Ni iki Gushishikariza Umutsi wa Vagus? Intego, Uburyo & Ibivamo

Gushishikariza umutsi wa vagus (VNS) ni uburyo bwo kuvura bw'ubuvuzi bukoresha umuriro woroheje kugirango ukoreshe umutsi wawe wa vagus, usa nk'umuhanda munini w'itumanaho ry'umubiri wawe hagati y'ubwonko bwawe n'ingingo. Tekereza nk'umuvuduko w'ubwonko bwawe ufasha guteza imbere imitekerereze, ibibazo byo gufatwa n'izindi nshingano z'ingenzi. Ubu buvuzi bwafashije ibihumbi by'abantu gucunga ibibazo nka epilepsi na depression iyo izindi nshingano zitagize icyo zikora.

Ni iki gushishikariza umutsi wa vagus?

Gushishikariza umutsi wa vagus ni uburyo bwo kuvura butanga ibimenyetso by'amashanyarazi yoroheje kumutsi wawe wa vagus binyuze mu gikoresho gito gishyirwa munsi y'uruhu rwawe. Umutsi wawe wa vagus ni umutsi muremure mu mubiri wawe, uva mu giti cy'ubwonko bwawe ukamanuka kugeza mu nda yawe nk'umuhanda munini utwara ubutumwa hagati y'ubwonko bwawe n'ingingo z'ingenzi.

Ubu buvuzi bukora butanga umuriro wa buri gihe, wagenzurwa ufasha guhagarika ibikorwa bidasanzwe by'ubwonko. Uyu muriro ni woroheje ku buryo abantu benshi batabona n'ubwo bamaze kumenyera igikoresho. Gushishikariza bibaho byikora umunsi wose, mubisanzwe mumasegonda 30 buri minota mike.

VNS yemewe na FDA kuva mu 1997 mu kuvura epilepsi no kuva mu 2005 mu kuvura depression irwanya ubuvuzi. Vuba aha, abaganga bagiye gushakisha ibishoboka byayo kubindi bibazo nko guhangayika, kuribwa kw'igihe kirekire, ndetse n'indwara zifata umubiri.

Kuki gushishikariza umutsi wa vagus bikorwa?

VNS ikoreshwa cyane iyo ubuvuzi busanzwe butatanze ubufasha buhagije kubibazo bikomeye by'imitsi cyangwa ibibazo byo mumutwe. Muganga wawe ashobora kugusaba ubu buvuzi niba wagerageje imiti myinshi ntugire icyo ugeraho cyangwa niba ufite ingaruka zikomeye zituruka ku bundi buvuzi.

Impamvu isanzwe ya VNS ni indwara y'igicuri idasubiza neza imiti irwanya ibyuririzi. Abantu bagera kuri kimwe cya gatatu barwaye igicuri bakomeza kugira ibyuririzi nubwo bagerageje imiti itandukanye. Kubantu nk'abo, VNS irashobora kugabanya inshuro zo kugira ibyuririzi ku kigereranyo cya 50% cyangwa kurenza mu bihe byinshi.

Kubijyanye no kwiheba, VNS itekerezwa iyo umaze kugerageza imiti itandukanye irwanya kwiheba na psychothérapie utageze ku gukira. Ubu bwoko bwo kwiheba bwitwa kwiheba birwanya imiti, kandi bugira ingaruka ku bantu bagera kuri 30% bafite indwara ikomeye yo kwiheba.

Abashakashatsi barimo kandi kwiga VNS kubindi bibazo birimo kubabara kw'igihe kirekire, migraines, indwara ya Alzheimer, n'indwara zifitanye isano n'ubwirinzi bw'umubiri. Nubwo izi nyandiko zigikorwaho ubushakashatsi, ibisubizo bya mbere bigaragaza icyizere cyo kwagura ikoreshwa rya VNS mu gihe kizaza.

Ni iki gikorerwa gushyiraho imbaraga z'umutsi wa vagus?

Uburyo bwa VNS bukubiyemo gushyiraho igikoresho gito gisa na gahunda y'isaha munsi y'uruhu mu gice cyo hejuru cy'igituza cyawe. Iyi operasiyo ikorerwa hanze y'ivuriro isanzwe ifata isaha imwe cyangwa ebyiri kandi ikorwa munsi ya anesthésie rusange na neurosurgeon cyangwa umuganga wihariye.

