Kuyini Ukukhuthaza Umnotho We-Vagus? Inhloso, Inqubo & Imiphumela

Ukukhuthaza umnotho we-vagus (VNS) kuyindlela yokwelapha yezokwelapha esebenzisa ama-pulse kagesi amancane ukuze kusebenze umnotho wakho we-vagus, ofana nomgwaqo omkhulu wokuxhumana womzimba wakho phakathi kobuchopho bakho nezitho. Cabanga ngakho njenge-pacemaker yobuchopho bakho esiza ukulawula imizwa, ukuquleka, neminye imisebenzi ebalulekile. Lokhu kwelapha kusize izinkulungwane zabantu ukuthi baphathe izimo ezinjenge-epilepsy nokucindezeleka lapho ezinye izindlela zokwelapha zingasebenzi kahle.

Kuyini ukukhuthaza umnotho we-vagus?

Ukukhuthaza umnotho we-vagus kuyindlela yokwelapha ethumela amasignali kagesi amancane emnothweni wakho we-vagus ngedivayisi encane efakwe ngaphansi kwesikhumba sakho. Umnotho wakho we-vagus ungumnotho omude kakhulu emzimbeni wakho, oqala esiqwini sobuchopho bakho uye esiswini sakho njengomgwaqo omkhulu othwala imiyalezo phakathi kobuchopho bakho nezitho ezinkulu.

Ukwelapha kusebenza ngokuletha ama-impulse kagesi avamile, alawulwayo asiza ukuzinzisa umsebenzi wobuchopho ongajwayelekile. Lawa ma-pulse athambile kangangokuthi abantu abaningi abawazwa ngisho noma sebeqhelelene nedivayisi. Ukukhuthaza kwenzeka ngokuzenzakalelayo usuku lonke, ngokuvamile imizuzwana engama-30 njalo ngemizuzu embalwa.

I-VNS ivunyelwe yi-FDA kusukela ngo-1997 ukwelapha i-epilepsy futhi kusukela ngo-2005 ukwelapha ukucindezeleka okumelana nokwelashwa. Muva nje, odokotela bebelokhu behlola amandla ayo ezinye izimo ezinjengokukhathazeka, ubuhlungu obungapheli, ngisho nezifo ezivuthayo.

Kungani kwenziwa ukukhuthaza umnotho we-vagus?

I-VNS isetshenziswa ikakhulukazi lapho ukwelashwa okujwayelekile kungazange kunikeze ukukhululeka okwanele ezimweni ezinzima ze-neurological noma ze-psychiatric. Udokotela wakho angase ancome le ndlela yokwelapha uma uzamile imithi eminingi ngaphandle kwempumelelo noma uma uhlangabezana nemiphumela emibi ebalulekile evela kwezinye izindlela zokwelapha.

Isizathu esivame kakhulu se-VNS yisithuthwane esingasabeli kahle emithini yokulwa nokuthuthumela. Cishe ingxenye eyodwa kwezintathu yabantu abanesithuthwane baqhubeka nokuba nokuthuthumela ngaphandle kokuzama imithi ehlukahlukene. Kulaba bantu, i-VNS inganciphisa imvamisa yokuthuthumela ngamaphesenti angama-50% noma ngaphezulu ezimweni eziningi.

Ngokucindezeleka, i-VNS icatshangelwa uma uzamile ama-antidepressants amaningana kanye ne-psychotherapy ngaphandle kokufeza ukuxolelwa. Lolu hlobo lokucindezeleka lubizwa ngokuthi ukucindezeleka okumelana nokwelashwa, futhi kuthinta cishe ama-30% abantu abanokuphazamiseka okukhulu kokucindezeleka.

Abacwaningi nabo bafunda i-VNS kwezinye izimo ezihlanganisa ubuhlungu obungapheli, ama-migraines, isifo i-Alzheimer, kanye nokuphazamiseka kwe-autoimmune. Ngenkathi lezi zicelo zisacwaningwa, imiphumela yokuqala ibonisa isithembiso sokwandisa ukusetshenziswa kwe-VNS esikhathini esizayo.

