Ingabe unesithuthwane engxenyeni engaphambili yekhanda lakho? (Ukuxhuzula Kwangaphambili Kwe-Lobe) - Ake sixoxe ngalokhu!

Wake wezwa nge-'Frontal Lobe Seizure' noma 'Frontal Lobe Epilepsy'? Mhlawumbe wena noma othile omaziyo wake waba nalolu hlobo lwesifo sokuwa. Nakuba lokhu kungase kubonakale kuyinkimbinkimbi kancane, ake sixoxe ngakho kalula. Ngoba kubaluleke kakhulu ukuqaphela lokhu.

Kuyini 'i-Frontal Lobe Epilepsy'?

Kalula nje, isifo sokuwa esibizwa ngokuthi i-frontal lobe epilepsy siwukugula kokuxhuzula okuthinta ama-front lobes , izindawo ezingemuva kwebunzi lakho. La ma-front lobes ayizingxenye ezinkulu kunazo zonke kwezine eziyinhloko zobuchopho bethu. Kukhona eyodwa ohlangothini lwesobunxele nenye ohlangothini lwesokudla. Lezi yizo zethu:

• Ukuziphatha kanye nobuntu
• Ukucabanga, ukufunda kanye nokwenza izinqumo (Ukuqonda)
• Ukunyakaza
• Ukukhuluma

Ulawula izinto ezifana nokuthi.

Ngakho-ke, 'ku-frontal lobe epilepsy', kukhona umsebenzi kagesi ongajwayelekile ' ku-frontal lobes' yobuchopho. Kufana 'ne-short circuit'. Sibiza izimo ze-epileptic ezenzeka ngenxa yalokhu 'ku-frontal lobe seizures'. Lezi ziyingxenye yohlobo 'lwe-focal seizure'. Okusho ukuthi, isimo se-epileptic siqala endaweni ethile yobuchopho. Lokhu kungaqala 'ku-frontal lobe' kwesobunxele yobuchopho noma kwesokudla.

Ngenxa yokuthi lezi zimpawu zivame ukwenzeka ebusuku , ngezinye izikhathi zingase ziphazanyiswe nokugula kwengqondo noma inkinga yokulala. Ngakho-ke, kubaluleke kakhulu ukuthola ukuxilongwa okunembile.

Ingabe zikhona izinhlobo ze-'frontal lobe epilepsy'?

Yebo, kukhona uhlobo olulodwa oluthile. Lubizwa ngokuthi 'i-autosomal dominant sleep-related hypermotor epilepsy' . Ngaphambilini lwalubizwa ngokuthi 'i-autosomal dominant nocturnal frontal lobe epilepsy'. Lolu uhlobo lwe-epilepsy oluvela ngesikhathi sokulala. Lolu hlobo luvame ukuwela emindenini, okusho ukuthi lungadluliselwa ezizukulwaneni ngezizukulwane.

Yiziphi izimpawu ezingabonakala kulesi simo?

Uphawu oluyinhloko lwe-frontal lobe epilepsy ukuxhuzula okufushane okuqala endaweni eyodwa yobuchopho. Lokhu kuxhuzula kungabangela izimpawu ezifana nalezi:

• Ukuziphatha okungajwayelekile: Izinto ezifana nokumemeza ngokuzumayo, ukuhleka, ukuthuka, njll. Cabanga ukuthi abanye bebengathuka kanjani uma umuntu olele ngokuzumayo enze into efana nale.
• Ukuphendulela ikhanda noma amehlo eceleni.
• Ukukhahlela imilenze yakho noma ukwenza ukunyakaza njengokugibela ibhayisikili.
• Ukushaywa noma ukuxhuzula.
• Ukunyakaza okungalawulwayo nokuphindaphindayo (isib. ukunyakazisa izingalo nemilenze ngokushesha).
• Ukunyakazisa noma ukunyakazisa okuphindaphindiwe.
• Ukulahlekelwa yingqondo noma ukuqaphela indawo ezungezile (njengokubuka isibhakabhaka).
• Ukungakwazi ukuzibamba komchamo noma indle.
• Ubuthakathaka bemisipha.
• Ubunzima bokukhuluma.
• Izinguquko zobuntu.
• Izinkinga zokulala.

