Isifo Sokuxhuzula Se-Temporal Lobe? - Ake sixoxe ngalokhu kalula!

Ingabe ngezinye izikhathi uzizwa ungajwayelekile ngokuzumayo? Cabanga nje, indawo okuyo izwakala ijwayelekile, kodwa iyindawo entsha. Noma uzizwa sengathi kukhona okuphumayo esiswini sakho, noma uzizwa wesaba noma ukhathazekile ngokuzumayo? Mhlawumbe ulahlekelwa ingqondo futhi ube nesimo sokuxhuzula ngenxa yalezi zinto. Uma lezi zinto zenzeke kuwe noma kothile omaziyo, kubaluleke kakhulu ukwazi ngesimo esizokhuluma ngaso namuhla esibizwa ngokuthi 'i-Temporal Lobe Epilepsy'.

Kuyini i-Temporal Lobe Epilepsy?

Kalula nje, i-Temporal Lobe Epilepsy uhlobo lwe-epilepsy. Kulesi simo, i-epilepsy iqala engxenyeni yobuchopho bakho ebizwa ngokuthi i-temporal lobe. I-epilepsy yilapho kukhona ukungasebenzi kahle emsebenzini kagesi ngaphakathi kobuchopho. Cabanga ngakho njenge-short circuit ku-electrical circuit.

Sonke sine-'temporal lobes' ezimbili kuzo zombili izinhlangothi zobuchopho bethu, kusukela ngaphambili kwezindlebe zethu kuya ngemuva. Le 'temporal lobe' yiyo esisiza siqonde umhlaba osizungezile. Yilokhu:

• Gcina izinkumbulo.
• Yazi imisindo
• Ngezinto ezihlobene nombono
• Qonda ulimi kanye nengxoxo

Ngaphezu kwalokhu, ezinye izinto esizenzayo ngokungazi, njengendlala, ukoma, lokho esikwenzayo lapho sesaba ngokuzumayo (impendulo yokulwa noma yokubaleka), imizwa yethu, kanye nezifiso zocansi, nazo zilawulwa yilo 'lobe yesikhashana'.

Isifo sokuwa kwe-temporal lobe uhlobo oluvame kakhulu lwesifo sokuwa esigxile esikhumbeni, esiqala endaweni ethile yobuchopho. Uphawu oluyinhloko ukuxhuzula. Udokotela angakusiza ukuphatha lesi simo.

Uyini umehluko phakathi kwesifo sokuwa kwe-lobe yesobunxele nesokudla?

Kokubili ama-temporal lobes obuchopho bakho angakwesobunxele nangakwesokudla alawula izinto eziningi, okuhlanganisa inkumbulo, ukuzwa, ukubona, kanye nenkulumo. Kodwa-ke, le misebenzi ingathinteka kuye ngokuthi ukuxhuzula kuqala ngaluphi uhlangothi.

Kwabaningi, ikakhulukazi uma usebenzisa isandla sokudla, i-left temporal lobe iyabusa. Abantu abanesifo sokuwa kwe-left temporal lobe bangase babe nobunzima bokuqamba izinto ngamagama, ukuthola amagama afanele, kanye nokushintsha kwemizwa ngokuhamba kwesikhathi.

Abantu abane-right temporal lobe epilepsy ngokuvamile banezinguquko ezimbalwa zesikhathi eside enkumbulweni. Kodwa-ke, bangase babe nobunzima bokukhumbula ulwazi olungewona amazwi, ikakhulukazi izithombe, kanye nezinguquko zemizwa.

Ingabe zikhona izinhlobo ze-temporal lobe epilepsy?

Yebo, kunezinhlobo ezimbili eziyinhloko ze-'temporal lobe epilepsy':

1. Isifo Sokuxhuzula Se-Mesial Temporal Lobe (MTLE):"Mesial" isho okuphakathi. Kulokhu, ukuxhuzula kuqala engxenyeni yobuchopho ebizwa ngokuthi i-hippocampus noma eduze kwayo. Lena yingxenye yobuchopho ebizwa ngokuthi i-hippocampus ephakathi kwamabili ama-temporal lobes akho. Lolu uhlobo oluvame kakhulu lwe-TLE. I-hippocampus yingxenye yobuchopho ehileleke kakhulu ezinkumbulo zethu.

