Temporal Lobe Epilepsy we pɔsin kin gɛt? - Lɛ wi tɔk bɔt dis simpul wan!

Sɔntɛnde, yu kin fil strenj wantɛm wantɛm? Imajin, di ples we yu de fil lɛk se yu sabi am, bɔt na nyu ples. Ɔ yu kin fil lɛk se sɔntin de kɔmɔt insay yu bɛlɛ, ɔ yu kin fred ɔ wɔri wantɛm wantɛm? Sɔntɛm yu kin lɔs kɔnshɛns ɛn gɛt stet fɔ kɔnvulshɔn wit dɛn tin ya. If dɛn tin ya dɔn apin to yu ɔ pɔsin we yu sabi, i rili impɔtant fɔ no bɔt di kɔndishɔn we wi go tɔk bɔt tide we dɛn kɔl `Temporal Lobe Epilepsy`.

Wetin na Temporal Lobe Epilepsy?

Fɔ tɔk am simpul wan, Temporal Lobe Epilepsy na wan kayn epilepsy. dis kayn we, di sik kin bigin na wan pat na yu bren we dεn kכl di tεmporal lכb. Seizure na we wan abnɔmal tin de na di ilɛktrik aktiviti insay di bren. Tink bɔt am lɛk shɔt sɔrkwit na ilɛktrik sɔrkwit.

Wi ɔl gɛt tu ‘temporal lobes’ na di tu say dɛn na wi bren, frɔm di fɔs pat pan wi yes te to di bak. Dis ‘temporal lobe’ na in de ɛp wi fɔ ɔndastand di wɔl we de rawnd wi. I na:

• Kip di mɛmori dɛn.
• No di sawnd dɛn
• Fɔ tin dɛn we gɛt fɔ du wit vishɔn
• Ɔndastand di langwej ɛn di tɔk

apat frכm dis, sכm tin dεm we wi de du we wi nכ no, lεk angri, tɔsti, wetin wi de du we wi de fred wan wan (fεt-כ-flay rεspכns), wi imכshכn dεm, εn di sεks dεm we wi want, na dis ‘temporal lobe’ de kכntro dεm bak.

Temporal lobe epilepsy na di kayn fכkal epilepsy we kin kכmכn pas כl, we kin stat na wan spεsifi k εria na di bren. De men sayn na wae yu de siz. Dɔktɔ kin ɛp yu fɔ kɔntrol dis sik.

Wetin na di difrɛns bitwin di lɛft ɛn rayt tɛmporal lɔb ɛpilepsi?

di lεft εn rayt tεmporal lכb dεm na yu bren de kכntro bכku tin dεm, lεk fכ mεmכri, yεri, vishכn, εn tכk. Bɔt dɛn wok ya kin afɛkt dipen pan us say di sik bigin.

fכ bכku pipul dεm, εspεshali if yu na rayt-an, di lεft tεmporal lכb de dominant. Pipul wae gɛt lɛft temporal lobe epilepsy kin gɛt prɔblɛm fɔ gi tin dɛn nem, dɛn kin gɛt prɔblɛm fɔ fɛn di rayt wɔd, ɛn dɛn kin chenj dɛn maynd as tɛm de go.

Pipul wae gɛt rayt temporal lobe epilepsy kin gɛt smɔl chenj fɔ lɔng tɛm na dɛn mɛmori. Bɔt i nɔ kin izi bak fɔ mɛmba tin dɛn we nɔto wɔd, mɔ di pikchɔ dɛn, ɛn di we aw dɛn de fil kin chenj.

Sɔm kayn tɛmporal lɔb ɛpilepsi de?

Yes, tu men kayn `temporal lobe epilepsy` de:

1. Mɛsial Tɛmpɔral Lɔb Ɛpilepsi (MTLE): ."Mesial" min midul. If na so i bi, di sik kin bigin insay ɔ nia wan pat na di bren we dɛn kɔl di hipokampus. dis na di pat pan di bren we dεn kכl di hipokampus we de na di midul pan yu tu tεmporal lכb dεm. Dis na di kayn TLE we kɔmɔn pas ɔl. di hipokampus na di pat pan di bren we de involv mεntal wit wi mεmכri dεm.

