Kodi mayeso a SEEG a fit ndi chiyani? (Stereoelectroencephalography) Tiyeni timvetse mosavuta

Kodi inuyo kapena munthu amene mumamudziwa ali ndi vuto lotchedwa khunyu lomwe ndi lovuta kulithetsa ngakhale mutalandira mankhwala? Nthawi zina madokotala amavutika kudziwa komwe khunyu limayambira muubongo. Pamenepo ndi pomwe tikambirana za mayeso ovuta pang'ono koma ofunikira kwambiri omwe angathandize. Amatchedwa SEEG. Musadandaule, dzinalo lingamveke lalitali pang'ono. Tiyeni tisunge zinthu mosavuta.

Kodi SEEG imatanthauza chiyani?

Mwachidule, Stereoelectroencephalography (SEEG) ndi mayeso ochitidwa opaleshoni omwe amalowa mkati mwa ubongo wanu ndipo amagwiritsa ntchito mabala ang'onoang'ono kuti azindikire komwe kumayambira matenda a khunyu.

Mwina mwamvapo za mayeso a EEG. Amaphatikizapo kuyika ma electrode ang'onoang'ono pamwamba pa mutu, kutanthauza, pa chigaza, kuti ayesere ntchito yamagetsi ya ubongo. Koma mu SEEG, madokotala a neurosurgeon amaika ma electrode awa osati pamwamba pa ubongo, koma m'malo akuya komanso osiyanasiyana a ubongo. Izi zimathandiza kuti chidziwitso chipezeke kuchokera kumadera omwe ali akuya kwambiri kuti EEG yanthawi zonse isagwire.

Mukayika ma electrode, mudzasungidwa m'chipinda chapadera cha chipatala kwa masiku angapo. Panthawiyi, gulu lachipatala lidzayang'anira bwino momwe ubongo wanu umagwirira ntchito panthawi yomwe mukugwidwa ndi khunyu.

Kodi mayeso a SEEG amachitidwa nthawi ziti?

Madokotala amagwiritsa ntchito mayeso a SEEG makamaka pa milandu yapadera.

• Khunyu yosagwira mankhwala: Anthu ena sangathe kuletsa khunyu ngakhale atagwiritsa ntchito mitundu iwiri kapena itatu ya mankhwala. Timatcha khunyu yosagwira mankhwala. Kwa ana opitirira zaka ziwiri ndi akuluakulu omwe ali ndi vutoli, SEEG ndi yofunika kwambiri kudziwa ngati opaleshoni ndi yotheka.

• Kujambula ubongo: Tangoganizani kuti khunyu ikuchokera ku gawo lofunika kwambiri la ubongo lomwe limalamulira kulankhula, kuyenda, kapena kumva. Ngati mukufuna kuchitidwa opaleshoni, muyenera kusamala kuti musawononge magawo ofunikirawo. Pogwiritsa ntchito ma electrode a SEEG, mutha kujambula madera ofunikirawa musanachite opaleshoni.

• Malangizo a mankhwala ena: Nthawi zina kuyezetsa kwa SEEG kumagwiritsidwanso ntchito ngati gawo la chithandizo. Mwachitsanzo:
• Kuchuluka kwa kutentha kwa mpweya m'thupi (Radiofrequency thermocoagulation): Izi zimagwiritsa ntchito mafunde a wailesi ndi kutentha kuti ziwononge maselo a ubongo omwe amayambitsa khunyu. Chithandizochi chingachitike pogwiritsa ntchito ma electrode a SEEG.
• Kutentha (LITT):Njira yolepheretsa ziwalo za ubongo zomwe zimayambitsa khunyu pogwiritsa ntchito mphamvu ya kutentha ya laser.
• Kulimbikitsa mitsempha ya m'magazi poyankha: Mu izi, chipangizo chimayikidwa mu ubongo chomwe chimapereka mphamvu yamagetsi pang'ono mpaka pomwe khunyu limayamba kenako nkuiletsa. SEEG imathandiza kupeza malo enieni a chipangizocho.

