Kuyini Ukuhlinzwa Kwe-Epilepsy? Inhloso, Inqubo & Imiphumela

Ukuhlinzwa kwe-epilepsy kuyinqubo yezokwelapha esusa noma ixhumane ngaphandle kwengxenye yobuchopho bakho lapho izithuthwane ziqala khona. Yenzelwe abantu abanezithuthwane ezingasabeli kahle emithini futhi ezinomthelela omkhulu empilweni yabo yansuku zonke.

Lolu hlobo lokuhlinzwa lungashintsha impilo yabaqokelwe kahle. Lapho izithuthwane ziqhamuka endaweni ethile yobuchopho engasuswa ngokuphephile, ukuhlinzwa kunikeza ithemba lokukhululeka ezithuthwaneni noma ukuncishiswa okukhulu kwemvamisa yezithuthwane.

Kuyini ukuhlinzwa kwe-epilepsy?

Ukuhlinzwa kwe-epilepsy kuhilela ukususa noma ukushintsha izicubu zobuchopho ukuze kumiswe noma kuncishiswe izithuthwane. Umgomo uwukuqeda ukugxila kwezithuthwane ngenkathi kugcinwa ukusebenza kobuchopho bakho obujwayelekile.

Kunezinhlobo eziningana zokuhlinzwa kwe-epilepsy, ngayinye eyenzelwe isimo sakho esithile. Indlela ejwayelekile kakhulu isusa indawo encane yezicubu zobuchopho lapho izithuthwane ziqala khona. Ezinye izinqubo zixhuma ngaphandle izindlela ezivumela izithuthwane ukuthi zisakazeke kuyo yonke ingqondo.

Udkt. wakho ohlinzayo wemithambo yegazi uzokhetha indlela engcono kakhulu ngokusekelwe lapho izithuthwane zakho ziqala khona, ukuthi zisabalala kanjani, nokuthi yimiphi imisebenzi yobuchopho edinga ukuvikelwa. Izindlela zokuhlinza zesimanje zisebenzisa izithombe ezithuthukisiwe nokuqapha ukwenza lezi zinqubo ziphephe futhi zisebenze ngangokunokwenzeka.

Kungani kwenziwa ukuhlinzwa kwe-epilepsy?

Ukuhlinzwa kwe-epilepsy kunconywa lapho izithuthwane ziqhubeka ngaphandle kokuzama imithi eminingi yokulwa nezithuthwane. Lesi simo sibizwa ngokuthi i-drug-resistant epilepsy, futhi sithinta cishe ingxenye eyodwa kwezintathu yabantu abane-epilepsy.

Isinqumo sokuhlinzwa sincike ezintweni eziningana. Izithuthwane zakho kumele zibe nomthelela omkhulu ekhwalithi yakho yempilo, ukuphepha, noma ikhono lokusebenza nokugcina ubudlelwano. Izithuthwane kufanele ziqhamuke endaweni ethile yobuchopho engasuswa ngokuphephile ngaphandle kokuthinta imisebenzi ebalulekile efana nenkulumo, ukunyakaza, noma inkumbulo.

Ukuhlinzwa kubaluleke kakhulu uma ukuquleka kukubeka engozini yokulimala noma ukufa okungalindelekile ngokuzumayo ku-epilepsy (SUDEP). Uma ukuquleka kwakho kubangela ukuwa njalo, ukusha, noma izingozi, ukuhlinzwa kungase kunikeze ukuvikeleka okungcono kunezilingo eziqhubekayo zemithi.

Abanye abantu bacabangela nokuhlinzwa ukunciphisa imiphumela yesikhathi eside yokuquleka okuvamile ekusebenzeni kobuchopho kanye nenhlalakahle engokomzwelo. Ukuphila nokuquleka okungalawuleki kungathinta ukuzimela kwakho, ubudlelwano, nempilo yakho yengqondo ngezindlela ukuhlinzwa okuphumelelayo okungasiza ukukubuyisela.

Yini inqubo yokuhlinzwa kwe-epilepsy?

