Chii chinonzi bvunzo yeSEEG yekusimbisa muviri? (Stereoelectroencephalography) Ngatizvinzwisise zviri nyore

Iwe kana mumwe munhu waunoziva ane chirwere chinonzi pfari chinonetsa kudzora pasinei nemishonga? Dzimwe nguva vanachiremba vanoomerwa nekuziva kuti pfari iri kutangira papi muuropi. Ndipo patichataura nezvebvunzo yakaoma asi yakakosha zvikuru inogona kubatsira. Inonzi SEEG. Usazvidya moyo, zita racho rinogona kunzwika rakareba. Ngatirambei takareruka.

Zvinorevei kuti SEEG?

Zvichitaurwa zviri nyore, Stereoelectroencephalography (SEEG) ibvunzo yekuvhiya inopinda mukati meuropi hwako uye inoshandisa machekwa madiki kuti ione panotangira pfari dzisingarapiki (fits).

Pamwe wakambonzwa nezvebvunzo yeEEG. Inosanganisira kuisa maerekitironi madiki pamusoro pemusoro, ndiko kuti, padehenya, kuti vayere mashandiro emagetsi europi. Asi muSEEG, vanachiremba veneurosurgeon vanoisa maerekitironi aya kwete pamusoro peuropi, asi munzvimbo dzakadzika uye dzakasiyana-siyana dzeuropi. Izvi zvinoita kuti ruzivo rwuwanikwe kubva kunzvimbo dzakadzika zvakanyanya kuti EEG yenguva dzose ikwanise kubata.

Mushure mekunge maelectrode aiswa, uchachengetwa muchipatara kwemazuva mashoma. Munguva iyi, timu yezvekurapa ichanyatsoongorora mashandiro europi hwako panguva yepfari yako.

Ndedzipi nguva apo bvunzo yeSEEG inoitiswa?

Vanachiremba vanoshandisa bvunzo dzeSEEG kunyanya pazviitiko zvishomanana zvakakosha.

• Pfari isingarapike nemishonga: Vamwe vanhu havagone kudzora pfari dzavo kunyangwe mushure mekushandisa mhando mbiri kana nhatu dzemishonga. Tinodaidza kuti pfari isingarapike nemishonga. Muvana vane makore anopfuura maviri nevakuru vane chirwere ichi, SEEG inokosha zvikuru kuona kana kuvhiyiwa kuchikwanisika.

• Kugadzira uropi: Fungidzira kuti pfari iri kubva kuchikamu chakakosha cheuropi chinodzora kutaura, kufamba, kana kunzwa. Kana uchizovhiyiwa, unofanirwa kungwarira kuti usakuvadze zvikamu zvakakosha izvozvo. Uchishandisa maelectrode eSEEG, unogona kugadzira nzvimbo idzi dzakakosha usati wavhiyiwa.

• Gadzirira mamwe marapirwo: Dzimwe nguva kuongororwa kweSEEG kunoshandiswawo sechikamu chekurapa. Semuenzaniso:
• Kuomeswa kweropa nemagetsi (Radiofrequency thermocoagulation): Izvi zvinoshandisa mafungu eredhiyo nekupisa kuparadza masero europi ari kukonzera pfari. Kurapa uku kunogona kuitwa uchishandisa maelectrode eSEEG.
• Kupisa (LITT):Nzira yekudzima zvikamu zveuropi zvinokonzera pfari uchishandisa simba rekupisa re laser.
• Kukurudzira tsinga dzeuropi: Muizvi, mudziyo unoiswa muuropi unoburitsa simba diki remagetsi kusvika panotanga kubatwa nepfari wobva wamisa. SEEG inobatsira kuwana nzvimbo chaiyo yemudziyo wacho.

Ndiani akakodzera bvunzo iyi?

Kuongororwa kweSEEG hakusi kwemunhu wese. Chiremba wako achafunga nezvezvinhu zvakati wandei asati akurudzira.

Fungidzira uine pfari inotanga munzvimbo chaiyo yeuropi hwako (`(focal epilepsy)`). Asi kunyangwe neMRI scan, nzvimbo iyoyo hainyatsooneki. Ndipo panonyanya kubatsira SEEG.

Zvisinei, kana ukabatwa nepfari inotanga munzvimbo dzakawanda dzeuropi panguva imwe chete (`(generalized epilepsy)`), hauna kukodzera bvunzo iyi.

Ndeapi musiyano mukuru uripo pakati peEEG neSEEG?

Kunyangwe bvunzo idzi dzese dziri mbiri dzichiyera mashandiro emagetsi europi, pane misiyano mikuru. Kazhinji, chiremba anotanga aita EEG. Kana ruzivo rwakawanikwa kubva ipapo rusina kukwana ndipo pavanozoenderera mberi nebvunzo yechipiri, senge SEEG.

Shanduko huru ndeidzi:

• Kwakaiswa maelectrode: MuEEG, maelectrode anoiswa pamusoro peganda, pamusoro pedehenya. MuSEEG, maelectrode anoiswa mukati meuropi.
• Ruzivo rwakagamuchirwa: EEG inopa ruzivo nezvebasa repamusoro peuropi chete. SEEG inogona kuwana ruzivo rwakasiyana-siyana muzvikamu zvese zveuropi. Izvi zvinotibvumira kuona nzvimbo chaiyo yechirwere ichi.

Imwe ongororo yakawana kuti vanhu vakavhiyiwa pfari mushure mekuongororwa kweSEEG vakapedza nguva shoma vari mukamuri rekuvhiyiwa pane avo vakashandisa dzimwe nzira (dzakadai sekuvhura dehenya nekuisa maelectrode pamusoro pehuropi). Vakapedzawo nguva shoma vari muchipatara uye vaishandisa mishonga mishoma yekurwadziwa.

Chii chekutarisira usati watanga SEEG?

Sezvo iyi iri bvunzo ine chekuita nekuvhiyiwa, bvunzo dzinoverengeka dzichaitwa kuti dzitarise hutano hwako pachine nguva.

• Kuongororwa kweropa
• Kuongororwa kweEKG (Electrocardiogram) kunoongorora kurova kwemoyo
• Miedzo yekufungidzira yakaita seCT scans (computed tomography scans) uye MRI scans (magnetic resonance imaging)

Chimwe chezvinotyiwa nevanhu vazhinji, kunyanya vabereki, pavanenge vachiita chinhu chakadai kumwana wavo ndechekuti , "Vachagera bvudzi ravo rese here?" Panogonawo kuva nemibvunzo yekuti vachazofanira here kurega kutora mishonga yavari kutora kwenguva yakati rebei.

Kuvhiyiwa kweSEEG kunoitwa sei?

Kuvhiyiwa kweSEEG kunowanzo tora maawa angangoita mana kusvika matanhatu. Pazuva rekuvhiyiwa, chiremba weanotindivadza achakupa mushonga. Ucharara zvachose panguva yese yekuvhiyiwa. Saka hauzonzwi kurwadziwa.

Kana warara, timu yekuvhiya ichatevera matanho aya:

1. Kutanga, furemu yakakosha (`(furemu yestereotactic)`) inosungirirwa pamusoro wako kuti musoro wako ugare panzvimbo imwe chete.

2. Zvadaro, maburi madiki angangoita gumi kusvika makumi maviri, anenge upamhi hwetambo yespaghetti, anoboorwa mudehenya. Izvi hazvikonzere kubuda ropa kwakawanda.

3. Nepaburi diki iroro, maelectrode akafanana nepurasitiki anochinjika akabatana newaya dzakatetepa anopinzwa muuropi.

4. Maelectrode aya akaiswa zvakananga munzvimbo dzeuropi uko kunofungidzirwa kuti kubatwa kwechirwere kuri kutanga, sezvakaratidzwa mumaskeni apfuura.

5. Pakupedzisira, furemu yemusoro inobviswa uye musoro unosungwa zvakasimba.

6. Uchaendeswa kukamuri rekurapwa uye uchatorwa CT scan neX-ray kuti uve nechokwadi chekuti maelectrode ari munzvimbo dzakakodzera.

Chii chinoitika mushure meSEEG?

Mushure mekuvhiyiwa, unowanzo endeswa kuYuniti Yekutarisa Epilepsy. Ikoko, timu yenyanzvi ichakutarisa maawa makumi maviri nemana pazuva, mazuva manomwe pasvondo. Maelectrode ari mumusoro mako achabatanidzwa nemichina inorekodha mashandiro europi hwako. Kana uine pfari, komputa inogona kukuratidza kwainotangira muuropi hwako uye kuti inopararira sei, ichishandisa mifananidzo ye3D.

Ungangoda kugara muchipatara kwemazuva mashoma kusvika vhiki imwe kana maviri, zvichienderana nekuti unowanzoita sei kuti unzwe kugwinya.

Pakupera kwenguva yekuedza, maerekitirodhi achabviswa mumusoro mako. Usanetseke, iyi haisi oparesheni huru. Ingori nzira iri nyore inopedza simba munzvimbo idzodzo uye inotora maminetsi angangoita gumi kusvika gumi nemashanu.

Pane njodzi dziripo here pabvunzo yeSEEG?

SEEG inowanzoonekwa senzira yakachengeteka zvikuru, asi sezvinoitwa nekuvhiyiwa kweuropi, pane njodzi diki kwazvo.

• Kubuda ropa mukati meuropi (intracranial hemorrhage)
• Utachiona
• Kurohwa

Zvinotora nguva yakareba sei kuti upore?

Kazhinji unofanira kunge wadzokera pakushanda zvakanaka mukati mezuva rimwe chete kana maviri (maawa 24-48). Zvisinei, taura nechikwata chako chekurapa nezvekuti ungatangazve mabasa ako emazuva ese riini.

Chii chaungatarisira kubva kumhedzisiro yeSEEG?

Kazhinji, bvunzo yeSEEG inogona kunyatsoona chikonzero chechirwere ichi. Vanachiremba vanozonyatsoongorora ruzivo rwakanyorwa kubva muuropi hwako vosarudza kana uchikodzera kuvhiyiwa kana kumwe kurapwa.

Kuvhiyiwa kwekurapa pfari kunowanzoitwa mavhiki mana kusvika masere mushure mekuongororwa kweSEEG, kuti uwane nguva yekupora zvakanaka.

Unogona kuwana mhinduro dzekutanga dzebvunzo usati wabuda muchipatara. Izvi zvichakupa iwe nemhuri yako nguva yekukurukura mhinduro idzi nechikwata chevanachiremba uye kuita sarudzo usati wasarudza chirongwa chekupedzisira chekurapa.

Kurarama nechirwere chepfari chisingagone kudziviswa nemishonga kunogona kuva kwakaoma zvikuru. Asi nenzira dzemazuva ano dzekuyedza dzakadai seSEEG, zvino zvave kukwanisa kuona chikonzero chaicho chechirwere ichi uye kutanga kurapwa kwakakodzera. Kurapa uku kunogona kukubatsira kuderedza pfari dzako uye kurarama hupenyu hwakajairika.