Ndiani chiremba wepfungwa? Wakambosangana nemumwe here?

Wakambonzwa nezve 'neurosurgeon' here? Pamwe iwe kana mumwe munhu waunoziva akaudzwa izvozvo nachiremba, handiti? Zvakajairika kuti unzwe kutya zvishoma paunonzwa izvozvo. "Ah, ndinoshamisika kana ndichafanira kuvhiyiwa izvozvi." Asi ndiani chaizvo chiremba weneurosurgeon? Anoita maoparesheni chete here? Tichatsanangura zvese izvi nenzira iri nyore nhasi, nenzira yaunogona kunzwisisa.

Ndiani chiremba wepfungwa uyu? (Nyanzvi yeuropi)

Muchidimbu, chiremba wepfungwa chiremba akadzidziswa zvakanyanya . Anoongorora nekurapa zvirwere zvinokanganisa sisitimu yedu yetsinga - uropi, musana (tsinga huru mumusana), nedzimwe tsinga dzese . Vanhu vazhinji vanofunga kuti vanachiremba vetsinga vanongovhiya chete. Asi handizvo zvazviri. Vanovhiyawo vasingavhiyiwi, senge mishonga, majekiseni esteroid, uye kurapwa kwemuviri . Kutaura zvazviri, vanoedza kurapa chirwere ichi pasina kuvhiyiwa pese pazvinogoneka. Kuvhiya kunokurudzirwa chete kana mimwe mishonga yese yakaedzwa asi isina kushanda.

Vanachiremba vepfungwa vanorapawo zvirwere zvenhengo dzetsinga dzinotsigira chirwere ichi. Izvi zvinoreva:

• Mhedzisiro padehenya rako.
• Zvirwere zvemusana wemapfupa .
• Matambudziko nemadhisiki emusana (vanhu vazhinji vanoti 'dhisiki rakatsvedza', ndizvo zvazviri).
• Matambudziko ane chekuita netsinga dzeropa .
• Kukuvadzwa kwemasero ekudzivirira uye nyama dzakapfava dzinofukidza zvinhu zvakaita seuropi hwedu nemusana.

Kunyangwe vamwe vanachiremba vanobvunza vanachiremba vetsinga kana vachida ruzivo rwakadzama nezvehurongwa hwetsinga, nekuti ndizvo zvakaita kuti kudzidziswa kwavo kuve kwakakura.

Ndeupi musiyano uripo pakati peNeurosurgeon neNeurosurgeon?

Izvi ndizvo zvinovhiringidza vanhu vazhinji. Ngationei musiyano mukuru uripo pakati pezviviri izvi.

Chiremba wetsinga chiremba anoongorora, anorapa, uye anorapa zvirwere zvinokanganisa tsinga dzedu (uropi, musana, tsinga). Zvisinei, chiremba wetsinga haavhiyi.

Kune rumwe rutivi, chiremba wepfungwa anoongorora zvirwere zvetsinga uye anozvirapa kuburikidza nekuvhiya uye kurapwa kusingashandisi kuvhiya .

Fungidzira, kana uine chirwere kana tsaona ine chekuita netsinga, ungatanga waenda kuna chiremba wetsinga. Iye achakuongorora uye achaongorora chirwere chacho. Zvadaro, kana achifunga kuti chirwere chako chinoda kana kuti chingabatsira nekuvhiyiwa, achakutumira kuna chiremba wetsinga kuti akupe mamwe mazano uye, kana zvichidikanwa, kurapwa nekuvhiyiwa. Wanzwisisa here?

Chii chinoitwa nachiremba wepfungwa?

Chiremba wepfungwa anoongorora, anoongorora, uye anorapa zvirwere zvinokanganisa tsinga dzemuviri wedu, zvinosanganisira uropi, musana, uye musana, pamwe chete netsinga dzese dzinobva pamuzongoza.

