Ese ufite isereri mu gice cy'imbere cy'umutwe wawe? (Frontal Lobe Seizure) - Reka tuvuge kuri ibi!

Ese wigeze wumva ibyerekeye 'Frontal Lobe Seizure' cyangwa 'Frontal Lobe Epilepsy'? Wenda wowe cyangwa undi muntu uzi wigeze kugira ubu bwoko bw'igicuri. Nubwo ibi bishobora gusa n'ibigoye, reka tubiganireho mu buryo bworoshye. Kuko ni ingenzi cyane kubimenya.

'Indwara yo mu mutwe w'imbere' ni iki?

Mu magambo make, igicuri cyo mu mutwe ni indwara yo gucika intege ifata ibice by'imbere , ibice biri inyuma y'agahanga. Ibi bice by'imbere ni byo binini mu bice bine by'ingenzi by'ubwonko bwacu. Hari kimwe kiri ibumoso n'ikindi kiri iburyo. Ibi ni ibi bikurikira:

• Imyitwarire n'imico
• Gutekereza, kwiga no gufata ibyemezo (Gutekereza)
• Ingendo
• Kuvuga

Igenzura ibintu nk'ibyo.

Rero, muri 'epilepsie' y'ubwonko, hari imikorere idasanzwe y'amashanyarazi mu 'lobes zo mu mutwe'. Ni nk' 'umuvuduko mugufi'. Tubyita indwara z'igicuri ziterwa n'iyi 'epilepsie'. Izi ni zimwe mu bwoko bwa 'focal seizure'. Ni ukuvuga ko indwara y'igicuri itangirira mu gace kamwe k'ubwonko. Ibi bishobora gutangirira mu 'lobes zo mu mutwe' z'ibumoso cyangwa mu iburyo.

Kubera ko ibi bimenyetso bikunze kubaho nijoro , hari igihe bishobora kwitiranywa n'indwara yo mu mutwe cyangwa ikibazo cyo gusinzira. Kubwibyo, ni ngombwa cyane kubona isuzuma nyaryo.

Ese hari ubwoko bw'indwara y'igicuri yo mu mutwe (frontal lobe epilepsy)?

Yego, hari ubwoko bumwe bwihariye. Byitwa 'autosomal dominant sleep-related hypermotor epilepsy' . Mbere byitwaga 'autosomal dominant nocturnal frontal lobe epilepsy'. Ubu ni ubwoko bw'igicuri kibaho mu gihe cyo gusinzira. Ubu bwoko bukunze kugaragara mu miryango, bivuze ko bushobora guhererekanywa mu bisekuruza.

Ni ibihe bimenyetso bishobora kugaragara muri iki kibazo?

Ikimenyetso cy'ingenzi cya igicuri cyo mu gice cy'imbere cy'ubwonko ni ugufatwa n'igicuri mu buryo bw'igihe gito gitangira mu gice kimwe cy'ubwonko. Izi ncuri zishobora gutera ibimenyetso nka:

• Imyitwarire idasanzwe: Ibintu nko gusakuza mu buryo butunguranye, guseka, gutukana, nibindi. Tekereza ukuntu abandi bahangayika iyo umuntu wari usinziriye akoze ikintu nk'iki gitunguranye.
• Guhindukiza umutwe cyangwa amaso uyerekeza ku ruhande rumwe.
• Gutera imigeri cyangwa gukora ingendo nko kugendera ku igare.
• Gukubita cyangwa gukubita.
• Ingendo zidagenzuwe kandi zisubiramo (urugero: kunyeganyega vuba amaboko n'amaguru).
• Kuzunguruka cyangwa guzunguruka gusubirwamo.
• Gutakaza ubwenge cyangwa kumenya ibikukikije (nk'aho ureba ikirere).
• Kunanirwa kwifata mu nkari cyangwa mu mwanda.
• Intege nke z'imitsi.
• Kugorwa no kuvuga.
• Impinduka mu miterere y'umuntu.
• Ibibazo byo gusinzira.

Izi "ziba" zikunze kubaho mu matsinda, bivuze ko zishobora kubaho inshuro zirenga ebyiri mu masaha 24. Akenshi ziba mu gihe usinziriye , ariko zishobora no kubaho mu gihe uri maso. Akenshi kandi zimara igihe gito, zikamara igihe kitarenze umunota umwe.

Hari igihe, mbere yuko isereri itangira, ushobora kugira 'aura' , ibyo bikaba ari ibintu bidasanzwe. Ibi bishobora kuba birimo:

• Impinduka zitunguranye mu byiyumvo: nko gutinya, guhangayika, uburakari, agahinda, cyangwa ibyishimo.
• Ibyiyumvo bidasanzwe: Nk'ibihumyo.
• Impinduka mu buryo abantu bumva: uburyo bwo guhumurirwa, kumva, kubona, uburyohe, cyangwa gukoraho byahindutse.

Nyuma yo gukubita agace k'imbere k'umutwe, ushobora kugira urujijo, kwibagirwa cyangwa ububabare bw'imitsi . Ibi byitwa imiterere y'inyuma y'umutwe .

Ni izihe mpamvu zitera igicuri cyo mu mutwe (frontal lobe epilepsy)?

Indwara yo mu bwonko bw’imbere iterwa n’imikorere idasanzwe y’amashanyarazi mu bwonko bw’imbere. Ubusanzwe, uturemangingo tw’imitsi two mu bwonko bwacu, twitwa neuron , twohererezanya ibimenyetso. Ariko iyo umuntu afashwe n’indwara yo mu bwonko bw’imbere, utwo tunyangingo turasohoka cyane.

Impamvu zisanzwe zishobora kugira ingaruka kuri ibi ni izi:

• Imikurire idasanzwe y'ubwonko mu gihe cy'uruhinja.
• Ubwandu bw'ubwonko.
• Indwara yo mu bwonko (stroke).
• Ibikomere bikomeye byo mu mutwe (Ibikomere bikomeye byo mu bwonko).
• Ikibyimba cyo mu bwonko.
• Impinduka mu miterere y'uturemangingo.

Hari igihe ushobora kudashobora kubona impamvu.

Ese ibi ni ibintu bikomoka ku bisekuruza?

Yego, ubwoko bumwe bw'indwara y'igicuri ishobora kwanduzwa ababyeyi ikagera ku bana, ariko ni gake cyane. Ubwoko bw'indwara y'igicuri iterwa no gusinzira twavuze mbere ni indwara ifata umubiri wose. Ibi bivuze ko iyo umwe mu babyeyi afite iyi ndwara, umwana ashobora kuyirwara.

Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?

Indwara y'igicuri ishobora kwibasira umuntu uwo ari we wese, ku myaka iyo ari yo yose. Ariko, ushobora kuba ufite ibyago byinshi kubera impamvu zikurikira:

• Niba hari umuntu wo mu muryango wawe ufite igicuri (amateka y’umuryango w’umuntu).
• Niba wararwaye indwara yo mu bwonko ukiri umwana.
• Niba waragize ikibazo cyo gucika kw'imitsi, igikomere gikomeye mu mutwe, cyangwa ikibyimba cyangwa ikindi cyangiritse ku gice cyo imbere cy'umutwe.
• Iyo habayeho gutinda mu iterambere.
• Niba waravutse ufite ibibazo mu bwonko bwawe igihe wavukaga.

Ni ibihe bintu bitera kwiyongera kw'indwara zo mu mutwe zifata imbere y'umuntu?

'Ibintu bitera' ni ibintu byongera ibyago byo kurwara indwara y'igicuri. Ibintu bikunze gutera indwara birimo:

• Guhangayika.
• Amatara arabagirana.
• Kubura ibitotsi.
• Gukoresha ibiyobyabwenge.

