Generalized tonic-clonic kubatwa

Generalized tonic-clonic seizure imhando yekutora inosanganisira muviri wese. Iyo inonziwo Grand mal seizure. Mazwi ekuti kubata, kugwinha, kana pfari anowanzo kuve akabatana neakajairika tonic-clonic seizures.

Kugwinha kunokonzerwa nekunyanyisa kushanda muuropi. Generalized tonic-clonic pfari dzinogona kuitika muvanhu vezera ripi zvaro. Zvinogona kuitika kamwe (kamwe episode). Kana, izvo zvinogona kuitika sechikamu chedzokororo, chisingaperi chirwere (pfari). Kumwe kubatwa kunokonzerwa nematambudziko epfungwa (psychogenic).

Vanhu vazhinji vane generalized tonic-clonic seizures vane chiono, kuravira, kunhuwidza, kana shanduko yeshungu, kufungidzira, kana dzungu kusati kwatorwa. Iyi inonzi aura.

Kukanganiswa kunowanzokonzera musimba yakaoma. Izvi zvinoteverwa nechisimba mhasuru kupunzika uye kurasikirwa kwekusvinura (kuziva). Zvimwe zviratidzo zvinoitika panguva yekubatwa zvinogona kusanganisira:

• Kuruma dama kana rurimi
• Mazino akaruma kana shaya
• Kurasikirwa kweweti kana chestool kudzora (kusagadzikana)
• Kumira kufema kana kunetseka kufema
• Ruvara rweganda rebhuruu

Mushure mekubatwa, munhu wacho anogona kunge aine:

• Kuvhiringidzika
• Kukotsira kana kurara kunotora kweawa rimwe kana kupfuura (inonzi post-ictal state)
• Kurasikirwa kwendangariro (amnesia) nezve iyo yekubatwa episode
• Kutemwa nemusoro
• Kushaya simba kwe1 divi remuviri kwemaminetsi mashoma kusvika maawa mashoma zvichitevera kubata (kunonzi Todd kuoma mitezo)

Chiremba achaita bvunzo dzepanyama. Izvi zvinosanganisira cheki yakadzama yehuropi uye nehurongwa hwetsinga.

EEG (electroencephalogram) ichaitwa kutarisa mashandiro emagetsi muuropi. Vanhu vane pfari vanowanzove nemagetsi zvisingaite anoonekwa pamuedzo uyu. Mune zvimwe zviitiko, bvunzo inoratidza nzvimbo iri muuropi uko kutanga kwekubatwa. Uropi hungaratidzika kunge hwakajairika mushure mekubatwa kana pakati pekubatwa.

Kuongororwa kweropa kunogona zvakare kurairwa kuti utarise mamwe matambudziko ehutano anogona kunge ari kukonzera kubatwa.

Musoro CT kana MRI scan inogona kuitwa kutsvaga chikonzero uye nzvimbo yedambudziko muuropi.

Kurapa kwekubatwa kwe tonic-clonic kunosanganisira mishonga, shanduko mumararamiro evakuru nevana, senge chiitiko uye chikafu, uye dzimwe nguva kuvhiyiwa. Chiremba wako anogona kukuudza zvakawanda nezve idzi sarudzo.

Kutora - tonic-clonic; Kutora - Grand mal; Grand mal seizure; Kutora - generalized; Pfari - generalized pfari

• Ubongo
• Kugwinha - rubatsiro rwekutanga - akateedzana

Abou-Khalil BW, Gallagher MJ, Macdonald RL. Epilepsies. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 101.

Leach JP, Davenport RJ. Neurology. Mune: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Misimboti yaDavidson uye Maitiro Ekurapa. 23rd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 25.

Thijs RD, Inowedzera R, O'Brien TJ, Sander JW. Pfari muvakuru. Lancet. 2019; 393 (10172): 689-701. PMID: 30686584 pubmed.ncbi.nlm.nih.gov/30686584/.

Wiebe S. Tsviyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 375.