Kodi inuyo kapena wokondedwa wanu mukudwala matenda a Parkinson kapena kunjenjemera kosalamulirika ( Tremor )? Zimakhala zopweteka kwambiri pamene, ngakhale mukumwa mankhwala nthawi zonse, matenda anu akuipiraipira tsiku ndi tsiku. Komabe, sayansi ya zamankhwala yafika poti titha kupereka chiyembekezo chatsopano. Chithandizochi chimatchedwa Deep Brain Stimulation, kapena DBS mwachidule.
Kodi Kulimbikitsa Ubongo Kwambiri (DBS) n'chiyani?
Mwachidule, DBS ndi njira yachipatala yomwe imapereka mafunde amphamvu komanso ofatsa kumadera enaake a ubongo wanu. Taganizirani izi ngati ' Pacemaker ' ya ubongo wanu. Panthawi ya opaleshoniyi, chipangizo chaching'ono chimayikidwa pansi pa khungu pafupi ndi khosi lanu. Mawaya opyapyala olumikizidwa ku chipangizochi amapereka zizindikiro zamagetsi mwachindunji kumadera a ubongo omwe amafunikira. Zizindikirozi zimathandiza kulimbikitsa maselo a ubongo omwe sagwira ntchito bwino, omwe amatha kuthana bwino ndi zizindikiro za matenda osiyanasiyana amitsempha.
Ndani akufunikira chithandizo ichi, ndipo chifukwa chiyani?
Maselo a mitsempha muubongo wathu, otchedwa ma neuron , amalankhulana kudzera mu zizindikiro zamagetsi ndi mankhwala. Mu matenda ena, ntchito ya ma neuron amenewa imachepa m'malo enaake a ubongo, zomwe zimapangitsa kuti madera amenewo asagwire bwino ntchito. Mwachitsanzo, ngati ma neuron olamulira kayendedwe kalephera, mungavutike kuyenda kapena kulamulira miyendo yanu.
DBS imagwiritsa ntchito mafunde amagetsi opangidwa kuti "adzutse" ma neuron osagwira ntchito awa. Ngakhale ofufuza akadali kuphunzira momwe njira zenizeni zimagwirira ntchito, zotsatira zachipatala zasintha miyoyo ya ambiri.
| Mikhalidwe Yovomerezeka Pakadali Pano ya Chithandizo cha DBS | |
|---|---|
| Dystonia | Matenda omwe amachititsa kuti minofu idumphe mwadzidzidzi, kupindika, komanso kukhala ndi kaimidwe kosazolowereka. |
| Kugwedezeka Kofunika Kwambiri | Kugwedeza ziwalo zinazake za thupi mosalamulirika, makamaka manja. |
| Khunyu yosagonjetsedwa ndi mankhwala | Matenda a khunyu omwe sangalamuliridwe mokwanira pogwiritsa ntchito mankhwala. |
| Matenda a Parkinson | Matendawa akayamba kukula ndipo mphamvu ya mankhwala imayamba kuchepa. |
| OCD yosagwira mankhwala | Maganizo olakwika ndi machitidwe obwerezabwereza omwe safuna mankhwala. |
Chofunika: Kafukufuku akuchitika pa matenda ena ambiri, kuphatikizapo zizolowezi , matenda a Alzheimer's , nkhawa, kuvutika maganizo kwambiri, ndi matenda a Tourette. Komabe, DBS siikuonedwa ngati mankhwala wamba pa matenda amenewa.
Kodi opaleshoniyi imachitidwa bwanji?
Iyi si opaleshoni imodzi koma njira yomwe nthawi zambiri imachitika m'magawo awiri kapena atatu a opaleshoni.
Kukonzekera
Musanayambe opaleshoni, gulu lanu lachipatala lidzafotokoza bwino ubwino, zoopsa, ndi zomwe mukuyembekezera. Mudzayesedwa ngati MRI kapena CT scan kuti mudziwe ngati ndinu woyenera kuchita opaleshoniyi. Kuphatikiza apo:
- Kuwunikanso Mankhwala: Mungapemphedwe kuti musiye kumwa mankhwala ena, makamaka mankhwala ochepetsa magazi. Musasiye kumwa mankhwala aliwonse omwe mwapatsidwa popanda malangizo ochokera kwa dokotala wanu.
- Ukhondo: Mungafunike kugwiritsa ntchito shampu kapena sopo wothira mankhwala ophera tizilombo kuti mukonze khungu lanu.
- Kusala Kudya: Popeza opaleshoniyi imafuna mankhwala oletsa ululu , muyenera kusiya kudya maola 8 musanayambe opaleshoniyi ndikumwa zakumwa maola awiri musanayambe opaleshoniyi.
Pa Opaleshoni
Gawo 1: Kuyika Mtsogoleri
Iyi ndi njira yoyamba yochitira opaleshoni. Mutu wanu udzakhazikika mu chimango chapadera. Dokotala wa opaleshoniyo adzatsegula kabowo kakang'ono mu chigaza chanu kuti aike mawaya opyapyala okhala ndi ma electrode pamalo oyenera muubongo wanu.
Chodabwitsa n'chakuti, mungakhale maso nthawi zina pa opaleshoniyi. Popeza ubongo sumva kupweteka, izi zimathandiza gulu lanu lachipatala kukupemphani kuti muchite ntchito zosavuta (monga kusuntha miyendo yanu kapena kulankhula) kuti muwonetsetse kuti ma electrode ayikidwa pamalo oyenera.
Pambuyo pa izi, mudzayang'aniridwa kuchipatala kwa tsiku limodzi musanatuluke.
