Zviratidzo tsviyo muvana. Zvinokonzera, nechirwere, kurapwa

Shoko rokuti "pfari" nyanzvi vanodana chisingaperi pfungwa chirwere kuti kunoratidzwa disordered watsemuka yebasa masero ayo. In vana, zvikaitika kakawanda chirwere pane vakuru. Kazhinji, chinoratidza pacharo muchimiro pfari.

zvinogoneka zvikonzero

Hazvina nguva zvichiita kuziva nei mwana anorwara nepfari. Asi izvi hazvirevi kuti vana hapana pfungwa kuongorora. Zvichienderana chii zvinokonzera nepfari muvana, uye musiyano mhando chirwere.

Rinokonzera vazhinji kudanwa kunotevera, zvirwere maronda. Vanotaurawo kuti chinhu autoimmune chirwere. Shanduro iyi kunosimbiswa yokuti muropa varwere autoantibodies dzakaonekwa neyroantigenam.

Vana kutsamwisa pakatanga chirwere chingava zvinotevera.

1. nhodzera. Asi masayendisiti anoti hazvina kunaka kutaura kuti tsviyo iri inoparadzirwa. Nhaka kubatwa kunogona kuwanikwa chete zvayo chitarisiko. Mumwe munhu ane pamwero nezvokubvuta basa, asi kana nepfari pachava, kunoenderana nezvimwe zvikonzero.

2. Brain Akakomba. Zvikanganiso nechepakati tsinga kuitika nokuda zvainoita azvarwa zvinokuvadza rwaamai chirwere panguva yepamuviri. Uyewo, ivo anokonzerwa nemagene zvirwere.

3. Zvirwere maronda. The chirwere chinogona kuitika mushure kutambura yomumuzongoza kana encephalitis. Panguva iyoyo mwana remuduku, dzakanga mukana dzichiri pfari mune ramangwana, kuoma zvichava. Zvisinei, kana mwana mukuru yokusafa pamwero nezvokubvuta basa, chirwere kungakonzera chirwere chipi.

4. Makuvaro. Chero zvakohwewa nezvakanga kungakonzera kutanga netsviyo. Asi ukama haisi nguva dzose zvinoita kuumba, nokuti chirwere hakutangi pakarepo.

Kuziva ndezvipi zvinokonzera nepfari muvana, inogona tsunga pamwe zvidobi kwohumwe kuongororwa uye kurapwa.

kupatsanura zvirwere

Nyanzvi anozivisa subtypes inoverengeka chirwere, zvichienderana chii chaiva chikonzero pfari.

Kana dambudziko yakatanga nokuda STRUCTURAL urema uropi, ipapo hwaizova symptomatic netsviyo. Zvinogona kuitika nokuda paumbwe cysts, namamota uye hemorrhages mumuviri. About idiopathic pfari zviri Muzviitiko apo havashanduki kuoneka uropi hakusi, asi mwana ane majini kubatwa mukuumba chirwere.

Asi pane zviitiko apo zviratidzo nepfari ari mwana iziviswe uye mhaka wehurumende ichi hazvigoni kusimbiswa. mhando iyi chirwere inonzi cryptogenic.

Uyewo, nyanzvi kusiyanisa vemunyika uye generalized chimiro chirwere. Muchiitiko chokutanga, iyo nzvimbo muuropi vari apora. Ivo akaumba nguva dzose chete nzvimbo uropi. Uye generalized muchimiro ari pathological kwacho kwaisanganisira rinenge rose cortex.

Yoga akapora yakavhenganiswa musiyano. Pakutanga, pfari vanotanga sezvo vemunyika, asi ainyanya excitation yava kupararira akazara cortex.

Zvitare yokutanga

vabereki vose vanofanira kuziva chii vari zviratidzo tsviyo muvana. Handiti, dambudziko riri kuona muna 3% vana pasi pemakore 9 makore. In vacheche inogona kuvhiringidzwa kwomuzvarirwo kurovedza muviri. Mwana anoshandura musoro wake, achishingaira kunoita maoko nemakumbo. Convulsive zvinoriumba havasi chipo nguva dzose.

Kurwisa anogona kuitika chero zera. Asi kakawanda zvaitika kana uropi uye tsinga haina yakura zvakakwana. Pathological muupenyu excitation Muzviitiko zvakadaro kuonekwa nyore.