Kunyange hazvo vanachiremba vepfungwa vachigona kuita maoparesheni akaomarara pamusana wako nepfungwa dzako, vanowanzokurudzira kurapwa kusingavhiyiwi, kusingavhiyiwi kutanga. Semuenzaniso, kana uine kurwadziwa kwemusana kusingaperi, chiremba wako wepfungwa anogona kutanga akurudzira mishonga yekudzivirira kuzvimba uye/kana kurapwa kwemuviri. Kana kurapwa uku kusingaderedzi kurwadziwa kwako, saka kuvhiyiwa, kana zvichibvira, kunogona kufungwa nezvako.

Chiremba wetsinga ane hunyanzvi mukuvhiya kwakasiyana-siyana uye kurapwa. Heano mimwe mienzaniso:

• Kuvhiyiwa kwakavhurika : Izvi zvinoreva kuvhiyiwa kunosanganisira kuchekwa kuri nyore.
• Kuvhiya kusinganyanyi kukuvadza : Izvi zvinosanganisira kuisa zvishandiso zvakaita semakamera kuburikidza nekucheka kudiki. Izvi zvinoita kuti maronda madiki apedzwe uye kuporeswa nekukurumidza.
• Kuvhiya kweEndoscopic : Iyi nzira yakafananawo nekuvhiya kusingapindi zvakanyanya.
• Kuvhiyiwa kweMicrosurgery : Kuvhiyiwa kwakaitwa zvinyoro nyoro uchishandisa maikorosikopu.
• Kuvhiyiwa kweRadiosurgery : Izvi hazvirevi kucheka. Zvinorapwa nekupa radiation yakawanda.
• Kuvhiya kweEndovascular : Kuvhiya kunoitwa nekupinza midziyo midiki mutsinga dzeropa.
• Maitiro ekurapa marwadzo asingaperi : Kurapa kwakakosha kwemarwadzo asingaperi.

Vanachiremba vepfungwa vakadzidziswawo zvakanyanya bvunzo dzinodiwa pakuongorora nekurapa zvirwere zvetsinga. Vane hunyanzvi mukushanda nekuongorora mhedzisiro yebvunzo dzakadaro:

• Kuongororwa kweCT (Computed Tomography scans)
• Kuongororwa kweMRI (MRI scans / Magnetic Resonance Imaging scans)
• Kuongororwa kwePET (Positron Emission Tomography scans)
• Magnetoencephalography (MEG)
• Miedzo yeEEG `(Electroencephalograms (EEG))`

Ndezvipi zvirwere zvinowanzo rapa vanachiremba vepfungwa?

Kune zvirwere zvakawanda zvinorapwa nevanovhiya mitsipa yetsinga. Ngatitarisei zvimwe zvacho:

• Matumbu europi
• Carpal tunnel syndrome : Chirwere chinokonzerwa nekumanikidzwa kwetsinga muruoko. Chinowanzoitika kuvanhu vanoshanda pamakombiyuta kana vanoita mabasa anodzokororwa nemaoko avo.
• Kubuda kwemvura yemusana (CSF): Iyi ndiyo mvura inopoteredza uropi nemusana. Inobuda.
• Kurwadziwa kwenguva refu kwemusana kana mutsipa
• Zvirwere zvepfungwa zvekuzvarwa nazvo : Semuenzaniso, `(Chiari malformations)` uye `(Arachnoid cysts)`.
• Matambudziko emusana anokonzerwa nekubereka : Semuenzaniso, `(Spina bifida)` uye `(Tende rakasungwa)`.
• Kudedera kukuru : Kudedera kwezvinhu zvakaita semaoko, makumbo, nemusoro zvinodedera.
• Madhisiki ane herniated : Sezvambotaurwa, spinal disc inoputika.
• Hydrocephalus : Chirwere chekuti mvura inoungana muuropi, zvichiita kuti musoro ukure.
• Kubuda kweropa muuropi : Kubuda kwakaita sebharumu mutsinga yeropa muuropi.
• Multiple Sclerosis (MS)
• Chirwere cheParkinson
• Tsinga dzakaoma
• Sciatica : Marwadzo akanyanya anofamba netsoka.
• Matambudziko epfari, akadai seEpilepsy
• Mafupa emusana (osteophytes)
• Stenosis yemusana
• Kutyoka kwemusana
• Mabundu emusana
• Kuremara kwemusana : Semuenzaniso, scoliosis uye spondylolisthesis.
• Kukuvara kwemusoro, uropi, mutsipa kana musana zvinorwadza

Usatya kana ukaona runyorwa urwu. Kune mishonga yezvirwere izvi zvese, uye hazvisi zvese zvinoda kuvhiyiwa.