2. Isifo Sokuxhuzula Se-Neocortical noma Se-Lateral Temporal Lobe: Kulokhu, ukuxhuzula kuqala engxenyeni engaphandle ye-temporal lobe yakho.

Ziyini izimpawu zalesi simo?

Izimpawu zesifo sokuwa kwe-temporal lobe zifaka phakathi umuzwa ongavamile owenzeka ngaphambi kokuwa, okubizwa ngokuthi i-epileptic aura, kanye nokuwa ngokwako.

Izinto ongase uzizwe ngesikhathi se-aura yesifo sokuwa:

• `Déjà vu`: Lona umuzwa ojwayelekile ofika lapho uya endaweni ongakaze uye kuyo, njengokuthi "Ngike ngaba lapha ngaphambili." Noma, inkumbulo ezwakala sengathi kukhona okwenzekile ngaphambili iyenzeka futhi.
• `Jamais vu`: Lokhu kuphambene no-`déjà vu`. Kulapho into oyijwayele kakhulu (isibonelo, igumbi endlini yakho) ngokuzumayo izwakala ingajwayelekile futhi ingajwayelekile.
• Umuzwa osheshayo wokwesaba, ukukhathazeka, noma ukukhathazeka; noma intukuthelo, ukudabuka, noma injabulo.
• Umuzwa ongavamile wokugingqika sengathi isisu siphuma ngaphakathi (njengomuzwa owutholayo uma usemotweni ye-roller coaster).
• Ukuzwela okukhulu kwezinzwa (njengokuzwa, ukubona, ukuhogela, ukunambitha, noma ukuthinta izinto ngokujulile kunokuvamile).

Akuwona wonke umuntu othola le 'aura'. I-'aura' empeleni iwukuquleka okuqaphelekayo. Lokho kusho ukuthi uma lezi zimpawu zenzeka, uyaqaphela futhi uyazi ukuthi kwenzekani. Lokhu kungahlala kusukela kumasekhondi ambalwa kuya cishe emizuzwini emibili.

Ezinye izimpawu ezingabonakala ngesikhathi sokuwa:

Izimpawu ezilandelayo zingase zivele ngemva kwe-aura:

• Ukulahlekelwa ukwazi.
• Ubuso obungenalutho.
• Ukwandiswa kwamehlo abonakala emazinyweni.
• Ukuphindaphinda into efanayo ngaphandle kwencazelo (automatisms). Isibonelo, ukwenza sengathi uphakamisa into ngezandla zakho, ucwayiza amehlo akho, ucindezela izindebe zakho, ukwenza sengathi uhlafuna into ethile, ukugwinya.
• Ukudideka.
• Ukungakwazi ukukhuluma noma ukuqonda okushiwoyo isikhathi esifushane (i-aphasia).
• Umzimba uqinile futhi uyashaya.

Yini ebangela isifo sokuwa kwe-temporal lobe?

Isizathu esiyinhloko salokhu ukuthi amangqamuzana ezinzwa, noma ama-neurons, ku-temporal lobe yakho awakhulumisani kahle. Ama-neurons yiwo athumela izimpawu zikagesi ezingxenyeni ezahlukene zobuchopho. Uma unesifo sokuwa, la ma-neurons athumela izimpawu eziningi kakhulu ngaphandle kokulawula.

Lezi ezinye zezimbangela eziyinhloko zesifo sokuwa kwe-temporal lobe:

• I-Hippocampal sclerosis: Lokhu kuwumonakalo nokulahlekelwa ama-neurons namaseli e-glial ku-hippocampus.
• I-Focal cortical dysplasia: Ukuhlangana okungajwayelekile kwama-neurons ebuchosheni.
• Izimila zobuchopho.
• Ukulimala kobuchopho okubuhlungu (i-TBI).
• Izifo: Izibonelo zifaka phakathi ithumba lobuchopho, i-meningitis, kanye ne-encephalitis.
• Izifo ezihlobene nemithambo yegazi: Isibonelo, `uhlangothi`, `ukukhubazeka kwemithambo yegazi (ama-AVM)`.
• Izinhlobo zofuzo.
• Izimbangela ezingaziwa.