Ndani ali woyenera mayesowa?

Mayeso a SEEG si a aliyense. Dokotala wanu adzaganizira zinthu zingapo asanakulimbikitseni.

Tangoganizirani kuti mwagwidwa ndi khunyu lomwe limayamba m'dera linalake la ubongo wanu (`(focal epilepsy)`). Koma ngakhale mutagwiritsa ntchito MRI scan, dera limenelo silikuwoneka bwino. Pamenepo ndi pamene SEEG imakhala yothandiza kwambiri.

Komabe, ngati muli ndi khunyu lomwe limayamba m'malo ambiri a ubongo nthawi imodzi (`(khunyu yodziwika bwino)`), simuli woyenera mayesowa.

Kodi kusiyana kwakukulu pakati pa EEG ndi SEEG ndi kotani?

Ngakhale kuti mayeso onsewa amayesa ntchito yamagetsi ya ubongo, pali kusiyana kwakukulu. Kawirikawiri, dokotala amayamba kaye wachita EEG. Pokhapokha ngati chidziwitso chomwe apeza sichikwanira, ndiye kuti apitiliza mayeso a gawo lachiwiri, monga SEEG.

Zosintha zazikulu ndi izi:

• Kumene ma electrode amaikidwa: Mu EEG, ma electrode amaikidwa pamwamba pa khungu, pamwamba pa chigaza. Mu SEEG, ma electrode amaikidwa mkati mwa ubongo.
• Chidziwitso cholandiridwa: EEG imapereka chidziwitso chokhudza ntchito ya pamwamba pa ubongo. SEEG imatha kupeza chidziwitso mozama mosiyanasiyana m'magawo onse awiri a ubongo. Izi zimatithandiza kudziwa komwe khunyu lachitikira .

Kafukufuku wina adapeza kuti anthu omwe adachitidwa opaleshoni ya khunyu atangoyesedwa ndi SEEG adakhala nthawi yochepa mchipinda chochitira opaleshoni poyerekeza ndi omwe adachita njira zina (monga kutsegula chigaza ndi kuyika ma electrode pamwamba pa ubongo). Adatenganso nthawi yochepa kuchipatala ndipo adagwiritsa ntchito mankhwala ochepa opweteka.

Kodi mungayembekezere chiyani SEEG isanafike?

Popeza iyi ndi mayeso okhudzana ndi opaleshoni, mayeso angapo adzachitidwa kuti awone momwe thanzi lanu lilili pasadakhale.

• Kuyezetsa magazi
• Mayeso a EKG (Electrocardiogram) omwe amayesa kugunda kwa mtima
• Mayeso ojambulira zithunzi monga CT scans (computed tomography scans) ndi MRI scans (magnetic resonance imaging)

Limodzi mwa mantha omwe anthu ambiri, makamaka makolo, amakhala nawo akamachita zinthu ngati izi kwa ana awo ndi lakuti , "Kodi adzameta tsitsi lawo lonse?" Pakhoza kukhalanso mafunso okhudza ngati adzayenera kusiya kumwa mankhwala omwe akumwa kwa kanthawi.

Kodi opaleshoni ya SEEG imachitidwa bwanji?

Opaleshoni ya SEEG nthawi zambiri imatenga maola anayi mpaka asanu ndi limodzi. Pa tsiku la opaleshoni, dokotala wogonetsa adzakupatsani mankhwala. Mudzakhala mukugona mokwanira panthawi yonse ya opaleshoni. Kotero simudzamva kupweteka kulikonse.

Mukagona, gulu la opaleshoni lidzatsatira izi:

1. Choyamba, chimango chapadera (`(chimango cha stereotactic)`) chimamangiriridwa kumutu wanu kuti mutu wanu ukhale pamalo amodzi.