2. Nikortikכl כ Lateral Tεmporal Lכb Epilepsy: pan dis, di sik dεm de stat na di כta pat pan yu tεmporal lכb.

Wetin na di sayn dɛm fɔ dis sik?

Di sayn dɛm fɔ temporal lobe epilepsy inklud wan strenj sɛns we kin apin bifo pɔsin gɛt sik, we dɛn kɔl epileptic aura, ɛn di sik insɛf.

Tin dɛm wae yu kin gɛt wae yu gɛt epileptic aura:

• `Déjà vu`: Dis na di famili filin we kin kam we yu go na ples we yu nɔ ɛva go, lɛk "A dɔn de ya bifo." Ɔ, mɛmori we de fil lɛk sɔntin we bin dɔn apin bifo de apin bak.
• `Jamais vu`: Dis na di opozit to `déjà vu`. Na we sɔntin we yu rili sabi (fɔ ɛgzampul, wan rum na yu os) kin fil lɛk se i strenj ɛn yu nɔ sabi am wantɛm wantɛm.
• Wan filin fɔ fred, wɔri, ɔ wɔri wantɛm wantɛm; ɔ vɛks, sɔri, ɔ gladi at.
• wan strenj rol senseshɔn lεk se di bεlε de kam כp frכm insay (jכs lεk di filin we yu kin gεt we yu de pan rכla kכsta).
• di sεns dεm we de fil bכku (lεk fכ yεri, si, smεl, tεst, כ tכch tin dεm bכku pas aw i kin tכch).

Nɔto ɔlman kin gɛt dis `aura`. Wan `aura` na rili wan `fokal-aware seizure`. Dat min se we dɛn sik ya apin, yu kin no ɛn no wetin de apin. Dis kin las frɔm sɔm sɛkɔn to lɛk tu minit.

Ɔda sayn dɛm wae yu kin si wae pɔrsin gɛt sik:

Dɛn simptom ya kin apin afta di aura:

• Nɔbɔdi nɔ kin no natin.
• Wan blank ɛksprɛshɔn na di fes.
• di pupil dεm na di yay dεm de big.
• Ripit di sem tin we nɔ gɛt ɛni minin (automatisms). Fɔ ɛgzampul, fɔ mek lɛk se yu de pik sɔntin wit yu an, fɔ blink yu yay, fɔ purs yu lip, fɔ mek lɛk se yu de it sɔntin, fɔ swɛla.
• Kɔnfyus.
• Di nɔ ebul fɔ tɔk ɔ ɔndastand wetin dɛn tɔk fɔ shɔt tɛm (aphasia).
• Di bɔdi stif ɛn i de bit.

Wetin kin mek yu gɛt temporal lobe epilepsy?

di men rizin fכ dis na biכs di nεv sεl dεm כ nyuron dεm na yu tεmporal lכb nכ de kכmכnik fayn fayn wan. Nyurɔn na di wan dɛn we de sɛn ilɛktrik signal to difrɛn pat dɛn na di bren. We yu gɛt sik we de mek yu sik, dɛn nyuron ya kin sɛn tumɔs sayn dɛn we yu nɔ kin kɔntrol.

Dis na sɔm pan di men tin dɛm wae kin mek yu gɛt temporal lobe epilepsy:

• di hipokamp sklerכsis: dis na di damej εn lכs fכ nyuron dεm εn glial sεl dεm na di hipokamp.
• fכkal kכtikal displasia: Na abnכmal kכlכsta fכ nyuron dεm na di bren.
• Tumɔs dɛn na di bren.
• Traumatik bren injuri (TBI).
• Infεkshכn: Sɔm ɛgzampul dεm na bren absεs, mεningaytis, εn εnεfalaytis.
• Sik dɛm we gɛt fɔ du wit blɔd vesel dɛm: Fɔ ɛgzampul, `strok`, `arteriovenous malformations (AVMs)`.
• Jɛnɛtik difrɛns dɛn.
• Di tin dɛn we wi nɔ no bɔt.

