Yini i-Deep Brain Stimulation? Inhloso, Inqubo & Nemiphumela

I-Deep brain stimulation (DBS) ukwelashwa ngokuhlinzwa okusebenzisa ama-electrode amancane ukuthumela ama-pulse kagesi ezindaweni ezithile zobuchopho bakho. Cabanga ngayo njenge-pacemaker yobuchopho esiza ukulawula amasignali obuchopho angajwayelekile abangela izifo zokunyakaza nezinye izimo ze-neurological.

Lokhu kwelashwa okuvunywe yi-FDA kuye kwasiza izinkulungwane zabantu ukuthi babuyisele ukulawula izimpawu ezingakwazanga ukulawulwa yimithi yodwa. Noma kuzwakala kuyinkimbinkimbi, i-DBS yenziwe ngokuphepha iminyaka engaphezu kwamashumi amabili futhi iyaqhubeka nokunikeza ithemba kulabo abaphila nezimo ezinzima ze-neurological.

Yini i-Deep Brain Stimulation?

I-Deep brain stimulation isebenza ngokuletha ama-impulse kagesi alawulwayo ezindaweni zobuchopho ezihlosiwe ngama-electrode afakwe ngokuhlinzwa. Lawa ma-pulse athambile asiza ukujwayela umsebenzi wobuchopho ongajwayelekile obangela izimpawu ezinjengokuthuthumela, ukuqina, nokunyakaza okungazelelwe.

Lolu hlelo luqukethe izingxenye ezintathu eziyinhloko: izintambo ezincane zama-electrode ezibekwe ebuchosheni bakho, intambo yokwelula egijima ngaphansi kwesikhumba sakho, kanye nedivayisi encane esebenza ngebhethri (efana ne-pacemaker) efakwe esifubeni sakho. Idivayisi ingahlelwa futhi ilungiswe ithimba lakho lezokwelapha ukuze linikeze ukulawulwa okungcono kakhulu kwezimpawu.

Ngokungafani nokunye ukuhlinzwa kobuchopho okubhubhisa izicubu, i-DBS iyaguquleka futhi iyalungiseka. Udokotela wakho angashintsha izilungiselelo zokuvuselela noma acime idivayisi uma kudingeka, okwenza kube yindlela yokwelapha eguquguqukayo.

Kungani Kwenziwa I-Deep Brain Stimulation?

I-DBS isetshenziswa ikakhulukazi lapho imithi ingasanikezi ukulawulwa okwanele kwezimpawu noma ibangela imiphumela emibi. Ivame ukunconywa kubantu abane-Parkinson's disease, ukuthuthumela okubalulekile, kanye ne-dystonia abaqhubeka nokuzwa izimpawu ezibalulekile naphezu kokwelashwa okungcono kakhulu kwezokwelapha.

Udktela wakho angase acabangele i-DBS uma uhlangabezana nokuguquguquka kwemoto ngesifo sikaParkinson, lapho izimpawu zakho zihluka kakhulu usuku lonke. Kungasiza futhi ukunciphisa inani lemithi oyidingayo, okungenzeka ukuthi kunciphisa imiphumela emibi efana nokunyakaza okungahleliwe noma izinguquko zokuqonda.

Ngaphandle kwezinkinga zokunyakaza, i-DBS ifundelwa ezinye izimo ezihlanganisa ukucindezeleka okungamelani nokwelashwa, ukuphazamiseka okucindezelayo, kanye nezinhlobo ezithile zokuwa. Kodwa-ke, lezi zicelo zisaqashelwa njengezivivinyo futhi azitholakali kabanzi.

Izimo Ezivamile Eziphathwa nge-DBS

Ake ngikuhambise ngezimo eziyinhloko lapho i-DBS ibonise khona izinzuzo ezinkulu, ukuze uqonde ukuthi ngabe lokhu kwelashwa kungase kuhambisane nesimo sakho.

