I lu hmalam lamah seizure i nei em? (Frontal Lobe Seizure) - Hemi chungchang hi han sawi ila!

‘Frontal Lobe Seizure’ tih emaw, ‘Frontal Lobe Epilepsy’ tih emaw i hre tawh em? Nang emaw i hriat emaw hian hetiang epilepsy hi i nei tawh mai thei. Hei hi thil buaithlak deuh angin lang mahse, a awlsam zawngin sawi ila. A chhan chu hei hi hriat chian a pawimawh hle a ni.

‘Frontal Lobe Epilepsy’ tih hi eng nge ni?

A awlsam zawngin, frontal lobe epilepsy hi seizure disorder a ni a, frontal lobes , i hmai hnung lama awmte a nghawng a ni. Heng frontal lobes te hi kan thluak peng lian pali zinga lian ber an ni. A vei lamah pakhat a awm a, ding lamah pakhat a awm bawk. Hengte hi kan:

• Nungchang leh mize
• Ngaihtuahna, zir leh thutlukna siam (Cognition) .
• Movement hrang hrang
• Thusawi

Thil tih ang chi te a control thin.

Chuvangin, ‘frontal lobe epilepsy’-ah hian thluak ‘frontal lobes’-ah electrical activity danglam tak a awm a. ‘Short circuit’ ang mai a ni. Hemi avanga epileptic condition lo awm thin hi ‘frontal lobe seizures’ kan ti thin. Chungte chu ‘focal seizure’ chi hrang hrangah an tel a ni. Chu chu, epileptic condition hi thluak hmun bik pakhatah a intan tihna a ni. Hei hi thluak veilam ‘frontal lobe’ atang emaw, dinglam atanga tan theih a ni.

Because these symptoms often occur at night , a chang chuan rilru natna emaw mut harsatna emaw anga ngaih theih a ni. Chuvangin diagnosis dik tak neih a pawimawh hle.

‘Frontal lobe epilepsy’ chi hrang hrang a awm em?

Ni e, chi khat bik a awm. ‘Autosomal dominant sleep-related hypermotor epilepsy’ an ti a ni. Tun hma chuan ‘autosomal dominant nocturnal frontal lobe epilepsy’ tia sawi a ni bawk. Hei hi mut laiin epilepsy chi khat a ni. Hetiang chi hi chhungkuaah a kal fo thin a, chu chu thlah kal zelah a kal zel thei tihna a ni.

Hetiang dinhmunah hian eng symptoms nge hmuh theih?

Frontal lobe epilepsy chhinchhiahna ber chu thluak hmun khata intan focal seizure rei vak lo a ni. Heng seizures te hian symptoms a thlen thei a, chungte chu:

• Thiltih dan danglam tak: Thil chi hrang hrang, au chhuah thut, nuih, chibai buk, etc. Mi pakhatin a muhil lai hian hetiang thil hi a ti nghal a nih chuan midangte an hlauthawng ang tih hi han ngaihtuah teh.
• Lu emaw mit emaw chu a sir khatah hawitir.
• I ke kick emaw, bicycle khalh ang chi movement siam emaw.
• Thrashing emaw convulsion emaw a awm thei.
• Thunun loh, tih nawn fo thin (e.g., kut leh ke rang taka tihngheh).
• Twitching emaw, repetitive twitching emaw a ni thei.
• Thil hriatna hloh emaw, a chhehvel hriatna emaw (van lam en reng ang chi).
• Urinary emaw fecal incontinence emaw a awm thei.
• Muscle chak lohna.
• Thusawi harsa.
• Mihring nihna a inthlak danglam thin.
• Mut harsatna a awm.

Heng ‘seizures’ te hi cluster-ah a awm fo thin a, darkar 24 chhungin vawi hnih aia tam a awm thei tihna a ni. I mut laiin an thleng tlangpui , mahse i harh lai pawhin an thleng thei bawk. Tin, an dam rei lo tlangpui bawk a, minute khat aia rei lo an ni.

