Jacksonian sokuwa: Iimpawu and Treatment

sokuwa Jacksonian - uhlobo lwesifo ngxabano. Ekuqaleni yafunyanwa ngo-1927 ngu Dr. Brava. Koko bafunda ngononophelo kwaye yachazwa nguGqirha Jackson e IsiNgesi. Kwaye ke wamnqula igama gqirha. Olu hlobo sokuwa akujongwa ingozi, njengoko akukho nto ikhokelele ekufeni.

imbali yezonyango

Kuba okokuqala ngokufutshane Jacksonian sokuwa ezichazwe 1827, ugqirha French Brava. Ngowe-1863, ngenxa isifundo lwesifo kakhulu yathatha eliNgesi, emine Jackson. Wafanisa kuhlaselo ukuya Epiactivity eziko phezu kwiindawo ezahlukeneyo kweziko ingqondo le uthinte. Ezi zifundo obenza isiseko ukufunda imisebenzi lwemimandla ezahlukeneyo.

Yintoni na?

sokuwa Jacksonian luphawulwa oluvo, injini okanye nokuxutha izinto ezixubeneyo. Ngaloo epileptiform excitation kuqala livela gyrus usembindini ubuchopho okanye uthinte. Amaninzi, ukuxhuzula kunye unditsho baqala ekuhlaleni. Kule ukwazi ecacile igcinwe. Ukuxhuzula zisasazwa ngokulandelelana wonke umzimba, ekhokelela epipristupu eziziisekondari.

Izinto ezibangela izifo

Enye kwezifo luvo - sokuwa Jacksonian. Izizathu inokuba nomahluko. Phakathi kwabo:

• ithumba ebuchotsheni;
• cysticercosis;
• fluid amaninzi ingqondo;
• cyst yobuchopho;
• isifo hydatid;
• tuberculosis yodwa;
• neurosyphilis;
• kobuchopho;
• nokulimala engqondweni ebuhlungu;
• arachnoiditis ezingapheliyo;
• malformations arteriovenous;
• pachymeningitis;
• kwemithambo.

Jacksonian sokuwa ebantwaneni kaninzi kwenzeka ngenxa yofuzo. Kodwa le into kulandela. Oko kukuthi, ukuba isifo kwenzeka ngenxa organic ngezifo. inkangeleko yayo nayiphi na ubudala ibonisa ukonakala kwengqondo.

symptomatology kwesifo

Jacksonian sokuwa, iimpawu zazo eziguquguqukayo ngokwendalo, ukubonakala ngokohlobo uxhuzula kunye yombono. Iimpawu Eziqhelekileyo - kwenzeka ekuhlaleni kwezinye iindawo zomzimba. Amaninzi kubonakala ebusweni okanye izandla. Ke wonke umzimba. Ngenxa kule uphuhliso iimpawu babebizwa hambo Jacksonian.

iimpawu zesifo

Eyona uphawu sokuwa Jacksonian yi imbonakaliso yayo lasekuhlaleni inxalenye enye kuphela lomzimba. Kwaye ke ukusasazeka sokuwa, ngokulandelelana, noqikelelo phezu neuron le convolutions central. Uxhuzula xa umntu ezazi ngokupheleleyo. Umzekelo, ukuba yinkantsi yaqala iminwe esandleni sakhe sasekhohlo, uqala ukusasaza kwicala elinye lomzimba - egxalabeni, ubuso kwaye uhamba ngeenyawo. Ipasisa kuhlaselwa ngendlela efanayo kuyo kunye kwasasazeka.

Ziphawuleka kukuba xa wabangela nokuxutha izinto kwindawo ethile yomzimba iya kuqala ngqo kwi ndawo enye. Phakathi yokuhlaselwa inokuba nomahluko: imizuzwana, imizuzu, okanye iintsuku.

Types of sokuwa Jacksonian

sokuwa Jacksonian unokuba kweentlobo ezintathu. isifo Motor injini kwenzeka xa excitation yengqondo central gyrus. Okokuqala, kukho unditsho, leyo ikakhulu zivela izihlunu ubhontsi. Ke zomzimba kuqala kuze ingalo egxalabeni, ngoko ukusuka hip phantsi. Ngokuqhelekileyo, ukuxhuzula sivela toe yokuqala. Kulo mzekelo zisasazwe kuqala phezulu kulo, uze emva koko izandla kunye nobuso. Misa ukuhlaselwa ngesiquphe, kwakunye ekuqaleni.

Jackson kwakhona xa touch kwenzeka excitation le gyrus ebuchotsheni engundoqo. Ukusasazwa motor ingqondo efanayo. Umahluko siyifumana ilahleko uvakalelo. Kukho ukuhlukumeza wayo. Ngamanye amaxesha ukuxhuzula evela kwindawo enye, ngoko phantse azisebenzi. Oku kuhlaselwa ithathwa ukuba kube lula. Lo angalahlekelwa abazi lutho.

Kuyinto kanye matshi xa Jacksonian. Consciousness yoko elahlekileyo akusoloko, kodwa ke kwiimeko ezininzi. Ingakumbi ukuba ukugula ngesiquphe utshintshe amacala. Ukuba ube status epilepticus, uhlaselo yenzelwe kuphela imisipha yobuso, echaphazela izihlunu lomzimba enye, okanye nokuxutha izinto ziqala ukuvela omnye emva komnye.