• Isifo sikaParkinson: Kusiza ukulawula ukuthuthumela, ukuqina, ukunensa kokunyakaza, nezinkinga zokuhamba
• Ukuthuthumela Okubalulekile: Kunciphisa ukuthuthumela okungalawuleki ezandleni, ekhanda, noma ezwini
• I-Dystonia: Kunciphisa ukuncipha kwemisipha okungahleliwe kanye nezimo ezingavamile
• Ukucindezeleka Okungamelani Nokwelashwa: Kungasiza uma ezinye izindlela zokwelapha zingasebenzi (kusavivinywa)
• Ukuphazamiseka Okucindezelayo: Kunganciphisa izimpawu ezinzima, ezingamelani nemithi

Isimo ngasinye siqondisa izindawo zobuchopho ezihlukene, futhi udokotela wakho wezinzwa uzonquma ukuthi i-DBS ifanele yini ngokuya ngezimpawu zakho ezithile nomlando wezokwelapha.

Yini Inqubo Yokuvuselela Ubuchopho Obujulile?

Inqubo ye-DBS ngokuvamile yenzeka ngezigaba ezimbili, ngokuvamile ngemva kwamasonto ambalwa. Le ndlela ivumela ithimba lakho lokuhlinza ukuthi liqinisekise ukubekwa okunembile kwe-electrode futhi ikunike isikhathi sokululama phakathi kwezinqubo.

Ngesikhathi sokuhlinzwa kokuqala, udokotela wakho ohlinzayo wezinzwa ufaka ama-electrode amancane ezindaweni ezithile zobuchopho esebenzisa izithombe eziphambili. Cishe uzobe uvukile ngalesi sikhathi ukuze odokotela bakwazi ukuhlola ama-electrode futhi baqinisekise ukuthi asebenza kahle ngaphandle kokuthinta inkulumo yakho noma ukunyakaza.

Ukuhlinzwa kwesibili kuhilela ukufaka i-pulse generator (iphakethe lebhethri) ngaphansi kwe-collarbone yakho bese ukuxhuma kuma-electrode obuchopho ngocingo lokwelula. Le ngxenye yenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho-ke uzobe ulele ngokuphelele.

Inqubo Yesinyathelo Ngesinyathelo

Ukuqonda ukuthi kwenzekani ngesikhathi sokuhlinzwa kwakho kwe-DBS kungasiza ukunciphisa noma yikuphi ukukhathazeka ongase ube nakho mayelana nenqubo.

1. Ukuhlela Ngaphambi Kokuhlinzwa: Ithimba lakho lisebenzisa i-MRI kanye ne-CT scans ukwenza imephu yobuchopho bakho futhi libone izindawo eziqondile okufanele zihloswe
2. Ukubekwa Kwefreyimu: Ifreyimu engasindi inamathiselwe ekhanda lakho ukuze iligcine linganyakazi kahle ngesikhathi sokuhlinzwa
3. Ukufakwa Kwe-Electrode: Kusetshenziswa izithombe zesikhathi sangempela, odokotela abahlinzayo baqondisa ama-electrode amancane ezindaweni zobuchopho okufanele zihloswe
4. Isigaba Sokuhlola: Ama-electrode ahlolwa ngenkathi uvukile ukuze kuqinisekiswe ukubekwa nokusebenza kahle
5. Ukufakwa Kwe-Generator: I-pulse generator ibekwa ngaphansi kwesikhumba sakho eduze kwe-collarbone yakho
6. Ukuxhumeka Kwesistimu: Izintambo zokwelula zixhuma ama-electrode obuchopho ku-pulse generator

Inqubo yonke ngokuvamile ithatha amahora angu-4-6, nakuba lokhu kungahluka kuye ngecala lakho elithile nokuthi zingaki izindawo zobuchopho okudingeka zihloswe.

Ungalungela Kanjani Ukukhuthazwa Kobuchopho Obujulile?

Ukulungiselela ukuhlinzwa kwe-DBS kuhilela izinyathelo eziningana ezibalulekile ukuze kuqinisekiswe umphumela ongcono kakhulu. Ithimba lakho lezokwelapha lizokuqondisa kuzo zonke izidingo, kodwa ukwazi ukuthi yini ongayilindela kungakusiza uzizwe uqiniseka futhi ulungile.

Kuzodingeka ukuthi uyeke imithi ethile ngaphambi kokuhlinzwa, ikakhulukazi imithi yokunciphisa igazi engandisa ingozi yokopha. Udokotela wakho uzokunikeza uhlu oluqondile lokuthi uyeke nini futhi uqale kabusha le mithi ngokuphepha.

