Yu gɛt sik we de mek yu sik na di fɔs pat na yu ed? (Frontal Lobe Seizure) - Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva yɛri bɔt ‘Frontal Lobe Seizure’ ɔ ‘Frontal Lobe Epilepsy’? Sɔntɛm yu ɔ pɔrsin wae yu sabi dɔn gɛt dis kayn epilepsy. Pan ɔl we dis kin tan lɛk se i kɔmplikt smɔl, lɛ wi tɔk bɔt am simpul wan. Na bikɔs i rili impɔtant fɔ no bɔt dis.

Wetin na ‘Frontal Lobe Epilepsy’?

Fɔ tɔk am simpul wan, frɔntal lob epilepsy na wan sik wae de mek yu nɔr de fil fayn ɛn i kin afɛkt di frontal lobes , di say dɛm wae de biɛn yu fɔrɛst. dis fכnt lכb dεm na di big wan pan di fכ men pat dεm na wi bren. Wan de na di lɛft say ɛn wan de na di rayt say. Dis na wi:

• Di we aw pɔsin de biev ɛn di pɔsin we i bi
• Fɔ tink, lan ɛn disayd fɔ du sɔntin (Kɔgnishɔn) .
• Muvmɛnt dɛn
• Fɔ tɔk

Kɔntrol tin dɛn lɛk.

So, insay ‘frכnt lכb εpilepsi’, wan abnכmal ilektrikal aktiviti de na di ‘frכnt lכb' dεm na di bren. I tan lɛk ‘shɔt sɔrkwit’. wi kכl di εpileptik kכndishכn dεm we de apin bikoz fכ dis ‘frכnt lכb sεiz’. dis dεm de pan di kayn ‘focal seizure’. Dat min se di epileptic kondishכn de stat na wan spεshal εria na di bren. dis kin stat na di lεft ‘frכnt lכb' na di bren כ na di rayt wan.

Bikɔs dɛn sik ya kin apin bɔku tɛm na nɛt , sɔntɛnde dɛn kin mistek kɔl dɛn maynd sik ɔr prɔblɛm wit slip. So, i rili impɔtant fɔ gɛt kɔrɛkt diagnosis.

Yu tink se kayn ‘frontal lobe epilepsy’ de?

Yɛs, wan patikyula kayn de de. dεn kכl am ‘autosomal dominant slip-related hypermotor epilepsy’ . Fכs dεn bin de kכl am bak 'autosomal dominant nocturnal frontal lobe epilepsy'. Dis na wan kayn epilepsy wae kin kam wae yu de slip. Dis kayn tin kin rɔn bɔrku tɛm na famili, we min se dɛn kin pas am to jɛnɛreshɔn.

Us sayn dɛm wae yu kin si pan dis sik?

di men simptom fכ fכnt lכb εpilepshכ na fכ sכm fכs fכkal sεiz we de stat na wan εria na di bren. Dɛn sik ya kin mek yu gɛt sɔm sayn dɛm lɛk:

• Di we aw pɔsin kin biev we nɔ kɔmɔn: Tin dɛn lɛk fɔ ala wantɛm wantɛm, fɔ laf, fɔ kɔs, ɛn ɔda tin dɛn Imajin aw ɔda pipul dɛn go fred if pɔsin we de slip du sɔntin lɛk dis wantɛm wantɛm.
• Fɔ tɔn di ed ɔ di yay to wan say.
• Kik yu leg ɔ mek muvmɛnt lɛk fɔ rayd baysikul.
• Thrashing ɔ kɔnvulshɔn.
• di muvmεnt dεm we dεn nכ de kכntro, we de ripit (e.g., di an εn leg dεm we de shek kwik kwik wan).
• Twitch ɔ twitch we yu de ripit.
• Lɔs fɔ no ɔr fɔ no bɔt di tin dɛn we de arawnd (lɛk fɔ luk di skay).
• Urinary ɔ fecal inkontinɛns.
• Di mɔsul dɛn we wik.
• I nɔ izi fɔ tɔk.
• Di pɔsin we i bi kin chenj.
• Prɔblɛm dɛn we pɔsin kin gɛt we i de slip.

