Ukuquleka e izinsana: izimbangela, imiphumela, kanye nokwelashwa izici

Ukuzalwa komntwana ubhekwa esijabulisayo. Nokho, ngokuvamile ephelezelwa ukubukeka izinkinga ezintsha nexhala. Enye yezinselelo ezivamile ubhekane nabazali abasha Ukudlikizela in izinsana. Izimbangela lesi sifo zingahluka. Ngokuvamile, nodokotela bezingane ukwephulwa bophezela nge beya isimiso sezinzwa. Kunezinye izici ezinomthelela ukubukeka kwalesi sifo. On kubo kuzoxoxwa ngakho esihlokweni lanamuhla. Siphinde sichaze nendlela yokuzigwema ukuze aqaphele lesi sifo ngendlela esifike ngesikhathi, ukuthi abazali angayenza kulesi simo.

Ukuquleka e izinsana: incazelo zokugula

Amajaqamba - kuyinto ngakanye imisipha okungalindelekile Kufinyeta, okuyinto ziyahlukahluka ubude kanye ukushuba. Kungani kwenzeka lokhu? Zonke izinqubo emzimbeni elawulwa ubuchopho, kuhlanganise nesokuphumula okuqabulayo futhi imisipha ukungezwani. Ngo izakhi zalo yeselula, abizwa ngokuthi izinzwa ngokuqhubekayo zenzeka ukusabela okuhlukahlukene kwamakhemikhali. Umphumela excitation. Khona-ke, lo izinzwa Thumela amasignali kuya imisipha, "ukuhleleka" ukusebenza kanye inkontileka. Nokho, akubona bonke ngakho elula. Akuwona wonke excitation ku izakhi yeselula idluliselwa ku imisipha. Ngezinye izikhathi ubuchopho "enquma" ukuyeka umsebenzi. Ngenxa yalokho, kwavela excitation neuronal akusho flow kuya imisipha.

Lapho ecasulayo ezithile (ukuvuvukala, noma ukulimala kuhlasimulise) enza umnkantsha amaseli nokuhlale unyathela amabhuleki, indlela ayicushiwe, ukuquleka kwenzeka. Ezinganeni, ukuhlukumeza senzeka izikhathi eziningana kanengi ukudlula abadala. Odokotela ukuchaza lokhu kuthambekela izici ubuchopho. Izingane izinzwa sijabulile kalula futhi ngokushesha, nokuhlale unyathela amabhuleki, izinqubo ungakabi ngalesisikhathi ekugcineni kwakhiwa. Ezimweni ezingavamile, nokuquleka kule osanda kuzalwa kubangelwa izifo ezihlukahlukene.

Ziyini izimbangela eziyinhloko zalokhu ukwephulwa

Ngokwezibalo, oyedwa kwabahlanu umntwana ngaphambi kwesikhathi wathola amajaqamba. Abantwana abazalwa ngesikhathi, inkinga unesifo imvamisa 10-14 amakesi 1,000 ezizalwa ziphila. Phakathi kwezimbangela eziyinhloko disorder ezingane ngokuthi lokhu okulandelayo:

• umzimba inqubo isifo ngemuva kwe-calcium ukuntula noma kahle kungakhuphula izinga likashukela,
• yokushodelwa umoya ukugeleza ebuchosheni;
• CNS ukutheleleka kanye nokuthuthukiswa okwalandela encephalopathy ischemic;
• kokunikezwa kwe-nezindlala adrenal ukusebenza kwezinso yabo azalwa naso;
• jaundice hemolytic, okuyinto is phetho bilirubin okusezingeni eliphezulu egazini.

Ubani isengozini?

Lokhu zokugula ngokuvamile kutholakala izinsana. Ngalesi sikhathi, isimiso sezinzwa libhekene nokungathuthuki futhi excitability okusheshayo. Izigaba yokuguga palsy futhi ikakhulukazi kulo lonke CNS imbangela yobudala kuwukubonakaliswa nokuquleka. Ukuhlola okuhlukahlukene yale nkinga Singakwazi yini ukuthola okubizwa ngokuthi iqembu ingozi. Phakathi kwezici main ungalokothi uphuze nezifo, odokotela ihlaba umkhosi:

• hypoplasia we isimiso sezinzwa esiyinhloko;
• lokuzalwa nzima;
• ukusetshenziswa unina izidakamizwa noma utshwala ngesikhathi ekhulelwe;
• Intambo singabanjwa, umoya;
• ukwephulwa zomsebenzi.

Ukuba khona into eyodwa noma ngaphezulu kulolu hlu kwandisa amathuba okuba abazali uzobe bebhekene nenkinga ye nokuquleka e ingane.

