Psychogenic Nonepileptic Kugumburwa Kunoita Sekufa Kwepfungwa
Regai ndikupei mamiriro ezvinyorwa. Tina Gerald ane mukadzi wemakore makumi matatu nemashanu (35-year-old), uyo akawana chirwere kubva paaiva nemakore makumi maviri. Kutanga kwake kwekutanga kwakagadzikana zvikuru-kukunda kukuru-kukunda , uye muviri wake wose unodedera rhythmically. Haana kuyeuka zvakaitika munguva dzezviitiko izvi, uye haana kumbova nemhando yekutora kwemakore akawanda.
Kufanana nevanhu vazhinji vane hosha , Tina anewo mamwe marudzi ekugumburwa .
Munguva pfupi, iye ave ane zvikamu apo anotinhira pose pose. Kunyange zvazvo kukura kwake kwemajeri kwakakonzera kurasikirwa kwekuziva uye kwaive nemiromo uye kuenzaniswa, kurwisana uku kunotarisa zvakanyanya sekuti ari kupisa kwose kwose pasina rhythm kana muenzaniso. Kusiyana nemhando yekutanga yekubata, Tina anoyeuka zvinhu zvose zvinoitika kumativi ose.
Upenyu hwaTina hwakanga huri nyore. Haakwanisi kushanda nekuda kwekugumburwa kwake, uye ane nhoroondo yekubatwa zvisina kunaka newaimbova mukomana wake. Akaedza 11 mishonga yakasiyana-siyana yekurwisa uye ikozvino ari kutora vana vavo. Munguva pfupi yapfuura akava nechisimba nekumapurisa; Kubvira ipapo, akanyunyuta nezvekuoma kufamba, kupenya kwechiedza, kushaya simba nekudedera mumaoko ake.
Munguva yekuongorora kweeurologist, aive asina kuvhara kwechirwere chake asi akakwanisa kutaura. Pasinei nokufamba kwake, akazokwanisa kunwa kofi pasina kupera. Nharo yake yakaoneka isina kusimba, kunyange zvazvo isina kumbobvira yawa.
Chii Chinonzi Psychogenic Nonepileptic Kugumburwa?
Kunyange zvazvo Tina ane dambudziko rinomanikidzira rekuwirwa nechirwere chekufa, nguva yekuwedzera kwake zviratidzo zvakananga pashure pechiitiko chinotambudza nemapurisa, pamwe chete nenhoroondo yake yepfungwa nemamwe zviratidzo, anoratidza kuti ane psychogenic hakunapileptic seizures.
Neurologists vakurukura kana vachidaidza kuti zviitiko izvi zvakakundwa chaizvo, sezvo vamwe vachida kuchengetedza izwi rokuti "seizure" nokuda kwekurwadziwa kwehuputi chete, zvinoreva kuti kune simba risina simba muuropi.
Vamwe vanosarudza kuisa pfungwa pamusoro pechiitiko ichocho, vachishandisa izwi rokuti "psychogenic risina kuora mwoyo" (PNES). Imwe izwi, "pseudoseizure," inoparadzanisa basa kubva pakubata kwechokwadi, asi dzimwe nyanzvi dzinoona kuti shoko rinonyadzisa vanhu. Pasinei nezwi, izwi rePNES kana pseudoseizure rinorondedzera zviitiko zvinokonzerwa nehutano hwekurwa kwepfungwa asi zvine pfungwa, panzvimbo yepanyama, chinokonzera.
PNES inogona kufungidzirwa sechimiro chekutendeuka chirwere. Kunyange zvazvo magetsi ari muuropi asina kufanana nekutambudzika kwekufa, munhu wacho haaiti zviratidzo zvake. Kutora kunonzwa sechinhu chaiye sehunhu imwe.
Ndiani Anowana PNES?
Kugadzikana kwepfungwa kunogona kuitika mune rimwe boka rezera asi asi kazhinji kunobata vechidiki. Uyewo, makumi manomwe kubva muzana yevanotambura ndivo vakadzi. Mamiriro ezvinhu aripo anowanzove ane zvimwe zvepfungwa, zvakadai se fibromyalgia , kurwadziwa kusingaperi, uye kuneta kusingaperi , kuwedzera mikana yePNES. Iko kune nguva yakawanda nhoroondo yezvepfungwa uye kazhinji nhoroondo yekushungurudzwa kana kushungurudzwa kwepabonde. Tina, somuenzaniso, ane nhoroondo yekuora mwoyo, kuzvidya mwoyo, uye kushungurudzwa. Kufanana nedzimwe kushanduka kwekushungurudzika, kunyunyuta kwepfungwa (munyaya ino kubata sei-sechiitiko) kunouya pashure pechiitiko chinotyisa (kurwisana nemapurisa).
PNES Inowanikwa Sei?
Kusiyanisa pakati pechipfupa nePNES idambudziko rakajairika kune weurologist. Inenge 20 kusvika ku30 kubva muzana yevarwere vanotaurirwa kunetseka kunzvimbo dzekugumburwa kunoonekwa nePNES. Icho chiri chimwe chemaitiro akajairika kuti asatombofungidzirwa sehuputi, zvichipa zvikamu makumi mapfumbamwe zvezana zvekusaziva. Kuomesa nyaya, 15 kubva muzana yevanhu vane chirwere chepfungwa chinokonzerwa nehupfungwa chinokanganisawo. Izvi zvinokonzera chikonzero chaicho chekubata-kuita basa rakaoma kuronga.
