ʻO ka Temporal Lobe Epilepsy? - E kamaʻilio maʻalahi kākou e pili ana i kēia!

Ke manaʻo koke nei ʻoe i kahi ʻē? E noʻonoʻo, ua like ka wahi āu e noho nei me he mea lā ua kamaʻāina, akā he wahi hou ia. A i ʻole ke manaʻo nei ʻoe e piʻi mai ana kekahi mea mai loko mai o kou ʻōpū, a i ʻole ke makaʻu koke nei ʻoe a hopohopo paha? Malia paha ua nalowale kou ʻike a loaʻa iā ʻoe kahi kūlana o ka haʻalulu me kēia mau mea. Inā ua hana ʻia kēia mau mea iā ʻoe a i ʻole kekahi āu i ʻike ai, he mea nui loa ia e ʻike e pili ana i ke kūlana a mākou e kamaʻilio ai i kēia lā i kapa ʻia ʻo 'Temporal Lobe Epilepsy'.

He aha ka Temporal Lobe Epilepsy?

I ka ʻōlelo maʻalahi, ʻo Temporal Lobe Epilepsy kahi ʻano epilepsy. I kēia hihia, hoʻomaka ka hopu ʻana ma kahi ʻāpana o kou lolo i kapa ʻia ʻo ka temporal lobe. ʻO ka hopu ʻana ke loaʻa kahi ʻano ʻē i ka hana uila i loko o ka lolo. E noʻonoʻo e like me kahi kaapuni pōkole i loko o kahi kaapuni uila.

Loaʻa iā kākou āpau ʻelua 'temporal lobes' ma nā ʻaoʻao ʻelua o ko kākou lolo, mai mua o ko kākou mau pepeiao a i hope. ʻO kēia 'temporal lobe' ka mea e kōkua iā kākou e hoʻomaopopo i ke ao a puni kākou. ʻO ia kēia:

• E mālama i nā hoʻomanaʻo.
• Hoʻomaopopo i nā leo
• No nā mea e pili ana i ka ʻike
• E hoʻomaopopo i ka ʻōlelo a me ke kamaʻilio ʻana

Eia kekahi, ʻo kekahi mau mea a mākou e hana ai me ka ʻike ʻole, e like me ka pōloli, ka make wai, nā mea a mākou e hana ai i ka wā e makaʻu koke ai mākou (pane hakakā a lele paha), ko mākou mau manaʻo, a me nā makemake moekolohe, ua hoʻomalu ʻia hoʻi e kēia 'temporal lobe'.

ʻO ka epilepsy lobe temporal ka ʻano maʻamau o ka epilepsy focal, e hoʻomaka ana ma kahi kikoʻī o ka lolo. ʻO ka hōʻailona nui ka hopu ʻana. Hiki i ke kauka ke kōkua iā ʻoe e mālama i kēia kūlana.

He aha ka ʻokoʻa ma waena o ka epilepsy lobe temporal hema a me ka ʻākau?

ʻO nā lobes temporal hema a me ka ʻākau o kou lolo e kāohi i nā mea he nui, me ka hoʻomanaʻo, ka lohe, ka ʻike, a me ka ʻōlelo. Eia nō naʻe, hiki ke hoʻopilikia ʻia kēia mau hana ma muli o ka ʻaoʻao e hoʻomaka ai ka hopu ʻana.

No nā kānaka he nui, ʻoiai inā he lima ʻākau ʻoe, ʻo ka lobe temporal hema ka mea nui. ʻO ka poʻe me ka maʻi epilepsy lobe temporal hema e paʻakikī paha i ka inoa ʻana i nā mea, ka paʻakikī i ka loaʻa ʻana o nā huaʻōlelo kūpono, a me nā loli o ke ʻano i ka hala ʻana o ka manawa.

