Kodi wachibale wanu kapena mnzanu ali ndi matenda a Parkinson kapena kunjenjemera kosalamulirika? Nthawi zina, ngakhale mutamwa mankhwala, zimakhala zokhumudwitsa zinthu zikaipiraipira tsiku ndi tsiku, koma palibe kusintha kwakukulu. Lero, tikulankhula za chithandizo chatsopano komanso chodalirika chomwe chabwera chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala. Izi zimatchedwa Deep Brain Stimulation, kapena DBS mwachidule.
Kodi Kulimbikitsa Ubongo Kwambiri (DBS) n'chiyani?
Mwachidule, DBS ndi njira yachipatala yomwe imapereka mphamvu yamagetsi yochepa kwambiri ku gawo linalake la ubongo wanu. Taganizirani izi ngati chothandizira pacemaker cha ubongo. Pankhaniyi, chipangizo chaching'ono chimayikidwa pansi pa khungu pafupi ndi khosi lanu. Chimatumiza zizindikiro zamagetsi ku gawo lamanja la ubongo wanu kudzera mu waya umodzi kapena ingapo woonda kwambiri. Zizindikiro zamagetsi izi zimatsitsimutsanso maselo a ubongo omwe ali chete. Izi zimatha kuwongolera zizindikiro za matenda angapo.
Ndani akufunikira chithandizo ichi ndipo chifukwa chiyani?
Maselo a mitsempha muubongo wathu, otchedwa ma neuron , amalankhulana kudzera mu zizindikiro zamagetsi ndi mankhwala. Matenda ena angayambitse kuchepa kwa ntchito ya ma neuron awa m'madera ena a ubongo. Kenako ntchito zomwe zimayendetsedwa ndi ziwalo zimenezo sizigwira ntchito bwino. Mwachitsanzo, ngati ma neuron omwe ali m'gawo lomwe limalamulira kuyenda asiya kugwira ntchito, zimakhala zovuta kuyenda kapena kulamulira miyendo yanu.
Chithandizo cha DBS chimagwiritsa ntchito mphamvu yamagetsi yopangira kuti ibwezeretsenso ma neuron omwe anali kugona, koma ofufuza akuphunzirabe momwe imagwirira ntchito.
| Mikhalidwe yomwe chithandizo cha DBS chikuvomerezedwa pakadali pano | |
|---|---|
| Dystonia | Matenda omwe minofu imagwedezeka mosalamulirika ndikupanga mawonekedwe osazolowereka. |
| Kugwedezeka Kofunika Kwambiri | Matenda omwe ziwalo za thupi, makamaka manja, zimanjenjemera mosalekeza. |
| Khunyu yosagonjetsedwa ndi mankhwala | Matenda a khunyu omwe ndi ovuta kuwathetsa ndi mankhwala. |
| Matenda a Parkinson | Matendawa akakula kwambiri ndipo mphamvu ya mankhwala imachepa. |
| OCD yosagwira mankhwala | Maganizo ndi zochita zosafunikira zomwe zimakhala zovuta kuzilamulira ndi mankhwala. |
Chofunika: Chithandizochi chikuphunziridwa pa matenda ena angapo, kuphatikizapo zizolowezi , matenda a Alzheimer's , nkhawa, kuvutika maganizo kwakukulu, ndi matenda a Tourette, koma DBS si mankhwala wamba kwa iwo.
Kodi opaleshoniyi imachitidwa bwanji?
Njira imeneyi si opaleshoni yochitidwa kamodzi kokha. Nthawi zambiri imachitika m'maopaleshoni awiri kapena atatu omwe amachitidwa masiku osiyanasiyana.
Kukonzekera musanachite opaleshoni
Dokotala wanu asanachite opaleshoni, adzakufotokozerani ubwino, kuipa, ndi zoopsa za chithandizochi. Adzakulangizaninso mayeso angapo, monga MRI kapena CT scan, kuti aone ngati ndinu woyenera opaleshoniyo. Komanso,
- Kulankhula za mankhwala: Mungapemphedwe kuti musiye kumwa mankhwala ena, makamaka ochepetsa magazi, musanachite opaleshoni. Koma musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala.
- Kuyeretsa: Mungapemphedwe kugwiritsa ntchito shampu yapadera kapena sopo kuti mukonzekere khungu lanu ndi khungu lanu kuti ligwiritsidwe ntchito opaleshoni.
- Kusala Kudya: Mu iziPopeza mudzakhala pansi pa mankhwala oletsa ululu , muyenera kusiya kudya maola 8 musanachite opaleshoni komanso kumwa madzi maola awiri musanachite opaleshoni.
Pa nthawi ya opaleshoni
Gawo Loyamba: Kuyika Mtsogoleri
Iyi ndi opaleshoni yofunika kwambiri. Choyamba, mutu wanu umakhazikika mu chimango chapadera kuti ukhale chete. Kenako, bowo laling'ono kwambiri limapangidwa m'chigaza chanu, ndipo mawaya opyapyala okhala ndi ma electrode amalowetsedwa kudzera pamenepo kupita pamalo oyenera muubongo wanu.
