Ese ufite ikiganza kigutera ubwoba ku buryo udashobora no gufata icyayi neza? Ese wumva uhinda umushyitsi iyo wanditse, cyangwa iyo usinye? Ibi nibyo twita 'Essential Tremor'. Nubwo wagerageza kugenzura iki kibazo ufata imiti, hari abantu bashobora kutanyurwa na byo. Ku bantu nk'abo, uyu munsi tugiye kuvuga ku buryo bugezweho bwo kuvura kugira ngo tugabanye uku gutitira. Ubwo ni uburyo bwo gukangura ubwonko mu buryo bwimbitse , cyangwa uburyo bwo kuvura DBS mu magambo ahinnye.
Mu magambo make, ni iki gitera imbaraga mu bwonko bwimbitse (DBS)?
Gukangura Ubwonko Bwimbitse (DBS) ni uburyo bukoreshwa mu kuvura indwara zitandukanye ziterwa no guhindagurika kw'imitsi, cyane cyane iyo umuntu arwaye gutitira.
Hari igice cy'ubwonko bwacu cyitwa thalamus. Tekereza ko ari ikigo cy'ingenzi gihuza kandi kikagenzura imikorere y'imitsi y'umubiri wacu. Nubwo impamvu nyayo ya Essential Tremor itazwi, bikekwa ko imikorere idasanzwe y'ubwonko itera gutigita inyura muri iyi thalamus.
Ubuvuzi bwa DBS bukubiyemo kubaga no gushyiramo electrode nyinshi nziza cyane mu gice cy'ubwonko cyitwa thalamus. Izi electrode zihuzwa n'insinga n'igikoresho gito gishyirwa munsi y'uruhu, munsi gato y'umugongo w'igufwa. Iki gikoresho ni nk'icyuma gitera umutima imbaraga. Tucyita generator y'ingufu (IPG).
Iyo igikoresho kimaze gukora, gikomeza kohereza imitsi mito y'amashanyarazi idakomeretsa kuri thalamus, ikabuza ibimenyetso bidasanzwe bitera gutigita. Ibi bifasha mu kugenzura gutigita hatabayeho kwangiza igice icyo ari cyo cyose cy'ubwonko.
Mu magambo make, ibi ni nko kuzimya 'switch' idakora neza mu bwonko, ariko nta cyangiritse ubwonko.
Iki gikoresho cya IPG gishobora gushyirwa kuri porogaramu yoroshye (prog RA m) binyuze mu majwi ya radiyo binyuze kuri mudasobwa. Nanone, umurwayi ahabwa rukuruzi yihariye, ishobora gukoreshwa mu gucana/kuzimya igikoresho inyuma. Bateri y'iki gikoresho ubusanzwe ishobora gukoreshwa mu gihe cy'imyaka itatu kugeza kuri itanu. Kubaga bateri yo gusimbuza bateri nabyo biroroshye cyane.
Ni izihe nyungu n'ibibi by'ubu buryo bwo kuvura DBS?
Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubu buryo bufite ibyiza n’ibibi. Reka tubirebe.
| Ibyiza | Imbogamizi |
|---|---|
| Umubiri w'ubwonko ntupfa burundu, bityo ntibizabangamira uburyo bushya bwo kuvura mu gihe kizaza. | Hari ibyago byo kwandura kuko hari ikintu cy’inyamahanga cyinjijwe mu mubiri. |
| Iki gikoresho gishobora gukurwaho igihe icyo ari cyo cyose hakoreshejwe uburyo bwo kubaga. | Ugomba kongera kubagwa kugira ngo uhindure bateri buri myaka 3-5. |
| Imikorere y'igikoresho ishobora guhindurwa uko bikenewe. | Hari igihe hashobora kubaho kubabara cyangwa kumva ibintu bidasanzwe mu gihe cyo gukangurwa. |
| Bishobora kuba ingirakamaro mu kugenzura imitingito kurusha kubagwa byangiza ibice by'ubwonko (thalamotomi). | - |
Ni nde ukwiye gutekereza ku kubagwa DBS?
Iki ni ikibazo cy'ingenzi cyane. Mbere yo gusuzuma DBS, wagombye kuba waragerageje imiti yose wahawe . Niba indwara yawe igenzurwa neza ukoresheje imiti cyangwa ibindi bikoresho byo hanze, kubagwa ntibyemewe.
Mbere yo gufata icyemezo niba ibi bikubereye, ugomba kubiganiraho byimbitse n'inzobere mu ndwara z'imigendere cyangwa inzobere mu ndwara z'imitsi yahuguwe by'umwihariko muri urwo rwego. Muganga wawe ni we muntu mwiza wo kukugira inama kuri ibi.
