Ingabe unesandla esinyakazisa kakhulu kangangokuthi awukwazi ngisho nokubamba inkomishi yetiye kahle? Ingabe uzizwa uqhaqhazela lapho ubhala, noma lapho usayina? Yilokhu esikubiza ngokuthi 'Ukuqhaqhazela Okubalulekile'. Ngisho noma uzama ukulawula lesi simo ngokuthatha imithi, abanye abantu bangase banganeliseki ngakho. Ngakho-ke kubantu abanjalo, namuhla sizokhuluma ngendlela yokwelapha ethuthukisiwe kakhulu yokulawula lokhu kuqhaqhazela. Lokho ukushukunyiswa kobuchopho okujulile , noma ukwelashwa kwe-DBS ngamafuphi.
Kalula nje, kuyini ukukhuthazwa kobuchopho obujulile (i-DBS)?
Ukukhuthazwa Kobuchopho Obujulile (i-DBS) kuyindlela esetshenziswa ukwelapha izinkinga eziningi zokunyakaza, ikakhulukazi ukuthuthumela okubalulekile.
Kukhona ingxenye yobuchopho bethu ebizwa ngokuthi i-thalamus. Cabanga ngayo njengesikhungo sokulawula esiyinhloko esiqondisa futhi silawule izenzo zemisipha yomzimba wethu. Nakuba imbangela eqondile ye-Essential Tremor ingaziwa, kukholelwa ukuthi umsebenzi wobuchopho ongavamile obangela ukuthuthumela udlula kule thalamus.
Ukwelashwa kwe-DBS kuhilela ukufakwa ngokuhlinzwa ama-electrode amaningana amahle kakhulu engxenyeni yobuchopho ebizwa ngokuthi i-thalamus. Lawa ma-electrode abe esexhunywa ngezintambo kudivayisi encane efakwe ngaphansi kwesikhumba, ngaphansi nje kwethambo lentamo. Le divayisi ifana ne- pacemaker enhliziyweni. Siyibiza ngokuthi i-impulse generator (IPG).
Uma idivayisi isivuliwe, ithumela njalo ama-pulse kagesi amancane , angenabuhlungu ku-thalamus, ivimbele izimpawu ezingavamile ezibangela ukuthuthumela. Lokhu kusiza ukulawula ukuthuthumela ngaphandle kokulimaza noma iyiphi ingxenye yobuchopho.
Kalula nje, lokhu kufana nokuvala 'iswishi' engasebenzi kahle ebuchosheni, kodwa ngaphandle kokulimaza ubuchopho.
Le divayisi ye-IPG ingahlelwa kalula (prog RA m) ngezimpawu zomsakazo ngekhompyutha. Futhi, isiguli sinikezwa umazibuthe okhethekile, ongasetshenziswa ukuvula/ukuvala idivayisi ngaphandle. Ibhethri yale divayisi ingasetshenziswa iminyaka emithathu kuya kwemihlanu. Ukuhlinzwa kokushintsha ibhethri nakho kulula kakhulu.
Yiziphi izinzuzo kanye nokungalungi kwalokhu kwelashwa kwe-DBS?
Njenganoma yiluphi uhlobo lokwelashwa, lolu lunezinzuzo kanye nokungalungi. Ake silubheke.
| Izinzuzo | Ukungalungi |
|---|---|
| Izicubu zobuchopho azibhujiswa unomphela, ngakho-ke ngeke zivimbele ukwelashwa okusha esikhathini esizayo. | Kukhona ingozi yokutheleleka ngoba kukhona into yangaphandle efakwa emzimbeni. |
| Le divayisi ingasuswa ngokuhlinzwa nganoma yisiphi isikhathi. | Kufanele uphinde uhlinzwe ukuze ushintshe ibhethri njalo eminyakeni emi-3-5. |
| Ukusebenza kwedivayisi kungalungiswa njengoba kudingeka. | Ngezinye izikhathi kungase kube nokungakhululeki noma imizwa engavamile ngesikhathi sokushukunyiswa. |
| Kungase kube ngcono kakhulu ekulawuleni ukuthuthumela kunokuhlinzwa okubhubhisa izingxenye zobuchopho (i-thalamotomy). | - |
Ubani okufanele acabangele ukuhlinzwa kwe-DBS?
Lona umbuzo obaluleke kakhulu. Ngaphambi kokucabangela i-DBS, bekufanele ngabe uzame zonke izinketho zemithi enqunyiwe . Uma isimo sakho silawulwa kahle ngemithi noma amanye amadivayisi angaphandle, ukuhlinzwa akukhuthazwa.
Ngaphambi kokunquma ukuthi lokhu kulungile yini kuwe, kufanele uxoxe ngalezi zindaba ngokugcwele nochwepheshe wezinkinga zokunyakaza noma udokotela wezinzwa oqeqeshwe ngokukhethekile kule ndawo. Udokotela wakho ungumuntu ongcono kakhulu ongakweluleka ngalokhu.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngeke ulaliswe ngesikhathi sokuhlinzwa. Kunalokho, uzoba sesimweni "sokushona kwelanga". Lokhu kungenxa yokuthi ithimba lokuhlinzwa kuzodingeka likhulume nawe futhi lihlole imiphumela yokuvuselelwa. Uzonikezwa umuthi wokubulala izinzwa wendawo ukuze uqede izindawo ezibucayi futhi ungazizwa ubuhlungu. Yingakho abantu abaningi bengazizwa kahle ngesikhathi sokuhlinzwa.
Odokotela basebenzisa i-CT noma i-MRI scan ukuze bathole indawo eqondile yama-electrode ebuchosheni. Uma indawo efanele isitholakele, ama-electrode ahlala njalo afakwa ebuchosheni. Ngemuva kwalokho, izintambo zilethwa ngaphansi kwesikhumba sekhanda bese zixhunywa kudivayisi ye-IPG efakwe ngaphansi kwesikhumba sesifuba.
I-IPG iyavulwa futhi ilungiswe amasonto amabili kuya kwamane ngemva kokuhlinzwa. Kungathatha amasonto amaningana ukulungisa idivayisi kanye nemithi oyinikwayo ukuze uthole isilinganiso esifanele sokukhululeka ezimpawini zakho.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, ungase uzizwe ukhathele kancane futhi ube nobuhlungu bomzimba. Kodwa-ke, uzonikezwa imithi yokukusiza uhlale ukhululekile. Kungase kube nobuhlungu noma ukuzwela eduze kwezithungo kanye nezindawo zephini.
Unakekela kanjani amanxeba akho ngemva kokufika ekhaya?
- Izithungo zakho noma izinti zizosuswa ezinsukwini eziyi-7-10 ngemva kokuhlinzwa.
- Izindawo ezine lapho izinzipho zazinamathele khona ekhanda kufanele zimbozwe nge-Band-Aids ngaso sonke isikhathi kuze kube yilapho zomile. Uma kudingeka, zishintshe nsuku zonke.
- Ungahlanza ikhanda lakho ngendwangu emanzi, ugweme izindawo ezinezilonda .
- Ungazigeza izinwele zakho ngeshampu ngosuku olulandelayo ngemva kokususwa kwezithungo, kodwa qaphela kakhulu . Ungaziklwebhi noma uzishaye izilonda.
Ingabe ufuna ukunciphisa umsebenzi wakho?
- Gwema imisebenzi elula njengomsebenzi wasekhaya kanye nemisebenzi yocansi amasonto amabili ngemva kokuhlinzwa.
- Gwema ukuvivinya umzimba okunzima njengokugijima nokubhukuda amasonto amane kuya kwayisithupha ngemva kokuhlinzwa.
- Ungaphakamisi lutho olusinda ngaphezu kwamakhilogremu amahlanu (2.3 kg) okungenani amasonto amabili.
- Kuye ngohlobo lomsebenzi wakho, ungase ukwazi ukubuyela emsebenzini zingakapheli amasonto amane kuya kwayisithupha.
Ukunakwa Okukhethekile: Shayela udokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, kufanele uxhumane nodokotela wakho ngokushesha ngaphandle kokulibala .
| Izimpawu Zesexwayiso | |
|---|---|
| 1. | Ikhanda elibuhlungu elibi nelingapheli. |
| 2. | Ukopha okuvela enxebeni. |
| 3. | Ukwanda kokubomvu noma ukuvuvukala okuzungeze isilonda. |
| 4. | Ukulahlekelwa umbono noma ushintsho oluzumayo embonweni. |
| 5. | Umkhuhlane oqhubekayo ongaphezu kwama-degrees Fahrenheit angu-101. |
Umlayezo Wokuya Nawe Ekhaya
- Ukukhuthazwa Kobuchopho Obujulile (i-DBS) kuyindlela yokwelapha ethuthukisiwe yokuthuthumela okukhulu okunzima ukuyilawula ngemithi.
- Lokhu akubhubhisi izingxenye zobuchopho, kodwa kunikeza amandla kagesi okuvimba izimpawu ezingalungile ezibangela ukuthuthumela.
- Le divayisi ingalungiswa njengoba kudingeka futhi isuswe uma kudingeka.
- Njenganoma yikuphi ukuhlinzwa, kunezinzuzo, amaphutha, kanye nezingozi. Kubalulekile ukuxoxa ngakho konke lokhu ngokucophelela nochwepheshe wakho ngaphambi kokwenza isinqumo.
- Ukulandela imiyalelo kadokotela wakho ngemva kokuhlinzwa kubaluleke kakhulu ukuze ululame ngokushesha futhi uthole imiphumela ephumelelayo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho