Kubagwa kubagwa indwara y'igicuri? Impamvu, uburyo n'ibisubizo

Kubagwa indwara y'igicuri ni uburyo bwa muganga bukura cyangwa bugatandukanya igice cy'ubwonko bwawe aho ibyuririzi bitangirira. Byateguriwe abantu ibyuririzi byabo bititabira imiti neza kandi bigira ingaruka zikomeye ku buzima bwabo bwa buri munsi.

Ubu bwoko bwo kubagwa burashobora guhindura ubuzima ku bantu bakwiriye. Iyo ibyuririzi bituruka mu gice cyihariye cy'ubwonko gishobora gukurwaho mu buryo bwizewe, kubagwa bitanga icyizere cyo kubohoka ku byuririzi cyangwa kugabanya cyane inshuro zo kubyuririza.

Kubagwa indwara y'igicuri ni iki?

Kubagwa indwara y'igicuri bikubiyemo gukuraho cyangwa guhindura imitsi y'ubwonko kugirango uhagarike cyangwa ugabanye ibyuririzi. Intego ni ugukuraho aho ibyuririzi bitangirira mugihe urinda imikorere isanzwe y'ubwonko bwawe.

Hariho ubwoko butandukanye bwo kubagwa indwara y'igicuri, buri kimwe gikorwa hakurikijwe uko ubuzima bwawe bumeze. Uburyo busanzwe bukoreshwa ni ugukuraho agace gato k'imitsi y'ubwonko aho ibyuririzi bitangirira. Ubundi buryo butandukanye butandukanya inzira zituma ibyuririzi bikwirakwira mu bwonko hose.

Umuvuzi w'imitsi y'ubwonko azahitamo uburyo bwiza bushingiye aho ibyuririzi byawe bitangirira, uko bikwirakwira, n'imikorere y'ubwonko ikeneye kurengerwa. Uburyo bwa none bwo kubaga bukoresha amashusho yateye imbere no gukurikirana kugirango ibi bikorwa bikorwe mu buryo bwizewe kandi neza.

Kuki kubagwa indwara y'igicuri bikorwa?

Kubagwa indwara y'igicuri byemezwa iyo ibyuririzi bikomeje nubwo wagerageje imiti myinshi irwanya ibyuririzi. Iyi ndwara yitwa indwara y'igicuri idakira imiti, kandi ifata hafi kimwe cya gatatu cy'abantu bafite indwara y'igicuri.

Umutuzo wo kubagwa uterwa n'ibintu byinshi. Ibyuririzi byawe bigomba kugira ingaruka zikomeye ku mibereho yawe, umutekano wawe, cyangwa ubushobozi bwo gukora no gukomeza umubano. Ibyuririzi bigomba guturuka mu gice cyihariye cy'ubwonko gishobora gukurwaho mu buryo bwizewe hatabangamiye imikorere y'ingenzi nko kuvuga, kugenda, cyangwa kwibuka.

Kubagwa imitsi birahinduka iby'ingenzi cyane iyo ibyuririzi bigushyira mu kaga ko gukomereka cyangwa urupfu rutunguranye rutegerejwe mu ndwara y'igicuri (SUDEP). Niba ibyuririzi byawe bitera kugwa kenshi, gushya, cyangwa impanuka, kubagwa imitsi bishobora gutanga uburinzi buruta kugerageza imiti ikomeje.

Abantu bamwe kandi batekereza kubagwa imitsi kugira ngo bagabanye ingaruka zirambye z'ibyuririzi bikunze kubaho ku mikorere y'ubwonko n'imibereho myiza y'amarangamutima. Kubana n'ibyuririzi bitagendeshwa bishobora kugira ingaruka ku kwigenga kwawe, umubano wawe, n'ubuzima bwo mu mutwe mu buryo kubagwa imitsi kwagize umusaruro gushobora gufasha gusubiza.

Ni iki gikorerwa kubagwa imitsi y'igicuri?