Yini inqubo yokuvuselela imizwa ye-vagus?

Inqubo ye-VNS ihlanganisa ukufakelwa ngemva kokuhlinzwa kwedivayisi encane ngosayizi we-stopwatch ngaphansi kwesikhumba endaweni yakho engenhla yesifuba. Lokhu kuhlinzwa kwesiguli esiphuma ngaphandle kuvame ukuthatha amahora angu-1-2 futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile yi-neurosurgeon noma udokotela ohlinzayo oqeqeshwe ngokukhethekile.

Ngesikhathi senqubo, udokotela wakho ohlinzayo wenza ukusikeka okuncane entanyeni yakho ukuze athole imizwa ye-vagus. Bese begoqa ucingo oluncane olunamathambo kagesi oluzungeze imizwa bese benza umgudu walo ucingo ngaphansi kwesikhumba sakho ukuze baluxhume ku-pulse generator esifubeni sakho. Ukusikeka kuvalwa ngemithungo encibilikayo.

Nakhu okwenzekayo ngesikhathi senqubo yokuhlinzwa:

1. Uzothola i-anesthesia ejwayelekile ukuze uqinisekise ukuthi uzizwa ukhululekile ngokuphelele
2. Udokotela ohlinzayo wenza ukusikeka okungu-2-3 intshi entanyeni yakho kanye nokuncane esifubeni sakho
3. Imizwa ye-vagus iqashelwa ngokucophelela futhi i-electrode igoqwe ngayo
4. Ucingo lwenziwa umgudu ngaphansi kwesikhumba sakho ukuze luxhumeke ku-pulse generator
5. Idivayisi ihlolwa ukuze kuqinisekiswe ukusebenza kahle
6. Ukusikeka kuvalwa futhi uyiswa ekululameni

Abantu abaningi babuyela ekhaya ngosuku olufanayo noma ngemva kokuhlala ubusuku obubodwa. Le divayisi ivamise ukusebenza ngemva kwamasonto ama-2-4 ngemva kokuhlinzwa ukuvumela ukuphola okufanele.

Ungalungiselela kanjani inqubo yakho yokukhuthaza imizwa ye-vagus?

Ukulungiselela ukuhlinzwa kwe-VNS kuhilela izinyathelo eziningana zokuqinisekisa ukuphepha kwakho kanye nomphumela ongcono kakhulu. Ithimba lakho lezokwelapha lizokuqondisa kuzo zonke izigaba zokulungiselela futhi liphendule noma yimiphi imibuzo ongase ube nayo.

Ngaphambi kokuhlinzwa, uzodinga ukuyeka ukuthatha imithi ethile engandisa ingozi yokopha. Udokotela wakho uzohlinzeka ngohlu oluthile, kodwa imithi ejwayelekile okufanele igwenywe ihlanganisa i-aspirin, i-ibuprofen, kanye nezinciphisi zegazi. Ungayeki noma yimiphi imithi ngaphandle kokubheka kuqala nethimba lakho lezempilo.

Nazi izinyathelo ezibalulekile zokulungiselela okudingeka uzilandele:

• Qedela izivivinyo zegazi ngaphambi kokuhlinzwa futhi mhlawumbe i-EKG noma i-X-ray yesifuba
• Gwema ukudla noma ukuphuza noma yini ngemva kwamabili ngaphambi kokuhlinzwa kwakho
• Lungiselela othile ukuthi akuqhubele ekhaya ngemva kwale nqubo
• Gqoka izingubo ezikhululekile, ezikhululekile ezinamabhathini ngaphambili
• Susa yonke ubucwebe, i-nail polish, kanye nokwakheka ngaphambi kokufika
• Letha uhlu lwazo zonke izidakamizwa zakho zamanje kanye nemithamo

Udkt. wakho ohlinzayo uzophinde axoxe ngezingozi nezinzuzo nawe futhi athole imvume yakho enolwazi. Lesi yisikhathi esihle sokubuza noma yimiphi imibuzo yokugcina mayelana nenqubo noma inqubo yokululama.

