Nāʻano o nā epilepsy: Nā kumu, nā ʻōuli a me nā ʻano

Anter

• Hiki ke hoʻokaʻawale ʻia ʻo Epilepsy i nā ʻāpana like ʻole e pili ana i kāna mau ʻōuli a me nā hōʻailona.
• ʻO kahi maʻi o ke kumu neurological
• Nā ʻano epilepsy e like me ka ʻike o kāna kumu
• A) Nā pilikia pilikia
• B) Nā pilikia Cryptogenic
• C) Lāʻau idiopathic
• Nā ʻano epilepsy e like me ka laulā ʻana o ka hopu ʻana
• 1. Pilikia lehulehu
• 1.1. ʻO ka pilikia tonic-clonic maʻamau a i ʻole ka pilikia nui grand
• 1.2. Ka pilikia o ka hele a hewa iki paha
• 1.3. Lennox-Gastaut maʻi
• 1.4. Epilepsy Myoclonic
• 1.5. West syndrome
• 1.6. Pilikia Atonic
• 2. Ka hopu ʻana i ka ʻāpana / nui
• 2.1. Nā pilikia o Jacksonian
• 2.2. Epilepsy hapa Benign o ka wā kamaliʻi
• Hoʻokahi noonoo hope loa

Hiki ke hoʻokaʻawale ʻia ʻo Epilepsy i nā ʻāpana like ʻole e pili ana i kāna mau ʻōuli a me nā hōʻailona.

ʻO ka hopu ʻana o ka maʻi ʻEpileptic he phenomena paʻakikī, keu hoʻi e noʻonoʻo ana aia kekahi mau ʻano epilepsy.

I loko o ka Baibala, ʻoiai i nā palapala Babulona kahiko he mau kuhikuhi i ka maʻi epilepsy, i kāhea ʻia i kēlā manawa kahunapule morbus a i ʻole maʻi kapu, kahi i pau ai ka ʻike o ka poʻe, hāʻule i ka honua a ua ʻeha ka nui o ka haʻalulu i ka hoʻokuʻu ʻana Ua huʻa lākou i ka waha a nahu i ko lākou alelo.

E like me kāu e noʻonoʻo ai mai ka inoa i kau ʻia ma luna ona, ʻo ia pili ʻia me nā mea o kahi ʻano haipule a hoʻokalakupua paha, ke noʻonoʻo nei i ka poʻe i loaʻa i ia mea i loaʻa a i ʻole e launa pū ʻana me nā ʻuhane a i ʻole akua.

I ka hala ʻana o nā kenekulia, ua ulu ka ʻike a me ka ʻike o kēia pilikia, ke ʻike nei ke waiho nei nā kumu o kēia pilikia i ka hana ʻana o ka lolo. Akā ʻaʻole pili ka huaʻōlelo epilepsy i ka ʻano o ka hopu ʻana i ʻōlelo ʻia ma luna, akā ʻo ia pū kekahi me nā syndrome ʻokoʻa. Pēlā, hiki iā mākou ke loaʻa i nā ʻano ʻano epilepsy.

ʻO kahi maʻi o ke kumu neurological

ʻO Epilepsy kahi maʻi paʻakikī nona ke ʻano nui ke kū ʻana o nā pilikia kūpilikiʻi pinepine i ka manawa kahi i hoʻonāukiuki ʻia ai hoʻokahi a i ʻole nā ​​hui o nā neuropa hyperexcitable i kahi ala i hele koke ʻole ʻia, hoʻomau, ʻano ʻole a manaʻo ʻole ʻia hoʻi, e hoʻonui ana i ka hana i nā wahi hyperexcited i alakaʻi i ka lilo o ka kaohi o ke kino.

He maʻi maʻi mau ia i hiki ke hoʻoulu ʻia e nā kumu he nui, kekahi o nā pinepine pinepine i ke poʻo trauma, ka hahau ʻana, ka hemorrhage, nā maʻi a me nā tumors. Hoʻokumu kēia mau pilikia i kekahi mau hale e hana maʻamau i ka hana lolo, ka mea hiki ke alakaʻi i ke alo o ka hopu ʻana i ka maʻi epileptic i ke ala kekona.

