Ingabe wena noma othile omaziyo unesifo sokuwa okunzima ukusilawula naphezu kokuthatha imithi? Siyazi ukuthi kungaba nzima kangakanani ukuphila nezimo ezinjalo ngezinye izikhathi. Kodwa ngokuthuthuka kwesayensi yezokwelapha, sekuvele izindlela ezintsha zokwelapha zalokhu. Namuhla, sizokhuluma ngenye indlela yokwelapha entsha nephumelelayo. Lokhu kubizwa ngokuthi i-Responsive Neurostimulation, noma i-RNS ngamafuphi.
Kalula nje, iyini i-RNS?
Cabanga ukuthi kukhona umlindi omncane, ohlakaniphe kakhulu ngaphakathi kobuchopho bakho. Lapho nje ukuquleka sekuzokwenzeka, okungukuthi, lapho kuqala umsebenzi kagesi ongajwayelekile ebuchosheni, lo mlindi uyakubona bese ethumela ngokushesha isignali encane kagesi ukuze ayeke lowo msebenzi ongajwayelekile. Yilokho okwenziwa yile divayisi ebizwa ngokuthi i-RNS.
Kalula nje, i-RNS iyithuluzi elincane elifakwa ngokuhlinzwa emzimbeni wakho. Lihlala liqapha umsebenzi kagesi ebuchosheni bakho lapho kwenzeka khona ukuxhuzula. Uma lithola umsebenzi kagesi ongajwayelekile, lisabela ngokushesha kakhulu futhi lithumele uchungechunge lwezinhlungu ezincane zikagesi kuleyo ndawo. Ngokuhamba kwesikhathi, la mandla kagesi anciphisa kancane kancane ikhono lobuchopho bakho lokubangela ukuxhuzula.
Into ebalulekile ukuthi idivayisi ye-RNS ayikwazi ukwelapha ngokuphelele isifo sokuwa. Kodwa inganciphisa kakhulu inani lokuwa onalo.
Uma idivayisi isifakiwe, udokotela wakho angakwazi ukulungisa izilungiselelo zayo ukuze zivumelane nezidingo zakho. Ingasuswa futhi ngokuhlinzwa uma kudingeka.
Ubani ofanelekela lolu hlobo lokwelashwa kwe-RNS?
Le ndlela yokwelapha ayifanele wonke umuntu. Ngokuvamile, udokotela uyayincoma ngemva kokucabangela izici ezithile.
- Ukuquleka okungalawulwa ngemithi: Uma unenkinga yokulawula ukuquleka kwakho yize usebenzisa imithi yokuvimbela ukuquleka ngendlela efanele.
- Ukuquleka Okugxile: Uma ukuquleka kwakho kuqala endaweni ethile yobuchopho.
- Uma ezinye izindlela zokuhlinzwa zingafaneleki: Uma kukhona izingozi ezihilelekile ekwenzeni ezinye izindlela zokuhlinzwa noma uma ukuhlinzwa kwangaphambilini kwehlulekile.
- Kubantu abaneminyaka engaphezu kwengu-18 ubudala: Lokhu kwelashwa kuvunyelwe okwamanje kubantu abaneminyaka engaphezu kwengu-18 ubudala.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa kobuchopho, udokotela wakho uzokwenza izivivinyo eziningi ngaphambi kwenqubo. Umgomo oyinhloko ukuthola ukuthi ukuxhuzula kuqala kuphi ebuchosheni bakho.Ngoba yilapho ama-electrode esikhulume ngawo kufanele abekwe khona.
Kulokhu, kuzodingeka wenze izivivinyo eziningana ngasinye ngasinye.
- Ukuqapha i-Video-EEG
- Ukuskena kwe-MRI
- Ukuskena kwe-PET
- I-Magnetoencephalography (MEG)
- I-Ictal SPECT
- Ukuhlolwa kwe-Neuropsychiatric
- Ukuqapha i-EEG yangaphakathi kwekhanda (ukuhlolwa kwe-SEEG noma kwe-subdural)
Ngaphezu kwalezi zivivinyo, udokotela wakho uzobuza nangomlando wakho wezempilo, ukungezwani komzimba, kanye nanoma yimiphi imithi oyithathayo. Ngakho-ke, qiniseka ukuthi uletha yonke le mininingwane nawe uma uvakashela udokotela wakho.
Kwenzekani ngosuku lokuhlinzwa?
Ngosuku lokuhlinzwa, uzolaliswa ngokuphelele. Ngakho ngeke uzwe ubuhlungu. Uzobe ulele.
Bese kuthi, egumbini lokuhlinza, udokotela ohlinzayo alandele lezi zinyathelo:
1. Ukususwa kwezinwele: Ucezu oluncane lwezinwele lususwa endaweni yokuhlinzwa kuphela. Ungakhathazeki ngakho, izinwele zizokhula futhi ngemva kokuhlinzwa.
2. Ukuvula ugebhezi: Isikhumba siyasikwa bese kwenziwa imbobo encane kakhulu (i-craniectomy) egebhezini.
3. Ukufakelwa kwama-electrode: Ama-electrode anjenge-wire amancane kakhulu afakwa engxenyeni yobuchopho lapho kwenzeka khona ukuxhuzula. Lawa alinganisa umsebenzi kagesi wobuchopho futhi alethe ukuvuselelwa.
