Dzimwe nguva unganzwa kuti zvisinei nekuti unotora mishonga yakawanda sei yechirwere chakadai sepfari kana kuora mwoyo kwenguva refu, hapana nzira chaiyo yekudzivirira. Zvinoshungurudza chaizvo kana ukaedza mishonga yakawanda asi usingawane mhedzisiro yaunoda. Zvisinei, nekufambira mberi kwesainzi yezvekurapa, ikozvino kune nzira dzemazuva ano dzekurapa kunyange mamiriro akadaro. Imwe nzira yekurapa iyo vanachiremba vanofunga nezvayo kana mimwe mishonga isina kushanda ndeyeVagus Nerve Stimulation, kana kuti VNS muchidimbu. Zvichitaurwa zviri nyore, zvakaita sepacemaker yakaisirwa mumoyo, asi iyi ndeyeuropi, kwete moyo! Ngatitaurei nezvazvo zvakadzama nhasi.
Kutanga, chii chinonzi Vagus nerve?
Sisitimu yako yetsinga yakaita senharembozha dzenharembozha. Tsinga idzi dzinobatsira kutakura mashoko kubva kuuropi hwako kuenda kumakona ese emuviri wako uye kudzokera kuuropi hwako. Padzimwe idzi, tsinga yeVagus itsinga yakasarudzika uye yakareba kupfuura dzose. Inotangira muuropi, inomhanya nemumutsipa wako, uye inosvika pachipfuva chako nedumbu. Funga nezvazvo iyi ndiyo nzira huru yekutaurirana pakati peuropi hwako, moyo, mapapu, uye ura. Saka dzidziso huru iri shure kwekurapa kweVNS ndeyekuti nekuchinja mashandiro etsinga iyi, unogona kukanganisa mashandiro europi.
Kurapa kweVNS kunoshandiswa pamamiriro ezvinhu api?
Kurapa uku hakusi kwemunhu wese. Parizvino kwakatenderwa kune zvirwere zvitatu zvikuru pasi rose. Mune chimwe nechimwe chazvo, vanachiremba vanofunga nezvesarudzo iyi chete kana mamwe marapirwo echinyakare akundikana .
| Mamiriro echirwere | Ndiani akakodzera? |
|---|---|
| Pfari | Semushonga wekuwedzera kune vana vane makore anopfuura mana uye vakuru vane chirwere chepfungwa chisingagone kudzorwa nemishonga. |
| Kuora Mwoyo Kusingarapike | Vakuru vane makore anopfuura 18 ekuberekwa vane kuora mwoyo kwakanyanya kwenguva refu kana kudzokororwa uye vasina kupindura mishonga mina yakasiyana yekudzora kuora mwoyo. |
| Kurapwa kweSiroko | Serubatsiro rwekuwedzera kukurovedza muviri kune avo vakarasikirwa zvakanyanya nekushanda kwemaoko avo mushure mekurwara nechirwere che ischemic stroke chakakonzerwa nekuvharika kwetsinga yeropa. |
Mudziyo uyu weVNS wakabatana sei nemuviri?
Uku kuvhiyiwa kuri nyore chaizvo. Hapana chekutya. Kuvhiyiwa uku kunogona kuitwa mukati meawa imwe nehafu.
1. Mudziyo: Uyu une zvikamu zviviri zvikuru. Chimwe chishandiso (pulse generator) chakakura zvishoma pane rupee yesirivha uye chinoshanda sebhatiri. Chimwe iwaya yakatetepa inobva mairi.
2. Kuvhiyiwa: Chiremba achacheka diki diki kuruboshwe rwemutsipa wako uye achaputira waya yacho zvakanyatsonaka achitenderedza tsinga yeVagus. Zvadaro, achachekazve diki kuruboshwe rwechipfuva chako, ogadzira kahomwe kadiki pasi peganda, oisa mudziyo wakaita sebhatiri ipapo. Zvadaro, achaunza waya yakaputirwa netsinga iri pasi peganda oibatanidza nemudziyo uyu.
3. Kuongororwa: Kana zvese zvabatanidzwa, chiremba anobva angovhura mudziyo kwenguva pfupi kuti aone kana uri kushanda nemazvo. Zvadaro mavanga anosonwa. Kazhinji, mavanga aya anonyungudika, saka hapana chikonzero chekudzokera shure woatyora zvakare.
Unogona kutangazve mabasa ako emazuva ese mushure memazuva maviri mushure mekuvhiyiwa.
Chii chinoitika mushure mekuvhiyiwa?