Dɛn ‘seizure’ ya kin apin bɔku tɛm insay grup, we min se dɛn kin apin pas tu tɛm insay 24 awa. Dɛn kin apin we yu de slip , bɔt dɛn kin apin bak we yu wek. Dɛn kin te bak fɔ shɔt tɛm, ɛn dɛn nɔ kin te pas wan minit.

Sɔmtɛm, bifo yu bigin fɔ gɛt sik, yu kin gɛt ‘aura’ , we na wan ɔda kayn sɛns. Dɛn tin ya kin bi:

• Di chenj wae de kam pan pɔrsin wae de fil kwik kwik wan: lɛk fɔ frayd, fɔ wɔri, fɔ vɛks, fɔ fil bad, ɔr gladi.
• Di tin dɛn we yu kin fil we nɔ kɔmɔn: I tan lɛk we yu nɔ de fil fayn.
• di chenj dεm we de apin na di sεns dεm we yu de fil: di chenj we yu de fil fכ smεl, yεri, si, tεst, כ tכch.

Afta yu dɔn gɛt prɔblɛm wit yu frɔnt lɔb, yu kin kɔnfyus, yu nɔ kin mɛmba fayn, ɔ yu kin gɛt pen na yu mɔsul dɛn . Dɛn kɔl dis di postital stet .

Wetin na di tin dɛm wae kin mek pɔrsin gɛt ‘frontal lobe epilepsy’?

Frɔntal lɔb ɛpilepsi kin kam bikɔs ɔf abnɔmal ilɛktrik aktiviti na yu frɔntal lɔb. Nɔmal wan, di nɛv sɛl dɛn na wi bren we dɛn kɔl nyuron , kin sɛn signal to dɛnsɛf. bכt insay fכnt lכb sεiz, dεn nyuron dεm ya de faya we dεn nכ de kכntrכl.

Kɔmɔn rizin dɛn we kin afɛkt dis na:

• abnכmal divεlכpmεnt fכ di bren di tεm we di εmbrayo de stej.
• Infεkshכn dεm na di bren.
• Strok.
• Siriɔs ed injuri (Traumatik bren injuri).
• Bren tumor.
• Di chenj dɛn we de apin na di jɛnɛtiks.

Sɔntɛnde , yu nɔ go ebul fɔ fɛn rizin.

Dis na sɔntin we kɔmɔt frɔm jɛnɛreshɔn?

Yes, wan kayn frɔntal lob epilepsy kin pas frɔm mama ɛn papa to pikin dɛn, bɔt i nɔ kin apin smɔl. Di kayn haypamotɔr ɛpilepsi we gɛt fɔ du wit slip we wi bin dɔn tɔk bɔt bifo tɛm na ɔtosomal dominant kɔndishɔn. Dis min se if wan pan di mama ɛn papa gɛt dis chenj na di jɛnɛtiks, i go mɔs bi se di pikin go gɛt am.

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Frontal lobe epilepsy kin afɛkt ɛnibɔdi, pan ɛni ej. Bɔt yu kin gɛt mɔ risk fɔ dɛn rizin ya:

• If ɛnibɔdi na yu famili gɛt epilepsy (biological family history).
• If yu bin gɛt bren infɛkshɔn we yu bin smɔl.
• If yu dɔn gɛt strok, yu dɔn gɛt siriɔs injuri na yu ed, ɔ yu dɔn gɛt tumbu ɔ ɔda tin we dɔn pwɛl na di fɔs pat.
• If divɛlɔpmɛnt delay de.
• If dɛn bɔn yu wit bren abnɔmaliti we dɛn bɔn yu.

Wetin na di tin dɛm we kin mek pɔsin gɛt di sik we de na di frɔnt lɔb?

