Ngaba unesithuthwane ngaphambili entlokweni yakho? (Frontal Lobe Seizure) - Masithethe ngale nto!

Ngaba wakha weva nge-'Frontal Lobe Seizure' okanye 'Frontal Lobe Epilepsy'? Mhlawumbi wena okanye umntu omaziyo ukhe waba nolu hlobo lwesifo sokuwa. Nangona oku kungabonakala kunzima kancinci, masithethe ngako ngokulula. Kuba kubaluleke kakhulu ukukwazi oku.

Yintoni i-'Frontal Lobe Epilepsy'?

Ngamafutshane, i-frontal lobe epilepsy sisifo sokuxhuzula esichaphazela i-frontal lobes , iindawo ezingasemva kwebunzi lakho. Ezi frontal lobes zezona nxalenye zinkulu kwezine eziphambili zobuchopho bethu. Kukho enye kwicala lasekhohlo nenye kwicala lasekunene. Ezi zezethu:

• Ukuziphatha kunye nobuntu
• Ukucinga, ukufunda kunye nokwenza izigqibo (Ukuqonda)
• Iintshukumo
• Ukuthetha

Ulawula izinto ezifana.

Ngoko ke, kwi-'frontal lobe epilepsy', kukho umsebenzi ongaqhelekanga wombane kwi-'frontal lobes' yengqondo. Kufana 'ne-short circuit'. Sibiza iimeko ze-epileptic ezenzeka ngenxa yesi 'frontal lobe seizures'. Ezi zezohlobo lwe-'focal seizure'. Oko kukuthi, imeko ye-epileptic iqala kwindawo ethile yengqondo. Oku kunokuqala kwi-'frontal lobe' yasekhohlo yengqondo okanye kweyasekunene.

Ngenxa yokuba ezi mpawu zihlala zisenzeka ebusuku , ngamanye amaxesha zinokubhidaniswa nesifo sengqondo okanye ingxaki yokulala. Ngoko ke, kubaluleke kakhulu ukufumana uxilongo oluchanekileyo.

Ngaba kukho iintlobo ze-'frontal lobe epilepsy'?

Ewe, kukho uhlobo olunye oluthile. Lubizwa ngokuba yi-'autosomal dominant sleep-related hypermotor epilepsy' . Yayibizwa ngokuba yi-'autosomal dominant nocturnal frontal lobe epilepsy'. Olu luhlobo lwe-epilepsy oluvela ngexesha lokulala. Olu hlobo ludla ngokusasazeka kwiintsapho, oko kuthetha ukuba lunokudluliselwa kwizizukulwana ngezizukulwana.

Ziziphi iimpawu ezinokubonakala kule meko?

Uphawu oluphambili lwe-frontal lobe epilepsy kukubetha okufutshane okujoliswe kwingqondo okuqala kwindawo ethile yengqondo. Oku kukubetha kunokubangela iimpawu ezifana nezi:

• Ukuziphatha okungaqhelekanga: Izinto ezifana nokukhwaza ngequbuliso, ukuhleka, ukuthuka, njl. Khawucinge ukuba abanye bebeya koyika kangakanani ukuba umntu olele ngequbuliso enze into efana nale.
• Ukujika intloko okanye amehlo aye kwelinye icala.
• Ukukhaba imilenze okanye ukwenza iintshukumo ezifana nokukhwela ibhayisekile.
• Ukubetheka okanye ukuxhuzula.
• Iintshukumo ezingalawulekiyo neziphindaphindayo (umz., ukungcangcazela ngokukhawuleza iingalo nemilenze).
• Ukunyikima okanye ukunyikima okuphindaphindayo.
• Ukulahlekelwa zingqondo okanye ukungazi okungqongileyo (njengokujonga esibhakabhakeni).
• Ukungakwazi ukuzibamba komchamo okanye ilindle.
• Ubuthathaka bemisipha.
• Ubunzima bokuthetha.
• Utshintsho kubuntu.
• Iingxaki zokulala.

