Ake sifunde ngokuhlolwa kwe-Wada okwenziwa ngaphambi kokuhlinzwa kobuchopho bakho.

Mhlawumbe udokotela utshele ukuthi udinga ukuhlolwa kwe-WADA ngaphambi kokuhlinzwa kobuchopho. Lokho kungase kuzwakale kuyesabisa kancane, akunjalo? Kodwa empeleni lokhu ukuhlolwa okubaluleke kakhulu ukuze uphephe. ​​Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlolwa kwe-WADA ngendlela elula ongayiqonda.

Iyini le Wada Test?

Kalula nje, ukuhlolwa kweVodka kuwukuhlolwa okukhethekile okwenziwa udokotela wakho, ikakhulukazi ngaphambi kokuhlinzwa kwesifo sokuwa noma isimila sobuchopho. Kubasiza ukuphendula imibuzo emibili eyinhloko:

1. Yiluphi uhlangothi lobuchopho olulawula amakhono akho olimi? (Okungukuthi, uhlangothi lwesobunxele noma uhlangothi lwesokudla.)

2. Lubaluleke kangakanani uhlangothi ngalunye lobuchopho enkumbulweni yakho?

Lolu lwazi lubaluleke kakhulu kudokotela owenza ukuhlinzwa kobuchopho bakho, udokotela wezinzwa, ngoba lubasiza ukuthi bahlole kusengaphambili ukuthi inkulumo noma inkumbulo yakho ingaba nomthelela onjani ngemva kokuhlinzwa.

Lokhu kuhlolwa kwenziwa okokuqala ngo-1949 nguDkt. Juhn Wada. Yingakho kubizwa ngokuthi ukuhlolwa kwe-Wada. Ngezinye izikhathi kusetshenziswa amanye amagama kukho, futhi udokotela wakho angase akubize ngokuthi:

• Ukuhlolwa kwe-intracarotid amobarbital
• Ukuhlolwa kwe-sodium amytal
• Ucwaningo lwe-Amytal

Ngaphambi kokuhlinzwa kwesifo sokuwa, odokotela bangase basebenzise ezinye izinhlobo zokuhlolwa, isibonelo:

• Ukuskena kwe-Functional Magnetic Resonance Imaging (fMRI)
• Ukukhuthazwa kwe-Transcranial magnetic (`Ukukhuthazwa kwe-Transcranial magnetic`)
• Ukuhlolwa kwe-Neuropsychiatric

Yiluphi uhlangothi lobuchopho olulawula ulimi?

Kwabaningi bethu, okungukuthi, iningi lethu labantu abasebenzisa isandla sokudla, ulimi kanye nekhono lokukhuluma lilawulwa uhlangothi lwesobunxele lobuchopho. Kodwa-ke, lokhu akunjalo kuwo wonke umuntu. Lokhu kungaba okuhlukile ngezinye izikhathi, ikakhulukazi kubantu abasebenzisa isandla sesobunxele. Yingakho kubalulekile ukwenza isivivinyo se-Voda nokuthola kahle.

Inkumbulo ilawulwa kanjani?

Zombili izinhlangothi zobuchopho zingalawula inkumbulo. Ngokuvamile, abantu abasebenzisa ubuchopho besobunxele ekukhulumeni banohlangothi lwabo lwesobunxele olubaluleke kakhulu ekukhumbuleni ngamazwi, kanti uhlangothi lwabo lwesokudla lubaluleke kakhulu ekukhumbuleni okubonakalayo, okuwukukhumbula izinto ezifana nezithombe. Ukuhlolwa kweVodka kungasiza udokotela wakho ukuthi anqume ukuthi yiluphi uhlangothi lobuchopho olungcono ekukhumbuleni.

Ubani ongenza lolu vivinyo?

Ukuhlolwa kwe-Voda kungenziwa kubantu abadala kanye nezingane. Kodwa-ke, uma kungumntwana, kumele abe mdala ngokwanele ukuba ahlanganyele kulolu vivinyo, akwazi ukukhuluma nokuqonda izinto. Cabanga nje, ingane encane ayiqondi amagama aboniswe kulolu vivinyo. Ngakho-ke, lokhu kuvame ukwenziwa ezinganeni ezindala kancane futhi ezineminyaka yokuqonda.

