Ingabe wena noma othile omaziyo unesifo esibizwa ngokuthi i-epilepsy okunzima ukusilawula naphezu kokusebenzisa imithi? Ngezinye izikhathi odokotela bakuthola kunzima ukukhomba ukuthi ukuquleka kuqala kuphi ebuchosheni. Yilapho-ke sizokhuluma khona ngokuhlolwa okuyinkimbinkimbi kancane kodwa okubaluleke kakhulu okungasiza. Kubizwa ngokuthi i-SEEG. Ungakhathazeki, igama lingase lizwakale lide kancane. Masigcine kulula.
Kusho ukuthini nje ukuthi i-SEEG?
Kalula nje, i-Stereoelectroencephalography (SEEG) iwukuhlolwa kokuhlinzwa okungena shí ebuchosheni bakho futhi kusebenzisa imicu emincane ukuthola ukuthi ukuqala kuphi ukuquleka okungapheli (ukuquleka) kwesifo sokuwa.
Cishe uke wezwa ngokuhlolwa kwe-EEG. Kuhilela ukubeka ama-electrode amancane phezulu kwekhanda, okungukuthi, ekhanda, ukuze kulinganiswe umsebenzi kagesi wobuchopho. Kodwa ku-SEEG, odokotela abahlinzayo bezinzwa bafaka lawa ma-electrode hhayi ebusweni bobuchopho, kodwa ezindaweni ezijulile nezihlukahlukene zobuchopho. Lokhu kuvumela ukuthi kutholakale ulwazi ezindaweni ezijule kakhulu ukuthi i-EEG evamile ingakwazi ukulibamba.
Ngemva kokufakwa kwama-electrode, uzogcinwa eyunithi ekhethekile yesibhedlela izinsuku ezimbalwa. Phakathi nalesi sikhathi, ithimba lezokwelapha lizoqapha ngokucophelela ukusebenza kobuchopho bakho ngesikhathi sokuwa kwakho.
Inhloso eyinhloko yalolu vivinyo ukuthola ukuthi amangqamuzana obuchopho abangela ukuquleka angasuswa ngokuhlinzwa yini, futhi uma kunjalo, angasuswa kuphi ngqo.
Kukuziphi izimo lapho kwenziwa khona ukuhlolwa kwe-SEEG?
Odokotela basebenzisa ukuhlolwa kwe-SEEG ikakhulukazi ezimweni ezimbalwa ezikhethekile.
- Isifo sokuwa esingamelani nemithi: Abanye abantu abakwazi ukulawula ukuquleka kwabo ngisho nangemva kokusebenzisa izinhlobo ezimbili noma ezintathu zemithi. Lokhu sikubiza ngokuthi isifo sokuwa esingamelana nemithi. Ezinganeni ezingaphezu kweminyaka emibili ubudala kanye nabantu abadala abanalesi simo, i-SEEG ibaluleke kakhulu ukunquma ukuthi kungenzeka yini ukuhlinzwa.
- Ukumapha kobuchopho: Cabanga ukuthi ukuxhuzula kuvela engxenyeni ebalulekile yobuchopho elawula inkulumo, ukunyakaza, noma imizwa. Uma uzohlinzwa, kudingeka uqaphele ukuthi ungalimazi lezo zingxenye ezibalulekile. Usebenzisa ama-electrode e-SEEG, ungamapha kulezi zindawo ezibalulekile ngaphambi kokuhlinzwa.
- Qondisa ezinye izindlela zokwelapha: Ngezinye izikhathi ukuhlolwa kwe-SEEG kusetshenziswa njengengxenye yokwelashwa. Isibonelo:
- Ukushisa kwe-radiofrequency: Lokhu kusebenzisa amaza omsakazo nokushisa ukubhubhisa amangqamuzana obuchopho abangela ukuxhuzula. Lokhu kwelashwa kungenziwa kusetshenziswa ama-electrode e-SEEG.
- Ukushisa Okuphansi (LITT):Indlela yokukhubaza izingxenye zobuchopho ezibangela ukuxhuzula kusetshenziswa amandla okushisa e-laser.
- Ukuvuselela imizwa okusabelayo: Kulokhu, kufakwa idivayisi ebuchosheni eletha isikhuthazo esincane sikagesi kuze kufike lapho kuqala khona ukuxhuzula bese kuyimisa. I-SEEG isiza ekutholeni indawo eqondile yedivayisi.
Ubani ofanelekela lolu vivinyo?
Ukuhlolwa kwe-SEEG akulona okwawo wonke umuntu. Udokotela wakho uzocabangela izici eziningana ngaphambi kokuncoma.
Ake sithi unesifo sokuwa esiqala endaweni ethile yobuchopho bakho (`(focal epilepsy)`). Kodwa ngisho nange-MRI scan, leyo ndawo ayibonakali kahle. Yilapho-ke i-SEEG iba usizo kakhulu khona.
