Fungidzira kuti mumwe wemumhuri, shamwari, kana kuti iwe pachako une pfari, kana kuti wave uchitambura nekuora mwoyo kwakanyanya kwenguva yakareba. Pasinei nekuti unotora mishonga yakawanda sei uye kuti unoedza kurapwa kwakawanda sei, zvinoita sekunge haugone kudzora dambudziko racho. Vanachiremba vakaedza zvese zvavanogona. Mumamiriro ezvinhu akadaro, unogona kunzwa nezvekurapa kwakasiyana zvishoma, kwakatonyanya kunaka. Ndiko kwatinodaidza kuti VNS, kana kuti Vagus Nerve Stimulation.
Chii chinonzi kukurudzirwa kwetsinga dzemuropa dzevagus (VNS)?
Zvichitaurwa zviri nyore, iyi imishonga inoshandura mashandiro anoita tsinga. Kutaura chokwadi, yakaita semuchina wekubatsira tsinga wakaiswa mumoyo. Ndosaka vamwe vanhu vachiidaidza kuti "muchina wekubatsira tsinga dzeuropi."
Kurapa uku kunosanganisira kuvhiyiwa nekuisa mudziyo mudiki pasi peganda rechipfuva chako chepamusoro. Mudziyo uyu une waya yakatetepa yakabatana netsinga yakakosha inonzi vagus nerve mumutsipa wako. Mudziyo uyu unozotumira mapombi emagetsi akapfava nguva nenguva . Masaini aya anofamba netsinga ye vagus kuenda kubrainstem. Kubva ipapo, masaini aya anoendeswa kunzvimbo dzakasiyana dzeuropi uye anotanga kuchinja mashandiro anoita masero europi.
Kazhinji, chiremba anofunga nezvekurapa neVNS kana mimwe mishonga yese yakundikana. Pari zvino inotenderwa pasi rose kune varwere vashoma vane pfari isingarapike uye kuora mwoyo kusingarapike. Inotenderwawo serubatsiro mukurapa vamwe varwere vachangobva kurwara nesitiroko.
Nerve yeVagus iri kupi? Inoitei?
Kune tsinga huru gumi nembiri dzinotakura masaini emagetsi kubva kuuropi hwedu kuenda kunhengo dzakasiyana dzemuviri. Tinodzidaidza kuti tsinga dzemusoro. Ntsinga dzevagus ndiyo yegumi (X) yetsinga idzi. Iyi ndiyo tsinga refu kupfuura dzose mumuviri wedu.
Tine tsinga mbiri dzemudumbu, imwe iri kudivi rimwe nerimwe remuviri wedu. Dzose dzinotanga muuropi. Dzinozobva dzamhanya nemumutsipa, dzichipinda muchipfuva, uye dzichipinda mudumbu. Zvichitaurwa zviri nyore, tsinga dzemudumbu chikamu chedenderedzwa guru rinobatanidza nhengo dziri mumutsipa wedu, mumoyo, mumapapu, uye mudumbu neuropi.
Kurapa kweVNS kunoshandiswa pamamiriro ezvinhu api?
Masangano makuru, akadai seU.S. Food and Drug Administration (FDA), parizvino akabvumidza kurapwa kweVNS kwezvirwere zvitatu. Ngatitarisei ruzivo urwu mutafura.
| Dambudziko rehutano | Maitiro ekushandisa uye ndiani akakodzera kushandisa |
|---|---|
| Pfari | Semushonga wekuwedzera kune vana vane makore anopfuura mana uye vakuru vane chirwere chepfungwa chinotangira pane imwe nzvimbo yeuropi uye chisingadzorwe nemishonga. |
| Kuora mwoyo | Vakuru vane makore anopfuura 18 ekuberekwa vane chirwere chekuora mwoyo kwenguva refu kana kuti chinodzokororwa uye vasina kupindura mishonga mina kana kupfuura yekurwisa kuora mwoyo. |
| Kurapwa kweSiroko | Sekuwedzera rubatsiro mukurovedza muviri kwevarwere vane kukuvara kuri pakati nepakati kusvika kwakanyanya kwekushanda kwemaoko nemaoko mushure mekurwara nechirwere che ischemic stroke chinokonzerwa nekuvharika kwetsinga yeropa. |
Mudziyo uyu weVNS unoshanda sei chaizvo?
