A châng chuan epilepsy emaw, hun rei tak chhûng lungngaihna emaw ang chi natna atân damdawi engzat pawh ei mah la, thununna tak tak a awm lo niin i hria mai thei. Treatment tam tak i enchhin a, mahse duhthusam result i hmuh loh chuan a lungchhiatthlak tak zet. Mahse, damdawi lam thiamna a lo thang chho zel a, tunah chuan chutiang dinhmun pawh chu tunlai damdawi a awm ta a ni. Chutiang enkawlna pakhat chu doctor-te’n enkawlna dangin a hlawhtlin loh huna an ngaihtuah ṭhin chu Vagus Nerve Stimulation, a tawi zawngin VNS hi a ni. A awlsam zawngin, thinlunga pacemaker dah ang mai a ni a, mahse hei hi chu thluak tan a ni a, thinlung tan a ni lo! Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.
A hmasa berah chuan Vagus nerve hi eng nge ni?
I nervous system hi ram pakhata telephone wire network ang a ni. Heng nerve te hian i thluak atanga thuchah te chu i taksa kil tinah leh i thluak lam pan leh turin a pui thin. Chung zingah chuan Vagus nerve hi a bik tak leh sei ber a ni. Brainstem atang hian a intan a, i kawr chhungah a tlan a, i rilru leh i pum thlengin a inzar pharh a ni. Hei hi i thluak, thinlung, lung leh intestines inkara inbiakpawhna kawng ber a ni tih hi han ngaihtuah teh. Chuvangin VNS therapy chungchanga theory bulpui ber chu he nerve hnathawh dan i thlak danglam hian thluak hnathawh i nghawng thei tih hi a ni.
VNS therapy hi eng condition atan nge hman a nih?
He enkawlna hi mi zawng zawng tan a ni lo. Tunah hian khawvela condition lian pathum atan pawm a ni. An zînga pakhatah chuan doctor-te chuan he duhthlanna hi an ngaihtuah ṭhin a, chu chu enkawlna pangngai dangte a hlawhchham hunah chauh a ni .
| Natna dinhmun | Tu nge tling? |
|---|---|
| Epilepsy natna a ni | Naupang kum 4 chunglam leh puitling focal seizures nei, damdawi hmanga control theih loh tan adjunctive treatment angin. |
| Enkawlna-Resistant Depression | Puitling kum 18 chunglam, hun rei tak emaw, depression na tak nei leh tawh, antidepressant damdawi hrang hrang pali tal ei tawh lote. |
| Stroke Rehabilitation neih a ni | Thisen kalna kawngkhar a inkharkhip avanga ischemic stroke avanga kut leh kut hnathawhna nasa taka hloh tawhte tan physical therapy exercise-a tanpuitu dang angin. |
Engtin nge he VNS device hi taksaah hian a inzawm?
Hei hi surgery awlsam tak a ni tak zet. Hlauh tur a awm lo. Surgery hi darkar khat leh a chanve vel chhungin a zo thei tlangpui.
1. Device: Hei hian part lian pahnih a nei a. Pakhat chu device (pulse generator) a ni a, silver rupee aia lian deuh, battery ang maia hnathawk a ni. A dang chu a atanga chhuak wire te tak te a ni.
2. Surgery: Doctor chuan i kawr veilam sir ah incision te tak te a siam ang a, fimkhur takin wire chu Vagus nerve ah a khuh ang. Tichuan, i rilru veilam sir chung lamah incision te tak te a siam leh ang a, vun hnuaiah pocket te tak te a siam ang a, chutah chuan battery ang chi device chu a dah ang. Tichuan, vun hnuaia nerve-a wire khuh chu a rawn hruai ang a, he device-ah hian a thlunzawm ang.
3. Testing: Engkim a connect zawh chuan doctor chuan a thawk tha em tih en turin rei vak lo a on nghal ang. Tichuan a incision te chu an stitch up thin. A tlangpuiin heng stitches te hi a dissolve a, chuvang chuan kir leh a, tihchhiat leh a ngai tawh lo.
Operation hnu ni hnih vel hnuah i hnathawh pangngai i thawk leh thei bawk.
Operation hnuah eng nge thleng?
