Ðe alɔ̃madɔmadɔ aɖe le wò ta ƒe akpa si le ŋgɔgbea? (Frontal Lobe Seizure) - Mina míaƒo nu tso esia ŋu!

Èse ‘Frontal Lobe Seizure’ alo ‘Frontal Lobe Epilepsy’ ŋkɔ kpɔa? Ðewohĩ wò alo ame aɖe si nènya la xɔ asrãdɔ sia ƒomevi kpɔ. Togbɔ be esia adze nu sesẽ vie hã la, mina míaƒo nu tso eŋu bɔbɔe. Elabena ele vevie ŋutɔ be nànya esia.

Nukae nye ‘Frontal Lobe Epilepsy’?

Kpuie ko la, ŋgɔgbe lãkusi ƒe dɔléle nye alɔ̃madɔmadɔ si gblẽa nu le ŋgɔgbe lãkusi , si nye teƒe siwo le wò ŋgonu megbe ŋu. Aɖuɖɔtoe siawoe nye míaƒe ahɔhɔ̃ ƒe akpa vevi eneawo dometɔ gãtɔ kekeake. Ðeka le miame eye ɖeka le ɖusime. Esiawoe nye míaƒe:

• Nuwɔna kple amenyenye
• Tamebubu, nusɔsrɔ̃ kple nyametsotsowɔwɔ (Sidzedze) .
• Ʋuʋuwo
• Nuƒoƒo

Eɖua nuwo dzi abe.

Eyata le ‘frontal lobe epilepsy’ me la, elektrikŋusẽ ƒe dɔwɔwɔ si mesɔ o nɔa ahɔhɔ̃a ƒe ‘frontal lobes’ me. Ele abe ‘nutome kpui aɖe’ ene. Míeyɔa asrã ƒe nɔnɔme siwo dzɔna le esia ta be ‘frontal lobe seizures’. Esiawo nye ‘focal seizure’ ƒomevi la tɔ. Eyae nye be asrãdɔa dzea egɔme tso ahɔhɔ̃a ƒe akpa aɖe koŋ. Esia ate ŋu adze egɔme tso ahɔhɔ̃a ƒe miame ‘ŋgɔgbe gome’ alo ɖusime tɔ.

Esi wònye be dzesi siawo dzena le zã me zi geɖe ta la , woate ŋu abu wo vodadatɔe ɣeaɖewoɣi be tagbɔdɔ alo alɔ̃dɔdɔ ƒe kuxi aɖee. Eyata ele vevie ŋutɔ be woakpɔ dɔlélea nyuie.

Ðe ‘frontal lobe epilepsy’ ƒomevi aɖewo lia?

Ẽ, ƒomevi ɖeka aɖe koŋ li. Woyɔe be ‘autosomal dominant sleep-related hypermotor epilepsy’ . Wogayɔe tsã be ‘autosomal dominant nocturnal frontal lobe epilepsy’. Esia nye asrãdɔ ƒomevi aɖe si dzɔna le alɔ̃dɔdɔ me. Zi geɖe la, esia ƒomevi nɔa ƒomewo me, si fia be woate ŋu atsɔe ayi dzidzimewo me.

Dzesi kawoe woate ŋu akpɔ le nɔnɔme sia me?

Frontal lobe epilepsy ƒe dzesi vevitɔe nye alɔ̃madɔmadɔ kpui aɖe si dzea egɔme tso ahɔhɔ̃a ƒe akpa ɖeka. Alɔ̃madɔmadɔ siawo ate ŋu ahe dzesiwo abe:

• Nuwɔna siwo mebɔ o: Nuwo abe ɣlidodo kpata, nukoko, fiƒode, kple bubuawo ene Bu alesi ame bubuwo atsi dzodzodzoe ne ame aɖe si le alɔ̃ dɔm la wɔ nane si le abe esia ene zi ɖeka ŋu kpɔ.
• Ta alo ŋkuwo tɔtrɔ ɖe axa ɖeka.
• Wò afɔwo ƒoƒo alo ʋuʋu abe gasɔdodo ene.
• Ƒoƒo alo ʋuʋudedi.
• Ʋuʋu si dzi womeɖu o, si gbugbɔna (e.g., abɔwo kple afɔwo ʋuʋu kabakaba).
• Ʋuʋudedi alo ʋuʋu enuenu.
• Numabumabu alo nusiwo ƒo xlãe ƒe sidzedze (abe ŋkuléle ɖe dziŋgɔli ŋu ene).
• Aɖuɖɔ alo aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie.
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ.
• Nuƒoƒo sesẽ.
• Amenyenye trɔna.
• Alɔ̃dɔdɔ ƒe kuxiwo.