Ungawafunda kanjani imiphumela yakho yokukhuthaza imizwa ye-vagus?

Imiphumela ye-VNS ilinganiswa ngendlela ehlukile kunezivivinyo ezijwayelekile zezokwelapha ngoba lokhu kwelashwa kusebenza kancane kancane ngokuhamba kwesikhathi. Udokotela wakho uzoqapha intuthuko yakho esebenzisa ama-diaries okuhlaselwa, ukuhlolwa kwemizwa, kanye nemibuzo yekhwalithi yempilo kunamanani elebhu.

Nge-epilepsy, impumelelo ngokuvamile ichazwa njengokuncipha okungama-50% noma ngaphezulu ekujwayelekeni kokuhlaselwa uma kuqhathaniswa nangaphambi kokwelashwa. Kodwa-ke, ngisho nokuncipha okuncane kungaba nencazelo uma kuthuthukisa impilo yakho yansuku zonke. Abanye abantu futhi baba nokuhlaselwa okufushane, okungabi namandla ngisho noma ukujwayeleka kungashintshi kakhulu.

Ukuthuthuka kokucindezeleka kukalwa kusetshenziswa izikali zokulinganisa ezijwayelekile ezihlola imizwa, amazinga wamandla, amaphethini okulala, nokusebenza okuphelele. Udokotela wakho angase asebenzise amathuluzi afana ne-Hamilton Depression Rating Scale noma i-Beck Depression Inventory ukuze alandelele izinguquko ngokuhamba kwesikhathi.

Kubalulekile ukuqonda ukuthi izinzuzo ze-VNS zithuthuka kancane, ngokuvamile kuthatha izinyanga eziyi-12-24 ukufinyelela ekusebenzeni ngokugcwele. Lokhu kuthuthuka kancane kusho ukuthi uzodinga ukuqokwa okulandelayo njalo ukuze uqaphe inqubekela phambili yakho futhi ulungise izilungiselelo zedivayisi njengoba kudingeka.

Ungawathuthukisa kanjani imiphumela yakho yokuvuselela imizwa ye-vagus?

Ukuthuthukisa imiphumela ye-VNS kuhilela ukusebenza eduze nethimba lakho lezempilo ukuze ulungise izilungiselelo zedivayisi futhi ugcine imikhuba yokuphila enempilo. Idivayisi ingalungiswa ngaphandle kokuhlasela kusetshenziswa induku yokuhlela ngesikhathi sokuvakasha ehhovisi.

Udokotela wakho uzokwandisa kancane kancane amandla okukhuthaza phakathi nezinyanga ezimbalwa ukuze athole izilungiselelo eziphumelela kakhulu esimweni sakho. Le nqubo ibizwa ngokuthi i-titration, futhi isiza ukunciphisa imiphumela emibi ngenkathi ikhulisa izinzuzo. Abantu abaningi badinga izikhathi zokuhlela eziyi-3-6 ngonyaka wokuqala.

Ngaphandle kokulungiswa kwedivayisi, izici ezithile zokuphila zingathuthukisa ukusebenza kwe-VNS:

• Gcina amashejuli okulala aqhubekayo futhi uhlose amahora angu-7-9 ebusuku
• Qhubeka nokuthatha imithi ebekiwe njengoba uqondiswe udokotela wakho
• Zijwayeze amasu okulawula ukucindezeleka njengokuzindla noma ukuphefumula okujulile
• Zivocavoce njalo ngaphakathi kwamakhono akho omzimba
• Gwema utshwala nezidakamizwa zokuzilibazisa ezingaphazamisa ukwelashwa
• Gcina ama-log wokugula anemininingwane ukusiza udokotela wakho ukuthi alandelele inqubekela phambili

Khumbula ukuthi i-VNS ivame ukusetshenziswa kanye nokunye ukwelashwa, hhayi njengendlela yokufaka esikhundleni. Udokotela wakho angase ancome ukuqhubeka nemithi, ukwelashwa, noma ezinye izindlela zokungenelela ukuze wandise ukuthuthuka kwakho konke.