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Dis kכndyushכn, we dεn kכl `TLE`, kin divεlכp pan εni ej. Bɔt yu kin gɛt mɔ prɔblɛm if yu:

• If yu dɔn gɛt fiva sik we yu bin smɔl.
• If yu dɔn gɛt wan sik we de mek yu sik we de te pas fayv minit, ɔ if yu dɔn gɛt sɔm sik dɛn we de kam afta yu nɔ gɛt kɔnshɛns bak (status epilepticus).
• If yu gɛt wan sik we yu bɔn wit ɔr sik lɛk yu bren tumbu.
• If yu dɔn gɛt siriɔs ed injuri (TBI) ɔ yu bren infɛkshɔn we yu bin smɔl.
• If pɔsin na di famili gɛt tɛmporal lɔb ɛpilepsi (famili istri).

Na lɛk tu-tɛd pan di pipul dɛn we gɛt `TLE` dɔn gɛt fiva sik we dɛn bin smɔl. Bɔku pan dɛn tin ya kin kɔmpleks (we min se dɛn kin las fɔ lɔng tɛm). Bɔt, mɛmba, nɔto ɔlman we dɔn gɛt fiva sik go gɛt `TLE`. I nɔ kin apin so ɔltɛm.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt temporal lobe epilepsy?

Wit TLE, yu de pan risk fɔ gɛt nyurokognitiv dɛklin we nɔ go ɛva chenj. Dis min se i nɔ kin izi fɔ yu fɔ lan nyu tin dɛn, fɔ mɛmba tin dɛn, fɔ disayd fɔ du sɔntin, ɛn fɔ pe atɛnshɔn pan sɔntin.

Di mɔ yu gɛt sik dɛn we de mek yu sik, ɛn di mɔ we yu dɔn gɛt am fɔ lɔng tɛm, na di mɔ yu go gɛt:

• Pwɛl at
• Wɔri
• Di mɛmori we yu nɔ ebul fɔ mɛmba
• Day Wantɛm we pɔsin nɔ Ɛksplen pan Epilepsy (SUDEP) .

So, i rili impɔtant fɔ go to dɔktɔ ɛn gɛt di rayt tritmɛnt fɔ `TLE`. Dis go ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk dis.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Dɔktɔ kin no se yu gɛt temporal lobe epilepsy bay we i aks yu bɔt di sayn dɛm we yu gɛt, lan bɔt aw di sik bigin, du nyurolɔjik ɛgzamɛn, ɛn du ɛni tɛst we nid fɔ du. Di dɔktɔ go aks yu bak bɔt wetin apin bifo ɛn afta di sik. I go rivyu yu mɛdikal istri bak.

Sɔntɛm yu nɔ go mɛmba wetin bin apin di tɛm we yu bin gɛt di sik. If na so, i go fayn fɔ mek yu kam wit pɔsin we bin de wit yu we di sik kam to di dɔktɔ. Dɔn dɛn kin tɛl di dɔktɔ wetin dɛn si.

Test kin ɛp yu dɔktɔ fɔ si wetin de apin insay yu bren. Dɛn kin du tɛst dɛn lɛk dɛn wan ya:

• MRI (Magnetic Resonance Imaging) skan: Tek klia pikchɔ bɔt di bren.
• `EEG (Electroencephalogram)` ɔ `video-EEG` test: Luk di ilɛktrik aktiviti na di bren.
• `SPECT (Singl Fɔtɔn Ɛmishin Kɔmpyuta Tomografi)` skan tɛst.
• `PET (Positron Emishin Tomografi)` skan.
• `MEG (MEG - Magnεtoεnsεfalografi)` tεst.
• Nyurosaykolojik tɛst: Chɛk aw tin lɛk mɛmori ɛn atɛnshɔn de.