Mugihe cy'iyi operasiyo, umuganga wawe akora agace gato mu ijosi ryawe kugirango abone umutsi wa vagus. Hanyuma bazinga insinga ntoya ifite electrodes ikikije uyu mutsi hanyuma bakanyuzamo iyi nsinga munsi y'uruhu rwawe kugirango bayihuze na pulse generator iri mu gituza cyawe. Ibice bifungwa hamwe n'imitsi isenyuka.

Ibi nibyo bibaho mugihe cyo kubaga:

1. Uzakira anesthésie rusange kugirango wemeze ko wumva umeze neza
2. Umuganga akora agace ka santimetero 5-7 mu ijosi ryawe n'agace gato mu gituza cyawe
3. Umutsi wa vagus uramenyekana neza kandi electrode izingwa ikikije
4. Insinga iranyuzwa munsi y'uruhu rwawe kugirango ihuzwe na pulse generator
5. Igikoresho kigeragerezwa kugirango hemeze imikorere myiza
6. Ibice birafungwa hanyuma ujyanwa mu gihe cyo koroherwa

Abantu benshi bataha uwo munsi cyangwa nyuma yo kumara ijoro rimwe. Icyuma gikoreshwa mu byumweru 2-4 nyuma yo kubagwa kugira ngo bikore neza.

Uburyo bwo kwitegura kubagwa umutsi wa vagus?

Kwitegura kubagwa VNS bikubiyemo intambwe nyinshi kugira ngo umutekano wawe ugirweho kandi ibisubizo bibe byiza. Itsinda ryawe ry'abaganga rizagufasha mu cyiciro cyose cyo kwitegura kandi risubize ibibazo byose ushobora kugira.

Mbere yo kubagwa, uzakenera guhagarika imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso. Muganga wawe azatanga urutonde rwihariye, ariko imiti isanzwe yo kwirinda harimo aspirine, ibuprofene, n'imiti ituma amaraso ataguma. Ntukahagarike imiti iyo ari yo yose utabanje kubisuzuma n'ikipe yawe y'ubuzima.

Dore intambwe zingenzi zo kwitegura uzakenera gukurikiza:

• Kuzuza ibizamini by'amaraso mbere yo kubagwa ndetse n'ibishoboka bya EKG cyangwa X-ray y'igituza
• Kwanga kurya cyangwa kunywa ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro mbere yo kubagwa
• Gutegura umuntu wo kukujyana mu rugo nyuma y'igikorwa
• Kwambara imyenda yoroshye, yagutse ifungwa imbere
• Kuvana imyenda yose y'agaciro, polish y'inzara, na makeup mbere yo kugera
• Kuzana urutonde rw'imiti yose ukoresha ubu n'ingano zayo

Umuvuzi wawe azanaganira nawe ibyago n'inyungu kandi abone uburenganzira bwawe bwamenyeshejwe. Iki ni igihe cyiza cyo kubaza ibibazo byanyuma bijyanye n'igikorwa cyangwa inzira yo gukira.

Uburyo bwo gusoma ibisubizo byawe byo gushishikariza umutsi wa vagus?

Ibisubizo bya VNS bipimwa mu buryo butandukanye n'ibizamini bisanzwe by'ubuvuzi kuko ubu buvuzi bukora buhoro buhoro uko igihe kigenda. Muganga wawe azakurikirana iterambere ryawe akoresheje ibitabo byo gufata ibyemezo, isuzuma ry'amarangamutima, n'ibibazo by'ubuzima bwawe aho gukoresha agaciro ka laboratori.

Ku bijyanye na epilepsi, intsinzi isanzwe isobanurwa nk'igabanuka rya 50% cyangwa rirenze mu mikorere y'ibitero ugereranije n'igihe mbere yo kuvurwa. Ariko, ndetse no kugabanuka guto bishobora kuba bifite icyo bisobanura niba bigabanya ubuzima bwawe bwa buri munsi. Abantu bamwe kandi bahura n'ibitero bigufi, bitari bikomeye cyane n'ubwo umubare wabyo utahinduka cyane.

