{"id":4394,"date":"2021-03-15T11:27:39","date_gmt":"2021-03-15T11:27:39","guid":{"rendered":"https:\/\/www.neuraxpharm.com\/it2\/?p=4394"},"modified":"2022-12-13T09:17:06","modified_gmt":"2022-12-13T09:17:06","slug":"napady-nieswiadomosci-u-dzieci","status":"publish","type":"post","link":"https:\/\/www.neuraxpharm.com\/pl\/blog\/napady-nieswiadomosci-u-dzieci","title":{"rendered":"Napady nie\u015bwiadomo\u015bci u dzieci"},"content":{"rendered":"

Co to jest dzieci\u0119ca padaczka nie\u015bwiadomo\u015bci?<\/h2>\n

S\u0105 to napady, podczas kt\u00f3rych dziecko na kr\u00f3tko traci \u015bwiadomo\u015b\u0107, \u201ewy\u0142\u0105cza si\u0119\u201d, patrz\u0105c bez reakcji na to, co dzieje si\u0119 wok\u00f3\u0142 niego. Ich cz\u0119stotliwo\u015b\u0107 i czas trwania s\u0105 nieprzewidywalne, co budzi niepok\u00f3j rodzic\u00f3w oraz pozosta\u0142ych cz\u0142onk\u00f3w rodziny.<\/p>\n

Choroba pojawia si\u0119 mi\u0119dzy czwartym a dziesi\u0105tym rokiem \u017cycia, a zdecydowana wi\u0119kszo\u015b\u0107 dzieci wyrasta z tych napad\u00f3w do 12. roku \u017cycia.<\/p>\n

Napady mog\u0105 trwa\u0107 od kilku do 20 sekund i mog\u0105 charakteryzowa\u0107 si\u0119 \u0142agodnym trzepotaniem powiek, k\u0105cika ust lub innych mi\u0119\u015bni. Cz\u0119sto wsp\u00f3\u0142wyst\u0119puj\u0105 z ruchami mimowolnymi, takimi jak oblizywanie warg, po\u0142ykanie lub szamotanie si\u0119 z ubraniami, z towarzysz\u0105c\u0105 blado\u015bci\u0105 sk\u00f3ry i rozszerzeniem \u017arenic. (1)<\/p>\n

Wyst\u0119puj\u0105 one u niewielkiej liczby dzieci z padaczk\u0105 w wieku poni\u017cej 16 lat, a wiele z nich pozostaje niezauwa\u017conych. Wynika to z faktu, \u017ce napady s\u0105 ulotne, trwaj\u0105 zaledwie kilka sekund, a dziecko nie jest \u015bwiadome, \u017ce si\u0119 wydarzy\u0142y. Dzieci\u0119ca padaczka nie\u015bwiadomo\u015bci (CAE, Child Absence Epilepsy<\/i>) dotyczy oko\u0142o 8% dzieci z padaczk\u0105. (2)<\/p>\n

Napady mog\u0105 wyst\u0119powa\u0107 od 5 do 100 razy dziennie i chocia\u017c generalnie nie maj\u0105 trwa\u0142ego wp\u0142ywu na organizm chorego, u mniejszej grupy dzieci potencjalnie powoduj\u0105 zaburzenia uwagi i uczenia si\u0119; dlatego wymagaj\u0105 szybkiej diagnostyki i wdro\u017cenia odpowiedniego leczenia.<\/p>\n

W diagnostyce CAE wykorzystuje si\u0119 zazwyczaj badanie MR i EEG oraz dane z wywiadu klinicznego. Ponadto lekarze mog\u0105 r\u00f3wnie\u017c pobra\u0107 pr\u00f3bki krwi do bada\u0144 i wykona\u0107 pr\u00f3b\u0119 hiperwentylacji do wywo\u0142ania napadu nie\u015bwiadomo\u015bci.<\/p>\n

Przyczyna CAE jest nieznana, ale uwa\u017ca si\u0119, \u017ce w du\u017cym stopniu choroba ma pod\u0142o\u017ce genetyczne, a jedno na troje dzieci z dodatnim wywiadem rodzinnym do\u015bwiadcza podobnych napad\u00f3w2. Element genetyczny wraz z wywo\u0142ywan\u0105 przez niego nieprzewidywaln\u0105 aktywno\u015bci\u0105 elektryczn\u0105 w m\u00f3zgu to z\u0142o\u017cony i nie do ko\u0144ca poznany problem.<\/p>\n

CAE mo\u017cna dobrze kontrolowa\u0107 za pomoc\u0105 odpowiednich lek\u00f3w. U oko\u0142o 10-15% dzieci w tej grupie wyst\u0105pi\u0105 r\u00f3wnie\u017c inne napady padaczkowe, ale u ponad 60% z nich choroba ust\u0119puje w okresie dojrzewania. (2)<\/p>\n