A châng chuan, seizure i neih ṭan hmain ‘aura’ i nei thei a, chu chu thil danglam tak a ni. Chung zingah chuan:

• Emotion inthlak danglam nghal: hlauhna, lungkhamna, thinrimna, lungngaihna emaw, hlimna emaw ang chi.
• Hriatthiamna danglam tak: Numbness ang chi.
• Sensory perception inthlak danglamna: rim hriatna, hriatna, hmuhna, ei leh in emaw khawih hriatna danglam.

Frontal lobe seizure hnuah chuan buaina, hriatrengna hloh, a nih loh leh taksa ruh natna i nei thei . Hei hi postictal state an ti a .

‘Frontal lobe epilepsy’ hi engte nge ni?

Frontal lobe epilepsy hi i frontal lobe-a electrical activity dik lo vang a ni. A tlangpuiin kan thluaka nerve cell, neurons , tia koh te hian signal an thawn chhuak thin. Mahse frontal lobe seizure-ah chuan heng neurons te hian control theih lohvin an kap chhuak thin.

Hei hi nghawng thei chhan tlangpui chu:

• Embryonic stage chhunga thluak lo thanglian dan pangngai lo.
• Thluak natna a awm.
• Thai.
• Lu hliam na tak (Traumatic brain injury) a awm.
• Thluak natna (brain tumor) a awm.
• Genetic lama danglamna (genetic variation) a awm.

A châng chuan chhan i hmu thei lo mai thei.

Hei hi thlah kal zel atanga lo chhuak thil a ni em?

Ni e, frontal lobe epilepsy chi khat hi nu leh pa atanga naupangte hnena kai theih a ni a, mahse a tlem deuh. Mut vanga hypermotor epilepsy chi khat kan sawi tawh kha autosomal dominant condition a ni. Chumi awmzia chu nu leh pa zinga pakhatin he genetic mutation hi a neih chuan naupangin a rochun a rinawm tihna a ni.

Hetiang dinhmun hi tute nge hlauhawm ber?

Frontal lobe epilepsy hian tu pawh, kum eng pawhah a nghawng thei. Mahse, a hnuaia thilte avang hian i hlauhawmna a sang zawk thei a ni:

• I chhungkuaa tu emaw chuan epilepsy (biological family history) a nei a nih chuan.
• Naupan lai khan thluak natna i nei a nih chuan.
• Stroke, lu hliam na tak, tumor emaw, frontal lobe chhiatna dang emaw i neih tawh chuan.
• Hmasawnna lama tlai a awm chuan.
• Pian tirh atanga thluak dik lo neia piang i nih chuan.

Frontal lobe seizures tihpunna chhante chu engte nge ni?

‘Triggers’ hi epileptic seizure neih theihna tipungtu thil a ni. ‘Trigger’ tlanglawn tak takte chu:

• Rimtawng.
• Light a eng chhuak.
• Mut tlakchhamna.
• Substance hman dan.

Chungte chu mi hrang hrangah a inang lo thei . I thil tih leh seizure a lo chhuah hmaa i rilru put hmang record vawn hian i nghawng thei triggers te chu a hriat theih nan a pui thei che a ni.

‘Frontal lobe seizures’ hi a hlauhawm em?

Frontal lobe seizure fo hian a hnuaia mite hi a thlen thei a ni:

• Hliam tuar theihna a tipung.
• Status epilepticus: Minute nga aia rei seizures a awm. Hei hi nunna atana hlauhawm emergency a ni.
• Sudden unexplained death in epilepsy (SUDEP): Hei hi a tlem hle a, mahse a thleng thei.

Seizures neih hian i rilru hriselna leh rilru hriselnaah nghawng lian tak a nei fo thin. Chuvângin, doctor-in a rawt enkawlna dangte bâkah, rilru lam hrisêlna lama thurâwn petu nêna inbiakna neih chu ngaihtuah rawh .

Mahni intihhlum tumna i neih chuan doctor pan nghal la, emaw, i rintlak mi biak emaw rawh . Sri Lanka ramah hian he thil atan hian tanpuina i hmuh theihna hmun a awm (e.g. Sumitrayo 0112682535). Nangmah chauh i ni lo tih hre reng la, tanpuina dil pawh hlau suh.

Engtin nge ‘frontal lobe epilepsy’ hi hriat chhuah a nih?