I ukubonakaliswa esemqoka ye zokugula

ukuquleka Neonatal zivamise ukwenzeka ezinsukwini ezimbalwa ngemva ingane ukuthi wazalwa ngawo. Abazali baqale ukhathazeke impilo imvuthuluka engxenyeni engenhla esifubeni kanye nasemilenzeni baqala ukuthuthumela ngaphandle kwesizathu. Kaningi, odokotela ukuxilonga eliqhaqhazelayo izinsana. Lesi isimo lapho kwesilevu futhi isibambo kancane unikina. Lezi izimpawu zibonisa isifo zezinzwa zidinga kokubonisana ngokushesha ngephrofayela onguchwepheshe.

Libuye Ukudlikizela kungenzeka ezinsaneni ngesikhathi sokulala. Bathatha ikakhulu nasemilenzeni aphansi. ngaleyo ndlela ingane iqala ngokuzumayo ukumemeza, ukudonsa imilenze. Ezimweni ezingavamile, lokhu kuhlasela ephelezelwa umoya eliyifa. Ebusuku lezi nokuquleka abonisa isithuthwane othuthukayo. Noma kunjalo, ngokuvamile ibonisa yokungavuthwa we isimiso sezinzwa esiyinhloko futhi lwahlolwa emva onyakeni wokuqala wokuphila.

Yiziphi izinhlobo nokuquleka khona?

Ukuquleka ezinganeni obelusanda kuzalwa amadala zihlukaniswa uhlamvu yabo. Ukuthweswa iziqu zokugula incike ukuthuthukiswa ekusebenzeni kobuchopho. Ngakho-ke, odokotela ukuhlukanisa lezi zinhlobo ezilandelayo Twitch.

1. ukuquleka Small ngokuvamile harbingers sína sokuphazamiseka okuthile ebuchosheni. Phakathi ukubonakaliswa eyinhloko lesi sifo kungaba ngokuthi jitter futhi iso eshaywa, imisipha ezithile ebusweni futhi emikhawulweni. Ngezinye izikhathi kukhona blueness kwesikhumba.
2. Ukudlikizela Tonic ezinsaneni babe zimpawu ezilandelayo: imisipha ukungezwani kwawo wonke umzimba, okufutshane umoya eliyifa. Lapho lo mntwana kuthatha extensor ukuma, ikhanda lakhe aphonswe emuva. isimo esinjalo kungase kuthathe amaminithi ambalwa. Lezi nokuhlaselwa nobuntu ababelethwa kungakafiki isikhathi.
3. ukuquleka Clonic zinezikhathi a jerking ezithile komqondo emzimbeni. Ziyakwazi ebalulekile, multifocal futhi generalized. Laba libhekene cyanosis kanye ukuphefumula isigqi.
4. ukuquleka Myoclonic ezinsaneni ezingajwayelekile kakhulu. Kulesi disorder kukhona Twitch abukhali wonke umzimba noma nemilenze ngabanye. Izingane onyakeni wokuqala wokuphila, lokhu zokugula amaphuzu ukulimala kobuchopho sina, futhi nemvelo esingokwemvelo.

imiphumela kungenzeka

Ngezimpawu zesifo akunakugwenywa. Kufanele ngokushesha ufune usizo lwabezokwelapha. Ngemva luhlolo egcwele udokotela wezingane uzokwazi ukucacisa, nge ehambisana nesimo sokuquleka ezisanda kubelethwa. Izimbangela zesifo, njengoba umthetho, inquma ukwelashwa.

Ukungabikho yokwelapha abanekhono ngokuvamile kuholela nemiphumela engelapheki. Okokuqala, kungase nokuquleka elihlobene ne izilonda ubuchopho noma isifo sikashukela. Kuthunyelwe uphethwe ngesikhathi esifanele kwandisa amathuba ukululama okusheshayo. Futhi ngesikhathi lihlaselwa, ubuchopho asitholayo ukuntuleka okukhulu komoya-mpilo, ngempela kuthinta izinqubo umzimba futhi amandla engenayo. Uma ukuquleka ziyinsakavukela, ingane iqala ukuba zisale ngemuva ekuthuthukisweni ngokomzimba, unesifo ukuhlakanipha kwakhe.

izindlela ukuxilongwa

Akuwona wonke ukuhlanekezela noma ukuthuthumela yezingalo nemilenze Kufanele kuthathwe nokuquleka e izinsana. Izimbangela lesi sifo kungaba azimisele onguchwepheshe kuphela. Ukuze uphethwe yini edingekayo ukuze zisebenze wezingane futhi uyohlola. Ngokuvamile kuhilela ukulitadisha phezu electroencephalograph. Idivayisi ikuvumela ukulandelela izinguquko umsebenzi ubuchopho, ukucacisa uhlobo Twitch.