Ubani owenza ukuhlolwa kwe-Voda? (Ithimba lochwepheshe)

Lokhu akuyona into eyenziwa ngumuntu oyedwa. Ukuhlolwa kwe-Voda kwenziwa yithimba lodokotela abangochwepheshe. Yilaba:

• Udokotela Wezinzwa: Lona udokotela wezinzwa ogxile ekuhluphekeni.
• Udokotela Wezinzwa Ongenelelayo: Lona udokotela ogxile ekuhlolweni okusekelwe ku-catheter. Uzofaka i-catheter emthanjeni wakho we-carotid ukuze anikeze i-anesthesia ebuchosheni bakho ngesikhathi sokuhlolwa kwe-VODA.
• Isazi sezengqondo: Umuntu ogxile ekutheni izimo zobuchopho zithinta kanjani ukuziphatha kwakho namakhono akho okucabanga.

Ulungiselela kanjani ukuhlolwa kweVoda?

Udokotela wakho angakutshela ukuthi uyeke ukuthatha imithi ethile cishe amasonto amabili ngaphambi kokuhlolwa. Isibonelo, i-aspirin, imithi elwa nokuvuvukala engeyona i-steroidal (ama-NSAID), kanye nemithi yokunciphisa igazi . Kodwa-ke, kufanele uqhubeke nokuthatha eminye imithi udokotela wakho ayikunikezile isikhathi eside njengoba ekutshela. Kubaluleke kakhulu ukutshela udokotela wakho kusenesikhathi uma une-allergies kunoma yimiphi imithi.

Kwenzekani ngaphambi kokuhlolwa kweVoda?

Ngaphambi kokuhlolwa, uzocelwa ukuthi ushintshele ingubo yesibhedlela. Ngemuva kwalokho, kuzosuswa uboya obuthile endaweni yakho engalweni, njengoba kulapho kuzofakwa khona umthambo wegazi. Egumbini lokuhlolwa, ama-electrode azobekwa ekhanda lakho ukuze akulungiselele i-electroencephalogram (EEG). Le EEG ilinganisa umsebenzi wobuchopho bakho ngesikhathi sokuhlolwa.

Ngemuva kwalokho, udokotela uzokonakalisa isikhumba endaweni yakho yezimbotshana. Uma indawo izwakala sengathi ayizwakali, bazofaka inaliti emthanjeni wegazi osemlenzeni wakho. Okulandelayo, bazofaka ithubhu elide nelincane elibizwa ngokuthi i-catheter kulowo mthambo wegazi. I-catheter izofakwa entanyeni enkulu yegazi entanyeni yakho ebizwa ngokuthi i-carotid artery. Ngesikhathi lokhu kwenzeka, ungase uzwe ukunambitheka kwensimbi emlonyeni wakho kanye nomuzwa ofudumele. Kungase kuzwakale sengathi kuyahlaba kancane, kodwa akufanele kube buhlungu.

Ngaphambi kokuhlolwa kwe-Voda, uzoba ne-angiogram. I-angiogram ihlola ukuhamba kwegazi ebuchosheni bakho ukuqinisekisa ukuthi kuphephile ukwenza ukuhlolwa kwe-Voda.

Ulwenza kanjani kahle uhlolo lwe-Voda?

Manje sekuza ingxenye ebalulekile. Udokotela wakho we-neuroradiologist uzofaka umuthi wokubulala izinzwa nge-catheter emthanjeni wakho we-carotid wesobunxele noma wesokudla, okwenza uhlangothi olulodwa lobuchopho bakho lungasebenzi okwesikhashana. Cabanga ukuthi ukube umuthi ubungena emthanjeni wakho we-carotid wesokudla, uhlangothi lwesokudla lobuchopho bakho belungeke lukwazi ukuxhumana nohlangothi lwesobunxele lomzimba wakho.

