Amadivaysi Okudonsela I-Spinal Cord
Kusukela entanjeni ephakathi nendawo kuya ezimpandeni zezinzwa ezisuka kuwo, ikholomu yakho yomgogodla ihloniphekile ngezicubu zesifo esibucayi kakhulu. Lezicubu zisebenza ngokuthumela imilayezo mayelana nokuzwa nokunyakaza ebuchosheni bakho, futhi, njengomdlali oyinhloko kuzo zonke izici zempilo yakho, ihlala ngokuphelele ngaphakathi kwekholomu yomgogodla.
Uma izinto zisebenza ngendlela okufanele ziyenze, isakhiwo sekholomu yomgogodla sivumela umzila ongagciniwe wendwangu yomgogodla, owehla phakathi nendawo yekholomu, kanye nezimpande zemijovo, lapho zikhishwe khona, ziphuma emaceleni ikholomu yomgogodla ngokusebenzisa izimbobo ezibizwa ngokuthi i-foramina.
Kodwa ukuguquka kwemigogodla yobudala kanye / noma ukulimala kungashintsha i-topology yezinhlaka ezakha ikholomu yomgogodla. Ngokuyinhloko, ithambo elisha lingasetshenziswa ngokuphendula izinqubo ze-arthritic. Enye into engenzeka kungukulimala kwe-disc.
Kungakhathaliseki ukuthi sikhuluma ngokukhipha izinto ze-disc noma i-bone spur, ama-tissu akufanele abe khona. Uma befika, bangase "bahlasele" ezindaweni ezivame ukunikezwa izinzwa. I-Encroaching ngokuvamile ibangela uhlobo lokuthintana phakathi kwe-nerve noma intambo namathambo amasha noma ezinye izicubu ezanda ukungena kule ndawo. Futhi lowo oxhumana naye, ovame ukucasula isisindo, angase akhiphe ubuhlungu noma ezinye izimpawu.
Ngokuvamile, ubuhlungu bungaphathwa ngokunakekelwa okulondoloziwe; Ngamanye amazwi, ukwelashwa ngokomzimba, imithi futhi mhlawumbe umjovo kungase kube ngokwanele ukukubuyisela izinga lakho langaphambili lokuphila.
Kodwa kwabanye, ubuhlungu buphikelela ekuqaliseni ukuhlinzwa.
Futhi ngemuva kokuhlinzwa, iphesenti elincane labaguli abahlinzwa ngemuva lilokhu linenhlungu.
Uma okunye noma ngaphezulu kokuhlinzwa kokuhlinzwa kwehlulekile ukukhulula ubuhlungu bakho, ungase uhanjiswe ekulawuleni ubuhlungu .
Ukwelashwa okuthembisayo kokuphathwa kobuhlungu bezinzwa ezinjengehlobo olubangelwa i-disc herniated kanye / noma isifo samagciwane esiwumgogodla ukugqugquzelwa komgogodla.
Nakhu ukuthi kusebenza kanjani:
Ukuphazamisa Izibonakaliso Zezinhlungu ku-Brain
Ukuvuselela kwentambo yomgogodla iveza ukugaya kagesi kumagundane athintekile; lokhu kwenziwa ukuvimbela izibonakaliso zobuhlungu kusukela ekukhululweni ebuchosheni, ngaleyondlela ukucubungula ukuzwa.
Isinyathelo sokuqala ngokuvamile ukwenza isilingo. Phakathi nokuhlinzwa kwecala, kanye nokuhlala unomphela, uma kungumzila onquma ukuhamba, udokotela ohlinzayo ufaka ukuhola (wire insulated) noma nge-sindle noma ukufakwa kwesikhumba sakho. Ekupheleni kokuhola yi-electrode eyenza ukuqhuma kagesi.
Kuleli phuzu ngenqubo, uzonikeza udokotela wakho impendulo mayelana nokubekwa kwe-electrode. Lokhu, ngokuqinisekile, kusekelwe lapho uthola khona ukuphumula okungcono kakhulu kobuhlungu.
