Nangmah emaw, i hriat mi emaw hian damdawi ei chung pawha thunun harsa tak epilepsy i nei em? Chutiang dinhmun nena nun chu a châng chuan a harsat theihzia kan hria. Mahse medical science hmasawnna avang hian tunah chuan hei hi enkawlna thar a lo chhuak ta a ni. Vawiin hian chutiang enkawl dan thar leh hlawhtling tak pakhat kan sawi dawn a ni. Hei hi Responsive Neurostimulation, a tawi zawngin RNS an ti a.
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A awlsam zawngin, RNS chu eng nge ni?
I thluak chhungah hian vengtu te tak te, fing tak tak a awm tih han ngaihtuah teh. Seizure a awm dawn meuh chuan, chu chu thluaka electrical activity danglam tak a lo intan meuh chuan he guard hian a hre chiang a, chu thil danglam tak chu titawp turin electrical signal te tak te a thawn nghal a ni. Chu chu he RNS an tih device hian a ti a ni.
A awlsam zawngin sawi ila, RNS hi hmanraw te tak te, i taksaah surgery hmanga dah a ni. I thluaka seizure awmna hmuna electrical activity awm chu a enfiah chhunzawm zel a ni. Electrical activity pangngai lo a hriat chuan a chhang rang hle a, chu hmunah chuan electric pulse te tak te a thawn chhuak thin. Hun a kal zel a, he electrical energy hian i thluak in seizure a siam theihna chu a ti tlem zauh zauh a.
A pawimawh ber chu RNS device hian epilepsy a tidam kim thei lo. Mahse seizure i neih zat chu nasa takin a tihtlem thei a ni.
Device chu i fit hnuah i doctor chuan i mamawh angin a settings chu a siamrem thei ang. A tul chuan surgery hmanga lakchhuah theih a ni bawk.
He RNS enkawlna hi tute tan nge a tha?
Hetianga enkawl dan hi mi zawng zawng tan a tha lo. A tlangpuiin doctor chuan thil engemaw a ngaihtuah hnuah a rawt thin.
- Damdawi hmanga thunun loh seizures: Antiseizure damdawi dik taka hmang chung pawha i seizures control harsa i tih chuan.
- Focal Seizures: I seizures hi thluak hmun bik pakhat atanga tan a nih chuan .
- Surgery dang a tha lo a nih chuan: Surgery dang tihnaah hian hlauhawmna a awm emaw, a hmaa surgery neih tawh a hlawhchham chuan emaw.
- Kum 18 chunglam tan: Tunah hian he enkawlna hi kum 18 chunglam tan phalsak a ni.
Operation hmain engtin nge i inbuatsaih thin?
Hei hi thluak surgery a nih avangin i doctor chuan a tih hmain test tam tak a nei ang. A tum ber chu i thluaka khawi atanga seizures nge intan tih chiang taka hriat hi a ni.A chhan chu chutah chuan kan sawi tak electrode te hi dah tur a ni.
Chumi atan chuan test eng emaw zat pakhat hnu pakhatin i tih a ngai dawn a ni.
- Video-EEG hmanga enkawl a ni
- MRI scan a ni
- PET scan a ni
- Magnetoencephalography (MEG) hmanga tih a ni.
- Ictal SPECT a ni
- Neuropsychiatric test neih a ni
- Intracranial EEG enfiahna (SEEG emaw subdural evaluation emaw) a ni.
Heng test bakah hian i doctor chuan i hriselna chanchin, allergy leh damdawi i ei apiang a zawt bawk ang. Chuvangin, i doctor i tlawh hunah heng thil chipchiar zawng zawng hi i keng tel ngei ang.
Surgery neih ni hian eng nge thleng?
Surgery ni chuan fully anesthetized i ni ang. Chuvang chuan engmah hrehawm i nei lovang. I muhil tawh ang.
Tichuan, operation room-ah chuan surgeon chuan hengte hi a zawm a:
1. Hair removal: Sam strip te tak te chu surgery na hmunah chauh lakchhuah a ni. Ngaihtuah buai suh, operation hnuah sam a lo sei leh ang.
2. Luruh hawn: A vun chu an tan a, luruh chhungah hawnna te tak te (craniectomy) siam a ni.
3. Electrode dah: Electrode te tak te tak tak, wire ang chi te chu thluak chhunga seizure awmna hmunah hian dah a ni. Hengte hian thluak electrical activity an teh a, stimulation an pe chhuak thin.
