Nangmah emaw, i hriat emaw hian damdawi ei chung pawha thunun harsa tak epilepsy an tih natna i nei em? A châng chuan doctor-te chuan thluaka khawi aṭangin nge seizure hi a intan tih hriat an harsat ṭhin. Chutih hunah chuan test buaithlak deuh mahse a pawimawh em em, pui thei tur test kan sawi dawn a ni. A hming chu SEEG a ni. Ngaihtuah buai suh, a hming hi a sei deuhin a ri mai thei. A awlsam zawngin i vawng ang u.
SEEG hian eng nge a awmzia mai?
A awlsam zawngin, Stereoelectroencephalography (SEEG) hi surgical test a ni a, i thluak chhung thuk takah a lut a, incision tenau te hmangin intractable epileptic seizures (fits) intanna hmun a hriat theih nan a hmang thin.
EEG test tih hi i hre tawh ngei ang. Lu chunglam, chu chu luruh chungah electrode te te dahin thluak electrical activity tehna a ni. Mahse SEEG-ah chuan neurosurgeon-te chuan heng electrode-te hi thluak chung lamah ni lovin, thluak hmun thuk leh chi hrang hrangah an dah lut zawk a ni. Hei hian EEG pangngaiin a man theih loh hmun thuk lutuk atanga information lak theihna a siam a ni.
Electrode te dah a nih hnuah damdawi in special unit-ah ni engemaw zat dah i ni ang. Hemi chhung hian medical team chuan i seizures lai hian i thluak hnathawh dan uluk takin an enfiah ang.
He test hian a tum ber chu fits thlentu thluak cell te chu surgery hmanga lakchhuah theih a nih leh nih loh hriat chian a ni a, a nih chuan khawiah nge lakchhuah tur tih chiang taka hriat a ni.
Eng dinhmunah nge SEEG test hi tih a nih?
Doctor-te chuan SEEG testing hi special case tlemte tan an hmang ber a ni.
- Drug-resistant epilepsy: Mi thenkhat chuan damdawi chi hnih emaw chi thum emaw an hman hnuah pawh an seizure an control thei lo. Hei hi damdawi-resistant epilepsy kan ti a. Naupang kum 2 chunglam leh puitling he natna vei te tan chuan SEEG hi operation tih theih a nih leh nih loh hriat nan a pawimawh hle.
- Brain mapping: Seizure chu thluak hmun pawimawh tak, thusawi, chetna, a nih loh leh hriatna thununtu aṭanga lo chhuak niin han ngaihtuah teh. Operation i neih dawn chuan chutiang hmun pawimawh tak takte chu tihchhiat loh nan i fimkhur a ngai a ni. SEEG electrode hmangin heng hmun pawimawh tak takte hi operation hmain chiang takin i map thei a ni.
- Enkawlna dangte kaihhruai: A châng chuan SEEG testing pawh hi enkawlna pakhatah hman a ni bawk. Entir nan:
- Radiofrequency thermocoagulation: Hei hian radio wave leh lumna hmangin thluak cell, seizure thlentu chu a tichhia a ni. He enkawlna hi SEEG electrode hmanga tih theih a ni.
- Thermoablation (LITT) hmanga tihchhuah a ni.Laser thermal energy hmanga thluaka seizure thlentu hmunte tihtawp dan.
- Responsive neurostimulation: Hetah hian thluaka hmanrua pakhat dah a ni a, chu chuan electrical stimulus te tak te a pe chhuak a, chu chuan seizure a tan a, chu chu a titawp ta a ni. SEEG hian device awmna hmun dik tak zawn nan a pui thin.
He test hi tute nge tling?
SEEG test hi mi zawng zawng tan a ni lo. I doctor chuan a rawt hmain thil engemaw zat a ngaihtuah hmasa ang.
I thluak hmun bik atanga seizure (`(focal epilepsy)`) atanga intan seizure i nei tih han ngaihtuah teh. Mahse MRI scan hmang pawhin chu hmun chu chiang takin a lang lo. Chutih lai chuan SEEG hi a tangkai ber a ni.
