Ka hopu ʻāpana ʻāpana (focal)

Hoʻokumu ʻia nā hopu āpau e nā haunaele uila maʻamau i ka lolo. Kūpono ka hopu ʻana i ka hapa (focal) ke waiho kēia hana uila i kahi wahi o ka lolo. Hiki i nā hopu ʻana i kekahi manawa ke lilo i ka hopu ʻana ākea, kahi e hoʻopili ai ka lolo holoʻokoʻa. Kapa ʻia kēia he laulā kiʻekiʻe.

Hiki ke hoʻokaʻawale ʻia ka hopu hapa ʻana i:

• Simple, ʻaʻole pili i ka ʻike a hoʻomanaʻo paha
• Pākuʻi, e pili ana i ka ʻike a i ʻole hoʻomanaʻo o nā hanana ma mua, i ka wā, a ma hope koke o ka hopu ʻana, a me ka hoʻohuli ʻana i ka lawena

ʻO ka hopu ʻana i ka hapa o ka hopu ʻana i ka poʻe 1 makahiki a ʻoi. I ka poʻe i ʻoi aku i ka 65 o ka makahiki i loaʻa ka maʻi koko i ka lolo a i ʻole nā ​​tumors lolo, ʻike pinepine ʻia ka hopu ʻana i ka hapa.

ʻAʻole hoʻomanaʻo paha ka poʻe me nā ʻāpana kūpikipiki paʻakikī i kekahi a i ʻole nā ​​hōʻailona āpau a i ʻole nā ​​hanana i ka wā o ka hopu ʻana.

Kaukaʻi ʻia i kahi o ka lolo e hoʻomaka ai ka hopu ʻana, hiki i nā ʻōuli ke hoʻopili pū:

• Ka hoʻohaʻahaʻa mākala maʻamau, e like me ke poʻo ʻole a i ʻole ka neʻe ʻana o ka lālā
• Ke nānā aku i nā kilokilo, i kekahi manawa me nā neʻe hou e like me ke ʻohi ʻana i nā lole a i ʻole ka lepe o ka lehelehe
• E neʻe ana nā maka mai kekahi ʻaoʻao ai kekahi ʻaoʻao
• Nā sensations normal, e like me ka numbness, tingling, ke kolo nei i ka naʻau (e like me nā nahe e kolo ana i ka ʻili)
• Hallucination, ke ʻike ʻana, honi ʻana, a i ʻole kekahi manawa ke hoʻolohe ʻana i nā mea i ʻole ma laila
• Paʻi ʻōpū a hōʻoluʻolu ʻole paha
• Nusea
• Hoʻoulu
• Maka helehelena
• Nā haumana Dilated
• Hōʻemi puʻuwai wikiwiki / pulse

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻO nā kilokilo ʻeleʻele, nā manawa o ka manawa i nalo mai ka hoʻomanaʻo
• Nā hoʻololi i ka hihiʻo
• ʻO ka manaʻo o déjà vu (e like me ka wahi a me ka manawa i ʻike ʻia ma mua)
• Nā loli i ke ʻano a me ka naʻau
• ʻAʻole hiki ke kamaʻilio kūlohelohe

E hana ke kauka i kahi hoʻokolohua kino. E hoʻopili kēia i kahi nānā kikoʻī i ka lolo a me ka ʻōnaehana.

E hana ʻia kahi EEG (electroencephalogram) e nānā i ka hana uila i ka lolo. ʻO ka poʻe me ka hopu ʻana he pinepine nā hana uila i ʻike ʻia ma kēia hōʻike. I kekahi mau hihia, hōʻike ka hōʻike i kahi ma ka lolo kahi e hoʻomaka ai ka hopu ʻana. ʻIke paha ka lolo ma hope o ka hopu ʻana a ma waena o ka hopu ʻana.

Kauoha ʻia paha nā hōʻoia koko e nānā no nā pilikia olakino ʻē aʻe e hoʻonāukiuki paha.

Hana ʻia ka scan CT Head a MRI paha e ʻike i ke kumu a me kahi o ka pilikia i ka lolo.

ʻO ka mālama ʻana no ka hopu ʻana i nā ʻāpana kikoʻī e komo pū me nā lāʻau, nā loli i ka nohona no nā mākua a me nā keiki, e like me ka hana a me ka papaʻai, a i kekahi manawa ke ʻoki. Hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i kēia mau koho.

Ka hopu ʻana i ka nānā; Ka hopu ʻana iā Jacksonian; Ka hopu ʻana - hapa (focal); Ka hopu lobe kūlohelohe; Epilepsy - ka hopu ʻana i ka hapa

• Epilepsy i nā mākua - he aha e nīnau aku ai i kāu kauka
• Epilepsy i nā keiki - he aha e nīnau aku ai i kāu kauka

• Lolo

Abou-Khalil BW, Gallagher MJ, Macdonald RL. Epilepsy. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 101.

Kanner AM, Ashman E, Gloss D, et al. Hoʻomaʻamaʻa kuhikuhi alakaʻi hōʻuluʻulu manaʻo: ka pono a me ka hoʻomanawanui ʻana i nā lāʻau antiepileptic hou I: ka mālama ʻana i ka maʻi epilepsy hou: Hōʻike o ka Hoʻomohala Alakaʻi, ka hoʻolaha ʻana, a me ka lālā hoʻokō pono o ka American Academy of Neurology and the American Epilepsy Society. Neurology. 2018; 91 (2): 74-81. PMID: 29898971 pubmed.ncbi.nlm.nih.gov/29898971/.

Wiebe S. ʻO nā epilepsy. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 375.