Epilepsy wāhi: puka, take, maimoatanga. Hea hamani ratou haurangi i roto i Russia

I mua i huaina haurangi mate hanahana ranei haurangi, me te iwi e whai kitea reira, stigmatized, e ko, i roto i te hapori hoatu ratou tauhae hinengaro, a i roto i te nuinga o te wā kino. Ahakoa i roto i tenei tau wāhi i roto i te tahi mau whenua, e kore e te iwi pāngia ki te haurangi whānui rahi ranei whakaaetia ki te mahi i roto i mahi maha ki te pei, whai wāhi i roto i te tahi mau ngā mahi hākinakina, pērā i te ruku.

Ko o te whakaaro e te te iwi ärai tino titiro rite tenei: te manawanui taka ki te whenua, tīmata ki te whiua i roto i haehae, tona mangai he ia he pahuka i. Ki te ki te tangata i taua momeniti hipokina kakahu pouri, kua haere te wāhanga, ka taka te manawanui moe. I roto i te meka, Ka taea e haurangi faaite mai ano i roto i ngā huarahi rerekē, me te hamani i te reira i roto i te pūtahi motuhake hauora. Ko tētahi o te pai i roto i Russia he spondylitis whare haumanu te wahi e whakamahia hou tikanga tātaritanga me te maimoatanga. No nia i rahi tūroro haurangi, me o ratou hapu i maha pātai: te wahi i haere mai ai i, ahakoa i te wahi tupu, ahakoa ma'i aha haurangi mamae tamariki iti ki te whakaora e taea te tino tuku ai i te he reira mahi wehe, tae noa ki te ora-whakawehi, me te tini ke atu. I roto i tēnei tuhinga ka tamata tatou ki te hoatu oti mōhiohio e pā ana ki te mate.

Haurangi - Ko ...

Hei timata whakamārama he aha te ahua o te mate, ko te - haurangi rahi. Ko te pūnaha io te tangata kua he mātauranga hanganga me te mahi microscopically iti, ka karanga neurons. Ratou hanganga motuhake taea ki te rokiroki ratou, ka tuku mōhiohio i te tahi atu wae pērā, me te te uaua, me te repe. I roto i te meka, whakaritea tetahi tauhohenga o te kaiao e te whanonga o enei matūriki iti. I roto i te roro tangata i reira e neke atu i te 65 piriona. He tokomaha o ratou e tu'ati ka hanga te pera-ka karanga whatunga neural. Whakarite e taea te māngai ratou rite te ahua o te pūnaha mārama e ora i ona ture ake. haurangi haurangi puta ina whakatika neurons ohorere (paroxysmal) hauruke hiko i roto i te ofatiraa o ratou mahi. Ka taea e puta te reira i roto i maha mate, te nuinga o nei pā ana ki te neuroses o ngā etiologies. He arotahi haurangi, me te whānui. Ko te kupu "rahi" mai i te Latin "arotahi". ngahunga haurangi whakaaro ka arotahi excitation o neurons i roto i te kotahi pae (wāhi) ranei, ki te hoatu i te reira noa, i reira he he wahi lesion roro motuhake. whakaaro haurangi te ki te whakatakiruatanga o (tapeke), ka pā te hinga tonu ranei tuakoi e rua o te roro, ranei, ka puta i roto i te wahi etahi, pā ki te roro katoa.

Whakarōpū o

I roto i 1989, te whakahoutia whakarōpū o haurangi rahi me ona tohu mua-tīariari. Na wahi o tenei mate he syndromes taratahi:

1. Idiopathic.

2. symptomatic.

3. Cryptogenic.

I roto i te whakatakiruatanga o syndromes taratahi haurangi idiopathic me symptomatic.

