Ngaba ngamanye amaxesha uziva ungakhululekanga xa izandla zakho zingcangcazela, ungakwazi nokubamba ikomityi yeti kakuhle? Okanye ngaba kukho umntu omaziyo onengxaki yoku? Akukho mazwi okuchaza intlungu kunye nokungonwabi okuzivayo xa ungakwazi ukwenza izinto ezilula njengokusayina uxwebhu okanye ukufaka ukutya emlonyeni wakho. Uninzi lwexesha, abanye abantu bafumana isiqabu kumayeza anikwa oku, kodwa kwabanye, loo mayeza awasebenzi. Okulandelayo zizinto ezifana notyando lobuchopho. Kodwa ngubani ongoyikiyo xa kufikwa kutyando? Kodwa ungoyiki, namhlanje siza kuthetha ngendlela yamva nje neyona imangalisayo yonyango lwale ngcangcazelo enokwenziwa ngaphandle kotyando, ngaphandle kokusika.
Yintoni i-ultrasound egxile kwi-MR-guided focused?
Eli gama lisenokuvakala linzima kancinci, kodwa lilula kakhulu. Ngamafutshane, lunyango oludibanisa ubuchwepheshe obubini.
1. I-MR (Magnetic Resonance) Imifanekiso: Le yi-MRI scan osenokuba uyazi. Ifana nemephu ecacileyo ebonisa iindlela nezakhiwo ezingaphakathi kwengqondo yethu. Oogqirha banokujonga le mifanekiso ye-MRI baze bafumane indawo echanekileyo engqondweni yokunyanga, ukuya kuthi ga kwi-millimeter . Ikwabanceda ukuqinisekisa ukuba yonke into ihamba kakuhle ngexesha lonyango.
2. I-Ultrasound Egxile Kwingcinga: I-Ultrasound lizandi elivakala kakhulu esingenakuliva. Njengakwixesha owawusengumntwana, wawugxila ilanga ephepheni uze ulitshise. Le teknoloji igxila kumaza esandi angaphezu kwe-1,000 ngaxeshanye kwindawo encinci engqondweni. Kuphela yindawo apho la maza esandi agxile khona ashushu, atshabalalise iiseli ezinengxaki apho. Okumangalisayo kukuba, iiseli zengqondo eziphilileyo ezizingqongileyo azonzakali.
Oko kuthetha ukuba, ngaphandle kokuvula intloko, amaza esandi athunyelwa evela ngaphandle aze anyangwe kuphela xa kukho ingxaki ngaphakathi kwengqondo.
Ingaba olu nyango lulungele bani? Zeziphi iintlobo zezifo?
I-US Food and Drug Administration (FDA) okwangoku ivumile olu nyango kwiimeko ezimbini.
- Ukungcangcazela okubalulekileyo: Le yimeko abantu abaninzi abanayo ebangela ukuba izandla zabo, intloko, okanye ilizwi labo lingcangcazele. Ukungcangcazela kuba nzima ngakumbi xa bezama ukwenza into ethile. Olu nyango lufumaneka kubantu abangakwaziyo ukulawula ukungcangcazela kwabo ngamayeza .
- Isifo sikaParkinson esigqugqisa uvalo: Nangona isifo sikaParkinson sineempawu ezininzi, kwabanye abantu, ukungcangcazela luphawu oluphambili. Olu nyango lufanelekile nakubantu abanjalo.
Kubalulekile: Olu nyango okwangoku lukwinqanaba lophando lwezinye izifo zemithambo-luvo (umz. i-multiple sclerosis, i-epilepsy), ngoko ke lusenokungafaneleki kumntu wonke.
Le ndlela ikunciphisa njani ukungcangcazela?
Eli libali elinomdla kakhulu. Kukho inxalenye yengqondo yethu ebizwa ngokuba yi-thalamus . Le ifana neziko eliphambili lokutshintshiselana ngefowuni kwilizwe lethu. Imiqondiso ye-motor kunye ne-sensory evela kwiindawo ezahlukeneyo zomzimba ithunyelwa kwezinye iindawo zengqondo ukusuka apha.
Abantu abane-essential tremble kunye nesifo sikaParkinson banesiphako esincinci kwiisekethe ezikwi-brainstem. Yiyo loo nto kuthunyelwa imiqondiso engalunganga kwaye izandla ziqala ukungcangcazela.