Ebusuku ngaphambi kokuhlinzwa, ngokuvamile kuzodingeka ukuthi uyeke ukudla nokuphuza ngemuva kwamabili. Lesi sikhathi sokuzila ukudla sibalulekile ekuphepheni kwakho ngesikhathi senqubo, ikakhulukazi uma i-anesthesia ejwayelekile idingeka engxenyeni yokuhlinzwa.

Izidingo Zangaphambi Kokuhlinzwa

Ithimba lakho lezempilo lizokunikeza imiyalelo enemininingwane, kodwa nazi izinyathelo ezibalulekile zokulungiselela ongazilindela.

• Ukulungiswa Kwemithi: Yeka imithi yokunciphisa igazi neminye imithi ethile njengoba uqondisiwe
• Izifundo Zokuthwebula: Qedela i-MRI kanye ne-CT scan ukusiza ukuhlela ukubekwa kwe-electrode
• Imvume Yezokwelapha: Thola imvume kudokotela wakho oyinhloko kanye nanoma yiziphi izazi
• Ukuzila Ukudla: Yeka ukudla nokuphuza ngemuva kwamabili ngaphambi kokuhlinzwa
• Ukulungiswa Kwezinwele: Ikhanda lakho lingase lisheshwe kancane ekamelweni lokuhlinzela
• Izinto Zokunethezeka: Letha izingubo ezikhululekile, ezinethezekile kanye nanoma yiziphi izinto zomuntu siqu zokuhlala esibhedlela sakho

Abantu abaningi bahlala esibhedlela izinsuku eziyi-1-2 ngemuva kokuhlinzwa, ngakho-ke hlela ngokufanele futhi uhlele ukuthi othile akuqhubele ekhaya futhi akusize ngesikhathi sokululama kwakho kokuqala.

Ungazifunda Kanjani Imiphumela Yakho Yokuvuselelwa Kobuchopho Okujulile?

Ngokungafani nokuhlolwa kwegazi noma izifundo zokuthwebula, imiphumela ye-DBS ilinganiswa ngokuthi izimpawu zakho zithuthuka kangakanani kunamanani noma amanani athile. Impumelelo yakho ihlolwa ngezilinganiso zezimpawu, ukuncishiswa kwemithi, kanye nekhwalithi yakho yempilo iyonke.

Abantu abaningi baqala ukuqaphela ukuthuthuka phakathi namasonto ambalwa kuya ezinyangeni ngemuva kokuthi uhlelo luvulwe futhi luhlelwe kahle. Kodwa-ke, kungathatha izikhathi eziningana zokuhlela ukuthola izilungiselelo zakho ezinhle, ngakho ukubekezela kubalulekile ngalesi sikhathi sokulungisa.

Udokotela wakho wezinzwa uzosebenzisa amathuluzi okuhlola ajwayelekile ukulandela intuthuko yakho, njenge-Unified Parkinson's Disease Rating Scale (UPDRS) yeziguli ze-Parkinson noma izikali zokulinganisa ukuthuthumela kwabantu abane-essential tremor. Lokhu kusiza ukulinganisa ukuthuthuka okungenzeka ukuthi wena nomndeni wakho seniqaphela kakade.

Izimpawu Zokuphumelela Kokwelashwa Nge-DBS

Ukuqaphela izinguquko ezinhle kungakusiza wena nethimba lakho lezokwelapha ukuthi niqonde ukuthi ukwelashwa kusebenza kahle kangakanani kuwe.

• Ukuncipha Kokuthuthumela: Ukuthuthumela okuncane ezandleni zakho, ezingalweni, noma kwezinye izindawo ezithintekile
• Ukuthuthuka Kokunyakaza: Ukuxhumana okungcono, ukuhamba, nemisebenzi yansuku zonke
• Ukuqina Okunciphile: Ukuncipha kwemisipha eqinile nokunyakaza okulula
• Ukuncishiswa Kwemithi: Ikhono lokwehlisa imithamo yemithi elwa ne-Parkinson noma eminye imithi
• Ukuphila Okungcono: Ukwanda kokuzimela nokubamba iqhaza emisebenzini oyithandayo
• Ukuthuthuka Kwemizwa: Ukucindezeleka okuncane noma ukukhathazeka okuhlobene nezimpawu zakho

Khumbula ukuthi ukuthuthuka kuvame ukuba kancane kancane, futhi abanye abantu bangase badinge izinyanga eziningana zokulungisa ukuze bathole imiphumela yabo engcono kakhulu.