ʻO kekahi o nā hōʻailona maʻamau a ʻike ʻia hoʻi ʻo ka hopu ʻana, ka hana ʻino a me ka kaohi ʻole o nā mākua manawaleʻa, akā ʻoiai aia wale nō i kekahi ʻano epilepsy. A ʻo ia nā hōʻailona kikoʻī e hōʻike ai ke kanaka epileptic i ka hyperactivated kahi e hoʻomaka ai ka pilikia. Eia nō naʻe, like ākea ka hopu ʻana, no ka mea, aneane like ka hana a ka ʻaneʻane o ka lolo.

Nā ʻano epilepsy e like me ka ʻike o kāna kumu

Ke hoʻokaʻawale ʻana i nā ʻano epilepsy, pono mākou e hoʻomanaʻo ʻaʻole ʻike ʻia nā hihia āpau e hana iā lākou. Hoʻohui ʻia, hiki iā lākou ke hui pū ʻia e like me ka ʻike a ʻole ʻole o kā lākou mau kumu, me ʻekolu mau pūʻulu i kēia ʻano: symptomat, cryptogenic a me idiopathic.

A) Nā pilikia pilikia

Kāhea mākou nā pilikia i ʻike ʻia ke kumu hōʻailona. ʻO kēia hui ka mea i ʻike nui ʻia a pinepine pinepine ʻia, hiki ke loaʻa i hoʻokahi a i ʻole mau wahi lolo epileptoid a i ʻole nā ​​hale a me kahi ʻino a mea paha i kumu e hoʻololi ai. Eia nō naʻe, i kahi pae kikoʻī, ʻaʻole ʻike ʻia ke kumu o kēia hoʻololi mua.

B) Nā pilikia Cryptogenic

ʻO nā hopu Cryptogenic, i kapa ʻia i kēia manawa he mau hōʻailona paha, ʻo ia nā ʻie epileptic e manaʻo ʻia he kumu kikoʻī kāna, akā ʻaʻole hiki ke hōʻike ʻia ke kumu i kēia ʻānō nā loiloi loiloi. Manaʻo ʻia ka pohō ma ke kūlana paʻalima.

C) Lāʻau idiopathic

ʻO nā mea ʻelua i ka hihia o ka hopu ʻia o ka simptomatik a me ka cryptogenic, kumu ʻia ka epilepsy e ka hyperactivation a me ka hoʻokuʻu maʻamau ʻana o hoʻokahi a i ʻole nā ​​hui o nā neurons, ka hoʻoulu ʻana mai kahi kumu i ʻike ʻia a liʻiliʻi paha. Eia nō naʻe, hiki i kekahi manawa ke ʻimi i nā hihia kahi i ʻike ʻole ʻia ai ke kumu o ka hopu ʻia ʻana o ka maʻi epileptic ma muli o kahi pōʻino i ʻike ʻia.

Kapa ʻia kēia ʻano ulia pōpilikia idiopathic, ka mea i manaʻo ʻia ma muli o nā kumu kūlohelohe. ʻOiai ʻaʻole ʻike maopopo i ke kumu o ia, ʻo ka poʻe me kēia ʻano pilikia e loaʻa i kahi wānana maikaʻi maikaʻi a me ka pane i ka lāʻau.

Nā ʻano epilepsy e like me ka laulā ʻana o ka hopu ʻana

ʻO ka maʻa mau ka pili ʻana o ka maʻi epilepsy i pili me ʻelua mau ʻano maʻamau i kapa ʻia he ʻino nui a me nā ʻino liʻiliʻi, akā ua hōʻike ʻia ka noiʻi ʻana i ka hala ʻana o ka manawa aia kekahi ʻano like ʻole o nā epileptic syndrome. ʻO nā syndrome ʻokoʻa a me nā ʻano o ka hopu ʻana epileptic Hoʻokaʻawale ʻia e like me ka nui o nā hoʻokuʻu a me nā neural hyperarousal e hana ʻia ma kahi kikoʻī a i ʻole ma kahi pae maʻamau.

