So wo ba no renya akisikuru mpofirim? Momma yensua Cortical Dysplasia ho ade!

So wo ba ketewa no renya akisikuru mpofirim? Anaasɛ obi a wunim no wɔ akisikuru ho sɛnkyerɛnne ahorow yi? Ɛtɔ mmere bi a, sɛ yehu saa nneɛma yi a, ehu ka yɛn ankasa, ɛnte saa? Ade biako nti a ɛte saa betumi ayɛ amemene mu yare bi a ebia woante ho asɛm. Ɛnnɛ yɛbɛka tebea a ɛte saa biako ho asɛm, a ɛne Cortical Dysplasia . Bere a ebia edin no bɛyɛ te sɛ nea ɛyɛ den kakra no, momma yɛnkyekyɛ mu.

Dɛn ne cortical dysplasia?

Sɛ yɛbɛka no tiawa a, cortical dysplasia yɛ tebea a ɛntaa nsi a ebetumi ama obi anya akisikuru . Ɛtɔ mmere bi a nnuruyɛfo frɛ no focal cortical dysplasia, anaa (FCD). Wɔbɔ no "co-ticle" ne "dys-pla-sia."

Saa tebea yi ka w'amemene mu ntini . Ɛne sɛ, yɛn amemene no akyi fã a ɛsen biara no. Fa no sɛ, amemene mu ntini yi na ɛhwɛ nneɛma a ɛho hia pii te sɛ yɛn nipadua no kankan, yɛn nsusuwii, yɛn kasa, yɛn nkae, nyansa, ne nipasu so. Ɛte sɛ yɛn kɔmputa no `CPU`.

Aduruyɛ mu asɛmfua "dysplasia" kyerɛ nkwammoaa a enyin wɔ nipadua no mu a ɛnteɛ. Enti, wɔ obi a ɔwɔ cortical dysplasia mu no, nkwammoaa a ɛwɔ amemene no mu, anaa amemene mu nkwammoaa mu no nnyin yiye. Eyi ba bere a akokoaa no da so ara wɔ awotwaa mu no .

Dɛn ne cortical dysplasia ahorow atitiriw?

Nnuruyɛfo kyekyɛ tebea yi, a wɔfrɛ no cortical dysplasia, mu ahorow abiɛsa atitiriw, a egyina amemene no afã horow a ɛka, anaa sɛnea nkwammoaa a ɛnteɛ no hyehyɛ wɔ amemene no mu so.

Ɔkwan a wɔfa so yɛ 1

Wɔ saa su yi mu no, nkwammoaa a ɛnyɛ ne kwan so ayɛ wo cortex, anaa amemene mu nkwammoaa a wɔanhyehyɛ no sɛnea ɛsɛ sɛ wɔyɛ no. Eyi betumi aka amemene no fã biara. Nanso ɛtaa ba temporal lobe , a ɛyɛ amemene no fã a ɛkɔ aso no, anaa frontal lobe , a ɛyɛ ɔfã a ɛkɔ moma so no mu.

Ɔkwan a wɔfa so yɛ 2

Wɔ saa ɔkwan yi so no, nkwammoaa a ɛwɔ amemene no mu no sõ sen sɛnea ɛte daa, anaasɛ ɛsono sɛnea ɛte. Saa ɔkwan a ɛto so abien yi yɛ nea ɛyɛ den kakra na ɛyɛ aniberesɛm sen nea edi kan no. Ɛtaa ka anim ne akyi ntini nso kɛse.

Ɔkwan a wɔfa so yɛ 3

Saa ɔkwan yi ba bere a wowɔ cortical dysplasia type 1 anaa type 2 ne nneɛma afoforo a ɛnteɛ wɔ amemene no mu no. Sɛ nhwɛso no, ebetumi aba wɔ amemene mu akisikuru, mogya ntini a ɛnyɛ ne kwan so, anaa amemene mu akuru ho. Amemene no fã a ɛka no gyina baabi a akisikuru no wɔ anaa amemene no fã a asɛe no so.

