Yala degun fura tɛ yen ni furakɛlicogo kɔrɔw ye wa? Nin ye hakiliɲagami furakɛli fɛɛrɛ kuraw ye minnu bɛ kɛ ni fɛɛrɛ kɔrɔw ye

Yala i bɛ ka gɛlɛya sɔrɔ degun na wa? N’a sɔrɔ aw ye fura minnu fɔ aw ka dɔgɔtɔrɔ ye, aw ye olu kɛ k’a lajɛ, ka taa ladilikɛlaw fɛ, hali bi aw ma kɛnɛya kosɛbɛ. A bɛ kɛ cogo la min bɛ mɔgɔ fari faga ani ka jigiya sɔrɔ nin waati suguw la. Nka, i hakili to a la ko i kelen tɛ. Furakɛcogo dɔnniya bɛ ka taa ɲɛ don o don. O de kama furakɛli kura dɔw bɛ yen minnu ka bon, minnu bɛ se ka mɔgɔw dɛmɛ minnu tɛ furakɛlicogo kɔrɔw jaabi ka ɲɛ. An bɛ kuma o de kan bi.

‘Degun min tɛ se ka furakɛ’, o ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, an ye kuma min fɔ sanfɛ, o ye nin ye. O kɔrɔ ye ko an b’a wele ko degun min bɛ se ka furakɛ ni a taamasiɲɛw ma ɲɛ ni degun furakɛli ye minnu sɔnna (misali la, degun fura suguya fila walima u caman, u tata hakɛ bɛnnen na, waati bɛrɛbɛrɛ kɔnɔ).

Miiri k’a filɛ, aw ka dɔgɔtɔrɔ bɛ fura dɔ di aw ma, kalo damadɔw kɛlen kɔ ka a ta, o tɛ danfaraba don. O kɔ, a bɛ i wuli ka taa fura wɛrɛ la. Ni o ma ɲɛ, i bɛ se ka don o kulu in na. Nin waati suguw de la dɔgɔtɔrɔw bɛ nin furakɛli kɛrɛnkɛrɛnnenw jateminɛ, minnu bɛ taa ɲɛ, an bɛna kuma minnu kan.

Kuranko furakɛli (ECT) - yala aw ka kan ka siran i n’a fɔ aw b’a miiri cogo min na wa?

Ni i ye "Electroconvulsive therapy (ECT)" daɲɛ mɛn, i hakili bɛ se ka jigin Sinhalakan ni Hindikan filimu kɔrɔw kɔnɔko dɔw la, wa i bɛ siran. Nka tiɲɛ yɛrɛ la, ECT ye furakɛli ye min farati ka bon kosɛbɛ ani min bɛ se ka kɔlɔsi bi.

Fɛn min bɛ kɛ o la, o ye ko aw bɛ lafiya pewu (aw bɛ sunɔgɔ) ani furakɛli in bɛ kɛ. O la, i tɛ foyi dusu sɔrɔ. Dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw ka kulu dɔ (hakilila-dɔgɔtɔrɔ, anestezi-dɔgɔtɔrɔ ani furakɛlikɛlaw) bɛ yen o kama. U bɛ kuran-minɛn misɛnninw ci i hakili la, minnu bɛ kɔrɔsi, u bɛ tɛmɛ ni kuran-minɛnw ye minnu bilalen bɛ i kun na. A bɛ fɔ ko o bɛ kumaɲɔgɔnya segin farikolo yɔrɔw ni ɲɔgɔn cɛ hakili la, wa degun taamasiɲɛw bɛ dɔgɔya joona.

A ka c’a la , kalan 6 fo 12 de ka kan ka kɛ, a ka c’a la, siɲɛ fila fo siɲɛ saba dɔgɔkun kɔnɔ. ECT ye furakɛli ye min bɛ se ka kɛ kosɛbɛ, kɛrɛnkɛrɛnnenya la, degunba bɛ mɔgɔ minnu na, minnu tɛ se ka furakɛ ani minnu bɛ u yɛrɛ faga.

Nka, i n’a fɔ fɛn tɔw bɛɛ, faratiw ni kɔlɔlɔw bɛ yen. Mɔgɔ dɔw bɛ se ka hakilijagabɔ gɛlɛyaw sɔrɔ (kɛrɛnkɛrɛnnenya la furakɛli waati lamini na) waati kunkurunnin kɔnɔ furakɛli kɔfɛ. O la, a nafa ka bon ka baro kɛ nin bɛɛ kan ni dɔgɔtɔrɔ ye sani aw ka furakɛli daminɛ.

Magnetic Pulse Therapy (TMS ani MST) - Ninnu ye mun ye?

O fɛɛrɛ fila bɛɛ bɛ baara kɛ ni magnɛti fanga ye walasa ka nɔ bila hakili la, nka o fɛɛrɛ fila tɛ kelen ye dɔɔnin.

1. Ɲɛgɛnɛsiraw (TMS) .

