Ukubanjwa Kwe-Frontal Lobe: Ake sikuqonde kalula lokhu

Wake wambona othile emndenini wakho, mhlawumbe ingane yakho, evuka ngokuzumayo ebusuku, ekhala, eshaya izingalo nemilenze, enza ngendlela exakile? Noma ingabe ukhombisa ukuziphatha okuxakile ngokuzumayo, njengokuthuka noma ukuhleka, ngisho nasemini? Abantu abaningi bacabanga ukuthi leli yiphupho elibi noma inkinga yengqondo, kodwa lokhu kungaba ukuxhuzula okwenzeka ebuchosheni. Namuhla sikhuluma ngohlobo olukhethekile lokuxhuzula, olubizwa ngokuthi 'i-Frontal Lobe Seizure'. Ungesabi uma uzwa leli gama, ake sixoxe ngakho konke kalula.

Kuyini i-Frontal Lobe Epilepsy?

Kalula nje, lolu uhlobo lwesifo sokuwa. Ingxenye engaphambili yobuchopho bethu, ingxenye engemuva kwebunzi, ibizwa ngokuthi "i-Frontal Lobe". Lena yingxenye enkulu yobuchopho bethu. Le ngxenye ilawula izinto eziningi ezibalulekile, njengokuziphatha kwethu, ubuntu bethu, ukucabanga, ukwenza izinqumo, ukufunda, ukukhuluma, kanye nokunyakaza komzimba.

Ngakho-ke, i-'Frontal Lobe Seizure', noma i-seizure, yenzeka lapho umsebenzi kagesi wama-neurons ku-'Frontal Lobe' ngokuzumayo uba yinto engajwayelekile futhi engalawuleki. Ngenxa yokuthi iqala engxenyeni ethile yobuchopho, siyibiza nangokuthi 'i-focal seizure'.

Ngenxa yokuthi lokhu kuxhuzula kuvame ukwenzeka ebusuku ngesikhathi sokulala, abanye abantu bacabanga ngephutha ukuthi lokhu kuyisifo sokulala noma ukugula kwengqondo. Kodwa-ke, kubaluleke kakhulu ukuxilonga nokwelapha lokhu ngendlela efanele.

Ziyini izimpawu zalokhu kuquleka?

Lokhu kuquleka akufani kuwo wonke umuntu. Kodwa kunezimpawu ezithile ezivamile. Ngokuvamile zihlala isikhathi esifushane kakhulu, ngezinye izikhathi zihlala isikhathi esingaphansi komzuzu. Futhi zingavela izikhathi eziningana zingakapheli amahora angama-24.

Cabanga nje, ngenkathi ingane yakho ilele ebusuku, ngokuzumayo ihlezi embhedeni bese iqala ukukhahlela imilenze yayo sengathi igibele ibhayisikili, noma ishaya izingalo zayo ngamandla, ikhala. Ukhona obengesaba uma ebona into efana nale, akunjalo? Ithebula elingezansi libonisa izimpawu ezingabonakala ngezikhathi ezinjalo.

Izinto ozizwayo ngaphambi kokuba uhlaselwe yisifo sokuwa (i-Aura)

Abanye abantu bazizwa ngendlela engavamile ngaphambi nje kokuba babanjwe yi-aura. Lokhu sikubiza ngokuthi "i-aura". Akuwona wonke umuntu ozwa lokhu. Kodwa abantu abazizwa kanjalo bangase babe nomuzwa onjengalona:

• Imizwa engazelelwe yokwesaba, intukuthelo nokudabuka.
• Ukuzizwa sengathi umzimba wakho uyathuthumela.
• Izinguquko ekunukeni, ekuzweni nasekuboneni.

Ngemva kokuba ukuxhuzula sekuphelile, "esimweni sokucabanga", umuntu angase azizwe edidekile, alahlekelwe yinkumbulo, futhi azwe ubuhlungu bomzimba isikhashana.

Kungani lolu hlobo lokuquleka luvela?

Akunakwenzeka njalo ukukhomba imbangela eqondile, kodwa kunezici ezimbalwa ezivamile ezingaba nomthelela kulesi simo.

• Izinkinga ekuzalweni: Noma yikuphi ukukhubazeka okwenzeka ngesikhathi sokuthuthukiswa kobuchopho bomntwana esibelethweni.
• Ukutheleleka kobuchopho: Izimo ezithathelwanayo ezithinta ubuchopho ngesikhathi sobuntwana.
• Ukulimala ekhanda: Ukulimala ekhanda okubi kakhulu (ukulimala kobuchopho okubuhlungu).
• Isifo sohlangothi: Ukulimala kobuchopho okubangelwa ukuphazamiseka kokugeleza kwegazi ebuchosheni.
• Isimila sobuchopho: Noma yikuphi ukukhula okwenzeka ebuchosheni.
• Izimbangela zofuzo: Ngezinye izikhathi lesi simo singazuzwa njengefa, kodwa lokhu akuvamile kakhulu.

Izici eziyingozi ezibangela lesi simo

Nakuba lesi simo singaba khona kunoma yimuphi ubudala, abanye abantu basengozini enkulu.

• Uma othile emndenini enesifo sokuwa.
• Uma wawunesifo sobuchopho useyingane.
• Uma une-stroke, ukulimala ekhanda, noma isimila ebuchosheni.
• Uma wazalwa unezinkinga ezithile zobuchopho ngesikhathi sokuzalwa.

Ingabe lesi simo siyingozi? Ziyini izingozi?

