Yu dɔn ɛva si pɔsin we in an ɛn fut dɛn de shek ɛn nɔ ebul fɔ waka fayn, we i nɔ izi fɔ kɔntrol in sik wit mɛrɛsin? Ɔ pɔsin we gɛt epilepsy we pɔsin nɔ go ebul fɔ kɔntrol ivin if i tek mɛrɛsin? Wi nɔ kin ivin imajin aw i nɔ kin izi fɔ liv wit dɛn kayn tin ya. Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, nyu tritmɛnt dɛn de naw we go mek dɛn kayn sik pipul dɛn de fil fayn. Tide, wi go tɔk bɔt wan pan dɛn spɛshal tritmɛnt dɛn de. Dat na Dip Bren Stimulation, ɔ DBS tritmɛnt fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na Dip Bren Stimulation (DBS)?
Dis nem de mek yu fred smɔl, nɔto so? Yu kin de tink se, "I tan lɛk fɔ gi kɔrɛnt to di bren?" Infakt, dɛn ɛksplen am jɔs lɛk dis. DBS na ɔspitul we de sɛn ilɛktrik signal dɛn we nɔ rili klia to wan patikyula dip pat na di bren. Jɔs lɛk aw dɛn kin put pesmɛka fɔ mek di at wok fayn bak we di at nɔ de wok fayn, yu kin tink bɔt dis lɛk pesmɛka we dɛn kin put na di bren .
Wetin kin apin na we dɛn kin put waya dɛn we rili tan (we dɛn kɔl ilɛktrɔd) insay di bren usay di prɔblɛm de. Dɔn dɛn kin kɔnɛkt di waya dɛn to wan smɔl tin we tan lɛk batri (we dɛn kɔl puls jenɛra) we dɛn kin put ɔnda di skin nia yu kɔlabɔn. Di divays de sɛn smɔl smɔl ilɛktrik signal dɛn fɔ mek di bren sɛl dɛn wok. Dɛn ilɛktrik signal ya kin mek di bren bigin fɔ wok nɔmal wan bak.
Wetin mek wi nid dis DBS tritmɛnt?
Wi bren na wɔndaful ples usay bɔku bɔku nerv sɛl dɛn ɔ nyuron dɛn de wok togɛda. dis nyuron dεm de kכmכnik wit dεn wan dεm tru ilektrikal εn kεmikכl signal dεm. Imajin se we yu want fɔ es yu an ɔp, di kɔrɛspɔndɛns signal de kɔmɔt na di bren to di an tru dis nɛtwɔk we gɛt nyuron dɛn.
כltu, bikoz fכ sכm sik dεm, di aktiviti fכ dεn nyuron dεm na sכm pat dεm na di bren de dכn כ i nכ de rεgulεr. Dɔn, di wok we di bɔdi de du we da pat de de kɔntrol nɔ kin ebul fɔ du am fayn. fכ egzampl, if di nyuron dεm na di pat we de kכntro di muvmεnt nכ de wok fayn, tin dεm lεk fכ tret na di limb dεm εn i at fכ waka kin apin.
DBS tεrapi de wok bay we i de artificially delivεr sכft ilektrikal signal dεm fכ riaktivεt dεn dormant nyuron dεm ya. Dis kin gi yu bɔrku rilif frɔm di sayn dɛm. Bɔt di wan dɛn we de stɔdi bɔt dis stil de stɔdi di rayt we aw dis kin apin.
Us kɔndishɔn dɛn kin trit fayn fayn wan wit DBS?