Zi geɖe la, ‘alɔ̃madɔmadɔ’ siawo dzɔna ɖe hatsotsowo me, si fia be woate ŋu adzɔ wu zi eve le gaƒoƒo 24 me. Zi geɖe la, wodzɔna ne èle alɔ̃ dɔm , gake woate ŋu adzɔ ne èle ŋudzɔ hã. Zi geɖe hã la, womenɔa agbe kpuie o, eye womexɔa aɖabaƒoƒo ɖeka o.

Ɣeaɖewoɣi hafi alɔ̃madɔmadɔ nadze egɔme la, ‘aura’ , si nye seselelãme si mebɔ o ate ŋu anɔ ŋuwò. Esiawo ate ŋu anye:

• Seselelãmewo ƒe tɔtrɔ kpata: abe vɔvɔ̃, dzimaɖitsitsi, dziku, blanuiléle, alo dzidzɔkpɔkpɔ ene.
• Seselelãme siwo mebɔ o: Abe lãmetutudɔ ene.
• Tɔtrɔ siwo vaa sidzenuwo ƒe nukpɔsusu me: ʋeʋẽse, nusese, nukpɔkpɔ, vivisese, alo asikaka nu ŋu ƒe tɔtrɔ.

Le ŋkume ƒe ʋuka ƒe ʋuʋu vɔ megbe la, àte ŋu atɔtɔ, àɖo ŋku nu dzi, alo lãmekawo nase veve . Woyɔa esia be postictal state .

Nukawoe hea ‘frontal lobe epilepsy’ vɛ?

Elektrikŋusẽ ƒe dɔwɔwɔ si mesɔ o le wò ŋgɔgbe lãkusi me gbɔe ŋgɔgbe lãkusi ƒe asrãdɔ tsona. Zi geɖe la, lãmenugbagbevi siwo le míaƒe ahɔhɔ̃ me, siwo woyɔna be neurons , ɖoa dzesiwo ɖe wo nɔewo. Gake le ŋgɔgbe lãkusi ƒe alɔ̃madɔmadɔ me la, ahɔhɔ̃meka siawo doa dzo le wo ɖokui si le wo ɖokui si.

Susu siwo bɔ siwo ate ŋu akpɔ ŋusẽ ɖe esia dzie nye:

• Ahɔhɔ̃a ƒe tsitsi si mesɔ o le fugboe ƒe ɣeyiɣia me.
• Ahɔhɔ̃ me dɔlélewo.
• Gbagbãdᴐ.
• Ta ƒe abi sesẽwo (Ahɔhɔ̃ ƒe abi si nu sẽ).
• Ahɔhɔ̃ me dɔdzẽ.
• Domenyiŋusẽfianu ƒe tɔtrɔwo.

Ɣeaɖewoɣi la, ɖewohĩ màte ŋu ake ɖe susu aɖe ŋu o.

Ðe esia nye nusi dzɔ tso dzidzimewo mea?

Ẽ, woate ŋu atso dzilawo gbɔ na ɖeviwo, gake ƒã vie. Alɔ̃dɔdɔ ƒe hypermotor epilepsy ƒomevi si ŋu míeƒo nu tsoe va yi la nye autosomal dominant nɔnɔme. Esia fia be ne domenyiŋusẽfianu ƒe tɔtrɔ sia le dzilawo dometɔ ɖeka ŋu la, anɔ eme be ɖevia anyie dome.

Amekae le afɔku me wu le nɔnɔme sia me?

