Sɔmbɔdi na yu famili, sɔntɛm yu mama, papa, grani ɔ anti we yu lɛk, kin gɛt wan sik we dɛn kɔl Alzaima. Ɔ sɔntɛm yu go want fɔ no mɔ bɔt dis sik. Alzaima na de kayn sik wae kin kam pan pɔrsin wae gɛt dis maynia sik, wae kin mek pɔrsin nɔr de tink lɛk fɔ mɛmba, fɔ sɔlv prɔblɛm, ɛn fɔ tɔk smɔl smɔl. Dis kin mek i nɔ izi fɔ du ɛvride wok.
De big tin wae kin mek pɔrsin gɛt Alzaima sik na wae pɔrsin de ol. Pan ɔl we di mɛrɛsin dɛn we dɛn de tek naw kin kɔntrol di sik dɛn to sɔm mak, dɛn nɔ kin ebul fɔ stɔp di sik kpatakpata. Na dat mek pipul dɛm wae de stɔdi bɔt dis sik de luk fɔ nyu tritmɛnt dɛm wae go mek di sik nɔr de go bifo kwik kwik wan. Tide, wi go tɔk bɔt tu pan dɛn tritmɛnt ya we de mek di bren wok fayn. Fɔ tɔk am simpul wan, dɛn tritmɛnt ya de yuz ilɛktrik ɔ magnɛtik wev fɔ "tɔn on" ɔ "ɔf" di aktiviti fɔ sɔm pat dɛn na di bren.
Wetin na rTMS (Rɛpititiv Transkranial Magnɛtik Stimuleshɔn) tɛrapi?
Dis na wan pan di nyu tritmɛnt dɛm wae dɛn de tɛst fɔ pipul dɛm wae gɛt Alzaima. I min fɔ yuz wan magnet we de na do fɔ mek wan patikyula pat na di bren wok, ɛn dɛn nɔ go du ɔpreshɔn pan am. Dɛn kɔl am "ripit" bikɔs dɛn kin du di tritmɛnt fayv dez insay di wik, ɛvride fɔ 4 to siks wik.
Imajin se yu sidɔm na chia we yu kin yuz ɔltɛm. Dɔktɔ kin put ilɛktromagnetik kɔyl oba yu ed. We i aktiv, i kin fil lɛk se smɔl tukanawak de hit yu fɔrɛst wit "klik" "klik" sawnd we de las fɔ sɔm sɛkɔn. I nɔ nid fɔ gɛt anestezi (fɔ mek yu ed nɔ gɛt bɛtɛ trɛnk). Bikɔs nɔto ɔpreshɔn, dɛn kin du am na dɔktɔ in ɔfis ɔ klinik.
I nɔr klia 100% aw rTMS kin rili woke pan Alzaima sik pipul dɛm. Risach pipul dɛn biliv se if pɔsin mek di bren dis kayn we, i kin mek di bren wok kwik ɔ slo we i gɛt fɔ du wit mɛmori ɛn tink.
Aw dis kin gɛt sakrifays?
di sakses fכ rTMS tritmεnt de dipכnt pan sεvεra fכs tin dεm. fכ egzampl, dεn sho se lכw frikכnshכn stimulashכn de ridyus di bren aktiviti, we dεn sho se hכy frεkwεns stimulashכn de inkrεs am. Dɔn bak, di eria na di bren we di tritmɛnt de tɔch ɛn ɛni ɔda mɛrɛsin we di pɔsin de tek kin afɛkt di rizɔlt.
In jεnarכl, dεn sho se hεvi frεkwεns stimulash כn kin bεtεh pan pipul dεm wae gεt mild dimεnshכn pas dεn wan dεm wae gεt mכr siriכs dimεnshכn. Sɔmtɛm, dɛn kin si gud rizɔlt wantɛm wantɛm afta dɛn dɔn trit am, bɔt fɔ sɔm pipul dɛn, i kin tek 6 wik fɔ si di rizɔlt. Dɛn bɛnifit ya kin las fɔ 3 mɔnt ɔ pas dat.
sכmtεm dis rTMS tritmεnt na wan fכm fכ kכgnitiv trenin fכ di bren.Dɛn kin du am togɛda. Dat min se, fɔ gi difrɛn tin dɛn ɛn ɛksesaiz fɔ mek di bren wok fayn. We dɛn du dɛn tu tin ya togɛda, dɛn dɔn gɛt bɛtɛ tin fɔ du, mɔ pan di wan dɛn we gɛt Alzaima we nɔ gɛt bɛtɛ trɛnk to we nɔ gɛt bɛtɛ trɛnk.
Impɔtant tin na dat, lɛk af pan di wan dɛn we gɛt Alzaima kin gɛt pwɛl hat sik. rTMS na wan tritmɛnt we FDA dɔn gri fɔ fɔ dipreshɔn. So, i at fɔ no if di bɛnifit fɔ rTMS tritmɛnt fɔ di wan dɛn we gɛt Alzaima na bikɔs ɔf di rial sik ɔ na di pwɛl hat we gɛt fɔ du wit am.
| Sayd ifekt ɛn kɔmplikɛshɔn dɛn we rTMS tritmɛnt kin gɛt | Tɔk bɔt |
|---|---|
| Kɔmɔn sayd ɛfɛkt dɛn | Diskɔmfɔt na di say we di magnet de, tingling na di jaw, skel, ɔ fes, ed pen, ɛn diziz kin apin. |
| Siriɔs bɔt sayd ɛfɛkt dɛn we nɔ kin apin so ɔltɛm | Di sik kin apin smɔl smɔl. Nɔr bɔrku tin nɔr no bɔt de lɔng tɛm sayd ɛfɛkt dɛm yet. |
| Prɔblɛm dɛn wit kɔmplikeshɔn dɛn | Sɔm pipul dɛn we de stɔdi bɔt dis bin tɔk se pipul dɛn de wɔri se if pɔsin gɛt ay frɛkuɛns stimulashɔn, dat kin rili mek di sik we dɛn kɔl Alzaima wɔs. Dɛn nid fɔ du mɔ risach bɔt dis. |
Wetin na Dip Bren Stimuleshɔn (DBS)?
