Frontal Lobe Seizure: Hei hi awlsam takin han hrethiam ila

I chhungkuaa mi pakhat, i fa pawh ni thei, zanah a harh nghal vat a, a au chhuak a, an kut leh ke an vawm a, mak tak maiin an che tih i hmu ngai em? A nih loh leh, chhûn lamah pawh, chibai bûk emaw, nuih emaw ang chi nungchang mak tak tak i lantîr nghâl em? Mi tam tak chuan hei hi mumang tha lo emaw, rilru lam harsatna emaw niin an ngai a, mahse hei hi thluaka lo awm seizure a ni thei. Vawiin hian seizure chi khat bik kan sawi dawn a, chu chu ‘Frontal Lobe Seizure’ an ti a. He hming i hriat hian hlau suh, engkim hi awlsam takin sawi ila.

Frontal Lobe Epilepsy hi eng nge ni?

A awlsam zawngin sawi ila, hei hi epilepsy chi khat a ni. Kan thluak hmalam, hmai hnung lam chu ``Frontal Lobe'' an ti a. Hei hi kan thluak peng lian ber a ni. He part hian thil pawimawh tam tak a thunun a, chu chu kan nungchang te, kan mize te, kan ngaihtuahna te, thutlukna siam te, kan zirlai te, kan thusawi te, leh kan taksa chetna te hi a ni.

Chuvangin, `Frontal Lobe Seizure`, a nih loh leh seizure hi `Frontal Lobe` chhunga neurons te electrical activity chu rang taka thil danglam leh thunun theih loh a lo nih chuan a lo awm thin. Thluak hmun bik pakhat atanga tan a nih avangin ``focal seizure`` kan ti bawk.

Heng seizures te hi zanah mut laiin a thleng fo thin avangin mi thenkhat chuan hei hi mut that lohna emaw rilru natna emaw niin an ngai sual a ni. Mahse, hei hi dik taka hriatchhuah leh enkawl a pawimawh hle.

He seizure hi eng symptoms nge ni?

Heng seizures te hi mi zawng zawng tan a inang vek lo. Mahse a lan chhuah dan tlangpui thenkhat a awm. A tlangpuiin an dam rei lo hle a, a chang chuan minute khat aia rei lo an ni. Tin, darkar 24 chhungin vawi eng emaw zat an awm thei bawk.

I fa chu zan lama a mut laiin, rang takin khumah a thu a, bicycle khalh ang maiin a ke a beng tan a, a nih loh leh a kut chu a bengchheng hle a, a au chhuak ta ang tih han ngaihtuah teh. Tu pawhin hetiang thil hi an hmuh chuan an hlauthawng ang a ni lawm ni? A hnuaia table-ah hian chutiang huna chhinchhiahna hmuh theihte tarlan a ni.

Seizure hmaa i hriat thin thilte (Aura) .

Mi thenkhat chuan seizure an neih hma lawk hian thil mak tak mai an nei thin. Hei hi ``aura'' kan ti a. Hei hi mi zawng zawngin an dawng vek lo bawk. Mahse chutiang titu mite chuan hetiang hi an tawng thei a ni:

• Hlauhna, thinrim leh lungngaihna rilru put hmang rang tak.
• I taksa chu a tingling ang maia hriat.
• Hriak, hriatna leh hmuhna lama inthlak danglamna.

Seizure a zawh hnuah, ``postictal state''-ah chuan mi pakhat chu a rilru a buai thei a, hriatrengna a hloh thei a, taksa natna pawh hun engemaw chen a nei thei bawk.

Engvangin nge hetiang seizure hi a lo awm?

A chhan dik tak chu hriat chian theih a ni ngai lo va, mahse he natna thlentu tur thil tlanglawn tlemte a awm.

• Pian tirh lama harsatna: Nausen pum chhunga naute thluak lo thanglian zel laia thil danglam lo awm apiang.
• Brain infections: Naupan laia thluak nghawng thei natna hrik kai.
• Lu hliam: Lu hliam na tak (Traumatic brain injury).
• Stroke: Thluak lama thisen kal a tihkhawtlai avanga thluak chhiatna.
• Brain tumor: Thluak chhunga lo thang lian zawng zawng.
• Genetic causes: A chang chuan he natna hi rochun theih a ni a, mahse hei hi a tlem hle.

Hetiang dinhmun thlentu risk factors te

Hetiang dinhmun hi kum eng pawhah awm thei mahse, mi thenkhat chu an hlauhawm zawk.

• Chhungkaw zinga mi pakhatin epilepsy a neih chuan.
• Naupan lai khan thluak natna i nei a nih chuan.
• Stroke, lu hliam, thluaka tumor i neih chuan.
• Pian tirh khan thluak lama harsatna engemaw zat neia piang i nih chuan.

