Pfari
Etiology
Etiology yepfari yakaoma uye inogona kusanganisira:
Genetic factors: Mamwe marudzi epfari ane chokuita nekuchinja kwemajini kana kuti nhaka.
Kukuvara kwehuropi: Kukuvadzwa kwechimiro kuhuropi senge kukuvadzwa musoro, sitiroko, mamota ehuropi, nezvimwe.
Zvisizvo mukukura kwehurongwa hwetsinga: Kukura kwehuropi husina kujairika kunogona kukonzera pfari.
Metabolic disorders: Zvirwere zvemetabolic senge hypoglycemia, uremia, nezvimwewo, zvinogona kukonzera pfari.
Zvirwere: Central nervous system zvirwere zvakadai semeningitis, encephalitis, nezvimwewo.
Clinical Manifestation
Chiratidzo chikuru chepfari kubatwa nepfari, asi mhando dzakasiyana dzepfari dzinogona kuratidza zviratidzo zvekiriniki zvakasiyana. Kubatwa nepfari kunosanganisira:
Kubata kwakasarudzika: Kungosanganisira imwe nzvimbo yehuropi, varwere vanogona kuona tsandanyama kutsemuka, kusagadzikana kwekunzwa, nezvimwe.
Generalized seizures: Kukanganisa huropi hwese, varwere vanogona kuratidza kurasikirwa nekuziva, kugwinha kwese, nezvimwe.
Kuongororwa
Kuongororwa kweEpilepsy
Kuona kuti ipfari inoda kubvunzurudzwa kwakadzama nemurwere, nhengo dzemhuri, vatinoshanda navo, kana vamwe vakazviona, nechinangwa chekuunganidza nhoroondo yakazara yekubatwa. Electroencephalography (EEG) kuongororwa kwakakosha pakuongorora pfari uye kupatsanurwa kwepfari. Vose vanofungidzirwa kuti vane pfari vanofanira kuongororwa EEG. Zvinokosha kuziva kuti maEEGs akajairwa anoratidza mwero wakaderera, wakapoteredza 10% kusvika 30%. Nekudaro, maEEG akamisikidzwa, nekuda kwenguva refu yekurekodha uye bvunzo dzakasiyana dzekutsamwisa, kunyanya kurovererwa kwekurara, dzimwe nguva kuwedzeredzwa ne sphenoidal electrode kurekodha, zvakanyanya kuwedzera chiyero chekuonekwa kwekubuda kwepfari, kusimudza mwero we positivity kusvika ku80% uye zvakanyanya kuvandudza huchokwadi hwepfari. kuongororwa.
Mhando dzeEpileptic Seizures
Kusarudza rudzi rwekubatwa kunonyanya kutsamira pane yakadzama nhoroondo yekurapa uye yakamisikidzwa EEG bvunzo, inowedzerwa nevhidhiyo EEG yekutarisa kana zvichidikanwa.
Etiology yeEpilepsy
Mushure mokusimbisa kuongororwa kwepfari, kuedza kunofanira kuitwa kuziva zvikonzero zvayo. Kubvunza nezve nhoroondo yemhuri, kuzvarwa uye mamiriro ekukura, chero nhoroondo yeencephalitis, meningitis, kurwadzisa musoro, nezvimwe, panguva yekurapa kwakakosha. Pamusoro pezvo, bvunzo dzakakodzera senge MRI, CT, shuga yeropa, calcium, cerebrospinal fluid bvunzo, nezvimwewo, inosarudzwa kuti iwedzere kuona zvikonzero.
Differential Diagnosis
Mukiriniki, mhando dzakasiyana dzezviitiko zveepisodic zviripo, zvinosanganisira zviitiko zvepfari uye zvisiri zvepfari. Zviitiko zvisiri zvepfari zvinogona kuitika mumazera ese. Zviitiko zvisiri zvepfari zvinosanganisira mamiriro akasiyana-siyana, mamwe ari mamiriro ezvirwere senge syncope, transient ischemic attack (TIA), reflex movement kusagadzikana, kusagadzikana kwekurara, multiple tic, migraines, nepo zvimwe zviitiko zvepanyama senge kufema-kubata zviperengo, zvine chekuita nekurara. tsinga dzetsandanyama, kutya kwehusiku, zvichingodaro. Mukuita kusiyanisa kuongororwa, kubvunza zvakadzama munhoroondo yezvikamu zvakakosha pakutsvaga chikonzero. Uyezve, EEG, kunyanya vhidhiyo yeEEG yekutarisa, inoita basa rakakosha mukusiyanisa pfari kubva kune zvisiri zvepfari. Pamatambudziko akaoma mukuongororwa, kutumira kune nyanzvi kunokurudzirwa.







