Ukukhuthazwa koBuchule obunzulu kwizibhedlele zaseApollo, eChennai

isishwankathelo

Ukukhuthazwa koBuchopho obuNzulu (i-DBS) yinkqubo yotyando oluphambili lwe-neurosurgical enokuphucula kakhulu iimpawu kwiingxaki ezithile ze-neurological movement. Kwizibhedlele zase-Apollo eChennai, i-DBS inikezelwa ngendlela ecwangcisiweyo, egxile kwisigulane edibanisa oogqirha be-neurosurgery abanamava, iingcali ze-neurosurgery ezinengxaki yokunyakaza, iingcali ze-neuroanaesthetists, kunye namaqela akhethekileyo okwenza iinkqubo. Injongo ilula: ukunciphisa iimpawu ezikhubazayo, ukuphucula ukusebenza kwemihla ngemihla, kunye nokunceda abantu abafanelekileyo ukuba baphinde baqiniseke kwaye bazimele. Ukuba wena okanye umntu omthandayo ucetyisiwe nge-DBS okanye uhlola iindlela emva kokuba amayeza engasaniki ulawulo oluzinzileyo, iqela lethu linokukhokela ukusuka kuvavanyo kunye neengcebiso ukuya kutyando, ucwangciso lwezixhobo, kunye nokulandelela ixesha elide.

Kutheni Kunokufuneka Ukuvuselela Ubuchopho Obunzulu

I-DBS idla ngokucetyiswa kakhulu kubantu abanesifo sikaParkinson, ukungcangcazela okubalulekileyo, kunye ne-dystonia xa iimpawu zisengxaki nangona unyango lwezonyango luphuculwe. Kwi-DBS, ii-electrode ezincinci zifakwa kwiindawo ezithile zobuchopho ezilawula intshukumo. Ezi electrode ziqhagamshelwe kwi-pulse generator (isixhobo esincinci esifakwe phantsi kolusu, esihlala esifubeni) esizisa ukuvuselelwa kombane okulinganisiweyo ngononophelo. Olu vuselelo lunceda ukulawula imiqondiso engaqhelekanga yobuchopho ebangela ukungcangcazela, ukuqina, ukuhamba kancinci, okanye ukushwabana kwemisipha okungenanjongo.

Kumntu ofanelekileyo, i-DBS ayipheleli nje ekunciphiseni iimpawu. Ingabuyisela ukuqikelelwa kubomi bemihla ngemihla, inciphise ukuguquguquka "okuqhubekayo" kwisifo sikaParkinson, iphucule amandla okwenza imisebenzi yesiqhelo, kwaye ixhase umgangatho wobomi obupheleleyo. Isigqibo sihlala sisodwa kwaye sisekelwe kuvavanyo oluneenkcukacha lwe-neurological, imifanekiso, kunye nenzuzo elindelekileyo.

Iingozi zokuLibazisa i-DBS

Ukulibazisa i-DBS xa kubonisiwe ngokwezonyango kunokukhokelela ekubeni iimpawu zibe zimbi ngakumbi, ukuncipha kokuhambahamba, kunye nokuxhomekeka kakhulu kwabanye kwimisebenzi yemihla ngemihla. Kwezinye iimeko, iimpawu ezinzima ezihlala ixesha elide zinokuba nzima ukuzilawula ngamayeza kuphela, kwaye iziphumo ebezingalindelekanga ezinxulumene namayeza zinokuba yingxaki ngakumbi ngokuhamba kwexesha.

Uvavanyo olufike ngexesha lubalulekile kuba iziphumo zixhomekeke kwizinto ezininzi, kuquka inqanaba lesifo, iprofayili yeempawu, impendulo kumayeza, kunye nempilo iyonke. Uvavanyo lwakwangoko lweengcali lunceda ekumiseleni ukuba i-DBS ifanelekile ngoku, kamva, okanye ayifuneki, kwaye luqinisekisa ukuba awuphoswa lixesha apho inzuzo inokwandiswa khona.

