Kurwiswa kwekare kunowanzochengetedzwa zvakanaka nemishonga inorwisa kuparadza gadziriro. Zvisinei, vamwe vanhu vane chirwere chekufa vanogumburwa izvo hazvina kubudirira zvakakwana nemishonga. Kurapa kwekutsvaga kwepfungwa kwakange kuri pakati pekusarudzwa kwekurapa kwemakore mazhinji, uye vamwe veavo vane matambudziko ekutambudza vakawana kuwedzera kukuru kwezviratidzo mushure mekuvhiyiwa kwekufa.
Mhando dzakawanda dzekutora zvinenge zvisinganyatsogadziriswa nemishonga inorwisa kugunura. Zvisinei, zvose zvinotapukira zvinogona kunge zvisingashandisi mishonga kana kusagadzikana. Izvi zvinoreva kuti kuputika kunoramba kuchiitika pamutengo unogamuchirwa kunyange kana maitiro ekurwisa mishonga ekurwisa anowedzera, kana kana kushandiswa kwemishonga yakasiyana kushandiswa. Dzimwe nguva, munhu ane chirwere chekufa ane shungu dzisingagoneki nemigumisiro kubva pamishonga inopesana nekutengesa zvisingakwanisi kusvika kune imwe chirwere chinogona kudzora zvakakwana kukanganisa. Mune mamiriro ezvinhu aya, apo kuora mwoyo kunowanikwa kusingagadziriswi uye kusagadzikana kwemishonga, kuvhiyiwa kunogona kuonekwa sechinhu chisarudzo.
Zvikonzero Zvinoita Kuti Chirwere Chingave Chichiitwa Nekuvhiya
Kune mhando dzakasiyana dzekugumburwa. Aya maitiro akaparadzaniswa zvichienderana nemhando dzakasiyana-siyana, dzakadai sezviratidzo zvakabatanidzwa, kuwanda kwekugumburwa, kupindura kwemishonga, nzvimbo iri muuropi apo kubatwa kunowanzotanga, uye kana pane chirwere chinonzi chinokonzera kukanganisa.
Vamwe vanhu vanotambura vanogona kubatsirwa nekuvhiyiwa kwekufa.
Kana kukanganisa kunokonzerwa nemakumbo, zvimwe zvirwere uye mamwe uropi husina kunaka: Kana kugumburwa kunokonzerwa nekukura kana kuwanda muuropi, kubviswa kwehuwandu hunova imwe yenzira dzakanakisisa dzekuderedza kuwandisa uye kuoma kwekugumburwa .
Kurwiswa kwekare kunogona kukonzerwa nemakumbo europi, zvipembenene zvinokonzerwa nekenza mumumuviri, zvirwere, masumbu, zvipfeko zvekune dzimwe nyika, ropa yemafuta zvinokonzera uye zvinokonzera kupisa. Zvichienderana nenzvimbo, ukuru, uye huwandu hwemhando dzezvipembenene muuropi, zvingave kana zvisingakwanisi kuti iwe udzibvise zvakachengeteka.
Apo kugumburwa kunonyanya kukanganisa: Kurwisana kunowanzorondedzerwa sekuti chinotanga kuitika kana kutanga kwepanyika. Mafungiro ekutanga anowanzoita mabasa asina simba emagetsi mune imwe kana mashoma madunhu europi. Izvi zvinowanzowanikwa zvichienderana nezviratidzo kana neEEG zvakanyorwa uye zvingaita kana kuti zvingaratidza kusakanganiswa kwakakanganiswa kuongororo yekufungidzira kweuropi dzakadai seBongo MRI. Kana kukanganiswa kwepfungwa kunopindwa nemishonga-kusagadzikana, chirwere chekushaya chirwere chinowanzotarisirwa kunharaunda huru yemagetsi asingagoneki muuropi kubatsira kubvisa kukanganisa.
Kana kugumburwa kunokonzera kukanganisa: Maitiro anokonzerwa nemagetsi, zvakasiyana nemagetsi ekutanga, anotanga nemagetsi anogadzirisa uropi hwose. Izvi zvinogona kuita kuti zvive zvakaoma kuziva chinzvimbo chehupi chaihwo nokuda kwokuvhiyiwa kwekufa. Kune nzira dzekuvhiya dzinoshandiswa kuderedza kuwandisa uye kusimba kwemishonga-inogadziriswa yakawanda inogumburwa.