2. Kenako, mabowo ang'onoang'ono pafupifupi 10 mpaka 20, pafupifupi m'lifupi mwa chingwe cha spaghetti, amabowoledwa mu chigaza. Izi sizimayambitsa kutuluka magazi ambiri.

3. Kudzera m'mabowo ang'onoang'ono amenewo, ma electrode osinthika ngati pulasitiki olumikizidwa ku mawaya opyapyala amalowetsedwa mu ubongo.

4. Ma electrode awa amaikidwa bwino m'malo a ubongo komwe akuganiziridwa kuti akuyamba kugwidwa, monga momwe adazindikirira kale.

5. Pomaliza, chimango cha mutu chimachotsedwa ndipo mutuwo umamangidwa bwino.

6. Kenako mudzatengedwera ku chipinda chochiritsira ndipo mudzatengedwa CT scan ndi X-ray kuti muwonetsetse kuti ma electrode ali pamalo oyenera.

Kodi chimachitika ndi chiyani pambuyo pa SEEG?

Mukachita opaleshoni, nthawi zambiri mumasamutsidwira ku Chipatala Choyang'anira Khunyu. Kumeneko, gulu la akatswiri lidzakuyang'anirani maola 24 pa tsiku, masiku 7 pa sabata. Ma electrode pamutu panu adzalumikizidwa ku makina omwe amalemba zomwe ubongo wanu ukuchita. Mukagwidwa ndi khunyu, kompyuta ingakuwonetseni komwe imayambira mu ubongo wanu komanso momwe imafalikira, pogwiritsa ntchito zithunzi za 3D.

Mungafunike kukhala m'chipatala kwa masiku angapo mpaka sabata imodzi kapena ziwiri, kutengera nthawi yomwe mumadwala matenda a chiuno.

Pamapeto pa nthawi yoyesera, ma electrode adzachotsedwa pamutu panu. Musadandaule, iyi si ntchito yaikulu. Ndi njira yosavuta yomwe imachotsa madera amenewo ndipo imatenga mphindi 10-15.

Kodi pali zoopsa zilizonse pa mayeso a SEEG?

SEEG nthawi zambiri imaonedwa kuti ndi njira yotetezeka kwambiri, koma monga momwe zimakhalira ndi opaleshoni iliyonse ya ubongo, pali zoopsa zazing'ono kwambiri.

• Kutuluka magazi mkati mwa ubongo (kutuluka magazi mkati mwa ubongo)
• Matenda
• Stroke

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi zambiri muyenera kukhala bwino pakatha tsiku limodzi kapena awiri (maola 24-48). Komabe, lankhulani ndi gulu lanu lachipatala za nthawi yomwe mungayambirenso ntchito zanu zachizolowezi.

Kodi mungayembekezere chiyani kuchokera ku zotsatira za SEEG?

Nthawi zambiri, mayeso a SEEG amatha kudziwa bwino chomwe chimayambitsa khunyu. Madokotala amafufuza mosamala zomwe zalembedwa kuchokera muubongo wanu ndikusankha ngati mukuyenerera opaleshoni kapena chithandizo china.

Opaleshoni yochizira khunyu nthawi zambiri imachitika milungu inayi kapena isanu ndi itatu mutamaliza mayeso a SEEG, kuti mupatsidwe nthawi yoti muchire bwino.

Mungalandire zotsatira zoyambirira za mayeso musanatuluke kuchipatala. Izi zikupatsani inu ndi banja lanu nthawi yokambirana zotsatira izi ndi gulu lachipatala ndikupanga chisankho musanapange dongosolo lomaliza la chithandizo.

Kukhala ndi khunyu lomwe silingathe kuthetsedwa ndi mankhwala kungakhale kovuta kwambiri. Koma ndi njira zamakono zoyesera monga SEEG, tsopano n'zotheka kudziwa chomwe chimayambitsa khunyu ndikuyamba chithandizo choyenera. Mankhwalawa angakuthandizeni kuchepetsa khunyu lanu ndikukhala moyo wabwinobwino.