Inqubo yokuhlinzwa iqala ngokuhlolwa okukhulu ngaphambi kokuhlinzwa ukwenza imephu yobuchopho bakho futhi uthole umthombo wokuquleka. Lesi sigaba sokuhlola ngokuvamile sithatha amasonto amaningana futhi sihlanganisa izivivinyo eziningi nokubonisana.

Ngesikhathi sokuhlolwa ngaphambi kokuhlinzwa, uzokwenza izifundo ezinemininingwane yokucabanga ngobuchopho. Lokhu kungase kuhlanganise ukuskena kwe-MRI okunesixazululo esiphezulu, ukuskena kwe-PET, nokuqapha okukhethekile kwe-EEG okungathatha izinsuku eziningana. Abanye abantu badinga ukuqapha okungahlaseli ngama-electrode abekwe ngqo ebuchosheni noma ngaphakathi ukuze kutholakale indawo eqondile yokuquleka.

Ngosuku lokuhlinzwa, uzothola i-anesthesia ejwayelekile ezinqubweni eziningi. Kodwa-ke, okunye ukuhlinzwa kudinga ukuthi uvuke ezingxenyeni ezithile ukuze udokotela ohlinzayo akwazi ukuhlola imisebenzi yobuchopho efana nenkulumo nokunyakaza. Lokhu kungase kuzwakale kuthusa, kodwa ubuchopho ngokwabo abuzwa ubuhlungu, futhi uzothola imithi yokukugcina ukhululekile.

Inqubo yokuhlinzwa yangempela iyahlukahluka ngokuya ngohlobo lokuhlinzwa oludingayo:

• I-temporal lobectomy isusa ingxenye ye-temporal lobe, ngokuvamile ehlanganisa i-hippocampus
• I-Lesionectomy isusa indawo ethile engavamile efana nomdlavuza noma izicubu ezinamanxeba
• I-Hemispherectomy iqeda noma isuse ingxenye eyodwa yobuchopho ezimweni ezinzima
• I-Corpus callosotomy inquma ukuxhumana phakathi kwezingxenye ezimbili zobuchopho
• I-Multiple subpial transection yenza ukusikeka okuncane ukuphazamisa ukusabalala kokuhlaselwa

Ukuhlinzwa kuvamile ukuthatha phakathi kwamahora ama-2 kuya kwangu-6, kuye ngobunzima. Ithimba lakho lokuhlinzwa lihlanganisa odokotela abahlinzayo be-neurosurgeons, odokotela bezinzwa, odokotela abaqeda ubuhlungu, kanye nabahlengikazi abangochwepheshe abaqapha ukusebenza kobuchopho bakho kuyo yonke inqubo.

Ungalungiselela kanjani ukuhlinzwa kwakho kwe-epilepsy?

Ukulungiselela ukuhlinzwa kwe-epilepsy kuhilela ukulungiselela ngokomzimba nangokomzwelo emasontweni amaningana noma izinyanga. Ithimba lakho lezokwelapha lizokuqondisa kuzo zonke izinyathelo ukuze liqinisekise ukuthi usukulungele inqubo.

Okokuqala, uzoqedela konke ukuhlolwa nokuhlola ngaphambi kokuhlinzwa. Lokhu kufaka phakathi ukuhlolwa kwegazi, ukuhlolwa kwenhliziyo, futhi mhlawumbe ukucabanga okwengeziwe kobuchopho. Uzohlangana nochwepheshe abahlukahlukene okuhlanganisa i-neurosurgeon, i-neurologist, i-neuropsychologist, futhi ngezinye izikhathi i-psychiatrist noma umsebenzi wezenhlalakahle.

Ishejuli yakho yemithi izodinga ukulungiswa ngaphambi kokuhlinzwa. Udokotela wakho uzohlinzeka ngemiyalelo ethile mayelana nokuthi yimiphi imithi okufanele uyiqhubeke, uyeke, noma uyishintshe. Ungalokothi ulungise imithi yakho yokuhlaselwa ngaphandle kokugadwa kwezokwelapha, ngoba lokhu kungabangela ukuhlaselwa okwengeziwe.