Uburyo bwo kubaga butangirana no kugerageza mbere yo kubaga kugira ngo hashyirweho imiterere y'ubwonko bwawe no gushaka aho ibyuririzi bituruka. Iki gice cyo gusuzuma gikunze gufata ibyumweru byinshi kandi kigashyiramo ibizamini byinshi n'ibiganiro.

Mugihe cyo gusuzuma mbere yo kubagwa, uzakorwa isuzuma ryimbitse ry'ubwonko. Ibi bishobora kuba harimo isesengura rya MRI rifite ubushobozi bwo hejuru, isesengura rya PET, no gukurikiranira hafi EEG byihariye bishobora kumara iminsi myinshi. Abantu bamwe bakeneye gukurikiranira hafi hakoreshejwe ibikoresho bishyirwa mu bwonko cyangwa mu bwonko kugira ngo hamenyekane neza aho ibyuririzi biherereye.

K'umunsi wo kubagwa, uzahabwa anesthesia rusange kubikorwa byinshi. Ariko, kubagwa imitsi kumwe gusaba ko uba maso mu bice bimwe kugirango umuganga abashe gupima imikorere y'ubwonko nk'ijambo n'imigendekere. Ibi bishobora kumvikana biteye ubwoba, ariko ubwonko ubwabwo ntibwumva ububabare, kandi uzahabwa imiti kugirango ugume wumva neza.

Uburyo nyabwo bwo kubaga butandukanye bitewe n'ubwoko bwo kubagwa ukeneye:

• Gukuraho igice cy'urugingo rw'ubwonko rwitwa temporal lobectomy bikuraho igice cy'urugingo rw'ubwonko rwitwa temporal lobe, akenshi hakubiyemo na hippocampus
• Lesionectomy ikuraho ahantu hadasanzwe nk'impyisi cyangwa igikomere
• Hemispherectomy itandukanya cyangwa ikuraho igice kimwe cy'ubwonko mu gihe kitoroshye
• Corpus callosotomy icamo urugingo ruhuza ibice byombi by'ubwonko
• Multiple subpial transection ikora udushyashya duto kugira ngo ihagarike ikwirakwira ry'ibibazo byo mu bwonko

Kubagwa bikunze kumara amasaha 2 kugeza kuri 6, bitewe n'uburyo bigoye. Itsinda ry'abaganga bakubaga harimo abaganga babaga mu bwonko, abaganga b'indwara zo mu bwonko, abaganga b'ibitotsi, n'abaforomo b'inzobere bakurikirana imikorere y'ubwonko bwawe mu gihe cyose cyo kubagwa.

Ni gute witegura kubagwa indwara yo mu bwonko?

Kwitegura kubagwa indwara yo mu bwonko bikubiyemo kwitegura mu buryo bw'umubiri no mu byiyumvo mu byumweru cyangwa amezi menshi. Itsinda ry'abaganga bawe bazakuyobora mu ntambwe zose kugira ngo wemeze ko witeguye kubagwa.

Icya mbere, urarangiza ibizamini byose byo mbere yo kubagwa n'isuzuma. Ibi bikubiyemo ibizamini by'amaraso, ibizamini by'umutima, ndetse n'ibishobora kuba ishusho y'ubwonko. Uzahura n'inzobere zitandukanye zirimo umuganga ubaga mu bwonko, umuganga w'indwara zo mu bwonko, umuganga w'indwara zo mu mutwe, rimwe na rimwe umuganga w'indwara zo mu mutwe cyangwa umukozi ushinzwe imibereho myiza y'abaturage.

Igihe cyo gufata imiti yawe kigomba guhindurwa mbere yo kubagwa. Muganga wawe azatanga amabwiriza yihariye yerekeye imiti ugomba gukomeza gufata, guhagarika, cyangwa guhindura. Ntukigere uhindura imiti yawe yo gufata indwara yo mu bwonko utabifashijwemo n'abaganga, kuko ibi bishobora gutera ibibazo byinshi byo mu bwonko.