Mahse, thluak hmun tam takah vawi khata seizure intan (`(generalized epilepsy)`) i neih chuan he test atan hian i tling lo.
| SEEG testing atana thil awm thei te | |
|---|---|
| Nihna | Hrilhfiahna |
| Epilepsy surgery atana candidate i nih chuan | Surgery hmanga natna hi a tidam thei nia i ngaih chuan he test hi a lo thlen hmain a ngai mai thei. |
| Damdawi hmanga thunun theih loh fit | Damdawi pahnih emaw a aia tam emaw ei tawh chung pawha fit control theih loh chuan. |
| Test dang atanga chiang lo a nih chuan | MRI leh EEG ang chi test te hian fit hi khawi atanga tan nge tih chiang taka a hriat theih loh chuan. |
EEG leh SEEG inthlauhna ber chu engte nge ni?
Heng test pahnihte hian thluak electrical activity tehna ni mahse, danglamna lian tak a awm. A tlangpuiin doctor chuan EEG a ti hmasa ang. Chuta tang chuan information an hmuh chu a tawk lo a nih chauhvin second-stage test, SEEG ang chi ah an kal ang.
Hrilhfiahna lian ber berte chu:
- Electrode dahna hmun: EEG-ah chuan electrode te hi vun chunglam, luruh chungah dah a ni. SEEG ah chuan electrode te hi thluak chhung thuk takah an dah lut thin.
- Information dawn: EEG hian thluak chunglam hnathawh chungchang chauh a pe a. SEEG hian thluak hemisphere pahnihah hian thuk hrang hrangah information a hmu thei a ni. Hei hian seizure awmna hmun dik tak chu kan hmu thei a ni.
Zirchianna pakhatah chuan SEEG scan hnua epilepsy surgery nei mite chuan operation room-ah hun an hmang tlem zawk tih hmuhchhuah a ni a, chu chu kawng dang (luruh hawn leh thluak chunglama electrode dah ang chi) hmangtute aiin operation room-ah hun an hmang tlem zawk tih hmuhchhuah a ni. Damdawi inah hun an hmang tlem a, natna damdawi an hmang tlem bawk.
SEEG hma hian eng nge beisei tur?
Hei hi surgery nena inzawm test a nih avangin i hriselna dinhmun enfiah hmasa turin test eng emaw zat tih a ni ang.
- Thisen test a ni
- EKG (Electrocardiogram) test hmanga thinlung thawk dan enfiah thin a ni
- Imaging test, CT scan (computed tomography scan) leh MRI scan (magnetic resonance imaging) te pawh a awm thei.
Mi tam takin, a bik takin nu leh pate hian an fa chunga hetiang thil an tih hian an hlauhthawn ber pakhat chu , "An sam zawng zawng an tan vek dawn em?" Fit atana an ei tur damdawi hi hun engemaw chen an chawlhsan a ngai dawn em tih zawhna pawh a awm thei bawk.
I surgery hmain i medical team-te nen i ngaihtuahna emaw hlauhthawnna emaw i neih chuan sawipui hmasa phawt ang che. A theih ang anga stress-free leh relaxed taka awm tir turin theihtawp an chhuah ang.
SEEG surgery hi engtin nge an tih thin?
SEEG surgery hi darkar li atanga darkar ruk vel a ni tlangpui. Surgery ni chuan anesthesiologist chuan damdawi a pe ang che. Procedure chhung zawng hian i muhil vek ang. Chuvang chuan engmah hrehawm i nei lovang.
I mut hnuah surgical team chuan hengte hi an zawm ang:
1. Pakhatnaah chuan i lu chu hmun khata awm reng turin frame bik (`(stereotactic frame)`) i lu-ah i bun a.
2. A dawtah chuan luruh chhungah hian khur te tak te tak tak, spaghetti hrui ang vela zau, 10 atanga 20 vel an lai a. Hengte hian thisen a chhuah tam lo.
3. Chu khur te tak te hmang chuan thluak chhungah chuan plastic ang chi electrode flexible tak tak, wire te tak te nena inzawm chu a lut a.