Frontal lobe epilepsy hriat chian nan i doctor chuan i medical history a enfiah ang a, physical exam a ti ang. Hei bakah hian test eng emaw zat tih a ni thei bawk a, chu chu a natna hmuhchhuah a nih thu a nemnghet thei bawk.

Diagnostic test te pawh a awm

‘Frontal lobe epilepsy’ hriat theihna tura puitu test te chu hetiang hi a ni:

• MRI (Magnetic Resonance Imaging) scan: Hei hian i thluak chipchiar takin thlalak a la thei a. Hei hian i seizures thlen thei tur tumor, lesions, emaw harsatna dang emaw a awm em tih hriat nan a pui thei a ni.
• EEG (Electroencephalography): Hei hian i thluak electrical activity a record a. Hei hian seizure hi khawi atanga tan nge tih hriat nan a pui thin.
• Video EEG: Hei hian i thluak hnathawh bakah i che vel leh nungchang record a huam a ni. Hei hian damdawi inah zan khat riah a ngai mai thei. Mut laiin frontal lobe seizure tam tak a awm avangin mut dan zirchianna pawh neih theih a ni.
• Stereoelectroencephalography (SEEG) hmanga tih a ni a, hei hi a hnuaia mi ang hian a ni.Hei hian surgeon chuan i thluak chhungah electrode a dah lut thin. Heng hmanrua te hian thluak chhung thuk takah EEG-in a pickup loh seizure activity a hmu thei a ni. SEEG hi i seizures damdawi hmanga control loh leh thluak surgery ngaihtuah a nih chuan tih a ni tlangpui.
• Magnetoencephalography (MEG): He test hian thluak electrical activity avanga magnetic activity awm chu a record a, thluak hnathawh dan pangngai lo awmna hmunte hriatchhuah nan a pui thin.

Hei bakah hian doctor chuan neuropsychological testing a nei thei bawk a, chu chuan seizures hian thluak hnathawh a nghawng em tih a hre thei bawk.

Hei hi eng enkawlna nge ni?

Frontal lobe epilepsy enkawlna tum ber chu frontal lobe seizure i neih zat tihtlem hi a ni. I doctor chuan enkawlna hrang hrang a rawt thei ang:

• Antiseizure damdawi hman tur
• Epilepsy operation tih a ni
• 'Neuromodulation' tih a ni.

Tin, i doctor chuan i ei leh in thlak danglam a, thau tamna, carbohydrate tlem eitur (e.g., ‘ketogenic diet for epilepsy’ ) lam pan turin a rawt thei bawk.

Frontal Lobe Seizure tan Antiseizure Damdawi hman a ni

Antiepileptic damdawi hian frontal lobe seizures a control thei a ni. Heng damdawi te hian thluak electrical activity a tidanglam a, seizure awm tamna a ti tlem bawk. Hengte hi enkawlna line hmasa ber an ni tlangpui.

I doctor chuan i symptoms te chu a enfiah ang a, i tan damdawi dik tak a pe ang che. Damdawi thar an hman tan hmain a side effect awm thei te pawh an sawifiah ang. I doctor chuan i damdawi hman tur dik tak i hmuh hma loh chuan a dose emaw, a chi emaw a thlak a ngai mai thei.

‘Frontal Lobe Seizures’ (Epilepsy Surgery) te tan surgery neih a ni.

Damdawi hian i frontal lobe seizures a control loh chuan i doctor chuan epilepsy enkawl nan operation neih a ngaihtuah thei ang. I doctor chuan frontal lobe resection tih a rawt thei ang . Hei hian seizures bul tanna frontal lobe-a a natna hmun chu lakchhuah a huam a ni. Chu hmuna thluaka tumor emaw, chhiatna dang emaw a paih chhuak thei bawk.

Operation hmain i surgeon chuan imaging scan hrang hrang hmangin i thluak map chipchiar tak a siam ang. Tin, thluak chhung atanga record turin ‘stereo-EEG (SEEG)’ chi khat bik electrode chu surgery hmangin a dah thei bawk. Heng zawng zawng hian i surgical team te chu a pui ang:

• Thluak chhunga seizure thlentu hmun bikte hriatchhuah.
• Thluak hnathawh pawimawh thununtu ‘frontal lobe’ peng hrang hrangte tichhe lo turin fimkhur rawh.

