{"id":19709,"date":"2021-04-28T09:40:34","date_gmt":"2021-04-28T09:40:34","guid":{"rendered":"https:\/\/neuraxpharm.com\/it\/?p=19709"},"modified":"2022-02-15T10:43:33","modified_gmt":"2022-02-15T10:43:33","slug":"zachvaty-absencie-v-detstve","status":"publish","type":"post","link":"https:\/\/www.neuraxpharm.com\/sk\/blog\/zachvaty-absencie-v-detstve","title":{"rendered":"Z\u00e1chvaty absencie v detstve"},"content":{"rendered":"

\u010co je detsk\u00e1 absen\u010dn\u00e1 epilepsia?<\/h2>\n

S\u00fa to z\u00e1chvaty, pri ktor\u00fdch die\u0165a na chv\u00ed\u013eu upadne do bezvedomia a nepr\u00edtomne h\u013ead\u00ed a nereaguje na dianie okolo neho. Ich frekvencia a d\u013a\u017eka s\u00fa nepredv\u00eddate\u013en\u00e9, \u010do vyvol\u00e1va obavy u rodi\u010dov a \u010dlenov rodiny.<\/p>\n

Syndr\u00f3m sa za\u010d\u00edna medzi \u0161tvrt\u00fdm a desiatym rokom \u017eivota a ve\u013ek\u00e1 v\u00e4\u010d\u0161ina det\u00ed vyrastie z t\u00fdchto z\u00e1chvatov do veku 12 rokov.<\/p>\n

Z\u00e1chvaty m\u00f4\u017eu trva\u0165 od nieko\u013ek\u00fdch sek\u00fand a\u017e do 20 sek\u00fand a m\u00f4\u017eu sa vyzna\u010dova\u0165 miernymi z\u00e1\u0161klbmi o\u010dn\u00fdch vie\u010dok, k\u00fatika \u00fast alebo in\u00fdch svalov. \u010casto s\u00fa spojen\u00e9 s mimovo\u013en\u00fdmi pohybmi, ako je oblizovanie pier, preh\u013atanie alebo hra s oble\u010den\u00edm, spolu so zmenami bledosti a roz\u0161\u00edren\u00edm o\u010d\u00ed1<\/sup>.<\/p>\n

Za\u017e\u00edva ich mal\u00fd po\u010det det\u00ed s epilepsiou mlad\u0161\u00edch ako 16 rokov a mnoh\u00e9 z nich zost\u00e1vaj\u00fa nepov\u0161imnut\u00e9, preto\u017ee s\u00fa prchav\u00e9, trvaj\u00fa len nieko\u013eko sek\u00fand a die\u0165a si ich ani neuvedomuje. Detsk\u00e1 absen\u010dn\u00e1 epilepsia (CAE) postihuje pribli\u017ene 8 % det\u00ed s epilepsiou2<\/sup>.<\/p>\n

Z\u00e1chvaty sa m\u00f4\u017eu vyskytn\u00fa\u0165 od 5- do 100-kr\u00e1t denne a hoci vo v\u0161eobecnosti nemaj\u00fa \u017eiadny trval\u00fd \u00fa\u010dinok, u men\u0161ieho po\u010dtu det\u00ed m\u00f4\u017eu naru\u0161i\u0165 pozornos\u0165 a \u00farove\u0148 u\u010denia, preto sa odpor\u00fa\u010da r\u00fdchla diagnostika a lie\u010dba.<\/p>\n

Na testovanie CAE sa be\u017ene pou\u017e\u00edva zobrazovanie magnetickou rezonanciou (MRI) a elektroencefalogram (EEG) spolu s klinickou anamn\u00e9zou, ale lek\u00e1ri m\u00f4\u017eu odobra\u0165 aj vzorky krvi a vykona\u0165 hyperventila\u010dn\u00fd test na vyvolanie z\u00e1chvatu absencie.<\/p>\n

Pr\u00ed\u010dina CAE nie je zn\u00e1ma, ale predpoklad\u00e1 sa, \u017ee je z ve\u013ekej \u010dasti genetick\u00e1, pri\u010dom ka\u017ed\u00e9 tretie postihnut\u00e9 die\u0165a m\u00e1 v rodinnej anamn\u00e9ze podobn\u00e9 z\u00e1chvaty2<\/sup>. Genetick\u00fd prvok spolu s nepredv\u00eddate\u013enou elektrickou aktivitou v mozgu je zlo\u017eit\u00fd a nie je \u00faplne pochopen\u00fd.<\/p>\n