Dɛn ne sɛnkyerɛnne ahorow no? Woyɛ dɛn hu no?

Wɔ cortical dysplasia mu noNsɛnkyerɛnne titiriw ne nea ɛtaa ba ne akisikuru. Eyi ne nea yɛsan frɛ no akisikuru. Saa akisikuru yi betumi aba akwan horow so:

• Focal Seizures: Eyinom fi ase wɔ amemene no fã biako. Wɔntrɛw nkɔ ɔfã foforo. Ebia wubenya nneɛma te sɛ wo ho a wobɛtwetwe ne wosow wɔ saa bere yi mu. Nanso ɛnyɛ obiara na onya saa. Ebia wobɛte nka kɛkɛ sɛ woyɛ nwonwa anaasɛ woyɛ soronko.
• Tonic-clonic (Grand Mal) Akisikuru: Saa akisikuru yi ka amemene no afã abien no nyinaa. Eyi ne bere a nipadua no wosow na ɛwosow a wontumi nni so. Ɛka nipadua no afã abien no nyinaa.
• Nkokoaa mu Akisikuru: Eyi yɛ akisikuru soronko bi a ɛba nkokoaa a wonnii afe biako nkutoo so . Wɔ eyi mu no, akokoaa no teɛ ne nsa, ne nan, ne ne kɔn mu mpofirim, afei ɔsan twe ne ho ntɛmntɛm. Ɛte sɛ nea wɔrenya akisikuru. Eyi betumi asi mpɛn pii da biara.

Nea ɛho hia ne sɛ saa akisikuru yi betumi afi ase bere biara wɔ asetra mu. Nnipa binom fi ase nya bi wɔ mmofraase, wɔ mmofraase. Nanso nnipa binom betumi anya akisikuru a edi kan wɔ wɔn nkwa nna mu.

Wɔ akisikuru akyi no, ebia wubehu sɛnkyerɛnne afoforo:

• Ɛyɛ den sɛ wode w’adwene besi biribi so, adwene a wontumi mfa ntra baabi biako .
• Ɛyɛ den sɛ wubesua nneɛma foforo ne nsusuwii foforo.
• Ntini a ɛyɛ mmerɛw wɔ nipadua no fã biako (hemiparesis).

Cortical dysplasia nso betumi aka amemene no nipadua mu nhyehyɛe. Nanso MRI scan nkutoo na oduruyɛfo betumi ahu nsakrae yi, na ɛno nkutoo ne ɔkwan a ɔbɛfa so ahu nsakrae a aba amemene no cortex (afiri a ɛyɛ fitaa) mu no pɛpɛɛpɛ.

Dɛn nti na tebea yi ba? Dɛn nti na ɛte saa?

Cortical dysplasia yɛ awosu mu tebea bi . Eyi kyerɛ sɛ esiane nsakrae a ɛba awosu mu nneɛma mu nti, amemene no nnyin sɛnea ɛsɛ wɔ awotwaa mu, kyerɛ sɛ, bere a akokoaa no renyin wɔ awotwaa no mu no.

Nanso nhwehwɛmufo da so ara ntumi nka awosu mu nsakrae pɔtee a ɛde eyi ba. Wɔda so ara reyɛ nhwehwɛmu wɔ nea ebetumi de aba no ho.

Abenfo binom gye di sɛ Type 2 cortical dysplasia fi awosu mu nkwaadɔm bi a wɔfrɛ no MTOR kwan mu nsakrae a ɛba . Saa awosu mu nkwaadɔm yi yɛ protein bi a ɛboa yɛn nkwammoaa, titiriw amemene mu nkwammoaa ma enyin na enyin. Enti sɛ nkwaadɔm mu nsakrae bi ba MTOR awosu mu abɔde mu a, ebetumi ama nkwammoaa a ɛnteɛ anyin.

