Yu gɛt an we de shek sote yu nɔ ebul fɔ ivin ol wan kɔp ti fayn? Yu kin fil shek we yu de rayt, ɔ we yu de sayn? Dis na wetin wi de kɔl ‘Essential Tremor’. Ivin if yu tray fɔ kɔntrol dis sik bay we yu de tek mɛrɛsin, sɔm pipul dɛn nɔ go satisfay wit am. So fɔ dɛn kayn pipul ya, tide wi go tɔk bɔt wan rili advans tritmɛnt we fɔ kɔntrol dis trem. Dat na dip bren stimulation , ɔ DBS tritmɛnt fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na Dip Bren Stimulation (DBS)?
Dip Bren Stimulation (DBS) na wan we we dɛn kin yuz fɔ trit bɔku prɔblɛm dɛn we kin mek pɔsin muv, mɔ we pɔsin kin shek we i impɔtant.
Wan pat de na wi bren we dɛn kɔl di thalamus. Tink bɔt am lɛk wan sɛntral kɔntrol sɛnta we de kɔdinɛt ɛn kɔntrol di tin dɛn we wi bɔdi in mɔsul dɛn de du. Pan ɔl we dɛn nɔ no di rayt tin we kin mek pɔsin gɛt Essential Tremor, dɛn biliv se di abnɔmal tin we di bren kin du we kin mek pɔsin shek kin pas tru dis thalamus.
DBS tritmɛnt involv fɔ ɔpreshɔn sɔm rili fayn ilɛktrɔd dɛn na wan pat na di bren we dɛn kɔl thalamus. Dɔn dɛn kin yuz waya dɛn fɔ kɔnɛkt dɛn ilɛktrɔd ya to wan smɔl tin we dɛn kin put ɔnda di skin, jɔs dɔŋ di kɔlabɔn. Dis divays tan lɛk wan peshɛnt we de na di at. Wi kɔl am impuls jenɛra (IPG).
We di divays dɔn wok, i kin kɔntinyu fɔ sɛn smɔl smɔl ilɛktrik puls dɛn we nɔ de mek pen to di thalamus, ɛn dis kin blok di abnɔmal signal dɛn we kin mek pɔsin shek. Dis kin ɛp fɔ kɔntrol di we aw pɔsin de shek we i nɔ de pwɛl ɛni pat na di bren.
Fɔ tɔk am simpul wan, dis tan lɛk fɔ ɔf wan ‘switch’ we nɔ de wok fayn na di bren, bɔt i nɔ de mek ɛni damej pan di bren.
Dis IPG divays kin izi fɔ program (prog RA m) tru redio signal dɛn tru kɔmpyuta. Dɔn bak, dɛn kin gi di pɔsin wan spɛshal magnet, we dɛn kin yuz fɔ on/ɔf di divays frɔm do. Bɔku tɛm, dɛn kin yuz dis divays in batri fɔ tri to fayv ia. Di ɔpreshɔn we dɛn kin du fɔ chenj di batri bak rili simpul.
Wetin na di bɛnifit ɛn bad tin dɛn we dis DBS tritmɛnt gɛt?
Lɛk ɛni tritmɛnt, dis wan gɛt bɛnifit ɛn bad tin dɛn. Mek wi tek wan luk pan dem.
| Di bɛnifit dɛn we pɔsin kin gɛt | Di bad tin dɛn we kin apin |
|---|---|
| Di bren tisu nɔ de pwɛl fɔ ɔltɛm, so i nɔ go ambɔg nyu tritmɛnt dɛn tumara bambay. | Risk de fɔ mek yu gɛt di sik bikɔs dɛn put sɔntin we nɔ de na di bɔdi insay di bɔdi. |
| Dɛn kin ɔpreshɔn fɔ pul dis divays ɛnitɛm. | Yu fɔ gɛt ɔpreshɔn bak fɔ chenj di bateri ɛvri 3-5 ia. |
| Yu kin ajɔst di we aw di divays de wok as nid de. | Sɔntɛnde, i kin mek yu nɔ fil fayn ɔ yu kin gɛt strenj tin dɛn we yu de fil we yu de stimulate. |
| I kin wok fayn fɔ kɔntrol di we aw pɔsin de shek pas di ɔpreshɔn we de pwɛl sɔm pat dɛn na di bren (thalamotomy). | - . |
Udat fɔ tink bɔt fɔ du ɔpreshɔn pan DBS?
Dis na kwɛstyɔn we rili impɔtant. Bifo yu tink bɔt DBS, yu fɔ dɔn tray ɔl di mɛrɛsin dɛn we dɛn dɔn gi yu . If dɛn kɔntrol yu sik fayn fayn wan wit mɛrɛsin ɔ ɔda tin dɛn we de na do, dɛn nɔ go fayn fɔ mek dɛn du ɔpreshɔn.