1. Pilikia lehulehu

I kēia ʻano lūlū, hoʻokuʻu ʻia nā hoʻokuʻu uila mai ka lolo i kahi wahi e hoʻopau i ka laulima ʻana i nā mea āpau a ʻāpana nui paha o ka lolo. He pinepine ia i kēia mau ʻano epilepsy (ʻoi loa i ka hopu nui ʻia ʻana) ʻike ʻia kahi aura ma mua, ʻo ia hoʻi, prodrome a i ʻole nā ​​ʻōuli ma mua e like me ke ao ʻana, ka ʻūlū ʻana a me nā hallucination i ka hoʻomaka o ka hopu ʻana i hiki ke pale aku i ka mea e ʻeha ka manaʻo. ʻO kekahi o nā mea i ʻike nui ʻia a me nā kiʻi i loko o kēia ʻano o ka hopu ʻana o ka maʻi epileptic.

1.1. ʻO ka pilikia tonic-clonic maʻamau a i ʻole ka pilikia nui grand

ʻO ka prototype o ka hopu ʻana o ka maʻi epileptic, i ka hopu nui ʻana mal kahi loaʻa koke a me ka lilo koke o ka ʻike i mea e hāʻule ai ka mea maʻi i ka honua, a hele pū me ka hopu mau ʻana a me ka pinepine, nahu, urinary a me / a i ʻole ka fecal incontinence a hiki i ka ʻuwā ʻana.

ʻO kēia ʻano pilikia o ka hopu ʻana ka mea i aʻo nui ʻia, i loaʻa he ʻekolu mau hanana i loko o ka wā pilikia: ʻo ka mua, ʻo ka tonic phase kahi e nalowale ai ka ʻike a hāʻule i ka honua, a laila hoʻomaka ka pae clonic. i kahi o ka hopu ʻana i ka hopu (e hoʻomaka ana i nā ʻāʻī o ke kino a e holomua maʻamau) a ʻo ka hopena e hoʻopau ka pilikia epileptic me ka manawa o ka hoʻihoʻi e hoʻi hou ai ka ʻike.

1.2. Ka pilikia o ka hele a hewa iki paha

I kēia ʻano o ka hopu ʻana o ka maʻi epileptic ka hōʻailona ʻoi loa ka nalowale a i ʻole ka loli o ka ʻike, e like me nā kū liʻiliʻi i ka hana noʻonoʻo a i ʻole ka haʻalele ʻana o ka noʻonoʻo me ka akinesia a i ʻole ka ʻole o ka neʻe, me ka ʻole o nā loli hou aʻe i ʻike ʻia.

ʻOiai ua lilo ka ʻike o ke kanaka no ka manawa pōkole, ʻo lākou mai hina i ka honua a ʻaʻohe lākou e hoʻololi i ke kino (ʻoiai hiki ke hana i nā kuʻikia i nā mākala maka i kekahi manawa).

1.3. Lennox-Gastaut maʻi

He subtype ia o ka epilepsy laulā maʻamau o ka wā kamaliʻi, kahi i ʻike ʻole ʻia ai ka nalowale ʻana o ka noʻonoʻo a me ka hopu pinepine ʻana i nā makahiki mua o ke ola (ma waena o ʻelua a ʻeono mau makahiki o ka makahiki) e hana pū ʻia me ka hemahema o ka ʻike a me nā pilikia me ke ʻano, ʻano a me ka lawena. ʻO ia kekahi o nā maʻi neurological ʻoi loa ke koʻikoʻi i hiki i ka make i kekahi mau hihia a pololei a ma muli paha o nā pilikia e pili ana i ka maʻi.

1.4. Epilepsy Myoclonic

ʻO Myoclonus kahi neʻe a huhū e pili ana i ka neʻe ʻana o kahi ʻāpana o ke kino mai kahi kūlana i kahi kūlana ʻē aʻe.

I kēia ʻano epilepsy, i hoʻopili pū i kekahi mau sub-syndrome e like me ka epilepsy myoclonic ʻōpio, ʻo ia maʻa mau no ka hopu ʻana a me ke kuni e puka pinepine a pinepine, me kekahi mau leʻaleʻa kikoʻī i ke ʻano o nā jerks i ke ala ʻana mai ka hiamoe. ʻO ka hapanui o ka poʻe me kēia maʻi e hoʻopau i ka hopu ʻana iā grand mal. He mea maʻamau ia e hōʻike ʻia ma ke ʻano he stimulate light.

