Kodi Mitsempha ya Vagus ndi Yotani Imene Ikhoza Kuonjezera Kutaya Kwambiri?
Pali opaleshoni yophatikizapo yomwe siidziwika bwino monga band band , pamimba ya m'mimba kapena m'mimba. Iko imatchedwa vBloc ndipo imagwira ntchito poletsa mitsempha ya vagus. Kodi nthenda ya vagus ndi yotani? Ndi njira yomwe ili m'thupi lanu yomwe imathandiza kuti mukhale ndi njala. Ndipo ikhoza kukhala ndi chinsinsi cha kutalika kwa thupi. Koma akatswiri ambiri amakhalabe osamala povomereza chithandizochi.
Kodi Mitsempha Yamagulu N'chiyani?
Amadziwika kuti mitsempha ya X, mitsempha ya vagus ndiyo ya khumi ndi yayitali kwambiri m'mitsempha yanu. Mitsempha ya vagus nthawi zina imatchedwa mitsempha yoyendayenda. Amachokera ku mbali ya ubongo wanu (medulla oblongata) m'ziwalo zonse m'khosi ndi m'chifuwa ndipo potsiriza mumimba ndi m'mimba.
Mitsempha ya vagus imatumiza zambiri ku ubongo wanu za thupi lanu ndi zakuthupi. Mukamachita zimenezi, zimathandiza kulamulira ntchito zingapo zapasasympathetic (kapena zosasamala). Nthaŵi zina amatsitsimutsa mitsempha (VNS) pofuna kuthandiza anthu omwe ali ndi matenda ena, kuphatikizapo matenda a khunyu, migraines, kapena kuvutika maganizo. Ngakhale zotsatira za mankhwalawa zasokonezedwa.
Ndiye kodi nthenda ya vagus imakhudzana bwanji ndi kuwonongeka? Mitsempha ya vagus imatsikira m'mimba ndikuthandizira ku ubongo wanu za momwe mumakhalira. Izi zikutanthauza kuti mitsempha imatumiza zizindikiro ku ubongo wanu za njala ndi chidzalo.
Malingana ndi zizindikiro izi, mahomoni amavomerezedwa omwe amawalimbikitsa kapena kuletsa kudya.
Kodi VBloc Therapy Ndi Chiyani?
Ochita kafukufuku ena amakhulupirira kuti ngati musiya zizindikiro zina zomwe zimatumizidwa ndi vagus nerve, mukhoza kusintha zomwe zimadya. Mchitidwe wotsitsimutsa mitsempha ya vagus wakhala umodzi mwa njira zinayi za opaleshoni za opaleshoni kwa anthu omwe akulimbana ndi kulemera kwawo.
Kampani ina yotchedwa EnteroMedics inalandira mgwirizano wa FDA kwa chipangizo chotchedwa Maestro Rechargeable System chomwe chimagwiritsa ntchito neurometabolic therapy (kapena vBloc therapy) kuti iwonongeke. Monga gawo la mankhwala, chipangizocho chimasintha zizindikiro za njala zomwe zimatumizidwa mu ubongo ndipo zingathandize wodwala kudya pang'ono.
Odwala omwe amapita kuchipatala amakhala ndi chipangizo chochepa chimene chimayikidwa pafupi ndi m'mimba. Chipangizocho chimagwirizananso ndi mitsempha ya vagus. Chifukwa cha kukakamizidwa kuchokera ku chipangizocho, mimba imapititsa pang'onopang'ono ndipo imagulitsa nthawi zambiri pakudya chakudya. Izi zimamuthandiza wodwala kumverera mwamsanga kuti asafune kudya kwambiri. Kutsitsimula kumapitirira kwa maola khumi ndi awiri tsiku lonse.
Njira zothandizira opaleshoni monga vBloc ndizovomerezeka chifukwa sizikufuna kuti muchitire opaleshoni yaikulu komanso chifukwa choti sizikukhudza kusintha kwa m'mimba. VBloc yakhazikitsidwa pogwiritsira ntchito laparoscope yomwe imakhala yochepa kwambiri, nthawi zambiri ngati gawo la mphindi 60 mpaka 90. Ikhoza kuchotsedwa kapena kutsekedwa nthawi iliyonse.
Pogwiritsira ntchito vagus nervinism system, odwala amalandira moyo coaching. Amalimbikitsidwa kuti agwirizane ndi odwala ovomerezeka omwe amalembedwa m'madera akutali ndipo amathandizidwa ndi zida zotsatila ndikupeza zipangizo zina zamakono monga mavidiyo ndi zipangizo.
Cholinga chimodzi cha dongosolo, komabe, ndikuti chivomerezo cha FDA chimachepetsa mtundu wa wodwala yemwe angapeze vBloc. Anthu okha omwe ali ndi BMI ( chiwerengero cha misala ya thupi ) pakati pa 40 ndi 45 ali oyenerera dongosolo. Ngati ndinu wodwala ndi BMI wa 35 mpaka 39.9 komanso muli ndi vuto lachiwindi monga mtundu wa shuga 2 kapena matenda oopsa omwe mungathenso kulandira vBloc. Odwala amafunikanso kusonyeza kuti adayesa ndondomeko yowononga kulemera kwachikhalidwe popanda kupambana kuti athe kulandira.
Kodi Mankhwala Opaka Mitsempha Amakhala Ochuluka Motani?
Ngakhale kuti iyi ndi imodzi mwa njira zochepetsera zopaleshoni zopanda opaleshoni, sizitsika mtengo kwambiri.
Chiwerengero chimaika mtengo wa vBloc pa pafupifupi $ 18,500. Ndalama zanu zonse kuti mukhale ndi mphamvu zolimbitsa thupi zimadalira chipatala ndi dokotala amene mukusankha ndi zina.
Chifukwa mankhwalawa ndi atsopano, inshuwalansi sungapangire njira yanu. Choncho, poyerekeza, izi zikhoza kukhala chimodzi mwa njira zothandizira opaleshoni yolemera kwambiri. Zosankha monga chapamimba pamimba ndi ngakhale AspireAssist m'mimba pamapu mtengo. Koma EnteroMedics imapereka uphungu kwa odwala omwe ali ndi chidwi chothandizira kuyenda ndi inshuwalansi kuti athe kufalitsa.
Kodi VBloc Ndi Yothandiza Motani?
Kodi vBloc ingakuthandizeni kuti muchepetse? Lamuloli likudandaula kuti ngati chithandizo cha nthenda ya vagus kapena ayi sichingatheke, ndi mankhwala othandiza kulemera. Malingana ndi American Society for Metabolic and Bariatric Surgery (ASMBS), kulemera kwanthawi yaitali kwa zotsatira za njirayi sikunadziwidwenso.
Malingana ndi ASMBS, kufufuza kofalitsidwa pa njira yolemetsa yolemera kunapanga zotsatira zosakaniza. Chiyeso chimodzi chinali ndi nkhani pafupifupi 300. Odwala onse anali ndi chipangizocho koma anagwiritsidwa ntchito. Chipangizo china chachitatu chinasintha. Pambuyo pa miyezi khumi ndi iwili kuchuluka kwa kulemera kwakukulu kunatayika ndi gulu lochitidwa ndipo gulu losasinthika linali lofanana.
Mu phunziro lina, odwala omwe anali ndi chipangizo chowombera anawonetsa kulemera kwakukulu kusiyana ndi omwe chipangizo chawo sichinasinthidwe. Koma kulemera kwake sikunali kosangalatsa monga ofufuza anali kuyembekezera. Gulu lochiritsira lotsegulidwa (gulu la mankhwala) linatayika 24,4 peresenti ya kulemera kwawo kochuluka pamene gulu losokonezeka (gulu lachisawawa) linataya 15.9 peresenti ya kulemera kwawo kwakukulu.
Ochita kafukufuku akabwezeretsanso gululi patatha miyezi 18, iwo adawona zotsatira zowonjezereka. Odwala m'gulu la mankhwalawa anataya 23.5 peresenti ya kulemera kwao kapena 8.8 peresenti ya kulemera kwake konse. Odwala omwe ali m'gulu la anthuwa anagonjetsa 10.2 peresenti ya kulemera kwawo kapena 3.8 a zolemetsa zawo zonse.
VBloc Risks ndi zotsatira zoyipa
Pamene Malamulo ndi Zakudya Zothandizira Katundu adavomereza Maestro Rechargeable System kapena chipangizo cha vBloc omwe anapeza zovuta zowonjezera kuti agwiritse ntchito njira yowonongeka. Malingana ndi chidziwitso cha FDA Chipangizo chovomerezeka, odwala ena samapanga oyenerera kuti awonongeke. Amaphatikizapo odwala
- Cirrhosis ya chiwindi
- Kuwonjezeka kwambiri mu mitsempha yoopsa
- Mitsempha yowonjezera m'mimba
- Hiatal hernias omwe ali odwala kwambiri ndipo sangathe kuwongolera opaleshoni
Malingana ndi mfundo zowonjezera zomwe zinaperekedwa ndi FDA, mavuto omwe anachitika panthawi ya zochitika zachipatala za Maestro Rechargeable System ankaphatikizapo kusuta, kusanza, mavuto opaleshoni, kupweteka (kuphatikizapo kupweteka kwa chifuwa), kupweteka kwa mtima, kumeza, ndi kugwedeza.
Chifukwa cha kuwunika kwawo kwa vBloc, ASMBS imatsimikizira kuti "Mitsempha yowonongeka ya vagal yowonongeka yasonyezedwa kuti ili ndichitetezo chokwanira ndi chitetezo chochepa cha zochitika zoopsa ndi kuchepetsa kuchepa kwa nthawi yayitali. ankafunika kudziwa kuti nthawi yayitali ndi kubwereranso. " Mwachidule, bungwe likuwona lonjezo ndi chipangizo koma likuwonekera kuti liwone zomwe zimachitika ndi odwala pa nthawi yayitali.
> Zotsatira:
> Chae, MD, CF, FACS F. VBloc mankhwala - zonse zomwe muyenera kudziwa - chitsimikizo cha opaleshoni cha Bariatric. https://www.bariatric-surgery-source.com/vbloc-therapy.html.
> Klarer M, Arnold M, et al. Kusiyanitsa Vagal Zosiyanasiyana Kusiyanitsa nkhawa ndi mantha ndi kuphunzira. The Journal of NeuroScience . 2014; 34 (21): 7067-7076. onetsani: 10.1523 / JNEUROSCI.0252-14.2014. http://www.jneurosci.org/content/34/21/7067.
> Moore SK. Mitsempha ya Vagus: Khomo lakumbuyo la ubongo. Institute of Electronic and Electrical Engineers (IEEE). http://spectrum.ieee.org/biomedical/devices/the-vagus-nerve-a-back-door-for-brain-hacking
> Papasavas, MD P, El Chaar, MD M, et al. Vagal akuletsa mankhwalawa chifukwa cha kunenepa kwambiri - anthu a ku America chifukwa cha opaleshoni yamagetsi ndi Bariatric. American Société for Metabolic and Bariatric Surgery. https://asmbs.org/resources/vagal-blocking-therapy-for-obesity.
> Tewfik, MD TL. Matenda a mitsempha ya mitsempha: Mankhwala aakulu, anatomy, mitundu yosiyanasiyana. Kusaka . August 2015. http://emedicine.medscape.com/article/1875813-buwonetsero