Ukuquleka emakatini: izimbangela zokuhlaselwa, ukwelashwa kanye nokuvimbela

Lapho ebona ukuquleka kwesilwane esifuywayo esithandekayo, noma yimuphi umnikazi angesaba. Ukuquleka emakatini okubangelwa ukusebenza kukagesi okungavamile ebuchosheni kungase kuhambisane nokunyakazisa izidladla, ukuqhinqa amathe, nokugedla amazinyo. Nakuba lokhu kuquleka kubukeka kusabisa, akusona isimo esiphuthumayo ngaso sonke isikhathi.

Kungani ikati liquleka futhi yini okufanele lenze ngakho?

Amajaqamba ekati: izizathu

Ukubanjwa kwamakati kuwela ezigabeni ezimbili: i-intracranial, okungukuthi, okubangelwa izimbangela ngaphakathi kogebhezi, kanye ne-extracranial, okungukuthi, okubangelwa izimbangela ezingaphandle kogebhezi.

Izinkinga ze-intracranial sezures zihlanganisa:

• izicubu zobuchopho;
• izifo zobuchopho;
• ukuhlukumezeka nokuvuvukala kobuchopho;
• izifo zobuchopho ezifana ne-toxoplasmosis.

Ukuquleka kwe-Extracranial kungabangelwa:

• isibindi noma isifo sezinso;
• ukuchayeka emithi yezeze noma imikhaza engahloselwe amakati;
• ukuphuzela umuntu imithi;
• ukushisa okushisayo;
• izifo ezithathelwanayo;
• umfutho wegazi ophakeme.

Ukuquleka emakatini nakho kungenzeka ngenxa yesifo sokuwa, okusho ukuthi imbangela yokuquleka ayikaziwa.

Ukuquleka emakatini: izimpawu

Ukuquleka emakatini kungase kwenzeke ngezindlela eziningi. Ukudlidliza okuvamile noma okukhulu kungase kuhlanganise ukudlikizeka, ukuqina kwezitho noma ukudikiza, ukulahlekelwa ukwazi, ukuphimisela okungavamile, nokulahlekelwa ukulawula ukuchama noma ukukhululeka. 

I-grand mal seizure ingase yenzeke iyodwa noma njengochungechunge lokuquleka. Ngokuvamile kuthatha umzuzu owodwa noma emibili. Uma ukuquleka kuthatha imizuzu engaphezu kwemi-5 kuya kweyi-10, isimo sibizwa nge-“status epilepticus” futhi siyisimo esiphuthumayo sezokwelapha. Kulesi simo, kufanele ngokushesha uthathe ikati emtholampilo wezilwane. Kumelwe futhi iyiswe kudokotela wezilwane ngemva kwanoma yikuphi ukuhlaselwa ukuze kuhlolwe ngokuphelele futhi kuxilongwe.

Ezinye izinhlobo zokuquleka ukungabikho, noma ukuquleka kancane. Phakathi kwabo, ikati lingase lixoshe umsila noma isithunzi salo, libonise ulaka noma lilume. Zenzeka kuyaqabukela.

Ngezinye izikhathi ukuquleka kuba kufushane kangangokuthi umnikazi angase angakuqapheli. Kwezinye izimo, umnikazi angase abone ukuziphatha okungavamile ngemva kokubanjwa, ngesikhathi okuthiwa yi-post-seizure stage.

Ikati lingase libukeke likhathele kakhulu noma, ngokuphambene, lijabule kakhulu, lidle futhi liphuze kakhulu, noma liziphathe ngendlela engavamile. Uma isilwane sakho sibonisa noma yiziphi zalezi zimpawu, kufanele uxhumane nodokotela wakho wezilwane.

Ukuquleka ekatini: okufanele ukwenze

Ngaphandle kwasezimeni zesithuthwane sesimo, ukuquleka emakatini akuvamile ukuba kube isimo esiphuthumayo sezokwelapha. Lokhu kusho ukuthi umnikazi akadingi ukuthi athinte umtholampilo wezilwane ngokushesha. Uma ikati lakho libe nokuquleka kodwa liyama ngemva komzuzu owodwa kuya kwemibili, kufanele ushayele udokotela wakho wezilwane futhi wenze isikhathi sokubona ikati lakho lihlolwe ngokushesha ngangokunokwenzeka.

