Mitundu Yakuwonongeka Kwa Khunyu Kwa Focal

Zamkati

• Kodi mitundu yakugwa koyamba ndi iti?
• Kuyamba kwadzidzidzi kumazindikira
• Kuyamba kuwonongeka koyambitsa chidwi
• Kugwidwa koyambirira komwe kumayambiranso
• Zizindikiro za kugwidwa koyambira
• Mu lobe yakanthawi
• Kutsogolo kwam'mbali
• Mu lobe ya parietal
• Mu lobe ya occipital
• Kodi ndi zifukwa ziti zomwe zingayambitse kugwidwa koyambira?
• Kodi madokotala amazindikira bwanji kuti agwidwa koyamba?
• Kuyesa kwakuthupi
• Mayeso ozindikira
• Kodi kugwidwa koyambira kumayambitsidwa bwanji?
• Mankhwala
• Opaleshoni
• Zipangizo
• Thandizo la zakudya
• Nthawi yoti muyitane dokotala wanu

Kodi kugwidwa koyambira ndi kotani?

Kugwidwa koyambirira ndi kugwidwa komwe kumayambira m'dera limodzi la ubongo. Nthawi zambiri samatha mphindi ziwiri. Kugwidwa koyambirira kumakhala kosiyana ndi kugwidwa komwe kumachitika, komwe kumakhudza magawo onse aubongo.

Madokotala ankakonda kunena kuti kugwidwa koyambira kumakhala kochepa. Koma mu Epulo 2017, International League Against Epilepsy idatulutsa zigawo zatsopano zomwe zidasintha dzinali kuchoka pamagulu pang'ono ndikukhala koyambira.

Kodi mitundu yakugwa koyamba ndi iti?

Malinga ndi a Johns Hopkins Medicine, pali mitundu itatu yakugwa koyamba. Kudziwa mtundu womwe munthu amakhala nako kulandidwa kumathandiza dokotala kudziwa chithandizo chabwino kwambiri.

Kuyamba kwadzidzidzi kumazindikira

Kugwidwa kumeneku kale kumadziwika kuti kugwidwa pang'ono pang'ono kapena kulandidwa kwapadera osataya chidziwitso. Munthu amene ali ndi matendawa amataya nthawi yolanda. Komabe, kutengera gawo laubongo lomwe lakhudzidwa, atha kusintha mawonekedwe, mayendedwe amthupi, kapena masomphenya.

Kugonjetsedwa kwa Jacksonia, kapena ma Jacksonia, ndi mtundu wa kulanda koyambirira komwe kumakhudza mbali imodzi yokha ya thupi. Kugwedeza nthawi zambiri kumayambira gawo limodzi laling'ono la thupi, monga chala, chala, kapena ngodya pakamwa, komanso "kuguba" kumadera ena a thupi. Munthuyo amadziwa pamene Jacksonian akugwidwa ndipo mwina sangadziwe kuti kugwidwa kukuchitika.

Kuyamba kuwonongeka koyambitsa chidwi

Kugwidwa kumeneku kale kunkadziwika kuti kugwidwa kovuta pang'ono kapena kugwidwa kwapadera. Panthawi yolanda motere, munthu amadzimva kuti wataya chidziwitso kapena kusintha kwamalingaliro. Sadzadziwa kuti adalanda, ndipo atha kusiya kuyankha kumalo awo.

Nthawi zina, machitidwe a munthu akhoza kulakwitsa chifukwa chosamvera kapena kunyalanyaza ena pomwe akukomoka.

Kugwidwa koyambirira komwe kumayambiranso

Kugwidwa kumeneku kumatha kuyamba mbali imodzi yaubongo kenako nkufalikira mbali zina. Madokotala ena amaganiza kuti kulandidwa kwapadera ndi aura kapena chenjezo la kulanda komwe kukubwera.

Kugwidwa kumeneku kumayambira gawo limodzi lokha laubongo, koma nkuyamba kufalikira. Zotsatira zake, munthuyo amatha kukhala ndi nkhawa, kupindika kwa minofu, kapena kamvekedwe ka minofu.

Zizindikiro za kugwidwa koyambira

Zizindikiro za kulanda koyambira, zilizonse, zimadalira dera laubongo lomwe lakhudzidwa. Madokotala amagawa ubongo kukhala lobes kapena zigawo. Iliyonse ili ndi ntchito zosiyanasiyana zomwe zimasokonezedwa panthawi yomwe wagwidwa.

Mu lobe yakanthawi

Ngati kufooka kwakanthawi kumakhudzidwa pakugwidwa, kumatha kuyambitsa:

• akumwetulira milomo
• kumeza mobwerezabwereza
• kutafuna
• mantha
• déjà vu

Kutsogolo kwam'mbali

Kugwidwa kwa lobe kutsogolo kumatha kuyambitsa:

• kuvuta kuyankhula
• mutu ndi mbali kapena kuyenda kwa diso
• kutambasula manja pamalo achilendo
• kugwedezeka mobwerezabwereza

Mu lobe ya parietal

Munthu amene ali ndi vuto lolanda parietal lobe atha kukumana ndi izi:

• dzanzi, kumva kulasalasa, kapena ngakhale kupweteka m'thupi
• chizungulire
• masomphenya amasintha
• kumverera ngati kuti matupi awo si awo

Mu lobe ya occipital

Kugwidwa kwapadera mu lobe ya occipital kumatha kuyambitsa:

• kusintha kwamaso ndikumva kupweteka kwa diso
• kumverera ngati kuti maso akuyenda mofulumira
• kuwona zinthu zomwe palibe
• zikope zamaso

Kodi ndi zifukwa ziti zomwe zingayambitse kugwidwa koyambira?

