Wakamboona here munhu ane nhengo dzinodedera uye dzisingakwanise kufamba zvakanaka, ane pfari dzinonetsa kudzora nemishonga? Kana mumwe munhu ane pfari dzisingagone kudzora kunyangwe nemishonga? Hatigoni kufungidzira kuti zvakaoma sei kurarama nemamiriro ezvinhu akadaro. Asi nekufambira mberi kwesainzi yezvekurapa, ikozvino kune mishonga mitsva inogona kupa zororo kuvarwere vakadaro. Nhasi, tichataura nezveimwe nzira yekurapa yakakosha. Iyoyo inonzi Deep Brain Stimulation, kana kuti DBS treatment muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi Deep Brain Stimulation (DBS)?
Zita iri rinonzwika richityisa zvishoma, handiti? Ungave uchifunga kuti, "Zvakafanana nekupa magetsi kuuropi here?" Kutaura zvazviri, zvinotsanangurwa zviri nyore sezvinotevera. DBS inzira yekuvhiya inotumira zviratidzo zvemagetsi zvishoma nezvishoma kune chikamu chakadzama cheuropi. Kungofanana nepacemaker inoiswa kuti idzorere kushanda kwemoyo kwakajairika kana moyo usina kurongeka, unogona kufunga nezveizvi sepacemaker inoiswa muuropi .
Chinoitika ndechekuti waya dzakatetepa (dzinonzi maelectrode) dzinoiswa muuropi umo dambudziko riri. Waya dzacho dzinobva dzabatanidzwa kune kamudziyo kadiki kakaita sebhatiri (kanonzi pulse generator) kanoiswa pasi peganda pedyo nebhonzo rako. Kamudziyo kanotumira zviratidzo zvidiki zvemagetsi kuti kakurudzire masero europi. Zviratidzo izvi zvemagetsi zvinoita kuti uropi hutange kushanda zvakanaka zvakare.
Sei tichida kurapwa uku kweDBS?
Uropi hwedu inzvimbo inoshamisa uko mabhiriyoni emasero etsinga, kana kuti ma neuron, anoshanda pamwe chete. Ma neuron aya anotaurirana kuburikidza nemagetsi nemasaini emakemikari. Fungidzira kuti paunenge uchida kusimudza ruoko rwako, chiratidzo chinoenderana chinobva kuuropi kuenda kuruoko kuburikidza ne network iyi yema neuron.
Zvisinei, nekuda kwezvimwe zvirwere, mashandiro ema neuron aya mune dzimwe nzvimbo dzeuropi anoderera kana kuti anova asina kurongeka. Zvadaro, mabasa emuviri anodzorwa nechikamu ichocho haagone kuitwa nemazvo. Semuenzaniso, kana ma neuron ari muchikamu chinodzora kufamba asingashande nemazvo, zvinhu zvakaita sekubvunda mumakumbo uye kuoma kufamba zvinogona kuitika.
Kurapa kweDBS kunoshanda nekupa zviratidzo zvemagetsi zvisinganzwisisike kuti zvidzorezve ma neuron aya asina kurara. Izvi zvinogona kupa zororo guru kubva kuzviratidzo. Zvisinei, vaongorori vachiri kudzidza chaizvo kuti izvi zvinoitika sei.
Ndezvipi zvirwere zvinorapwa zvinobudirira neDBS?
Kurapa neDBS kunonyanya kushandiswa kurapa zvirwere zvakasiyana-siyana zvine chekuita nekushanda kwehuropi. Pakati pezvirwere izvi, kurapwa uku kwakaratidzwa kuti kunoshanda zvikuru. Ngationei kuti chii.