Nin ye fɛɛrɛ ye min ka nɔgɔn kosɛbɛ ka tɛmɛ ECT kan. Aw tɛ sunɔgɔ. Aw bɛ se ka sigi sigilan kan. Dɔgɔtɔrɔ walima fɛɛrɛtigi bɛ minɛn kɛrɛnkɛrɛnnen dɔ (`insulated wire coil`) bila i kunkolo la ka magɛnni ci a fɛ ka taa hakili yɔrɔ kɛrɛnkɛrɛnnenw na minnu bɛ miiri ko u sen bɛ degun na. O tɛ dimi ye.

Lajɛ bɛ kɛ miniti 30 ɲɔgɔn kɔnɔ, wa a bɛ se ka kɛ aw ka kan ka furakɛli kɛ tile 5 ɲɔgɔn dɔgɔkun kɔnɔ dɔgɔkun 4-6 kɔnɔ. TMS nafa belebele dɔ ye ko a kɔlɔlɔ ka dɔgɔn kosɛbɛ, wa a tɛ taa dɔgɔtɔrɔso la. Mɔgɔ dɔw bɛ se ka kirinni kɛ u kunsigi la, walima kungolodimi dɔɔni walima dimi bɛ se ka kɛ u la. Nka, a ma fɔ ko a bɛ nɔ bila hakilijagabɔ la i n’a fɔ ECT. Nka, a nafa ka bon an k’an hakili to a la ko TMS tɛ nɔ barikama bɔ i n’a fɔ ECT.

2. Furakɛcogo min bɛ kɛ ni magɛnni ye (MST) .

Nin bɛ ɲinini senfɛ hali bi, wa a bɛ i n’a fɔ ECT ni TMS cɛtigɛlen. Yan, magɛnni barikama dɔ bɛ Kɛ ka kirinni kɔrɔsilen dɔ Lawuli kùnkolo la. Hali ni a sababu tigitigi ma dɔn, o kirinni bɛ degun taamasiɲɛw nɔgɔya joona. A fana bɛ anestezi de wajibiya, i n’a fɔ ECT la. Nka, dɔgɔtɔrɔw jigi b’a kan ko ikomi ECT bɛ se ka hakili yɔrɔw laɲini ka ɲɛ, o la, a tɛna nɔba bila hakilijagabɔ la.

Furakɛli wɛrɛ minnu bɛ tali kɛ opereli la

Olu ye furaw ye minnu ka bon kosɛbɛ, opereli bɛ kɛ minnu na. A ka ca a la, u bɛ kɛ bana jugumanba la, ni furakɛli tɔw bɛɛ ma ɲɛ.

1. Sugunɛbilenni jugumanba (DBS) .

Nin ye fura ye min bɛ kɛ kaban Parkinson ka bana na. O la, opereli bɛ kɛ ka elekitorozɛni don sugunɛ yɔrɔ kɛrɛnkɛrɛnnenw na, yɔrɔ minnu ka dun. O elekitorode ninnu bɛ baara kɛ ni batiri ye min bɛ don disi walima kɔnɔbara fari jukɔrɔ. O elekitorodew bɛ kuran taamasiɲɛw ci ka taa hakili la kafoda la minnu bɛ dusukunnataw kɔlɔsi, ka degun taamasiɲɛw kɔlɔsi. Hali ni ɲininiw dan ye hali bi, o nɔw bɛ layidu ta.

2. Vagus Nɛrɛmuguma (VNS) .

Vagus nerve ye nɛrɛ jan ye min bɛ bɔ kunsɛmɛ na ka taa farikolo yɔrɔ caman na. O nɛrɛmuguma fana bɛ tali kɛ hakili yɔrɔw la minnu bɛ dusukunnataw ɲɛnabɔ. Nin furakɛli in na, minɛn fitinin dɔ bɛ don disi fari jukɔrɔ opereli fɛ, min ni dusukun tantannikɛlan bɛ tali kɛ ɲɔgɔn na. O minɛn bɛ kuran cikanw ci vagus nerve ma. O bɛ nɛrɛw ka kumaɲɔgɔnya ɲɛ ka taa a fɛ kunsɛmɛ na ani ka degun nɔgɔya. Nka, a bɛ se ka kalo damadɔw ta walasa ka a nɔw ye.

Ketamine - lafiya teliya la?

Ketamini ye anestezi fura ye. Nka ɲinini minnu kɛra kɔsa in na, olu y’a jira ko ni a tata hakɛ dɔgɔyara kosɛbɛ, a bɛ se ka lafiya teliya la lɛri damadɔ kɔnɔ banabagatɔ dɔw la minnu degunba don.

Sisan, nugulafura dɔ min bɛ wele ko Ketoconazole, o dagalen don mɔgɔw ma minnu tɛ degun fura wɛrɛw jaabi walima minnu bɛ ka yɛrɛfaga miiriliw sɔrɔ. Ka fara o kan, jolisira fɛ pikiri (IV infusion) fana bɛ kɛ. A ka ca a la, o bɛ kɛ dɔgɔtɔrɔso la, dɔgɔtɔrɔw ka kɔlɔsili kɔnɔ.