1.5. West syndrome

ʻO kahi ʻano subtype o ka wā kamaliʻi epilepsy i hoʻomaka i ke kau mua o ke ola, West Syndrome kahi maʻi laha ʻole a koʻikoʻi hoʻi kahi i hoʻokaʻawale ai nā keiki i ka hana lolo (ʻike ʻia e EEG).

ʻEha nā keiki me kēia ʻano maʻi i nā spasms ka mea e hoʻonāwaliwali ai i nā lālā i loko, a i ʻole e hoʻolōʻihi loa, a i ʻole ʻelua paha. ʻO kāna ʻano nui ʻē aʻe ʻo ka hoʻohaʻahaʻa a me ka psychomotor disintegration o ke pēpē, e nalowale ana i ke kino, ka hoʻoikaika a me ka noʻonoʻo i ka hiki.

1.6. Pilikia Atonic

He subtype lākou o ka epilepsy kahi e ʻike ʻole ai ka nalowale o ka ʻike a i kahi e hāʻule mau ai ke kanaka i ka honua ma muli o kahi kuʻikuʻi muscular mua, akā me ka ʻole o ka hopu ʻana a me ka wikiwiki ʻana. ʻOiai hoʻopuka ia i nā ʻāpana pōkole, hiki ke makaʻu, ʻoiai ka hāʻule ʻana e hiki ai ke hōʻeha nui i nā ʻeha.

2. Ka hopu ʻana i ka ʻāpana / nui

ʻO ka hopu ʻana i ka epileptic ʻāpana, ʻaʻole like me nā mea laulā, i nā kikoʻī a kikoʻī o ka lolo. I kēia mau hihia, ʻokoʻa loa nā ʻōuli e like me ka wahi o ka donut hyperactivated, e kaupalena ana i ka pohō o kēlā wahi, ʻoiai i kekahi mau hihia hiki ke lilo i pilikia nui. Kaukaʻi ʻia i ka wahi, hiki i nā ʻōuli ke motika a maʻalahi paha, e hoʻomaka ana mai nā hiʻi ʻana i ka hopu ʻana i nā wahi kikoʻī.

Hiki ke lilo i kēia mau hopu ʻana i ʻelua mau ʻano, maʻalahi (ʻo ia kahi ʻano o ka hopu ʻana epileptic i loko o kekahi wahi, a ʻaʻole ia e hoʻopili i ka pae o ka ʻike) a paʻakikī paha (kahi e hoʻololi ai i nā hiki i ka noʻonoʻo a i ʻole ka ʻike.

Eia paha kekahi o nā laʻana o ka hopu ʻana hapa

2.1. Nā pilikia o Jacksonian

ʻO kēia ʻano pilikia o ka actuarial ma muli o ka hyperexcitation o ka pahū kaʻa, e hoʻonāukiuki ana i nā kaʻi kūloko ma nā kiko kikoʻī e pili ana i ka hui somatotopic o ua ʻōlelo hōʻike.

2.2. Epilepsy hapa Benign o ka wā kamaliʻi

ʻO kahi ʻano o ka hopu ʻāpana hapa ʻana i kū i ka wā kamaliʻi. Kū lākou i ka wā hiamoe, ʻaʻole hana i kahi hoʻololi koʻikoʻi i ka hoʻomohala ʻana i kēia kumuhana. Nalo pinepine lākou iā lākou iho ma ka hoʻomohala ʻana, ʻoiai i kekahi mau hihia hiki iā ia ke alakaʻi i nā ʻano ʻēpili koʻikoʻi a koʻikoʻi i ka maikaʻi o ke ola ma nā wahi he nui.

Hoʻokahi noonoo hope loa

Ma waho aʻe o nā ʻano i hōʻike ʻia aʻe nei, aia kekahi mau ʻano convulsive ʻē aʻe e like me nā kaʻi epileptic, e like me nā hanana dissociative a me / a i ʻole somatoform, a i ʻole ka hopu ʻana i ke kuni. Eia nō naʻe, ʻoiai i kekahi o nā hoʻohālikelike helu ʻia lākou ma ke ʻano he epileptic syndrome kūikawā, aia kekahi hoʻopaʻapaʻa, a ʻaʻole ʻae kekahi mau mea kākau e manaʻo ʻia pēlā.