Tiyeni tiphunzire za chithandizo chaposachedwa cha kunjenjemera kwa manja popanda opaleshoni (MR-Guided Focused Ultrasound).

Kodi nthawi zina mumamva kusasangalala ndi manja anu akugwedezeka, osatha ngakhale kunyamula kapu ya tiyi bwino? Kapena kodi pali munthu amene mumamudziwa amene akuvutika ndi vutoli? Palibe mawu ofotokozera ululu ndi kusasangalala komwe mumamva mukalephera kuchita zinthu zosavuta monga kusaina chikalata kapena kuyika chakudya mkamwa mwanu. Nthawi zambiri, anthu ena amapumula ndi mankhwala operekedwa pa izi, koma kwa ena, mankhwala amenewo sagwira ntchito. Kenako ndi zinthu monga opaleshoni ya ubongo. Koma ndani amene saopa opaleshoni? Koma musachite mantha, lero tikambirana za njira yatsopano komanso yodabwitsa kwambiri yothandizira kugwedezeka kumeneku yomwe ingathe kuchitika popanda opaleshoni, popanda kudula ziwalo.

Kodi ultrasound yolunjika ndi MR-guided focused ndi chiyani?

Dzinali lingamveke ngati lovuta pang'ono, koma kwenikweni ndi losavuta. Mwachidule, ndi mankhwala omwe amaphatikiza ukadaulo uwiri.

1. Kujambula kwa MR (Magnetic Resonance): Iyi ndi MRI scan yomwe mwina mumaidziwa. Ili ngati mapu omveka bwino owonetsa misewu ndi nyumba mkati mwa ubongo wathu. Madokotala amatha kuyang'ana zithunzi za MRI izi ndikupeza malo enieni mkati mwa ubongo kuti achiritse, mpaka milimita imodzi . Zimathandizanso kuwonetsetsa kuti chilichonse chikuyenda bwino panthawi ya chithandizo.

2. Ultrasound Yokhazikika: Ultrasound ndi mafunde amphamvu omwe sitingamve. Monga momwe munali mwana, munkayang'ana dzuwa papepala ndikuliwotcha. Ukadaulo uwu umayang'ana mafunde amphamvu opitilira 1,000 nthawi imodzi pa chinthu chaching'ono mkati mwa ubongo. Malo okhawo omwe mawu awa amakhazikika ndi omwe amatentha, ndikuwononga maselo ovuta omwe alipo. Chodabwitsa n'chakuti, maselo athanzi a ubongo ozungulira iwo savulazidwa.

Izi zikutanthauza kuti, popanda kutsegula mutu, mafunde amamveka kuchokera kunja ndipo amachiritsidwa pokhapokha ngati pali vuto mkati mwa ubongo.

Kodi chithandizochi ndi chabwino kwa ndani? Ndi matenda amtundu wanji?

Pakadali pano bungwe la US Food and Drug Administration (FDA) lavomereza chithandizochi pa matenda awiri.

• Kugwedezeka kwakukulu: Ichi ndi vuto lomwe anthu ambiri amakhala nalo lomwe limapangitsa manja awo, mutu, kapena mawu awo kugwedezeka. Kugwedezeka kumakhala kwakukulu makamaka akamayesa kuchitapo kanthu. Chithandizochi chikupezeka kwa anthu omwe sangathe kuletsa kugwedezeka kwawo ndi mankhwala .
• Matenda a Parkinson omwe amafala kwambiri ndi kunjenjemera: Ngakhale kuti matenda a Parkinson ali ndi zizindikiro zambiri, kwa anthu ena, kunjenjemera ndiye chizindikiro chachikulu. Mankhwalawa ndi oyeneranso kwa anthu otere.

Kodi njira imeneyi imachepetsa bwanji kugwedezeka?

Nkhani iyi ndi yosangalatsa kwambiri. Pali gawo la ubongo wathu lotchedwa thalamus . Ili ngati malo akuluakulu osinthira mafoni mdziko lathu. Zizindikiro zamagalimoto ndi zomverera kuchokera mbali zosiyanasiyana za thupi zimatumizidwa ku ziwalo zina za ubongo kuchokera pano.

Anthu omwe ali ndi vuto la kunjenjemera kwamphamvu komanso matenda a Parkinson ali ndi vuto laling'ono m'magawo a ubongo. Ichi ndichifukwa chake zizindikiro zolakwika zimatumizidwa ndipo manja amayamba kunjenjemera.

Chithandizochi chimaphatikizapo kutsogolera kuwala kwa ultrasound komwe kuli zizindikiro zolakwika ndikupanga chotupa chaching'ono pamenepo. Zili ngati kuzimitsa switch yolakwika. Zizindikiro zolakwika zimasiya kuyenda, ndipo kugwedezeka kumachepa kapena kuima kwathunthu nthawi yomweyo .

Njira yothandizira pang'onopang'ono

Chabwino, tsopano tiyeni tiwone zomwe zingachitike chithandizochi chikachitika. Palibe chodetsa nkhawa, palibe mabala kapena mabala.

1. Kukonzekera: M'mawa wa chithandizo, tsitsi lanu lidzametedwa lonse. Izi zili choncho chifukwa mafunde a ultrasound ayenera kukhudza khungu lanu. Kenako, kugunda kwa mtima wanu ndi kuthamanga kwa magazi zidzayang'aniridwa.

