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1HL]]YDQHJD HSLOHSWLþQHJD QDSDGD QH PRUHPR SUHGYLGHWLLQJDQDSRYHGDWLYQDSUHM1DVWRSLODKNR NDGDUNROLLQNMHUNROLQHSULþDNRYDQRLQQHQDGQR
3RMDYOMD VH Y UD]OLþQLK NOLQLþQLK REOLNDK LQ Y YVHK VWDURVWQLK REGREMLK WHU ]DUDGL UD]OLþQLK Y]URNRY
&LOMQDãHJDGHORYDQMDMHQXGLWLVSHFLILþQRSUYR SRPRþLQþHMHSRWUHEQRWXGLWHUDSHYWVNRXNUHSDWL 9VDNHJD EROQLND NL ]DSXVWL EROQLãQLþQR RNROMH LQ 3UHJOHGQLþODQHN5HYLHZDUWLFOH
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HOW TO STOP PROLONGED EPILEPTIC SEIZURES OUTSIDE OF THE HOSPITAL AND FIRST AID
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(SLOHSWLþQLQDSDGLVHODKNRSRMDYOMDMRYYVHKREGREMLKRWURNRYHJDåLYOMHQMDLQ]DUDGLUD]OLþQLKY]URNRY6WDUãL VHPRUDMRQDXþLWLGDHSLOHSWLþQHQDSDGHSUHSR]QDMRXVWUH]QRQXGLMRSUYRSRPRþLQPHGYVDNLPQDSDGRP NLWUDMDGOMHRG±PLQXWSRVNUELMR]DSULPHUQR]GUDYOMHQMH9]GUDYVWYHQRY]JRMRPRUDMRELWLYNOMXþHQL WXGLVWDULVWDUãLXþLWHOMLLQSULMDWHOML=DSUHNLQMDQMHHSLOHSWLþQLKQDSDGRY]XQDMEROQLãQLFHODKNRXSRUDEOMDPR UD]OLþQH YUVWH WHUDSHYWVNLK XNUHSRY 5HNWDOQR GDMHPR GLD]HSDP EXNDOQR SD PLGD]RODP 2G OHWD XSRUDEOMDPRPLGD]RODPWXGLLQWUDQD]DOQR9SULVSHYNXSULND]XMHPRL]YDMDQMHSUYHSRPRþLSULHSLOHSWLþQHP QDSDGXNLWUDMDYHþNRW±PLQXWLQL]YDMDQMH]GUDYOMHQMD]XQDMEROQLãQLFH
.MXþQHEHVHGHHSLOHSWLþQLQDSDGXUJHQWQD]GUDYLODQDþUWSUYDSRPRþ
ABSTRACT
(SLOHSWLFVHL]XUHVFDQRFFXUDWDOOVWDJHVRIFKLOGKRRGGXHWRGLIIHUHQWFDXVHV3DUHQWVPXVWOHDUQKRZWR UHFRJQL]HHSLOHSWLF VHL]XUHV FDUU\ RXW ¿UVW DLG DQG WUHDWVHL]XUHV WKDWODVW PRUH WKDQ WZR WR ¿YH PLQXWHV
*UDQGSDUHQWVWHDFKHUVDQGIULHQGVVKRXOGDOVREHHGXFDWHG(SLOHSWLFVHL]XUHVLQDQRQKRVSLWDOHQYLURQPHQW can be stopped using various therapeutic measures: rectal administration of diazepam and buccal administration RIPLGD]RODPZKLFKKDVDOVREHHQDGPLQLVWHUHGLQWUDQDVDOO\VLQFH7KHDUWLFOHGHVFULEHV¿UVWDLGIRU HSLOHSWLFVHL]XUHVWKDWODVWPRUHWKDQWZRWR¿YHPLQXWHVDQGWUHDWPHQWLQDQRQKRVSLWDOHQYLURQPHQW .H\ZRUGV(SLOHSWLFVHL]XUHHPHUJHQF\PHGLFDWLRQSODQ¿UVWDLG
6ORY3HGLDWU