Dɛn kin yuz DBS tritmɛnt mɔ fɔ trit sɔm sik dɛn we gɛt fɔ du wit di we aw di bren de wok. Pan dɛn sik ya, dɛn dɔn pruv se dis tritmɛnt kin rili wok. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sik kategori | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Kɔndishɔn dɛn we dɛn dɔn gri fɔ fɔ trit DBS | |
| Dis sik we dɛn kɔl Parkinson | Dis tritmɛnt kin rili wok we di sik dɔn go bifo ɛn di we aw pɔsin kin tek mɛrɛsin nɔ bɔku. Di sayn dɛm lɛk fɔ shek na yu an ɛn fut, fɔ stif na yu bɔdi, ɛn fɔ mek i nɔ izi fɔ waka, kin rili pul am. |
| Impɔtant Tremor | Dis na wan sik wae, lɛk Pakinsin, kin mek yu bɔdi shek. De tret de kin pasmak, mɔr lɛk wae yu de tray fɔ du sɔmtin (lɛk fɔ drink wan glas wata, fɔ rayt). DBS kin ɛp fɔ kɔntrol dis kɔndishɔn. |
| Distɔnia we gɛt dis sik | wetin kin apin insay dis kes na we di mכsul dεm kin kכntrakt dεn wan dεm, we kin mek di bכdi de twis. Dɛn kin yuz DBS tritmɛnt bak fayn fayn wan fɔ dis kɔndishɔn. |
| Epilepsy we nɔ de tek mɛrɛsin | DBS tritmɛnt na fayn tin fɔ di wan dɛn we nɔ ebul fɔ kɔntrol dɛn sik pan ɔl we dɛn de yuz bɔku kɔmɔn mɛrɛsin dɛn. |
| OCD we nɔ de tek mɛrɛsin | Dɛn kin yuz DBS tritmɛnt bak pan kes dɛm wae di mental kɔndishɔn Obsessive-Compulsive Disorder (OCD) de na wan rili siriɔs lɛvɛl ɛn nɔr kin ebul fɔ kɔntrol am wit mɛrɛsin. |
| Sik dɛm wae DBS tritmɛnt kin bɛnifit fɔ pan risach | |
| Ɔda tin dɛn we kin apin | Risach stil de go bifo fɔ no aw DBS tritmɛnt go woke fayn fɔ sik dɛm lɛk bad bad pen, Tourette syndrome, siriɔs pwɛl hat, adikshɔn, ɛn Alzaima sik. |
Di impɔtant tin na dat DBS nɔto wan saiz tritmɛnt. Wan tim we sabi bɔt mɛrɛsin go disayd if dis tritmɛnt fayn fɔ yu, ɛn dɛn go tink bɔt bɔku tin dɛn lɛk aw yu sik, aw i rili bad, ɛn aw yu de tek mɛrɛsin.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
If yu disayd fɔ du DBS ɔpreshɔn, sɔm tin dɛn de we yu nid fɔ du fɔ rɛdi fɔ am.
1. Tɔk wit di dɔktɔ: Fɔs, yu dɔktɔ go ɛksplen to yu ɔl di bɛnifit dɛn, di bad tin dɛn, ɛn di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn. Dis na di bɛst tɛm fɔ gɛt ansa to ɔl yu kwɛstyɔn dɛn.
2. Mɛdikal tɛst: Dɛn kin du bɔku tɛst dɛn lɛk MRI ɛn CT skan fɔ si if yu bɔdi de fayn fɔ dis ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn kin yuz di pikchɔ dɛn we dɛn kin pul na dɛn skan dɛn ya fɔ no di bɛst ples fɔ put di ilɛktrɔd na yu bren.
3. Aw fɔ no bɔt mɛrɛsin: Yu fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek naw, mɔ di wan dɛn we de mek yu blɔd tan . I kin advays yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn fɔ sɔm tɛm bifo dɛn du yu ɔpreshɔn. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin we yu nɔ tɔk to yu dɔktɔ fɔs.
4. Fastin: Bikɔs dɛn go du di ɔpreshɔn ɔnda jenɛral anestezi, dɛn go advays yu fɔ nɔ it ɛn drink fɔ sɔm awa bifo di ɔpreshɔn (fastin).
Wetin kin apin we dɛn de du di ɔpreshɔn?
DBS tritmɛnt nɔto rili wan ɔpreshɔn. Bɔku tɛm, na tu ɔ tri ɔpreshɔn dɛn we dɛn kin du difrɛn de dɛn.
Step Wan: Fɔ Put Ilɛktrod dɛn na di Bren
Dis na di ɔpreshɔn we impɔtant pas ɔl.
- Fɔs, dɛn kin sheb yu ia. Dɔn, dɛn kin put yu ed insay wan spɛshal freym fɔ mek i nɔ de muv. Dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn fɔ mek yu ed de tɔn, so yu nɔ go mɛmba am.
- Dɔn, dɛn kin du CT skan fɔ no di kɔrɛkt rod fɔ put di ilɛktrɔd insay.
- Di dɔktɔ we de du di ɔpreshɔn kin injekt mɛrɛsin fɔ mek di skel ɛn di skel nɔ gɛt bɛtɛ trɛnk, dɔn i kin mek wan rili smɔl ol na di skel.
- Dis tɛm, mɔ if yu de trit yu muvmɛnt prɔblɛm lɛk Pakinsin, .Yu kin wek. Nɔ fred dis. Yu nɔ go fil ɛni pen, bikɔs wi bren nɔ gɛt di pawa fɔ no di pen dairekt wan .
- We yu de wek, di dɔktɔ go tɛl yu fɔ du smɔl smɔl tin dɛn. Fɔ ɛgzampul, ansa kwɛstyɔn dɛn, luk pikchɔ dɛn, ɛn muv yu an ɛn fut. Dis na fɔ mek shɔ se di ilɛktrɔd dɛn de na di rayt ples na yu bren.