Ano, i reira e he maha o āhua wahi i reira e ano te rahi me tohu te whakatakiruatanga o.

haurangi ngahunga Idiopathic

Tenei momo o te mate whakawhanake, no ka timata nga neurons i roto i te roro ki te mahi maro atu i tika. I roto i tenei take, he arotahi haurangi pera-ka karanga, e kua hangaia e hauruke hiko nui, engari pāpaka roro hanganga i roto i te manawanui ki reira. I te tuatahi, hanga te tinana i roto i te whakautu ki taua huri noa te takuahi te ahua o te take tiaki. A, no te whiwhi tukunga kaha, tuku ki te wahi i a ratou i roto o ana rohe, tupu he tangata ki te ärai haurangi. Ko te take o te haurangi idiopathic i roto i nuinga o te wā ko te irakētanga congenital i roto i te ira, na kia ai taua mea tuku. Ki te whakapuaki ia ratou, taea e tenei māuiuitanga i tetahi tau, engari ko te reira maha nga tohu tuatahi kitea i roto i ngā tamariki. Ki te maimoatanga wā mo te mate, ko te taea ki te whakakore i nga tohunga, a kahore tika timata tūroro maimoatanga huringa hanganga i roto i te tuakoi kaka, ārahi ki te momo o disorders neurological, tae atu mahi hinengaro. Haurangi i roto i te tamariki - he mārire, no te mea kahore he riri ki te ora. whakarōpūtia ngā hāngai te reira i runga i te wāhi o neurons kaha, me te arotahi ko:

• pae tino;
• kōpako;
• haurangi pānui tuatahi.

Tohumate me te haumanu hūkiki taupa pae tino

Ka rite ki te ingoa titau, pāngia tenei momo o te māuiuitanga te ka te takuahi ko neurons kaha rawa hāngai i roto i te mau hiero. kia puta pae tino haurangi rahi i roto i te grudnichkovom tau mo te take e whai ake nei:

• perinatal (kano) whētuki;
• kore o te hāora i roto i te toto (hypoxemia) puta mo ngā take, tetahi o i te asphyxia i whanau;
• gliosis posttraumatic i roto i te rohe pae tino.

I roto i te māuiuitanga pakeke kia puta hoki te take e whai ake nei:

• raruraru i roto i te oko kaka;
• infarction kaka;
• whara.

A, no te e tenei māuiuitanga ärai haurangi wahi kahore mate o te mahara, me ona precursors (koreutu) pea i konei e noho. kia wheako tūroro māna, gustatory ranei moemoea ataata, whanoke, a ētahi wā mamae i roto i te puku, whakapairuaki, hūhi i roto i te ngakau, dyspnoea, kirika, arrhythmia, manukanuka, whakaaro e pā ana ki te huri i te akoranga o te wā, he tikanga o tona ake tinana.

Ki te tae mai te excitation o neurons i te wāhi pūtake, me te toro ki te tuakoi e rua o te roro, e ko, i tau ana te whakatakiruatanga o te haurangi rahi, patua taea te tango i te wahi ki te mate o te mahara, te ngangau o te mahara, te hinga, engari kahore haehae. Ano i roto i tenei wāhanga o te tūroro mate kia wheako mahi auau - pakia ringa, rakuraku, tangi, tukurua etahi oro, kikimo.

ka karanga ki te ahunga whakamua o te taupa pae tino haurangi kitea whakaeke te tuarua te whakatakiruatanga o. E āhuatanga ratou i te ngaronga o te mahara, maturuturu i roto i te manawanui, mamae i roto i te uaua katoa.

kawea te tarukino "carbamazepine", me i te ngaro o te pānga o te whakauru therapy i roto - i te rongoa matua mō tenei ahua o te haurangi. I roto i te wā tino, tohua pokanga te.

Hauora me te tohu o te kōpako haurangi

Kei te whakaaro tenei māuiuitanga hoki ki te kia mārire, ka puta i tetahi tau, engari i roto i te 76% o ona faaiteraa tuhia i roto i ngā tamariki 3 ki te 6 tau te pakeke. Kōpako haurangi rahi i roto i ngā tamariki āhuatanga e te meka e hukihuki puta ka reira he rerekētanga nui, me te reira e (neke atu i te 30 meneti, i ētahi wā he torutoru haora) poto (e pā ana ki te 10 meneti) ranei te roa.

Mō 10% o tūroro i disorders vegetative anake (whakapairuaki, te nuinga o mutu ki te ruaki, ānini, ahuatanga, lethargy, sweating tiketike, ataahua ranei, hei kōrero, whero o te kiri, mare, whakararuraru ngakau, myiasis, mydriasis, te taikaha mimi hua pāmahana).

