He aha te whakamātautau SEEG mō te taunga? (Stereoelectroencephalography) Kia mārama noa tātou

Kei a koe, kei tētahi atu rānei e mōhio ana koe, tētahi mate e kiia nei ko te mate haurangi, he uaua ki te whakahaere ahakoa te rongoā? I ētahi wā ka uaua ki ngā tākuta te tautuhi i te wāhi kei roto i te roro e tīmata ai te hopuhopu. Koinei te wā ka kōrerohia ai tētahi whakamātautau uaua engari he tino nui hei āwhina. Ko te ingoa ko te SEEG. Kaua e manukanuka, tera pea he roa te ingoa. Kia māmā noa iho.

He aha te tikanga noa o te SEEG?

Ki te kī māmā noa, he whakamātautau pokanga te Stereoelectroencephalography (SEEG) e kuhu hohonu ana ki roto i tō roro, ka whakamahi i ngā tapahi ririki hei tohu i te tīmatanga o ngā hopukanga haurangi uaua rawa.

Kua rongo pea koe i tētahi whakamātautau EEG. Ko te tikanga he whakanoho i ngā irahiko iti ki runga i te pane, arā, ki te angaanga, hei ine i te ngohe hiko o te roro. Engari i roto i te SEEG, ka whakauruhia e ngā taote pokanga roro ēnei irahiko ehara i te mea ki te mata o te roro, engari ki ngā wāhi hohonu, kanorau hoki o te roro. Mā tēnei ka taea te tiki mōhiohio mai i ngā wāhi hohonu rawa atu, kāore e taea te hopu e tētahi EEG noa.

I muri i te whakaurunga o ngā irahiko, ka puritia koe ki tētahi wāhanga motuhake o te hōhipera mō ētahi rā. I tēnei wā, ka aroturukihia e te tīma hauora te mahi a tō roro i a koe e pāngia ana e te mate haurangi.

I roto i ēhea ngā āhuatanga ka mahia te whakamātautau SEEG?

Ka whakamahia e ngā tākuta te whakamātautau SEEG mō ētahi āhuatanga motuhake anake.

• Mate haurangi ātete-rongoa: Kāore e taea e ētahi tāngata te whakahaere i ō rātou mate haurangi ahakoa kua whakamahia e rātou ētahi momo rongoā e rua, e toru rānei. Ka kiia tēnei he mate haurangi ātete-rongoa. Mō ngā tamariki neke atu i te 2 tau te pakeke me ngā pakeke e pāngia ana e tēnei mate, he mea tino nui te SEEG hei whakatau mēnā ka taea te pokanga.

• Mahere roro: Whakaarohia kei te ahu mai te hopukanga i tētahi wāhanga nui o te roro e whakahaere ana i te kōrero, te nekehanga, te kare ā-roto rānei. Ki te mea ka pokanga koe, me tūpato koe kei kino aua wāhanga nui. Mā te whakamahi i ngā irahiko SEEG, ka taea e koe te mahere i ēnei wāhi nui i mua tonu i te pokanga.

• Arataki i ētahi atu maimoatanga: I ētahi wā ka whakamahia hoki te whakamātautau SEEG hei wāhanga o te maimoatanga. Hei tauira:
• Te whakapūngao wera auau irirangi: Ka whakamahia e tēnei ngā ngaru irirangi me te wera hei whakangaro i ngā pūtau roro e puta ai te mate haurangi. Ka taea te mahi i tēnei maimoatanga mā te whakamahi i ngā irahiko SEEG.
• Te Whakamahana (LITT):He tikanga hei whakakore i ngā wāhanga o te roro e puta ai ngā haurangi mā te whakamahi i te pūngao wera taiaho.
• Whakaohooho roro urupare: I roto i tēnei, ka whakauruhia he taputapu ki roto i te roro e tuku ana i tētahi whakaoho hiko iti ki te wāhi ka tīmata te hopukanga, kātahi ka mutu. Ka āwhina a SEEG ki te kimi i te wāhi tika o te taputapu.