Ubani osengozini enkulu yalesi simo?

Lesi simo, esibizwa ngokuthi `TLE`, singakhula nganoma yisiphi isikhathi. Kodwa-ke, ungase ube sengozini enkulu uma:

• Uma uke waba nesifo somkhuhlane ngesikhathi usengumntwana.
• Ukuquleka okuhlala imizuzu engaphezu kwemihlanu, noma ukuquleka okuningi ngaphandle kokubuyela engqondweni (isimo sokuquleka) ngokulandelana.
• Uma unesifo noma isimo ozalwa naso njengomdlavuza wobuchopho.
• Uma uke waba nokulimala okukhulu ekhanda (TBI) noma ukutheleleka kobuchopho useyingane.
• Uma othile emndenini enesifo sokuwa kwe-temporal lobe (umlando womndeni).

Cishe izingxenye ezimbili kwezintathu zabantu abane-'TLE' bake baba nokuquleka okubangelwa umkhuhlane ebuntwaneni. Okuningi kwalokhu kuyinkimbinkimbi (okusho ukuthi kuhlala isikhathi eside). Kodwa, khumbula, akuwona wonke umuntu oke waba nokuquleka okubangelwa umkhuhlane ozoba ne-'TLE'. Akuvamile neze.

Yiziphi izinkinga ezingaba khona ze-temporal lobe epilepsy?

Nge-TLE, usengozini yokwehla kokuqonda kwengqondo okungenakuguqulwa. Lokhu kusho ukuthi ungase ube nobunzima bokufunda izinto ezintsha, ukukhumbula izinto, ukwenza izinqumo, nokugxila.

Uma uvame ukuba nesifo sokuwa, futhi uma usunesikhathi eside unaso, kulapho ingozi yakho yokuba nalokhu okulandelayo ikhuphuka khona:

• Ukucindezeleka
• Ukukhathazeka
• Ukulahlekelwa yinkumbulo
• Ukufa Okungazelelwe Okungachazeki Kwesifo Sokuxhuzula (i-SUDEP)

Ngakho-ke, kubaluleke kakhulu ukubona udokotela bese uthola ukwelashwa okufanele kwe-'TLE'. Lokhu kuzosiza ekuvimbeleni izinkinga ezinjengalezi.

Odokotela basithola kanjani lesi sifo?

Udokotela uxilonga isifo sokuwa esibizwa ngokuthi i-temporal lobe epilepsy ngokubuza ngezimpawu zakho, ukufunda ngokuthi lesi sifo saqala kanjani, ukwenza ukuhlolwa kwezinzwa, nokwenza noma yiziphi izivivinyo ezidingekayo. Udokotela uzokubuza nokuthi kwenzekeni ngaphambi nangemva kwalesi sifo. Uzophinde abukeze umlando wakho wezokwelapha.

Ungase ungakhumbuli ukuthi kwenzekeni ngesikhathi sokuxhuzula. Uma kunjalo, kungumqondo omuhle ukuletha umuntu owayenawe ngesikhathi ukuxhuzula kwenzeka kudokotela. Ngemuva kwalokho bangatshela udokotela lokho abakubonile.

Ukuhlolwa kungasiza udokotela wakho abone ukuthi kwenzekani ngaphakathi kobuchopho bakho. Ukuhlolwa okufana nalokhu kungenziwa:

• Isikeni se-MRI (Magnetic Resonance Imaging): Thatha isithombe esicacile sobuchopho.
• Ukuhlolwa kwe-`EEG (Electroencephalogram)` noma kwe-`video-EEG`: Bheka umsebenzi kagesi wobuchopho.
• Ukuhlolwa kokuskena kwe-`SPECT (Single Photon Emission Computed Tomography)`.
• Isikeni se-`PET (Positron Emission Tomography)`.
• Ukuhlolwa kwe-`MEG (Magnetoencephalography)`.
• Ukuhlolwa kwe-neuropsychological: Hlola ukuthi izinto ezifana nenkumbulo nokunaka zinjani.