Kodwa-ke, uma unesifo sokuwa esiqala ezindaweni eziningi zobuchopho ngesikhathi esisodwa (`(isithuthwane esijwayelekile)`), awufaneleki kulolu vivinyo.
| Izimo ezingaba khona zokuhlolwa kwe-SEEG | |
|---|---|
| Isimo | Incazelo |
| Uma ungumuntu ozohlinzwa isifo sokuwa | Uma ucabanga ukuthi ukuhlinzwa kungayiqeda le nkinga, lokhu kuhlolwa kungadingeka ngaphambi kokuba kwenzeke. |
| Ukugula okungalawulwa ngemithi | Uma ukulingana kungenakukwazi ukulawulwa naphezu kokuzama imithi emibili noma ngaphezulu. |
| Uma kungacaci kwezinye izivivinyo | Uma izivivinyo ezifana ne-MRI kanye ne-EEG zingakwazi ukunikeza isithombe esicacile sokuthi ukulingana kuqala kuphi. |
Yimiphi umehluko omkhulu phakathi kwe-EEG ne-SEEG?
Nakuba zombili lezi zivivinyo zilinganisa umsebenzi kagesi wobuchopho, kunomehluko omkhulu. Ngokuvamile, udokotela uzokwenza i-EEG kuqala. Kuphela uma ulwazi olutholwe kulolo lwazi lunganele lapho bezoqhubeka khona nokuhlolwa kwesigaba sesibili, njenge-SEEG.
Izinguquko eziyinhloko yilezi:
- Lapho kufakwa khona ama-electrode: Ku-EEG, ama-electrode abekwa ebusweni besikhumba, ngaphezu kogebhezi. Ku-SEEG, ama-electrode afakwa ajule ebuchosheni .
- Ulwazi olutholiwe: I-EEG inikeza ulwazi mayelana nomsebenzi wobuchopho kuphela. I-SEEG ingathola ulwazi ekujuleni okuhlukene kuzo zombili izingxenye zobuchopho. Lokhu kusenza sikwazi ukukhomba indawo eqondile yokuquleka.
Ucwaningo olulodwa luthole ukuthi abantu abahlinzwa isifo sokuwa ngemva kokuskena kwe-SEEG bachitha isikhathi esincane egumbini lokuhlinzwa kunalabo abenza ezinye izindlela (njengokuvula ugebhezi nokubeka ama-electrode ebusweni bobuchopho). Bachitha isikhathi esincane esibhedlela futhi basebenzisa imithi yobuhlungu encane.
Yini ongayilindela ngaphambi kwe-SEEG?
Njengoba lokhu kuwukuhlolwa okuhlobene nokuhlinzwa, kuzokwenziwa izivivinyo eziningana ukuhlola isimo sakho sempilo kusengaphambili.
- Ukuhlolwa kwegazi
- Ukuhlolwa kwe-EKG (i-Electrocardiogram) okuhlola ukushaya kwenhliziyo
- Ukuhlolwa kwezithombe ezifana ne-CT scans (i-computed tomography scans) kanye ne-MRI scans (i-magnetic resonance imaging)
Enye yezinto abantu abaningi, ikakhulukazi abazali, abakwesabayo lapho benza into efana nale enganeni yabo ukuthi , "Ingabe bazogunda zonke izinwele zabo?" Kungase kube nemibuzo mayelana nokuthi kuzodingeka yini bayeke ukuthatha imithi abayithathayo ukuze balungele isikhashana.
Qiniseka ukuthi uxoxa nganoma yiziphi izinkinga noma ukwesaba ongase ube nakho nethimba lakho lezokwelapha ngaphambi kokuhlinzwa kwakho. Bazokwenza konke okusemandleni abo ukukugcina ukhululekile futhi ukhululekile ngangokunokwenzeka.
Ukuhlinzwa kwe-SEEG kwenziwa kanjani?
Ukuhlinzwa kwe-SEEG kuvame ukuthatha cishe amahora amane kuya kwayisithupha. Ngosuku lokuhlinzwa, udokotela wezinzwa uzokunikeza imithi. Uzolala ngokuphelele phakathi nenqubo. Ngakho ngeke uzwe ubuhlungu.
Ngemva kokulala, ithimba lokuhlinzwa lizolandela lezi zinyathelo:
1. Okokuqala, uhlaka olukhethekile (`(uhlaka lwe-stereotactic)`) lunamathiselwe ekhanda lakho ukuze ikhanda lakho lihlale endaweni eyodwa.
2. Okulandelayo, kufakwa imigodi emincane kakhulu engaba yi-10 kuya kwengama-20, cishe ububanzi bomucu we-spaghetti, ekhanda. Lokhu akubangeli ukopha okuningi.