Iingenelo zokuvuselela uBuchule obuNzulu

I-DBS inokubonelela ngolawulo olunentsingiselo lweempawu kwizigulane ezikhethiweyo ngokufanelekileyo. Iingenelo ziyahluka ngokwemeko kunye neprofayili yomntu ngamnye, kodwa zihlala ziquka:

• Ulawulo oluphuculweyo lweempawu: Ukunciphisa ukungcangcazela, ukuqina, ukucotha, okanye iintshukumo ezingaqhelekanga, ukuphucula ukusebenza kwemihla ngemihla kunye nentuthuzelo.
• Umthwalo othotyiweyo wamayeza: Izigulana ezininzi zinokunciphisa idosi okanye ukuphindaphindwa kwamayeza athile, nto leyo enokunciphisa iziphumo ebezingalindelekanga ezinxulumene namayeza.
• Umgangatho wobomi obungcono: Ukuphucula ukuhambahamba kunye nokulawula iimpawu zemihla ngemihla okugudileyo kudla ngokuxhasa ukulala okungcono, ukuzithemba, kunye nokuzibandakanya nabantu.
• Unyango oluhlengahlengiswayo nolunokuguqulwa: Useto lwe-DBS lunokwenziwa ngokwezifiso kwaye lulungiswe ngokuhamba kwexesha. Ngokungafaniyo neenkqubo zokukhupha izilonda, ukuvuselelwa kunokutshintshwa njengoko iimpawu zitshintsha.
• Unyango olupheleleyo kwi-Apollo Hospitals eChennai: I-DBS ixhaswa bubuchule obuhlukeneyo, ubugcisa obuphambili bokufota, kunye nokulandelela iinkqubo zexesha elide ukuze kuzuze ixesha elide.

Ukulungiselela kunye noBuyiselo

Ukulungiselela

• Uthethwano lweengcali: Uvavanyo oluneenkcukacha kunye nengcali yeengxaki zokunyakaza kunye nogqirha wezifo zengqondo ukuqinisekisa ukuxilongwa, indlela yeempawu, impendulo yamayeza, kunye nokufaneleka kwe-DBS.
• Uvavanyo lwangaphambi kotyando: Imifanekiso ye-MRI/CT, ​​uvavanyo lwegazi oluqhelekileyo, uvavanyo lwentliziyo ukuba luyimfuneko, kunye novavanyo lokuqonda, isimo sengqondo, kunye nokufaneleka ngokupheleleyo kotyando.
• Ucwangciso lwamayeza: Ungacetyiswa ukuba ulungise okanye umise amayeza athile ngaphambi kwenkqubo, ngokusekwe kwisikhokelo sikagqirha wakho.
• Ucwangciso lokhathalelo: Cela ilungu losapho okanye umnakekeli ukuba afumane inkxaso esibhedlele aze aphile kwangethuba ekhaya, ingakumbi xa kufuneka izinto zokuhamba kunye neemfuno zemihla ngemihla.

ukuchacha

• Ukuhlala esibhedlele kunye nokubeka esweni: Ukubeka iliso emva kotyando kuqinisekisa ulawulo lweentlungu, ukhathalelo lwamanxeba, kunye nesimo esizinzileyo semithambo-luvo.
• Ukusebenza kwesixhobo kunye nokucwangcisa: I-DBS idla ngokulungiswa xa kutyelelwa emva kotyelelo olulandelayo. Useto luhlengahlengiswa kancinci kancinci ukuze lulungelelanise ulawulo lweempawu kunye nemiphumo emibi.
• Ukubuyela kancinci kancinci kwindlela yokwenza izinto: Uninzi lwabantu luqala kwakhona imisebenzi elula njengoko kucetyisiwe, ngelixa ukuzibhokoxa okukhulu kuncitshiswa de iqela elinyangayo livumele oko.
• Inkxaso yokubuyisela kwisimo sangaphambili: Unyango lwe-physiotherapy, unyango lokuthetha, okanye unyango lomsebenzi lunokucetyiswa ukuphucula ukuhamba nokusebenza.
• Inkxaso yeemvakalelo neyentsapho: Ukuziqhelanisa ne-DBS kunokubandakanya ukuziqhelanisa ngokwasemzimbeni nangokweemvakalelo. Isikhokelo, ingcebiso, kunye nemfundo yokunyamekela umntu oza kujongana naye inokuba luncedo.

