Temporal Lobe Epilepsy natna a awm em? - Hemi chungchang hi awlsam takin sawi ila!

A châng chuan mak tak maiin i inhria thut ṭhin em? Ngaihtuah teh, i awmna hmun chu i hriat chian angin i hria a, mahse hmun thar a ni. A nih loh leh i pum chhung atangin thil lo chhuak ang maiin i inhria em, a nih loh leh hlauhna emaw, lungkhamna emaw i nei nghal em? Heng thilte nen hian hriatna i hloh a, convulsions state i nei mai thei. Heng thilte hi nangmah emaw, i hriat mi emaw chungah a lo thleng tawh a nih chuan vawiin a kan sawi tur dinhmun `Temporal Lobe Epilepsy` tih hi hriat a pawimawh hle.

Temporal Lobe Epilepsy hi eng nge ni?

A awlsam zawngin Temporal Lobe Epilepsy hi epilepsy chi khat a ni. Chutiang a nih chuan i thluak hmun thenkhat temporal lobe an tih atang hian seizure hi a intan thin. Seizure chu thluak chhunga electrical activity-a thil danglam a awm chuan a ni. Electrical circuit-a short circuit ang maiin han ngaihtuah teh.

Kan thluak sir lehlamah ‘temporal lobe’ pahnih kan nei vek a, kan beng hmalam atanga hnunglam thlengin. He ‘temporal lobe’ hian kan chhehvel khawvel hriatthiamna min puitu a ni. Chumi chu:

• Hriatrengnate chu vawng reng rawh.
• Aw hriat theih
• Hmuh theihna nena inzawm thilte tan
• Ṭawng leh inbiakna hrethiam rawh

Hei bakah hian kan hriat loha kan tih thin thenkhat, riltam, tuihal, hlauhthawn thut laia kan tih thin (fight-or-flight response), kan rilru put hmang, leh mipat hmeichhiatna lama kan duhna te pawh hi he ‘temporal lobe’ hian a thunun bawk.

Temporal lobe epilepsy hi focal epilepsy chi khat a ni a, thluak hmun bik pakhatah a intan thin. A lan chhuah dan ber chu seizures a ni. Doctor chuan he natna hi a enkawl thei che a ni.

Left leh right temporal lobe epilepsy hi eng nge an danglamna?

I thluak veilam leh dinglam temporal lobe pahnih hian thil tam tak an thunun a, chung zingah chuan hriatrengna, hriatna, mit hmuhna leh thusawi te pawh a tel. Mahse, heng hnathawh te hi eng lam atanga seizure tan nge tih a zirin a nghawng thei a ni.

Mi tam tak tan chuan a bik takin kut dinglam hmang i nih chuan veilam temporal lobe hi a thunun ber a ni. Left temporal lobe epilepsy vei te hian thil hming vuah harsatna an nei thei a, thumal dik tak hmuh an harsat thei a, hun kal zelah an rilru a danglam thei bawk.

Right temporal lobe epilepsy vei te hian a tlangpuiin hun rei tak chhunga hriatrengna lama inthlak danglamna an nei tlem zawk. Mahse, ṭawngkam ni lo thu hriat reng harsa an ti thei bawk a, a bîk takin thlalakte, leh an rilru put hmang inthlâk danglamna te pawh an nei thei bawk.

Temporal lobe epilepsy chi hrang hrang a awm em?

Ni e, `temporal lobe epilepsy` hi chi hnih lian tak a awm a:

1. Mesial Temporal Lobe Epilepsy (MTLE) natna hi a awm thei lo."Mesial" tih awmzia chu a laiah tihna a ni. Chutiang a nih chuan thluak hmun hippocampus an tih atang emaw, a bulah emaw seizure hi a intan thin. Hei hi i temporal lobe pahnih lai takah thluak hmun hippocampus an tih chu a ni. Hei hi TLE chi hrang hrang zingah chuan a tam ber a ni. Hippocampus hi thluak chhunga kan hriatrengna nena inzawm ber a ni.

2. Neocortical emaw Lateral Temporal Lobe Epilepsy: Hetah hian i temporal lobe pawn lam atanga seizures te hi a intan thin.

Hetiang natna lan chhuah dan hi engte nge ni?

Temporal lobe epilepsy symptoms chu seizure hmaa thil mak tak tak, epileptic aura an tih leh seizure ngei pawh a ni.