LPD SUHGSLVDQR ]GUDYOMHQMH ]D SUHNLQMDQMH GDOMãLK HSLOHSWLþQLKQDSDGRYYNOMXþLPRYSURFHV]GUDYVWYH- QHY]JRMHVNDWHURåHOLPRSULSUDYLWLEROQLNDQMHJR- YHVYRMFHLQSRSRWUHELWXGLãLUãHRNROMHQDåLYOMHQMH ] HSLOHSVLMR ]XQDM EROQLãQLFH 9VDNHJD SUHNLQMDQMD GDOMãLK HSLOHSWLþQLK QDSDGRY ]XQDM EROQLãQLFH VH QDXþLPRYEROQLãQLFL
9HþLQD HSLOHSWLþQLK QDSDGRY PLQH VDPD RG VHEH 2ELþDMQR WUDMDMR PDQM NRW PLQXW 9 NOLQLþQL SUDNVL]]GUDYOMHQMHP]DþQHPRåHSR±PLQXWDK
=JRGQMHXNUHSDQMHMHQXMQR]DUDGLYHþUD]ORJRY
þHVHQDSDGQDGDOMXMHODKNRWXGLYHþXUJDWHåMH XVWDYLPRGOMHNRQDSDGWUDMDWHåMHJDXVWDYLPR
SUHSUHþHYDQMHQDVWDQNDHSLOHSWLþQHJDVWDWXVD
þLPGOMHWUDMDMRNRQYXO]LMHWHPYHþMHVRSRãNRG- EHQHYURQRY
þH MH EROQLN åH GRåLYHO SRGDOMãDQ SURORQJLUDQ HSLOHSWLþQLQDSDGMHYHþMDYHUMHWQRVWGDERWDN WXGLQDVOHGQML
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'$/-â,+(3,/(37,ý1,+1$3$'29 9 YHþLQL VH QDSDGL ]JRGLMR ]XQDM EROQLãQLFH ]DWR PRUDPR REOLNRYDWL QDþUW WHUDSHYWVNLK XNUHSRY NL MLK ODKNR L]YHGHPR WXGL Y GRPDþHP WHU RåMHP LQ ãLUãHPGUXåEHQHPRNROMXLQQLVRYH]DQLOHQD]GUD- YVWYHQR XVWDQRYR LQ PHGLFLQVNR RVHEMH ýH YHGR NDNR SUHNLQLWL PRUHELWQL HSLOHSWLþQL QDSDG WXGL GRPDVRVWDUãLEROMPLUQLLQLPDMRREþXWHNQDG]RUD QDG WUHQXWQR VLWXDFLMR VDM ODKNR XVWUH]QR XNUHSD- MR åH SUHG SULKRGRP QXMQH PHGLFLQVNH SRPRþL 3ULGRELMRWXGLVDPR]DYHVWNDUYSOLYDQDXJRGQHMãL L]LG EROH]QL PDQMãR SRJRVWRVW RELVNRYDQMD ]GUD- vstvenih ustanov in konec koncev predstavlja tudi PDQMãH GUXåEHQH VWURãNH SRYH]DQH ] EROH]QLMR 9VH WR YSOLYD QD NDNRYRVW åLYOMHQMD EROQLND QMH- JRYHGUXåLQHWHUYVHKNLVNUELMR]DQMVDMMLPGDMH REþXWHNGDEROH]HQXVSHãQRREYODGXMHMR6WDUãLVH KLWUHMH YUQHMR QD GHORYQR PHVWR RWURFL SD Y YUWHF DOLãROR–
=GUDYLODGDMHMRVWDUãLLQYVLNLVNUELMR]DRWURNDLQ
PODGRVWQLND =GUDYLOD GHOXMHMR KLWUR GDMDQMH SD MH enostavno. Predpisujemo jih bolnikom s tveganjem ]DQDSDGNLMHGDOMãLRG±PLQXWWHUYVHPEROQL- NRP]DSUHNLQMDQMHVHULMHQDSDGRYGDELQDSDGþLP KLWUHMHSUHNLQLOL7XGLSULRWURFLKLQPODGRVWQLNLKNL VRGRåLYHOLSUYLHSLOHSWLþQLQDSDGPRUDPRL]GHODWL QDþUWWHUDSHYWVNHJDSUHNLQMDQMDQDSDGRYYSULPHUX SRQRYLWYH1DMSRJRVWHMHSUHGSLVDQL]GUDYLOLVWD diazepam za rektalno uporabo in midazolam za bukalno uporabo.
