Isithuthwane ezinjeni namakati

Izinhlobo zesithuthwane

Kubanikazi, njengomthetho, zonke izimo ezihambisana nokuthuthumela noma ukuthuthumela ziyisithuthwane. Empeleni akunjalo. Kukhona idiopathic kanye nezimpawu zokuwa kanye ne-epileptoid states. Ake sibhekisise.

• Isithuthwane esinezimpawu senzeka ngezifo zobuchopho, isibonelo, lapho kukhona isimila noma i-hydrocephalus.
• I-idiopathic isithuthwane ukuquleka ngaphandle kwesizathu esiqondile. Okusho ukuthi, ngesikhathi sokuxilongwa, akunakwenzeka ukuthola ukuthi yini eyabangela i-pathology.
• Ukudlikizeka kwe-Epileptoid noma i-epileptiform. Kwenzeka ezifweni ezihlukahlukene. 

Amaphuzu angu-2 okuqala abhekisela esithuthwaneni sangempela, lokhu kuxilongwa akuvamile.

Izimpawu zomtholampilo

Isifo sokuwa singazibonakalisa ngezindlela ezihlukahlukene. Kungase kube nezimpawu ezihlukahlukene, kokubili zodwa futhi zihlangene:

• Ukulahlekelwa kokwazi
• Ukuthuthumela nokunyakazisa imisipha ngayinye yomzimba, umlomo, izitho
• Ukungezwani kwemilenze nomzimba wonke
• Ulaka oluzenzakalelayo
• Igwebu eliphuma emlonyeni, ukuhlanza
• Ukuzikhulula ngokuzenzekelayo nokuchama
• Iphimbo elingelona ngokwemvelo

Isifo sokuwa sihlukaniswe izigaba ezi-4:

1. Isilwane sikhathazekile, sithukile, kungase kuvele hypersalivation.
2. Ngaphambi nje kokuhlasela, isilwane singazelula sisondele kumuntu, noma sicashe, sibe nemibono engemihle, ukuqunjelwa, futhi imisipha ingase inyakaze. Ngokushesha ngaphambi kokuhlasela, izinja zivame ukuhamba noma zilale phansi zingabonakalisi umlomo wombhobho, amakati ayasaba, agijimele ngapha nangapha, agxume ngokungahleliwe noma azame ukubaleka, aphepheze umsila wawo.
3. Isilwane silahlekelwa ukwazi, siwe sibheke eceleni, kuvele ukunyakaza okugwedlayo okugwedla ngezidladla, futhi izidladla zingaqina futhi zelulelwe phambili, imilenze yangemuva ingacindezelwa ukuya esiswini. Ukunyakaza okuncane kokuhlafuna kwenzeka ngemihlathi, ngokuvamile ulimi noma isihlathi kuyalunywa, futhi igwebu eliphuma emlonyeni liphenduka libe pink negazi. Isikhathi esifushane, umlomo ungavuleka kakhulu, amazinyo akhishwe. Ngenxa yokuqina kwemisipha yesisu, ukuchama okuzenzakalelayo kanye nokukhishwa kwendle kwenzeka. Amehlo avame ukuvuleka kakhulu, abafundi bavulekile, i-reflexes ayikho. Esiqongweni sokubanjwa, isilwane esifuywayo, ngaphandle kokuphaphama, singakhamuluka kakhulu, ikakhulukazi izinja - zikhala futhi zikhwife, ezesabisa kakhulu abanikazi. Isikhathi sokuhlasela sisuka kumzuzu ongu-1 kuye kwemi-5. Khona-ke isilwane siyaphaphama futhi sizame ukusukuma.
4. Ngemuva kokuhlaselwa, i-hypersalivation, ubuthakathaka bemisipha buqhubeka isikhathi esithile, isilwane sididekile, singase sicindezeleke noma sijabule kakhulu. 

I-Status epilepticus iyincazelo evamile yesimo esibucayi, lapho ukubanjwa ngakunye okulandelayo kwenzeka ngaphambi kokuba isilwane silulame ngokuphelele ekubanjweni kwangaphambilini. Ngokuvamile, kulesi simo, isilwane siqulekile, ukudlikizela kungase kungapheli, noma kuphindaphindwe kaningi, lapho kubonakala sengathi ukuhlasela sekudlulile, isilwane sikhululekile, kodwa uchungechunge olusha lokuqhaqhazela luqala ngokushesha. Kuyenzeka futhi ukuthi isilwane silahlekelwe ukwazi, futhi ukudlikizela akubonwa. Ngezinye izikhathi ukuquleka kuthinta iqembu elilodwa kuphela lemisipha, njengesitho, isilwane sihlala sisazi noma silahlekelwe ngokuzumayo. Ukuquleka kwe-serial kwe-epileptic kuhluke ekubanjweni kwesithuthwane kuphela ngokuthi lapho kumiswa ikhefu phakathi kokuquleka (noma uchungechunge lwazo), isimo sesiguli siba ngokwejwayelekile, ukwazi kubuyiselwa ezingeni elithile noma kwelinye, futhi akukho ukuphazamiseka okuqhubekayo kokusebenza kwezitho nezinhlelo. Kodwa-ke, ukuquleka kwe-serial kwe-epileptic kungashintsha kube isimo sokuwa, futhi umugqa ophakathi kwakho ungase ungacaciswa kahle ngaso sonke isikhathi.