Ezi 'zixhuzula' zihlala zihlangana, oko kuthetha ukuba zinokuvela izihlandlo ezingaphezu kwesibini kwiiyure ezingama-24. Zihlala zenzeka xa ulele , kodwa zinokwenzeka xa uvukile. Zihlala zifutshane, zihlala ixesha elingaphantsi komzuzu.

Ngamanye amaxesha, ngaphambi kokuba uqale ukuxhuzula, usenokuba ne -'aura' , nto leyo engaqhelekanga. Ezi zingabandakanya:

• Utshintsho olukhawulezileyo kwiimvakalelo: ezinje ngoloyiko, ixhala, umsindo, usizi, okanye ulonwabo.
• Iimvakalelo ezingaqhelekanga: Njengokungathi ndindisholo.
• Utshintsho kwindlela yokubona izinto: utshintsho kwindlela yokuva, yokubona, yokungcamla, okanye yokuchukumisa.

Emva kokuba ubanjwe sisifo sokuxhuzula esingaphambili, unokufumana ukudideka, ukulahlekelwa yinkumbulo, okanye iintlungu zemisipha . Oku kubizwa ngokuba yimeko ye-postictal .

Zithini izizathu ze-'frontal lobe epilepsy'?

Isifo sokuwa esibizwa ngokuba yi-frontal lobe epilepsy sibangelwa ngumsebenzi ongaqhelekanga wombane kwi-frontal lobe yakho. Ngokwesiqhelo, iiseli zemithambo-luvo kwingqondo yethu, ezibizwa ngokuba zii-neurons , zithumelana imiqondiso. Kodwa xa i-frontal lobe seizure, ezi neurons ziyaphuma zingalawuleki.

Izizathu eziqhelekileyo ezinokuchaphazela oku zezi:

• Uphuhliso olungaqhelekanga lobuchopho ngexesha lesigaba somntwana osandul' ukuzalwa.
• Usulelo lobuchopho.
• Istroke.
• Ukulimala kakhulu entloko (Ukulimala kwengqondo okubuhlungu).
• Ithumba lobuchopho.
• Utshintsho kwi-genetic.

Ngamanye amaxesha usenokungakwazi ukufumana isizathu.

Ingaba le yinto evela kwizizukulwana ngezizukulwana?

Ewe, uhlobo olunye lwe-frontal lobe epilepsy lunokudluliselwa kubantwana lusuka kubazali, kodwa aluqhelekanga. Uhlobo lwe-sleep-related hypermotor epilepsy esithethe ngayo ngaphambili yi-autosomal dominant condition. Oku kuthetha ukuba ukuba omnye wabazali une-genetic mutation, umntwana usenokuyifumana njengelifa.

Ngubani osengozini enkulu yokuba nale meko?

Isifo sokuwa esibizwa ngokuba yi-Frontal lobe epilepsy sinokuchaphazela nabani na, nokuba uneminyaka emingaphi. Nangona kunjalo, usenokuba sengozini enkulu ngenxa yezi zizathu zilandelayo:

• Ukuba kukho umntu kusapho lwakho onesifo sokuwa (imbali yosapho lwebhayoloji).
• Ukuba wawunesifo sengqondo usengumntwana.
• Ukuba ukhe waba nestroke, wenzakele kakhulu entloko, okanye umhlaza okanye omnye umonakalo kwi-frontal lobe.
• Ukuba kukho ukulibaziseka kophuhliso.
• Ukuba wazalwa uneempazamo engqondweni xa wazalwa.

Zithini izinto ezibangela ukwanda kwe-frontal lobe seizures?

'Izinto ezibangela ukuxhuzula' zizinto ezibangela ukuxhuzula. Izinto ezibangela ukuxhuzula eziqhelekileyo ziquka:

• Uxinzelelo.
• Izibane ezidanyazayo.
• Ukungalali ngokwaneleyo.
• Ukusetyenziswa kweziyobisi.

