Kodi zizindikiro zamagetsi zimapita ku ubongo? Kodi Kulimbikitsa Kwambiri Ubongo (DBS) n'chiyani? Tiyeni tikambirane!

Kodi munayamba mwawonapo munthu amene miyendo yake ikugwedezeka ndipo sangathe kuyenda bwino, amene khunyu lake ndi lovuta kuliletsa ndi mankhwala? Kapena munthu amene ali ndi khunyu lomwe silingathe kulamuliridwa ngakhale ndi mankhwala? Sitingathe ngakhale kulingalira momwe zimakhalira zovuta kukhala ndi matenda otere. Koma ndi kupita patsogolo kwa sayansi ya zamankhwala, tsopano pali mankhwala atsopano omwe angapereke mpumulo kwa odwala otere. Lero, tikambirana za chithandizo chapadera chotere. Chimenecho ndi Deep Brain Stimulation, kapena chithandizo cha DBS mwachidule.

Mwachidule, kodi kulimbitsa ubongo kwambiri (DBS) n'chiyani?

Dzinali likumveka ngati loopsa pang'ono, sichoncho? Mwina mukuganiza kuti, "Kodi zili ngati kupereka magetsi ku ubongo?" Ndipotu, zafotokozedwa motere. DBS ndi njira yochitira opaleshoni yomwe imatumiza zizindikiro zamagetsi zosaoneka bwino ku gawo linalake la ubongo. Monga momwe pacemaker imayikidwa kuti ibwezeretse ntchito ya mtima wabwinobwino pamene mtima sukuyenda bwino, mutha kuganiza izi ngati pacemaker yomwe imayikidwa mu ubongo .

Chomwe chimachitika n'chakuti mawaya owonda kwambiri (otchedwa ma electrode) amalowetsedwa mu ubongo komwe kuli vuto. Kenako mawayawo amalumikizidwa ku chipangizo chaching'ono chonga batri (chotchedwa pulse generator) chomwe chimayikidwa pansi pa khungu pafupi ndi khosi lanu. Chipangizocho chimatumiza zizindikiro zazing'ono zamagetsi kuti zilimbikitse maselo a ubongo. Zizindikiro zamagetsi izi zimapangitsa ubongo kuyambanso kugwira ntchito bwino.

Nchifukwa chiyani tikufunika chithandizo cha DBS ichi?

Ubongo wathu ndi malo odabwitsa kumene maselo amitsempha mabiliyoni ambiri, kapena ma neuron, amagwira ntchito limodzi. Ma neuron amenewa amalankhulana kudzera mu zizindikiro zamagetsi ndi mankhwala. Tangoganizani kuti mukafuna kukweza dzanja lanu, chizindikiro chofananacho chimapita kuchokera ku ubongo kupita ku dzanja kudzera mu netiweki iyi ya ma neuron.

Komabe, chifukwa cha matenda ena, ntchito ya ma neuron awa m'mbali zina za ubongo imachepa kapena imakhala yosakhazikika. Kenako, ntchito za thupi zomwe zimayendetsedwa ndi gawo limenelo sizingachitike bwino. Mwachitsanzo, ngati ma neuron omwe ali m'gawo lomwe limalamulira kuyenda sagwira ntchito bwino, zinthu monga kunjenjemera m'miyendo ndi kuvutika kuyenda zingachitike.

Chithandizo cha DBS chimagwira ntchito popereka zizindikiro zamagetsi zobisika kuti zibwezeretsenso ma neuron omwe ali chete. Izi zitha kupereka mpumulo waukulu ku zizindikiro. Komabe, ofufuza akuphunzirabe momwe izi zimachitikira.

Ndi matenda ati omwe amachiritsidwa bwino ndi DBS?

Chithandizo cha DBS chimagwiritsidwa ntchito makamaka pochiza matenda angapo okhudzana ndi kugwira ntchito kwa ubongo. Pakati pa matenda awa, chithandizochi chatsimikiziridwa kuti ndi chothandiza kwambiri. Tiyeni tiwone zomwe zili.

Kodi chimachitika ndi chiyani musanachite opaleshoni?

Ngati mwasankha kuchita opaleshoni ya DBS, pali njira zingapo zomwe muyenera kuchita kuti mukonzekere.

1. Kukambirana ndi dokotala: Choyamba, dokotala wanu adzakufotokozerani zabwino zonse, kuipa, ndi zoopsa za opaleshoniyi. Ino ndi nthawi yabwino kwambiri yopezera mayankho a mafunso anu onse.