Phakathi nalesi sikhathi, ungase ubone izinkanyezi, uzizwe ucindezelekile ngemuva kwamehlo akho, futhi uzizwe ubuso bakho bushisa. Futhi, uhlangothi lomzimba wakho oluphambene nohlangothi olwalulaliswe luzophelelwa amandla isikhashana. Lokhu kusho ukuthi ngeke ukwazi ukuhambisa izitho zakho. Odokotela bazobheka okuqoshiwe kwe-EEG ukuqinisekisa ukuthi lolo hlangothi lobuchopho bakho selulele yini.

Uma sekuqinisekisiwe ukuthi uhlangothi olulodwa lobuchopho selulele, udokotela wesifo sokuwa noma isazi sokusebenza kwengqondo uzohlola ikhono lakho lokukhuluma. Bazokukhombisa namakhadi athile anamagama nezithombe. Bazokutshela ukuthi uzame ukukhumbula lokho okubonayo. Ngalesi sikhathi, ungase uzizwe ubuthakathaka futhi ube nobunzima bokukhuluma. Lokhu kuvamile. Ungase ulale ngisho.

Kuthiwani uma ngingakwazi ukukhuluma ngesikhathi sokuhlolwa?

Ngezinye izikhathi, ungase ungakwazi ukukhuluma ngesikhathi sokuhlolwa. Futhi, kwezinye izimo, izinzuzo zalokhu kuhlolwa zingancishiswa:

• Uma izingane zingaphansi kweminyaka eyi-10 ubudala.
• Uma kwenzeka ukuxhuzula ngesikhathi sokuhlolwa.
• Labo abane-intelligence quotient (IQ) engaphansi kuka-70.

Kodwa ungakhathazeki, uma uzizwa ukwesaba noma ukukhathazeka, odokotela nabahlengikazi bakhona ukukusiza.

Imiphumela yomuthi wokubulala izinzwa iyaphela ngemizuzu embalwa, bese uhlangothi lobuchopho bakho olwalungasasebenzi luvuka futhi. Ngaleso sikhathi, udokotela uzokubuza ukuthi yini oyikhumbulayo. Uma ungakhumbuli, bazokukhombisa amakhadi ngalinye ngalinye futhi babuze ukuthi uke wawabona yini ngaphambili. Kulungile uma ungakhumbuli ukuthi yini eyayisemakhadini, lokho kuvamile.

Ngemva kwesikhashana, odokotela babeka olunye uhlangothi lobuchopho bakho ebuthongweni ngendlela efanayo. Babuyisela i-catheter emuva kancane bese beyifaka emthanjeni we-carotid ngakolunye uhlangothi. Benza enye i-angiogram. Bakukhombisa isethi ehlukile yamakhadi futhi. Uma usuphapheme ngokuphelele, bakubuza futhi ukuthi yini eyayisemakhadini.

Ubuvukile yini ngesikhathi ubhala isivivinyo seVoda?

Yebo, uzohlala uphapheme kulo lonke lolu hlolo. Odokotela bazokwenza lokhu ngokukhuluma nawe.

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

Isikhathi esithathwa ukuhlolwa kwe-Voda singahluka kancane kuye ngesibhedlela, kodwa ngokuvamile kuthatha cishe amahora amathathu kuya kwamane. Ngokuvamile, izinhlangothi zombili zobuchopho ziyahlolwa esivivinyweni esifanayo. Uhlangothi olulodwa luyaqedwa, bese ulinda isikhashana uze ululame ngokugcwele ngaphambi kokwenza olunye uhlangothi.

Kwenzekani ngemva kokuhlolwa?

Ngemva kokuhlolwa, kuzodingeka uphumule egunjini lokululama. Odokotela nabahlengikazi bazofika ngezikhathi ezithile ukuzohlola umlenze wakho ukuthi ushaye ukushaya kwenhliziyo lapho kufakwe khona i-catheter. Bazohlola nebhandeji elimboze inxeba esinqeni sakho, futhi baqinisekise ukuthi umuzwa wakho wokuthinta ubuye ngokugcwele. Konke lokhu kwenziwa ukuqinisekisa ukuthi ukugeleza kwegazi emlenzeni wakho kujwayelekile.

