Izifo eziphuthumayo zivame ukulawulwa kahle ngemishanguzo ye-anti-seizure. Kodwa-ke, abanye abantu abanesifo sokuwa nesifo sokuphuza babhekene nezifo ezingenakuphuthuka ngokwanele ngemithi. Izinqubo zokuhlinzeka ngesifo sofuba ziphakathi kwezinketho zokwelashwa iminyaka eminingi, kanti abanye balabo abanenkinga yokuthungatha baye babhekana nokuthuthukiswa okuphawulekayo kwezimpawu ngemuva kokuhlinzwa kwesisu.
Izinhlobo eziningi zokuthunjwa zilawulwa ngokulinganayo ngemithi yokulwa ne-anti-seizure. Kodwa-ke, zonke izinhlobo zokuthunjwa zingase zibe yimithi-enqanyuliwe noma engenakwenzeka. Lokhu kusho ukuthi ukuhlukunyezwa kuyaqhubeka nokwenzeka ngesilinganiso esingamukeleki ngisho nalapho kusetshenziswa ukwelashwa kwemithi yokulwa ne-anti-seizure, noma lapho kusetshenziselwa ukuhlanganiswa kwezidakamizwa ezahlukene. Ngesinye isikhathi, umuntu onesifo sokuphuza ahlangabezana nemiphumela emibi kakhulu engasabekiyo kusukela emithini yokulwa ne-anti-seizure ukuthi akunakwenzeka ukufinyelela umthamo ozokwazi ukulawula ngokwanele ukutholwa. Kulezi zimo, lapho kutholakala ukuthi isithuthwane singenakunyakazeka futhi imithi ingamelani, ukuhlinzwa kungase kubhekwe njengendlela yokukhetha.
Izizathu Zokuthi Isifo Sokuphefumula Kungathathwa Ngokuhlinzwa
Kunezinhlobo ezahlukene zokuwa. Lezi zinhlobo zihlelwe ngezigaba eziningana, njengezimpawu ezihambisanayo, imvamisa yokugubha, ukuphendula imithi, isifunda ebuchosheni lapho ukuthumba kuqala khona, nokuthi ngabe kukhona i-syndrome eyaziwayo enesibopho sokuqothulwa.
Abanye abantu ababhekene nokuhlukunyezwa bangase bazuze ekuhlinzekeni kwesithuthwane.
Lapho ukuqubuka kubangelwa izifo, ukugula okuthile nokunye okungaqondakali : Uma ukuqubuka kubangelwa ukukhula noma ubukhulu ebuchosheni, ukususwa kwalesi sici ngokuvamile kuyindlela ephumelela kakhulu yokunciphisa ukuvama nokuqina kokubanjwa .
Izifo eziphuthumayo zingabangelwa izicubu zobuchopho, izicubu ezinomzimba ezivela emanzini emzimbeni, izifo, izimbungu, izidumbu zangaphandle, izimbangela zegazi kanye ne-cysts evuthayo. Kuye ngokuthi indawo, ubukhulu, kanye nenani lalezi zinhlobo zezilonda ebuchosheni, kungenzeka noma kungenzeka ukuthi kungenzeka ukuthi ususwe ngokuphepha.
Uma ukuqubuka kugxila kakhulu: Ukuqothulwa kuvame ukuchazwa njengokuqala kokugxila noma kuqala. Ukuqubuka kokuqala kwe-focal kuqala ngokusebenza okungavamile kagesi kwelinye noma ezindaweni ezimbalwa zobuchopho. Lokhu kuvame ukutholakala ngokusekelwe ezimpawu noma ngokuqoshwa kwe-EEG futhi kungabonakali noma kungabonakali okungavamile okuhambisanayo nokuhlolwa kwe-brain imaging njenge-Brain MRI. Uma ukugxila okugxile ekuguleni kungukuvimbela imithi, ukuhlinzwa kwesithuthwane ngokuvamile kuhloswe endaweni eyinhloko yomsebenzi ongavamile kagesi ebuchosheni ukusiza ukulawula ukuwa.
Lapho ukugubha kuqubuzana ngokugcwele: Ukuqothulwa okujwayelekile, ngokungafani nokuqothulwa kokugxila, kuqala ngomsebenzi kagesi ochaphazela lonke ubuchopho. Lokhu kungenza kube nzima ukukhomba isifunda esithize sobuchopho ngokuhlinzwa kwesithuthwane. Kunezinqubo zokuhlinza ezisetshenziselwa ukunciphisa ukuvama nokuqina kwemithi yokuvimbela imithi engapheli.
