Ngaba wena okanye umntu omthandayo unesifo sikaParkinson okanye ukungcangcazela okungalawulekiyo ( iTremor )? Kubuhlungu ngokwenene xa, nangona unyango luqhubeka, ufumana imeko yakho isiba mandundu imihla ngemihla. Nangona kunjalo, isayensi yezonyango ifikelele kwinqanaba apho sinokunika ithemba elitsha. Olu nyango lubizwa ngokuba yiDeep Brain Stimulation, okanye i-DBS ngamafutshane.
Yintoni iDeep Brain Stimulation (DBS)?
Ngamafutshane, i-DBS yinkqubo yezonyango ehambisa umbane ochanekileyo nothambileyo kwiindawo ezithile zobuchopho bakho. Yicinge njenge- 'Pacemaker ' yengqondo yakho. Ngexesha lenkqubo, isixhobo esincinci sifakwa phantsi kwesikhumba kufutshane nethambo lakho lentamo. Iintambo ezincinci eziqhagamshelwe kwesi sixhobo zihambisa imiqondiso yombane ngqo kwiindawo zobuchopho ezizifunayo. Ezi miqondiso zinceda ekuvuseleleni iiseli zobuchopho ezingasebenzi kakuhle, ezinokulawula ngokufanelekileyo iimpawu zeemeko ezahlukeneyo zemithambo-luvo.
Ngubani ofuna olu nyango, kwaye ngoba?
Iiseli zemithambo-luvo ezikwingqondo yethu, ezaziwa ngokuba zii-neurons , zinxibelelana ngemiqondiso yombane neyekhemikhali. Kwiimeko ezithile zonyango, umsebenzi wezi neurons uyancipha kwiindawo ezithile zobuchopho, nto leyo ebangela ukuba ezo ndawo zingasebenzi kakuhle. Umzekelo, ukuba intshukumo elawula ii-neurons ayisebenzi kakuhle, unokufumana ubunzima bokuhamba okanye ukulawula amalungu akho omzimba.
I-DBS isebenzisa imisinga yombane yokwenziwa "ukuvusa" ezi neuron zingasebenziyo. Ngelixa abaphandi besafunda iindlela ezichanekileyo zokusebenza, iziphumo zeklinikhi ziye zatshintsha ubomi babantu abaninzi.
| Iimeko ezivunyiweyo okwangoku zoNyango lwe-DBS | |
|---|---|
| I-Dystonia | Imeko ebangela ukushwabana kwemisipha ngokungazi, ukujijeka, kunye nokuma okungaqhelekanga. |
| Uloyiko olubalulekileyo | Ukungcangcazela okungalawulekiyo kwamalungu athile omzimba, ikakhulu izandla. |
| Isifo sokuwa esinganyangekiyo ngamayeza | Ukuxhuzula okungenakulawulwa ngokwaneleyo ngamayeza. |
| Isifo sikaParkinson | Xa isifo siqhubeka kwaye ukusebenza kakuhle kwamayeza kuqala ukuncipha. |
| I-OCD engamelani namayeza | Iingcinga eziphazamisayo kunye nokuziphatha okuphindaphindwayo okungaphenduliyo kumayeza. |
Kubalulekile: Uphando luyaqhubeka kwezinye iimeko ezininzi, kubandakanya ukulutha , isifo sika-Alzheimer , ixhala, ukudakumba okukhulu, kunye ne-Tourette syndrome. Nangona kunjalo, i-DBS ayikathathwa njengonyango oluqhelekileyo kwezi meko.
Lwenziwa njani olu tyando?
Olu asilotyando olunye kodwa yinkqubo edla ngokugqitywa ngamanqanaba amabini okanye amathathu otyando.
