Yakadzika Brain Kukurudzira (DBS)

Zvemukati

• Kukurudzira kwakadzika kwehuropi kunoshanda
• Chinangwa
• Zvinogona kuitika
• Zvinotaurwa nenyanzvi
• Kutora

Chii chinonzi kudzika kwehuropi?

Hwakadzika huropi kukurudzira (DBS) yakaratidzirwa kuve sarudzo inoshanda kune vamwe vanhu vane kushushikana. Vanachiremba pakutanga vakaishandisa kubatsira kubata chirwere chePasinson. MuDBS, chiremba anodyara maelectrode madiki muchikamu chehuropi chinogadzirisa manzwiro. Vamwe vanachiremba vakashandisa DBS kubva kuma1980, asi maitiro mashoma. Kunyangwe kwenguva refu yekubudirira kwehuwandu husati hwasimbiswa, vamwe vanachiremba vanokurudzira DBS seimwe nzira yekurapa yevarwere vane marapirwo ekuora mwoyo ekutanga asina kubudirira.

Kukurudzira kwakadzika kwehuropi kunoshanda

Chiremba anovhiya anoisa ma electrode madiki muiyo nucleus accumbens, inova iyo nzvimbo yehuropi inoitisa:

• dopamine uye serotonin kuburitswa
• kurudziro
• mafungiro

Maitiro acho anoda matanho mazhinji. Kutanga, chiremba anoisa ma electrode. Zvino, mazuva mashoma gare gare vanoisa waya nebheteri pack. Ma electrode akabatana kuburikidza newaya kune pacemaker-senge chishandiso chakaiswa mubhokisi icho chinounza pulses yemagetsi kuuropi. Iwo mapurses, ayo anowanzo kuendeswa anowanzoita seanodzivirira kupfura kweeuroni uye anodzosera iyo metabolism yeuropi kumashure kune mamiriro ehutano. Iyo pacemaker inogona kugadziridzwa uye kudzorwa kubva kunze kwemuviri nechishandiso chakabata.

Kunyangwe vanachiremba vasina chokwadi chaizvo nei mapundu achibatsira huropi kugadzirisa, kurapwa kwacho kunoratidzika kunatsiridza manzwiro uye kupa munhu pfungwa yakazara yekudzikama.

Chinangwa

Mune mazhinji eDBS kiriniki miedzo, vanhu vaudza kurerutswa kwekusuwa kwavo uye kuwedzera kwakanyanya kwehunhu hwehupenyu. Pamusoro pekuora mwoyo, vanachiremba vanoshandisa DBS kurapa vanhu vane:

• obsessive-inomanikidza kusagadzikana
• Chirwere chePasinson uye dystonia
• kushushikana
• pfari
• BP

DBS ndiyo sarudzo kune vanhu vane chirwere chisingaperi kana chisingarapike. Vanachiremba vanokurudzira makosi akawedzerwa epfungwa yekurapa uye kurapwa kwemishonga usati watarisa DBS nekuti inosanganisira yekuvhiya nzira yekuvhiya uye budiriro mitengo inosiyana. Zera kazhinji haisi nyaya, asi vanachiremba vanokurudzira kuti uve noutano hwakakwana kuti utsungirire kuvhiyiwa kukuru.

Zvinogona kuitika

DBS inowanzozivikanwa senzira yakachengeteka. Zvisinei, semhando ipi neipi yekuvhiyiwa kwepfungwa, zvinetso zvinogona kugara zvichimuka. Zvinetso zvakajairika zvinosangana neDBS zvinosanganisira:

• uropi hunobuda ropa
• sitiroko
• chirwere
• musoro
• matambudziko ekutaura
• sensory kana mota kudzora nyaya

Chimwe chinhu chekufunga nezvacho kudiwa kwekuvhiya kunotevera. Chifuva-chakasimwa chekutarisa chishandiso chinogona kutyoka, uye mabhatiri ayo anogara pakati pemwedzi mitanhatu ne18. Ma electrode akaiswa anogona zvakare kuda kugadziridzwa kana kurapwa kusingaite kunge kuri kushanda. Unofanirwa kufunga kuti une hutano here zvakakwana kuti uvhiywe kwechipiri kana kwechitatu.

Zvinotaurwa nenyanzvi

Nekuti zvidzidzo zvenguva refu uye zvekuedzwa zvemakiriniki zvinoratidza mhedzisiro dzakasiyana neDBS, vanachiremba vanogona kungonongedzera kune kwavo kubudirira kana kukundikana nemaitiro acho. Dr. Joseph J.Fins, mukuru wezvekurapa muNew York-Presbyterian Hospital / Weill Cornell Center, anoti kushandisa DBS kune mamiriro epfungwa uye epfungwa kunofanirwa "kuongororwa zvakakwana isati yanzi kurapwa."

Dzimwe nyanzvi dzinofunga kuti DBS inzira inoshanda kune vanhu vasiri kuona kubudirira nemamwe marapirwo. Dr. Ali R. Rezai weCleveland Clinic anoti DBS "ine vimbiso yekurapa kushungurudzika kukuru kusingachinjiki."

Kutora

DBS inzira inopinza yekuvhiya ine mhedzisiro. Ongororo uye maonero zvinosanganiswa mune yekurapa. Chinhu chimwe chete vanachiremba vanobvumirana nacho ndechekuti DBS inofanira kunge iri sarudzo iri kure yekurapa kushushikana uye kuti vanhu vanofanirwa kuongorora mishonga uye psychotherapy vasati vasarudza maitiro Taura nachiremba wako kana iwe uchifunga kuti DBS inogona kunge iri sarudzo kwauri.