
pranyanmadhye apasmaracha tras

pranyanmadhil apasmaracha eka gut mhanje mendutil vidyut kriyakalapanchya aniyantrit, asamanya sphotanmule honanya murkhanche lakshan asalelya majjasansthesambandhi vikarancha eka gut aahe. teey atishay achanak suru aanee thambu shakatat aanee kahee sekandanpasun kahee minitanparyant konatyahi pramanat tiku shakatat. kutra apasmaracha aajaar haah bahudha anuvanshik asato, parantu manjar aanee itar paliv pranyanmadhye apasmaracha tras kvachitach hoto, bahudha yaa pranyanmadhye apasmaracha konatahi aanuvanshik ghatak naslyamule.
vaishishtye.
apasmaracha rog samanyatah doke aanee avyavanchya anaichhik halchalindware olakhala jaato, tathapi itar vaishishtyanmadhye laal, sharirik karyancha abhav aanee chinta yancha samavesh hoto. prani anekada beshuddha hotat aanee tyanna tyanchya sabhovatalachi mahitee nasate.
japti hatalane.
ekhadya pranyala khilkhilepana yetana pahane heey khoop bhitidayak asoo shakate. bandist avasthet shant rahnyashivay aanee pranyala ekte naan sodanyashivay farse kahee karata yet nahee. tumchya paliv pranyala jarr khilkhilepana yet asel tarr teey konatyahi panyapasoon, payyanpasoon kinwa itar pranyanpasun door jaminivar padalele aahet yachee khatri karane mahatvache aahe. jevha ekhadya pranyala khilkhilepana yeto, tevha tyanchi jeebh pakadanyacha kinwa tyanche tond swachchh karnyacha prayatna karoo nakaa kaaran tumhala dansh honyachi shakyata jaast aahe; lokpriy dantkathechya ulat, khilkhilepanachya velee manav kinwa prani doghehi tyanchi jeebh giloo shakat naheet, mhanoon tyaa darmyan tyanchya tondapasoon door rahane sarvat surakshit aahe. velevar japti yene dekhil mahattvache aahe. murkhanchya ghatana-tyaa konatya velee yetat, kitee vela hotat aanee pashuvaidhyak kinwa aapatkalin pashu chikitsalayat pathavali jaau shakanari itar konatihi vishisht mahitee nondwa. japtichya samanya nondinmadhye khaleel mahitee samavisht asavih japticha divas aanee vel, japtichi tivrata, aushadhanmadhye badal, upcharatmak aushadhanchi patali aanee japtichi suruvat houu shakanare konatehi sambhavya triggers. namuna olakhane sope honyasathi, japticha logg resheey swarupat lihawa ashee shifaras kelee jaate.
kutre.
kutryanmadhye, apasmaracha aajaar hii bahudha varshane midaleli sthitee asate. samanya kutryanchya loksankhyemadhye apasmarachya/murkhanchya ghatana 0.5 teey 5.7% darmyan asalyacha andaj aahe. belgian mendhpalasarkhya kahee vishisht jatinmadhye, yache praman barech jaast asoo shakate.
nidan.
kutryanmadhye apasmarache teen prakar aaheth pratikriyashil, duyyam aanee prathamik. pratikriyashil epileptic daure heey qamee raktatil sakhar kinwa mootrapind kinwa yakrut nikami hone yasarkhya chayapachay samasyanmule hotat. menduchi gaath, stroke kinwa itar aaghatamule honanya apasmaracha duyyam kinwa lakshaniy apasmaracha mhanoon olakhala jaato.
prathamik kinwa idiopathic apasmarache konatehi dnyat kaaran nahee, jyache nidan keval murkhanchi itar sambhavya karane kadhoon takoon kele jaate. idiopathic epilepsy asalelya kutryanna eka teey teen varshanchya darmyan tyancha pahila japticha anubhav yeto. tathapi, nidan kartanache vay haah kutra apasmarache nidan karnyasathi keval eka ghatak aahe, kaaran eka abhyasat eka teey teen vayogatatil eka trutiyansh kutryanmadhye apasmarache kaaran aadhalale aahe, jeey prathamik apasmarachya aivaji duyyam kinwa pratikriyashil asalyache darshavate.