Kwitegura mu buryo bw'umubiri bikubiyemo kugira ubuzima bwiza muri rusange mu byumweru mbere yo kubagwa. Gusinzira bihagije, kurya neza, no kunywa amazi menshi bifasha umubiri wawe guhangana n'umunaniro wo kubagwa no gukira. Niba unywa itabi, muganga wawe azagusaba cyane kubireka mu byumweru mbere yo kubagwa.

Kwitegura mu buryo bw'amarangamutima na byo ni ingenzi. Tekereza kuvugana n'umujyanama, kwifatanya mu itsinda rishyigikira, cyangwa guhura n'abandi bagiye babagwa nk'uko. Kugira ibyiringiro bifatika ku bijyanye n'inzira yo gukira n'ingaruka zishoboka bifasha kugabanya impungenge.

Imyiteguro ifatika irimo gutegura igihe cyo kuruhuka ku kazi, gutegura ubufasha mu rugo, no gutegura aho uzaba uri mu gihe cyo gukira. Uzaba ukeneye umuntu uzakujyana mu bitaro no kugufasha mu bikorwa bya buri munsi mu byumweru byinshi nyuma yo kubagwa.

Ni gute usoma ibisubizo byo kubagwa indwara y'igicuri?

Ibisubizo byo kubagwa indwara y'igicuri bisanzwe bipimwa hakoreshejwe ibisubizo by'ibitero by'indwara y'igicuri, bikaba byarashyizwe mu byiciro hakoreshejwe ingero zihuriweho. Uburyo busanzwe bukoreshwa bugabanya ibisubizo mu byiciro bishingiye ku kenshi ry'ibitero by'indwara y'igicuri n'uburemere bwabyo nyuma yo kubagwa.

Icyiciro cya I cy'isubizo bivuze ko udafite ibitero by'indwara y'igicuri cyangwa ufite ibitero byoroheje gusa bitagira ubwaku. Ibi bifatwa nk'isubizo ryiza cyane kandi bibaho ku bantu bagera kuri 60-70% babazwe mu gice cy'ubwonko cyitwa temporal lobe. Icyiciro cya II bivuze ko ufite ibitero by'indwara y'igicuri bidasanzwe, bitarenze iminsi 3 y'ibitero ku mwaka.

Icyiciro cya III kigaragaza iterambere ryiza hamwe no kugabanuka kw'ibitero by'indwara y'igicuri ariko hakaba n'ibitero bimwe na bimwe bibuza umuntu gukora. Icyiciro cya IV bivuze ko nta terambere rirambye mu kugenzura ibitero by'indwara y'igicuri. Muganga wawe azasuzuma ibisubizo byawe nyuma y'amezi 6, umwaka 1, n'imyaka 2 nyuma yo kubagwa, kuko imiterere y'ibitero by'indwara y'igicuri ishobora gukomeza kuzamuka uko igihe kigenda.

Usibye kugenzura ibitero by'indwara y'igicuri, intsinzi irimo kandi iterambere mu mibereho myiza, ubushobozi bwo gukora, gutwara imodoka, no kugumana umubano. Abantu bamwe barushaho kugira imitekerereze myiza, kwigenga kurushaho, no kugabanya ingaruka ziterwa n'imiti n'ubwo bataba badafite ibitero by'indwara y'igicuri rwose.

Urwibutso n'imikorere y'ubwenge na byo biragenzurwa neza nyuma yo kubagwa. Nubwo abantu bamwe bahura n'impinduka nto mu rwibutso, benshi basanga imikorere yabo y'ubwenge yose irushaho gutera imbere uko ibitero by'indwara y'igicuri bigenda bigenzurwa kandi imiti igabanywa.

Ni gute wakwongera imikoreshereze y'ubuzima nyuma yo kubagwa indwara y'igicuri?

Kuvurwa indwara y'igicuri hakoreshejwe kubaga birimo igihe cyo gukira vuba ndetse n'imihindukire y'igihe kirekire kugira ngo wongere intsinzi yawe mu kubagwa. Ubu buryo busanzwe bufata amezi menshi, hamwe n'imivugururire ikomeje ishoboka kugeza ku myaka ibiri.