Ɔkwan bɛn so na nnuruyɛfo hu eyi? (Nyare a Wɔahu) .

Oduruyɛfo bi nam mfoninitwa nhwehwɛmu pɔtee bi so hu cortical dysplasia .

Ɛsɛ sɛ woka wo yare no ho sɛnkyerɛnne ne bere a edi kan a wuhui kyerɛ wo duruyɛfo . Sɛ ɛbɛyɛ yiye a, ɛho hia sɛ wode wo akisikuru no ho nsɛm ma (i.e. sɛnea efii ase, bere tenten a ɛkɔɔ so, nea na ɛrekɔ so saa bere no, ne nea ɛkeka ho) efisɛ saa nsɛm yi betumi aboa wo ma woahu yare no.Oduruyɛfo no betumi ahu ɔkwan a eyi yɛ.

Afei oduruyɛfo no bɛtwa w’amemene no mfonini ahwɛ sɛ nkwammoaa bi a ɛnteɛ anaasɛ ɛnteɛ wɔ amemene no mu anaa. Sɔhwɛ ahorow a wobetumi de adi dwuma ama eyi ne:

• `MRI (Magnetic Resonance Imaging):` Eyi betumi atwa amemene no ho mfonini a emu da hɔ yiye .
• `EEG (Electroencephalogram)`: Eyi susuw anyinam ahoɔden dwumadi a ɛwɔ amemene no mu. Eyi boa ma wohu baabi a akisikuru no fi.
• `MEG (Magnetoencephalography):` Eyi yɛ sɔhwɛ a ɛhwɛ amemene no dwumadi, te sɛ `EEG.`
• ``PET nhwehwɛmu (Positron Emission Tomography nhwehwɛmu)''.
• `SPECT scan (Foton Baako a Wɔde Kɔmputa Tomography scan)`

Nea sɔhwɛ ahorow yi yɛ ara ne sɛ wɔbɛhwɛ nea ɛrekɔ so wɔ amemene no mu.

Dɛn ne ayaresa ahorow a ɛwɔ hɔ?

Wo duruyɛfo bɛkamfo ayaresa ahorow a ɛbɛma woadi wo sɛnkyerɛnne ahorow so na ama akisikuru a ɛtaa ba no so atew.

Mpɛn pii no wɔde nnuru a wɔde ko tia akisikuru befi ase . Nanso ade no ni. Ɛtɔ mmere bi a, cortical dysplasia betumi ama obi anya akisikuru a nnuru ntumi nnye. Ɛno kyerɛ sɛ ebetumi ayɛ den kakra sɛ wɔde nnuru bedi so sen sɛ wɔde bedi dwuma daa. Bere a nnuru betumi ayɛ adwuma mfiase no, bere kɔ so no, ebetumi anyɛ adwuma yiye.

Ketogenic aduan (anaa keto aduan) akyi a wobedi no betumi aboa ma wɔatew mpɛn dodow a akisikuru a ɛba obi so no so. Nea ɛka eyi ho ne sɛ wubedi aduan a srade pii wom na carbohydrates nnim. Eyi sesa ɔkwan a amemene no fa so nya ahoɔden. Wubetumi nso ahwehwɛ mmoa afi aduan ho ɔbenfo hɔ ma waboa wo ma woadan akɔ saa adidi nhyehyɛe yi so.

Sɛ ayaresa afoforo ntumi nni wo akisikuru no so yiye a, ebia ebehia sɛ wɔyɛ wo akisikuru oprehyɛn . Oduruyɛfo a ɔyɛ wo oprehyɛn no bɛkyerɛkyerɛ oprehyɛn ko a wɔbɛyɛ wo ne nea wobɛhwɛ kwan mu.

So wobetumi ayi tebea yi afi hɔ koraa denam oprehyɛn so?