=DVSDQRVWNLSRJRVWRQDVWRSLSRQDSDGXMHODKNR VWUDQVNL XþLQHN ]GUDYLOD DOL SD SRVOHGLFD VDPHJD QDSDGD =GUDYLOD ODKNR YSOLYDMR QD GLKDQMH ]DWR PRUDPREROQLNDSRXSRUDEL]GUDYLODQDWDQþQRRSD- ]RYDWLGRNOHUVLSRSROQRPDQHRSRPRUH
=XQDMEROQLãQLþQR SUHNLQMDQMH GDOMãLK HSLOHSWLþQLK QDSDGRY MH Y 6ORYHQLML XYHOMDYOMHQR RG OHWD 1DMEROM UD]ãLUMHQD REOLND MH UHNWDOQR GDMDQMH GLD]HSDPD /HWD VPR SULþHOL ] ]GUDYOMHQMHP ]PLGD]RODPRP]DEXNDOQRXSRUDEROHWDSD WXGL V SULSUDYNRP ]D QD]DOQR XSRUDER (SLOHSWLþQL VWDWXV(6ODKNR]GUDYLPRWXGL]ORUD]HSDPRP]D nazalno uporabo.
3UHNLQMDQMHHSLOHSWLþQLKQDSDGRY]UHNWDOQR XSRUDERGLD]HSDPD
9 VORYHQVNHP RNROMX XSRUDEOMDPR 6WHVROLG® v REOLNL UHNWLRO PJ LQ PJ NL VR SULSUDYOMHQH Y ]QDþLOQR UXPHQL EDUYL ] GROJLP QDVWDYNRP ]D GDMDQMHY]DGQMLþQRRGSUWLQR3RYVWDYLWYLUH]HUYRDU UHNWLROHGUåLPRVNXSDMLQMRL]YOHþHPRYVWLVQMHQHP SRORåDMXGDVH]GUDYLORQHYUQHYDSOLNDWRU2WURFL V WHOHVQR WHåR GR NJ SUHMPHMR PLOLJUDPVNL RGPHUHNRWURFLWHåMLRGNJSDPLOLJUDPVNL RGPHUHN]GUDYLOD
3UHNLQMDQMHHSLOHSWLþQLKQDSDGRY]EXNDOQR XSRUDERPLGD]RODPD
1HNDWHUH ãWXGLMH VR SRND]DOH GD MH XþLQNRYLWRVW
PLGD]RODPD HQDND DOL FHOR YHþMD RG XþLQNRYLWRVWL diazepama za rektalno uporabo. Prekinitev napada QDYDGQR GRVHåHPR ] REHPD ]GUDYLORPD Y SULPHU- OMLYHPþDVX
8SRUDEOMDPR UD]WRSLQR ]D EXNDOQR XSRUDER NL MH pripravljena v ampuli (Dormicum® 0LGD]RODP 7RUH[®LQUD]WRSLQRNLMHSULSUDYOMHQDYVWHNOHQLFL (Epistatus®LQMHWUHQXWQRQDYROMROHYQDãLXVWDQR- YL3UHGSLVDQLRGPHUHNMHPJNJWHOHVQHWHåHSUL RWURFLK NL WHKWDMR PDQM NRW NLORJUDPRY LQ PJNJWHOHVQHWHåHSULRWURFLKWHåMLKRGNLORJUD- PRY 1DMYHþML HQNUDWQL RGPHUHN MH PLOLJUDPRY 'DMHPR JD V SRVHEQLP QDVWDYNRP Y EXNDOQR YRWOLQRPHGOLFHLQVSRGQMRGOHVHQ9QMHMMHYHOLNR NDSLODUNLOHåLMRSRGSRYUãMHPVOX]QLFHLQ]GUDYLOR XþLQNRYLWRDEVRUELUDMR
.RQFHQWUDFLMD ]GUDYLOD MH Y UD]OLþQLK SULSUDYNLK UD]OLþQD =GUDYLOR (SLVWDWXV® je pripravljeno v NRQFHQWUDFLMLPJPODPSXOHPLGD]RODPDSDY NRQFHQWUDFLMLPJPOWRMHPJPO$PSXOH PJPOQLVRXSRUDEQH]DUDGLQHXJRGQHJDUD]- merja med koncentracijo zdravila in prostornino WHNRþLQH3ULSRXþHYDQMXEROQLNRYLQQMLKRYLKVYRM- cev posebno poudarjamo vrsto in odmerek zdravila.