Mu byumweru bike bya mbere nyuma yo kubagwa, jya wibanda ku kuruhuka no gukora ibikorwa byoroheje. Ubwonko bwawe bukenera igihe cyo gukira, kandi gukora cyane vuba bishobora kubangamira gukira. Kurikiza amabwiriza yihariye ya muganga wawe yerekeye ibikorwa bigomba kugabanywa, kwita ku gikomere, n'igihe cyo gusubira mu bikorwa bisanzwe.

Imicungire y'imiti iba ingenzi mugihe cyo gukira. Muganga wawe ashobora kugukoresha imiti igabanya ibyago byo gufatwa n'igicuri byibuze imyaka ibiri nyuma yo kubagwa, kabone n'iyo utagifashwe. Ntukigere uhagarika cyangwa ngo ugabanye imiti utabiherewe uburenganzira na muganga, kuko ibi bishobora gutera gufatwa n'igicuri mugihe cyo gukira.

Uburyo bwo gusinzira bugira uruhare runini mugukira no kugenzura gufatwa n'igicuri. Gira gahunda isanzwe yo gusinzira, shaka ahantu ho kuruhukira, kandi uvugane n'ikipe yawe y'abaganga kubyerekeye ibibazo byose byo gusinzira. Gusinzira nabi bishobora gutera gufatwa n'igicuri kabone n'iyo kubagwa kwagenze neza.

Imicungire y'umunaniro no gushyigikirwa mu byiyumvo bigira uruhare runini mugukira. Tekereza ku kuganirizwa, amatsinda ashyigikira, cyangwa uburyo bwo kugabanya umunaniro nk'ukwitekereza cyangwa imyitozo yoroheje. Abantu bamwe bahura n'imihindukire y'ibyiyumvo uko bahinduka kugira ubuzima bufite imikoreshereze myiza yo kugenzura gufatwa n'igicuri.

Ibiganiro bisanzwe byo gukurikiranira hafi ni ingenzi kugira ngo ukurikirane iterambere ryawe kandi ukore impinduka zose zikenewe kuri gahunda yawe yo kuvurwa. Ikipe yawe izakurikirana uburyo bwo gufatwa n'igicuri, urwego rw'imiti, n'imibereho yawe muri rusange kugira ngo yemeze umusaruro mwiza ushoboka.

Ni ibihe bintu bitera ibyago byo kugira ibibazo nyuma yo kubagwa indwara y'igicuri?

Ibintu byinshi bishobora kugira uruhare mu byago byawe byo kugira ibibazo nyuma yo kubagwa indwara y'igicuri. Kubisobanukirwa bifasha wowe n'ikipe yawe y'abaganga gufata ibyemezo bifitiye akamaro niba kubagwa bikwiriye kuri wowe.

Aho ikibazo cyo gufatwa n'indwara yo gufatwa n'urugingo cyagaragariye bifite uruhare runini mu kumenya ibyago. Kubaga hafi y'uturere tw'ubwonko tw'ingenzi nk'ibice by'ijambo, ibice by'imikorere, cyangwa ibice by'urwibutso bitera ibyago byinshi byo guhinduka kw'imikorere. Ariko, uburyo bwo kubaga bugezweho no gushushanya ubwonko byatumye ubu buryo bukoreshwa neza cyane kurusha mbere.

Imyaka yawe ishobora kugira uruhare mu byago byo kubagwa n'ingaruka zabyo. Abana akenshi bagira ibisubizo byiza kandi bagakira vuba, naho abantu bakuze bashobora kugira ibyago byinshi ariko baracyungukira cyane mu kubagwa. Imiterere y'ubuzima bwawe muri rusange, harimo umutima, ibihaha, n'imikorere y'impyiko, nayo igira uruhare mu byago byo kubagwa.

Ubwoko n'urugero rw'ubusanzwe bw'ubwonko bigira uruhare mu kugorana n'ibyago. Gukuraho ikibazo kimwe, cyasobanuwe neza akenshi bitera ibyago bike kurusha uburyo bwo kubaga burambuye. Kubagwa ubwonko mbere cyangwa gukomeretsa bikomeye bishobora kongera imbogamizi z'ikoranabuhanga.