Chokwadi ndechekuti, masayendisiti haasati ava nechokwadi che100% kuti mudziyo uyu weVNS unoshanda sei, asi vane mazano akanaka nezvazvo.
- Kudzora pfari: Kana pfari ikaitika, mashandiro emagetsi europi anokanganiswa. Kukurudzirwa kweVNS kunofungidzirwa kuti kunowedzera kuyerera kweropa kuenda kunhengo dzakakosha dzeuropi, kuchinja maitiro aya emagetsi akakanganiswa, uye kuwedzera huwandu hwema neurotransmitters `norepinephrine'' uye `serotonin'' muuropi, izvo zvinobatsira kudzora pfari.
- Pakurapa kuora mwoyo: VNS inofungidzirwa kuti inoderedza zviratidzo zvekuora mwoyo nekuchinja huwandu hwemamwe ma neurotransmitters anodzora manzwiro edu.
- Kurapa sitiroko: Kukurudzira uku kunokurudzira motor cortex, chikamu cheuropi chinodzora kufamba kwemaoko edu nemaoko. Izvi zvinoita kuti zvive nyore kuti uropi hudzidzezve kufamba ikoko panguva yekurovedza muviri.
Zvinonzwa sei kuva neVNS device pamuviri wako?
Kazhinji, hautombooni kuti mudziyo uyu wakabatidzwa. Zvisinei, vamwe vanhu vanogona kunzwa mutsauko mudiki kana stimulation yacho yakabatidzwa.
- Kunzwa kukwenya pahuro kana pamutsipa
- Kushoshoma kwezwi
- Kukosora kushoma
Kunyangwe uchinzwa seizvi, unowanzojaira nekufamba kwenguva. Asi kana kurudziro iyi ikakunetsa, taura nachiremba wako nekukasika. Iye anogona kuchinja marongero ari pachishandiso uye kuderedza huwandu hwekurudziro.
Ndiani asingafaniri kurapwa neVNS?
Kurapa neVNS kungasakodzera vanhu vane mamwe matambudziko ehutano. Kana uine chimwe chezvirwere zvinotevera, ungasave munhu akanaka weVNS.
- Kana uine pamuviri .
- Kana uine matambudziko ekufema akadai seasthma kana sleep apnea .
- Kana uine maronda emudumbu (chirwere chemaronda emudumbu) .
- Kana uine chirwere cheshuga chinokonzerwa ne insulin .
- Kana uine tsinga imwe chete yemudumbu (vamwe vanhu vanozvarwa nayo).
- Kana uine chirwere chinonzi dysautonomias, chinova kusashanda zvakanaka kwehurongwa hwetsinga hwe autonomic.
- Kana uri kutogamuchira mamwe marapirwo anosimudzira uropi .
- Kana uine kusagadzikana kwemoyo (heart arrhythmias) kana zvimwe zvirwere zvemoyo. Kana uine nhoroondo yezvirwere zvepfungwa zvakaita seschizophrenia kana schizoaffective disorder.
- Kana wakambobviswa chikamu chetsinga yako yekuruboshwe yekubuda ropa pakuvhiyiwa kwakapfuura.
Chii chinoitika VNS isati yaitwa uye panguva yekuvhiyiwa?
Uku hakusi kuvhiyiwa kukuru uye kunotyisa. Kunowanzo tora awa imwe nehafu.
Kugadzirira kuvhiyiwa
Chiremba wako asati avhiyiwa, achaita ongororo yakakwana yemuviri. Anogonawo kuita bvunzo dzeropa dzakawanda kuti ave nechokwadi chekuti hapana zvimwe zvinetso zvehutano zvinogona kukanganisa kuvhiyiwa.