Ezi zinokwahluka kumntu nomntu . Ukugcina irekhodi lento ubuyenza kunye nendlela obuziva ngayo ngaphambi kokuba uqale ukuxhuzula kunokukunceda uchonge izinto ezikuchaphazelayo.

Ngaba 'ukuxhuzula kwe-frontal lobe' kuyingozi?

Ukuxhuzula rhoqo kwe-frontal lobe kunokubangela oku kulandelayo:

• Umngcipheko okhulayo wokwenzakala.
• Isifo sokuwa: Ukuxhuzula okuhlala imizuzu engaphezu kwemihlanu. Le yimeko engxamisekileyo esongela ubomi.
• Ukufa ngequbuliso kwisifo sokuwa (i-SUDEP): Oku kunqabile kakhulu, kodwa kunokwenzeka.

Ukuba nokuxhuzula kunokubangela impembelelo enkulu kwimpilo yakho yengqondo nakwimpilo-ntle yakho yeemvakalelo. Ngoko ke, ukongeza kwezinye iindlela zonyango ezicetyiswa ngugqirha, cinga ngokuthetha nomcebisi wezempilo yengqondo .

Ukuba ucinga ngokuzibulala, bona ugqirha ngokukhawuleza okanye uthethe nomntu omthembayo . Kukho iindawo eSri Lanka apho unokufumana khona uncedo ngale nto (umz. Sumitrayo 0112682535). Khumbula, awuwedwa, kwaye ungoyiki ukucela uncedo.

Ifunyanwa njani i-'frontal lobe epilepsy'?

Ukuze kufunyaniswe isifo sokuwa esibizwa ngokuba yi-frontal lobe epilepsy, ugqirha wakho uza kuhlola imbali yakho yezonyango aze enze uvavanyo lomzimba. Ukongeza, kunokwenziwa uvavanyo oluninzi ukuqinisekisa ukuba isifo sikhona.

Uvavanyo lokuxilonga

Nazi iimvavanyo ezinceda ekuxilongeni i-'frontal lobe epilepsy':

• Iskeni ye-MRI (Magnetic Resonance Imaging): Oku kungathatha imifanekiso eneenkcukacha zobuchopho bakho. Oku kunokunceda ukubona ukuba kukho naziphi na iithumba, izilonda, okanye ezinye iingxaki ezinokubangela ukuxhuzula kwakho.
• I-EEG (i-Electroencephalography): Le irekhoda umsebenzi wombane wengqondo yakho. Oku kunceda ekufumaneni apho ukuxhuzula kuqala khona.
• I-Video EEG: Oku kuquka ukurekhoda umsebenzi wobuchopho bakho kunye neentshukumo zakho kunye nokuziphatha kwakho. Oku kunokufuna ukuhlala esibhedlele ubusuku bonke. Ekubeni uninzi lokuxhuzula kwe-frontal lobe kwenzeka ngexesha lokulala, uphando lokulala lunokwenziwa.
• I-Stereoelectroencephalography (SEEG):Kule meko, ugqirha wotyando ufaka ii-electrode engqondweni yakho. Ezi zixhobo zinokubona umsebenzi wokuxhuzula nzulu engqondweni ongabonwa yi-EEG. I-SEEG idla ngokwenziwa ukuba ukuxhuzula kwakho akulawulwa ngamayeza kwaye ukuba utyando lobuchopho lucingelwa.
• I-Magnetoencephalography (MEG): Olu vavanyo lurekhoda umsebenzi wemagnethi obangelwa ngumsebenzi wombane wengqondo, nto leyo enceda ekuchongeni iindawo zomsebenzi ongaqhelekanga wengqondo.

Ukongeza, ugqirha angenza uvavanyo lwe-neuropsychological ukuze abone ukuba ukuxhuzula kuyayichaphazela na indlela esebenza ngayo ingqondo.