Difrɛn frɔm rTMS, DBS na invasiv tritmɛnt we nid fɔ ɔpreshɔn di bren. Dis na big step fɔ go bifo. Insay dis ɔpreshɔn, dɛn kin put wan pe ilɛktrɔd na yu bren. Lɛk pesmɛka, dɛn kin put tu smɔl jenɛra dɛn we de kɔntrol dɛn ilɛktrɔd ya ɔnda di skin na yu chɛst.
Bifo di ɔpreshɔn, dɛn go du MRI skan na yu ed. Yu go wek di tɛm we dɛn de du di ɔpreshɔn. Nɔ wɔri, yu ed go numb (local anesthetic) so yu nɔ go fil ɛni pen. Bikɔs di bren nɔ de fil pen, di dɔktɔ kin yuz di MRI pikchɔ dɛn fɔ put di ilɛktrɔd dɛn na di rayt say dɛn. Dɔn, dɛn go put yu ɔnda jenɛral anestezi ɛn dɛn go put di jenɛra ɛn waya dɛn we de kɔnɛkt dɛn to di ilɛktrɔd dɛn na yu bren na yu chɛst. Afta di ɔpreshɔn, dis divays go mek yu bren kɔntinyu fɔ wok.
Dɛn bin yuz DBS tritmɛnt fɔs fɔ trit di sayn dɛm fɔ Pakinsin sik, lɛk fɔ shek ɛn rigidity. Na afta wan pasɛnt we bin gɛt DBS tritmɛnt fɔ fat bin sho se in mɛmori bɛtɛ, na in di wan dɛn we de stɔdi bɔt dis bigin fɔ chɛk if dɛn kin yuz am bak fɔ di sik we dɛn kɔl Alzaima.
Aw dis kin gɛt sakrifays?
Stɔdi dɛn we dɛn bin dɔn du fɔs sho se DBS na tritmɛnt we gɛt prɔmis. כltu, in sakses dipכnt pan di stej fכ di sik εn di tritmεnt plan (di εria na di bren we dεn tכk bכt, di trεnk fכ di stimulashכn).
Jɛnɛral wan, DBS tritmɛnt kin wok fayn pasmak we dɛn yuz am na di fɔs stej dɛm fɔ di sik (di fɔs stej Alzaima) . Pipul wae dεn no afta dεn ol 65 ia (let-onset) kin bεnεfit, we min se de sik kin slow in prכgrεs. Bɔt i sɔprayz fɔ no se pipul dɛn we dɛn dɔn no bifo dɛn ol 65 ia (we dɛn kin bigin fɔ gɛt am kwik kwik wan) nɔ si bɛtɛ bɛnifit frɔm dis tritmɛnt.
| Sayd ifekt ɛn kɔmplikeshɔn dɛn we DBS tritmɛnt kin gɛt | |
|---|---|
| Kɔmplikɛshɔn dɛn we gɛt fɔ du wit ɔpreshɔn | |
| Ɔpreshɔn kin mek blɔd kɔmɔt, infekshɔn, ɛn di hadwɔd we de na di chɛst nɔ kin wok fayn. | |
| Di sayd ɛfɛkt dɛn we gɛt fɔ du wit stimuleshɔn | |
| |
| Ɔda sayd ɛfɛkt dɛn we pɔsin kin gɛt | |
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Sɔm sayd ɛfɛkt (ed pen, dayarɛa, vɔmit) go stɔp as tɛm de go, bɔt i impɔtant fɔ mɛmba se DBS na tritmɛnt we gɛt prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Alzaima na wan sik we de go bifo. Pan ɔl we di mɛrɛsin dɛn we dɛn de tek naw kin kɔntrol di sik, dɛn nɔ kin ebul fɔ mɛn di sik.
- rTMS na wan we we nɔ de du ɔpreshɔn, we nɔ gɛt bɔku prɔblɛm wit di bren we kin bɛnifit sɔm pipul dɛn we de na di fɔs stej fɔ di sik, bɔt i stil de na di risach pat.
- DBS na siriɔs tritmɛnt we gɛt prɔblɛm ɛn we nid fɔ ɔpreshɔn di bren. I kin ɛp bak fɔ sɔm pipul dɛn we di sik bigin, bɔt dɛn nɔ de yuz am bɔku bɔku wan yet.
- Dɛn tu tritmɛnt ya stil de fɔ ɛkspirimɛnt fɔ Alzaima sik ɛn nɔto tritmɛnt dɛn we dɛn kin gi.
- Di tin we impɔtant pas ɔl na dat, if pɔsin na yu famili gɛt Alzaima, bifo yu disayd fɔ du ɛni tritmɛnt, tɔk to yu dɔktɔ gud gud wan ɛn ɔndastand wetin go fayn fɔ di pɔsin in kɔndishɔn.
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