Electrical signal te chu thluak ah a awm em? Deep Brain Stimulation (DBS) hi eng nge ni? Kan sawi dun teh ang!

Mi pakhat, a ke ruhte a nghing a, a kal tha thei lo, a seizure chu damdawi hmanga thunun harsa tak i hmu tawh em? A nih loh leh damdawi hmanga pawh thunun theih loh epilepsy vei tu emaw? Chutiang dinhmun nena nun a harsat zia pawh kan ngaihtuah thei lo. Mahse damdawi lam thiamna a lo thang chho zel a, tunah chuan chutiang damlote tan hahdamna pe thei tur enkawlna thar a awm ta a ni. Vawiin hian chutiang enkawlna bik pakhat chungchang kan sawi dawn a ni. Chu chu Deep Brain Stimulation, a tawi zawngin DBS enkawlna a ni.

A awlsam zawngin sawi ila, Deep Brain Stimulation (DBS) hi eng nge ni?

He hming hi a hlauhawm deuhin a ri a ni lawm ni? I ngaihtuah mai thei, "Thinlung hnena electric pek ang mai a ni em?" Dik tak chuan hetiang hian sawifiah mai a ni. DBS hi surgical procedure a ni a, thluak hmun bik, thuk takah electrical signal fiah lo tak tak a thawn thin. Thinlung a mumal loh laiin thinlung hnathawh dan pangngaia siam leh turin pacemaker dah a nih ang bawkin, hei hi thluaka dah pacemaker angin i ngaihtuah thei ang

Thil thleng chu buaina awmna thluaka wire te tak te (electrode an tih) an dah lut a ni. Chumi hnuah chuan wire te chu battery ang chi device te tak te (pulse generator an tih) ah an connect a, chu chu i collarbone bulah vun hnuaiah dah a ni. He device hian thluak cell te tichak turin electrical signal tenau te a thawn chhuak thin. Heng electrical signal te hian thluak chu a pangngaiin hna a thawk tan leh thin.

Engvangin nge he DBS enkawlna hi kan mamawh?

Kan thluak hi nerve cell, a nih loh leh neuron maktaduai tam takte thawhhona hmun mak tak a ni. Heng neurons te hi electrical leh chemical signal hmangin an inbiakpawhna a ni. I kut i phar duh chuan a inmil signal chu thluak atanga kut ah he neurons network kaltlangin a kal ang tih han ngaihtuah teh.

Mahse, natna thenkhat avangin thluak hmun thenkhata heng neurons te hnathawh hi a tlahniam emaw, a mumal lo emaw a ni. Tichuan, chu peng in a thunun taksa hnathawh te chu mumal takin a thawk thei lo. Entirnan, chetna thununtu hmuna neurons te hian hna an thawk tha lo a nih chuan ke leh ke ruh tliak leh kal harsa ang chi thil a thleng thei a ni.

DBS therapy hian heng dormant neurons te hi reactivate turin electrical signal fiah lo tak tak artificially delivery hmangin hna a thawk a ni. Hei hian symptoms atanga relief nasa tak a pe thei a ni. Mahse, zirchiangtute chuan hetiang thil hi engtin nge a awm tih chiang takin an la zirchiang mek a ni.

DBS hmang hian eng dinhmun nge hlawhtling taka enkawl?

DBS therapy hi thluak hnathawhna nena inzawm natna engemaw zat enkawlna atan hman a ni ber. Heng natna zingah hian he enkawlna hi a hlawk hle tih finfiah a ni. Eng nge an nih i han thlir teh ang.

Operation hmain eng nge thleng thin?

DBS surgery neih i tum a nih chuan, chutiang atana inbuatsaih nan step engemaw zat i tih a ngai a ni.

1. Doctor nen sawihona: A hmasa berin i doctor chuan he surgery thatna, that lohna leh hlauhawm zawng zawng a hrilhfiah ang che. Hei hi i zawhna zawng zawng chhanna i hmuh theih hun tha ber a ni.