CAE mo\u017eno dobre kontrolova\u0165 liekmi. Pribli\u017ene u 10 \u2013 15 % det\u00ed sa rozvin\u00fa \u010fal\u0161ie z\u00e1chvaty, ale viac ako 60 % z nich vyrastie v obdob\u00ed dospievania2<\/sup>.<\/p>\n

Tipy pre rodi\u010dov a rodinu<\/h2>\n

Nemus\u00ed to by\u0165 len sn\u00edvanie<\/h3>\n

CAE m\u00f4\u017ee by\u0165 o nie\u010do viac ako do\u010dasn\u00e1 nepr\u00edtomnos\u0165 a m\u00f4\u017ee sa javi\u0165 ako chv\u00edle rozpt\u00fdlenia alebo zasn\u00edvania sa. Ak sa domnievate, \u017ee sa u v\u00e1\u0161ho die\u0165a\u0165a vyskytuje CAE, pora\u010fte sa s lek\u00e1rom.<\/p>\n

Zachovajte pokoj<\/h3>\n

Nekri\u010dte \u2013 die\u0165a v\u00e1s nepo\u010duje. Jemne sa ho dotknite na ramene, ale pam\u00e4tajte, \u017ee nemus\u00ed reagova\u0165 20 sek\u00fand. \u017diadna in\u00e1 intervencia nie je potrebn\u00e1.<\/p>\n

D\u00e1vajte pozor<\/h3>\n

Sledujte, \u010do sa deje, napr\u00edklad chvenie vie\u010dok, m\u013easkanie perami a sklonenie hlavy alebo tela dopredu. Tieto inform\u00e1cie pom\u00f4\u017eu lek\u00e1rovi stanovi\u0165 diagn\u00f3zu.<\/p>\n

Bu\u010fte pozit\u00edvny\/a<\/h3>\n

Pri kontrole z\u00e1chvatov sa osved\u010dilo mno\u017estvo liekov, tak\u017ee stav mo\u017eno zvl\u00e1dnu\u0165. Najmenej dve z troch det\u00ed s CAE reaguj\u00fa na lieky a z\u00e1chvaty zmizn\u00fa v obdob\u00ed dospievania.<\/p>\n

Vysvetlite to die\u0165a\u0165u a zapojte ho<\/h3>\n

Porozpr\u00e1vajte sa s die\u0165a\u0165om o jeho epilepsii, podporujte ho pri kladen\u00ed ot\u00e1zok a odpovedajte na ne jasne a zrozumite\u013ene. Otvoren\u00fdm pr\u00edstupom k tejto t\u00e9me mo\u017eno zn\u00ed\u017ei\u0165 mno\u017estvo stresu, strachu a ob\u00e1v.<\/p>\n

Poskytnite mu inform\u00e1cie, aby mohlo vysvetli\u0165 z\u00e1chvaty absencie kamar\u00e1tom a ostatn\u00fdm v \u0161kole a mohlo tak rie\u0161i\u0165 ak\u00e9ko\u013evek nedorozumenia so svojimi rovesn\u00edkmi.<\/p>\n

 <\/p>\n

Referencie:<\/h3>\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\u00fa to z\u00e1chvaty, pri ktor\u00fdch die\u0165a na chv\u00ed\u013eu upadne do bezvedomia a nepr\u00edtomne h\u013ead\u00ed a nereaguje na dianie okolo neho. Ich frekvencia a d\u013a\u017eka s\u00fa nepredv\u00eddate\u013en\u00e9, \u010do vyvol\u00e1va obavy u rodi\u010dov a \u010dlenov rodiny.<\/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-19709","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-epilepsia"],"yoast_head":"\nZ\u00e1chvaty absencie v detstve - Neuraxpharm SK<\/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\/sk\/blog\/zachvaty-absencie-v-detstve\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Z\u00e1chvaty absencie v detstve\" \/>\n<meta property=\"og:description\" content=\"S\u00fa to z\u00e1chvaty, pri ktor\u00fdch die\u0165a na chv\u00ed\u013eu upadne do bezvedomia a nepr\u00edtomne h\u013ead\u00ed a nereaguje na dianie okolo neho. 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