Chodabwitsa n'chakuti, mungakhale mukuzindikira panthawi ya opaleshoniyi. Izi zili choncho chifukwa ubongo sumva kupweteka. Pamene muli ndi chidziwitso, madokotala angakupempheni kuti muchite zinthu zazing'ono (monga kusuntha dzanja lanu, kulankhula) kuti muwonetsetse kuti waya uli pamalo oyenera.
Pambuyo pa izi, mudzayang'aniridwa kuchipatala kwa tsiku limodzi kenako mudzatumizidwa kunyumba.
Gawo lachiwiri: Kuyika kwa Pulse Generator
Opaleshoni iyi imachitika tsiku lina. Mudzapatsidwa mankhwala oletsa ululu. Kudula pang'ono kumapangidwa pakhosi panu, malo ochepa amapangidwa pansi pa khungu, ndipo batire (pulse generator) imayikidwamo. Kenako, mawaya omwe amapita ku ubongo wanu ndi batire iyi amalumikizidwa pansi pa khungu, ndipo kudulako kumatsekedwa. Mutha kupita kunyumba tsiku lomwelo pambuyo pa opaleshoniyi.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Patatha milungu ingapo mutachita opaleshoni, mudzafunika kuonana ndi dokotala wanu. Pamenepo ndiye kuti batire (pulse generator) idzakonzedwa. Izi zikutanthauza kusintha kuchuluka ndi mawonekedwe a zizindikiro zamagetsi kuti zigwirizane ndi zizindikiro zanu. Mungafunike kuonana ndi dokotala wanu kangapo mpaka izi zitachitika bwino.
Mabatire omwe ali mu zipangizozi nthawi zambiri amakhala zaka 3-5. Zipangizo zina zatsopano zimakhala ndi mabatire otha kubwezeretsedwanso, omwe amakhala zaka pafupifupi 9. Ngakhale kusintha batiri kumafuna opaleshoni yaying'ono.
| Ubwino | Zoopsa ndi Zovuta |
|---|---|
| Njira ina yabwino kwa iwo omwe sakuchira ndi mankhwala. | Zoopsa zokhudzana ndi opaleshoni (kutuluka magazi, matenda). |
| Chithandizo chosintha moyo, chomwe chimathandiza kuti moyo ukhale wabwino. | Mavuto okhudzana ndi zida (mawaya akuyendayenda, mabatire akuzima). |
| Mukhoza kusintha makonda nthawi iliyonse ngati pakufunika. | Zotsatirapo zomwe zingachitike panthawi yokonza (kutayika bwino, chisokonezo). |
| Ngati chithandizo sichikuyenda bwino, chipangizocho chingachotsedwenso opaleshoni. | Kusasangalala kwakanthawi monga mutu ndi dzanzi. |
Nthawi yoti mukaonane ndi dokotala
Popeza DBS ndi opaleshoni ya ubongo, tiyenera kusamala kwambiri ndi zizindikiro zina zochenjeza. Ngati pali zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandizira Zadzidzidzi (ETU) ya chipatala.
- Mutu wopweteka kwambiri mwadzidzidzi kapena wopitirira.
- Kutuluka magazi chifukwa cha opaleshoni.
- Kufiira, kutupa, kapena kumva kutentha kosazolowereka mozungulira chotupacho (izi ndi zizindikiro za matenda).
- Kusintha kwadzidzidzi kwa masomphenya (kuona kawiri, kuwona molakwika).
- Malungo a madigiri 38.3 Celsius (101 Fahrenheit) kapena kupitirira apo.
Mafunso ofala okhudza kukhala ndi chipangizo cha DBS
Kodi ndingagwiritse ntchito zipangizo zamagetsi?
Chipangizochi sichikhudzidwa ndi zipangizo zapakhomo monga ma microwave, makompyuta, ndi mafoni a m'manja. Chingakhudzidwe ndi zida zowunikira zitsulo m'mabwalo a ndege. Mudzapatsidwa khadi lapadera loti mugwiritse ntchito nthawi ngati zimenezi.
Kodi ndingathe kuyesedwa ndi MRI?
Ayi. Izi ndizofunikira kwambiri. Munthu amene ali ndi chipangizo cha DBS nthawi zambiri sangayesedwe ndi MRI scan chifukwa mphamvu yamphamvu ya maginito mu makina a MRI ingawononge chipangizo cha DBS. Chifukwa chake, ndikofunikira kuti mudziwitse madokotala anu kuti muli ndi chipangizo cha DBS musanalandire chithandizo chilichonse chamankhwala.
Kodi DBS imachiritsa matendawa kwathunthu?
Ayi. DBS si mankhwala. Yapangidwa kuti ichepetse zizindikiro ndikukweza moyo.
Uthenga Wopita Nawo Kunyumba
- Kulimbikitsa Ubongo Kwambiri (DBS) ndi chithandizo chapamwamba chomwe chimapereka chiyembekezo cha matenda monga Parkinson's ndi khunyu omwe sakuyankha mankhwala.
- Uwu ndi opaleshoni ya ubongo, kotero siili yopanda zoopsa, koma ngati ipambana, ingathandize kwambiri moyo.
- Chithandizo cha DBS sichichiritsa matendawa, koma chingathandize kwambiri kuchepetsa zizindikiro ndikukhala ndi moyo wabwino.
- Ichi ndi chisankho chachikulu kwambiri. Chifukwa chake, ndikofunikira kukambirana zonse ndi dokotala wanu ndikusankha.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu