Ludhiana ke ek 61 saal ke aadmi ki baat karte hain.
Saat saal se Parkinson ki dawai kha rahe the. Pehle kaam karti thi. Phir asar kam hone laga. Haath kaanpna bund nahi hota tha. Khana khana mushkil ho gaya tha. Ghar se bahar jaana band ho gaya tha.
Unki beti ne raat ko online padha deep brain stimulation ke baare mein.
Surgery ke chhe mahine baad, woh khud khana kha rahe hain. Beti ki shaadi mein apne paon par chale aaye.
Yahi deep brain stimulation karti hai, jab sahi patient ko sahi surgeon mile.
Deep Brain Stimulation Kya Hai: Seedha Jawab
Samjhiye isko brain ka pacemaker.
Jis tarah dil ka pacemaker galat heartbeat ko theek karta hai, usi tarah deep brain stimulation brain ke galat electrical signals ko control karta hai.
Parkinson’s jaise movement disorders mein brain ke andar se galat signals nikalta hai. Yeh signals haath kaanpne, chalne mein takleef, aur muscles ki akadahat paida karte hain. DBS surgery mein brain ke andar ek chhota sa electrode lagaya jata hai. Yeh electrode carefully calculate ki gayi electrical pulses deta hai jo in galat signals ko rok deta hai.
Result? Muscles theek kaam karne lagti hain. Kaanpna kam hota hai. Patient apni zindagi wapas pata hai.
Poora system teen parts mein hota hai:
- Lead (Electrode): brain ke andar bilkul sahi jagah lagaya hua chhota wire
- Extension Wire: khopdi se seene tak skin ke neeche se jaata hai
- Neurostimulator: battery wala device jo collarbone ke paas skin ke neeche lagta hai; isko surgeon wirelessly program karta hai
Poora system andar hota hai. Bahar kuch nahi dikhta. Koi wire nahi, koi machine nahi. Patient ek chhote remote se device on-off kar sakta hai.
“Jab main families ko samjhata hoon toh main yahi kehta hoon: DBS bimari band nahi karta. Lekin bimari jo shor machati hai, use dum tod deta hai. Brain ke signals saaf ho jaate hain. Patient sirf behtar nahi chalta; woh wapas apna aap mehsoos karta hai.”
Dr. Jaspreet Singh Randhawa, MCh Neurosurgery (Gold Medalist), Medisyn Neuro Centre, Mohali
Kaun Si Bimariyon Mein DBS Kaam Aati Hai?
Deep brain stimulation sirf Parkinson ke liye nahi hai. Kai tarah ki neurological bimariyon mein yeh surgery use hoti hai:
- Parkinson’s Bimari: sabse zyada common use; haath kaanpna, akadahat, aur chalne ki takleef mein 60 se 80 percent tak sudhaar
- Essential Tremor: sirf kaanpne ki bimari; DBS ke baad 90 percent se zyada patients mein tremor practically bund ho jaata hai
- Dystonia: muscles ka involuntarily khichwat; primary genetic cases mein 70 se 90 percent tak fayda
- Drug-Resistant Epilepsy: jab do ya zyada dawaiyan bhi dौre rok nahi paateen; DBS se saat saalon mein 74 percent patients ko significant relief milta hai
- OCD (Obsessive Compulsive Disorder): FDA-approved indication; tab use hota hai jab baaki sab treatment fail ho jaaye
DBS Surgery Kaise Hoti Hai: Step by Step
Yeh surgery do stages mein hoti hai, aksar ek hafte ke fark par.
Stage 1: Electrode Lagana
Patient ko surgery se ek din pehle hospital mein admit kiya jaata hai. Ek stereotactic head frame lagaya jaata hai jo skull par fix hota hai. Isse surgery ke dauran millimetre-level accuracy milti hai.
MRI ya CT scan se brain ka exact target map kiya jaata hai. Parkinson ke liye yeh target hai subthalamic nucleus, ek structure jo lagbhag chaar millimetre choda hota hai. Dystonia ke liye globus pallidus. Tremor ke liye VIM nucleus.
Surgery jaagte hue hoti hai.
Yeh sun ke families chaunk jaati hain. Lekin yeh zaroori hai. Patient ka real-time feedback surgeon ko confirm karta hai ki electrode bilkul sahi jagah laga hai. Brain mein dard nahi hota. Scalp ko local anaesthesia se numb kiya jaata hai. Zyaatar patients kehte hain ki experience unki soch se bahut kam daraauna tha.
Electrode fix hone ke baad surgery khatam hoti hai. Poori process mein chaar se chhe ghante lagte hain.
Stage 2: Neurostimulator Lagana
Ek hafte baad, general anaesthesia mein kiya jaata hai. Battery wala neurostimulator collarbone ke paas skin ke neeche lagta hai. Extension wire skin ke neeche se brain electrode se connect hoti hai. Do se teen din mein patient ghar ja sakta hai.