Nakuba ukuba nesithuthwane kungase kubonakale kusabeka ekuqaleni, kungalawulwa kahle ngokwelashwa okufanele. Kodwa-ke, uma isithuthwane sivame ukwenzeka futhi singelashwa, kungase kube nezingozi ezithile.

• Ukulimala ngokomzimba: Ungase ulimale ngokuwa noma ukuphuthelwa ingqondo ngesikhathi sokuwa.
• Isimo Sokuxhuzula: Lesi yisimo esiphuthumayo. Lokhu kwenzeka lapho ukuxhuzula kuthatha imizuzu engaphezu kwemi-5 noma lapho ukuxhuzula okukodwa kuphela bese kuqala okunye ngaphambi kokuba ingqondo ibuye. Ezimweni ezinjalo, isiguli kufanele siyiswe e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
• I-SUDEP (Ukufa Okungazelelwe Okungachazeki Esifweni Sokuxhuzula): Lesi yisimo esingavamile kakhulu. Kungukufa okuzumayo nokungachazeki komuntu onesifo sokuxhuzula. Ngokwelashwa okufanele, le ngozi ingancishiswa kakhulu.

Kuvamile ukuzwa ukucindezeleka kwengqondo uma uphila nesimo esinjengalesi. Ngakho-ke, ungakhuluma nodokotela wakho futhi ucele usizo lochwepheshe bezempilo yengqondo uma kudingeka.

Udokotela ukuthola kanjani lokhu?

Uma utshela udokotela wakho ngalezi zimpawu, uzokubuza umbuzo onemininingwane bese ekuxilonga. Uzobe eseyala ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.

• I-MRI Scan: I-MRI scan ingathatha izithombe ezinemininingwane zobuchopho bakho. Ingahlola noma yikuphi ukukhubazeka, njengesimila sobuchopho noma isilonda sobuchopho.
• I-EEG (i-Electroencephalography): Lokhu kulinganisa umsebenzi kagesi ebuchosheni bakho, noma 'ugesi' ebuchosheni bakho. Lokhu kungasiza ekunqumeni ukuthi ukuquleka kuqala kuphi ebuchosheni.
• I-Video EEG: Lokhu kuhilela ukuqopha ngevidiyo ngenkathi uxhumene ne-EEG. Lokhu kuvame ukudinga usuku esibhedlela. Lokhu kusiza ukuqhathanisa kokubili ukuziphatha kwakho kanye nomsebenzi wobuchopho ngesikhathi sokuwa.
• I-SEEG (i-Stereoelectroencephalography): Lokhu kwenziwa kuphela uma imithi yehluleka ukulawula ukuxhuzula futhi kucatshangelwa ukuhlinzwa. Lokhu kuhilela ukufaka ama-electrode ngokuhlinzwa ebuchosheni ukuze kuqashwe umsebenzi kagesi ngaphakathi ebuchosheni.

Yiziphi izindlela zokwelapha lokhu?

Umgomo oyinhloko wokwelashwa ukunciphisa ukuvama kokuxhuzula, futhi uma kungenzeka, kumiswe ngokuphelele.

1. Imithi yokuvimbela ukuquleka

Lolu ukwelashwa kokuqala. Le mithi ilawula ukusebenza kukagesi okungajwayelekile ebuchosheni. Udokotela wakho uzokukhetha imithi efanele wena ngokusekelwe ezimpawini zakho. Ngezinye izikhathi kungathatha isikhathi ukuthola imithi efanele kanye nesilinganiso esifanele.

2. Ukuhlinzwa (Ukuhlinzwa kwesifo sokuwa)

Uma imithi yodwa inganele ukulawula ukuxhuzula, udokotela wakho angase acabangele ukuhlinzwa. Lokhu kuhilela ukususa ingxenye encane yobuchopho ebangela ukuxhuzula. Ubuchopho buhlelwe kahle ngaphambi kokuhlinzwa, ukuze imisebenzi ebalulekile ingathinteki.

3. Ukushintshashintsha kwezinzwa

Le ndlela ingasetshenziswa uma ukuhlinzwa kungenzeki. Kuhilela ukufaka idivayisi encane emzimbeni ethumela izimpawu zikagesi ebuchosheni ukuze kumiswe ukuxhuzula.

• Ukukhuthazwa Kwemizwa Yesitho Sangasese Sowesifazane (VNS): Idivayisi encane ifakwa ngaphansi kwesikhumba sesifuba, okuvuselela imizwa yesisu entanyeni.
• I-Responsive Neurostimulation (RNS): Idivayisi ifakwa ekhanda. Lokhu kuqapha umsebenzi wobuchopho futhi kuthumela izimpawu zikagesi kuphela uma izwa ukuthi kuzoba nokuquleka.
• Ukukhuthazwa Kobuchopho Okujulile (i-DBS): Lokhu kufana ne-'VNS', kodwa kulokhu, izimpawu zikagesi zithunyelwa ngqo ezingxenyeni ezijulile zobuchopho.

Udokotela wakho uzoxoxa nawe ngokuthi yikuphi kwalokhu kwelashwa okungcono kakhulu kuwe.

Ukuquleka, Ukuquleka kwe-Frontal Lobe, Ukuquleka, Izifo Zobuchopho, Ukumemeza Ulele, Ukuziphatha Okungajwayelekile, Ukwelashwa Kokuquleka, Ukuquleka kwe-Frontal Lobe, Ukuquleka kwe-Frontal Lobe, I-EEG, i-MRI, Izimpawu Zokuquleka, Ukwelashwa Kokuquleka, Ukuquleka okugxile