Ungawathuthukisa Kanjani Imiphumela Yakho Yokuvuselela Ubuchopho Obujulile?

Ukuze uthole inzuzo enkulu ku-DBS kudinga ukubambisana okuqhubekayo nethimba lakho lezokwelapha nokulungiswa kwendlela yokuphila ethile. Izilungiselelo zedivayisi zingalungiswa izikhathi eziningi ukuze kufezwa ukulawulwa okuhle kwezimpawu njengoba isimo sakho sithuthuka.

Ukuqokwa okuqhubekayo kubalulekile ekulungiseni izinhlelo nasekuhloleni intuthuko yakho. Udokotela wakho wezinzwa uzoqhubeka nokuguqula izindlela zokukhuthaza ngokuya ngezimpawu zakho nanoma yimaphi imiphumela engemihle ongase uyithole.

Ukuqhubeka nokwelashwa ngokomzimba, ukwelashwa komsebenzi, nokwelashwa kwenkulumo kungathuthukisa kakhulu imiphumela yakho ye-DBS. Lokhu kwelashwa kukusiza ukuthi usebenzise ngokugcwele ukusebenza kwakho okuthuthukisiwe kwezimoto futhi ugcine inzuzo yakho ngokuhamba kwesikhathi.

Amaqhinga Okuphila Ukuze Uphumelele Nge-DBS

Ngenkathi i-DBS yenza okuningi emsebenzini onzima wokuphatha izimpawu zakho, lezi zindlela ezengeziwe zingasiza ekwandiseni izinzuzo zakho zokwelashwa.

• Ukuzivocavoca njalo: Gcina umsebenzi womzimba ukuze usekele impilo yobuchopho nokusebenza kwezimoto
• Isheduli Yokulala Eqhubekayo: Hlela amahora angu-7-9 okulala okuhle ebusuku ngabunye
• Ukuphathwa Kwe-Stress: Prakthiza izindlela zokuphumula, njengoba ukucindezeleka kungenza izimpawu zibe zimbi kakhulu
• Ukuthobela Imithi: Thatha imithi esele njengoba kunqunywe ngqo
• Ukwenza i-Therapy: Qhubeka nokwelashwa ngokomzimba, umsebenzi, noma inkulumo njengoba kunconyiwe
• Ukuzibandakanya Komphakathi: Hlala uxhumene nomndeni nabangane ukuze usekele impilo yengqondo

Khumbula ukuthi i-DBS iyithuluzi lokusiza ukuphatha isimo sakho, hhayi ikhambi. Ukugcina imikhuba enempilo nokuhlala ubambe iqhaza nethimba lakho lokunakekela kuzokusiza ukuthi uzuze imiphumela engcono kakhulu.

Yiziphi Izici Zengozi Zezinkinga Zokukhuthaza Ubuchopho Obujulile?

Ngenkathi i-DBS ivikelekile ngokujwayelekile, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ukuqonda lezi zici eziyingozi kukusiza wena nethimba lakho lezokwelapha ukuthi nenze izinqumo ezinolwazi mayelana nokuthi le mithi ilungile yini kuwe.

Ubudala obuthuthukile abukususi ngokuzenzakalelayo ku-DBS, kodwa kungakhuphula izingozi zokuhlinzwa futhi kuthinte ukuphola. Isimo sakho sempilo esiphelele, okuhlanganisa ukusebenza kwenhliziyo namaphaphu, idlala indima ebaluleke kakhulu kuneminyaka yobudala yodwa ekunqumeni ukuthi ungakwazi yini ukuhlinzwa.