| Rudzi rwezvirwere | Tsananguro nemienzaniso |
|---|---|
| Mamiriro ezvinhu anotenderwa kurapwa kweDBS | |
| Chirwere cheParkinson | Kurapa uku kunoshanda zvikuru kana chirwere chacho chakura uye mhinduro yemishonga yaderera. Zviratidzo zvakaita sekubvunda kwemakumbo, kuomarara kwemuviri, uye kuoma kufamba zvinorerutswa zvikuru. |
| Kudedera Kunokosha | Ichi chirwere, sechirwere cheParkinson, chinokonzera kudedera mumuviri. Kudedera kunowedzera, kunyanya kana uchiedza kuita chimwe chinhu (sekunwa girazi remvura, kunyora). DBS inogona kubatsira kudzora chirwere ichi. |
| Dystonia | Chinoitika muchiitiko ichi ndechekuti tsandanyama dzinozvibatanidza dzoga, zvichiita kuti muviri utore chimiro chakakombama. Kurapa kweDBS kunoshandiswawo zvinobudirira padambudziko iri. |
| Pfari isingarapike nemishonga | Kurapwa neDBS inzira yakanaka kune varwere vasingakwanisi kudzora pfari dzavo kunyangwe vachishandisa mishonga yakawanda. |
| OCD isingarapike nemishonga | Kurapa kweDBS kunoshandiswawo mumamiriro ezvinhu apo chirwere chepfungwa chinonzi Obsessive-Compulsive Disorder (OCD) chiri padanho rakakomba uye chisingagone kudzorwa nemishonga. |
| Zvirwere zvinogona kubatsira pakurapa neDBS | |
| Mamwe mamiriro ezvinhu | Tsvagiridzo ichiri kuenderera mberi mukubudirira kwekurapa kweDBS kune zvirwere zvakaita sekurwadziwa kwakanyanya, Tourette syndrome, kuora mwoyo kwakanyanya, kupindwa muropa, uye chirwere cheAlzheimer. |
Chinhu chakakosha ndechekuti DBS haisi mushonga wemhando imwe chete. Chikwata chenyanzvi dzezvekurapa chichasarudza kana mushonga uyu wakakunakira, vachifunga nezvezvinhu zvakawanda, zvakaita semamiriro ako ezvinhu, kuoma kwawo, uye maitiro ako ekushandisa mushonga.
Chii chinoitika usati wavhiyiwa?
Kana ukasarudza kuvhiyiwa kweDBS, pane matanho akati wandei aunofanira kutora kuti ugadzirire.
1. Kukurukurirana nachiremba: Kutanga, chiremba wako achakutsanangurira zvese zvakanakira, zvazvakaipira, uye njodzi dzekuvhiyiwa uku. Ino ndiyo nguva yakanakisisa yekuwana mhinduro dzemibvunzo yako yese.
2. Kuongororwa kwechiremba: Kuongororwa kwakawanda, kwakadai seMRI neCT scans, kunoitwa kuti vaone kana muviri wako uri mumamiriro akakodzera ekuvhiyiwa uku. Chiremba anoshandisa mifananidzo kubva mukuongororwa uku kuti aone nzvimbo yakanakisa yekuisa electrode muuropi hwako.
3. Kuziva nezveMishonga: Unofanira kuudza chiremba wako nezvemishonga yauri kutora parizvino, kunyanya mishonga inobvisa ropa rakawanda. Anogona kukukurudzira kuti urege kutora mimwe mishonga kwenguva yakati usati wavhiyiwa. Usamborega kutora mimwe mishonga usati wataura nachiremba wako pakutanga.
4. Kutsanya: Sezvo kuvhiyiwa uku kuchaitwa pasi peanesthesia, uchakurudzirwa kurega kudya nekunwa kwemaawa mashoma usati wavhiyiwa (kutsanya).
Chii chinoitika panguva yekuvhiyiwa?
Kurapwa neDBS hakusi kuvhiyiwa kumwe chete. Kazhinji kuvhiyiwa kaviri kana katatu kunoitwa mumazuva akasiyana.
Danho Rokutanga: Kuisa Maelectrode muUropi
Uku ndiko kuvhiyiwa kwakakosha zvikuru.
- Kutanga, bvudzi rako rinogerwa. Wobva waisa musoro wako mufuremu yakakosha kuti urambe wakadzikama. Unopihwa mushonga unonyaradza kuti unzwe dzungu, saka hauzoriyeuki.
- Zvadaro, CT scan inoitwa kuti ione nzira chaiyo yekuisa electrode.
- Chiremba anobaya mushonga wekuti ganda remusoro nedehenya zvisashande zvakanaka, uye obva aburitsa buri diki mudehenya.
- Panguva ino, kunyanya kana uri kurapa matambudziko ekufamba-famba seParkinson's,Ungamuka. Usatya izvi. Hauzonzwi kurwadziwa, nekuti pfungwa dzedu hadzina kugona kuona kurwadziwa zvakananga .