Zithini iindlela zonyango zoku?

Eyona njongo iphambili yonyango lwe-frontal lobe epilepsy kukunciphisa inani le-frontal lobe seizures onazo. Ugqirha wakho unokucebisa unyango olufana nolu:

• Amayeza okuthintela ukuxhuzula
• Utyando lwesifo sokuwa
• 'Ukuguqulwa kwemithambo-luvo'

Ukongeza, ugqirha wakho unokucebisa ukuba utshintshe indlela otya ngayo uze utshintshele kwindlela yokutya enamafutha amaninzi, engenazo iicarbohydrates (umz., 'ukutya kwe-ketogenic yesifo sokuwa' ).

Amayeza Okuthintela Ukuxhuzula Kwi-Frontal Lobe Seizures

Amayeza okulwa nesifo sokuwa anokunceda ukulawula ukuxhuzula okungaphambili. La mayeza alawula ukusebenza kombane kwengqondo kwaye anciphise ukuxhuzula rhoqo. La mayeza adla ngokuba lunyango lokuqala.

Ugqirha wakho uza kujonga iimpawu zakho aze akunike amayeza afanelekileyo. Ngaphambi kokuba aqalise amayeza amatsha, uza kuchaza nemiphumo emibi enokubakho. Ugqirha wakho unokufuna ukutshintsha idosi okanye uhlobo lwamayeza de ufumane afanelekileyo kuwe.

Utyando lwe-'Frontal Lobe Seizures' (Utyando lwe-Epilepsy)

Ukuba amayeza awakuthinteli ukuxhuzula kwe-frontal lobe yakho, ugqirha wakho angacinga ngotyando lokunyanga i-epilepsy. Ugqirha wakho angacebisa ukuba kususwe i- frontal lobe resection . Oku kuquka ukususa inxalenye echaphazelekayo ye-frontal lobe apho kuqala khona ukuxhuzula. Kungasusa nethumba lobuchopho okanye omnye umonakalo kuloo ndawo.

Ngaphambi kotyando, ugqirha wakho uza kusebenzisa iindlela ezahlukeneyo zokujonga imifanekiso ukwenza iimephu ezineenkcukacha zobuchopho bakho. Angafakela ii-electrodes ngotyando ukuze abhale uhlobo oluthile lwe -'stereo-EEG (SEEG)' ngaphakathi kwengqondo. Lonke olu lwazi luya kunceda iqela lakho lotyando:

• Chonga iindawo ezithile zobuchopho ezibangela ukuxhuzula.
• Lumka ungonakalisi iindawo 'ze-frontal lobe' ezilawula imisebenzi ebalulekileyo yobuchopho.

I-Neuromodulation ye-frontal lobe seizures

Kwezinye iimeko, utyando lokunyanga ukuxhuzula kwe-frontal lobe lusenokungakhuselekanga. Kwimeko enjalo, ugqirha wakho unokucebisa unyango olubizwa ngokuba yi-neuromodulation. Olu nyango lusebenzisa isixhobo esifakwe emzimbeni ukuthumela ii-electrical impulses engqondweni, sizama ukunqanda ukuxhuzula ngaphambi kokuba kuqale.

Iindidi zezixhobo ze-neuromodulation ezisetyenziswa kakhulu zezi:

• Ukukhuthazwa kweNerve yeVagus (VNS): Ugqirha ufaka isixhobo esincinci phantsi kwesikhumba sesifuba sakho. Siqhagamshelwe kwintambo. Intambo ijikeleza i-vagus nerve entanyeni yakho kwaye ithumela ii-pulses kuloo mithambo. Ezinye izixhobo ze-VNS zinokubona utshintsho kwisantya sentliziyo ngexesha lokuxhuzula kwaye zithumele ii-electrical pulses ezongezelelweyo kwi-vagus nerve.
• I-Responsive Neurostimulation (RNS): I-RNS sisixhobo esifakwe entlokweni yakho. I-RNS ijonga umsebenzi wobuchopho bakho kwaye ithumela ii-electrical pulses kuphela xa ifumanisa ukuba kukho ukuxhuzula okwenzekayo.
• Ukukhuthazwa Kobuchopho Obunzulu (i-DBS): Ugqirha wotyando ufaka isixhobo se-DBS esifubeni sakho. Iintambo zaso ziqhagamshelwe kwii-electrodes ezifakwe engqondweni yakho. Ugqirha ucwangcisa esi sixhobo aze athumele ii-electrical pulses engqondweni yakho.