4e. Device dahna: RNS device (computer ang chi device te tak te) hi luruh chhungah dah a ni a, thluak chunglam chiah a ni.
5. Checking and closing: Device hi a thawk tha em tih enfiah a ni a, a incision chu sewn back shut a ni.
He surgery hi darkar hnih atanga darkar li vel a ni tlangpui.
Surgery hnuah eng nge thleng?
Surgery zawhah ni hnih atanga ni thum chhung damdawi inah i awm a ngai dawn a ni. Hemi chhung hian device hian hna a thawk tan ang a, mahse thluak hnathawh "ngaithla" chauh a ni ang. Chu chu data khawlkhawm tihna a ni.
Electrical stimulation hi kar hnih atanga kar li hnuah tan a ni a, chu chu hliam a dam kim hnuah a ni. Chumi atan chuan Doctor i hmuh leh a ngai dawn a ni. Chutih hunah chuan device chu a "on on" ang a, stimulation treatment chu a tan ang.
Level hniam tak atanga tan la, i duh ber level i hmuh thlengin settings chu zawi zawiin thlak rawh.
In atanga data enfiah
Computer ang chi hmanraw te tak te leh in lama hman theih turin wand (thil hmanraw pakhat) a bun i dawng ang. I lu chunga wand i dah chuan device atanga data awm zawng zawng chu computer-ah a download vek a ni. Chumi hnuah chuan data chu Internet kaltlangin website him takah thawn a ni. I doctor chuan chu data chu a en thei a, i dinhmun chungchang tam tak a zir thei a, chu chu seizure i neih tam dan leh ni khata engtik lai nge a lo awm tam ber tih te hi a ni. He thu hi hmang hian i damdawi ei zat pawh a siamrem thei mai thei.
| RNS enkawlna thatna | Risk awm thei (a tlem hle) . |
|---|---|
| Hun kal zelah seizure a tlahniam. | Thisen chhuak. |
| Seizures damdawi ei zat tihtlem theih. | Hri kai theihna dinhmun. |
| Hun rei tak chhung seizure awm lohna. | Na. |
| Nunphung (taksa leh rilru hriselna) tihchangtlun. | Device a thawk tha lo. |
Engtikah nge doctor koh tur
Operation zawhah, incision na hmuna natna nasa tak, thisen chhuak emaw, hliam emaw i neih chuan doctor hnenah hriattir nghal tur a ni.
Device on a, stimulation i tan hnuah, i rilru hahna , luak chhuak, mit hmuh dan inthlak danglam, emaw, rilru hahna te i neih chuan i doctor hnenah hrilh rawh. Ngaihtuah buai suh, he device stimulation level hi a siamrem theih avangin i doctor chuan i tan a nuam ang level-ah a siamrem thei a ni.
Recovery time leh battery chungchang pawh i zir dawn nia.
A dam kim theih nan kar 8 vel a la ngai thei a, mahse a tlangpuiin kar 2-4 chhungin nitin hnathawh emaw, sikul kal emaw ang chi) chu i thawk leh thei a ni. Mahse, doctor rawn hmasa lovin thil hahthlak tak tak ti suh.
He device a battery hi kum 8-10 vel hman theih a ni tlangpui . Battery thlak a ngaih hunah chuan device pumpui thlak a ngai lo. Surgery hmasa angin surgery lian tak a ngai lo. A awlsam zawk hle a, battery chauh chu operation tlemte hmangin i thlak thei bawk.
Take-Home Thuchah a ni
- RNS hi focal epilepsy enkawlna hmasawn tak a ni a, damdawi hmanga control theih a ni lo.
- Hei hian seizures chu a tidam kim lo nain, seizures awm tamna chu a tiziaawm thei hle.
- Hei hi surgically implanted device a ni a, chumi hma chuan test engemaw zat neih a ni a, seizure tanna hmun dik tak hriat theih a ni.
- Device hi i fit zawh chuan a settings chu doctor chuan a hun hunah i duh angin a siamrem ang.
- I neurologist chauhvin he enkawlna hi i tan a tha em tih a hre thei a, chuvangin i doctor nen inbia la, thu belhchian dawl zawk i dawng ang.
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