Nangmah emaw, i hmangaih tak emaw hian Parkinson natna emaw, thunun theih loh khawpa khur ( Tremor ) emaw i vei em? Damdawi ei reng reng chung pawhin nitin i dinhmun a chhe zual zel tih i hmuh hian thinlung a ti na tak zet a ni. Mahse, medical science chuan beiseina êng thar kan pek theihna tur hmun a thleng ta a ni. He enkawlna hi Deep Brain Stimulation, a tawi zawngin DBS an ti a.
Deep Brain Stimulation (DBS) hi eng nge ni?
A awlsam zawngin sawi ila, DBS hi damdawi lam thil a ni a, i thluak hmun bikteah electrical current dik tak, mild tak tak a pe chhuak thin. I thluak tan ' Pacemaker ' angin ngaihtuah rawh. Procedure neih chhung hian i collarbone bulah vun hnuaiah device te tak te dah a ni. He device nena inzawm wire te tak te te hian electrical signal chu thluaka mamawhna hmunah direct-in a pe chhuak thin. Heng signal te hian underactive brain cells te chu a tichak a, chu chuan neurological condition hrang hrang symptoms te chu tha takin a enkawl thei a ni.
He enkawlna hi tute nge mamawh a, engvangin nge?
Kan thluaka nerve cell , neurons , tia hriatte chu electrical leh chemical signal hmangin an inbiak tawn a ni. Damdawi lam thil ṭhenkhatah chuan thluak hmun bikteah heng neuron-te hnathawh hi a tlahniam a, chu chuan chu hmunte chu a thawk dik lo a ni. Entirnan, incheina control tu neurons te a chhiat chuan kea kal emaw, i ke leh ke ruhte thunun emaw harsatna i tawk thei a ni.
DBS hian heng inactive neurons te hi "reawaken" turin artificial electrical current a hmang thin. Researcher-te chuan a kalphung dik tak an la zirchian laiin, clinical result hian mi tam tak nun a tidanglam nasa hle.
| Tuna DBS Enkawlna atana pawm tawhte | |
|---|---|
| Dystonia natna a ni | A duh loh zawnga taksa ruh inzawmkhawm, inher, leh dinhmun dik lo thlentu dinhmun. |
| Essential Tremor a ni | Taksa peng bik, a tam zawk chu kut zungtang, thunun theih loha tihnghing. |
| Damdawi ei theih loh Epilepsy | Damdawi hmanga control tha thei lo seizures te. |
| Parkinson natna a ni | Natna a lo zual zel a, damdawi hman tangkai dan a tlahniam tan chuan. |
| Damdawi ei theih loh OCD | Ngaihtuahna inrawlh leh damdawi ei chhan loh thil tih nawn fo thin. |
Pawimawh: Thil dang tam tak chungchangah zirchianna kalpui mek a ni a, chung zingah chuan ruihhlo ngawlvei , Alzheimer natna , lungkhamna, lungngaihna nasa tak , leh Tourette syndrome te pawh a tel. Mahse, DBS hi heng natna te hi standard treatment anga ngaih a la ni lo.
Engtin nge surgery hi an tih thin?
Hei hi operation pakhat chauh ni lovin, a tlangpuiin surgical stage pahnih emaw pathum emaw-a tihfel a ni.
Inbuatsaihna
Operation i tih hmain i medical team chuan a hlawkna, a hlauhawmna leh a beisei dan te uluk takin an sawifiah ang. MRI emaw CT scan ang chi test i nei ang a, chu chu he procedure atana candidate i nih leh nih loh hriat theih a ni. Tin, hei bakah hian:
- Damdawi Review: Damdawi thenkhat, a bik takin thisen tithianghlimtu te chu chawlhsan turin an ti mai thei che. Doctor hnen atanga direct instruction awm lovin damdawi pek chhuah reng reng ei kha titawp ngai suh.
- Faina: I lu vun buatsaih nan antiseptic shampoo emaw sahbawn emaw bik i hman a ngai mai thei.
- Chaw nghei: Surgery-ah hian anesthesia a tel avangin, i tih hma darkar 8-ah ei leh in i chawlhsan a ngai ang a, i tih hma darkar 2-ah tui i in a ngai ang.
Surgery neih lai hian
Phase 1: Hruaitu dahna
Hei hi surgical step hmasa ber a ni. I lu chu frame bik ah a stabilise ang. Surgeon chuan i luruh chhungah kawngkhar te tak te a siam ang a, chu chuan i thluaka hmun dik takah electrode nei wire te tak te a dah ang.
Mak tak maiin he surgery thenkhatah hian i harh reng mai thei. Thluak ngei pawhin natna a hriat loh avangin hei hian i medical team te chu electrode te chu hmun dik takah dah a nih theih nan hna awlsam tak tak (i ke leh ke i tihchet emaw, thusawi emaw ang chi) thawk turin a ti thei che a ni.