Lezi zinqubo zingase zibandakanye ukususa noma ukusika isifunda sobuchopho, njenge-corpus callosum, ekhuthaza ukuxhumana kagesi phakathi kwezindawo ezahlukene zobuchopho.
Uma une-syndrome ye-epilepsy: Udokotela wakho kungenzeka ukuthi uthola ukuthi unesifo se-syndromes. Lawa ma-syndromes yizimo ezinezici ezithile ezifanayo, ezifana nohlobo lokuthunjwa, imvamisa, ubudala abaqala ngalo, kanye nokungajwayelekile kwe-EEG noma i-MRI. Isimo se-Rasmussen syndrome, isibonelo, isifo esingavamile sokuqhwala esichazwa ukuqubuka okungenakwenzeka okuhlobene nokuvuvukala kobuchopho.
Ukwelashwa Okusuka Ekuqaleni Nokuvuleka Kwe-Craniotomy
Kunezindlela ezimbili eziyinhloko zokwelashwa kwesithuthwane: ukuhlinzekwa kwesibindi kanye nokuvuleka kwe-craniotomy. Ukuhlinzeka ngokuhlinzwa okuyisimanga kuyindlela yokuhlinza esebenzisa ucingo noma ithubhu, elifakwa emgodini omncane ku-skull ukuze ufinyelele endaweni ehlosiwe ebuchosheni. I-craniotomy evulekile yindlela yokuhlinzwa ehilela ukususwa (futhi kamuva, ukushintshwa) kwesigaba esincane noma esikhulu skull (cranium) ukuze kulungiswe ngempumelelo inkinga.
Zombili lezi zindlela ziye zasetshenziswa amashumi eminyaka, futhi zombili zibhekwa ziphephile ezandleni ezihlangene. Ithimba lakho lokuhlinzeka lizonquma indlela yokuhlinzeka ngokufaneleko ngokusekelwe ezintweni eziningana, njengendlela engcono kakhulu yokufinyelela indawo okuhlosiwe ngayo uhlobo lwakho lokuphuza kanye nemiphumela yokuhlolwa kwakho kwangaphambi kokuhlinzwa.
Izinhlobo Zokuhlinzwa Kwe-Epilepsy
Kunezinhlobo eziningi zokuhlinzeka ngezinqubo ezahlukene zokwehliswa, okufaka okulandelayo:
I-Vagal nerve stimulator: I-vagal nerve stimulator iyisidingo eshukumisa i-vagus nerve, eyisisindo esise entanyeni. Lokhu kushukumisa kagesi kunganciphisa ukuthungathwa kwabanye abantu abahlangabezana nesithuthwane esingenakwenzeka.
I-Neurostimulator: I-neurostimulator iyisisetshenziswa esincane esitholwa ngepayipi ngezingcingo ezibekwa phezulu kanye / noma ngaphakathi kobuchopho. I-Neurostimulator ithola noma yikuphi umsebenzi ongavamile kagesi we-cerebral ongaholela ekuthinjeni. Uma lezo zitholakalayo zitholwa, le divayisi inikeza ukuvuselela kagesi kuleso sigaba esithile sobuchopho esivimbela ukuqubuka okuvela ekuthuthukiseni.
Ukwelashwa kwe-laser stereotactic noma i-radiosurgery: Lezi zindlela zokwelashwa ezingenasidingo ezisebenzisa i-lasers noma imisebe yokubhubhisa lesi sifo esibangela ukugubha.
I-Corpus Callosotomy: I-corpus callosum iyisigxobo esibalulekile sezintambo zamagciwane ezivumela izinhlangothi ezingakwesokunxele nezingakwesokudla zobuchopho ukuba zikhulumisane. Lolu uhlobo lokuhlinzwa kwesithuthwane elisetshenziselwa ukuvimbela ukusabalala kokugubha noma ukunciphisa ubukhulu bokuqothulwa komzimba ngokunciphisa ukuxhumana phakathi kwezinhlangothi zombili zobuchopho.
Amaphutha amaningi we-subpial: Lolu hlobo luhilela ngokuqondile ukusika isigaba esincane sobuchopho ukuvimbela ukuqubuka kokuqala noma ukusakazeka. I-transection ihlelwe ngendlela yokunciphisa ingozi yokulimala kwegazi.
Ukukhonjelwa kwe-focal : Ukubuyisana okugxile ukususwa kwesigaba esincane sobuchopho. Lolu hlobo lwenqubo lusetshenziswe uma isifunda esithize sobuchopho sitholakala ukuthi sinomthwalo wemfanelo wokubamba, kanti lapho kususwa leso sifunda akuklanyelwe ukulahlekelwa umsebenzi wezinzwa.