Wetin na di tritmɛnt fɔ temporal lobe epilepsy?

Dɛn kin du dɛn tin ya as tritmɛnt fɔ temporal lobe epilepsy:

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

Apat frɔm dat, yu dɔktɔ kin tɛl yu bak fɔ mek sɔm chenj dɛn na yu it, lɛk it we gɛt ketogenic. Dis na it we gɛt bɔku fat ɛn we nɔ gɛt bɔku kabɔhaydrɛt.

Mεdikeshכn dεm fכ temporal lobe epilepsy

Bɔrku mɛrɛsin de fɔ trit temporal lobe seizures. Sɔm ɛgzampul dɛn na:

• `Brivaracetam`
• `Sɛnobamat`
• `Karbamazɛpin`
• `Gabapentin`
• `Lamotrijin`
• `Lakosamid`
• `Lɛvɛtirasɛtam`
• `Okskarbazepin`
• `Prɛgabalin`
• `Rufinamid`
• `Topiramat`
• `Valproat`
• `Zonisamid`

Yu dɔktɔ go tray wan ɔ sɔm mɛrɛsin dɛn, we gɛt difrɛn doz dɛn, fɔ fɛn di wan we go wok fɔ yu.

Impɔtant: Sɔm mɛrɛsin dɛn we de mek di pikin gɛt bɛlɛ kin ambɔg di pikin we i gɛt bɛlɛ. So, mek shɔ se yu tɛl yu dɔktɔ if yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ.

Ɔpreshɔn fɔ tɛmporal lɔb ɛpilepsi

If dɛn nɔ ebul fɔ kɔntrol di sik dɛn we de mek pɔsin sik wit mɛrɛsin, ɔ if na sɔntin lɛk bren tumor, di dɔktɔ kin tink bɔt fɔ du ɔpreshɔn.

temporal lobectomy (we de pul pat pan di temporal lobe) na di ɔpreshɔn we dɛn kin du pas ɔl. Bɔt bikɔs di tɛmporal lɔb de kɔntrol bɔku impɔtant wok dɛn, di nyurosɔjɔn kin plan di ɔpreshɔn fayn fayn wan fɔ mek i nɔ ambɔg di bren wok.

Tu we dɛn we nɔ kin ambɔg bɛtɛ na stiriɔtaktik redio ɔpreshɔn ɛn lɛsa ablashɔn . dis mכt dεm de yuz lεzεr bim כ rεdyushכn fכ pwεl di nεv sεl dεm כ tisu dεm na di tεmporal lכb usay di sik de bigin.

Nεv stimulashכn fכ tεmporal lכb εpilepshכn

If mɛrɛsin nɔ wok, ɔ if ɔpreshɔn nɔ sef, yu kin tink bɔt nyurostimuleshɔn divays dɛn. Dis involv fɔ sɛn ilɛktrik impuls to yu tɛmporal lɔb tru wan divays we dɛn put insay yu bɔdi. Dis tritmɛnt kin ridyus smɔl smɔl di nɔmba fɔ di sik dɛn we yu kin gɛt as tɛm de go. Di men kayn divays dɛn we dɛn kin yuz fɔ TLE na:

• `Vagus nεv stimulashכn (VNS)`
• `Rεspכnsiv nyurostimulashכn (RNS)`
• `Dip bren stimulashɔn (DBS)`

Us kayn op yu kin gɛt we yu de liv wit dis sityueshɔn?

Aw yu sityueshɔn go bi dipen pan tin dɛn lɛk:

• Aw ɔltɛm yu kin gɛt sik wae de mɛk yu sik?
• Aw lɔng yu dɔn gɛt dis sik?
• Yu jenɛral wɛlbɔdi.
• If kɔmplikeshɔn dɛn we nɔ go ebul fɔ chenj dɔn bigin.

Bɔrku pipul kin kɔntrol dɛn sik fayn fayn wan wit mɛrɛsin. Sɔm pipul dɛn kin ivin tɔk se di sik we dɛn kin gɛt kin dɔnawe wit dɛn afta dɛn dɔn du dɛn ɔpreshɔn. Bɔt dis kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. Yu dɔktɔ kin gi yu mɔ kɔrɛkt tin bɔt yu sityueshɔn.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If yu dɔn ɛva gɛt sik, ɔ yu tink se yu go dɔn gɛt sik, yu fɔ rili go to dɔktɔ.

If dɛn dɔn ɔlrɛdi no se yu gɛt temporal lobe epilepsy, kɔl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn tin ya:

• If yu sik de te pas fayv minit.
• If ɔda sik kam jɔs lɛk aw di fɔs sik dɔn dɔn.
• If di frɛkuɛns ɛn di kayn we aw pɔsin kin sik kin bɔku.
• If nyu simptom ɔ sayd ɛfɛkt dɛn we di mɛrɛsin dɛn gɛt apin.
• If di wɛl bɔdi afta di sik dɔn dɔn slo pas aw i kin bi, ɔ if di wɛl bɔdi nɔ dɔn kɔmplit.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ

If yu gɛt `TLE`, i fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn tritmɛnt yu kin kɔmɛnt fɔ mi?
• Ɛni bad tin de we di tritmɛnt kin du?
• Dis anti-seizure medication sef if a de op fo stat famili?
• A kin gɛt ɔpreshɔn fɔ mek a gɛt ɛpilepshi?

yu nɔ go no aw impɔtant yu tɛmporal lɔb dɛn te dɛn stɔp fɔ wok 100% fayn fayn wan. Temporal lobe epilepsy (TLE) kin afɛkt dɛn wok as tɛm de go. Bɔt dɔktɔ kin ɛp yu fɔ kɔntrol di TLE sik ɛn mek yu nɔ gɛt prɔblɛm dɛn.

Di tritmɛnt fɔ TLE na fɔ yu nɔmɔ. Yu kin nid fɔ tray difrɛn mɛrɛsin ɛn difrɛn doz dɛn te yu fɛn di wan we go wok fɔ yu. Sɔntɛnde, mɛrɛsin nɔr kin woke ɛn ɔpreshɔn kin bi di bɛst opshɔn.

Fɔ kɔntrol layf wit ɛpilepshi kin tranga. Bɔt yu kin gɛt ɛkstra ɛp frɔm sɔpɔt grup ɔr bay wae yu tɔk to pɔrsin wae sabi bɔt mɛntɛl hεlth . Yu mɛdikal tim go de wit yu fɔ ansa ɛni kwɛstyɔn we yu go gɛt we yu de go.

Faynal Mɛsej fɔ Tek-Hom

Diya padi, Temporal Lobe Epilepsy nɔto sɔntin fɔ fred, bɔt i nɔto sɔntin fɔ ignore bak.

Mɛmba se yu kin liv fayn fayn wan wit dis sik. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn gɛt di rayt tritmɛnt.

• If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
• Tek di mɛrɛsin we dɛn gi yu jɔs lɛk aw dɛn tɛl yu fɔ tek, di rayt tɛm. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ go to yu dɔktɔ.
• If yu dɔktɔ se yu fɔ mek sɔm chenj dɛn na yu layf (e.g., ketogenic diet), tray fɔ fala dɛn.
• Stay strɔng na yu maynd. If nid de, aks fɔ advays. Nɔto yu wan de.
• I fayn fɔ mek yu fambul ɛn padi dɛn no bɔt dis tin bak. Dɔn dɛn kin ɛp yu.

Wi op se dis infɔmeshɔn go fayn fɔ yu. Stay wit wɛlbɔdi!

` Temporal Lobe Epilepsy, Epilepsy, Seizure, Bren Disease, Nyurolɔjik Disease, Temporal Lobe Epilepsy, Sizi