Nukae nye SEEG dodokpɔ hena eƒe lãmesẽ? (Stereoelectroencephalography) Mina míase egɔme bɔbɔe

Ðe dɔléle aɖe si woyɔna be epilepsy si dzi ɖuɖu sesẽna togbɔ be wodo atike nɛ hã le ŋuwò alo ame aɖe si nènya la ŋua? Ɣeaɖewoɣi la, esesẽna na ɖɔktawo be woade dzesi afisi alɔ̃dɔdɔa dze egɔme tsoe le ahɔhɔ̃a me. Ɣemaɣie míaƒo nu tso dodokpɔ aɖe si sesẽ vie gake wòle vevie ŋutɔ si ate ŋu akpe ɖe ame ŋu la ŋu. Woyɔe be SEEG. Mègatsi dzi o, ŋkɔa ate ŋu aɖi didi vie. Mina míana wòanɔ bɔbɔe.

Nukae SEEG fia ko?

Kpuie ko la, Stereoelectroencephalography (SEEG) nye amekoko dodokpɔ si yia wò ahɔhɔ̃ me goglo eye wòzãa lãɖeɖe suesuesuewo tsɔ dea dzesi afisi asrãdɔ (fits) si womate ŋu ada o dzea egɔme tsoe.

Ðewohĩ èse EEG dodokpɔ aɖe ŋu nya kpɔ. Ebia be woatsɔ elektrikŋusẽnamɔ̃ suesuesuewo ade ta tame, si fia be woatsɔ adzidze ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ. Gake le SEEG me la, ahɔhɔ̃ŋutinunyalawo metsɔa elektrikŋusẽnamɔ̃ siawo dea ahɔhɔ̃a ƒe anyime o, ke boŋ ahɔhɔ̃a ƒe akpa siwo goglo eye woto vovo. Esia wɔnɛ be woate ŋu akpɔ nyatakakawo tso teƒe siwo goglo akpa be EEG si wozãna edziedzi nate ŋu alé.

Ne wotsɔ elektrikŋusẽnamɔ̃awo de eme vɔ la, woatsɔ wò ade kɔdzi ƒe dɔwɔƒe tɔxɛ aɖe ŋkeke ʋɛ aɖewo. Le ɣeyiɣi sia me la, atikewɔlawo ƒe ƒuƒoƒo aɖe alé ŋku ɖe wò ahɔhɔ̃ ƒe dɔwɔwɔ ŋu nyuie le wò alɔ̃madɔmadɔ me.

Nɔnɔme kawo mee wowɔa SEEG dodokpɔa le?

Ðɔktawo zãa SEEG dodokpɔ na nɔnɔme tɔxɛ ʋɛ aɖewo koŋ.

• Aɖuɖɔtoedɔ si atikewo mete ŋu xena o: Ame aɖewo mete ŋu ɖua woƒe alɔ̃madɔmadɔ dzi ne wozã atike ƒomevi eve alo etɔ̃ gɔ̃ hã o. Míeyɔa esia be asrãdɔ si me atikewo mete ŋu nɔa te ɖo o. Le ɖevi siwo xɔ wu ƒe 2 kple ame tsitsi siwo ŋu dɔléle sia le gome la, SEEG le vevie ŋutɔ be woatsɔ anya ne amekoko ate ŋu adzɔ.

• Ahɔhɔ̃ ƒe nɔnɔmetata: Tsɔe be ahɔhɔ̃a ƒe akpa vevi aɖe si kpɔa nuƒoƒo, ʋuʋu, alo seselelãme dzi la gbɔe alɔ̃madɔmadɔa tso. Ne woawɔ dɔ na wò la, ele be nàkpɔ nyuie be màgblẽ nu le akpa vevi mawo ŋu o. Àte ŋu azã SEEG elektrikŋusẽnamɔ̃wo atsɔ awɔ nɔnɔmetata na teƒe vevi siawo pɛpɛpɛ hafi woawɔ dɔ na wò.

• Mɔfiame le atikewɔwɔ bubuwo ŋu: Ɣeaɖewoɣi la, wozãa SEEG dodokpɔ hã abe atikewɔwɔ ƒe akpa aɖe ene. Le kpɔɖeŋu me:
• Radiofrequency thermocoagulation: Esia zãa radio ƒe ƒutsotsoewo kple dzoxɔxɔ tsɔ tsrɔ̃a ahɔhɔ̃menugbagbevi siwo le alɔ̃madɔmadɔa hem vɛ. Woate ŋu azã SEEG elektrikŋusẽnamɔ̃wo atsɔ awɔ dɔdamɔnu sia.
• Dzoxɔxɔ ƒe ʋuʋu (LITT):Mɔnu si wozãna tsɔ wɔa ahɔhɔ̃a ƒe akpa siwo hea alɔ̃dɔdɔ vɛ la nuwɔametɔwoe to laser ƒe dzoxɔxɔŋusẽ zazã me.
• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ si wɔa dɔ: Le esia me la, wotsɔa mɔ̃ aɖe dea ahɔhɔ̃a me si naa elektrikŋusẽ sue aɖe va ɖoa afisi alɔ̃madɔmadɔa dzea egɔme le eye emegbe wòtɔa te. SEEG kpena ɖe ame ŋu wòkpɔa afisi tututu mɔ̃a le.