Ukulungiselela ngokomzimba kufaka phakathi ukugcina impilo enhle ngamaviki ngaphambi kokuhlinzwa. Ukuthola ukulala okwanele, ukudla kahle, nokuhlala unamanzi kusiza umzimba wakho ukuthi ubhekane nokucindezeleka kokuhlinzwa nokululama. Uma ubhema, udokotela wakho uzokuncoma ngokuqinile ukuthi uyeke amasonto amaningana ngaphambi kwenqubo.

Ukulungiselela ngokomzwelo kubaluleke ngokulinganayo. Cabangela ukukhuluma nomeluleki, ukujoyina iqembu lokusekela, noma ukuxhumana nabanye abaye bahlinzwa okufanayo. Ukuba nethemba eliqotho mayelana nenqubo yokululama nemiphumela engaba khona kusiza ukunciphisa ukukhathazeka.

Ukulungiselela okusebenzayo kufaka phakathi ukuhlela isikhathi sokungasebenzi, ukuhlela usizo ekhaya, nokulungiselela indawo yakho yokuhlala ukuze ululame. Uzodinga umuntu ozokuqhuba uye ekuqokweni futhi akusize ngemisebenzi yansuku zonke amasonto amaningana ngemuva kokuhlinzwa.

Ungazifunda kanjani imiphumela yakho yokuhlinzwa kwesithuthwane?

Imiphumela yokuhlinzwa kwesithuthwane ngokuvamile ilinganiswa ngemiphumela yokuhlaselwa yisithuthwane, ehlukaniswa kusetshenziswa izikali ezijwayelekile. Uhlelo oluvamile kakhulu lwahlukanisa imiphumela ibe amakilasi ngokusekelwe ekuvamekeni nasekubeni sibi kokuhlaselwa yisithuthwane ngemuva kokuhlinzwa.

Umphumela we-Class I usho ukuthi awunazo izithuthwane noma unokuhlaselwa okuyingxenye okulula ngaphandle kokulahlekelwa ukwazi. Lokhu kuthathwa njengomphumela ongcono kakhulu futhi kwenzeka cishe kuma-60-70% abantu abahlinzwa ngomgogodla wesikhashana. I-Class II isho ukuthi unezithuthwane ezingavamile, ezingeqi izinsuku ezi-3 zokuhlaselwa ngonyaka.

I-Class III ikhombisa ukuthuthuka okufanele ngesinciphiso esikhulu sokuhlaselwa kodwa namanje ezinye izithuthwane ezikhubazayo. I-Class IV isho ukuthi akukho ukuthuthuka okukhulu ekulawuleni ukuhlaselwa. Udokotela wakho uzohlola umphumela wakho ezinyangeni eziyi-6, unyaka owodwa, neminyaka emi-2 ngemuva kokuhlinzwa, njengoba amaphethini okuhlaselwa angaqhubeka nokuthuthuka ngokuhamba kwesikhathi.

Ngaphandle kokulawulwa kokuhlaselwa, impumelelo ihlanganisa nokuthuthuka ekhwalithi yempilo, ikhono lokusebenza, ukushayela, nokugcina ubudlelwano. Abanye abantu bathola imizwa engcono, ukuzimela okukhulu, kanye nokuncishiswa kwemiphumela emibi yemithi ngisho noma bengazithuthi ngokuphelele.

Inkumbulo nomsebenzi wokuqonda nabo kuqashwe ngokucophelela ngemuva kokuhlinzwa. Ngenkathi abanye abantu bethola izinguquko ezincane zenkumbulo, abaningi bathola ukuthi umsebenzi wabo wokucabanga wonke uyathuthuka njengoba izithuthwane ziba ngaphansi kokulawulwa futhi imithamo yemithi ingancishiswa.

Ungayithuthukisa kanjani ukululama kwakho ngemva kokuhlinzwa kwe-epilepsy?

Ukwelulama ngemva kokuhlinzwa kwe-epilepsy kuhilela kokubili isikhathi sokwelapha esisheshayo nokulungiswa kwesikhathi eside ukuze kuthuthukiswe impumelelo yakho yokuhlinzwa. Le nqubo ngokuvamile ithatha izinyanga eziningana, ngentuthuko eqhubekayo engenzeka iminyaka emibili.

