Ngamanye amaxesha ungaziva ngathi nokuba uthatha amayeza angakanani na kwimeko efana nesifo sokuwa okanye ukudakumba ixesha elide, akukho ndlela yokulawula. Kuyacaphukisa kakhulu xa uzama unyango oluninzi kodwa ungafumani ziphumo zifunekayo. Nangona kunjalo, ngokuhambela phambili kwesayensi yezonyango, ngoku kukho unyango lwanamhlanje lweemeko ezinjalo. Olunye unyango olunjalo oluqwalaselwa ngoogqirha xa ezinye iindlela zonyango zingasebenzi yiVagus Nerve Stimulation, okanye iVNS ngamafutshane. Ngamafutshane, lufana ne-pacemaker efakwe entliziyweni, kodwa olu lolwengqondo, hayi intliziyo! Makhe sithethe ngale nto ngokweenkcukacha namhlanje.
Okokuqala, yintoni i-Vagus nerve?
Inkqubo yakho yemithambo-luvo ifana nenethiwekhi yelizwe yeengcingo zefowuni. Ezi mithambo-luvo zinceda ekuthwaleni imiyalezo esuka engqondweni yakho iye kuzo zonke iikona zomzimba wakho ize ibuyele engqondweni yakho. Kula mithambo-luvo, iVagus yimithambo-luvo ekhethekileyo nende kakhulu. Iqala kwisiseko sengqondo, idlule entanyeni yakho, ize idlulele esifubeni sakho nasesiswini sakho. Cinga ngayo le yindlela ephambili yonxibelelwano phakathi kwengqondo yakho, intliziyo, imiphunga, kunye namathumbu. Ngoko ke ithiyori esisiseko emva konyango lweVNS kukuba ngokutshintsha umsebenzi wale mithambo-luvo, unokuchaphazela ukusebenza kwengqondo.
Zeziphi iimeko ezisetyenziselwa unyango lwe-VNS?
Olu nyango alulungelanga wonke umntu. Okwangoku luvunyiwe kwiimeko ezintathu eziphambili emhlabeni. Kuzo zonke, oogqirha bajonga olu khetho kuphela xa ezinye iindlela zonyango zesiqhelo zingaphumelelanga .
| Imeko yesifo | Ngubani ofanelekileyo? |
|---|---|
| Isifo sokuwa | Njengonyango oluncedisayo kubantwana abangaphezu kweminyaka emi-4 ubudala kunye nabantu abadala abane-focal seizures ezingenakulawulwa ngamayeza. |
| Uxinzelelo Olungamelani Nonyango | Abantu abadala abaneminyaka engaphezulu kwe-18 ubudala abanesifo sokudakumba esingapheliyo okanye esiphindaphindayo abangakhange baphendule ubuncinane kumayeza amane ahlukeneyo okudakumba. |
| Unyango lweStroke | Njengoncedo olongezelelweyo kwimithambo yonyango lomzimba kwabo balahlekelwe kakhulu kukusebenza kwezandla neengalo zabo emva kwesifo sohlangothi esibangelwa kukuvaleka komthambo wegazi. |
Esi sixhobo seVNS sinamathele njani emzimbeni?
Olu lutyando olulula kakhulu. Akukho nto yokoyika. Olu tyando ludla ngokugqitywa malunga neyure enesiqingatha.
1. Isixhobo: Esi sineenxalenye ezimbini eziphambili. Esinye sisixhobo (i-pulse generator) esikhulu kancinci kune-rupee yesilivere kwaye sisebenza njengebhetri. Esinye yintambo encinci ephuma kuso.
2. Utyando: Ugqirha uza kwenza umsikelo omncinci kakhulu kwicala lasekhohlo lentamo yakho aze asonge ngononophelo ucingo olujikeleze i-Vagus nerve. Emva koko, uza kwenza olunye umsikelo omncinci kwicala lasekhohlo eliphezulu lesifuba sakho, enze ipokotho encinci phantsi kwesikhumba, aze abeke isixhobo esifana nebhetri apho. Emva koko, uza kuzisa ucingo olujikeleze i-nerve phantsi kwesikhumba aze aludibanise nesi sixhobo.
3. Uvavanyo: Emva kokuba yonke into iqhagamshelwe, ugqirha uya kuvula isixhobo ngoko nangoko okwethutyana ukuze abone ukuba sisebenza kakuhle na. Emva koko amanxeba ayathungwa. Ngokwesiqhelo, la manxeba ayanyibilika, ngoko akukho mfuneko yokubuyela umva aze awaphule kwakhona.
Ungaphinda uqalise imisebenzi yakho yesiqhelo emva kweentsuku ezimbini emva kotyando.
Kwenzeka ntoni emva kotyando?
Kuya kufuneka uphinde ubonane nogqirha wakho emva kweeveki ezimbini ukuya kwezine. Kulapho ke kuya kusetyenziswa isixhobo esikhethekileyo sekhompyutha (i-programming wand) ukuvula ngokuchanekileyo isixhobo se-VNS emzimbeni wakho. Ugqirha uya kugqiba ukuba ii-electrical pulses zifanele zibe namandla kangakanani, zihlale ixesha elingakanani, kwaye ngawaphi amaxesha, kuxhomekeke kwiimpawu zakho.