Lokhu 'kuquleka' kuvame ukwenzeka ngamaqoqo, okusho ukuthi kungenzeka izikhathi ezingaphezu kwezimbili emahoreni angama-24. Ngokuvamile kwenzeka ngenkathi ulele , kodwa futhi kungenzeka ngenkathi uvukile. Ngokuvamile futhi kuhlala isikhathi esifushane, kuhlale isikhathi esingaphansi komzuzu.

Ngezinye izikhathi, ngaphambi kokuba uqale ukuxhuzula, ungase ube 'ne-aura' , okuwumuzwa ongavamile. Lokhu kungafaka:

• Izinguquko ezingazelelwe emizweni: njengokwesaba, ukukhathazeka, intukuthelo, ukudabuka, noma injabulo.
• Imizwa engavamile: Njengokungezwani komzimba.
• Izinguquko ekuboneni kwezinzwa: umuzwa oshintshile wokuhogela, ukuzwa, ukubona, ukunambitha, noma ukuthinta.

Ngemva kokuquleka kwe-frontal lobe, ungase uzizwe udidekile, ulahlekelwe yinkumbulo, noma ubuhlungu bemisipha . Lokhu kubizwa ngokuthi isimo se-postictal .

Yiziphi izimbangela ze-'frontal lobe epilepsy'?

Isifo sokuwa kwe-frontal lobe sibangelwa umsebenzi kagesi ongajwayelekile ku-frontal lobe yakho. Ngokuvamile, amangqamuzana ezinzwa ebuchosheni bethu, abizwa ngokuthi ama-neurons , athumelana izimpawu. Kodwa ekubanjweni kwe-frontal lobe, la ma-neurons aqhuma ngaphandle kokulawula.

Izizathu ezivamile ezingathinta lokhu yilezi:

• Ukukhula okungavamile kobuchopho ngesikhathi sesigaba sombungu.
• Ukutheleleka kobuchopho.
• Isifo sohlangothi.
• Ukulimala okukhulu ekhanda (ukulimala kobuchopho okubuhlungu).
• Isimila sobuchopho.
• Ukwehlukahluka kwezakhi zofuzo.

Ngezinye izikhathi ungase ungakwazi ukuthola isizathu.

Ingabe lokhu kuyinto evela ezizukulwaneni ngezizukulwane?

Yebo, uhlobo olulodwa lwesifo sokuwa esingaphambili kwe-lobe lungadluliselwa kusuka kubazali kuya ezinganeni, kodwa luyivelakancane. Uhlobo lwesifo sokuwa esihlobene nokulala esikhulume ngaso ngaphambili yisimo esilawulayo se-autosomal. Lokhu kusho ukuthi uma omunye wabazali enalolu hlobo lofuzo, ingane cishe izoluthola njengefa.

Ubani osengozini enkulu yalesi simo?

Isifo sokuwa esibizwa ngokuthi yi-frontal lobe singathinta noma ubani, kunoma yimuphi ubudala. Kodwa-ke, ungase ube sengozini enkulu ngenxa yezizathu ezilandelayo:

• Uma kukhona emndenini wakho onesifo sokuwa (umlando womndeni wemvelo).
• Uma wawunesifo sobuchopho useyingane.
• Uma uke waba nesifo sohlangothi, ukulimala okukhulu ekhanda, noma isimila noma omunye umonakalo engxenyeni engaphambili.
• Uma kukhona ukubambezeleka kwentuthuko.
• Uma wazalwa unezinkinga zobuchopho ngesikhathi sokuzalwa.

Yiziphi izimbangela zokwanda kwe-frontal lobe seizures?

'Izinto ezibangela ukuxhuzula' yizinto ezandisa amathuba okuxhuzula ngenxa yokuxhuzula. 'Izinto ezibangela ukuxhuzula' ezivamile zifaka:

• Ukucindezeleka.
• Izibani ezikhanyayo.
• Ukungalali kahle.
• Ukusetshenziswa kwezidakamizwa.