4e. Ukubekwa kwedivayisi: Idivayisi ye-RNS (idivayisi encane efana nekhompyutha) ifakwa ngaphakathi kogebhezi, ngaphezu nje kobuchopho.
5. Ukuhlola nokuvala: Idivayisi iyahlolwa ukuqinisekisa ukuthi isebenza kahle, futhi ukusikwa kuthungwa kuvaliwe.
Lokhu kuhlinzwa ngokuvamile kungathatha cishe amahora amabili kuya kwamane.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbili kuya kwezintathu. Phakathi nalesi sikhathi, idivayisi izoqala ukusebenza, kodwa izobe "ilalele" kuphela umsebenzi wobuchopho. Okusho ukuthi, ukuqoqa idatha.
Ukuvuselelwa ngogesi kuqala ngemva kwamasonto amabili kuya kwamane, ngemva kokuba inxeba selipholile ngokuphelele. Ngenxa yalokho, kuzodingeka ubone udokotela futhi. Yilapho-ke "ezovula" idivayisi bese eqala ukwelashwa kokuvuselelwa.
Qala ngezinga eliphansi kakhulu bese ushintsha kancane kancane izilungiselelo uze uthole izinga elikufanele kakhulu.
Ukuqapha idatha ekhaya
Uzothola idivayisi encane efana nekhompyutha kanye nenduku (into yomshini) enamathiselwe kuyo ukuze uyisebenzise ekhaya. Uma ubeka induku ekhanda lakho, yonke idatha evela kudivayisi ilandwa kukhompyutha. Idatha ithunyelwa nge-inthanethi kwiwebhusayithi ephephile. Udokotela wakho angabheka leyo datha futhi afunde okuningi ngesimo sakho, njengokuthi uhlaselwa kangaki nokuthi kwenzeka kangaki ngosuku. Esebenzisa lolu lwazi, angase akwazi ngisho nokulungisa umthamo wemithi yakho.
| Izinzuzo zokwelashwa kwe-RNS | Izingozi ezingaba khona (ezingavamile kakhulu) |
|---|---|
| Ukwehla kwenani lokuxhuzula ngokuhamba kwesikhathi. | Ukopha. |
| Ukukwazi ukunciphisa inani lemithi ethathwayo yokwelapha ukuquleka. | Izimo ezithathelwanayo. |
| Isikhathi eside sokungabi naso isithuthwane. | Ubuhlungu. |
| Ukuthuthukisa ikhwalithi yokuphila (impilo yomzimba neyengqondo). | Ukungasebenzi kahle kwedivayisi. |
Ukushayela nini udokotela ucingo
Ngemva kokuhlinzwa, uma unobuhlungu obukhulu, ukopha, noma ukuvuvukala endaweni yokusikwa, yazisa udokotela wakho ngokushesha.
Ngemva kokuvula idivayisi nokuqala ukuvuselela, uma uzwa noma yikuphi ukungakhululeki, njengokuzungeza , izinguquko embonweni, noma ukuba ndikindiki, tshela udokotela wakho ngakho. Ungakhathazeki, njengoba izinga lokuvuselela lale divayisi lingalungiswa, udokotela wakho angalilungisa libe sezingeni elikulungele.
Ake sifunde nangesikhathi sokululama kanye nebhethri.
Nakuba kungathatha amasonto afinyelela kwayi-8 ukululama ngokugcwele, ngokuvamile ungaqhubeka nemisebenzi yakho yansuku zonke (njengokuya emsebenzini noma esikoleni) zingakapheli amasonto ama-2-4. Kodwa-ke, ungenzi noma yimiphi imisebenzi enzima ngaphandle kokubonisana nodokotela wakho.
Ibhethri elikule divayisi lingasetshenziswa cishe iminyaka engu-8-10 . Uma ibhethri lidinga ukushintshwa, lonke idivayisi alidingi ukushintshwa. Alidingi ukuhlinzwa okukhulu njengokuhlinzwa kwangaphambilini. Kulula kakhulu, futhi ungashintsha ibhethri ngokuhlinzwa okuncane.
Umlayezo Wokuya Nawe Ekhaya
- I-RNS iyindlela yokwelapha ethuthukisiwe yesifo sokuwa esigxile esikhumbeni esingalawulwa ngemithi.
- Nakuba lokhu kungelaphi ngokuphelele ukuquleka, kunganciphisa ngempumelelo kakhulu ukuvama kokuquleka.
- Lena idivayisi efakwa ngokuhlinzwa, futhi ngaphambi kwalokho, kwenziwa izivivinyo eziningana ukuze kutholakale ngokunembile indawo lapho ukuxhuzula kuqala khona.
- Uma idivayisi isifakiwe, izilungiselelo zayo zizolungiswa udokotela ngezikhathi ezithile ukuze zivumelane nawe.
- Udokotela wakho wezinzwa kuphela onganquma ukuthi lolu hlobo lokwelashwa lukulungele yini, ngakho khuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe.
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