Dalili, Jiyya, da Mahimmanci na Tsarin Jiki
Matsayi maras lafiyar, ko 'matsayi' wani gaggawa ne na gaggawa wanda ke buƙatar gaggawa - a gaskiya ma, likita na gaggawa zai iya adana rai.
Lura : Idan ka damu cewa wani yana da matsayi mai lamba 911. Sabbin matakai na gaggawa na gaggawa 2016 an lura da su a kasa karkashin kulawar gaggawa.
Rashin haɗari abu ne maras kyau, sake tsara tsarin wutar lantarki wanda ke faruwa a cikin kwakwalwa.
Idan wani ya sake dawowa dashi, an gano ganewar asibiti bisa ga nazarin jini, tarihin lafiya, da sauran gwaje-gwaje, irin su EEG, kofin gefe , ko nazarin hoto. A wannan lokaci ne mai bada sabis na kiwon lafiya zai rubuto muku magunguna masu dacewa da zasu sarrafa lafiyarku.
Tare da ciwon wariyar launin fata, za ka ga cewa mafi yawan rikici na iya wucewa zuwa 'yan mintoci kaɗan . A wasu lokuta mawuyacin, zasu iya wucewa kuma zasu iya, a gaskiya, ba su tsaya ba. Wannan ake kira matsayin epilepticus. An kiyasta cewa kimanin mutane 50,000 zuwa 150,000 a Amurka suna shafar matsayi na kwaskwarima kowace shekara.
Mene ne Matsayin Cilepticus?
A lokacin matsayi na wariyar launin fata, mutumin da ke fama da cututtuka yana da lahani da kuma ci gaba ko maimaitawa. Rikicin al'ada zai wuce kawai 'yan mintoci kaɗan. Duk da haka, idan aka kama dashi 5 zuwa minti 30 ba tare da an sake dawowa da sanin ba, za a gano mutumin da matsayin epilepticus.
Jirgin marar lafiyar shi ne gaggawa na gaggawa wanda ke buƙatar gaggawa da kuma kulawa da lafiya kuma zai iya zama m idan ba a magance shi nan da nan ba. Matsalolin da zasu iya fitowa daga matsayi na kwakwalwa sun haɗa da dysfunction na zuciya ko huhu, canje-canje na rayuwa, da karuwa a cikin jiki, da kuma kyakkyawan ƙwaƙwalwar ƙwaƙwalwa.
Matsayi mai kwakwalwa na iya kasancewa mai lalata ko maras amfani. Abinda yake da haɗari yana nufin mutumin yana da kyakkyawar maɓalli (girgiza kamar) aikin. Epilepticus maras ban sha'awa yana nufin ɓangaren rikicewa da rashin sani. Kowa a cikin wata kasa da ba shi da tushe ba zai bayyana cewa yana da kwarewa ba, amma har yanzu suna da rikici na lantarki a cikin kwakwalwa wanda ya dace da kama. Bayan da aka kama wani abu mai kamala kuma mutumin bai sake ganewa ba bayan wani lokaci, mai bada sabis na kiwon lafiya zai yi la'akari da yin wani EEG don tabbatar da cewa mutumin baya cikin halin da ba shi da tushe.
Mene ne ke faruwa ne?
Matsayi mai kwakwalwa shine yanayin mummunan yanayin da ke rayuwa wanda ke buƙatar gaggawa da gaggawa don magance matsalolin da kuma adana aikin kwakwalwa. Matsayi mai kwakwalwa zai iya rinjayar kowace shekara, ko da yake wasu dalilai zasu iya haifar da matsayi a cikin yara da sauran mutane da yawa a cikin tsofaffi. Wadannan abubuwan haɗaka sun haɗa da:
- Hanyoyin cuta na yau da kullum (cututtuka da ke shafi manyan ɓangarorin jiki)
- Febrile (cututtukan)
- Tashin rauni
- Dama
- Wasu cututtuka
- Rushewar janyewar magunguna na antionvulsant (anti-seizure)
- Cire janyewar barasa ko magungunan marasa lafiya
- Rashin kwakwalwa na mota (low sodium, low calcium, low ko high jini sugar)
- Low maida hankali ga miyagun ƙwayoyi marasa lafiya a cikin jini
Gwaji na gaggawa na Jirgin Cutar
Farawa na farko farawa tare da dokokin ABC: Tabbatar cewa jirgin iska na mutum yana bayyane, mutum yana numfashi kuma ya sake dawo da jiki.