Izimbangela lesi sifo

Zingaba yini izimbangela zesithuthwane sangempela nezimo ezifana naso?

• Izifo ezithathelwanayo: i-toxoplasmosis, i-feline viral leukemia, i-feline infectious peritonitis, i-hepatitis ethathelwanayo, i-feline immunodeficiency virus, i-canine distemper, i-rabies, i-mycoses
• Hydrocephalus
• I-Neoplasia
• Izimo ze-idiopathic
• Ukushoda kwama-micro and macroelements
• Ukuhlaselwa yinhliziyo nokushaywa unhlangothi
• Izifo zesimiso sezinzwa
• I-Hypoxia (ukuntuleka komoya-mpilo)
• Ukulimala kobuchopho okubuhlungu, ukulimala komgogodla
• Izimila zobuchopho nomgogodla
• Ukuphefumula kanye ne-palpitations
• Ubuthi, isb, theobromine, isoniazid, rodenticides, izitshalo ezinobuthi, organophosphates, izinsimbi ezisindayo.
• Ukwehla kwamazinga kashukela egazini, okungenzeka kube ngenxa yesifo sikashukela noma ubuthi be-xylitol
• I-Portosystemic shunt, evame kakhulu ezinjeni zohlobo oluncane
• I-Hepatic encephalopathy
• Izinkinga ze-Electrolyte
• i-postpartum eclampsia
• Ilanga noma ukushisa
• I-Otitis media nendlebe yangaphakathi
• Idiopathic isithuthwane

Indlela yokusiza isilwane ngesikhathi sokuhlasela

Akufanele uzame ukuletha isilwane ngokushesha, zama ukulungisa ulimi, ikakhulukazi ukuhlanza amazinyo bese ufaka okuthile emlonyeni, cindezela isilwane phansi: konke lokhu kugcwele ukulimala, kokubili kwesilwane nomnikazi. : isilwane esingakwazi ukuzilawula, ngisho sisesimweni sokuqulekile singase siklwebheka kabi noma silume ngephutha. Ngaphezu kwalokho, kuvame ukubonakaliswa kolaka ngaphambi nangemva kokuhlaselwa, kufanelekile ukuqaphela lapho uphatha isilwane. Umuntu kufanele asuke kude nesilwane esifuywayo izinto eziyingozi ezingawela kuye noma zilimaze nganoma iyiphi indlela. Kuyinto efiselekayo kakhulu kumnikazi ngokwakhe ukuthi azidonsele ndawonye futhi enze ifilimu okwenzekayo kuvidiyo, lokhu kungasiza udokotela ekwenzeni ukuxilongwa. Kusukela kaningi ngemva kokuphela kokuquleka e-reception, udokotela ubona isilwane esinempilo ngokuphelele. Zama ukuyisa isilwane sakho emtholampilo wezilwane ngokushesha, njengoba ziningi izimbangela zesithuthwane. Okuyingozi kakhulu, uma isilwane siwela esimweni sokuwa, siyingozi kakhulu ebuchosheni. Kulokhu, ukunakekelwa okuphuthumayo ngisho nokulala kwezokwelapha kuyadingeka.

Diagnostics

Uma unezimpawu zesithuthwane, kufanele uxhumane nodokotela wakho wezinzwa wezilwane. Ukuqoshwa kwevidiyo kokuhlasela kungasiza kakhulu ekuxilongweni. Okunye okubaluleke kakhulu ulwazi olunikezwa umnikazi: imigomo, izifo ezingamahlalakhona nezidluliselwe ngaphambilini, ukudla, njll. Okulandelayo, udokotela uzohlola, ahlole i-reflexes, izinga lokushisa, ukukala ushukela wegazi, ukuhlolwa kwegazi, ukuhlolwa komchamo, umfutho wegazi. , ama-hormone kanye namazinga e-electrolyte. Uma konke kuhlelekile, khona-ke i-MRI yobuchopho kanye ne-EEG, ukuhlaziywa kwe-cerebrospinal fluid, uma kungenzeka, inganqunywa. Uma, ngokwemiphumela yezifundo, ama-pathologies awatholakali, khona-ke udokotela wenza ukuxilongwa kwesithuthwane sangempela.

Ukwelashwa kanye ne-prognosis

Ama-anticonvulsants asetshenziselwa ukwelapha isithuthwane. I-prognosis iqaphile. Ku-status epilepticus, i-catheter efakwa emthanjeni ifakwa bese isilwane silaliswa izidakamizwa amahora angama-2-4, kuye ngokuthi isimo sesimo singakanani: ukunciphisa izidingo ze-metabolic zobuchopho, ukuquleka kuyamiswa, bese kuthi izidakamizwa ze-anticonvulsant ziyekwe. wazama. Uma zingasebenzi noma isilwane asikwazi ukususwa esimweni, khona-ke i-prognosis ayilungile. Uma sibhekene nezimo ezifana nesifo sokuwa, khona-ke ukwelashwa kungase kuhluke kakhulu, kanye ne-prognosis, futhi kuncike ekuguleni okutholakele.