‘Triggers’ na tin dɛm wae de mek yu gɛt epileptic seizure. Kɔmɔn ‘trig’ dɛn na:

• Strɛs.
• Layt dɛn we de flash.
• Di we aw pɔsin nɔ de slip fayn.
• Yuz sɔbstans.

Dɛn tin ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin . If yu rayt bɔt wetin yu bin de du ɛn aw yu bin de fil bifo yu bigin fɔ gɛt sik, dat kin ɛp yu fɔ no di tin dɛn we kin mek yu sik.

Yu tink se ‘frontal lobe seizures’ denja?

di fכntכl lכb we de sכk bכku tεm kin mek dεn tin ya:

• Risk fɔ injuri kin bɔku.
• Status epilepticus: Di sik kin tek pas fayv minit. Dis na imejensi we kin mek pɔsin in layf de pan denja.
• Sɔdɛn day we pɔsin nɔ ebul fɔ ɛksplen to pɔsin we gɛt ɛpilepshi (SUDEP): Dis nɔ kin apin so ɔltɛm, bɔt i kin apin.

Bɔrku tɛm wae yu gɛt sik kin gɛt bɔrku impak pan yu maynd wɛl bɔdi ɛn aw yu de fil. So, apat frɔm ɔda tritmɛnt dɛn we dɔktɔ tɛl yu fɔ du, tink bɔt fɔ tɔk to pɔsin we de gi advays bɔt yu maynd .

If yu de tink bɔt fɔ kil yusɛf, go to dɔktɔ wantɛm wantɛm ɔ tɔk to pɔsin we yu biliv . Ples de na Sri Lanka usay yu kin gɛt ɛp fɔ dis (e.g. Sumitrayo 0112682535). Mɛmba se nɔto yu wangren de, ɛn nɔ fred fɔ aks fɔ ɛp.

Aw dɛn kin no se dɛn gɛt ‘frontal lobe epilepsy’?

Fɔ no if yu gɛt frɔntal lɔb ɛpilepsi, yu dɔktɔ go luk yu mɛdikal istri ɛn du yu bɔdi ɛgzam. Apat frɔm dat, dɛn kin ɔda fɔ du bɔku tɛst fɔ no if pɔsin gɛt di sik.

Test dɛn fɔ no if pɔsin gɛt di sik

Na di tɛst dɛm wae de ɛp fɔ no ‘frontal lobe epilepsy’:

• MRI (Magnetic Resonance Imaging) scan: Dis kin tek ditayli pikchɔ dɛn fɔ yu bren. Dis kin ɛp fɔ si if ɛni tumbu, lɛsin, ɔ ɔda prɔblɛm de we kin mek yu gɛt sik.
• EEG (Electroencephalography): Dis de rikodɔ di ilɛktrik wok we yu bren de du. Dis kin ɛp fɔ no usay di sik de bigin.
• Vidio EEG: Dis involv fɔ rikodɔ yu bren aktiviti ɛn bak aw yu de muv ɛn aw yu de biev. Dis kin mek yu nid fɔ de na ɔspitul fɔ wan nɛt. Bikɔs bɔku pan di frɔnt lɔb kin sik we pɔsin de slip, dɛn kin du wan stɔdi bɔt aw pɔsin de slip bak.
• Stiriɔɛlektroɛnsɛfalografi (SEEG): .Insay dis, dɔktɔ we de du ɔpreshɔn kin put ilɛktrɔd dɛn na yu bren. dis divays dεm kin no di sik we de apin dip insay di bren we EEG nכ de pik. Dɛn kin du SEEG if dɛn nɔ de yuz mɛrɛsin fɔ kɔntrol yu sik ɛn if dɛn de tink bɔt fɔ ɔpreshɔn yu bren.
• Magnetoencephalography (MEG): Dis tεst de rεkכd di magnεtik aktiviti we di bren in ilektrikal aktiviti de mek, we de εp fכ no di εria dεm we di bren de wok we nכ nכmal.

Apat frɔm dat, di dɔktɔ kin du nyurosaykolojik tɛst bak fɔ no if di sik dɛn we de mek pɔsin sik de afɛkt di we aw di bren de wok.