Ngemuva kwamasonto ambalwa okuqala ngemva kokuhlinzwa, gxila ekuphumuleni nasemisebenzini emnene. Ubuchopho bakho budinga isikhathi sokwelapha, futhi ukuzama kanzima ngokushesha kungaphazamisa ukululama. Landela imiyalelo ethile yodokotela ohlinzayo mayelana nokuvinjelwa komsebenzi, ukunakekelwa kwesilonda, nokuthi ungaqala nini kabusha imisebenzi ejwayelekile.

Ukuphathwa kwemithi kubaluleka kakhulu ngesikhathi sokululama. Udokotela wakho cishe uzokugcina emithini yokulwa nokuhlaselwa okungenani iminyaka emibili ngemva kokuhlinzwa, ngisho noma ungabi nokuquleka. Ungayeki noma unciphise imithi ngaphandle kokuqondiswa ngudokotela, ngoba lokhu kungabangela ukuquleka ngesikhathi sokwelapha.

Ikhwalithi yokulala ithinta kakhulu ukululama nokulawulwa kokuquleka. Gcina amashejuli okulala ajwayelekile, dala indawo enokuthula, futhi ubhekane nanoma yiziphi izinkinga zokulala nethimba lakho lezokwelapha. Ukulala okubi kungabangela ukuquleka ngisho nangemva kokuhlinzwa okuphumelelayo.

Ukuphathwa kwengcindezi nokusekelwa ngokomzwelo kudlala indima ebalulekile ekululameni. Cabangela ukwelulekwa, amaqembu okusekela, noma izindlela zokunciphisa ingcindezi njengokuzindla noma ukuzivocavoca okumnene. Abanye abantu bazwa izinguquko ezingokomzwelo njengoba bezijwayela impilo ngokulawulwa kokuquleka okuthuthukisiwe.

Ukuqokwa okulandelayo njalo kubalulekile ekuqapheni intuthuko yakho nasekuthuthukiseni noma yiziphi izilungiso ezidingekayo ohlelweni lwakho lokwelashwa. Ithimba lakho lizolandela amaphethini okuquleka, amazinga emithi, nokuphila kahle konke ukuze kuqinisekiswe umphumela ongcono kakhulu.

Yiziphi izici eziyingozi zezinkinga zokuhlinzwa kwe-epilepsy?

Izici eziningana zingathonya ingozi yakho yezinkinga ezivela ekuhlinzweni kwe-epilepsy. Ukuqonda lokhu kukusiza wena nethimba lakho lezokwelapha ukuthi nenze izinqumo ezinolwazi mayelana nokuthi ukuhlinzwa kulungile yini kuwe.

Indawo lapho ukugxambukela kwakho kuqala khona idlala indima enkulu ekunqumeni ingozi. Ukuhlinzwa eduze kwezindawo ezibalulekile zobuchopho njengezikhungo zokukhuluma, izindawo zemoto, noma izindawo zememori kuletha izingozi eziphakeme zoshintsho lomsebenzi. Kodwa-ke, izindlela zokuhlinza ezithuthukisiwe kanye nokwenza imephu yobuchopho zenze lezi zinqubo zaphepha kakhulu kunakuqala.

Iminyaka yakho ingathinta kokubili izingozi zokuhlinzwa nemiphumela. Izingane zivame ukuba nemiphumela emihle futhi zithole ngokushesha, kanti abadala bangase babe nezingozi eziphakeme kancane kodwa basengazuza kakhulu ekuhlinzweni. Isimo sakho sempilo esiphelele, okuhlanganisa umsebenzi wenhliziyo, wamaphaphu, kanye nezinso, nakho kuthinta ingozi yokuhlinzwa.

Uhlobo nobubanzi bokungajwayelekile kobuchopho kuthinta ukuyinkimbinkimbi nengozi. Ukususa isilonda esisodwa, esichazwe kahle ngokuvamile kuletha izingozi eziphansi kunezinqubo eziningi. Ukuhlinzwa kobuchopho kwangaphambilini noma ukulimala okukhulu kungakhuphula izinselelo zobuchwepheshe.