Ukubuyisana kwe-Lobar: Ukuthengiswa kwe- lobar kufana nokuthengiswa okugxile (okuncane), kodwa kuhilela ukususwa kwengxenye enkulu yobuchopho. Ngenxa yokuthi ukuthengiswa kwe-lobar kungenzeka ukuthi kubangele ukulahlekelwa umsebenzi wezinzwa ngenxa yobukhulu bayo, imiklamo eqondile ngokuvamile ikhethwa uma kungenzeka.
Uhlobo Olufanele Lokuhlinzwa Kwe-Epilepsy for You
Uhlobo lokuhlinzeka okungase ludinge kuncike kunoma yiluphi uhlobo lwesifo sokuphuza onalo, kanye nemiphumela yakho yokuhlola ngaphambi kokuhlinzwa. Ukuhlolwa kwangaphambi kokuhlinzwa kuhlanganisa i-EEG, ukuhlolwa kwe-imaging yobuchopho, nokuhlolwa kokusebenza kwegazi.
Ukuhlolwa Okuphambene Nokuhlolwa
Ukuhlolwa kwakho kwangaphambi kokuhlinzwa kokuhlinzwa kwesithuthwane kufeza izinhloso ezimbili: ukukhomba isifunda ebuchosheni bakho okungenzeka ukuthi imbangela yokugubha kwakho nokuhlela ngokucophelela ukuhlinzwa kwakho ukugwema ukukhubazeka okusha kwegazi ngemuva kokuhlinzwa kwakho.
Izivivinyo ze-EEG zikhomba izindawo zomsebenzi ongajwayelekile kagesi ukuze zikwazi ukuthola izindawo ezibuchopho bakho okungenzeka ukuthi zinomthwalo wemfanelo yokuzikhandla kwakho okuphindaphindiwe. Ukuhlolwa kwe-Brain imaging kungavumela ukuboniswa kobuchopho bakho futhi kungathola okungajwayelekile, njengama-tumors nama-abscesses. Ukuhlolwa kokusebenza kwegazi ngokweqile kudla isikhathi esiningi futhi kudinga ukuzibandakanya kwakho okusebenzayo. Lezi zivivinyo zingakwazi ukuhlola indawo ngqo ebuchosheni bakho obulawula ezinye zezenzo zakho, njengokukhuluma noma ukufunda, ukuqinisekisa ukuthi ukuthengiswa okuhlinzekwayo noma ukuphumula akuthinti amakhono akho.
Izwi elivela
Ukwelashwa kwesifo sofuba kuyindlela yokukhetha abantu abathile abangaphuthuki ngokwanele nemithi yokwelapha yokulwa ne-anti-seizure. Ukuhlinzwa kwesifo se-Epilepsy sekusemashumi eminyaka, futhi ngokuhlangenwe nakho okwandisiwe, izinqubo ziye zaphuthuka phakathi neminyaka.
Ukuhlela ukuhlinzwa kwe-epileptics kuhlanganisa ukuhlola ngokucophelela ukuhlukumeza kwakho nokuhlolwa kwangaphambi kokuhlinzwa okufaka ukuhlolwa kwe-imaging, ama-EEG, nokuhlola okusebenzayo. Ithimba lakho liqukethe ochwepheshe abanokuhlangenwe nakho ekuphatheni ukuthumba nokuphefumula kanye nezinqubo.
Imiphumela emva kokuhlinzwa kokuphuza ibhekwa njengento enhle kakhulu, nezinkinga ezimbalwa kanye nokuthuthukiswa okukhulu kokubamba. Lokhu kuyingxenye enkulu ngoba akuwona wonke umuntu onenkinga yokuthunjwa yi-candidate esifanele sokuhlinzwa kwesithuthwane, futhi ukukhethwa kwezinqubo ezithile zokuhlinzekwa ngokucophelela kufanelana nomuntu ngamunye.
Uma ungumuntu ozobhapathizwa ukuhlinzwa, kufanele futhi kufanele ufunde okuningi ngenqubo yakho ngangokunokwenzeka. Lokhu kuzokusiza ukuze wazi ukuthi yini ongayilindela ngaphambi nangemva kokuhlinzwa, njengoba ululame kusuka ekuhlinzekeni, futhi njengoba ujwayele ukuvumelanisa uma usuphumile.
> Umthombo:
> Rathore C, Radhakrishnan K. Umqondo wokuhlinzwa kwesithuthwane kanye nokuhlolwa kokuqapha. Ukuphazamiseka kwesisu . 2015 Mar; 17 (1): 19-31; Imibuzo 31. ini: 10.1684 / epd.2014.0720.