Idivayisi ngokwayo ngeke isetshenziselwe ukuhlolwa, okugcina isonto. Kunalokho, uzogqoka idivayisi ngaphandle, mhlawumbe ebhande lakho. Phakathi nalelo sonto, uthola ithuba lokuthola ukuthi ngabe ukwelashwa kukulungile yini.
Uma, ngemva kwalolu suku lwezinsuku ezingu-7, ukusizwa okutholakele kuleso sivivinyo kuyamukeleka kuwe, wena nodokotela wakho ungase uthathe isinqumo sokuqhubeka nokufakelwa okuqhubekayo. Ngokuhambisana nama-lead / electrodes, amadivayisi okuvuselela umgogodla we-spinal asetshenziselwa inqubo ehlala njalo, noma emasosheni akho noma esiswini sakho.
Uzokwazi ukulawula "ivolumu" ukuze ukhulume, ngokusebenzisa idivaysi yangaphandle esebenza ngendlela efana ne-antenna yamaphaza kagesi.
Izinhlekelele Zokusebenza
Izingozi ezihlotshaniswa ne-stimulators ezifakwe emgodini zihlanganisa ukutheleleka, izicubu ezibomvu , ukuhluleka kwemishini kanye / noma ukuqubuka, ukuvuza kwamanzi omgogodla nezinye izinto. Kuhle ngaso sonke isikhathi ukuqaphela izingozi ezingase zibe khona, ngisho noma ingozi incane, ngakho-ke ngaphambi kokuvuma, qiniseka ukuthi ubuze udokotela wakho ukuthi achaze ngokugcwele ukuthi yini engase ingahambi kahle ngale nqubo.
Uma kuziwa engozini yokutheleleka, okuwukukhathazeka okukhulu ngabantu abahlela ukuhlinzwa emuva, izindaba ezinhle ngempela ziphansi, ngamaphesenti angu-2 kuya kwangu-3, ngokwesifundo so- 2017 eshicilelwe encwadini ye- Neuromodulation.
Ingabe Ukukhunjulwa Kwentambo Yomgogodla Kunciphisa Ngempela Ubuhlungu Bokubuya?
Ngokuqondene nokuthi le ndlela yokwelapha isebenza kanjani kahle, isifundo se-2017 eshicilelwe encwadini ye- Spine siphakamisa ukuthi njengendlela yokwelapha ubuhlungu bezinhlungu, ukuvuselela intambo yomgogodla kubalulekile futhi kuyinzuzo, ikakhulu uma kuqhathaniswa nokuhlinzwa okuphindaphindiwe.
Esinye isifundo, lokhu kubuyekezwa kweminyaka engu-20 yezifundo ezanyatheliswa ngo-2004 i- Journal of Neurosurgery , kutholakale ukukhuthazwa kwezintambo zomgogodla ukuze kuphumelele ku-62% weziguli eziphuthumayo emuva .
> Umthombo:
> Cameron, T. Ukuphepha nokusebenza komfutho wokugulisa umgogodla wokwelapha ubuhlungu obungapheli: ukubuyekezwa kwezincwadi ezingu-20. J Neurosurg. 2004. https://pdfs.semanticscholar.org/cf2d/94904f8cb9ee834286b8cdf7d5117536babb.pdf
> Hoelscher C., et. Id., Idatha Yokusebenza Kwezindleko Ngokuphathelene Nesikhukhula Sezintambo Ukukhuthazwa Kwezinhlungu Ezibuyiselwe. Isiphetho. Julayi 2017. https://www.ncbi.nlm.nih.gov/pubmed/28399549
> Hoelzer, B., et. al. Ukufakelwa kwe-Spinal Cord Stimulator Implant Rates kanye Nezimo Zingozi: Isifundo Esibucayi Esibucayi. I-Neuromodulation. Aug 2017. https://www.ncbi.nlm.nih.gov/pubmed/28493599