გზავნილი
1. nucii (Off)
[ 10 Sep 2013, 19:10 ]
epilefsia

(dzvelberdz. ἐπίληψις, epílēpsis, „sheteva, tavdasxma“) warmoadgens daavadebas,
romlistvisac
damaxasiatebelia
minimum erti spontanurad
agmocenebuli gulyris
epizodi, romelic ar
aris gamowveuli cxadad shecnobadi winaswari mizezit (magalitad mwvave anteba, eleqtrotravma an mowamvla). aseti
epilefsiuri shetevebi
aris tavis tvinis
neironuli jgufebis
proqsimaluri sinqronuli gantvirtvebis shedegi,
rac uecar uneblie
stereotipul qcevis an/
da cnobierebis dargvevebs iwvevs.
diagnostirebistvis
mnishvnelovania
anamnezis da tavis
tvinis eleqtruli
aqtivobis sheswavla
(eleqtroencefalograma, eeg; ix.
eleqtroencefalografia). rutinuli kvlevis
metodebs miekutvneba
agretve radiologiuri
gamokvlevebi. mkurnaloba tavdapirvelad iwyeba
krunchxvis damtrgunveli
(antikonvulsiuri)
medikamentebit.
terapiis mimart
rezistentobis
gamovlenis shemtxvevashi
mkurnalobashi ertveba
sxva metodebi (epilefsiis qirurgiuli mkurnaloba). epilefsia
daavadebulis
yoveldgiur cxovrebaze mravalmxrivi
zemoqmedebit
xasiatdeba, rac
mkurnalobis processhi
gatvaliswinebul unda
iqnas.

epilefsia mxolod adamianebistvis ar aris damaxasiatebeli.
msgavsi formit igi
shesadzloa sxvadasxva
shinaur cxovelebshic
shegvxvdes.

epidemiologia

generalizebuli
gulyra shesadzloa
agmocendes nebismier
adamianshi, tu tavis
tvini shesabamisad
mdzlavri fizikuri an
qimiuri gamgizianeblis
zemoqmedebas ganicdis.
adamianta daaxloebit
10%-s agenishneba
gulyris mimart
momatebuli mzaoba,
romelic tavs ichens eeg
gamokvlevis dros.
adamianebis 4-5%
ganicdis ertxel an
metjer mteli sicocxlis ganmavlobashi
gansakutrebuli
zemoqmedebis qvesh
epilefsiur shetevas,
romelic, rogorc wesi,
specifiuri faqtorebis
zemoqmedebis gareshe
agar meordeba. aseti
saxis „shemtxveviti
gulyrebisgan“ unda
ganvasxvavot e. w.
„aqtiuri epilefsia“
anu „progresirebadi
gulyrebi“, romelic
mag. germaniis
mosaxleobis 0,5–1,0%–
shi gvxvdeba.

epilefsiis insidensi
(daavadebis axali
shemtxvevebis sixshire)
damokidebulia asakze.
tu ar chavtvlit
termuli da cakleuli
spontanurad
agmocenebuli erteuli gulyrebis shemtxvevebs yovelwliurad
sashualod epilefsiit
avaddeba 100 atasidan
60 bavshvi 43-82/100.000
diapazonshi. rac sheexeba
mozrdilebs,
tavdapirvelad
insidensi iklebs
30-50/100.000
yovelwliurad, xolo
50 wlis asakidan isev
imatebs 140/100.000–
mde weliwadshi. tu
avigebt epilefsiis
yvela shemtxvevas 74
wlis asakamde,
daavadebis zogadi
sixshire iqneba
daaxloebit 3,4
procenti.[1] asaktan
damokidebulebas ichens
aseve aqtiuri
epilefsiis prevalensi.
bavshvebshi igi sheadgens
3-6 daavadebuls 1000
bavshvze. adreuli
bavshvobis asakshi umetes
shemtxvevashi adgili aqvs generalizebul
epilefsias mashin,
rodesac mozardebshi
magalia kerovani
epilefsiis sixshire.
[Pasuxi][Cit]|
2. nucii (Off)
[ 10 Sep 2013, 19:37 ]
gulyris tipebi


mimoxilva

epilefsiuri gulyrebis sxvadasxva
formebi, romlebic
xasiatdebian
gansxvavebuli
mimdinareobis
taviseburebit,
dayofilia epilefsiis
sawinaagmdego
saertashoriso ligis
(ILAE) mier dadgenili
definiciebis mixedvit.

