Ingabe wena noma othile emndenini wakho unesifo esibangela ukuxhuzula, okungukuthi, isifo sokuxhuzula? Ngezinye izikhathi, ngisho nangemithi enikezwe udokotela, kunzima kakhulu ukulawula lesi simo. Ikakhulukazi, uma kwenzeka izinto ezifana 'nokuhlaselwa ngamaconsi', lapho umzimba ulahlekelwa khona ingqondo ngokuzumayo bese uwela phansi, kuyingozi ngempela. Namuhla, sikhuluma ngokuhlinzwa okukhethekile odokotela abatusa abantu abanjalo.
Kuyini iCorpus Callosotomy?
Kalula nje, i-Corpus Callosotomy inqubo yokuhlinzwa kwesifo sokuwa. Ngokuvamile yenziwa kubantu abanesifo sokuwa esinzima okunzima ukusilawula ngemithi.
Cabanga ukuthi ubuchopho bethu buhlukaniswe izingxenye ezimbili. Lezi zingxenye ezimbili sizibiza ngokuthi ama-hemispheres. La ma-hemispheres amabili axhumene futhi ashintshana ngolwazi nge-nerve fiber efana nebhuloho. Leyo nerve fiber ibizwa ngokuthi i-Corpus Callosum .
Ekuhlinzeni kwe-Corpus Callosotomy, udokotela ohlinzayo wezinzwa onguchwepheshe wenza ukuhlinzwa okubucayi ngaleli bhuloho elibizwa ngokuthi i-Corpus Callosum bese elisika.
Lokhu kuvimbela izimpawu zikagesi ezenzeka ngesikhathi sokuxhuzula ukuthi zingagxumi zisuka kolunye uhlangothi lobuchopho ziye kolunye. Lokhu kusho ukuthi ukuxhuzula kunqunyelwe ekusabalaleni ebuchosheni bonke.
Yini ngempela ehilelekile kulokhu kuhlinzwa futhi ubani okufanelekelayo?
Ngemva kwalokhu kuhlinzwa, njengoba ukuxhumana phakathi kwezinhlangothi zombili zobuchopho kumisiwe, noma ngabe kwenzeka ukulingana, kuzokhawulelwa ohlangothini olulodwa lobuchopho. Ngakho-ke, ubukhali bokulingana buncishiswa kakhulu.
Lokhu kuhlinzwa kuwusizo kakhulu kubantu abane -atonic seizures . Yilapho imisipha emzimbeni ilahlekelwa amandla ngokuzumayo ngaphandle kwesixwayiso bese iwela phansi. Siphinde sikubize ngokuthi 'ukuhlaselwa ngamaconsi'. Phakathi nalezi zikhathi, kunengozi enkulu yokuphuka kwamathambo nokushaya ikhanda kanzima, okubangela ukulimala okukhulu (ukuxhuzula). Ngakho-ke lokhu kuhlinzwa kungenza umehluko omkhulu empilweni yomuntu onohlobo oluyingozi kangaka lwe-seizure.
Kodwa-ke, lokhu kuhlinzwa akusizi kakhulu kubantu abane-partial/focal seizures, eqala endaweni encane yobuchopho futhi ilinganiselwe kuleyo ndawo. Lokhu kungenxa yokuthi i-seizure ngokuvamile ayisabalali kwezinye izingxenye zobuchopho.
Yini ongayilindela ngaphambi kokuhlinzwa?
Udokotela wakho uzochaza konke okudingeka ukwazi ngaphambi kokuhlinzwa. Kuzodingeka enze izivivinyo ezithile ukuze athole ukuthi ukuquleka kuqala kuphi ebuchosheni.
| Igama Lokuhlolwa | Wenzani ngayo? |
|---|---|
| I-Electroencephalogram (EEG) | Lokhu kuhlola umsebenzi kagesi (amagagasi ebuchosheni bakho) ebuchosheni bakho. |
| Ukuthwebula izithombe ze-magnetic resonance (MRI) | I-MRI scan ibheka noma yiziphi izinguquko esakhiweni sobuchopho ezingase zibangele ukulingana. |
| I-Positron emission tomography (PET) | I-PET scan isiza udokotela ukuthola indawo eqondile ebuchosheni lapho kuqala khona ukuxhuzula. |
Ukuhlinzwa kwenziwa kanjani?
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ngeke uzizwe lutho futhi uzobe ulele ngokuphelele. Udokotela ohlinza izinzwa uzoqala ngokuvula isikhala ekhanda lakho (craniotomy).
Izinyathelo ngesikhathi sokuhlinzwa zimi kanje:
- Kususwa ingcezu encane yethambo ekhanda ukuze kuvulwe isikhala sokuhlinzwa.
- Ulwelwesi oluqinile olubizwa ngokuthi 'i-dura' oluvikela ubuchopho lususwa kancane kancane ukuze lufinyelele ebuchosheni.
- Kusetshenziswa amathuluzi okuhlinza akhethekile kanye ne-microscope, kutholakala i-nerve bundle ebizwa ngokuthi i-Corpus Callosum bese kwenziwa i-incision encane ngayo.
- Ngemuva kwalokho, i-dura mater iyabuyiselwa endaweni yayo, ithambo lekhanda elisusiwe liyaxhunywa kabusha, bese i-incision ivalwa ngezitishi noma ngama-staple.
Ngezinye izikhathi, lokhu kuhlinzwa kungenziwa ngezigaba ezimbili . Esigabeni sokuqala, udokotela usika ingxenye engaphambili yeCorpus Callosum kuphela. Lokhu kuvumela izinhlangothi zombili zobuchopho ukuthi ziqhubeke nokushintshana ngezinto ezifana nolwazi olubonakalayo.
