I chhungte emaw, i thian emaw hian Parkinson natna emaw, thunun theih loh khawpa khur emaw a nei em ? A chang chuan damdawi ei pawhin nitin thil a chhe zual zel hian a lungchhiatthlak thin a, mahse hmasawnna lian tham a awm lo. Vawiin hian medical science hmasawnna avanga enkawlna thar, beisei awm tak lo chhuak kan sawi dawn a ni. Hei 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 bik pakhatah electrical current tlemte tak tak a pe chhuak thin. Thluak tana pacemaker ang maiin han ngaihtuah teh. Hemi ah hian i collarbone bulah vun hnuaiah hmanraw te tak te dah a ni. I thluak dinglam lamah wire te tak te tak tak pakhat emaw a aia tam emaw hmangin electrical signal a thawn thin. Heng electrical signal te hian thluaka cell muhil te chu a tichak leh thin. Hei hian natna engemaw zat chhinchhiahna a thunun thei a ni.
He enkawlna hi tute nge mamawh a, engvangin nge?
Kan thluaka nerve cell , neurons , an tihte chu electrical leh chemical signal hmangin an inbiak tawn a. Natna thenkhat chuan thluak hmun thenkhata heng neurons te hnathawh hi a ti tlahniam thei a ni. Tichuan, chu part-te control-na function te chu a thawk tha lo ta a ni. Entîr nân, chetna thununtu hmuna neuron-te chu an thawk thei lo a nih chuan, i ke leh ke i kal emaw, i taksa pengte thunun emaw chu a harsa ta hle a ni.
DBS enkawlna hian artificial electrical current hmangin dormant neurons te chu a tichak leh a, mahse zirchiangtute chuan a hnathawh dan dik tak chu an la zirchiang mek a ni.
| Tuna DBS enkawlna phalna pek tawhna conditions | |
|---|---|
| Dystonia natna a ni | Muscle te chu thunun theih loha an inher a, posture pangngai lo siam thin. |
| Essential Tremor a ni | Taksa peng hrang hrang, a bik takin kut te chu thunun theih loha a khur thinna dinhmun. |
| Damdawi ei theih loh Epilepsy | Damdawi hmanga thunun harsa tak tak seizures. |
| Parkinson natna a ni | Natna a zual a, damdawi hman thatna a tlahniam chuan. |
| Damdawi ei theih loh OCD | Ngaihtuahna leh thiltih duh loh, damdawi hmanga thunun harsa tak takte. |
Pawimawh: He enkawlna hi natna dang engemaw zat tan zirchian mek a ni a, chung zingah chuan ruihhlo ngawlvei , Alzheimer’s disease , lungkhamna, major depression , leh Tourette syndrome te pawh a tel a, mahse DBS hi an tan chuan standard treatment a la ni lo.
Engtin nge surgery hi an tih thin?
Hetiang tih dan hi vawi khata tih tur a ni tak tak lo. Ni hrang hranga surgery vawi hnih emaw vawi thum emaw tih zawh a ni tlangpui.
Surgery hmaa inbuatsaihna
Surgery neih hmain i doctor chuan he enkawlna thatna te, a that lohna te leh a hlauhawm dan te a hrilhfiah ang che. Tin, test eng emaw zat a order bawk ang a, chu chu MRI emaw CT scan emaw a ni ang a, chu chu surgery atana candidate tha tak i nih leh nih loh a enfiah ang. Pawh,
- Damdawi chungchang sawi: Operation hmain damdawi thenkhat, a bik takin thisen tithianghlimtu ei kha bansan turin an ti mai thei che. Mahse doctor thurawn tel lo chuan damdawi engmah ei kha bansan ngai suh.
- Faina: I lu vun leh vun surgery atana buatsaih nan shampoo bik emaw, sahbawn emaw hmang turin an ti thei che a ni.
- Chaw nghei: Hemiah hianBecause you will be under anesthesia , operation hma darkar 8 chhungin ei leh in i chawlhsan a ngai ang a, darkar 2 hmain tui i in a ngai ang.
Surgery neih lai hian
Stage hmasa ber: Lead dahna tur
Hei hi surgery pawimawh ber a ni. Pakhatnaah chuan i lu chu a reh reng theih nan frame bik-ah dah a ni. Tichuan, i luruh chhungah khur te tak te tak te an siam a, chuta tang chuan electrode nei wire te tak te te chu i thluak hmun dik takah an dah lut a ni.
Mak tak maiin he surgery neih chhung hian i conscious mai thei. Hei hi thluak hian natna a hriat loh vang a ni. I hriat chian lai hian doctor-te chuan wire chu hmun dik takah a awm tih chian nan thil tenawm tak tak (e.g., i kut sawn, thusawi) turin an ti thei che a ni.