Izvi zvinogona kusanganisira kubvisa kana kuderedza nzvimbo yeuropi, yakadai se corpus callosum, inokurudzira kuwirirana kwemagetsi pakati penzvimbo dzakasiyana dzeuropi.
Paunenge uine chirwere chekufa kwechirwere: Chiremba wako angave akawana iwe nechimwe chechirwere chekushaya chirwere. Aya syndromes ndiwo maitiro ane mamwe maitiro akafanana, akadai sorudzi rwekutora, nguva, nguva yavanotanga, uye kubatanidza EEG kana kuti MRI zvisakanaka. Rasmussen syndrome, somuenzaniso, isingazivikanwi kushaya chirwere chinokonzerwa nekugumburwa kusingagadziki kunosangana nekuputika kweuropi.
Stereotactic Surgery uye Open Craniotomy
Pane nzira mbiri huru yekuvhiya kwekutsvaira: kushandiswa kwe stereotactic uye kuzarura ganiotomy. Kuvhiyiwa kweperetiactic chiratidzo chekuvhiya chinoshandisa tambo kana tube, iyo inowanikwa kuburikidza nehomwe duku mukati mehenyare kuti isvike kune chinangwa chinenge chiri muuropi. Mucherechedzo wakashama chiratidzo chekuvhiya chinosanganisira kubviswa (uye gare gare, kushandurwa) kwechikamu chiduku kana chikuru chehenya (cranium) kuti agadzirise chinetso chacho.
Nzira mbiri idzi dzave dzichishandiswa kwemakumi emakore, uye zvose zviri zviviri dzinofungidzirwa dzakachengeteka mumaoko ane ruzivo. Dare rako rekuvhiya richasarudza pane nzira yakakwana yekuvhiya iwe kubva pane zvimwe zvinhu, zvakadai senzira yakanakisisa yekutora nzvimbo inotarirwa kune yako rudzi rwekufa nechirwere chekugadzirira kwako kusati kwapwa.
Aina dzeEpilepsy Surgery
Pane hutano hwakasiyana-siyana hwekuvhima kwekufa, kusanganisira zvinotevera:
Vagal nerve stimulator: A vagal nerve stimulator chinhu chinokurudzira vagus nerve, iyo ine musungo iri mumutsipa. Izvi zvinosimudzira magetsi zvinogona kuderedza kukanganisa kwevamwe vanhu vanoona chirwere chekufa chisingaiti.
Neurostimulator: A neurostimulator chinhu chiduku chinoshandiswa chirwere mucheka rine tsvimbo dzinoiswa pamusoro uye / kana mukati meuropi. Neurostimulator inoona chero chinhu chipi zvacho chinokonzerwa nemagetsi ehutachiona hunogona kukonzera kukanganisa. Apo izvo zvinobudiswa zvinowanikwa, chigadzirwa ichi chinopa kushandiswa kwemagetsi kune iyo nzvimbo chaiyo yeuropi iyo inodzivisa kukanganisa kubva pakukura.
Stereotactic laser ablation kana radiosurgery: Idzi ndidzo dzisingabatsiri dzokurapa dzinoshandisa lasers kana kuti mashizha kuti aparadze chiremera chinokonzera kukanganisa.
Corpus Callosotomy: The corpus callosum ibhokisi rinokosha rehutachiona hunobvumira kuruboshwe uye kurudyi kwechoro kuti vataurirane. Ichi chimiro chekuvhiya kwekufa kwechirwere chinoshandiswa kudzivirira kupararira kwekugumburwa kana kuti kuderedza kukwirira kwekugumburwa kwemazuva ose kuburikidza nekuderedza kukurukurirana pakati pemativi maviri europi.
Multiple subpial transections: Nyaya iyi inosanganisira kunyatsocheka chikamu chiduku cheuropi kudzivirira kudzivirira kubva pakutanga kana kupararira. Chigadziro chinogadzirirwa nenzira yekuderedza dambudziko rekuvhiringidza kwepfungwa.
Focal Resection: A focal resection ndiko kubviswa kwechikamu chiduku cheuropi. Iyi nzira yekushandiswa inoshandiswa apo nzvimbo yakasiyana yeuropi inowanikwa inonyanya kukonzera kukanganisa, uye kana kubviswa kweruwa irworwo hakuratidzirwi kukonzera kurasikirwa kwehutano hwehutano.