Lokhu kungahluka kuye ngomuntu nomuntu . Ukugcina irekhodi lalokho obekwenza nendlela obuzizwa ngayo ngaphambi kokuqala kokuxhuzula kungakusiza ukuthi ubone izimbangela ezikuthintayo.

Ingabe 'ukuquleka kwe-frontal lobe' kuyingozi?

Ukuquleka kwe-frontal lobe njalo kungabangela okulandelayo:

• Ingozi eyengeziwe yokulimala.
• Isimo sokuwa: Ukuwa okuhlala imizuzu engaphezu kwemihlanu. Lesi yisimo esiphuthumayo esisongela ukuphila.
• Ukufa okungazelelwe kwesifo sokuwa (i-SUDEP): Lokhu akuvamile kakhulu, kodwa kungenzeka.

Ukuba nesithuthwane kungaba nomthelela omkhulu empilweni yakho yengqondo kanye nasenhlalakahleni yakho engokomzwelo. Ngakho-ke, ngaphezu kwezinye izindlela zokwelapha ezinconywa udokotela, cabanga ukukhuluma nomeluleki wezempilo yengqondo .

Uma unemicabango yokuzibulala, bona udokotela ngokushesha noma ukhulume nomuntu omethembayo . Kunezindawo eSri Lanka lapho ungathola khona usizo ngalokhu (isib. Sumitrayo 0112682535). Khumbula, awuwedwa, futhi ungesabi ukucela usizo.

Ihlolwa kanjani i-'frontal lobe epilepsy'?

Ukuze kutholakale isifo sokuwa esingaphambili, udokotela wakho uzobuyekeza umlando wakho wezokwelapha futhi enze ukuhlolwa ngokomzimba. Ngaphezu kwalokho, kungase kudingeke ukuthi kwenziwe izivivinyo eziningana ukuqinisekisa ukuxilongwa.

Ukuhlolwa kokuxilonga

Nazi izivivinyo ezisiza ekuxilongeni 'isifo sokuwa esibizwa ngokuthi i-frontal lobe epilepsy':

• Iskena se-MRI (Magnetic Resonance Imaging): Lokhu kungathatha izithombe ezinemininingwane zobuchopho bakho. Lokhu kungasiza ekuboneni ukuthi kukhona yini izimila, izilonda, noma ezinye izinkinga ezingase zibangele ukuxhuzula kwakho.
• I-EEG (i-Electroencephalography): Lokhu kurekhoda umsebenzi kagesi wobuchopho bakho. Lokhu kusiza ukuthola ukuthi ukuquleka kuqala kuphi.
• I-Video EEG: Lokhu kuhilela ukuqopha umsebenzi wobuchopho bakho kanye nokunyakaza kwakho kanye nokuziphatha kwakho. Lokhu kungadinga ukuhlala esibhedlela ubusuku bonke. Njengoba ukuquleka okuningi kwe-frontal lobe kwenzeka ngesikhathi sokulala, ucwaningo lokulala lungenziwa.
• I-Stereoelectroencephalography (SEEG):Kulokhu, udokotela ohlinzayo ufaka ama-electrode ebuchosheni bakho. Lawa madivayisi angathola umsebenzi wokuquleka okujulile ebuchosheni ongatholakali yi-EEG. I-SEEG ivame ukwenziwa uma ukuquleka kwakho kungalawulwa ngemithi futhi uma kucatshangelwa ukuhlinzwa kobuchopho.
• I-Magnetoencephalography (MEG): Lokhu kuhlolwa kuqopha umsebenzi wamagnetic obangelwa umsebenzi kagesi wobuchopho, okusiza ekuboneni izindawo zomsebenzi wobuchopho ongavamile.

Ngaphezu kwalokho, udokotela angenza nokuhlolwa kwe-neuropsychological ukuze anqume ukuthi ukuxhuzula kuthinta yini ukusebenza kobuchopho.