Iyintoni imbonakalo yesifo sokuwa esibizwa ngokuba yi-frontal lobe epilepsy? (Imbono)

Ugqirha wakho angakunika ulwazi oluchanekileyo malunga nendlela ocinga ngayo. Iyahluka kumntu nomntu, ngokusekelwe kwizinto ezininzi, ezifana nempilo yakho ngokubanzi kunye nokuba uhlaselwa kangaphi.

Amayeza anokunceda ukulawula ukuxhuzula kwixesha elide. Kodwa ngamanye amaxesha, amayeza awasebenzi kakuhle kuye wonke umntu. Utyando lunokuba lolunye ukhetho. Nangona kungekho nyango lwe-frontal lobe epilepsy, abantu abaninzi bafumana ukuncipha kokuxhuzula okanye ukukhululeka ngokupheleleyo emva kokudibanisa amayeza okanye utyando.

Ugqirha wakho uza kukuxelela ukuba zeziphi iindlela zonyango ezinokukunceda uhlale ukhuselekile.

Ufanele uye nini kugqirha?

Bona ugqirha ukuba ubonakalisa iimpawu ezintsha okanye ukuba iimpawu zakho ziya zisiba mandundu. Qinisekisa ukuba unyango lwakho lusebenza kakuhle, kwaye ugcine amadinga akho kagqirha . Xelela ugqirha wakho ukuba uneziphumo ebezingalindelekanga emva kokuqala amayeza amatsha.

Ndimele ndibuze ntoni kugqirha wam?

Ukuba unesifo sokuwa esibizwa ngokuba yi-frontal lobe epilepsy, ungabuza ugqirha wakho ngale nto ilandelayo:

• Luhlobo luni lonyango olucetyiswayo?
• Zithini iziphumo ebezingalindelekanga zonyango?
• Ingaba kukhuselekile ukuthatha amayeza okulwa nesifo sokuwa ukuba ndicinga ngokuqalisa usapho?
• Ndingahlala njani ndikhuselekile ngexesha 'le-seismic'?
• Ngaba ndiyakufanelekela utyando?

Isishwankathelo kunye nezinto ekufuneka uzikhumbule

Iindawo ezimbini ezinkulu zobuchopho bethu, ii-frontal lobes, zinendima ebaluleke kakhulu ekufuneka ziyidlale. Kodwa ngaphandle kokuba kukho into engahambi kakuhle kweli candelo lobuchopho, asiqondi kakuhle ixabiso lalo. Ngethamsanqa, kukho iindlela zonyango lwe-frontal lobe epilepsy kunye nokuxhuzula okubangelwa kuko.

Ugqirha wakho uza kukunceda ukhethe iyeza elinye okanye ngaphezulu elikulungeleyo. Ungakhathazeki ukuba amayeza awasebenzi. Kwezinye iimeko, utyando okanye i-neuromodulation inokuba lolona khetho lungcono kwingqondo yakho. Nokuba ukhetha luphi unyango, iqela lakho lezonyango liya kuba lapho ukuphendula nayiphi na imibuzo onokuba nayo. Ukuba ungathanda, banokucebisa iqela lenkxaso okanye ingcebiso. Khumbula, awuwedwa kolu hambo!

Ukuxhuzula , i-frontal lobe, ukuxhuzula, izifo zobuchopho, izifo ze-neurological, iimpawu, unyango