Kuvhiya kazhinji kunofungidzirwa kuti ndiyo yekupedzisira yekurwadziwa: Kana zvose zvinokundikana, chengeta manzwiro ekuguma. Kuvhiya kunogona kuunza nguva pfupi, inenge yakasunungurwa nemashiripiti kubva pakurwadziwa kunokonzerwa nekenza kana zvimwe zvirwere zvisingagoni kuraswa, kunyange mumamiriro ezvinhu apo mishonga yakasimba seya morphine yakundikana kudzora marwadzo .
Asi kune zvakakosha zvakanyanya kuvhiyiwa kwekutambudzika.
Kuvhiya kunogona kuparadza mamwe manzwiro pamwe chete nemarwadzo, kana kuti nenzira isingaziviki ndiyo inokonzera marwadzo matsva. Iine mikana yemamwe matambudziko , mamwe acho angave akaoma. Uye kununurwa kubva pakurwadziwa kunopiwa nekurapwa kunobatwa hakusi nguva dzose-mushure memwedzi mitanhatu kana gore, kurwadziwa kunogona kudzoka.
Nokudaro, chisarudzo chekuenderera mberi nekuvhiya kunofanira kusanganisira kukurukurirana kwakanyatsogwinya nachiremba wako nezvehutano hwako uye kufungidzira kwako. Iko inofanirawo kusanganisira kuongororwa kwezvimwe zvingashandiswa pakuvhiya, izvo zvinogona kusanganisira mishonga yakagadzirirwa kutumira mishonga zvakananga kunobva kune marwadzo ako, kana zvigadzidzo zvinoshandisa mafungiro emagetsi kuvhara marwadzo ekurwadziwa mukati mako.
Cordotomy Kurega Kutambudzika
Kune maitiro akasiyana-siyana emabasa ekuvhiya anoita kuti kubvisa marwadzo.
Chinyanya kukosha ndeye cordotomy, umo chiremba wako anochera maronda emagetsi kune imwe kana kuti mapande maviri omutsipa wako wepelinha iyo inoshandiswa sehurukuro yakananga kuuropi.
Cordotomy inogona kumisa marwadzo asiwo ichabvisa pfungwa yako yekushisa sezvo mitsipa inokubatsira kuona kutonhora yakasungwa nemisungo inokubvumira kuti unzwe kurwadziwa.
Zvimwe zvinokonzerwa nemigumisiro yecordotomy inosanganisira kushaya simba kune rumwe rutivi rwemuviri wako, kusakwanisa kubvisa zvachose chidimbu, uye zvinonzi "mirati yemarwadzo emufananidzo," apo unonzwa kurwadziwa kwakafanana kune rumwe rutivi rwomuviri wako.
Mamwe Marwadzo-Kunyorera Maitiro
Kunze kwekugadzirwa kweganda, kuvhiyiwa mukati meuropi kana musana wepelinha kuti ubvise kurwadziwa kunosanganisira kuparadzanisa kusangana pazvikwata zvakakura mumarwadzo ekurwadza, akadai munzvimbo dzinoshungurudzika maronda kubva kune rumwe rutivi rwehudambo kuenda kune rumwe, kana kuparadza zvikamu zvezviremara zvakakonzerwa zvakare ari muuropi, akadai sa thalamus, boka remai rakagadzirwa nemazai emasero emisero pedyo nepakati peuropi.
Semuenzaniso, chirwere chema gamma chinosanganisa mikoko yakawanda yemirairo pane thalamus kuti iiparadze nenzira isiri iyo inoparadza. Zvinogona zvakare kushandisa ultrasound kuti uite chinangwa chimwe chete. Zvose izvi izvi zvinoshandiswa kurapa chirwere cheParkinson asi chinonzi chinoshandiswa mukurapa marwadzo.
Vanachiremba dzimwe nguva vanogona kugadzirisa marwadzo nekuparadza masero emagetsi kana mamwe masero akaenzana kunze kweuropi kana musipinha. Semuenzaniso, vanogona kuparadza dzimwe nharo kuti vadzivise kurwadziwa kwakanyanya kunowanzovera ronda rinopinda kubva pachimbo chinopinza kana chipfuti.
Vamwe vanachiremba vakapa kubudirira kuburikidza neuropi yepuropi inonzi cingulotomy, iyo inoparadza chikamu cheuropi chinonzi anterior cingulate cortex, kuti abvise kurwadziwa kwakasimba kwenguva refu, kazhinji kubva kenza, kushaya chirwere kana kupona kwemutsipa.
Kuvhiyiwa, iyo inogona kuitwa nenzira inenge isingasviki nemhepo inopisa kana lasers, inoshandiswa kurapa kwakanyanya-kusagadzikana kunokonzera kusagadzikana kwepfungwa uye kuora mwoyo kwakanyanya.
Kubudirira uye Mukana Wekunonoka Mabheji
Kana kurwadziwa kunokanganisa kumucheto kwepamusoro kana kuti kwakapararira, chiremba wacho ane zvishoma zvingasarudzwa uye chirwere chingasave chakabudirira. Kunyange zvakadaro, vane unyanzvi hwehutachiona hwemaurosi vakawana zvibereko zvakanaka nechokumusoro kwepelinha kana chirwere cheuropi kuti vateerere kurwadziwa kwakanyanya.
Vasati vashanda, vanachiremba vanogona kuedza kubudirira kwekuvhiyiwa nekushandisa zvinodhaka zvinodhaka kudzivirira mishonga kwenguva pfupi.
Mune zvimwe zvirwere zvinorwadza zvisingaverengeki - semarwadzo anobva kune ronda rinopinda - izvi zvishoma zvishoma zvinogona kuita kuti zvive zvinobatsira, zvichisimudzira kugadzirisa kwehutano hwehuipi.
Sources:
Jeanmonod D uye al. Transcranial magnetic resonance imaging-yakarongedzwa yakagadziriswa ultrasound: inonzi noninvasive central lateral thalamotomy kune chirwere chisingaperi chineuropathic. Neurosurgical Focus. 2012 Jan; 32 (1): E1.
Sanders M et al. Kuchengetedzwa kwekusawirirana uye kwepakati pemagetsi emakondomu cordotomy mu 80 varwere vane chirwere chinorwara. Nyaya yeCliniki Oncology. 1995 Jun; 13 (6): 1509-12.
Yen CP et al. Stereotactic inotarisana nechekare yepingulotomy yekutambudzika kusingagadziriswi. Zvinyorwa zveKliniki Neuroscience. 2005 Nov; 12 (8): 886-90.
Muduku RF et al. Gamma Knife thalamotomy nokuda kwokurapa kurwadziwa kunogara. Stereotactic and Functional Neurosurgery. 1995; 64 Suppl 1: 172-81.