Nangmah emaw, i hriatte emaw hian khur hi i nei em? A châng chuan hei hi a nuam lo lutuk a, tea no khat pawh i chelh ṭha thei lo va, document-ah pawh i sign thei lo. Vawiin hian damdawi ei chung pawha he natna hi thunun harsa tak takte tan operation tel lova tih theih tur enkawlna thar kan sawi dawn a ni. Hei hi MR-Guided Focused Ultrasound an ti a.
MR-Guided Focused Ultrasound (MRgFUS) hi eng nge ni?
A awlsam zawngin sawi ila, hei hi technique pahnih inzawmkhawm a ni. Team thiam tak tak pahnih thawhhona anga ngaih rawh.
- Magnetic Resonance (MR) Imaging: Hei hi kawng kawhhmuhtu a ni. MRI scan hian kan taksa chhunga taksa peng hrang hrangte chu chiang takin, chipchiar takin a la thei tih kan hre vek. He enkawlna chhung hian heng MRI thlalak te hian doctor te chu thluaka khawiah nge enkawl an mamawh tih chiang takin a hmu thei a, enkawlna an neih chhung hian engkim a kal tha em tih pawh a enfiah bawk.
- Focused Ultrasound: Hei hi enkawlna titu a ni. Ultrasound hi kan beng hriat theih loh, frequency sang tak, sound wave a ni. Heng sound wave te hian kan vun, thau , leh ruh ang chi tissue te a paltlang thei a ni. He enkawlnaah hian ultrasound beam 1,000 chuang an inzawm khawm a, thluaka target tenau tak, MRI hmanga hmuhchhuah chu an dah khawm a ni. Tichuan, chu targeted area chauh chu a lum a, kang (lesion) te tak te a siam ta a ni. Hei hian tissue pangngai lo chu a tichhia a ni. Mahse a chhehvela tissue hrisel chu a tichhe lo .
Engtin nge he enkawlna hian khur hi a tihziaawm?
Kan thluak peng pakhat thalamus an tih hi a awm a. Rel junction ang mai a ni. Kan taksa chetna leh hriatna nena inzawm signal a thawn leh a. Essential Tremor leh Parkinson’s ang natnaah chuan he thalamus hnathawh hi a dik lo ta hle a ni. Chu chu khur chhuaktu a ni .
He enkawlnaah hian ultrasound rays hian thluak thalamus-ah lesion te tak te a siam a, chu chuan circuit hnathawh dan pangngai lo chu a tibuai a ni. Chu buaina chu a lo awm hnu chuan, a nghing chu a reh nghal mai mai.
| Enkawlna atana pawm conditions | Thu pawimawh tak tak |
|---|---|
| Essential Tremor a ni | Damdawi hmanga control theih loh dinhmunte tan. Kum 22 chunglam a ni tur a ni. Taksa sir lehlamah enkawl turin pawm a ni. |
| Tremor-dominant Parkinson natna a ni | Parkinson vei, an symptom ber chu tremor a nih avangin. Kum 30 aia upa a ni tur a ni. |
| Thil awmdan fiahna hnuaia awmte | He technology hi Multiple Sclerosis (MS), epilepsy, neuropathic pain, leh thluaka tumor nena inzawm tremors enkawlna atan research stage-ah a la awm a ni. |
Enkawlna hnathawh dan i zir chiang ang u.
Hei hi a hlauhawm deuhin a lang thei a, mahse ruahmanna fel tak leh him tak a ni. Hun zawng zawng chu i harh vek ang a, chuvang chuan medical team te nen in inbia thei ang.
1. Inbuatsaihna: Enkawlna zing lamah i lu chu i sam ang. Hei hi a chhan chu ultrasound rays hi i vun nen a inzawm tlat a ngai a ni. I heart rate leh thisen sang chu enfiah chhunzawm zel a ni ang.
2. Head Frame: A dawtah chuan i lu chu a che thei lo turin frame bik ah i secure ang. Hemi hun chhung hian i rilru hahdamna tur damdawi pek i ni dawn a, chuvangin ngaihtuahawm tur a awm lo.
