Ukuqhekeka okukhulu kwemisipha emzimbeni, ngokuvamile imilenze, ngokumelene nesimo sokushisa komzimba okuphezulu (kusuka ku-37.8 degrees) noma ukuguqulwa kwamagciwane kuyi-febrile convulsions. Lesi simo sivame ukubhekwa ezinganeni ezingaphansi kweminyaka emihlanu ubudala, abantu abadala bahlushwa yi-pathology ngokweqile kakhulu, ikakhulukazi ngokuhambisana nezifo ezinzulu zezinzwa.
Izimbangela nemiphumela ye-febrile seizures
Izimbangela eziqondile ezivusa ukuhlukunyezwa kwe-muscle spastic kwakungenakwenzeka. Kunesiphakamiso sokuthi kuqubuke ukucindezeleka okukhulu ngenxa yokuphazanyiswa kwezinqubo zokuvimbela emzimbeni.
Qhathanisa uhlobo olujwayelekile nolwama-atypical yalesi sifo.
Uhlobo lokuqala lokugubha luhambisana nokubandakanya cishe wonke amagatsha esimisweni (ukukhiqiza), ukulahlekelwa ulwazi . Ukuthunjwa kudlula imizuzu engaphansi kwengu-15 futhi akuphindaphindi amahora angu-24.
Ukuqothulwa kwesifo se-febrile kubonakala ngezibonakaliso ezifana nobude obude (kusukela kumaminithi angu-15 kuya kumahora angu-12-20), okugxile - okuyinhloko yezinselele kunoma iyiphi ingxenye yomzimba. Lezi zinhlekelele zingabuyekezwa izikhathi eziningana ngosuku.
Kubantu abadala, kuyindlela yokuqothulwa kwe-febrile, kodwa lokhu kuyinto engavamile kakhulu, ngisho nesenzakalo esiyingqayizivele. Njengomthetho, zivela ngokumelene nesizinda sesifo sokufa nesifo esinamandla segazi. Azikho ezinye izizathu zesimo esibucayi lapho umuntu esemdala.
Umphumela owodwa owingozi we-pathology echazwe yi-progression of epilepsy kanye nezilonda zesimiso sezinzwa.
Usizo lokuqala lwe-febrile convulsions
Izinyathelo okufanele zithathwe ngesikhathi sokuthunjwa:
- Beka isiguli endaweni ephephile, enzima, ngaphandle kokubukhali, okunzima, noma yiziphi izinto ezibuhlungu.
- Vula umzimba ohlangothini, wehlisa ikhanda. Lokhu kuzogwema ingress yamathe, ukuhlanza, ukudla kwisistimu yokuphefumula.
- Qinisekisa ukugeleza kwamahhala emoyeni opholile ekamelweni ukunciphisa ukushisa komzimba.
Ezinye izenzo azidingeki ngaphambi kokufika kochwepheshe.
Okungeke kwenziwe nge-febrile convulsions:
- Zama ukuthola ulimi lwakho. Ngokuphambene nomlando odumile, akunakwenzeka ukuwugwinya.
- Beka noma yiziphi izinto emlonyeni wakho. Ukuphathwa okunjalo kungabangela ukulimala emahlathini namazinyo, izingcezu zazo ezingangena emphefumulweni wokuphefumula.
- Ukuphoqa ukubamba isisulu. Ubude nobukhulu be-spasm ngeke kuthinte lokhu.
- Ukuletha isiguli ukuba siphile ngosizo lokuphefumula okufakelwayo.
- Nika ngaphambi kokuphela kwemithi noma imithi.
Ukwelashwa okwanele kuzokwenziwa iqembu labadokotela.
Ukwelashwa kwe-febrile seizures
Indlela yokuqapha ihlanganisa izinhlobo ezimbili zokwelapha:
1. Ukwelashwa okuqondile kokuqothulwa (umthamo uboniswa ngalunye u-1 kg wesisindo ngosuku):
- Seduxen noma i-Diazepam 0.2-0.5 mg;
- Laurafen noma uLorazepam 0.005-0.02 mg;
- I-Phenobarbitalo 3-5 mg;
- Ibuprofen 5-10 mg, kuze kube izikhathi ezine ngosuku;
- I-Paracetamol 10-15 mg, ayikho ngaphezu kwezikhathi ezingu-5 emahoreni angu-24;
- I-Naproxen 5 mg kabili nsuku zonke.
Ukwelashwa kokuvimbela (phakathi kokubanjwa):
- I-Clobazam ye-0.5 mg;
- Diazepam 0.4 mg njalo ngamahora angu-8 emahoreni angu-48 okuqala ngemva kokuhlaselwa.
Kumele kuqaphele ukuthi ukusebenza kahle kwe-thérapie yokuvimbela akuzange kuboniswe. Abanye odokotela batusa isikhathi eside, iminyaka engu-2-5, bethatha imithi yokulwa nesifo:
- I-Carbamazepine;
- I-Phenobarbital;
- Valproate;
- Phenytoin;
- I-Diakarb ;
- I-Acetazolamide.
Ezinye izazi zeluleka ukushiya noma yiziphi izidakamizwa ngaphandle kokuqothulwa. Kodwa kunoma yikuphi, ukuvakashelwa okuhleliwe ku-neurologist, ukuhlolwa okuvamile, ucwaningo lwama-instrumental kanye ne-laboratory kuyadingeka.