Kut nghing (MR-Guided Focused Ultrasound) tihdamna non-surgical treatment thar ber berte i zir dawn nia.

A chang chuan i kut a beng a, tea no khat pawh i chelh tha thei lo a, i rilru a hah hle em? A nih loh leh i hriat mi pakhatin he natna hi a vei em? Document sign emaw, ei tur engemaw zat i kâa dah emaw ang chi thil awlsam tak tak pawh i tih theih loh laia i natna leh i rilru hahna chu sawina tur thumal a awm lo. A tam zawkah chuan mi thenkhat chuan hemi atana damdawi pek atang hian hahdamna an hmu thin a, thenkhat tan erawh chuan chu damdawi te chuan hna a thawk lo. Chuvangin a dawt leh chu thluak surgery ang chi thil a ni. Mahse, operation chungchangah hian tu nge hlau lo? Mahse hlau suh, vawiinah hian he tremor enkawl dan thar ber leh mak ber ber, surgery tel lo, incision awm lova tih theih tur kan sawi dawn a ni.

MR-guided focused ultrasound hi eng nge ni?

He hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan a awlsam khawp mai. A awlsam zawngin, technology pahnih inzawmkhawmna treatment a ni.

1. MR (Magnetic Resonance) Imaging: Hei hi MRI scan i hriat chian a ni mai thei. Kan thluak chhunga kawngpui leh building awmte tarlanna map chiang tak ang mai a ni. Doctor-te chuan heng MRI thlalakte hi an en thei a, thluak chhunga enkawl tur hmun dik tak chu an hmu thei a, millimeter thlengin an hmu thei a ni . Enkawlna an neih chhung hian engkim a kal tha em tih an hriat theih nan a pui bawk.

2. Focused Ultrasound: Ultrasound hi kan hriat theih loh, frequency sang tak, sound wave a ni. Naupan lai ang bawk khan ni chu lehkha pakhatah i focus a, i hal thin. He technology hian thluak chhunga target tenau takah a rualin sound wave 1,000 chuang a focus thei a ni. Heng sound beam-te focus na hmun chauh hi a lum a, chutah chuan harsatna nei cell te chu a tichhia a ni. Mak tak maiin an chhehvela thluak cell hrisel tak takte hian an tichhe lo.

Chumi awmzia chu, lu hawng lovin pawn lam atanga sound wave thawn chhuakin thluak chhunga harsatna awmna hmunah chauh enkawl a ni tihna a ni.

He enkawlna hi tute tan nge a tha? Eng natna chi hrang hrang tan nge?

Tunah hian US Food and Drug Administration (FDA) chuan he enkawlna hi natna pahnih tan a pawm tawh a ni.

• Essential tremor: Hei hi mi tam takin an neih, an kut, lu emaw, an aw emaw tichhe thei dinhmun a ni. Thil tih an tum hian a nghing nasa hle. He enkawlna hi damdawi hmanga an khur thunun thei lo tan a ni .
• Tremor-dominant Parkinson’s disease: Parkinson natna hian symptom tam tak nei mahse, mi thenkhat tan chuan tremor hi a symptom ber a ni. Hetiang enkawlna hi chutiang mite tan pawh a tha hle.

Engtin nge he method hian shaking a tihziaawm?

Hei hi thawnthu ngaihnawm tak a ni. Kan thluak chhungah hian thalamus an tih hmun pakhat a awm a . Hei hi kan rama telephone exchange centre lian ber ang mai a ni. Taksa peng hrang hrang atanga motor leh sensory signal lo lutte chu he hmun atang hian thluak hmun dangah a thawn chhuak thin.

Essential tremor leh Parkinson’s disease nei te hian thluak bul chhunga circuit hrang hrangah chhiatna tenau an nei a. Chuvang chuan signal dik lo a thawn a, kut chu a khur tan ta a ni.

He enkawlnaah hian ultrasound beam chu signal dik lo awmna hmunah chiang taka hruai a, chutah chuan hliam tenau tak siam a ni. Switch chhia off ang mai a ni. Signal dik lote chu a luang chhuak tawh lo va, nghing chu a tlahniam nghal mai emaw, a tawp vek emaw a ni.

Step khat hnu step khata enkawl dan tur

Awle, tunah chuan he enkawlna hi tih a nih chuan eng nge thleng dawn tih i lo en ang u. Thil ngaihtuah tur a awm lo, hliam leh hliam pawh a awm lo.

1. Inbuatsaihna: Enkawlna zing lamah i sam chu a hrual kim vek ang. Hei hi a chhan chu ultrasound wave te hi i lu vun nen a inzawm tlat a ngai a ni. Tichuan, i heart rate leh thisen sang chu a enfiah ang.