Frontal lobe epilepsy ate ŋu adze ame sia ame dzi, le ƒe ɖesiaɖe me. Gake àte ŋu anɔ afɔku me geɖe wu le susu siwo gbɔna ta:

• Ne ame aɖe si ŋu asrãdɔ le le wò ƒomea me (ƒome ƒe ŋutinya si wodzi le nugbagbewo me).
• Ne ahɔhɔ̃medɔléle aɖe nɔ ŋuwò le wò ɖevime.
• Ne ʋusɔgbɔdɔ, abi gã aɖe le ta na wò, alo dɔdzẽ alo nu bubu aɖe si gblẽ le ŋkume ƒe akpa aɖe ŋu kpɔ.
• Ne ŋgɔyiyi ƒe megbetsitsi aɖe li.
• Ne wodzi wò kple ahɔhɔ̃ ƒe dɔmawɔmawɔ nyuie le dzidziɣi.

Nukae nye nusiwo hea ŋgɔgbe lãkusi ƒe alɔ̃madɔmadɔ ƒe dzidziɖedzi vɛ?

‘Nu siwo ʋãa ame’ nye nusiwo dzia asrãdɔ ƒe alɔ̃madɔmadɔ ƒe mɔnukpɔkpɔ ɖe edzi. ‘Nu siwo ʋãa ame’ siwo bɔ dometɔ aɖewoe nye:

• Nuteɖeamedzi.
• Akaɖi siwo le keklẽm.
• Alɔ̃madɔmadɔ.
• Atikewo zazã.

Esiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ . Nusi wɔm nènɔ kple alesi nèse le ɖokuiwò me hafi alɔ̃madɔmadɔ dze egɔme ŋuti nuŋlɔɖi wɔwɔ ate ŋu akpe ɖe ŋuwò nàde dzesi nusiwo aʋã wò siwo gblẽa nu le ŋuwò.

Ðe ‘ŋgɔgbe ƒe alɔ̃madɔmadɔ’ nye afɔkua?

Frontal lobe ƒe alɔ̃madɔmadɔ enuenu ate ŋu ahe nusiwo gbɔna vɛ:

• Nuveviwɔame ƒe afɔku si dzina ɖe edzi.
• Status epilepticus: Alɔ̃madɔmadɔ si xɔa wu miniti atɔ̃. Esia nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me.
• Ku kpata si womenya o le asrãdɔ (SUDEP): Esia mebɔ kura o, gake ate ŋu adzɔ.

Zi geɖe la, alɔ̃madɔmadɔ ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò susu ƒe lãmesẽ kple seselelãme ƒe nyonyo dzi. Eyata tsɔ kpe ɖe atikewɔwɔ bubu siwo ɖɔkta kafu ŋu la, bu nuƒoƒo kple susumedɔléle ŋuti aɖaŋuɖola ŋu kpɔ .

Ne ameɖokuiwuwu ƒe susu le ŋuwò la, yi ɖɔkta enumake alo ƒo nu kple ame aɖe si dzi nèka ɖo . Teƒe aɖewo li le Sri Lanka afisi nàte ŋu axɔ kpekpeɖeŋu le na esia (e.g. Sumitrayo 0112682535). Ðo ŋku edzi be menye wò ɖeka koe o, eye mègavɔ̃ be yeabia kpekpeɖeŋu o.

Aleke wokpɔa ‘frontal lobe epilepsy’ dzea sii?

Be nànya ŋkumeʋuʋu ƒe dɔléle la, wò ɖɔkta alé ŋku ɖe wò atikewɔwɔ ŋutinya ŋu eye wòado wò ŋutilã kpɔ. Tsɔ kpe ɖe eŋu la, woate ŋu abia be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.