Wskaz\u00f3wki dla rodzic\u00f3w i rodziny<\/h2>\n

Mo\u017ce to nie by\u0107 sen na jawie<\/h3>\n

CAE mo\u017ce by\u0107 czym\u015b wi\u0119cej ni\u017c tylko przej\u015bciowym \u201ewy\u0142\u0105czeniem\u201d i pojawia\u0107 si\u0119 w postaci epizod\u00f3w rozkojarzenia lub \u015bnienia na jawie. Dziecko z podejrzeniem CAE nale\u017cy skonsultowa\u0107 z lekarzem.<\/p>\n

Zachowaj spok\u00f3j<\/h3>\n

Nie krzycz – dziecko ci\u0119 nie s\u0142yszy. Delikatnie dotknij jego ramienia, ale pami\u0119taj, \u017ce mo\u017ce nie reagowa\u0107 przez 20 sekund. Nie jest potrzebna \u017cadna inna interwencja.<\/p>\n

B\u0105d\u017a \u015bwiadomy<\/h3>\n

Obserwuj, co si\u0119 dzieje z dzieckiem; czy widzisz trzepotanie powiek, oblizywanie warg i opadanie g\u0142owy lub cia\u0142a do przodu. Informacje te pomog\u0105 lekarzowi ustali\u0107 rozpoznanie.<\/p>\n

Utrzymuj pozytywne nastawienie<\/h3>\n

Okazuje si\u0119, \u017ce wiele lek\u00f3w skutecznie pozwala kontrolowa\u0107 napady, dzi\u0119ki czemu choroba poddaje si\u0119 leczeniu. Co najmniej dwoje z trojga dzieci z CAE odpowiada na leki, a napady ust\u0119puj\u0105 w okresie dojrzewania.<\/p>\n

Wyja\u015bnij i zaanga\u017cuj swoje dziecko<\/h3>\n

Rozmawiaj z dzieckiem o jego padaczce, zach\u0119caj je do zadawania pyta\u0144 i udzielaj prostych i zrozumia\u0142ych odpowiedzi. Otwarte podej\u015bcie do problemu pozwala ograniczy\u0107 wp\u0142yw stresu, strachu i zmniejszy\u0107 ewentualne obawy.<\/p>\n

Przeka\u017c dziecku odpowiednie informacje, kt\u00f3re wykorzysta do wyt\u0142umaczenia w\u0142asnej sytuacji zdrowotnej przyjacio\u0142om oraz innym osobom w szkole. W ten spos\u00f3b syn\/c\u00f3rka b\u0119dzie m\u00f3g\u0142\/mog\u0142a poradzi\u0107 sobie z ewentualnymi nieporozumieniami w grupie r\u00f3wie\u015bniczej.<\/p>\n

 <\/p>\n

Pi\u015bmiennictwo:<\/p>\n

    \n
  1. Panayiotopoulos CP. Typical absence seizures and their treatment. Arch Dis Child. 1999;81(4):351-355. doi:10.1136\/adc.81.4.351<\/li>\n
  2. Epilepsy Foundation. Childhood Absence Epilepsy. Accessed January 2021. https:\/\/www.epilepsy.com\/learn\/types-epilepsy-syndromes\/childhood-absence-epilepsy<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    S\u0105 to napady, podczas kt\u00f3rych dziecko na kr\u00f3tko traci \u015bwiadomo\u015b\u0107, \u201ewy\u0142\u0105cza si\u0119\u201d, patrz\u0105c bez reakcji na to, co dzieje si\u0119 wok\u00f3\u0142 niego. Ich cz\u0119stotliwo\u015b\u0107 i czas trwania s\u0105 nieprzewidywalne, co budzi niepok\u00f3j rodzic\u00f3w oraz pozosta\u0142ych cz\u0142onk\u00f3w rodziny.<\/p>\n","protected":false},"author":11,"featured_media":6840,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[22],"tags":[],"class_list":["post-4394","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-padaczka"],"yoast_head":"\nNapady nie\u015bwiadomo\u015bci u dzieci - Neuraxpharm PL<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.neuraxpharm.com\/pl\/blog\/napady-nieswiadomosci-u-dzieci\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Napady nie\u015bwiadomo\u015bci u dzieci\" \/>\n<meta property=\"og:description\" content=\"S\u0105 to napady, podczas kt\u00f3rych dziecko na kr\u00f3tko traci \u015bwiadomo\u015b\u0107, \u201ewy\u0142\u0105cza si\u0119\u201d, patrz\u0105c bez reakcji na to, co dzieje si\u0119 wok\u00f3\u0142 niego. 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