Yiziphi izindlela zokwelapha lokhu?

Umgomo oyinhloko wokwelashwa kwe-frontal lobe epilepsy ukunciphisa inani le-frontal lobe epilepsy onayo. Udokotela wakho angase ancome ukwelashwa okufana nalokhu:

• Imithi yokulwa nokuquleka
• Ukuhlinzwa kwesifo sokuwa
• 'Ukuguqulwa kwe-Neuro'

Ngaphezu kwalokho, udokotela wakho angase akuncome ukuthi ushintshe indlela odla ngayo bese ushintshela ekudleni okunamafutha amaningi, okunama-carbohydrate aphansi (isib., 'ukudla okune-ketogenic kwesifo sokuwa' ).

Imithi Yokulwa Nokuquleka Kwe-Frontal Lobe Seizures

Imithi yokulwa nesifo sokuwa ingasiza ekulawuleni ukuquleka kwe-frontal lobe. Le mithi ilawula ukusebenza kukagesi kobuchopho futhi inciphise ukuquleka njalo. Lokhu ngokuvamile kuyindlela yokuqala yokwelashwa.

Udokotela wakho uzobuyekeza izimpawu zakho futhi akunikeze umuthi ofanele wena. Ngaphambi kokuqala umuthi omusha, uzochaza nemiphumela emibi engaba khona. Udokotela wakho kungadingeka ashintshe umthamo noma uhlobo lomuthi uze uthole ofanele wena.

Ukuhlinzwa 'Kokuquleka Kwama-Frontal Lobe' (Ukuhlinzwa Kokuquleka)

Uma imithi ingalawuli ukuquleka kwe-frontal lobe yakho, udokotela wakho angase acabangele ukuhlinzwa ukuze elaphe isifo sokuwa. Udokotela wakho angase ancome ukususwa kwe- frontal lobe resection . Lokhu kuhilela ukususa ingxenye ethintekile ye-frontal lobe lapho kuqala khona ukuquleka. Kungase futhi kususe isimila sobuchopho noma omunye umonakalo kuleyo ndawo.

Ngaphambi kokuhlinzwa, udokotela wakho ohlinzayo uzosebenzisa ama-scans ahlukahlukene ukuze adale amamephu anemininingwane yobuchopho bakho. Angase futhi afake ama-electrode ngokuhlinzwa ukuze aqophe uhlobo olukhethekile lwe -'stereo-EEG (SEEG)' ngaphakathi kobuchopho. Lonke lolu lwazi luzosiza ithimba lakho lokuhlinzwa:

• Thola izindawo ezithile zobuchopho ezibangela ukuxhuzula.
• Qaphela ukuthi ungalimazi izingxenye 'ze-frontal lobe' ezilawula imisebenzi ebalulekile yobuchopho.

I-Neuromodulation ye-frontal lobe seizures

Kwezinye izimo, ukuhlinzwa kokwelapha ukuxhuzula kwe-frontal lobe kungase kungabi kuphephile. Kuleso simo, udokotela wakho angase ancome ukwelashwa okubizwa ngokuthi i-neuromodulation. Lokhu kwelashwa kusebenzisa idivayisi efakwe emzimbeni ukuthumela ama-electrical impulses ebuchosheni, ezama ukuvimba ukuxhuzula ngaphambi kokuba kuqale.

Izinhlobo ezivame ukusetshenziswa zamadivayisi e-neuromodulation yilezi:

