Yu dɔn ɛva fil sɔntin we rili strenj na yu at wantɛm wantɛm fɔ natin? Lɛk filin fɔ déjà vu, ɔ wan strenj filin na yu bɛlɛ. Sɔntɛm yu nɔ bin no wetin de apin rawnd yu fɔ sɔm tɛm. Pan ɔl we bɔku pipul dɛn kin tink se dɛn tin ya na nɔmal tin, sɔntɛnde, na smɔl chenj we di bren de du kin mek i apin. Tide wi go tɔk bɔt wan pan dɛn kayn sik ya, dat na Temporal Lobe Epilepsy (TLE).
Fɔ tɔk am simpul wan, wetin na Temporal Lobe Epilepsy (TLE)?
Temporal Lobe Epilepsy (TLE) na wan kayn sik we de mek pɔsin sik (fit) we i de mek i nɔ de wok fayn na wan pat pan wi bren we dɛn kɔl ‘Temporal Lobe’. Okay, naw yu go probabli de wanda wetin dis 'Temporal Lobe' bi.
dis tu tεmporal lכb dεm de na di tu say dεm na wi bren, εksakכt bihayn di chεk dεm εn sכmtεm bifo di yes dεm. Dis pat rili impɔtant fɔ wi ɛvride layf.
- Mɛmori: Na dis kin ɛp wi fɔ mɛmba ɛn mɛmba di tin dɛn we wi kin lan, wi ol mɛmori.
- Sɔnd dɛn: Ɛp wi fɔ ɔndastand wetin wi de yɛri.
- Vishɔn: I de ɛp wi fɔ no wetin wi de si.
- Tɔk ɛn langwej: Dis pat rili impɔtant fɔ mek wi ɔndastand wetin wi de tɔk ɛn wetin ɔda pipul dɛn de tɔk.
Apat frɔm dɛn tin ya, i kin kɔntrol bɔku tin dɛn bak we wi nɔ kin no, lɛk angri, tɔsti, di we aw wi de fɛt ɔ flay, di we aw wi de fil, ɛn di we aw wi de fil bɔt mami ɛn dadi biznɛs.
So, TLE na sik wae de kam pan dis impɔtant eria. Dis na di kayn sik we kin kam pan big pipul dɛm, we kin bigin na wan patikyula eria na di bren (focal epilepsy). Nɔ wɔri, dɛn kin ebul fɔ mɛn dis kɔndishɔn fayn fayn wan.
I impɔtant if yu de na di lɛft ɔ rayt say na di bren?
Yes, di simptom dεm εn di lכng tεm ifekt dεm kin difrεn sכmtεm dipכnt if di fit bigin na di lεft tεmporal lכb כ di rayt tεmporal lכb na di bren.
- Left Temporal Lobe Epilepsy: Fɔ bɔku pipul dɛn, mɔ di wan dɛn we gɛt raytan, na di lɛft say na di men say na di bren we de involv pan langwej ɛn tɔk. So, pipul dɛm wae gɛt TLE na di lɛft say kin gɛt prɔblɛm as tɛm de go, lɛk fɔ mɛmba tin dɛn nem, i nɔr kin izi fɔ fɛn di rayt wɔd fɔ tɔk, ɛn chenj na dɛn filin.
- Rayt Tεmporal Lob Epilepsy: Pipul dεm wae gεt rayt temporal lobe epilepsy nɔr kin gεt bכku trɔbul wit langwej. Bɔt i nɔ kin izi fɔ dɛn fɔ mɛmba tin dɛn we nɔto wɔd (lɛk fes ɛn rod). Dɛn kin gɛt chenj bak pan di we aw dɛn de fil.
Yu tink se kayn TLE de?
Yes, tu men kayn TLE de, i dipen pan di ekzak ples usay di fit bigin.
1. Mesial Temporal Lobe Epilepsy (MTLE): "Mesial" min "midul." pan dis kayn epilepsy, di sik de bigin insay כ nia di hipokampus, we na wan strכkchכ we de dip insay di tεmporal lכb. Di hipokampus tan lɛk smɔl laybri usay dɛn kin kip wi mɛmori dɛn. Bɔrku pipul dɛm wae gɛt TLE gɛt dis kayn MTLE.
2. Niokortikכl (כ Lateral) Tεmporal Lכb Epilepsy: insay dis kes, di fit de bigin na di כta pat pan di tεmporal lכb.
Wetin na di sayn dɛm fɔ TLE? Aw dɛn kin no se i gɛt am?
