Kuvhiyiwa Kunofanirwa Imba Yekupedzisira Kana Zvose Zvimwe Zvisakundikana
Chirongwa chekushandiswa kwepabonde chirongwa chekuvhiya kwepfungwa chinofungidzirwa sekupedzisira kushandiswa kwevanhu vane chirwere chinokonzera kusagadzikana (OCD). Inoshandiswawo kubata chirwere chikuru nekurwadziwa pane dzimwe nguva kune vanhu vasina kuwana zororo kubva kune imwe nzira ipi zvayo yekurapa.
Ukuvhiyiwa kunokonzera zvikamu zviviri zveuropi:
- Icho chinonzi gyrus, chinobatsira kudzora manzwiro uye kurwadziwa
- Irove yakatarisana, iyo inosanganisira kusanganisa, kuisa pfungwa, uye kutonga
Kutsvakurudza nzira dzepfungwa dzepfungwa zvinokakavadzana, uye vanachiremba vazhinji havazoiti cingulotomy pamwe chete kunze kwekuti dzimwe nzira dzese dzokurapa dzapera. Maitiro akawanda eurosurgeons, chaizvoizvo, achada kubvumirwa kubva kune mumwe murwere uye wehukama wemhuri asati apfuurira nekushanda.
Chibvumirano chechibvumirano chakatanga kurongedzwa seimwe nzira yakakosha ye lobotomy muna 1947 neEgypt physologist John Farquhar Fulton.
Rational for Bilateral Cingulotomy
Gyrus inobatsira inoshandisa chinangwa chakasiyana muuropi, kusangana kwezviitiko uye kunzwa kune pfungwa dzinofadza kana dzisina kufadza. Pakati pezvimwe zvinhu, zvinokonzera manzwiro emanzwiro ekurwadziwa uye inogona kubatanidza iyo mhinduro kune imwe kana zvimwe zvemashoko edu (kuona, kunhuwa, kuravira, kubata, inzwi). Gyrus anoyevedza anozadzawo dunhu kune imwe chikamu cheuropi inonzi nucleus, iyo basa rayo kuumba tsika.
Zvinotendwa kuti kuburikidza nekuvhiringidza maserekiti aya, kubatana pakati pemanzwiro anorwadza uye tsika dzekugara kuchavhiringidzwa zvakare.
Kuvhiya Kwakaita Sei?
Kuti iite cingulotomy pamwe chete, electrode kana gamma knife (inonzi ray radiation device) inotungamirirwa kune inonzi gyrus nenzira ye maginiti resonance imaging (MRI).
Ikoko, chiremba anovhiya anogadzira hafu-inch inotemwa kana kupisa kuitira zvakanyanya dunhu.
Kudzoka kubva kubasa kunotora mazuva mana. Migumisiro yakawanda inowanzova munyoro, uye vamwe vanotambura nemusoro, kusuruvara, uye kurutsa mumazuva anotevera kuvhiyiwa. Kuvhiyiwa kunogonawo kukonzera kukanganisa kune vamwe, kunyange izvi zvinowanzoitika kune avo vane nhoroondo yekare yekukundwa.
Vamwe vanhu vanogunun'una pamusoro pekusava nehanya mushure mekuvhiyiwa, asi vamwe vanozoona kukurumidza kuchera . Izvi ndezvisingasviki migumisiro asi avo vanogona kuisa njodzi yekuvhiya vanofanira kuongorora.
Kubudirira kweBatateral Cingulotomy
Kunyangwe cingulotomy inobatanidza inogona kukurudzira kune vamwe nekugara naOCD, hazvisi nzira yekurapa-zvose. Chirongwa che 2016 chekuongorora zvipatara chakapedzisa kuti 41 muzana yevarwere vakanga vambotarisana nechechi yepamusoro vakagamuchira nzira iyi ne 14 muzana inosangana nemigumisiro yenguva pfupi uye mashanu muzana vane madambudziko makuru.
Chirwere chekubatana chinenge chichiita sechisingabatsiri kune vanhu vane chirwere-chinokanganisa OCD. Kurapa-kukanganisa OCD kunoonekwa mune vanhu vakawana zvishomanana, kana zviripo, mhinduro kune zvisarudzo zviviri zvakasiyana serotonin reuptake inhibitor (SSRI) zvinodhaka.
Izvo zvinoonekwawo sechisingabatsiri kune vanhu vane zviratidzo zvakanyanya zvechirwere, kusanganisira OCD-related hoarding.
Chirongwa chekushandira pamwe chinoshandiswa kuporesa vanhu vane kurwadziwa kusingaperi kunorwadza (marwadzo asingakwanisi kurapwa nemhando ipi zvayo inozivikanwa). Kuongororwa kwakarongeka kweongororo yakaratidza kuti nzira yakaguma nekununurwa kwakanyanya kwehutano mune makumi mapfumbamwe kubva muzana zvevarwere kusvika kune gore rinotevera kuvhiyiwa. Pakati peizvi, zvinopfuura hafu yezvi izvi zvakaratidza kuti havasisinazve kudiwa painkillers.
Kunyange zvazvo zvimwe zvidzidzo zvakaronga kuwirirana kwechirwere chevanhu kune vane chirwere chinopesana neBipolar disorder, zvidzidzo zvisati zvave zvisingagoneki.
Sezvo zvakadaro, ikozvino haisi kubvumidzwa senzira yekurapa bipolar.
> Sources:
> Brown, L .; Mikell, C .; Youngerman, B ;; et al. "Dorsal Anterior Cingulotomy uye Anterior Capsulotomy yeSevere, Refractory Obsessive-Compulsive Disorder: Ongororo Yakarongeka yeCherechedzo Zvidzidzo." Nhamba yeNeurosurgery . 2016; 124 (1): 77-89.
> Shah, D .; Pesiridou, A .; Baltuch, G ;; et al. "Kushanda Neurosurgery Mukurapa Kwakaoma Obsessive Compulsive Disorde r uye Kuwedzereka Kukuru: Maonero Ezvirwere Zvirwere uye Zvokurapa Targeting kune Chiremba." Psychiatry . 2008; 5 (9): 24-33.
> Gentil, A .; Lopes, A .; Dougherty, D .; et al. "Kuchengeta Zviratidzo uye Kufanotaura kweMhinduro Dzakashata kuLimbic System Surgery yekurapa-Refractory Obsessive-Compulsive Disorde r." Nhamba yeNeurosurgery . 2014; 121 (1): 123-30.
> Zhang, Q .; Wang, W .; uye X. Wei. "Kubudirira Kwemazuva Akareba kweStereotactic Bilateral Anterior Cingulotomy uye Bilateral Anterior Capsulotomy seArapa yeChirangaridzo Obsessive-Compulsive Disorder." Stereotactic and Functional Neurosurgery . 2013; 91 (4): 258-61.