ʻO ka poʻe me ka epilepsy lobe temporal ʻākau, ʻoi aku ka liʻiliʻi o nā loli lōʻihi i ka hoʻomanaʻo. Eia nō naʻe, hiki iā lākou ke paʻakikī i ka hoʻomanaʻo ʻana i ka ʻike waha ʻole, ʻoiai nā kiʻi, a me nā loli o ke ʻano.

Aia kekahi mau ʻano o ka epilepsy lobe temporal?

ʻAe, aia ʻelua ʻano nui o ka 'temporal lobe epilepsy':

1. ʻO ka Epilepsy Lobe Temporal Medial (MTLE):ʻO "Mesial" ke ʻano o ka waena. I kēia hihia, hoʻomaka ka hopu ʻana ma kahi a kokoke paha i kahi ʻāpana o ka lolo i kapa ʻia ʻo hippocampus. ʻO kēia ka ʻāpana o ka lolo i kapa ʻia ʻo hippocampus ma waenakonu o kou mau lobes temporal ʻelua. ʻO kēia ke ʻano maʻamau o TLE. ʻO ka hippocampus ka ʻāpana o ka lolo e pili nui ana i kā mākou mau hoʻomanaʻo.

2. Neocortical a i ʻole Lateral Temporal Lobe Epilepsy: Ma kēia, hoʻomaka nā hopu ʻana ma ka ʻaoʻao o waho o kou temporal lobe.

He aha nā hōʻailona o kēia maʻi?

ʻO nā hōʻailona o ka epilepsy lobe temporal e komo pū me kahi manaʻo ʻē e kū mai ana ma mua o ka hopu ʻana, i kapa ʻia ʻo epileptic aura, a me ka hopu ʻana ponoʻī.

Nā mea āu e ʻike ai i ka wā o kahi aura epileptic:

• `Déjà vu`: ʻO kēia ka manaʻo maʻamau e hiki mai ana ke hele ʻoe i kahi āu i hele ʻole ai, e like me "Ua hele au ma ʻaneʻi ma mua." A i ʻole, he hoʻomanaʻo e like me kahi mea i hana ʻia ma mua e hana hou nei.
• ʻO `Jamais vu`: ʻO kēia ke kū'ē i ka `déjà vu`. ʻO ia ka wā e manaʻo koke ai kahi mea i kamaʻāina loa iā ʻoe (no ka laʻana, kahi lumi i loko o kou hale) he mea ʻē a maʻa ʻole.
• He manaʻo koke o ka makaʻu, ka hopohopo, a i ʻole ka hopohopo; a i ʻole ka huhū, ke kaumaha, a i ʻole ka hauʻoli.
• He ʻano ʻōwili ʻē me he mea lā e piʻi mai ana ka ʻōpū mai loko mai (e like me ka manaʻo āu e loaʻa ai i kou wā e holo ana ma luna o kahi roller coaster).
• Hoʻonui ʻia ka ʻike o nā manaʻo (e like me ka lohe ʻana, ka ʻike ʻana, ka honi ʻana, ka hoʻāʻo ʻana, a i ʻole ka hoʻopā ʻana i nā mea me ka ikaika ma mua o ka maʻamau).

ʻAʻole loaʻa i nā kānaka a pau kēia 'aura'. ʻO ka 'aura' he 'hoʻopaʻi ʻike maka' maoli nō ia. ʻO ia hoʻi, i ka wā e kū mai ai kēia mau hōʻailona, ​​ua ʻike ʻoe i ka mea e hana nei. Hiki i kēia ke mau mai kekahi mau kekona a i ʻelua mau minuke.