8SRãWHYDWLPRUDPRWXGLPUWYLSURVWRUNLJD]DVHGD aplikator.
Pripravek Epistatus® vsebuje raztopino midazola- PD ]D EXNDOQR XSRUDER Y VWHNOHQLþNL WHU EUL]JH -H ]HOR HQRVWDYHQ ]D XSRUDER VDM ]D SULSUDYR QL SRWUHEQR RGSLUDWL DPSXO WHU XSRUDEOMDWL L]YOHþQLK LJHO =DJRWDYOMD YHþMR YDUQRVW R]LURPD ]PDQMãXMH YHUMHWQRVWSRãNRGEHSULSULSUDYL]GUDYLODLQNRWWDN RPRJRþDPDQMVWUDKXLQQHODJRGMD
Pri bukalnem dajanju midazolama na sluznico lica QLSRWUHEQRXSRUDELWLQLNDNUãQHVLOHWXGLþHEROQLN PRþQRVWLVND]REHVDMQLSRWUHEHQGRVWRSPLPR]RE YXVWQRYRWOLQR8SRUDEDMHHQRVWDYQD]GUDYLORSD MHEROMSULMD]QR]DEROQLNDLQVYRMFHVDMQHSRY]URþD QHODJRGMD3ULPHUHQMH]DãROHYUWFHLQ]DXSRUDER na javnih mestih.
3UHNLQMDQMHHSLOHSWLþQLKQDSDGRY]
LQWUDQD]DOQRXSRUDERPLGD]RODPD
7D REOLND SUHNLQMDQMD GDOMãLK HSLOHSWLþQLK QDSDGRY MHY6ORYHQLMLQDYROMRRGOHWRãQMHJDOHWD2GPHUHN VNDWHULPODKNRXVSHãQRSUHNLQHPRNUþHMHPJ NJ WHOHVQH WHåH =GUDYLOR GDMHPR V SRPRþMR NRPSOHWD ]D LQWUDQD]DOQR GDMDQMH ]GUDYLOD NL YVH- EXMHEUL]JDONRVSODVWLþQRL]YOHþQRLJORLQQDVWDYHN ]DDSOLNDFLMR0UWYLSURVWRUDSOLNDWRUMDMHPO NDUXSRãWHYDPRSULSULSUDYL]GUDYLOD8SRUDEOMDPR UD]WRSLQR]DEXNDOQRXSRUDERNLMHSULSUDYOMHQDY ampuli (Dormicum®0LGD]RODP7RUH[®=GUDYLOR YVWHNOHQLþNLQLQDYROMR
=GUDYLOR GDMHPR Y QRV Y YVDNR QRVQLFR SRORYLFR ]GUDYLOD1DMYHþMLPRåQLRGPHUHN]DHQRQRVQLFRMH PLOLOLWHU2WURNOHåLQDKUEWXGDMDQMHSDL]YHGHPR þLPKLWUHMHVDMOHWDNRRPRJRþLPRGDVH]GUDYLOR UD]SUãLSRGRYROMYHOLNLSRYUãLQLVOX]QLFH3RNRQþD- QHPSRVWRSNXRWURNDSRORåLPRYERþQLSRORåDM
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9VL EROQLNL NL LPDMR SUHGSLVDQD ]GUDYLOD ]D SUH- NLQMDQMH GDOMãLK HSLOHSWLþQLK QDSDGRY ]XQDM ERO- QLãQLFH EL PRUDOL LPHWL L]GHODQ QDþUW ]D QMLKRYR REYODGRYDQMH 1DþUW MH QDPHQMHQ YVHP NL VNUELMR za otroka z epilepsijo in ga oblikujemo za primer SRQDYOMDMRþLK VH DOL GROJRWUDMQLK QDSDGRY 3RQXMD LQIRUPDFLMH R RVQRYDK SUYH SRPRþL LQ RPRJRþD PDQMãR ]DVNUEOMHQRVW QHODJRGMH LQ QDSDþQH SUHG- VWDYH SRYH]DQH ] HSLOHSVLMR 2VHEL NL LPD QDSDG SRPDJD GD SUDYRþDVQR GREL SRPRþ NL MR SRWUH- EXMH