Vamwe kurwisa varege vaonekwe vamwe. Havagoni kuteerera kunyange vabereki. Ivo kuonekwa ari "akaremberera-up" inodaro, iyo yakareba mumasekonzi mashomanana. Vakawanda chimiro chirwere muvana ndiyo asipo pfari (piknolepsiya). Munguva Kurwisa mwana ndafenda, retropulsivnye kuoneka fambisa musoro, maziso vanogona kuenda pasi zvichikwira. At pakupera kurwiswa kazhinji rinowanika rwoga pharyngo-nomumukanwa inofamba. Izvi zvinogona licking miromo, smacking, yakayamwa. Kurwisa kwakadaro kazhinji pakupedzisira hapana zvinopfuura masekondi 30. Asi vanogona kudzokororwa kakawanda, kunyange zuva rimwe.

Vabereki vanofanira kuziva kuti izvi zviratidzo tsviyo muvana. Dai kutsamwisa yokurwiswa hope, ungaderedza kana, Ukuwo, zvakare kushingaira basa uropi, photic dzishande.

marudzi chirwere

Nyanzvi Ziva kwete chete vemunyika uye generalized siyana netsviyo. Zvichienderana zvinoita kuti kutsamwisa kutanga chirwere, zvakadai voga siyana:

- Primary: rinooneka pamusoro yaitwa yakawedzera nepfari muuropi;

- Secondary: kunoitika pamusana chirwere kana dzechimwe zvinokuvadza;

- dzepanguva: chinovapo somunhu paakasangana tide, zvingava vamwe ruzha, flickering chiedza, munhuwi.

Zvichienderana zera nezviratidzo chirwere uye kwese zvekuchipatara zviratidzo zvokutanga musiyano mhando aya pfari:

- propulsion muduku, vane runozivisa paucheche;

- myoclonic - a neonatal chimiro;

- zvavasingagoni, munguva yokuyaruka;

- psychomotor - ivo angaperekedzwa nokugwinha kana kuenda pasina kwavari, kungava kutsinga dzinouya, auditory, adversivnye kurwisa, kufufutirwa kuseka.

Zvichienderana kakawanda uye mutinhimira kurwiswa, govera marudzi aya pfari:

- zvishoma (asingasviki 1 pamwedzi), kakawanda (kanoverengeka pavhiki) kurwisa;

- pamwe unevenness uye kuwedzera pfari.

Pakazosvika nguva chitarisiko kusiyanisa marudzi aya pfari:

- usiku;

- nehope;

- generalized (kurwisa kuitika chero nguva).

Panomuka ose excitation uve occipital, cortical, epanyama, diencephalic nezvimwe pfungwa kumatunhu.

Huru Zviratidzo

Zvichienderana mugove huru lesion achizosiyana uye zviratidzo tsviyo muvana. Pashure pezvose, hosha haina nguva dzose richiratidzwa nokugwinha. Cheerleaders vanofanira kuva kwenguva pfupi kurasikirwa pfungwa, kufamba zvirwere, nekuvhiri- ngika, nenyonganiso kuti maonero (kuravira, inzwi kana kutarisana), utsinye, chinja kwemanzwiro. Uyewo, vana vakura vanogona nezvoUmambo chiveve vamwe nhengo dzomuviri.

Zviratidzo izvi zviri nepfari ari mwana haisi nguva dzose zvinoonekwa, saka vabereki havasi kuteerera kwavari. In vana vakura, vanogona kutora kwavari mureza kutsauswa. Asi pane zviratidzo kuti ndirumbidzwe. kumbomira ichi kufema, tsandanyama Makakatanwa muviri, izvo pamwe ndechokuti mwana anofanira kukotama uye unbend maoko nemakumbo, akacherechedza convulsive marwadzo, involuntary defecation, weti. Murwere anogona kuruma rurimi rwake, vamwe nemhere panguva pfari.

Dzimwe nguva vanhu panguva pfari inogona kuchengetwa chete vanodzungudza remakore, nokukanda musoro kumashure, tarisai imwe nguva. Havadi sei zviwane. Asi vazhinji havagoni kuziva zvipusha nezvipusha, kana ivo vasina achiperekedzwa nokugwinha uye famba pasi.

