UVOD
1DSDGNUþHYMHQHQDGQDSUHKRGQDPRWQMDPRåJDQ- VNHIXQNFLMH]DNDWHURVR]QDþLOQLQHKRWQLIHQRPHQL PRWRULþQLVHQ]RUQLDYWRQRPQLDOLSVLKLþQLNLVH ODKNR SRMDYOMDMR SRVDPLþQR DOL Y NRPELQDFLML LQ jih pogosto spremlja sprememba zavesti ali celo QH]DYHVW(SLOHSVLMDMHNURQLþQDEROH]HQPRåJDQRY LQMHSRVOHGLFDUD]OLþQLKY]URNRY=DQMRVR]QDþLOQL SRQDYOMDMRþLVHQDSDGLNLVRRGUD]þH]PHUQHJDHOH- NWULþQHJDSURåHQMDQHYURQRYYPRåJDQLKGHILQLFLMD
6=26SUHPHPEHPRåJDQVNHHOHNWULþQHDNWLYQRVWL PHGQDSDGRPLQSRQMHPVRREUD]OLþQLKNOLQLþQLK REOLNDKQDSDGRYUD]OLþQH
(SLOHSVLMD MH GUXJD QDMSRJRVWHMãD QHYURORãND EROH- zen in se najpogosteje pojavlja v obeh skraj- QLK åLYOMHQMVNLK REGREMLK 1DMEROM SRJRVWD MH SUL QRYRURMHQþNLK ± SR ± OHWX SD VH SRJRVWRVW]QLåXMH3RYSUHþQDUD]ãLUMHQRVWHSLOHSVLMH MH ± FHORWQHJD SUHELYDOVWYD (GLQD VOR- venska populacijska raziskava je bila opravljena 3UHJOHGQLþODQHN5HYLHZDUWLFOH
EPILEPSIJA V OTROŠKEM IN MLADOSTNIŠKEM OBDOBJU EPILEPSY IN CHILDHOOD AND ADOLESCENCE
-.ROHQF13RYãLþ
.OLQLþQLRGGHOHN]DRWURãNRPODGRVWQLãNRLQUD]YRMQRQHYURORJLMR3HGLDWULþQDNOLQLND 8QLYHU]LWHWQLNOLQLþQLFHQWHU/MXEOMDQD/MXEOMDQD6ORYHQLMD
,=9/(ý(.
(SLOHSVLMDMHNURQLþQDEROH]HQNLYSOLYDQDRWURNDLQPODGRVWQLNDWHUYVHNLVH]QMLPVUHþXMHMR9SULVSHYNX SRGDMDPRRSUHGHOLWHYEROH]QLWHUQDYDMDPRLQFLGHQFRSUHYDOHQFRLQY]URNH]DQDVWDQHNHSLOHSVLMH0HGLFLQVND VHVWUDPRUDSR]QDWLWHUSUHSR]QDWL]QDNHLQVLPSWRPHEROH]QL=GUDYOMHQMHMHNRPSOHNVQR3ROHJDQWLHSLOHSWLþQLK ]GUDYLOMHSULWUGRYUDWQLKHSLOHSVLMDKPRåQRWXGLNLUXUãNR]GUDYOMHQMH96ORYHQLMLELSRWUHERYDOLPHGLFLQVNH VHVWUHNLELELOHSRVHEHML]REUDåHQHQDSRGURþMXHSLOHSVLMH
.OMXþQHEHVHGHRWURNPODGRVWQLNHSLOHSVLMDPHGLFLQVNDVHVWUD
ABSTRACT
(SLOHSV\LVDFKURQLFLOOQHVVWKDWDIIHFWVWKHFKLOGDQGDGROHVFHQWDQGHYHU\ERG\ZKRPHHWVKLPKHU7KH DUWLFOHSUHVHQWVDGH¿QLWLRQRIWKHGLVHDVHLWVLQFLGHQFHSUHYDOHQFHDQGDHWLRORJ\7KHQXUVLQJVLVWHUPXVW NQRZDQGUHFRJQLVHVLJQVDQGV\PSWRPVRIWKHGLVHDVH7UHDWPHQWLVFRPSOH[,QDGGLWLRQWRDQWLHSLOHSWLF GUXJVVXUJLFDOWUHDWPHQWLVDYDLODEOHIRUUHIUDFWRU\VHL]XUHV,Q6ORYHQLDZHUHTXLUHDQXUVLQJVLVWHUZKRLVD VSHFLDOLVWLQWKH¿HOGRIHSLOHSV\
