Frontal Lobe Seizure: Mina míase esia gɔme bɔbɔe

Ðe nèkpɔ ame aɖe le wò ƒomea me, ɖewohĩ viwòa, wònyɔ zi ɖeka le zã me, nɔ ɣli dom, nɔ woƒe abɔwo kple afɔwo ƒom, nɔ nu wɔm nukutɔe kpɔa? Alo ɖe nèɖea nuwɔna wɔnukuwo, abe fiƒode alo nukoko ene fiana zi ɖeka le ŋkeke me gɔ̃ hã? Ame geɖe susuna be drɔ̃e vɔ̃ alo susu me kuxi aɖee nye esia, gake esia ate ŋu anye alɔ̃madɔmadɔ si dzɔna le ahɔhɔ̃a me. Egbea míele nu ƒom tso alɔ̃madɔmadɔ ƒomevi tɔxɛ aɖe ŋu, si woyɔna be ‘Frontal Lobe Seizure’. Mègavɔ̃ ne èse ŋkɔ sia o, mina míaƒo nu tso nusianu ŋu bɔbɔe.

Nukae Nye Frontal Lobe Epilepsy?

Kpuie ko la, esia nye asrãdɔ ƒomevi aɖe. Woyɔa míaƒe ahɔhɔ̃ ƒe akpa si le ŋgɔgbe, akpa si le ŋgonu megbe, be ``Ŋgɔgbe Lobe''. Esiae nye míaƒe ahɔhɔ̃ ƒe akpa gãtɔ. Akpa sia kpɔa ŋusẽ ɖe nu vevi geɖewo dzi, abe míaƒe nuwɔna, amenyenye, tamebubu, nyametsotsowɔwɔ, nusɔsrɔ̃, nuƒoƒo, kple ŋutilã ƒe ʋuʋu ene.

Eyata, `Frontal Lobe Seizure`, alo seizure, dzɔna ne elektrikŋusẽ ƒe dɔwɔwɔ le ahɔhɔ̃meka siwo le `Frontal Lobe` me va zu nusi mesɔ o eye womete ŋu ɖu wo dzi o zi ɖeka. Esi wònye be edzea egɔme tso ahɔhɔ̃a ƒe akpa ɖeka koŋ ta la, míeyɔnae hã be ``focal seizure``.

Esi wònye be alɔ̃madɔmadɔ siawo dzɔna zi geɖe le zã me ne wole alɔ̃ dɔm ta la, ame aɖewo bua vodadatɔe be alɔ̃madɔmadɔ alo tagbɔdɔlélee nye esia. Gake ele vevie ŋutɔ be woakpɔ esia ahadae nyuie.

Nukawoe nye alɔ̃madɔmadɔ sia ƒe dzesiwo?

Alɔ̃madɔmadɔ siawo mesɔ na amesiame o. Gake dzesi aɖewo li siwo bɔ. Zi geɖe la, wonɔa agbe kpuie ŋutɔ, eye ɣeaɖewoɣi la, womexɔa aɖabaƒoƒo ɖeka o. Eye woate ŋu adzɔ zi geɖe le gaƒoƒo 24 me.

Bu eŋu kpɔ, esime viwòa le alɔ̃ dɔm le zã me, kasia wòanɔ anyi ɖe aba dzi eye wòadze eƒe afɔwo ƒoƒo gɔme abe ɖe wòle gasɔ dom ene, alo anɔ eƒe abɔwo ƒom sesĩe, anɔ ɣli dom. Vɔvɔ̃ anɔ ame aɖe ne ekpɔ nane si le abe esia ene, alo? Tabla si le ete la ɖe dzesi siwo woate ŋu akpɔ le ɣeyiɣi mawo me fia.

Nusiwo nèsena le ɖokuiwò me hafi alɔ̃dɔdɔ (Aura) .

Ame aɖewo sea seselelãme wɔnuku aɖe do ŋgɔ teti na alɔ̃madɔmadɔ. Míeyɔa esia be ``aura''. Menye amesiamee xɔa esia hã o. Gake ame siwo wɔa esia ate ŋu ato nusiwo le abe:

• Vɔvɔ̃, dziku, kple blanuiléle ƒe seselelãme kpata.
• Sese le ɖokuiwò me be yeƒe ŋutilã le ʋuʋum.
• Tɔtrɔ le ʋeʋẽ, nusese, kple nukpɔkpɔ me.

Ne alɔ̃madɔmadɔa wu enu la, le ``postictal state'' me la, ame ateŋu ase le eɖokui me be yeƒe susu tɔtɔ, yeƒe ŋkuɖoɖonudzi megale o, eye yeƒe ŋutilã navee hena ɣeyiɣi aɖe.

