Sɔntɛnde, pwɛl hat kin so traŋa, nɔto so? Sɔm pipul dɛn de pan wi we taya fɔ tek mɛrɛsin ɛn go fɛn advays ɛn nɔ gɛt ɛni rilif. Semweso, fɔ wan sik wae nɔr de ansa ɔda tritmɛnt, wae wi kin kɔl ‘treatment-resistant depression’, naw wan tritmɛnt de wae de briŋ nyu op. Dat na dis spɛshal tritmɛnt we dɛn kɔl vagus nerve stimulation, ɔ VNS. Dis na tritmɛnt we dɛn kin gi tru ɔpreshɔn. Lɛ wi si aw wi go ɔndastand dis simpul wan.
Aw dis VNS tritmɛnt de wok?
Imajin dis, dis na smɔl ɔpreshɔn. We dɛn de du dis ɔpreshɔn, yu dɔktɔ go put wan smɔl tin we de yuz batri ɔnda di skin na yu chɛst we de ɔp. I tan lɛk pesmɛka we de ɛp yu at fɔ bit. I tan lɛk wan ol rup kɔyn.
Neks, dɛn kin kɔt ɔda smɔl say na di lɛft say na yu nɛk, ɛn dɛn kin pas wan tint waya we kɔmɔt na di divays we de na yu chɛst ɔnda di skin ɛn kɔnɛkt am to di men nerve we dɛn kɔl Vagus, we kin pas na yu nɛk to yu bren.
naw, frכm dis divays na yu chεst, na spεshal intaval dεm, dεn de sεnd ilektrikal impuls dεm we rili sכmtεm along da waya de to di vagus nerve. Dɛn impuls dɛn de kin travul along di nerve dairekt to di bren.
So wetin kin apin wit dɛn ilɛktrik puls ya?
Infakt, dɔktɔ dɛn nɔr shɔ 100% aw dɛn ilɛktrik puls ya kin ridyus di sayn dɛm fɔ pwɛl hat. Bɔt di men tin na dat dɛn signal ya kin afɛkt di we aw di nerve cell circuits na wi bren we dɛn biliv se de involv fɔ kɔntrol di mud . Fɔ tɔk am simpul wan, dɛn kin chenj di we aw dɛn nɛv sɛl dɛn de kin tɔk to dɛnsɛf.
Bɔt dis nɔ go apin wan nɛt. Na wan prɔses we de tek tɛm. Stɔdi dɔn sho se i kin tek sɔm mɔnt, sɔm tɛm dɛn kin tek 9 mɔnt fɔ si di rizɔlt. So dis nɔto sɔntin we yu de luk fɔ as kwik fix.
Yu tink se dɛn go ebul fɔ kɔntrol dis divays?
Yɛs. Yu dɔktɔ kin chenj di sɛtin fɔ dis mashin ɛnitɛm, na in rum, yuz spɛshal tin (programming wand). Dat min se i kin inkrisayz ɔ ridyus di doz ɛn frɛkuɛns fɔ di ilɛktrik puls dɛn. Bɔku tɛm, dɛn kin sɛt am fɔ opin insɛf di rayt tɛm. If yu want, yu kin yuz spɛshal magnet bak fɔ stɔp am fɔ sɔm tɛm.
Wetin na de risk ɛn sayd ɛfɛkt dɛm wae dis tritmɛnt kin gɛt?
Jɔs lɛk ɛni mɛrɛsin, VNS tritmɛnt kin gɛt sɔm risk ɛn sayd ɛfɛkt. I impɔtant fɔ no bɔt dɛn tin ya.
