Ingabe ingane yakho ivele ihlaselwe yisifo sokuwa? Ake sifunde nge-Cortical Dysplasia!

Ingabe ingane yakho encane ivele ihlaselwe yisifo sokuwa? Noma ingabe kukhona omaziyo onalezi zimpawu zesifo sokuwa? Ngezinye izikhathi sesaba kakhulu uma sibona lezi zinto, akunjalo? Esinye sezizathu zalokhu kungaba yisimo sobuchopho okungenzeka awukaze uzwe ngaso. Namuhla sizokhuluma ngesinye salezi zimo, okuyi -Cortical Dysplasia . Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, ake silichaze.

Kuyini i-cortical dysplasia?

Kalula nje, i-cortical dysplasia yisimo esingavamile esingabangela ukuquleka . Odokotela ngezinye izikhathi basibiza ngokuthi i-focal cortical dysplasia, noma (FCD). Sibizwa ngokuthi "co-ticle" kanye "dys-pla-sia."

Lesi simo sithinta i-cerebral cortex yakho. Okungukuthi, ungqimba olungaphandle lobuchopho bethu. Cabanga nje, le cortex yobuchopho ilawula izinto eziningi ezibalulekile njengokunyakaza komzimba wethu, imicabango yethu, inkulumo, inkumbulo, ubuhlakani, kanye nobuntu. Kufana ne-'CPU' yekhompyutha yethu.

Igama lezokwelapha elithi "dysplasia" libhekisela ekukhuleni okungavamile kwamangqamuzana emzimbeni. Ngakho-ke, kumuntu one-cortical dysplasia, amangqamuzana ase-cerebral cortex, noma amangqamuzana obuchopho, awakhuli kahle. Lokhu kwenzeka ngesikhathi umntwana esesesibelethweni .

Yiziphi izinhlobo eziyinhloko ze-cortical dysplasia?

Odokotela bahlukanisa lesi simo, esibizwa ngokuthi i-cortical dysplasia, ngezinhlobo ezintathu eziyinhloko, kuye ngokuthi yiziphi izingxenye ze-cerebral cortex (ama-lobes) ezithintekayo, noma ukuthi amangqamuzana angavamile akheka kanjani ebuchosheni.

Uhlobo 1

Kulolu hlobo, amangqamuzana angajwayelekile akheke ku-cortex yakho, noma amangqamuzana obuchopho angahlelekile ngendlela okufanele abe ngayo. Lokhu kungathinta noma iyiphi ingxenye yobuchopho. Kodwa kuvame kakhulu ku -lobe yesikhashana , okuyingxenye yobuchopho ebheke ezindlebeni, noma i-lobe yangaphambili , okuyingxenye ebheke ebunzini.

Uhlobo 2

Kulolu hlobo, amaseli aku-cerebral cortex makhulu kunokujwayelekile, noma anokubukeka okuhlukile. Lolu hlobo lwesibili luyinkimbinkimbi futhi lubucayi kakhulu kunohlobo lokuqala. Luvame futhi ukuthinta ama-frontal kanye nama-temporal lobes.

Uhlobo 3

Lolu hlobo lwenzeka uma une-cortical dysplasia uhlobo 1 noma uhlobo 2 kanye nezinye izinkinga ebuchosheni. Isibonelo, kungenzeka ngezimila zobuchopho, imithambo yegazi engajwayelekile, noma izilonda zobuchopho. Ingxenye yobuchopho ethintekile incike ekutheni isimila sitholakala kuphi noma indawo yobuchopho eyonakele.

Ziyini izimpawu? Uzibona kanjani ?

Ku-cortical dysplasiaUphawu oluyinhloko noluvame kakhulu ukuxhuzula. Lokhu yilokho esikubiza nangokuthi ukuxhuzula. Lesi sifo singaba ngezindlela ezahlukene:

