Ngaba unesandla esiqhaqhazela kangangokuba awukwazi nokubamba ikomityi yeti ngokufanelekileyo? Ngaba uziva uqhaqhazela xa ubhala, okanye xa usayina? Oku sikubiza ngokuba yi-'Essential Tremor'. Nokuba uzama ukulawula le meko ngokuthatha amayeza, abanye abantu basenokungoneliseki yiyo. Ngoko ke kubantu abanjalo, namhlanje siza kuthetha ngendlela yonyango ephucukileyo kakhulu yokulawula olu qhaqhazela. Oko kukukhuthaza ingqondo ngokunzulu , okanye unyango lwe-DBS ngamafutshane.
Ngamafutshane, yintoni iDeep Brain Stimulation (DBS)?
Ukukhuthazwa koBuchopho obuNzulu (i-DBS) yindlela esetyenziselwa ukunyanga iingxaki ezininzi zokunyakaza, ingakumbi ukungcangcazela okubalulekileyo.
Kukho inxalenye yengqondo yethu ebizwa ngokuba yi-thalamus. Cinga ngayo njengeziko lolawulo eliphambili eliququzelela kwaye lilawula imisebenzi yezihlunu zomzimba wethu. Nangona unobangela ochanekileyo we-Essential Tremor ungaziwa, kukholelwa ukuba umsebenzi ongaqhelekanga wobuchopho obangela ukungcangcazela udlula kule thalamus.
Unyango lwe-DBS lubandakanya ukufakelwa ii-electrode ezininzi ezintle kakhulu kwicandelo lobuchopho elibizwa ngokuba yi-thalamus. Ezi electrode emva koko ziqhagamshelwa ngeengcingo kwisixhobo esincinci esifakwe phantsi kolusu, ngaphantsi nje kwethambo lentamo. Esi sixhobo sifana ne- pacemaker entliziyweni. Siyibiza ngokuba yi-impulse generator (IPG).
Xa isixhobo sivuliwe, sithumela rhoqo iipulse zombane ezincinci nezingenabuhlungu kwi-thalamus, zithintela imiqondiso engaqhelekanga ebangela ukungcangcazela. Oku kunceda ukulawula ukungcangcazela ngaphandle kokonakalisa nayiphi na indawo yobuchopho.
Ngamafutshane, oku kufana nokucima 'iswitshi' engasebenzi kakuhle engqondweni, kodwa ngaphandle kokubangela umonakalo engqondweni.
Esi sixhobo se-IPG sinokucwangciswa ngokulula (prog RA m) ngeesignali zerediyo ngekhompyutha. Kwakhona, isigulana sinikwa imagnethi ekhethekileyo, enokusetyenziswa ukuvula/ukucima isixhobo ngaphandle. Ibhetri yesi sixhobo idla ngokusetyenziswa iminyaka emithathu ukuya kwemihlanu. Utyando lokutshintsha ibhetri nalo lulula kakhulu.
Ziziphi iingenelo kunye neengxaki zolu nyango lwe-DBS?
Njengalo naluphi na unyango lwezonyango, olu lunezibonelelo kunye neengxaki. Makhe sijonge kuzo.
| Iingenelo | Iingxaki |
|---|---|
| Izicubu zengqondo azitshatyalaliswa ngonaphakade, ngoko ke aziyi kuthintela unyango olutsha kwixesha elizayo. | Kukho umngcipheko wokosuleleka kuba into engaphandle ifakwa emzimbeni. |
| Esi sixhobo singasuswa ngotyando nangaliphi na ixesha. | Kuya kufuneka uphinde utyandwe ukuze utshintshe ibhetri rhoqo emva kweminyaka emi-3-5. |
| Ukusebenza kwesixhobo kunokulungiswa njengoko kufuneka. | Ngamanye amaxesha kunokubakho ukungakhululeki okanye iimvakalelo ezingaqhelekanga ngexesha lokuvuselelwa. |
| Ingasebenza ngakumbi ekulawuleni ukungcangcazela kunotyando olutshabalalisa iindawo zobuchopho (i-thalamotomy). | - |
Ngubani omele acinge ngotyando lwe-DBS?
Lo ngumbuzo obaluleke kakhulu. Ngaphambi kokuba ucinge nge-DBS, bekufanele ukuba uzame zonke iindlela zamayeza ezichazwe ngugqirha . Ukuba imeko yakho ilawulwa kakuhle ngamayeza okanye ezinye izixhobo zangaphandle, utyando alukhuthazwa.
Ngaphambi kokuba uthathe isigqibo sokuba oku kulungile na kuwe, kufuneka uxoxe ngale micimbi kakuhle nengcali yeengxaki zokunyakaza okanye ingcali yemithambo-luvo eqeqeshwe ngokukodwa kweli candelo. Ugqirha wakho ngumntu ofanelekileyo ukukunika ingcebiso ngale nto.