Amekae dze na dodokpɔ sia?

SEEG dodokpɔa menye amesiame tɔ o. Wò ɖɔkta abu nu geɖe ŋu hafi aɖo aɖaŋu na wò.

Tsɔe be alɔ̃madɔmadɔ aɖe le ŋuwò si dzea egɔme tso wò ahɔhɔ̃ ƒe akpa aɖe koŋ (`(focal epilepsy)`). Gake ne wowɔ MRI-dɔdamɔnu gɔ̃ hã la, womekpɔa teƒe ma nyuie o. Ɣemaɣie SEEG va ɖea vi wu.

Gake ne alɔ̃dɔdɔ si dzea egɔme tso ahɔhɔ̃a ƒe akpa geɖe zi ɖeka (`(generalized epilepsy)`) la, mèsɔ na dodokpɔ sia o.

Vovototo vevi kawoe le EEG kple SEEG dome?

Togbɔ be dodokpɔ siawo evea siaa dzidzea ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ hã la, vovototo gã aɖe le wo dome. Zi geɖe la, ɖɔkta awɔ EEG gbã. Ne nyatakaka siwo woxɔ tso ema me mesɔ gbɔ o ko hafi woayi dodokpɔ evelia abe SEEG ene dzi.

Tɔtrɔ veviawoe nye:

• Afisi woda elektrikŋusẽnamɔ̃awo ɖo: Le EEG me la, wotsɔa elektrikŋusẽnamɔ̃awo dana ɖe ŋutigbalẽa dzi, le taɖua tame . Le SEEG me la, wotsɔa elektrikŋusẽnamɔ̃awo dea ahɔhɔ̃a me goglo.
• Nyatakaka siwo woxɔ: Nyatakaka siwo ku ɖe ahɔhɔ̃a ƒe gotagome dɔwɔwɔ ŋu koe EEG naa. SEEG ate ŋu akpɔ nyatakakawo le gogloƒe vovovowo le ahɔhɔ̃a ƒe akpa eveawo siaa. Esia wɔnɛ be míete ŋu dea dzesi afisi tututu alɔ̃dɔdɔa le.

Numekuku aɖe ɖee fia be amesiwo wowɔ dɔ na le asrãdɔ ŋu le SEEG-dɔdamɔnu vɔ megbe la zãa ɣeyiɣi ʋɛ aɖewo le amekokoxɔa me wu amesiwo wowɔ mɔnu bubuwo (abe taɖua ʋuʋu kple elektrikŋusẽnamɔ̃wo dada ɖe ahɔhɔ̃a ƒe anyime ene). Womezãa ɣeyiɣi boo aɖeke hã le kɔdzi o eye womezãa vevesesenutsitikewo hã o.

Nukae nàkpɔ mɔ na hafi SEEG?

Esi wònye dodokpɔ si do ƒome kple amekoko ta la, woawɔ dodokpɔ geɖe atsɔ akpɔ wò lãmesẽnyawo gbɔ do ŋgɔ.

• Ʋudodokpɔwo
• EKG (Electrocardiogram) dodokpɔ si léa ŋku ɖe dzi ƒe tsotso ŋu
• Nɔnɔmetatawo dodokpɔ abe CT scan (kɔmpiuta tomography scan) kple MRI scan (magnetic resonance imaging) ene .

Vɔvɔ̃ siwo ame geɖe, vevietɔ dzilawo, ɖona ne wole nu sia tɔgbe wɔm na wo vi dometɔ ɖekae nye , "Ðe woatso woƒe taɖawo katãa?" Nyabiasewo ate ŋu anɔ anyi hã ku ɖe nenye be ahiã be woadzudzɔ atike siwo nom wole hena woƒe lãme sẽ la nono hena ɣeyiɣi aɖe.

Aleke wowɔa SEEG amekokoe?

Zi geɖe la, SEEG dɔwɔwɔ xɔa abe gaƒoƒo ene va ɖo ade ene. Gbesigbe woawɔ dɔ na wò la, atikewɔla si naa alɔ̃dɔdɔ ame ana atike wò. Àdɔ alɔ̃ keŋkeŋ le dɔwɔwɔ nɛ katã me. Eyata màse veve aɖeke o.

Ne èdɔ alɔ̃ vɔ la, amekolawo ƒe ƒuƒoƒoa awɔ ɖe afɔɖeɖe siawo dzi:

1. Gbã la, wotsɔa xɔtunu tɔxɛ aɖe (`(stereotactic frame)`) blaa wò ta be wò ta nanɔ teƒe ɖeka.

2. Eyome, woɖea do sue ŋutɔ siwo ade 10 va ɖo 20, siwo ƒe kekeme anɔ abe spaghetti ka ɖeka ene, ɖe taɖua me. Esiawo mehea ʋu geɖe dona o.