Uma ukuquleka kukufushane kodwa kwenzeka ochungechungeni lokuquleka, noma uma ikati liye laquleka izikhathi eziningana ngesikhathi esisodwa, kufanele uliyise ngokushesha kudokotela wezilwane.

Nakuba ikati liquleka njengesithuthwane noma lisalulama kuzo, akufanele lithintwe ngaphandle kwalapho kunengozi yokuthi lingathola ukulimala okuyingozi, njengokuwa ezitebhisini noma emanzini. Uma uthinta ikati ngesikhathi sokuquleka, lingaluma noma lizinwaye kanzima.

Uma ukuquleka kunganqamuki, isilwane kufanele siyiswe esikhungweni sezempilo ukuze sithole usizo oluphuthumayo. Usebenzisa ithawula eliwugqinsi, phakamisa futhi ugoqe ikati ukuze uhambe ngendlela ephephile. Ehhovisi likadokotela wezilwane, uzodinga ukuphendula imibuzo ngomlando wezokwelapha wesilwane:

• inombolo, imvamisa kanye nobude besikhathi sokuquleka;
• umlando wokugoma;
• indawo yokuhlala yekati - ekhaya noma emgwaqweni;
• uhlelo lokudla kanye nokudla;
• kungakhathaliseki ukuthi ikati lisanda kuhlanza noma isifo sohudo;
• izinguquko zesisindo zakamuva.

Ukuphendula le mibuzo kuzosiza udokotela wakho wezilwane ukuncoma ukuhlolwa nokwelashwa okufanele. Ukuhlolwa kungase kuhlanganise ukuhlolwa kwegazi nomchamo, ukuhlaziya i-fecal, kanye/noma izifundo ze-imaging, okuhlanganisa ama-x-ray, ama-ultrasounds, nama-MRIs.

Ukwelapha Ukuquleka Emakatini

Uma ikati linesimo se-epilepticus, ithimba lezilwane lizohlinzeka ngokunakekelwa okuphuthumayo. Lokhu kungase kuhlanganise ukufaka i-catheter emthanjeni, ukunikeza isidakamizwa esinqanda ukudlikizela, umuthi osetshenziselwa ukuvimbela noma ukulawula ukuquleka, nokuthatha amasampula egazi nomchamo ukuze ahlaziywe.

Uma ikati lakho lingavamile ukuba nokuquleka, imithi ingase ingadingeki. Uma zenzeka izikhathi ezingaphezu kwesisodwa njalo emavikini ayisithupha kuya kwayisishiyagalombili, kungase kudingeke ukwelashwa ukuze kuvinjelwe ukulimala okwengeziwe kobuchopho.

Uma ikati lizinzile futhi okwamanje lingekho esimweni sokuquleka, ukwelashwa kungase kuhlanganise ama-anticonvulsants omlomo kanye nokubhekana nanoma yiziphi izimbangela eziwumsuka. Uma udokotela wezilwane enikeza ikati imithi, kubalulekile ukulandela imiyalelo yomthamo. Ukushintsha umthamo noma ukunqanyulwa kungazelelwe kwemithi kungase kuholele ekuphindaphindeni noma ekwandeni kokuquleka.

Amajaqamba amakhulu ekati nokudla okunomsoco

Uma isilwane esifuywayo siba nokuquleka, uchwepheshe wezilwane noma isazi sokudla okunomsoco kufanele ahlole umsoco waso. Uma ikati lakho lihlushwa ezinye izifo ezingabangela izifo ezinjalo, njengesibindi noma isifo sezinso, ukudla okunomsoco kunganciphisa umthelela walezi zifo ebuchosheni.

Noma yisiphi isilwane, okuhlanganisa namakati anokuquleka noma izimpawu zemizwa, sizozuza ekudleni okuphelele nokunokulinganisela okugcwele ama-antioxidants nama-omega-3 fatty acids, ngaphandle uma kuqondiswa udokotela wezilwane.

Ukuquleka okuhlasimulisayo kuhlala kuwumbono othusayo. Ngenhlanhla, emakati, zenzeka kuyaqabukela. Ukunakekelwa okufanele kwezilwane ngokuvamile kungaxazulula inkinga ebangela ukuquleka futhi kubuyisele ikati esimweni esivamile.

Bona futhi:

I-indigestion ekati: okufanele ukwenze nokuthi uphathwa kanjani

Ukukhetha udokotela wezilwane

Izifo zesibindi emakati kanye nokwelashwa kwazo ngokudla kwamakati okudla

Ingabe ikati lakho liyakhuluphala?