Isifo Sokuxhuzula Sesihlungu Sexesha Elifutshane? - Makhe sithethe ngale nto ngokulula!

Ngaba ngamanye amaxesha uziva ungaqhelekanga ngequbuliso? Khawucinge nje, indawo okuyo ivakala ngathi iqhelekile, kodwa yindawo entsha. Okanye uziva ngathi kukho into ephuma esiswini sakho, okanye uziva uloyiko okanye uxhalabile ngequbuliso? Mhlawumbi ulahlekelwa zingqondo kwaye ube nesimo sokuxhuzula ngenxa yezi zinto. Ukuba ezi zinto zenzeke kuwe okanye kumntu omaziyo, kubaluleke kakhulu ukwazi ngemeko esiza kuthetha ngayo namhlanje ebizwa ngokuba yi-'Temporal Lobe Epilepsy'.

Yintoni iTemporal Lobe Epilepsy?

Ngamafutshane, i-Temporal Lobe Epilepsy luhlobo lwe-epilepsy. Kwimeko enjalo, i-seizure iqala kwinxalenye yengqondo yakho ebizwa ngokuba yi-temporal lobe. I-seizure iyenzeka xa kukho ukungaqhelekanga kumsebenzi wombane ngaphakathi kwengqondo. Cinga ngayo njenge-short circuit kwi-electrical circuit.

Sonke sine 'temporal lobes' ezimbini kumacala omabini engqondo yethu, ukusuka ngaphambili kweendlebe zethu ukuya ngasemva. Le 'temporal lobe' yiyo esinceda siqonde ihlabathi elisingqongileyo. Yile:

• Gcina iinkumbulo.
• Qaphela izandi
• Kwizinto ezinxulumene nombono
• Qonda ulwimi kunye nencoko

Ukongeza koku, ezinye izinto esizenzayo singazi, ezifana nendlala, unxano, oko sikwenzayo xa sisoyika ngequbuliso (impendulo yokulwa okanye yokubaleka), iimvakalelo zethu, kunye neminqweno yesondo, nazo zilawulwa yile 'lobe yexeshana'.

I-temporal lobe epilepsy lolona hlobo luqhelekileyo lwe-focal epilepsy, oluqala kwindawo ethile yengqondo. Uphawu oluphambili kukuxhuzula. Ugqirha angakunceda ulawule le meko.

Yintoni umahluko phakathi kwe-left and right temporal lobe epilepsy?

Zombini ii-temporal lobes zobuchopho bakho ezisekhohlo nezisekunene zilawula izinto ezininzi, kuquka inkumbulo, ukuva, ukubona, kunye nentetho. Nangona kunjalo, le misebenzi inokuchaphazeleka kuxhomekeke ekubeni i-surticulation iqala ngaliphi icala.

Kwabaninzi abantu, ingakumbi ukuba usebenzisa isandla sasekunene, i-left temporal lobe yeyona iphambili. Abantu abane-left temporal lobe epilepsy banokufumana ubunzima bokubiza izinto ngamagama, ubunzima bokufumana amagama afanelekileyo, kunye nokutshintsha kwemood ngokuhamba kwexesha.

Abantu abane-right temporal lobe epilepsy badla ngokuba notshintsho oluncinci kwimemori yabo lwexesha elide. Nangona kunjalo, banokufumana ubunzima bokukhumbula ulwazi olungengolwamazwi, ingakumbi imifanekiso, kunye notshintsho kwimo yengqondo.

Ngaba kukho iintlobo ze-temporal lobe epilepsy?

Ewe, kukho iintlobo ezimbini eziphambili ze-'temporal lobe epilepsy':

1. Isifo Sokuxhuzula seMesial Temporal Lobe (MTLE):Igama elithi "Mesial" lithetha umbindi. Kule meko, ukuxhuzula kuqala kwinxalenye yengqondo ebizwa ngokuba yi-hippocampus okanye kufutshane nayo. Le yinxalenye yengqondo ebizwa ngokuba yi-hippocampus ephakathi kwe-temporal lobes yakho yomibini. Olu lolona hlobo luqhelekileyo lwe-TLE. I-hippocampus yinxalenye yengqondo ebandakanyeka kakhulu kwiinkumbulo zethu.