E ine (tūranga he) kanohi āhua 80% o tūroro. Nuinga o ngā wā, titiro atu te tamaiti ki te taha.

I roto i te 26% o ngā take korerotia puta gemikloniya (disordered aitua, uaua).

I te pae hopea, 90% o nga tohu vegetative kia haere tahi i te mate o te mahara.

I roto i te 1/5 tamariki kia wheako hukihuki, hīkoi Jacksonian, me etahi matapo ranei moemoea oraora.

I te mutunga o te whakaeke mana'o noa te tamaiti, kahore tohu neurological me raruraru hinengaro.

Ko te roanga o haurangi me tohu autonomic he mātua rawa wehi nei ite e kia mate ratou tamaiti. Heoi, e hiahiatia ana te āwhina hoki i te roanga poto pai haurangi te. Ki te te whawhai i te haurangi roa kōpako, me te he tohu autonomic korerotia, whakarato reira āwhina whawhati tata, i ngā i roto injecting benzodiazepines rō-uaua. Ki te he to koutou tamaiti haurangi puta pinepine, kawea atu ārai maimoatanga "carbamazepine".

haurangi pānui Paraimere

Ko te faaiteraa tino onge o te mate, noa i roto i te mau tamaroa i te mau tamahine i te ōwehenga o te 2: 1. Faaite mai tenei puka o te haurangi i roto i te tau wawe kura. timata haurangi ki kauwae wiri, aitua, o nga uaua o te kauae raro, varavara kitea kupukupu mau fifi, abnormalities tairongo i roto i te tai'oraa i, rawa ki te te mahi reira i roto i nui. A, no te e mutu te harbingers tuatahi o te tamaiti pānui, te kore ai te whakawhanake i te whawhai ki te pai kaha. Ētahi o ngā mātua, me ngā kaiako, rawa, e kore e tangohia tino he huru o te tamaiti, engari kia tino ki te pānui i te haurangi kia tukinotia, rite kia timata atu patua ki puta i roto i te kēmu, ka korero kai ranei. Ko te rongoa matua mō tenei puka o te haurangi - "Valproate". Hoki, kia whakahau taote "Flunarizine" me "clonazepam".

haurangi ngahunga symptomatic

pāngia ana tēnei māuiuitanga te ina kua kino hanganga te uho, te take o nei ine tika. Papa'ihia i haurangi symptomatic i roto i ngā tamariki me ngā pakeke e pā ana ki te auau taua. Ko te take mo tona tupu e taea e:

• wharanga roro pāmamae i tetahi take;
• mate hopuhopu;
• mate viral;
• oko dysplasia waha;
• takawhita;
• osteochondrosis o te tuaiwi;
• malformations pūnaha io;
• anoxia (asphyxia);
• He maha mate o nga whekau;
• i roto i te whētuki whanau hou.

A faaite i haurangi symptomatic ratou kia ara tau i muri i te whētuki mate ranei.

Whakarōpū o haurangi symptomatic

I roto i tenei mate i reira e wha puka, i runga i te localization o huringa hanganga rānei:

• pae tino;
• kōpako;
• kōpako;
• frontal.

i roto i tenei rōpū hoki ora ake Kozhevnikovsky syndrome (ma'i, me te ahu whakamua wā kotahi haurangi) me te syndrome te wahi rahi tīmatanga haurangi o tetahi whakaohooho waho, pērā i muri i whakaoranga ohorere.

Pae tino haurangi symptomatic āhuatanga e rongo waimaerotanga, whakaaro arorau, tauira o te whanonga.

A, no te maha kitea te frontal disorders kupu, mate o te mahara, te ite, me te tahi atu ine hinengaro o tikanga tau.

Kōpako Epilepsy he atarua, rohirohi, ruruku waimaero o ngā nekehanga.

Ko te kōpako, ko te rawa o ratou tohu o haehae, paresis, mahi nekeneke waimaero.

Patua ki haurangi symptomatic taea e ohie (vegetative iti, nekeneke me abnormalities rongo i roto i te mahi mahara), matatini (ngangau o mahara, me o nga whekau) me tuarua te whakatakiruatanga o (ngaronga o mahara, hukihuki, nui pōrearea autonomic).