3. To do sue mawo me la, wotsɔa elektrikŋusẽnamɔ̃ siwo te ŋu trɔna bɔbɔe siwo le abe plastik ene siwo wotsɔ do ka kple ka tsɛwo dea ahɔhɔ̃a me.

4. Woda elektrikŋusẽnamɔ̃ siawo ɖe ahɔhɔ̃a ƒe akpa siwo wosusu be alɔ̃madɔmadɔa dze egɔme tsoe pɛpɛpɛ, abe alesi wokpɔe le foto siwo wowɔ va yi me ene.

5. Mlɔeba la, woɖea ta ƒe xɔmenuwo ɖa eye woblaa ta la sesĩe.

6. Emegbe woakplɔ wò ayi xɔ si me woahaya le eye woawɔ CT scan kple X-ray atsɔ akpɔ egbɔ be elektrikŋusẽnamɔ̃awo le teƒe nyuitɔ.

Nukae dzɔna le SEEG megbe?

Le amekoko vɔ megbe la, zi geɖe la, woaɖe wò ayi Aɖuɖɔtoedɔléle Dzikpɔƒe. Afimae eŋutinunyalawo ƒe ƒuƒoƒo aɖe alé ŋku ɖe ŋuwò ŋkeke 24 kple zã 7. Elektrode siwo le wò ta dzi la aƒo ƒu ɖe mɔ̃ siwo ŋlɔa wò ahɔhɔ̃ ƒe dɔwɔwɔ ɖi ŋu. Ne alɔ̃madɔmadɔ dze dziwò la, kɔmpiuta ate ŋu afia afisi wòdze egɔme tsoe le wò ahɔhɔ̃ me kple alesi wòkakae, to 3D nɔnɔmetatawo zazã me.

Ðewohĩ ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo va ɖo kwasiɖa ɖeka alo eve, le zi nenie wò lãme gblẽ nu.

Le dodokpɔɣia ƒe nuwuwu la, woaɖe elektrikŋusẽnamɔ̃awo ɖa le wò ta ŋu. Mègatsi dzi o, menye amekoko gã aɖekee nye esia o. Dɔwɔwɔ bɔbɔe aɖe koe wònye si naa teƒe mawo tsia dzodzodzoe eye wòxɔa abe miniti 10-15 ene.

Ðe afɔku aɖewo le SEEG dodokpɔa mea?

Zi geɖe la, wobua SEEG be enye dɔdamɔnu si le dedie ŋutɔ, gake abe alesi wòle le ahɔhɔ̃meka ɖesiaɖe gome ene la, afɔku sue aɖewo koe le eme.

• Ʋu si dona le ahɔhɔ̃a me (ʋu si dona le tagbɔ me) .
• Dɔdzedze
• Gbagbãdᴐ

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Zi geɖe la, ele be nàtrɔ ava nɔ nɔnɔme nyui me le ŋkeke ɖeka alo eve (gaƒoƒo 24-48) me. Gake ƒo nu kple wò atikewɔlawo ƒe ƒuƒoƒoa tso ɣeyiɣi si me nàte ŋu adze wò dɔ siwo nèwɔna ɖaa gɔme ake ŋu.

Nukae nàte ŋu akpɔ mɔ na tso SEEG ƒe emetsonuwo me?

Zi geɖe la, SEEG dodokpɔ ate ŋu ade dzesi nusi gbɔ alɔ̃madɔmadɔa tso dzidzedzetɔe. Emegbe ɖɔktawo asrɔ̃ nu tso nyatakaka siwo woŋlɔ ɖi tso wò ahɔhɔ̃ ƒe dɔwɔwɔ ŋu nyuie eye woatso nya me nenye be èdze na amekoko alo atikewɔwɔ bubu.

Zi geɖe la, wowɔa dɔ na ame be woatsɔ ada asrãdɔ le kwasiɖa ene va ɖo enyi le SEEG dodokpɔa megbe, be wòana ɣeyiɣi wò be nàhaya nyuie.

Àte ŋu axɔ dodokpɔ gbãtɔ me tsonu hafi adzo le kɔdzi. Esia ana mia kple wò ƒomea miakpɔ ɣeyiɣi adzro emetsonu siawo me kple atikewɔlawo ƒe ƒuƒoƒoa eye miatso nya me hafi atso nya me le atikewɔwɔ ƒe ɖoɖo mamlɛtɔ ŋu.

Agbenɔnɔ kple alɔ̃madɔmadɔ si womate ŋu atɔ te ne wozã atike o ate ŋu asesẽ ŋutɔ. Gake to egbegbe dodokpɔmɔnu siwo le abe SEEG ene zazã me la, woate ŋu ade dzesi nusi tututu gbɔ alɔ̃madɔmadɔa tso nyuie azɔ eye woadze atikewɔwɔ si sɔ gɔme. Atikewɔwɔ siawo ate ŋu akpe ɖe ŋuwò nàɖe wò alɔ̃madɔmadɔ dzi akpɔtɔ eye nànɔ agbe si sɔ.