3. Cooling system: Silicone membrane hmangin i luruh leh ultrasound device inkarah tui lum a kal kual thin . Hei hian i lu a lum lutuk loh nan a pui thin.
4. MRI machine-ah: MRI khumah mu turin siam i ni ang. I lu chu khumah a innghat ang a, chuvang chuan i lu i ti che thei lo ang. Tichuan, thluak scan eng emaw zat neih a ni ang a, enkawlna hmun dik tak chu finfiah a ni ang.
5. Enkawl tan: Enkawl tan hmain i khur dan an zirchiang ang a, hna tenau tlemte tih tur an pe ang che, chu chu circle siam leh i hming ziah te hi a ni. Heng hnate hi enkawl laiin i thawk nawn leh ang a, i khur a tlahniam em tih en a ni ang.
6. 6. A rilru a hah lutuk chuan a rilru a buai em em a.Control leh himna: A hmasa berin low-energy ultrasound thawn a, target dik tak a nih leh nih loh enfiah a ni. Tichuan, chakna chu a pung zauh zauh a. Thluak hi engtik lai pawhin MRI hmangin enfiah a ni. Harsatna i neih emaw, i rilru a hah emaw chuan i kut ah hian button a awm a, chu chuan engtik lai pawhin enkawlna chu a titawp thei a ni .
Enkawlna a zawh veleh i lu atanga hmanraw zawng zawng lakchhuah vek a ni ang a, enfiah turin ward-ah sawn i ni ang. Procedure pumpui hi darkar 3-4 vel a ni tlangpui.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin he damdawi hian hlawkna a nei a, hlauhawmna engemaw zat a nei bawk.
| A thatna te | Side Effects & Risks awm thei te |
|---|---|
| A tam zawkah chuan hun eng emaw chen atan:
Risk awm thei: 1.1.
|
Hei hian ka natna hi a tidam vek dawn em ni?
Hei hi mi tam takin harsatna an neih a ni. Ni lo, vanduaithlak takin hei hian i natna chu a tidam kim lovang. Hei hi natna enkawlna mai a ni. Chu chu, natna lanchhuahna ni thin khur te chu a thunun a, mahse he enkawlna hian natna bulpui chu a tidam thei lo va, natna a zual zel tur pawh a titawp thei lo.
He enkawlna atan hian tute nge tling lo?
He enkawlna hi mi thenkhat tan chuan a tha lo hle.
- I taksaah MRI nena inmil lo metal device dah i nih chuan (e.g. pacemakers, joint thlak danglamna thenkhat).
- Luruh ah hian pus galls ang chi hliam a awm chuan.
- Luruh chhungah tumor a awm chuan.
- Dialysis nei damlo i nih chuan.
- Thunun theih loh natna khirh tak tak emaw, natna dang emaw i neih chuan.
- Darkar 4 vel chutiang dinhmunah chuan i awm reng thei lo a nih chuan.
- Thisen tithianghlimtu damdawi ei i chawlhsan thei lo a nih chuan.
He enkawlna hi i tan a tha em tih chungchanga thutlukna hnuhnung ber chu i doctor leh a medical team ten an siam ang . I dinhmun ngun takin an enfiah ang a, i tan eng enkawlna nge tha ber tih an sawipui ang che.
Take-Home Thuchah a ni
- MR-Guided Focused Ultrasound hi non-surgical treatment a ni a, essential tremor leh Parkinson’s disease damdawi hmanga control theih loh enkawlna a ni.
- Hei hian thluak hmun kaihhnawih chu ultrasound rays hmangin, MRI technology kaihhruaina hnuaiah, luruh hawn lohvin a enkawl thei a ni.
- Hei hi natna damdawi a ni lo va, khur natna lanchhuahna thunun thei damdawi chauh a ni.
- He enkawlna hian hlawkna tam tak nei mah se, hun eng emaw chen atan side effect a thlen thei a, chubakah, a tlem berah chuan, permanent risk a thlen thei bawk.
- He enkawlna hi i tan a tha em tih hriat nan i doctor nen in sawiho tur a ni a, damdawi lam enfiahna kimchang i neih hnuah thutlukna i siam tur a ni.
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