Ngaba wena okanye umntu omaziyo unesifo sokuwa esinzima ukusilawula nangona esela amayeza? Siyazi ukuba kunzima kangakanani na ukuphila nezi meko ngamanye amaxesha. Kodwa ngokuhambela phambili kwesayensi yezonyango, ngoku kuye kwavela unyango olutsha loku. Namhlanje, siza kuthetha ngenye indlela entsha nephumelelayo yonyango. Oku kubizwa ngokuba yiResponsive Neurostimulation, okanye i-RNS ngamafutshane.
Ngamafutshane, yintoni i-RNS?
Khawuthelekelele ukuba kukho umlindi omncinci, okrelekrele kakhulu ngaphakathi kwengqondo yakho. Kwakamsinya nje ukuba uqalise ukuxhuzula, oko kukuthi, xa umsebenzi wombane ongaqhelekanga engqondweni uqala, lo mlindi uyawuqonda aze ngoko nangoko athumele isignali yombane encinci ukuze ayeke loo msebenzi ungaqhelekanga. Yiloo nto le sixhobo esibizwa ngokuba yi-RNS siyenzayo.
Ngamafutshane, i-RNS sisixhobo esincinci esifakwa ngotyando emzimbeni wakho. Sihlala sijonga umsebenzi wombane engqondweni yakho apho kwenzeka khona ukuxhuzula. Xa sibona umsebenzi ongaqhelekanga wombane, siphendula ngokukhawuleza kwaye sithumela uthotho lwee-pulses zombane ezincinci kuloo ndawo. Ekuhambeni kwexesha, la mandla ombane anciphisa kancinci amandla engqondo yakho okubangela ukuxhuzula.
Into ebalulekileyo kukuba isixhobo se-RNS asinakuyinyanga ngokupheleleyo i-epilepsy. Kodwa sinokunciphisa kakhulu inani le-epilepsy onalo.
Nje ukuba isixhobo sifakwe, ugqirha wakho angalungisa useto lwaso ukuze luhambelane neemfuno zakho. Singasuswa ngotyando ukuba kuyimfuneko.
Ngubani ofanelekileyo kolu nyango lwe-RNS?
Le ndlela yonyango ayifanelekanga kuye wonke umntu. Ngokwesiqhelo, ugqirha uyayicebisa emva kokuqwalasela izinto ezithile.
- Ukuxhuzula okungalawulwa ngamayeza: Ukuba unengxaki yokulawula ukuxhuzula kwakho nangona usebenzisa amayeza okuthintela ukuxhuzula ngokuchanekileyo.
- Ukuxhuzula Okujoliswe Kwingqondo: Ukuba ukuxhuzula kwakho kuqala kwindawo ethile yengqondo.
- Ukuba ezinye iindlela zotyando azifanelekanga: Ukuba kukho naziphi na iingozi ezibandakanyekayo ekwenzeni ezinye iindlela zotyando okanye ukuba utyando lwangaphambili luye lwasilela.
- Kubantu abaneminyaka engaphezu kwe-18 ubudala: Olu nyango luvunyiwe okwangoku kubantu abaneminyaka engaphezu kwe-18 ubudala.
Uzilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando lobuchopho, ugqirha wakho uza kwenza uvavanyo oluninzi ngaphambi kokuba kwenziwe olu tyando. Injongo ephambili kukufumanisa ukuba i-sutrays iqala phi engqondweni yakho.Kuba kulapho ke kufuneka kubekwe khona ii-electrode esizikhankanyileyo.
Ukuze wenze oku, kuya kufuneka wenze iimvavanyo ezininzi nganye nganye.
- Ukubeka iliso kwi-Video-EEG
- Iskeni ye-MRI
- Iskeni yePET
- I-Magnetoencephalography (MEG)
- I-Ictal SPECT
- Uvavanyo lwe-Neuropsychiatric
- Ukubeka esweni i-EEG ngaphakathi kwentloko (uvavanyo lwe-SEEG okanye lwe-subdural)
Ukongeza kwezi mvavanyo, ugqirha wakho uya kukubuza ngembali yakho yempilo, ii-allergies, kunye namayeza owasebenzisayo. Ngoko ke, qiniseka ukuba uza nazo zonke ezi nkcukacha xa undwendwela ugqirha wakho.
Kwenzeka ntoni ngomhla wotyando?
Ngomhla wotyando, uza kufakwa i-anesthesia ngokupheleleyo. Ngoko awuyi kuva ntlungu. Uza kube ulele.
Emva koko, kwigumbi lotyando, ugqirha otyandayo ulandela la manyathelo:
1. Ukususwa kweenwele: Inxalenye encinci yeenwele isuswa kuphela kwindawo yotyando. Ungakhathazeki ngayo, iinwele ziya kukhula kwakhona emva kotyando.
2. Ukuvula ukhakhayi: Ulusu luyasikwa kwaye kwenziwa umngxuma omncinci kakhulu (i-craniectomy) ekhakhayi.
3. Ukufakelwa kwee-electrode: Ii-electrode ezibhityileyo ezifana nentambo zifakwa kwindawo yengqondo apho kwenzeka khona ukuxhuzula. Ezi zilinganisa umsebenzi wombane wengqondo kwaye zinike ukhuthazo.