Nā hōʻailona ʻē aʻe e ʻike ʻia i ka wā o ka hopu ʻana:

Ma hope o ka aura, hiki ke ʻike ʻia nā hōʻailona ma lalo nei:

• Ka nalowale o ka ʻike.
• He helehelena hakahaka ma ka helehelena.
• Ka hoʻonui ʻia ʻana o nā haumāna o nā maka.
• Ka hana hou ʻana o ka mea like me ka ʻole o kekahi manaʻo (automatisms). Eia kekahi laʻana, ka hoʻohālike ʻana e hāpai i kahi mea me kou mau lima, ka ʻimo ʻana o kou mau maka, ka ʻūmiʻi ʻana i kou mau lehelehe, ka hoʻohālike ʻana e nau i kahi mea, a me ke ale ʻana.
• Ka huikau.
• ʻO ka hiki ʻole ke ʻōlelo a hoʻomaopopo paha i ka mea i ʻōlelo ʻia no kekahi manawa pōkole (aphasia).
• ʻOʻoleʻa ke kino a ʻūlū hoʻi.

He aha ke kumu o ka epilepsy lobe temporal?

ʻO ke kumu nui o kēia, ʻo ia ka kamaʻilio pono ʻole ʻana o nā ʻiole nerve, a i ʻole nā ​​neuron, i loko o kou lobe temporal. ʻO nā neuron nā mea e hoʻouna i nā hōʻailona uila i nā ʻāpana like ʻole o ka lolo. Ke loaʻa iā ʻoe kahi hopu ʻana, hoʻouna kēia mau neuron i nā hōʻailona he nui me ka ʻole o ke kaohi.

ʻO kēia kekahi o nā kumu nui o ka epilepsy lobe temporal:

• ʻO ka sclerosis Hippocampal: ʻO kēia ka hōʻino a me ka nalowale o nā neurons a me nā cell glial i loko o ka hippocampus.
• ʻO ka dysplasia cortical focal: He hui pū ʻana o nā neurons ma ke ʻano ʻē i loko o ka lolo.
• Nā puʻupuʻu lolo.
• ʻEha lolo traumatic (TBI).
• Nā maʻi: ʻO nā hiʻohiʻona e komo pū me ka abscess o ka lolo, meningitis, a me ka encephalitis.
• Nā maʻi e pili ana i nā kīʻaha koko: No ka laʻana, 'stroke', 'arteriovenous malformations (AVMs)'.
• Nā ʻano loli hoʻoilina.
• Nā kumu i ʻike ʻole ʻia.

ʻO wai ka mea i pilikia nui no kēia maʻi?

Hiki ke ulu kēia ʻano maʻi, i kapa ʻia ʻo `TLE`, i kēlā me kēia makahiki. Eia nō naʻe, hiki iā ʻoe ke piʻi aʻe ka pilikia inā ʻoe:

• Inā ua loaʻa iā ʻoe kahi maʻi kuni i kou wā kamaliʻi.
• Inā ua loaʻa iā ʻoe kahi hopu ʻana i ʻoi aku ma mua o ʻelima mau minuke, a i ʻole inā ua loaʻa iā ʻoe kekahi mau hopu ʻana i ka manawa like me ka loaʻa ʻole o ka ʻike (status epilepticus).
• Inā he maʻi hānau kou a i ʻole ke ʻano e like me ka puʻupuʻu lolo.
• Inā ua loaʻa iā ʻoe kahi ʻeha poʻo koʻikoʻi (TBI) a i ʻole ka maʻi lolo i kou wā kamaliʻi.
• Inā loaʻa i kekahi o ka ʻohana ka temporal lobe epilepsy (mōʻaukala ʻohana).

Ma kahi o ʻelua hapakolu o ka poʻe me ka `TLE` ua loaʻa i nā maʻi kuni i ka wā kamaliʻi. He paʻakikī ka nui o kēia mau mea (ʻo ia hoʻi, he lōʻihi ko lākou mau manawa). Akā, e hoʻomanaʻo, ʻaʻole nā ​​​​mea a pau i loaʻa i ka maʻi kuni e loaʻa i ka `TLE`. He mea kākaʻikahi loa ia.

He aha nā pilikia e hiki mai ana mai ka epilepsy lobe temporal?

Me TLE, aia ʻoe i ka pilikia o ka emi ʻana o ka neurocognitive hiki ʻole ke hoʻihoʻi ʻia. ʻO ke ʻano kēia e paʻakikī paha iā ʻoe ke aʻo ʻana i nā mea hou, ka hoʻomanaʻo ʻana i nā mea, ka hoʻoholo ʻana, a me ka noʻonoʻo ʻana.