Device Activate Aur Programming
Surgery ke do se chaar hafte baad device on ki jaati hai. Phir shuru hota hai programming ka phase; voltage, pulse width, aur settings ko adjust karna patient ke hisaab se.
Yeh ek din ka kaam nahi hai. Tin se chhe mahine lagte hain sahi settings milne mein. Is dौran regular follow-up zaroori hai.
“Families aksar mujhe activation ke do hafte baad call karti hain ki tremor kyon nahi ruka. Main samjhata hoon: device aapke brain ke saath kaam karna seekh raha hai. Programming phase mein sabr surgery jitna hi zaroori hai.”
Dr. Jaspreet Singh Randhawa
Kaun Eligible Hai DBS Ke Liye?
Har neurological patient DBS ke liye sahi nahi hota. Yeh decide karna specialist ka kaam hai. Lekin kuch general criteria hain:
Parkinson ke patient ke liye sahi candidate woh hota hai jo:
- Chaar se paanch saal se confirmed Parkinson ka diagnosis rakhta ho
- Levodopa dawai se abhi bhi kuch fark mahsoos karta ho, chahe thode waqt ke liye
- Dawai ka asar zyada predictable nahi raha; zyada “off” time aa raha ho
- Koi badi cognitive problem ya uncontrolled psychiatric illness na ho
- Surgery ke liye physically fit ho
Jo patients DBS ke liye abhi sahi nahi hain:
- Parkinson-plus syndromes (PSP, MSA) waale; in par DBS kaam nahi karta
- Moderate ya severe dementia waale patients
- Jo dawai se abhi bhi achhi tarah control mein hain
“Meri nazdeeq sabse bada mistake yeh hai ki surgery bahut late karna, jab cognitive problems aa chuki hon jo surgery theek nahi kar sakti. Aur dusra bada mistake hai bahut pehle karna, jab diagnosis hi pakki na ho. Timing aur patient selection sab kuch hai is surgery mein.”
Dr. Jaspreet Singh Randhawa
India Mein DBS Surgery Ka Kharcha Kitna Hai?
Mohali ke Medisyn Neuro Centre mein deep brain stimulation surgery ka kharcha Rs.13 lakh se Rs.27 lakh ke beech hota hai bilateral procedure ke liye.
Is range mein kya shamil hai:
- Neurostimulator device (Medtronic ya Abbott; rechargeable ya non-rechargeable)
- Dono surgical stages ke poore charges
- Hospital mein rehna
- Surgeon ki fees
- Pehla post-surgery programming session
Range itni kyun hai? Kyunki device ka type sab kuch badal deta hai. Non-rechargeable device sasta hota hai upfront mein, lekin har teen se paanch saal mein battery replace karni padti hai jo phir Rs.2 lakh se Rs.5 lakh ka kharcha hai. Rechargeable device mehnga lagta hai shuru mein, lekin gharon mein charge hota hai aur saalon tak chalta hai. 55 saal ke patient ke liye rechargeable device aksar total mein sasta padta hai.
USA mein yahi surgery $60,000 se $1,00,000 tak jaati hai. UK mein £40,000 se £70,000. Mohali mein same Medtronic ya Abbott device lagta hai, same quality, fraction of the cost.
Mohali Mein DBS Kaun Karta Hai?
Dr. Jaspreet Singh Randhawa Medisyn Neuro Centre, Airport Road, Mohali mein DBS surgery karte hain. Unke credentials:
- MCh Neurosurgery (Gold Medal), Armed Forces Medical College, Pune
- Training: AIIMS New Delhi, Maulana Azad Medical College, Fortis Hospital Delhi
- 14 saal se zyada experience; 5,600 se zyada surgeries
- Canada, UK, USA, Africa, Middle East ke patients khaas taur par DBS ke liye Mohali aate hain
April 2026 mein ANI News ne report kiya ki Healing Hospital Chandigarh, jahan Dr. Randhawa bhi operate karte hain, ne Tricity mein pehli baar Adaptive DBS launch ki Parkinson ke patients ke liye; yeh North India mein is technology ka pehla centre bana.
Agar aap ya aapke ghar mein koi Parkinson’s, tremor, dystonia ya epilepsy se pareshan hai aur dawai se poora fayda nahi mil raha, toh ek specialist evaluation se shuru karein.
Medisyn mein appointment book karein aur Dr. Randhawa se seedha apna case discuss karein. Apna latest MRI, neurologist notes aur dawai ki list le kar aayein pehli visit mein.
DBS ke long-term outcomes ke baare mein PubMed ki research confirm karti hai ki sahi patient selection aur experienced surgeon ke haath mein yeh surgery saalon tak behtar results deti hai. Parkinson’s Foundation bhi kehti hai ki experienced DBS team ke saath kaam karna sabse bada success factor hai.