Dodokpɔ siwo wowɔna tsɔ dia dɔlélewoe

Dodokpɔ siwo kpena ɖe ame ŋu wòkpɔa ‘frontal lobe epilepsy’ lae nye esi:

• MRI (Magnetic Resonance Imaging) scan: Esia ate ŋu aɖe wò ahɔhɔ̃ ƒe foto tsitotsito. Esia ate ŋu akpe ɖe ŋuwò nàkpɔe ɖa be dɔdzẽ, abi, alo kuxi bubu aɖewo li siwo ate ŋu anɔ wò alɔ̃madɔmadɔ hem vɛ hã.
• EEG (Electroencephalography): Esia ŋlɔa elektrikŋusẽ si le wò ahɔhɔ̃ me la ɖi. Esia kpena ɖe ame ŋu wòkpɔa afisi alɔ̃madɔmadɔa dze egɔme tsoe.
• Video EEG: Esia bia be nàŋlɔ wò ahɔhɔ̃ ƒe dɔwɔwɔ kpakple wò ʋuʋu kple nuwɔna hã ɖi. Esia ate ŋu abia be woanɔ kɔdzi zã bliboa. Esi wònye be ŋkume ƒe akpa geɖe ƒe alɔ̃madɔmadɔ dzɔna le alɔ̃dɔdɔ me ta la, woate ŋu awɔ alɔ̃dɔdɔ ŋuti numekuku hã.
• Stereoelectroencephalography (SEEG) ƒe dɔlékuiwo ƒe dɔwɔwɔ:Le esia me la, amekola aɖe tsɔa elektrikŋusẽnamɔ̃wo dea wò ahɔhɔ̃ me. Mɔ̃ siawo ate ŋu ade dzesi alɔ̃madɔmadɔ ƒe dɔwɔwɔ le ahɔhɔ̃a ƒe gogloƒe si EEG mefɔna o. Zi geɖe la, wowɔa SEEG ne atikewo meɖu wò alɔ̃madɔmadɔ dzi o eye ne wole ahɔhɔ̃mekadodo ŋu bum.
• Magnetoencephalography (MEG): Dodokpɔ sia ŋlɔa magnet ƒe dɔwɔwɔ si ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ hena vɛ, si kpena ɖe ame ŋu wòdea dzesi teƒe siwo ahɔhɔ̃a ƒe dɔwɔwɔ mesɔ o.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu awɔ ahɔhɔ̃mekawo ƒe dɔwɔwɔ ŋuti dodokpɔ hã atsɔ anya ne alɔ̃madɔmadɔa le ŋusẽ kpɔm ɖe ahɔhɔ̃a ƒe dɔwɔwɔ dzi.

Nukawoe nye atike siwo wozãna na esia?

Taɖodzinu vevitɔ si le ŋgɔgbeƒu ƒe asrãdɔ dada ŋue nye be woaɖe ŋkume ƒe alɔ̃madɔmadɔ si le ŋuwò dzi akpɔtɔ. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikewɔmɔnuwo abe:

• Atike siwo wozãna tsɔ tsia alɔ̃dɔdɔ nu
• Amekoko na asrãdɔ
• ‘Ahɔhɔ̃mekawo ƒe tɔtrɔ’.

Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàtrɔ wò nuɖuɖu eye nàtrɔ ɖe nuɖuɖu si me ami sɔ gbɔ ɖo, si me carbohydrate mesɔ gbɔ ɖo o ŋu (e.g., ‘ketogenic diet for epilepsy’ ).

Atike Siwo Wozãna Ðe Alɔ̃madɔmadɔ Ŋu na Ŋgɔgbe ƒe Alɔ̃madɔmadɔ

Atike siwo wua asrãdɔ ate ŋu akpe ɖe ame ŋu wòaɖu ŋkume ƒe alɔ̃madɔmadɔ dzi. Atike siawo nana ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ nɔa ɖoɖo nu eye woɖea alɔ̃dɔdɔ zi geɖe dzi kpɔtɔna. Zi geɖe la, esiawoe nyea atikewɔwɔ gbãtɔ.

Wò ɖɔkta alé ŋku ɖe wò dzesiwo ŋu eye wòaŋlɔ atike nyuitɔ na wò. Hafi woadze atike yeye zazã gɔme la, woaɖe nugbegblẽ le ame ŋu siwo ate ŋu ado tso eme hã me. Ðewohĩ ahiã be wò ɖɔkta natrɔ atikeawo ƒe agbɔsɔsɔme alo atike ƒomevi si nàzã vaseɖe esime nàkpɔ esi sɔ na wò.