Ebia wo duruyɛfo a ɔyɛ wo oprehyɛn no betumi ayi saa tebea yi afi hɔ. Eyi begyina nneɛma pii so:

• Cortical dysplasia bɛn na wowɔ?
• Ɛhe na akisikuru fi ase wɔ amemene no mu?
• Sɛnea dysplasia tebea no mu yɛ den.

Sɛ oduruyɛfo a ɔyɛ oprehyɛn no tumi yi saa nkwammoaa a ɛnteɛ no a ɔrempira w’amemene no dwumadi a, ɛno yɛ papa. Nkwammoaa yi a wuyi fi hɔ no betumi atew mpɛn dodow a akisikuru no so na ama nnuru dodow a ɛsɛ sɛ wonom no so atew. Nanso, ɛtɔ mmere bi a, sɛ ɛsɛ sɛ wuyi saa nkwammoaa a ɛnteɛ no nyinaa fi hɔ a, ebia ɛsɛ sɛ wuyi amemene no mu ntini pa bi nso.Sɛ eyi ba a, tumi a wutumi keka wo ho, hu ade, na wote nka wɔ ntease afoforo mu no betumi aka. Wo oprehyɛn ho ɔyaresafo bɛkyerɛkyerɛ mfaso ne ɔhaw ahorow a ɛwɔ oprehyɛn yi mu nyinaa mu akyerɛ wo na waboa wo ma woasi gyinae sɛ ɛfata wo anaa.

Ɔkwan foforo ne sɛ wɔbɛtetew saa nkwammoaa a ɛnteɛ yi afi amemene no afã afoforo ho. Eyi ma akisikuru a efi saa nkwammoaa no mu no trɛw. Ɛtɔ da bi a, oprehyɛnfo no nso tumi de ``laser ayaresa'' asɛe saa nkwammoaa a ɛnyɛ ne kwan so yi, a asiane nnim na ɛnyɛ nea ɛyɛ hu sen amemene mu oprehyɛn a wɔde di dwuma wɔ amanne kwan so no.

Cortical dysplasia yɛ aniberesɛm dɛn?

Tebea biara a ɛka amemene no betumi ayɛ aniberesɛm. Cortical dysplasia yɛ tebea a ɛte saa no mu biako. Nanso mma ɛnhaw wo . Wo duruyɛfo bɛhwehwɛ akwan a ɔbɛfa so adi wo akisikuru ne sɛnkyerɛnne afoforo ho dwuma. Nkakrankakra, wubetumi atew nkɛntɛnso a tebea yi nya wɔ wo da biara da asetra so no so.

So wobetumi asa eyi koraa?

Ebetumi aba, titiriw wɔ oprehyɛn akyi, sɛ ebia worennya akisikuru bio. Ɛno yɛ asɛm kɛse!

Nanso, cortical dysplasia nyɛ "aduru" te sɛ aduru a wɔnom ma atiridiinini. Ayaresa twe adwene si yare no ho sɛnkyerɛnne ne akisikuru a wobedi so kɛse sen sɛ wobenya aduru .

Asetra bɛyɛ dɛn wɔ tebea yi mu?

Mpɛn pii no, cortical dysplasia mfa nsɛnnennen a edi awu mma anaasɛ ɛnka wo nkwa nna. Ɛno yɛ asɛmpa. Nanso, sɛ wotaa nya akisikuru a emu yɛ den (titiriw tonic-clonic akisikuru) a, ebetumi ama asiane a ɛwɔ hɔ sɛ wubewu ntɛm kakra no ayɛ kɛse . Sɛ sɛnea eyi betumi aka w’akwahosan a ɛbɛtra hɔ akyɛ no haw wo a, wo ne wo duruyɛfo nkasa. Obetumi aboa wo ma woanya ahobammɔ ne apɔwmuden.

Bere bɛn na ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn?