- Paunenge wakamuka, chiremba achakukumbira kuti uite zvinhu zvidiki. Semuenzaniso, pindura mibvunzo, tarisa mifananidzo, uye fambisa maoko nemakumbo ako. Izvi ndezvekuona kuti maelectrode ari panzvimbo chaiyo pauropi hwako.
- Kana electrode yaiswa zvakanaka, mugumo wakajeka unoiswa pasi peganda riri kumashure kwemusoro wofukidzwa nepurasitiki kwenguva pfupi. Chidimbu chinozosonerwa. Unowanzo rara muchipatara husiku hwese uye unogona kuenda kumba mangwana acho.
Danho Rechipiri: Kuisa Pulse Generator
Kuvhiyiwa uku kunowanzoitwa pazuva rakasiyana mushure mekuvhiyiwa kwekutanga. Uchapihwa mushonga wekuti usanzwa kurwadza.
- Chiremba anochera ganda rako zvishoma pasi pebhonzo remutsipa.
- Nzvimbo diki (homwe) inogadzirwa pasi peganda uye jenareta yekurova kwemoyo, yakaita sebhatiri, inoiswa mukati maro.
- Zvadaro, imwe waya (waya yekuwedzera) inopfuudzwa pasi peganda kubva paelectrode iri mumusoro kuti ibatanidzwe nejenareta iyi yepulse.
- Zvese izvi zvakabatana uye kucheka kwacho kwasonekwa. Sezvo uku kuri kuvhiyiwa kuri nyore, unogona kuenda kumba zuva rimwe chete.
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekunge kuvhiyiwa kwapera, chikamu chakakosha chinotanga: kuronga mudziyo .
Mavhiki mashoma mushure mekuvhiyiwa, chiremba wako achakushevedza. Ndipo panotanga kuvhurwa pulse generator uye kurongwa.
Izvi zvakafanana nekuisa redhiyo kune imwe chiteshi. Unofanira kugadzirisa marongero emasaini emagetsi kuti upe zororo rakakwana pazviratidzo zvako uye kuderedza migumisiro yakaipa. Izvi zvingada kuenda kuna chiremba kakawanda.
Mabhatiri ari mumajenareta aya epulse anowanzogara kwemakore 3-5. Mamwe anogona kuchajwazve, uye anogona kugara kusvika makore mapfumbamwe. Kuchinja bhatiri kunodawo kuvhiyiwa kudiki, asi zviri nyore kupfuura kuvhiyiwa kwekutanga.
Ndezvipi zvakanakira kurapwa kweDBS?
- Sarudzo yakanaka kune varwere vasingagoni kudzorwa nemishonga: DBS itarisiro huru yehupenyu kana mishonga isiri kushanda kana kuti migumisiro yemishonga isingatsungiririki. Inobatsirawo kuderedza huwandu hwemishonga yevarwere vane Parkinson's.
- Kurapa Kunochinja Hupenyu: Kune munhu aisakwanisa kuita mabasa mashoma nekuda kwezviratidzo zvakakomba, chinhu chakanaka kukwanisa kuita basa rake ega zvakare.
- Zvinogadziriswa: Kana mamiriro ako ezvinhu akachinja nekufamba kwenguva, unogona kugadzirisa marongero ejenareta yepulse kuti akwane.
- Inogona kudzoserwa shure:Kana kurapwa uku kusina kukodzera iwe chero nzira, kana kuti ukasangana nemigumisiro isingatsungiririki, mudziyo wacho unogona kubviswa zvachose pakuvhiyiwa kumwe.
Hapana njodzi nematambudziko pakuvhiyiwa uku here?
Sekunge kune chero kuvhiyiwa kupi zvako, kuvhiyiwa kweDBS kunogona kuva nenjodzi nematambudziko. Chiremba wako achakutsanangurira izvi zvakadzama.
| Rudzi rwenjodzi | Matambudziko anogona kuitika |
|---|---|
| Njodzi dzine chekuita nekuvhiyiwa |
|
| Matambudziko ane chekuita nemidziyo | |
| Migumisiro inogona kuitika yekukurudzira | Izvi zvinowanzoitika panguva yekuronga mapurogiramu uye zvinonyangarika kana marongero achinjwa.
|
Nguva yekupora nezvinhu zvekuziva
Zvinogona kutora mavhiki akati wandei kuti unyatsopora kubva pakuvhiyiwa. Munguva iyi, zvakakosha kuti unyatsotevedzera mirairo yachiremba wako.