Izici eziyingozi ezingavamile kodwa ezinzima zihlanganisa:

• Izifo zokuphuma igazi noma ukusetshenziswa kwemithi yokunciphisa igazi
• Izifo ezisebenzayo noma uhlelo lomzimba lokuzivikela olungahambisani kahle
• Izimo ezinzima zengqondo ezingase zibe nzima ekululameni
• Izimo eziningi zezokwelapha ezenyusa izingozi ze-anesthesia
• Ukulindela okungokoqobo mayelana nemiphumela yokuhlinzwa

Ithimba lakho lokuhlinza lizohlola ngokucophelela zonke lezi zici ngesikhathi sokuhlolwa kwangaphambi kokuhlinzwa. Bazoxoxa ngephrofayili yakho yengozi yomuntu ngamunye futhi bakusize uqonde ukuthi lezi zici zisebenza kanjani esimweni sakho esithile.

Ingabe ukuhlinzwa kwe-epilepsy kungcono kunokuqhubeka nokwelashwa ngemithi?

Kubantu abane-epilepsy engamelani nemithi, ukuhlinzwa kuvame ukuhlinzeka ngokuqapha okungcono kokugxambukela kwesikhathi eside kunokuqhubeka nokuhlolwa kwemithi. Kodwa-ke, isinqumo sincike ezimweni zakho zomuntu ngamunye kanye nokwenzeka kwempumelelo yokuhlinzwa.

Ucwaningo lubonisa ukuthi abantu abafanele ukuhlinzwa banamathuba angaba ngu-60-80% okungabi nazimpawu zokugula, uma kuqhathaniswa namathuba angaphansi kuka-5% ngemithi eyengeziwe kuphela. Ukuhlinzwa futhi kunikeza ithuba lokunciphisa imithi, okungathuthukisa izinga lempilo ngokunciphisa imiphumela emibi.

Isikhathi sokuhlinzwa sibaluleke kakhulu. Ukuhlinzwa ngaphambi kwesikhathi, uma kufanelekile, kuvame ukuholela emiphumeleni engcono futhi kuvimbela ukuqongelela ukulimala okuhlobene nokugula kanye nezinkinga ze-psychosocial. Ukulinda isikhathi eside kungaholela ekushintsheni kobuchopho obuningi kanye nokuncipha kwamazinga empumelelo yokuhlinzwa.

Noma kunjalo, ukuhlinzwa akulungile ngokuzenzakalelayo kuwo wonke umuntu. Abanye abantu banokugula okungafanele ukwelashwa ngokuhlinzwa, kungaba ngenxa yokuthi kuvela ezindaweni eziningi zobuchopho noma kuhilela izindawo zobuchopho ezibalulekile ezingeke zisuswe ngokuphepha. Abanye bangase bakhethe ukuqhubeka nokuzama imithi uma ukugula kwabo kungavamile noma kulula.

Isinqumo futhi sihlanganisa ukulinganisa izingozi nezinzuzo ngokusekelwe emigomweni yakho yempilo, isimo somndeni, kanye namanani akho siqu. Abanye abantu babeka phambili ithuba lokukhululeka ekuguleni, kanti abanye bakhathazeke kakhulu ngezingozi ezingaba khona zokuhlinzwa noma izinguquko ekusebenzeni kobuchopho.

Ziyini izinkinga ezingaba khona zokuhlinzwa kwe-epilepsy?

Njenganoma yikuphi ukuhlinzwa kobuchopho, ukuhlinzwa kwe-epilepsy kuthwala izingozi ezingaba khona nezinkinga. Noma kunjalo, izinkinga ezinzima zivamile, futhi isilinganiso sengozi-inzuzo ngokuvamile silungile kubantu abafanele.

Izinkinga ezivamile, ezivame ukuba zesikhashana zihlanganisa ikhanda, ukukhathala, nokudideka okuncane ezinsukwini ngemva kokuhlinzwa. Abanye abantu bahlangabezana nobuthakathaka besikhashana, ubunzima bokukhuluma, noma izinkinga zenkumbulo ezivame ukuthuthuka emasontweni kuya ezinyangeni njengoba ubuchopho buphola.

