Tea no khat pawh mumal taka chelh theih loh khawpa kut i nei em? Thuziak lai hian i nghing thin em, a nih loh leh sign i tih hian i nghing thin em? Hei hi ‘Essential Tremor’ kan tih chu a ni. Damdawi ei a, he natna hi thunun tum mah la, mi thenkhat chuan an lungawi lo mai thei. Chuvangin chutiang mite tan chuan vawiin hian he khur hi thunun theihna tur enkawlna kawng hmasawn tak tak kan sawi dawn a ni. Chu chu deep brain stimulation , a nih loh leh a tawi zawngin DBS treatment a ni.
A awlsam zawngin sawi ila, Deep Brain Stimulation (DBS) hi eng nge ni?
Deep Brain Stimulation (DBS) hi chetna lama harsatna hrang hrang, a bik takin essential tremor enkawlna atana hman thin a ni.
Kan thluak peng pakhat thalamus an tih hi a awm a. Kan taksa ruhte thiltih inzawmkhawm leh thununtu central control center angin ngaihtuah rawh. Essential Tremor awm chhan dik tak hriat ni lo mah se, thluak hnathawh dan pangngai lo, khur tirtu chu he thalamus kaltlang hian a kal tlang niin an ngai.
DBS enkawlnaah hian thluak hmun thalamus an tihah electrode tha tak tak engemaw zat surgery hmanga dah a ni. Chumi hnuah chuan heng electrode te hi wire hmangin device te tak te, vun hnuaiah, collarbone hnuai chiaha dah a ni. He device hi thinlung chhunga pacemaker ang mai a ni. Impulse generator (IPG) kan ti a.
Device hi activate a nih chuan thalamus-ah electrical pulse te te , hrehawm lo tak tak a thawn chhunzawm zel a, chu chuan khur chhuahna signal pangngai lote chu a block a ni. Hei hian thluak hmun engmah tichhe lovin tremor control turin a pui a ni.
A awlsam zawngin sawi ila, hei hi thluaka ‘switch’ thawk tha lo off ang mai a ni a, mahse thluak tichhe lovin engmah a tichhe lo.
He IPG device hi computer kaltlangin radio signal hmangin awlsam takin program (prog RA m) theih a ni. Tin, damlo hnenah magnet bik pek a ni a, chu chu pawn lam atanga device on/off nan hman theih a ni. He device battery hi kum thum atanga kum nga chhung hman theih a ni tlangpui. Battery thlak dan tur surgery pawh a awlsam hle.
He DBS enkawlna hian eng nge a thatna leh a that lohna?
Damdawi dang ang bawkin he damdawi hian a thatna leh a that lohna a nei vek a ni. Anni hi han thlir ila.
| A thatna te | A that lohna te |
|---|---|
| Thluak tissue hi a chhe vek lo a, chuvangin nakin lawkah enkawlna thar a dal dawn lo. | Hri kai theihna a awm a, a chhan chu taksaah hnam dang thil dah luh a nih vang a ni. |
| He device hi engtik lai pawhin surgery hmangin lakchhuah theih a ni. | Kum 3-5 danah battery thlak leh tur chuan surgery i neih leh a ngai a ni. |
| Device hnathawh dan pawh a tul angin a siamrem thei bawk. | A châng chuan stimulation neih laiin lungawi lohna emaw, hriatna mak tak tak emaw a awm thei bawk. |
| Thluak hmun thenkhat tichhe thei surgery (thalamotomy) aiin tremor control-na kawngah a hlawk zawk mai thei. | - . |
DBS surgery hi tute nge ngaihtuah tur?
Hei hi zawhna pawimawh tak a ni. DBS i ngaihtuah hmain, damdawi i pek zawng zawng chu i lo en tawh vek tur a ni . Damdawi emaw pawn lam thil dang emaw hmanga i dinhmun chu i control tha a nih chuan operation tih a tha lo.
Hei hi i tan a tha em tih i rel hmain, heng thilte hi movement disorders expert emaw, he lama a bik taka training nei neurologist emaw nen uluk takin i sawiho tur a ni. Hemi chungchangah hian i doctor hi thurawn pe tur che tha ber a ni .
Surgery neih chhung hian eng nge thleng?