• Ukukhuthazwa Kwemizwa Yesitho Sangasese Somuntu (VNS): Udokotela ohlinzayo ufaka idivayisi encane ngaphansi kwesikhumba sesifuba sakho. Ixhunywe kucingo. Ucingo luzungeza inzwa yesitho sangasese somuntu entanyeni yakho bese luthumela ama-pulse kuleyo nzwa. Amanye amadivayisi e-VNS angabona izinguquko ekushayeni kwenhliziyo ngesikhathi sokuwa futhi athumele ama-pulse engeziwe kagesi ku-vagus nerve.
• I-Responsive Neurostimulation (RNS): I-RNS iyithuluzi elifakwa ekhanda lakho. I-RNS iqapha ukusebenza kobuchopho bakho futhi ithumela ama-pulse kagesi kuphela uma ithola ukuthi kukhona ukuxhuzula.
• Ukukhuthazwa Kobuchopho Okujulile (i-DBS): Udokotela ohlinzayo ufaka idivayisi ye-DBS esifubeni sakho. Izintambo zayo zixhunywe kuma-electrode afakwe ebuchosheni bakho. Udokotela uhlela le divayisi bese ethumela ama-pulse kagesi ebuchosheni bakho.

Iyini inhloso yesifo sokuwa esibizwa ngokuthi i-frontal lobe epilepsy? (Outlook)

Udokotela wakho angakunikeza ulwazi olungcono kakhulu mayelana nombono wakho. Kuyahlukahluka kumuntu nomuntu, ngokusekelwe ezicini eziningi, njengempilo yakho jikelele kanye nokuthi uvame kangakanani ukuba nesifo sokuwa.

Imithi ingasiza ekulawuleni ukuquleka kwesikhathi eside. Kodwa ngezinye izikhathi, imithi ayisebenzi kahle kuwo wonke umuntu. Ukuhlinzwa kungaba enye indlela. Nakuba kungekho ukwelashwa kwe-frontal lobe epilepsy, abantu abaningi babhekana nokuncipha kokuquleka noma ukuphulukiswa okuphelele ngemva kokuhlanganiswa kwemithi noma ukuhlinzwa.

Udokotela wakho uzokutshela ukuthi yiziphi izindlela zokwelapha ezizokusiza ukuthi uhlale uphephile.

Kufanele ubonane nini nodokotela?

Bona udokotela uma uthola izimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu. Qiniseka ukuthi ukwelashwa kwakho kusebenza kahle, futhi ugcine ama-aphoyintimenti akho nodokotela . Tshela udokotela wakho uma unemiphumela emibi ngemuva kokuqala umuthi omusha.

Yini okufanele ngiyibuze udokotela wami?

Uma unesifo sokuwa esibizwa ngokuthi yi-frontal lobe epilepsy, ungase ufune ukubuza udokotela wakho ngalokhu okulandelayo:

• Hlobo luni lokwelashwa olunconywayo?
• Iyini imiphumela emibi yokwelashwa?
• Ingabe kuphephile ukuthatha imithi yokuvimbela isifo sokuwa uma ngicabanga ukuqala umndeni?
• Ngingahlala kanjani ngiphephile ngesikhathi 'sokuzamazama komhlaba'?
• Ingabe ngiyafaneleka ukuhlinzwa?

Isifinyezo nezinto okufanele uzikhumbule

Izingxenye ezimbili ezinkulu zobuchopho bethu, ama-frontal lobes, zinendima ebaluleke kakhulu okufanele ziyidlale. Kodwa ngaphandle kokuthi kukhona okungahambi kahle kule ngxenye yobuchopho, asiqondi ngempela ukubaluleka kwayo. Ngenhlanhla, kunezindlela zokwelapha isifo sokuwa esibangelwa yi-frontal lobe kanye nokuxhuzula okubangelwa yiso.

Udokotela wakho uzokusiza ukhethe umuthi owodwa noma ngaphezulu ofanele wena. Ungakhathazeki uma imithi ingasebenzi. Kwezinye izimo, ukuhlinzwa noma ukuguqulwa kwemizwa kungaba yindlela engcono yobuchopho bakho. Kungakhathaliseki ukuthi ukhetha luphi ukwelashwa, ithimba lakho lezokwelapha lizobe likhona ukuze liphendule noma yimiphi imibuzo ongase ube nayo. Uma ungathanda, bangancoma neqembu lokusekela noma ukwelulekwa. Khumbula, awuwedwa kulolu hambo!

` Isithuthwane, i-frontal lobe, ukuxhuzula, izifo zobuchopho, izifo zezinzwa, izimpawu, ukwelashwa