ʻO ka pinepine o kou loaʻa ʻana i nā hopu ʻana, a ʻo ka lōʻihi o kou loaʻa ʻana iā lākou, ʻoi aku ka nui o kou pilikia o:

• Kaumaha
• Hopohopo
• Poho hoʻomanaʻo
• ʻO ka make koke ʻole i ka maʻi Epilepsy (SUDEP)

No laila, he mea nui loa ke ʻike ʻana i ke kauka a loaʻa ka lāʻau kūpono no ka 'TLE'. E kōkua kēia i ka pale ʻana i nā pilikia e like me kēia.

Pehea e ʻike ai nā kauka i kēia maʻi?

Hoʻoholo ke kauka i ka maʻi epilepsy temporal lobe ma ka nīnau ʻana e pili ana i kāu mau hōʻailona, ​​​​e aʻo ana pehea i hoʻomaka ai ka hopu ʻana, hana i kahi hoʻokolokolo neurological, a hana i nā hoʻokolohua e pono ai. E nīnau pū ke kauka iā ʻoe e pili ana i ka mea i hana ʻia ma mua a ma hope o ka hopu ʻana. E nānā pū ʻo ia i kāu mōʻaukala lapaʻau.

ʻAʻole paha ʻoe e hoʻomanaʻo i ka mea i hana ʻia i ka wā o ka hopu ʻana. Inā pēlā, he manaʻo maikaʻi e lawe mai i kahi mea me ʻoe i ka wā i loaʻa ai ka hopu ʻana i ke kauka. A laila hiki iā lākou ke haʻi i ke kauka i kā lākou mea i ʻike ai.

Hiki i nā hoʻokolohua ke kōkua i kāu kauka e ʻike i nā mea e hana nei i loko o kou lolo. Hiki ke hana ʻia nā hoʻokolohua e like me kēia:

• MRI (Magnetic Resonance Imaging): E kiʻi i kahi kiʻi maopopo o ka lolo.
• ʻO ka hoʻāʻo 'EEG (Electroencephalogram)' a i ʻole ka hoʻāʻo 'video-EEG': E nānā i ka hana uila o ka lolo.
• Hoʻāʻo scan `SPECT (Single Photon Emission Computed Tomography)`.
• ʻO ke kiʻi ʻana o ka `PET (Positron Emission Tomography)`.
• Hoʻāʻo 'MEG (MEG - Magnetoencephalography)'.
• Hoʻāʻo neuropsychological: E nānā i ke ʻano o nā mea e like me ka hoʻomanaʻo a me ka nānā ʻana.

He aha nā lāʻau lapaʻau no ka epilepsy lobe temporal?

Hiki ke hana ʻia kēia mau mea ma ke ʻano he mālama no ka epilepsy lobe temporal:

• Nā lāʻau lapaʻau antiseizure.
• ʻO ke ʻoki kino no ka maʻi ʻepilepsy.
• Hoʻouluulu manaʻo.

Eia kekahi, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hana i kekahi mau hoʻololi i ka meaʻai, e like me ka ʻai ketogenic. He ʻai momona kiʻekiʻe kēia, haʻahaʻa-kalapona.

Nā lāʻau lapaʻau no ka epilepsy lobe temporal

Nui nā lāʻau lapaʻau i loaʻa no ka mālama ʻana i nā hopu ʻana o ka lobe temporal. Eia kekahi mau laʻana:

• ʻO Brivaracetam
• ʻO Cenobamate
• ʻO Carbamazepine
• ʻO Gabapentin
• ʻO Lamotrigine
• ʻO Lacosamide
• ʻO Levetiracetam
• ʻO ka ʻOxcarbazepine
• ʻO Pregabalin
• ʻO Rufinamide
• ʻO Topiramate
• ʻO Valproate
• ʻO Zonisamide

E ho'āʻo kāu kauka i hoʻokahi a i ʻole kekahi mau lāʻau lapaʻau, ma nā ʻano like ʻole, e ʻike i ka mea e kūpono loa iā ʻoe.