• Ukuquleka Okugxile: Lokhu kuqala kolunye uhlangothi lobuchopho. Akusabalali kuye kolunye uhlangothi. Ungase uzwe izinto ezifana nokuqhaqhazela nokuthuthumela phakathi nalesi sikhathi. Kodwa akubona bonke abantu abakuqondayo lokho. Ungase uzizwe ungajwayelekile noma uhlukile.
• Ukuquleka kwe-Tonic-clonic (Grand Mal): Lolu hlobo lokuquleka luthinta izinhlangothi zombili zobuchopho. Lokhu kwenzeka lapho umzimba ugxumagxuma futhi uthuthumela ngokungalawuleki. Kuthinta izinhlangothi zombili zomzimba.
• Ukuqaqamba Kwezinsana: Lolu uhlobo olukhethekile lokuxhuzula oluvela kuphela ezinganeni ezingaphansi konyaka owodwa ubudala . Kulokhu, umntwana welula izingalo zakhe, imilenze, nentamo ngokuzumayo, bese ephinde azihoxise ngokushesha. Kufana nokuthi uxhuzula. Lokhu kungenzeka izikhathi eziningana ngosuku.

Into ebalulekile ukuthi lokhu kuqubuka kwesifo sokuwa kungaqala nganoma yisiphi isikhathi empilweni. Abanye abantu baqala ukuba nakho besebancane, ngesikhathi besebancane. Kodwa abanye abantu bangaba nokuqubuka kwabo kokuqala kwesifo sokuwa kamuva ekuphileni.

Ngaphezu kwesifo sokuwa, ungase ube nezinye izimpawu:

• Ubunzima bokugxilisa ingqondo, ukungakwazi ukugcina ingqondo isendaweni eyodwa .
• Ubunzima bokufunda izinto ezintsha kanye nemibono emisha.
• Ubuthakathaka bemisipha kolunye uhlangothi lomzimba (hemiparesis).

I-Cortical dysplasia ingathinta nesakhiwo somzimba sobuchopho. Kodwa udokotela angabona lezi zinguquko kuphela nge-MRI scan, okuwukuphela kwendlela yokubona ngokunembile izinguquko ku-cortex (into engwevu) yobuchopho.

Kungani lesi simo senzeka? Iyini imbangela?

I-Cortical dysplasia yisimo sofuzo . Lokhu kusho ukuthi ngenxa yokushintsha kwezakhi zofuzo, ubuchopho abukhuli kahle ngesikhathi sokukhulelwa, okungukuthi, lapho umntwana ekhula esibelethweni.

Kodwa abacwaningi abakakwazi ukusho ngqo ukuthi yikuphi ukushintsha kwezakhi zofuzo okubangela lokhu. Basacwaninga ngezimbangela ezingaba khona.

Abanye ochwepheshe bakholelwa ukuthi i-Type 2 cortical dysplasia ibangelwa ukuguquka kwezakhi zofuzo okubizwa ngokuthi i-MTOR pathway . Lezi zakhi zofuzo zakha iphrotheni esiza amangqamuzana ethu, ikakhulukazi amangqamuzana obuchopho, ukuba akhule futhi athuthuke. Ngakho-ke uma kukhona ukuguquka kwezakhi zofuzo ze-MTOR, kungabangela ukuba uhlobo olungalungile lwamangqamuzana lukhule.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Udokotela uxilonga i-cortical dysplasia ngokusebenzisa izivivinyo ezithile zesithombe .

Kufanele utshele udokotela wakho ngezimpawu zakho nokuthi uzibone nini okokuqala. Uma kungenzeka, kubalulekile ukunikeza imininingwane ngezigameko zakho zokuxhuzula (okungukuthi zaqala kanjani, zahlala isikhathi esingakanani, okwakwenzekani ngaleso sikhathi, njll.) ngoba le mininingwane ingakusiza ukuthi uthole ukuxilongwa.Udokotela angakwazi ukubona ukuthi lolu hlobo luni.

Udokotela uzobe esethatha izithombe zobuchopho bakho ukuze abone ukuthi kukhona yini amaseli angakahleleki kahle noma angahlelekile kahle ku-cerebral cortex. Ukuhlolwa abangakusebenzisa kulokhu yile:

• `I-MRI (I-Magnetic Resonance Imaging):` Lokhu kungathatha izithombe ezicacile zobuchopho.
• `I-EEG (i-Electroencephalogram)`: Lokhu kulinganisa umsebenzi kagesi wobuchopho. Lokhu kusiza ekutholeni umthombo wesifo sokuwa.
• `MEG (Magnetoencephalography):` Lolu vivinyo olubheka umsebenzi wobuchopho, njenge-`EEG`.
• "Iskeni se-PET (iskeni se-Positron Emission Tomography)"
• `Ukuskena kwe-SPECT (Ukuskena kwe-Single Photon Emission Computed Tomography)`

Konke lokhu kuhlolwa kwenziwa ukubheka ukuthi kwenzekani ngaphakathi ebuchosheni.

