Mmene Makolo Atsopano Angasungire Mpumulo Ngakhale Ali ndi Matenda a Ana Awo
Pali zinthu zochepa chabe zomwe zimapweteketsa mtima monga kukhala ndi mwana yemwe ali ndi vuto lalikulu lakumwalira kwa mwana. Koma ngakhale kugwidwa kowonjezera kungayambitse mavuto aakulu pa chitukuko cha ana, zikondwerero sikuti kugwidwa konse komwe kumakhudza ana akhanda n'kovuta kwambiri.
Mankhwala a Epilepsy Achilendo M'makanda
Zomwe zimagwiritsidwa ntchito mwadzidzidzi zimatchulidwa chifukwa zimawoneka kuti zimachitika pathupi panthawi yomweyo.
Electroencephalogram (EEG) imasonyeza ntchito zamagetsi zosagwirizana ndi ubongo nthawi yomweyo.
Benign Neonatal Kusokonezeka
Pali mitundu iwiri ya matenda obereka ana omwe samakhala ndi mavuto aakulu kwa mwana wakhanda. Mabanja omwe amachititsa kuti mwana asatengeke (BFNS) ndi matenda opatsirana pogonana amatha kugwirizana ndi zotsatira zabwino.
BFNS imayamba mu masabata ochepa oyamba a moyo ndi zochepa koma zofooka kwambiri. Pakati pa kugwidwa, mwanayo ndi wamba. Chidutswa chofunika kwambiri popanga matenda a BFNS ndi mbiri ya banja ya kugwidwa. BFNS imachokera mu mafashoni oposa autosomal, kutanthauza kuti ngati mwana ali nayo, mmodzi wa makolowo ali nawo. Ngakhale kuti nthawi zambiri kugunda kumagwira ntchito kuyambira kumayambiriro mpaka pakati, ana asanu ndi atatu mpaka 16 peresenti amayamba kukhala ndi khunyu m'moyo.
Kugonjetsa kwa ana omwe amachititsa mwana kubereka kumachitanso ngati ana obadwa kumene. Zizindikiro zimayamba tsiku lachisanu la moyo ndipo zimakhala zovuta kwambiri, nthawi zina zimatha kukhala ndi matenda a khunyu . Pambuyo maola 24, kupweteka kumapitabe patsogolo.
Khunyu Yachibadwa Yambiri ndi Febrile Seizures Plus
Chifuwa chachikulu chomwe chimakhala ndi matenda obwera m'mimba (GEFS +) chikhoza kukhudza ana kuyambira ali wakhanda mpaka kukafika pamsinkhu, koma mwatsoka, kugwidwa kowopsa kumakhala kosavulaza ndipo kawirikawiri sikubweretsa mavuto ena. Komabe, mu GEFS +, matendawa amatha kupitirira zaka 6 ndipo amatsatiridwa ndi mitundu ina ya kugwidwa. Monga BFNS, GEFS + imachokera mu mafashoni oposa autosomal. Koma chifukwa cha zomwe zimatchedwa kusintha kwa kusintha kwa thupi, pakati pa 20 ndi 40 peresenti ya makolo sangakhale ndi zizindikiro, ngakhale atakhala ndi gene mutated.
Ana ambiri omwe ali ndi GEFS + amatha kusintha, ngakhale kuti mpaka 30 peresenti akhoza kukhala ndi khunyu kwambiri.
Myoclonic Astatic Epilepsy (Doose Syndrome)
Myoclonus ndikuthamanga kwambiri kwa minofu ndi zifukwa zosiyanasiyana, kuphatikizapo kugwidwa khunyu. Matenda a myoclonic astatic (MAE) amakhudza pafupifupi mmodzi mwa ana 10,000. Kuphatikiza pa myoclonus, anawo ali ndi mitundu ina yowulanda komanso kuphwanya kwa atonic, kumene amadzidzimutsa. Matenda a chiwerewere amatha kuyamba miyezi isanu ndi iwiri, kapena atakwanitsa zaka zisanu ndi chimodzi. Electroencephalogram (EEG) ingakhale yothandiza popanga matenda.
Matenda a Doose nthawi zonse sagwirizana ndi zotsatira zabwino. Ngakhale kuti ana ambiri omwe ali ndi MAE adzakula bwino, mpaka 41 peresenti adzakhala ndi IQ kumalire kapena matenda a maganizo. Ena adzayamba kugwidwa ndi matenda a khunyu.
