Thluak tan pacemaker a ni em? - Vagus Nerve Stimulation (VNS) chungchang hi a awlsam zawngin i zir ang u

Chhungkaw member emaw, i thian emaw, nangmah ngei pawhin epilepsy i vei emaw, hun rei tak chhung lungngaihna nasa tak i tuar tawh emaw ni ang tih han ngaihtuah teh. Damdawi engzat pawh ei la, enkawl dan engzat pawh hmang la, i natna hi i thunun thei lo niin a lang. Doctor ten theihtawp an chhuah a. Chutiang dinhmunah chuan enkawlna danglam deuh, hmasawn zawk thu i hre mai thei. Chu chu VNS, a nih loh leh Vagus Nerve Stimulation kan tih chu a ni.

Vagus nerve stimulation (VNS) tih hi eng nge ni?

A awlsam zawngin sawi ila, hei hi nerve hnathawh dan tidanglam thei enkawlna a ni. A dik tak chuan thinlunga pacemaker dah ang mai a ni. Chuvangin mi thenkhat chuan "thluak pacemaker" an ti thin.

He enkawlnaah hian i rilru chunglam vun hnuaiah hian hmanraw te tak te pakhat surgery hmanga dah a ni. He device hian i kawr chhunga nerve bik vagus nerve an tih ah wire te tak te tak te a nei a. Chumi hnuah chuan device chuan electrical pulse nem tak tak chu a hun takah a thawn chhuak thin . Heng signal te hi vagus nerve kaltlangin thluak bul thlengin an kal thin. Chuta tang chuan heng signal te hi thluak hmun hrang hrangah an insem darh a, thluak cell te hnathawh dan an thlak tan ta a ni.

A tlangpuiin doctor chuan VNS therapy chu enkawlna dang zawng zawng a hlawhchham hunah a ngaihtuah ang. Tunah hian khawvel pumah enkawl theih loh epilepsy leh enkawl theih loh depression nei damlo tlemte tan pawm a ni. Tun hnaia stroke vei damlo thenkhat tan pawh rehabilitation lama tanpuitu atan pawm a ni bawk.

Vagus Nerve hi khawiah nge a awm? Eng nge a tih?

Kan thluak atanga kan taksa peng hrang hranga electrical signal thawn chhuaktu nerve pahnih main pair 12 a awm a. Hengte hi cranial nerves kan ti a. Vagus nerve hi heng nerve sawmna (X) a ni. Hei hi kan taksaa cranial nerve sei ber a ni.

Vagus nerve pahnih kan nei a, kan taksa sir lehlamah pakhat theuh kan nei a. An pahnih hian thluak bul atanga tan an ni. Chumi hnuah chuan an kawr chhungah an tlan lut a, an rilruah an tlan lut a, an pum chhungah an tlan lut bawk. A awlsam zawngin, vagus nerve hi kan kawr, thinlung, lung leh pum chhunga taksa peng hrang hrangte thluak nena inzawmkhawmtu circuit lian takah a tel a ni.

VNS therapy hi eng condition atan nge hman a nih?

Agency lian tak tak, U.S. Food and Drug Administration (FDA) te chuan tunah hian VNS therapy hi condition pathum atan an pawm tawh a ni. He thu hi table pakhatah han en ila.

Engtin nge he VNS device hian hna a thawh tak tak?

Thudik tak chu scientist te hian he VNS device hi engtin tak nge hna a thawh tih hi 100% in an la chiang lo a, mahse ngaihtuahna tha tak tak an nei a ni.

• Epilepsy control: Epileptic seizure a awm chuan thluak electrical activity a tibuai thin. VNS stimulation hian thluak hmun pawimawh tak takah thisen kal a tipung a, he electrical pattern tihbuai hi a tidanglam a, thluaka neurotransmitters ``norepinephrine'' leh ``serotonin'' level a tisang a, hei hian epilepsy control-na a pui niin an ngai.
• Depression management atan: VNS hian kan mood control tu neurotransmitter thenkhat level a thlak danglam avangin depression symptoms a tihziaawm niin an ngai.
• Stroke rehabilitation atan: He stimulation hian kan kut leh kut inthlak danglamna control tu thluak peng motor cortex a tichak a. Hei hian thluak tan chuan rehabilitation exercise neih laiin chutiang chetna chu a zir leh a awlsam phah a ni.

