Ukuphambana okunzulu kwemisipha emzimbeni, ngokuqhelekileyo imilenze, ngokuchasene nemvelaphi yokushisa komzimba ophezulu (ukusuka kuma-37.8 degrees) okanye i-neuroinfections i-febrile convulsions. Lo mzekelo uvame ukubonwa kwabantwana abangaphantsi kweminyaka emi-5 ubudala, abantu abadala banesifo sokukhubazeka kakhulu kuncinci, ngokukodwa ngokubambisana nezifo ezinzulu zegazi.
Iibangela kunye nemiphumo yokubanjwa kweengxaki
Iimpawu ezichanekileyo ezibangela ukuba kuqhekeke i-spastic muscle contraction ayinakusekwa. Kukho isiphakamiso sokubanjelwa kwexinzelelo ngenxa yokuphazamiseka kweenkqubo ezinqandekileyo emzimbeni.
Ukwahlula uhlobo oluqhelekileyo nolusenyameni lwalesi sifo.
Uhlobo lokuqala lokuthintela luhamba kunye nokubandakanya phantse yonke inxaxheba kwinkqubo (ukuzaliswa), ukulahlekelwa kwengqondo . Ukubanjwa kwexesha kuthatha ngaphantsi kwemizuzu engama-15 kwaye akuphindaphindi ubuncinane iiyure ezingama-24.
Iimpawu zokubamba i-feprily febrile zibonakaliswe yimpawu ezifana nobude obude (ukusuka kwi-15 imizuzu ukuya kwii-12 ukuya kwiiyure), kugxininise-i-predominance of spasms nakweyiphi inxalenye yomzimba. Ezi zithintelo zingaphinda ziphindwe kabini ngosuku.
Kubantu abadala, luhlobo lwe-atypical ye-febrile seizures, nangona oku kunqabile kakhulu, nokuba yinto eqaqambileyo. Njengomthetho, zivela kwimvelaphi yokuhluthwa kunye nezifo ezinomdla. Akukho zizathu zenye imeko ekhutshwe ngayo kumntu omdala.
Isiphumo esisodwa esiyingozi se-pathology esichazwe yintlupheko yesifo sokuhluthwa kunye nezilonda zesimiso se-nervous.
Uncedo lokuqala lwe-febrile convulsions
Amanyathelo okufuneka athathwe ngexesha lokutshatyalaliswa:
- Beka isigulane kwindawo epholileyo, ekhuni, ngaphandle kokubukhali, ubunzima, naziphi na izinto ezibuhlungu.
- Jikela umzimba kwicala, nciphisa intloko. Oku kuya kuthintela ingress yamathe, ukuhlanza, ukutya kwisimo sokuphefumula.
- Qinisekisa ukuhamba kwamahhala emoyeni opholileyo ukuya kwigumbi ukunciphisa ukushisa komzimba.
Ezinye izenzo azidingeki phambi kokufika kweengcali.
Yintoni engenako eyenziwa nge-febrile convulsions:
- Zama ukwenza ulwimi lwakho. Ngokuchasene nenkolelo eyintandokazi, akunakwenzeka ukuyigwinya.
- Beka nayiphi na into emlonyeni wakho. Ukusetyenziswa okunjalo kunokubangela ukulimala emagqabini namazinyo, iziqwenga zazo ezingena kwindawo yokuphefumula.
- Umkhosi ukubamba ixhoba. Ubude kunye nobukhulu be-spasm abayi kuchaphazela oku.
- Ukuzisa isigulane siphile ngoncedo lokuphefumula.
- Nika ngaphambi kokuphela kwesigqibo samachiza okanye amanzi.
Ulwaphulo olufanelekileyo luya kwenziwa liqela loogqirha.
Unyango lwe-febrile seizures
Indlela yokugcinwa kwemilinganiselo iquka ezimbini iindidi zonyango:
1. Ukunyangwa ngokuthe ngqo kokuthintela (umyinge uboniswe nge-1 kg yesisindo ngosuku):
- Seduxen okanye iDiazepam 0.2-0.5 mg;
- ULaurafen okanye uLorazepam 0.005-0.02 mg;
- Phenobarbitalo 3-5 mg;
- Ibuprofen 5-10 mg, ukuya kumaxesha amane ngosuku;
- I-Paracetamol 10-15 mg, ayikho ngaphezu kwama-5 ngamaxesha angama-24;
- Naproxen 5 mg kabini imihla ngemihla.
2. unyango lokukhusela (phakathi kokuthintela):
- Clobazam ye 0.5 mg;
- Diazepam 0.4 mg nganye iiyure eziyi-8 kwiiyure ezingama-48 zokuqala emva kokuhlaselwa.
Kubalulekile ukuba uqaphele ukuba ukuphumelela kwonyango lokukhusela akuzange kuboniswe. Abanye oogqirha bancomeka ixesha elide, iminyaka emi-2 ukuya ku-5, bethatha amachiza anesifo se-antiepileptic:
- ICarbamazepine;
- Phenobarbital;
- Valproate;
- Phenytoin;
- Diakarb ;
- Acetazolamide.
Ezinye iingcali zicebisa ukushiya naziphi na iziyobisi ngaphandle kokutshatyalaliswa. Kodwa kukho nawuphi na umzekelo, ukutyelela ngokuchanekileyo kwi-neurologist, uviwo oluqhelekileyo, uphando lwamaqhinga kunye neelabhoratri liyadingeka.