Uza kunikwa imagnethi onokuyibamba ngesandla sakho. Ukuba umntu onesifo sokuwa uziva ngathi uza kuba nesithuthwane, xa uhlikihla le magnethi kwindawo apho isixhobo sikhona esifubeni sakhe, ithumela ukubetha kombane okongezelelweyo engqondweni. Kwakhona, ukuba ubamba le magnethi phezu kwesixhobo, ingayicima okwethutyana.
Ibhetri ekwesi sixhobo idla ngokuhlala iminyaka emalunga nemi-6 (eminye ihlala iminyaka eli-15). Xa ibhetri iphela, yisixhobo esisesifubeni kuphela esitshintshwa ngotyando oluncinci.
Ngubani ongafanelekiyo kolu nyango?
Unyango lwe-VNS alulungelanga wonke umntu. Ukuba unenye yezi meko zilandelayo, olu nyango lusenokungakulungeli. Ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho ngale nto.
| Iimeko ezinokuthi zingafaneleki kunyango lwe-VNS | |
|---|---|
| - Ukuba ukhulelwe | - Ukuba unengxaki yokuphefumla (i-asthma, i-sleep apnea) |
| - Ukuba unesilonda esisebenzayo esiswini (isilonda se-peptic). | - Ukuba unesifo seswekile esixhomekeke kwi-insulin |
| - Ukuba unesifo sentliziyo (arrhythmias) okanye ezinye izifo zentliziyo | - Ukuba unesifo se-autoimmune nervous system (i-dysautonomias) |
| - Ukuba ukhe wenza utyando olwalimaza umthambo we-vagus kwicala lasekhohlo lentamo | - Ukuba unembali yezinye izifo zengqondo ezinzima ezifana ne-schizophrenia okanye i-bipolar disorder |
Zithini iingozi kunye neziphumo ebezingalindelekanga zonyango?
Njengakwezinye iindlela zotyando, kukho iingozi ezincinci kunye nemiphumo emibi. Nangona kunjalo, uninzi lwazo lungolwexeshana okanye lunokulawulwa ngokutshintsha useto lwesixhobo.
- Iingozi eziqhelekileyo ezinxulumene notyando: usulelo lwemigqomo, iintlungu, umonakalo kwimithambo-luvo yesitho sangasese sowesifazane okanye kwizicubu ezingqongileyo.
- Iziphumo ebezingalindelekanga ezinokubakho ngenxa yokusebenza kwesixhobo:
- Ukukhwehlela
- Ukurhawuzela okanye ukutshintsha kwelizwi
- Ukurhawuzelela entanyeni okanye emqaleni
- Ubunzima bokuphefumla (ukuphelelwa ngamandla)
- Ubunzima bokuthetha (dysphonia)
- Ubunzima bokuginya (dysphagia)
- Intloko ebuhlungu
Ukuba ezi ziphumo bezingalindelekanga ziyakukhathaza, ungacela ugqirha wakho ukuba anciphise amandla ee-electrical pulses ezivela kwisixhobo. Kukwakho neziphumo ebezingalindelekanga ezinobungozi ezinokwenzeka rhoqo, kwaye ugqirha wakho uya kukwazisa ngazo.
Xa kufuneka uthethe nogqirha
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngokukhawuleza.
| Ukuba unale mpawu, funa ingcebiso kagqirha ngokukhawuleza. | |
|---|---|
Iimpawu zosulelo:
| Ezinye iimpawu ezinzulu:
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Enye into ebalulekileyo: Ukuba unesixhobo se-VNS, kubalulekile ukuba wazise ugqirha wakho ngaso ngaphambi kokuba kwenziwe naluphi na uvavanyo lwezonyango, olufana ne-MRI scan.
Umyalezo Wokuya Ekhaya
- Ukukhuthazwa kweNerve yeVagus (VNS) lunyango olukhethekileyo olusetyenziselwa isifo sokuwa, ukudakumba, kunye nokuvuselelwa kwestroke olungalawulwa ngonyango oluqhelekileyo olufana namayeza.
- Oku akuyonyango lwesi sifo, kodwa kunokunciphisa kakhulu iimpawu (umz., inani lokuxhuzula, ubunzima bokudakumba) kwaye kuncede ukuphucula umgangatho wobomi.
- Olu nyango lufuna utyando lokufakela isixhobo esincinci phantsi kolusu.
- Olu nyango alufanelekanga kuye wonke umntu. Kufuneka uxoxe nogqirha wakho malunga nokuba lukulungele na wena kunye neengozi ngaphambi kokuba wenze isigqibo.
- Emva kokuba isixhobo sifakiwe, kubaluleke kakhulu ukuhlala unxibelelana rhoqo nogqirha kwaye uye kwiikliniki njengoko kucwangcisiwe.
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