Ngokuvamile uzovunyelwa ukuya ekhaya ngalobo busuku. Odokotela bazokutshela ukuthi ugweme imisebenzi enzima amahora angama-24 kuya kwangu-48 ngemva kokubuyela ekhaya.

Ingabe ukuhlolwa kwe-Voda kuyaphazamisa? Ingabe kukhona izingozi noma imiphumela emibi?

Ukuhlolwa kwe-VODA ngokuvamile kuphephile futhi akunangozi kakhulu . Uma uhlangabezana nanoma yimiphi imiphumela emibi, cishe kuzoba ubuhlungu endaweni yokufaka i-catheter (njengoba umuthi oqeda amandla uphela). Kodwa-ke, kunezinkinga ezingavamile kakhulu ezingaba khona:

• Ukuquleka.
• Ukungasebenzi kahle kobuchopho (i-Encephalopathy).
• Isimo esifana nesohlangothi.

Ngenxa yokuthi le inqubo ehlaselayo, kunengozi encane yokopha kanye nokutheleleka. Le ngozi ingase ibe phezulu kancane, kodwa ibe iphansi uma kuqhathaniswa, ezimweni ezilandelayo:

• Uma uneminyaka engaphezu kwengu-65 ubudala.
• Uma une-atherosclerosis (ukuqina kwemithambo yegazi).
• Uma unezinga eliphezulu le-cholesterol.

Ithini imiphumela yokuhlolwa kweVoda?

Ukuhlolwa kwe-Voda kungasiza ithimba lakho ukuthola ukuthi yiluphi uhlangothi lobuchopho bakho olunesibopho solimi nokuthi yiluphi uhlangothi olunesibopho senkumbulo. Baqhathanisa lolu lwazi nokuhlolwa kwangaphambilini okubonisa ukuthi isifo sokuwa kwengqondo sivela kuphi ebuchosheni bakho. Ngalo lonke lolu lwazi, udokotela wakho ohlinzayo anganquma ukuthi ukuhlinzwa kobuchopho kungabeka ulimi lwakho kanye nenkumbulo yakho engcupheni.

Isifo sokuwa singase sesabe, kanti nokuhlinzwa kobuchopho kungase kwesabe nakakhulu. Kodwa, ngenhlanhla, odokotela bakho bahlonyiswe ngamathuluzi nolwazi lokukusiza ukuvimbela izinkinga ngolimi lwakho kanye nenkumbulo yakho. Ukuhlolwa kweVodka kungenye yezindlela ezibaluleke kakhulu abazisebenzisayo. Uma unemibuzo mayelana nalokhu kuhlolwa, ungangabazi ukukhuluma nodokotela wakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuyiqonda kahle i-Wada Test. Ngamafuphi:

• Lolu luvivinyo olubalulekile olwenziwa ngaphambi kokuhlinzwa kobuchopho ukuze kutholakale ulwazi mayelana nolimi lwakho kanye namakhono akho okukhumbula .
• Lokhu kuvumela odokotela ukuthi bahlele ukunciphisa imiphumela emibi engaba khona ngenxa yokuhlinzwa.
• Uzobe uphapheme ngesikhathi sokuhlolwa, ngakho-ke akukho okufanele ukwesabe.
• Nakuba ngokuvamile kuyivivinyo eliphephile , njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane, udokotela wakho azokuchazela zona.
• Uma unemibuzo , ukwesaba, noma ukungabaza , xoxa ngakho nodokotela wakho bese uyixazulula.

Khumbula, konke lokhu kungenxa yempilo yakho nokuphepha kwakho.

Ukuhlolwa kwe- Voda, ukuhlinzwa kobuchopho, isifo sokuwa, isikhungo solimi, inkumbulo, i-neurology, ukuhlolwa kwezokwelapha