Ngezinye izikhathi ekwelapheni eyinhloko udokotela kwenza ukuxilongwa "isithuthwane" futhi ukwabela ukwelashwa okufanele. Uma lo mkhuba omuhle is hhayi waphawula, futhi nokuquleka uqhubeke, udinga ukuya ngaphezulu ngokujulile luhlolo.

zosizo lokuqala

Ngibanjwe ezinsaneni, ogama izimbangela ziye achazwe ngenhla nje, adinga indlela afanelekayo ukuba welashwe ngokuhlinzwa. Akusona isimo, lapho ingane kungasiza iphilisi elula. Lapho jerks kufanele ngokushesha ubize iqembu kwabasebenzi bezempilo abaqeqeshiwe. Kwaze kwaba yilapho kufika udokotela imvuthu kudingeka ukubeka endaweni ephephile futhi ukhulule umzimba kusuka izingubo ezihambisanayo. Ingane kufanele azame Pheqa ohlangothini lwakhe, ngakho waminza uma ukuhlanza. Phakathi izinsini Ungabeka iduku elihlanzekile. It is hhayi Kunconywa ukuba uhlupho usana nimnike izidakamizwa.

Ngemva ukuhlaselwa, kudingeka ukunqanda imvuthu, kodwa uzilungiselele kabusha elifanelekayo. Kubalulekile ukuba banake isikhathi sabo, izimpawu ezihambisana nawo umfutho. Lolu lwazi kuyoba wusizo amaqembu kwabasebenzi bezempilo abaqeqeshiwe. Uma odokotela ukunikeza esibhedlela, ningakwenqabi zinkulu. Kuleso sibhedlela kulula ukuthola imbangela ngalesi sifo, kanye eyolanda ukwelashwa abanekhono.

ukwelashwa Izici

Ukwelapha nokuquleka e izimbangela osanda kuzalwa ngalesi sifo kumele afakwe kuqala. Ngokuvamile ulwa ukugula kuziwa kokubona le mithetho elandelayo:

• ne kancane nesineke hypocalcemia babelwe calcium gluconate e isixazululo glucose ngemithambo yegazi;
• esimweni kahle kungakhuphula izinga likashukela yokwelapha yokuqala yenziwa nokusetshenziswa dextrose bese Kunconywa isixazululo glucose emthanjeni;
• e febrile uthi convulsive lokuqala zonke ukunqampunwa imfiva.

Nge Yebo eside yengane zokugula ebonwe labagula. Lapho le ndlela yokwelapha esithathwayo njengesisekelo izidakamizwa ekhiqizwa kusuka barbituric acid ( "Phenobarbital", "Phenytoin"). Bona uphumule isimiso sezinzwa esiyinhloko, ukunciphisa ukushuba ukusikwa kwemisipha. Kancane kancane, isimo lesiguli ubuyela evamile.

Kufanele kuqashelwe ukuthi ukwelapha lesi sifo kufanele kube olunzulu. Imiphumela emihle nika izinyane ukudla okufanele, yokuzijwayeza, lukhuni ngokusebenzisa amanzi zokwelapha kanye ukubhucungwa okuphumuzayo. Emva inqubo yokwelapha ngokwamaqiniso eminyakeni embalwa ezayo, umntwana kufanele obonwa isazi sezinzwa, ukuhlolwa gqwa.

Esikhathini esiyiminyaka ezisanda kubelethwa kunzima kakhulu ukunquma ukuthi kungenzeka nokuquleka ezihlobene e izinsana. Izizathu akulula ukuthola. Ngakho-ke, cishe ingxenye eyodwa kwezintathu nezingane ziyafa. Yiqiniso, sikhuluma enjalo zinokukhubazeka okungathi sína, njengoba ischemia, meningitis, nokunye. Uma Ukudlikizela kubangelwa iziyaluyalu umzimba, onalesi sifo ezimweni eziningi evumayo. Futhi, cishe ingxenye eyodwa kwezintathu abasindile has kwempilo zezinzwa.

Kufinyeta

Akufanele ukushaye indiva ukubonakaliswa yokuqala yale zokugula, njengoba Ukudlikizela in izinsana. Imiphumela okungabangelwa ngale nkinga ngokuvamile akusibekele ezimpilweni zezingane. Kudinga nokunakwa odokotela nabazali. Kubaluleke kakhulu ukuba ngokushesha ukukhomba imbangela nokuquleka futhi ukuze uqale ukwelashwa. Kuphela kulesi simo kungenzeka ukuba nethemba umphumela omuhle.