2. Medical test: He surgery atan hian i taksa chu a dinhmun a tha em tih hriat nan test eng emaw zat, MRI leh CT scan te tih a ni. Surgeon chuan heng scan atanga thlalak te hmang hian i thluaka electrode dahna tur hmun tha ber a hre thei a ni.

3. Damdawi hriatna: Tuna i damdawi ei mek zawng zawng, a bik takin thisen tithianghlimtu te chu i doctor hnenah i hrilh tur a ni. Ani chuan operation i neih hmain damdawi ṭhenkhat chu rei lo tê ei tawh loh tûrin a fuih thei che a ni. Doctor nen inbia hmasa lovin damdawi engmah ei kha bansan ngai suh.

4. Chaw nghei: Zai hi general anesthesia hmanga tih tur a nih avangin operation (fasting) hma darkar engemaw zat ei leh in loh tur thurawn pek i ni ang.

Surgery neih chhung hian eng nge thleng?

DBS enkawlna hi a takah chuan operation pakhat chauh a ni lo. Ni hrang hranga surgery vawi hnih emaw vawi thum emaw tih a ni tlangpui.

Step khatna: Thluak chhunga Electrode dah luh

Hei hi surgery pawimawh ber a ni.

• A hmasa berin i sam chu i hrual ang. Tichuan, i lu chu a reh reng theih nan frame bik ah dah a ni. I lu a tihbuai theih nan sedative pek i ni a, chuvang chuan i hre reng lovang.
• Tichuan, CT scan hmangin electrode dahna tur kawng dik tak chu hriat theih a ni.
• Surgeon chuan lu vun leh luruh a tiharh theih nan damdawi a inject a, chutah chuan luruh chhungah khur te tak te tak te a siam a.
• Hetih lai hian, a bik takin Parkinson’s ang chi movement disorder i enkawl a nih chuan,I harh mai thei. Hei hi hlau suh. Natna engmah i hre lo vang, a chhan chu kan thluak hian natna direct-a hriat theihna a nei lo .
• I harh lai chuan doctor chuan thil tenawm tak tak ti turin a ti ang che. Entîr nân, zawhnate chhâng la, thlalak en la, i kut leh ke chu chelh rawh. Hei hi i thluaka electrode te chu hmun dik takah a awm tih chian nan a ni.
• Electrode chu uluk taka dah a nih chuan a tawp lang chhuak chu lu hnung lama vun hnuaiah dahin plastic sheet hmangin rei lo te chhung an khuh a ni. Chumi hnuah chuan incision chu stitched shut a ni. Damdawi inah zan khat i riak tlangpui a, a tuk zingah i haw thei bawk.

Step hnihna: Pulse Generator dah luh

He surgery hi surgery hmasa ber atanga ni hran ah tih thin a ni tlangpui. Anesthetized kim vek i ni ang.

• Surgeon chuan i vunah i collarbone hnuai chiahah incision te tak te a siam a.
• Vun hnuaiah hian hmun (pouch) te tak te siam a ni a, a chhungah chuan battery ang maia pulse generator dah a ni.
• Tichuan, he pulse generator nena inzawm turin lu chunga electrode atang hian vun hnuaiah wire dang (extension wire) an kalpui leh a.
• Heng zawng zawng hi a inzawm khawm a, incision chu sewn up a ni. Hei hi surgery awlsam tak a nih avangin chu ni vek chuan in lamah i haw thei bawk.

Surgery hnuah eng nge thleng?

Surgery zawh hnuah a pawimawh ber chu a intan a: device programing .

Operation hnu kar tlemte hnuah i doctor chuan a rawn ko lut ang che, chutih hunah chuan pulse generator chu on a, programme a ni ang.

Hei hi radio chu channel bik pakhata tuning ang a ni. I symptoms te tana relief tam ber pe tur leh side effects te tih tlem nan electrical signals settings i siamrem a ngai a ni. Hei hian doctor pan vawi tam tak a ngai mai thei.

