I thinlungah hian chhan awm lovin hriatna mak tak mai i nei thut ngai em? Déjà vu ang maiin, emaw, i pum chhunga fluttering hriatna mak tak ang maiin. Hun engemaw chen chu hriatna i hloh tawh pawh a ni thei. Mi tam takin heng thilte hi thil pangngai anga an ngaih laiin, a chang chuan thluak hnathawh dan inthlak danglamna tlemte avanga lo awm thei a ni. Vawiin hian chutiang natna pakhat, Temporal Lobe Epilepsy (TLE) chungchang kan sawi dawn a ni.
A awlsam zawngin Temporal Lobe Epilepsy (TLE) hi eng nge ni?
Temporal Lobe Epilepsy (TLE) hi kan thluak hmun pakhat ‘Temporal Lobe’ an tih a electric activity pangngai lo avanga seizure (fit) chi khat a ni. Okay, tunah chuan he ‘Temporal Lobe’ hi eng nge a nih i ngaihtuah mai thei.
Heng temporal lobe pahnih hi kan thluak sir lehlamah, hmui hnunglam chiah leh beng hmalam deuhah an awm a. He part hi kan nitin nun atan a pawimawh hle.
- Hriatrengna: Hei hian kan thil zir, kan hriatrengna hlui te hriatrengna leh hriatrengna min puitu a ni.
- Aw: Kan thu hriatte hrethiam turin min pui ang che.
- Vision: Kan thil hmuhte hriat chian nan min pui thin.
- Thusawi leh \awng: He \hen hi kan thusawi leh mi dangte thusawi hriatthiamna atan a pawimawh hle.
Chûng thilte bâkah, hriatna neia thunun loh thil tam tak, rilṭâm, tuihal, insual emaw, tlanchhiat emaw chhân lêtna te, kan rilru put hmang te, leh mipat hmeichhiatna lama kan rilru put hmang te pawh a thunun bawk.
Chuvangin, TLE hi he hmun pawimawh takah hian seizure a awm a ni. Hei hi puitling zingah chuan seizure chi khat a ni ber a, thluak hmun bik pakhat (focal epilepsy) atanga tan a ni. Ngaihtuah buai suh, he dinhmun hi uluk taka enkawl theih a ni.
Thluak veilam emaw dinglam emaw i nih pawhin a pawimawh em?
Ni e, fit hi thluak veilam temporal lobe emaw right temporal lobe emaw atanga tan a nih dan azirin a symptoms leh hun rei tak chhunga a nghawng dan chu a danglam deuh thei.
- Left Temporal Lobe Epilepsy: Mi tam tak tan chuan, a bik takin kut dinglam hmangte tan chuan veilam hi tawng leh thusawi lama inrawlh thluak thunun ber a ni. Chuvangin, veilam TLE vei te hian hun kal zelah harsatna an tawk thei a, chu chu thil hming hriat reng harsa te, sawi tur dik tak hmuh harsa te, leh rilru natna inthlak danglamna te hi a ni.
- Right Temporal Lobe Epilepsy: Right temporal lobe epilepsy vei te hian tawng lamah harsatna an nei vak lo. Mahse, thusawi ni lo (hmêl leh kawngpui ang chi) hriat reng harsa an ti thei. An rilru put hmangah pawh inthlâk danglamna an tawng thei bawk.
TLE chi hrang hrang a awm em?
Ni e, TLE hi chi hnih lian tak a awm a, chu chu fit tanna hmun dik takah a innghat a ni.
1. Mesial Temporal Lobe Epilepsy (MTLE): "Mesial" tih awmzia chu "a laiah" tihna a ni. Hetiang epilepsy-ah hian seizure hi hippocampus-ah emaw, a bulah emaw a intan a, chu chu temporal lobe chhung thuk takah a awm a ni. Hippocampus hi kan hriatrengna dahkhawmna library te tak te ang a ni. TLE vei tam zawk hian hetiang MTLE hi an nei a ni.