Epileptic aura i neih chhunga i tawn theih thilte:

• `Déjà vu`: Hei hi i tlawh ngai lohna hmuna i kal hian "Hetah hian ka lo kal tawh" tih ang chi hriat lar tak chu a ni. A nih loh leh, a hmaa thil thleng ang maia hriat hriatrengna chu a thleng leh ta.
• `Jamais vu`: Hei hi `déjà vu` nen a inkalhin a ni. I hriat chian em em (entir nan, i in chhunga pindan pakhat) thil mak leh hriat loh anga i hriat thut hian a ni.
• Hlauhna, lungkhamna emaw, lungkhamna emaw hriatna; emaw, thinurna emaw, lungngaihna emaw, hlimna emaw a ni thei.
• A chhung lam atanga pum rawn chhuak ang maia rolling sensation mak tak (roller coaster-a i awm lai a i hriat ang chiah).
• Hriatthiamna (senses) te hriatna (sensitivity) tihpun (a hma aia nasa zawka hriatna, hmuh, rim, ei, emaw thil khawih emaw ang chi).

Mi zawng zawng hian he `aura` hi kan hmu vek lo. `Aura` chu a takah chuan `focal-aware seizure` a ni. Chumi awmzia chu heng symptoms te hi a lo awm hian thil thleng chu i hre chiang a, i hre chiang hle tihna a ni. Hei hi second tlemte atanga minute hnih vel thleng a ni thei.

Seizure lai hian symptom dang hmuh theihte chu:

Aura hnuah hian a hnuaia symptoms te hi a lo lang thei a ni:

• Thil hriatna hloh.
• A hmaiah emotion engmah awm lovin blank stare.
• Mit mitmeng (pupils) tihzauh.
• Thil pakhat awmze nei lova sawi nawn leh (automatisms). Entirnan, i kut hmanga thil pakhat la chhuak anga inlan te, mit chhing te, i hmui pursing te, thil ei ang maia inlan te, ei leh in te.
• Rilru tibuai.
• Hun rei lote chhunga sawi theih loh emaw, sawi thiam loh emaw (aphasia).
• Taksa chu a khauh a, a throbbing bawk.

Eng thilin nge temporal lobe epilepsy hi a thlen?

Hei hi a chhan ber chu i temporal lobe-a nerve cell, a nih loh leh neurons te hi an inbiakpawhna tha lo vang a ni. Neurons te hi thluak hmun hrang hranga electrical signal thawn chhuaktu an ni. Seizure i neih hian heng neurons te hian control lovin signal tam lutuk an thawn chhuak thin.

Hengte hi temporal lobe epilepsy thlentu ber thenkhat chu an ni:

• Hippocampal sclerosis: Hei hi hippocampus chhunga neurons leh glial cells te tihchhiat leh hlohna a ni.
• Focal cortical dysplasia: Thluaka neuron hrang hrangte inzawmkhawm dan pangngai lo.
• Thluak natna (brain tumor) a awm.
• Thluak hliam na tak (TBI) a awm.
• Infection: Entirna atan thluaka abscess, meningitis, leh encephalitis te hi a ni.
• Thisen kalna kawng kaihhnawih natna: Entirnan, `stroke`, `arteriovenous malformations (AVMs)`.
• Genetic chi hrang hrang.
• A chhan hriat loh.

Hetiang dinhmun hi tute nge hlauhawm ber?

He natna, `TLE` tia koh hi kum eng pawhah a lo awm thei a ni. Mahse, i hlauhawmna a sang zawk thei a, chu chu:

• Naupang i nih laiin febrile seizure i nei tawh a nih chuan.
• Minute nga aia rei seizure i neih tawh chuan, emaw, hriatna nei leh lovin a zawnin vawi tam tak i seizure tawh a nih chuan (status epilepticus).
• Congenital disorder emaw condition emaw thluaka tumor ang chi i neih chuan.
• Naupang i nih laiin lu hliam na tak (TBI) emaw thluak natna i neih tawh chuan.
• Chhungkaw zinga mi pakhatin temporal lobe epilepsy (chhungkaw history) a neih chuan.

`TLE` vei hmun thuma ṭhena hmun hnih vel chuan naupan laiin khawsik natna (febrile seizures) an nei tawh a ni. Chung zinga tam tak chu complex (rei tak an daih tihna a ni) an ni. Mahse, hre reng ang che, febrile seizure nei tawh zawng zawng hian `TLE` an nei vek dawn lo. A tlem khawp mai.

Temporal lobe epilepsy natna avanga harsatna awm thei te chu engte nge ni?

TLE hmang hian neurocognitive decline tihdanglam theih loh hlauhawmna i nei a ni. Chumi awmzia chu thil thar zir, thil hriatreng, thutlukna siam leh ngaihtuahna seng harsa i nei thei tihna a ni.