Ukulungiselela
Ngaphambi kotyando, iqela lakho lezonyango liza kuchaza ngokupheleleyo iingenelo, iingozi, kunye nolindelo. Uza kudlula kuvavanyo olufana ne-MRI okanye i-CT scan ukuze ubone ukuba ungumntu oza kungena kule nkqubo. Ukongeza:
- Uphononongo lwamayeza: Usenokucelwa ukuba uyeke amayeza athile, ingakumbi amayeza okunciphisa igazi. Ungaze uyeke ukuthatha amayeza anikwe ngugqirha wakho ngaphandle komyalelo othe ngqo.
- Ucoceko: Kusenokufuneka usebenzise ishampu okanye isepha ethile yokubulala iintsholongwane ukulungiselela ulusu lwakho lwentloko.
- Ukuzila Ukutya: Ngenxa yokuba utyando lubandakanya i-anesthesia , kuya kufuneka uyeke ukutya iiyure ezisi-8 ngaphambi kokuba utyando luqale kwaye usele ulwelo iiyure ezi-2 ngaphambi kokuba utyando luqale.
Ngexesha Lotyando
Isigaba 1: Ukubekwa kweNkokeli
Eli linyathelo eliphambili lotyando. Intloko yakho iya kuzinziswa kwisakhelo esikhethekileyo. Ugqirha uza kwenza umngxuma omncinci ekhayeni lakho ukuze afake iintambo ezincinci ezinee-electrode kwindawo echanekileyo engqondweni yakho.
Okumangalisayo kukuba, ungagcinwa uphaphile ngexesha lotyando. Ngenxa yokuba ingqondo ngokwayo ayiva ntlungu, oku kuvumela iqela lakho lezonyango ukuba likucele ukuba wenze imisebenzi elula (njengokuhambisa amalungu akho okanye ukuthetha) ukuqinisekisa ukuba ii-electrode zibekwe kwindawo efanelekileyo.
Emva koku, uza kujongwa esibhedlele usuku lonke ngaphambi kokuba ukhululwe.
Isigaba sesi-2: Ukubekwa kweJeneretha yePulse
Oku kwenziwa njengenkqubo eyahlukileyo phantsi kwe-anesthesia eqhelekileyo. Ipokotho encinci yenziwe phantsi kwesikhumba kufutshane ne-collarbone yakho ukuze kugcinwe i-pulse generator (ibhetri pack). Iingcingo ezivela engqondweni yakho zifakwe phantsi kwesikhumba kwaye ziqhagamshelwe kwisixhobo, kwaye amanxeba ayavalwa. Ngokwesiqhelo ungaya ekhaya ngaloo mini inye.
Kwenzeka ntoni emva kotyando?
Kwiiveki ezimbalwa emva kotyando, uza kutyelela ugqirha wakho ukuze acwangcise i-pulse generator. Ngeli xesha, iipateni zombane ziyalungiswa ukuze zihambelane neemfuno zakho ezithile. Kungathatha amaxesha ambalwa okulandela ukuze ufumane iindlela ezifanelekileyo zokujongana neempawu zakho.
Iibhetri zihlala iminyaka emi-3 ukuya kwemi-5, nangona iimodeli ezintsha ezinokutshajwa zinokuhlala iminyaka eli-9. Ukutshintsha ibhetri yindlela elula nencinci yotyando.