Olu nyango lubandakanya ukuqondisa umsebe we-ultrasound ngqo kwindawo apho kukho khona imiqondiso engalunganga kwaye kudala isilonda esincinci apho. Kufana nokucima iswitshi engalunganga. Imiqondiso engalunganga iyayeka ukuhamba, kwaye ukungcangcazela phantse kuyehla okanye kuyeke ngokupheleleyo.
Inkqubo yonyango yenyathelo ngenyathelo
Kulungile, masibone ukuba kuza kwenzeka ntoni xa olu nyango lugqityiwe. Akukho nto inokubangela ixhala, akukho manxeba okanye imivumbo.
1. Ukulungiselela: Ngentsasa yonyango, iinwele zakho ziya kuchetywa ngokupheleleyo. Oku kungenxa yokuba amaza e-ultrasound kufuneka adibane nentloko yakho. Emva koko, izinga lentliziyo yakho kunye noxinzelelo lwegazi ziya kuhlolwa.
2. Isakhelo sentloko: Isakhelo esikhethekileyo siya kubekwa entlokweni yakho ukuthintela intloko yakho ukuba ingashukumi nakancinci. Ngeli xesha, uya kunikwa amayeza amancinci ngemithambo ukuze akuncede ungaziva ungonwabanga kangako.
3. Kumatshini we-MRI: Emva koko uza kuthunyelwa kumatshini we-MRI. Awuyi kukwazi ukushukumisa intloko yakho ngenxa yesakhelo esinamathele entlokweni yakho. Oogqirha baza kuthatha iiskeni zobuchopho bakho baze bakhethe indawo efanelekileyo yokunyanga.
4. Uvavanyo: Ngaphambi kokuba uqale unyango, iqela lezonyango liza kukucela ukuba uzobe izangqa, ubhale igama lakho, okanye wenze izinto ezithile ngeminwe yakho. Oku kuya kulinganisa ubukhali bokungcangcazela kwakho.
5. Ukuqala unyango: Ngoku kulapho umsebenzi wokwenyani uqala khona. Okokuqala, amaza e-ultrasound anamandla aphantsi athunyelwa kwindawo ekujoliswe kuyo ukuqinisekisa ukuba ikwindawo efanelekileyo. Emva kokuyiqinisekisa nge-MRI, amandla ayandiswa kancinci kancinci.
6. Impendulo yakho: Uvukile ngelixa usenza konke oku. Ungathetha neqela lezonyango. Baza kuhlala bekubuza ukuba uziva njani. Baza kukucela nokuba wenze izinto ezifanayo nowawuzenza ngaphambili, njengokuzoba nokubhala. Uza kubona ukuba ukungcangcazela kuyehla apho.
7. Iqhosha lokumisa ngexesha likaxakeka: Kukho iqhosha lokumisa ngexesha likaxakeka esandleni sakho onokulicinezela ngalo lonke unyango. Ukuba uziva ungakhululekanga, unyango luya kuyeka kwangoko nje ukuba ulicinezele.
8. Isiphelo:Nje ukuba ukungcangcazela kulawulwe kakuhle, amaza e-ultrasound athunyelwa ngamandla afanelekileyo ukuze aphawule ngokupheleleyo injongo. Yonke le nkqubo ithatha malunga neeyure ezi-3-4. Emva koko, zonke izixhobo ziyasuswa entlokweni yakho uze udluliselwe kwigumbi lokujonga.
Iziphumo kunye neenzuzo kunye nokungalungi
Eyona nto ilungileyo ngolu nyango kukuba ungazibona iziphumo ngoko nangoko. Uphando lubonise ukuba ukungcangcazela kwabantu abaninzi kuncipha ngama-50% - 60% phantse kwangoko.
| Zithini iingenelo zolu nyango? | Ithetha ntoni le nto? |
|---|---|
| Akukho zicucu. | Ulusu alunqunyulwanga okanye ukhakhayi alugqojozwanga. Ngenxa yoko, akukho manxeba okanye imithungo. |
| Akukho zixhobo zokungena | Akukho nto ifana nee-electrode ezifakwa engqondweni. |
| Akukho monakalo we-radioactivity. | La ngamaza esandi, hayi imitha efana ne-X-ray. |
| Akukho sixhobo sokubulala iintlungu esipheleleyo. | Ayikukhubeki ngokupheleleyo. Uvukile, ngoko ungabona iziphumo ngoko nangoko. |
| Umngcipheko ophantsi wosulelo | Ekubeni kungekho kusikwa, akukho mngcipheko wokopha okanye ukosuleleka kwamanxeba. |
Ingaba yonke into ilungile? Akukho ziphumo zimbi?
