Namuhla ngikulethela indaba exakile kodwa eyiyo. Kuyindaba yomuntu okwamanje okwazi ukuhlala ne-hemisphere yakhe yangakwesokudla yobuchopho kusukela lapho indawo yakhe yangakwesobunxele isuswe ngokuhlinzwa.
Kacie emihumeni uhlala e-Oklahoma. Uthanda ukubhukuda, ukushushuluza nge-snorking. Yisiphi isifundo owawusithanda kakhulu esikoleni? "Izibalo, ngokungangabazeki" Kuphendula uKacie.
Kuyamangaza impela, uma ucabanga ngalokho UKacie unengxenye yobuchopho kuphela.
Eminyakeni edlule, odokotela abahlinzayo eJohns Hopkins Children's Center eBaltimore, eMaryland, ngokuhlinzwa bamsusa ohlangothini lwesobunxele lobuchopho bakhe ngokuhlinzwa okwathatha amahora angu-12. Kwaphela iminyaka emine, wahlaselwa yisifo sokuwa okwamenza "washikiza" uhlangothi lwangakwesokudla lobuso nomzimba wakhe. Ukuquleka kwahlasela uKacie izikhathi eziyikhulu ngosuku, kumshiya ekhubazekile engakwazi nokukhuluma.
UKacie wahlushwa uhlobo lwesifo sokuwa olwaluyivelakancane kakhulu (ukuquleka okuphindelela) okuthiwa I-Rasmussen encephalitis, ukuphazamiseka kwengqondo okungajwayelekile okuthinta izingane ezingaphansi kweminyaka eyishumi ubudala.
Ososayensi namanje abazi ngokuqinisekile ukuthi yini ebangela iRasmussen encephalitis. "Kungenzeka ukuthi yisifo esizimele lapho umzimba ubulala izicubu zobuchopho"kucatshangelwa uDkt. John Freeman, umqondisi we-Johns Hopkins Center for Pediatric Epilepsy. Abaphenyi bayazi ukuthi iziguli zeRasmussen ziphethe ama-antibodies (izinto ezikhiqizwa ngumzimba ukuqeda amabhaktheriya noma ezinye izinto zangaphandle) kuma-protein athile ebuchosheni okuthiwa ama-glutamate receptors. Lapho zingena ebuchosheni, la ma-antibodies ahlasela ama-receptors, abangele ukuquleka.
KuKacie, kwaqala ngekhanda elibi lapho eneminyaka eyishumi. "Kwakuyinyanga kaMeyi"ukhumbula unina, uRegina. Ngalobo busuku, uKacie wangena enkingeni. Uhambe ezungeza igumbi lonke ephula yonke into ayitholile. " Abazali bakhe baphuthumisa uKacie esibhedlela. I-EEG (ilinganisa ukusebenza kukagesi ebuchosheni) inqume ukuthi lokhu kuhlasela bekugxile ohlangothini lwesobunxele lobuchopho bayo.
Lapho ukuquleka kukaKacie kusiba kubi, abazali bakhe bamthatha kusuka kwesinye isibhedlela kuya kwesinye, ngifuna ikhambi. Odokotela bakaKacie baze basusa nengxenyana encane kakhulu yobuchopho bakhe lapho babelindele ukuthi ukuqubuka kuzovela khona. Kodwa-ke, ukuhlaselwa kwaqhubeka ngokufutheka okugcwele.
I-hemispherectomy
Imihume yagcina iphendukele kuDkt Freeman, owaphakamisa inqubo enzima kangangoba amaCave ashaqeka. Isincomo sakho: susa sonke isigamu sobunxele sobuchopho, inqubo ebizwa ngokuthi i-hemispherectomy. Umsebenzi, owaqala ukwenziwa ngeminyaka yo-1920, washiywa ngokushesha, iziguli eziningi kakhulu zafa ngesikhathi sokuhlinzwa. Kodwa-ke, amasu amasha nokuhlola ubuchopho okuthuthukile kuyivuselele inqubo.
Ubuchopho buhlukaniswe ama-hemispheres amabili, kwesokudla nangakwesobunxele. Ingxenye ngayinye ilawula uhlangothi oluphambene lomzimba, yingakho ukuphazamiseka kukagesi engxenyeni yangakwesobunxele kaKacie kuthinte uhlangothi olungakwesokudla lomzimba wakhe. Ngezizathu zezokwelapha ezingakaziwa, Isifo iRasmussen sihlasela kuphela indawo eyodwa, kepha aweqi ngaphesheya kobuchopho.
Cishe isigamu sawo wonke ama-hemispherectomies enziwa ezinganeni ezine-Rasmussen encephalitis. Odokotela abahlinzayo bayayenza nasezinganeni ezine-cortical dysplasia nalabo abane-Sturge-Weber syndrome (ukwakheka okungavamile kwemithambo yegazi okubangela uhlangothi olulodwa lobuchopho lushwabane). Kwenziwa ama-hemispherectomies amaningi minyaka yonke e-United States.
Izingane, ikakhulukazi ezingakafiki eminyakeni eyishumi nambili, yizona ezizokhethwa kakhulu ngama-hemispherectomies - kuze kufike eminyakeni eyi-12, ubuchopho bomuntu buqhubeka nokukhula. Lokhu kusho ukuthi noma ngabe kususwe inkabazwe eyodwa, enye ingxenye iyanxephezela ukungabikho kwayo ngokwenza ama-neurons amasha nama-dendrites.
Amakhono ahlala ohlangothini olulodwa lobuchopho (ngokwesibonelo, izibalo nolimi ohlangothini lwesobunxele) azishintshele kolunye uhlangothi.
Umndeni wakwaCave uthathe isinqumo sokuqhubeka ne-hemispherectomy. UKacie wayeneminyaka ecishe ibe ngu-14 ubudala.
UKacie uphume ekuhlinzeni engakwazi ukukhuluma (ubevele enezinkinga zokukhuluma ngaphambi kokuhlinzwa). Ubengathi 'yebo', 'cha', 'ngiyabonga' kepha angakwazi ukudlulisa imibono. UKacie wenza ukwelashwa kokukhuluma nsuku zonke kuze kube sentwasahlobo yonyaka olandelayo.
UKacie wabuyela esikoleni njengomuntu omusha esikoleni esiphakeme. Ukuhlinzwa kushiye isandla sakhe sokudla singenamsebenzi futhi uhamba exhuga kancane kepha lapho ebuzwa ukuthi uzizwa kanjani eminyakeni ngemuva kokuhlinzwa, uyaphendula: «Ngizizwa ngimuhle kakhulu, ngimuhle impela. Angisenakho ukuquleka futhi ngijabule ngakho.
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