2. Mayeso azachipatala: Mayeso angapo, monga MRI ndi CT scans, amachitidwa kuti aone ngati thupi lanu lili bwino pa opaleshoniyi. Dokotala wa opaleshoni amagwiritsa ntchito zithunzi kuchokera ku ma scans awa kuti adziwe malo abwino kwambiri oikira electrode muubongo wanu.

3. Kudziwa za mankhwala: Muyenera kuuza dokotala wanu za mankhwala aliwonse omwe mukumwa panopa, makamaka mankhwala ochepetsa magazi. Iye angakulangizeni kuti musiye kumwa mankhwala enaake kwa kanthawi musanachite opaleshoni. Musasiye kumwa mankhwala aliwonse popanda kulankhula ndi dokotala wanu kaye.

4. Kusala Kudya: Popeza opaleshoniyi idzachitika pansi pa mankhwala oletsa ululu, mudzalangizidwa kuti musadye ndi kumwa kwa maola angapo opaleshoni isanachitike (kusala kudya).

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Chithandizo cha DBS si opaleshoni imodzi yokha. Nthawi zambiri chimakhala maopaleshoni awiri kapena atatu omwe amachitidwa masiku osiyanasiyana.

Gawo Loyamba: Kuyika Ma Electrode mu Ubongo

Uwu ndiye opaleshoni yofunika kwambiri.

• Choyamba, tsitsi lanu limametedwa. Kenako, mutu wanu umayikidwa mu chimango chapadera kuti ukhale chete. Mumapatsidwa mankhwala ochepetsa ululu kuti mumve chizungulire, kuti musakumbukire.
• Kenako, CT scan imachitika kuti ipeze njira yoyenera yoikira electrode.
• Dokotalayo amabaya mankhwala kuti asachite dzanzi pakhungu ndi pa chigaza, kenako n’kupanga kabowo kakang’ono kwambiri pa chigazacho.
• Pakadali pano, makamaka ngati mukuchiza matenda oyenda monga a Parkinson,Mungadzuke. Musachite mantha ndi izi. Simudzamva ululu uliwonse, chifukwa ubongo wathu sungathe kuzindikira ululu mwachindunji .
• Mukakhala maso, dokotala adzakufunsani kuti muchite zinthu zazing'ono. Mwachitsanzo, yankhani mafunso, yang'anani zithunzi, ndikusuntha manja ndi miyendo yanu. Izi ndi kuonetsetsa kuti ma electrode ali pamalo oyenera pa ubongo wanu.
• Chotsukiracho chikayikidwa bwino, mbali yake yowonekera imayikidwa pansi pa khungu kumbuyo kwa mutu ndikuphimbidwa kwakanthawi ndi pepala la pulasitiki. Kenako chochekacho chimasokedwa. Nthawi zambiri mumakhala m'chipatala usiku wonse ndipo mutha kupita kunyumba tsiku lotsatira.

Gawo Lachiwiri: Kuyika Pulse Generator

Opaleshoni iyi nthawi zambiri imachitika tsiku lina pambuyo pa opaleshoni yoyamba. Mudzapatsidwa mankhwala oletsa ululu.

• Dokotala wa opaleshoni amadula khungu lanu pang'ono pansi pa khosi lanu.
• Malo ang'onoang'ono (thumba) amapangidwa pansi pa khungu ndipo jenereta ya pulse, yomwe ili ngati batire, imayikidwa mkati mwake.
• Kenako, waya wina (waya wowonjezera) umadutsa pansi pa khungu kuchokera ku elekitirodi yomwe ili pamutu kuti ulumikizidwe ndi jenereta iyi ya pulse.
• Zonsezi zalumikizidwa ndipo chodulidwacho chasokedwa. Popeza iyi ndi opaleshoni yosavuta, mutha kupita kunyumba tsiku lomwelo.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo poti opaleshoniyo yatha, gawo lofunika kwambiri limayamba: kupanga pulogalamu ya chipangizocho .

Patatha milungu ingapo kuchokera pamene opaleshoni ichitika, dokotala wanu adzakuyimbirani foni. Pamenepo ndiye kuti jenereta ya pulse idzayatsidwa ndi kukonzedwa.

Izi zili ngati kusintha wailesi ku njira inayake. Muyenera kusintha momwe zizindikiro zamagetsi zimakhalira kuti muchepetse zizindikiro zanu komanso kuchepetsa zotsatirapo zake. Izi zingafunike kupita kwa dokotala kangapo.