Ko wai e tika ana mō tēnei whakamātautau?

Ehara te whakamātautau SEEG i te mea mā te katoa. Ka whai whakaaro tō tākuta ki ētahi āhuatanga i mua i te tūtohutanga.

Whakaarohia kei te tīmata tō mate haurangi i tētahi wāhi motuhake o tō roro (`(focal epilepsy)`). Ahakoa he matawai MRI, kāore taua wāhi e kitea māramatia. Koinei te wā e tino whai hua ai te SEEG.

Heoi, ki te pāngia koe e te mate haurangi e tīmata ana i ngā wāhi maha o te roro i te wā kotahi ("(mate haurangi whānui)"), kāore koe e tika mō tēnei whakamātautau.

He aha ngā rerekētanga matua i waenga i te EEG me te SEEG?

Ahakoa e ine ana ēnei whakamātautau e rua i te ngohe hiko o te roro, he nui ngā rerekētanga. I te nuinga o te wā, ka mahi tuatahi te tākuta i tētahi EEG. Mēnā kāore i te rawaka ngā mōhiohio i riro mai i tēnā, ka haere tonu rātou ki tētahi whakamātautau wāhanga tuarua, pērā i te SEEG.

Ko ngā huringa matua ko:

• Te wāhi e whakatakotoria ai ngā irahiko: I roto i te EEG, ka whakatakotoria ngā irahiko ki runga i te mata o te kiri, i runga ake i te angaanga. I roto i te SEEG, ka whakaurua ngā irahiko ki roto i te roro.
• Ngā mōhiotanga i whiwhi: Ka whakaratohia e te EEG ngā mōhiotanga mō ngā mahi o te mata o te roro anake. Ka taea e te SEEG te tiki mōhiotanga i ngā hohonutanga rerekē i ngā taha e rua o te roro. Mā tēnei ka taea e tātou te tohu i te wāhi tika o te hopuhopu.

I kitea i roto i tētahi rangahau he iti ake te wā i noho ai te hunga i pokangahia mō te mate haurangi i muri i te matawai SEEG i roto i te rūma pokanga i ērā i whai i ētahi atu tikanga (pērā i te whakatuwheratanga o te angaanga me te whakatakoto i ngā hikohiko ki te mata o te roro). He iti ake hoki te wā i noho ai rātou i roto i te hōhipera, ā, he iti ake hoki te rongoā mamae i whakamahia.

He aha ngā mea hei tumanakohia i mua i te SEEG?

I te mea he whakamātautau tēnei e pā ana ki te pokanga, he maha ngā whakamātautau ka mahia i mua i te wā hei tirotiro i tō hauora.

• Ngā whakamātautau toto
• He whakamātautau EKG (Electrocardiogram) e tirotiro ana i te manawa o te ngakau
• Ngā whakamātautau whakaahua pēnei i te CT scans (computer tomography scans) me te MRI scans (magnetic resonance imaging)

Ko tētahi o ngā mataku o te tini tāngata, inā koa ngā mātua, ina mahi pēnei i tā rātou tamaiti, ko te pātai , "Ka tapahia katoatia e rātou ō rātou makawe?" Tērā pea ka pātaihia mēnā me mutu te tango i te rongoā e tangohia ana e rātou mō te hauora mō tētahi wā.

Me pēhea te mahi i te pokanga SEEG?

E whā ki te ono hāora te roa o te pokanga SEEG. I te rā o te pokanga, ka hoatu e te tohunga whakamoe he rongoā ki a koe. Ka moe katoa koe i te roanga o te pokanga. Nō reira , kāore koe e rongo i te mamae.

I muri i tō moe, ka whai te tīma pokanga i ēnei mahi:

1. Tuatahi, ka tāpirihia he anga motuhake ("(anga stereotactic)`) ki tō mahunga hei pupuri i tō mahunga ki te wāhi kotahi.

2. Muri iho, ka pokaia kia 10 ki te 20 ngā kōhao iti rawa, tata ki te whānui o te aho pākete, ki roto i te angaanga. Kāore ēnei e tino puta ai te toto.

3. Mā roto i aua kōhao iti, ka whakaurua ngā hikohiko kirihou ngāwari e honoa ana ki ngā waea angiangi ki roto i te roro.

4. Ka whakanohoia tika ēnei irahiko ki ngā wāhi o te roro e whakapaetia ana kei te tīmata te hopukanga, e ai ki ngā matawai o mua.

5. Hei whakamutunga, ka tangohia te anga o te pane, ā, ka herea kia mau te pane.

6. Kātahi ka haria koe ki te rūma whakaora, ā, ka mahia he matawai CT me te hihi-X hei tirotiro kei te wāhi tika ngā irahiko.

He aha ngā mea ka tupu i muri i te SEEG?

I muri i te pokanga, ka whakawhitia koe ki te Wāhanga Aroturuki Mate Huaketo. I reira, ka aroturukihia koe e te rōpū tohunga 24/7. Ka honoa ngā hikohiko i runga i tō mahunga ki ngā mīhini e hopu ana i ngā mahi a tō roro. Ina pāngia koe e te mate haurangi, ka taea e te rorohiko te whakaatu ki a koe te wāhi e tīmata ai i roto i tō roro me te horapa, mā te whakamahi i ngā whakaahua 3D.

Me noho pea koe ki te hōhipera mō ētahi rā, tae atu ki te wiki, e rua rānei, i runga i te auau o tō pāngia e te mate.

I te mutunga o te wā whakamātautau, ka tangohia ngā hiko i tō mahunga. Kaua e manukanuka, ehara tēnei i te mahi nui. He mahi māmā noa iho tēnei e whakangoioi ana i aua wāhi, ā, e 10-15 meneti te roa.

He aha ngā tūponotanga kei roto i te whakamātautau SEEG?

E kiia ana ko te SEEG he tikanga tino haumaru, engari, pērā i ngā pokanga roro katoa, he iti noa iho ngā mōrearea.

• Te toto i roto i te roro (te toto i roto i te angaanga)
• Mate pāwera
• Whiu

Kia pēhea te roa o te wā e ora ai?

I te nuinga o te wā ka hoki anō koe ki te āhua noa i roto i te rā kotahi, e rua rānei (24-48 hāora). Heoi, kōrero ki tō tīma hauora mō te wā ka taea e koe te hoki anō ki ō mahi o ia rā.

He aha tāu e tumanako ai mai i ngā hua o te whakamātautau SEEG?

I ngā wā maha, ka taea e te whakamātautau SEEG te tautuhi angitu i te pūtake o te mate hopuhopu. Kātahi ka āta tirotirohia e ngā tākuta ngā raraunga i tuhia mai i te mahi a tō roro, ā, ka whakatau mēnā kei te tika koe mō te pokanga, mō tētahi atu maimoatanga rānei.

Hei rongoā i te mate haurangi, e whā ki te waru wiki te roa o te pokanga i muri i te whakamātautau SEEG, kia whai wā ai koe ki te ora tika.

Tērā pea ka whiwhi koe i ngā hua whakamātautau tuatahi i mua i tō wehenga atu i te hōhipera. Mā tēnei ka whai wā koe me tō whānau ki te matapaki i ēnei hua me te tīma hauora, me te whakatau i mua i te whakataunga i tētahi mahere maimoatanga whakamutunga.

He tino uaua te noho me te mate haurangi e kore e taea te aukati mā te rongoā. Engari mā ngā tikanga whakamātautau hou pēnei i te SEEG, ka taea inaianei te tautuhi i te tino take o te mate haurangi me te tīmata i te maimoatanga tika. Ka taea e ēnei maimoatanga te āwhina i a koe ki te whakaiti i ō mate haurangi me te noho i te oranga noa.