Yiziphi izindlela zokwelapha ezitholakalayo?

Udokotela wakho uzoncoma ukwelashwa ukulawula izimpawu zakho nokunciphisa ukuvama kokuquleka kwesifo sokuwa.

Ngokuvamile bazoqala ngemithi yokulwa nokuquleka . Kodwa nansi into. I-cortical dysplasia ngezinye izikhathi ingabangela isifo sokuwa esingamelani nemithi. Lokho kusho ukuthi kungaba nzima kancane ukusilawula ngemithi kunangesifo sokuwa esivamile. Nakuba imithi ingase isebenze ekuqaleni, ingase ingasebenzi kahle ngokuhamba kwesikhathi.

Ukulandela ukudla okune-ketogenic (noma ukudla okune-keto) kungasiza ekunciphiseni ukuvama kokuquleka. Lokhu kuhilela ukudla ukudla okunamafutha amaningi kanye nama-carbohydrate aphansi. Lokhu kushintsha indlela ubuchopho obuthola ngayo amandla. Ungacela usizo kuchwepheshe wezokudla ukuze akusize ushintshele kulolu hlobo lokudla.

Uma ezinye izindlela zokwelapha zingalawuli kahle isifo sakho sokuwa, kungadingeka ukuthi uhlinzwe isifo sokuwa . Udokotela wakho ohlinzayo uzochaza ukuthi hlobo luni lokuhlinzwa ozolwenza nokuthi yini ongayilindela.

Ingabe lesi simo singaqedwa ngokuphelele ngokuhlinzwa?

Udokotela wakho ohlinzayo angase akwazi ukususa lesi simo. Lokhu kuzoncika ezintweni eziningana:

• Uhlobo luni lwe-cortical dysplasia onayo?
• Isifo sokuwa siqala kuphi ebuchosheni?
• Ubunzima besimo se-dysplasia.

Uma udokotela ohlinzayo engasusa lawo maseli angajwayelekile ngaphandle kokulimaza ukusebenza kobuchopho bakho, lokho kuhle. Ukususa la maseli kunganciphisa ukuvama kokuxhuzula futhi kunciphise inani lemithi okudingeka uyithathe. Kodwa-ke, ngezinye izikhathi lapho kufanele ususe wonke lawo maseli angajwayelekile, kungadingeka ususe nezicubu zobuchopho ezinhle.Uma lokhu kwenzeka, ikhono lakho lokunyakaza, ukubona, nokuzwa ezinye izinzwa lingathinteka. Udokotela wakho ohlinzayo uzochaza zonke izinzuzo nezingozi zalokhu kuhlinzwa futhi akusize unqume ukuthi kulungile yini kuwe.

Enye indlela ukuhlukanisa la maseli angajwayelekile kwezinye izingxenye zobuchopho. Lokhu kuvimbela ukusabalala kwesifo sokuwa kulawo maseli. Ngezinye izikhathi, udokotela ohlinzayo angabhubhisa la maseli angajwayelekile ngokwelashwa nge-laser, okungabangeli ingozi futhi okungenazo izithiyo eziningi njengokuhlinzwa kobuchopho okuvamile.

I-cortical dysplasia iyingozi kangakanani?

Noma yisiphi isimo esithinta ubuchopho singaba sibi kakhulu. I-Cortical dysplasia ingenye yalezi zimo. Kodwa ungakhathazeki . Udokotela wakho uzothola izindlela zokuphatha isifo sakho sokuwa nezinye izimpawu. Kancane kancane, uzokwazi ukunciphisa umthelela lesi simo esinawo empilweni yakho yansuku zonke.

Ingabe lokhu kungelapheka ngokuphelele?

Kungenzeka, ikakhulukazi ngemva kokuhlinzwa, ukuthi ungase ungaphinde ube nokuxhuzula. Yindaba enkulu leyo!

Kodwa-ke, i-cortical dysplasia akuyona "ikhambi" njengokuthatha umuthi womkhuhlane. Ukwelashwa kugxile kakhulu ekuphatheni izimpawu kanye nesifo sokuwa kunokuthola ikhambi .