fokaluri gulyrebi

sxva saxelwodeba

parcialuri
gulyrebistvis aris
fokaluri an kerovani
gulyrebi. gulyrebis es forma xasiatdeba imit, rom patologiis kera yoveltvis arsebobs tavis tvinis romelime konkretulad
shemosazgvrul ubanshi,
amastanave absoluturad
sulertia chaertveba tu ara processhi qerqis
sxva nawilebic meoradi
gavrcelebis (meoradi
generalizacia) shedegad. gansakutrebit magali
diagnostikuri
girebuleba aqvs
gulyris dawyebas
aurit imastan
dakavshirebit, tvinis
romel regionshi
mdebareobs patologiis kera,
radgan gulyra aris
erti konkretulad
shemosazgvruli
neironuli kavshirebis
aqtivobis shedegi.
qvejgufebi:
*martivi fokaluri
gulyrebi(cnobiereba
shenarchunebulia)
*kompleqsuri
fokaluri gulyrebi
(cnobierebis
dargvevit)
*fokaluri gulyrebi
meoradi generalizebuli
gulyrebis ganvitarebit

generalizebuli
gulyrebi

gulyra itvleba
generalizebulad,
rodesac misi
mimdinareoba da
simptomebi ar gvadzlevs
anatomiurad
shemosazgvruli
lokalizaciis da
lokaluri (kerovani)
dasawyisis nishnebis
shecnobis sashualebas.
qvejgufebi:
*absensebi – gulyrebi
cnobierebis xanmokle
gamortvit dacemis
gareshe, aseve adre
frangulad rogorc
Petit-mal wodebuli.
*mioklonuri
gulyrebi – calkeuli
kuntovani jgufebis
erteuli an
araregularulad
ganmeorebadi
konvulsiebit
*klonuri gulyrebi
*tonuri gulyrebi
*tonur – klonuri
gulyrebi – tipiuri
„didi“ gulyra
cnobierebis dakargvit,
dacemit, dakrunchxvit
da bolos orive
mxrebis da fexebis
ritmuli krunchxviti
modzraobebit, adre aseve rogorc konvulsia an
frangulad Grand-mal
wodebuli, romelsac
xshirad tan axlavs kbena enaze.

atoniuri (astatiuri)
gulyrebi

araklasificirebuli
epilefsiuri gulyrebi

gulyrebi, romelta
klasificirebac
arasakmarisi an
arasrulyofili
monacemebis gamo ver
xerxdeba an mati
dajgufeba sheudzlebelia.
[Pasuxi][Cit]|
3. nucii (Off)
[ 10 Sep 2013, 19:47 ]
gulyris mimdinareobis
zogadi mimoxilva

aura


aura berdznuli sityvaa
da qartulad „haeris
qrolvis shegrdznebas“
nishnavs. igi aseve
shesadzlebelia gagebul
iqnas rogorc
„gaurkveveli, sheucnobeli
winatgrdznoba“. rodesac aura izolirebulia, igi
sheidzleba martivi
parcialuri gulyrebis
ertadert – subieqtur
– simptoms
warmoadgendes. igi
tavis tvinis
konkretulad
shemofargluli
romelime keris
nervuli ujredebis
epilefsiuri aqtivobis
shedegia. qerqis
calkeuli
regionebistvis
shesabamisi funqciuri
simptomebis dajgufebas
didi diagnostikuri
mnishvleloba aqvs
epilefsiuri keris
lokalizaciis
dadgenistvis.
epilefsiuri aqtivobis
gavrcelebas, rogorc
wesi, e. w. meoradi
generalizebuli
gulyra mohyveba. auris
tipebi da xasiati
gansxvaveblia,
magalitad e. w.
„visceruli aura“, kuchis midamodan agmavali ucnauri, arasasiamovno
shegrdzneba gvxvdeba
safetqlis wilis
epilefsiis dros.
yvelaze xshiria smenis
dakargvis shegrdzneba,
yurshi jgarunis
shegrdzleba an nemsis
chxvletis shegrdzneba
txemis wilis
epilefsiis dros an
visceruli
halucinaciebi
oqcipitaluri - kefis
wilis epilefsiisas.
sxva magalitebistvis
sheidzleba moviyvanot
koncentraciis unaris
gadzneleba,
gulmaviwyoba da
garemos sworad agqmis
unaris dakargva.
[Pasuxi][Cit]|
4. nucii (Off)
[ 10 Sep 2013, 19:59 ]
epilefsiuri statusi

