Yankho la kugwedezeka kwamphamvu: Tiyeni tiphunzire za chithandizo chapadera ichi cha ubongo (Deep Brain Stimulation - DBS)?

Kodi muli ndi dzanja lomwe limagwedezeka kwambiri moti simungathe ngakhale kunyamula tiyi moyenera? Kodi mumamva kunjenjemera mukamalemba, kapena mukamasaina? Ichi ndi chomwe timachitcha 'Essential Tremor'. Ngakhale mutayesa kuletsa vutoli mwa kumwa mankhwala, anthu ena sangakhutire nalo. Chifukwa chake kwa anthu otere, lero tikambirana za njira yapamwamba kwambiri yothandizira kugwedezeka uku. Imeneyo ndi kulimbitsa ubongo kwambiri , kapena chithandizo cha DBS mwachidule.

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

Kulimbikitsa Ubongo Kwambiri (DBS) ndi njira yomwe imagwiritsidwa ntchito pochiza matenda angapo oyenda, makamaka kunjenjemera kwakukulu.

Pali gawo la ubongo wathu lotchedwa thalamus. Liganizireni ngati malo olamulira omwe amawongolera ndikuwongolera zochita za minofu ya thupi lathu. Ngakhale kuti chifukwa chenicheni cha Essential Tremor sichikudziwika, akukhulupirira kuti ntchito yolakwika ya ubongo yomwe imayambitsa kugwedezeka imadutsa mu thalamus iyi.

Chithandizo cha DBS chimaphatikizapo kuyika ma electrode angapo abwino kwambiri mu gawo la ubongo lotchedwa thalamus. Ma electrode awa amalumikizidwa ndi mawaya ku chipangizo chaching'ono chomwe chimayikidwa pansi pa khungu, pansi pa collarbone. Chipangizochi chili ngati pacemaker mumtima. Timachitcha kuti impulse generator (IPG).

Chipangizocho chikayamba kugwira ntchito, chimatumiza ma pulse ang'onoang'ono amagetsi osapweteka ku thalamus, ndikuletsa zizindikiro zachilendo zomwe zimayambitsa kugwedezeka. Izi zimathandiza kuwongolera kugwedezeka popanda kuwononga gawo lililonse la ubongo.

Chipangizo cha IPG ichi chikhoza kukonzedwa mosavuta (prog RA m) kudzera pa ma signaling a wailesi kudzera pa kompyuta. Komanso, wodwalayo amapatsidwa maginito apadera, omwe angagwiritsidwe ntchito kuyatsa/kuzima chipangizocho kuchokera kunja. Batire la chipangizochi nthawi zambiri lingagwiritsidwe ntchito kwa zaka zitatu mpaka zisanu. Opaleshoni yosinthira batire nayonso ndi yosavuta kwambiri.

Kodi ubwino ndi kuipa kwa chithandizo cha DBS ichi ndi kotani?

Monga chithandizo china chilichonse chamankhwala, ichi chili ndi ubwino ndi kuipa kwake. Tiyeni tiwone.

Ndani ayenera kuganizira za opaleshoni ya DBS?

Funso ili ndi lofunika kwambiri. Musanaganizire za DBS, muyenera kuyesa njira zonse zamankhwala zomwe mwapatsidwa . Ngati vuto lanu likuyendetsedwa bwino ndi mankhwala kapena zida zina zakunja, opaleshoni siilimbikitsidwa.

Musanasankhe ngati izi zili zoyenera kwa inu, muyenera kukambirana nkhaniyi mokwanira ndi katswiri wa matenda oyenda kapena katswiri wa mitsempha yemwe waphunzitsidwa bwino pankhani imeneyi. Dokotala wanu ndiye munthu wabwino kwambiri woti akupatseni upangiri pankhaniyi.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Simudzagonedwa panthawi ya opaleshoni. M'malo mwake, mudzakhala ngati "madzulo". Izi zili choncho chifukwa gulu la opaleshoni lidzafunika kulankhula nanu ndikuwona zotsatira za kukondowezako. Mudzapatsidwa mankhwala oletsa ululu kuti musamve kupweteka kulikonse komanso kuti musamve kupweteka kulikonse. Ichi ndichifukwa chake anthu ambiri samva bwino kwambiri panthawi ya opaleshoni.

Madokotala amagwiritsa ntchito CT kapena MRI scan kuti adziwe komwe kuli ma electrode muubongo. Malo oyenera akapezeka, ma electrode okhazikika amaikidwa muubongo. Kenako, mawaya amabweretsedwa pansi pa khungu la mutu ndikulumikizidwa ku chipangizo cha IPG chomwe chimayikidwa pansi pa khungu la pachifuwa.

IPG imayatsidwa ndi kusinthidwa milungu iwiri kapena inayi mutachita opaleshoni. Zingatenge milungu ingapo kuti musinthe chipangizocho ndi mankhwala omwe mwapatsidwa kuti mupeze mpumulo woyenera wa zizindikiro zanu.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Pambuyo pa opaleshoni, mungamve kutopa pang'ono komanso kupweteka thupi. Komabe, mudzapatsidwa mankhwala okuthandizani kukhala omasuka. Pakhoza kukhala ululu kapena kuuma pang'ono kuzungulira zosokera ndi malo olumikizirana mafupa.

Kodi mumasamalira bwanji mabala anu mukafika kunyumba?

• Zosokera zanu kapena zomangira zanu zidzachotsedwa patatha masiku 7-10 kuchokera pamene opaleshoni ichitika.
• Malo anayi omwe misomali inakhomeredwa pamutu ayenera kuphimbidwa ndi Band-Aids nthawi zonse mpaka itauma. Ngati pakufunika kutero, isintheni tsiku lililonse.
• Mukhoza kutsuka mutu wanu ndi nsalu yonyowa, kupewa malo okhala ndi zilonda .
• Mukhoza kutsuka tsitsi lanu tsiku lotsatira mutachotsa zosokerazo, koma samalani kwambiri . Musakanda kapena kukanda mabala.

Kodi mukufuna kuchepetsa ntchito yanu?

• Pewani kuchita zinthu zopepuka monga ntchito zapakhomo ndi zogonana kwa milungu iwiri mutachita opaleshoni.
• Pewani kuchita masewera olimbitsa thupi otopetsa monga kuthamanga ndi kusambira kwa milungu inayi mpaka isanu ndi umodzi mutachita opaleshoni.
• Musanyamule chilichonse cholemera kuposa makilogalamu asanu (2.3 kg) kwa milungu iwiri kapena kuposerapo.
• Kutengera mtundu wa ntchito yanu, mutha kubwerera kuntchito mkati mwa milungu inayi kapena isanu ndi umodzi.

Chisamaliro Chapadera: Imbani dokotala nthawi yomweyo!

Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, muyenera kulankhulana ndi dokotala nthawi yomweyo .