Kodi inuyo kapena wina m'banja mwanu muli ndi vuto lomwe limayambitsa khunyu, kutanthauza khunyu? Nthawi zina, ngakhale mutalandira mankhwala ochokera kwa dokotala, zimakhala zovuta kwambiri kuwongolera vutoli. Makamaka, ngati zinthu monga 'kugwa kwa madontho' zimachitika, pomwe thupi limataya mwadzidzidzi chidziwitso ndikugwa pansi, zimakhala zoopsa kwambiri. Lero, tikulankhula za opaleshoni yapadera yomwe madokotala amalimbikitsa anthu otere.

Kodi Corpus Callosotomy ndi chiyani?

Mwachidule, Corpus Callosotomy ndi opaleshoni ya khunyu. Nthawi zambiri imachitidwa kwa anthu omwe ali ndi khunyu lalikulu lomwe ndi lovuta kulithetsa ndi mankhwala.

Tangoganizani kuti ubongo wathu wagawidwa m'magawo awiri. Timatcha magawo awiriwa kuti ndi ma hemispheres. Ma hemispheres awiriwa amalumikizana wina ndi mnzake ndipo amasinthanitsa chidziwitso kudzera mu ulusi wa mitsempha womwe uli ngati mlatho. Ulusi wa mitsempha umenewo umatchedwa Corpus Callosum .

Pa nthawi ya Corpus Callosotomy, katswiri wa opaleshoni ya mitsempha amachita opaleshoni yovuta kudzera mu mlatho uwu wotchedwa Corpus Callosum ndipo amaudula.

Kodi opaleshoniyi imafuna chiyani kwenikweni ndipo ndani amene ikumuyenerera bwino?

Pambuyo pa opaleshoni iyi, popeza kulumikizana pakati pa mbali ziwiri za ubongo sikutha, ngakhale kukwawa kuchitike, kudzakhala mbali imodzi yokha ya ubongo. Chifukwa chake, kukwawa kwa kukwawako kumachepa kwambiri.

Opaleshoni iyi ndi yothandiza kwambiri kwa anthu omwe ali ndi khunyu la atonic . Apa ndi pamene minofu ya thupi imataya mphamvu mwadzidzidzi popanda chenjezo ndipo imagwa pansi. Timatchanso izi kuti 'kuukira kwa madontho'. Munthawi izi, pamakhala chiopsezo chachikulu chothyoka mafupa ndikugunda mutu mwamphamvu, zomwe zimapangitsa kuvulala kwakukulu (concussions). Chifukwa chake opaleshoni iyi ikhoza kusintha kwambiri moyo wa munthu yemwe ali ndi khunyu loopsa chonchi.

Komabe, opaleshoniyi si yothandiza kwambiri kwa anthu omwe ali ndi khunyu la gawo/focal, lomwe limayamba m'dera laling'ono la ubongo ndipo limakhala m'dera limenelo lokha. Izi zili choncho chifukwa khunyu nthawi zambiri silifalikira kumadera ena a ubongo.

Kodi mungayembekezere chiyani musanachite opaleshoni?

Dokotala wanu adzakufotokozerani zonse zomwe muyenera kudziwa musanachite opaleshoni. Adzafunika kuchita mayeso kuti adziwe komwe kumayambira muubongo.

Kodi opaleshoniyi imachitidwa bwanji?

Opaleshoni iyi imachitika pansi pa mankhwala oletsa ululu, zomwe zikutanthauza kuti simudzamva chilichonse ndipo mudzakhala mutulo tofa nato. Dokotala wa opaleshoni ya mitsempha adzayamba watsegula chigaza chanu (craniotomy).