Ibintu bidasanzwe ariko bikomeye by'ibyago birimo:

• Indwara zituma amaraso ava cyangwa gukoresha imiti ituma amaraso atavura
• Indwara zikora cyangwa imikorere y'umubiri idahagije
• Indwara zikomeye zo mu mutwe zishobora kugorana mu gukira
• Indwara nyinshi z'ubuvuzi zongera ibyago byo gukoresha imiti yo gutera urugingo
• Ibyiringiro bidahwitse ku ngaruka zo kubagwa

Itsinda ryawe ry'abaganga bazasuzuma neza ibi bintu byose mugihe cyo gusuzuma mbere yo kubagwa. Bazaganira ku byago byawe byihariye kandi bagufashe gusobanukirwa uburyo ibi bintu bireba imiterere yawe yihariye.

Ese kubaga indwara yo gufatwa n'urugingo biruta gukomeza kuvurwa n'imiti?

Kubantu bafite indwara yo gufatwa n'urugingo itavurwa n'imiti, kubagwa akenshi bitanga uburyo bwo kugenzura indwara yo gufatwa n'urugingo kurusha gukomeza kugerageza imiti. Ariko, icyemezo gishingiye ku miterere yawe yihariye n'amahirwe yo gutsinda mu kubagwa.

Ubushakashatsi bwerekana ko abarwayi bakwiriye kubagwa bafite amahirwe ya 60-80% yo kutongera kugira ibibazo byo gufatwa, ugereranije n'amahirwe atageze kuri 5% yo gukoresha imiti gusa. Kubagwa kandi bitanga amahirwe yo kugabanya imiti, ibyo bikaba byateza imbere imibereho myiza yo kugabanya ingaruka ziterwa n'imiti.

Igihe cyo kubagwa ni ingenzi cyane. Kubagwa hakiri kare, igihe bikwiriye, akenshi bitanga umusaruro mwiza kandi bikakumira kwiyongera kw'imvune ziterwa no gufatwa n'indwara ndetse n'ibibazo byo mu mutwe. Gutinda cyane bishobora gutuma ubwonko buhinduka cyane kandi bigatuma amahirwe yo kubagwa neza agabanuka.

Ariko, kubagwa ntibiba byiza kuri buri wese. Abantu bamwe bafite ibibazo byo gufatwa bitakwiriye kuvurwa no kubagwa, haba kubera ko biva mu duce twinshi tw'ubwonko cyangwa bikaba bikubiyemo uturere tw'ubwonko tw'ingenzi tutashobora gukurwaho mu buryo bwizewe. Abandi bashobora guhitamo gukomeza kugerageza imiti niba ibibazo byabo byo gufatwa bidakunze kubaho cyangwa bikaba byoroheje.

Icyemezo kandi kigomba gushingira ku gupima ibyago n'inyungu bitewe n'intego zawe mu buzima, uko umuryango wawe umeze, n'indangagaciro zawe bwite. Abantu bamwe bashyira imbere amahirwe yo kutongera gufatwa, mu gihe abandi bahangayikishijwe cyane n'ibyago bishobora guterwa no kubagwa cyangwa impinduka mu mikorere y'ubwonko.

Ni izihe ngaruka zishobora guterwa no kubagwa indwara yo gufatwa?

Kimwe n'ubundi bwoko bwose bwo kubagwa ubwonko, kubagwa indwara yo gufatwa bifite ibyago n'ingaruka bishobora guterwa. Ariko, ingaruka zikomeye ni gake zibaho, kandi umubare w'ibyago n'inyungu muri rusange ni mwiza ku bakandida bakwiriye.

Ingaruka zisanzwe, akenshi zibaho igihe gito zirimo kubabara umutwe, kunanirwa, no kuvurungana gake mu minsi ikurikira kubagwa. Abantu bamwe bahura n'intege nke z'igihe gito, ingorane zo kuvuga, cyangwa ibibazo byo kwibuka akenshi bikagenda neza mu byumweru cyangwa amezi ubwonko bukora neza.