Dɛn kin sheb di sayn dɛm fɔ TLE to tu pat. Wan na di sayn dɛm wae kin kam bifo yu gɛt sik. Wi kin kɔl dis bak di ‘aura’. Di ɔda pat na di sayn dɛm wae kin apun wae pɔrsin gɛt di sik.
Di impɔtant tin na dat, nɔto ɔlman de fil dis ‘aura’. Wan ‘aura’ na rili shɔt fit. Da tɛm de, yu kin no, bɔt yu kin fil strenj tin dɛn. Dis kin las frɔm sɔm sɛkɔn to lɛk tu minit.
Lɛ wi luk dɛn tin ya smɔl mɔ.
| Temporal Lobe Epilepsy (TLE) Simptom dɛm fɔ di sik we dɛn kɔl Temporal Lobe Epilepsy | |
|---|---|
| Di kayn we aw di kwaliti de | Diskripshɔn ɛn ɛgzampul dɛn |
| Di simptom dɛm wae yu kin fil bifo yu fit (Aura) . | |
| Strenj filin dɛn we pɔsin kin gɛt na in maynd | Déjà vu: Na filin we yu sabi, lɛk se dis dɔn apin bifo. Jamais vu: Na ples we pipul sabi, usay pɔsin kin fil lɛk se i rili strenja. Wan ol mɛmori kin kam na mi maynd wantɛm wantɛm. |
| Imɔshɔn dɛn we kin apin wantɛm wantɛm | Fɔ fil bad bad wan, wɔri, vɛks, sɔri, ɔ gladi at wantɛm wantɛm fɔ no rizin. |
| Di tin dɛn we pɔsin kin fil we i de fil | Wan strenj gurgling ɔ nauseating filin na di bɛlɛ (lɛk fɔ rayd rɔla kɔsta). |
| Di chenj dɛn we de apin na di sɛns | Wan chenj we yu de yɛri, si, smɛl, teist, ɔ tɔch wantɛm wantɛm, ɛn i kin rili tranga. Yu kin ivin smɛl sɔntin we nɔ de. |
| Simptom dɛm wae kin apun wae pɔrsin gɛt fit | |
| Lɔs ɔ chenj pan kɔnshɛns | I kin bi fɔgɛt bɔt di tin dɛn we de arawnd am. Nɔ de ansa we pɔsin tɔk to am. I de luk blank wan na di sem ples. di pupil dεm na di yay kin dilayt. |
| Akshɔn dɛn we nɔ gɛt minin (Otomatisms) . | Ripit akshɔn dɛn we dɛn kin du we dɛn nɔ no. Ɛgzampul dɛn: fɔ purs yu lip, fɔ swɛla bɔku tɛm, fɔ tɔch wan kɔna pan yu klos, fɔ du sɔntin wit yu an. |
| I nɔ izi fɔ tɔk | Wae yu nɔr kin ebul fɔ tɔk fɔ sɔm tɛm, ɔr wae yu nɔr kin ebul fɔ ɔndastand wetin dɛn de tɔk (aphasia). |
| Kɔnfyushɔn ɛn bɔdi kin chenj | Afta fit, di maynd kin kɔnfyus. Sɔntɛnde, di bɔdi kin stif ɛn i kin ivin twitch. |
Wetin mek dis TLE kin apin? Wetin na di tin dɛn we kin mek i apin?
fכ simpul wan, TLE de apin we di kכmyunikeshn bitwin di nεv sεl dεm (nyuron dεm) na di tεmporal lכb de disrupt. Nɔmal wan, dɛn nɛv sɛl dɛn ya kin sɛn ilɛktrik signal dɛn ɔdasay fɔ mek wi bren kɔntinyu fɔ wok. we fit apin, dεn nεv sεl dεm ya de faya kכntinyu we dεn nכ de kכntrכl.
Bɔku men rizin dɛn de we kin afɛkt dis:
- Hippocampal sclerosis: Dis na di men tin we kin mek pɔsin gɛt TLE. I kin apin we di nεv sεl dεm we de na di εria na di bren we dεn kכl di hipokampus we de involv fכ mεmכri, dεn dכn pwεl εn skata.
- Bren tumor: Kansa ɔ benign tumor kin ambɔg di bren wok.
- Traumatik bren injuri: Damej na di ed frɔm wan bad bad aksidɛnt.
- Infεkshכn: Infεkshכn dεm lεk εnεfalaytis εn mεningaytis.
- di prכblεm dεm we dεn bכn: sכm abnכmal tin dεm we de apin we di bren de divεlכp (Focal cortical dysplasia).
