Utyando lwesifo sokuwa

Utyando lokuxhuzula: Ukubuyisela Ubomi Ngokuchaneka kunye neNkathalo

Wamkelekile kwiwebhusayithi ye-APCCs neurosurgery, apho sisebenza ngokukhethekileyo kuqhaqho lokuxhuzula-indlela entsha ezisa ithemba kunye notshintsho oluguqulayo kwabo baphila nesithuthwane esinganyangekiyo. Iqela lethu elibekekileyo leengcaphephe ze-neurosurgical lizinikele ekunikeni ukhathalelo olubanzi lokuxhuzula, kubandakanywa ungenelelo lotyando olubonelela ngesiqabu kunye nomgangatho wobomi obutsha.

Ukuqonda i-Epilepsy: I-Epilepsy sisifo semithambo-luvo esibonakaliswa kukuxhuzula okuphindaphindiweyo nokungaqikeleliyo. Ezi zixhuzula zinokuphazamisa ubomi bemihla ngemihla kwaye zichaphazele impilo-ntle iyonke. Nangona abantu abaninzi abanesifo sokuxhuzula besabela kakuhle kumayeza, ubuncinane kwi-30% yezigulane ukuxhuzula kuhlala kungalawuleki, nto leyo ekhokelela ekuncipheni komgangatho wobomi.

Ingakumbi kubantwana, iimeko ezithile ezifana neRasmussen's Epilepsy, i-hemimegancephaly, i-perinatal birth asphyxia kunye ne-Sturge-Weber syndrome zinokubandakanya yonke i-hemisphere okwenza ukuba ingasebenzi kakuhle. Ukuphuma kombane kwi-hemisphere kusasazeka ukuya kwelinye icala kwaye kuthintele ukusebenza. Aba bantwana bahlala besebenzisa amayeza amaninzi e-epilepsy. Umthamo ophezulu wamayeza ukongeza ekusebenzeni kobuchopho okunciphileyo kubangela ukuba umntwana abe nokuqonda okunciphileyo kwaye angaphumeleli ukuvelisa umsebenzi omtsha wobuchopho. Aba bantwana abane- epilepsies ye-Hemispheric basabela kakuhle kakhulu kutyando oludibanisayo.

Ubungcali kunye namava: Iqela lethu lotyando lwemithambo-luvo linolwazi olukhethekileyo kunye namava amaninzi afunekayo ukujongana nesifo sokuwa ngotyando. Ngokugxila ekuchanekeni nasekukhuselekeni kwezigulane, iingcali zethu zijolise ekuziseni isiqabu kwabo amayeza abo angqineke enganele.

Iimeko Esizinyangayo: Utyando lwe-epilepsy lujongwa kubantu abaneentlobo ezithile ze-epilepsy okanye xa i-seizures ivela kwindawo ethile yengqondo. Iimeko esizijongayo ziquka:

• ISithuthwane esinganyangekiyo ngokwamayeza: Xa ukuxhuzula kungaphenduli kumayeza, utyando luba yinto enokwenzeka yokufumana ulawulo kwakhona.
• Isifo sokuwa: Ukuxhuzula okubangelwa kukungahambi kakuhle kwengqondo, okufana neethumba okanye ukungahambi kakuhle kwemithambo, kunokunyangwa ngokukhutshwa kotyando.
• Isifo Sokuxhuzula Kwexeshana: Uhlobo oluxhaphakileyo lwesifo sokuxhuzula apho ukuxhuzula kuqala kwilobe yethutyana yobuchopho, kaninzi kunyangwa ngoqhaqho loqhaqho olukhokelela kwiziphumo ezigqwesileyo.
• I-focal cortical dysplasia: Imeko ebonakaliswe ngokungahambi kakuhle kwemigangatho ye-cortex ene-biarre orientation ye-neurons.
• Ukuwa kweHemispheric: Njengoko kukhankanyiwe ngasentla, abantwana kunye nabantu abadala abancinci abanelishwa baphendula kakuhle kakhulu kwi-disconnective surgeries ezifana ne-hemispherotomies, apho i-hemisphere enesifo inqanyuliwe kwimpilo. Izigulana ezinale meko zinokuncipha okuphawulekayo kokubanjwa rhoqo okwenza ukuba kuncitshiswe okanye kupheliswe ngokupheleleyo iziyobisi ngokuqonda okuphuculweyo kunye nomsebenzi njengoko i-hemisphere enempilo ikhululwa kwimpembelelo embi ye-hemisphere enempilo.

Uvavanyo Olupheleleyo: Ngaphambi kokuba sicebise utyando lwesifo sokuwa, senza uvavanyo olupheleleyo, oluquka:

• Uvavanyo lonyango: Ukuchaza ngokweenkcukacha uhlobo kunye nohlobo lokuxhuzula.
• I-Electroencephalogram (EEG): Ukubeka iliso kumsebenzi wobuchopho ukukhomba imvelaphi yokuxhuzula.
• Ukujonga umfanekiso weMagnetic Resonance (MRI): Ukuchonga iziphene kulwakhiwo.
• Umfanekiso oSebenzayo: Ukuvavanya ukusebenza kwengqondo kunye nokwenza imephu yeendawo ezibalulekileyo.
• Uvavanyo lweNeuropsychological: Ukuvavanya umsebenzi wokuqonda ukuqinisekisa ukhuseleko lwesigulane ngexesha lotyando.

Intlanganiso yeBhodi ye-Epilepsy: Olu vavanyo lungentla luxoxwa ngokweenkcukacha kwintlanganiso ye-epilepsy, apho oogqirha be-neurosurgery, iingcali ze-neurologists, iingcali ze-neuroradiologists, iingcali ze-neuropsychiatrists kunye neengcali ze-neuropathologists zihlala kunye ukuze zigqibe ukuba utyando lungaba luncedo na kwisigulana.

Indlela Yokujonga Isigulana: Impilo-ntle yesigulana nosapho yeyona nto iphambili kuthi. Sithetha ngokukhululekileyo, siphendula imibuzo yakho kwaye sijongana neengxaki zakho. Siqinisekisa ukuba uyiqonda kakuhle imeko yakho, iindlela zonyango kunye neziphumo ezilindelekileyo.

Ukuchacha kunye nokuvuselelwa: Unyango lwethu emva kotyando lubandakanya izicwangciso zokuchacha ezenzelwe wena kunye nokuvuselelwa ukuze kukuncede ufumane amandla kunye nokuzimela.

Kwi-APCC, utyando lokuxhuzula lubonisa ukuzibophelela kwethu ekuphuculeni ubomi. Fumana izakhono zobuchule, ukhathalelo lomntu, kunye nesiqabu esihlala sihleli.