Ki te kia tukinotia tohu o haurangi ki ha toketā neave tākuta ranei i roto i tona whare hauora. pai te reira i te whare hauora ingoa spondylitis pai i roto i St. Petersburg, i reira, i roto i te tahi atu mahi tari o te Neurology me psychiatry tamaiti. He he he pokapū tātaritanga hou, kawea atu matüora, hormonal, rauemi rangahau whānui whakatau āhuatanga mōrearea coronary, rongoā aroturuki, te whakahaere tātaritanga mahi, ultrasound, ECG, oko rangahau.

haurangi ngahunga Cryptogenic

Ko te kupu "cryptogenic" e takea mai i te Kariki "krifto", e te tikanga "huna", "huna". whakanohoia te tātaritanga o "haurangi cryptogenic" te ka kore e taea te tāutuhia te take o te mate. Tino maha, puta tenei māuiuitanga i roto i te iwi pakeke atu i te 16 tau. kia take pea te momo o te matenga ngaukino, te pukupuku, he maha mate, tohanga rawakore. Ko te take rangirua o te mate hanga uaua reira ki te whakaora. I roto i tenei take, tae noa ki taea, he reira e minaminatia ki te tono ki te hōhipera pokapū, te wahi i reira ko te pokapū tātaritanga hou ki taputapu matatau, pērā i roto i te Brain Institute (St Petersburg). Here, ite tohunga ki te mahi oko rangahau matatau i roto i te matenga, electroencephalography, electroneuromyography, roro pūmanawa rangahau, me te whānuitanga katoa o whakamātautau matüora me taiwhanga.

Ko te pikitia haumanu o hukihuki ki haurangi cryptogenic taea e tino rerekē. kite Patua i roto i tenei māuiuitanga ki mate o mahara, a kahore taua mea, me tohu o disorders autonomic, haehae kahore Tuhinga o rerekē kaha me te roanga ranei nekeneke iti tika me / ranei hauā rongo ranei.

I te wahi o te arotahi arotahi neurons overexcited wehewehe te puka e whai ake nei:

• i roto i te tuakoi tika;
• i roto i te tuakoi i mahue;
• i roto i te wāhanga roro hohonu;
• cryptogenic haurangi frontal rahi.

kia hoki kia whai pānga haurangi cryptogenic ki Lennox-Gastaut syndrome. kite ia atu pinepine i roto i te mau tamaroa i waenganui i 4 me te 6 tau, a ka he wince tumu, mate o āhua uaua, mate o te mahara, me te hinga.

maimoatanga

āwhina Tuatahi i roto i te hukihuki haurangi e whakarato i te whanaunga me hoa, tupu te reira i runga i tetahi o kanohi. He aha ki te mahi? te hātepe e whai ake nei:

• ki te tiaki i te manawanui i ngā tūemi mōrearea e aitua ia whara;
• ki te hinga te tangata, hoatu ana e ia ki raro i tona te tahi mea matenga ngohengohe;
• wewete i te toromoka (pātene, zippers) i roto i te kaki, me te pouaka;
• i muri i te taenga o te manawanui i roto i te tukanga i te tikanga o ana patunga, ki te mea he;
• karanga te waka tūroro.

Aha atu ki te mahi:

• kia mau te tangata haehae;
• decompress te niho manawanui;
• tamata ki te hoatu i te reira wai medicaments ranei.

kawea maimoatanga haurangi i roto i muri i te whakatūnga o te take o te mate, me te tātaritanga tika, na ki te mea e ahei, he reira e minaminatia ki te tono ki haumanu motuhake, pērā i Brain Institute (St. Petersburg), te Rehabilitation hauora o Neurology (Moscow) me ētahi atu whakaurunga motuhake hauora, te wahi i reira e epileptolog.

kawea maimoatanga haurangi i roto i roto i te maha ngā huarahi:

• whakaiti i roto i te auau me te roanga o te whakaeke;
• ārai o whakaeke hou;
• rehunga;
• te paetae o te manawanui, i roto i nei ka taea e koe te whakakore i te tarukino.

I roto i ētahi wā, kia whakamahia reira mo te maimoatanga herea i roto i te hōhipera hinengaro motuhake. Methods o maimoatanga ngā horonga rongoā, kai, Osteopathy, tikanga Vojta, a i roto i ngā take kino - pokanga.