Wetin na di tritmɛnt dɛm fɔ dis?

Di men gol fɔ tritmɛnt fɔ frɔntal lɔb ɛpilepsi na fɔ ridyus di nɔmba fɔ di frɔntal lɔb sik we yu gɛt. Yu dɔktɔ kin tɛl yu fɔ du tritmɛnt dɛn lɛk:

• Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik
• Ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt ɛpilepsi
• 'Nyuromoduleshɔn'.

Apat frɔm dat, yu dɔktɔ kin se yu fɔ chenj yu it ɛn chenj to it we gɛt bɔku fat, we nɔ gɛt bɔku kabɔhaydrɛt (e.g., ‘ketogenic diet for epilepsy’ ).

Antiseizure Mεdikeshכn fכ Frontal Lobe Seizure

Antiepileptic drugs kin ɛp fɔ kɔntrol di frɔntal lobe seizure. Dɛn drɔgs ya de rigul di bren in ilɛktrik aktiviti ɛn ridyus di frɛkuɛns we di bren de sik. Bɔku tɛm, dɛn tin ya na di fɔs tritmɛnt.

Yu dɔktɔ go rivyu yu sik dɛn ɛn gi yu di rayt mɛrɛsin. Bifo dɛn bigin fɔ tek nyu mɛrɛsin, dɛn go ɛksplen bak di bad tin dɛn we kin apin to dɛn. Yu dɔktɔ go nid fɔ chenj di doz ɔ di kayn mɛrɛsin te yu fɛn di rayt wan fɔ yu.

Ɔpreshɔn fɔ ‘Frontal Lobe Seizures’ (Epilepsy Ɔpreshɔn) .

If mɛrɛsin nɔr de kɔntrol yu frɔntal lob siiz, yu dɔktɔ kin tink bɔt fɔ ɔpreshɔn fɔ trit epilepsy. Yu dɔktɔ kin tɛl yu fɔ pul di frɔnt lɔb . dis involv fכ pul di pat we afekt na di fכnt lכb usay di sik dεm de stat. I kin pul bak wan bren tumbu ɔ ɔda tin we dɔn pwɛl na da say de.

Bifo dɛn du yu ɔpreshɔn, yu dɔktɔ go yuz difrɛn difrɛn pikchɔ dɛn fɔ mek yu bren ditayli map dɛn. i kin כpεrayshכn implant εlektrod dεm bak fכ wan spεshal tכp 'stereo-EEG (SEEG)' fכ rεkכd frכm insay di bren. Ɔl dis infɔmeshɔn go ɛp yu ɔspitul tim:

• Fɔ no di patikyula say dɛn na di bren we kin mek pɔsin gɛt sik.
• tek kia fכ mek yu nכ damej di pat dεm na di ‘frכnt lכb' we de kכntro di imכtant wok dεm na di bren.

Nyuromoduleshɔn fɔ frɔntal lɔb sik

Sɔntɛnde, ɔpreshɔn fɔ trit di frɔnt lɔb siiz nɔ kin sef. If na so i bi, yu dɔktɔ kin tɛl yu fɔ yuz wan tritmɛnt we dɛn kɔl nyuromoduleshɔn. Dis tritmɛnt de yuz wan tin we dɛn put insay di bɔdi fɔ sɛn ilɛktrik impuls to di bren, fɔ tray fɔ stɔp wan sik bifo i bigin.