| Risk/sayd ɛfɛkt tayp | Diskripshɔn ɛn wetin fɔ no |
|---|---|
| Di Kɔmɔn Sayd Ɛfɛkt dɛn | Sɔm tɛm, i kin mek pɔsin kray fɔ sɔm tɛm, i kin kɔf, ɛn i kin at fɔ blo. Bɔt bɔku pan dɛn tin ya kin apin fɔ shɔt tɛm nɔmɔ, we na lɛk 30 sɛkɔn, we di stimulator de on. Dɛn tin ya kin go we dɛn stɔp am. |
| Risk dɛn we pɔsin kin gɛt we i du ɔpreshɔn | Jɔs lɛk ɛni ɔpreshɔn, smɔl risk de fɔ mek di wund gɛt infɛkshɔn. Smɔl smɔl risk dɛn de bak we kin apin we pɔsin de anestez. |
| Fɔ Riples di Batri | Jɔs lɛk pesmɛka, as tɛm de go (bɔku tɛm afta sɔm ia), di bateri we de na dis divays go west. Dɔn dɛn go nid fɔ du ɔda smɔl ɔpreshɔn fɔ mek dɛn chenj am. |
| Divays Damej | Na smɔl tɛm nɔmɔ if di divays ɔ di waya dɔn pwɛl, dɛn kin nid fɔ du ɔpreshɔn fɔ mek am ɔ fɔ chenj am, ivin bifo dɛn chenj di batri. |
Ɛni ifɛkt de pan ɔda mɛrɛsin tɛst dɛn?
Yɛs, dis na tin we rili impɔtant.
- Mamogram: Bikɔs dis VNS divays de na di chɛst, i kin ambɔg fɔ gɛt klia pikchɔ we dɛn de du mamogram fɔ brɔst kansa. So, i impɔtant fɔ tɛl di wokman dɛn we gɛt fɔ du wit di prɔblɛm se yu gɛt VNS divays bifo di tɛst. Dɔn dɛn kin du di tɛst na spɛshal pozishɔn.
- MRI skan ɛn ɔda tritmɛnt dɛn: MRI skanRisk de fɔ mek di VNS divays pwɛl bikɔs ɔf tin dɛn lɛk fɔ tɛst. Dɔn bak, sɔm mɛrɛsin dɛn lɛk fɔ pul di fibrilashɔn, kin pwɛl di divays we di at stɔp fɔ bit.
So, if yu gɛt VNS divays, yu fɔ tɛl yu dɔktɔ ɛn di wan dɛn we gɛt fɔ du wit am bifo ɛni mɛrɛsin ɔ tɛst.
Fɔ dɔn, i impɔtant fɔ no se ivin if yu gɛt VNS tritmɛnt, yu go stil nid fɔ kɔntinyu fɔ du yu ɔda tritmɛnt fɔ pwɛl hat, lɛk fɔ mɛrɛsin fɔ pwɛl hat ɛn tritmɛnt. VNS nɔto fɔ tek ples fɔ ɔda tritmɛnt dɛn, bɔt na adjɔnt to ɔda tritmɛnt dɛn fɔ mek dɛn wok fayn. If yu gɛt ɛni kwɛstyɔn bɔt dis, duya fil fri fɔ tɔk to yu mɛntɛl hεlth pɔrsin fɔ no mɔr.
Mɛsej we dɛn kin kɛr go na os
- VNS (Vagus Nerve Stimulation) na spɛshal ɔspitul tritmɛnt fɔ diprɛshɔn we nɔ de tek tritmɛnt ɛn we nɔ dɔn ansa ɔda tritmɛnt dɛn.
- insay dis, wan sכmכl tin we dεn put כnda di skin na di chεst de sεnd ilektrikal signal to di bren tru di vagus nεv na di nεk, we de afekt di pat dεm na di bren we de kכntro di mכd.
- I kin tek sɔm mɔnt fɔ si di rizɔlt, so dis nɔto tritmɛnt we dɛn kin sɔlv kwik kwik wan.
- Sɔmtɛm sayd ɛfɛkt dɛn lɛk fɔ kray ɛn kɔf kin apin. Dɔn bak, di prɔblɛm dɛn we kin apin kin apin to ɛni ɔpreshɔn.
- Ivin if yu de du VNS tritmɛnt, i impɔtant fɔ kɔntinyu fɔ tek di mɛrɛsin we dɛn dɔn gi yu fɔ mɛn yu at ɛn advays savis. Tɔk to yu dɔktɔ fɔ no mɔ bɔt dis.
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