Heng pulse generator-a battery te hi kum 3-5 vel a daih tlangpui. Ṭhenkhat chu recharge theih a ni a, kum 9 thleng a daih thei bawk. Battery thlak tur pawhin operation tenau a ngai a, mahse a tir lama surgery aiin a awlsam zawk hle.

DBS enkawlna hian eng hlawkna nge a neih?

• Damdawi hmanga thunun theih loh damlote tan duhthlan tur tha tak: DBS hi damdawiin hna a thawh loh lai emaw, damdawiin a nghawng tha lo a tuar theih loh hunah emaw nunna atana beiseina ropui tak a ni. Parkinson vei tan damdawi hman zat tihtlem nan a pui bawk.
• Nun tidanglam thei enkawlna: Mi pakhat tan chuan natna lanchhuahna na tak avanga hna bulpui pawh thawk thei lo tan chuan mahni hna thawh leh theihna tur chu thil ropui tak a ni.
• Adjustable: Hun kal zelah i dinhmun a danglam chuan pulse generator settings chu a inmil angin i siamrem thei ang.
• Reversible: 1.1.He enkawlna hi engti kawng mahin i tan a tha lo a nih chuan, emaw, tuar theih loh side effect i neih chuan, operation dang hmangin device hi lakchhuah vek theih a ni.

He surgery hi risk leh complication a awm lo em ni?

Surgery dang ang bawkin DBS surgery hian risk leh complication a nei thei a ni. I doctor chuan hengte hi chipchiar takin a hrilhfiah ang che.

Recovery hun leh thil hriat tur

Operation atanga a dam kim theih nan kar engemaw zat a ngai thei. Hemi hun chhung hian doctor thupek fimkhur taka zawm a pawimawh hle.

• Chawlh hahdam: Operation pahnih hnuah kar hnih vel chu thil hahthlak tak tak engmah tih loh tur. Kilo 2.5 aia rit engmah chawi suh.
• Exercise: Kar 4-6 chhung chu exercise emaw hna hahthlak emaw tih loh tur.
• Fimkhur rawh: Pulse generator i dah hnuah ni engemaw zat chu i kut kha chawi chhuah loh tur.
• Hliam fai taka vawn dan: Lu leh ril a hliam te chu fai leh vawt taka vawn reng tur a ni. Doctor-in a tih angin dressing chu thlak rawh. Inbual dawnin baby shampoo ang chi mild cleanser hmang thin ang che. Hliam chu hrual suh.

Doctor hmuh nghal hun tur

DBS hi thluak surgery a nih avangin vaukhânna chhinchhiahna ṭhenkhat chu i hriat chian hle a ngai a ni. A hnuaia symptoms te hi i neih chuan doctor ko nghal la, a nih loh leh i hnai ber damdawi in Emergency Department (ETU) ah kal rawh.

DBS chungchanga zawhna tam zawk thenkhat

DBS ka neih chuan electronic device ka hmang thei lo em ni?

A tlangpuiin inchhung bungrua microwave, computer, smartphone te hian harsatna a thlen ngai lo. Mahse, airport-a metal detector leh dawr ṭhenkhata anti-theft scanner-te chu he hmanrua hian a nghawng thei a ni. Doctor chuan chutiang thila hman tur ID card bik a pe ang che.

A pawimawh ber: DBS device dah a nih hnuah medical test leh enkawlna MRI scan, transcranial magnetic stimulation (TMS), leh diathermy te tih theih a ni lo .

DBS hian natna hi a tidam vek em?

No. DBS hi damdawi a ni lo va, enkawlna a ni . Symptoms control nan hman a ni. He enkawlna hmanga enkawl natna tam tak hi dam chhung zawng a ni.

DBS hnuah damdawi ei hi ka chawlhsan thei ang em?

Damdawi i ei zat chu i tihtlem thei mai thei a, mahse tihtawp vek theih a ni lo. DBS enkawlna hi damdawi leh enkawlna dang nena hman dun a nih chuan a hlawk ber.