2. Chimango cha Mutu: Chimango chapadera chidzayikidwa pamutu panu kuti mutu wanu usasunthe ngakhale pang'ono. Panthawiyi, mudzapatsidwa mankhwala ochepa kudzera mumtsempha kuti akuthandizeni kuti musamve bwino.

3. Mu makina a MRI: Kenako mudzatumizidwa mu makina a MRI. Simudzatha kusuntha mutu wanu chifukwa cha chimango chomwe chili pamutu panu. Madokotala adzakujambulani ubongo wanu ndikusankha malo oyenera oti akuchiritseni.

4. Kuyesa: Musanayambe kulandira chithandizo, gulu lachipatala lidzakufunsani kuti mujambule mizere, kulemba dzina lanu, kapena kuchita zinthu zina ndi zala zanu. Izi zidzayesa kuopsa kwa kunjenjemera kwanu.

5. Kuyamba chithandizo: Apa ndi pomwe ntchito yeniyeni imayambira. Choyamba, mafunde a ultrasound opanda mphamvu zambiri amatumizidwa ku cholinga kuti atsimikizire kuti chili pamalo oyenera. Pambuyo potsimikizira ndi MRI, mphamvu imawonjezeka pang'onopang'ono.

6. Yankho lanu: Muli maso pamene mukuchita zonsezi. Mutha kulankhula ndi gulu lachipatala. Nthawi zonse adzakufunsani momwe mukumvera. Adzakufunsaninso kuti muchite zomwezo zomwe munkachita kale, monga kujambula ndi kulemba. Mudzaona kuti kugwedezeka kukuchepa pomwepo.

7. Batani loyimitsa mwadzidzidzi: Pali batani loyimitsa mwadzidzidzi m'dzanja lanu lomwe mungathe kulikanikiza nthawi yonse ya chithandizo. Ngati mukumva kusasangalala, chithandizocho chidzasiya mukangochikanikiza.

8. Mapeto:Kugwedezeka kukangoyendetsedwa bwino, mafunde a ultrasound amatumizidwa mwamphamvu yoyenera kuti azindikire bwino cholingacho. Ntchito yonseyi imatenga pafupifupi maola 3-4. Pambuyo pake, zida zonse zimachotsedwa pamutu panu ndipo mumasamutsidwira ku chipinda chowonera.

Zotsatira ndi ubwino ndi kuipa

Chabwino kwambiri pa chithandizochi ndichakuti mutha kuwona zotsatira zake nthawi yomweyo. Kafukufuku wasonyeza kuti kugwedezeka kwa anthu ambiri kumachepa ndi 50% - 60% nthawi yomweyo.

Kodi zonse zili bwino? Kodi palibe zotsatirapo zake?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zotsatirapo zina ndi zoopsa, koma zambiri mwa izo ndi zakanthawi kochepa .

• Kusanza ndi mutu (panthawi ya chithandizo)
• Kusanza kwakanthawi m'manja kapena pamilomo
• Kusakhazikika pang'ono poyenda, mavuto olinganiza (osakhalitsa)
• Kuvuta kulankhula kapena kumeza (kwakanthawi)

Palinso zoopsa zingapo zomwe zingachitike kwa nthawi yayitali .

• Kunjenjemera kungabwerezedwenso miyezi kapena zaka pambuyo pa chithandizo.
• Nthawi zina kugwedezeka sikungachepe konse .
• Nthawi zina (pafupifupi 10-15% ya anthu), kufooka kwa minofu ndi dzanzi zimatha kukhalapo kwamuyaya .

Kodi chithandizochi sichiyenera kwa ndani?

Mankhwalawa si a aliyense. Si oyenera anthu omwe ali ndi matenda awa:

• Anthu omwe ali ndi zida zachitsulo m'thupi lawo (monga makina oyezera kuthamanga kwa magazi, ndodo zamsana, ndi ma implants olumikizirana mafupa) chifukwa izi zimachitika mkati mwa makina a MRI.
• Anthu omwe ali ndi zipsera zazikulu pamutu pawo.
• Anthu omwe ali ndi zotupa mu ubongo.
• Anthu omwe ali ndi vuto la impso omwe akulandira dialysis .
• Anthu omwe ali ndi matenda aakulu kapena matenda omwe sangathe kuthetsedwa.
• Anthu omwe sangathe kukhala chete pamalo omwewo kwa maola 3-4.
• Anthu omwe sangathe kusiya kumwa mankhwala oletsa magazi kuundana kapena oletsa magazi kuundana .

Ndiye, mungadziwe bwanji ngati chithandizochi chili choyenera kwa inu?

Ichi ndiye chinthu chofunikira kwambiri. Simungathe kupanga zisankho pankhaniyi nokha. Muyenera kulankhula ndi dokotala wanu wa mitsempha za izi.

Kawirikawiri, mungakhale woyenera kuchita izi,

• Ngati mwapezeka ndi matenda a Essential Tremor kapena matenda a Parkinson omwe amalamulira Tremor .
• Ngati kunjenjemera kwanu sikukulamuliridwa ndi mankhwala omwe mwapatsidwa.
• Ngati kugwedezeka kumeneku kukusokoneza zochita zanu za tsiku ndi tsiku (monga kudya, kulemba, kumwa madzi) mpaka kufika poti simungathe kuzichita .

Dokotala wanu adzakuyang'anirani bwino, adzakuyesaninso ngati pakufunika kutero, ndikukufotokozerani ngati chithandizochi, kapena chithandizo china monga Deep Brain Stimulation (DBS), chili chabwino kwa inu.