.H\ZRUGVFKLOGDGROHVFHQWHSLOHSV\QXUVLQJVLVWHU 6ORY3HGLDWU
pri otrocih in mladostnikih v starostnem obdobju
±OHWL]NOMXþHQLVRELOLEROQLNL]QHRQDWDOQLPLLQ YURþLQVNLPL NUþL Y OMXEOMDQVNL UHJLML 8JRWRYOMHQD NXPXODWLYQDLQFLGHQFDMH]QDãDODR]LUR- PD RE XSRãWHYDQMX RWURN NL VR GRåLYHOL HQVDPHSLOHSWLþQLQDSDG96ORYHQLMLMHRWURNLQ PODGRVWQLNRY]HSLOHSVLMRSULEOLåQR 'HMDYQLNL NL YSOLYDMR QD PRåQRVW SRQDYOMDQMD QDSDGRYVRWUGRYUDWQRVWEROH]QLQDVDPHP]DþHW- NXSULGUXåHQHQHYURORãNHPRWQMHDOLGXãHYQDPDQM- UD]YLWRVWVWDURVWPDQMNRWGYHOHWLSULSRMDYXSUYLK NUþHY LQ QHQRUPDOHQ L]YLG ((* RE XNLQLWYL ]GUD- YOMHQMD2EVWDMDMRWXGLOHVWYLFHVNDWHULPLRFHQMXMH- PRWUGRYUDWQRVWHSLOHSVLMHLQWHPHOMLMRQDQHRG]LY- QRVWL QD SURWLHSLOHSWLþQD ]GUDYLOD ,QIRUPDFLMH ]ELUDPRL]UD]OLþQLKYLURYLQQHOHRGEROQLND$OLMH WUGRYUDWQRVWQDSDGD]PHUQDDOLKXGDMHRGYLVQRRG LNWLþQHJDLQSRVWLNWLþQHJDþDVD
=DNDM VH HSLOHSWLþQL QDSDG ]DþQH RE GRORþHQHP þDVX QL ]QDQR .OLQLþQD RSDåDQMD GD QHNDWHUL GHMDYQLNLNRWVRVWUHVLQSRPDQMNDQMHVSDQMDODKNR VSURåLMRHSLOHSWLþQLQDSDGSULQHNDWHULKSRVDPH]QL- NLKSRGSLUDMRGRPQHYRGDLPDMRSULWHPGRORþHQR YORJRKROLQHUJLþQHQRUDGUHQHUJLþQHDOLVHURWRQLQHU- JLþQHSURMHNFLMHL]PRåJDQVNHJDGHEOD3UDYWDNRQL ]QDQR]DNDMLQNDNRVHHSLOHSWLþQLQDSDGXVWDYL
ZGODOVINA
(SLOHSVLMDMHHQDQDMVWDUHMãLKEROH]QL3RLPHQRYDQMH L]YLUDL]JUãNHJDMH]LNDLQSRPHQLQDSDGWHURGVR- WQRVW6HYHGDSDVLHSLOHSWLþQLKQDSDGRYQLVRUD]OD- JDOLWDNRNRWVLMLKUD]ODJDPRGDQHV6WDUL(JLSþDQL VREROQLND]HSLOHSWLþQLPLQDSDGLLPHOL]DQHVUHþQL- NDNLJDMHREVHGHOGHPRQ'HPRQDVRVHSRVNXãDOL UHãLWL WDNR GD VR EROQLNX QDYUWDOL OREDQMR VDM VR PHQLOLGDEROHWDNRODKNR]DSXVWLOJODYRYNDWHUR VH MH XMHO 6WDUL *UNL VR GREUR SR]QDOL HSLOHSVLMR 1DMYHþ MH N QMHQHP SR]QDYDQMX V VYRMLPL RSDåD- nji prispeval Hipokrat. Epilepsijo je poimenoval ªVYHWDEROH]HQ©LQMRRSLVDONRWEROH]HQPRåJDQRY NL MH QDVWDOD ]DUDGL UD]OLþQLK UD]ORJRY 3RPHPEHQ
mejnik v poznavanju epilepsije je bilo Bergerjevo RGNULWMH HOHNWURHQFHIDORJUDILMH ((* 3R GUXJL VYHWRYQLYRMQLVHMHSR]QDYDQMHHSLOHSVLMHãHSRJOR- ELOR5D]YLODVHMHQRYD]QDQRVWNLVHMHXNYDUMDOD]
HSLOHSVLMR±HSLOHSWRORJLMD