Abantu abanokukhubazeka okukhulu kokuqonda noma i-dementia kungenzeka bangabi ngabazongenela i-DBS, njengoba inqubo idinga ukubambisana ngesikhathi sokuhlinzwa kanye nekhono lokuxhumana mayelana nezimpawu nemiphumela emibi.

Izinto Ezingase Zikhuphule Ingozi Yokuhlinzwa

Ithimba lakho lezokwelapha lizohlola ngokucophelela lezi zinto ukuze linqume ukuthi i-DBS iphephile futhi ifanele isimo sakho.

• Ubudala Obuthuthukile: Ingozi enkulu yezinkinga zokuhlinzwa nokuphola okuhamba kancane
• Ukuphazamiseka Kokuqonda: Ubunzima bokubambisana ngesikhathi sokuhlinzwa noma ukubika izimpawu
• Izifo Ezinkulu Zezokwelapha: Isifo senhliziyo, izinkinga zamaphaphu, noma ezinye izimo zempilo ezinzima
• Izifo Zokujiya Kwegazi: Ingozi eyengeziwe yokopha noma ukwakheka kwamahlule
• Ukuhlinzwa Kwezinzwa Kwangaphambilini: Izicubu ezilimele zingase zibe nzima ukubeka i-electrode
• Ukucindezeleka Okukhulu: Kungase kube kubi ngemva kokuhlinzwa kwezinye izimo
• Ukulindela Okungokoqobo: Ukudumala uma imiphumela ingahambisani nokulindela

Ukuba nenye noma ngaphezulu yalezi zici eziyingozi akusho ngempela ukuthi awukwazi ukuba ne-DBS. Udokotela wakho ohlinzayo wezinzwa uzoqondanisa izinzuzo ezingaba khona nezingozi zesimo sakho esithile.

Ziyini Izinkinga Ezingaba Khona Zokuvuselelwa Kobuchopho Okujulile?

Njenganoma iyiphi inqubo yokuhlinzwa, i-DBS inezinye izingozi, nakuba izinkinga ezinzima zingavamile. Imiphumela emibi eminingi iyalawuleka futhi ingase ithuthuke njengoba izilungiselelo zedivayisi yakho zilungiswa ngokuhamba kwesikhathi.

Izinkinga zokuhlinzwa zingabandakanya ukopha, ukutheleleka, noma izinkinga zokuphola kwamanxeba. Lokhu kwenzeka ngesilinganiso esincane seziguli futhi kuvame ukwelapheka uma kwenzeka.

Izinkinga ezihlobene nedivayisi zingabandakanya ukungasebenzi kahle kwehadiwe, ukushoda kwebhethri, noma ukususwa kwethini. Ngenkathi lokhu kungase kukhathaze, okuningi kungalungiswa ngezindlela ezengeziwe noma ukulungiswa kwedivayisi.

Izinkinga Zesikhashana

Lezi zinkinga zingenzeka ngesikhathi noma ngemuva kokuhlinzwa kodwa ngokuvamile zitholakala ngokuqondisa ukunakekelwa kwezokwelapha okufanele.

• Ukuphuma kwegazi: Kwenzeka ku-1-2% weziguli, kungadinga ukuhlinzwa okwengeziwe
• Ukutheleleka: Ingozi yokutheleleka ezindaweni zokuhlinzwa, elashwa ngama-antibiotics
• Ukushaywa yisithuthwane: Kuyivelakancane kodwa kungenzeka ngesikhathi noma ngemuva kokubekwa kwe-electrode
• Ukudideka: Ukudideka kwesikhashana noma ukulahlekelwa yisikhombandlela ngemuva kokuhlinzwa
• Isifo sohlangothi: Kuyivelakancane kakhulu kodwa kuyinkinga enkulu ethinta ukusebenza kobuchopho
• Izinkinga zokuphefumula: Izinkinga zesikhashana ezihlobene ne-anesthesia noma ukubekwa

Ithimba lakho lokuhlinzwa likuqapha eduze lezi zinkinga futhi linesimiso sokuziphatha sokuziphatha ngokushesha uma kwenzeka.

Izinkinga Zesikhathi Eside

Lezi zinkinga zingase zivele ezinyangeni noma eminyakeni ngemuva kokuhlinzwa futhi zivame ukudinga ukuqhubeka nokuphathwa noma izinqubo ezengeziwe.

