Ukuqhawuka ngokuphindaphindiweyo ngokuqhelekileyo kulawulwa kakuhle kunye nemithi yokukhusela i-anti-seizure. Nangona kunjalo, abanye abantu abanesifo sokuhluthwa baye bahlutha izifo ezingenakuphucula ngokwaneleyo kunye neyeza. Inkqubo yokuhlinzwa ye-Epilepsy yinto ephakathi kweendlela zokonyango iminyaka emininzi, kwaye abanye balabo abaye bafumana ukuphazamiseka kwempilo baye bafumana ukuphuculwa okubonakalayo kwiimpawu emva kokuhlinzwa kwe-stroke.
Uninzi lweentlobo zogqirha zilawulwa ngokumodareyitha ngamachiza okulwa ne-anti-seizure. Nangona kunjalo, zonke iintlobo zokuthungatha ziyakwazi ukufumana unyango olunganyangekanga okanye olungenakunqandwa. Oku kuthetha ukuba ukutshatyalaliswa kuyaqhubeka kufikeleleka kwisantya esingavumelekanga, nangona amayeza okuxhatshazwa ngamachiza athatywayo, okanye xa kusetyenziswe ukuhlanganiswa kwamachiza ahlukeneyo. Ngamanye amaxesha, umntu onamava okuhluthayo angenakuxhatshazwa kwimiba echasene nokuxhatshazwa ukuba akunakwenzeka ukufikelela kwiqondo elithile eliza kulawulo olufanelekileyo. Kule meko, xa ukuhluthwa kufunyanwe kungenakunyanga kwaye unyango olunganyangekiyo, utyando lunokuthathwa njengolukhetho.
Izizathu Zokuthi Kutheni Ukuhlanjululwa Kwangathi Kuthatyathwe Ngophando
Kukho iintlobo ezahlukeneyo zokuthintela. Ezi ntlobo zihlelwe ngokwemiqathango emininzi, njengempawu ehambelana nayo, ukuphindaphinda kokuthinjelwa, ukuphendula kumachiza, ummandla wengqondo apho ukuhlutha kuqala khona, nokuba ngaba kukho isifo esaziwayo esinoxanduva lokubanjwa.
Abanye abantu abafumana ukuxhatshazwa banokufumana inzuzo yokuhlinzwa.
Xa ukuxhatshazwa kubangelwa izilonda, izifo ezithile kunye nokunye okungaqhelekanga: Xa ukuxhatshazwa kubangelwa ukukhula okanye ubunzima engqondweni, ukususwa kwelo bunzima kudla ngokuba yindlela efanelekileyo kakhulu yokunciphisa ubukhulu kunye nokukhawuleza kokubanjelwa .
Ukutshatyalaliswa ngokuphindaphindiweyo kunokubangelwa ziimvumi zengqondo, izifo zesifo se-metastatic ezivela kumdlavuza emzimbeni, izifo, ama-abscesses, imizimba yamanye amazwe, iimpazamo zegazi kunye ne-cysts evuthayo. Ngokuxhomekeka kwendawo, ubukhulu, kunye nenani lale ntlobo yezilonda kwi-brain, kungenzeka okanye akunakwenzeka ukuba uwasuse ngokukhuselekileyo.
Xa ukuxinwa kugxininisa kakhulu: Ukuxhatshazwa kudlalwa ngokubhekiselele njengeyokuqala okanye ukuqala ngokubanzi. Ukugxilwa kwe-Focal onset kuqala ngomsebenzi ongaqhelekanga kagesi kwenye okanye kwimimandla embalwa yengqondo. Oku kudla ngokufunyanwa ngokusekelwe kwiimpawu okanye ngokurekhodwa kwe-EEG kwaye okanye unokubonisa okanye ukungabonakali okungafaniyo kwiimvavanyo zokucinga zobuchopho ezifana ne-Brain MRI. Xa kugxininiswa ngokugqithiseleyo kukunyangeka ukunyanga, ukuhlinzwa ngokunyamekela ngokuqhelekileyo kukujoliswe kuyo kwindawo ephambili yomsebenzi ongaqhelekanga kumbono ukuze uncede ukulawula ukutshatyalaliswa.
Xa ukuxhonywa kuhluthwa ngokuqhelekileyo: Ukuthintela ngokuqhelekileyo, ngokungafani nokuthinteka kwengqondo, kuqale ngomsebenzi wombane ochaphazela ingqondo yonke. Oku kunokwenza kube nzima ukuchonga indawo ethile yengqondo yokuhlinzwa. Kukho iinkqubo zokuphanda ezisetyenziselwa ukunciphisa ubukhulu kunye nobuqili bezilwanyana ezinokukhuseleka.
Ezi nkqubo zinokubandakanya ukususa okanye ukusika ummandla wengqondo, njenge-calpus callosum, ekhuthaza ukudibanisa zombane phakathi kweendawo ezahlukeneyo zobuchopho.
Xa une-syndrome yesifo sokugula: Ugqirha wakho unokufumanisa ukuba unesifo se-stemromes. Ezi zi-syndromes ziimeko ezinempawu ezifanayo, ezinjengehlobo lokuthatha, ixesha elide apho ziqala khona, kunye ne-EEG okanye i-MRI engaqhelekanga. Umzekelo weRasmussen syndrome, umzekelo, yintlupheko engabonakaliyo yokubamba ingozi ebonakaliswa yimingxuma ephazamisayo edibene nokuvuvukala kwengqondo.
Ugqirha lwe-stereotactic kunye ne-Open Craniotomy
Kukho iindlela ezimbini eziphambili zokutyunjwa kwe-stampot: ukuhlinzwa ngokusesikweni kunye ne-craniotomy evulekile. Utyando lwe-stereotactic luhlobo lotyando olusebenzisa ucingo okanye ityhubhu, ebeka kwi-hole encinane ekhreyeni ukufikelela kwindawo ekujoliswe kuyo kwingqondo. I-craniotomy evulekile uhlobo lotyando olubandakanya ukususwa (kwaye kamva, ukutshintshwa) kwecandelo elincinci okanye elikhulu lekhane (i-crane) ukulungisa ngempumelelo ingxaki.
Zombini iindlela ziye zasetyenziselwa amashumi eminyaka, kwaye zombini zithathwa njengezikhuselekileyo kwizandla ezinamava. Iqela lakho lokugqeba liya kuthatha isigqibo malunga nendlela efanelekileyo yokucoca ngayo ngokusekelwe kumanani amaninzi, njengendlela efanelekileyo yokufikelela kwindawo ekujoliswe ngayo ekutheni uhlanjwe kunye neziphumo zokuvavanywa kwakho kwangaphambili.
Iintlobo zoPhando lwe-Epilepsy
Kukho iinkqubo ezahlukeneyo zokucocwa kwenkunkuma, kubandakanywa oku kulandelayo:
I-Vagal nerve stimulator: I-vagal nerve stimulator iyisistim eshukumisa i-vagus nererve, enesibindi esisemqaleni. Ukuvuselela ngombane kunokunciphisa ukuhluthwa kwabantu abathile abanesifo sokuhluthwa ngokungathintekiyo.
I-Neurostimulator: I-neurostimulator isisitrato esincinci esilungelelwe kwi-gaha ngeencingo ezibekwa phezulu kunye / okanye ngaphakathi kwengqondo. I-Neurostimulator ifumanisa nayiphi na into engavumelekanga yocerebral imisebenzi engakhokelela ekuthinjeni. Xa ezi zikhutshwayo zifunyenwe, esi sixhobo sihambisa ukuvuselela umbane kuloo ndawo ethile kwingqondo ekuthintela ukuxhamla kwi-development.
I-stereotactic i-laser ablation okanye i-radiosurgery: Ezi ziyeza zonyango ezingenasiphelo ezisebenzisa i-lasers okanye i-radiation ukutshatyalaliswa kwesilonda esibangela ukutshatyalaliswa.
I-Corpus Callosotomy: I-corpus callosum iyimfuneko ebalulekileyo yemibindi yemisipha evumela ukuba iingcambu ezikhohlo kunye nekhohlo zobuchopho zixubane. Olu hlobo lotyando lwe-stroke elisetyenziselwa ukuthintela ukusasazeka kokuthintela okanye ukunciphisa ubunzima bokuthinteka ngokubanzi ngokunciphisa uxhulumaniso phakathi kwamacala amabini wengqondo.
Iintlobo zee-subpial transections: Olu hlobo luquka ukusika ngokucacileyo icandelo elincinci leengqondo ukukhusela ukuthintela ukuqala okanye ukusasazeka. I-transection icwangciswe ngendlela yokunciphisa umngcipheko wokulimala komzimba.
Ukuqwalaselwa okugxilwe kuyo: Ukukhankanya ngokugqithisileyo kususwa kwecandelo elincinci yengqondo. Olu hlobo lwenkqubo luyasetyenziswa xa ummandla othize wengqondo ufunyanwe ngowona nto uxanduva lokubanjwa, kwaye xa kususwe ummandla ongekho ukuvelisa ukulahleka kwemisebenzi yegazi.