Matenda a Khunyu Amagawidwe M'mayamwana ndi Ana
Mosiyana ndi kugwidwa kwadzidzidzi, kugwidwa kagawo kumayambira kumadera amodzi ndikutha kufalitsa kufalitsa mbali zina za ubongo. Ngakhale nthawi zina kugwidwa pang'ono kumakhala chifukwa cha ubongo wosasintha monga mwazi wamadzimadzi wosadziwika, vuto limakhalapo nthawi zina kuchokera kubadwa.
Benign Infantile Achibale Ovutika Maganizo
Kusokonezeka kwa banja la Benin kumayamba pamene mwana ali pakati pa miyezi itatu ndi 12. Mwanayo amasiya kusuntha ndipo amayamba kugwedezeka kwa miyendo pafupifupi 5 mpaka 10 patsiku. Monga dzina limatanthawuzira, vuto la kulanda ndilo lochokera ku mabadwa. Pali chikhalidwe chodziwika pa EEG chomwe chingakhale chothandiza popanga matenda. Kawirikawiri, kugwidwa kumagonjetsa pokhapokha mwanayo atakula, ndipo chitukuko ndi chachilendo.
Nthenda Yamtundu Wachigawo Yoyenera M'nyamata
Matenda oterewa ndi ofanana kwambiri ndi kusokonezeka kwa banja lachibwana - kusiyana kwakukulu ndikuti mu mawonekedwe awa, kusintha kwa chibadwa sikukudziwikiratu.
Childhood Epilepsy ndi Occipital Paroxysms (Panayiotopoulos Syndrome)
Matendawa kawirikawiri amapezeka kusukulu akale omwe ali ndi zaka zambiri koma amatha kukhala ndi zaka chimodzi. Matenda a Panayiotopoulos makamaka amagwirizanitsidwa ndi dysautonomia , ndi zizindikiro monga kunyoza, kusanza, ndi kupweteka. EEG ili ndi mawonekedwe a mafunde amphamvu kumbuyo kwa mutu, wotchedwa occipital paroxysms. Zokhumudwitsa nthawi zambiri zimathetsa zaka 1 mpaka 2.
Benign Childhood Chifuwa ndi Centrotemporal Spikes (Benign Rolandic Epilepsy)
Nthenda ya khunyu yambiri imayamba pa ana a zaka zapakati pa 7 mpaka 10, koma nthawi zina imawoneka mwa ana ngati a chaka chimodzi. Kugonjetsedwa kumagwirizana ndi drooling ndi kusintha maganizo. Nthawi zambiri zimakhala zovuta chifukwa cha kugona kapena kugona. EEG ndi yothandiza kwambiri mu matendawa, chifukwa imasonyeza mafunde amphamvu m'madera a centrotemporal a ubongo. Ngakhale kugwidwa kumeneku kuli koopsa kwa ana (omwe amakhalabe maso nthawi zonse), sizili zoopsa ndipo nthawi zambiri amakonza okhaokha ali ndi zaka 16.
Pansi
Monga momwe mwawonera, pamene ambiri a syndromes akugonjetsa amakhala ndi zotsatira zabwino, ena mwa iwo amachulukitsa chiopsezo kuti mwana sadzakhala ndi moyo wabwino. Monga zomvetsa chisoni monga izi, poyerekeza ndi mankhwala ena omwe amachititsa kuti pakhale zovuta, syndromes izi zimalola makolo kukhala ndi chiyembekezo chokwanira.
Ngakhale makolo ochepa angakonde kuti mwana wawo agwidwe ndi matendawa, ndi mankhwala ambiri omwe ali pamwambapa, mwinamwake zotsatira zake ndi moyo wamba - nthawizina ngakhale popanda mankhwala. Kuganizira zokhuza zowoneka bwino, komabe kukonza zochitika zovuta kwambiri, kungathandize ana kuti azikhala ndi moyo wabwino kwambiri ndi khunyu.
Zotsatira:
Elaine Wirrell, Katherine C. Nickels. Kupitiriza: Khunyu, Vesi 16, Nambala 3, June 2010.
Gerald M Finichel. Chipatala cha matenda a ana. Kusindikiza kwachisanu ndi chimodzi. Sanders-Elsevier, 2009.