=GUDYVWYHQD QHJD Y RWURãNL QHYURORJLML VH MH UD]- YLMDOD Y]SRUHGQR ] UD]YRMHP QHYURORãNH ]QDQRVWL 0HGLFLQVNH VHVWUH VR VH L]REUDåHYDOH QD SRGOD- JL RSD]RYDQMD HSLOHSWLþQLK QDSDGRY SUL RWURFLK LQ PODGRVWQLNLK WHU VH YVDNRGQHYQR V SRPRþMR RWURãNLK QHYURORJRY XþLOH QMLKRYHJD QDWDQþQHJD RSLVRYDQMD=QDQMHVRSULGRELYDOHWXGLRGVWDUHMãLK NROHJLF LQ WDNR RUDOH OHGLQR QD VYRMHP SRGURþMX 9VHGHPGHVHWLKOHWLKVRVHYLãMHPHGLFLQVNHVHVWUH L]REUDåHYDOHQDSRGURþMX((*NDUMLPMHRPRJRþL- ORGHORQDEROQLãNHPRGGHONXRWURãNHQHYURORJLMH 'U ,YLFD 7LYDGDU MH SRGSLUDOD L]REUDåHYDQMH LQ uvajanje medicinskih sester s specialnimi znanji L] RWURãNH QHYURORJLMH 3RãNRGEH RE HSLOHSWLþQLK QDSDGLK VR ELOH QD QHYURORãNHP RGGHONL RELþDMHQ SRMDY 3RXGDUHN SUL QHJL QHYURORãNHJD EROQLND MH ELOXVPHUMHQNRVQRYQLPåLYOMHQMVNLPGHMDYQRVWLP PDOLK EROQLNRY QMLKRYL SULSUDYL QD GLDJQRVWLþQR- WHUDSHYWVNH SRVWRSNH WHU N QDMEROMãLP SULVWRSRP SULPRWRULþQRRYLUDQLKRWURFLKDOLGXãHYQRPDQMUD- ]YLWLK EROQLNLK 0DWHUH VR ELOH WHOHVQR LQ GXãHYQR L]þUSDQH ]DYRGVND REUDYQDYD MH ELOD Y SRYRMLK GQHYQLK YUWFHY QL ELOR ]DWR MH LPHOD EROQLãQLFD pogosto vlogo zavoda. Poudarek pri negi nevrolo- ãNHJDEROQLNDMHRVWDOQDRSD]RYDQMXEROQLND
ETIOLOGIJA
Razumevanje patogenetskega ozadja epilepsij je ãH YHGQR SRPDQMNOMLYR ]DWR MLK SUHWHåQR JOHGH QD NOLQLþQH LQ HOHNWURIL]LRORãNH ]QDþLOQRVWL SUHYODGX- MRþLKHSLOHSWLþQLKQDSDGRYUD]YUãþDPRQDåDULãþQH HSLOHSVLMHLQSULPDUQRJHQHUDOL]LUDQHHSLOHSVLMH 9]URNODKNRQDWDQþQRRSUHGHOLPROHY–SUL- PHURY SULURMHQD QDSDND Y UD]YRMX PRåJDQVNH VNRUMH RNYDUD SR SRãNRGEL DOL YQHWMX PRåJDQRY WXPRUML 3UL LGLRSDWVNLK HSLOHSVLMDK Y]URND QH SR]QDPRPRUGDYSOLYGHGQRVWL]DYHUMHWQRVLPS-
WRPDWVNH HSLOHSVLMH SD MH ]QDþLOQR GD Y]URND QH PRUHPRGRND]DWLDPHQLPRGDREVWDMD
PREPOZNAVA ZNAKOV IN SIMPTOMOV
Pri delu z bolniki z epilepsijo je zelo pomembno poznavanje bolezni ter prepoznavanje simptomov LQ ]QDNRY .OMXþQHJD SRPHQD MH GREUD DQDPQH]D