Uchafanira kuona chiremba wako zvakare mushure memavhiki maviri kusvika mana. Ndipo pachashandiswa mudziyo wekombuta (programming wand) kuti ushandise VNS device mumuviri wako. Chiremba ndiye achasarudza kuti ma "electrical pulses" anofanira kunge akasimba zvakadii, kuti anofanira kugara kwenguva yakareba sei, uye kuti agare kwenguva yakareba sei, zvichienderana nezviratidzo zvako.
Uchapihwa magineti yaunogona kubata muruoko rwako. Kana munhu ane pfari achinzwa sekunge ava kuda kubatwa nepfari, paunokwiza magineti iyi panzvimbo iri pachipfuva chake, inotumira kurova kwemagetsi kuuropi. Zvakare, kana ukabata magineti iyi pamusoro pechishandiso, inogona kuidzima kwechinguva.
Bhatiri riri mumudziyo uyu rinowanzogara kwemakore matanhatu (mamwe anogara kusvika makore gumi nemashanu). Kana bhatiri rapera, mudziyo uri muchipfuva chete ndiwo unotsiviwa kuburikidza nekuvhiyiwa kudiki.
Ndiani asingakodzeri kurapwa uku?
Kurapa neVNS hakusi kwemunhu wese. Kana uine chimwe chezvirwere zvinotevera, kurapwa uku kungave kusina kukodzera iwe. Unofanira kutaura nachiremba wako nezvazvo.
| Mamiriro ezvinhu angave asina kukodzera kurapwa kweVNS | |
|---|---|
| - Kana uine pamuviri | - Kana uine matambudziko ekufema (asthma, sleep apnea) |
| - Kana uine chironda chemudumbu (peptic ulcer). | - Kana uine chirwere cheshuga chinokonzerwa ne insulin |
| - Kana uine matambudziko emwoyo (arrhythmias) kana zvimwe zvirwere zvemoyo | - Kana uine zvirwere zve autoimmune nervous system (dysautonomias) |
| - Kana wakambovhiyiwa kare kwakakuvadza tsinga yemusana kuruboshwe rwemutsipa | - Kana uine nhoroondo yezvimwe zvirwere zvepfungwa zvakakomba zvakaita seschizophrenia kana bipolar disorder |
Ndezvipi njodzi nemigumisiro yekurapwa?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi diki uye migumisiro yakaipa. Zvisinei, zhinji dzacho ndedzenguva pfupi kana kuti dzinogona kudzorwa nekuchinja marongero emudziyo.
- Njodzi dzinowanzoitika dzine chekuita nekuvhiyiwa: hutachiona hwemavanga, kurwadziwa, kukuvara kwetsinga yemudumbu kana nyama dzakapoteredza.
- Migumisiro inogona kuitika inokonzerwa nekushanda kwemudziyo:
- Kukosora
- Kushoshoma kana kuchinja kwezwi
- Kunzwa kukwenya mumutsipa kana pahuro
- Kuoma kufema (dyspnea)
- Kuoma kutaura (dysphonia)
- Kuoma kumedza (dysphagia)
- Musoro
Kana migumisiro iyi ichikunetsa, unogona kukumbira chiremba wako kuti aderedze simba remagetsi anobva mumudziyo. Kunewo migumisiro yakakomba inogona kuitika kashoma, uye chiremba wako achakuzivisawo nezvazvo.
Kana uchida kutaura nachiremba
Kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika.
| Kana uine zviratidzo izvi, tsvaga rubatsiro rwechiremba nekukasika. | |
|---|---|
Zviratidzo zvehutachiona:
| Zvimwe zviratidzo zvakakomba:
|
Chimwe chinhu chakakosha: Kana uine mudziyo weVNS, zvakakosha kuti uzivise chiremba wako nezvazvo usati waongororwa chero kupi zvako, senge MRI scan.
Mharidzo Yekuenda Nayo Kumba
- Kukurudzira Nerve yeVagus (VNS) mushonga wekurapa pfari, kuora mwoyo, uye kurohwa nestroke usingadzorwe nemishonga yechinyakare yakadai semishonga.
- Iyi haisi mushonga wechirwere ichi, asi inogona kuderedza zviratidzo zvakanyanya (semuenzaniso, huwandu hwepfari, kuoma kwekuora mwoyo) uye kubatsira kuvandudza hupenyu.
- Kurapa uku kunoda kuvhiyiwa kuti munhu aise kamuchina kadiki pasi peganda.
- Kurapa uku hakuna kukodzera munhu wese. Unofanira kukurukura nachiremba wako kana kwakakunakira iwe uye kuti njodzi dziripo usati waita sarudzo.
- Mushure mekunge mudziyo wacho waiswa, zvakakosha kuti ugare uchisangana nachiremba nguva nenguva uye uchienda kumakiriniki sezvakarongwa.
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