Ziyini izilungiselelo ezinhle kakhulu zokuvuselela imizwa ye-vagus?

Izilungiselelo ezinhle kakhulu ze-VNS zenzelwe umuntu ngamunye ngoba wonke umuntu uhlelo lwakhe lwezinzwa lusabela ngendlela ehlukile ekukhuthazeni. Udokotela wakho uzosebenza nawe ukuthola inhlanganisela efanele yokuqina kokukhuthaza, imvamisa, nesikhathi esinikeza inzuzo enkulu ngemiphumela emincane.

Izilungiselelo zokuqala ezivamile zihlanganisa ukukhuthaza okunamandla aphansi okunikezwa imizuzwana engama-30 njalo ngemizuzu emi-5. Ngaphezu kwezinyanga eziningana, udokotela wakho angase andise kancane kancane amandla futhi alungise isikhathi ngokuya ngempendulo yakho nanoma yimiphumela emibi oyitholayo.

Inqubo yokuhlela ihlanganisa amapharamitha amaningana abalulekile okuthi udokotela wakho azowalungisa:

• Ukuphuma kwamanje (kulinganiswa ngama-milliamps) - kunquma amandla okukhuthaza
• Ububanzi be-Pulse (kulinganiswa ngama-microseconds) - kuthinta ukuthi i-pulse ngayinye ihlala isikhathi esingakanani
• Imvamisa (kulinganiswa nge-Hz) - ilawula ukuthi zingaki izinhlansi ngomzuzwana
• Isikhathi esivuliwe - ukuthi ukukhuthaza kuhlala isikhathi esingakanani ngesikhathi somjikelezo ngamunye
• Isikhathi esivaliwe - isikhathi sokuphumula phakathi kwemijikelezo yokukhuthaza

Ukuthola izilungiselelo zakho ezifanele kuyinqubo kancane kancane edinga ukubekezela nokuxhumana okuseduze nethimba lakho lezokwelapha. Abantu abaningi bathola imiphumela yabo engcono kakhulu ngemuva kwezinyanga eziyi-6-12 zokulungiswa ngokucophelela.

Ziyini izinto eziyingozi ezingabangela izinkinga zokukhuthazwa kwemizwa ye-vagus?

I-VNS ngokuvamile ithathwa njengephephile, kodwa njenganoma yiluphi uhlobo lokuhlinzwa, inezingozi ezithile ezihluka ngokuya ngempilo yakho yonke nomlando wezokwelapha. Ukuqonda lezi zinto eziyingozi kukusiza ukuthi wenze isinqumo esinolwazi mayelana nokwelashwa.

Izinto eziyingozi zokuhlinzwa zihlanganisa izimo ezithinta ukuphola noma zandise ingozi yokopha. Abantu abanesifo sikashukela, isifo senhliziyo, noma amasistimu omzimba angavikelekile kahle bangase babhekane nezingozi eziphakeme kancane zokutheleleka noma ukuphola okungahambi kahle kwamanxeba. Ubudala obuthuthukile akudingeki ukuthi bube yisithiyo, kodwa bunganciphisa ukululama.

Nazi izinto eziyingozi eziyinhloko ezingakhuphula amathuba akho okuba nezinkinga:

• Umlando wokuhlinzwa entanyeni noma ukwelashwa ngemisebe endaweni yentamo
• Izifo zokuqina kwegazi noma ukusetshenziswa kwamanje kwemithi yokunciphisa igazi
• Isifo esibi samaphaphu noma izinkinga zokuphefumula
• Ukutheleleka okusebenzayo noma yikuphi emzimbeni
• Ukuphazamiseka okukhulu kwesigqi senhliziyo
• Ukuphendula komzimba okwedlule emithini yokubulala izinzwa noma ezintweni zokuhlinzwa

Udkt. wakho ohlinzayo uzohlola ngokucophelela lezi zinto ngesikhathi sokuhlolwa kwakho ngaphambi kokuhlinzwa. Izinto eziningi eziyingozi zingalawulwa ngokulungiselela okufanele nokuqapha, ngakho ukuba nazo akukuqedi ngokuzenzakalelayo ekwelashweni kwe-VNS.

