Uburyo bushya bwo kuvura indwara zo mu mutwe? Reka twige ku bijyanye no gutera inkunga ubwonko mu buryo bwihuse (RNS)

Ese wowe cyangwa umuntu uzi ufite igicuri kigoranye kugikemura nubwo ufata imiti? Tuzi uburyo rimwe na rimwe bigoye kwihanganira indwara nk'izo. Ariko bitewe n'iterambere rya siyansi y'ubuvuzi, ubu hamaze kugaragara uburyo bushya bwo kuvura. Uyu munsi, tugiye kuvuga ku buryo bumwe bushya kandi bufite icyo bugeraho bwo kuvura. Ubu buryo bwitwa Responsive Neurostimulation, cyangwa RNS mu magambo ahinnye.

Mu magambo make, RNS ni iki?

Tekereza ko hari umurinzi muto kandi w’ubwenge cyane mu bwonko bwawe. Iyo ugiye gukubita, ni ukuvuga iyo hatangiye gukora amashanyarazi adasanzwe mu bwonko, uyu murinzi arabimenya maze ako kanya akohereza ikimenyetso gito cy’amashanyarazi kugira ngo ahagarike iyo mirimo idasanzwe. Ibyo nibyo iki gikoresho cyitwa RNS gikora.

Muri make, RNS ni igikoresho gito gishyirwa mu mubiri wawe. Gikurikirana buri gihe imikorere y'amashanyarazi mu bwonko bwawe aho indwara zifata ibisebe. Iyo kibonye imikorere idasanzwe y'amashanyarazi, gihita kiyisubiza vuba cyane kandi cyohereza urukurikirane rw'imitsi mito y'amashanyarazi muri ako gace. Uko igihe kigenda gihita, iyi ngufu y'amashanyarazi igabanya buhoro buhoro ubushobozi bw'ubwonko bwawe bwo gutera indwara zifata ibisebe.

Iyo igikoresho kimaze gushyirwaho, muganga wawe ashobora guhindura imiterere yacyo kugira ngo kijyane n'ibyo ukeneye. Kirashobora kandi gukurwaho mu gihe bibaye ngombwa.

Ni nde ubu buvuzi bwa RNS bukwiriye?

Ubu buryo bwo kuvura ntibukwiriye buri wese. Ubusanzwe, muganga abwigisha nyuma yo gusuzuma ibintu bimwe na bimwe.

• Indwara zo mu mutwe zidafatwa n'imiti: Niba ufite ingorane zo kurwanya indwara zo mu mutwe nubwo waba ukoresha imiti yo kurwanya indwara neza.
• Indwara zo mu mutwe: Iyo indwara zo mu mutwe zitangiye mu gace kamwe k'ubwonko.
• Niba ubundi buryo bwo kubaga budakwiye: Niba hari ingaruka zishobora guterwa no gukora ubundi buryo bwo kubaga cyangwa niba uburyo bwo kubaga bwabanje bwarananiranye.
• Ku bantu barengeje imyaka 18: Ubu buryo bwemewe ku bantu barengeje imyaka 18.

Witegura ute mbere yo kubagwa?

Kubera ko iki ari igikorwa cyo kubaga ubwonko, muganga wawe azakora ibizamini byinshi mbere yo kubagwa. Intego nyamukuru ni ukumenya neza aho indwara zo mu bwonko bwawe zitangirira.Kuko niho electrodes twavuze zigomba gushyirwa.

Kugira ngo ibi bigerweho, uzakenera gukora ibizamini byinshi kimwe kimwe.

• Gukurikirana amashusho na EEG
• Gupima MRI
• Isuzuma rya PET
• Isuzuma ry'imyanya y'ubwonko (Meg)
• Ictal SPECT
• Gupima indwara zo mu mutwe
• Gukurikirana EEG mu bwonko (SEEG cyangwa isuzuma rya subdural)

Uretse ibi bipimo, muganga wawe azabaza n'amateka y'ubuzima bwawe, ubwivumbure, n'imiti iyo ari yo yose ufata. Rero, menya neza ko uzazana ibi byose hamwe igihe ugiye kwa muganga wawe.

Ni iki kibaho ku munsi wo kubagwa?

Ku munsi wo kubagwa, uzaba warahawe ikinya cyuzuye. Bityo ntuzumva ububabare ubwo aribwo bwose. Uzaba usinziriye.

Hanyuma, mu cyumba cyo kubaga, umuganga ubaga akurikiza izi ntambwe:

1. Gukuraho umusatsi: Agace gato k'umusatsi gakurwaho gusa aho bakorewe ubuvuzi. Ntugahangayike, umusatsi uzongera kumera nyuma yo kubagwa.

2. Gufungura agahanga: Uruhu ruracibwa maze hagakorwa umwenge muto cyane (craniectomy) mu gahanga.

3. Gutera electrode: Electrode nto cyane zimeze nk'insinga zishyirwa mu gice cy'ubwonko aho gufatwa n'indwara. Izi zipima imikorere y'amashanyarazi y'ubwonko kandi zigatanga imbaraga.

4e. Gushyira igikoresho: Igikoresho cya RNS (igikoresho gito gisa na mudasobwa) gishyirwa mu gahanga, hejuru gato y'ubwonko.

5. Gusuzuma no gufunga: Igikoresho kiragenzurwa kugira ngo harebwe ko gikora neza, kandi aho cyaciwe hagafungwa burundu.

Ubu buryo bwo kubaga bushobora gufata amasaha abiri kugeza kuri ane.

Ni iki kibaho nyuma yo kubagwa?

Nyuma yo kubagwa, uzakenera kumara iminsi ibiri cyangwa itatu mu bitaro. Muri icyo gihe, igikoresho kizatangira gukora, ariko kizaba "cyumvira" gusa imikorere y'ubwonko. Ni ukuvuga gukusanya amakuru.

Gukangura amashanyarazi bitangira nyuma y'ibyumweru bibiri kugeza kuri bine, nyuma y'uko igikomere gikize neza. Kugira ngo ubigereho, uzakenera kongera kubonana na muganga. Ni bwo azafungura igikoresho maze atangire kuvura gukangura.

Tangirira ku rwego rwo hasi cyane hanyuma uhindure buhoro buhoro igenamiterere kugeza igihe ubonye urwego rukubereye.

Gukurikirana amakuru uri mu rugo

Uzahabwa igikoresho gito gisa na mudasobwa n'agakoresho gafata ku mutwe kugira ngo ukoreshe mu rugo. Iyo ushyize agakoresho ku mutwe, amakuru yose ava kuri icyo gikoresho arakurwa kuri mudasobwa. Hanyuma ayo makuru yoherezwa kuri interineti ku rubuga rwizewe. Muganga wawe ashobora kureba ayo makuru no kumenya byinshi ku ndwara yawe, nko kumenya inshuro urwara indwara y'igicuri n'igihe ikunze kugaragara. Akoresheje aya makuru, ashobora no guhindura ingano y'imiti yawe.

Igihe cyo guhamagara muganga

Nyuma yo kubagwa, niba ufite ububabare bukomeye, kuva amaraso, cyangwa kubyimba aho wakorewe icyiciro, menyesha muganga wawe ako kanya.

Nyuma yo gufungura igikoresho no gutangira kugikangura, niba ugize ikibazo icyo ari cyo cyose, nko kuzungera, guhinduka mu kureba, cyangwa kugira ibinya, bibwira muganga wawe. Ntugahangayike, kubera ko urwego rw'iki gikoresho rushobora guhindurwa, muganga wawe ashobora kugikangura ku rugero rukubereye.

Reka kandi twige ku gihe cyo kugarura umuriro n'igihe bateri ikoreshwa.

Nubwo bishobora gufata ibyumweru 8 kugira ngo ukire neza, ubusanzwe ushobora gusubira mu mirimo yawe ya buri munsi (nko kujya ku kazi cyangwa ku ishuri) mu byumweru 2-4. Ariko, ntugakore imirimo igoye utabanje kugisha inama muganga wawe.

Bateri iri muri iki gikoresho ubusanzwe ishobora gukoreshwa mu gihe cy'imyaka 8-10 . Iyo bateri ikeneye gusimburwa, igikoresho cyose ntigikeneye gusimburwa. Ntigisaba kubagwa gukomeye nk'uko byagenze mbere. Biroroshye cyane, kandi ushobora gusimbuza bateri gusa n'ububaji buto.