=DþHWQLVLPSWRPLVRODKNR]HORQHMDVQLLQMLKWHåNR RSUHGHOLPRNRWQDSDG.DNRVHMHQDSDG]DþHO UD]YLO LQ NRQþDO ODKNR RSUHGHOL OH GREHU RSD]R- YDOHF NL PX ]QDQMH LQ L]NXãQMH RPRJRþDMR GD SUHSR]QDWLVWH]QDNHLQVLPSWRPHNLMLKVLFHUQHEL RSD]LO 7R MH Y YHOLNR SRPRþ SUL UD]YUãþDQMX HSL- OHSVLM LQ HSLOHSWLþQLK QDSDGRY SRPDJD SD WXGL SUL L]ELULXVWUH]QLKSURWLHSLOHSWLþQLK]GUDYLO3(=3UL RSLVRYDQMXQLSULSRURþOMLYRGDXSRUDEOMDPR]QDQH DPHGLFLQVNLVHVWULPRUGDPDQMGRPDþHPHGLFLQVNH L]UD]H 1DMEROMH MH þH QDSDG RSLãHPR V VYRMLPL EHVHGDPL JD QDULãHPR DOL SRVQDPHPR þH LPDPR PRåQRVW
1HNDWHULRVQRYQLSRMPL
AvraMH]DþHWQLQHYLGQLGHOQDSDGD
3URGURP MH VXEMHNWLYQL DOL REMHNWLYQL SRMDY NL QDVWRSLSUHGQDSDGRPDQLGHOQDSDGDQHPLUVODER SRþXWMH
5HIOHNVQLQDSDGLVHVSURåLMRRE]XQDQMLKDOLQRWUD- QMLKGUDåOMDMLK
,NWLþQRREGREMHMHREGREMHPHGVDPLPQDSDGRP LQWHULNWLþQRLQWHUYDOPHGQDSDGLSRLNWLþQRREGR- bjeSDþDVSRQDSDGX
5HIUDNWRUQRVWpomeni neodzivnost na zdravljenje.
(QNUDWHQHSLOHSWLþQLQDSDGãHQLHSLOHSVLMD Dva QHL]]YDQD QDSDGD D þDVRYQR RPHMHQD QD XU REUDYQDYDPRNRWHQQDSDG1HNDWHULQDSDGLVH SRMDYLMR RE SUHEXMDQMX QHNDWHUL Y VSDQMX GUXJL Y budnosti.
1DSDGL VR JOHGH QD XPHãþHQRVW IRNDOQL (parcial- QL åDULãþQL QDSDG ] ]DþHWQLPL ]QDNL NL L]YLUDMR L] GRORþHQHJD PHVWD PRåJDQRY DOLJHQHUDOL]LUD- ni SULPDUQR DOL VHNXQGDUQR LQ L]YLUDMR L] REHK
PRåJDQVNLK SROREHO KNUDWL /DKNR JUH ]D SRVHEHQ VLQGURP
0HGQDURGQDNODVLILNDFLMDHSLOHSWLþQLKQDSDGRY
Generalizirani napadiWRQLþQRNORQLþQLQDSDGL DEVHQFH WLSLþQH DWLSLþQH PLRNORQLþQL QDSDGL DWRQLþQLQDSDGLNORQLþQLQDSDGLWRQLþQLQDSDGL
Fokalni napadi: napadi brez izgube zavesti s SULVRWQR PRWRULþQR LQ VHQ]RUQR NRPSRQHQWR SUHSURVWL SDUFLDOQL DOL YNOMXþXMHMR OH DYWRQR- PQHDOLSVLKLþQHSRMDYHQDSDGL]L]JXER]DYHVWL NRPSOHNVQLSDUFLDOQLNLVHODKNR]DþQHMREUH]
L]JXEH]DYHVWLLQQDSUHGXMHMRDOLSDVH]DþQHMR]
L]JXER ]DYHVWL ODKNR VR SULVRWQL DYWRPDWL]PL QDSDGLNLVHUD]YLMDMRYRERMHVWUDQVNHNRQYXO]LY- QHQDSDGHVHNXQGDUQDJHQHUDOL]DFLMD (SLOHSWLþQL QDSDGL VH SRMDYOMDMR Y UD]OLþQLK VWD- URVWQLK REGREMLK 0HGLFLQVND VHVWUD PRUD åH SUL QRYRURMHQþNX RSD]RYDWL PRUHELWQH ]QDNH LQ VLPS- WRPHNLELODKNRELOLNUþLWHJDREGREMDLQVWDUãHSR potrebi usmeriti k pediatru.