Za'a iya gudanar da bincike na likita don gano dalilin da yasa mutum ya shiga matsayi na kwakwalwa a farkon wuri.
Domin yin amfani da ganimar, wasu magunguna za a yi amfani da su. An gabatar da sabon jagorori a shekara ta 2016 ta Ƙungiyar Epilepsy na Amirka.
Na farko da aka fi sani da magungunan da ake amfani da shi shine IV benzodiazepines, wanda ya haɗa da diazepam, lorazepam, da midazolam. Ana amfani da Lorazepam saboda aiki mai sauri. Kusan 55% na mutane za su amsa wannan matsala ta farko. Idan ba aiki, daya daga cikin wadannan kwayoyi za'a iya maimaitawa, amma idan ya kasa yin aiki bayan kashi na biyu, lokaci yayi da za a canja zuwa magunguna daban-daban.
Zaɓuɓɓuka na biyu magungunan ci gaba sun hada da IV fosphenytoin, valproic acid, ko levetiracetam. Idan wannan ba ya aiki wani daya daga cikin wadannan kwayoyi za'a iya amfani dashi, ko kuma za'a iya ba da wani abu mai ban mamaki.
Idan waɗannan ka'idodi na biyu ba su aiki ba, lokaci yayi da za a shiga lokaci mai tsanani tare da yin amfani da kulawar EEG ci gaba . Za a iya maimaita magungunan na biyu na farfadowa ko kuma ana iya magance marasa lafiya tare da maganin cututtuka na thiopental, midazolam, pentobarbital, ko propofol.
Muhimmanci da Gano Tsarin Nuna Halin Tsarin Tsarin
Matsayi mai kwakwalwa zai iya zama mummunan kuma bai kamata a ɗauka ba. Ɗaya daga cikin binciken ya nuna cewa mutuwar mutanen da aka gano tare da epilepsy ya kai kashi 22 cikin dari, tare da yawan mace mai mutuwa na kashi 3% cikin yara da 26% a cikin manya. Saboda haka, aiki mai sauri yana da matukar muhimmanci.
Tsayar da Cilestile
Domin ya hana matsayi na kwakwalwa, wajibi ne mutum ya dace da magungunan su. Bugu da ƙari, ziyarar ta yau da kullum ga mai bada sabis na kiwon lafiya ya kamata a yi don tabbatar da cewa magani yana aiki yadda ya kamata, babu wasu magunguna da aka kara da cewa zasu iya rage tasirin maganin masu maganin antiepileptic, da kuma tantance duk wani yanayi (irin su maye gurbin, da ciwon sukari marasa cike , tashin hankali na rayuwa) wanda zai iya katse ikon sarrafawa.
Sources:
Betjemann, J., da D. Lowenstein. Status epilepticus. Lancet Neurology . 2015. 14 (6): 615-624.
Drislane, F. Matsayi mai ƙyama a cikin tsofaffi: Ƙayyadewa, siffofin asibiti, da kuma ganewar asali. Na zamani. Updated 11/20/15. http://www.uptodate.com/contents/convulsive-status-epilepticus-in-adults-classification-clinical-features-and-diagnosis
Glauser, T., Shinnar, S., Gloss, D. Ka'idodin Shaidun Shaida: Gudanar da Halin Halin Halin Kwafi a cikin Yara da Adalai: Rahoton Kwamitin Sharuɗɗa na Ƙungiyar Epilepsy na Amirka. Kogin Wuta . 2016 16 (1): 48-61.
Trinka, E., Cock, H., Hesdorffer. Et al. Magana da rarrabuwa na matsayi epilepticus - Rahoton Ƙungiyar Ayyukan Ƙungiyar Ƙungiyar Ƙungiyar Ƙungiyar Ɗaukakawa akan Tsarin Maɗaukaki. Epilepsia . 2015. 56 (10): 1515-23.