3URWRNRO]DXSRUDER]GUDYLOQDPHQMHQLKSUHNLQMD- QMXQDSDGRYELPRUDOYVHERYDWLQDVOHGQMHSRGDWNH
LPHEROQLNDLQSRGUREQHNRQWDNWQHSRGDWNH
YUVWRQDSDGD
YUVWRQDSDGRYNLSRWUHEXMHMRWHUDSHYWVNRSUHNL- QLWHY
þDVGDMDQMD]GUDYLOD
RGPHUHN]GUDYLOD
QDþLQGDMDQMD]GUDYLOD
VSUHPOMDQMHEROQLNDGRSRSROQHJDRNUHYDQMD
XVWUH]QR XNUHSDQMH þH QDSDGD V SUYLP RGPHU- NRP]GUDYLODQLVPRXVSHOLSUHNLQLWL
=GUDYVWYHQD Y]JRMD EROQLNRY LQ QMLKRYLK VYRM- FHY PRUD ELWL UD]XPOMLYD SUHSURVWD LQ SUHJOHGQD 2EVHJD SRXN WHRUHWLþQLK RVQRY LQ XþQH GHODYQLFH QD NDWHULK VL VYRMFL EROQLND SULGRELMR SUDNWLþQR ]QDQMHRQDþLQXSULSUDYHLQGDMDQMX]GUDYLOD]XQDM EROQLãQLFH
359$3202ý35,721,ý12 ./21,ý1(01$3$'8
3UL HSLOHSWLþQLK QDSDGLK MH QDMSRPHPEQHMãD SUYD SRPRþWLVWHJDNLMHYEOLåLQLRVHEHNLGRåLYLQDSDG 3UYDSRPRþMHVSHFLILþQDJOHGHQDYUVWRLQWUDMDQMH QDSDGD 9HþLQD HSLOHSWLþQLK QDSDGRY RELþDMQR QH zahteva posebnega posredovanja. Pri abscencah RVHED QH SRWUHEXMH QLNDNUãQH REOLNH SUYH SRPRþL UD]HQ GD ML VWRMLPR RE VWUDQL 3RGDOMãDQL VWDOQL DOL SRQDYOMDMRþL VH WRQLþQRNORQLþQL NUþL ]DKWHYDMR QXMQR]GUDYQLãNRSRPRþýHSUDYMHWDYUVWDQDSDGD QDYDGQRYLGHWL]DVWUDãXMRþHQLQXMQRGDRVHEDRE QDSDGXXWUSLSRãNRGEH
2VQRYQD QDþHOD SUYH SRPRþL SUL HSLOHSWLþQLK napadih:
]DSRPQLWH VL þDV SULþHWND QDSDGD þDV WUDMDQMD QDSDGD
]DãþLWLWHJODYRPHKNDEOD]LQDSRGJODYRWRUED RGHMD
RVWDQLWH]EROQLNRPGRNOHUVHQDSDGQHNRQþD
PLUQRVHSRJRYDUMDMWHGRNOHUQHSULGHN]DYHVWL QDM YH NMH MH GD MH YDUHQ LQ GD ERVWH RVWDOL ] QMLPGRNOHUVLQHRSRPRUH
QHRPHMXMWHJLEDQMDPHGQDSDGRP
RGVWUDQLWHYVHQHYDUQHSUHGPHWHYRNROLFLGDVH QHSRãNRGXMH
QHGDMDMWHEROQLNXQLþHVDUYXVWDYRGHWDEOHWH KUDQHWUGHJDSUHGPHWDUREþND
QHåQRJD]DYUWLWHQDVYRMRVWUDQWDNRMNRMHPR- JRþHLQJDQDPHVWLWHYVWDELOHQERþQLSRORåDMQL- koli ne izvajajte tega na silo (med napadom lahko EROQLNEUXKDDOLSDVH]HORVOLQL
