Kulimbikitsidwa Kwambiri kwa Ubongo (DBS)

Zamkati

• Momwe kukondoweza kwaubongo kumagwirira ntchito
• Cholinga
• Zovuta zotheka
• Zomwe akatswiri akunena
• Kutenga

Kodi kukondoweza kwakuya ndikutani?

Kukondoweza kwa ubongo (DBS) kwawonetsedwa kuti ndi njira yabwino kwa anthu ena omwe ali ndi vuto lakukhumudwa. Poyamba madokotala anali kugwiritsira ntchito kuthandizira kuthana ndi matenda a Parkinson. Ku DBS, dokotala amaika maelekitirodi ang'onoang'ono m'chigawo chaubongo chomwe chimayendetsa kusinthasintha. Madokotala ena akhala akuchita DBS kuyambira zaka za m'ma 1980, koma ndizovuta. Ngakhale kuchuluka kwakanthawi kwakanthawi sikunakhazikitsidwe, madokotala ena amalimbikitsa DBS ngati njira ina yothandizira odwala omwe chithandizo chawo choyambirira sichinachite bwino.

Momwe kukondoweza kwaubongo kumagwirira ntchito

Dokotala amaika maelekitirodi ang'onoang'ono mu nucleus accumbens, omwe ndi dera laubongo lomwe limayang'anira:

• dopamine ndi serotonin kumasulidwa
• chilimbikitso
• maganizo

Njirayi imafuna njira zingapo. Choyamba, dokotala amaika maelekitirodi. Kenako, patangopita masiku ochepa amadzaza mawaya ndi paketi yama batri. Maelekitirodi amalumikizidwa kudzera pamawaya kupita pachipangizo chokhala ngati pacemaker chomwe chimayikidwa pachifuwa chomwe chimapereka magetsi amagetsi kuubongo. Mitengo, yomwe nthawi zambiri imaperekedwa nthawi zonse imawoneka ngati ikulepheretsa kuwombera ma neuron ndikubwezeretsanso kagayidwe kabongo ka mkhalidwe wofanana. Chogwiritsira ntchito pacemet chitha kusinthidwa ndikuwongoleredwa kuchokera kunja kwa thupi ndi chida chonyamula m'manja.

Ngakhale madotolo sakudziwa kwenikweni chifukwa chomwe zimakhalira zimathandizira ubongo kukonzanso, chithandizochi chimawoneka kuti chimasintha malingaliro ndikupatsa munthuyo bata lonse.

Cholinga

M'mayesero ambiri azachipatala a DBS, anthu anena kuti achepetsedwa kukhumudwa kwawo komanso kuwonjezeka kwakukulu kwa moyo. Kuphatikiza pa kukhumudwa, madokotala amagwiritsa ntchito DBS kuchitira anthu omwe ali ndi:

• matenda osokoneza bongo
• Matenda a Parkinson ndi dystonia
• nkhawa
• khunyu
• kuthamanga kwa magazi

DBS ndi njira kwa anthu omwe ali ndi vuto lokhalitsa kapena losagwirizana ndi mankhwala. Madokotala amalimbikitsa maphunziro owonjezera a psychotherapy ndi mankhwala asanaganize za DBS chifukwa zimakhudza kuchitira opareshoni mosadukiza komanso kuchuluka kwake kumasiyana. Nthawi zambiri ukalamba si vuto, koma madokotala amalimbikitsa kuti mukhale ndi thanzi labwino kuti mupirire opaleshoni yayikulu.

Zovuta zotheka

DBS nthawi zambiri imadziwika kuti ndi njira yabwino. Komabe, monga mtundu uliwonse wa opareshoni yaubongo, zovuta zimatha kubuka nthawi zonse. Mavuto omwe amapezeka ndi DBS ndi awa:

• kukha mwazi muubongo
• sitiroko
• matenda
• mutu
• mavuto olankhula
• zovuta kapena zoyendetsa magalimoto

China choyenera kulingalira ndikufunika kwa maopaleshoni otsatira. Chida chowunikira chomwe chayikidwa pachifuwa chitha kuthyoka, ndipo mabatire ake amatha miyezi isanu ndi umodzi mpaka 18. Maelekitirodi obzalidwa angafunikenso kusintha ngati mankhwalawa akuwoneka kuti sakugwira ntchito. Muyenera kuganizira ngati muli ndi thanzi lokwanira kuchitidwa opaleshoni yachiwiri kapena yachitatu.

Zomwe akatswiri akunena

Chifukwa maphunziro a nthawi yayitali komanso mayesero azachipatala amawonetsa zotsatira zosiyanasiyana ndi DBS, madotolo amangonena za kupambana kwawo kapena zolephera zawo. Dr. Joseph J.Fins, wamkulu wazamakhalidwe azachipatala ku New York-Presbyterian Hospital / Weill Cornell Center, akuti kugwiritsa ntchito DBS pamavuto am'maganizo ndi m'maganizo kuyenera "kuyesedwa mokwanira musanatchulidwe ngati mankhwala."

Akatswiri ena amaganiza kuti DBS ndi njira yabwino kwa anthu omwe sakuwona kupambana ndi mankhwala ena. Dr. Ali R. Rezai wa ku Cleveland Clinic ananena kuti bungwe la DBS “limalonjeza kuti lidzachiza matenda ovutika maganizo.”

Kutenga

DBS ndi njira yovulaza yomwe imakhala ndi zotsatira zosiyanasiyana. Ndemanga ndi malingaliro ndizosakanikirana pazachipatala. Chomwe madokotala ambiri amavomereza ndichakuti DBS iyenera kukhala njira yakutali yothanirana ndi kukhumudwa ndikuti anthu afufuze mankhwala ndi psychotherapy asanasankhe ndondomekoyi. Lankhulani ndi dokotala wanu ngati mukuganiza kuti DBS ikhoza kukhala njira yanu.