Sɔntɛnde yu kin fil se ilɛk ɔmɔs mɛrɛsin yu tek fɔ wan sik lɛk ɛpilepsi ɔr pwɛl hat fɔ lɔng tɛm, nɔr rial kɔntrol nɔr de. E kin rili frustrate wae yu trai bɔrku tritmɛnt bɔt nɔr gɛt de rizulyt wae yu want. Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, naw dɛn dɔn gɛt tritmɛnt dɛn tide fɔ ivin dɛn kayn sik dɛn de. Wan pan dɛn kayn tritmɛnt ya we dɔktɔ dɛn kin tink bɔt we ɔda tritmɛnt dɛn nɔ wok na Vagus Nerve Stimulation, ɔ VNS fɔ shɔt tɛm. Fɔ tɔk am simpul wan, i tan lɛk wan peshɛnt we dɛn put insay di at, bɔt dis wan na fɔ di bren, nɔto fɔ di at! Lɛ wi tɔk bɔt dis ditayli tide.
Fɔs, wetin na di Vagus nerve?
Yu nervɔs sistɛm tan lɛk wan kɔntri in nɛtwɔk we gɛt tɛlifon waya. Dɛn nerv ya de ɛp fɔ kɛr mɛsej frɔm yu bren to ɔl di kɔna dɛn na yu bɔdi ɛn bak to yu bren. pan dεn wan ya, di Vagus nεv na wan rili spεshal εn lכng nεv. I kin bigin na di bren stem, i kin rɔn tru yu nɛk, ɛn i kin go ɔlsay te to yu chɛst ɛn yu bɛlɛ. Tink bɔt dis na di men rod fɔ tɔk to yu bren, at, yu lɔng, ɛn yu intestinal. So di besik tiori bihayn VNS tεrapi na dat bay we yu chenj di wok we dis nεv de du, yu kin afekt di bren fכnshכn.
Us kɔndishɔn dɛn kin yuz VNS tɛrapi fɔ?
Dis tritmɛnt nɔto fɔ ɔlman. Naw dɛn dɔn gri fɔ am fɔ tri men kɔndishɔn dɛn na di wɔl. Insay ɛni wan pan dɛn, dɔktɔ dɛn kin tink bɔt dis opshɔn nɔmɔ we ɔda kɔmɔn tritmɛnt dɛn nɔ wok .
| Di sik stetmɛnt | Udat fit fɔ du am? |
|---|---|
| Epilepsy we pɔsin kin gɛt | As adjɔnt tritmɛnt fɔ pikin dɛn we dɔn pas 4 ia ɛn big pipul dɛn we gɛt fokal sik we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin. |
| Dipreshɔn we nɔ de mek pɔsin gɛt tritmɛnt | Big pipul dɛm wae dɔn pas 18 ia wae gɛt lɔng tɛm ɔr wae kin kam bak wit siriɔs pwɛl hat sik wae nɔr dɔn ansa at le 4 difrɛn mɛrɛsin dɛm wae de mek pɔrsin fil bad. |
| Strɔk Rihabiliteshɔn | As ɔda ɛp fɔ fizik tɛrapi ɛksesaiz fɔ di wan dɛn we dɔn rili lɔs fɔ wok na dɛn an ɛn an afta dɛn gɛt ischemic strok we dɛn mek bikɔs dɛn blɔd vesel dɔn blok. |
Aw dis VNS divays de atak di bɔdi?
Dis na rili simpul ɔpreshɔn. Natin nɔ de fɔ fred. Bɔku tɛm, dɛn kin dɔn di ɔpreshɔn insay lɛk wan ɛn af awa so.
1. Divays: Dis gɛt tu men pat dɛn. Wan na divays (pulse generator) we big smɔl pas silva rup ɛn i de wok lɛk batri. Di ɔda wan na wan tint waya we de rɔn frɔm am.
2. Ɔpreshɔn: Di dɔktɔ go mek wan rili smɔl say na di lɛft say na yu nɛk ɛn tek tɛm rap di waya rawnd di Vagus nerve. Dɔn, i go mek ɔda smɔl say na di ɔp lɛft say na yu chɛst, mek wan smɔl pɔkit ɔnda di skin, ɛn put di tin we tan lɛk batri de. Dɔn, i go briŋ di waya we dɛn rap rawnd di nɛv ɔnda di skin ɛn kɔnɛkt am to dis divays.
3. Test: Afta ɔltin dɔn kɔnɛkt, di dɔktɔ go on di divays wantɛm wantɛm fɔ sɔm tɛm fɔ si if i de wok fayn. Dɔn dɛn kin stich di say dɛn we dɛn kɔt. Bɔku tɛm, dɛn stich dɛn ya kin sɔlv, so nid nɔ de fɔ go bak ɛn brok dɛn bak.
Yu kin bigin fɔ du tin dɛn we yu nɔ bin de du bak lɛk tu dez afta dɛn dɔn du di ɔpreshɔn.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn?
Yu go gɛt fɔ go to yu dɔktɔ bak insay lɛk tu to 4 wiks. Na da tɛm de dɛn go yuz spɛshal kɔmpyuta divays (programming wand) fɔ aktiv di VNS divays insay yu bɔdi prɛsishɔn. Di dɔktɔ go disayd aw di ilɛktrik puls dɛn fɔ strɔng, aw lɔng dɛn fɔ las, ɛn us tɛm dɛn fɔ de, i go dipen pan di sayn dɛn we yu gɛt.