Imibuzo ebuzwa qho

1. Yeyiphi imingcipheko eyayanyaniswa ne-Deep Brain Stimulation?

I-DBS yinkqubo eyaziwayo, kodwa njengalo naluphi na utyando lobuchopho ineengozi. Ezi zinokubandakanya ukopha ebuchotsheni, usulelo, iingxaki ezifana nestroke, iingxaki ezinxulumene nesixhobo, kunye neziphumo ebezingalindelekanga ezinxulumene nokuvuselelwa okufana nokurhawuzelelwa, utshintsho lwentetho, iingxaki zokulinganisela, okanye utshintsho lweemvakalelo. Iqela lakho lokhathalelo liza kuchaza iprofayili yomngcipheko ngokusekelwe kwimeko yakho, imifanekiso, kunye nemeko yempilo ngaphambi kokuba uqhubeke.

2. Ithatha ixesha elingakanani inkqubo ye-Deep Brain Stimulation?

Ubude buyahluka ngokuxhomekeke kubunzima kunye nokuba kwenziwa ngamanqanaba. Iinkqubo ezininzi ze-DBS zithatha iiyure ezininzi. Ugqirha wakho uza kuchaza ixesha elilindelekileyo, isicwangciso se-anesthesia, kunye neenkcukacha zokuhlala esibhedlele ngexesha lokufumana iingcebiso ngaphambi kotyando.

3. Ndingalindela nini ukubona iziphumo emva kwe-DBS?

Uphuculo oluthile lunokubonwa kungekudala emva kokuqalisa ukusebenza kunye nocwangciso lokuqala, kodwa iziphumo ezilungileyo zihlala zikhula emva kweeveki ukuya kwiinyanga njengoko iimeko zokukhuthaza zilungiswa ngononophelo kwaye amayeza ephuculwa. Ukulandelela rhoqo kubalulekile ukuze kubekho iziphumo ezilungileyo.

4. Ndingalucwangcisa njani udliwanondlebe lwe-DBS kwi-Apollo Hospitals eChennai?

Ungacwangcisa idinga ngewebhusayithi esemthethweni ye-Apollo Hospitals okanye ngokuqhagamshelana ne-Apollo Hospitals Chennai. Iqela lingakukhokela malunga nokuba ngowuphi uchwepheshe oza kudibana naye kuqala kunye neengxelo zonyango oza kuziphatha ukuze uvavanywe.

5. Ngubani umviwa ofanelekileyo kwi-DBS?

I-DBS ayifanelekanga kuye wonke umntu. Abaviwa bakhethwa ngokusekwe kuxilongo, indlela yeempawu, impendulo kumayeza, impilo iyonke, imifanekiso yobuchopho, kunye nokuhlolwa kwengqondo nempilo yengqondo. Ingcali yeengxaki zokunyakaza kunye nogqirha wemithambo-luvo baya kugqiba ngokudibeneyo ukufaneleka emva kovavanyo olupheleleyo.

isiphelo

Ukukhuthazwa koBuchopho obuNzulu kunokutshintsha ubomi babantu abanesifo sikaParkinson, ukungcangcazela okubalulekileyo, okanye i-dystonia xa iimpawu zihlala zingasebenzi nangona unyango lwezonyango lungcono. Ngokukhethwa ngokuchanekileyo kwesigulana, ubuchule botyando obungcali, kunye nenkxaso yenkqubo yexesha elide, i-DBS inokubonelela ngolawulo oluphuculweyo lweempawu kunye nomgangatho wobomi ongcono. Kwizibhedlele zaseApollo eChennai, ingqwalasela yethu ikukhathalelo olukhuselekileyo, olusekelwe kubungqina kunye neengcebiso ezicacileyo kunye nocwangciso lomntu ngamnye kwinqanaba ngalinye. Ukuba ucinga nge-DBS, ukubonisana neengcali kunokukunceda uqonde ukuba ngaba lukhetho olufanelekileyo kwimeko yakho kunye neenjongo zakho.