Ni iki kibaho mu gihe cyo kubagwa?
Ntabwo uzasinzira mu gihe cyo kubagwa. Ahubwo, uzaba uri mu mimerere nk'iy'"ijoro". Ibi biterwa nuko itsinda ry'ababaga rizakenera kuvugana nawe rikareba ingaruka z'ibyo bigutera gukanguka. Uzahabwa umuti ugabanya ububabare mu gace k'umubiri kugira ngo utume ahantu hakomeye hatabaho ububabare. Niyo mpamvu abantu benshi bumva batamerewe neza mu gihe cyo kubagwa.
Abaganga bakoresha CT cyangwa MRI scan kugira ngo bamenye neza aho electrode ziri mu bwonko. Iyo aho ziherereye hamenyekanye neza, electrode zihoraho zishyirwa mu bwonko. Hanyuma, insinga zishyirwa munsi y'uruhu rw'umutwe hanyuma zigahuzwa n'igikoresho cya IPG cyashyizwe munsi y'uruhu rw'igituza.
IPG irafungurwa igahindurwa ibyumweru bibiri kugeza kuri bine nyuma yo kubagwa. Bishobora gufata ibyumweru byinshi kugira ngo uhindure igikoresho n'imiti uhabwa kugira ngo ubone ingano ikwiye y'indwara zawe.
Ni iki wakwitega nyuma yo kubagwa?
Nyuma yo kubagwa, ushobora kumva unaniwe gato kandi ukagira ububabare ku mubiri. Ariko, uzahabwa imiti igufasha kuguma umerewe neza. Hashobora kubaho ububabare cyangwa ububabare hafi y'aho bashongesheje n'aho bapfundikiye.
Ni gute wivuza ibikomere byawe nyuma yo kugera mu rugo?
- Imiti yawe cyangwa ibirungo bizakurwaho nyuma y'iminsi 7-10 nyuma yo kubagwa.
- Ahantu hane inzara zari zarafatiwe ku mutwe hagomba gupfukwaho udupira two gupfuka imisumari igihe cyose kugeza zimanutse. Nibiba ngombwa, zihindure buri munsi.
- Ushobora koza umutwe wawe n'igitambaro gitose, wirinde ahantu hari ibisebe .
- Ushobora gusuka imisatsi yawe umunsi umwe nyuma y'uko imisego ikuweho, ariko witondere cyane . Ntugakubite cyangwa ngo ufate ibikomere.
Urashaka kugabanya akazi kawe?
- Irinde ibikorwa byoroheje nk'imirimo yo mu rugo n'imibonano mpuzabitsina mu gihe cy'ibyumweru bibiri nyuma yo kubagwa.
- Irinde gukora imyitozo ngororamubiri isaba imbaraga nko kwiruka no koga mu gihe cy'ibyumweru bine kugeza kuri bitandatu nyuma yo kubagwa.
- Ntugaterure ikintu kiremereye kirenze ibiro bitanu (2.3 kg) byibuze mu gihe cy'ibyumweru bibiri.
- Bitewe n'ubwoko bw'akazi kawe, ushobora gusubira ku kazi mu byumweru bine kugeza kuri bitandatu.
Kwita ku bandi: Hamagara muganga ako kanya!
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kubagwa, ugomba guhita uhamagara muganga wawe bidatinze .
| Ibimenyetso by'umuburo | |
|---|---|
| 1. | Kuribwa umutwe cyane kandi udashira. |
| 2. | Kuva amaraso mu gikomere. |
| 3. | Ukwiyongera k'umutuku cyangwa kubyimba hafi y'igikomere. |
| 4. | Gutakaza ubushobozi bwo kureba cyangwa guhinduka mu buryo butunguranye mu kureba. |
| 5. | Umuriro udashira urenze dogere 101 za Fahrenheit. |
Ubutumwa bwo kujyana mu rugo
- Gukangura Ubwonko Bunini (DBS) ni uburyo bugezweho bwo kuvura gutigita gukomeye ku buryo bigoye kubigenzura ukoresheje imiti.
- Ibi ntibisenya ibice by'ubwonko, ahubwo bitanga ingufu z'amashanyarazi kugira ngo bihagarike ibimenyetso bitari byo bitera gutigita.
- Iki gikoresho gishobora guhindurwa uko bikenewe no gukurwaho bibaye ngombwa.
- Kimwe no kubagwa kose, hari ibyiza, ibibi n'ingaruka. Ni ngombwa kubiganiraho witonze n'inzobere yawe mbere yo gufata icyemezo.
- Gukurikiza amabwiriza ya muganga wawe nyuma yo kubagwa ni ingenzi cyane kugira ngo ukire vuba kandi ugire umusaruro mwiza.
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