ubukhulu be-seizures. Lokhu kungase kuhilele ukuphatha isifo sikashukela, ukwelapha ukutheleleka, noma ukulungisa ezinye izinkinga zempilo.

I-Grand Mal Seizure Ihlonishwa Kanjani?

Ukuhlola i-grand mal seizures kuhilela ukuhlanganisa ulwazi oluvela emithonjeni eminingi ngoba odokotela abavame ukubona i-seizure ngqo. Incazelo yakho eningiliziwe yempawu, kanye nezincazelo zeziko, kunikeza izinkomba ezibalulekile zokuxilonga.

Udokotela wakho uzoqala ngomlando ophelele wezokwelapha, ebuza ngezici ze-seizure, noma yiziphi izimpawu zokuqala ozibonile, kanye nenqubo yakho yokutakula. Bayofuna futhi ukwazi nganoma yimuphi umlando womndeni we-seizures noma izimo ze-neurological.

Izivivinyo eziningi zisiza ukuqinisekisa ukuxilonga:

• I-Electroencephalogram (EEG) ukulinganisa umsebenzi we-brain wave
• I-MRI noma i-CT scans ukubuka ukungaqondakali kwengqondo
• Izivivinyo zegazi ukuhlola ukutheleleka, ushukela egazini, noma ezinye izinkinga zezokwelapha
• Ukuhlolwa kwe-neurological ukuhlola umsebenzi wengqondo
• Ukuqapha kwe-Video EEG uma i-seizures ivame kakhulu

I-EEG ibaluleke kakhulu ngoba ingathola ama-patterns angaqondakali kagesi ebuchosheni bakho, ngisho naphakathi kwe-seizures. Ngezinye izikhathi, ungase udinga ukuqapha okuphakathi nendawo ukuze uthole umsebenzi we-seizure.

Kwezinye izimo, ukuhlolwa kwe-genetic okungavamile kungase kunconywe uma odokotela bethola i-syndrome ye-genetic engaphansi, ikakhulukazi uma i-seizures iqale ebuntwaneni noma uma kunomlando omkhulu womndeni.

Ukuthola ukuxilonga okuchane kakhulu kubalulekile ngoba kunquma uhlelo lwakho lokwelapha futhi kusiza ukubikezela umbono wakho wesikhathi eside.

Iyini Ukwelapha kwe-Grand Mal Seizures?

Ukwelapha i-grand mal seizures kugqamele ekunqobeni i-seizures yesikhathi esizayo ngenkathi kunciphisa imiphumela emibi futhi kusiza ukugcina ikhwalithi yakho yokuphila. Indlela ihlala ixhomeke esizathwini esingaphansi nendlela i-seizures eqhubeka ngayo.

Imithi yokulwa nokuhlwitha yiyona ephambili ekwelapheni abantu abaningi abane-grand mal seizures. Le mithi isebenza ngokunciphisa amandla kagesi ebuchosheni bakho, okwenza ukuhlwitha kube nzima kakhulu.

Imithi evamile ihlanganisa:

• Phenytoin (Dilantin) - ivame ukusetshenziswa njengonyango lokuqala
• Carbamazepine (Tegretol) - isebenza kahle ezinhlotsheni eziningi zokuhlwitha
• Valproic acid (Depakote) - iwusizo ikakhulukazi ekuhlwitheni okuhlanganisiwe
• Levetiracetam (Keppra) - imithi entsha enezinkinga ezimbalwa zokusebenzisana nemithi
• Lamotrigine (Lamictal) - ivame ukutholakala kalula ngezinhlangothi ezimbalwa

Udokotela wakho uzoqala ngemithi eyodwa bese ulungisa umthamo ngokusekelwe ekulawuleni kwakho ukuhlwitha kanye nemiphumela emibi oyitholayo. Ukufumana imithi efanele ngezinye izikhathi kudinga isikhathi nokubekezela.

Uma imithi ingalawuli kahle ukuhlwitha kwakho, ezinye izinketho zokwelapha zihlanganisa ukukhuthaza inzwa ye-vagus (isixhobo esifakwe phansi kwesikhumba sakho), ukwelashwa kokudla kwe-ketogenic, noma ezimweni ezingavamile, ukuhlinzwa kobuchopho ukususa indawo yokuhlwitha.

Ngokuhlwitha okubangelwa izimo zezokwelapha ezithile njengezifo noma ukuphazamiseka kokuguqulwa kwemvelo, ukwelapha isimo esingaphansi kwesikhathi sivame ukuxazulula inkinga yokuhlwitha ngokuphelele.

Ukuthatha Kanjani Ukwelashwa Ekhaya Ngesikhathi Se-Grand Mal Seizures?