2. Neocortical (or Lateral) Temporal Lobe Epilepsy: Hetiang a nih chuan fit hi temporal lobe pawn lam atanga tan a ni.
TLE natna lanchhuahna chu engte nge ni? Engtin nge a hriat chhuah?
TLE symptoms hi hmun hnih ah then theih a ni. Pakhat chu seizure hmaa pre-seizure symptoms awm thin hi a ni. Hei hi ‘aura’ kan ti bawk. A dang chu seizure laia symptoms awm thin te hi a ni.
A pawimawh ber chu, mi zawng zawng hian he ‘aura’ hi kan hre vek lo. ‘Aura’ chu a takah chuan short fit a ni. Chutih lai chuan i conscious a, mahse sensations mak tak tak i nei thin. Hei hi second tlemte atanga minute hnih vel thleng a ni thei.
Heng features te hi chipchiar deuhin han thlir ila.
| Temporal Lobe Epilepsy (TLE) natna lan chhuah dan | |
|---|---|
| A mizia awm dan | Sawifiahna leh entirnan |
| Fit hmaa symptoms hriat (Aura) . | |
| Rilru lama hriatna mak tak tak | Déjà vu: Thil hriat lar tak, hetiang hi a lo thleng tawh ang maiin. Jamais vu: Hmun hriat lar tak, hnam dang ang maia inhriatna hmun. Hriatrengna hlui tak mai chu ka rilruah a rawn lang nghal a. |
| Sudden emotions a lo chhuak ta | Hlauhna nasa tak, lungkhamna, thinrimna, lungngaihna, a nih loh leh chhan hriat loha hlimna nasa tak nei nghal. |
| Taksa lam thila hriatna | Pum chhunga gurgling emaw nauseating feeling mak tak (roller coaster khalh ang chi). |
| Sensory inthlak danglamna | Hriatna, hmuhna, rim, ei leh khawih inthlak danglamna rapthlak tak, nasa taka lo awm. Thil awm lo rim pawh i hre thei. |
| Fit laiin symptoms lo awm thin | |
| Thil hriatna hloh emaw tihdanglam emaw | A chhehvel thilte chu a hre lo ta. Inbiakna a chhang lo. Hmun khatah chuan blank takin a en reng bawk. Mit mitmeng (pupils) chu a zau thei hle. |
| Thil awmze nei lo thiltih (Automatisms) . | Hriat loha tih nawn fo thin. Entirnan: i hmui pursing, ei nawn leh, i thawmhnaw kil khat khawih, i kut hmanga thil tih. |
| Thusawi harsatna | Hun engemaw chen tawng thei lo, a nih loh leh sawi tum hrethiam thei lo (aphasia). |
| Buaina leh taksa inthlak danglamna | Fit hnu chuan rilru a buai ta hle mai. A châng chuan taksa a nghet a, a hrual pawh a ni thei. |
Engvangin nge he TLE hi a lo awm? A chhante chu engte nge ni?
A awlsam zawngin sawi ila, TLE hi temporal lobe-a nerve cell (neurons) inkara inbiakpawhna a tihbuai chuan a lo awm thin. A tlangpuiin heng nerve cell-te hian kan thluak hnathawh chhunzawm zel turin electric signal mumal takin an thawn thin. Fit a awm chuan heng nerve cell te hi thunun theih lohvin an kap chhunzawm zel thin.
Hei hi a nghawng thei chhan lian tak tak engemaw zat a awm a:
- Hippocampal sclerosis: Hei hi TLE thlentu ber a ni. Thluak hmuna nerve cells, hippocampus an tih, hriatrengna lama inrawlh te a chhiat a, a hliam a awm chuan a thleng thin.
- Brain tumors: Cancer emaw benign tumor emaw hian thluak hnathawh a tibuai thei.
- Traumatic brain injury: Accident na tak avanga lu a chhiat.
- Infection: Infection, encephalitis leh meningitis ang chi te.
