Ukubanjwa kweLobe yangaphambili: Masiqonde oku ngokulula

Ngaba wakha wambona umntu kusapho lwakho, mhlawumbi umntwana wakho, evuka ngequbuliso ebusuku, ekhala, ejika iingalo nemilenze yakhe, esenza izinto ezingaqhelekanga? Okanye ngaba ngequbuliso ubonakalisa ukuziphatha okungaqhelekanga, njengokuthuka okanye ukuhleka, nokuba kusemini? Abantu abaninzi bacinga ukuba eli liphupha elibi okanye ingxaki yengqondo, kodwa oku kungaba kukuxhuzula okwenzeka engqondweni. Namhlanje sithetha ngohlobo oluthile lokuxhuzula, olubizwa ngokuba yi-'Frontal Lobe Seizure'. Musa ukoyika xa usiva eli gama, masithethe ngayo yonke into ngokulula.

Yintoni iFrontal Lobe Epilepsy?

Ngamafutshane, olu luhlobo lwesifo sokuwa. Inxalenye engaphambili yobuchopho bethu, inxalenye engasemva kwebunzi, ibizwa ngokuba yi-"Frontal Lobe". Le yeyona nxalenye inkulu yobuchopho bethu. Le nxalenye ilawula izinto ezininzi ezibalulekileyo, ezifana nokuziphatha kwethu, ubuntu bethu, ukucinga, ukwenza izigqibo, ukufunda, ukuthetha, kunye nokuhamba komzimba.

Ngoko ke, i-'Frontal Lobe Seizure', okanye i-seizure, yenzeka xa umsebenzi wombane wee-neurons kwi-'Frontal Lobe' ngequbuliso uba yinto engaqhelekanga kwaye engalawulekiyo. Ngenxa yokuba iqala kwindawo ethile yengqondo, sikwayibiza ngokuba yi-'focal seizure'.

Ngenxa yokuba ezi zixhuzula zihlala zenzeka ebusuku xa ulele, abanye abantu bacinga ngempazamo ukuba esi sisifo sokulala okanye isifo sengqondo. Nangona kunjalo, kubaluleke kakhulu ukuxilonga nokunyanga oku ngokuchanekileyo.

Zithini iimpawu zale ngxaki yokuxhuzula?

Ezi zifo zokuxhuzula azifani kuye wonke umntu. Kodwa kukho iimpawu eziqhelekileyo. Zihlala zifutshane kakhulu, ngamanye amaxesha zihlala ixesha elingaphantsi komzuzu. Kwaye zinokuvela izihlandlo ezininzi kwiiyure ezingama-24.

Khawucinge nje, ngelixa umntwana wakho elele ebusuku, ngequbuliso ehleli ebhedini aze aqalise ukukhaba imilenze yakhe ngokungathi ukhwele ibhayisekile, okanye eshukumisa iingalo zakhe ngamandla, ekhala. Ngaba kukho umntu onokuthi oyike ukuba ubona into efana nale, akunjalo? Itheyibhile engasezantsi ibonisa iimpawu ezinokubonwa ngamaxesha anjalo.

Izinto ozivayo ngaphambi kokuba uxhuzule (Aura)

Abanye abantu bafumana iimvakalelo ezingaqhelekanga ngaphambi kokuba baxhuzule. Oku sikubiza ngokuba yi-"aura". Ayingabo bonke abantu abafumana ezi mvakalelo. Kodwa abantu abazifumanayo banokufumana ezi mvakalelo zilandelayo:

• Iimvakalelo zoloyiko, umsindo, kunye nosizi ngequbuliso.
• Ukuziva ngathi umzimba wakho uyathuthumela.
• Utshintsho kwivumba, ukuva, nokubona.

Emva kokuba ukuxhuzula kuphelile, xa "ekwimeko yokungakhathali", umntu unokuziva edidekile, alahlekelwe yinkumbulo, aze abe neentlungu zomzimba okwethutyana.

Kutheni le nto kukho uhlobo olunjalo lokuxhuzula?

Akusoloko kusenzeka ukuchonga unobangela ochanekileyo, kodwa kukho izinto ezimbalwa eziqhelekileyo ezinokubangela le meko.

• Iingxaki ekuzalweni: Naziphi na iingxaki ezenzeka ngexesha lokukhula kwengqondo yomntwana esibelekweni.
• Usulelo lobuchopho: Iimeko ezichaphazela ingqondo ngexesha lobuntwana.
• Ukulimala entloko: Ukulimala entloko okunzulu (Ukulimala kwengqondo okubuhlungu).
• Istroke: Ukonakala kwengqondo okubangelwa kukuphazamiseka kokuhamba kwegazi ukuya engqondweni.
• Ithumba lobuchopho: Nakuphi na ukukhula okwenzekayo engqondweni.
• Izizathu zofuzo: Ngamanye amaxesha le meko inokufunyanwa njengelifa, kodwa oku kunqabile kakhulu.

Izinto ezibangela umngcipheko ezibangela le meko

Nangona le meko inokwenzeka nakubani na ubudala, abanye abantu basengozini enkulu.

• Ukuba kukho umntu kusapho onesifo sokuwa.
• Ukuba wawunesifo sengqondo usengumntwana.
• Ukuba unestroke, ukwenzakala entloko, okanye ithumba lobuchopho.
• Ukuba wazalwa uneengxaki ezithile engqondweni xa wazalwa.

Ingaba le meko iyingozi? Zithini iingozi?

Nangona ukuba nokuxhuzula kunokubonakala kusoyikisa xa uqala ukukubona, kunokulawulwa kakuhle ngonyango olufanelekileyo. Nangona kunjalo, ukuba ukuxhuzula kwenzeka rhoqo kwaye akunyangeki, kunokubakho iingozi ezithile.

• Ukwenzakala emzimbeni: Unokwenzakala ngokuwa okanye ukukhutshelwa ngaphandle kwengqondo ngexesha lokuxhuzula.
• Isimo se-Epilepticus: Le yimeko engxamisekileyo. Oku kwenzeka xa ukuxhuzula kuqhubeka ixesha elingaphezu kwemizuzu emi-5 okanye xa ukuxhuzula okunye kuphela kwaye okunye kuqala ngaphambi kokuba ingqondo ibuye. Kwimeko ezinjalo, isigulana kufuneka sisiwe kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
• I-SUDEP (Ukufa Okungachazekiyo Ngesiquphe kwi-Epilepsy): Le yimeko engaqhelekanga kakhulu. Kukufa ngesiquphe, okungachazekiyo komntu onesifo sokuwa. Ngonyango olufanelekileyo, le ngozi ingancitshiswa kakhulu.

Kuqhelekile ukuba uzive uxinezelekile engqondweni xa uphila nemeko efana nale. Ngoko ke, ungathetha nogqirha wakho uze ufumane uncedo kwingcali yezempilo yengqondo ukuba kuyimfuneko.

Ugqirha uyifumana njani le nto?

Xa uxelela ugqirha wakho ngezi mpawu, uza kukubuza umbuzo oneenkcukacha aze akuxilonge. Emva koko uza kuyalela iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.

• I-MRI Scan: I-MRI scan ingathatha imifanekiso eneenkcukacha zobuchopho bakho. Ingajonga naziphi na iingxaki, ezifana nomhlaza wobuchopho okanye isilonda sobuchopho.
• I-EEG (i-Electroencephalography): Oku kulinganisa umsebenzi wombane engqondweni yakho, okanye 'umbane' engqondweni yakho. Oku kunokunceda ekumiseleni apho ukuqala khona ukuxhuzula engqondweni.
• I-Video EEG: Oku kuquka ukukuthwebula ngevidiyo ngelixa uqhagamshelwe kwi-EEG. Oku kudla ngokufuna usuku esibhedlele. Oku kunceda ukuthelekisa indlela oziphethe ngayo kunye nomsebenzi wobuchopho ngexesha lokuxhuzula.
• I-SEEG (Stereoelectroencephalography): Oku kwenziwa kuphela xa amayeza engaphumeleli ukulawula ukuxhuzula kwaye kucingelwa ukuba utyando luza kufakwa. Oku kuquka ukufakwa kwee-electrode ngotyando engqondweni ukuze kujongwe umsebenzi wombane ngaphakathi engqondweni.

Zithini iindlela zonyango zoku?

Injongo ephambili yonyango kukunciphisa ukuxhaphaka kokuxhuzula, kwaye ukuba kunokwenzeka, kupheliswe ngokupheleleyo.

1. Amayeza okuthintela ukuxhuzula

Olu lolona nyango lokuqala. La mayeza alawula umsebenzi ongaqhelekanga wombane engqondweni. Ugqirha wakho uza kukukhetha amayeza afanelekileyo ngokweempawu zakho. Ngamanye amaxesha kungathatha ixesha ukufumana amayeza afanelekileyo kunye nedosi efanelekileyo.

2. Utyando (Utyando lwe-Epilepsy)

Ukuba amayeza odwa awanelanga ukulawula ukuxhuzula, ugqirha wakho unokuqwalasela utyando. Oku kuquka ukususa inxalenye encinci yobuchopho ebangela ukuxhuzula. Ingqondo idweliswa ngononophelo ngaphambi kotyando, ukuze imisebenzi ebalulekileyo ingachaphazeleki.

3. Ukuguqulwa kwemithambo-luvo

Le ndlela ingasetyenziswa xa utyando lungenakwenzeka. Ibandakanya ukufakwa kwesixhobo esincinci emzimbeni esithumela imiqondiso yombane engqondweni ukuze kuthintelwe ukuxhuzula.

• Ukukhuthazwa kweNerve yeVagus (VNS): Isixhobo esincinci sifakwa phantsi kwesikhumba sesifuba, nto leyo evuselela umthambo wevagus entanyeni.
• I-Responsive Neurostimulation (RNS): Isixhobo sifakwa ekhayeni. Esi sixhobo sijonga umsebenzi wobuchopho kwaye sithumela imiqondiso yombane kuphela xa sibona ukuba kukho ukuxhuzula okuza kwenzeka.
• Ukukhuthazwa koBuchopho obuNzulu (DBS): Oku kufana ne-'VNS', kodwa kule meko, imiqondiso yombane ithunyelwa ngqo kwiindawo ezinzulu zobuchopho.

Ugqirha wakho uza kuxoxa nawe ukuba loluphi unyango olulungele wena.

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