Mabatire omwe ali mu majenereta a pulse awa nthawi zambiri amakhala zaka 3-5. Ena amatha kuwonjezeredwa, ndipo amatha kukhala zaka 9. Kusintha batire kumafunanso opaleshoni yaying'ono, koma ndikosavuta kuposa opaleshoni yoyamba.

Kodi ubwino wa chithandizo cha DBS ndi wotani?

• Njira yabwino kwa odwala omwe sangathe kulamuliridwa ndi mankhwala: DBS ndi chiyembekezo chabwino cha moyo pamene mankhwala sakugwira ntchito kapena zotsatirapo zake sizingapiririke. Zimathandizanso kuchepetsa mlingo wa mankhwala kwa odwala a Parkinson.
• Chithandizo Chosintha Moyo: Kwa munthu amene sanathe kuchita ntchito zoyambira chifukwa cha zizindikiro zazikulu, ndi chinthu chabwino kwambiri kuti azitha kugwira ntchito yake yekha kachiwiri.
• Zosinthika: Ngati vuto lanu lisintha pakapita nthawi, mutha kusintha makonda a jenereta ya pulse kuti igwirizane.
• Chosinthika:Ngati chithandizochi sichili choyenera kwa inu mwanjira iliyonse, kapena ngati mukukumana ndi zotsatirapo zosapiririka, chipangizocho chikhoza kuchotsedwa kwathunthu pa opaleshoni ina.

Kodi palibe zoopsa ndi zovuta zomwe zingachitike ndi opaleshoniyi?

Monga momwe zimakhalira ndi opaleshoni iliyonse, opaleshoni ya DBS ikhoza kukhala ndi zoopsa komanso zovuta. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.

Nthawi yochira ndi zinthu zomwe muyenera kudziwa

Zingatenge milungu ingapo kuti munthu achire bwino atachitidwa opaleshoni. Panthawiyi, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu mosamala.

• Kupuma: Pewani kuchita zinthu zolemetsa kwa milungu iwiri mutachita opaleshoni yonse iwiri. Musanyamule chilichonse cholemera kuposa makilogalamu 2.5.
• Kuchita Masewera Olimbitsa Thupi: Pewani kuchita masewera olimbitsa thupi kapena kugwira ntchito yolemetsa kwa milungu 4-6.
• Samalani: Pewani kukweza manja anu kwa masiku angapo jenereta ya pulse itayikidwa.
• Kusunga bala loyera: Sungani mabala pamutu ndi pachifuwa oyera komanso ouma. Sinthani bandeji monga momwe dokotala wanenera. Gwiritsani ntchito chotsukira chofewa monga shampu ya ana mukamasamba. Musakanda bala.

Nthawi yoti mukaonane ndi dokotala nthawi yomweyo

Popeza DBS ndi opaleshoni ya ubongo, muyenera kudziwa bwino zizindikiro zina zochenjeza. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo, kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nanu.

Mafunso ena odziwika bwino okhudza DBS

Kodi sindingagwiritse ntchito zipangizo zamagetsi ngati ndili ndi DBS?

Kawirikawiri, zipangizo zapakhomo monga ma microwave, makompyuta, ndi mafoni sizimayambitsa mavuto. Komabe, zida zowunikira zitsulo m'mabwalo a ndege ndi zowunikira zoletsa kuba m'masitolo ena zitha kukhudzidwa ndi chipangizochi. Dokotala adzakupatsani chiphaso chapadera choti mugwiritse ntchito pazochitika zotere.

Chofunika kwambiri: Chipangizo cha DBS chitayikidwa, mayeso azachipatala ndi mankhwala monga MRI scans, transcranial magnetic stimulation (TMS), ndi diathermy sizingachitike .

Kodi DBS imachiritsa matendawa kwathunthu?

Ayi. DBS si mankhwala, ndi mankhwala . Imagwiritsidwa ntchito kuchepetsa zizindikiro. Matenda ambiri omwe amachiritsidwa ndi mankhwalawa ndi a moyo wonse.

Kodi ndingasiye kumwa mankhwala pambuyo pa DBS?

Mungathe kuchepetsa mlingo wa mankhwala omwe mumamwa, koma nthawi zambiri sizingatheke kuimitsa kwathunthu. Chithandizo cha DBS chimakhala chothandiza kwambiri chikagwiritsidwa ntchito limodzi ndi mankhwala ndi mankhwala ena.