2. Lu Frame: I lu chu tlem te pawhin a che thei lo turin i lu chungah frame bik dah a ni ang. Hemi chhung hian i rilru hahna tlem zawk nan vein kaltlangin damdawi tlemte pek i ni ang.

3. MRI machine chhungah: Chumi hnuah chuan MRI machine chhungah i thawn lut ang. I lu a frame inbun avang hian i lu i che thei dawn lo. Doctor te chuan i thluak scan an la ang a, enkawlna tur hmun dik tak an thlang ang.

4. Testing: Enkawlna i tan hmain medical team te chuan circle siam tur te, i hming ziak tur te, i kut zungtang hmanga thil engemaw tih tur te an ti ang che. Hei hian i khur nasatzia a teh ang.

5. Enkawlna tan: Tunah hian hna tak tak chu a intan a ni. A hmasa berin, target chu a hmun dik takah a awm tih chian nan low-energy ultrasound wave an thawn thin. MRI hmanga confirm hnuah chakna chu a pung zauh zauh a.

6. I chhanna: Heng zawng zawng i tih lai hian i harh a . Medical team te nen pawh in inbia thei ang. I rilru put hmang an zawt fo ang che. Tin, a hmaa i tih thin ang kha, lemziak leh ziak ang chi te pawh ti turin an ti bawk ang che. Chutah tak chuan a nghing chu a tlahniam tih i hmu ang.

7. Emergency stop button: I kut ah hian emergency stop button a awm a, chu chu enkawl chhung zawngin i hmet thei. Thil hrehawmna i neih chuan i press veleh enkawlna chu a tawp mai ang.

8. A tawp ber:Tremors te hi control tha tak a nih hnuah ultrasound wave chu intensity dik takah thawnin target chu a mark vek a ni. A kalphung zawng zawng hi darkar 3-4 vel a ni. Chumi hnuah chuan i lu atanga gadget zawng zawng lakchhuah vek a ni a, observation ward-ah sawn i ni.

Results leh thatna leh that lohna

He enkawlna tha ber chu a result i hmu nghal thei hi a ni. Research atanga a lan dan chuan mi tam tak khur hi 50% - 60% in a tlahniam nghal mai mai.

Engkim a tha em? Side effect a awm lo em ni?

Damdawi lam enkawlna dang ang bawkin, side effect leh risk engemaw zat a awm a, mahse a tam zawk chu hun eng emaw chen atan a ni .

• Nausea leh lu na (enkawl laiin) .
• Kut zungtang emaw hmui emaw-ah hun eng emaw chen a rilru a buai
• Kal laiin clumsiness tlem, balance lama harsatna (temporary) .
• Thusawi emaw ei harsat (hun eng emaw chen atan) .

Hun rei tak chhunga hlauhawmna engemaw zat a awm bawk .

• Tremor hi enkawl a nih atanga thla emaw kum emaw hnuah a lo lang leh thei a ni .
• A châng chuan a khur hi a tlahniam lo thei bawk .
• A tlem berah chuan (mi 10-15% vel) taksa chak lohna leh rilru hahna chu a awm reng thei .

He enkawlna hi tute tan nge a tha lo?

He enkawlna hi mi zawng zawng tan a tha lo. A hnuaia natna nei tan chuan a tha lo.

• Mite taksaa thir hmanrua (e.g. pacemaker, spinal rod, joint implants) nei te chu hei hi MRI machine chhunga tih a nih vang a ni.
• Lu vunah hliam lian tak tak nei mipui.
• Thluak natna nei te.
• Kidney failure nei te dialysis nei mek te .
• Damdawi lam natna khirh tak nei emaw, hri kai, thunun theih loh nei te.
• Darkar 3-4 chhung hmun khata awm thei lote.
• Mite chu antiplatelet emaw anticoagulation therapy emaw ei khap thei lo .

Chuti a nih chuan, engtin nge he enkawlna hi i tan a tha em tih i hriat theih ang?

Hei hi a pawimawh ber a ni. Hemi chungchangah hian thutlukna i siam mai mai thei lo. Hemi chungchang hi i neurologist nen in inbia tur a ni.

A tlangpuiin, hei hi candidate tha tak i ni mai thei,

• Essential Tremor emaw Tremor-dominant Parkinson’s disease emaw i nei tih dik taka hriat i nih chuan .
• I thawmhnaw chu damdawi an pek chein a thunun loh chuan .
• He khur hian i nitin hnathawh (ei leh in, ziak, tui in ang chi) i tih theih loh khawpa a tibuai a nih chuan .

I doctor chuan uluk takin a enfiah ang che a, a tul chuan test dang a ti leh ang che a, he damdawi, emaw, Deep Brain Stimulation (DBS) ang chi enkawlna dang emaw hi i tan a tha ber em tih a hrilhfiah ang che.