Uburyo bwo gukira indwara yo kwiheba bupimwa hakoreshejwe ingero zisanzwe zikoreshwa mu gupima zikareba imyumvire, urwego rw'imbaraga, uburyo bwo gusinzira, n'imikorere yose muri rusange. Muganga wawe ashobora gukoresha ibikoresho nk'urugero rwa Hamilton rwo gupima indwara yo kwiheba cyangwa Beck Depression Inventory kugira ngo akurikirane impinduka uko igihe kigenda gihita.

Ni ngombwa gusobanukirwa ko inyungu za VNS zigaragazwa buhoro buhoro, akenshi bifata amezi 12-24 kugira ngo zigere ku mikorere yuzuye. Iyi mikorere igenda itera imbere buhoro bisobanura ko uzakenera gahunda zisanzwe zo gukurikiranwa kugira ngo ukurikirane iterambere ryawe kandi uhindure imikorere y'ibikoresho uko bikwiye.

Ni gute wakongerera umusaruro wawe wo gushishikariza imitsi y'ubwonko?

Kongerera umusaruro wa VNS bikubiyemo gukorana bya hafi n'ikipe yawe y'ubuvuzi kugira ngo utunganye imikorere y'ibikoresho kandi ugumane imyitwarire myiza y'ubuzima. Igikoresho gishobora guhindurwa mu buryo butagira ingaruka hakoreshejwe umugozi wo gutunganya ibintu mu gihe cyo gusura ibitaro.

Muganga wawe azagenda yongera imbaraga zo gushishikariza mu gihe cy'amezi menshi kugira ngo abone imikorere ikwiriye y'uburwayi bwawe. Ubu buryo bwitwa titration, kandi bufasha kugabanya ingaruka mbi mu gihe cyongera inyungu. Abantu benshi bakeneye gahunda 3-6 zo gutunganya ibintu mu mwaka wa mbere.

Usibye guhindura ibikoresho, ibintu bimwe na bimwe by'ubuzima bishobora kongerera imikorere ya VNS:

• Guma ku ngengabihe yo gusinzira kandi ugere ku masaha 7-9 buri joro
• Komeza gufata imiti wandikiwe nk'uko byategetswe na muganga wawe
• Kora uburyo bwo kugabanya umunabi nko gutekereza cyangwa guhumeka cyane
• Kora imyitozo buri gihe ukurikije ubushobozi bwawe bwo mu mubiri
• Irinde inzoga n'ibiyobyabwenge bishobora kubangamira imiti
• Andika neza ibimenyetso byose kugira ngo bifashe muganga wawe gukurikirana iterambere

Wibuke ko VNS ikoreshwa cyane hamwe n'izindi miti, atari nk'ikiyisimbura. Muganga wawe ashobora kugusaba gukomeza imiti, ubuvuzi, cyangwa izindi nzego kugira ngo wongere imikorere yawe yose.

Ni ayahe masetingi meza yo gushishikariza imitsi ya vagus?

Amaseti meza ya VNS ni ayo ku giti cyawe kuko buri wese mu mutsi we usubiza mu buryo butandukanye ku gushishikarizwa. Muganga wawe azakorana nawe kugira ngo abone uruvange rwiza rw'imbaraga zo gushishikariza, inshuro, n'igihe bitanga inyungu nyinshi hamwe n'ingaruka nke.

Amaseti asanzwe atangira arimo gushishikariza ku gipimo gito gitangwa mu gihe cy'amasegonda 30 buri minota 5. Mu mezi make, muganga wawe ashobora kuzamura buhoro imbaraga no guhindura igihe ukurikije uko ubyitwaramo n'ingaruka zose ubona.

Uburyo bwo gutegura burimo ibipimo byinshi byingenzi muganga wawe azahindura:

• Umurongo w'umusaruro (upimwa muri miliampere) - ugenzura imbaraga zo gushishikariza
• Ubugari bw'umutima (bupimwa muri mikrosegonda) - bigira ingaruka ku gihe buri mutima umara
• Inshuro (zipimwa muri Hz) - igenzura imitsi ingahe ku isegonda
• Igihe cyo gukora - igihe gishishikariza kimara muri buri cyiciro
• Igihe cyo kuruhuka - igihe cyo kuruhuka hagati y'ibice byo gushishikariza

Kubona amasetingi yawe meza ni uburyo buhoro bukeneye kwihangana no kuvugana neza n'ikipe yawe y'ubuvuzi. Abantu benshi bageraho ibisubizo byabo byiza nyuma y'amezi 6-12 yo guhindura neza.