- Pian tirh lama harsatna: Thluak lo thanglian zel a thil danglam thenkhat (Focal cortical dysplasia).
- Thisen kalna kawng lama harsatna: Stroke ang chi dinhmun.
- Genetic variants: Genetic influence thenkhat, thlah kal zel atanga lo kal zel.
- A chhan hriat loh: A châng chuan, a chhan chiang tak hmuh a ni lo thei.
He natna hi tute nge vei theihna chance sang zawk?
TLE hi kum eng pawhah a awm thei a, mahse thil engemaw chuan a hlauhawmna a tipung thei a ni.
- Naupan laia febrile seizure i neih tawh chuan: A bik takin seizure i neih tam tawh chuan. Mahse, febrile seizure nei tawh zawng zawng hian TLE an nei vek dawn lo tih hre reng ang che. A tlem hle.
- Status epilepticus i neih chuan: Hei hian minute 5 aia rei seizure a daih tihna a ni a, a nih loh leh seizure hi i hriatna i neih leh hmain a lo awm leh fo tihna a ni.
- Brain tumor emaw piansualna emaw i neih chuan.
- Naupang i nih laiin lu hliam emaw thluak natna emaw i neih chuan.
- Chhungkaw zinga mi pakhatin TLE a neih chuan.
Enkawl loh chuan eng harsatna nge a awm?
TLE hi rei tak enkawl loha dah a nih chuan harsatna engemaw zat a awm thei a ni. He risk hi hun kal zelah a pung chho zel a, fits awm tam zel a ni.
Hei hi hlauh tur a ni lo va, enkawl dan mumal tak neih a pawimawh zia a tilang chiang hle.
Harsatna lian ber berte chu:
- Hriatrengna hloh: Thil hriat reng harsa, a bik takin thil thar.
- Depression leh Anxiety: Hetiang dinhmun nena nun hian rilru hahna engemaw zat a thlen thei.
- Zirna leh thutlukna siam thiamna tlahniam.
- SUDEP (Sudden unexplained death in epilepsy): Hei hi harsatna awm lo tak, mahse na tak a ni. Hemiah hian epilepsy vei chu a chhan hriat lohvin a thi thut mai a ni. Hetiang hlauhawmna tihtlem dan tha ber chu seizure control tha hi a ni.
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Fit i neih tawh emaw, i nei tawh nia rinhlelh emaw i nih chuan doctor i pan ngei ngei tur a ni. Zawhna a zawt ang che a, a enfiah ang che a, a tul chuan test engemaw zat a kalpui ang a, chu chuan natna hriat theihna tur a siam ang.
- I natna lan chhuah dan zawh: Doctor chuan fit hma, fit lai leh fit hnua thil thlengte a zawt ang.
- Thuhretu thusawi: Seizure i neih lai hian i hriatna a hloh thei a, chuvang chuan chutih laia i bula awm (chhungkaw member, thianpa) chu doctor hnena hruai a pawimawh hle. An thil hmuh chu chiang takin an sawifiah thei a ni.
- Neurological examination: Hei hian i thluak leh nervous system hnathawh dan a test thin.
Chu bakah, hetiang test hi i ti thei bawk:
- MRI (Magnetic Resonance Imaging): Thluak thlalak chiang tak tak a la a, thil danglam (tumor emaw scar emaw ang chi) a awm leh awm loh a en thin.
- EEG (Electroencephalogram): Lu chungah sensor te te dahin thluaka electrical activity record a ni. Hei hi seizure lai a tih a nih chuan thluaka khawi atanga seizure tan nge tih a chiang thei a ni. Video-EEG test neih nan ni khat emaw a aia rei emaw damdawi inah dah i ni thei bawk.
TLE enkawl dan tur chu engte nge ni?
TLE hi enkawlna tha tak tak engemaw zat a awm a. I doctor chuan i dinhmun a zirin i tan enkawlna tha ber a ruat ang.
