Tuma dɔw la, aw bɛ se k’a miiri ko aw mana fura caman ta bana dɔ la i n’a fɔ kunfilanitu walima degun kuntaalajan, a kunbɛncogo lakika tɛ yen. A bɛ mɔgɔ dusu tiɲɛ tiɲɛ na ni aw bɛ furakɛli caman kɛ nka aw ma a ɲininen sɔrɔ. Nka, furakɛli dɔnniya yiriwalen kɔ, bi furakɛlicogo dɔw bɛ yen sisan hali o bana suguw la. O furakɛli sugu dɔ min bɛ kɛ dɔgɔtɔrɔw fɛ ni furakɛli wɛrɛw ma ɲɛ, o ye Vagus Nerve Stimulation ye, walima VNS ni a surunyalen don. N’an y’a fɔ cogo nɔgɔman na, a bɛ i n’a fɔ dusukun tantannikɛlan min donna dusukun na, nka nin ye hakili ta ye, dusukun ta tɛ! An ka kuma o kan ka ɲɛ bi.
A fɔlɔ, Vagus nerve ye mun ye?
I farikolo-ɲɛnajɛ bɛ i n’a fɔ jamana ka telefɔni-minɛnw rezo. O nɛrɛw bɛ dɛmɛ ka cikanw ta ka bɔ i hakili la ka taa i farikolo fan bɛɛ la ani ka segin i hakili la. Olu la, Vagus nɛrɛ ye nɛrɛ kɛrɛnkɛrɛnnenba ye min ka jan kosɛbɛ. A bɛ daminɛ kunsɛmɛ na, ka tɛmɛ i kɔ fɛ, ka taa fo i disi ni i kɔnɔbara la. Miiri k’a filɛ nin ye kumaɲɔgɔnya siraba ye i hakili, dusukun, fogonfogon ani banakɔtaa cɛ. O la, VNS furakɛli hakilina jɔnjɔn ye ko ni i ye nin nɛrɛmuguma in baara Changer, i bɛ se ka nɔ bila hakili baara la.
VNS furakɛli bɛ kɛ cogo jumɛnw na?
Nin furakɛli in tɛ bɛɛ ta ye. A dabɔra sisan cogoya kunbaba saba kama diɲɛ kɔnɔ. U kelen-kelen bɛɛ la, dɔgɔtɔrɔw bɛ o fɛɛrɛ in jateminɛ dɔrɔn ni furakɛlicogo kɔrɔ wɛrɛw ma ɲɛ .
| Bana cogoya | Jɔn bɛnnen don? |
|---|---|
| Ɲɛgɛnɛsiraw | I n’a fɔ furakɛli faralen denmisɛnw kan minnu si tɛmɛna san 4 kan ani balikuw minnu ka kirinni bɛ u yɔrɔ la, minnu tɛ se ka kunbɛn ni fura ye. |
| Degun min bɛ se ka furakɛ | Baliku minnu si tɛmɛna san 18 kan, degun jugumanba bɛ minnu na waati jan kɔnɔ walima minnu bɛ segin-ka-bɔ, ni u ma degun fura suguya naani jaabi a dɔgɔyalenba la. |
| AVC Rehabilitation (AVC (Sɔgɔsɔgɔninjɛ) Rehabilitation | I n’a fɔ dɛmɛ wɛrɛ farikoloɲɛnajɛ furakɛli la, mɔgɔ minnu bolo ni u bolow baara tiɲɛna kosɛbɛ, joli-sira-funu kɔfɛ, joli-sira-funu-kɔnɔ-banakisɛ dɔ datugulen kɔfɛ. |
Nin VNS minɛn in bɛ nɔrɔ farikolo la cogo di?
Nin ye opereli nɔgɔman ye tiɲɛ na. Foyi t'a la ka siran. A ka ca a la opereli bɛ se ka ban lɛri kelen ni tila ɲɔgɔn kɔnɔ.