Izinkinga ezibaluleke kakhulu kodwa ezingavamile zingahlanganisa:

• Ukunetha endaweni yokuhlinzwa noma ebuchosheni
• Ukuphuma igazi noma amahlule egazi
• Isifo sohlangothi noma ezinye izinkinga zemithambo yegazi
• Ubuthakathaka obuqhubekayo noma izinkinga zokuxhumana
• Ubunzima bokukhuluma noma ulimi
• Izinkinga zenkumbulo, ikakhulukazi ngemva kokuhlinzwa kwe-temporal lobe
• Ushintsho emkhakheni wokubona
• Ushintsho lwemizwa noma ubuntu

Izinkinga ezingavamile kodwa ezinzima zihlanganisa ukuphuma igazi okukhulu, isifo sohlangothi esikhulu, noma ukutheleleka okusongela impilo. Lokhu kwenzeka ezingeni elingaphansi kuka-1-2% wamacala ezinxeni ezinolwazi lwe-epilepsy. Ingozi yokufa ngemva kokuhlinzwa kwe-epilepsy iphansi kakhulu, ngokuvamile ingaphansi kuka-0.5%.

Abanye abantu bahlangabezana nokulawulwa okungaphelele kokuhlaselwa noma ukuphindeka kokuhlaselwa ngemva kwesikhathi sokuqala sokungabi nazo. Lokhu akusho ngempela ukuthi ukuhlinzwa akuzange kuphumelele, njengoba ukuthuthuka okuyingxenye kusekungenza ngcono ikhwalithi yempilo.

Ithimba lakho lokuhlinzwa lizoxoxa ngobungozi bakho obuthile ngokusekelwe ohlotsheni lokuhlinzwa oluhleliwe kanye nezici zakho ngazinye. Bazokusiza ukuthi uqonde ukuthi lezi zingozi ezijwayelekile zisebenza kanjani esimweni sakho nokuthi yiziphi izinyathelo abazithathayo ukunciphisa izinkinga.

Kufanele ngibone nini udokotela mayelana nokuhlinzwa kwe-epilepsy?

Kufanele uxoxe ngokuhlinzwa kwe-epilepsy nodokotela wakho wezinzwa uma ukuhlaselwa kwakho kuqhubeka naphezu kokuzama imithi eminingi yokulwa nokuhlaselwa. Ngokuvamile, uma uzame imithi engu-2-3 efanelekayo ngaphandle kokuzuza ukulawulwa kokuhlaselwa, ungase ube ngumuntu okufanele ahlolwe ngokuhlinzwa.

Cabangela ukubonisana ngokuhlinzwa uma ukuhlaselwa kwakho kuthinta kakhulu impilo yakho yansuku zonke, umsebenzi, ubudlelwano, noma ukuzimela. Lokhu kuhlanganisa ukuhlaselwa okubangela ukulimala okuvamile, okukuvimbela ukuthi ungashayeli, noma okukhawulela ikhono lakho lokuphila ngokuzimela noma ukugcina umsebenzi.

Isikhathi sibalulekile ekudluliselweni kokuhlinzwa. Ungalindi kuze kube yilapho ukuhlaselwa sekubangele ukuphazamiseka okukhulu empilweni noma ukulimala. Ukuhlolwa kwasekuqaleni kuvumela isikhathi sokuhlolwa nokuhlela okubanzi, futhi ukuhlinzwa kwasekuqaleni kuvame ukuholela emiphumeleni engcono.

Izimo ezithile ezidinga ukuxoxwa ngokuhlinzwa zihlanganisa:

• Ukuquleka okwenzeka masonto onke noma njalo ngenyanga naphezu kwemithi
• Ukuquleka okubangela ukuwa, ukulimala, noma izingozi
• Ukuquleka okuphazamisa umsebenzi, isikole, noma ubudlelwano
• Imiphumela emibi evela emithini ekhawulela izinga lakho lempilo
• Ukuquleka okwenzeka ngesikhathi sokulala futhi kuthinte ukuphumula
• Noma iyiphi iphethini yokuquleka ekhawulela ukuzimela kwakho noma ukuphepha kwakho

Kufanele futhi ufune ukubonisana ngokuhlinzwa uma unokulimala kobuchopho okungenzeka kubangele ukuquleka, ngisho noma ukuquleka kwakho kulawulwa njengamanje ngemithi. Ngezinye izikhathi ukususa ukulimala kungavumela ukuncishiswa noma ukuqedwa kwemithi.