Amekoko na ‘Ŋgɔgbe ƒe Ʋuʋudedi’ (Aɖuɖɔtoedɔ ƒe Amekoko) .

Ne atikewo mete ŋu ɖu wò ŋkume ƒe alɔ̃madɔmadɔ dzi o la, wò ɖɔkta ate ŋu abu amekoko be yeatsɔ ada asrãdɔ ŋu. Ðewohĩ wò ɖɔkta aɖo aɖaŋu be woaɖe ŋkume ƒe akpa si le ŋgɔgbe . Esia bia be woaɖe ŋgɔgbeƒu ƒe akpa si ŋu dɔlélea le si me alɔ̃madɔmadɔa dzea egɔme tsoe la ɖa. Ate ŋu aɖe ahɔhɔ̃meka alo nu bubu siwo gblẽ le teƒe ma hã ɖa.

Hafi woawɔ dɔ na wò la, wò amekola azã nɔnɔmetata vovovowo atsɔ awɔ wò ahɔhɔ̃ ƒe anyigbatata tsitotsito. Ate ŋu awɔ dɔ hã atsɔ elektrikŋusẽnamɔ̃wo ade ‘stereo-EEG (SEEG)’ ƒomevi tɔxɛ aɖe me be wòalé nu ɖe ​​mɔ̃ dzi tso ahɔhɔ̃a me. Nyatakaka siawo katã akpe ɖe wò amekola ƒe ƒuƒoƒoa ŋu:

• De dzesi ahɔhɔ̃a ƒe akpa aɖewo koŋ siwo nana ame ƒe lãme ʋuʋuna.
• Kpɔ nyuie be màgblẽ nu le ‘ŋgɔgbe ƒe akpa siwo kpɔa ahɔhɔ̃a ƒe dɔwɔwɔ veviwo dzi o.

Neuromodulation na ŋgɔgbe lãkusi ƒe alɔ̃madɔmadɔ

Le go aɖewo me la, amekoko be woatsɔ ada ŋkume ƒe alɔ̃madɔmadɔ manɔ dedie o. Ne edzɔ alea la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike si woyɔna be neuromodulation. Dɔdamɔnu sia zãa mɔ̃ aɖe si wotsɔ de ŋutilãa me tsɔ ɖoa ​​elektrikŋusẽ ɖe ahɔhɔ̃a me, eye wòdzea agbagba be yeatɔ te alɔ̃madɔmadɔ hafi wòadze egɔme.

Ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe mɔ̃ ƒomevi siwo wozãna zi geɖee nye:

• Vagus Nerve Stimulation (VNS): Amekola aɖe dea mɔ̃ sue aɖe wò akɔta ƒe ŋutigbalẽ te. Wotsɔe do ƒome kple ka aɖe. Ka la xatsa ɖe vagus lãmeka si le wò kɔ me ŋu eye wòɖoa ʋu ƒe sisi ɖe lãmeka ma gbɔ. VNS-mɔ̃ aɖewo ate ŋu ade dzesi dzi ƒe tsotso ƒe tɔtrɔ le alɔ̃madɔmadɔ me eye woaɖo elektrikŋusẽ bubuwo ɖe vagus lãmekaa.
• Responsive Neurostimulation (RNS): RNS nye mɔ̃ aɖe si wotsɔ dea wò ta me. RNS la léa ŋku ɖe wò ahɔhɔ̃ ƒe dɔwɔwɔ ŋu eye ne ekpɔe be alɔ̃madɔmadɔ aɖe le edzi yim ko hafi wòɖoa elektrikŋusẽ ɖa.
• Deep Brain Stimulation (DBS): Amekola aɖe dea DBS-mɔ̃ aɖe wò akɔta. Wotsɔa eƒe kawo doa ka kple elektrikŋusẽnamɔ̃ siwo wode wò ahɔhɔ̃ me. Ðɔkta aɖe wɔa ɖoɖo ɖe mɔ̃ sia ŋu eye wòɖoa elektrikŋusẽ ɖe wò ahɔhɔ̃ me.