1. Antiseizure damdawi
Hei hi enkawlna line hmasa ber a ni. TLE thunun thei damdawi tam tak a awm a. (e.g. Carbamazepine, Levetiracetam, Valproate) te hi a tha hle a ni.
Doctor chuan i tana damdawi leh dose dik tak i hmuh hma loh chuan damdawi chi hrang hrang leh dose hrang hrang a enchhin thei a ni. Kan tâna thawmhnaw dik thlan ang bawkin hei hian hun engemaw chen a la duh a ni. Dawhthei taka enkawl dan zawm a pawimawh.
Naupai lai: Nau neih i tum emaw, nau pai tawh emaw a nih chuan doctor hrilh a pawimawh hle. Damdawi thenkhat chuan naute a nghawng thei a. Chutih hunah chuan i doctor chuan damdawi him zawk a rawn pe ang che.
2. Surgery (Epilepsy surgery) tih a ni.
Damdawi hmanga fit chu control theih loh a nih chuan, emaw, a chhan lak chhuah theih a awm a nih chuan, thluaka natna (brain tumor) ang chi a nih chuan doctor chuan zai a rawt thei a ni.
- Temporal lobectomy: Hei hi thluak temporal lobe atanga seizures tanna hmun tlemte lakchhuah a ni. Hei hi neurosurgeon-te chuan uluk takin an ti a, thluak hnathawh dang tihchhiat loh nan an fimkhur hle. Mi tam tak chuan he surgery an neih hnuah hian an seizures chu an titawp vek tawh mai.
3. Neurostimulation tih hi a ni
Hetiang method hi damdawi a thawk tha lo a, surgery tih theih loh hunah hman thin a ni. Hei hian taksaa dahna hmanrua te tak te hmanga thluaka electrical signal thawn a huam a, hun kal zelah zawi zawiin seizure awm zat a tihtlem phah a ni. Thinlung chhunga pacemaker dah ang mai a ni.
Engtikah nge doctor i hmuh ang?
Seizure i neih emaw, i rinhlelh emaw chuan doctor pan ngei ngei tur a ni. TLE vei enkawl i nih tawh chuan i doctor i ko nghal tur a ni:
- Fit hi minute 5 aia rei a nih chuan. (Hei hi emergency a nih avangin damdawi in pakhat Emergency Department (ETU)-ah hruai nghal tur a ni.)
- Fit pakhat a tawp a, i hriatna i neih leh hmaa pakhat a lo kal chuan.
- Fit frequency leh severity a san thut chuan.
- Damdawi atanga side effect thar a awm chuan.
- Fit hnua a dam leh theih nan a hma aia rei a duh chuan.
Temporal Lobe Epilepsy hi enkawl theih a ni. Chumi nêna nun chu a châng chuan a harsa thei hle. Mahse enkawl dan dik leh nunphung thlak danglam chuan nun pangngaiin i nung thei a ni. Nangmah chauh i ni lo va, i doctor leh chhungte pawh tanpui turin an awm reng a ni.
Take-Home Thuchah a ni
- Temporal Lobe Epilepsy (TLE) hi thluaka temporal lobe-ah a awm a, a natna chi khat a ni. Hriatrengna te, rilru natna te, leh tawngkam te a nghawng thei a ni.
- Hetiang dinhmun lan chhuah dan tlangpui chu seizure hmaa thil mak tak (aura) lo awm hi a ni. Entirnan, déjà vu, rim mak tak tak emaw, pum na emaw.
- TLE hian chhan tam tak a nei thei. Lu hliam, natna hrik, thluaka hliam (hippocampal sclerosis) te hi a langsar ber a ni.
- Enkawlna \ha tak tak a awm a, chu chu damdawi te, operation te, leh nerve tihchakna te pawh a ni. Mi tam tak chuan enkawlna hmangin an seizures chu an control tha thei hle.
- Nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan doctor thurawn la nghal rawh. Enkawlna an tan hma chuan hun rei tak chhunga harsatna awm theihna a hniam zawk.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh