Ngaba wena okanye umntu okwintsapho yakho unesifo esibangela ukuxhuzula, oko kukuthi, isifo sokuxhuzula? Ngamanye amaxesha, nokuba kukho amayeza anikwe ngugqirha, kunzima kakhulu ukulawula le meko. Ingakumbi, ukuba kwenzeka izinto ezifana 'nokuhlaselwa ngamaconsi', apho umzimba ulahlekelwa yingqondo ngequbuliso uze uwele phantsi, kuyingozi kakhulu. Namhlanje, sithetha ngotyando olukhethekileyo olucetyiswa ngoogqirha kubantu abanjalo.
Yintoni iCorpus Callosotomy?
Ngamafutshane, iCorpus Callosotomy yindlela yotyando lwesifo sokuwa. Ngokwesiqhelo yenziwa kubantu abanesifo sokuwa esinzima ekunzima ukusilawula ngamayeza.
Khawuthelekelele ukuba ingqondo yethu yahlulwe yangamacandelo amabini. Sibiza la macandelo mabini ngokuba zii-hemispheres. La maqela mabini adibene kwaye atshintshiselana ngolwazi nge-nerve fiber efana nebhulorho. Loo nerve fiber ibizwa ngokuba yiCorpus Callosum .
Ngexesha lotyando lweCorpus Callosotomy, ugqirha wezifo zengqondo ochwephesha wenza utyando olunobunono kule bhulorho ibizwa ngokuba yiCorpus Callosum aze ayinqumle.
Oku kuthintela imiqondiso yombane eyenzeka ngexesha lokuxhuzula ukuba ingatsibi ukusuka kwelinye icala lobuchopho ukuya kwelinye. Oku kuthetha ukuba ukuxhuzula kulinganiselwe ekubeni kusasazeke kuyo yonke ingqondo.
Yintoni kanye kanye le nkqubo yotyando kwaye ngubani ofanelekileyo kuyo?
Emva kolu tyando, ekubeni unxibelelwano phakathi kwamacala omabini obuchopho luyekile, nokuba kwenzeka ukuba umntu angene, luya kuphelela kwelinye icala lobuchopho. Ke ngoko, ubunzima bokungena buyancipha kakhulu.
Olu tyando luluncedo kakhulu kubantu abane -atonic seizures . Kulapho izihlunu zomzimba ziphelelwa ngamandla ngequbuliso ngaphandle kwesilumkiso zize ziwele phantsi. Sikwabiza ezi 'drop attacks'. Ngala maxesha, kukho umngcipheko omkhulu wokuphuka kwamathambo nokubetheka entloko nzima, okubangela ukwenzakala okukhulu (concussions). Ngoko ke olu tyando lunokwenza umahluko omkhulu kubomi bomntu onolu hlobo luyingozi lwe-seizures.
Nangona kunjalo, olu tyando aluluncedo kakhulu kubantu abane-partial/focal seizures, eziqala kwindawo encinci yobuchopho kwaye zilinganiselwe kuloo ndawo. Oku kungenxa yokuba i-seizure ayisasazeki kwezinye iindawo zobuchopho.
Yintoni onokuyilindela ngaphambi kotyando?
Ugqirha wakho uza kukuchazela yonke into ekufuneka uyazi ngaphambi kotyando. Kuya kufuneka enze uvavanyo oluthile ukuze afumanise ukuba isifo sokuxhuzula siqala phi engqondweni.
| Igama lovavanyo | Wenza ntoni ngayo? |
|---|---|
| I-Electroencephalogram (EEG) | Oku kuvavanya umsebenzi wombane (amaza engqondweni yakho) engqondweni yakho. |
| I-Magnetic resonance imaging (MRI) | I-MRI scan ijonga naluphi na utshintsho kwisakhiwo sobuchopho olunokubangela ukuqina. |
| I-Positron emission tomography (PET) | I-PET scan inceda ugqirha ukuba afumane indawo echanekileyo engqondweni apho ukuxhuzula kuqala khona. |
Lwenziwa njani olu tyando?
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba awuyi kuva nto kwaye uya kuba ulele ngokupheleleyo. Ugqirha we-neurosurgeon uza kuqala enze umngxuma ekhayeni lakho (craniotomy).
Amanyathelo ngexesha lotyando ngala alandelayo:
- Kususwa iqhekeza elincinci lethambo ekhayeni ukuze kuvulwe indawo yotyando.
- I-membrane eqinileyo ebizwa ngokuba yi-'dura' ekhusela ubuchopho isuswa kancinci kancinci ukuze ifikelele ebuchotsheni.
- Kusetyenziswa izixhobo zotyando ezikhethekileyo kunye ne-microscope, kufumaneka i-nerve bundle ebizwa ngokuba yiCorpus Callosum kwaye kwenziwa ukusika okuncinci ngayo.
- Emva koko, i-dura mater ibuyiselwa endaweni yayo, ithambo lekhakayi elisusiweyo liyabotshelelwa kwakhona, kwaye i-incision ivalwe ngezititshi okanye nge-staples.
Ngamanye amaxesha, olu tyando lunokwenziwa ngamanqanaba amabini . Kwinqanaba lokuqala, ugqirha usika kuphela inxalenye engaphambili yeCorpus Callosum. Oku kuvumela amacala omabini obuchopho ukuba aqhubeke nokutshintshiselana ngezinto ezifana nolwazi olubonakalayo.
Nangona kunjalo, ukuba ubunzima bokufanelana abunciphi emva koko, ugqirha unokugqiba ekubeni enze utyando lwesibini ukuze ahlukanise ngokupheleleyo iCorpus Callosum.
Yintoni onokuyilindela emva kotyando?
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Ngokwesiqhelo ungabuyela kwimisebenzi yakho yemihla ngemihla kwiiveki ezi-6 ukuya kwezi-8. Nangona kunjalo, abanye abantu banokuthatha ixesha elide ukuba baphile. Oku kuxhomekeke kwizinto ezininzi, ezifana nohlobo lotyando kunye nazo naziphi na iziphumo ebezingalindelekanga ezinokubakho.
Into ebalulekileyo kukuba olu tyando aluyi kuyiphelisa yonke into yokuxhuzula. Ngoko ke, kuya kufuneka uqhubeke usela amayeza okuxhuzula nokuba sele ugqibile utyando.
Ngexesha lokuchacha, unokufumana oku kulandelayo okwethutyana:
- Ndiziva ndidiniwe kakhulu
- Uxinzelelo
- Intloko ebuhlungu
- Iingxaki zememori
- Isicaphucaphu
- Ukungaziva ngqindilili malunga notyando
- Ubunzima bokuthetha
Zithini iingozi kunye neengxaki zolu tyando?
Njengakwezinye iindlela zotyando lobuchopho, kukho iingozi ezithile. Kodwa ugqirha wakho uza kucebisa utyando kuphela ukuba iingenelo zingaphezulu kweengozi. Iingxaki ezinzulu azixhaphakanga.
- I-Disconnection Syndrome: Le yeyona ngxaki ixhaphakileyo enokwenzeka emva kotyando. Ngamafutshane, ngenxa yokuba amacala omabini obuchopho aqhawukile, amacala omabini omzimba angaqala ukusebenza ngokungqubana. Umzekelo, isandla sasekhohlo sinokuziva ngathi siphazamisana noko kwenziwa sisandla sasekunene.
- Ezinye iingozi:
- Ukulahlekelwa yibhalansi yomzimba (Ukulahlekelwa kukulungelelaniswa komzimba)
- Ukuxhuzula okungaphelelanga, okwenzeka kwicala elinye lobuchopho, kunokwanda.
- Iingxaki zokuthetha: Iimeko ezifana nobunzima bokubhala amagama (i-apraxia) kunye nobunzima bokuqonda nokuthetha (i-aphasia).
- Ingozi yestroke.
- Ukudumba kobuchopho.
- I-Hydrocephalus. Oku kudla ngokufuna olunye utyando ukuze kufakwe i-shunt.
Utyando lube nempumelelo engakanani?
Izifundo zibonise ukuba olu lunyango olusebenzayo kakhulu kubantu abanesifo sokuwa esingenakulawulwa ngamayeza.
- Phantse isiqingatha (50%) sabo benza olu tyando baziva beyeka ngokupheleleyo 'ukuhlaselwa ngamaconsi'.
- Emva kotyando, umntu omnye kwabahlanu (malunga nama-20%) unokuyeka ngokupheleleyo ukuba nesithuthwane.
| Ukuba ufumana ezi mpawu emva kotyando, yazisa ugqirha wakho ngoko nangoko. | |
|---|---|
| Iimpawu zosulelo | Umkhuhlane, ukubomvu, ukudumba, iintlungu, okanye ukukhupha okufana nobomvu okutyheli okuvela kwindawo yokuhlinzwa. |
| Utshintsho kwindlela efanelekileyo | Uhlobo lokulingana lunzima okanye luvela rhoqo kunesiqhelo. |
| Intloko ebuhlungu kakhulu | Intloko ebuhlungu engalawulekiyo okanye isicaphucaphu. |
| Iimpawu zestroke | Intetho engacacanga, ukubona okufipheleyo, okanye ukulahleka ngequbuliso kwengqondo kwelinye icala lomzimba. |
| Iingxaki zentetho | Ubunzima bokuthetha ngentetho engacacanga okanye ukuqonda oko kuthethwa ngabanye abantu. |
Ukuphila nesifo esibizwa ngokuba yi-epilepsy akulula. Sinokuba yingozi ebomini kwaye side sibulale. Ukuba ukuxhuzula okunzima, okufana 'nokuhlaselwa ngamaconsi', akunakulawulwa ngamayeza, ugqirha wakho angacebisa olu tyando. Oku kunokuphucula kakhulu umgangatho wobomi bakho.
Umyalezo Wokuya Ekhaya
- I-Corpus Callosotomy lutyando olukhethekileyo lwengqondo olwenziwa kwisifo sokuwa esinzima (ingakumbi 'ukuhlaselwa ngamaconsi') esingenakulawulwa ngamayeza.
- Oku kunqumla ibhulorho yemithambo-luvo (i-corpus callosum) edibanisa ii-hemispheres ezimbini zobuchopho, nto leyo ethintela ukuqina kwayo ukuba kungasasazeki.
- Nangona oku kungayiphelisi ngokupheleleyo imeko yokuguguleka, kunokunciphisa ubunzima bayo kwaye kuphucule kakhulu umgangatho wobomi.
- Njengakwezinye iintlobo zotyando olukhulu, kukho iingozi. Kubalulekile ukuxoxa ngezinto ezilungileyo nezingalunganga ngale nkqubo nogqirha wakho wezifo zengqondo ngemeko yakho ethile.
- Emva kotyando, landela imiyalelo kagqirha wakho ngononophelo kwaye uxele ugqirha wakho ngazo naziphi na iimpawu ezirhanelekayo ngoko nangoko.
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