Gawo 2: Kuyika kwa Pulse Generator
Izi zimachitika ngati njira yosiyana pansi pa mankhwala oletsa ululu. Kathumba kakang'ono kamapangidwa pansi pa khungu pafupi ndi khosi lanu kuti kaikepo jenereta ya pulse (batire paketi). Mawaya ochokera muubongo wanu amaikidwa pansi pa khungu ndikulumikizidwa ku chipangizocho, ndipo mabalawo amatsekedwa. Nthawi zambiri mutha kupita kunyumba tsiku lomwelo.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Patatha milungu ingapo mutachita opaleshoni, mudzapita kwa dokotala wanu kuti akakukonzekeretseni makina opangira ma pulse. Panthawiyi, njira zamagetsi zimasinthidwa kuti zigwirizane ndi zosowa zanu. Zingatenge nthawi yokumana ndi dokotala kuti mupeze malo abwino kwambiri oti mugwirizane ndi zizindikiro zanu.
Mabatire nthawi zambiri amakhala zaka zitatu mpaka zisanu, ngakhale kuti mitundu yatsopano yotha kubwezeretsedwanso imatha kukhala zaka 9. Kusintha batire ndi njira yosavuta komanso yaing'ono yochitira opaleshoni.
| Ubwino | Zoopsa ndi Zovuta |
|---|---|
| Njira ina yothandiza kwambiri pamene mankhwala sakuperekanso mpumulo wokwanira. | Zoopsa zodziwika bwino pa opaleshoni, monga kutuluka magazi kapena matenda opatsirana. |
| Chithandizo chosintha moyo chomwe cholinga chake ndi kukweza kwambiri moyo wanu. | Mavuto okhudzana ndi chipangizo, monga kusuntha kwa lead kapena kulephera kugwira ntchito bwino kwa batri. |
| Zokonda zitha kusinthidwa mosasokoneza nthawi iliyonse kuti zigwirizane ndi zosowa zanu zosintha. | Zotsatirapo zomwe zingachitike panthawi yokonza zinthu, monga kusalinganika kapena chisokonezo. |
| Njirayi ndi yosinthika; chipangizocho chikhoza kuchotsedwa opaleshoni ngati pakufunika kutero. | Kusamva bwino kwakanthawi monga mutu kapena dzanzi pang'ono. |
Nthawi Yoyenera Kupeza Chithandizo cha Dokotala
Popeza DBS ndi njira yochitira opaleshoni ya mitsempha, ndikofunikira kukhala maso kuti muchiritse. Ngati mukukumana ndi zotsatirazi, funsani gulu lanu lachipatala nthawi yomweyo kapena pitani ku dipatimenti yapafupi yothandiza anthu ovulala mwadzidzidzi.
- Mutu wopweteka kwambiri kapena wopitirira, mwadzidzidzi.
- Kutuluka magazi kuchokera pamalo odulidwa opaleshoni.
- Kufiira, kutupa, kapena kutentha kosazolowereka kuzungulira mabala anu (zizindikiro zomwe zingakuchititseni kutenga matenda).
- Kusintha kwa masomphenya mwadzidzidzi, monga kuwona kawiri kapena kuwona molakwika.
- Malungo a 38.3°C (101°F) kapena kupitirira apo.
Kukhala ndi chipangizo chanu cha DBS
Kodi ndingagwiritse ntchito zipangizo zamagetsi?
Kawirikawiri, zinthu zodziwika bwino zapakhomo monga ma microwave, makompyuta, ndi mafoni sizimasokoneza chipangizo chanu. Komabe, makina otetezeka kwambiri monga zida zowunikira zitsulo ku eyapoti akhoza kukhala pachiwopsezo. Mudzapatsidwa chiphaso cha wodwala kuti mupereke pazochitika izi.
Kodi ndingathe kuyesedwa ndi MRI?
Ayi. Izi ndizofunikira kwambiri: Nthawi zambiri, odwala omwe ali ndi DBS implant sangayesedwe bwino ndi MRI scan. Mphamvu yamphamvu ya maginito yomwe imagwiritsidwa ntchito mu makina a MRI imatha kuwononga chipangizo chanu. Nthawi zonse uzani ogwira ntchito zachipatala kuti muli ndi DBS system musanayambe njira iliyonse yodziwira matenda.
Kodi DBS imachiritsa vuto lomwe limayambitsa vutoli?
Ayi. Ndikofunikira kumvetsetsa kuti DBS ndi chida chothandizira, osati mankhwala. Cholinga chake chachikulu ndikuthandiza kuwongolera zizindikiro zanu ndikupititsa patsogolo ntchito yanu ya tsiku ndi tsiku.
Uthenga Wanyumba (Nirogi Lanka)
- Kulimbikitsa Ubongo Kwambiri (DBS) ndi njira yodziwika bwino komanso yochokera ku umboni yomwe imapereka chiyembekezo chatsopano cha matenda monga matenda a Parkinson ndi khunyu pamene mankhwala sakugwiranso ntchito.
- Ngakhale kuti ndi opaleshoni ya ubongo yomwe ili ndi zoopsa zake, njira yopambana ingathandize kwambiri kudziyimira pawokha komanso kukhala ndi moyo wabwino.
- DBS sichiza matendawa, koma ndi yothandiza kwambiri pochepetsa zizindikiro.
- Ichi ndi chisankho chofunikira kwambiri cha zachipatala. Tikukulimbikitsani kuti mukambirane momasuka komanso mwatsatanetsatane ndi dokotala wanu kuti muwonetsetse kuti iyi ndi njira yoyenera paulendo wanu wathanzi.
kulimbitsa ubongo kwambiri, DBS, opaleshoni ya mitsempha, matenda a Parkinson, khunyu, kunjenjemera, dystonia