Nukatae alɔ̃madɔmadɔ sia ƒomevi dzɔna?

Menye ɣesiaɣie wòanya wɔ be woade dzesi nusi tututu gbɔ wòtso o, gake nu ʋɛ aɖewo li siwo bɔ siwo ate ŋu ahe nɔnɔme sia vɛ.

• Kuxi siwo dona le vidzidzi me: Nu ɖesiaɖe si mesɔ o si dzɔna le vidzĩa ƒe ahɔhɔ̃ ƒe tsitsi me le vidzidɔa me.
• Ahɔhɔ̃ me dɔlékuiwo: Dɔlékuiwo ƒe nɔnɔme siwo gblẽa nu le ahɔhɔ̃a ŋu le ɖevime.
• Ta ƒe abixɔxɔ: Ta ƒe abi gã aɖe (Traumatic brain injury).
• Ʋusɔgbɔdɔ: Ahɔhɔ̃ ƒe gbegblẽ si tsoa ʋu ƒe sisi yi ahɔhɔ̃a me ƒe nutsotso ta.
• Brain tumor: Tsitsi ɖesiaɖe si dzɔna le ahɔhɔ̃a me.
• Domenyiŋusẽfianu si gbɔ wòtso: Ɣeaɖewoɣi la, woate ŋu anyi nɔnɔme sia ƒe dome, gake esia mebɔ kura o.

Afɔku siwo hea nɔnɔme sia vɛ

Togbɔ be nɔnɔme sia ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ame aɖewo le afɔku me wu.

• Ne asrãdɔ le ame aɖe ŋu le ƒomea me.
• Ne ahɔhɔ̃medɔléle aɖe nɔ ŋuwò le wò ɖevime.
• Ne ʋusɔgbɔdɔ, ta xɔ abi, alo ahɔhɔ̃ me dɔdzẽ le ŋuwò.
• Ne wodzi wò kple ahɔhɔ̃ ƒe dɔmawɔmawɔ nyuie le vidzidzi me.

Ðe nɔnɔme sia nye afɔkua? Afɔku kawoe le eme?

Togbɔ be alɔ̃madɔmadɔ ate ŋu adze vɔvɔ̃ na ame le ŋkuléle ɖe eŋu gbã me hã la, woate ŋu aɖu edzi nyuie ne wodae nyuie. Gake ne alɔ̃madɔmadɔ dzɔna enuenu eye womewɔ atike nɛ o la, afɔku aɖewo ate ŋu anɔ eme.

• Nuveviwɔame le ŋutilã me: Àte ŋu axɔ abi ne èdze anyi alo wotsɔ wò ƒu gbe le susu me ne èle alɔ̃ dɔm.
• Status Epilepticus: Esia nye nɔnɔme kpata aɖe. Esia dzɔna ne alɔ̃madɔmadɔ xɔ wu miniti 5 alo ne alɔ̃madɔmadɔ ɖeka wu enu eye bubu dze egɔme hafi eƒe susu trɔ gbɔ. Le nɔnɔme mawo me la, ele be woakplɔ dɔnɔa ayi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake.
• SUDEP (Ku Kpata si Womeɖe O Le Aɖuɖɔtoedɔ Me): Esia nye nɔnɔme si mebɔ kura o. Enye ame si ŋu asrãdɔ le ƒe ku kpata, si womate ŋu aɖe o. Ne wodae nyuie la, woate ŋu aɖe afɔku sia dzi akpɔtɔ ŋutɔ.

Enye nusi sɔ be nàse susu me nuteɖeamedzi aɖewo ne èle agbe kple nɔnɔme sia tɔgbe. Eyata, àte ŋu aƒo nu kple wò ɖɔkta eye nàdi kpekpeɖeŋu tso susumedɔdala gbɔ ne ehiã.

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne ègblɔ dzesi siawo na wò ɖɔkta la, abia nya aɖe wò tsitotsito eye wòado wò kpɔ. Emegbe aɖe gbe be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.