Seizure i neih tam poh leh, i neih rei poh leh:

• Lungngaihna
• Hlauhthawnna
• Hriatrengna hloh
• Epilepsy natna (SUDEP) natna avanga thihna sawifiah loh thut .

Chuvangin, `TLE` natna hi Doctor hmuh a, inenkawlna mumal tak neih a pawimawh hle. Hei hian heng ang complication te hi a veng thei dawn a ni.

He natna hi Doctor ten engtin nge an hriat chian?

Doctor chuan temporal lobe epilepsy hi i natna lan chhuah dan zawtin, seizure lo awm tan dan a zir a, neurological examination a nei a, test tul apiang a ti a ni. Doctor chuan seizure hma leh seizure hnua thil thlengte pawh a zawt ang che. I medical history pawh a enfiah ang.

Seizure lai khan eng thil nge thleng tih i hre lo mai thei. Chutiang a nih chuan, seizure i neih lai khan i bula awm tawh chu doctor hnenah hruai a tha. Tichuan an thil hmuh chu doctor hnenah an hrilh thei tawh ang.

Test hian i doctor chu i thluak chhunga thil thlengte a hriat theih nan a pui thei a ni. Hetiang test hi tih theih a ni:

• MRI (Magnetic Resonance Imaging) scan: Thluak thlalak chiang tak la rawh.
• `EEG (Electroencephalogram)` emaw `video-EEG` test: Thluak electric hnathawh dan en rawh.
• `SPECT (Single Photon Emission Computed Tomography)` hmanga enfiah a ni.
• `PET (Positron Emission Tomography)` hmanga tihchhuah a ni.
• `MEG (Magnetoencephalography)` hmanga enfiah a ni.
• Neuropsychological testing: Hriatrengna leh ngaihvenna ang chi thilte chu engtin nge a awm tih enfiah thin ang che.

Temporal lobe epilepsy hi eng enkawlna nge ni?

Temporal lobe epilepsy enkawlna atan a hnuaia mi hi tih theih a ni:

• Antiseizure damdawi hman tur.
• Epilepsy operation tih a ni.
• Neurostimulation tih hi a ni.

Chu bakah, i doctor chuan ei leh in lama inthlak danglamna engemaw zat, ketogenic diet ang chi te pawh siam turin a rawt thei bawk. Hei hi thau tamna, carbohydrate tlemna eitur a ni.

Temporal lobe epilepsy natna damdawi

Temporal lobe seizures enkawlna atan hian damdawi tam tak a awm a. Entirna thenkhat chu:

• `Brivaracetam` tih a ni
• `Cenobamate` tih a ni
• `Carbamazepine` tih a ni
• `Gabapentin` tih a ni
• `Lamotrigine` tih a ni
• `Lacosamide` tih a ni
• `Levetiracetam` tih a ni
• `Oxcarbazepine` tih a ni
• `Pregabalin` tih a ni
• `Rufinamide` tih a ni
• `Topiramate` tih a ni
• `Valproate` tih a ni
• `Zonisamide` tih a ni

I doctor chuan damdawi pakhat emaw, a aia tam emaw, a dose hrang hrang, i tana tha ber tur a hmuh theih nan a enchhin ang.

Pawimawh: Seizure damdawi thenkhat hi naupai laiin naute tan a pawi thei hle. Chuvangin, i naupai emaw, naupai i tum emaw a nih chuan i doctor hnenah hrilh ngei ang che.

Temporal lobe epilepsy natna nei tan operation tih a ni

Damdawi hmanga seizures control theih loh a nih chuan, emaw, heng symptoms te hi thluaka tumor ang chi thil avanga lo awm a nih chuan doctor chuan operation tih a ngaihtuah thei a ni.

Temporal lobectomy (temporal lobe hmun thenkhat lakchhuah) hi surgery neih tam ber a ni. Mahse, temporal lobe hian hna pawimawh tam tak a control avangin neurosurgeon chuan thluak hnathawhna a nghawng tlem theih nan uluk takin surgery hi a ruahman thin.

Invasive lo zawk pahnih chu stereotactic radiosurgery leh laser ablation te an ni . Heng hmanrua te hian laser beam emaw radiation emaw hmangin seizure tanna temporal lobe-a nerve cell emaw tissue emaw te chu an tichhia a ni.