- We dɛn dɔn put di ilɛktrɔd fayn fayn wan, dɛn kin briŋ di ɛnd we de na do ɔnda di skin we de biɛn di ed ɛn kɔba am wit plastic sheet fɔ sɔm tɛm. Dɔn dɛn kin stich di say we dɛn kɔt di say we dɛn kɔt. Yu kin de na ɔspitul fɔ wan nɛt ɛn yu kin go na os di nɛks de.
Step Tu: Implant di Pulse Jɛnɛratɔ
Bɔku tɛm, dɛn kin du dis ɔpreshɔn pan wan sɛpret de afta di fɔs ɔpreshɔn. Dɛn go ful-ɔp yu anestez.
- Di dɔktɔ we de du di ɔpreshɔn kin kɔt smɔl pat na yu skin jɔs dɔŋ yu kɔlabɔn.
- sכm sכm spεs (pouch) dεn de mek כnda di skin εn dεn de put di puls jεnarεta we lεk batri insay am.
- afta dat, dεn de pas כda waya (εkstenshכn waya) כnda di skin frכm di εlektrod we de na di ed fכ kכnekt to dis puls jεnarεta.
- Ɔl dis kin kɔnɛkt ɛn dɛn kin siŋ di say we dɛn kɔt. Bikɔs dis na ɔpreshɔn we nɔ izi fɔ du, yu kin go na os di sem de.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn dɔn, di pat we impɔtant pas ɔl kin bigin: fɔ program di divays .
Afta sɔm wiks we dɛn dɔn du di ɔpreshɔn, yu dɔktɔ go kɔl yu fɔ kam insay.Na da tɛm de dɛn go opin di puls jenɛra ɛn program am.
Dis tan lɛk we yu de tyu redio to wan patikyula chanɛl. Yu nid fɔ ajɔst di sɛtin dɛm fɔ di ilɛktrik signal dɛm fɔ mek yu gɛt maksimal rilif fɔ yu sik dɛm ɛn fɔ mek yu nɔ gɛt bɔku sayd ɛfɛkt dɛm. Dis kin mek yu nid fɔ go to dɔktɔ bɔku tɛm.
di batri dεm we de insay dεn puls jεnarεta dεm kin las 3-5 ia. Sɔm dɛn kin chaj bak, ɛn dɛn kin las fɔ 9 ia. Fɔ chenj di batri, dɛn nid fɔ du smɔl ɔpreshɔn bak, bɔt i simpul pas di ɔpreshɔn we dɛn bin du fɔs.
Wetin na di bɛnifit dɛn we DBS tritmɛnt kin gi?
- Wan gud opshɔn fɔ di sik pipul dɛm wae nɔr kin ebul fɔ kɔntrol wit mɛrɛsin: DBS na big op fɔ layf wae mɛrɛsin nɔr de woke ɔr di sayd ɛfɛkt dɛm wae mɛrɛsin kin gɛt nɔr kin bia. I kin ɛp bak fɔ ridyus di doz fɔ mɛrɛsin fɔ di wan dɛn we gɛt Pakinsin.
- Wan tritmɛnt we de chenj in layf: Fɔ pɔsin we nɔ bin ebul fɔ du ivin di bɛsis wok dɛn bikɔs ɔf di bad bad sik dɛn, na fayn tin fɔ ebul fɔ du in wok fɔ insɛf bak.
- Adjustable: If yu kɔndishɔn chenj as tɛm de go, yu kin ajɔst di sɛtin dɛn na di puls jenɛra fɔ fit am.
- Rivεrsibl: .If dis tritmɛnt nɔ fayn fɔ yu ɛni we, ɔ if yu gɛt sayd ɛfɛkt dɛn we yu nɔ go ebul fɔ bia, dɛn kin pul di divays kpatakpata insay ɔda ɔpreshɔn.
No risk ɛn prɔblɛm nɔ de wit dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, DBS ɔpreshɔn kin gɛt prɔblɛm ɛn prɔblɛm dɛn. Yu dɔktɔ go ɛksplen dɛn tin ya to yu ditayli.
| Di kayn risk we pɔsin kin gɛt | Sɔm prɔblɛm dɛn we kin apin |
|---|---|
| Risk dɛn we kin apin we dɛn du ɔpreshɔn |
|
| Di tin dɛn we gɛt fɔ du wit divays | |
| Posisibul sayd effekt dεm fכ stimulashכn | Bɔku tɛm, dɛn tin ya kin apin we dɛn de program ɛn dɛn kin dɔn we dɛn chenj di sɛtin dɛn.