Njengakwezinye iindlela zonyango, kukho iziphumo ebezingalindelekanga kunye neengozi, kodwa uninzi lwazo zezokwexeshana .
- Isicaphucaphu kunye nentloko ebuhlungu (ngexesha lonyango)
- Ukuba ndindisholo okwexeshana kwiminwe okanye imilebe
- Ukungakhathali kancinci xa uhamba, iingxaki zokulinganisela (okwethutyana)
- Ubunzima bokuthetha okanye ukuginya (okwethutyana)
Kukwakho neengozi ezininzi zexesha elide .
- Ukungcangcazela kungaphinda kuvele emva kweenyanga okanye iminyaka emva konyango.
- Ngamanye amaxesha ukungcangcazela kusenokunganciphi konke konke .
- Kwiimeko ezingaqhelekanga kakhulu (malunga ne-10-15% yabantu), ubuthathaka bemisipha kunye nokungaziva mnandi kunokuhlala ngonaphakade .
Eyona nto ibalulekileyo: Olu nyango lulawula kuphela iimpawu zokungcangcazela, kodwa alunyangi isifo esisisiseko (i-essential tremor okanye i-Parkinson's). Aluyithinteli inkqubela yesi sifo.
Ngubani olu nyango olungafanelekanga kuye?
Olu nyango alulungelanga wonke umntu. Alufanelekanga kubantu abanezi meko zilandelayo:
- Abantu abanezixhobo zesinyithi emizimbeni yabo (umz. i-pacemakers, i-spinal rods, i-joint implants) kuba oku kwenziwa ngaphakathi komatshini we-MRI.
- Abantu abanezibazi ezinkulu entlokweni yabo.
- Abantu abaneethumba zobuchopho.
- Abantu abanengxaki yezintso abasebenzisa i-dialysis .
- Abantu abaneengxaki zempilo ezinzima okanye izifo ezingenakulawuleka.
- Abantu abangakwaziyo ukuhlala bemi kwindawo enye iiyure ezi-3-4.
- Abantu abangakwaziyo ukuyeka ukusebenzisa unyango lwe-antiplatelet okanye lwe-anticoagulation .
Ngoko ke, wazi njani ukuba olu nyango lukulungele?
Le yeyona nto ibalulekileyo. Awunakwenza izigqibo ngale nto wedwa. Ufanele uthethe nogqirha wakho wezifo zengqondo ngale nto.
Ngokubanzi, usenokuba ngumviwa olungileyo koku,
- Ukuba ufunyenwe ngokuchanekileyo ukuba une -Essential Tremor okanye isifo sikaParkinson esilawulwa yiTremor .
- Ukuba ukungcangcazela kwakho akulawulwa ngamayeza anikiweyo.
- Ukuba olu ngcangcazelo luphazamisana nemisebenzi yakho yemihla ngemihla (njengokutya, ukubhala, ukusela amanzi) kangangokuba awukwazi ukuwenza .
Ugqirha wakho uza kukuxilonga kakuhle, enze olunye uvavanyo ukuba kuyimfuneko, aze akuchazele ukuba olu nyango, okanye olunye unyango olufana ne-Deep Brain Stimulation (DBS), lulungele wena na.
Umyalezo Wokuya Ekhaya
- I-ultrasound egxile kwi-MR yindlela yanamhlanje yokunyanga ukungcangcazela kwezandla eyenziwa ngaphandle kotyando okanye ukusikwa.
- Oku kuquka ukusebenzisa iteknoloji ye-MRI ukufumana indawo echanekileyo engqondweni kunye nokunyanga loo ndawo kuphela ngamaza esandi se-ultrasound.
- Iziphumo zibonakala ngokukhawuleza. Kukhuselekile kubantu abaninzi.
- Oku kuya kulawula ukungcangcazela, kodwa akuyi kunyanga ngokupheleleyo esi sifo.
- Kunye neenzuzo zolu nyango, kukwakho neengozi ezithile kunye nemiphumo emibi.
- Nguwe nogqirha wakho kuphela abanokugqiba ukuba olu nyango lukulungele na, ngoko qiniseka ukuba uthetha nabo ngalo.
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