Bifo yu disayd if dis fayn fɔ yu, yu fɔ tɔk bɔt dɛn tin ya gud gud wan wit pɔsin we sabi bɔt aw pɔsin kin muv ɔ pɔsin we sabi bɔt nyurolɔjis we gɛt spɛshal trenin fɔ du dis. Yu dɔktɔ na di bɛst pɔsin fɔ advays yu bɔt dis.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dɛn nɔ go put yu na slip we dɛn de du di ɔpreshɔn. Bifo dat, yu go de na wan kayn "twilight" stet. Dis na bikɔs di ɔspitul tim go nid fɔ tɔk to yu ɛn chɛk di ifɛkt dɛn we di stimuleshɔn gɛt. Dɛn go gi yu lokal anestetik fɔ mek di say dɛn we yu de fil nɔ fil ɛn nɔ fil ɛni pen. Dis na di rizin we mek bɔku pipul dɛn nɔ kin fil fayn we dɛn de du di ɔpreshɔn.
Dɔktɔ dɛn kin yuz CT ɔ MRI skan fɔ map di rayt say we di ilɛktrɔd dɛn de na di bren. we dεn dכn no di rayt say, dεn kin put pεrmanεnt εlektrod dεm na di bren. Dɔn, dɛn kin briŋ waya dɛn ɔnda di skin na di skel ɛn kɔnɛkt dɛn to wan IPG divays we dɛn put ɔnda di skin na di chɛst.
Dɛn kin on di IPG ɛn ajɔst am tu to 4 wik afta dɛn dɔn du di ɔpreshɔn. I kin tek sɔm wiks mɔ fɔ ajɔst di divays ɛn di mɛrɛsin dɛn we dɛn kin gi yu fɔ gɛt di rayt rilif fɔ yu sik dɛn .
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu kin fil taya smɔl ɛn yu kin gɛt sɔm bɔdi pen. Bɔt dɛn go gi yu mɛrɛsin fɔ ɛp yu fɔ de fil fayn. Sɔm pen ɔ tɛndnɛs kin de rawnd di stich ɛn pin sayt dɛn.
Aw yu kin tek kia ɔf yu wund dɛn afta yu rich na os?
- Dɛn go pul yu stich ɔ step dɛn 7-10 dez afta dɛn du di ɔpreshɔn.
- Di 4 ples dɛn we di nel dɛn bin stɔp na di ed fɔ kɔba wit Band-Aid ɔltɛm te dɛn dray. If nid de, chenj dɛn ɛvride.
- Yu kin klin yu ed wit wet klos, ɛn avɔyd say dɛn we gɛt wund .
- Yu kin shampoo yu ia di de afta dɛn dɔn pul di stich dɛn, bɔt tek tɛm bad bad wan . Nɔ skrach ɔ pik di wund dɛn.
Yu want fɔ stɔp yu wok?
- Stay away frɔm layt aktiviti dɛm lɛk os wok ɛn mami ɛn dadi biznɛs fɔ tu wiks afta di ɔpreshɔn.
- Nɔ du ɛksɛsayz we yu de du tranga wan lɛk fɔ jok ɛn swim fɔ 4 to 6 wiks afta yu dɔn du di ɔpreshɔn.
- Nɔ es ɛnitin we ebi pas fayv pawn (2.3 kg) fɔ at le tu wiks.
- Dipen pan di kayn wok we yu de du, yu kin ebul fɔ go bak na wokples insay 4 to siks wiks.
Speshal Atɛnshɔn: Kɔl di dɔktɔ wantɛm wantɛm!
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm ɛn nɔ de te .
| Sayn dɛn we de wɔn pipul dɛn | |
|---|---|
| 1. 1. 1. . | Ed we de at bad bad wan ɛn we nɔ de chenj. |
| 2. 2. . | Blɔd we de kɔmɔt na di wund. |
| 3. 3. . | Di wund we de rɛd ɔ swɛl mɔ ɛn mɔ. |
| 4. 4. . | We yu nɔ de si fayn ɔ yu nɔ de si wantɛm wantɛm. |
| 5. 5. . | Fiva we nɔ de dɔn we pas 101 digri F. |
Mɛsej we dɛn kin kɛr go na os
- Dip Bren Stimulation (DBS) na wan advans tritmɛnt fɔ siriɔs impɔtant trem we at fɔ kɔntrol wit mɛrɛsin.
- Dis nɔ de pwɛl sɔm pat dɛn na di bren, bɔt i de gi ilɛktrik stimuleshɔn fɔ blok di rɔng signal dɛn we de mek pɔsin shek.
- Yu kin ajɔst dis divays as nid de ɛn pul am if nid de.
- Jɔs lɛk ɛni ɔpreshɔn, gud tin dɛn de, bad tin dɛn, ɛn prɔblɛm dɛn de. I impɔtant fɔ tek tɛm tɔk bɔt ɔl dɛn tin ya wit yu spɛshal pɔsin bifo yu disayd fɔ du sɔntin.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs afta di ɔpreshɔn rili impɔtant fɔ mek yu wɛl kwik ɛn fɔ mek yu gɛt fayn fayn rizɔlt.
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