4e. Ukubekwa kwesixhobo: Isixhobo se-RNS (isixhobo esincinci esifana nekhompyutha) sifakwa ngaphakathi kwekhakayi, ngaphezulu nje kwengqondo.
5. Ukujonga nokuvala: Isixhobo sijongwa ukuqinisekisa ukuba sisebenza kakuhle, kwaye isiqwenga sithungelwa sivalwe ngasemva.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezine.
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbini ukuya kwezintathu. Ngeli xesha, isixhobo siza kuqala ukusebenza, kodwa siza kuba "simamela" kuphela umsebenzi wobuchopho. Oko kukuthi, ukuqokelela idatha.
Ukuvuselelwa kombane kuqala emva kweeveki ezimbini ukuya kwezine, emva kokuba inxeba lipholile ngokupheleleyo. Ngenxa yoko, kuya kufuneka uphinde ubonane nogqirha. Kulapho ke aza "kuvula" isixhobo aze aqalise unyango lokuvuselela.
Qala kwinqanaba eliphantsi kakhulu uze utshintshe izicwangciso kancinci kancinci ude ufumane inqanaba elikufaneleyo.
Ukubeka iliso kwidatha ekhaya
Uza kufumana isixhobo esincinci esifana nekhompyutha kunye nentonga (isixhobo) esiqhotyoshelwe kuso ukuze usisebenzise ekhaya. Xa ubeka intonga entlokweni yakho, yonke idatha esuka kweso sixhobo ikhutshelwa kwikhompyutha. Emva koko idatha ithunyelwa kwi-intanethi kwiwebhusayithi ekhuselekileyo. Ugqirha wakho unokujonga loo datha aze afunde okuninzi malunga nemeko yakho, njengokuba uhlaselwa kangaphi kwaye kwenzeka ixesha elingakanani emini. Esebenzisa olu lwazi, unokukwazi nokulungisa umthamo wamayeza akho.
| Iingenelo zonyango lwe-RNS | Iingozi ezinokwenzeka (ezinqabileyo kakhulu) |
|---|---|
| Ukuncipha kwenani lee-seizures ngokuhamba kwexesha. | Ukopha. |
| Ukukwazi ukunciphisa amayeza asetyenziswayo xa uxhuzula. | Iimeko ezibangela usulelo. |
| Ixesha elide elingenaso isifo sokuxhuzula. | Intlungu. |
| Ukuphucula umgangatho wobomi (impilo yomzimba neyengqondo). | Ukungasebenzi kakuhle kwesixhobo. |
Uzakufowunela nini ugqirha
Emva kotyando, ukuba unentlungu ebuhlungu, ukopha, okanye ukudumba kwindawo yokusikwa, yazisa ugqirha wakho ngoko nangoko.
Emva kokuvula isixhobo nokuqalisa ukuvuselela, ukuba ufumana naluphi na uvakalelo olungathandekiyo, olufana nesiyezi, utshintsho embonweni, okanye ukuba ndindisholo, xelela ugqirha wakho ngaloo nto. Ungakhathazeki, ekubeni inqanaba lokuvuselela kwesi sixhobo linokulungiswa, ugqirha wakho angayilungisa ibe kwinqanaba elikulungeleyo.
Masifunde nangexesha lokubuyisela ibhetri kunye nebhetri.
Nangona kungathatha iiveki ezisi-8 ukuze uphile ngokupheleleyo, ungaqhubeka nemisebenzi yakho yemihla ngemihla (njengokuya emsebenzini okanye esikolweni) kwiiveki ezi-2-4. Nangona kunjalo, musa ukwenza nayiphi na imisebenzi enzima ngaphandle kokubonisana nogqirha wakho.
Ibhetri ekwesi sixhobo idla ngokusetyenziswa kangangeminyaka esi-8 ukuya kweli-10 . Xa ibhetri kufuneka itshintshwe, isixhobo sonke asidingi itshintshwe. Ayifuni utyando olukhulu njengotyando lwangaphambili. Kulula kakhulu, kwaye ungayitshintsha ibhetri ngotyando oluncinci.
Umyalezo Wokuya Ekhaya
- I-RNS lunyango oluphambili lwe-focal epilepsy olungalawulwa ngamayeza.
- Nangona oku kungayinyangi ngokupheleleyo i-seizures, kunokunciphisa kakhulu ukuxhaphaka kwe-seizures.
- Esi sisixhobo esifakelwa ngotyando, kwaye ngaphambi koko, kwenziwa uvavanyo oluninzi ukuze kuchongwe ngokuchanekileyo indawo apho ukuxhuzula kuqala khona.
- Nje ukuba isixhobo sifakwe, useto lwaso luya kulungiswa ngugqirha ngamanye amaxesha ukuze lukulungele.
- Ngugqirha wakho wezifo zengqondo kuphela onokugqiba ukuba olu nyango lukulungele na, ngoko ke thetha nogqirha wakho ukuze ufumane ulwazi oluthe kratya.
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