Ingabe kungcono ukuba nokukhuthazwa okuphezulu noma okuphansi kwemizwa ye-vagus?

Izinga elithi "elingcono kakhulu" lokukhuthazwa kwemizwa ye-vagus alihlobene nokuqina okuphezulu noma okuphansi, kodwa kunalokho ukuthola ibhalansi efanele yesimo sakho esithile nokubekezelela. Abantu abaningi bazuza emazingeni okuvuselela aphakathi nendawo anikeza imiphumela yokwelapha ngaphandle kokubangela imiphumela emibi engakhululeki.

Ukuqala ngokuqiniswa okuphansi kuvumela umzimba wakho ukuthi ujwayele kancane kancane ukuzwa futhi kusiza ukunciphisa imiphumela emibi yokuqala efana nezinguquko zezwi noma ukungakhululeki komphimbo. Udkt. wakho uzokwandisa kancane kancane ukuqina ezinyangeni eziningana ngokusekelwe ekuphenduleni kwakho nasekuthuthukisweni kwezimpawu.

Amazinga okukhuthaza aphezulu akudingeki ukuthi abe ngcono ngoba angadala imiphumela eminingi engemihle ngaphandle kokunikeza izinzuzo ezengeziwe. Umgomo ukuthola indawo yakho emnandi yokwelapha - umthamo ophansi osebenzayo onikeza ukukhululeka okukhulu kwezimpawu.

Abanye abantu badinga izilungiselelo eziphakeme ukuze bathole imiphumela emihle, kanti abanye basabela kahle emazingeni aphansi. Udokotela wakho uzoqapha intuthuko yakho ngokucophelela futhi alungise izilungiselelo ngokusekelwe endleleni yakho yokuphendula kanye nanoma yimiphi imiphumela engemihle oyitholayo.

Ziyini izinkinga ezingase zibe khona zokukhuthaza imizwa ye-vagus?

Izinkinga ze-VNS ngokuvamile azivamile futhi zivame ukulawuleka, kodwa kubalulekile ukuqonda ukuthi yini engase yenzeke ukuze ukwazi ukwenza isinqumo sokwelashwa esinolwazi. Izinkinga eziningi zithambile futhi zizixazulula zodwa noma ngokulungiswa okulula kwezilungiselelo zedivayisi.

Imiphumela emibi evame kakhulu ihlobene nokukhuthaza ngokwako futhi ngokuvamile iyathuthuka njengoba umzimba wakho ujwayela ukwelashwa. Lokhu kufaka phakathi izinguquko zezwi zesikhashana, ukungakhululeki komphimbo, noma ukukhwehlela ngesikhathi sokukhuthaza. Cishe u-1-2% wabantu bahlangabezana nale miphumela isikhathi eside.

Nawa amathuba okuba khona kwezinkinga ahlelwe ngokuthi avame kangakanani ukuvela:

Izinkinga ezivamile (ezithinta kufika ku-10% yabantu) zihlanganisa:

• Ukuminyana kwezwi noma izinguquko ngesikhathi sokukhuthaza
• Ubuhlungu bomphimbo noma ukungakhululeki
• Ukukhwehlela noma ukusula umphimbo
• Ubuhlungu bentamo noma ukuqina
• Ikhanda
• Ubunzima bokugwinya ngesikhathi sokukhuthaza

Izinkinga ezingavamile kodwa ezingathi sína (ezithinta u-1-5% wabantu) zihlanganisa:

• Ukutheleleka endaweni yokuhlinzwa
• Ukungasebenzi kahle kwedivayisi okudinga ukushintshwa
• Ukuphuka noma ukususwa kwentambo
• Ushintsho lwezwi oluqhubekayo
• Ubunzima bokuphefumula ngesikhathi sokukhuthaza
• Ubuthakathaka bobuso noma ukwehla