(3,/(36,-$±.521,ý1$%2/(=(1 (SLOHSVLMD MH NURQLþQD EROH]HQ 3UHGVWDYOMD UHVHQ zdravstveni problem in hudo stresno stanje tako za RWURNDNRWWXGL]DQMHJRYHVWDUãHLQRVWDOHGUXåLQVNH þODQHNLVH]QDMGHMRYSURFHVXSULODJDMDQMDLQVSUH- MHPDQMDEROH]QL-HQHSUHGYLGOMLYDEROH]HQLQODKNR SULQHVHGRGDWQHRPHMLWYHYYVDNGDQMHåLYOMHQMH .URQLþQH EROH]QL VRGLMR PHG YHOLNH MDYQR]GUD- YVWYHQHSUREOHPH.URQLþQHQHQDOH]OMLYHEROH]QLVR JOREDOQL]GUDYVWYHQLSUREOHPLQYGUåDYDK]YLVRNL- PLGRKRGNLSRVWDMDMRRVUHGQMD]GUDYVWYHQDWHåDYD NL VH ] HQDNLP WUHQGRP SUHQDãD WXGL Y GUåDYH ] QL]NLPLGRKRGNL
3ULVWDUãLKSRWHNDVSUHMHPDQMHEROH]QLYãWLULKID]DK SRGREQRNRWSULåDORYDQMX
Faza šoka. 6WDUãL VR þXVWYHQR ]PHGHQL LQ UD]- GUDåOMLYL]DWRMLPSRQXGLPRþXVWYHQRSRPRþLQ SRGSRUR)D]DãRNDODKNRWUDMDRGQHNDMPLQXWGR
nekaj dni.
Faza reakcije.3ULVWDUãLKVHSRMDYLMRåDORVWSR- WUWRVWUD]RþDUDQMHREþXWHNNULYGH]DVNUEOMHQRVW LQ VWUDK QDVWRSLMR WXGL REUDPEQL PHKDQL]PL 6WDUãLSRWUHEXMHMRSR]RUQRVW]DWRMHSRPHPEQR GDMLKSRVOXãDPRLQMLPL]UD]LPRVRþXWMH
)D]DSULODJRGLWYH6WDUãLVHVRRþLMR]VWYDUQRVWMR WHUVHSRVNXãDMRYNOMXþLWLYSURFHV]GUDYOMHQMDLQ zdravstvene nege. Pripravljeni so sprejemati in- IRUPDFLMHLQSRPRþ
Faza orientacije. 6WDUãL ]DþQHMR LVNDWL SRPRþ LQLQIRUPDFLMHWHUQDþUWRYDWLSULKRGQRVWýHMHOH PRJRþHMLPSULVNUELPRNRQNUHWQRSRPRþLQMLK Y]JDMDPR
.DNR ER EROH]HQ VSUHMHO RWURN MH SUHGYVHP RGYL- VQRRGQMHJRYHVWDURVWLSVLKRIL]LþQHJDVWDQMDSUHG QDVWRSRPEROH]QLVWRSQMHSUL]DGHWRVWLãWHYLODVSUH- MHPRY Y EROQLãQLFR RWURNRYH VSRVREQRVWL VNUEHWL ]DVHVWRSQMHVRFLDOL]DFLMHLQYNOMXþHYDQMDYGHMDY- QRVWLNLJDYHVHOLMR%ROH]HQ]DKWHYDUHGQRPHGL- cinsko obravnavo in spremljanje ter zlasti skrbno MHPDQMH3(=NDUMH]DUDGLVWUDQVNLKXþLQNRY3(=
pomanjkanja znanja ali nesprejemanja bolezni (zla- VWLYREGREMXRGUDãþDQMDSRJRVWRQDSRUQR