Ingaruka zikomeye ariko zitabaho kenshi zirimo:

• Udukoko mu gice cyabagirijwe cyangwa mu bwonko
• Ukuva amaraso cyangwa ibibumbye by'amaraso
• Umutsi w'ubwonko cyangwa izindi ngorane z'imitsi y'amaraso
• Kugira intege nke cyangwa ingorane zo guhuza ibikorwa
• Ingorane zo kuvuga cyangwa ururimi
• Ingorane zo kwibuka, cyane cyane nyuma yo kubagwa urugingo rw'ubwonko rwa temporal
• Impinduka mu biremwa by'amaso
• Impinduka mu myifatire cyangwa imiterere y'umuntu

Ingorane zitajegajega ariko zikomeye zirimo ukuva amaraso menshi, umutsi w'ubwonko ukomeye, cyangwa indwara yica. Ibi bibaho ku bantu batarenze 1-2% mu bigo by'indwara ya epilepsi bafite ubunararibonye. Ibyago byo gupfa biturutse ku kubagwa epilepsi ni bike cyane, akenshi bitarenze 0.5%.

Abantu bamwe bahura no kutagira ubushobozi bwo kugenzura ibitero cyangwa gusubira inyuma kw'ibitero nyuma y'igihe cyambere kitarimo ibitero. Ibi ntibisobanura ko kubagwa byananiranye, kuko guhinduka gake bishobora gufasha cyane mu buzima.

Itsinda ry'abaganga bazakubwira ibyerekeye ibyago byihariye byawe bitewe n'ubwoko bw'ubuganga buteganyijwe n'ibintu byawe bwite. Bazagufasha gusobanukirwa uburyo ibi byago rusange bireba uko ubuzima bwawe bumeze n'intambwe bafata kugira ngo bagabanye ingorane.

Ni ryari nkwiriye kubonana na muganga ku bijyanye no kubagwa epilepsi?

Ukwiye kuganira ku bijyanye no kubagwa epilepsi na muganga wawe w'imitsi iyo ibitero byawe bikomeje nubwo wagerageje imiti myinshi igabanya ibitero. Muri rusange, niba wagerageje imiti 2-3 ikwiriye utagize ubushobozi bwo kugenzura ibitero, ushobora kuba ukwiriye gusuzumwa kugira ngo ubazwe.

Tekereza ku kubazwa niba ibitero byawe bigira ingaruka zikomeye ku buzima bwawe bwa buri munsi, akazi, umubano, cyangwa ubwigenge. Ibi birimo ibitero bitera imvune zikunze, bikubuza gutwara imodoka, cyangwa bikubuza ubushobozi bwo kubaho wigenga cyangwa gukomeza akazi.

Igihe ni ingenzi mu kohereza abarwayi kubagwa. Ntukategereze kugeza igihe ibitero byateye imvune nyinshi mu buzima cyangwa imvune. Gusuzumwa hakiri kare bitanga umwanya wo gukora ibizamini n'imigambi yuzuye, kandi kubagwa hakiri kare akenshi bitanga ibisubizo byiza.

Ibyo byihutirwa kuganira ku kubagwa harimo:

• Udukorwa tw'ubwonko tuba buri cyumweru cyangwa buri kwezi nubwo umuntu yafata imiti
• Udukorwa tw'ubwonko dutera kugwa, gukomereka, cyangwa impanuka
• Udukorwa tw'ubwonko tubuza umuntu gukora akazi, ishuri, cyangwa imibanire
• Ingaruka ziterwa n'imiti zibangamira imibereho yawe myiza
• Udukorwa tw'ubwonko tuba umuntu asinziriye kandi bikabangamira kuruhuka
• Ubwoko ubwo aribwo bwose bw'udukorwa tw'ubwonko bubuza umuntu kwigenga cyangwa umutekano

Ugomba kandi gushaka inama ku kubagwa niba ufite ikibazo mu bwonko gishobora gutera udukorwa tw'ubwonko, nubwo udukorwa twawe twaba tuyoborwa n'imiti. Rimwe na rimwe gukuraho icyo kibazo bishobora gutuma ugabanya cyangwa ukareka imiti.