Izinkinga ezingavamile kodwa ezingathi sína (ezithinta ngaphansi kuka-1% wabantu) zihlanganisa:

• Ukuqina kwentambo yezwi unomphela
• Izinkinga ezinkulu zokuphefumula
• Ushintsho lwesigqi senhliziyo
• Ukuphendula okukhulu komzimba ngaphandle
• Umonakalo wemizwa ngaphandle komzwa we-vagus

Izinkinga eziningi zingalawulwa ngokulungisa izilungiselelo zedivayisi, ukuthatha imithi, noma ezimweni ezingavamile, ukususa idivayisi. Ithimba lakho lezokwelapha lizokuqapha ngokucophelela futhi lizoxazulula noma yiziphi izinkinga ngokushesha.

Kufanele ngibone nini udokotela ngezinkinga zokuvuselelwa komzwa we-vagus?

Kufanele uxhumane nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izinguquko ezinzima noma ezingazelelwe ngemva kokufakelwa kwe-VNS. Ngenkathi imiphumela eminingi emibi imnene futhi ilindelekile, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha okuphuthumayo ukuze kuqinisekiswe ukuphepha kwakho.

Izimo eziphuthumayo ezidinga ukunakekelwa kwezokwelapha ngokushesha zihlanganisa ubunzima obukhulu bokuphefumula, ubuhlungu besifuba, izimpawu zokutheleleka njengomkhuhlane nokukhipha amanzi esilondeni, noma izinguquko ezingazelelwe ezwini lakho ezingathuthuki lapho ukuvuselelwa kuyeka.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu:

• Ubunzima bokuphefumula noma ukuphefumula kanzima, ikakhulukazi ngesikhathi sokuvuselelwa
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Izimpawu zokutheleleka ezihlanganisa umkhuhlane, ububomvu, ukufudumala, noma ukukhipha amanzi ezindaweni zokuhlinzwa
• Ubuhlungu bentamo obungazelelwe, obukhulu noma ukuqina
• Ubunzima obuqhubekayo bokugwinya
• Ukuhlaselwa okusha noma okwanda okubonakala kuhluke emkhubeni wakho ovamile

Kufanele futhi uhlele ama-aphoyintimenti okuqapha njalo uma uqaphela izinguquko ezinqala ezimpawini zakho noma imiphumela emibi. Izinkinga ezingaphuthumi kangako eziqinisekisa ukuvakashelwa kukadokotela zihlanganisa izinguquko eziqhubekayo zezwi, ukwanda kokungakhululeki komphimbo, noma imibuzo mayelana nokusebenza kwedivayisi.

Khumbula ukuthi ithimba lakho lezempilo likhona ukukusekela ohambweni lwakho lwe-VNS. Unganqikazi ukufinyelela ngemibuzo noma izinkathazo, ngisho noma zibonakala zincane. Ukuxhumana kwasekuqaleni kuvame ukuvimbela izinkinga ezincane ukuthi zingabi izinkinga ezinkulu.

Imibuzo Evame Ukubuzwa Mayelana Nokukhuthazwa Kwe-Vagus Nerve

Umbuzo 1: Ingabe ukukhuthazwa kwe-vagus nerve kulungele ukukhathazeka?

I-VNS ibonisa ithemba lokwelapha ukukhathazeka, nakuba ingakavunyelwa yi-FDA ngokuqondile ngezifo zokukhathazeka. Abantu abaningi abanokucindezeleka okungamelani nokwelashwa abathola i-VNS nabo babika ukuthuthuka kwezimpawu zabo zokukhathazeka, okwenza umqondo ngoba i-vagus nerve idlala indima ebalulekile ekulawuleni ukusabela komzimba wakho ekucindezelekeni.

