Chii Chinonzi Vagus Nerve uye Inogona Kuwedzera Kurasikirwa Kweutema?
Kune chirongwa chinoshandiswa neBaratric chinoshandiswa chisingazivikanwi sechep band , mudumbu kana kuti gastric balloon. Inonzi vBloc uye inoshanda nekudzivirira vagus nerve. Chii chinonzi vagus nerve? Ndiyo nzira mumuviri wako iyo inobatsira mukurwadziwa kwako nenzara. Uye iyo inogona kubata kiyi yekutora nguva yakareba kurasikirwa. Asi nyanzvi dzakawanda dzichiri kungwarira pamusoro pokurumbidza kurapwa.
Chii Chinonzi Vagus Nerve?
Iyo inozivikanwawo sejinga remakumbo X, iyo vagus nerve ndiyo yegumi uye yakanyanya kudarika yematambudziko ako. Iyo vagus nerve dzimwe nguva inonzi nervous wandering. Inowedzera kubva kune imwe chikamu chepfungwa dzako (medulla oblongata) nhengo dzose mumutsipa uye pachipfuva uye pakupedzisira mudumbu rako nekudya gumbo.
Iyo vagus nerve inotumira ruzivo rwakakosha kune uropi hwako pamusoro pomuviri wako mumuviri uye mupfungwa. Mukuita kudaro, zvinobatsira kutonga mitauro yakawanda yepasyympathetic (kana kusazvipira). Vagus nerve stimulation (VNS) dzimwe nguva inoshandiswa kubata vanhu vane mimwe mitemo kusanganisira kuora, migraines, kana kuora mwoyo. Kunyange zviitiko zvezvirapa izvi zvakave zvakakanganiswa.
Saka chii chinonzi vagus nerve ine chokuita nekureruka kwekukura? Iyo vagus nerve inomhanya ichienda mudumbu uye inobatsira kukurukurirana kuhuropi hwako pamusoro pehutano hwako. Izvozvo zvinoreva kuti mutsara unotumira zviratidzo kuuropi dzako pamusoro pekuzara uye kuzara.
Kubva pane zviratidzo izvi, mahomoni akavanzika anogona kukurudzira kana kudzivisa kudya.
Chii chinonzi vBloc Therapy?
Vamwe vatsvakurudzi vanotenda kuti kana iwe ukavhara zvimwe zviratidzo zvinotumirwa ne vagus nerve, iwe unogona kuchinja kukurudzira. Iyo vagus nerve stimulation system yakava imwe yechina chirongwa chinonzi bariatric nzira dzakasiyana dzevanhu vanorwisana nehuremu hwavo.
Imwe kambani inonzi EnteroMedics yakagamuchirwa FDA kubvumidzwa kune imwe inonzi Maestro Rechargeable System iyo inoshandisa neurometabolic therapy (kana vBloc therapy) yekurasikirwa kwekurema. Sechikamu chemishonga, chigadzirisa chinoshandura zviratidzo zvenzara zvinotumirwa kuropi hwako uye zvinogona kubatsira murwere kudya zvishoma.
Varwere vanoenda vBloc therapy vane kambani kaduku kakasimiswa pedyo nedumbu. Chigadzirwa ichocho chinosungirirana kune vagus nerve. Somugumisiro wekusimudzira kubva pachigadzirwa, dumbu rinowedzera zvishoma uye zvibvumirano kakawanda munguva yekudya kudya. Izvi zvinobatsira murwere kunzwa kuti akazara nokukurumidza kuitira kuti vasanyanya kutamira kudya. Kukurudzira kuri kupfuurira kwemaawa gumi namaviri muzuva rose.
Kuvhiyiwa kwebariatric dzimwe nzira dzakadai sevBloc dzinozivikanwa nekuti hazvidi kuti iwe uite chirwere chikuru uye nokuti hazvirevi kushandura chero kupi zvako kunopinda mudumbu. Izvo vBloc system inoshandiswa kushandiswa kweparasivo inopararira inoparadziropu, kazhinji sechikamu chemaminetsi makumi matanhatu nemakumi matanhatu emangwanani. Inogona kubviswa kana kusadzimwa chero nguva.
Paanenge achishandisa vagus nerve stimulation system, varwere vanowanawo mararamiro ekudzidzisa. Vanokurudzirwa kuti vabatane neavo vakanyoreswa dietitian kune imwe nzvimbo iri kure-on-one mazano uye vanopawo zvishandiso zvekutsvaga uye kuwanika kune zvimwe zvishandiso zvekutsvaga semavhidhiyo uye mirayiridzo yekushandisa.
Chimwe chinetso chemuitiro, zvisinei, ndechokuti chibvumirano che FDA chinogadzirisa rudzi rwevarwere vanogona kuwana vBloc. Vanhu chete vane BMI ( mumuviri masheure index ) pakati pe40 ne45 vanofanirwa nehurongwa. Kana iwe uri murwere ane BMI ye 35 kusvika ku 39.9 uyewo une hutano hwehutano hwakadai sorudzi rwechipiri chirwere cheshuga kana hutachiona iwe unogonawo kukodzera vBloc. Varwere vanofanirwawo kuratidza kuti vakayedza chirongwa chepamutemo chekurasikirwa kwemaitiro kunze kwekubudirira kuti vakwanise kugadziriswa.
Zvinorema Zvakawanda Zvipi Zvirwere Kubvisa Therapy Mari?
Kunyangwe ichi ichi chimwe chezvinhu zvishoma zvisingasviki zvekuvhiya, hazvisi zvishoma.
Inofanirwa kuisa mari ye vBloc pamadhora madhora 18,500. Mari yako yakazara yekuwana mishonga yemagetsi yekukurudzira kuora muviri inobva pane chipatara uye chirwere chekuvhiya chaunosarudza uye nezvimwe zvinoshandiswa.