1. Minɛn: Nin yɔrɔba fila bɛ yen. Kelen ye minɛn ye (pulse generator) min ka bon dɔɔnin ka tɛmɛ warijɛ warijɛ kan, wa a bɛ baara kɛ i n’a fɔ batiri. Tɔɔ kelen ye nɛgɛ finman ye min bɛ Bɔ a la.
2. Opereli : Dɔgɔtɔrɔ bɛna tigɛ fitiniba dɔ kɛ aw kɔ kinin fɛ ani ka nɛgɛ siri ka ɲɛ vagus nerve la. O kɔ, a bɛna tigɛ fitini wɛrɛ kɛ i disi kininbolo sanfɛla la, ka bɔrɔ fitinin dɔ da fari jukɔrɔ, ka batiri bɔlen minɛn don yen. O kɔ, a bɛ na ni nɛgɛ ye min sirilen bɛ nɛrɛmugu la fari jukɔrɔ k’a siri nin minɛn in na.
3. Sɛgɛsɛgɛli: Fɛn bɛɛ sirilen kɔfɛ, dɔgɔtɔrɔ bɛna minɛn in da joona waati dɔ kɔnɔ walasa k’a dɔn ni a bɛ baara kɛ ka ɲɛ. O kɔ, tigɛyɔrɔw bɛ siri ka taa san fɛ. A ka ca a la, o sɔgɔli ninnu bɛ wuli, o la, kun t’a la ka segin kɔ ka u kari tuguni.
Aw bɛ se ka baara kɛcogo kɔrɔw daminɛ kokura tile fila ɲɔgɔn opereli kɔfɛ.
Mun bɛ kɛ opereli kɔfɛ?
Aw bɛna taa dɔgɔtɔrɔso la tuguni dɔgɔkun fila fo dɔgɔkun naani ɲɔgɔn kɔfɛ. O waati de la ɔridinatɛri minɛn kɛrɛnkɛrɛnnen dɔ (porogaramu-minɛn) bɛna Kɛ ka VNS minɛn in baara tigitigi i farikolo kɔnɔ. Dɔgɔtɔrɔ bɛna a latigɛ kuran fanga ka kan ka kɛ cogo min na, u ka kan ka mɛn cogo min na, ani waati hakɛ minnu na, ka kɛɲɛ ni aw ka bana taamasiɲɛw ye.
Magɛnni dɔ bɛna di aw ma, aw bɛ se ka min minɛ aw bolo la. Ni kunfilanitu bɛ mɔgɔ min na, o tigi y’a ye ko a bɛna kirin, n’i ye nin magɛnni in maga a la minɛn bɛ yɔrɔ min na a disi kan, o bɛ kuran wɛrɛ ci a kunkolo ma. Ani fana, n’i ye nin magɛnni in minɛ minɛn kan, a bɛ se k’a faga waati dɔɔnin kɔnɔ.
A ka c’a la, batiri min bɛ nin minɛn in kɔnɔ, o bɛ mɛn san 6 ɲɔgɔn (dɔw bɛ mɛn fo san 15). Ni batiri banna, minɛn min bɛ disi la, o dɔrɔn de bɛ wuli opereli fitinin wɛrɛ fɛ.
Jɔn man ɲi nin furakɛli in na?
VNS furakɛli tɛ bɛɛ ta ye. Ni nin bana ninnu dɔ bɛ aw la, a bɛ se ka kɛ ko nin furakɛli in tɛ bɛn aw ma. Siga t’a la, aw ka kan ka kuma aw ka dɔgɔtɔrɔ fɛ o ko la.
| Ko minnu bɛ se ka kɛ ko u man ɲi VNS furakɛli ma | |
|---|---|
| - Ni kɔnɔma don | - Ni ninakili gɛlɛya bɛ aw la (sɔgɔsɔgɔninjɛ, sunɔgɔbaliya ) . |
| - Ni kɔnɔbara basigilen bɛ aw la (kɔnɔnatumu). | - Ni sukarodunbana bɛ aw la min bɛ sɔrɔ inisɔndiya fɛ |
| - Ni dusukun tantanni gɛlɛyaw (arrhythmies) walima dusukunnabana wɛrɛw bɛ aw la | - Ni farikolo tangalanw ka banaw bɛ aw la (dysautonomias) . |
| - Ni aw ye opereli kɛ ka tɛmɛ min ye vagus nerve tiɲɛ kɔ kinin fɛ | - Ni hakilibana juguman wɛrɛw bɛ aw la i n’a fɔ hakiliɲagami walima bipolar disorder |
Farati ni kɔlɔlɔ jumɛnw bɛ furakɛli la?
I n’a fɔ opereli bɛɛ la, farati misɛnnin dɔw bɛ yen ani kɔlɔlɔ dɔw. Nka, o fanba ye waati dɔɔnin dɔrɔn ta ye walima u bɛ se ka kunbɛn ni minɛn in sigicogo caman caman cili ye.
- Farati minnu ka teli ka sɔrɔ opereli la: banakisɛw bɛ sɔrɔ tigɛyɔrɔw la, dimi, vagus nerve walima a lamini yɔrɔw tiɲɛni.
- Kɔnɔnatumu minnu bɛ se ka sɔrɔ minɛn in baaracogo fɛ:
- Sɔgɔsɔgɔ
- Kumakan bɔli walima kan caman cili
- Kɔnɔ walima dawolo la, sɔgɔsɔgɔninjɛ
- Ninakilidegun (ninakilidegun) .
- Kuma gɛlɛya (dysphonie) .
- Munumunu gɛlɛya (dysphagie) .
- Kunkolodimi
Ni nin kɔlɔlɔ ninnu bɛ aw tɔɔrɔ, aw bɛ se k’a ɲini dɔgɔtɔrɔ fɛ a ka dɔ bɔ kuran wulicogo fanga la min bɛ bɔ minɛn na. Kɔnɔnatumu jugumanba dɔw fana bɛ yen minnu man teli ka sɔrɔ, wa aw ka dɔgɔtɔrɔ bɛna aw ladɔnniya o fana na.
Ni aw ka kan ka kuma dɔgɔtɔrɔ fɛ
Ni nin taamasiɲɛ ninnu dɔ ye aw ye, aw bɛ dɔgɔtɔrɔ wele joona.
| Ni nin taamasiɲɛ ninnu bɛ aw la, aw bɛ dɔgɔtɔrɔ ka laadilikan ɲini joona. | |
|---|---|
Banakisɛfagalanw taamasiɲɛw:
| Taamasiɲɛ juguman wɛrɛw:
|
Fɛn wɛrɛ min nafa ka bon: Ni VNS minɛn bɛ aw bolo, a nafa ka bon aw ka dɔgɔtɔrɔ ladɔnniya o la sani aw ka furakɛli sɛgɛsɛgɛli si kɛ, i n’a fɔ MRI sɛgɛsɛgɛli.
Take-Home cikan
- Vagus Nerve Stimulation (VNS) ye furakɛli kɛrɛnkɛrɛnnen ye min bɛ kɛ ka kɔnɔboli, degun ani kirinni furakɛ, furakɛlicogo kɔrɔw tɛ a kunbɛn i n’a fɔ furaw.
- Nin tɛ bana in fura ye, nka a bɛ se ka dɔ bɔ a taamasiɲɛw la kosɛbɛ (misali la, kirinni hakɛ, degun juguya) ani ka dɛmɛ don ka ɲɛnamaya kɛcogo ɲɛ.
- Nin furakɛli in bɛ opereli de wajibiya walasa ka minɛn fitinin dɔ don fari kɔrɔ.
- Nin furakɛli in man ɲi bɛɛ ma. Aw ka kan ka baro kɛ ni aw ka dɔgɔtɔrɔ kɛrɛnkɛrɛnnen ye ni a bɛnnen don aw ma ani farati minnu bɛ a la sani aw ka desizɔn ta.
- Minɛn in bilalen kɔfɛ, a nafa ka bon kosɛbɛ ka to ka taa dɔgɔtɔrɔso la tuma bɛɛ ani ka taa dɔgɔtɔrɔsow la i n’a fɔ a bolodara cogo min na.
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