Kar hnih atanga kar li vel hnuah doctor i pan leh a ngai dawn a ni. Chutih hunah chuan computer device bik (programming wand) hmangin i taksa chhunga VNS device chu chiang takin a activate ang. Doctor chuan electrical pulse te hi engtiang chiahin nge a chak tur tih te, eng chen nge a awm tur tih te, eng interval nge a awm tur tih te, i symptoms a zirin a rel ang.
I kut a i vawn theih tur magnet pek i ni ang. Epilepsy vei mi pakhatin seizure a neih dawn ang maia a hriat chuan he magnet hi an rilru a device awmna hmunah i hnawih chuan thluak ah electrical pulse extra a thawn chhuak thin. Tin, he magnet hi device chungah i vawn chuan rei lo te atan a off thei bawk.
He device-a battery hi kum 6 vel a daih tlangpui (a then chu kum 15 thleng a daih). Battery a tlakchham chuan a rilru chhunga device chauh chu operation tenau dang hmangin thlak a ni.
He enkawlna atan hian tute nge tling lo?
VNS therapy hi mi zawng zawng tan a ni lo. A hnuaia natnate hi i neih chuan he enkawlna hi i tan a tha lo mai thei. Hemi chungchangah hian i doctor nen in inbia ngei tur a ni.
| VNS enkawlna atana remchang lo thei dinhmun | |
|---|---|
| - Naupai a nih chuan | - Thâwk lama harsatna (asthma, sleep apnea) i neih chuan . |
| - Active stomach ulcer (peptic ulcer) i neih chuan. | - Insulin-dependent diabetes i neih chuan |
| - Heart rhythm disorder (arrhythmias) emaw, thinlung natna dang emaw i neih chuan | - Autoimmune nervous system natna (dysautonomias) i neih chuan . |
| - Tun hmain i kawr veilam sir vagus nerve tichhe thei surgery i neih tawh chuan | - Rilru natna khirh tak dang, schizophrenia emaw bipolar disorder emaw i neih tawh chuan |
Enkawlna hian eng hlauhawmna leh nghawng tha lo nge a neih?
Surgery dang ang bawkin, risk leh side effect tenau tak tak a awm bawk. Mahse, heng zinga a tam zawk hi chu hun eng emaw chen atan emaw, device settings thlak danglamin control theih a ni.
- Surgery nena inzawm hlauhawm tlangpui: incision-a natna hrik awm, natna, vagus nerve emaw a chhehvel tissue emaw tihchhiat.
- Device hman dan avanga side effect awm thei te:
- Khuh
- Hoarseness emaw aw inthlak danglam emaw
- Kawng emaw, kawr emaw a tickling sensation
- Thâwk harsa (dyspnea) .
- Thusawi harsa (dysphonia) .
- Chaw ei harsa (dysphagia) .
- Lu na
Heng side effects te hian a tibuai che a nih chuan i doctor hnenah device atanga electrical pulse lo chhuak chakna tihtlem turin i ngen thei ang. Side effect na tak tak, a awm tlem hle bawk a, i doctor pawhin hengte hi a hriattir bawk ang che.
Doctor nena inbiakna neih a ngaih hunah
A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Heng symptoms te hi i neih chuan doctor rawn la nghal rawh. | |
|---|---|
Hri kai lan chhuah dan: 1.1.
| Symptom na tak dang: 1.1.
|
Thil pawimawh dang: VNS device i neih chuan MRI scan ang chi medical test eng pawh i neih hmain i doctor hnenah i hriattir hmasak phawt a pawimawh hle.
Take-Home Thuchah a ni
- Vagus Nerve Stimulation (VNS) hi epilepsy, depression, leh stroke rehabilitation atana hman tur specialized treatment a ni a, damdawi ang chi damdawi pangngai hmanga control theih a ni lo.
- Hei hi natna damdawi a ni lo a, mahse a natna lan chhuah dan (e.g., seizure awm zat, depression nasat dan) nasa takin a tihziaawm thei a, nunphung tihchangtlunna kawngah a pui thei bawk.
- He enkawlna hi vun hnuaiah hian hmanraw te tak te dah turin operation a ngai a ni.
- He enkawlna hi mi zawng zawng tan a tha lo. Thutlukna i siam hmain i specialist nen i tan a tha em tih leh a hlauhawmna te chu i sawiho hmasa tur a ni.
- Device dah a nih hnuah doctor nena inbiak reng leh hun ruat anga clinic-a kal a pawimawh hle.
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