Tinofanira kuziva uye kuti vaiva netsviyo kutapata simba. Kazhinji kutambura kubva siyana psycho-mupfungwa zvirwere. Vanogona kuva kuzvidya mwoyo atanga. Vari pedyo diki-pfungwa uye negakava hunhu inozivikanwa, kazhinji vane kudhakwa yaiparadza. Vanhu vane nepfari chemafuta akawandisa picky, mafi, rancor. Nyanzvi vanouti zvipusha hunhu.

chirwere chirwere

Pavakaona mwana wacho nguva rinooma kana jerky kufamba, iwe unofanira pakarepo kuenda kwachiremba. Chete kuongorora zvizere uye pakusarudza yakarurama kunokwanisa kudzokera dzose upenyu hwevanhu.

Need inokosha rabhoritari uye richishanda bvunzo, saka kuti vane 100% chokwadi chirwere "tsviyo". boka urema chakasimbiswa kamwe pamberi zera ruzhinji. Pashure kutanga namasere zvinoda zvakaitika perekomissiyu.

Chimwe chikuru nzira kuongorora ndiyo electroencephalography. Zvisinei, vanenge hafu varwere munguva pakati kurwisa hazvigoneki kuchinja chero. Paaiita dzichipfekeka miedzo (hyperventilation, Kusarara, photic dzishande) muna 90% wevarwere pane mamirire zviratidzo netsviyo.

Kuwedzera eeg, wechinomwe vaishandisawo. Kudzidza uku inoratidza uropi, nechirwere, fungidziro uye ona zvakare kurapwa nzira. Nzira idzi anosanganisira kombiyuta uye rinobva resonance tomography. Uyewo, varwere achitora kuongorora weti uye ropa. Kuona pachiyero immunoglobulins, makemikari, sealbumin, eletrolitov, calcium, alkaline phosphatase, magnesium, shuga, simbi, prolactin, thyroid hormone nevamwe.

Zvokuwedzera anodaro ECG zvichiongororwa, Doppler brachiocephalic ropa midziyo, cerebrospinal mvura mvura kuongorora.

Marapirwo nzira

Normalize mwana wacho nemamiriro uye kuderedza kakawanda kurwiswa, kana kwete kuvabvisa zvinogoneka kuna akanyatsosarudzwa kurapa. Zvisinei, kutarisira kubvisa matambudziko nomwedzi wokutanga haasi zviripo. Dzimwe nguva unofanira kutora mapiritsi makore akawanda kuti kuzoserera pfari pfungwa, uye kurwisa kurega zvachose.

Zvipatara inofanira nzwisisika. Kuwedzera kune mutemo unoti kuna ushandiswe mishonga, mune zvimwe zviitiko zvinokosha neurosurgical kurapwa. Chinhu chakaoma kuita pasina psychotherapeutic rutsigiro. With kurudyi nzira inogona kuzadzisa kugadzikana kuregererwa muna 75% wevarwere vaduku.

Kuwedzera mishonga, vanachiremba vari zano vagadze kwadzinoita zvakajeka zuva mwana ndokuiisa rinokosha kudya. nzira iyi youpenyu anofanira kuva tsika. Mushure muoti waanodzikisira kuti ndingangokuvara excitation foci muuropi. Doctors kumuratidza kuti migumisiro yakanaka vari vakawana ne ketogenic kudya. Chaizvoizvo Its iri pakuti zvaunofanira kudya zvokudya rurefu mafuta kugutsikana. Panguva iyoyo zvakafanira kuderedza uwandu makabhohaidhiretsi.

Kunyanya kushandisa kurapa

Kusarudza sei kurapa tsviyo neimwe nyaya, chiremba anofanira chete ruzivo yakakwana. Pashure pezvose, saka zvakakosha kusarudza mishonga kuti vauye kunonyanyisa vanobatsirwa shoma nemigumisiro. Treatment ndiye anosarudza chete pashure nechirwere inovhurwa. Kuti basa imwe chinodhaka, chiremba anofanira kuona hunhu nezvipusha, kufunga zviri chirwere. Basa reDare zera vakatanga kurwisa, kakawanda dzavo, murwere pfungwa, kuvapo chetsinga zviratidzo. Also kufungawo toxicity mishonga mukana wokuti nemishonga. Kusarudza zvinodhaka (ushandiswe tsviyo kunyanya anticonvulsants), chiremba anofanira kunyatsoteerera hunhu nezvipusha, rudzi chirwere kana zviri zvishoma kukosha.