Kufuneka wenze ntoni xa kwenzeka ukuhlaselwa?

sokuwa Jacksonian kwiimeko ezininzi ithatha indawo imbonakalo yokuhlaselwa elula eziqala kwindawo ethile elimisiweyo. Misa ukusasazeka sokuwa, ungazama usebenzisa imilenze ukugcinwa twitching. Nangona kunjalo, olu khetho kunokwenzeka kuphela xa lokuqala sifo. E wayo ozakube usaqhutywa progression of uxhuzula eqala ukuvela ukusuka kwindawo yasekuhlaleni, esasaza ngcembe wonke umzimba. Ngoko ke, ukuba bayeke nabo ngoncedo ukugcinwa akusekho kunokwenzeka.

ukuhlaselwa progression

Kunye ukuqhubela phambili sokuwa emva kokuhlaselwa Jacksonian badla inkunkuma okwethutyana omzimba, nto leyo yaba kwindawo yokuqala ka ukugula ukuqala yasekuhlaleni. Ubude nobukhali paresis postparoksizmalnogo ibonisa ukuqala somhlaza.

Ukuba ugxininiso nokuhlutha ise ikhweyitha ezibalaseleyo lobuchopho, inokuqala motor aphasia. Ngamanye amaxesha amahlaba lihamba ukushwabana otshintsho imilenze okanye iingalo. Ngexesha bamelwa kunye nezinye iimpawu luvo. Bona zixhomekeke kubukho kukho umntu izifo.

isifo izifo

Ukuseka ubukho sokuwa Jacksonian lula. Kunzima kakhulu ukufumanisa unobangela imvelaphi yayo, ukutsho oko sifo ezona eyabangela kukuvela ukuxhuzula. Ngoko ke waqhuba uviwo luvo yaye uhlahlelo kwenziwa imeko yengqondo isigulane. sokuwa Jacksonian kufuneka yahlulwe izifo ezifanayo. Ngoko ke, kuphando athathe inxaxheba wengqondo, luvo kunye yesazi.

Phakathi ukuhlaselwa electroencephalography Iirejista khupha ezesini Epiactivity ukuba ekucaphukisayo zizinto ekuva kunye nezibonwayo. Kodwa ngokutsho unobangela sifo isingqisho engundoqo inokuguqulwa kuyo. Ukusebenzisa esweni EEG-ividiyo ukufumana umfanekiso opheleleyo EEG ictal.

Indlela engcono kokuxilongwa kucingwa MRI ebuchotsheni. Ukuba ukusetyenziswa kwayo kukho contraindication, i-CT iyasetyenziswa. Ezi ndlela ukuvumela ukuba ukuchonga okanye ukuphelisa ithumba ebuchotsheni, ithumba, kobuchopho kunye like. D.

sokuwa Jacksonian: unyango

Ukuphonononga zibonisa ukuba umntu uxhuzula emva unyango phantse unyamalale ngokupheleleyo. Kwakhona kubalulekile nesimilo yesigulane alulame. Unyango Jacksonian sokuwa ikakhulu ngqo ekujonganeni isifo engundoqo, apho unobangela ukuxhuzula. Ilungu lesibini unyango - antikolvusantnaya. Ngaphandle yokubamba sokuwa engenakwenzeka.

Ngexesha unyango anticonvulsant, prescribers kwizakhiwo ( "Benzonal", "Geksametadin" kunye np.), Esiyinisayo isigulane kufuneka kusela ubomi. Kwangaxeshanye amachiza emzimbeni emiselweyo umguli ( "Hypothiazid", "Diakarb" okanye "Lasix") kunye absorbable ( "Aloe" "Lidaza").

sokuwa Jacksonian, eyaqala unyango, kufuneka yokubonisana of a neurosurgeon, ukuba esi sifo sibangelwa yi cyst, malformation arteriovenous okanye ithumba. Kulo mzekelo, kufuneka uqhaqho. Kwanasemva kokuba ukusebenza, ngexesha olususa isizathu eziphilayo sokuwa Jacksonian, ukuxhuzula basoloko isahleli ixesha elide.

Kulo mzekelo, liqwalasela ithuba unyango ngotyando. azikhuli sokuhlaziya kunye kukuqulungana imifinya nokususwa-modified olungasebenziyo. Emveni kwezi imisebenzi, ukuhlaselwa wayeka nje okomzuzwana. A indlela ephumelelayo kakhulu unyango - le resection focal. Ngexesha uqhaqho ususa iinkalo neuron, athi abenoxanduva Epiactivity.

Kodwa emva kokuba kuza usebenzela loo ukukhubazeka kwamalungu omzimba, iindawo motor eziye kunqunyulwa. Ekuhambeni kwexesha, izihlunu aqale ukululama, kodwa hayi kangangoko ngokupheleleyo. Kunye nokungakwazi akakhethi okuhlala kuse ebomini. Nokuqinisekisa ukuba uhlaselo musa ukuqala kwakhona, akukho. Isizathu sokuba loo - inkangeleko loloyiko emva kotyando.

Outlook

abantu abane Jacksonian isifo iyathuthuzela. Isifo iphendula kakuhle kunyango. Akukho uphuhliso iingxaki ezongezelelekileyo ezifana ukungaqheleki ngengqondo okanye esebenza. Olu hlobo sokuwa ayisiso esisongela ubomi okanye ezinobungozi izifo. Ukanti esi sifo kungemnandi kakhulu ngenxa ukuxhuzula rhoqo kunye nelahleko ngamaxesha lokuqonda. Kwaye ngenxa yokufelwa eminye imisebenzi umzimba. Kodwa unyango ngexesha ugqirha inani uxhuzula yehliswe kakhulu. Unyango ithatha ubuncinane ngonyaka.