Ukuphatha i-grand mal seizures ekhaya kugxile ekuphepheni ngesikhathi sokuhlwitha nokugcina impilo yakho jikelele phakathi kwesikhathi. Ukuba nenqubo yesenzo ecacile kukusiza wena namalungu omndeni wakho ukuthi niphendule ngokufanele uma kuvela ukuhlwitha.

Ngesikhathi sokuhlwitha, into ebaluleke kakhulu ukugcina umuntu ephephile. Hlala uzolile bese ulandela lezi zinyathelo: qondise ngobumnene phansi uma eme, umguqule eceleni ukuvimbela ukukhahlela, bese ubala isikhathi sokuhlwitha.

Izinyathelo zokuphepha ekhaya ezibalulekile zihlanganisa:

• Susa izinto ezibukhali noma ifenisha engabangela ukulimala
• Uma kungenzeka, faka into ethambile phansi kwekhanda labo
• Ungafaki lutho emlonyeni wabo noma uzama ukubabamba phansi
• Hlala nabo kwaze kwaba yilapho beqaphile ngokuphelele futhi beqonde
• Shaya i-ambulensi uma ukuhlushwa kuhlala isikhathi esingaphezu kwemizuzu emi-5

Phakathi kokuhushwa, gxila ekusebenziseni imithi yakho njalo, ukuthola ukulala okwanele, nokugwema izinto ezibangela ukuhlushwa. Ukudala indawo ekahle yokuhlushwa ekhaya kungafaka ukususa ama-scatter rugs, ukufaka ama-grab bars ekhaya, nokugcina imininingwane yokuxhumana ephuthumayo ifinyeleleka kalula.

Imindeni eminingi iyathola kuwusizo ukuba nemi thi yokutakula esandleni, njenge-diazepam ye-rectal noma i-midazolam yempumulo, engayekisa ukuhlushwa okuphakathi nendawo. Udokotela wakho uzokunquma uma lokhu kufanelekele isimo sakho.

Cabanga ngokugqoka ubucwebe bokunxusa obungabonisa isimo sakho futhi ubhale abaxhumana nabo bephuthumayo, ikakhulukazi uma uhlala wedwa noma uchitha isikhathi ezindaweni zomphakathi njalo.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela kahle ukuya kudo kotela kuqinisekisa ukuthi uthola ulwazi oluwusizo kakhulu nezincomo zokwelashwa. Ukulungiselela okuhle kusiza udokotela wakho ukuqonda isimo sakho ngokuphelele futhi enze izinqumo ezinhle kakhulu mayelana nokukhathalela kwakho.

Ngaphambi kokubuka kwakho, bhala incazelo eningiliziwe yokuhlushwa kwakho, kufaka phakathi lokho okukhumbulayo ngaphambi, phakathi, nangemva kwesigameko ngasinye. Uma amalungu omndeni noma abangane babone ukuhlushwa kwakho, bacele ukwabelana ngokuqaphela kwabo.

Letha imininingwane ebalulekile nawe:

• Uhlu oluphelele lwemithi yamanje, kufaka phakathi imithamo
• Idayari yokuhlushwa noma ilogi uma ubuyiqaphile
• Uhlu lwemibuzo ofuna ukuyibuza
• Amakhadi yomshuwalense nokuhlonza
• Imiphumela yokuhlola yangaphambili noma amarekhodi ezempilo
• Umbukiso womndeni wezokwelapha, ikakhulukazi izimo ze-neurological

Cabanga ukuthi ulethe ilungu lomndeni omethembayo noma umngani ongakusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi sokuqokwa futhi unikeze imininingwane eyengeziwe ngokuhlupheka kwakho.

Lungiselela imibuzo ethile mayelana nezinketho zokwelashwa, ukuguqulwa kwesitayela sokuphila, ukumisa ukuqhuba, nokuthi yini okulindelekile kuqhubeke. Unganqikazi ukubuza noma yini ekukhathazayo noma ebonakala ingacaci.

Uma lokhu kuyiqokwa lakho lokuqala ngemuva kokuhlobana, lungela ukuxoxa nganoma yiziphi izimbangela ezingaba khona, izifo zakamuva, ukushintsha kwemithi, noma izehlakalo ezinzima zokuphila ezingase zibe yiyona.

Iyini i-Key Takeaway Mayelana nokuhlupheka kwe-Grand Mal?

Ukuhlupheka kwe-grand mal kungazizwa kukhulu uma uqala ukuhlupheka, kodwa kuyisimo sezempilo esilawuleka kahle esiphendula kahle ekwelapheni okufanele. Abantu abaningi abanawo lo mkhuba bangaphila impilo egcwele, esebenzayo ngokunakekelwa okufanele kwezokwelapha nokuguqulwa kwesitayela sokuphila.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuhlupheka akukukhombi noma akulingani amandla akho. Nakuba kudinga ukunakekelwa okuqhubekayo nokuphathwa kwezokwelapha, intuthuko ekwelapheni kwenze kwaba nokwenzeka kubantu abaningi ukufeza ukulawulwa okuhle kokuhlobana.

Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo, ukuthatha imithi njengoba kuqokiwe, nokwenza ukuguqulwa kwesitayela sokuphila okufanele kunganciphisa kakhulu ubukhulu nokuvamile kokuhlobana. Abantu abaningi baye baya izinyanga noma ngisho neminyaka phakathi kokuhlobana ngokwelashwa okufanele.

Ungavumeli ukwesaba noma ukuhlanya kukuvimbe ekuphishekeleni usizo noma ekuphileni impilo yakho. Ngokusekelwa okuhle kanye nokukhathalelwa kwezokwelapha, ungalawula ukuhlupheka kwe-grand mal ngokuphumelelayo ngenkathi ulandela imigomo yakho futhi ugcine ubuhlobo obukhulu.

Imibuzo Evame Ukubuzwa Mayelana nokuhlupheka kwe-Grand Mal

Ungafa yini ngokuhlupheka kwe-grand mal?

Nakuba ukuhlukunyezwa okukhulu ngokwakho kungavamile ukubulala, izinkinga ezingase zibe khona zingaba nzima. Ingozi iphakeme kakhulu uma ukuhlukunyezwa kuqhubeka isikhathi esingaphezu kwemizuzu emihlanu (ukuthi i-status epilepticus) noma uma ukuphefumula kuyahluleka kakhulu. I-SUDEP (Ukufa Okungaqondakali Ngokuzumayo Ngokuhlukunyezwa) kuyinto engavamile kakhulu, ethonya abantu abangaphansi kuka-1% abanokuhlukunyezwa, futhi kwenzeka kakhulu kulabo abanawo ukuhlukunyezwa okungalawuleki kahle.

Ngizoba yini nokuhlukunyezwa okukhulu impilo yonke yami?

Akuyona into eqinisekile. Abanye abantu bahlukunyezwa ngenxa yezimo zesikhashana ezifana nokutheleleka, ukusebenza kwemithi, noma ukungalingani kokusebenza komzimba okuqeda ngokuphelele ngokwelashwa. Abanye bangase babe nokuhlukunyezwa okulawulwa kahle ngemithi noma ngisho nokuqeda ngokuhamba kwesikhathi. Ukubuka kwakho kwesikhathi eside kuncike esizathwini esiyimbangela nokuthi ukuhlukunyezwa kwakho kuphendula kanjani ekwelapheni.

Ngingaqhubela yini imoto uma nginawo ukuhlukunyezwa okukhulu?

Imithetho yokushayela iyahlukahluka ngokusho kombuso futhi kuncike ekulawulweni kahle kokuhlaselwa kwakho. Izifundazwe eziningi zidinga ukuthi ungabi nokuhlukunyezwa isikhathi esithile (ngokuvamile izinyanga eziyi-3-12) ngaphambi kokuba uqale ukushayela futhi. Udokotela wakho uzoxoxa nawe ngalezi zidingo futhi akusize unqume ukuthi nini kuphephile ukuqala ukushayela futhi. Abantu abaningi abanokuhlukunyezwa okulawulwayo kahle bayashayela ngokuphephile.

Ingabe ukuhlukunyezwa okukhulu kuyafa?

I-jenetiki ingase ibe nomthelela ezindabeni zokuhlukunyezwa, kodwa ukuba nomuntu womndeni onokuhlukunyezwa akusho ukuthi uzophuthuma ukuhlukunyezwa. Ezinye izimo ze-jenetiki ezingavamile ziyenza ukuhlukunyezwa, kodwa izimo eziningi zokuhlukunyezwa zihilela ukusebenzisana okuyinkimbinkimbi phakathi kokuthambekela kwe-jenetiki nezimo zangaphandle. Uma ukhathazekile ngomlando womndeni, xoxa nodokotela wakho ngokwelulekwa kwe-jenetiki.

Ingabe ukucindezeleka kungabangela ukuhlukunyezwa okukhulu?

Yebo, ukucindezeleka kungabangela ukuhlushwa yi-seizures kubantu abasengozini yokuhlushwa yiyo. Ukucindezeleka akuyona into ebangela i-epilepsy ngokuqondile, kodwa kunganciphisa izinga lokulwa ne-seizures futhi kwenze kube lula ukuhlushwa yi-seizures. Ukuphatha ukucindezeleka ngezindlela zokuphumula, ukulala okwanele, ukuzivocavoca njalo, nokwelulekwa kungaba yingxenye ebalulekile yokuvikela i-seizures.