Wibuke ko kugenzura niba wakorwa kubagwa ntibigutera kubagwa. Uburyo bwo kugenzura bufasha kumenya niba uri umuntu ukwiriye kandi butanga amakuru yo kugufasha gufata icyemezo gifitiye inyungu ku buryo bwo kuvura.

Ibikunze kubazwa ku kubagwa indwara y'igicuri

Icy'1: Ese kubagwa indwara y'igicuri bifitiye akamaro ubwoko bwose bw'udukorwa tw'ubwonko?

Kubagwa indwara y'igicuri bikora neza ku dukorwa tw'ubwonko dutangirira ahantu hamwe mu bwonko. Abantu bagera kuri 60-80% bafite indwara y'igicuri itangirira mu gice cy'ubwonko cyitwa temporal lobe bagira ubuzima butagira udukorwa tw'ubwonko nyuma yo kubagwa. Kubagwa ntigukora neza ku dukorwa tw'ubwonko twose dutangirira mu bwonko hose, nubwo uburyo bumwe na bumwe nka corpus callosotomy bushobora gufasha kugabanya ubukana bw'udukorwa tw'ubwonko mu bihe byihariye.

Icy'2: Ese kubagwa indwara y'igicuri bisobanura ko ntazongera kugira udukorwa tw'ubwonko?

Nubwo abantu benshi bagira ubuzima butagira udukorwa tw'ubwonko nyuma yo kubagwa, ntibishoboka kuri buri wese. Abantu bagera kuri 60-70% bakorwa mu gice cy'ubwonko cyitwa temporal lobe bagira ubuzima butagira udukorwa tw'ubwonko, mu gihe abandi bagabanya cyane udukorwa tw'ubwonko. Niyo utagize ubuzima butagira udukorwa tw'ubwonko, kubagwa akenshi bishobora kugabanya inshuro n'ubukana bw'udukorwa tw'ubwonko bihagije kugirango byongere cyane imibereho yawe myiza.

Icy'3: Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa indwara y'igicuri?

Kugaruka mu buryo busanzwe bisaba ibyumweru 4-6, muri icyo gihe uzakenera kugabanya ibikorwa kandi wirinde gutwara imodoka. Kugaruka neza mu buryo busanzwe bishobora gufata amezi 3-6, n'ibindi bikomeza kuzamuka mu myaka ibiri. Abantu benshi bashobora gusubira mu kazi mu byumweru 6-12, bitewe n'ibisabwa by'akazi kabo n'imikurire yabo.

Q4: Ese nzakomeza gufata imiti ivura ibibazo byo gufatwa nyuma yo kubagwa?

Abantu benshi bakomeza gufata imiti ivura ibibazo byo gufatwa byibura imyaka ibiri nyuma yo kubagwa, kabone n'iyo batagifite ibyo bibazo. Ibi bifasha kwirinda gufatwa mu gihe cyo gukira kandi bitanga umwanya wo kumenya intsinzi y'igihe kirekire cyo kubagwa. Niba utakigaragara ibibazo byo gufatwa, muganga wawe ashobora kugabanya buhoro buhoro imiti, nubwo abantu bamwe bahitamo kuguma ku gipimo gito kugira ngo bagire umutekano wihariye.

Q5: Ese kubagwa indwara ya epilepsiya byaba byagira ingaruka ku bwenge bwanjye cyangwa ubushobozi bwo gutekereza?

Impinduka mu bwenge zirashobora kubaho, cyane cyane nyuma yo kubagwa urugingo rw'igihe rureba hippocampe. Ariko, abantu benshi basanga imikorere yabo y'ubwenge yose irushaho gukomera nyuma yo kubagwa bitewe no kugenzura neza ibibazo byo gufatwa no kugabanya ingaruka ziterwa n'imiti. Itsinda ry'abaganga bazakora ibizamini by'ubwonko birambuye mbere na nyuma yo kubagwa kugira ngo bagenzure impinduka zose kandi bagufashe guhinduka niba bibaye ngombwa.