2. I-Neocortical okanye i-Lateral Temporal Lobe Epilepsy: Kule meko, ukuxhuzula kuqala kwinxalenye engaphandle ye-temporal lobe yakho.

Zithini iimpawu zale meko?

Iimpawu ze-temporal lobe epilepsy ziquka imvakalelo engaqhelekanga eyenzeka ngaphambi kokuba umntu axhuzule, ebizwa ngokuba yi-epileptic aura, kunye ne-seizure ngokwayo.

Izinto onokuzibona ngexesha le-epileptic aura:

• `Déjà vu`: Le yimvakalelo eqhelekileyo efika xa usiya kwindawo ongazange uye kuyo, njengokuthi "Ndikhe ndaya apha ngaphambili." Okanye, inkumbulo evakala ngathi kukho into eyenzekileyo ngaphambili iphinda yenzeke.
• `Jamais vu`: Oku kuchasene no-`déjà vu`. Kulapho into oyiqhelileyo (umzekelo, igumbi endlwini yakho) ngequbuliso ivakala ingaqhelekanga kwaye ingaqhelekanga.
• Ukuziva ngequbuliso uloyiko, ixhala, okanye ixhala; okanye umsindo, usizi, okanye ulonwabo.
• Uvakalelo olungaqhelekanga lokujikajika ngokungathi isisu siphuma ngaphakathi (njengovakalelo olufumanayo xa ukwi-roller coaster).
• Ukwanda kovakalelo lweemvakalelo (ezifana nokuva, ukubona, ukuvumba, ukungcamla, okanye ukuchukumisa izinto ngokunzulu kunesiqhelo).

Ayingabo bonke abantu abafumana le 'aura'. I-'aura' ngokwenene yi-'focal-aware seithuthwane'. Oko kuthetha ukuba xa ezi mpawu zisenzeka, uyazazi kwaye uyazi ukuba kwenzeka ntoni. Oku kungathatha imizuzwana embalwa ukuya kwimizuzu emibini.

Ezinye iimpawu ezinokubonakala ngexesha lokuxhuzula:

Ezi mpawu zilandelayo zinokwenzeka emva kwe-aura:

• Ukulahlekelwa yingqondo.
• Ukumjonga nje ongenanto ngaphandle kwemvakalelo ebusweni.
• Ukwandiswa kwamehlo .
• Ukuphindaphinda into efanayo ngaphandle kwentsingiselo (ii-automatisms). Umzekelo, ukwenza ngathi uphakamisa into ngezandla zakho, ukuqhwanyaza amehlo akho, ukutyhala imilebe yakho, ukwenza ngathi uhlafuna into ethile, ukuginya.
• Ukudideka.
• Ukungakwazi ukuthetha okanye ukuqonda oko kuthethwayo okwethutyana elifutshane (i-aphasia).
• Umzimba uqinile kwaye uyabetha.

Yintoni ebangela i-temporal lobe epilepsy?

Eyona nto iphambili kukuba iiseli zemithambo-luvo, okanye ii-neurons, kwi-temporal lobe yakho azinxibelelani kakuhle. Ii-neurons zezo zithumela imiqondiso yombane kwiindawo ezahlukeneyo zobuchopho. Xa unesithuthwane, ezi neurons zithumela imiqondiso emininzi kakhulu ngaphandle kokulawula.

Nazi ezinye zezona zinto ziphambili ezibangela isifo sokuwa esibizwa ngokuba yi-temporal lobe epilepsy:

• I-Hippocampal sclerosis: Oku kukonakala nokulahleka kwee-neurons kunye neeseli ze-glial kwi-hippocampus.
• I-Focal cortical dysplasia: Ukuhlangana okungaqhelekanga kwee-neurons engqondweni.
• Iithumba zobuchopho.
• Ukulimala kwengqondo okubuhlungu (TBI).
• Iintsholongwane: Imizekelo ibandakanya ithumba lobuchopho, i-meningitis, kunye ne-encephalitis.
• Izifo ezinxulumene nemithambo yegazi: Umzekelo, `stroke`, `i-arteriovenous malformations (ii-AVM)`.
• Iindidi zemfuza.
• Izizathu ezingaziwayo.

