Zvikamu zveSpinal Cord Stimulation System

Imiti inoshandiswa inoshandiswa kuvhara kana kugadzirisa Nerve Pain

Simba remutsara stimulation (SCS) inzira yezvokurapa inoshandiswa kuunza zvinyoro zvemagetsi zvinokonzera mutsara pamwe nemutsara kuti ichinje kana kudzivirira zviratidzo zvinorwadza kuuropi.

SCS yakatanga kushandiswa kurapa marwadzo muna 1967 uye gare gare yakabvumirwa kuti ishandiswe neU.S. Food and Drug Administration muna 1989 kuti ibvise marwadzo akonzerwa nehutano hwemhutu mukati meguru, maoko, kana makumbo (kusanganisira kurwadziwa kwepamusoro, kurwadziwa kwemakumbo, uye kukundikana zvakare kuvhiyiwa).

Chigadzirwa chacho chinoshandiswa pedo nemutsara wepelinha uye inoshanda zvakafanana kune mwoyo wemhepo inokonzera moyo . Munzvimbo yekurwadziwa, munhu anowanzoona mhete dzechiedza-uye-nenyuchi kunzwa. Zvitsva zvitsva, seSenza stimulation system yakagamuchirwa muna 2015, yakwanisa kunyanya kukunda izvi.

Sangano reCSS rine zvinhu zvina zvinoshanda pamwe kuti zvibudise magetsi kukurudzira kune tsime remarwadzo (anozivikanwawo semarwadzo anonzi generator). Mazuva ano mano akawanda anorema zvishoma kudarika imwe chete uye anowanikwa nemhepo inopisa, magetsi, anotakura kure, uye reterer recharger.

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Implantable Pulse Generator

Iyo inogadziriswa inopisa jenereta (IPG) ndiyo inonyanya kukosha chero ipi zvayo yeSSS system. Inenge yakaenzana nehupamhi hwewaini yavanilla uye inogadzirwa nenzira yepamuviri kana mudumbu. Inotungamirira magetsi zvino inomhanya kubva kuIpG kuenda kune epidural space munharaunda yepinini.

Nzvimbo yepidural ndiyo nzvimbo iri pakati pekufukidzira kwepamusoro (iyo inonzi dura mater) uye vertebral rusvingo. Ndiko kunoshandiswa kwemishonga yekurapa inowanzo injowa kudzivirira kurwadziwa panguva yekuzvitakura.

Mazhinji IPGs nhasi anoshandiswa nebheti rechargeable, kunyange zvazvo tsika, dzisati dzadzokidzwa dzichiri kushandiswa.

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Inotungamirira uye Majekiti

Kutungamirirwa kweSSS system inonyanya kushandiswa tsvina inobva kuI IPG inogamuchira uye inounza magetsi emagetsi. Izvo hazvisi zvakasiyana nemotokari dzemotokari dzinoshandiswa kutengesa magetsi kubva kubheti mhenyu kune wakafa.

Pakuguma kwega roga rokutungamira ndiro electrode iyo inopindirwa mune epidural space. Kune miviri miviri mikuru yevatungamiri:

• Percutaneous inotungamirira (zvinoreva zvinonzwika "pasi peganda") izvo zvinowanikwa muzvinyoro zvinyoro-nyoro nekunyanya kushandiswa
• Kutungamira kunotungamirira izvo, sezvinoreva zita ravo, zvinowanikwa panguva yekuvhiyiwa shure

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Remote Control

Vatsva IPGs vakagadzirirwa kuitira kuti iwe ugone kudzora unhu hwekusimudzira kune imwe nzvimbo. Izvi zvinoshandiswa kuburikidza kushandisa kambani yekudzivirira yakarongwa pane imwe yuniti.

Dare rekudzivirira rinogona kuva rakakosha pakugadzirisa kana IPG yako yakambosangana nekugadziriswa kwemagetsi (EMI). Izvi zvinogona kuitika kana iwe ukambova pedyo nemidziyo, yakadai sezvikwata zvekuchengetedza ndege, izvo zvinoumba simba rine simba rema electromagnetic. Kana ikarohwa ne EMI, IPG inogona kuvhara kana kuwedzera kusvika kune imwe nzvimbo iyo kushandiswa kwemagetsi kusinganzwisisi kwakasimba.

Pane kurega kunokubvumira kuti uchinje kwenguva pfupi kana kubvisa chikwata kana zvichidikanwa. Kusiyana ne pacemaker, iyo isingagoni kuvharwa, musipinha tsvimbo stimulator inogona.

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Battery Rejerger

Kune vashoma IPGs vanoshandiswa nhasi izvo zvisingadzokwi zvakare, uye zvakajeka nei. Vakwegura, vasina-rechargeable units vane upenyu hwebheteri pakati pemakore maviri nemashanu. Vatsva vanogona kupedza makore gumi kusvika kumakumi maviri nemashanu, vachipa vashandisi rusununguko rwakawanda nekupindira kwepurogiramu shoma.

Iyo IPG bateri inotorwazve nekuisa reloader cordless paganda zvakananga pamusoro peiyo unit. Inobatanidzwa munzvimbo nechechi rakagadziridzwa mabhandi uye kazhinji inotora maawa akawanda vhiki imwe neimwe kuti idzorere zvakare. A beep uye / kana chiratidzo chekudzivirira ichakutaurira kana bhatiri inoshandiswa zvakakwana.

> Sources:

> US Food and Drug Administration (FDA). "FDA inobvumira musana wechechi yekusimudzira nzira iyo inobata marwadzo pasina kushungurudza manzwiro." Silver Spring, Maryland; yakabudiswa musi waMay 8, 2015.

> FDA, "Premarket Approval: Itrerel Totally Inogadzirwa Spinal Cord Kushushikana Kwemamiriro." January 21, 1989.