• Abacwaningi babika ukuthi ukwelashwa okusha kwe-ultrasound kunciphisa ukundindizela kwabantu abanesifo sikaParkinson kanye nokundindizela okubalulekile.
• Banezela ukuthi le nqubo iqeda izingozi ezihlobene nokuhlinzwa futhi ikhiqiza ukuhlala isikhathi esifushane esibhedlela.
• Ukutholakala kokwelashwa kunqunyelwe. Cishe izikhungo ezingu-50 emhlabeni wonke zenza le nqubo, kuhlanganise ne-16 e-United States.

Abacwaningi bembula indlela entsha yokwelapha ukundindizela kwabantu abanesifo sikaParkinson, ukwelapha okuhilela ukwelashwa nge-ultrasound esikhundleni sezindlela ezivamile zokuhlinzwa.

Ukwelashwa kuzokwethulwa ngokusemthethweni emhlanganweni waminyaka yonke we-Radiological Society of North America e-Chicago.

Le ndlela ihilela imishayo egxilile yamandla omsindo asetshenziselwa ukushisa nokucekela phansi ingxenye encane yesakhiwo sobuchopho okuthiwa i-thalamus.

Ubuchwepheshe obusetshenzisiwe yi-magnetic resonance guided ultrasound (MRgFUS).

Inikeza impumuzo ohlangothini oluphambene lomzimba, okusho ukuthi ukwelashwa ohlangothini lwesokudla lobuchopho, ngokwesibonelo, kungakwazi ukukhulula izimpawu ohlangothini lwesobunxele lomzimba, futhi ngokuphambene nalokho.

"Uma kuziwa ohlangothini olulodwa lomzimba, lena yindlela yokwelashwa okufanele ngishaye ngayo," kusho uCasey H. Halpern, MD, udokotela ohlinzayo we-neurosurgeon waseStanford Health Care eCalifornia oye wafunda futhi wasebenzisa ukwelashwa kwe-ultrasound. . . “Ikakhulukazi uhhafu wokundindizela komzimba. Ingozi iqhathaniswa nomvuzo. Intuthuko inkulu kakhulu. “ 

Izinzuzo ze-ultrasound

Ngokuvamile odokotela belapha abantu abanesifo sikaParkinson kanye nokuphazamiseka kokundindizela okubalulekile ngokuhlinza i-electrode encane ebuchosheni exhunywe kumshini wokushaya umoya ofakwe esifubeni njengomshini wokushaya inhliziyo.

Ukusetshenziswa kwe-ultrasound kunezinzuzo eziningi.

I-Ultrasound iqeda izingozi ezikhona ekuhlinzeni, okuhlanganisa ukutheleleka okungenzeka, ukopha kanye nobungozi obukhulu bokushaywa unhlangothi.

Isikhathi sokulaliswa esibhedlela sifushane. Ukwelashwa “kuyinqubo ebekezelelwa kahle, ngisho nayiziguli ezintekenteke kakhulu,” kusho uFederico Bruno, umbhali oholayo wocwaningo kanye ne-radiologist emnyangweni we-biotechnology futhi wasebenzisa isayensi yomtholampilo e-University of L'Aquila e-Italy, isitatimende.

Imiphumela yosesho
Iqembu likaBruno lifunde abantu abangu-39 abaneminyaka yobudala engama-64.

Bonke ababambiqhaza bocwaningo babe nokundindizela okukhubazayo okungenani iminyaka eyi-10 okungazange kuphendule ekwelashweni.

Abangu-21 babahlanganyeli babe nokuthuthumela okubalulekile kuyilapho ababambiqhaza abangu-XNUMX benesifo sikaParkinson.

Abacwaningi babike ukuthi abangu-37 kwabangu-39 ababambiqhaza bathole ukuncipha okukhulu nokusheshayo ekundindizeleni kwabo.

Ukuhlolwa kokulandelela onyakeni olandelayo kubonise intuthuko enkulu kuwo womabili amaqembu.

