バックツーザフューチャーで一躍ハリウッドのスーアパースターとなったマイケルJフォックス 体の動きが止まらない 蝶のように舞い、蜂のように刺すとうたわれアトランタオリンピックでは聖火を灯した伝説のボクサーモハメッドアリも左手の震えが止まらない
二人が今も戦い続けている病い それが パーキンソン病
通常体の動きは脳から出されるドーパミンでコントロールされている パーキンソン病はこのドーパミンが少なくなる病気だ
その症状は自分の意思に反して手足の震えやこわばりが出るのが特徴である
Michael J. Fox who appeared in Back to the Future and leaped to a Hollywood's superstar can't stop movement of his body. Muhammad Ali, the legendary boxer who floated like a butterfly, stung like a bee and put the fire for the Atlanta Olympics on also can't steady his left hand trembling.
The desease they have been fighting, it is the Parkinson's disease.
Normally the body movement is controlled by dopamine which is secreted int the brain. The Parkinson's disease is caused by the lesser production of dopamine. The characteristic symptoms are shaking and rigidity in the limbs against your will.
そんな症状が劇的に改善する手術法が有るという その手術を受けた先程の山崎さん
ちょっとこうしてみましょうか？
手足のこわばりが消え嘘のように回復していた。
これほど人生が変わるとは思わなかったです。
皆さんにお薦めしたいですね
パーキンソン病の手術を行う病院が高知県高知市にある いずみの病院
翌日に手術を控えた患者がいる 震え出したね どう？ しんどいです。
ベッドから起きることもままならない佐藤さん
３０年も前からパーキンソン病と戦って来たという
There seems to be a surgical method that improves such symptoms dramatically; he is the man, you remember, Mr. Yamazaki who went through the operation.
”How about this?”
I saw the rigity was gone, the recoveery was like magic.
”I didn' expect my life would change so much, I would recommend it to everybody."
The surgery of Parkinson's disease has been done at Izumino hospital in Kochi city, Kochi prefecture.
There was another patient awaiting the operation the next day.
"It's begun shaking, hasn't it? How do you feel?"
"I feel exhausting."
He was Mr.Sato, unable even to sit up. He had fought the Parkinson's disease since 30 years.
立ち上がりはまず無理だし口元の震えがかなりあるからね！
楽になるから 手術したら お願いします。
頑張ったかいが出てくるから はい
手術を行うのはパーキンソン病のスペシャリス清家真人
手術当日
これから始まるのは脳深部刺激療法という手術
刺激で手足を動かす
大きな波形が出ている箇所がドーパミンが出ている場所
そこにピンポイントで電極を置かなくては手術の効果はでない
針の先端をミリ単位で進めながら慎重に探っていく すると 強い反応が出た
もう（電極を）置く所決まったからね！
"You can't stand up I should say and quite a bit of shaking around the mouth! You will be so eased by the operation."
"I see."
"Your effort wil surely see rewards."
”Yes, Doctor."
The surgeon is Masato Seiki, Parkinson's disease specialist.
The day of operation:
Now begins the so-called Deep Brain Stimulation Operation, which moves your hands and feet by stimulation. Big wave-mark shows the dopamine-secreting spot.
It is only effective when the electrode is pinpointed there.
The needle tip is put forward searching deliberately, and then a strong reaction occurs.
"We already determined the electrode placement spot!"
あと電線を置いたら終わるから 一番反応が出た場所に直径1.27mmの小さな電極を埋め込む
こうして佐藤さんの脳に二つの電極が埋め込まれた
その後テストの電流を流し電流の強さを決める どうですか？ 感じますか？
さらに終日間患者に拒否反応がでないかを見る
そして４日後 今度は電流を送る発生器とケーブルを埋め込む
ケーブルは頭から胸に発生器を胸の中に埋め込む
皮膚の直ぐ下に埋め込むため今後電流の調整は皮膚の外側からできると言う
こうして全てが埋め込まれた。術後８日目 そして８日後
"It's over by setting the electric wire." He embeds the small electrode with a diameter of 1.27mm.
In this way two pieces of electrode was buried in Mr. Sato's brain.
Then he send a current of electricity for a test to determines the intensity.
"How is it? You feel it?"
For a few days he checks if there is no rejection from the patient.
On the fourth day, it's time to bury a current generator and the cable; cable from the head through to chest and the generator in the chest. They are buried just under the skin so that you can adjust the current by touching it.
Thus everything was set.
佐藤さんの病室を尋ねるとそこには見違えるほど回復した姿が
体の動きをチェックしてみると ちょっと駆け足してみようか？
手足の動きも自由自在 口元の震えもすっかり消えていた。
グッド 調子いいね あのう 嘘みたいですね こんなに楽になっていいもんかと思いますよ 無理しないようにね はい 大体女の人退院してから家のこと全部やっちゃう
何より苦痛に歪んでいた顔がこんなに明るい笑顔に
改めて清家にこの治療の良さを聞いてみた
We visited the Mr. Sato's room and found him as twice the man he was.
Let's see how you can move.
"Can you jog a bit?"
He could move his arms and legs freely. There is no tremble around his mouth.
"Good. Looks perfect."
"Well, it's like a dream. I wonder this can really happen."
"Don't push yourself too much"
"Yes, Dr."
"Most women start doing all of housework after they discharged from hospital."
Above the all, his face is now showing bright smile instead of suffers written on his face before.
We asked the advantage of this miracle treatment to Dr. Seike once again.
手術をしたらパーキンソン病が治ってしまう訳ではない あくまでも症状を和らげる為の薬の大替えみたいなもの 症状が進めば薬を増やすように電圧を上げたり、周波数を変えたり チューニング（調節）というものが今後ずっと必要になってくるのです。
調節が後から効くのが最大のメリット
It does not mean that surgery will cure Parkinson's disease. It is more a substitute to the medication which alleviates symptoms. Just as a change in dosage of medication is needed if symptoms become worse, this treatment also requires adjustments in the form of increasing the current or changing the frequency. This is something that will be necessary from here on.
The biggest merit is that adjustments can be done after
Raising the voltage to increase the drug should proceed symptoms like a change large of the drug to relieve the symptoms Akumademo but not Parkinson's disease would have healed After the surgery, and some tuning that (regulatory) or change the frequency much it becomes necessary in the future.
The maximum benefit is the ability to make subsequent adjustments