Impilo izoba njani ngalesi simo?

I-Cortical dysplasia ngokuvamile ayibangeli izinkinga ezibulalayo noma ithinte impilo yakho. Lezo yizindaba ezinhle. Kodwa-ke, uma uvame ukuba nokuquleka okukhulu (ikakhulukazi ukuquleka kwe-tonic-clonic), kungandisa ingozi yakho yokufa kusenesikhathi . Uma ukhathazekile ngokuthi lokhu kungathinta kanjani impilo yakho yesikhathi eside, khuluma nodokotela wakho. Angakusiza uhlale uphephile futhi uphilile.

Kufanele simbone nini udokotela?

Udokotela wakho uzokutshela ukuthi udinga ukubuya kangaki ('ukuvakasha kokulandelela') nokuthi yiziphi izivivinyo okudingeka uzenze. Ekuqaleni, ikakhulukazi ngemva kokuqala ukwelashwa nangaphambi nangemva kokuhlinzwa, kuzodingeka ubonane nodokotela wakho kaningi.

Okubalulekile: Uma une-epilepsy eningi, noma uma ibonakala inzima kakhulu kunangaphambili, qiniseka ukuthi utshela udokotela wakho . Kungaba uphawu lokuthi ukwelashwa kwakho kudinga ukushintshwa, noma kungenzeka ukuthi unesifo sokuwa esingamelana nemithi.

Yini okufanele uyenze uma kunesimo esiphuthumayo?

Uma unesifo sokuwa esithatha imizuzu engaphezu kwemihlanu, noma uma unesifo sokuwa okuningana kulandelana, shayela u-911 (noma inombolo yakho yesimo esiphuthumayo yendawo) ngokushesha. Lesi yisimo esiphuthumayo.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma ubona udokotela wakho, ungangabazi ukubuza imibuzo efana nale:

• Uhlobo luni lwe-cortical dysplasia enginalo?
• Ingabe imithi yesifo sokuwa izongisebenzela?
• Kufanele ngicabange nini ngokuhlinzwa?
• Uhlobo luni lokuhlinzwa olungcono kakhulu kimi?

Kunzima ukucabanga ukuthi amangqamuzana amancane ambalwa ngaphakathi kobuchopho angaba nomthelela omkhulu kangaka empilweni yethu. Kodwa, buza udokotela wakho noma udokotela ohlinzayo noma yimiphi imibuzo noma ukukhathazeka onakho . Bazochaza konke okudingeka ukwazi ngalokho okwenzekayo ebuchosheni nasemzimbeni wakho, nokuthi yini abangayenza ukuze bakusize uzizwe ungcono.

Nasi isifinyezo salokho esikuxoxile (Umyalezo Wokuya Ekhaya):

Kulungile, manje usuyiqonda kangcono i-Cortical Dysplasia esikhulume ngayo namuhla. Khumbula:

• Lesi yisimo esenzeka lapho amangqamuzana obuchopho engakhuli kahle futhi singaholela ekushayweni yisifo sokuwa .
• Lokhu kungase kube ngenxa yezizathu zofuzo .
• Uphawu oluyinhloko yizinhlobo ezahlukene zokuwa kwesithuthwane .
• Lokhu kutholakala ngokuhlolwa okukhethekile njenge-MRI.
• Izindlela zokwelapha zifaka phakathi imithi, ukudla okune-ketogenic, kanye nokuhlinzwa uma kudingeka .
• Kunokuba sikhulume "ngokwelashwa okuphelele", kubalulekile ukulawula izimpawu .
• Kungenzeka ukuthi uphile impilo ejwayelekile unalesi simo, kodwa kudingeka uqaphele ngokuquleka okukhulu kwesifo sokuwa.
• Kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo futhi ulandele imiyalelo yakhe.

Uma wena noma othile omaziyo enalezi zimpawu, ungangabazi ukubona udokotela ukuze akunike iseluleko. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungenza umehluko omkhulu.

I- Cortical Dysplasia, Isifo Sokuxhuzula, Ukuxhuzula, Izifo Zobuchopho, I-Focal Cortical Dysplasia, Ukuxhuzula, Isifo Sokuxhuzula, Isifo Sokuxhuzula Kwabantwana, Izifo Zofuzo