"Lokhu kuyindlela yokwelapha eyodwa, ngokuvamile eyenziwa ngesisekelo sokugula," kusho uMaurice R. Ferre, usihlalo kanye nesikhulu esiphezulu se-INSIGHTEC, umdali wedivayisi ye-ultrasound esetshenziswe ocwaningweni. “Zimbalwa izikhathi zokubungaza endaweni yasesibhedlela. Lona omunye wabo. »

UFerre utshele i-Healthline ukuthi izinzuzo ziningi.

"Ngokushesha kulandela ukwelashwa okuhlosiwe kwe-ultrasound, iziguli eziningi ezinokuthuthumela okubalulekile ziyakwazi ukusayina amagama azo okokuqala ngqa eminyakeni," esho. “Abahlanganyeli ocwaningweni lwethu lomtholampilo babonise ukuthuthuka okungama-76,5% kokuqina kokundindizela ekulandeleni kweminyaka emi-3, kanti u-74% wokusabela okubi okubikiwe ubemnene kanti okusele bekumaphakathi. »

U-Halpern uthi i-ultrasound ibuye isize odokotela, njengoba ithola imiphumela ngokushesha.

"I-ultrasound egxilile ingaveza imiphumela esheshayo," esho. “Impendulo iyashesha futhi ungaqinisekisa ukuthi impendulo iyasebenza. »

Ukusabela ocwaningweni
USandeep Thakkar, DO, uqondisa Uhlelo lwe-Parkinson's Disease and Movement Disorders e-Pickup Family Neurosciences Institute eNewport Beach, eCalifornia.

Uthi ukwelapha nge-ultrasound kusebenza isikhathi esingakanani “kuyaphikiswa,” kodwa ukusebenza kwayo ngokuvamile kudlulela ngalé kwalokho okungafezwa yimithi.

"Sinezidakamizwa ezimbalwa kakhulu ezisebenzayo, futhi noma zikhona, ezesikhashana," uThakkar etshela i-Healthline.

UJean-Philippe Langevin, MD, udokotela ohlinzayo wezinzwa e-Providence Saint John’s Health Center e-Santa Monica, eCalifornia, ubiza lolu cwaningo ngokuthi “lubaluleke kakhulu.”

"Ngokuyinhloko iziguli ezinokuthuthumela kwaphezulu, ezinenkinga yokudla, ukugqoka, njll, lapho imithi ingasebenzi kahle kakhulu," kusho uLangevin etshela i-Healthline.

“Kunedlanzana leziguli ezingafuni (ukuhlinzwa). Bangase bacishwe umqondo wokuba nokufakelwa. Ukwelashwa kwe-Ultrasound kungaba nzima kakhulu, ”kusho yena.

ULangevin uyanezela ukuthi ezinye zezingozi ezihlobene nokuhlinzwa zincipha kakhulu, nakuba ngokubhubhisa ingxenye yethalamus umuntu angase azizwe “eluma”.

“Kungase kube nezinkinga zokukhuluma. Kungabhidlika,” esho.

"Amaphesenti ayisishiyagalolunye kuya kwangu-95 abantu ngeke abe nemiphumela emibi," kusho uLangevin. “Akuyona yonke i-thalamus (ekhishwayo). Kuyingxenye encane nje.

Ukutholakala okulinganiselwe okwamanje
Odokotela bathi inqubo izoqale ibize ngoba ukutholakala kuzobe kuncane.

"Okwamanje, akulula ukufika ngoba akukho okushiwoyo," kusho uThakkar, ecaphuna iStanford ne-UCLA njengezindawo ezimbili kule nqubo.

Cishe izikhungo ezingama-50 emhlabeni jikelele zisebenzisa i-ultrasound eqondiswe kubantu abanokundindizela okubalulekile kanye ne-Parkinson's, okuhlanganisa ne-16 e-United States, ngokusho kukaFerre.

"Ukwelashwa okubalulekile, futhi kubalulekile ukuthi izibhedlela zikuthole," kusho uHalpern. “Kuyabiza, kodwa le nkinga ivame kakhulu. Kuthinta abantu abaningi kakhulu. Izibhedlela zidinga ukuqaphela, ngoba kuwukutshalwa kwezimali okuhle kakhulu. Akuyona nje into okufanele yenziwe ezikhungweni ezimbalwa ezikhethekile