Kodwa-ke, uma ubunzima bokulingana bungehli ngemva kwalokho, udokotela angase anqume ukwenza ukuhlinzwa kwesibili ukuze ahlukanise ngokuphelele i-Corpus Callosum.
Yini ongayilindela ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Ngokuvamile ungabuyela emisebenzini yakho yansuku zonke zingakapheli amasonto ayi-6 kuya kwayi-8. Kodwa-ke, abanye abantu bangathatha isikhathi eside ukululama. Lokhu kuncike ezintweni eziningi, njengohlobo lokuhlinzwa kanye nanoma yimiphi imiphumela emibi engase ivele.
Into ebalulekile ukuthi lokhu kuhlinzwa ngeke kuvimbele konke ukuquleka. Ngakho-ke, kuzodingeka uqhubeke uthatha imithi yokuquleka ngisho nangemva kokuhlinzwa.
Ngesikhathi sokululama, ungase ubhekane nalokhu okulandelayo okwesikhashana:
- Ukuzizwa ukhathele kakhulu
- Ukucindezeleka
- Ikhanda elibuhlungu
- Izinkinga zememori
- Isicanucanu
- Ukungabi namandla okuzungeze ukusikwa kokuhlinzwa
- Ubunzima bokukhuluma
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa kobuchopho, kunezingozi ezithile. Kodwa udokotela wakho uzoncoma ukuhlinzwa kuphela uma izinzuzo zidlula izingozi. Izinkinga ezinkulu azivamile.
- I-Disconnection Syndrome: Lena inkinga evame kakhulu engenzeka ngemva kokuhlinzwa. Kalula nje, ngenxa yokuthi izinhlangothi ezimbili zobuchopho azixhunyiwe, izinhlangothi ezimbili zomzimba zingaqala ukusebenza ziphikisana. Isibonelo, isandla sobunxele singase sizizwe sengathi siphazamisa lokho okwenziwa yisandla sokudla.
- Ezinye izingozi:
- Ukulahlekelwa yibhalansi yomzimba (Ukulahlekelwa ukuhambisana komzimba)
- Ukuquleka okungaphelele, okwenzeka ohlangothini olulodwa lobuchopho, kunganda.
- Izinkinga zokukhuluma: Izimo ezinjengobunzima bokubhala amagama (i-apraxia) kanye nobunzima bokuqonda nokukhuluma (i-aphasia).
- Ingozi yokushaywa yisifo sohlangothi.
- Ukuvuvukala kobuchopho.
- I-Hydrocephalus. Lokhu kuvame ukudinga ukuhlinzwa okunye ukuze kufakwe i-shunt.
Ukuhlinzwa kwaphumelela kangakanani?
Ucwaningo lukhombisile ukuthi lokhu kuyindlela yokwelapha ephumelela kakhulu yokuquleka engenakukwazi ukulawulwa ngemithi.
- Cishe ingxenye (50%) yalabo abenza lokhu kuhlinzwa babhekana nokuphela okuphelele 'kokuhlaselwa ngamaconsi'.
- Ngemva kokuhlinzwa, umuntu oyedwa kwabahlanu (cishe u-20%) angase ayeke ukuba nesithuthwane ngokuphelele.
| Uma uhlangabezana nalezi zimpawu ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha. | |
|---|---|
| Izimpawu zokutheleleka | Umkhuhlane, ukubomvu, ukuvuvukala, ubuhlungu, noma ukuphuma koketshezi oluphuzi olufana nobomvu oluvela endaweni yokuhlinzwa. |
| Ushintsho ekulinganeni | Uhlobo lokulingana lunzima noma luvame kakhulu kunokujwayelekile. |
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu kakhulu noma isicanucanu esingalawuleki. |
| Izimpawu zesifo sohlangothi | Inkulumo engacacile, umbono ofiphele, noma ukulahlekelwa ingqondo ngokuzumayo kolunye uhlangothi lomzimba. |
| Izinkinga zokukhuluma | Ubunzima bokukhuluma ngendlela engaqondakali noma ukuqonda lokho abanye abakushoyo. |
Ukuphila nesimo esibizwa ngokuthi i-epilepsy akulula. Kungaba yingozi empilweni futhi kubeke ngisho nasekufeni engozini. Uma ukuquleka okukhulu, njengokuhlaselwa ngamaconsi, kungenakulawuleka ngemithi, udokotela wakho angase asikisele lokhu kuhlinzwa. Lokhu kungathuthukisa kakhulu ikhwalithi yokuphila kwakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Corpus Callosotomy ukuhlinzwa kobuchopho okukhethekile okwenziwa ngenxa yesifo sokuwa esibi kakhulu (ikakhulukazi 'ukuhlaselwa ngamaconsi') esingenakulawulwa ngemithi.
- Lokhu kusika ibhuloho lezinzwa (i-corpus callosum) elixhumanisa ama-hemispheres amabili obuchopho, kuvimbele ukuqina kobuchopho ekusabalaleni.
- Nakuba lokhu kungayiqedi ngokuphelele i-fitness, kunganciphisa ubukhali bayo futhi kuthuthukise kakhulu ikhwalithi yokuphila.
- Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi. Kubalulekile ukuxoxa ngezinzuzo kanye nokungalungi kwale nqubo nodokotela wakho wezinzwa ngesimo sakho esithile.
- Ngemva kokuhlinzwa, landela imiyalelo kadokotela wakho ngokucophelela bese ubika noma yiziphi izimpawu ezisolisayo kudokotela wakho ngokushesha.
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