I taksaah VNS device awm hi eng ang nge ni ang?

A tam zawkah chuan he device hi on tih pawh i hre lo ang. Mahse, mi thenkhat chuan stimulation on lai hian danglamna tlem an nei thei.

• Kawngkhar emaw, kawr emaw a tickling sensation
• A aw chu a ri deuh hlek a
• A khuh na lo hle

Hetiang hian i inhria a nih pawhin hun kal zelah i thiam tlangpui. Mahse he stimulation hian a tibuai che a nih chuan i doctor nen inbia nghal rawh. Device-a settings a thlak danglam thei a, stimulation pawh a tihtlem thei bawk.

Tute nge VNS enkawlna nei lo tur?

VNS therapy hi hriselna lama harsatna nei tan chuan a tha lo mai thei. A hnuaia condition te hi i neih chuan VNS candidate tha tak i ni lo mai thei.

• Naupai i nih chuan .
• Thâwk lama harsatna i neih chuan asthma emaw sleep apnea emaw i nei a nih chuan .
• Active stomach ulcers (peptic ulcer disease) i neih chuan .
• Insulin-dependent diabetes mellitus i neih chuan .
• Vagus nerve pakhat chauh i neih chuan (mi thenkhat chu pianpui an ni).
• Dysautonomias tih natna i neih chuan, chu chu autonomic nervous system hnathawh dan pangngai lo a ni.
• Thluak tichaktu damdawi dang i dawng tawh a nih chuan .
• Heart rhythm abnormalities (heart arrhythmias) emaw, thinlung natna dang emaw i neih chuan.
Rilru lam natna, schizophrenia emaw schizoaffective disorder emaw i neih tawh chuan.
• I operation hmasa lama i left vagus nerve thenkhat lakchhuah i nih chuan.

VNS surgery hma leh surgery neih chhung hian eng nge thleng?

Hei hi surgery lian tak, hlauhawm tak a ni lo. Darkar khat leh a chanve vel a ni tlangpui.

Surgery atana inbuatsaihna

Surgery hmain i doctor chuan taksa enfiahna kimchang a nei ang. Surgery tibuai thei hriselna lama harsatna dang a awm loh nan thisen test vawi tam tak a nei thei bawk.

Surgery tih dan tur

I surgery ni-ah chuan hri kai theihna tihziaawmna turin antibiotics pek i ni ang. Chumi hnuah chuan anesthesia pek i ni ang. Surgery neihna tur kawng leh rilru area-ah chauh i rilru a buai thei a, general anesthesia pek i ni thei bawk a, muthilh tir i ni thei bawk.

Surgeon chuan incision tenau tak tak pahnih a siam a, pakhat chu a kawr veilam (vagus nerve thlen nan) a ni a, pakhat chu a rilru veilam sir chunglam a ni.

1. Electrode nei wire te tak te chu a kawngah incision hmangin dahin uluk takin vagus nerve chu an khuh a.

2. Tichuan wire chu vun hnuaiah chuan a rilru chhunga incision thlengin an rawn hruai a.

3. Chest-a cut atang chuan cheng nga aia lian tlem, .Battery ang chi stimulator (pulse generator) dahin, chest muscle chunga hmun tlemte siamah dah a ni.

4. A tawp berah chuan kawr atanga wire lo chhuak chu he stimulator nen hian a inzawm a.

Engkim a connect zawh chuan surgeon chuan device chu a test ang. Setting hniam takah dah la, second 30-90 vel run la, stimulation a thawk tha em tih en rawh. Engkim a OK chuan incision te chu khar a ni ang a, stitches te dah a ni ang.

Surgery hnuah eng nge thleng?