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Di tɛm fɔ wɛl ɛn tin dɛn we yu fɔ no bɔt
I kin tek sɔm wiks fɔ mek i wɛl ɔl we dɛn du di ɔpreshɔn. Insay dis tɛm, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- Rɛst: Nɔ du ɛnitin we go mek yu strɛs fɔ lɛk tu wiks afta yu dɔn du ɔl tu di ɔpreshɔn dɛn. Nɔ es ɛnitin we ebi pas 2.5 kilogram.
- Ɛksesaiz: Nɔ du ɛksɛsayz ɔ wok tranga wan fɔ 4-6 wik.
- Tek tɛm: Nɔ es yu an fɔ sɔm dez afta dɛn dɔn put di puls jenɛra.
- Fɔ kip di wund klin: Kip di wund dɛn na yu ed ɛn chɛst klin ɛn dray. Chenj di dresin lɛk aw di dɔktɔ tɛl yu. Yuz mild klinsin lɛk bebi shampoo we yu de was. Nɔ skrach di wund.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Bikɔs DBS na ɔpreshɔn na yu bren, yu fɔ rili no bɔt sɔm sayn dɛn we de wɔn yu. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
* Wan ed we kin at wantɛm wantɛm, we kin rili at ɛn we kin kɔntinyu fɔ at.
* Blɔd we de kɔmɔt bikɔs dɛn kɔt am.
* Rɛd, swel, ɔ wam we nɔ kɔmɔn rawnd di wund (dɛn tin ya na sayn fɔ infekshɔn).
* Sɔdɛn chenj na di vishɔn (dɔbul vishɔn, blurred vision).
* Fiva we gɛt 38.3 Sɛlshiɔs (101 Fɛnayt) ɔ pas dat.
Sɔm mɔ kɔmɔn kwɛstyɔn dɛn bɔt DBS
A nɔ go ebul fɔ yuz ilɛktronik tin dɛn if a gɛt DBS?
Nɔmal wan, tin dɛn we dɛn kin yuz na os lɛk maykrowev, kɔmpyuta, ɛn smart fon nɔ kin mek ɛni prɔblɛm. Bɔt dis divays kin afɛkt di tin dɛn we dɛn kin yuz fɔ no bɔt mɛtal na di aypɔt dɛn ɛn di wan dɛn we dɛn kin yuz fɔ skan fɔ mek dɛn nɔ tif na sɔm stɔ dɛn. Di dɔktɔ go gi yu spɛshal ID kad fɔ yuz pan dɛn kayn tin dɛn de.
Di tin we impɔtant pas ɔl: Afta dɛn dɔn put DBS divays, dɛn nɔ kin ebul fɔ du mɛdikal tɛst ɛn tritmɛnt dɛn lɛk MRI skan, transkranial magnɛtik stimuleshɔn (TMS), ɛn dayatɛm .
DBS kin mɛn di sik ɔltogɛda?
Nɔ, DBS nɔto mɛrɛsin, na tritmɛnt . Dɛn kin yuse am fɔ kɔntrol di sayn dɛm. Bɔrku pan de sik dɛm wae dɛn kin trit wit dis tritmɛnt kin de fɔ ɔl dɛn layf.
A kin stɔp fɔ tek mɛrɛsin afta DBS?
Yu kin ebul fɔ ridyus di doz fɔ di mɛrɛsin we yu de tek, bɔt i nɔ kin izi fɔ lɛ yu stɔp am kpatakpata. DBS tritmɛnt kin wok fayn pasmak we dɛn yuz am wit mɛrɛsin ɛn ɔda tritmɛnt dɛn.
Mɛsej we dɛn kin kɛr go na os
- Dip Bren Stimulation (DBS) na wan advans tritmɛnt we de kɔntrol di simptom dɛm fɔ Pakinsin sik ɛn epilepsy bay we i de gi subtil ilɛktrik signal to sɔm patikyula eria dɛm na di bren.
- Dis tan lɛk wan peshɛnt we dɛn put insay di bren. Dɛn kin advays am fɔ di wan dɛn we nɔ kin izi fɔ kɔntrol dɛn sik wit mɛrɛsin.
- Dis kin bi tu ɔpreshɔn, ɛn afta dɛn dɔn put di divays insay, i impɔtant fɔ program am fɔ fit di pɔsin.
- DBS nɔto mɛrɛsin fɔ di sik, bɔt na tritmɛnt we de kɔntrol di sayn dɛm ɛn mek yu layf bɛtɛ.
- I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if ɛni sayn we de wɔn yu (we gɛt siriɔs ed pen, fiva) afta dɛn dɔn du yu ɔpreshɔn.
- Na wan tim we sabi bɔt mɛrɛsin nɔmɔ go ebul fɔ no if dis tritmɛnt fayn fɔ yu, so if yu want fɔ no mɔ bɔt dis, tɔk to yu dɔktɔ.
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