推荐回答(3个)
外科手术医生可以告诉你以下几点:
越早进行手术,越能及时地控制病情,还可以让病情进展变得比较缓慢。
手术的最佳时机,大概是在得病后三到四年左右。手术能够完全消除掉震颤、控制抖动、缓解僵直、使患者的关节和肌肉变得灵活。另外,因为帕金森患者,需要终生服药补充多巴胺,手术后可以减少药物的剂量,消除长期服药出现的副作用,提高患者的生活质量。
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脑起搏器植入后可以一直工作,但需要电池供电,电池一般埋在胸前,通过埋植在耳后的导线和植入大脑中的电极相连。电池一般分为两种,不能充电的和可充电的。不能充电的电池有一定的容量,一般能用五年左右,电量耗尽后,仅需将埋植在胸前皮下的刺激器更换即可,已经植入在大脑中的电极则不需要更换。而可充电的电池,可以反复充电使用15年。
脑起搏器植入之后,可以根据病情的变化,调整刺激参数。做手术时设定的刺激参数,并不是将来长期治疗的最佳参数。一般医生会要求病人在手术后三个月或者半年,进行规范的参数调整,这个参数调整好之后,可能两到三年都不需要进行调试。患者手里有一个摇控器,可以调整刺激的参数,但是建议患者尽量不要擅自调整,如果出现病情变化,或者觉得控制效果不好时,最好找手术医生进行正规的调试。
我已患帕金森病近八年,2015年被确诊为原发性帕金森病,后服用抗帕药物,然而剂量在逐渐加大,并且有开关现象。
2020年3月,我在开封河大一附院接受DBS手术治疗,术后28天开机。那天我终生难忘,夫人和女儿同我一起见证了神奇的一刻:河大一的何院长、马建功主任、任虹宇医生和吕杨老师还共同为我的开机仪式举办了直播,在停止服用药物的情况下,我感觉到了往日的那种自然与轻松。
在直播间里,我高兴的为大家唱了一首《牧羊曲》,就像深山迷途中看到了阳光和希望的牡羊人一样,又重新获得了生活的乐趣和人生的希望。
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现在,我在一家地铁站做保洁员,虽然我知道自己是个病人,但是我也在尽力为自己争取生活的权利。最后,我还是要感谢所有的为我确诊病情,指导我用药以及为我植入DBS的河大一附院所有医护人员。
脑起搏器,又称脑深部电刺激术(DBS),在脑内特定的神经核团植入电极,释放高频电刺激,改善脑功能,从而治疗疾病。脑起搏器的植入被称为功能神经外科最神奇的手术,一个震颤不能活动的患者,术后立即回复成一个正常人。
脑起搏器是一套精致小巧的微电子装置,包括一个脉冲发生器、一根电极和一根延伸导线,这些部件均植入体内,植入体内的部件不会影响病人的日常生活。脑起搏器除了治疗帕金森以外,还可以治疗扭转痉挛、难治性癫痫、强迫症、抽动秽语综合征等疾患。
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