Kugwidwa ndi Lobe Frontal: Tiyeni timvetse izi mosavuta

Kodi munayamba mwawonapo munthu m'banja mwanu, mwina mwana wanu, akudzuka mwadzidzidzi usiku, akufuula, akugwedeza manja ndi miyendo yawo, akuchita zinthu zachilendo? Kapena mumawonetsa khalidwe lachilendo mwadzidzidzi, monga kutukwana kapena kuseka, ngakhale masana? Anthu ambiri amaganiza kuti ili ndi maloto oipa kapena vuto la maganizo, koma izi zitha kukhala khunyu lomwe limachitika muubongo. Lero tikulankhula za mtundu wapadera wa khunyu, womwe umatchedwa 'Frontal Lobe Seizure'. Musachite mantha mukamva dzinali, tiyeni tikambirane chilichonse mosavuta.

Kodi Khunyu la Frontal Lobe ndi Chiyani?

Mwachidule, uwu ndi mtundu wa khunyu. Mbali yakutsogolo ya ubongo wathu, yomwe ili kumbuyo kwa mphumi, imatchedwa ``Frontal Lobe''. Iyi ndi mbali yayikulu kwambiri ya ubongo wathu. Mbali iyi imayang'anira zinthu zambiri zofunika, monga khalidwe lathu, umunthu wathu, kuganiza, kupanga zisankho, kuphunzira, kulankhula, ndi kuyenda kwa thupi.

Kotero, `Frontal Lobe Seizure`, kapena khunyu, imachitika pamene ntchito yamagetsi ya ma neuron mu `Frontal Lobe` mwadzidzidzi imasintha kukhala yosazolowereka komanso yosalamulirika. Chifukwa imayamba m'mbali ina ya ubongo, timaitchanso `focal khunyu``.

Popeza khunyu zimenezi nthawi zambiri zimachitika usiku munthu akagona, anthu ena amaganiza molakwika kuti izi ndi vuto la kugona kapena matenda amisala. Komabe, ndikofunikira kwambiri kuzizindikira ndikuchiza matendawa moyenera.

Kodi zizindikiro za khunyu imeneyi ndi ziti?

Matendawa si ofanana kwa aliyense. Koma pali zizindikiro zina zodziwika bwino. Nthawi zambiri amakhala aafupi kwambiri, nthawi zina osapitirira mphindi imodzi. Ndipo amatha kuchitika kangapo mkati mwa maola 24.

Tangoganizirani, pamene mwana wanu akugona usiku, mwadzidzidzi atakhala pabedi ndikuyamba kumenyetsa miyendo yake ngati akukwera njinga, kapena akugwedeza manja ake mwamphamvu, akufuula. Aliyense angaope akaona chinthu chonga ichi, sichoncho? Tebulo ili pansipa likuwonetsa zizindikiro zomwe zingawonekere nthawi ngati zimenezi.

Zinthu zomwe mumamva musanayambe kugwidwa ndi khunyu (Aura)

Anthu ena amamva zachilendo asanayambe kukomoka. Timatcha izi kuti "aura". Si aliyense amene amamva izi. Koma anthu omwe amamva izi angamve zinthu monga:

• Kumva mantha mwadzidzidzi, mkwiyo, ndi chisoni.
• Kumva ngati thupi lanu likunjenjemera.
• Kusintha kwa fungo, kumva, ndi kuona.

Pambuyo poti khunyu latha, munthu akhoza kumva kusokonezeka maganizo, kuiwala zinthu, komanso kumva kupweteka kwa thupi kwa kanthawi.

N’chifukwa chiyani mtundu uwu wa khunyu umachitika?

Sizotheka nthawi zonse kudziwa chomwe chimayambitsa vutoli, koma pali zinthu zingapo zomwe zingayambitse vutoli.

• Mavuto pa kubadwa: Zolakwika zilizonse zomwe zimachitika panthawi yomwe ubongo wa mwana ukukula m'mimba.
• Matenda a muubongo: Matenda opatsirana omwe amakhudza ubongo ali mwana.
• Kuvulala mutu: Kuvulala mutu kwambiri (Kuvulala koopsa muubongo).
• Stroke: Kuwonongeka kwa ubongo komwe kumachitika chifukwa cha kusokonekera kwa magazi kupita ku ubongo.
• Chotupa cha muubongo: Chomera chilichonse chomwe chimachitika muubongo.
• Zifukwa za majini: Nthawi zina vutoli limatha kutengera kwa makolo, koma izi zimachitika kawirikawiri.

Zinthu zomwe zimayambitsa vutoli

Ngakhale kuti vutoli likhoza kuchitika pa msinkhu uliwonse, anthu ena ali pachiwopsezo chachikulu.

• Ngati wina m'banjamo ali ndi khunyu.
• Ngati munali ndi matenda a ubongo muli mwana.
• Ngati muli ndi sitiroko, kuvulala mutu, kapena chotupa cha muubongo.
• Ngati munabadwa ndi vuto linalake la ubongo pamene munabadwa.

Kodi vutoli ndi loopsa? Kodi zoopsa zake ndi ziti?

Ngakhale kuti kugwidwa ndi khunyu kungawoneke koopsa poyamba, kungathetsedwe bwino ndi chithandizo choyenera. Komabe, ngati khunyu imachitika kawirikawiri ndipo sichitha kuchiritsidwa, pakhoza kukhala zoopsa zina.

• Kuvulala kwa thupi: Mutha kuvulala mwa kugwa kapena kutaya chidziwitso panthawi ya khunyu.
• Matenda a Epilepticus: Izi zimachitika mwadzidzidzi. Izi zimachitika pamene khunyu imatenga mphindi zoposa 5 kapena khunyu imodzi ikatha ndipo ina imayamba chikumbumtima chisanabwererenso. Zikatero, wodwalayo ayenera kutengedwera ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.
• SUDEP (Imfa Yosayembekezereka mu Khunyu): Imeneyi ndi vuto losowa kwambiri. Ndi imfa yadzidzidzi komanso yosamvetsetseka ya munthu amene ali ndi khunyu. Ndi chithandizo choyenera, chiopsezochi chingachepe kwambiri.

Ndi zachilendo kumva kupsinjika maganizo mukakhala ndi vuto ngati ili. Chifukwa chake, mutha kulankhula ndi dokotala wanu ndikupempha thandizo kwa katswiri wa zamaganizo ngati pakufunika kutero.

Kodi dokotala amapeza bwanji izi?

Mukauza dokotala wanu za zizindikiro zimenezi, adzakufunsani funso latsatanetsatane ndikukuyesani. Kenako adzalamula kuti muyesedwe kangapo kuti atsimikizire kuti mwapezeka ndi matendawa.

• Kujambula kwa MRI: Kujambula kwa MRI kungatenge zithunzi za ubongo wanu mwatsatanetsatane. Kungathe kuwona ngati pali vuto lililonse, monga chotupa cha muubongo kapena chotupa cha muubongo.
• EEG (Electroencephalography): Izi zimayesa ntchito yamagetsi muubongo wanu, kapena 'mphamvu' muubongo wanu. Izi zingathandize kudziwa komwe khunyu limayambira muubongo.
• Kanema wa EEG: Izi zimaphatikizapo kujambula kanema pamene mukulumikizidwa ndi EEG. Izi nthawi zambiri zimafuna tsiku limodzi kuchipatala. Izi zimathandiza kuyerekeza khalidwe lanu ndi momwe ubongo wanu umagwirira ntchito panthawi ya khunyu.
• SEEG (Stereoelectroencephalography): Izi zimachitika pokhapokha ngati mankhwala alephera kuletsa khunyu ndipo opaleshoni ikuganiziridwa. Izi zimaphatikizapo kulowetsa ma electrode mu ubongo ndi opaleshoni kuti ayang'anire momwe magetsi akugwirira ntchito mkati mwa ubongo.

Kodi mankhwala ochizira izi ndi otani?

Cholinga chachikulu cha chithandizo ndi kuchepetsa kuchuluka kwa khunyu, ndipo ngati n'kotheka, kuimitsa kwathunthu.

1. Mankhwala oletsa kugunda kwa mtima

Uwu ndi mankhwala oyamba. Mankhwalawa amawongolera ntchito zamagetsi zosazolowereka muubongo. Dokotala wanu adzakusankhirani mankhwala oyenera kutengera zizindikiro zanu. Nthawi zina zimatenga nthawi kuti mupeze mankhwala oyenera komanso mlingo woyenera.

2. Opaleshoni (Opaleshoni ya khunyu)

Ngati mankhwala okhawo sakwanira kuletsa khunyu, dokotala wanu angaganizire za opaleshoni. Izi zikuphatikizapo kuchotsa gawo laling'ono la ubongo lomwe limayambitsa khunyu. Ubongo umakonzedwa bwino musanachite opaleshoni, kuti ntchito zofunika zisakhudzidwe.

3. Kusinthasintha kwa mitsempha

Njira iyi ingagwiritsidwe ntchito pamene opaleshoni sizingatheke. Ikuphatikizapo kuika chipangizo chaching'ono m'thupi chomwe chimatumiza mauthenga amagetsi ku ubongo kuti aletse khunyu.

• Kulimbikitsa Mitsempha ya Vagus (VNS): Chipangizo chaching'ono chimayikidwa pansi pa khungu la pachifuwa, chomwe chimalimbikitsa mitsempha ya vagus m'khosi.
• Kulimbikitsa Maganizo Oyankha (RNS): Chipangizo chimayikidwa mu chigaza. Ichi chimayang'anira momwe ubongo umagwirira ntchito ndipo chimatumiza zizindikiro zamagetsi pokhapokha ngati chazindikira kuti chikugwidwa ndi khunyu.
• Kulimbikitsa Ubongo Kwambiri (DBS): Izi zikufanana ndi `VNS`, koma pankhaniyi, zizindikiro zamagetsi zimatumizidwa mwachindunji kumadera akuya a ubongo.

Dokotala wanu adzakambirana nanu za mankhwala omwe ali abwino kwa inu.