Iimpawu zeNkqubo yokuThuthukiswa kweCordinal Cord

Amadivaysi afakekayo asetyenziswe ukuvimba okanye ukuguqula i-Nerve Pain

Ukuvuselela intambo yomgca (SCS) yinkqubo yezobugcisa esetyenziselwa ukuhambisa i-pulse yombane emancinci kwintlambo ukuguqula okanye ukuvimba izibonakaliso zentlungu ebuchosheni.

I-SCS yayisetyenziselwa ukuphatha intlungu ngo-1967 kwaye kamva ivunyiwe ukuba isebenziswe yi-US Food and Drug Administration ngo-1989 ukukhupha iintlungu ezibangelwa ngumonakalo weentambo kwi-trunk, iingalo, okanye imilenze (kubandakanywa intlungu ephantsi, intlungu yomlenze, kwaye yahluleka utyando).

Ifowuni ifakwe kufuphi nomqolo wamagqabi kunye nemisebenzi efanayo ne- caremac pacemaker . Endaweni yentlungu, umntu uya kuziva ukuba izikhonkwane ezilula kunye neenaliti zivakalelwa. Iinkqubo ezitsha, njengeSenza inkqubo yokuvuselela ivunyiwe ngo-2015, baye bakwazi ukunqoba kakhulu oku.

Inkqubo ye-SCS inamalungu amane asebenza kunye ukuze avuselele umbane kwimvelaphi yentlungu (eyaziwa ngokuba yi-generator). Uninzi lwezixhobo namhlanje zilinganisela ubuncinci ngaphezu kweyunithi kwaye ziqukethe i-generator ye-pulse, izikhokelo zombane, ulawulo olude, kunye ne-recharger yebhetri.

1 -

Implantable Pulse Generator

I-generator ye-puls generator (IPG) yinxalenye ebalulekileyo yenkqubo ye-SCS. Ubungakanani ubukhulu befestile ye-vanilla kwaye bugqitywa ngokugqithisela ngokusebenzisa isisu okanye indawo yendawo. Izikhokelo zombane ziza kuqhutyelwa kwi-IPG ukuya kwindawo ye- epidural in the channel of spinal.

Isikhundla se-epidural yindawo phakathi kwesigqubuthelo somgudu (esibizwa ngokuba ngumthamo osisigxina) kunye nodonga lobuncinci. Yilapho imithi e-anesthetic ijojowe ngokubanzi ukuvimba intlungu ngexesha lokukhulelwa.

Uninzi lwe-IPGs namhlanje lunikwe amandla ngebhethri ehlawulelwayo, nangona iinqununu zemihlaba, ezingatshintshwayo zisasetyenziswa.

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Ukhokelo kunye nee-Electrode

Inkqubo yenkqubo ye-SCS yinkambo ebhaliweyo ephuma kwi-IPG efumana kwaye ihambise iimpompo zombane. Ayefani neenqwelo zeemoto zentambo ezisetyenziselwa ukudlulisa umbane ukusuka kwibhetri ephilayo kumntu ofileyo.

Ekupheleni kolukhokelo ngalunye ngumbane we-electrode ofakwe kwisithuba se-epidural. Kukho ezimbini iintlobo eziphambili zezikhokelo:

• Izikhokelo zengqamlezo (intsingiselo yelinye iqela "ngaphantsi kwesikhumba") ezifakwe kwiisisindo eziluhlaza kunye ne-incision elula
• Ukutyikitya okukhokelela apho, njengokuba igama labo lithetha, zifakwe ngexesha lotyando lwangaphambili

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Ulawulo LWERIMOTHI

I-IPG ye-Newers yenzelwe ukuba ukwazi ukulawula izinga lokuvuselela kwiqondo elithile. Oku kwenziwa ngokusebenzisa isixhobo sokulawula esilawuliweyo esilungiselelwe kwiyunithi ethile.

Ulawulo olukude luya kubaluleka ekwenzeni utshintsho ukuba i-IPG yakho iphazamiseka kukuphazamiseka kwe-electromagnetic (EMI). Oku kunokwenzeka ukuba uhlala usondele kwizixhobo, ezifana nezixhobo zokukhusela i-ekhukhuni, ezivelisa intsimi enamandla. Xa ihlaselwa yi-EMI, i-IPG inokuvala okanye ikhule kwinqanaba apho umbane ongeyonto ikhululekile.

Indawo ekukude ikuvumela ukuba utshintshe okwesikhashana okanye ucime ityunithi ukuba kuyimfuneko. Ngokungafani ne-pacemaker, engakwazi ukucinywa, umqhubi wentambo yomgudu unakho.

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Battery Recharger

Kukho iipGs ezimbalwa ezisebenzisiweyo namhlanje ezingahlawulelwayo, kwaye kucacile ukuba kutheni. Amagumbi asebekhulile, angaphinda ahlawulelwe anobomi bebhetri phakathi kweminyaka emibili nangesihlanu. Abantu abatsha banokudlula iminyaka eyi-10 ukuya kuma-25, banikezela abasebenzisi inkululeko enkulu kunye nokungenelelo okuncinci kakhulu.

Ibhetri ye-IPG ihlaziywa ngokubeka intambo engenazintambo kwesikhumba ngqo kwiyunithi. Iqhutywe endaweni yesikhumba esilungiswayo kwaye ngokuqhelekileyo ithatha iiyure eziliqela nganye ngeveki ukuzalisa ngokupheleleyo. I-beep kunye / okanye isibonakaliso sokukhanya siya kukuxelela xa ibhetri izaliswa ngokupheleleyo.

> Imithombo:

> Ulawulo lweZiko lokuTya kunye neDrug (FDA). "I-FDA ivuma inkqubo yokuvuselela intambo yomgudu ophethe intlungu ngaphandle kokubetha." Silver Spring, eMaryn; kukhutshwa ngoMeyi 8, 2015.

> I-FDA, "I-Premarket Approval: I-Itreli ngokupheleleyo echitshiweyo yendlela yokuThuthukiswa koMgcini." NgoJanuwari 21, 1989.