EPILEPSY IN THE WAPOGORO TRIBE IN TANGANYIKA

EPILEPSY IN THE WAPOGORO TRIBE IN TANGANYIKA
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DOI:
10.1111/j.1600-0447.1965.tb04970.x
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发表时间:
1965-01-01
影响因子:
6.7
通讯作者:
AALLJILEK, LM
AALLJILEK, LM
中科院分区:
医学1区
文献类型:
--
作者:
AALLJILEK, LM

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一项对乌兰加地区不同地区癫痫的研究表明,即使在马亨格以外的地方,许多癫痫患者都是瓦波戈罗人。由于只调查了一小块地区,因此有可能确定患这种疾病的实际百分比。目前正在进行一项调查,以确定癫痫患者的确切人数,但目前已知的是,在马亨格天主教教区的1万名居民中,只有150多人患有癫痫。这是每1000名居民中有15名癫痫患者的比率。美国和欧洲的统计数据显示,每1000人中平均有2-4名癫痫患者。这些是瓦波戈罗人生活的条件:由于山区的隔离,瓦波戈罗人强烈的部落感情加剧了这种隔离。社会苦难,逐渐陷入贫困和饥饿,许多疾病,如寄生虫病、缺乏病、麻风病、肺结核、疟疾等。癫痫的家族发病率非常高。尽管家谱不完整,但它们显示,癫痫患者的兄弟姐妹、叔叔阿姨比平时更常见。在许多部落中,癫痫本身几乎不被认为是一种疾病,但在瓦波戈罗人中,每个人都知道这种疾病,并知道大量的处方和治疗方法。对于癫痫患者来说,单次0.1 Luminal的剂量就能如此彻底地停止抽搐是很不寻常的,我在马亨格的病人中有一半以上都是这样。这些癫痫患者在接受治疗前每月至少发作一次。很难说这种有利的治疗效果会持续多久,但迄今为止,他们已经接受了一年的治疗,现在可以在他们的部落中过正常的生活。
A study of epilepsy in different parts of the Ulanga District made it clear that even in places other than Mahenge, many of the epileptics were Wapogoros. It is possible to ascertain the actual percentage suffering from this illness, since only a small area has been investigated. A survey is being carried out to determine the exact number suffering from seizures, but it is already known that only among the 10,000 living in Mahenge who belong to the Catholic parish there are more than 150 epileptics. This is a rate of 15 epileptics in 1000 inhabitants. Statistics from America and Europe show the average to be 2-4 epileptics in 1000. These are some conditions under which the Wapogoro live: Isolation due to the mountains, increased by strong tribal feelings of the Wagpogoro. Social misery, gradual decline into poverty and hunger, Much disease, such as parasitosis, deficiency diseases, leprosy, tuberculosis, malaria, etc. The very high family incidence of epilepsy. Even though the family trees are incomplete, they reveal that epilepsy among brothers and sisters, uncles and aunts of patients is more common than usual. Epilepsy itself is hardly known as a disease in many tribes, but among the Wapogoro everybody knows of the illness and of a great number of prescriptions and measures to be taken against it. It is unusual for a single dosage of 0.1 Luminal to stop convulsions so completely in epilepsy, as was the case with more than half of all my patients in Mahenge. These were epileptics who before treatment suffered at least one attack a month. It is difficult to say how long this favourable therapeutic effect will continue, but hitherto they have had one year of treatment and can now live a normal life within their tribe.