Wo duruyɛfoɔ bɛkyerɛ wo mpɛn dodoɔ a ɛsɛ sɛ wosan ba (`follow-up visits`) ne nhwehwɛmu a ɛsɛ sɛ woyɛ. Mfiase no, titiriw bere a woafi ayaresa ase ne ansa na wɔayɛ wo oprehyɛn ne bere a woawie no, ebehia sɛ wokɔ wo duruyɛfo nkyɛn mpɛn pii.

Nea ɛho hia: Sɛ worenya akisikuru pii, anaasɛ ɛte sɛ nea emu yɛ den sen kan no a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo . Ebia ɛbɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɛsɛ sɛ wɔsesa w’ayaresa, anaasɛ ebia worenya akisikuru a nnuru ntumi nnye.

Dɛn na ɛsɛ sɛ woyɛ wɔ tebea a egye ntɛmpɛ mu?

Sɛ woanya akisikuru a ɛkyɛ bɛboro simma anum, anaasɛ sɛ woanya akisikuru mpɛn pii a ɛtoatoa so a, frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara. Eyi yɛ asɛm a egye ntɛmpɛ.

Nsɛmmisa a ɛho hia a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wokɔ wo duruyɛfo nkyɛn a, ntwentwɛn wo nan ase sɛ wubebisa nsɛm te sɛ eyinom:

• Cortical dysplasia bɛn na mewɔ?
• So aduru a wɔde sa akisikuru bɛyɛ adwuma ama me?
• Bere bɛn na ɛsɛ sɛ misusuw oprehyɛn ho?
• Oprehyɛn bɛn na eye ma me?

Ɛyɛ den sɛ yebesusuw sɛnea nkwammoaa nketenkete kakraa bi a ɛwɔ amemene no mu betumi anya yɛn akwahosan so nkɛntɛnso kɛse saa no ho. Nanso, bisa wo duruyɛfo anaa oprehyɛn ho ɔbenfo nsɛm anaa nsɛm biara a ɛhaw wo . Wɔbɛkyerɛkyerɛ biribiara a ɛsɛ sɛ wuhu fa nea ɛrekɔ so wɔ w’amemene ne wo nipadua mu, ne nea wobetumi ayɛ de aboa wo ma wo ho atɔ wo no mu.

Nea yɛaka ho asɛm (Take-Home Message) no mu nsɛm tiawa ni:

Okay, enti seesei woanya nteaseɛ pa wɔ Cortical Dysplasia a yɛkaa ho asɛm nnɛ no ho. Kae:

• Eyi yɛ tebea a ɛba bere a amemene mu nkwammoaa ntumi nnyin yiye na ebetumi ama obi anya akisikuru .
• Ebia eyi fi awosu mu nneɛma nti .
• Nsɛnkyerɛnne titiriw ne akisikuru ahorow ahorow .
• Wɔnam nhwehwɛmu titiriw te sɛ MRI so hu eyi.
• Ayaresa a wobetumi apaw bi ne nnuru, ketogenic aduan, ne sɛ ɛho hia a, oprehyɛn .
• Sɛ́ anka yɛbɛka "ayaresa" a edi mũ ho asɛm no, ɛho hia sɛ wodi sɛnkyerɛnne ahorow no so .
• Ebetumi aba sɛ wobɛtra ase sɛnea ɛte daa a wowɔ saa tebea yi, nanso ɛsɛ sɛ wohwɛ yiye wɔ akisikuru a emu yɛ den ho.
• Ɛho hia yiye sɛ wo ne wo duruyɛfo di nkitaho daa na wudi n’akwankyerɛ akyi.

Sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne ahorow yi a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu. Sɛ wohu yare no ntɛm na wɔsa no a, ebetumi ama nsakrae kɛse aba.

` Cortical Dysplasia, Akisikuru, Akisikuru, Amemene mu Nyarewa, Focal Cortical Dysplasia, Akisikuru, Akisikuru, Mmofra Akisikuru, Awosu mu Nyarewa