epilefsiuri
gulyrebis umetesoba
ramdenime wutshi
yovelgvari terapiuli
charevis gareshe
tavistavad gaivlis,
magram ara yoveltvis.
rig shemtxvevebshi
aucilebelia drouli
da gadaudebeli
gonisdziebebis gatareba. rodesac adgili aqvs gulyris ramdenime shetevas ertmanetis miyolebit imdenad mcire shualedebit, rom
avadmyofs cnobieraba
ar ubrundeba an
rodesac gulyra
minimum 20 wuti aseve
cnobierebis gareshe
uwyvetad grdzeldeba,
saqme gvaqvs epilefsiur
statustan.
epilefsiuri statusi.
rac ufro didxans
grdzeldeba aseti
mdgomareoba, mit ufro
didia safrtxe,
gansakutrebit Grand
mal-is dros, tavis
tvinis sheuqcevadi
dazianebisa an gulyris tipze damokidebulebit
– letaluri
gamosavlisa.
[Pasuxi][Cit]|
5. nucii (Off)
[ 10 Sep 2013, 20:10 ]
terminaluri dzili

zogiert epileptiks
mogvianebit sakutari
auris gaxseneba sheudzlia, tvit gulyris ki ara (amnezia).
gulyris shemdeg avadmyofi rogorc wesi garkveuli drois ganmavlobashi, rac
shesadzloa ramdenime
saati gagrdzeldes,
dezorientirebuli da
dzilad mivardnilia.
(terminaluri dzili).

multiformuli epilefsia

garkveuli kategoriis
pacientebs aqvt rogorc
generalizebuli, ise
fokaluri gulyrebi
sxvadasxva dros. aseti
multiformuli
epilefsiis diagnozshi
unda agiweros titoeuli gulyris tipi.
[Pasuxi][Cit]|
6. nucii (Off)
[ 10 Sep 2013, 21:04 ]
epilefsiis mizezebi

tu romelime specifiuri metaboluri dargveva an tvinis qsovilis lokaluri dazianeba tavs ar ichens, saqme gvaqvs e. w. genuinur
epilefsiastan , mashin
rodesac identificirebadi
mizezebis dros
vlaparakobt simptomur epilefsiaze. daavadebis orive jgufis shemtxvevashi, iseve rogorc shemtxveviti
epilefsiis (ix.
monakveti epidemiologia) dros
saqme gvaqvs genetikur
dispoziciastan.
simptomuri epilefsiis
etiologia:

*tavis tvinis perinataluri travma, umetesad
intranataluri
hipoqsia
*tvinis qsovilis
chamoyalibebis defeqti
(magalitad fokaluri
kortikaluri
displazia)
*tvinis sisxldzargvovani
ganvitarebis mankebi
(hemangioma, anevrizmebi)
*simsivne tavis tvinshi
*qala - tvinis travmebi
ubeduri shemtxvevebis
dros
*cerebruli infeqciebi
(encefalitebi)
sxvadasxva
gamomwvevebit
*meningokokebi
*witura
*C hepatiti
*FSME-virusi (tkipis
mier gavrcelebadi
virusuli
encefaliti)
*boreliozi (aseve
tkipis gzit
gavrcelebadi)
*nivtierebata cvlis
dargvevebi, mat shoris
hiperparatireizi
sisxlshi kaliumis
koncentraciis
mnishvnelovani matebit
*hemaqromatozi
rkinis dagrovebit
upirveles yovlisa
tvinis qsovilshi
*eklamfsia
*vaskularuli encefalopatia
aterosklerozis
farglebshi.
[Pasuxi][Cit]|
7. nucii (Off)
[ 10 Sep 2013, 21:12 ]
"shemtxveviti" gulyrebis mizezebi:

*cxeleba (gulyrebi bavshvebshi)
*udziloba
*fizikuri gadadzabva
*mocimcime shuqi
sxvadasxva efeqtebit,
magalitad diskotekaze
*hipoglikemia
(glukozis dabali
koncentracia sisxlshi)
diabetikebshi
*narkotikebi,
alkoholi, magalitad.:
*alkoholuri intoqsikacia
*eqstazi
*kokaini
*terapiuli fsiqotropuli preparatebi,
magalitad.:
*amitriftilini
[Pasuxi][Cit]|
8. heretique (Off)
[ 10 Sep 2013, 21:23 ]
vagiareb rom temis wakitxva damezara, mxolod imis agnishvna mindoda, rom dostoevskis tanjavda es daavadeba mteli cxovreba. tumca sakitxavia, tanjavda ki? :) amtkicebda, rom misgan gvtaebrivi siamovnebis migeba sheidzleba, ragac momentshi.
[Pasuxi][Cit]|

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