Nemhaka yokuti mushonga wacho hausi mutsva, inshuwarisi haifaniri kuvhara maitiro ako. Saka, nokuenzanisa, izvi zvinogona kuva chimwe chezvinhu zvinodhura zvinorema kurasikirwa. Zvisarudzo sezvinoitwa goriric balloon uye kunyange AspireAssist mudumbu remapombi hazvina kudhura. Asi EnteroMedics inopa mazano kuvarwere vanofarira kubatsiridzira nzira yavo yeinishuwarenzi kuitira kuti inogona kugoverwa.
Inobatsira Sei VBloc?
Ko vBloc ingakubatsira chaizvo here kuderera? Nhengo dzejeri dzichiri kunze kana kuti kana kwete vagus nerve kukurudzira ndeyomushonga unoshanda wekurehwa kwekurema. Maererano neAmerican Society ye Metabolic neBariatric Surgery (ASMBS), iyo nguva yakareba kurasikirwa kwemigumisiro yeitiro yacho haisati yazivikanwa.
Maererano ne ASMBS, zvinyorwa zvakabudiswa pamusoro pekurasikirwa kwemaitiro zvakapa mitsva yakavhenganiswa. Chimwe chiedzo chaisanganisira nyaya dzinoda kusvika 300. Vose varwere vaiva nechigadziriswa chakaiswa asi asi chetatu chetatu chakanga chakashandiswa. Chigadziro mune chimwe chechitatu chakasimiswa. Pashure pemwedzi gumi nemaviri kuwanda kwehutatu hwakakanganiswa neboka rakagadzirirwa uye boka rakasimudzika raive rakafanana.
Mune imwe dzidzo, varwere vaiva nechigadzirwa chakashandiswa vakaratidza hukuru hwekurasikirwa kune avo vane chigadzirwa chavo chisina kuitwa. Asi kurasikirwa kwacho kwakanga kusiri kunakidza sezvakaitwa nevatsvakurudzi. Iyo yakagadzirirwa kuisa boka (chirwere cheboka) yakarasikirwa ne 24,4 muzana yehuwandu hwavo hwakanyanya apo boka rakasimudzirwa (sham boka) rakarasikirwa ne15,9 muzana yehuwandu hwehuwandu hwavo.
Apo vatsvakurudzo vakadzokerazve kune boka iri rekudzidza pashure pemwedzi 18, vakaita, zvakadaro, vanoona zvivimbiso zvinowedzera. Varwere muboka rekurapa vakarasikirwa ne 23,5 muzana yehuwandu hwavo hwakakura kana 8.8 muzana yehuwandu hwavo hwose. Varwere vari muboka ravarwi vakarasikirwa ne10,2 muzana yehuwandu hwehuwandu hwavo kana 3.8 yehuwandu hwavo hwose.
vBloc Dambudziko uye Migumisiro Yemazuva
Apo Zvokudya neDrug Administration zvakabvumidza Maestro Rechargeable System kana vBloc device vakatsvaga zvingaitika pasi kuti vashandise nzira yekurasikirwa nekurema. Maererano nehuwandu hweDDA yeDhipatimendi yekubvumira, vamwe varwere havaiti vakakodzwa vakanaka pakurasikirwa kwemaitiro. Dzinosanganisira varwere vane
- Kurwisa kwechiropa
- Kuwedzera kwezvinomanikidza mumaketani ane hepatic
- Dilated mitsembu iri mudenga
- Hiatal hernias iyo inonyanya kukosha uye haigoni kugadziriswa nekuvhiyiwa
Maererano nehumwe humwe ruzivo rwakapiwa neDFA, matambudziko akavapo panguva yekurapa kwemaestro yeMaestro Rechargeable System yaisanganisira kunyoresa, kurutsira, zvinetso zvekuvhiya, kurwadziwa (kusanganisira kurwadziwa kwemapfupa), kupisa moyo, zvinetso kumedza, uye kubata.
Somugumisiro wekuongorora kwavo vBloc system, iyo ASMBS inogumisa kuti "Kudzorerwa kwegadzidziro yegadziriro yemagara yakaratidzwa kuva nehutano hwekuchengeteka nehuwandu hwehutachiona hwezviitiko zvakashata uye huwandu hwekuvandudza huwandu munguva shoma. inoda kuongorora nguva refu yekudzoka uye kuwedzera kwemazinga. " Muchidimbu, sangano rinoona chivimbiso nechokushandisa asi ichichengetedza kuona kuti chii chinoitika nevarwere pamusoro penguva refu.
> Sources:
> Chae, MD, CF, FACS F. VBloc therapy - zvose zvaunoda kuziva - Bariatric chirurgic source. https://www.bariatric-surgery-source.com/vbloc-therapy.html.
> Klarer M, Arnold M, et al. Gut Vagal Afferents Differentially modulate innate kutya uye kudzidza kutya. Journal of NeuroScience . 2014; 34 (21): 7067-7076. doi: 10.1523 / JNEUROSCI.0252-14.2014. http://www.jneurosci.org/content/34/21/7067.
> Moore SK. Mutsara weVagus: Musuo wemushure wekurota huropi. 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, uye al. Vagal ichivhara therapy nokuda kwekuninipesa -American society nokuda kwekuvhiya kwemagetsi uye Bariatric. American Society yeMetabolic uye Bariatric Surgery. https://asmbs.org/resources/vagal-blocking-therapy-for-obesity.
> Tewfik, MD TL. Nhengo dzenzara inonzi anatomy: Gross anatomy, utachiona husina simba, zvakasiyana-siyana. Medscape . August 2015. http://emedicine.medscape.com/article/1875813-overview