Anthu omwe adachitapo zovulala muubongo m'mbuyomu ali pachiwopsezo chachikulu chogwidwa koyambirira. Zina mwaziwopsezo zowononga izi ndi mbiri ya:

• matenda aubongo
• chotupa muubongo
• sitiroko

Ukalamba ungakhalenso chiopsezo. Anthu ali ndi mwayi wogwidwa adakali ana kapena atakwanitsa zaka 60, malinga ndi Mayo Clinic. Komabe, ndizotheka kuti munthu sangakhale ndi zoopsa koma nkukhalabe ndi vuto loyambilira.

Kodi madokotala amazindikira bwanji kuti agwidwa koyamba?

Kuyesa kwakuthupi

Dokotala ayamba kufunsa za mbiri yanu yazachipatala ndikuwunika. Nthawi zina dokotala amakupangitsani matendawa kutengera malongosoledwe anu. Komabe, kugwidwa koyambira kumatha kuyambitsa zizindikilo zomwe ndizofanana ndi zina. Zitsanzo za izi ndi monga:

• matenda amisala
• migraine mutu
• mitsempha yotsinidwa
• kuopsa kwa ischemic attack (TIA), chomwe ndi chizindikiro chochenjeza za sitiroko

Dokotala amayesa kuthana ndi zovuta zina posankha ngati matenda anu atanthauza kuti mukumva kuwawa.

Mayeso ozindikira

Dokotala amathanso kugwiritsa ntchito mayeso a matenda kuti adziwe ngati munthu angakhale akugwa. Zitsanzo za mayeserowa ndi monga:

Electroencephalogram (EEG): Mayesowa amayesa ndikupeza dera lamagetsi omwe ali ndi vuto muubongo. Komabe, chifukwa munthu amene amadwaladwala mwina samakhala ndi zovuta zamagetsi, mayesowa sangazindikire mtundu wa kulandaku pokhapokha atapanganso zambiri.

Kujambula kwamaginito (MRI) kapena kompyuta tomography (CT): Kafukufukuyu amatha kuthandiza dokotala kuzindikira zomwe zingayambitse zovuta zomwe zimayambitsidwa ndi zomwe zimayambitsa kugwidwa.

Kodi kugwidwa koyambira kumayambitsidwa bwanji?

Kugwidwa kwapadera kumatha kupitilira kwa mphindi, maola, kapena nthawi zina, masiku. Akachedwa, kumakhala kovuta kuti asiye. Zikatero, pamafunika chithandizo chamankhwala mwachangu ndipo mankhwala a IV amagwiritsidwa ntchito poletsa kulanda. Madokotala adzaganiziranso zoletsa kugwidwa kuti kusadzachitikenso.

Zitsanzo za mankhwala okhudzidwa ndi awa:

Mankhwala

Mankhwala ochepetsa mphamvu amatha kumwa okha kapena kuphatikiza kuti muchepetse kugwidwa. Zitsanzo za mankhwalawa ndi monga lamotrigine (Lamictal) ndi carbamazepine (Tegretol).

Opaleshoni

Chifukwa chakuti kugwidwa koyambirira kumachitika m'dera limodzi laubongo, adotolo angavomereze kuchitidwa opaleshoni kuti achotse malowo kuti achepetse kugwidwa. Izi zimachitika nthawi zambiri ngati odwala amafunikira mankhwala angapo kuti athe kuwongolera kapena ngati mankhwalawo alibe mphamvu kapena zovuta zina. Ngakhale opaleshoni yaubongo nthawi zonse imabweretsa zoopsa, madotolo anu amatha kukuchiritsani khunyu ngati angazindikire gwero limodzi lokhalokha. Komabe, mbali zina za ubongo sizingachotsedwe.

Zipangizo

Chida chotchedwa vagus nerve stimulator chitha kukhazikitsidwa kuti chitha kutumiza mphamvu zamagetsi kuubongo. Izi zitha kuthandiza kuchepetsa kukomoka. Komabe, anthu ena adzafunikirabe kumwa mankhwala awo opatsirana ngakhale ndi chipangizocho.

Thandizo la zakudya

Anthu ena omwe ali ndi khunyu pang'ono apeza bwino pachakudya chapadera chotchedwa ketogenic. Zakudya izi zimaphatikizapo kudya chakudya chochepa komanso mafuta ambiri. Komabe, chikhalidwe choletsa kudya chingapangitse kuti zikhale zovuta kutsatira, makamaka kwa ana aang'ono.

Dokotala angalimbikitse kugwiritsa ntchito mankhwala onsewa kapena kuphatikiza kwa iwo ngati njira yothandizira kutha kwadzidzidzi.

Nthawi yoti muyitane dokotala wanu

Kungakhale kovuta kuti munthu azindikire akayamba kugwidwa, kutengera matenda ake. Ngati munthu wataya chidziwitso, kapena ngati abwenzi ndi abale akuwawuza kuti nthawi zambiri amangoyang'anitsitsa kapena amawoneka ngati sakumvera, izi zitha kukhala zizindikilo zoti munthu akuyenera kupita kuchipatala. Komanso, ngati kugwidwa kumatha mphindi zoposa 5, ndi nthawi yoti muyimbire dokotala kapena mupite kuchipinda chadzidzidzi.

Mpaka pomwe munthu adzaonana ndi dokotala, ayenera kulemba zolemba zawo komanso kuti azikhala nthawi yayitali bwanji kuti amuthandize adotolo kuti adziwe momwe angagwere.