Ngubani osengozini enkulu yokuba nale meko?

Le meko, ebizwa ngokuba yi-'TLE', inokukhula nakweyiphi na iminyaka. Nangona kunjalo, unokuba semngciphekweni omkhulu ukuba:

• Ukuba ukhe waba nesifo sokuxhuzula esibangelwa yifiva usengumntwana.
• Ukuxhuzula okuhlala imizuzu engaphezu kwemihlanu, okanye ukuxhuzula izihlandlo ezininzi ngaphandle kokubuyela ezingqondweni (status epilepticus) ngokulandelelana.
• Ukuba unesifo okanye imeko ozalwe nayo efana nomhlaza wobuchopho.
• Ukuba ukhe wenzakala kakhulu entloko (TBI) okanye usulelo lobuchopho usengumntwana.
• Ukuba umntu kusapho une-temporal lobe epilepsy (imbali yosapho).

Malunga nesibini kwisithathu sabantu abane-'TLE' baye baba nokuxhuzula okubangelwa yifiva ebuntwaneni. Uninzi lwale ngxaki luyinkimbinkimbi (oko kuthetha ukuba luhlala ixesha elide). Kodwa, khumbula, ayinguye wonke umntu oye waba nokuxhuzula okubangelwa yifiva oza kuba ne-'TLE'. Akuqhelekanga kakhulu.

Ziziphi iingxaki ezinokubakho ze-temporal lobe epilepsy?

Nge-TLE, usemngciphekweni wokwehla kwengqondo okungenakulungiseka. Oku kuthetha ukuba unokuba nobunzima bokufunda izinto ezintsha, ukukhumbula izinto, ukwenza izigqibo, kunye nokugxila.

Okukhona uhlaselwa kukuxhuzula rhoqo, kwaye okukhona ixesha elide uhlaselwa kuko, kokukhona umngcipheko wakho wokuba:

• Uxinzelelo
• Ixhala
• Ukulahleka kwenkumbulo
• Ukufa Okungacacanga Ngesiquphe Kwisifo Sokuxhuzula (i-SUDEP)

Kungoko ke, kubaluleke kakhulu ukubona ugqirha uze ufumane unyango olufanelekileyo lwe-'TLE'. Oku kuya kunceda ukuthintela iingxaki ezinje ngezi.

Oogqirha bayixilonga njani le sifo?

Ugqirha uxilonga isifo se-temporal lobe epilepsy ngokubuza ngeempawu zakho, ukufunda ngendlela esiqale ngayo isifo sokuxhuzula, ukwenza uvavanyo lwemithambo-luvo, nokwenza naluphi na uvavanyo olufunekayo. Ugqirha uza kukubuza nangokwenzekileyo ngaphambi nasemva kwaso. Uza kuphinda ahlole imbali yakho yezonyango.

Usenokungakhumbuli ukuba kwenzeke ntoni ngexesha lokuxhuzula. Ukuba kunjalo, kungcono ukuzisa umntu owayekunye nawe xa ukuxhuzula kugqirha. Emva koko banokuxelela ugqirha oko bakubonileyo.

Uvavanyo lunokunceda ugqirha wakho abone okwenzekayo engqondweni yakho. Uvavanyo olufana nolu lunokwenziwa:

• Iskeni ye-MRI (Magnetic Resonance Imaging): Thatha umfanekiso ocacileyo wobuchopho.
• Uvavanyo lwe-`EEG (Electroencephalogram)` okanye lwe-`video-EEG`: Jonga umsebenzi wombane wengqondo.
• Uvavanyo lweskeni lwe-`SPECT (Single Photon Emission Computed Tomography)`.
• iskeni se-`PET (Positron Emission Tomography)`.
• Uvavanyo lwe-`MEG (MEG - Magnetoencephalography)`.
• Uvavanyo lwe-neuropsychological: Jonga ukuba izinto ezifana nenkumbulo kunye nengqalelo zinjani.