Khumbula ukuthi ukuhlolwa kokuhlinzwa akukubophezeli ukuba uhlinzwe. Inqubo yokuhlola isiza ukunquma ukuthi ungumuntu ofanelekayo yini futhi inikeza imininingwane yokukusiza ukuthi wenze isinqumo esinolwazi mayelana nezinketho zokwelapha.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kwe-epilepsy

Q1: Ingabe ukuhlinzwa kwe-epilepsy kuyasebenza kuzo zonke izinhlobo zokuquleka?

Ukuhlinzwa kwe-epilepsy kusebenza kahle kakhulu ekuqulekeni okugxilwe endaweni eyodwa ethile yobuchopho. Cishe ama-60-80% abantu abane-temporal lobe epilepsy abangabi nakuquleka ngemva kokuhlinzwa. Ukuhlinzwa akusebenzi kangako ekuqulekeni okujwayelekile okubandakanya wonke ubuchopho kusukela ekuqaleni, nakuba ezinye izinqubo ezinjenge-corpus callosotomy zingasiza ukunciphisa ubukhulu bokuquleka ezimweni ezithile.

Q2: Ingabe ukuhlinzwa kwe-epilepsy kusho ukuthi angisoze ngaba nokuquleka futhi?

Nakuba abantu abaningi bengabi nakuquleka ngemva kokuhlinzwa, akusiqinisekisiwe kuwo wonke umuntu. Cishe ama-60-70% abantu abahlinzwa i-temporal lobe bathola inkululeko ephelele yokuquleka, kanti abanye bathola ukuncishiswa okukhulu kokuquleka. Noma ngabe awukhululekile ngokuphelele ekuqulekeni, ukuhlinzwa kuvame ukunciphisa imvamisa yokuquleka nobukhulu obanele ukuthuthukisa kakhulu izinga lakho lempilo.

Q3: Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwe-epilepsy?

Ukwelulama kokuqala kuvame ukuthatha amasonto angu-4-6, lapho uzodinga ukukhawulela imisebenzi futhi ugweme ukushayela. Ukululama okuphelele kungathatha izinyanga ezingu-3-6, nokuthuthuka okuthile kuqhubeka kuze kube iminyaka emibili. Abantu abaningi bangakwazi ukubuyela emsebenzini phakathi kwamasonto angu-6-12, kuye ngezidingo zomsebenzi wabo kanye nokuqhubeka kokululama.

Q4: Ngizodinga yini ukuqhubeka nokuthatha imithi yokuvimbela ukuquleka ngemva kokuhlinzwa?

Abantu abaningi baqhubeka nokuthatha imithi yokulwa nokuquleka okungenani iminyaka emibili ngemva kokuhlinzwa, ngisho noma bengaba mahhala ekuqulekeni. Lokhu kusiza ekuvikeleni ukuquleka ngesikhathi senqubo yokuphulukisa futhi kunikeza isikhathi sokuthola impumelelo yesikhathi eside yokuhlinzwa. Uma uqhubeka ungabi nokuquleka, udokotela wakho angase anciphise imithi kancane kancane, nakuba abanye abantu bekhetha ukuhlala emthini omncane ukuze bathole ukuvikeleka okwengeziwe.

Q5: Ingabe ukuhlinzwa kwe-epilepsy kungathinta inkumbulo yami noma amakhono okucabanga?

Ushintsho lwenkumbulo lungenzeka, ikakhulukazi ngemva kokuhlinzwa kwe-temporal lobe okubandakanya i-hippocampus. Nokho, abantu abaningi bathola ukuthi ukusebenza kwabo konke kokuqonda kuthuthuka ngemva kokuhlinzwa ngenxa yokulawulwa okungcono kokuquleka kanye nokuncishiswa kwemiphumela emibi yemithi. Ithimba lakho lokuhlinzwa lizokwenza ukuhlolwa okuningiliziwe kwe-neuropsychological ngaphambi nangemva kokuhlinzwa ukuze liqaphe noma yiziphi izinguquko futhi likusize ukuthi uzivumelanise uma kudingeka.