Ngezinye izikhathi ungase uzizwe sengathi kungakhathaliseki ukuthi uthatha imithi engakanani yesifo esifana nesifo sokuwa noma ukucindezeleka kwesikhathi eside, akukho ukulawula kwangempela. Kuyacasula ngempela uma uzama izindlela eziningi zokwelapha kodwa ungatholi imiphumela oyifunayo. Kodwa-ke, ngokuthuthuka kwesayensi yezokwelapha, manje kunezindlela zokwelapha zesimanje ngisho nalezo zimo. Enye indlela yokwelapha odokotela abayicabangela lapho ezinye izindlela zokwelapha zingasebenzi yi-Vagus Nerve Stimulation, noma i-VNS ngamafuphi. Kalula nje, ifana ne-pacemaker efakwe enhliziyweni, kodwa lena ingeyengqondo, hhayi inhliziyo! Ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Okokuqala, iyini i-vagus nerve?
Uhlelo lwakho lwezinzwa lufana nenethiwekhi yezintambo zocingo zezwe. Lezi zinzwa zisiza ukuthwala imiyalezo esuka ebuchosheni bakho iye kuwo wonke amagumbi omzimba wakho bese ibuyela ebuchosheni bakho. Kulezi, i-Vagus nerve iyi-nerve ekhethekile kakhulu futhi ende kunazo zonke. Iqala esiqwini sobuchopho, idlule entanyeni yakho, futhi idlulele esifubeni sakho nasesiswini sakho. Cabanga ngakho lena yindlela eyinhloko yokuxhumana phakathi kobuchopho bakho, inhliziyo, amaphaphu, namathumbu. Ngakho-ke inkolelo-mbono eyisisekelo ngemuva kokwelashwa kwe-VNS ukuthi ngokushintsha umsebenzi walo mthambo, ungathinta ukusebenza kobuchopho.
Yiziphi izimo ezisetshenziswa ukwelashwa kwe-VNS?
Lokhu kwelashwa akulona okwawo wonke umuntu. Okwamanje kuvunyelwe ezimweni ezintathu eziyinhloko emhlabeni. Kuzo zonke, odokotela babheka le ndlela kuphela uma ezinye izindlela zokwelapha ezivamile zehlulekile .
| Isimo sesifo | Ubani ofaneleka? |
|---|---|
| Isifo Sokuxhuzula | Njengokwelashwa okungeziwe ezinganeni ezingaphezu kweminyaka engu-4 ubudala kanye nabantu abadala abane-focal seizures ezingenakukwazi ukulawulwa ngemithi. |
| Ukucindezeleka Okumelana Nokwelashwa | Abantu abadala abaneminyaka engaphezu kwengu-18 ubudala abanokucindezeleka okukhulu kwesikhathi eside noma okuphindaphindiwe abangakaphenduli okungenani emithini emine ehlukene yokucindezeleka. |
| Ukuvuselelwa Kwesifo Sohlangothi | Njengosizo olwengeziwe ekuzilolongeni kokwelashwa ngokomzimba kulabo abalahlekelwe kakhulu ukusebenza kwezandla nezingalo zabo ngemuva kokuhlaselwa yisifo sohlangothi esibangelwa ukuvaleka komthambo wegazi. |
Le divayisi ye-VNS ixhunywe kanjani emzimbeni?
Lokhu kuyindlela yokuhlinzwa elula kakhulu. Akukho okufanele ukwesabe. Ngokuvamile ukuhlinzwa kungaqedwa cishe ngehora nesigamu.
1. Idivayisi: Lena inezingxenye ezimbili eziyinhloko. Eyodwa iyidivayisi (i-pulse generator) enkulu kancane kune-rupee yesiliva futhi isebenza njengebhethri. Enye iyintambo encane ephuma kuyo.
2. Ukuhlinzwa: Udokotela uzokwenza ukusika okuncane kakhulu ohlangothini lwesobunxele lwentamo yakho bese esonga ucingo ngokucophelela ezungeze i-Vagus nerve. Ngemuva kwalokho, uzokwenza olunye ukusika okuncane ohlangothini oluphezulu lwesobunxele lwesifuba sakho, adale iphakethe elincane ngaphansi kwesikhumba, bese ebeka idivayisi efana nebhethri lapho. Ngemuva kwalokho, uzoletha ucingo olugoqwe ezungeze i-nerve ngaphansi kwesikhumba bese eluxhuma kule divayisi.
3. Ukuhlola: Ngemva kokuba konke sekuxhunyiwe, udokotela uzovula idivayisi ngokushesha isikhashana ukuze abone ukuthi isebenza kahle yini. Bese kuthintwa izimbobo. Ngokuvamile, lezi zimbobo ziyancibilika, ngakho-ke asikho isidingo sokubuyela emuva uziphule futhi.
Ungaqhubeka nemisebenzi evamile cishe ezinsukwini ezimbili ngemva kokuhlinzwa.
Kwenzekani ngemva kokuhlinzwa?
Kuzodingeka ubone udokotela wakho futhi emavikini amabili kuya kwamane. Yilapho-ke kuzosetshenziswa khona idivayisi ekhethekile yekhompyutha (induku yokuhlela) ukuze kusebenze ngokunembile idivayisi ye-VNS emzimbeni wakho. Udokotela uzonquma ukuthi ama-pulse kagesi kufanele abe namandla kangakanani, ukuthi kufanele ahlale isikhathi esingakanani, nokuthi ngasiphi isikhathi, kuye ngezimpawu zakho.
Uzonikezwa imagnethi ongayibamba ngesandla sakho. Uma umuntu onesifo sokuwa ezwa sengathi usezoba nesithuthwane, uma uhlikihla le magnethi endaweni lapho idivayisi itholakala khona esifubeni sakhe, ithumela ukushaya kwenhliziyo okwengeziwe ebuchosheni. Futhi, uma ubamba le magnethi phezu kwedivayisi, ingawuvala okwesikhashana.
Ibhethri elikule divayisi livame ukuhlala iminyaka engaba ngu-6 (eminye ihlala iminyaka efika kwengu-15). Uma ibhethri liphela, yidivayisi esesifubeni kuphela eshintshwa ngokuhlinzwa okuncane.
Ubani ongafaneleki kulolu hlobo lokwelashwa?
Ukwelashwa nge-VNS akulona olwawo wonke umuntu. Uma unezinye zezimo ezilandelayo, lokhu kwelashwa kungase kungakulungeli. Kufanele nakanjani ukhulume nodokotela wakho ngalokhu.
| Izimo ezingase zingafaneleki ukwelashwa kwe-VNS | |
|---|---|
| - Uma ukhulelwe | - Uma unenkinga yokuphefumula (i-asthma, i-sleep apnea) |
| - Uma unesilonda esiswini esisebenzayo (isilonda se-peptic). | - Uma unesifo sikashukela esincike ku-insulin |
| - Uma unezinkinga zesigqi senhliziyo (arrhythmias) noma ezinye izifo zenhliziyo | - Uma unezifo zesimiso sezinzwa ezizimele (i-dysautonomias) |
| - Uma wake wahlinzwa ngaphambilini okwalimaza i-vagus nerve ohlangothini lwesobunxele lwentamo | - Uma unomlando wezinye izifo zengqondo ezinzima njenge-schizophrenia noma i-bipolar disorder |
Ziyini izingozi nemiphumela emibi yokwelashwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane nemiphumela emibi. Kodwa-ke, iningi lalezi zingokwesikhashana noma zingalawulwa ngokushintsha izilungiselelo zedivayisi.
- Izingozi ezivamile ezihlobene nokuhlinzwa: ukutheleleka kwezimbobo, ubuhlungu, ukulimala kwe-vagus nerve noma izicubu ezizungezile.
- Imiphumela emibi engaba khona ebangelwa ukusebenza kwedivayisi:
- Ukukhwehlela
- Ukuhosha noma ukushintsha kwezwi
- Umuzwa wokukitaza entanyeni noma emphinjeni
- Ubunzima bokuphefumula (ukuphelelwa umoya)
- Ubunzima bokukhuluma (i-dysphonia)
- Ubunzima bokugwinya (i-dysphagia)
- Ikhanda elibuhlungu
Uma le miphumela emibi ikukhathaza, ungacela udokotela wakho ukuthi anciphise amandla okushaya kukagesi kusuka kudivayisi. Kukhona nemiphumela emibi emibi engenzeka kaningi, futhi udokotela wakho uzokwazisa ngayo.
Uma udinga ukukhuluma nodokotela
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
| Uma unalezi zimpawu, funa iseluleko sezokwelapha ngokushesha. | |
|---|---|
Izimpawu zokutheleleka:
| Ezinye izimpawu ezinkulu:
|
Enye into ebalulekile: Uma unedivayisi ye-VNS, kubalulekile ukuthi wazise udokotela wakho ngayo ngaphambi kwanoma yikuphi ukuhlolwa kwezokwelapha, njengokuskena kwe-MRI.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhuthazwa Kwemizwa Yesivalo (i-VNS) kuyindlela yokwelapha ekhethekile esetshenziselwa isifo sokuwa, ukucindezeleka, kanye nokuvuselelwa kwesifo sohlangothi engalawulwa ukwelashwa okuvamile njengemithi.
- Lokhu akulona ikhambi lalesi sifo, kodwa kunganciphisa kakhulu izimpawu (isib. inani lokuquleka, ubukhali bokucindezeleka) futhi kusize ekuthuthukiseni ikhwalithi yokuphila.
- Lokhu kwelashwa kudinga ukuhlinzwa ukuze kufakwe ithuluzi elincane ngaphansi kwesikhumba.
- Lokhu kwelashwa akufanele wonke umuntu. Kufanele uxoxe nochwepheshe wakho ukuthi kulungile yini kuwe nokuthi yiziphi izingozi ngaphambi kokwenza isinqumo.
- Ngemva kokufakwa kwedivayisi, kubaluleke kakhulu ukuhlala uxhumana nodokotela njalo futhi uye emitholampilo njengoba kuhleliwe.
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