Ziziphi iindlela zonyango ze-temporal lobe epilepsy?

Oku kulandelayo kunokwenziwa njengonyango lwe-temporal lobe epilepsy:

• Amayeza okuthintela ukuxhuzula.
• Utyando lwesifo sokuwa.
• Ukuvuselela ingqondo.

Ukongeza, ugqirha wakho unokucebisa ukuba wenze utshintsho oluthile kwindlela otya ngayo, njengokutya okune-ketogenic. Oku kukutya okunamafutha amaninzi, okune-carbohydrate ephantsi.

Amayeza e-temporal lobe epilepsy

Kukho amayeza amaninzi afumanekayo okunyanga isifo sokuwa esibangelwa yi-temporal lobe. Eminye imizekelo yile:

• `Brivaracetam`
• `I-Cenobamate`
• `ICarbamazepine`
• `Gabapentin`
• `I-Lamotrigine`
• `I-Lacosamide`
• `Levetiracetam`
• `Oxcarbazepine`
• `I-Pregabalin`
• `I-Rufinamide`
• 'I-Topiramate'
• `I-Valproate`
• `I-Zonisamide`

Ugqirha wakho uza kuzama iyeza elinye okanye amaninzi, ngokweedosi ezahlukeneyo, ukuze afumane elikulungeleyo.

Kubalulekile: Amanye amayeza okuxhuzula anokuba yingozi kumntwana ngexesha lokukhulelwa. Ngoko ke, qiniseka ukuba uxelele ugqirha wakho ukuba ukhulelwe okanye uceba ukukhulelwa.

Utyando lwe-temporal lobe epilepsy

Ukuba ukuxhuzula akunakulawulwa ngamayeza, okanye ukuba ezi mpawu zibangelwa yinto efana nomhlaza wobuchopho, ugqirha unokuqwalasela utyando.

Utyando lwe-temporal lobectomy (ukususa inxalenye ye-temporal lobe) lolona tyando luqhelekileyo. Nangona kunjalo, ngenxa yokuba i-temporal lobe ilawula imisebenzi emininzi ebalulekileyo, ugqirha wezintso uceba utyando ngononophelo ukuze anciphise impembelelo ekusebenzeni kwengqondo.

Iindlela ezimbini ezingangenisi kakhulu zi -stereotactic radiosurgery kunye ne -laser ablation . Ezi ndlela zisebenzisa i-laser beams okanye i-radiation ukutshabalalisa iiseli zemithambo-luvo okanye izicubu kwi-temporal lobe apho kuqala khona ukuxhuzula.

Ukuvuselelwa kwemithambo-luvo kwi-temporal lobe epilepsy

Ukuba amayeza awasebenzi, okanye ukuba utyando alukhuselekanga, unokufuna ukuqwalasela izixhobo zokuvuselela ingqondo. Oku kubandakanya ukuthumela ii-electrical impulses kwi-temporal lobe yakho ngesixhobo esifakwe ngaphakathi emzimbeni wakho. Olu nyango lunokunciphisa kancinci inani lee-seizures onazo ngokuhamba kwexesha. Iindidi eziphambili zezixhobo ezisetyenziselwa i-TLE zezi:

• `Ukuvuselelwa kwemithambo-luvo yeVagus (VNS)`
• `Ukuvuselela ingqondo okuphendulayo (RNS)`
• `Ukuvuselela ingqondo nzulu (i-DBS)`

Luhlobo luni lwethemba onokuba nalo xa uphila nale meko?

Indlela eya kuphuma ngayo imeko yakho ixhomekeke kwizinto ezifana nezi:

• Uhlala unesifo sokuxhuzula kangaphi?
• Unexesha elingakanani unale meko?
• Impilo yakho ngokubanzi.
• Ingaba iingxaki ezingenakulungiseka ziqalile na.