Ibi bishobora gutandukana bitewe n'umuntu ku wundi . Kubika inyandiko y'ibyo wakoraga n'uko wiyumvaga mbere yuko icyorezo gitangira bishobora kugufasha kumenya impamvu zigutera.

Ese "indwara zo mu mutwe w'imbere" zishobora guteza akaga?

Gufatwa n'indwara zo mu mutwe zikunze gutera ibi bikurikira:

• Ingaruka zo gukomereka ziyongera.
• Indwara y'igicuri: Indwara zimara iminota irenga itanu. Iki ni ikibazo gihitana ubuzima.
• Urupfu rutunguranye rw'igicuri (SUDEP): Ibi ni gake cyane, ariko birashoboka.

Kugira ibicurane akenshi bishobora kugira ingaruka zikomeye ku buzima bwawe bwo mu mutwe no ku mibereho yawe y'amarangamutima. Rero, uretse ubundi buryo bwo kuvura bugirwa inama na muganga, tekereza kuvugana n'umujyanama mu by'ubuzima bwo mu mutwe .

Niba ufite ibitekerezo byo kwiyahura, jya kwa muganga ako kanya cyangwa uganire n'umuntu wizeye . Hari ahantu muri Sri Lanka ushobora kubona ubufasha kuri ibi (urugero: Sumitrayo 0112682535). Wibuke ko utari wenyine, kandi ntutinye gusaba ubufasha.

Ni gute indwara ya "frontal lobe epilepsy" ipimwa?

Kugira ngo umuganga amenye igicuri cyo mu gice cyo imbere cy’umutwe, azasuzuma amateka y’ubuzima bwawe kandi agukorere isuzuma ry’umubiri. Byongeye kandi, hashobora gutangwa ibizamini byinshi kugira ngo byemezwe ko ari indwara.

Ibipimo byo gusuzuma indwara

Dore ibizamini bifasha gusuzuma indwara y'igicuri cyo mu mutwe (frontal lobe epilepsy):

• Isuzuma rya MRI (Magnetic Resonance Imaging): Ibi bishobora gufata amashusho arambuye y'ubwonko bwawe. Ibi bishobora gufasha kureba niba hari ibibyimba, ibisebe, cyangwa ibindi bibazo bishobora gutera indwara zo mu mutwe.
• EEG (Electroencephalography): Iyi niyo igenzura imikorere y'amashanyarazi y'ubwonko bwawe. Ibi bifasha kumenya aho indwara yo gupfukama itangirira.
• Videwo EEG: Ibi bikubiyemo kwandika ibikorwa by'ubwonko bwawe ndetse n'ingendo zawe n'imyitwarire yawe. Ibi bishobora gusaba kurara mu bitaro ijoro ryose. Kubera ko indwara nyinshi zo mu gice cyo hejuru cy'imbere zibaho mu gihe usinziriye, inyigo yo gusinzira ishobora no gukorwa.
• Ishusho y'amajwi y'amajwi (SEEG):Muri ibi, umuganga ubaga ashyiramo electrode mu bwonko bwawe. Ibi bikoresho bishobora kumenya imikorere y’igicuri mu bwonko itarafatwa na EEG. SEEG ikunze gukorwa iyo igicuri cyawe kidagenzurwa n’imiti kandi niba hari igitekerezo cyo kubagwa ubwonko.
• Isuzuma rya Magnetoencephalography (MEG): Iki kizamini cyandika imikorere ya rukuruzi iterwa n'imikorere y'amashanyarazi y'ubwonko, gifasha kumenya ahantu hadasanzwe ubwonko bukora.

Byongeye kandi, muganga ashobora no gukora ibizamini by’ubwonko kugira ngo arebe niba indwara z’ibicurane zigira ingaruka ku mikorere y’ubwonko.

Ni ubuhe buryo bwo kuvura ibi?

