Ese nawe ufite "ibisebe" nk'ibi? Ariko se si igicuri? (Psychogenic Nonepileptic Seizure - PNES) Reka tubiganireho!

Tekereza, uhita wumva umeze nk'ufite isereri, umubiri wawe urahinda umushyitsi, wenda ugatakaza ubwenge ... nk'aho ufite igicuri. Ariko urabizi, ibi ntibibaho buri gihe bitewe n'isereri iterwa n'impinduka mu mikorere y'amashanyarazi mu bwonko. Hari igihe bishobora kuba bitandukanye, ariko bishobora no kumera gutyo. Uyu munsi tugiye kuvuga ku ndwara nk'iyo, abaganga bita `(Psychogenic Nonepileptic Seizure - PNES)`, cyangwa `(Functional Seizures - FS)`. Nubwo ibi bishobora gusa n'ibigoye, reka tubisobanukirwe mu buryo bworoshye.

Iyi `(PNES)` ni iki mu by'ukuri?

Mu magambo make, PNES ni urukurikirane rw'ibintu bisa cyane n'ibimenyetso by'igicuri, ni ukuvuga urukurikirane rw'ibintu biza bigahita bishira nk'aho "bimeze nk'ibihuha." Ariko icy'ingenzi ni uko ibi bidaterwa n'imikorere idasanzwe y'amashanyarazi mu bwonko . Igicuri giterwa n'ihungabana ry'imikorere y'amashanyarazi mu bwonko. Ariko muri PNES, si ko bimeze.

None se kuki ibi bintu bibaho? Mu by'ukuri bibaho nk'igisubizo ku bintu bimwe na bimwe biri mu mitsi yacu, ni ukuvuga, uburyo umubiri wacu wumva . Ibyo bintu ni ibihe?

• Impamvu z'umubiri: Ahari imvune, ikintu nk'ububabare budashira.
• Ingaruka ku bidukikije: Ibitutu bikomeye byo mu mutwe bituruka ku bidukikije, ni ukuvuga imihangayiko.
• Ibintu bibabaje byo mu bihe byashize: Wenda hari ikintu udashobora kwibagirwa kandi cyagize ingaruka zikomeye ku bwenge bwawe.

Igikuru ni uko niba ufite iyi ndwara, "gukwira" uri kugira ni ukuri. Si ikintu ukora nkana cyangwa wiyitirira. Nta bubasha ufite bwo kugigenzura iyo bibaye, ni ikintu kiba kidashoboka. Ni ngombwa cyane kubanza kubyumva. Iyi ndwara ishobora kubangamira ubuzima bwawe cyane, ariko birashoboka kubona ubufasha.

Hari igihe abaganga bita iyi ndwara `(Indwara y'imitsi ikora - FND)`. Impamvu y'ibi ni uko ibi bimenyetso bishobora gusobanurwa nk'ihungabana mu mikorere y'ubwonko mu itumanaho. Bamwe bavuga ko ibi ari ikibazo kiri muri ``software'' ya mudasobwa, ni ukuvuga kuri porogaramu. Ibi kandi byitwa ``ibitero bya psychogenic nonepileptic```, ``episodes``` cyangwa ``spells```.

Ni ibihe bimenyetso bya `(PNES)`?

Ikimenyetso nyamukuru cy'iyi ndwara ni icyo bita "gukwirakwira." Ariko ibi bishobora gutandukana bitewe n'umuntu ku wundi.

Hari abantu bashobora kugira gutigita no kunyeganyega k'umubiri wose, nk'uko bimeze muri "Tonic-clonic seizures", ari na zo ndwara zikomeye cyane zo mu bwonko. Abandi bashobora kugira gutigita no kuzunguruka kw'ingingo. Hari igihe bashobora kugaragara nk'abatakaje ubwenge igihe gito, nk'uko bimeze muri "Absence seizures", cyangwa bagasa n'abaguye hasi mu buryo butunguranye, nk'uko bimeze muri "Drop attacks ." Itandukaniro ni uko nta na kimwe muri ibi giterwa n'imiraba idasanzwe y'amashanyarazi mu bwonko.

Ibi ni bimwe mu bimenyetso bikunze kugaragara bya PNES:

• Imiterere y'imigendere y'umubiri ihinduka: amaguru n'amaboko bihindagura kandi bizunguruka mu buryo butandukanye.
• Umubiri uhinda umushyitsi mugihe ufite ubwenge: Hari igihe, nubwo umubiri uhinda umushyitsi, ushobora kumva ibintu bibera iruhande rwawe ku rugero runaka.
• Gufunga amaso ntusubize.
• Kurwara indwara y'igicuri mu mubiri wose bimara iminota irenga 10: Ubusanzwe indwara y'igicuri ntimara igihe kingana gutya.
• Gutakaza ubwenge.
• Amaguru agenda mu buryo butari bwo.
• Ingendo zo mu gituza.
• Umutwe unyeganyega vuba cyane uva ku ruhande rumwe ujya ku rundi.

Uretse ubu "buryohe", ushobora kugira ibindi bimenyetso bitewe n'ibibazo by'ubuzima bwo mu mutwe. Urugero:

• Guhangayika
• Ihungabana
• Ibitero by'ubwoba
• Indwara yo guhangayika nyuma y'ihungabana (PTSD)

Ni izihe mpamvu za `(PNES)`?

Abashakashatsi bemeza ko ibimenyetso bya FS biterwa n'uruvange rw'ibintu bitandukanye bitera stress bigira ingaruka ku mubiri wawe, mu bwonko bwawe, no mu mibanire yawe n'abandi. Ibi kandi byitwa icyitegererezo cya biopsychosocial. Ibi bivuze ko bishobora guterwa n'ingaruka zituruka mu bice bitatu: ibinyabuzima, imitekerereze, n'imibereho.

Byongeye kandi, ibi bintu bishobora kugira uruhare muri iki kibazo:

• Kugorwa no gusobanukirwa no kugaragaza amarangamutima: Hari abantu badashobora gusobanura neza uko bumva.
• Ibibazo byo gutunganya amajwi: Ibi bivuze ko ubwonko bugorwa no guhindura ubutumwa buva mu byumviro byacu, nk'amaso n'amatwi, mu bikorwa.
• Ibisubizo bitari byo ku muhangayiko w’umubiri n’uwo mu mutwe: Gukunda kurakara cyane no kudashobora kwihanganira ikibazo gito.

Hari kandi n'imyizerere ivuga ko ingaruka z'uturemangingo zishobora kugira uruhare mu kubaho kw'iki kibazo ku rugero runaka.

Akenshi, ikibazo cy’ubuzima bwo mu mutwe gishobora kuba intandaro y’ibi "bitera". Indwara zikunze kugaragara ni izi:

• Indwara zo guhangayika ziterwa n'ubwoba
• Indwara zo kwiheba
• Indwara zo kwitandukanya n'abandi
• Indwara z'amarangamutima
• Indwara z'imico
• Indwara yo guhangayika nyuma y'ihungabana (PTSD)
• Indwara y'ibimenyetso bya somatic
• Indwara zo gukoresha ibiyobyabwenge

Ibintu bishobora gutera `(PNES)`

Ushobora kuba uri mu kaga gakomeye ko kurwara iyi ndwara niba:

• Niba warakorewe ihohoterwa rishingiye ku mubiri, ku gitsina, cyangwa ku marangamutima cyangwa se ugasuzugurwa ukiri umwana.
• Niba warahuye n'ikintu kitoroshye cyangwa giteye ishozi.
• Niba urwaye indwara idakira nk'ububabare budakira cyangwa fibromyalgia.

PNES ikunze gutangirira mu bwana, ariko ishobora gutangirira mu myaka iyo ari yo yose.

Ingorane zishobora guterwa na `(PNES)`

Iyo "guterana" bibayeho, ushobora gutakaza ubwenge cyangwa ubwenge bwose. Kubwibyo, hari ibyago byinshi byo kugira impanuka n'imvune. Mu bihe bimwe na bimwe, ibi bishobora no gushyira ubuzima mu kaga. Tekereza uko byagenda biramutse bibaye utwaye imodoka cyangwa uri ahantu hirengeye.

Nawe ushobora gutangira kwitandukanya n'abandi no kwigunga mu bandi, bitewe n'ubujiji, isoni, cyangwa ubwoba. Ibi bishobora gutuma witandukanya n'abo ukunda, inshuti zawe, n'ibintu wakundaga.

Kugira uburwayi nk'ubu bishobora no kugira ingaruka zikomeye ku buzima bwawe bwo mu mutwe. Kugira uburwayi bwo mu mutwe (FS) bishobora kongera ibyago byo kugira ibitekerezo byo kwiyahura. Niba ufite ibi bitekerezo, nyamuneka shaka ubufasha. Nturi wenyine. Vugana n'umuntu wizeye, cyangwa uganire na muganga cyangwa umujyanama wujuje ibisabwa. Ntugomba gutegereza kugeza igihe uzaba uri mu kaga kugira ngo ubone ubufasha.

Ni gute abaganga basuzuma PNES?

Kumenya indwara ya PNES bishobora kugorana kuyisuzuma kuko ibimenyetso bisa cyane n'iby'igicuri. Muganga wawe ashobora kuyisuzuma akoresheje videwo (EEG - electroencephalogram) kugira ngo afate amashusho y'igicuri.

EEG ipima kandi ikandika ibimenyetso by'amashanyarazi mu bwonko bwawe. Iyo ukoze EEG, umutekinisiye ashyira uduce duto tw'icyuma (electrodes) ku ruhu rw'umutwe wawe. Utu dukoresho tw'amashanyarazi duhujwe n'imashini iha muganga amakuru yerekeye imikorere y'ubwonko bwawe.

Niba "fit" uri kugira ari `(PNES)`, bivuze ko ari ikibazo mu mikorere y'ubwonko bwawe, ikizamini cya `(EEG)` kizagaragaza ko imikorere y'amashanyarazi y'ubwonko ari isanzwe ndetse no mu gihe cyo "fit". Ariko, ku muntu urwaye igicuri, `(EEG)` izagaragaza imikorere idasanzwe y'amashanyarazi mu gihe cyo "fit".

Abantu benshi bafite iyi ndwara mu ntangiriro bafatwa nabi nk'abarwaye igicuri. Nanone, ni gake cyane, umuntu ashobora kugira "igicuri" na "PNES".

`(PNES)` ivurwa ite?

Ubushakashatsi bwagaragaje ko ubwoko bw'ubuvuzi bwo mu mutwe bwitwa Cognitive Behavioral Therapy (CBT) ari bwo buryo bwiza bwo kuvura PNES .

Muganga wawe azagufasha kandi guhangana n'indwara iyo ari yo yose ishobora gutera indwara yo mu mutwe (nk'ihungabana) ishobora gutera indwara yo mu mutwe. Ibi bishobora kuba birimo gufata imiti igabanya ubukana bw'indwara zo mu mutwe, nk'uko muganga wawe yabigutegetse, hamwe na CBT.

Icy'ingenzi kurushaho, imiti igabanya ubukana bw'indwara ntigira ingaruka nziza mu kuvura iyi ndwara (PNES).

Birenzeho gato ku kuvura `(CBT)` kuri `(PNES)`

Ubuvuzi bw'imyitwarire yo mu mutwe (CBT) ni ubwoko bw'ubujyanama bugufasha kumenya uburyo ubwenge bwawe n'umubiri wawe byakira ibintu bitandukanye. Bunagufasha gusobanukirwa uburyo ibitekerezo byawe bigira ingaruka ku byiyumvo byawe n'imyitwarire yawe. Umujyanama mu by'ubuzima bwo mu mutwe ashobora kugufasha kumenya no guhindura ibitekerezo byawe, amarangamutima, n'imyitwarire mibi, no kugufasha guhangana neza n'ibintu biguhangayikishije.

Niba wumva ko CBT itagukwiriye, muganga wawe ashobora kukugira inama yo "FIT" cyangwa ubundi buryo bwo kugufasha guhangana n'ibibazo byo mu mutwe.

Mu gihe cy'inama yawe, uzahura n'umujyanama wawe buri gihe. Muri kumwe, muzamenya byinshi ku buryo ibitekerezo byanyu bigira ingaruka ku byiyumvo byanyu no ku "gutekereza kwanyu." Hanyuma, hamwe, muzashyiraho intego kandi mugakora kugira ngo muzigereho. Mu gihe mucunga PNES, mushobora kugira intego nka:

• Kumenya byinshi ku bijyanye n'indwara yawe.
• Kumenya ibintu bitera imihangayiko mu bihe byashize cyangwa iby'ubu no gushaka uburyo bwo kubireka.
• Kumenya ibintu bikunze gutera "gukwira" no kubikemura.
• Guteza imbere ubuhanga bwo gucunga amarangamutima (urugero: uburyo bwo kuruhuka).
• Kuvugurura ireme ry'ubuzima bwawe (imibanire, uburezi, akazi, nibindi).

Nta kibazo niba intego zawe zitari zimwe neza n'izi. Intego za buri wese ziratandukanye bitewe n'ibyo akeneye.

Ku bantu bakuru, umuganga wawe ashobora kukugira inama yo gukoresha gahunda yitwa "Neurobehavioral therapy." Ubu ni ubwoko bw'ubuvuzi bukoresha igitabo cy'akazi, nk'uko bigenda mu ishuri. Ujya mu nama za buri cyumweru, zigizwe n'iminota 45 yo kuvura. Uhabwa kandi "imirimo yo kwitoza" yo gukora mu rugo. Ibi bishobora kuba birimo ibikorwa nko kwandika mu gitabo cyangwa kwitabira ibirori byo gusabana. Buri cyumweru, ushobora kubaka ku byo wize no kubikomeza kugeza igihe uzaba umaze kumenya ubumenyi bumwe na bumwe.

Ni ryari ngomba kubonana na muganga wanjye?

Ubujyanama bushobora kuzana amarangamutima menshi ushobora kuba wari urimo wirengagiza cyangwa utanatekerezaho. Niba wumva amarangamutima yawe arimo kugenda arenga urugero, cyangwa niba wumva ufite umutekano, ibuka ko umujyanama wawe ahari kugira ngo agufashe muri uru rugendo. Ni ngombwa cyane kuvugana n'abaganga bawe kugira ngo muganire ku bibazo byose ushobora kuba ufite ku bijyanye n'ubuvuzi bwawe cyangwa kugira ngo bagufashe.

Ni iki nshobora kwitega nyuma yo kuvurwa `(PNES)`?

PNES ni indwara ishobora kugira ingaruka zikomeye ku buzima bwawe. Ariko, iyo uyisuzumye neza kandi ukayivura neza, ibimenyetso bishobora koroha.Hari abantu bavuga ko "gupfa" kwabo kwarangiye burundu cyangwa kwagabanutse cyane bitewe no gukurikiza inama za muganga wabo no kwitabira cyane ubujyanama. Muganga wawe ashobora kuguha amakuru meza ku byo wakwitega bitewe n'imimerere yawe.

Kubona ko stress ari yo itera PNES yawe bishobora kugutera stress kurushaho! Ariko si ngombwa ko bibaho. Itsinda ry’abaganga rihari kugira ngo rigufashe gusobanukirwa indwara yawe nta guca urubanza. Mufatanyije, mushobora gutegura gahunda yo kugabanya ibimenyetso byawe no kuvura indwara iyo ari yo yose y’uburwayi bwo mu mutwe.

Abaganga bawe bazagushishikariza gukoresha ubumenyi wiga mu gihe cy'inama zawe. Nk'uko bigenda mu buzima, uko ushyiramo imbaraga nyinshi, niko umusaruro wawe urushaho kuba mwiza. Bifata igihe kugira ngo ugire ubumenyi bushya, bityo ntucike intege niba utabubonye ako kanya. Abaganga bawe bazagufasha muri buri ntambwe.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

PNES ni indwara nyayo, si ikintu ukora nkana. Nubwo bishobora kugorana kuyisuzuma, ishobora gukemurwa ku rugero runini iyo uyisuzumye neza kandi ukayivura, cyane cyane iyo ukoresheje CBT. Niba ufite ibi bimenyetso, ntugire isoni cyangwa ngo utinye gushaka inama kwa muganga. Wibuke ko utari wenyine, kandi ubufasha burahari. Ubuzima bwawe bwo mu mutwe ni ingenzi kimwe n'ubuzima bwawe bw'umubiri. Rero komeza ubyiteho.

"PNES, ibibyimba by'imikorere, ibibyimba bidaterwa n'ibicurane, ibibyimba byo mu mutwe, ibibyimba, stress, ibibyimba bitari igicuri, ubuzima bwo mu mutwe, imikorere myiza