Di kayn nyuromoduleshɔn divays dɛn we dɛn kin yuz na:

• Vagus Nerve Stimulation (VNS): Dɔktɔ we de du ɔpreshɔn kin put wan smɔl tin ɔnda di skin na yu chɛst. Dɛn kin kɔnɛkt am to wan waya. di waya de rap rawnd di vagus nεv na yu nεk εn i de sεnd puls to da nεv de. sכm VNS divays dεm kin no di chenj dεm na di at rεt we yu de sכk εn sεnd כda ilektrikal puls dεm to di vagus nεv.
• Rispɔnsiv Nyurostimuleshɔn (RNS): RNS na divays we dɛn kin put insay yu skel. di RNS de mכnitor yu bren aktiviti εn i de sεnd ilektrikal puls dεm nכmכ we i no se sik de apin.
• Dip Bren Stimulation (DBS): Wan dɔktɔ we de du ɔpreshɔn kin put wan tin we dɛn kɔl DBS na yu chɛst. I waya dɛn kɔnɛkt to ilɛktrɔd dɛn we dɛn put insay yu bren. Dɔktɔ kin program dis divays ɛn sɛn ilɛktrik impuls to yu bren.

Wetin na di lukin-grɔn fɔ frɔntal lɔb ɛpilepsi? (Autluk) .

Yu dɔktɔ kin gi yu di bɛst infɔmeshɔn bɔt aw yu de si tin. I kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bay bɔrku tin, lɛk yu jenɛral wɛl bɔdi ɛn aw ɔltɛm yu kin gɛt sik.

Mɛrɛsin kin ɛp fɔ kɔntrol di sik we de mek pɔsin sik fɔ lɔng tɛm. Bɔt sɔntɛnde, mɛrɛsin nɔ kin wok fayn fɔ ɔlman. Ɔpreshɔn kin bi ɔda tin we dɛn kin du. Pan ɔl we no mɛrɛsin nɔ de fɔ di sik we dɛn kɔl frontal lobe epilepsy, bɔku pipul dɛn kin gɛt ridɔkshɔn pan di sik we dɛn kin gɛt ɔ dɛn kin lɛf fɔ fil bad afta dɛn dɔn tek wan kɔmbayn mɛrɛsin ɔ ɔpreshɔn.

Yu dɔktɔ go tɛl yu us tritmɛnt opshɔn dɛn go ɛp yu fɔ de sef.

Ustɛm yu fɔ go to dɔktɔ?

Si dɔktɔ if yu gɛt nyu sik ɔ if yu sik de wɔs. Mek shɔ se yu tritmɛnt de wok fayn, ɛn kip yu dɔktɔ apɔntinmɛnt dɛn . Tɛl yu dɔktɔ if yu gɛt ɛni sayd ɛfɛkt afta yu dɔn bigin fɔ tek nyu mɛrɛsin.

Wetin a fɔ aks mi dɔktɔ?

If yu gɛt frɔntal lɔb ɛpilepsi, yu kin aks yu dɔktɔ bɔt:

• Us kayn tritmɛnt yu kin advays?
• Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?
• I sef fɔ tek antiepileptic drugs if a de tink fɔ stat famili?
• Aw a go de sef we ‘seismic’ de?
• A fit fɔ mek dɛn du mi ɔpreshɔn?

Sɔmari ɛn tin dɛn fɔ mɛmba

di tu big pat dεm na wi bren, di fכnt lכb dεm, gεt rili imכtant wok fכ du. Bɔt pas sɔntin we nɔ fayn na dis pat na di bren, wi nɔ go rili ɔndastand di valyu we i gɛt. Laki, tritmɛnt opshɔn dɛn de fɔ frɔntal lɔb ɛpilepsi ɛn di sik dɛn we kin kam wit am.

Yu dɔktɔ go ɛp yu fɔ pik wan ɔ mɔ mɛrɛsin dɛn we go fayn fɔ yu. Nɔ wɔri if mɛrɛsin nɔ de wok. Sɔntɛnde, ɔpreshɔn ɔ nyuromoduleshɔn kin bi bɛtɛ tin fɔ yu bren. I nɔ mata us tritmɛnt yu pik, yu mɛdikal tim go de fɔ ansa ɛni kwɛstyɔn we yu gɛt. If yu want, dɛn kin rikɔmɛnd bak fɔ sɔpɔt grup ɔ fɔ advays yu. Mɛmba se nɔto yu wan de pan dis waka!

` Epilepsy, frontal lobe, seizure, bren sik, nyurolɔjik sik, simptom, tritmɛnt