Kodi inuyo kapena munthu amene mumamudziwa ali ndi khunyu lomwe limavuta kulithetsa ngakhale akumwa mankhwala? Tikudziwa momwe zingakhalire zovuta kukhala ndi matenda otere nthawi zina. Koma chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, tsopano kwabwera njira zatsopano zothandizira izi. Lero, tikambirana za njira imodzi yatsopano komanso yopambana yothandizira. Izi zimatchedwa Responsive Neurostimulation, kapena RNS mwachidule.
Mwachidule, kodi RNS ndi chiyani?
Tangoganizani kuti muli mlonda wamng'ono, wanzeru kwambiri muubongo mwanu. Mukangoyamba kugwidwa ndi khunyu, ndiko kuti, pamene ntchito yamagetsi yosazolowereka muubongo ikuyamba, mlonda uyu amazindikira ndipo nthawi yomweyo amatumiza chizindikiro chamagetsi chaching'ono kuti asiye ntchito yosazolowerekayo. Ndicho chimene chipangizo ichi chotchedwa RNS chimachita.
Mwachidule, RNS ndi chipangizo chaching'ono chomwe chimayikidwa m'thupi mwanu opaleshoni. Chimayang'anira nthawi zonse ntchito zamagetsi muubongo mwanu komwe kumachitika khunyu. Chikazindikira ntchito zamagetsi zosazolowereka, chimayankha mwachangu kwambiri ndikutumiza ma pulse ang'onoang'ono amagetsi kudera limenelo. Pakapita nthawi, mphamvu zamagetsi izi zimachepetsa pang'onopang'ono mphamvu ya ubongo wanu kuyambitsa khunyu.
Chofunika kwambiri ndichakuti chipangizo cha RNS sichingathe kuchiza khunyu kwathunthu. Koma chingachepetse kwambiri kuchuluka kwa khunyu komwe muli nako.
Chipangizocho chikayikidwa, dokotala wanu akhoza kusintha makonda ake kuti chigwirizane ndi zosowa zanu. Chingathenso kuchotsedwa opaleshoni ngati pakufunika kutero.
Kodi chithandizo cha RNS ichi n'choyenera kwa ndani?
Njira yochiritsira iyi si yoyenera aliyense. Nthawi zambiri, dokotala amalangiza kuti ichite pambuyo poganizira zinthu zina.
- Kugwidwa ndi khunyu komwe sikungalamuliridwe ndi mankhwala: Ngati mukuvutika kulamulira khunyu lanu ngakhale mukugwiritsa ntchito mankhwala oletsa khunyu moyenera.
- Kugwidwa ndi Khunyu: Ngati khunyu lanu likuyamba m'dera linalake la ubongo.
- Ngati opaleshoni ina si yoyenera: Ngati pali zoopsa zilizonse zomwe zingachitike pochita opaleshoni ina kapena ngati opaleshoni yakale yalephera.
- Kwa anthu azaka zopitirira 18: Mankhwalawa akuvomerezedwa kwa anthu azaka zopitirira 18.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Popeza iyi ndi opaleshoni ya ubongo, dokotala wanu adzayesa zinthu zambiri opaleshoni isanachitike. Cholinga chachikulu ndikupeza komwe khunyu limayambira mu ubongo wanu.Chifukwa ndi komwe ma electrode omwe tatchulawa ayenera kuyikidwa.
Pachifukwa ichi, muyenera kuchita mayeso angapo kamodzi ndi kamodzi.
- Kuwunika kwa Kanema-EEG
- Kujambula kwa MRI
- Kujambula kwa PET
- Magnetoencephalography (MEG)
- Ictal SPECT
- Kuyesa kwa matenda amisala
- Kuwunika kwa EEG mkati mwa ubongo (SEEG kapena kuwunika kwa subdural)
Kuwonjezera pa mayeso amenewa, dokotala wanu adzakufunsaninso za mbiri yanu ya thanzi, ziwengo, ndi mankhwala aliwonse omwe mumamwa. Choncho, onetsetsani kuti mwabweretsa zonsezi mukapita kwa dokotala wanu.
Kodi chimachitika ndi chiyani tsiku la opaleshoni?
Pa tsiku la opaleshoni, mudzapatsidwa mankhwala oletsa ululu. Choncho simudzamva kupweteka kulikonse. Mudzakhala mukugona.
Kenako, m'chipinda chochitira opaleshoni, dokotalayo amatsatira njira izi:
1. Kuchotsa tsitsi: Tsitsi laling'ono limachotsedwa pamalo ochitira opaleshoni okha. Musadandaule nazo, tsitsi lidzameranso pambuyo pa opaleshoni.
2. Kutsegula chigaza: Khungu limadulidwa ndipo mpata waung'ono kwambiri (craniectomy) umapangidwa m'chigaza.
3. Kuika ma electrode: Ma electrode opyapyala kwambiri ofanana ndi waya amaikidwa mu gawo la ubongo komwe kukuchitika khunyu. Izi zimayesa ntchito yamagetsi ya ubongo ndikupereka chilimbikitso.