Abantu abaninzi banokulawula ukuxhuzula kwabo kakuhle ngamayeza. Abanye abantu bade bathi ukuxhuzula kwabo kuphele ngokupheleleyo emva kotyando. Nangona kunjalo, oku kuyahluka kakhulu kumntu nomntu. Ugqirha wakho angakunika inkcazo echanekileyo ngakumbi yemeko yakho.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Ukuba wakha waxhuzula, okanye ucinga ukuba ukhe waxhuzula, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Ukuba sele ufunyenwe une-temporal lobe epilepsy, fowunela ugqirha wakho ngokukhawuleza ukuba ufumana nayiphi na kwezi zilandelayo:

• Ukuba ukuxhuzula kwakho kuthatha ixesha elingaphezu kwemizuzu emihlanu.
• Ukuba kuza olunye uxhuzula kwangoko emva kokuba uxhuzula lokuqala luphelile.
• Ukuba ukuxhaphaka nobunzima bokuxhuzula kukhula.
• Ukuba kuvela iimpawu ezintsha okanye iziphumo ebezingalindelekanga zamayeza.
• Ukuba ukuchacha emva kokuba ukuxhuzula kuphelile, kuhamba kancinci kunesiqhelo, okanye ukuba ukuchacha akukapheli.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Ukuba une-'TLE', kungcono ukubuza ugqirha wakho imibuzo efana nale:

• Luhlobo luni lonyango olundicebisayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
• Ingaba eli yeza lokulwa nokuxhuzula likhuselekile ukuba ndinethemba lokuqala usapho?
• Ndingatyandwa isifo sokuwa?

Usenokungaqondi ukuba zibaluleke kangakanani ii-temporal lobes zakho de ziyeke ukusebenza kakuhle nge-100%. I-temporal lobe epilepsy (TLE) inokuchaphazela ukusebenza kwazo ngokuhamba kwexesha. Nangona kunjalo, ugqirha unokukunceda ulawule ukuxhuzula kwe-TLE kwaye uthintele iingxaki.

Unyango lwe-TLE luhlukile kuwe. Kusenokufuneka uzame amayeza ahlukeneyo kunye needosi ezahlukeneyo ude ufumane elona lilungele wena. Ngamanye amaxesha, amayeza awasebenzi kwaye utyando lunokuba lolona khetho lufanelekileyo.

Ukulawula ubomi obunesifo sokuwa kunokuba nzima. Nangona kunjalo, ungafumana uncedo olongezelelweyo kumaqela enkxaso okanye ngokuthetha nengcali yezempilo yengqondo . Iqela lakho lezonyango liya kuba nawe ukuphendula nayiphi na imibuzo onokuba nayo endleleni.

Umyalezo Wokugqibela Wokuya Ekhaya

Sihlobo sam, iTemporal Lobe Epilepsy ayisiyonto yokoyika, kodwa ayiyonto yokungayinanzi.

Khumbula, ungaphila ngempumelelo nale meko. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngononophelo kwaye ufumane unyango olufanelekileyo.

• Ukuba wena okanye umntu omaziyo unezi mpawu, bonana nogqirha ngokukhawuleza.
• Sela amayeza akho owayalelweyo kanye njengoko uyalelwe, ngexesha elifanelekileyo. Ungaze uyeke ukuwasela amayeza akho ngaphandle kokubonisana nogqirha wakho.
• Ukuba ugqirha wakho ucebisa ukuba wenze utshintsho oluthile kwindlela ophila ngayo (umz., ukutya okune-ketogenic), zama ukulandela olo tshintsho.
• Hlala uqinile engqondweni. Ukuba kuyimfuneko, funa ingcebiso. Awuwedwa.
• Kungcono ukwazisa usapho lwakho kunye nabahlobo bakho ngale meko. Emva koko banokukunceda.

Siyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

Isifo sokuwa sexeshana, isifo sokuwa, ukuxhuzula, isifo sobuchopho, isifo semithambo-luvo, isifo sokuwa sexeshana, isifo sokuwa