4. Heng electrode te hi thluaka seizure intan nia rinhlelhna hmunah chiang takin dah a ni a, hei hi scan hmasa lama kan hmuh tawh angin a ni.
5. A tawp berah chuan lu frame chu la chhuakin lu chu khauh takin bandaged a ni.
6. Chumi hnuah recovery room-ah hruai i ni ang a, CT scan leh X-ray hmangin electrode te chu hmun dik takah a awm em tih enfiah a ni ang.
SEEG hnuah eng nge thleng?
Operation hnuah Epilepsy Monitoring Unit-ah sawn i ni tlangpui ang. Chutah chuan specialist team chuan 24/7 in an lo enkawl ang che. I lu chunga electrode awmte chu i thluak hnathawh record tu machine-ah a inzawm ang. Seizure i neih hian computer chuan i thluaka a bul tanna leh a darh dan a entir thei che a, 3D images hmangin a entir thei che a ni.
Ni engemaw zat atanga kar khat emaw kar hnih emaw chhung damdawi inah i awm a ngai mai thei a, hei hi fit i neih tam dan azirin a ni.
Test hun tawp lamah chuan i lu atang hian electrode te chu lakchhuah a ni ang. Ngaihtuah buai suh, hei hi operation lian tak a ni lo. Chutiang hmunte chu a numbs thei tur procedure awlsam tak mai a ni a, minute 10-15 vel a ni.
SEEG test-ah hian hlauhawmna a awm em?
SEEG hi a tlangpuiin a him hle nia ngaih a ni a, mahse thluak surgery dang ang bawkin a hlauhawmna a tlem hle.
- Thluak chhunga thisen chhuak (intracranial hemorrhage) .
- Kaichhawng
- Thai
Mahse, hengte hi thil thleng tlemte chauh a ni tih hre reng ang che. Medical team chuan heng hlauhawmnate hi tih tlem nan fimkhur takin hma an la thin.
Eng chen nge tihdam a ngaih?
Ni khat emaw ni hnih emaw (darkar 24-48) chhungin i normal leh tur a ni tlangpui. Mahse, i thil tih pangngai i thawh leh theih hun tur chu i medical team nen sawiho rawh.
SEEG result atang hian eng nge i beisei theih ang?
Thil tam takah chuan SEEG test hian seizure awm chhan bulpui chu hlawhtling takin a hmu thei a ni. Chumi hnuah chuan doctor-te chuan i thluak hnathawh aṭanga data record chu uluk takin an zirchiang ang a, operation emaw, enkawlna dang emaw i dawng thei ang em tih an rel ang.
Epilepsy enkawlna atana surgery hi SEEG test atanga kar li atanga kar riat hnuah neih thin a ni tlangpui a, hei hian i dam leh theihna hun a pe thin.
Damdawi in chhuahsan hmain preliminary test result i dawng thei bawk. Hei hian nang leh i chhungte nen heng result te hi medical team te nen sawihona hun a pe ang a, enkawlna tur ruahmanna hnuhnung ber siam hmain thutlukna siam turin hun a pe ang.
Damdawi hmanga tihtawp theih loh seizure nena nun hi a harsa hle thei. Mahse tunlai testing method SEEG ang chi hmang hian tunah chuan seizure awm chhan dik tak chu hriat chian theih a ni tawh a, enkawlna dik tak chu tan theih a ni tawh bawk. Heng enkawlnate hian i seizures tihziaawmna leh nun pangngaia i awm theih nan a pui thei che a ni.
Take-Home Thuchah a ni
- SEEG hi epileptic seizures (fits) damdawi hmanga control harsa tak takte tan specialized test a ni.
- Heta tih tur chu thluak chhung thuk takah electrode te chu khur te tak te hmangin dahin fit tanna hmun dik tak chu zawn chhuah a ni.
- He test result a\ang hian doctor-te chuan surgery emaw, enkawlna dang emaw chu i tan a tha em tih an rel ang.
- Hei hi a tlangpuiin tih dan him tak ni mah se, surgery dang ang bawkin, hlauhawmna tenau tak tak a awm.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui fo ang che.
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