Marudzii ekuvhiya anoitwa nevanovhiya neurosurgeon?

Vanachiremba vepfungwa vanoita maoparesheni akasiyana-siyana panhengo dzakasiyana dzetsinga, kusanganisira uropi, musana, uye tsinga dziri mumakumbo. Ngatitarisei mamwe acho:

Mhando dzekuvhiyiwa kweuropi:

• Kubviswa kweropa rakagwamba
• Kugadziriswa kweAneurysm
• Kubviswa kwebundu
• Kumisa Kubuda Kweropa Muuropi
• Kugadzirisa zvakakanganisika zvakakonzerwa netsaona
• Kuisa shunt (kubvisa mvura yakawandisa muuropi)

Kuvhiyiwa kwetsinga dzemumativi (tsinga dzemakumbo):

• Kuburitswa kweCarpal tunnel
• Kusunungurwa kwetsinga dzeUlnar
• Kukurudzirwa kwetsinga dzevagus

Mhando dzekuvhiyiwa kwemusana:

• Kuvhiyiwa kwemusana kweStereotactic radiosurgery
• Kubviswa kwechikamu chediski (diskectomy)
• Kuvhiyiwa kweLaminectomy
• Kubatana kwemusana
• Kugadziriswa kwemapfupa emusana (vertebroplasty) uye kyphoplasty (kugadzirisa vertebra yakatyoka ne simende)
• Kugadzikana kwemusana uye kuvakazve

Aya mazita chete. Haasi maoparesheni ese anoitwa pamunhu wese. Chiremba ndiye achasarudza anonyatsokodzera chirwere chako.

Sei uchifanira kuona chiremba wepfungwa?

Kazhinji, chiremba wemhuri yako kana chiremba wepfungwa yako vanokutumira kuna chiremba wetsinga kana vachida kuongororwa zvakadzama kwemamiriro ako etsinga kana vachifunga kuti kuvhiyiwa kunogona kubatsira.

Yeuka, kungoti chiremba akakutumira kuna chiremba wetsinga hazvirevi kuti uchafanira kuvhiyiwa!

Pane kudaro, uchaongororwa tsinga dzose , nhoroondo yakazara yezviratidzo zvako nenhoroondo yezvekurapa , uye bvunzo dzakadzama dzemifananidzo (dzakadai seMRI neCT scans) kuti uone chikonzero chezviratidzo zvako. Zvadaro, chiremba wako wetsinga - dzimwe nguva achibatsirwa nedzimwe nyanzvi - achakurukura newe nzira dzakanakisa dzekurapa. Izvi zvinogona kunge zviri kurapwa kusingashandisi kuvhiyiwa, kuvhiyiwa, kana musanganiswa wezvose zviri zviviri.

Chii chaunofanira kuziva kana uchienda kunoona chiremba wepfungwa?

Paunoshanyira chiremba wetsinga, unogona kuvabvunza mibvunzo yakaita seiyi. Iyi ichakubatsira kukunda kutya kupi zvako uye kusava nechokwadi kwaungave nako.

Mibvunzo yaunogona kubvunza:

• "Chiremba, une ruzivo rwakadii mukuita rudzi urwu rwekuvhiya?"
• "Kuvhiyiwa uku kunofanira kuitwa riini?"
• "Ndedzipi njodzi dzingangoitika pakuvhiyiwa uku?"
• "Ndezvipi zvakanakira kuvhiyiwa uku?"
• "Kuvhiyiwa kwacho kwaitwa sei ?"
• "Ndinofanira kutsvaga mumwe munhu here?"
• "Ndivanaani vamwe nyanzvi vari muchikwata changu chekuvhiya?"
• "Ndiani mumwe achave muchikwata changu chekupora mushure mekuvhiyiwa?"
• "Ndichagara muchipatara kwenguva yakareba sei? Ndichapora kupi?"
• "Ndingapora nekukurumidza uye zvakakwana sei?"
• "Ndingaitei kuti ndigadzirire kuvhiyiwa?"