Nukae nye mɔkpɔkpɔ na ŋgɔgbe lãkusi ƒe asrãdɔ? (Nukpɔsusu) .

Wò ɖɔkta ate ŋu ana nyatakaka nyuitɔ kekeake wò tso wò nukpɔsusu ŋu. Etoa vovo tso ame ɖeka gbɔ yi bubu gbɔ, le nu geɖe nu, abe wò lãmesẽ bliboa kple zi nenie wòxɔa alɔ̃dɔdɔ ene.

Atikewo ate ŋu akpe ɖe ame ŋu wòaɖu alɔ̃madɔmadɔ dzi le ɣeyiɣi didi me. Gake ɣeaɖewoɣi la, atikewo mewɔa dɔ nyuie na amesiame o. Amekoko ate ŋu anye mɔnu bubu. Togbɔ be womekpɔ atike aɖeke na ŋkumeʋuʋu ƒe dɔléle o hã la, ame geɖe ƒe alɔ̃madɔmadɔ dzi ɖena kpɔtɔna alo woɖea asi le wo ŋu keŋkeŋ le atikewo alo amekoko ƒokpli megbe.

Wò ɖɔkta agblɔ atikewɔmɔnu siwo akpe ɖe ŋuwò nànɔ dedie la na wò.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Kpɔ ɖɔkta ne dzesi yeyewo va dze ŋuwò alo ne wò dzesiawo gagblẽ ɖe edzi. Kpɔ egbɔ be wò atikewɔwɔa le dɔ wɔm nyuie, eye nàwɔ wò ɖɔkta ƒe ɣeyiɣiwo . Gblɔe na wò ɖɔkta ne nugbegblẽ aɖewo le ŋuwò le atike yeye zazã gɔmedzedze vɔ megbe.

Nukae wòle be mabia nye ɖɔkta?

Ne frontal lobe epilepsy le ŋuwò la, àte ŋu abia wò ɖɔkta tso:

• Atikewɔwɔ ka ƒomevie nèkafu?
• Nukawoe nye atikewɔwɔa ƒe nugbegblẽ le ame ŋu?
• Ðe wòle dedie be mano atike siwo wua asrãdɔ ne mele ƒome ɖoɖo ŋu bum?
• Aleke mawɔ anɔ dedie le ‘anyigbaʋuʋu’ me?
• Ðe medze na amekokoa?

Kpuie ko kple nusiwo dzi wòle be woaɖo ŋkui

Akpa vevi aɖe ŋutɔ le míaƒe ahɔhɔ̃ ƒe akpa gãtɔ eve siwo nye ŋgɔgbeƒuwo. Gake negbe ɖe nane gblẽ le ahɔhɔ̃a ƒe akpa sia ko hafi míesea asixɔxɔ si le eŋu gɔme tututu o. Dzɔgbenyuietɔe la, atikewɔmɔnu aɖewo li na ŋkumeʋuʋu kple alɔ̃madɔmadɔ siwo dona tso eme.

Wò ɖɔkta akpe ɖe ŋuwò nàtia atike ɖeka alo esi wu nenema si sɔ na wò. Mègatsi dzi ne atikewo mewɔ dɔ o. Le go aɖewo me la, amekoko alo ahɔhɔ̃mekawo ƒe tɔtrɔ ate ŋu anye tiatia nyuitɔ na wò ahɔhɔ̃. Atikewɔwɔ ka kee nèɖatia o, wò atikewɔlawo ƒe ƒuƒoƒoa anɔ afima aɖo nyabiase ɖesiaɖe si anɔ asiwò ŋu. Ne èdi la, woate ŋu aɖo aɖaŋu na kpekpeɖeŋunaha alo aɖaŋuɖoɖo hã. Ðo ŋku edzi be menye wò ɖeka koe le mɔzɔzɔ sia me o!

` Aɖuɖɔtoe, ŋgɔgbe lãkusi, alɔ̃madɔmadɔ, ahɔhɔ̃medɔlélewo, ahɔhɔ̃medɔlélewo, dzesiwo, atikewɔwɔ