Izivivinyo zomtholampilo njengamanje zifunda i-VNS ngezimo ezihlukahlukene zokukhathazeka okuhlanganisa isifo sokukhathazeka esivamile kanye nokuphazamiseka kokucindezeleka kwangemva kwenhlekelele. Imiphumela yokuqala iphakamisa ukuthi ukwelashwa kungasiza ekunciphiseni izimpawu zokukhathazeka ngokukhuthaza ukuxhumana okungcono phakathi kobuchopho bakho kanye nezinhlelo zokuphumula zomzimba.

Umbuzo 2: Ingabe ukukhuthazwa kwe-vagus nerve kubangela ukukhuluphala?

I-VNS ngokuvamile ayibangeli ukukhuluphala okukhulu, futhi abanye abantu empeleni bathola ukwehla kwesisindo. I-vagus nerve isiza ukulawula ukugaya nokudla, ngakho ukukhuthazwa kungase kuthinte le misebenzi nganoma iyiphi indlela kuye ngokusabela kwakho komuntu ngamunye.

Uma uqaphela izinguquko zesimo somzimba ngemva kokufakelwa kwe-VNS, maningi amathuba ukuthi ahlobene nokuthuthuka kwesimo sakho esingaphansi kunokukhuthazwa ngokwako. Isibonelo, abantu abanokucindezeleka kwabo okuthuthukayo bangase babe nokwanda kokudla kanye namandla, okungase kuholele ekuzuzeni isisindo njengoba belulama.

Umbuzo 3: Ngingaba ne-MRI ngesikhuthazi se-vagus nerve?

Yebo, ungenza izithombe ze-MRI ngedivayisi ye-VNS, kodwa izinyathelo zokuphepha ezikhethekile ziyadingeka. I-VNS yakho kumele ivalwe ngaphambi kwe-MRI futhi ingavulwa emva kwalokho. Izidingo ezithile zokuphepha ze-MRI zincike kumodeli yakho yedivayisi nokuthi yafakwa nini.

Njalo yazisa uchwepheshe wakho we-MRI kanye ne-radiologist ngedivayisi yakho ye-VNS ngaphambi kwanoma yikuphi ukuskena. Bazoxhumana nodokotela wakho wezinzwa ukuze baqinisekise ukuthi idivayisi iphathwa ngendlela efanele nokuthi i-MRI yenziwa ngokuphepha.

Umbuzo 4: Ibhethri le-vagus nerve stimulator lihlala isikhathi esingakanani?

Amabhethri e-VNS device ngokuvamile ahlala iminyaka engu-5-10, kuye ngamasethingi akho e-stimulation nokuthi uvame kangakanani ukusebenzisa izici ezengeziwe njengozibuthe. Amazinga aphezulu e-stimulation nokusetshenziswa kaningi kuzokhipha ibhethri ngokushesha.

Lapho ibhethri liphansi, uzodinga inqubo elula yeziguli eziphuthumayo ukuze ushintshe i-pulse generator. Lokhu kuhlinzwa kushesha kakhulu kunokufakwa kokuqala ngoba i-lead wire ngokuvamile akudingeki ukuthi ishintshwe, vele ixhunywe futhi ixhunywe kabusha kudivayisi entsha.

Umbuzo 5: Ingabe i-vagus nerve stimulation ingasiza ngobuhlungu obungapheli?

I-VNS ifundelwa izimo ezihlukahlukene zobuhlungu obungapheli, ngemiphumela yokuqala ekhuthazayo. I-vagus nerve ithonya ukuqonda ubuhlungu nokuvuvukala, ngakho ukukhuthaza kungasiza ukunciphisa kokubili ukuqina kobuhlungu nokuphendula komzimba okuvuvukalayo.

Ucwaningo lwamanje lugxile ezimweni ezinjenge-fibromyalgia, i-rheumatoid arthritis, kanye nekhanda elingapheli. Ngenkathi lezi zicelo zingakavunyelwa yi-FDA, abanye abantu babika ukuthuthuka kobuhlungu njengenzuzo yesibili lapho bethola i-VNS yezimo ezivunyelwe njenge-epilepsy noma ukucindezeleka.