| Iingenelo | Iingozi kunye neengxaki |
|---|---|
| Enye indlela esebenzayo kakhulu xa amayeza engasaniki ncedo lwaneleyo. | Iingozi eziqhelekileyo zotyando, ezinje ngokopha okanye usulelo olunokwenzeka. |
| Unyango olutshintsha ubomi oluyilelwe ukuphucula kakhulu umgangatho wobomi bakho. | Iingxaki ezinxulumene nesixhobo, ezifana nokushenxiswa kwelothe okanye ukungasebenzi kakuhle kwebhetri. |
| Izicwangciso zinokulungiswa ngaphandle kokuphazamisa nangaliphi na ixesha ukuze zihambelane neemfuno zakho ezitshintshayo. | Iziphumo ebezingalindelekanga ezinokubakho ngexesha lokulinganisa, ezifana nokungalingani okanye ukudideka. |
| Le nkqubo iyakwazi ukutshintshwa; isixhobo singasuswa ngotyando ukuba kuyimfuneko. | Ukungakhululeki okwethutyana okufana neentloko ezibuhlungu okanye ukungaziva mnandi. |
Ixesha Lokufuna Unyango
Ngenxa yokuba i-DBS yinkqubo yotyando lwemithambo-luvo, kubalulekile ukuba uhlale ulumkile malunga nokuchacha kwakho. Ukuba ufumana nayiphi na kwezi zilandelayo, nxibelelana neqela lakho lezonyango ngoko nangoko okanye uye kwicandelo elikufutshane lezonyango.
- Intloko ebuhlungu ngequbuliso okanye engapheliyo.
- Ukopha kwiindawo zotyando.
- Ububomvu, ukudumba, okanye ubushushu obungaqhelekanga obujikeleze izilonda zakho (iimpawu ezinokubakho zosulelo).
- Utshintsho lombono ngequbuliso, njengokubona kabini okanye ukubona okufipheleyo.
- Umkhuhlane ongama-38.3°C (101°F) okanye ngaphezulu.
Ukuhlala nesixhobo sakho se-DBS
Ndingasebenzisa izixhobo ze-elektroniki?
Ngokuqhelekileyo, izinto eziqhelekileyo zasekhaya ezifana nee-microwave, iikhompyutha kunye nee-smartphone aziphazamisi isixhobo sakho. Nangona kunjalo, iinkqubo zokhuseleko oluphezulu ezifana nezixhobo zokubona isinyithi zesikhululo seenqwelo-moya zinokuba yingozi. Uya kunikwa ikhadi lesazisi lesigulana oza kulibonisa kwezi meko.
Ndingayifumana i-MRI scan?
Hayi. Oku kubaluleke kakhulu: Kwiimeko ezininzi, izigulana ezine-DBS implant azikwazi ukuskena i-MRI ngokukhuselekileyo. Amandla anamandla emagnethi asetyenziswa kumatshini we-MRI anokonakalisa isixhobo sakho. Soloko wazisa ababoneleli bakho bezempilo ukuba unenkqubo ye-DBS ngaphambi kokuba wenze nayiphi na inkqubo yokuxilongwa kwezonyango.
Ngaba i-DBS iyayinyanga imeko engundoqo?
Hayi. Kubalulekile ukuqonda ukuba i-DBS sisixhobo sokulawula, asilonyango. Injongo yayo ephambili kukunceda ukulawula iimpawu zakho nokuphucula ukusebenza kwakho kwemihla ngemihla.
Thatha EKhaya Umyalezo (eNirogi Lanka)
- Ukukhuthazwa koBuchopho obuNzulu (i-DBS) lunyango oluntsonkothileyo nolusekelwe kubungqina olunika ithemba elitsha kwiimeko ezifana nesifo sikaParkinson kunye nesifo sokuwa xa amayeza engasasebenzi.
- Nangona lutyando lobuchopho olunemingcipheko, inkqubo ephumelelayo inokuphucula kakhulu ukuzimela kwakho kunye nomgangatho wobomi.
- I-DBS ayinyangi esi sifo, kodwa isebenza kakhulu ekuzinziseni iimpawu.
- Esi sisigqibo esibalulekileyo kwezonyango. Siyakukhuthaza ukuba ube nengxoxo evulekileyo neneenkcukacha kunye nengcali yakho ukuqinisekisa ukuba le yindlela efanelekileyo yohambo lwakho lwempilo.
ukuvuselelwa kwengqondo okunzulu, i-DBS, utyando lwemithambo-luvo, isifo sikaParkinson, isifo sokuwa, ukungcangcazela, i-dystonia