He mea nui: Hiki i kekahi mau lāʻau lapaʻau hopu ke hōʻeha i ka pēpē i ka wā hāpai. No laila, e hōʻoia e haʻi i kāu kauka inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai.

ʻO ke ʻoki kino no ka epilepsy lobe temporal

Inā ʻaʻole hiki ke kāohi ʻia nā hopu ʻana me ka lāʻau lapaʻau, a inā paha ua hana ʻia kēia mau hōʻailona e kahi mea e like me ka puʻupuʻu lolo, e noʻonoʻo paha ke kauka i ke ʻoki ʻana.

ʻO ka lobectomy temporal (ka wehe ʻana i kahi ʻāpana o ka lobe temporal) ke ʻoki maʻamau. Eia nō naʻe, no ka mea, ʻo ka lobe temporal ka mea e kāohi ai i nā hana koʻikoʻi he nui, hoʻolālā pono ke kauka neurosurgeon i ke ʻoki e hōʻemi i ka hopena ma ka hana o ka lolo.

ʻElua mau ʻano hana i emi iki ka invasive ʻo ia ka stereotactic radiosurgery a me ka laser ablation . Hoʻohana kēia mau ʻano hana i nā kukuna laser a i ʻole ka radiation e luku i nā hunaola nerve a i ʻole nā ​​​​ʻiʻo i loko o ka temporal lobe kahi e hoʻomaka ai nā hopu.

Hoʻoulu ʻana o ke aʻalolo no ka maʻi epilepsy lobe temporal

Inā ʻaʻole holo pono ka lāʻau lapaʻau, a inā ʻaʻole palekana ke ʻoki ʻana, makemake paha ʻoe e noʻonoʻo i nā mea hana neurostimulation. Pili kēia i ka hoʻouna ʻana i nā impulses uila i kou lobe temporal ma o kahi mea i hoʻokomo ʻia i loko o kou kino. Hiki i kēia lāʻau lapaʻau ke hōʻemi mālie i ka nui o nā hopu ʻana i loaʻa iā ʻoe i ka hala ʻana o ka manawa. ʻO nā ʻano nui o nā mea hana i hoʻohana ʻia no TLE:

• ʻO ka hoʻoulu ʻana o ke aʻalolo vagus (VNS)
• ʻO ka neurostimulation pane (RNS)
• Hoʻoulu hohonu i ka lolo (DBS)

He aha ke ʻano o ka manaʻolana e hiki iā ʻoe ke loaʻa i ka wā e noho ai me kēia kūlana?

Pehea e hiki ai kou kūlana ma muli o nā mea e like me:

• ʻEhia pinepine kou loaʻa ʻana i nā ʻōʻō?
• ʻEhia ka lōʻihi o kou loaʻa ʻana i kēia maʻi?
• Kou olakino laulā.
• Inā paha ua hoʻomaka nā pilikia hiki ʻole ke hoʻihoʻi ʻia.

Hiki i nā kānaka he nui ke kāohi maikaʻi i ko lākou mau hopu ʻana me ka lāʻau lapaʻau. Wahi a kekahi poʻe ua nalowale loa ko lākou mau hopu ʻana ma hope o ke ʻoki ʻana. Eia nō naʻe, ʻokoʻa loa kēia mai kēlā kanaka a kēia kanaka. Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi wehewehe pololei o kou kūlana.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

Inā ua loaʻa iā ʻoe kahi hopu ʻana, a manaʻo paha ua loaʻa iā ʻoe kahi hopu ʻana, pono ʻoe e ʻike i ke kauka.