Hetiang dinhmun hi a hlauhawm em? Eng nge a hlauhawmna?

Seizure neih hi a hmasa berah chuan hlauhawm tak angin lang mah se, enkawl dan dik tak chuan a thunun tha thei a ni. Mahse, seizure a awm fo a, enkawl a nih loh chuan hlauhawmna engemaw zat a awm thei.

• Taksa hliam: Seizure i neih laiin tlu emaw, hriat lohna atanga paih emaw i ni thei.
• Status Epilepticus: Hei hi emergency condition a ni. Hei hi minute 5 aia rei seizure a awm emaw, seizure pakhat a tawp a, hriatna a lo kir leh hmaa seizure dang a intan emaw a ni. Chutiang hunah chuan damlo chu damdawi in pakhat Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni.
• SUDEP (Sudden Unexplained Death in Epilepsy): Hei hi thil awm lo tak a ni. Epilepsy vei, sawifiah theih loha thih thut mai a ni. Enkawlna dik tak a awm chuan he hlauhawmna hi nasa takin a tlahniam thei a ni.

Hetiang dinhmun nena kan nun hian rilru lama harsatna engemaw zat neih hi thil pangngai a ni. Chuvangin, i doctor nen inbia la, a tul chuan rilru lam hriselna lama mithiam tanpuina i la thei bawk.

Engtin nge doctor hian hei hi a hmuh theih?

Heng symptoms te hi i doctor i hrilh hian zawhna chipchiar tak a zawt ang che a, a enfiah ang che. Hemi hnu hian test eng emaw zat a ti ang a, a natna hi a finfiah ang.

• MRI Scan: MRI scan hian i thluak chipchiar takin a thlalak a la thei a. Thil dik lo eng emaw a awm leh awm loh a enfiah thei a, chu chu thluaka tumor emaw, thluak natna emaw a ni.
• EEG (Electroencephalography): Hei hian i thluaka electrical activity, a nih loh leh i thluaka ‘current’ awm zat a teh a ni. Hei hian thluaka khawiah nge seizure hi a intan tih hriat theih nan a pui thei a ni.
• Video EEG: Hei hi EEG nena in connect laiin videotaping che a ni. Hei hian damdawi inah ni khat a mamawh tlangpui. Hei hian seizure i neih laiin i nungchang leh i thluak hnathawh te chu tehkhin nan a pui a ni.
• SEEG (Stereoelectroencephalography): Hei hi damdawi hmanga seizure control theih loh leh surgery ngaihtuah a nih chauhvin tih thin a ni. Hei hian thluak chhung thuk takah electrical activity enfiah turin thluaka electrode surgery hmanga dah a huam a ni.

Hei hi eng enkawlna nge ni?

Enkawlna tum ber chu seizure awm tam lutuk tihtlem a ni a, a theih chuan tihtawp vek a ni.

1. Antiseizure damdawi

Hei hi enkawlna hmasa ber a ni. Heng damdawi te hian thluaka electrical activity pangngai lo chu a control a ni. I doctor chuan i symptoms a zirin i tan damdawi dik tak a thlang ang. A châng chuan damdawi dik leh a dose dik tak hmuh theih nân hun rei tak a ngai thei bawk.

2. Surgery (Epilepsy surgery) tih a ni.

Damdawi chauh hian seizures control nan a tawk lo a nih chuan i doctor chuan operation neih a ngaihtuah thei ang. Hei hian thluak atanga seizures thlentu hmun tlemte lakchhuah a huam a ni. Surgery hmain thluak hi uluk takin map a ni a, chutiang chuan hnathawh pawimawh tak takte chu a nghawng lo.

3. Neuromodulation tih a ni

Hetiang method hi surgery tih theih loh hunah hman theih a ni. Taksa chhunga hmanraw te tak te dah luh a ni a, chu chuan thluaka electrical signal a thawn a, chu chuan seizures a titawp thei a ni.

• Vagus Nerve Stimulation (VNS): Kan rilru vun hnuaiah hian hmanraw te tak te dah a ni a, chu chuan kawr chhunga vagus nerve a tichak a ni.
• Responsive Neurostimulation (RNS): Luruh chhungah hian hmanrua pakhat dah a ni. Hei hian thluak hnathawh a enfiah a, seizure a awm dawn tih a hriat hunah chauh electrical signal a thawn thin.
• Deep Brain Stimulation (DBS): Hei hi `VNS` nen a inang a, mahse hetiang hunah hian electrical signal chu thluak thuk zawkah direct-in a thawn chhuak thin.

I doctor chuan heng enkawlna zingah hian eng nge i tan a tha ber tih a sawipui ang che.