Lobar resection: Kubvumira kuburitsa kwakafanana nechepamusoro (duku) kuburitsa, asi kunosanganisira kubviswa kwechikamu chikuru cheuropi. Nemhaka yokuti rebar rection rinowanzokonzera kurasikirwa kwehutano hwepfungwa nekuda kwehukuru hwayo, focal resection inowanzosarudzwa kana zvichibvira.
Rudzi Rwakanaka Rwekurapwa Kwekufa Kwewe
Chirwere chekuvhiya chaungada chinoenderana nemhando ipi yechipfupa chaunacho, pamwe chete nemigumisiro yako yekutanga yekupedza. Kuongororwa kwepamberi-kupora kunosanganisira EEG, kuongororwa kwepfungwa dzepfungwa, uye kuongororwa kwemaurological.
Kutanga Kuongorora Kutangira
Kuongororwa kwako kusati kwapwa kwekuvhiya kwekufa kwechirwere kunoshandisa zvinangwa zviviri: kuziva nzvimbo iri muuropi yako iyo inogona kunge yakakonzera kukanganisa kwako uye kunyatsogadzirira kurapwa kwako kuti urege kuve nehutachiona hwehutano mushure mekuvhiyiwa kwako.
EEG miedzo inotsanangura nzvimbo dzisina kuitika zvegetsi zvekuita kuti uone nzvimbo dziri muuropi dzako dzingangodaro dzinokonzera kukundwa kwako kwekare. Uropi hwekufungidzira maitiro hunogona kubvumira kutaridzika kwehuropi hwako uye unogona kuona kusakanganisika, zvakadai semakumbo nemakumbo. Basa rinoshandiswa neurological testing rinowedzera nguva uye rinoda kuti iwe ushande. Iyi miedzo inogona kuongorora nzvimbo chaiyo muuropi yako iyo inotonga zvimwe zvezviito zvako, zvakadai sekutaura kana kuverenga, kuve nechokwadi chokuti kushandiswa kwekuvhiya kana kubvisa hakubatsiri mano ako.
Shoko Rinobva
Kurapa kwekutsvaga isarudzo kune vamwe vanhu vasingawani nekuvandudzwa kwakakwana nemishonga inorwisa kuparadza gadziriro. Kurapa kwekutsvaga kwave kwave kwakapoteredza makumi emakore, uye nehuwandu hwechiitiko, maitiro ave achivandudzwa kwemakore.
Urongwa hwekuvhiya kwekufa kwepfungwa hunosanganisira kuongorora nokungwarira kwekugumburwa kwako uye kuongororwa kwepamberi-kupora kunosanganisira kuongorora mifananidzo, EEG, uye kuongorora kushanda. Bhodhi rako rinosangana nevanyanzvi vane ruzivo rwekutarisira kuora mwoyo uye nekuvhiya kwekufa kwemafupa uye nzira.
Migumisiro mushure mekuvhiyiwa kwekufa kwemafuro inofungidzirwa kuti yakanaka kwazvo, ine zvingano zvishoma uye nehuwandu hwekuvandudza kwekugumburwa. Izvi zvinonyanya kukosha kwete kuti munhu wose ane chirwere chekushaya chirwere ndiye anonyatsokodzera kurapwa kwekufa, uye kusarudzwa kwekushandiswa kwakanyatsogadziriswa kwakanyatsoenderana kune mumwe nomumwe.
Kana iwe uri mukana wokuvhiya kwekufa, iwe unogona uye unofanirwa kudzidza zvakawanda pamusoro pekuita kwako sezvaunogona. Izvi zvichakubatsira iwe kuitira kuti uzive zvaunotarisira mberi uye shure kwekuvhiyiwa, sezvaunodzoka kubva pakuvhiyiwa, uye sezvaunoshandura kana wapora zvakare.
> Kwakabva:
> Rathore C, Radhakrishnan K. Chirevo chekugadzirwa kwekufa kwepachifu uye kuongororwa kwepfungwa. Kushungurudzika Kwepfungwa . 2015 Mar; 17 (1): 19-31; mibvunzo 31. doi: 10.1684 / epd.2014.0720.