Heino nzira yekugadzirira musangano:

• Nyora pasi zvinhu zvinonyanya kukosha zvaunoda kukurukura nachiremba wako wepfungwa.
• YenyuNdiudzei nezvekuchinja kuri kuita hutano hwenyu.
• Tiudzei nezvezviratidzo zvitsva zvamuri kuva nazvo kana shanduko dziripo pazviratidzo zvekare .
• Tora makopi emishumo yekuongororwa kubva kune vamwe vanachiremba.
• Uyai nerunyorwa rwemishonga yese, mavhitamini, mishonga yekuwedzera, uye mishonga yechivanhu yamuri kutora parizvino.
• Tiudzei nezve allergies dzenyu.
• Kana zvichibvira, enda neshamwari kana nhengo yemhuri. Vanogona kunyora zvinotaurwa nachiremba vokubatsira.
• Kana paine chimwe chinhu chaunoda kuziva, bvunza kana uchikwanisa kupa rimwe zuva.

Zvinotora nguva yakareba sei kuti uve chiremba wetsinga? Rwendo ruri nyore here?

Kuva chiremba wetsinga hakusi nyore. Zvinoda makore ekudzidza nekudzidziswa. Kazhinji:

• Makore mana usati wapedza kudzidza (Dzidzo yekurapa isati yasvika).
• Makore mana echikoro chekurapa.
• Gore rimwe chete rekudzidzira basa rekuvhiya kwakajairika.
• Kugara mu neurosurgery kwemakore mashanu kusvika manomwe.

Izvi zvinoreva kuti zvinotora makore ari pakati pe14 ne16 kuti uve chiremba wetsinga! Iyi ndeimwe yenguva refu yekudzidziswa mune zvehutano. Nekuti nharaunda iyi yakaoma zvikuru.

Vamwe vanachiremba vepfungwa, mushure mekudzidziswa uku, vanowanawo "Fellowship" mune imwe nyanzvi (semuenzaniso, musana, kuvhiyiwa kweuropi kwevana). Zvakare, vanofanirwa kuramba vachidzidza zvinhu zvitsva uye kuziva matekinoroji matsva.

Nzvimbo dzinoverengeka dzehunyanzvi hwekuvhiya kwetsinga:

• Kuvhiyiwa kwetsinga dzeropa dzeuropi (kune chekuita netsinga dzeropa dzeuropi)
• Kuvhiya kweEndovascular neuroradiology
• Kuvhiyiwa kwepfari
• Kuvhiya kwetsinga dzeuropi
• Neuro-oncology (kenza yetsinga)
• Kuvhiyiwa kwetsinga dzeuropi kwevana
• Kuvhiyiwa kwemusana

Mharidzo Yekuenda Nayo Kumba

Zvakajairika kuti unzwe kunetseka kana waongororwa chirwere chako. Zvisinei, kana uine kurwadziwa kusingaperi kana chirwere chinokanganisa tsinga, senge chirwere cheParkinson, chiremba wetsinga anogona kukubatsira kugadzirisa nekurapa chirwere chako.

Vanachiremba vepfungwa ndivo nyanzvi dzepamusoro munyaya iyi. Vane ruzivo rwemishonga, marapirwo, uye kuvhiyiwa kwazvino kunogona kukubatsira.

Chiremba wako wetsinga achashanda newe kuti asarudze nzira yakanakira kurapwa kwako. Saka, inzwa wakasununguka kusangana naye mokurukura zvinokunetsa. Yeuka kuti kuvhiyiwa hakusi mhinduro yekupedzisira nguva dzose. Kazhinji, vanoedza nepavanogona napo kuti vakubatsire kupora usina kuvhiyiwa.

Chiremba wepfungwa , Kuvhiya kweuropi, Kuvhiya kwemusana, Neurology, Nyanzvi yepfungwa, Sisitimu yetsinga