Fit tan thluak surgery bik tih (Corpus Callosotomy) - hei hi kan sawi dawn em?

Nangmah emaw, i chhungte zinga tu emaw hian seizures thlen thei, chu chu epilepsy tihna a ni em? A châng chuan doctor-in damdawi a pêk pawh ni se, he natna hi thunun a harsa hle. A bik takin ‘drop attack’ ang chi thil a lo awm a, chutah chuan taksain hriatna a hloh thut a, leiah a tla thla a nih chuan a hlauhawm tak zet a ni. Vawiin hian chutiang mite tana doctor-te’n an rawt surgery bik chungchang kan sawi dawn a ni.

Corpus Callosotomy tih hi eng nge ni?

A awlsam zawngin sawi ila, Corpus Callosotomy hi epilepsy natna enkawlna atana surgical procedure a ni. Damdawi hmanga thunun harsa tak, epilepsy na tak nei te chungah tih a ni tlangpui.

Kan thluak hi hmun hnihah a inthen niin han ngaihtuah teh. Heng hmun pahnih hi hemisphere kan ti a. Heng hemisphere pahnih hi an inzawm khawm a, bridge ang maia nerve fiber hmangin information an inthleng a ni. Chu nerve fiber chu Corpus Callosum an ti a .

Corpus Callosotomy an tih lai hian specialist neurosurgeon chuan he bridge Corpus Callosum an tih hmang hian operation nalh tak a ti a, a tikehsawm a ni.

He surgery hian eng nge a huam tak tak a, tu tan nge a inhmeh ber?

He surgery zawh hian thluak sir lehlamah inbiakpawhna a tawp tawh avangin fit a awm tak tak pawhin thluak sir khatah chauh a awm ang. Chuvangin fit nasatzia chu nasa takin a tlahniam a ni.

He surgery hi atonic seizures nei tan a tangkai hle a ni . Hei hi taksa ruh (muscles) te hian hriattirna tel lova chakna an hloh thut a, leiah an tla thla a ni. Hengte hi ‘drop attack’ kan ti bawk. Heng hun chhung hian ruh tliak leh lu na taka vuak theihna a sang hle a, hliam na tak (concussions) a thlen thei a ni. Chuvangin he surgery hian hetiang seizure chi hlauhawm tak nei mi nunah danglamna nasa tak a thlen thei a ni.

Mahse, he surgery hi partial/focal seizures nei tan chuan a tangkai vak lo a, chu chu thluak hmun tenau pakhat atanga tan a ni a, chu hmunah chuan a innghat a ni. Hei hi a chhan chu a tlangpuiin seizure hi thluak hmun dangah a darh lo.

Operation hmain eng nge beisei tur?

I doctor chuan operation hmaa i hriat tur zawng zawng a hrilhfiah vek ang. A thluaka khawiah nge seizure hi a intan tih chiang taka hriat theih nan test engemaw zat a tih a ngai dawn a ni.

Engtin nge surgery hi an tih thin?

He surgery hi general anesthesia hmanga tih a ni a, chu chu engmah i hre lo ang a, i muhil vek dawn tihna a ni. Neurosurgeon chuan i luruh chhungah hawnna a siam hmasa ang (craniotomy).

Surgery neih chhunga step hrang hrangte chu hetiang hi a ni mai:

• Surgery neihna tur hmun siam nan luruh atang hian ruh te tak te an la chhuak thin.
• Thluak venghimtu ‘dura’ an tih membrane chak tak chu zawi zawiin thluak thleng turin an paih chhuak thin.
• Surgical instrument bik leh microscope hmangin nerve bundle Corpus Callosum an tih chu an hmu a, chuta tang chuan incision tha tak an siam a ni.
• Tichuan, dura mater chu a hmunah dah leh a, luruh ruh lakchhuah chu an inzawm leh a, incision chu stitches emaw staple emaw hmangin an khar leh a ni.

A châng chuan, he surgery hi stage hnih-ah tih theih a ni . Stage hmasa berah chuan doctor chuan Corpus Callosum hmalam chauh a tan a. Hei hian thluak kil hnih chu thil hmuh theih ang chi thil inthleng chhunzawm zel turin a phalsak a ni.

Mahse, chu mi hnuah chuan fit nasatzia a tlahniam lo a nih chuan doctor chuan Corpus Callosum chu a inthen vek theih nan operation vawi hnihna neih leh a rel thei a ni.

Operation hnuah eng nge i beisei theih ang?

Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Kar 6 atanga kar 8 chhungin nitin hnathawhnaah i kir leh thei tlangpui. Amaherawhchu, mi thenkhat chu an dam leh theih nan hun rei zawk an hmang thei. Hei hi thil tam takah a innghat a, chu chu operation awm dan leh a side effect awm thei zawng zawngah a innghat a ni.

Dam chhoh chhung hian hun eng emaw chen chu a hnuaia mite hi i tawng thei a ni:

• Chau lutuk nia inhria
• Lungngaihna
• Lu na
• Memory lama harsatna a awm
• Luhai
• Surgical incision vel chu a rilru a buai hle
• Thusawi harsa

He surgery hian eng hlauhawmna leh harsatna nge a neih?

Brain surgery dang ang bawkin, hlauhawmna engemaw zat a awm. Mahse i doctor chuan a hlawknain a hlauhawmna a phak loh chuan operation tih chauh a rawt ang. Complication na tak tak a awm hi a tlem hle.

• Disconnection Syndrome: Hei hi operation hnua harsatna awm thei tam ber a ni. A awlsam zawngin, thluak kil hnih a inzawm loh avangin taksa peng hnih chu inhnialna neiin hna an thawk tan thei a ni. Entirnan, kut veilam chuan kut dinglam thil tih tibuaitu ang maiin a inhria thei.

• Risk dangte chu:
• Taksa balance hloh (Coordination hloh) .
• Thluak sir khatah chauh awm thin partial seizures hi a pung thei a ni.
• Thusawi lama harsatna: Thumal siam harsa (apraxia) leh hriatthiam leh thusawi harsa (aphasia) ang chi dinhmun.
• Stroke vei theihna a awm.
• Thluak a hring chhuak.
• Hydrocephalus natna a ni. Hei hian shunt dahna tur surgery dang neih leh a ngai fo thin.

Engtiang chiahin nge surgery chu a hlawhtlin?

Zirna hrang hrangah chuan hei hi damdawi hmanga thunun theih loh fits enkawlna tha tak a ni tih hmuhchhuah a ni.

• He surgery nei zinga a chanve vel (50%) chuan ‘drop attack’ tihtawp vek an tawng thin.
• Operation hnuah mi 5 zinga 1 (20% vel) chuan seizures an nei tawh lo vek thei.

Epilepsy an tih natna nen nun hi thil awlsam a ni lo. Nunna atana hlauhawm leh nunna atana hlauhawm pawh a ni thei. Seizure na tak, ‘drop attack’ ang chi hi damdawi hmanga control theih loh chuan i doctor chuan he surgery hi a rawt thei ang. Hei hian i nunphung nasa takin a tichangtlung thei a ni.