• MRI Scan: MRI scan ate ŋu aɖe wò ahɔhɔ̃ ƒe foto tsitotsito. Ate ŋu akpɔe ɖa be naneke megblẽ le eŋu o, abe ahɔhɔ̃ me dɔdzẽ alo ahɔhɔ̃ me abi ene.
• EEG (Electroencephalography): Esia dzidzea elektrikŋusẽ ƒe dɔwɔwɔ le wò ahɔhɔ̃ me, alo ne míagblɔe tututu la, ‘elektrikŋusẽ’ si le wò ahɔhɔ̃ me. Esia ate ŋu akpe ɖe ame ŋu wòanya afisi alɔ̃dɔdɔa dze egɔme tsoe le ahɔhɔ̃a me.
• Video EEG: Esia bia be woalé wò video esime nèle kadodo me kple EEG. Zi geɖe la, esia bia be woanɔ kɔdzi ŋkeke ɖeka. Esia kpena ɖe ŋuwò nètsɔa wò nuwɔna kple ahɔhɔ̃ ƒe dɔwɔwɔ siaa sɔna kple wo nɔewo le alɔ̃madɔmadɔ me.
• SEEG (Stereoelectroencephalography): Ne atikewo mete ŋu ɖu alɔ̃madɔmadɔ dzi o eye wole amekoko ŋu bum ko hafi wowɔa esia. Esia bia be woawɔ dɔ na elektrikŋusẽnamɔ̃wo ahɔhɔ̃a be woatsɔ alé ŋku ɖe elektrikŋusẽ ƒe dɔwɔwɔ ŋu le ahɔhɔ̃a ƒe gogloƒe ke.

Nukawoe nye atike siwo wozãna na esia?

Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖe alɔ̃madɔmadɔ dzi akpɔtɔ, eye ne anya wɔ la, woadzudzɔe keŋkeŋ.

1. Atike siwo wozãna tsɔ tsia alɔ̃madɔmadɔ nu

Esiae nye atikewɔwɔ gbãtɔ. Atike siawo kpɔa elektrikŋusẽ ƒe dɔwɔwɔ si mesɔ o si le ahɔhɔ̃a me dzi. Wò ɖɔkta atia atike si sɔ na wò le wò dzesiwo nu. Ɣeaɖewoɣi la, ate ŋu axɔ ɣeyiɣi aɖe hafi woake ɖe atike nyuitɔ kple agbɔsɔsɔme si sɔ ŋu.

2. Amekoko (Epilepsy surgery) .

Ne atike ɖeɖe mesɔ gbɔ be wòaɖu alɔ̃madɔmadɔa dzi o la, wò ɖɔkta ate ŋu abu amekoko ŋu. Esia bia be woaɖe ahɔhɔ̃a ƒe akpa sue aɖe si le alɔ̃madɔmadɔa hem vɛ la ɖa. Wowɔa ahɔhɔ̃a ƒe nɔnɔmetata nyuie hafi wowɔa dɔ nɛ, ale be dɔ veviwo nagakpɔ ŋusẽ ɖe edzi o.

3. Ahɔhɔ̃mekawo ƒe tɔtrɔ

Woate ŋu azã mɔnu sia ne amekoko mate ŋu adzɔ o. Ebia be woatsɔ mɔ̃ sue aɖe ade ŋutilãa me si ɖoa elektrikŋusẽ ƒe dzesiwo ɖe ahɔhɔ̃a be wòadzudzɔ alɔ̃madɔmadɔ.

• Vagus Nerve Stimulation (VNS): Wotsɔa mɔ̃ sue aɖe dea akɔta ƒe ŋutigbalẽ te, si doa ŋusẽ vagus nerve si le kɔa me.
• Responsive Neurostimulation (RNS): Wodea mɔ̃ aɖe taɖua me. Esia léa ŋku ɖe ahɔhɔ̃a ƒe dɔwɔwɔ ŋu eye wòɖoa elektrikŋusẽ ƒe dzesiwo ɖa ne ekpɔe be alɔ̃madɔmadɔ aɖe le dzɔdzɔ ge ko.
• Deep Brain Stimulation (DBS): Esia sɔ kple `VNS`, gake le go sia me la, woɖoa elektrikŋusẽ ƒe dzesiwo ɖe ahɔhɔ̃a ƒe akpa siwo goglo wu la tẽ.

Wò ɖɔkta adzro atikewɔwɔ siawo dometɔ si nyo na wò me kpli wò.

Alɔ̃madɔmadɔ, Ŋgɔgbe ƒe Alɔ̃madɔmadɔ, Aɖuɖɔtoedɔ, Ahɔhɔ̃dɔlélewo, ɣlidodo le alɔ̃dɔdɔ me, Nuwɔna si mesɔ o, Alɔ̃madɔmadɔ ƒe atikewɔwɔ, Ŋgɔgbe ƒe alɔ̃madɔmadɔ, Ŋgɔgbe ƒe alɔ̃madɔmadɔ, EEG, MRI, Alɔ̃madɔmadɔ ƒe dzesiwo, Aɖuɖɔtoedɔdada, alɔ̃madɔmadɔ le teƒe ɖeka