Zvinhu zvakawanda zvinogona kujekesa chiremba kuti aongororwe zvepfungwa pane kugadzikana kwepfungwa.
Kurwisana kunorwisa-epileptic zvinodhaka kazhinji chinhu chekutanga-80 muzana yevarwere vane PNES vave vachirasikirwa neanticonvulsants kutanga, kazhinji vasina kubudirira. Kune rumwe rutivi, anenge 25 kubva muzana yevanhu vane chigunwe haabatsirwi nemishonga inopesana nemagetsi.
Tina akatambura nekusununguka kwemakumbo maviri emumuviri wake. Kazhinji, apo mativi maviri omumuviri anobatanidzwa mukubatwa kwekufa, munhu anorasikirwa, asi izvi hazvina kuitika kuna Tina. Uyezve, iye achizununguswa achivandudzwa apo paakavhiringidzika (ndicho chikonzero haana kupedza kafi yake). Kusiyana nevarwere vane hosha, avo vane PNES havawanzozvikuvadza pachavo pavanogumburwa.
PNES inosangana nemafungiro emuumwe wekubatwa kwepamusoro kupfuura kunyanya kuurayiwa kweputi. Semuenzaniso, kugumburwa paTerevhizheni kunowanzobatanidza munhu ari kupoteredza pasina humwe muenzaniso, asi chokwadi kunetseka kwepfungwa kunowanzoita rhythmic uye kudzokorora. Kusvimha misodzi kana kutaura panguva yakawanda inokonzerwa nehutano hwepemheche zvakare isingawanzoitiki, asi inowanzoonekwa muPNES.
Nepo kune dzimwe nzira dzakawanda dzekubatsira kusiyanisa pakati pepfungwa nehuputi hwekurwadziwa, hapana chimwe chazvo chisingatauri zvachose. Apo kuongororwa kwePNES mumunhu ane nhoroondo inogutsa yekufa, chiremba anofanira kunyatsocherechedza mamwe matambudziko ehutano achiita sePNES. Kutadza kwechokwadi kunobva kune zvakakosha, semuenzaniso, kazhinji zvinokuyeuchidza vanachiremba vePNES.
Nzira yakanakisisa yokutaurira chirwere chepfungwa kubva pamagetsi ekutsvaira ndechokushandisa electroencephalogram inorondedzera basa rokubata. Kuora mwoyo kunokonzera kukanganisa kwakanyanya pane EEG isingaonekwi panguva yekugadzikana kwepfungwa.
Nzira dzePsychogenic Dzakagadziriswa Sei?
Dzidzo inokosha, sezvo kudzidza pamusoro pekushandurwa kwechirwere ichi kunowanzoita kuti vanhu vadzoke. Maererano nezvimwe zvinofungidzira, vanenge 50 kusvika ku70 muzana yevanhu vane PNES vanova vasina zviratidzo kana mushure mekuonekwa. Mune ruzivo rwangu, chikamu ichi chakanyanyisa-chivimbo, asi dzidzo ichiri chiito chekutanga chinokosha pakuporesa.
Vanhu vakawanda vanotanga kuita zvinoonekwa nehupi hupi hwekushandura chirwere nekusava nekutenda, kuramba, kutsamwa uye kunyange kuvenga, kunyanya kana vakatove vaonekwa kuti vane chirwere chakafanana nekufa. Nyanzvi yehutano hwepfungwa inofanira kubvunzurudzwa kurapa kushushikana kana kuora mwoyo. Kunyange kana murwere ari kushandiswa kune zvimwe zvinokonzera kushaya chifo, anenge makumi mashanu kubva muzana yevanhu vane chirwere chepfungwa vane chirwere chekuora mwoyo uye vanogonawo kubatsirwa nekuongorora kwepfungwa.
Chii Chinovandudza Mikana Yokugadzirisa Kubva Pakugadzikana Kwepfungwa?
Vanhu vari vaduku apo kuongororwa kunoitwa, nemamwe madandaulo uye zvikamu zvakashata, vane mikana yakawanda yekuvandudza. Chinonyanya kukosha ndehurefu hwechirwere. Kana mumwe munhu apedza makore achirapa nokuda kwekufa, kunyange kana vane zviratidzo zvose zvekushandura chirwere, munhu iyeye haakwanisi kupora.
Chikonzero chekuti vanhu vane kutendeuka chirwere havakwanisi kuvandudza kana vakambobatwa nehuputi kwenguva refu zvichida kunosanganisira pfungwa yekusimudzira. Maererano nedzidziso iyi, piritsi imwe yakatorwa nokuda kwekufa, chiremba wega wega anoita chisingazivikanwi, kunyange shamwari dzinotsigira munhu anosimbisa kusatenda kwekuti zviratidzo zvinokonzerwa nehuputi. Kutenda kwakadaro kwakadzika zvakanyanya kuoma kubvisa, kunyange neine chokwadi chechokwadi uye yakarurama kuongororwa.
Kufanana nedzimwe mhando dzekutendeuka chirwere, PNES inorwara yekuregererwa. Izvi zvinoreva kuti chiremba achiita izvi kuongororwa anofanira kuchengetedza pfungwa dzakasununguka uye funga kuti pane chimwe chinhu kunze kwekunyunyuta kwepfungwa kunokonzera basa rokubata, uye zvino ita zvose zvingaita kuti urege kubvisa mikana yakadaro. Saizvozvowo, zvinokosha kuti varwere vachengetedze pfungwa dzakasununguka pamusoro pekugona kuti dambudziko ravo riri mupfungwa uye kuwana rubatsiro rwavanoda.
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