Masitepe omwe amachitika panthawi ya opaleshoni ndi awa:

• Chidutswa chaching'ono cha fupa chimachotsedwa pa chigaza kuti pakhale malo ochitira opaleshoni.
• Nembanemba yolimba yotchedwa 'dura' yomwe imateteza ubongo imachotsedwa pang'onopang'ono kuti ifike ku ubongo.
• Pogwiritsa ntchito zida zapadera zopangira opaleshoni ndi maikulosikopu, mtolo wa mitsempha wotchedwa Corpus Callosum umapezeka ndipo umadulidwa bwino.
• Kenako, dura mater imabwezeretsedwa m'malo mwake, fupa la chigaza lomwe lachotsedwa limalumikizidwanso, ndipo kudulako kumatsekedwa ndi zosokera kapena zomangira.

Nthawi zina, opaleshoniyi imachitika m'magawo awiri . Mu gawo loyamba, dokotala amadula mbali yakutsogolo ya Corpus Callosum yokha. Izi zimathandiza kuti mbali ziwiri za ubongo zipitirize kusinthana zinthu monga zithunzi.

Komabe, ngati kuopsa kwa kukwanira sikuchepa pambuyo pake, dokotala angasankhe kuchita opaleshoni yachiwiri kuti alekanitse kwathunthu Corpus Callosum.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Muyenera kukhala m'chipatala kwa masiku angapo mutachita opaleshoni. Nthawi zambiri mungabwerere ku zochita zanu za tsiku ndi tsiku mkati mwa masabata 6 mpaka 8. Komabe, anthu ena angatenge nthawi yayitali kuti achire. Izi zimatengera zinthu zambiri, monga mtundu wa opaleshoniyo ndi zotsatirapo zilizonse zomwe zingachitike.

Pa nthawi yochira, mutha kukumana ndi zotsatirazi kwakanthawi:

• Kumva kutopa kwambiri
• Kuvutika maganizo
• Mutu
• Mavuto okumbukira
• Kusanza
• Kusanza kuzungulira chotupa cha opaleshoni
• Kuvuta kulankhula

Kodi zoopsa ndi zovuta za opaleshoni iyi ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse ya ubongo, pali zoopsa zina. Koma dokotala wanu angakulangizeni opaleshoni pokhapokha ngati ubwino wake ukuposa zoopsa zake. Mavuto aakulu ndi osowa kwambiri.

• Matenda Osokoneza Ubongo: Ili ndiye vuto lofala kwambiri lomwe limachitika pambuyo pa opaleshoni. Mwachidule, chifukwa mbali ziwiri za ubongo sizikugwirizana, mbali ziwiri za thupi zimatha kuyamba kugwira ntchito mosagwirizana. Mwachitsanzo, dzanja lamanzere lingamve ngati likusokoneza zomwe dzanja lamanja likuchita.

• Zoopsa zina:
• Kutaya mgwirizano wa thupi (Kutaya mgwirizano)
• Kukomoka pang'ono, komwe kumachitika mbali imodzi yokha ya ubongo, kungachuluke.
• Mavuto olankhula: Zinthu monga kuvutika kupanga mawu (apraxia) ndi kuvutika kumvetsetsa ndi kulankhula (aphasia).
• Chiwopsezo cha sitiroko.
• Kutupa kwa ubongo.
• Hydrocephalus. Izi nthawi zambiri zimafuna opaleshoni ina kuti muyike shunt.

Kodi opaleshoniyi inayenda bwino bwanji?

Kafukufuku wasonyeza kuti iyi ndi njira yothandiza kwambiri yothandizira matenda a khunyu omwe sangalamuliridwe ndi mankhwala.

• Pafupifupi theka (50%) la anthu omwe amachitidwa opaleshoniyi amasiya kwathunthu 'kuukira kwa madontho'.
• Pambuyo pa opaleshoni, munthu m'modzi pa anthu asanu (pafupifupi 20%) angasiye kugwidwa ndi khunyu.

Kukhala ndi matenda otchedwa khunyu sikophweka. Kungakhale koopsa komanso koopsa. Ngati khunyu lalikulu, monga 'drop attacks', silingathe kuthetsedwa ndi mankhwala, dokotala wanu angakulangizeni opaleshoni iyi. Izi zingakuthandizeni kwambiri kukhala ndi moyo wabwino.