• Izinkinga ze-Hardware: Ukungasebenzi kahle kwedivayisi, ukuhluleka kwebhethri, noma ukuqhekeka kwentambo
• Ukuthutha kwe-Lead: Ama-electrode angase ashintshe isikhundla, athinte ukusebenza kahle
• Ukuqhekeka kwesikhumba: Izingxenye zedivayisi zingase zibonakale ngaphansi kwesikhumba
• Ushintsho lwenkulumo: Ukuthintana nobunzima bokukhuluma noma ukukhuluma okungaqondakali ngezilungiselelo ezithile
• Ushintsho lwemizwa: Ukucindezeleka noma ukukhathazeka, nakuba lokhu kungase kuthuthuke ngokulungiswa
• Imiphumela yokuqonda: Ushintsho oluncane ekucabangeni noma inkumbulo kwabanye iziguli

Eziningi zalezi zinkinga zingaxazululwa ngokuhlelwa kabusha kwedivayisi, ukuhlinzwa okwengeziwe, noma ezinye izindlela zokwelapha, ngakho kubalulekile ukugcina ukunakekelwa okuvamile kokulandela.

Kufanele ngibone nini udokotela mayelana ne-Deep Brain Stimulation?

Kufanele ucabangele ukuxoxa nge-DBS nodokotela wakho wezinzwa uma imithi yakho yamanje inganikezi ukulawulwa okwanele kwezimpawu noma idala imiphumela emibi ekhathazayo. Le ngxoxo ibaluleke kakhulu uma izimpawu zakho zithinta kakhulu impilo yakho yansuku zonke nenkululeko yakho.

Uma unesifo sikaParkinson futhi uhlangabezana nokuguquguquka kwemoto (izikhathi ezinhle nezimbi usuku lonke), i-DBS ingase ifanele ukuhlola. Ngokufanayo, uma une-essential tremor ephazamisa ukudla, ukubhala, noma eminye imisebenzi yansuku zonke naphezu kwemithi, sekuyisikhathi sokuba nale ngxoxo.

Ungalindi kuze kube yilapho izimpawu zakho zingalawuleki ngokuphelele. I-DBS ivame ukusebenza kahle kakhulu uma usenempendulo ethile emithini, ngakho ukucatshangelwa ngaphambili kungaholela emiphumeleni engcono.

Izimo eziphuthumayo ezidinga ukunakekelwa kwezokwelapha ngokushesha

Uma usuvele unohlelo lwe-DBS, lezi zimpawu zidinga ukuhlolwa kwezokwelapha okusheshayo ukuze kuqinisekiswe ukuphepha kwakho nokusebenza kwedivayisi.

• Ukuqina Kwezimpawu Ngokuzumayo: Ukuvela kabusha okukhulu kokuthuthumela, ukuqina, noma ezinye izimpawu
• Izimpawu Zokutheleleka: Umkhuhlane, ububomvu, ukuvuvukala, noma ukukhipha amanzi ezindaweni zedivayisi
• Ushintsho Olukhulu Emzweleni: Ukudangala okuzumayo, ukukhathazeka, noma imicabango yokuzilimaza
• Izinkinga Zokukhuluma Noma Zokugwinya: Ubunzima obusha bokukhuluma noma ukugwinya
• Ukwenziwa Kabi Kwedivayisi: Imizwa engavamile, imisindo, noma izinkinga zedivayisi ezibonakalayo
• Ushintsho Lwe-Neurological: Ubuthakathaka obusha, ukuba ndikindiki, noma ukudideka

Ukuba nohlelo lwe-DBS kusho ukuthi udinga ukunakekelwa kwezokwelapha okuqhubekayo nokuqapha, ngakho-ke unganqikazi ukuxhumana nethimba lakho lezokwelapha nganoma yikuphi ukukhathazeka noma imibuzo.

Imibuzo Evame Ukubuzwa Mayelana Nokukhuthazwa Kobuchopho Obujulile

Q1: Ingabe Ukukhuthazwa Kobuchopho Obujulile kuphephile ezigulini ezindala?