Intego nyamukuru yo kuvura igicuri cyo mu gice cy'imbere ni ukugabanya umubare w'ibicurane byo mu gice cy'imbere urwaye. Muganga wawe ashobora kukugira inama yo kuvura indwara nk'izi:

• Imiti igabanya ifatwa ry'ibisebe
• Kubagwa kw'igicuri
• 'Uguhindura imitsi y'ubwonko'

Byongeye kandi, muganga wawe ashobora kukugira inama yo guhindura indyo yawe ugahindura indyo irimo ibinure byinshi kandi irimo karubohidrati nke (urugero, 'indyo ya ketogenic ivura igicuri' ).

Imiti igabanya ubukana bw'indwara yo kurwara indwara yo mu maso

Imiti igabanya igicuri ishobora gufasha mu kugenzura ibicurane byo mu bwonko. Iyi miti igenzura imikorere y'amashanyarazi y'ubwonko no kugabanya inshuro zifatwa n'ibicurane. Ubusanzwe iyi ni yo nzira ya mbere yo kuvura.

Muganga wawe azasuzuma ibimenyetso byawe maze aguhe umuti ukubereye. Mbere yo gutangira umuti mushya, azagusobanurira ingaruka mbi zishobora kubaho. Muganga wawe ashobora gukenera guhindura ingano cyangwa ubwoko bw'umuti kugeza igihe uzabona uwo ukubereye.

Kubaga indwara yo kubabara mu gice cyo hejuru cy'imbere (Frontal Lobe Seizures)

Niba imiti idakurinda indwara yo gucika kw'imbere mu gice cy'imbere, muganga wawe ashobora kubaga kugira ngo avure igicuri. Muganga wawe ashobora kukugira inama yo gucibwa igice cy'imbere mu gice cy'imbere . Ibi bikubiyemo gukuraho igice cyafashwe n'indwara yo gucika kw'imbere aho indwara zo gucika kw'imbere zitangirira. Bishobora kandi gukuraho ikibyimba cyo mu bwonko cyangwa ikindi cyangiritse muri ako gace.

Mbere yo kubagwa, umuganga wawe azakoresha uburyo butandukanye bwo gupima kugira ngo akore amakarita arambuye y'ubwonko bwawe. Ashobora kandi kubaga agashyiramo electrodes kugira ngo ubwoko bwihariye bwa 'stereo-EEG (SEEG)' bufatwe mu bwonko. Aya makuru yose azafasha itsinda ryawe ry'ababaga:

• Menya ibice byihariye by'ubwonko bitera indwara zo mu bwonko.
• Witondere kwangiza ibice by' 'agace k'imbere' kagenzura imikorere y'ingenzi y'ubwonko.

Uburyo bwo guhindura imikorere y'ubwonko mu gihe cyo gukubita igice cyo imbere cy'ubwonko

Mu bihe bimwe na bimwe, kubagwa kugira ngo havurwe indwara yo mu bwonko ishobora kuba idafite ingaruka nziza. Muri icyo gihe, muganga ashobora kukugira inama yo kuvura indwara yitwa neuromodulation. Ubu buryo bwo kuvura bukoresha igikoresho cyashyizwe mu mubiri kugira ngo cyohereze amashanyarazi mu bwonko, kigerageza guhagarika indwara yo mu bwonko mbere yuko itangira.

Ubwoko bukunze gukoreshwa bw'ibikoresho byo guhindura imitsi mu bwonko ni:

• Gukangura imitsi yo mu nda (VNS): Umuganga ubaga ashyira igikoresho gito munsi y'uruhu rw'igituza cyawe. Gifatanye n'insinga. Insinga izingira umutsi wo mu nda mu ijosi ryawe hanyuma zikohereza imitsi kuri uwo mutsi. Hari ibikoresho bya VNS bishobora kubona impinduka mu muvuduko w'umutima mu gihe cy'igicuri hanyuma bikohereza indi mitsi yo mu nda mu mara.
• Gutera Ubwonko Gusubiza mu Mutwe (RNS): RNS ni igikoresho gishyirwa mu mutwe wawe. RNS igenzura imikorere y'ubwonko bwawe kandi ikohereza amashanyarazi gusa iyo ibonye ko hari icyorezo.
• Gukangura Ubwonko Bwimbitse (DBS): Umuganga ubaga ashyira igikoresho cya DBS mu gituza cyawe. Insinga zacyo zihujwe n'amashanyarazi yashyizwe mu bwonko bwawe. Umuganga ategura iki gikoresho maze akohereza amashanyarazi mu bwonko bwawe.

Ni iki kigaragara ku ndwara y'igicuri cyo mu gice cyo imbere cy'umutwe? (Outlook)

Muganga wawe ashobora kuguha amakuru meza ku bijyanye n'uko ubona ibintu. Bitandukana bitewe n'umuntu ku giti cye, bitewe n'ibintu byinshi, nko ubuzima bwawe muri rusange n'inshuro urwara indwara y'igicuri.

Imiti ishobora gufasha mu kurwanya indwara y'igicuri mu gihe kirekire. Ariko rimwe na rimwe, imiti ntikora neza kuri buri wese. Kubagwa bishobora kuba ubundi buryo. Nubwo nta muti uhari wo kuvura igicuri cyo mu gice cyo imbere cy'umutwe, abantu benshi bagabanuka cyangwa bagakira burundu nyuma yo gukoresha imiti cyangwa kubagwa.

Muganga wawe azakubwira uburyo bwo kuvura buzagufasha kuguma mu mutekano.

Ni ryari ukwiye kujya kwa muganga?

Jya kwa muganga niba ugaragaje ibimenyetso bishya cyangwa niba ibimenyetso byawe birushijeho kwiyongera. Menya neza ko ubuvuzi bwawe bukora neza, kandi ukomeze gahunda zawe na muganga . Bwira muganga wawe niba ufite ingaruka mbi nyuma yo gutangira umuti mushya.

Ni iki ngomba kubaza muganga wanjye?

Niba urwaye igicuri cyo mu gice cyo hejuru cy'imbere, ushobora kubaza muganga wawe ibi bikurikira:

• Ni ubuhe bwoko bw'ubuvuzi usaba?
• Ingaruka mbi z'ubuvuzi ni izihe?
• Ese ni byiza gufata imiti igabanya igicuri niba ntekereza gushinga umuryango?
• Ni gute naguma mu mutekano mu gihe cy''imitingito''?
• Ese nujuje ibisabwa kugira ngo mbagwe?

Incamake n'ibintu byo kwibuka

Ibice bibiri binini by'ubwonko bwacu, utwuma two mu mutwe, bifite uruhare runini cyane. Ariko keretse hagize ikintu kigenda nabi muri iki gice cy'ubwonko, ntabwo twumva neza akamaro kacyo. Ku bw'amahirwe, hari uburyo bwo kuvura igicuri cyo mu mutwe hamwe n'indwara zo mu mutwe ziterwa na cyo.

Muganga wawe azagufasha guhitamo umuti umwe cyangwa myinshi ikubereye. Ntugahangayike niba imiti idakora. Hari igihe kubaga cyangwa guhindura uburyo bwo kuvura indwara bishobora kuba amahitamo meza ku bwonko bwawe. Uko ubuvuzi wahitamo bwose, itsinda ry'abaganga rizaba rihari kugira ngo risubize ibibazo byose ushobora kuba ufite. Niba ubyifuza, bashobora no kukugira inama yo kugufasha cyangwa kuguha inama. Wibuke ko utari wenyine muri uru rugendo!

` Igicuri, agace ko mu mutwe, ibibyimba, indwara zo mu bwonko, indwara zo mu mitsi, ibimenyetso, uburyo bwo kuvura