murchhacha itihas asalelya kutryasathi pashuvaidhyane kelelya prarambhik karyat sharirik aanee majjasansthechi tapasani, sampoorn rakt ganana, raktadrav rasayanshastra profile, mootra vishleshan, pitt chachanya aanee thyroid karya chachanya yancha samavesh asoo shakato. yaa chachanya murchhachi padtalani karatat aanee pratikriyashil kinwa duyyam apasmarache kaaran nishchit karoo shakatat. pashuvaidya kutra malakanni pratyek japtichi vel, lambi, tivrata aanee punarprapti, tasech aahar kinwa paryavaraniy badalanche dastaivajikaran karnara 'japticha logg' thevanyachi vinanti dekhil karoo shakatat.
upchar.
kutrechya apasmarachya vyavasthapanasathi anek apasmaraniyavirodhi aushadhe vaparali jaatat. tondawate milanari phenobarbital, visheshtah levetiracitam aanee imapitoin hii sarvat prabhavi antipileptic aushadhe manali jaatat aanee sahasa 'first line' upchar mhanoon vaparali jaatat. zonisamide, primidone, gabapentin, pregabalin, soodiyam valproate, felbamet aanee topiramet yasarkhe itar apasmarache aushadh dekhil prabhavi asoo shakatat aanee vividh sanyojananmadhye vaparale jaau shakatat. apasmarachya paliv pranyanchya upcharancha eka mahattvacha bhag mhanje palan aanee yashasvi vyavasthapan sunishchit karnyasathi malak shikshan.
manjari.
manjarinmadhye yenyachya zatkyanche vividh prarambhik ghatak asatat. manjarinna pratikriyashil, prathamik (idiopathic) kinwa duyyam daure yeu shakatat. manjaranmadhye idiopathyche daure heey kutryansarkhe samanya naheet, parantu nuktyach jhalelya abhyasat asey disun aale aahe qee manjarichya 91 hallyanpaiki 25 takke lokanna idiopathy apasmaracha tras jhalyacha sanshay hota. 91 manjarinchya tyach gatamadhye, 50 takke duyyam daure aanee 20 takke pratikriyashil hote.
vargikaran.
yaa murkhanchi konatihi dnyat karane naslyamule idiopathic epilepsyche vargikaran nahee, tathapi pratikriyashil aanee lakshaniy duyyam epilepsy yaa donhi goshti vargikaranat thevata yetat.
karkarog.
meningioma, lymphoma aanee glial seela brain tumour heey manjarinmadhil sarvat samanya karkarog aahet aanee hii serve moorchha yenyachi samanya karane aahet.
raktavahinyansambandhi rog.
raktavahinyansambandhi rog mhanje mendumadhye rakt pravahavar parinam karnari aanee sambhavyatah japti vikaranmadhye parinami honari konatihi sthitee hoy. manjarinmadhil samanya raktavahinyasambandhi roganmadhye manjaranchya ischemic encephalopathy, polycythemia aanee uchch raktadab yancha samavesh hoto.
dahak/sansargjanya.
menduparyant pohochanara konatahi dahak kinwa sansargjanya rog, tyamule daure yeu shakatat. manjarinna daure yenyas karanibhoot tharnare sarvat samanya dahak kinwa sansargjanya rog mhanje manjar sansargjanya peritonitis, toxoplasmosis aanee cryptococcus.
pratikriyashil japti vikar.
menduvyatirikt sharirachya itar bhaganmadhye aajarpanamule udbhavananya anek aajaranmule, visheshtah mothya manjarinna, manjarila daure yeu shakatat. mhashinmadhil murkhanchya zatkyanchya kahee samanya chayapachay karananmadhye yakrutachya encephalopathy, mutrapindachya encephalopathy, hypoglycemia aanee hypothyroidism yancha samavesh hoto.