1D SVLKRVRFLDOQR GHORYDQMH RWURN LQ PODGRVWQLNRY YSOLYDMR ãWHYLOQL GHMDYQLNL NL VR SRVHEHM L]UDåHQL predvsem pri ljudeh z epilepsijo:
VRFLDOQL GHMDYQLNL RåLJRVDQMH GLVNULPLQDFLMD VRFLDOQRL]NOMXþHYDQMH
GHMDYQLNLRNROMDGUXåLQDVWDUãLãRODWLSY]JRMH VWDOLãþH YUVWQLNRY VWUDK RNROLFH NDNR UDYQDWL Y SULPHUXQDSDGD
LQGLYLGXDOQL GHMDYQLNL VDPRSRGRED VDPR]DX- SDQMH QDþLQL REYODGRYDQMD QDSDGRY VWUDK SUHG QDSDGL
GUXJLGHMDYQLNLRPHMLWYHYåLYOMHQMXUHNUHDFLMD YRåQMDPRWRUQLKYR]LOL]ELUDSRNOLFDQHXJRGQL åLYOMHQMVNLGRJRGNL
.DNRRWURNVSUHMPHVYRMREROH]HQ"
0DMKQLRWURFLGRGYHKOHWVYRMHEROH]QLãHQHPR- UHMRSUDYUD]XPHWL=DQMHMHSRPHPEQRVDPRWR GDVRSULQMLKVWDUãLLQGDMLKQHELEROHOR
3UHGãROVNL RWURFL åH ]DþQHMR UD]YLMDWL REþXWHN VDPRVWRMQRVWL LQ VH ]DþQHMR XSLUDWL QSU QRþHMR MHPDWL]GUDYLO6WDUãLPRUDMRELWLGRVOHGQLLQVH QDXþLWLNDMODKNRGRSXVWLMRLQþHVDQH
2WURFL Y QLåMLK UD]UHGLK RVQRYQH ãROH LPDMR åH REþXWHNGDREYODGXMHMRVYRMHRNROMH]DþXWLMRSD WXGLGDVRGUXJDþQLRGGUXJLK6WDUãLMLKPRUDMR YNOMXþHYDWLYYRGHQMHEROH]QLMHPDQMHSUHGSLVD- QLK]GUDYLO
6WDUHMãLRWURFLVRåHEROMVSRVREQLGDUD]XPHMR VYRMREROH]HQLQ]GUDYOMHQMH9WHPREGREMXODK- NRSRVWDQHMRVWDUãLGRQMLKSUHYHþ]DãþLWQLãNL
3XEHUWHWQLNL ]DþQHMR UD]YLMDWL VYRMR LGHQWLWHWR 6DPRSRGRED SRVWDQH ]DQMH ]HOR SRPHPEQD mnogi gredo skozi fazo zanikanja bolezni in no- þHMR MHPDWL ]GUDYLO 6WDUãL PRUDMR Y]WUDMDWL GD VSUHMPHMRQDG]RUQDGVYRMREROH]QLMRREUDYQD- YDMRSDQDMMLKWDNRNRWGUXJHQDMVWQLNH
%ROQLNDPRUDPRVSRGEXMDWLGDVHWXGLVDPGHMDY- QR YNOMXþL Y ]GUDYOMHQMH 2EOLNXMHPR VWUDWHJLMH NL pomagajo pri vzpostavljanju neodvisnosti in izbolj- ãDQMX NDNRYRVWL åLYOMHQMD PODGRVWQLND 3UREOHPL otrok z epilepsijo so lahko: nizko samozaupa- QMH SUHYHOLND RGYLVQRVW QH]UHORVW SUHWLUDQ QHPLU WHVQREQRVW LQ GHSUHVLYQRVW 6WDUHMãL RWURFL LPDMR ODKNR WHåDYH V SULODJDMDQMHP ] LQVWLWXFLR- nalizacijo in s sodelovanjem pri javnih dogodkih.