Hemi hnu hian damdawi inah ni khat vel enfiahna hnuaiah dah i ni ang a, chumi hnuah in lamah an thawn leh ang.
Stage pahnihna: Pulse Generator dahna tur
He surgery hi ni hranpaah tih a ni. General anesthesia pek i ni ang. I kawngah hian incision te tak te siam a ni a, vun hnuaiah hmun tlemte siam a ni a, chutah chuan battery pack (pulse generator) dah a ni. Tichuan, i thluak lama wire kal leh he battery te hi vun hnuaiah an inzawm khawm a, a incision chu a khar ta a ni. He surgery zawh ni vek hian in lamah i haw thei bawk.
Operation hnuah eng nge thleng?
Operation hnu kar engemaw zat hnuah doctor i pan a ngai dawn a ni. Chutih hunah chuan battery pack (pulse generator) chu programme a ni ang. Chu chu i symptoms nena inmil tura electrical signal awm zat leh pattern siamrem tihna a ni. Hei hi a dik tawk hma chuan doctor vawi tam tak i pan a ngai mai thei.
Heng device-a battery te hi kum 3-5 vel a daih tlangpui. Device thar zawk thenkhatah chuan rechargeable battery an nei a, kum 9 vel a daih. Battery thlak pawh hian operation tenau a ngai a ni.
| A thatna te | Risk & Complication awm thei te |
|---|---|
| Damdawi hmanga rilru hahdam lote tan chuan a danglamna tha tak a ni. | Surgery nena inzawm hlauhawmna (thisen chhuak, natna hrik kai). |
| Nun tidanglam thei, nunphung tichangtlung thei enkawlna. | Thil hmanrua nena inzawm harsatna (wire kal kual, battery thih). |
| A tul angin settings chu engtik lai pawhin i thlak thei. | Processing laiin side effect awm thei (balance hloh, buaina). |
| Enkawlna a hlawhtlin loh chuan surgery hmangin device chu lakchhuah leh theih a ni. | Hun eng emaw chen atana lungawi lohna, lu na leh rilru hahna te. |
Doctor hmuh hun tur
DBS hi thluak surgery a nih avangin warning sign thenkhatah kan fimkhur hle a ngai a ni. A hnuaia chhinchhiahna te hi a lo awm a nih chuan doctor ko nghal emaw, damdawi in Emergency Department (ETU)-ah emaw kal rawh.
- Lu na tak tak emaw a awm reng emaw .
- Surgical incision atanga thisen chhuak.
- Incision vel a sen, a hring emaw, a lumna danglam tak emaw (hengte hi natna kai chhinchhiahna a ni).
- Mit hmuhna lama inthlak danglamna (double vision, blurred vision).
- Khawsik 38.3 Celsius (101 Fahrenheit) aia sang a ni.
DBS device hmanga nun chungchanga zawhna awm fo
Electronic hmanrua ka hmang thei ang em?
He device hi in chhunga hmanraw microwave, computer, leh smartphone te hian a nghawng lo. Airport-a metal detector-te hian a nghawng thei a ni. Chutiang huna hman tur ID card bik pek i ni ang.
MRI scan ka nei thei ang em?
Ni lo, hei hi a pawimawh hle. DBS device nei chuan MRI scan a nei thei lo tlangpui a, a chhan chu MRI machine chhunga magnetic field chak tak hian DBS device a tichhe thei a ni. Chuvangin, damdawi lam enkawlna eng pawh i neih hmain i doctor-te hnenah DBS device i neih thu i hriattir hmasak phawt a pawimawh hle.
DBS hian natna hi a tidam vek em?
No. DBS hi damdawi a ni lo. Symptoms control nan leh quality of life tihsan nan hman a ni.
Take-Home Thuchah a ni
- Deep Brain Stimulation (DBS) hi enkawlna hmasawn tak a ni a, damdawi ei lote tan pawh beiseina a pe a, Parkinson’s leh epilepsy ang chi natna te tan beiseina a pe a ni.
- Hei hi thluak surgery a nih avangin risk awm lo a ni lo va, mahse a hlawhtlin chuan nun a ti awlsam hle.
- DBS enkawlna hian natna hi a tidam lo a, mahse natna lan chhuah dan control nan nasa takin a pui thei a, nunphung tha zawk a nei thei bawk.
- Hei hi thutlukna pawi tak a ni. Chuvangin, i enkawltu doctor nen a chipchiar zawng zawng sawiho a, thutlukna siam a pawimawh.











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