RSD]XMWH NDM VH MH ]JRGLOR SUHG QDSDGRP PHG QDSDGRPLQSRQDSDGX
UD]UDKOMDMWHREOHNRRNURJYUDWXNUDYDWDUXWDLQ SDVXSDVRGVWUDQLWHRþDOD
Med napadom ali po napadu je lahko odsoten SRåLUDOQL UHIOHNV SULVRWQR MH ODKNR WXGL SRYHþDQR VOLQMHQMHLQRKODSHQMH]LN=DWRMHSULRWURNXYHOLND nevarnost aspiracije in zapore dihalnih poti.
Med napadom nikakor ne:
RPHMXMWHJLEDQMD
GDMDMWHYXVWDþHVDUNROLWUGLKSUHGPHWRYYRGH KUDQH
SROLYDMWHRWURND]YRGR
]DXVWDYOMDMWHQDSDGDQDVLOR–
3RQDSDGXQDPHVWLPRRWURNDYVWDELOHQERþQLSROR- åDMGDYSULPHUXEUXKDQMDDOLSRYHþDQHJDVOLQMHQMD WHNRþLQDQHL]WHNDL]XVWLQQHSULYHGHGRDVSLUDFL- je. Med napadom lahko bolnik izgubi nadzor nad PHKXUMHPLQDOLþUHYHVRPNDUSRPHQLGDMLODKNR XLGHYRGDDOLEODWR3RQDSDGXRVWDQLWH]EROQLNRP NLMHGRåLYHOQDSDGVDMMHODKNRPRþQR]DVSDQDOL GH]RULHQWLUDQ 2PRJRþLPR PX GD VH VSRþLMH LQ QDVSL
1XMQRPHGLFLQVNRSRPRþPRUDPRSRNOLFDWL
þHQDSDGWUDMDYHþNRWPLQXWDOLVLQDSDGLKLWUR VOHGLMR
þHVHRVHEDPLQXWSRQDSDGXãHYHGQRQHRG- ]LYD
þHLPDRVHEDYHþQDSDGRYNRWQDYDGQR
þHMHRVHEDSRãNRGRYDQDLPDFLDQR]RDOLMHSUL- ãORGRDVSLUDFLMH
þHYHVWHDOLPHQLWHGDLPDRVHEDSUYLQDSDG
þHMHGRQDSDGDSULãORYYRGL
þHMHLPHODQDSDGQRVHþQLFDDOLEROQLNVVODGNRU- QREROH]QLMR
þHLPDRVHEDWHåDYH]GLKDQMHP–
ýH QDSDG QDVWRSL Y SRVHEQLK RNROLãþLQDK QSU Y YRGL LQYDOLGQL RVHEL QD YODNX Y DYWREXVX DOL Y DYWXVRXNUHSLSUYHSRPRþLQHNROLNRGUXJDþQL
V vodi
9QHNDWHULKSULPHULKODKNRSULGHGRL]JXEH]DYHVWL 1DSDGYYRGLMHODKNRVPUWQRQHYDUHQþHVH]JRGL YPRUMXYED]HQXYNDGL8VWUH]QLXNUHSL
JODYRRVHEHQDJQLWHQD]DMWDNRGDMHREUD]QDG YRGR
RGVWUDQLWHRVHERL]YRGHWDNRMNRVHQDSDGNRQ- þD
SUHYHULWHDOLRVHEDGLKDLQþXWLWHVUþQLXWULSVLFHU WDNRM]DþQLWHVWHPHOMQLPLSRVWRSNLRåLYOMDQMD
SRNOLþLWHQXMQRPHGLFLQVNRSRPRþNHUODKNRSUL- GH GR DVSLUDFLMH YRGH LQ WHåDY ] GLKDQMHP DOL V VUFHP
9DUQRVWQLXNUHSþHVHQDSDG]JRGLPHGSODYDQMHP R]GHMDYQRVWMRYYRGLMHRVHEDWDGDQQHVPHL]YD- MDWLYHþ
Invalidi
=DãþLWLWH RVHER WDNR GD SUHSUHþLWH SDGHF þH QL varnostnega pasu.