Temporal lobe epilepsy natna vei tan nerve tihchak a ni

Damdawi ei hian hna a thawk lo a nih chuan, emaw, surgery a him lo a nih chuan neurostimulation devices hi ngaihtuah i duh mai thei. Hei hian i taksa chhunga dah device hmangin i temporal lobe-ah electrical impulse thawn a huam a ni. He enkawlna hian hun kal zelah seizure i neih zat chu zawi zawiin a ti tlem thei a ni. TLE atana hman tur device chi hrang hrangte chu:

• `Vagus nerve tihchakna (VNS)`
• `Responsive neurostimulation (RNS) hmanga tih a ni`
• `Thinlung thuk tak tihchakna (DBS)`

Hetiang dinhmun nen hian eng ang beiseina nge i neih theih ang?

I dinhmun chu engtin nge a awm ang tih chu:

• Engzat nge seizures i neih thin?
• Eng chen nge hetiang dinhmun hi i neih tawh?
• I hriselna tlangpui.
• Irreversible complications a lo intan tawh em tih.

Mi tam tak chuan damdawi hmangin an seizure hi an control tha thei hle. Mi thenkhat phei chuan an seizure chu operation hnuah a bo vek tawh niin an sawi. Mahse, hei hi mi tinah a inang lo hle. I doctor chuan i dinhmun dik zawkin a sawi thei che a ni.

Doctor hmuh hun tha ber berte chu engte nge ni?

Seizure i nei tawh a nih chuan, emaw, seizure i nei tawh mai thei nia i ngaih chuan doctor pan ngei ngei tur a ni.

Temporal lobe epilepsy i vei tih hmuhchhuah tawh i nih chuan a hnuaia mi hi i tawn chuan doctor ko nghal rawh:

• I seizure hi minute nga aia rei a nih chuan.
• Seizure hmasa ber a zawh veleh seizure dang a lo awm leh chuan.
• Seizures awm tam dan leh a nasat dan a san chuan.
• Damdawi hmanga symptom thar emaw side effect emaw a awm chuan.
• Seizure a zawh hnua dam lehna chu a tlangpui aia a slow zawk a nih chuan, a nih loh leh a dam zawh loh chuan.

I doctor zawh tur zawhna pawimawh

`TLE` i neih chuan doctor hnenah hetiang zawhna hi zawh a tha ang:

• Eng ang enkawlna nge min rawt?
• Enkawlna hian side effect a nei em?
• Chhungkaw din ka beisei a nih chuan he anti-seizure damdawi hi a him em?
• Epilepsy surgery ka nei thei ang em?

I temporal lobes te hi 100% a an hnathawh that loh hma chuan a pawimawh zia i hre lo mai thei. Temporal lobe epilepsy (TLE) hian hun kal zelah an hnathawh a tichhe thei a ni. Mahse, doctor chuan TLE seizures enkawl dan tur leh harsatna awm lo tur venna kawngah a pui thei che a ni.

TLE enkawlna hi nangmah tan chuan a danglam bik a ni. I tana tha ber tur i hmuh hma loh chuan damdawi hrang hrang leh dose hrang hrang i enchhin a ngai mai thei. A chang chuan damdawi hian hna a thawk lo va, surgery hi a tha ber mai thei.

Epilepsy vei nun enkawl hi a harsa thei hle. Mahse, support group aṭangin emaw, mental health professional nena inbiakna hmangin emaw ṭanpuina dang i dawng thei a ni. Kawngpuiah zawhna i neih apiang chhan turin i medical team te chu an awmpui ang che.

Take-Home Thuchah hnuhnung ber

Thian duh tak, Temporal Lobe Epilepsy hi hlauh tur a ni lo va, ngaihthah tur pawh a ni lo.

Hetiang dinhmun hi hlawhtling takin i nung thei tih hre reng ang che. A pawimawh ber chu doctor thupek uluk taka zawm a, enkawl dan tur dik tak neih hi a ni.

• Nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan doctor pan nghal tur a ni.
• I damdawi pek chu a pek ang chiah, a hun takah ei rawh. Doctor rawn hmasa lovin i damdawi ei kha bansan ngai suh.
• I doctor-in i nunphung (e.g., ketogenic diet) tihdanglamna engemaw zat siam a rawt chuan zawm tum ang che.
• Rilru chak takin awm rawh. A tul chuan counselling zawng rawh. Nangmah chauh i ni lo.
• Hetiang dinhmun hi i chhungte leh i thiante pawh hriattir a tha. Tichuan an pui thei ang che.

He thu hi i tan a tangkai ngei kan beisei. Hrisel takin awm rawh!

` Temporal Lobe Epilepsy, Epilepsy, Seizure, Thluak Natna, Thluak lam natna, Temporal Lobe Epilepsy, Seizure