Ubudala bodwa abukukhiphi ekufanelekeni ku-DBS, kodwa isimo sakho sempilo esiphelele sibaluleke kakhulu kuneminyaka yakho. Abantu abaningi abaneminyaka yobudala engama-70 nama-80 banezinqubo ze-DBS eziphumelelayo uma benempilo futhi bengabazali abahle bokuhlinzwa.

Ithimba lakho lezokwelapha lizohlola ukusebenza kwenhliziyo yakho, umthamo wamaphaphu, isimo sokuqonda, kanye nekhono lokubekezelela ukuhlinzwa. Okubalulekile ukuba nethemba eliqotho nokuqonda ukuthi ukululama kungathatha isikhathi eside ngobudala obuqhubekayo.

Q2: Ingabe Ukukhuthazwa Kobuchopho Obujulile kuyelapha isifo sikaParkinson?

I-DBS akuyona ikhambi lesifo sikaParkinson, kodwa ingathuthukisa kakhulu izimpawu kanye nekhwalithi yempilo. Isiza ukulawula izimpawu zemoto njengokuthuthumela, ukuqina, nokuhamba kancane, ngokuvamile kuvumela abantu ukuthi banciphise imithamo yabo yemithi.

Inqubo yesifo esingaphansi iyaqhubeka, ngakho-ke uzodinga ukunakekelwa kwezokwelapha okuqhubekayo futhi ungase udinge ukulungiswa kwedivayisi ngokuhamba kwesikhathi. Kodwa-ke, abantu abaningi bathola ukuthuthuka okukhulu ekusebenzeni kwabo kwansuku zonke nasekuzimeleni.

Q3: Ngingakwazi yini ukuthatha izithombe ze-MRI ngedivayisi ye-DBS?

Izinhlelo eziningi zanamuhla ze-DBS ziyi-MRI-conditional, okusho ukuthi ungenza ama-MRI scans ngaphansi kwemibandela ethile kanye nemithetho yokuphepha. Kodwa-ke, akuzona zonke imishini ye-MRI nezinqubo ezihambisana namadivayisi e-DBS.

Njalo yazisa abahlinzeki bakho bezempilo ngohlelo lwakho lwe-DBS ngaphambi kwanoma yiziphi izinqubo zezokwelapha. Udokotela wakho wezinzwa angakunikeza imihlahlandlela ethile mayelana nokuphepha kwe-MRI futhi kungadingeka ukuthi alungise izilungiselelo zedivayisi yakho ngaphambi nangemva kokuskena.

Q4: Ibhethri le-DBS lihlala isikhathi esingakanani?

Ukuphila kwebhethri le-DBS kuvame ukusuka eminyakeni engu-3-7, kuye ngezilungiselelo zakho zokuvuselela kanye nohlobo lwedivayisi onayo. Amazinga aphezulu okuvuselela akhipha ibhethri ngokushesha, kuyilapho izilungiselelo eziphansi zinganweba impilo yebhethri.

Izinhlelo ezintsha ezigcwalisekayo zingahlala iminyaka engu-10-15 kodwa zidinga ukushaja njalo (ngokuvamile nsuku zonke). Ithimba lakho lezokwelapha lizogada amazinga ebhethri ngesikhathi sokuvakasha okulandelayo futhi lihlele ukuhlinzwa kokufaka esikhundleni uma kudingeka.

Q5: Ngingahamba yini nedivayisi ye-Deep Brain Stimulation?

Yebo, ungahamba nedivayisi ye-DBS, kodwa uzodinga ukuthatha izinyathelo zokuphepha. Izikena zokuphepha zesikhumulo sezindiza ngeke zilimaze idivayisi yakho, kodwa kufanele uphethe ikhadi lokuhlonza le-DBS futhi wazise abasebenzi bezokuphepha mayelana nokufakelwa kwakho.

Gwema ukuchayeka isikhathi eside kumathuluzi okuthola insimbi futhi ungangeni kuma-scanner omzimba esikhumulweni sezindiza. Izinkampani zezindiza eziningi zikuvumela ukuthi ucele izindlela zokuhlola ezingezinye. Kuphinde kube kuhle ukuletha amabhethri engeziwe kumhleli wakho kanye nolwazi lokuxhumana nethimba lakho lezokwelapha.