Chumi hnuah chuan damdawi inah ni khat chhung enkawl i ni ang a, chu chu chhuahtir i ni ang.
Phase 2: Pulse Generator dahna tur hmun
Hei hi general anesthesia hnuaiah procedure hran angin tih a ni. I collarbone bulah vun hnuaiah pocket te tak te siam a ni a, chutah chuan pulse generator (battery pack) dah a ni. I thluak atanga wire lo chhuakte chu vun hnuaiah tunnel-in device-ah an connect a, incisions te chu khar a ni. Chumi ni vek chuan i haw thei tlangpui.
Surgery hnuah eng nge thleng?
Surgery hnu kar tlemte hnuah i doctor hnenah pulse generator program turin i kal ang. Hemi chhung hian i mamawh bik ang zela electrical pattern te chu siamrem a ni. I symptoms te tana setting tha ber tur zawn nan follow-up appointment tlemte a ngai mai thei.
Battery hi kum 3 atanga kum 5 chhung a daih tlangpui a, mahse rechargeable model thar zawk erawh chuan kum 9 chhung a daih thei thung. Battery thlak hi surgical procedure awlsam tak, tenau tak a ni.
| A thatna te | Risk & Complication awm thei te |
|---|---|
| Damdawi hian hahdamna tling a pek tawh loh hunah a danglamna tha tak. | Standard surgical risk, thisen chhuah emaw, natna kai theihna emaw ang chi. |
| I nunphung nasa taka tihchangtlun theihna tura duan nun tidanglam thei enkawlna. | Device nena inzawm thil, lead displacement emaw battery malfunction emaw ang chi te. |
| Settings hi engtik lai pawhin non-invasive takin i mamawh danglam zel ang zela siamrem theih a ni. | Calibration neih chhunga side effect awm thei, imbalance emaw confusion emaw ang chi. |
| Procedure chu reversible a ni a; device chu a tul chuan surgery hmangin lakchhuah theih a ni. | Hun eng emaw chen atana lungawi lohna, lu na emaw, rilru hahna tlem emaw ang chi. |
Damdawi lam ngaihsakna zawn hun tur
DBS hi neurosurgical procedure a nih avangin i dam lehna tur chungchangah fimkhur reng a pawimawh hle. A hnuaia thil awmte hi i tawn chuan i medical team te biak nghal la, a nih loh leh emergency department hnai ber pan rawh.
- Lu na tak emaw, a awm reng emaw, na tak.
- Surgical incision hmun atanga thisen chhuak.
- I incisions vel a sen, a hring, emaw a lum danglam bik (infection chhinchhiahna awm thei).
- Sudden vision inthlak danglam, double vision emaw blurred vision emaw ang chi.
- Khawsik 38.3°C (101°F) aia sang.
I DBS device hmanga nunpui
Electronic hmanrua ka hmang thei ang em?
A tlangpuiin, in chhunga thil hman tlanglawn tak tak microwave, computer, leh smartphone te hian i device a tibuai lo. Mahse, airport metal detector ang chi high-security system te hian hlauhawmna a thlen thei a ni. Heng dinhmunah hian patient ID card i present tur a ni.
MRI scan ka nei thei ang em?
No. Hei hi a pawimawh hle: A tam zawkah chuan DBS implant nei damlote chu him takin MRI scan an nei thei lo. MRI machine-a magnetic field chak tak hman te hian i device a tichhe thei a ni. Medical diagnostic procedure eng pawh i tih hmain i healthcare provider-te hnenah DBS system i neih thu hrilh fo ang che.
DBS hian a hnuaia awm chu a tidam em?
No. DBS hi enkawlna hmanrua a ni a, damdawi a ni lo tih hriatthiam a pawimawh. A thil tum ber chu i symptoms control-na atana puih leh nitin i hnathawh dan zawng zawng tihchangtlun a ni.
In lama hruai thleng tur thuchah (Nirogi Lanka) .
- Deep Brain Stimulation (DBS) hi damdawi thiam tak, evidence-based treatment a ni a, damdawi hman tangkai tawh loh hunah Parkinson’s disease leh epilepsy ang chi natna te tan beiseina thar a pe a ni.
- Thluak surgery, inherent risk keng tel a nih laiin, hlawhtling taka tih chuan i zalenna leh nunphung chu nasa takin a tichangtlung thei a ni.
- DBS hian natna hi a tidam lo a, mahse symptoms stabilize-na kawngah a thawk tha hle.
- Hei hi damdawi lam thutlukna pawimawh tak a ni. Hei hi i hriselna kawng dik a nih theih nan i specialist nen inbiakna zau tak, chipchiar tak nei turin kan fuih a che.
thluak thuk tak tihchak, DBS, neurosurgery, Parkinson natna, epilepsy, khur, dystonia te a ni