Frontal lobe seizures te tan neuromodulation hman a ni

A then phei chuan frontal lobe seizure enkawlna atana surgery neih hi a him lo thei bawk. Chutiang a nih chuan i doctor chuan neuromodulation tih damdawi a rawt mai thei. He enkawlna hian taksaa hmanrua dah hmangin thluaka electrical impulse a thawn a, seizure a tan hmain tihtawp tumin a bei thin.

Neuromodulation device chi hrang hrang hman tlanglawn tak takte chu:

• Vagus Nerve Stimulation (VNS): Surgeon chuan i rilru vun hnuaiah hmanraw te tak te a dah a. Wire hmanga inzawm a ni. Wire hian i kawr chhunga vagus nerve chu a khuh a, chu nerve hnenah chuan pulse a thawn thin. VNS device thenkhat chuan seizure laiin heart rate inthlak danglamna a hmuchhuak thei a, vagus nerve ah electrical pulse dang a thawn belh thei bawk.
• Responsive Neurostimulation (RNS): RNS hi i lu vunah a dah luh a ni. RNS hian i thluak hnathawh a enfiah a, seizure a awm tih a hriat chauhvin electrical pulse a thawn thin.
• Deep Brain Stimulation (DBS): Surgeon chuan i rilruah DBS device a dah a. A wire te hi i thluaka electrode dah te nen an inzawm a ni. Doctor chuan he device hi a program a, i thluak ah electrical impulse a thawn thin.

Frontal lobe epilepsy hi eng nge a nih? (Hmuh dan tur) .

I doctor chuan i outlook chungchangah information tha ber ber a pe thei che a ni. Mi hrang hrangah a inang lo a, thil tam takah a innghat a, chu chu i hriselna tlangpui leh seizures i neih tam dan te hi a ni.

Damdawi hian hun rei tak chhung chu seizures control turin a pui thei a ni. Mahse a chang chuan, damdawi hian mi zawng zawng tan hna a thawk tha lo. Surgery pawh hi duhthlan tur dang a ni thei bawk. Frontal lobe epilepsy hi damdawi awm lo mah se , mi tam tak chuan damdawi inkawp emaw, operation emaw an hman hnuah an seizures a tlahniam emaw, a remission vek emaw a ni.

I doctor chuan eng enkawlna kawng nge i him theih nan a hrilh ang che.

Engtikah nge doctor i hmuh ang?

Symptom thar i neih emaw, i symptom a zual emaw chuan doctor pan rawh. I enkawlna chu a thawk tha em tih enfiah la, doctor appointment pawh vawng reng rawh . Damdawi thar i ei tan hnua side effect i neih chuan doctor hnenah hrilh rawh.

Ka doctor hnenah eng nge ka zawh ang?

Frontal lobe epilepsy i neih chuan i doctor hnenah hetiang hian i zawt mai thei:

• Eng ang enkawlna nge i rawt?
• Enkawlna hian eng side effect nge a neih?
• Chhungkaw din ka ngaihtuah a nih chuan antiepileptic damdawi ei hi a him em?
• Engtin nge ‘seismic’ lai hian him taka ka awm theih ang?
• Surgery atan ka tling em?

Summary leh thil hriat reng tur

Kan thluak peng lian ber pahnih, frontal lobes te hian chanvo pawimawh tak an nei a. Mahse he thluak laiah hian thil a kal sual loh chuan a hlutna hi kan hrethiam tak tak lo. Vanneihthlak takin frontal lobe epilepsy leh a vanga seizures awmte enkawlna tur kawng hrang hrang a awm.

I doctor chuan i tana tha tur damdawi pakhat emaw a aia tam emaw thlang turin a pui ang che. Damdawi hian hna a thawk lo a nih chuan lungngai suh. A then phei chuan surgery emaw neuromodulation emaw hi i thluak tan chuan a tha zawk mai thei. Eng enkawlna pawh thlang mah la, i medical team te chu zawhna i neih apiang chhan turin an awm reng ang. I duh chuan support group emaw counseling emaw pawh an recommend thei bawk. He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che!

` Epilepsy, frontal lobe, seizures, thluak natna, thluak lam natna, symptoms, enkawl dan