For kuchirapa zvinangwa varwere vanenge ushandiswe dose kwenyika. Zvisinei, chiremba anofanira kugamuchira pendi zano. Pashure pezvose, kutanga kunwa zvinodhaka antiepileptic panguva yakaderera dose. Kana sei kugamuchira kwavo hariwaniki, kana zvichava haawanzotauri kuoneka, zvakakodzera zvishoma nezvishoma kuwedzera uwandu husingakuvadzi. A chepfungwa kurapwa chirwere ichi kunongova chokwadi kuti mishonga kuchinja kunaka. Kana muviri akasaita, iwe chete kuwedzera nhamba imwe-nguva mari yakagamuchirwa. Kunyange anenge 1-3% wevarwere ruregerero anogona kubudirira pakushandisa repakati kuderedzwa chipimo chemushonga.

vakasarudzwa zvinodhaka

Pane zviitiko apo kugadzwa zvinodhaka asingadi kubatsira. On ichi uchapupu kushaya kuvandudza mumwedzi, akapa kuti kufadza zera chipimo chemushonga kunokwanisika. Mumamiriro ezvinhu akadaro zvakafanira kushandura mishonga. Asi ichi hachisi nyore. Pane imwe redunhu, kubata pfari vachishandisa mishonga siyana.

Zvinoreva kuti kutsiva yechipiri akasarudzwa Pfungwa chinotarisirwa zvishoma nezvishoma, panguva imwe chete kubvisa yaimbovapo. Asi izvi zvaitwa zvakanaka. Dzimwe nguva yekupindurwa zvinodhaka riri kunonoka kwemavhiki mashoma. Kana murwere ane raidudzwa kushaya, zviri chinodiwa kupa munhu revatema kurapa benzodiazepines uye barbiturates.

Kazhinji, unogona kurapa tsviyo. Doctor nomumwe anosarudza anticonvulsant uye zvinodhaka antiepileptic. Kazhinji ushandiswe "Diazepam", "Phenobarbital", "carbamazepine". Usada zviri chinodiwa kupa nzira umo zvinoshingaira fuma asunungurwa zvishoma nezvishoma. Mushure zvose, avo kushandiswa kunoderedza mukana nemishonga. mishonga yakadaro inosanganisira nomukaka zviri valproic asidhi uye carbamazepine. Izvi zvinosanganisira mapiritsi "valparin XP", "Konvulsofin", "Enkorat", "Konvuleks" "Depakine Enterik 300", "Finlepsin", "Apo-Carbamazepine."

zvinogoneka yematambudziko

Nemazvo akasarudzwa mushonga vanogona zviratidzo nepfari ari mwana kubviswa zvachose mune makore mashoma. Mune zvimwe zviitiko, sequential monotherapy haisi akamira kurwisa. Izvi zvinogoneka chete kurapika. It anowanzodanwa kuonekwa varwere vaya vakatanga mangwanani kurwisa pamwedzi hunopfuura 4 kurwisa, kwave kune kuderera yenjere uye chepfungwa dysgenesis. Muzviitiko zvakadaro, zvishoma yakasiyana zano inofanira kubatwa uropi netsviyo. Chiremba anogona mishonga mawa negashiro zvinodhaka maviri.

ari enzanirana redunhu anofanira kubatwa kwemakore anoverengeka, uye kunyange mushure kumira pfari rakakwana. Zvichienderana nzira nepfari, iyi inogona kubva 2 kusvika 4 makore. Asi vakurumidze kurega zvinodhaka kunogona kukonzera kudzikira. Pfari kamwe zvakare vanogona tangaizve. Kunyange pashure kuguma iyi, kudzimwa mari zvinofanira kuitwa zvishoma nezvishoma pamusoro 3-6 mwedzi. Zvakakosha kuti nguva kuongorora mamiriro kushandisa eeg. Mune zvimwe zviitiko, marapirwo ndiyo hwose.

Zvinofanira kunzwisiswa kuti kwokutanga maperembudzi atanga, zvikuru zvakakomba hunoguma netsviyo. Izvi imhaka yokuti vachiri vaduku, uropi achiri saibva uye, somugumisiro, nyore nyore. Vabereki vanofanira kukoshesa ramakanzi kurapwa, nekuti kana musingadi vanoomerera kurapwa zvaiitwa vakasarudzwa, skip mapiritsi kana kukanzura dzavo, mwana anogona atangezve kurwisa kusvikira asvika chinzvimbo epilepticus. Ichi chirwere kunoratidzwa yokuti mwana pfari vari mumwe pashure pomumwe pasina dzongonyedzo, pfungwa hauna pachena pakati pavo.