Device hman dan leh siamthat dan

Operation hnu kar 2-4 hnuah doctor i pan leh a ngai dawn a ni. Chutih hunah chuan device chu a activate tha ang. Doctor chuan computer leh special device (programming wand) hmangin i dinhmun a zirin settings a siam ang. (Entirnan, eng chen nge a on dawn, eng chen nge a off dawn, eng chen nge stimulation a chak dawn, etc.).

Heng settings te hi i thlak thei lo a, mahse i kut a i vawn theih tur magnet pek i ni ang .

• Epilepsy vei tan: Seizure a awm dawn chuan he magnet hi a rilru a device chungah swipe theih a ni. Hei hian stimulation dang a pe ang a, seizure chu a titawp thei a, a nasatzia pawh a ti tlem thei bawk.
• Stroke rehabilitation nei mek tan: Exercise i tan hmaa he magnet hi i swipe chuan minute 30 chhung stimulation chu a activate ang.
• Device chu rei lo te chhung titawp rawh: Magnet chu device chungah i vawn chuan stimulation chu a tawp ang. Magnet i lakchhuah chuan doctor-in a programme angin hna a thawk leh ang.

Battery a hman theih

Device battery hi kum 6 vel a daih tlangpui (a then chu kum khat atanga kum 15 chhung a daih). Battery a tlakchham chuan stimulator pumpui thlak vek a ngai a ni. Hei hian operation tenau tak a mamawh bawk a, chu chu a rilruah incision te tak te hmanga tih a ni.

VNS enkawlna hian eng hlauhawmna leh a nghawng tha lo nge a neih?

Damdawi dang ang bawkin VNS hian hlauhawmna leh nghawng tha lo engemaw zat a nei thei a ni. Chung zinga a tam zawk hi chu a na lo tlangpui a, hun kal zelah a reh mai ang.

Eng chen nge tihdam a ngaih? Eng nge a rah chhuah?

Operation hnu ni hnih (darkar 48) hnuah i hnathawh pangngai i thawk leh thei bawk. Stitch te hi dissolvable a nih avangin cut tir a ngai lo.

Mahse result hmuh tur chuan hun rei tak a ngai a ni. VNS atanga hlawkna i hmuh tur dik tak hriat nan kum khat emaw a aia rei emaw a ngai mai thei.

• Epilepsy natna: 1.1.VNS hian epilepsy hi a tidam kim lo. Seizures a titawp vek lo. I epilepsy damdawi chu i ei chhunzawm zel a ngai dawn a ni. VNS hian a tum ber chu seizure awm tam dan, a nasat dan leh a rei zawng tihtlem a ni. Zirchianna pakhatah chuan damlo 43% vel chuan kum thum chhungin seizure frequency 50% aia tam a tlahniam tih hmuhchhuah a ni.
• Depression: Depression atana VNS hman tangkai dan hi zirchian mek a ni. Chutiang a nih avang chuan damdawi leh psychotherapy a hlawhchham hnuah chauh ngaihtuah a ni. Zirna thenkhatah chuan damlo 20%-30% chauhvin hmasawnna nasa tak an nei a ni.
• Stroke rehabilitation: Zirchianna pakhatah chuan VNS stimulation hmanga rehabilitation exercise nei damlote chu VNS tel lova exercise nei te nen khaikhin chuan kut leh kut chetna a tha zawk tih hmuhchhuah a ni.

Engtik hunah nge doctor ka hmuh ang?

A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

• Infection a lan chhuah dan: 1.1.
• Incision chu a sen emaw, a hring emaw, khawih pawhin a na emaw a nih chuan.
• Cut rimchhia emaw, pus ang chi tui a chhuak emaw a nih chuan.
• Khawsik emaw, khawsik emaw i neih chuan.
• Symptom na tak dang: 1.1.
• Aw chu a ri chhuak chhunzawm zel a nih chuan.
• Stimulation chu a na a, thawk harsa emaw, ei harsa emaw a nih chuan.
• Mut a hah hle tih i hriat chuan.
• Device a thawk tha lo ang tih emaw, battery a tlahniam tih signal a awm emaw chuan.
• I damdawi lam dinhmun (epilepsy, depression) a zual chuan.