Ni ibihe bintu bishobora gutera ingorane ziterwa no gushyiraho imitsi ya vagus?

VNS muri rusange ifatwa nk'igikorwa cyiza, ariko nk'uko bimeze ku bindi bikorwa byo kubaga, bifite ibibazo bishobora guterwa n'ubuzima bwawe muri rusange n'amateka yawe y'ubuvuzi. Kumva ibyo bintu bishobora gutera ingorane bifasha gufata icyemezo cyiza ku bijyanye n'ubuvuzi.

Ibibazo biterwa no kubaga birimo ibintu bigira ingaruka ku gukira cyangwa bikongera ibyago byo kuva amaraso. Abantu barwaye diyabete, indwara z'umutima, cyangwa abafite uburwayi bw'umubiri butuma badakira neza bashobora guhura n'ibyago byinshi byo kwandura cyangwa gukira nabi. Kuba ushaje ntibisobanura ko utemerewe kubagwa, ariko bishobora gutinda gukira.

Dore ibintu by'ingenzi bishobora kongera amahirwe yo guhura n'ingorane:

• Amateka yo kubagwa mu ijosi cyangwa kuvurwa n'imirasire mu gice cy'ijosi
• Indwara zo gupfuka kw'amaraso cyangwa gukoresha imiti ituma amaraso atavura vuba
• Indwara zikomeye z'ibihaha cyangwa ibibazo byo guhumeka
• Udukoko dukora mu mubiri hose
• Ibibazo bikomeye by'umutima
• Uko byahoze bimeze mu gihe cyo kwivurisha imiti y'ububabare cyangwa ibikoresho byo kubaga

Umuganga wawe azasuzuma neza ibyo bintu mbere yo kubagwa. Ibibazo byinshi bishobora gukemurwa no kwitegura neza no gukurikiranwa, bityo kubigira ntibigutera guhagarikwa mu kuvurwa na VNS.

Ni byiza gushyiraho imitsi ya vagus ku rugero rwo hejuru cyangwa ruto?

Urugero "rwiza" rwo gushyiraho imitsi ya vagus ntirureba urugero rwo hejuru cyangwa ruto, ahubwo ni ukubona urugero rwiza rwo gukoresha ku buzima bwawe bwihariye no kwihanganira. Abantu benshi bungukirwa n'urugero rwo hagati rwo gushyiraho imitsi itanga ingaruka zivura itateje ibibazo bitari byiza.

Gutangira n'urugero ruto rwo gushyiraho imitsi bituma umubiri wawe wimenyereza buhoro buhoro ibyo wumva kandi bifasha kugabanya ibibazo by'ibanze nk'imihindagurikire y'ijwi cyangwa kutumva neza mu muhogo. Muganga wawe azongera buhoro buhoro urugero mu mezi make bitewe n'uko wabyitwayemo n'uko ibimenyetso byawe bigenda bikira.

Uburyo bwo gushishikariza ntibugomba kuba bwiza kuko bushobora gutera ingaruka nyinshi zitagira akamaro. Intego ni ukubona uburyo bukwiriye bwo kuvura - urugero ruto rwiza rutanga imiti ifatika.

Abantu bamwe basaba uburyo bwo hejuru kugira ngo bagere ku ngaruka nziza, mu gihe abandi basubiza neza ku rwego ruto. Muganga wawe azakurikiza neza iterambere ryawe kandi ahindure uburyo bushingiye ku buryo umubiri wawe witwara n'ingaruka zose ubona.

Ni izihe ngorane zishobora guterwa no gushishikariza imitsi ya vagus?

Ingorane za VNS muri rusange ni gake kandi akenshi zirashoboka, ariko ni ngombwa gusobanukirwa icyo gishobora kubaho kugira ngo ushobore gufata icyemezo cyo kuvura. Ingorane nyinshi ni nto kandi zikemura zonyine cyangwa zihindura uburyo bwo gukoresha ibikoresho.

Ingaruka zikunze kugaragara zijyanye no gushishikariza ubwabyo kandi akenshi ziragenda zikemuka umubiri wawe umaze kumenyera ubuvuzi. Ibi birimo guhinduka kw'ijwi ry'agateganyo, kutumva neza mu muhogo, cyangwa gukorora mugihe cyo gushishikariza. Abantu bagera kuri 1-2% bahura n'izi ngaruka igihe kirekire.