Kuvhiyiwa kunoitwa sei
Pazuva rekuvhiyiwa kwako, uchapihwa mishonga inorwisa utachiona kuderedza njodzi yekutapukirwa. Uchapihwa mushonga unonyaradza marwadzo. Unogona kungonzwa kuoma mumutsipa nepachipfuva chete uko kuvhiyiwa kwacho kuchaitwa, kana kuti unogona kupiwa mushonga unonyaradza marwadzo worara.
Chiremba anochera zvidimbu zviviri zvidiki: chimwe kuruboshwe rwemutsipa (kuti chisvike patsinga yemudumbu) uye chimwe kuruboshwe rwechipfuva.
1. Waya yakatetepa ine maerekitirodhi inopinzwa nepaburi remutsipa uye inoputirwa zvakanaka netsinga yemudumbu.
2. Zvadaro waya inounzwa pasi peganda kusvika pakucheka pachipfuva.
3. Kubva pakucheka pachipfuva, kwakakura zvishoma kupfuura mari yerupi mashanu,Chinhu chinoita sebhatiri (pulse generator) chinoiswa panzvimbo diki yakagadzirwa pamusoro petsandanyama yechipfuva.
4. Pakupedzisira, waya inobva pamutsipa yakabatana nechinhu ichi chinosimudzira.
Kana zvese zvabatanidzwa, chiremba anovhiya achaedza mudziyo wacho. Chiise panzvimbo yakaderera zvikuru wochimhanyisa kwemasekondi angangoita 30-90 kuti aone kana kurudziro iri kushanda nemazvo. Kana zvese zvakanaka, maburi achavharwa uye masitichi achaiswa.
Chii chinoitika mushure mekuvhiyiwa?
Kushanda nekugadzirisa mudziyo
Uchafanira kuona chiremba wako zvakare mushure memavhiki maviri kusvika mana mushure mekuvhiyiwa. Ndipo pachashandiswa mudziyo wacho nemazvo. Chiremba achashandisa komputa nemudziyo wakakosha (programming wand) kugadzirisa marongero echirwere chako. (Semuenzaniso, kuti ichashanda kwenguva yakareba sei, kuti ichashanda kwenguva yakareba sei, kuti ichakurudzirwa kwakasimba sei, nezvimwewo).
Haugone kuchinja marongero aya, asi uchapihwa magineti yaunogona kubata muruoko rwako .
- Kune munhu ane pfari: Kana pfari yava kuda kuitika, magineti iyi inogona kutsvetwa pamusoro pechinhu chiri pachipfuva. Izvi zvichawedzera kukurudzira uye zvinogona kumisa pfari kana kuderedza kuoma kwayo.
- Kune munhu ari kurapwa nestroke: Kana ukatsvaira magineti iyi usati watanga kurovedza muviri, kukurudzira kunotanga kushanda kwemaminitsi makumi matatu.
- Mira mudziyo kwechinguva: Kana ukabata magineti pamusoro pemudziyo, kurudziro yacho inomira. Paunobvisa magineti, inotanga kushanda zvakare sezvakarongwa nachiremba.
Hupenyu hwebhatiri
Bhatiri remuchina uyu rinowanzogara kwemakore matanhatu (mamwe anotora gore rimwe kusvika makore gumi nemashanu). Kana bhatiri rapera simba, stimulator yese inofanira kutsiviwa. Izvi zvinodawo kuvhiyiwa kudiki kunoitwa kuburikidza nekucheka chipfuva.
Zvakakosha: Kana uine mudziyo weVNS, unofanira kuudza chiremba wako usati waongororwa, senge MRI, sezvo simba guru remagineti remuchina weMRI rinogona kukuvadza mudziyo weVNS.
Ndezvipi njodzi nemigumisiro yekurapwa kweVNS?
Kufanana nedzimwe nzira dzekurapa, VNS inogona kuva nenjodzi uye migumisiro yakaipa. Zvizhinji zveizvi hazviwanzo kuva zvakakomba uye zvinopera nekufamba kwenguva.
| Rudzi rwenjodzi/mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakajairika | |
| Kuchinja kwezwi | Kushoshoma kana kuchinja kwezwi |
| Huro inorwadza | Kukosora, pahuro panorwadza, kana kurira kwezwi |
| Matambudziko ekufema | Kutadza kufema zvakanaka (Dyspnea) |
| Zvimwe | Kuoma kumedza (Dysphagia), musoro |
| Migumisiro Yakakomba Asi Isingawanzoitiki | |
| Kukuvara kwetsinga | Kuoma kwetsinga dzenzwi, kushaya simba kwemhasuru dziri pasi pechiso |
| Utachiona | Utachiona hwekuchekwa kweganda pakuvhiyiwa |
| Matambudziko emakanika | Kutyoka kwewaya kana kusashanda zvakanaka kwemudziyo |
Zvinotora nguva yakareba sei kuti murwere apore? Ndezvipi zvinoguma zvaitika?
Unogona kutangazve mabasa ako emazuva ese mushure memazuva maviri (maawa makumi mana nemasere) mushure mekuvhiyiwa. Misono yacho inonyungudika, saka hapana chikonzero chekuchekwa.
Asi zvinotora nguva kuti zvionekwe mhedzisiro. Zvinogona kutora gore kana kupfuura kuti uzive kuti uchabatsirwa zvakadii neVNS.
- Pfari:VNS hairapi pfari zvachose. Haimisi pfari zvachose. Uchafanira kuramba uchitora mishonga yako yepfari. Chinangwa cheVNS ndechekuderedza kuwanda, kuoma, uye nguva yepfari. Mune imwe ongororo, varwere vanosvika 43% vakaderera ne50% kana kupfuura mukati memakore matatu.
- Kushungurudzika: Kushanda kweVNS pakuderedza kushungurudzika kuchiri kuongororwa. Saka, zvinongotariswa chete kana mishonga nekurapa kwepfungwa zvakundikana. Mune zvimwe zvidzidzo, 20%-30% chete yevarwere vakave nekuvandudzwa kukuru.
- Kurapwa kwestroke: Mune imwe ongororo, varwere vakaitwa maekisesaizi ekugadzirisa nekukurudzirwa kweVNS vakavandudza zvakanyanya kufamba kwemaoko nemaoko zvichienzaniswa nevaya vaiita maekisesaizi vasina VNS.
Ndinofanira kuona chiremba nguvai?
Kana uine chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika.
- Zviratidzo zvehutachiona:
- Kana ganda racho rakatsvuka, rakazvimba, kana kuti richirwadza parinobatwa.
- Kana ganda racho richinhuwa zvakaipa kana kuti mvura yakaita semapundu iri kubuda mariri.
- Kana uchinzwa fivha kana kuti uine dzihwa.
- Zvimwe zviratidzo zvakakomba:
- Kana inzwi richiramba richishoshoma.
- Kana kukurudzirwa kwacho kuchirwadza, zvichikonzera kuoma kufema kana kumedza.
- Kana uchinzwa hope zvakanyanya.
- Kana mudziyo wacho uchiita seusisiri kushanda zvakanaka kana paine chiratidzo chekuti bhatiri raderera.
- Kana chirwere chako (pfari, kuora mwoyo) chikawedzera kuipa.
Mharidzo Yekuenda Nayo Kumba
- VNS inzira yekurapa yepamusoro inoshandiswa pakurapa pfari, kuora mwoyo, uye kurohwa kwetsinga iyo isingagoni kudzorwa nedzimwe nzira dzekurapa.
- Izvi zvinoshanda se "pacemaker yeuropi," asi hazvirapi chirwere chose. Chinangwa ndechekudzora zviratidzo.
- Izvi zvinoda kuti mudziyo uiswe mumuviri kuburikidza nekuvhiyiwa kudiki.
- Migumisiro yakaipa, yakadai sekuoma kwemusoro, inogona kuitika, asi yakawanda yacho inogona kudzorwa.
- Kana wakaisirwa mudziyo weVNS, zvakakosha kuti uzivise vanachiremba vako vese usati waongororwa kana kurapwa (kunyanya MRI scans).
- Nyanzvi chete ndiyo inogona kuona kana kurapwa uku kwakakunakira, saka taura nachiremba wako kuti uwane rumwe ruzivo.
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