Wani Yanki na Musamman Wanda Zai Bincika Ka
Yawancin mutane sun yarda sun san abin da aka kama. Wani wanda ke da kamala yana fara girgiza ba tare da yin la'akari ba, ya fāɗi a ƙasa, kuma ya yi hasara. Amma wannan ba koyaushe bane. Harkokin daji zai iya gabatarwa a hanyoyi dabam dabam, wani lokuta kawai yana shafar wani sashi na jiki, kuma wani lokaci kawai yana shafar ɓangare na kwakwalwa ba tare da wata damuwa ba.
Matsayi mai kwakwalwa shi ne mafi tsanani irin kama - yana da kariya wanda ba zai daina. Bugu da ƙari, yadda ya sa mai haƙuri ya kasance mai haɗari , matsayi na jini zai iya kashe kuma ya haifar da lalacewa ta kwakwalwa. Matsayi mai kwakwalwa shine gaggawa gaggawa.
Game da shekaru goma da suka gabata, masu bincike daga jami'ar Columbia a New York sun haifar da wani tashin hankali a cikin al'umma na likita lokacin da suka kimanta marasa lafiya a ICU tare da electroencephalography . Kodayake babu wata tuhuma da cewa wa] annan marasa lafiya sun kama su, wannan shine abin da wa] annan masu bincike suka gano. Kimanin kashi goma cikin dari na marasa lafiya marasa lafiya a ICU sun kasance ainihin matsayi na marasa lafiya a matsayin epilepticus, NCSE.
Mene ne Maganin Tsarin Kasuwanci?
A matsananciyar yanayin epilepticus, kwakwalwa yana ci gaba da kamawa, ko kuma kamawa akai-akai cewa marasa lafiya ba su da damar samun damar dawowa daga lokacin rikicewar rikicewa wanda ke biyo bayan kamawa.
Wannan lokaci na dawowa ana kiran shi bayan bayan-ictal .
A mafi yawancin, mutane a cikin matsananciyar yanayin epilepticus suna kama da marasa lafiya ICU da yawa wadanda ba su amsa ba saboda ilimin ƙwaƙwalwar ƙwayar cuta ko kuma duk wasu matsalolin halayen sani . Duk da haka, idan an yi la'akari da EEG, zamu iya ganin wannan a ainihin, mai haƙuri yana cikin matsayin epilepticus.
Bambanci yana da mahimmanci, saboda matsayin epilepticus zai iya amsa magunguna. Yawancin lokaci, zai zama mummunan ra'ayi na ba da haƙuri a kan benzodiazepine kamar na Ativan (lorazepam), saboda waɗannan magunguna sun rage aikin kwakwalwa. A cikin mai haƙuri wanda bai riga yayi tunanin sosai ba, benzodiazepines na iya sa matsalar ta fi muni.
Saki, a gefe guda, ana haifar da mummunan aikin kwakwalwa. A cikin waɗannan lokuta, magani mai maganin cutar marasa lafiya, irin su benzodiazepine, zai iya taimakawa mai lafiya ya sake ganewa bayan an katse wajan epilepticus.
Binciken asalin Cikakken Tsarin Kwafi
Tabbas, don magance yanayin da ba shi da magungunan epilepticus, kana buƙatar farko da sanin cewa mai haƙuri yana kama. Yawanci, yanayin rashin kwarjini na epilepticus yana da alakantarwa, ma'anar cewa marasa lafiya da yawa sun tafi ba daidai ba. Wani ɓangare na dalili shi ne cewa NCSE wani sabon abu ne wanda aka kwatanta, kuma ta hanyar yanayinta, ba shi da mahimmanci a fili kamar yadda yanayin rashin lafiyar shi ne epilepticus.
Wani dalili na kwatancin NCSE shi ne cewa zai iya bayyana a hanyoyi da dama, yawancin abin da yawanci ya saba da shi ta hanyar wani abu mafi mahimmanci. Alal misali, kimanin rabin marasa lafiya a asibiti suna fama da dadi , wanda zai iya kama da NCSE amma yana da yawa.
A wasu manyan cibiyoyin ilimin kimiyya, yana zama al'ada don haɗawa da EEG ya kai ga dukan marasa lafiya ICU. Duk da haka, a mafi yawan asibitoci, likita ya buƙaci kula da hankali game da abin da haƙuri ya cancanci dacewa tare da EEG.
Jiyya na Hukuncin Ƙasa maras amfani
Yadda za a magance NCSE mafi kyau shine wurin inganta magani. Mafi dacewa ta hanyar haƙuri, wasu cututtuka, da kuma wasu fannoni na kama. Alal misali, NCSE wani lokaci yana biyan halin da ke ciki maras kyau. A cikin waɗannan lokuta, akwai haɗarin hatsari ga NCSE, kuma an yi amfani da mummunan magani a cikin wani kulawa mai kulawa mai tsanani (ICU).
Duk da haka, a wasu lokuta inda NCSE ba'a riga ya fara ba, to zai iya zama mafi alhẽri ga marasa lafiya da ba za a fallasa su a ICU ba, musamman idan marasa lafiya sun tsufa. Wannan yana iya zama saboda magungunan magungunan magungunan magunguna sunyi tasiri, kuma saboda haɗarin haɗarin zama a cikin ICU.
Har ila yau, shekarun yana da mahimmanci a lokacin da ake kula da NCSE a cikin matasan, kamar yadda magunguna ke samuwa sosai fiye da marasa lafiya. Yara suna da kullun saboda cututtukan kwayoyin, yayin da marasa lafiya marasa lafiya zasu iya samuwa saboda matsalar da aka samu, kamar fashewa.
A cikin lokuta inda matsalar epilepticus ke tare da wasu matsalolin kiwon lafiya, ɗaya daga cikin ginshiƙan maganin shine magance matsaloli masu mahimmanci. Rikicin da aka yi ya zama mummunan lokacin da kamuwa da cuta ko wasu matsalolin kiwon lafiya ke fama da shi. Alal misali, idan mai haƙuri yana da koda mai tsanani da hanta da hanta, ƙara magunguna na iya sa yanayin ya fi muni. Kamar yadda yawanci yake, ana kula da lafiyar NCSE da bukatun kowane likita a matsayin mutum.
Sources:
J Claassen, Mayer SA, Kowalski RG, Emerson RG, Hirsch LJ. Gano magungunan ilimin lantarki tare da ci gaba da kulawa da EEG a marasa lafiya marasa lafiya. Ma'anar ilimin halitta. 2004 Mayu 25, 62 (10): 1743-8.
Frank W. Drislane, MD1Presentation, Bincike, da kuma Kula da Harkokin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙari da Lafiya 1, 301-314 (2000)
Simon Shorvon Mene ne yanayin rashin kwarjini a matsayin epilepticus, kuma menene tsaka-tsaki? Epilepsia, 48 (Sanya 8): 35-38, 2007
Litt B, Wityk RJ, Hertz SH, Mullen PD, Weiss H, Ryan DD, Henry TR. Epilepsia. Matsayin da ba a nuna ba ne a cikin marasa lafiya marasa lafiya. 1998 Nov, 39 (11): 1194-202.