Hano hari ingorane zishobora guterwa zateguwe hakurikijwe uburyo zikunda kubaho:

Ingorane zisanzwe (zigira ingaruka ku bantu bagera kuri 10%) zirimo:

• Ijwi ry'ubuhumyi cyangwa impinduka mugihe cyo gushishikariza
• Urubavu rw'umuhogo cyangwa kutumva neza
• Gukorora cyangwa gusukura umuhogo
• Urubavu rw'ijosi cyangwa gukakara
• Umutwe
• Kugorana kumeza mugihe cyo gushishikariza

Ingorane zitamenyerewe ariko zikomeye (zigira ingaruka ku bantu 1-5%) zirimo:

• Udukoko ahantu habagiriwe
• Ibyuma bidakora neza bisaba gusimburwa
• Kumeneka cyangwa kwimurwa kw'insinga
• Impinduka z'ijwi zihoraho
• Kugorana guhumeka mugihe cyo gushishikariza
• Umunaniro w'isura cyangwa kumanuka

Ingorane zidakunze kubaho ariko zikomeye (zigira ingaruka ku bantu batarenze 1%) zirimo:

• Ubumuga buhoraho bw'imitsi ivuga
• Ingorane zikomeye zo guhumeka
• Impinduka mu mutima
• Uburwayi bukomeye bwo kwivumbura ku bintu
• Ukwangirika kw'imitsi kure y'umutsi wa vagus

Ingorane nyinshi zishobora gukemurwa no guhindura imiterere y'ibikoresho, gufata imiti, cyangwa mu bihe bidasanzwe, gukuraho igikoresho. Itsinda ryawe ry'abaganga rizagukurikiranira hafi kandi rikore ku bibazo byose vuba.

Ni ryari nkwiriye kubona umuganga ku byerekeye impungenge zo guhumeka?

Ugomba guhita uvugana n'umuganga wawe niba ubonye impinduka zikomeye cyangwa zitunguranye nyuma yo gushyirwaho VNS. Nubwo ingaruka nyinshi ziba zoroheje kandi zitezwe, ibimenyetso bimwe na bimwe bisaba ubufasha bwihutirwa kugira ngo umutekano wawe wizerwe.

Ibihe by'ubutabazi bisaba ubufasha bwihutirwa bw'ubuvuzi birimo ingorane zikomeye zo guhumeka, kuribwa mu gituza, ibimenyetso byo kwandura nko gushyuha umubiri no kuva amaraso mu gikomere, cyangwa impinduka zitunguranye mu ijwi ryawe zitagira icyo zikora iyo guhumeka guhagaritswe.

Vugana n'umuganga wawe ako kanya niba ubona:

• Ingorane zo guhumeka cyangwa guhumeka bigufi, cyane cyane mugihe guhumeka kuriho
• Kuribwa mu gituza cyangwa umutima utera nabi
• Ibimenyetso byo kwandura birimo gushyuha umubiri, gutukura, gushyuha, cyangwa kuva amaraso ahantu habagiriweho ibibazo
• Uburibwe bukomeye bw'ijosi cyangwa gukomera
• Ingorane zihoraho zo kumira
• Udukorwa dushya cyangwa turushaho kuba bibi bisa nkaho bitandukanye n'uko byari bimeze mbere

Ugomba kandi guteganya gahunda yo gukurikiranwa niba ubona impinduka zigenda zigenda mu bimenyetso byawe cyangwa ingaruka ziterwa n'ibyo ukora. Impungenge zitihutirwa zisaba gusura umuganga zirimo impinduka zihoraho mu ijwi, kongera kutumva neza mu muhogo, cyangwa ibibazo bijyanye n'imikorere y'igikoresho.

Wibuke ko itsinda ryawe ry'ubuzima rihari kugira ngo rigushyigikire mu rugendo rwawe rwa VNS. Ntukazuyaze kuvugana n'ibibazo cyangwa impungenge, niyo byasa nkaho bito. Kuvugana hakiri kare akenshi birinda ibibazo bito kuba binini.

Ibibazo bikunze kubazwa ku birebana no gufasha imitsi ya vagus

Q1: Ese gufasha imitsi ya vagus bifitiye akamaro abarwayi bafite impungenge?