3RVNUELWH GD MH LQYDOLGVNL YR]LþHN DOL YR]LþHN varen.
=DãþLWLWHRVHERWDNRGDMLSRGSUHWHJODYR
Odstranite vse trde predmete.
ýH MH SRWUHEQR RVHER SUHVWDYLWH ] YR]LþND SUL þHPHUSD]LWHVDMODKNRSULGHGR]DSRUHGLKDOQH poti.
=DYHVWVHSRQDYDGLSRYUQHSRQHNDMPLQXWDK
3RPLULWHRVHERLQMLSRYHMWHNDMVHMH]JRGLOR
9OHWDOXQDYODNXDOLDYWREXVX
6SUD]QLPRVRVHGQMHVHGHåHLQRVHERQDPHVWLPR YVWDELOHQERþQLSRORåDM
2PRJRþLPRQHPRWHQRGLKDQMH
1DWUGLSRYUãLQLSRGORåLPRJODYR]EOD]LQRRGH- MRDOLGHORPREOHNHVþLPHUSUHSUHþLPRPRUHEL- WQRSRãNRGER
7YHJDQMH]DSRãNRGEH
5D]LVNDYH VR SRND]DOH GD VR YUVWD SRJRVWRVW in trdovratnost napadov pomembno povezane z YHþMLP WYHJDQMHP ]D SRãNRGEH 1DMSRJRVWHMãH SRãNRGEHPHGQDSDGRPVRXJUL]YMH]LNSRãNRGEH JODYHRSHNOLQH]ORPLLQSRãNRGEH]RE
3UL RWURFLK VH SRãNRGEH SRMDYOMDMR UHGNHMH9 ãWX- GLMLVRGRND]DOLGDMHELORRWURNSRQDSDGX SRãNRGRYDQLKSUHGSRVWDYOMHQRGLDJQR]RHSLOHSVLMH RGSRãNRGRYDQLKSDMHGRåLYHORJHQHUDOL]LUDQL WRQLþQRNORQLþQLQDSDG
2NROMHYNDWHUHPRVHED]HSLOHSVLMRVWDQXMHPRUD- PR SULODJRGLWL PRUHELWQLP QDSDGRP %ROQLãQLþQR RNROMH ]DYDUXMHPR WDNR GD ]DãþLWLPR YVH RVWUH URERYH QD EROQLãQLþQR SRVWHOMR SD QDPHVWLPR YDURYDOQH RJUDMH ýH REVWDMD YHUMHWQRVW SRãNRGEH JODYHQDPHVWLPRPHKNHþHODGHNL]HORXþLQNRYLWR varujejo pred udarci.
.RSDQMHYNDGLLQSRWDSOMDQMHQDPRUMXRGVYH- WXMHPR PHGWHP NR MH XNYDUMDQMH ] UD]OLþQLPL ãSRUWL GREURGRãOR YHQGDU VH R QMLK SRVYHWXMPR z zdravnikom terapevtom. Osebi z epilepsijo RGVYHWXMHPRWXãLUDQMHR]LURPDNRSHOLY]DNOHQMH- QLNRSDOQLFL
=$./-8ý(.
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Kontaktna oseba / Contact person:
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e-mail: judita.kolenc@kclj.si
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