3. Ngalezo zimbobo ezincane, ama-electrode anjengepulasitiki aguquguqukayo axhunywe ezintanjeni ezincane afakwa ebuchosheni.
4. Lawa ma-electrode abekwe ngokunembile ezindaweni zobuchopho lapho kusolwa ukuthi ukulingana kuqala khona, njengoba kuboniswe kuma-scan angaphambilini.
5. Ekugcineni, uhlaka lwekhanda luyasuswa bese ikhanda liboshwa ngokuqinile.
6. Uzobe usuyiswa ekamelweni lokululama bese kuthathwa i-CT scan kanye ne-X-ray ukuqinisekisa ukuthi ama-electrode asendaweni efanele.
Kwenzekani ngemva kwe-SEEG?
Ngemva kokuhlinzwa, ngokuvamile uzodluliselwa eYunithi Yokuqapha Isifo Sokuxhuzula (i-EMU). Lapho, ithimba lochwepheshe lizokuqapha amahora angu-24 ngosuku, izinsuku eziyi-7 ngesonto. Ama-electrode asekhanda lakho azoxhunywa emishinini eqopha umsebenzi wobuchopho bakho. Uma unesifo sokuxhuzula, ikhompyutha ingakukhombisa ukuthi siqala kuphi ebuchosheni bakho nokuthi sisakazeka kanjani, isebenzisa izithombe ze-3D.
Kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa kuya esontweni elilodwa noma amabili, kuye ngokuthi unesifo sokuqina kangaki.
Ekupheleni kwesikhathi sokuhlola, ama-electrode azosuswa ekhanda lakho. Ungakhathazeki, lokhu akuyona inqubo enkulu. Kuyinqubo elula eqeda lezo zindawo kuphela futhi ithatha cishe imizuzu eyi-10-15.
Ingabe zikhona izingozi zokuhlolwa kwe-SEEG?
I-SEEG ngokuvamile ibhekwa njengenqubo ephephile kakhulu, kodwa njenganoma yikuphi ukuhlinzwa kobuchopho, kunezingozi ezincane kakhulu.
- Ukopha ngaphakathi kobuchopho (ukopha ngaphakathi kobuchopho)
- Ukutheleleka
- Isifo sohlangothi
Kodwa khumbula, lezi yizenzakalo ezingavamile kakhulu. Ithimba lezokwelapha lithatha zonke izinyathelo zokuphepha ukuze linciphise lezi zingozi.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngokuvamile kufanele ubuyele esimweni esijwayelekile zingakapheli izinsuku ezimbili (amahora angu-24-48). Kodwa-ke, khuluma nethimba lakho lezokwelapha mayelana nokuthi ungaqhubeka nini nemisebenzi yakho evamile.
Yini ongayilindela emiphumeleni ye-SEEG?
Ezimweni eziningi, ukuhlolwa kwe-SEEG kungaphumelela ekutholeni imbangela eyinhloko yokuquleka. Odokotela bazofunda ngokucophelela idatha eqoshwe emsebenzini wobuchopho bakho bese benquma ukuthi uyakufanelekela yini ukuhlinzwa noma olunye ukwelashwa.
Ukuhlinzwa kokwelapha isifo sokuwa kuvame ukwenzeka emavikini amane kuya kwayisishiyagalombili ngemva kokuhlolwa kwe-SEEG, ukuze kukunike isikhathi sokululama kahle.
Ungathola imiphumela yokuhlolwa kokuqala ngaphambi kokuba uphume esibhedlela. Lokhu kuzokunika wena nomndeni wakho isikhathi sokuxoxa ngale miphumela nethimba lezokwelapha futhi nenze isinqumo ngaphambi kokuba kunqunywe uhlelo lokugcina lokwelashwa.
Ukuphila nokuquleka okungenakuvinjelwa ngemithi kungaba yinselele enkulu. Kodwa ngezindlela zokuhlola zesimanje ezifana ne-SEEG, manje sekungenzeka ukuthola imbangela eqondile yokuquleka bese uqala ukwelashwa okufanele. Lokhu kwelashwa kungakusiza ukunciphisa ukuquleka kwakho futhi uphile impilo evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-SEEG iyisivivinyo esikhethekile sokuquleka (ukukhubazeka) okunzima ukukulawula ngemithi.
- Okwenziwayo lapha ukufaka ama-electrode ajule ebuchosheni ngemigodi emincane bese uthola indawo eqondile lapho kuqala khona ukulingana.
- Ngokusekelwe emiphumeleni yalolu vivinyo, odokotela bazonquma ukuthi ukuhlinzwa noma olunye ukwelashwa kulungile yini kuwe.
- Nakuba lokhu ngokuvamile kuyinqubo ephephile kakhulu, njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane.
- Khuluma nodokotela wakho ngokukhululekile ngaso sonke isikhathi nganoma yimiphi imibuzo noma ukukhathazeka onakho.
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