Dab Tsi Yog Vagus Nerve thiab Nws Qhov Kev Hlwb Poob Pes Tsawg?
Muaj ib txoj kev phais ntawm bariatric uas tsis yog zoo li lub caj npab ceg , lub plab ua kua lossis lub plab zawv plab. Nws hu ua VCLOC thiab nws ua haujlwm los thaiv cov hlab ntaws vagus. Tus kab mob vagus yog dab tsi? Nws yog ib txoj hauv kev hauv koj lub cev uas ua tes haujlwm hauv koj txoj kev xav ntawm kev tshaib kev nqhis. Thiab nws yuav tuav tus yuam sij rau lub cev tsis ntev. Tab sis ntau tus kws kho mob tseem ceev faj txog txoj kev kho mob.
Tus Vagus Nerve Yog Dab Tsi?
Kuj hu ua cranial paj X, qhov paj hlwb yog kaum thiab ntev ntawm koj lub qab haus huv ntawm cranial. Tus kab mob vagus qee zaum hu ua lub paj hlwb tawg. Nws txuas ntawm ib feem ntawm koj lub hlwb qia (lub medulla oblongata) thoob plaws hauv nruab nrog cev hauv lub caj dab thiab lub hauv siab thiab thaum kawg rau hauv koj lub plab thiab cov hnyuv.
Tus kab mob vagus xa xov xwm tseem ceeb rau koj lub hlwb txog koj lub cev lub cev thiab lub siab lub ntsws. Thaum ua li no, nws yuav pab tswj ntau lub txiaj ntsim kev cai (los yog tsis txwv). Vagus paj hlwb stimulation (VNS) qee zaus siv los kho cov neeg uas muaj qee yam kev mob xws li mob qog nqaij hlav, yaus, lossis kev nyuab siab. Txawm hais tias kev tshwm sim los ntawm cov kev kho mob no tau muab sib xyaw lawm.
Yog li cas lub vagus paj hlwb tau ua nrog poob phaus? Tus kab mob vagus sau rau hauv plab thiab pab sib txuas lus rau koj lub hlwb txog koj lub xeev ntawm satiety. Qhov ntawd txhais tau hais tias lub paj hlwb xa xov mus rau koj lub paj hlwb txog kev tshaib kev nqhis thiab kev ua tiav.
Raws li cov teeb meem, cov tshuaj hormones yog secreted uas yog txhawb los yog tsis pub noj mov.
Qhov Kev Pab Thauj Vev Thab Thaiv Li Cas?
Qee cov neeg tshawb nrhiav ntseeg tias yog tias koj thaiv tej lub teeb liab xa tawm los ntawm lub paj hlwb, koj tuaj yeem pauv txoj kev noj mov. Lub vagus paj hlwb stimulation lawv tau ua ib qho ntawm plaub yam kev phais mob bariatric rau cov tib neeg uas tawm tsam nrog lawv qhov hnyav.
Ib lub tuam txhab hu ua EnteroMedics tau txais kev pom zoo los ntawm FDA rau lub tshuab hu ua Maestro Rechargeable System uas siv cov kev kho paj hlwb (los yog lwm yam kev kho mob nkeeg) rau kev poob phaus. Ua ib feem ntawm txoj kev kho, qhov ntaus ntawv hloov kev tshaib kev nqhis xa mus rau koj lub hlwb thiab yuav pab tau tus neeg mob noj tsawg dua.
Cov neeg mob uas nyob hauv txoj kev kho mob Thoob Ntiaj Teb muaj cov cuab yeej me me nyob hauv plab. Tus ntaus ntawv kuj txuas rau lub paj hlwb. Raws li ib qho ntawm stimulation ntawm lub cuab yeej, lub plab expands tsawg dua thiab sib cog lus tsawg dua thaum lub sij hawm noj mov digestion. Qhov no yuav pab kom tus neeg mob muaj qhov ua kom sai dua xwv kom lawv tsis muaj zog rau sab nraud. Kev txhim kho yog muaj li kaum ob teev rau hnub ntawd.