I-Lobar resection: Ukuthengiswa kwe -lobar kufana ne-focal (encinci) yentengiso, kodwa kubandakanya ukususwa kwenxalenye enkulu yengqondo. Ngenxa yokuba ukuthengiswa kwe-lobar kunokwenzeka ukuba kubangele ukulahleka kwemisebenzi yegazi ngenxa yobukhulu bayo, ukuthengiswa kwezinto eziphambili ngokuqhelekileyo kukhethwa xa kunokwenzeka.
Uhlobo Olufanelekileyo Lokuhlinzwa Kwesihlwili Kuwe
Uhlobo lotyando olunokuba luyimfuneko luxhomekeke kukuphi uhlobo lokuthwala, kunye neziphumo zakho zokuvavanywa kwangaphambili. Ukuvavanywa kwangaphambi kokuvanywa kuquka i-EEG, iimvavanyo zokucinga ngengqondo, kunye neemvavanyo ze-neurological function.
UkuVavanywa kwangaphambili kokuPhepha
Ukuvavanywa kwakho kwangaphambi kokuvuthwa kokuhlinzwa kwe-epilisi kubonelela ngeenjongo ezimbini: ukuchonga ummandla wengqondo yakho eyona nto ibangelwa yinkinga yakho kunye nokucwangcisa ngokucokisekileyo ukuhlinzwa kwakho ukuze ugweme ukukhubazeka kweentsholongwane emva kokuhlinzwa kwakho.
Iimvavanyo ze-EEG zichonga iinkalo zomsebenzi ongaqhelekanga kagesi ukwenzela ukuba ufikelele kwimimandla yengqondo yakho eyona nto ingabangela uxanduva lokuphindaphinda. Iimvavanyo zengqondo zeBongo zingavumela ukuboniswa kwengqondo yakho kwaye zifumane indawo engafanelekanga, njengezicubu kunye nama-abscesses. Ukuvavanywa kwamathambo okusebenzayo kudla ixesha elide kwaye kufuna ukuba uthathe inxaxheba. Ezi mvavanyo ziyakwazi ukuhlaziya indawo ekhoyo kwingqondo yakho elawula ezinye zezenzo zakho, njengokuthetha okanye ukufunda, ukuqinisekisa ukuba ukuthengiswa okanye ukuchithwa kwamanzi akuchaphazeli ubuchule bakho.
ILizwi
Utyando lwe-Epilepsy lukhethwa ngabanye abantu abangenakho ukuphuculwa okwaneleyo kunye neyeza zokuchasana ne-anti-seizure. Ukuhlinzwa kwe-Epilepsy kuye kwadlulayo kwiminyaka emashumi, kwaye nangamava anyukile, iinkqubo ziye zaphucuka kwiminyaka.
Ukucwangciswa kokuhlinzwa kwe-epileps kubandakanya ukuhlola ngokunyameko ukutshatyalaliswa kwakho kunye nokuhlolwa kokuqala kokuvotela okubandakanya iimvavanyo zokucinga, ii-EEG kunye nokuvavanywa okusebenzayo. Iqela lakho liqukethe iingcali ezinamava ekulawuleni ukuhluthwa kunye nokuhlinzwa kokunyuka kunye neenkqubo.
Iziphumo emva kokuhlinzwa ngonyameko kuthathwa njengento enhle, kunye neengxaki ezimbalwa kunye nokuphuculwa okubanzi kokuthintela. Oku kuyingxenye enkulu kuba akusiyo wonke umntu onenkinga yokuthungula ngumviwa ofanelekileyo wokutyunjwa, kwaye ukhetho lweenkqubo ezithile zokucocwa luqwalaselwe ngokucophelela kumntu ngamnye.
Ukuba ungumgqatswa wokutyunjwa, uyakwazi kwaye kufuneka ufunde okuninzi malunga nenkqubo yakho ngokunokwenzeka. Oku kuya kukunceda ukuze ukwazi ukuba ungalindela ntoni emva nangemva kokuhlinzwa, njengoko uphila ekutyunjeni, kwaye njengoko ulungelelanisa xa ufumene kwakhona.
> Umthombo:
> Rathore C, Radhakrishnan K. Iingcamango zokuphefumula nokuphuculwa kwezilwanyana. Uxinzelelo lwe-Epileptic . Ngo-2015 uMar; 17 (1): 19-31; Imibuzo 31. i-doi: 10.1684 / epd.2014.0720.