Inā ua ʻike mua ʻia ʻoe me ka epilepsy lobe temporal, e kāhea koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā ʻoi aku ka lōʻihi o kou hopu ʻana ma mua o ʻelima mau minuke.
• Inā hiki mai kekahi hopu ʻana i ka pau ʻana o ka hopu mua ʻana.
• Inā piʻi ka alapine (frequency) a me ke koʻikoʻi o nā hopu ʻana.
• Inā loaʻa nā hōʻailona hou a i ʻole nā ​​​​hopena ʻaoʻao o nā lāʻau lapaʻau.
• Inā lohi ka hoʻōla ʻana ma hope o ka pau ʻana o ka hopu ʻana ma mua o ka maʻamau, a inā ʻaʻole i pau ka hoʻōla ʻana.

Nā nīnau koʻikoʻi e nīnau aku i kāu kauka

Inā loaʻa iā ʻoe ka 'TLE', he mea maikaʻi ke nīnau i kāu kauka i nā nīnau e like me kēia:

• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
• Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
• He palekana anei kēia lāʻau anti-seizure inā makemake wau e hoʻomaka i kahi ʻohana?
• Hiki iaʻu ke hana i ke ʻoki kino no ka maʻi epilepsy?

ʻAʻole paha ʻoe e ʻike i ke koʻikoʻi o kāu mau lobes temporal a hiki i ko lākou pau ʻana i ka hana pono 100%. Hiki i ka epilepsy lobe temporal (TLE) ke hoʻopilikia i kā lākou hana i ka hala ʻana o ka manawa. Eia nō naʻe, hiki i ke kauka ke kōkua iā ʻoe e hoʻokele i nā hopu ʻana o ka TLE a pale i nā pilikia.

He kū hoʻokahi ka lāʻau lapaʻau no TLE iā ʻoe. Pono paha ʻoe e hoʻāʻo i nā lāʻau lapaʻau like ʻole a me nā ana like ʻole a hiki i kou loaʻa ʻana i ka mea kūpono loa iā ʻoe. I kekahi manawa, ʻaʻole holo pono nā lāʻau lapaʻau a ʻo ke ʻoki kino paha ke koho maikaʻi loa.

Hiki ke paʻakikī ka hoʻokele ʻana i ke ola me ka maʻi epilepsy. Eia nō naʻe, hiki iā ʻoe ke loaʻa ke kōkua hou aku mai nā hui kākoʻo a i ʻole ma ke kamaʻilio ʻana me kahi loea olakino noʻonoʻo . E hele pū ana kāu hui lapaʻau me ʻoe e pane i nā nīnau āu e loaʻa ai ma ke ala.

Leka Hoʻihoʻi Hope Loa

E ke hoa, ʻaʻole ka Temporal Lobe Epilepsy he mea e makaʻu ai, akā, ʻaʻole hoʻi ia he mea e hoʻowahāwahā ʻia.

E hoʻomanaʻo, hiki iā ʻoe ke ola me ka holomua me kēia maʻi. ʻO ka mea nui loa, ʻo ia ke hahai pono i nā ʻōlelo a kāu kauka a loaʻa ka lāʻau kūpono.

• Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, ​​e ʻike koke i ke kauka.
• E lawe i kāu lāʻau lapaʻau i kuhikuhi ʻia e like me ke kauoha, i ka manawa kūpono. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
• Inā ʻōlelo kāu kauka e hana i kekahi mau hoʻololi i kou nohona (e laʻa, ka ʻai ketogenic), e hoʻāʻo e hahai iā lākou.
• E ikaika ka noʻonoʻo. Inā pono, e ʻimi i ke aʻo ʻana. ʻAʻole ʻoe hoʻokahi.
• He manaʻo maikaʻi e hoʻomaopopo i kou ʻohana a me nā hoaaloha e pili ana i kēia kūlana. A laila hiki iā lākou ke kōkua iā ʻoe.

Lana ko mākou manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

ʻEpilepsy Lobe Manawa, Epilepsy, Huʻi, Maʻi lolo, Maʻi neurological, Epilepsy Lobe Manawa, Huʻi