Bariatric phais lwm yam zoo li cov txhais tau tias yog cov VevNtsuam nrov vim tias lawv tsis yuam kom koj mus rau hauv phais loj thiab vim lawv tsis koom nrog cov kev hloov hauv lub plab. Cov txheej txheem ntawm cov txheej txheem VSP yog siv cov kabmob minimally invasive laparoscope, feem ntau yog ib feem ntawm 60 mus rau 90 feeb kev sab nraud. Nws tuaj yeem raug muab tshem tawm lossis raug deactivated txhua lub sijhawm.
Thaum siv lub vagular paj stimulation system, cov neeg mob kuj tau txais kev cob qhia kev ua neej. Lawv raug txhawb kom mus cuag nrog ib tus kws qhia kev noj haus rau cov neeg pab tswv yim sib tham ib ntus thiab tseem muaj cov cuab yeej nrhiav tau thiab nkag mus rau lwm yam cuab yeej hauv online xws li cov yeeb yaj kiab thiab ntaub ntawv cob qhia.
Ib tug drawback ntawm lub system, Txawm li cas los, yog tias FDA tso cai txwv cov hom ntawm tus neeg mob uas tuaj yeem tau txais kev pab cuam los ntawm vBloc. Tsuas yog cov neeg uas muaj BMI ( lub cev qhov hnyav ntawm lub cev ) ntawm 40 thiab 45 tau tsim nyog rau lub cev. Yog tias koj yog tus neeg mob BMI ntawm 35 mus rau 39,9 thiab tseem muaj qhov hnyav xws li hom 2 mob ntshav qab zib lossis ntshav siab uas koj tuaj yeem tsim nyog tau txais rau cov Kev Pab VevNtsiv. Cov neeg mob kuj yuav tsum tau ua kom pom tias lawv tau sim ib qho kev saib xyuas, cov kev ua kom yuag raug qhov tsis muaj kev vam meej kom tsim nyog rau qhov system.
Npaum Li Cas Ntev Npaum Tau Tus Mob Hlwb?
Txawm hais tias qhov no yog ib qho ntawm kev phais cawm tsis yeem, nws tsis yog pheej yig tshaj.
Kev kwv yees tau muab tus nqi ntawm cov nqi ntawm VCP ntawm kwv yees li $ 18,500. Koj tus nqi tag nrho kom tau txais hluav taws xob hluav taws xob rau qhov hnyav yuav nyob ntawm seb lub tsev kho mob thiab tus kws phais twg koj xaiv thiab lwm cov qhob.
Vim tias txoj kev kho mob tshiab kuj yog qhov tshiab, kev pov hwm yuav tsis them rau koj cov txheej txheem. Yog li ntawd, los ntawm kev sib piv, qhov no yuav yog ib qho poob qis dua lwm yam kev phais. Cov kev xaiv zoo li lub plab zais pa thiab txawm tias AspireAssist lub plab yuav tsis kim. Tab sis EnteroMedics muab kev pab tswv yim rau cov neeg mob uas xav pab txhim kho lawv txoj kev tuav pov hwm txoj cai rau cov kev pab them nqi.
Npaum li cas yog vBloc?
Tau vBloc yeej pab koj slim cia? Cov neeg txiav txim tseem tseem tawm ntawm qhov los yog tsis mob paj hlwb stimulation yog ib txoj kev kho mob zoo rau kev poob phaus. Raws li American Society rau Metabolic thiab Bariatric Surgery (ASMBS), lub sij hawm ntev poob ntawm qhov txheej txheem tseem tsis tau paub.
Raws li ASMBS, luam tawm cov kev tshawb fawb ntawm qhov poob phaus txoj kev tau muab los sib xyaws ua ke. Ib rooj plaub muaj ze li ntawm 300 yam. Tag nrho cov neeg mob tau lub dais implanted, tiam sis tsuas yog ob feem peb tau nws qhib. Cov cuab yeej nyob rau hauv lwm thib peb tseem deactivated. Tom qab kaum ob lub hlis qhov ntau tshaj qhov hnyav poob ntawm pawg activated thiab pawg deactivated yog txog tib yam.
Hauv lwm txoj kev tshawb nrhiav, cov neeg mob uas muaj lub tshuab ntaus ntawv ua tau pom ntau tshaj qhov hnyav dua cov uas tsis siv lub tshuab ntaus ntawv. Tab sis qhov poob phaus yog tsis zoo li cov neeg tshawb nrhiav tau vam. Cov kws kho mob tau txais kev kho mob (pab pawg kho mob) tau poob ntawm 24.4 feem pua ntawm lawv qhov hnyav thaum lub pab pawg neeg tsis muaj zog (cov pawg txaj muag) poob 15.9 feem pua ntawm lawv qhov hnyav.
