Momwe mungadziwire ngati wina akugwidwa
Kugonjetsedwa kuli kovuta, kotero kufotokoza njira zonse zomwe angawonekere ndi ntchito yovuta kwambiri. Kumbukirani kuti munthu aliyense amene amadzidzimutsa mwadzidzidzi popanda chifukwa chodziwika popanda mbiri yachipatala kuti afotokoze, amayenera kuitanitsa 911. Chithandizo chodziletsa chimakhala chithandizo chochirikizira ndi kupempha thandizo ngati kuli kofunikira.
Odwala omwe ali ndi mbiri yakale ya kugwidwa, kugwidwa m'modzi sikutanthauza kuti ulendo wopita kuchipatala.
Komabe, ndikofunika kuzindikira kuti vutoli likugonjetsa (onani m'munsimu) ndipo kugwidwa kwa nthawi yoyamba nthawi zonse kumakhala kovuta kwachipatala.
Mitundu Yopweteka
Pali mitundu iwiri yoyamba ya kugwidwa: kwadzidzidzi komanso pagawo . Kugonjetsa kwa thupi kumaphatikizapo thupi lonse pamene kugwidwa pang'ono kumangophatikizapo mkono umodzi, mwendo umodzi, nkhope, kapena mbali ina iliyonse ya thupi pamene mutasiya thupi lonse lokha. Kugwidwa kagawo kaŵirikaŵiri kumatchedwanso kugwidwa kwapanyumba kapena kugwidwa kwakukulu.
Pali mitundu yambiri ya kugwidwa ndi njira zomwe angayang'ane, koma cholinga cha nkhaniyi ndi kukuphunzitsani momwe mungazindikire mitundu yambiri ya kugwidwa.
Tiyeni tiyambe ndi kugwidwa kwadzidzidzi, komwe kumakhala kovuta kuti mutchere khutu - monga wodwala komanso woyima.
Zotsatira Zachibadwa
Kugonjetsa mwadzidzidzi kumatchedwa kuti kugwidwa ndi matenda aakulu. Izi ndizomwe thupi limagonjetsa ndipo makamaka ziyenera kutchedwa kuti ubongo wathunthu umagwidwa.
Maganizo osadziwika omwe amawombera mu ubongo angayambitse minofu kapena mgwirizano.
Kugwidwa kwachibadwa kumakhala ndi kachitidwe kamodzi kamene kali ndi magawo atatu: zisanachitike, ictal ndi post-ictal .
- Pre-Ictal: Anthu omwe ali ndi mbiri ya kugwa amatha kudziwa ngati akufuna kukhala nawo. Izi nthawi zambiri zimatchedwa aura ndipo sizimveka nthawi zonse. Nthaŵi zina, mamembala amatha kuzindikira pamene kulanda kudzachitika. Odwala ena ogwidwa ndi agalu amakhala ndi agalu ogwira ntchito omwe amatha kulongosola pamene wodwalayo adzagwidwa ndipo akhoza kumudziwitsa wodwala kapena achibale ake.
- Ictal: Uku ndiko kulanda. Mthupi lonse lathunthu limagwidwa, wodwala salandira. Maso awo angakhale otseguka kapena atsekedwa; kawirikawiri, adzakhala akuwomba momveka bwino. Ambiri amayamba kugwidwa ndi mitsempha yambiri. Palibe kugwedezeka pa nthawi imeneyo, minofu yambiri ikugwira ntchito nthawi yomweyo. Pakati pa gawoli, odwala angamve zovuta kapena zovuta kukhudza. Gawo la tonic likutsatiridwa ndi kayendetsedwe ka klonicheni, mankhwala omwe amachititsa kuti asokonezeke. Kusunthira kwa kacisi ndimene ambiri amalingalira tikamaganizira za kugwedezeka. Kawirikawiri m'magulu azachipatala, kugwidwa kwathunthu kwa thupi monga chonchi kumatchulidwa ngati tonic-clonic seizure.
- Post-Ictal: Pambuyo pa kulumala, wodwalayo sadzakhala wosamvera - ngati akugona ndipo sadzauka - pang'onopang'ono kukhala maso. Zitha kutenga mphindi zochepa kuti wodwala ayambe kuchira, ndipo nthawi zambiri amatha kutenga maola kuti apeze bwinobwino.
Zokwanira Zachigawo
Kugonjetsa pang'ono kumakhala kovuta kufotokoza chifukwa pali njira zambiri zomwe angakhalire. Kugonjetsa pang'ono kumapezeka chifukwa chomwecho monga kugonjetsedwa kwadzidzidzi - pali zofuna zowopsya mu ubongo. Komabe, ngati kugwidwa pang'ono kumakhala kochepa, maganizowa ali kumadera akutali a ubongo ndipo zimakhudza gawo lokhalo la thupi.
Kusunthira kwa clonic, monga momwe anthu akugwirira ntchito, kumawoneka mwa kugwidwa pang'ono. Kusiyana kwakukulu kwakukulu ndiko kuti wodwala sangakhale wopanda chidziwitso panthawi yomwe amatha kugwidwa pang'ono, ndipo kupsinjika kumakhala kokha kumadera ena: mkono umodzi kapena mbali imodzi ya nkhope, mwachitsanzo.
Ubongo umagawidwa magawo awiri, kumanja ndi kumanzere. Mbali yolondola ya ubongo imayang'anitsitsa mbali ya kumanzere ya thupi komanso mosiyana. Chizindikiritso cha kukomoka kwapadera ndikuti mbali imodzi yokha ya thupi idzakhudzidwa. Mwa kuyankhula kwina, simungathe kuwona zida zonse ziwirizi mu kayendetsedwe kake pamene thupi lonse silinakhudzidwe.
M'malo mwake, mudzawona mkono umodzi kapena mwendo umodzi, kapena mwinamwake mbali imodzi yonse ya thupi ikugwedezeka koma mbali inayo siili.
Pali zifukwa zina zomwe zingayambitse kugwidwa pang'onopang'ono poyamba, zomwe zimapitilira mu thupi lathunthu.
Mkhalidwe Wokhumudwa
Kugonjetsedwa kwa thupi, komwe kumatchedwanso kuti matenda a epilepticus , ndi vuto lalikulu lachipatala. Pali ziganizo ziwiri za kufooka kwa malo:
- Kutenga kwa nthawi yaitali , kawirikawiri kumakhala yoposa maminiti 10 (madokotala osiyana adzakhala ndi nthawi yosiyana, koma maminiti khumi ndiwo ambiri).
- Kugonjetsa kokwanira kamodzi popanda kubwezeretsa kwathunthu kuchoka kwa dziko lachigawo pakatikati . Mwa kuyankhula kwina, ngati wodwalayo atha kugwidwa ndipo akadalibe chidziwitso kapena groggy ndipo ali ndi ina, akuwoneka kuti akudwala.