- Zorora: Dzivisa chero chiito chinorema kwemavhiki maviri mushure mekuvhiyiwa kwese. Usasimudza chinhu chinorema kupfuura 2.5 kg.
- Kurovedza muviri: Dzivisa kurovedza muviri kana kushanda nesimba kwemavhiki mana kusvika matanhatu.
- Chenjerera: Dzivisa kusimudza maoko ako kwemazuva mashoma mushure mekunge jenareta yekurova kwemoyo yaiswa.
- Kuchengetedza ronda rakachena: Chengeta maronda ari mumusoro nepachipfuva akachena uye akaoma. Chinja jira rekushongedza sezvakarairwa nachiremba. Shandisa mushonga wekuchenesa wakapfava seshampoo yemwana paunenge uchigeza. Usakwenya ronda.
Nguva yekuona chiremba nekukasika
Sezvo DBS iri kuvhiyiwa kweuropi, unofanira kuziva zviratidzo zvekunyevera. Kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo newe.
* Musoro unongoerekana waitika, wakaoma, uye unogara kwenguva refu.
* Kubuda ropa kubva pamaronda.
* Kutsvuka, kuzvimba, kana kudziya kusingawanzoitiki kwakakomberedza ronda (izvi zviratidzo zvehutachiona).
* Kuchinja kamwe kamwe mukuona (kuona kaviri, kuona kusina kujeka).
* Fivha ye38.3 Celsius (101 Fahrenheit) kana kupfuura.
Mimwe mibvunzo inowanzo bvunzwa nezve DBS
Handikwanise here kushandisa michina yemagetsi kana ndine DBS?
Kazhinji, midziyo yemumba yakaita sema microwave, makombiyuta, uye mafoni haakonzeri matambudziko. Zvisinei, michina yekuona simbi panhandare dzendege uye michina yekudzivirira kuba mune zvimwe zvitoro inogona kukanganiswa nemudziyo uyu. Chiremba achakupa kadhi reID rakakosha rekushandisa mumamiriro ezvinhu akadaro.
Chinonyanya kukosha: Mushure mekunge mudziyo weDBS waiswa, bvunzo dzekurapa uye kurapwa kwakadai seMRI scans, transcranial magnetic stimulation (TMS), uye diathermy hazvigone kuitwa.
Ko DBS inorapa chirwere chose here?
Kwete. DBS haisi mushonga, imishonga . Inoshandiswa kudzora zviratidzo. Mazhinji ematambudziko anorapwa nekurapa uku ndeehupenyu hwese.
Ndingarega here kutora mishonga mushure meDBS?
Unogona kuderedza mushonga waunotora, asi hazviwanzoitiki kuti urege zvachose. Kurapa kweDBS kunonyanya kushanda kana ukashandiswa pamwe chete nemishonga nedzimwe nzira dzekurapa.
Mharidzo Yekuenda Nayo Kumba
- Kukurudzira Kurongeka Kwepfungwa Dzakadzika (DBS) inzira yepamusoro yekurapa inodzora zviratidzo zvechirwere cheParkinson nepfari nekutumira masaini emagetsi asina kujeka kunzvimbo dzakati dzeuropi.
- Izvi zvakafanana nepacemaker yakaiswa muuropi. Inowanzo kurudzirwa kune varwere vane pfari dzakaoma kudzora nemishonga.
- Izvi zvinosanganisira kuvhiyiwa kaviri, uye mushure mekunge mudziyo wacho waiswa, zvakakosha kuuronga kuti ukwane murwere.
- DBS haisi mushonga wechirwere ichi, asi mushonga unodzora zviratidzo uye unovandudza hupenyu.
- Zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukasika kana paine zviratidzo zvinonyevera (musoro wakanyanya, fivha) mushure mekuvhiyiwa.
- Chikwata chenyanzvi dzezvekurapa chete ndicho chinogona kuona kana kurapwa uku kwakakunakira, saka kana uchida kuziva zvakawanda nezveizvi, taura nachiremba wako.
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