Isifo sokuwa
I-Etiology
I-etiology yesithuthwane iyinkimbinkimbi futhi ingabandakanya:
Izakhi zofuzo: Ezinye izinhlobo zesithuthwane zihlotshaniswa nokuguqulwa kofuzo noma izici zofuzo.
Ukulimala kobuchopho: Ukulimala kwesakhiwo ebuchosheni njengokuhlukumezeka ekhanda, unhlangothi, izimila ebuchosheni, njll.
Ukungajwayelekile ekuthuthukeni kwesimiso sezinzwa: Ukukhula kobuchopho okungavamile kungase kuholele esithuthwaneni.
Ukuphazamiseka kweMetabolic: Izifo ze-metabolic ezifana ne-hypoglycemia, uremia, njll., zingase zibangele isithuthwane.
Ukutheleleka: Ukutheleleka kwesistimu yezinzwa ezimaphakathi njenge-meningitis, i-encephalitis, njll.
Ukubonakaliswa Komtholampilo
Uphawu oluyinhloko lwesithuthwane ukuquleka, kodwa izinhlobo ezahlukene zesithuthwane zingabonisa izimpawu ezihlukahlukene zomtholampilo. Izifo zokuwa ezivamile zihlanganisa:
Ukuquleka okuyingxenye: Okubandakanya kuphela isifunda esithile sobuchopho, iziguli zingase zithole ukunyakaziswa kwemisipha yendawo, ukuphazamiseka kwezinzwa, njll.
Ukuquleka okujwayelekile: Okuthinta ubuchopho bonke, iziguli zingase zibonise ukulahlekelwa ukwazi, ukudlikizeka okuvamile, njll.
Ukuxilongwa
Ukuxilongwa Kwesithuthwane
Ukunquma ukuthi yisithuthwane kudinga izingxoxo ezinemininingwane nesiguli, amalungu omndeni, ozakwethu, noma abanye ofakazi bokuzibonela, okuhloswe ngazo ukuqoqa umlando ophelele wokuquleka. Ukuhlolwa kwe-Electroencephalography (EEG) kubaluleke kakhulu ekuxilongeni isithuthwane kanye nokuhlukaniswa ngezigaba zesithuthwane. Bonke abasolwa ngokuba nesifo sokuwa kufanele bahlolwe i-EEG. Kuyaphawuleka ukuthi ama-EEG ajwayelekile akhombisa izinga eliphansi lokungajwayelekile, elilinganiselwa ku-10% kuya ku-30%. Kodwa-ke, ama-EEG amisiwe, ngenxa yesikhathi eside sokurekhoda nokuhlolwa okuhlukahlukene kokucasuka, ikakhulukazi ukufakwa kokulala, ngezinye izikhathi okuhambisana nokuqoshwa kwe-electrode ye-sphenoidal, akhuphula kakhulu izinga lokutholwa kokuphuma kwesithuthwane, akhuphule izinga le-positivity lifinyelele cishe ku-80% futhi lithuthukise ngokuphawulekayo ukunemba kwesithuthwane. ukuxilongwa.
Izinhlobo Zesithuthwane
Ukunquma uhlobo lokubanjwa ngokuyinhloko kuncike emlandweni wezokwelapha onemininingwane kanye nokuhlolwa kwe-EEG okujwayelekile, okulekelelwa ukuqapha kwe-EEG yevidiyo uma kunesidingo.
I-Etiology Yesithuthwane
Ngemva kokuqinisekisa ukuxilongwa kwesithuthwane, kufanele kwenziwe imizamo yokuthola izimbangela zaso. Ukubuza ngomlando womndeni, izimo zokuzalwa nokukhula, noma yimuphi umlando we-encephalitis, meningitis, ukuhlukumezeka kwekhanda, njll., phakathi nomlando wezokwelapha kubalulekile. Ukwengeza, izivivinyo ezifanele ezifana ne-MRI, CT, i-blood glucose, i-calcium, ukuhlolwa koketshezi lwe-cerebrospinal, njll., kukhethwa ukuze kuqhutshekwe nokutholakala kwezimbangela.
Ukuxilongwa Okuhlukile
Ngokomtholampilo, kunezinhlobo ezehlukene zezehlakalo ze-episodic, okuhlanganisa kokubili izehlakalo zesithuthwane nezingezona ezesithuthwane. Izehlakalo ezingezona ezesithuthwane zingenzeka kuwo wonke amaqembu eminyaka yobudala. Izehlakalo ezingezona ezesithuthwane zihlanganisa izimo ezihlukahlukene, ezinye ziyizimo ze-pathological ezifana ne-syncope, i-transient ischemic attack (TIA), ukuphazamiseka kokunyakaza kwe-reflex, ukuphazamiseka kokulala, ama-multiple tic, i-migraines, kanti ezinye ziyizenzakalo zomzimba ezifana neziphonso zokubamba umoya, ezihlobene nokulala. imisipha yemisipha, ukwethuka ebusuku, njll. Enqubweni yokuxilongwa okuhlukile, imibuzo enemininingwane yomlando weziqephu ibalulekile ekutholeni imbangela. Ngaphezu kwalokho, i-EEG, ikakhulukazi ukuqapha kwe-EEG ngevidiyo, idlala indima ebalulekile ekuhlukaniseni abantu abanesifo sokuwa nezingezona ezesithuthwane. Ezimweni eziyinselele ekuxilongweni, ukudluliselwa kuchwepheshe kunconywa.