Yiziphi izindlela zokwelapha isifo sokuwa kwe-temporal lobe?

Lokhu okulandelayo kungenziwa njengokwelashwa kwesifo sokuwa kwe-temporal lobe:

• Imithi yokuvimbela ukuquleka.
• Ukuhlinzwa kwesifo sokuwa.
• Ukuvuselela imizwa.

Ngaphezu kwalokho, udokotela wakho angase futhi akuncome ukuthi wenze izinguquko ezithile ekudleni, njengokudla okune-ketogenic. Lokhu ukudla okunamafutha amaningi, okunama-carbohydrate aphansi.

Imithi yesifo sokuwa kwe-temporal lobe

Kunemithi eminingi etholakalayo yokwelapha ukuquleka kwe-temporal lobe. Ezinye izibonelo yilezi:

• `Brivaracetam`
• `I-Cenobamate`
• `I-Carbamazepine`
• `Gabapentin`
• `I-Lamotrigine`
• `I-Lacosamide`
• `Levetiracetam`
• `I-Oxcarbazepine`
• `I-Pregabalin`
• `I-Rufinamide`
• `I-Topiramate`
• `I-Valproate`
• `I-Zonisamide`

Udokotela wakho uzozama umuthi owodwa noma eminingana, ngezilinganiso ezahlukene, ukuthola okusebenzela kahle kakhulu.

Okubalulekile: Eminye imithi yokuxhuzula ingaba yingozi enganeni ngesikhathi sokukhulelwa. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa.

Ukuhlinzwa kwesifo sokuwa kwe-temporal lobe

Uma ukuquleka kungenakulawuleka ngemithi, noma uma lezi zimpawu zibangelwa okuthile okufana nomdlavuza wobuchopho, udokotela angase acabangele ukuhlinzwa.

Ukuhlinzwa kwesikhashana (ukususa ingxenye ye-temporal lobe) kuyindlela evame kakhulu yokuhlinzwa. Kodwa-ke, ngenxa yokuthi i-temporal lobe ilawula imisebenzi eminingi ebalulekile, udokotela wezinzwa uhlela ukuhlinzwa ngokucophelela ukuze anciphise umthelela ekusebenzeni kobuchopho.

Izindlela ezimbili ezingangenisi kakhulu ukuhlinzwa kwe-stereotactic radiosurgery kanye ne-laser ablation . Lezi zindlela zisebenzisa imisebe ye-laser noma imisebe ukubhubhisa amangqamuzana ezinzwa noma izicubu ku-lobe yesikhashana lapho kuqala khona ukuxhuzula.

Ukuvuselelwa kwemizwa yesifo sokuwa kwe-lobe yesikhashana

Uma imithi ingasebenzi, noma uma ukuhlinzwa kungaphephile, ungase uthande ukucabangela amadivayisi okuvuselela imizwa. Lokhu kuhilela ukuthumela ama-electrical impulses ku-temporal lobe yakho ngedivayisi efakwe emzimbeni wakho. Lokhu kwelashwa kunganciphisa kancane kancane inani lokuxhuzula onalo ngokuhamba kwesikhathi. Izinhlobo eziyinhloko zamadivayisi asetshenziswa ku-TLE yilezi:

• `Ukukhuthazwa kwemizwa ye-vagus (VNS)`
• `Ukuvuselela izinzwa okusabelayo (i-RNS)`
• `Ukushukunyiswa kobuchopho obujulile (i-DBS)`

Luhlobo luni lwethemba ongaba nalo uma uphila nalesi simo?

Ukuthi isimo sakho sizoba njani kuncike ezintweni ezifana nalezi:

• Uba nokuxhuzula kangaki?
• Usunesikhathi esingakanani unalesi simo?
• Impilo yakho iyonke.
• Ingabe izinkinga ezingalungiseki seziqalile.