4e. Kuyika chipangizo: Chipangizo cha RNS (chipangizo chaching'ono chonga kompyuta) chimayikidwa mkati mwa chigaza, pamwamba pa ubongo.
5. Kuyang'ana ndi kutseka: Chipangizocho chimawunikidwa kuti chitsimikizire kuti chikugwira ntchito bwino, ndipo chodulidwacho chimasokedwanso chotsekedwa.
Opaleshoni imeneyi nthawi zambiri imatenga maola awiri kapena anayi.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku awiri kapena atatu. Panthawiyi, chipangizocho chidzayamba kugwira ntchito, koma chidzakhala "chomvera" ubongo ukugwira ntchito. Ndiko kuti, kusonkhanitsa deta.
Kulimbikitsa magetsi kumayamba patatha milungu iwiri kapena inayi, bala litachira bwino. Pachifukwa ichi, muyenera kukaonananso ndi dokotala. Pamenepo ndiye "adzayatsa" chipangizocho ndikuyamba chithandizo cholimbikitsa.
Yambani pa mulingo wotsika kwambiri ndipo pang'onopang'ono musinthe makonda mpaka mutapeza mulingo womwe ukukuyenererani.
Kuwunika deta kuchokera kunyumba
Mudzalandira chipangizo chaching'ono chofanana ndi kompyuta ndi ndodo (chipangizo) cholumikizidwa nacho kuti mugwiritse ntchito kunyumba. Mukayika ndodo pamutu panu, deta yonse kuchokera pa chipangizocho imatsitsidwa ku kompyuta. Detayo imatumizidwa pa intaneti ku tsamba lotetezeka. Dokotala wanu akhoza kuyang'ana detayo ndikuphunzira zambiri za matenda anu, monga kuchuluka kwa khunyu komwe mumakumana nako komanso nthawi yomwe imachitika nthawi zambiri. Pogwiritsa ntchito izi, iye akhoza kusintha mlingo wa mankhwala anu.
| Ubwino wa chithandizo cha RNS | Zoopsa zomwe zingachitike (zosowa kwambiri) |
|---|---|
| Kuchepa kwa chiwerengero cha matenda a khunyu pakapita nthawi. | Kutuluka magazi. |
| Kutha kuchepetsa kuchuluka kwa mankhwala omwe amamwa pa matenda a khunyu. | Matenda opatsirana. |
| Nthawi yayitali yopanda khunyu. | Ululu. |
| Kukweza moyo wabwino (thanzi la thupi ndi la maganizo). | Kulephera kwa chipangizo. |
Nthawi yoti muyimbire dokotala
Pambuyo pa opaleshoni, ngati muli ndi ululu waukulu, kutuluka magazi, kapena kutupa pamalo odulidwa, dziwitsani dokotala wanu nthawi yomweyo.
Mukayatsa chipangizocho ndikuyamba kuchiza, ngati mukumva kusasangalala kulikonse, monga chizungulire, kusintha kwa masomphenya, kapena dzanzi, uzani dokotala wanu za izi. Musadandaule, popeza kuchuluka kwa kuchiza kwa chipangizochi kumatha kusinthidwa, dokotala wanu akhoza kuchisintha kukhala mulingo womwe ungakukomereni.
Tiyeni tiphunzirenso za nthawi yobwezeretsa ndi batri.
Ngakhale zingatenge milungu 8 kuti muchire bwino, nthawi zambiri mutha kuyambiranso ntchito zanu za tsiku ndi tsiku (monga kupita kuntchito kapena kusukulu) mkati mwa milungu 2-4. Komabe, musachite zinthu zolemetsa popanda kufunsa dokotala wanu.
Batire yomwe ili mu chipangizochi nthawi zambiri ingagwiritsidwe ntchito kwa zaka pafupifupi 8-10 . Batire ikafunika kusinthidwa, chipangizo chonsecho sichiyenera kusinthidwa. Sichifuna opaleshoni yayikulu monga opaleshoni yam'mbuyomu. Ndi yosavuta kwambiri, ndipo mutha kungosintha batire ndi opaleshoni yaying'ono.
Uthenga Wopita Nawo Kunyumba
- RNS ndi njira yapamwamba yochizira khunyu yomwe siilamulidwa ndi mankhwala.
- Ngakhale izi sizimachiritsa khunyu kwathunthu, zingathandize kwambiri kuchepetsa kuchuluka kwa khunyu.
- Ichi ndi chipangizo chomwe chimayikidwa opaleshoni, ndipo chisanachitike, mayeso angapo amachitidwa kuti adziwe bwino komwe kumayambira khunyu.
- Chipangizocho chikayikidwa, dokotala adzasintha makonda ake nthawi ndi nthawi kuti akugwirizaneni.
- Dokotala wanu wa mitsempha yekha ndi amene angadziwe ngati chithandizochi chili choyenera kwa inu, choncho lankhulani ndi dokotala wanu kuti mudziwe zambiri.
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