VNS yerekana ko ifitiye akamaro mu kuvura impungenge, nubwo itarashyirwaho n’ikigo gishinzwe ibiribwa n’imiti muri Amerika (FDA) ku buryo bwihariye ku ndwara z’impungenge. Abantu benshi barwaye umubabaro udakira bakoresha VNS bavuga ko bagira impinduka nziza ku bimenyetso by’impungenge zabo, ibyo bituma bigaragara ko imitsi ya vagus igira uruhare runini mu kugenzura uburyo umubiri wawe witwara mu gihe cy’umunaniro.

Igeragezwa ryo gukoresha VNS mu buvuzi ririmo gukorwa kuri ubu ku ndwara zitandukanye z’impungenge zirimo indwara rusange y’impungenge n’indwara yo guhungabana nyuma y’ihungabana. Ibipimo bya mbere byerekana ko ubu buvuzi bushobora gufasha kugabanya ibimenyetso by’impungenge binyuze mu guteza imbere imibanire myiza hagati y’ubwonko bwawe n’inzira z’umubiri wawe zishinzwe kuruhuka.

Q2: Ese gufasha imitsi ya vagus bitera kongera ibiro?

VNS mubisanzwe ntibitera kongera ibiro cyane, kandi abantu bamwe baranatakaza ibiro. Imitsi ya vagus ifasha mu kugenzura igogora n’irari ryo kurya, bityo gufasha iyi mitsi bishobora kugira ingaruka kuri izi nshingano mu buryo ubwo aribwo bwose bitewe n’uburyo umuntu abyakira.

Niba ubonye impinduka ku biro byawe nyuma yo gushyirwaho kwa VNS, birashoboka cyane ko bifitanye isano no kuvura indwara yawe aho kuba gufashwa kw’iyi mitsi ubwayo. Urugero, abantu barwaye umubabaro ukira bashobora kugira irari ryo kurya ryiyongera n’imbaraga, bishobora gutuma bongera ibiro uko bakira.

Q3: Ese nshobora gukoresha MRI mfite igikoresho gifasha imitsi ya vagus?

Yego, ushobora gukoresha MRI ufite igikoresho cya VNS, ariko ni ngombwa kwitonda by’umwihariko. VNS yawe igomba kuzimwa mbere ya MRI kandi ishobora kongera kuzimwa nyuma yayo. Ibisabwa byihariye byo gukoresha MRI bitewe n’icyitegererezo cy’igikoresho cyawe n’igihe cyashyiriweho.

Buri gihe menyesha umuhanga wawe wa MRI n’umuganga w’indwara z’ubwonko ku bijyanye n’igikoresho cyawe cya VNS mbere yo gukora isesengura iryo ariryo ryose. Bazakorana n’umuganga w’indwara z’ubwonko kugira ngo barebe neza ko igikoresho gikoreshwa neza kandi ko MRI ikorwa mu buryo butekanye.

Q4: Batterie ya vagus nerve stimulator imara imara gute?

Batterie ya VNS ikunda kumara imyaka 5-10, bitewe n'uko utegura imikorere yawe n'uburyo ukoresha ibindi bintu nk'imbaraga. Uburyo bwo gushishikariza burenzeho no gukoresha kenshi bizatuma batterie ishiramo vuba.

Iyo batterie igiye gushira, uzakenera uburyo bworoshye bwo gusimbuza pulse generator. Iyi operasiyo irihuta cyane kuruta iyashyizweho bwa mbere kuko insinga ikunda kutagomba gusimburwa, ahubwo ikurwaho igashyirwa ku gikoresho gishya.

Q5: Gushishikariza vagus nerve bifasha mu kurwanya ububabare burambye?

VNS irimo kwigwaho kubera uburwayi butandukanye burambye, hamwe n'ibisubizo byiza bya mbere. Vagus nerve igira uruhare mu kumva ububabare no kubyimbirwa, bityo gushishikariza bishobora gufasha kugabanya ubukana bw'ububabare n'uburyo umubiri wabyimbirwa.

Ubushakashatsi buriho bwibanda ku ndwara nka fibromyalgia, rheumatoid arthritis, na migraine. Nubwo izi nyandiko zitaremerwa na FDA, abantu bamwe bavuga ko ububabare bugabanuka nk'inyungu ya kabiri iyo bakira VNS kubera indwara zemewe nka epilepsi cyangwa depression.