Abantu abaningi bangalawula kahle ukuquleka kwabo ngemithi. Abanye abantu baze bathi ukuquleka kwabo sekunyamalele ngokuphelele ngemva kokuhlinzwa. Kodwa-ke, lokhu kuyahlukahluka kakhulu kumuntu nomuntu. Udokotela wakho angakunikeza incazelo enembile ngesimo sakho.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma wake waba nokuxhuzula, noma ucabanga ukuthi kungenzeka ukuthi wake waba nokuxhuzula, kufanele nakanjani ubone udokotela.

Uma usuvele utholakale unesifo sokuwa kwe-temporal lobe, shayela udokotela wakho ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:

• Uma ukuxhuzula kwakho kuthatha isikhathi esingaphezu kwemizuzu emihlanu.
• Uma kuvela okunye ukuxhuzula ngokushesha nje lapho ukuxhuzula kokuqala sekuphelile.
• Uma ukuvama kanye nobukhali bokuxhuzula kukhula.
• Uma kuvela izimpawu ezintsha noma imiphumela emibi yemithi.
• Uma ukululama ngemva kokuquleka sekuphelile kuhamba kancane kunokujwayelekile, noma uma ukululama kungaphelele.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma une-'TLE', kuwumqondo omuhle ukubuza udokotela wakho imibuzo efana nale:

• Hlobo luni lokwelashwa olungincomayo?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Ingabe lo muthi wokulwa nokuquleka uphephile uma nginethemba lokuqala umndeni?
• Ngingakwazi yini ukuhlinzwa kwesifo sokuwa?

Ungase ungaqapheli ukuthi ama-temporal lobes akho abaluleke kangakanani kuze kube yilapho eyeka ukusebenza kahle ngo-100%. I-temporal lobe epilepsy (TLE) ingathinta ukusebenza kwawo ngokuhamba kwesikhathi. Kodwa-ke, udokotela angakusiza ukuthi uphathe ama-TLE seizures futhi uvimbele izinkinga.

Ukwelashwa kwe-TLE kuhlukile kuwe. Kungase kudingeke uzame imithi ehlukene kanye nemithamo ehlukene uze uthole okusebenzela kahle kakhulu. Ngezinye izikhathi, imithi ayisebenzi futhi ukuhlinzwa kungaba yindlela engcono kakhulu.

Ukuphatha impilo enesifo sokuwa kungaba nzima. Kodwa-ke, ungathola usizo olwengeziwe emaqenjini okusekela noma ngokukhuluma nochwepheshe wezempilo yengqondo . Ithimba lakho lezokwelapha lizoba nawe ukuphendula noma yimiphi imibuzo ongase ube nayo endleleni.

Umyalezo Wokugcina Wokuya Nasekhaya

Mngani othandekayo, i-Temporal Lobe Epilepsy akuyona into okufanele uyesabe, kodwa futhi akuyona into okufanele uyishalazele.

Khumbula, ungaphila ngempumelelo nalesi simo. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela bese uthola ukwelashwa okufanele.

• Uma wena noma othile omaziyo enalezi zimpawu, xhumana nodokotela ngokushesha.
• Thatha imithi yakho oyinikezwe udokotela njengoba nje uyalelwe, ngesikhathi. Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kokubonisana nodokotela wakho.
• Uma udokotela wakho encoma ukwenza izinguquko ezithile endleleni yakho yokuphila (isib. ukudla okune-ketogenic), zama ukuzilandela.
• Hlala uqinile engqondweni. Uma kudingeka, funa iseluleko. Awuwedwa.
• Kungumqondo omuhle ukwazisa umndeni wakho nabangani ngalesi simo. Khona-ke bangakusiza.

Sithemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

` I-Temporal Lobe Ukuwa, I-Epilepsy, Ukuwa, Isifo Sobuchopho, Isifo Sezinzwa, I-Temporal Lobe Ukuwa, Ukuwa