Kwenzeka ntoni ngexesha lotyando?
Awuyi kulaliswa ngexesha lotyando. Endaweni yoko, uya kuba kwimeko "yokuhlwa". Oku kungenxa yokuba iqela lotyando kuya kufuneka lithethe nawe lize lijonge iziphumo zokukhuthaza. Uza kunikwa i-anesthetic yendawo ukuze uvale iindawo ezibuthathaka kwaye ungeva ntlungu. Yingakho uninzi lwabantu lungaziva buhlungu kangako ngexesha lotyando.
Oogqirha basebenzisa i-CT okanye i-MRI scan ukuze babone indawo echanekileyo yee-electrode engqondweni. Nje ukuba indawo echanekileyo ichongiwe, ii-electrode ezisisigxina zifakwa engqondweni. Emva koko, iingcingo ziziswa phantsi kwesikhumba sentloko kwaye ziqhagamshelwe kwisixhobo se-IPG esifakwe phantsi kwesikhumba sesifuba.
I-IPG iyavulwa ize ilungiswe emva kweeveki ezimbini ukuya kwezine emva kotyando. Kungathatha iiveki ezininzi ukulungisa isixhobo kunye namayeza owanikwayo ukuze ufumane isiqabu esifanelekileyo kwiimpawu zakho.
Yintoni onokuyilindela emva kotyando?
Emva kotyando, ungaziva udiniwe kancinci kwaye umzimba wakho uneentlungu. Nangona kunjalo, uza kunikwa amayeza okukunceda uhlale ukhululekile. Kusenokuba kukho iintlungu okanye ukuthamba okujikeleze izithungo kunye neendawo zepini.
Uzinyamekela njani iintlungu zakho emva kokuba ufikile ekhaya?
- Izititshi zakho okanye izitapile ziya kususwa kwiintsuku ezisi-7 ukuya kwezili-10 emva kotyando.
- Iindawo ezine apho izikhonkwane zazinamathele khona entloko mazigqunywe ngeBand-Aids ngamaxesha onke de zome. Ukuba kuyimfuneko, zitshintshe yonke imihla.
- Ungayicoca intloko yakho ngelaphu elimanzi, uphephe iindawo ezinezilonda .
- Ungazihlamba iinwele zakho ngeshampu ngosuku olulandelayo emva kokuba zisusiwe izithungo, kodwa lumka kakhulu . Musa ukukrwela okanye ukukrwela amanxeba.
Ngaba ufuna ukunciphisa umsebenzi wakho?
- Musa ukwenza imisebenzi elula efana nomsebenzi wasekhaya kunye nesondo kangangeeveki ezimbini emva kotyando.
- Kuphephe ukwenza umthambo onzima njengokubaleka nokudada iiveki ezine ukuya kwezintandathu emva kotyando.
- Musa ukuphakamisa nantoni na enzima ngaphezu kweekhilogram ezimbini (2.3 kg) ubuncinane iiveki ezimbini.
- Ngokuxhomekeke kuhlobo lomsebenzi wakho, unokukwazi ukubuyela emsebenzini kwiiveki ezine ukuya kwezintandathu.
Ingqwalasela ekhethekileyo: Fowunela ugqirha ngokukhawuleza!
Ukuba ufumana naziphi na ezi mpawu zilandelayo emva kotyando, kufuneka uqhagamshelane nogqirha wakho ngokukhawuleza ngaphandle kokulibazisa .
| Iimpawu Zesilumkiso | |
|---|---|
| 1. | Intloko ebuhlungu nengapheliyo. |
| 2. | Ukopha igazi eliphuma enxebeni. |
| 3. | Ukwanda kokubomvu okanye ukudumba okujikeleze inxeba. |
| 4. | Ukulahlekelwa ngumbono okanye utshintsho olukhawulezileyo embonweni. |
| 5. | Umkhuhlane ongapheliyo ongaphezu kwama-101 degrees Fahrenheit. |
Umyalezo Wokuya Ekhaya
- Ukukhuthazwa koBuchopho obuNzulu (i-DBS) lunyango oluphambili lokungcangcazela okukhulu okunzima ukukulawula ngamayeza.
- Oku akutshabalalisi iindawo zobuchopho, kodwa kunika amandla ombane okuthintela imiqondiso engalunganga ebangela ukungcangcazela.
- Esi sixhobo singalungiswa njengoko kufuneka kwaye sisuswe ukuba kuyimfuneko.
- Njengakwezinye iindlela zotyando, kukho izinto ezilungileyo, iingxaki kunye neengozi. Kubalulekile ukuxoxa ngazo zonke ezi zinto ngononophelo nogqirha wakho ngaphambi kokuba wenze isigqibo.
- Ukulandela imiyalelo kagqirha wakho kanye emva kotyando kubaluleke kakhulu ukuze uphile ngokukhawuleza kwaye ufumane iziphumo eziphumelelayo.
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