Thaum cov neeg tshawb xyuas rov qab pab pawg tshawb tom qab 18 lub hlis, lawv ua, txawm li cas los, pom ntau cov lus cog tseg. Cov neeg mob hauv pawg neeg kho mob tau poob 23.5 feem pua ntawm lawv qhov nyhav tshaj lossis 8.8 feem pua ntawm lawv qhov hnyav. Cov neeg mob hauv pawg txaj muag poob 10.2 feem pua ntawm lawv qhov hnyav tshaj lossis 3.8 ntawm lawv qhov hnyav.
Kev Hloov Phom Vos thiab Cov Teebmeem
Thaum cov Food and Drug Administration tau pom zoo rau Maestro Rechargeable System los yog cov khoom siv hauv cov cuab yeej VevNtsiv lawv pom tias yuav txo tau cov kev lag luam los ntawm kev siv phaus. Raws li FDA Device Approval information, qee cov neeg mob tsis tuaj yeem ua tus neeg sib tw rau txoj kev poob phaus. Lawv muaj cov neeg mob nrog
- Cirrhosis ntawm daim siab
- Muaj siab nyob rau hauv hepatic leeg
- Dilated leeg nyob rau hauv txoj hlab pas
- Hiatal hernias uas yog qhov tseem ceeb thiab tsis tuaj yeem kho los ntawm kev phais
Raws li cov lus qhia ntxiv los ntawm FDA, cov teeb meem uas tau tshwm sim thaum lub sij hawm kev soj ntsuam ntawm Maestro Rechargeable System muaj xeev siab, ntuav, phais mob, mob (nrog rau hauv siab mob), kub siab, teeb meem nqos, thiab khaus.
Vim tias lawv txoj kev soj ntsuam ntawm cov txheej txheem VSV, ASMBS pom tias "Reversible vagal nerve blockage tau pom tias muaj cov ntsiab lus muaj kev ruaj ntseg nrog rau qis qis heev ntawm cov teeb meem kev phom sij thiab tsawg dua qhov kev hloov kho qis dua nyob rau lub sij hawm luv luv. xav tau los txiav txim siab ntev-ntev thiab kev piav qhia cov nqi. " Hauv ntej, lub koom haum pom cov lus cog tseg nrog lub cuab yeej tab sis tab tom tuav kom pom tias muaj dab tsi tshwm sim nrog cov neeg mob lub sij hawm ntev.
> Qhov chaw:
> Chae, MD, CF, FACS F. VBloc kev kho - txhua yam koj yuav tsum paub - Kev phais mob Bariatric. https://www.bariatric-surgery-source.com/vbloc-therapy.html.
> Klarer M, Arnold M, thiab al. Gut Vagal Afferents Teebmeem hloov ntawm niam txiv muaj kev ntxhov siab thiab kawm ntshai. Cov Phau Tso Tawm ntawm NeuroScience . 2014; 34 (21): 7067-7076. doi: 10.1523 / JNEUROSCI.0252-14.2014. http://www.jneurosci.org/content/34/21/7067.
> Moore SK. Lub Vagus paj: Lub qhov rooj tom qab rau lub hlwb nyiag nkas. Lub Koom Txoos ntawm Cov Hluavtaws thiab Cov Hluavtaws Xeeb (IEEE). http://spectrum.ieee.org/biomedical/devices/the-vagus-nerve-backback-door-for-brain-hacking
> Papasavas, MD P, El Chaar, MD M, li al. Vagal thaiv cov kev kho rau kev rog - Cov neeg As Mes Lis Kas rau metabolic thiab Bariatric phais. American Society rau Metabolic thiab Bariatric Surgery. https://asmbs.org/resources/vagal-blocking-therapy-for-obesity.
> Tewfik, MD TL. Vagus paj hlwb lub cev: Lub cev ntaj ntsug (Anatomy), lub cev nqaij daim tawv (microscopic anatomy), ntuj hloov txawv. Medscape . Lub Yim Hli 2015. http://emedicine.medscape.com/article/1875813-overview