9HOLNRVWDUãHYJRMLGREROH]QLQHJDWLYHQRGQRV 0ODGRVWQLNL ] HSLOHSVLMR SRWUHEXMHMR PRþQR SRG- SRUR VDM VH GRGDWQR VUHþXMHMR V WHåDYDPL SUL VRR- þDQMX ] GLDJQR]R ]GUDYOMHQMHP LQ RPHMLWYDPL Y YVDNGDQMHP åLYOMHQMX ,PDMR YHþ SVLKRVRFLDOQLK WHåDYNRWPODGRVWQLNLNLQLPDMRHSLOHSVLMHVRFLDOQD RVDPLWHY VODED VDPRSRGRED REþXWHN GUXJDþQRVWL LQGHSUHVLMD
7XGL GLVNULPLQDFLMD QL QH]QDQ SRMDY ] QMR SD VH ODKNRRWURNVUHþDåHYUD]UHGX=DUDGLSRJRVWLKQDSD- GRYVHODKNRQHXJRGQRSRþXWLMRWDNRXþLWHOMLNRWWXGL VRãROFL/MXGMHLPDMRRHSLOHSVLMLQHJDWLYHQRGQRVLQ PDUVLNMHYVYHWXãHYHGQRPHQLMRGDVROMXGMH]HSL- OHSVLMR QHVRFLDOQL UD]GUDåOMLYL WHOHVQR QHSULYODþQL PDQMVSRVREQLLQPDQMLQWHOLJHQWQL
'UXãWYR /LJD SURWL HSLOHSVLML 6ORYHQLMH QXGL GRGD- WQR SRPRþ LQ RSRUR EROQLNRP ] HSLOHSVLMR -H VWURNRYQRKXPDQLWDUQD RUJDQL]DFLMD NL YNOMXþXMH PHGLFLQVNH VWURNRYQMDNH V SRGURþMD HSLOHSWRORJLMH ]GUDYQLNH SVLKRORJH VRFLDOQH GHODYFH LQ GUXJH WHU OMXGL ] HSLOHSVLMR QMLKRYH VYRMFH LQ SULMDWHOMH /LJDVLSUL]DGHYD]DL]EROMãDQMHNDNRYRVWLåLYOMHQMD OMXGL]HSLOHSVLMR]DWRVHQHXNYDUMDVDPRVFHORVWQR PHGLFLQVNR REUDYQDYR EROH]QL DPSDN VNXãD YSOL- YDWL WXGL QD VLVWHP L]REUDåHYDQMD LQ ]DSRVORYDQMD WDNRGDYSOLYDQDGRVHJDQMHSROQHJDåLYOMHQMDRVHE ] HSLOHSVLMR /LJD SURWL HSLOHSVLML 6ORYHQLMH LPD VYRMRVSOHWQRVWUDQ]LQIRUPDFLMDPLRHSLOHSVLMLQD NDWHULMHWXGLIRUXPRHSLOHSVLMLKWWSZZZHSLOHS- VLMDRUJIRUXPL]GDMDSDWXGLUHYLMRäDULãþH9VDN þHWUWHNSRSROGDQGHOXMHVYHWRYDOQLWHOHIRQ(3,7(/
359,(3,/(37,ý1,1$3$' Vprašanja staršev
$OLVHERQDSDGSRQRYLO"
.D]DOQLNL NL NDåHMR QD YHþMH WYHJDQMH ]D SRQRYQL QDSDGVRQDND]DQVLPSWRPDWVNLY]URNQHQRUPDOHQ SRVQHWHN ((* HSLOHSWLþQL QDSDG NL VH SRMDYL Y VSDQMXDQDPQHVWLþQLSRGDWHNRYURþLQVNLKNUþLKLQ SRVWLNWLþQD SDUH]D 9HUMHWQRVW GD VH ER QDSDG SRQRYLOYSHWLKOHWLKSRSUYHPQDSDGXMH–
$OLRWURNODKNRPHGSRQRYQLPQDSDGRPXPUH"
7YHJDQMHGDRWURNXPUHMHL]MHPQRPDMKQR 3. Ali pri prvem ponovnem napadu lahko pride do SRãNRGEHPRåJDQRY"
Pri nekaj ponovnih neizzvanih napadih ne pride do NOLQLþQRSRPHPEQHSRãNRGEHPRåJDQRY
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Kontaktna oseba / Contact person:
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e-mail: judita.kolenc@kclj.si
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