- Blɔd vesel prɔblɛm: Kɔndishɔn lɛk strok.
- di jεnεtik vεryכnt dεm: Sכm jεnεtik inflכεns dεm we de pas dכn tru jεnereshכn.
- Di tin dɛn we dɛn nɔ no bɔt: Sɔntɛnde, dɛn nɔ kin no wan patikyula tin we kin mek i apin.
Udat de pan big risk fɔ gɛt dis sik?
TLE kin apin pan ɛni ej, bɔt sɔm tin dɛn kin mek di risk bɔku.
- If yu bin dɔn gɛt fiva we yu bin smɔl: Ɛspɛshali if yu dɔn gɛt bɔku sik. Bɔt mɛmba se nɔto ɔlman we dɔn gɛt fiva go gɛt TLE. I nɔ kin apin so ɔltɛm.
- If yu gɛt status epilepticus: Dis min se di sik kin te pas 5 minit, ɔr di sik kin apin bɔku tɛm bifo yu gɛt kɔnshɛns bak.
- If yu gɛt bren tumbu ɔ yu bɔn we nɔ fayn.
- If yu bin gɛt ed injury ɔ bren infɛkshɔn we yu bin smɔl.
- If pɔsin na di famili gɛt TLE.
Wetin na di prɔblɛm dɛn we kin apin if dɛn nɔ trit dɛn?
If dɛn nɔ trit TLE fɔ lɔng tɛm, sɔm prɔblɛm dɛn kin apin. Dis risk de go ɔp as tɛm de go as di frɛkuɛns fɔ di fit de go ɔp.
Dis nɔto natin fɔ fred, bɔt i de sho aw i impɔtant fɔ gɛt di rayt tritmɛnt.
Di men prɔblɛm dɛn we kin apin na:
- Memori lɔs: I nɔ kin izi fɔ mɛmba tin dɛn, mɔ di nyu wan dɛn.
- Pwɛl hat ɛn wɔri: Fɔ liv wit dis sik kin mek yu gɛt sɔm kayn strɛs na yu maynd.
- I nɔ kin ebul fɔ lan ɛn disayd fɔ du sɔntin.
- SUDEP (Sɔdan day we pɔsin nɔ ebul fɔ ɛksplen to pɔsin we gɛt ɛpilepshi): Dis na prɔblɛm we nɔ kin apin so ɔltɛm, bɔt we kin rili siriɔs. Insay dis, pɔrsin wae gɛt epilepsy kin day wantɛm wantɛm ɛn fɔ no rizin. Di bɛst we fɔ ridyus dis risk na fɔ kɔntrol di sik we de kam fayn fayn wan.
Aw dɔktɔ kin no bɔt dis? (Diagnosis) .
If yu dɔn gɛt fit ɔ yu tink se yu dɔn gɛt wan, yu fɔ rili go to dɔktɔ. I go aks yu kwɛstyɔn dɛn, chɛk yu, ɛn if nid de, i go du sɔm tɛst dɛn fɔ no if yu gɛt di sik.
- Aks bɔt yu sayn dɛm: De dɔktɔ go aks bɔt wetin apin bifo, di tɛm, ɛn afta yu fit.
- Witnɛs stetmɛnt: Bikɔs yu kin lɔs kɔnshɛns we yu gɛt di sik, i rili impɔtant fɔ briŋ pɔsin we bin de wit yu da tɛm de (famili mɛmba, padi) wit yu to dɔktɔ. Dɛn kin ebul fɔ tɔk bɔt di rayt tin we dɛn si.
- Nyurolɔjik ɛgzamin: Dis kin tɛst aw yu bren ɛn yu nervɔs sistɛm de wok.
Apat frɔm dat, yu kin du tɛst dɛn bak lɛk dɛn wan ya:
- MRI (Magnetic Resonance Imaging): I de tek klia pikchɔ dɛn na di bren fɔ si if ɛnitin de we nɔ fayn (lɛk tumbu ɔ ska).
- EEG (Electroencephalogram): dεn de put sכm sכm sכm sεns dεm na di ed εn rεkכd di ilektrikal aktiviti we di bren de du. If dɛn du dis di tɛm we di sik de kam, i kin sho usay na di bren di sik de bigin. Dɛn kin kip yu na ɔspitul fɔ wan de ɔ mɔ fɔ mek dɛn du Vidio-EEG tɛst.
Wetin na di tritmɛnt dɛm fɔ TLE?
Bɔku fayn tritmɛnt dɛn de fɔ TLE. Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay aw yu sik.
1. Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik
Dis na di fɔs layn fɔ tritmɛnt. Bɔku mɛrɛsin dɛn de we kin kɔntrol TLE. (e.g. Kabamazεpin, Lεvεtirasetam, Valproεt).
Di dɔktɔ kin tray difrɛn kayn mɛrɛsin ɛn difrɛn dos te yu fɛn di rayt mɛrɛsin ɛn doz fɔ yu. Jɔs lɛk aw wi kin pik di rayt klos fɔ wi, dis kin tek sɔm tɛm. I impɔtant fɔ fala di tritmɛnt wit peshɛnt.
We yu gɛt bɛlɛ: If yu de plan fɔ gɛt bɛlɛ ɔ yu dɔn gɛt bɛlɛ, i rili impɔtant fɔ tɛl yu dɔktɔ. Sɔm mɛrɛsin dɛn kin afɛkt di pikin. Yu dɔktɔ go gi yu wan mɛrɛsin we nɔ bad fɔ yu da tɛm de.
2. Ɔpreshɔn (Ɔpreshɔn fɔ Epilepsy) .
If dɛn nɔ ebul fɔ kɔntrol di fit wit mɛrɛsin, ɔ if sɔntin de we dɛn kin pul, lɛk di bren tumbu, di dɔktɔ kin se dɛn fɔ du ɔpreshɔn pan am.
- Temporal lobectomy: Dis involv fכ pul wan sכm pat pan di temporal lobe na di bren usay di sik dεm de bigin. Nyurosɔjɔn dɛn kin tek tɛm du dis, ɛn dɛn kin tek tɛm mek dɛn nɔ pwɛl ɔda tin dɛn we di bren de du. Bɔrku pipul dɛn dɔn ebul fɔ stɔp dɛn sik wae de mɛk dɛn sik ɔlmost afta dɛn dɔn du dis ɔpreshɔn.
3. Nyurostimuleshɔn
Dɛn kin yuz dis we we mɛrɛsin nɔ de wok ɛn we dɛn nɔ ebul fɔ du ɔpreshɔn. Dis kin min fɔ sɛn ilɛktrik signal to di bren tru wan smɔl tin we dɛn put insay di bɔdi, ɛn smɔl smɔl i kin mek di sik nɔ bɔku as tɛm de go. I tan lɛk se yu put peshɛnt na yu at.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt ɔ yu tink se yu gɛt sik, mek shɔ se yu go to dɔktɔ. If dɛn dɔn ɔlrɛdi de trit yu fɔ TLE, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm if:
- If di fit las pas 5 minit. (Dis na imejensi ɛn dɛn fɔ kɛr yu go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.)
- If wan fit dɔn ɛn ɔda wan kam bifo yu gɛt kɔnshɛns bak.
- If di frεkuεns εn di siriכs we di fit de inkrεs wan wan.
- If nyu sayd ɛfɛkt dɛn apin frɔm di mɛrɛsin.
- If i tek lɔng pas aw i kin tek fɔ wɛl afta yu dɔn fit.
Temporal Lobe Epilepsy na wan sik we pɔsin kin ebul fɔ kɔntrol. Fɔ liv wit am kin tranga sɔntɛnde. Bɔt if yu gɛt di rayt tritmɛnt ɛn chenj yu layf, yu go ebul fɔ liv nɔmal layf. Nɔto yu wan de, ɛn yu dɔktɔ ɛn yu fambul dɛn de fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Temporal Lobe Epilepsy (TLE) na wan kayn sik we de apin na di temporal lobe na di bren. I kin afɛkt di we aw pɔsin de mɛmba tin, aw i de fil, ɛn aw i de tɔk.
- Wan kɔmɔn sayn fɔ dis sik na wan strenj filin (aura) we kin apin bifo yu gɛt sik. Fɔ ɛgzampul, déjà vu, strenj smel, ɔ bɛlɛ at.
- TLE kin gɛt bɔku tin dɛn we kin mek i apin. ed injury, infεkshכn, εn bren skata (hippocampal sclerosis) na dεn men wan dεm.
- Sɔm tritmɛnt dɛn de we go ɛp yu, lɛk fɔ tek mɛrɛsin, ɔpreshɔn, ɛn fɔ mek yu nerve stimulate. Bɔrku pipul kin kɔntrol dɛn sik wae de kam fayn fayn wan wit tritmɛnt.
- If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm. Di kwik we di tritmɛnt bigin, na di mɔ di risk fɔ gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm.
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