Dɛn go gi yu magnet we yu go ebul fɔ ol na yu an. If pɔsin we gɛt epilepsy fil lɛk se i de kam gɛt sik, we yu rɔb dis magnet pan di say we di divays de na in chɛst, i kin sɛn ɛkstra ilɛktrik puls to di bren. Dɔn bak, if yu ol dis magnet oba di divays, i kin ɔf am fɔ sɔm tɛm.
Di bateri we de na dis divays kin las fɔ lɛk 6 ia (sɔm kin las fɔ 15 ia). We di batri dɔn, na di divays nɔmɔ we de na di chɛst dɛn kin chenj tru ɔda smɔl ɔpreshɔn.
Udat nɔ fit fɔ dis tritmɛnt?
VNS tritmɛnt nɔto fɔ ɔlman. If yu gɛt ɛni wan pan dɛn tin ya, dis tritmɛnt nɔ go fayn fɔ yu. Yu fɔ rili tɔk to yu dɔktɔ bɔt dis.
| Situeshɔn dɛm we kin nɔ fayn fɔ VNS tritmɛnt | |
|---|---|
| - If yu gɛt bɛlɛ | - If yu gɛt prɔblɛm wit yu brith (asma, slip apnea) . |
| - If yu gɛt aktif bɛlɛ ɔlsa (pɛptik ɔlsa). | - If yu gɛt insulin-dipɛndent dayabitis |
| - If yu gɛt hat ritm disɔda (arrhythmias) ɔ ɔda at sik | - If yu gɛt ɔtoimyun nervɔs sistɛm sik (dysautonomias) . |
| - If yu bin dɔn gɛt ɔpreshɔn bifo tɛm we dɔn pwɛl di vagus nerve na di lɛft say na di nɛk | - If yu gɛt histri fɔ ɔda bad bad maynd sik lɛk skizofrenia ɔr bipolar disorder |
Wetin na de risk ɛn sayd ɛfɛkt dɛm wae de tritmɛnt kin gɛt?
Jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de ɛn sɔm bad bad tin dɛn we kin apin. Bɔt bɔku pan dɛn tin ya na fɔ shɔt tɛm nɔmɔ ɔ yu kin kɔntrol am bay we yu chenj di sɛtin dɛn na di divays.
- Kɔmɔn risk dɛn we gɛt fɔ du wit ɔpreshɔn: infɛkshɔn na di say dɛn we dɛn kɔt, pen, damej pan di vagus nerve ɔ di tisu dɛn we de rawnd.
- Sɔm bad bad tin dɛn we kin apin we di divays de wok:
- Kɔf
- Fɔ mek yu vɔys ala ɔ chenj yu vɔys
- Wan tin we kin mek pɔsin tik na in nɛk ɔ trot
- I nɔ izi fɔ blo (dyspnea) .
- I nɔ kin izi fɔ tɔk (dysphonia) .
- I nɔ kin izi fɔ swɛla (dysphagia) .
- Ed de at
If dɛn sayd ɛfɛkt ya de mɔna yu, yu kin aks yu dɔktɔ fɔ ridyus di trɛnk we di ilɛktrik puls dɛn we de kɔmɔt na di divays gɛt. Siriɔs sayd ɛfɛkt dɛn de bak we nɔ kin apin so ɔltɛm, ɛn yu dɔktɔ go tɛl yu bɔt dɛn tin ya bak.
We yu nid fɔ tɔk to di dɔktɔ
If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
| If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm. | |
|---|---|
Di sayn dɛn we de sho se pɔsin gɛt di sik:
| Ɔda siriɔs sayn dɛn:
|
Wan ɔda impɔtant tin: If yu gɛt VNS divays, i rili impɔtant fɔ mek yu tɛl yu dɔktɔ bɔt am bifo ɛni mɛdikal tɛst, lɛk MRI skan.
Mɛsej we dɛn kin kɛr go na os
- Vagus Nerve Stimulation (VNS) na spɛshal tritmɛnt wae dɛn kin yuse fɔ ɛpilepsi, pwɛl hat, ɛn strok rihabiliteshɔn wae nɔr kin kɔntrol bay kɔmɔn tritmɛnt lɛk mɛrɛsin.
- Dis nɔto mɛrɛsin fɔ di sik, bɔt i kin ridyus di sayn dɛm bad bad wan (e.g., di nɔmba fɔ di sik wae de kam pan pɔrsin wae gɛt dis sik, di kayn pwɛl hat sik) ɛn ɛp fɔ mek yu gɛt bɛtɛ kwaliti fɔ liv.
- Dis tritmɛnt nid fɔ gɛt ɔpreshɔn fɔ put smɔl tin ɔnda di skin.
- Dis tritmɛnt nɔ fayn fɔ ɔlman. Yu fɔ tɔk to yu spɛshal pɔsin if i fayn fɔ yu ɛn wetin de pan di prɔblɛm dɛn bifo yu disayd fɔ du sɔntin.
- Afta dɛn dɔn instɔl di divays, i rili impɔtant fɔ mek yu kɔntinyu fɔ tɔk to di dɔktɔ ɔltɛm ɛn go na di klinik dɛn lɛk aw dɛn dɔn plan fɔ du am.
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