Operation neih chhung hian mut tir i ni lovang. Chu ai chuan "twilight" state chi khatah i awm zawk ang. Hei hi a chhan chu surgical team te hian an biak che a ngai dawn a, stimulation hian a nghawng dan an enfiah a ngai dawn a ni. Local anesthetic pek i ni ang a, chu chuan sensitive area te chu a ti numb ang a, natna engmah i hre lo ang. Hei vang hian mi tam zawk chuan operation an neih chhung hian harsatna an nei tlem hle.
Doctor-te chuan CT emaw MRI scan hmangin thluaka electrode awmna hmun dik tak chu an map a. A hmun dik tak hriat chian a nih chuan thluaka electrode nghet tak tak dah a ni. Tichuan, wire chu lu vun hnuaiah dahin, rilru vun hnuaia dah IPG device-ah an thlunzawm a ni.
IPG hi operation hnu kar hnih atanga kar li hnuah on leh adjust a ni. I symptoms te tana relief dik tak i hmuh theih nan device leh damdawi pek te siamthat nan kar engemaw zat a la ngai thei
Operation hnuah eng nge beisei tur?
Surgery zawhah i chau deuh a, taksa na engemaw zat i nei thei bawk. Mahse, i rilru hahdamna tur damdawi pek i ni ang. Stitch leh pin site vel ah hian natna emaw, tenderness emaw a awm thei.
In i thlen hnuah engtin nge i hliamte i enkawl ang?
- I stitches emaw staples te chu operation hnu ni 7-10 ah lakchhuah a ni ang.
- Lu chunga nail dahna hmun pali chu a vawt thlengin Band-Aids hmangin engtik lai pawhin khuh tur a ni. A tul chuan nitin thlak thin ang che.
- I lu chu puan hnim hmangin i tifai thei a, hliam awmna hmunte chu pumpelh rawh .
- I sam chu a hrual chhuah hnu ni khatah i shampoo thei a, mahse fimkhur hle ang che . Hliam chu hrual emaw, pick emaw suh.
I hnathawh kha tihtlem i duh em?
- Operation hnu kar hnih chhung chu in lama hnathawh leh mipat hmeichhiatna ang chi thil eng tak tak atanga hla takah awm rawh.
- Operation hnu kar li atanga kar ruk chhung chu exercise hahthlak tak tak, jogging leh swimming te hi pumpelh tur a ni.
- Pound nga (2.3 kg) aia rit chu kar hnih tal chawi suh.
- I hnathawh dan azirin kar li atanga kar ruk chhungin hna i thawk leh thei mai thei.
Ngaihtuah bik: Doctor ko nghal rawh!
Operation hnua a hnuaia symptoms te hi i neih chuan i doctor chu tihkhawtlai lohvin i biak nghal tur a ni .
| Vaukhânna chhinchhiahna | |
|---|---|
| 1. 1. A rilru a hah lutuk chuan a rilru a buai em em a. | Lu na na tak leh awm reng. |
| 2. 2. A rilru a hah lutuk chuan a rilru a buai em em a. | Hliam atanga thisen chhuak. |
| 3. A rilru a hah lutuk chuan a rilru a buai em em a. | Hliam vel a sen emaw, a hring emaw a pung. |
| 4. 4. A rilru a hah lutuk chuan a rilru a buai em em a. | Mit hmuh hloh emaw, mit hmuhna inthlak danglam nghal emaw. |
| 5. A rilru a hah lutuk. | Fever 101 degree Fahrenheit aia sang a awm reng. |
Take-Home Thuchah a ni
- Deep Brain Stimulation (DBS) hi damdawi hmanga control harsa tak, essential tremor na tak enkawlna hmasawn tak a ni.
- Hei hian thluak hmun thenkhat a tichhe lo va, electrical stimulation a pe a, chu chuan signal dik lo, khur tirtu chu a block a ni.
- He device hi a tul angin siamthat theih a ni a, a tul chuan lakchhuah theih a ni bawk.
- Surgery dang ang bawkin, a thatna, a chhiatna leh a hlauhawmna a awm bawk. Thutlukna siam hmain heng zawng zawng hi i specialist nen uluk taka sawiho hmasak a pawimawh.
- Operation hnua doctor thupek dik taka zawm hi dam thuai leh result hlawhtling tak neih nan a pawimawh hle.











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