Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yele blanuiléle ƒe atikewo zãm xoxo eye be mɔ bubu aɖe hã li? Èse atike aɖe si mehiã be woawɔ dɔ na ame alo alɔ̃ alɔ̃ o, gake wòkpena ɖe ame ŋu wògawɔa dɔ nyuie le ahɔhɔ̃a ŋu kpɔa? Egbea míele nu ƒom tso atikewɔwɔ wɔnuku aɖe si he mɔkpɔkpɔ yeye vɛ na ame geɖe ŋu. Woyɔa esia be ‘Transcranial Magnetic Stimulation’ alo TMS.
Nuka tututue nye TMS? Aleke magnet kpɔa ŋusẽ ɖe ahɔhɔ̃a dzii?
Ŋkɔa aɖi nya sesẽ vie, gake mina míagbãe. TMS nye atikewɔwɔ si me womedea ame dzi o si zãa mɔ̃ tɔxɛ aɖe tsɔ ɖoa magnet-ŋusẽ ɖe ahɔhɔ̃a ƒe akpa aɖewo koŋ .
Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Aleke magnet kpɔa ŋusẽ ɖe ahɔhɔ̃a dzii?" Ele bɔbɔe ŋutɔ. Mí katã míenya be kadodo gã aɖe le elektrikŋusẽ kple magnetizm dome. Míaƒe ahɔhɔ̃ nye teƒe si wowɔa dɔ le ŋutɔ eye elektrik-dzesi suesuesue miliɔn geɖe zɔna yina gbɔna. Lãmetsiŋusẽ ƒe lãmenugbagbevi siwo le míaƒe ahɔhɔ̃ me, siwo woyɔna be ahɔhɔ̃mekawo, ɖoa dze, ƒoa nu na wo nɔewo, to elektrikŋusẽ ƒe gbedasi sue siawo dzi.
TMS-dɔdamɔnu wɔa dɔ to magnet-ŋusẽ sesẽ aɖe zazã ɖe ahɔhɔ̃a ƒe akpa aɖe koŋ ŋu, si doa ŋusẽ lãmeka mawo ƒe dzɔdzɔme elektrikŋusẽ ƒe dɔwɔwɔ. Etɔxɛe la, le nɔnɔmewo abe blanuiléle ene me la, ahɔhɔ̃a ƒe akpa aɖewo ate ŋu megate ŋu wɔa dɔ o. TMS wɔa dɔ to ‘gbugbɔgawɔ’ dɔwɔna ma si bu me. Ele abe ʋu ƒe batri kuku gbugbɔgadze ene. Ate ŋu akpɔ ŋusẽ ɖe ahɔhɔ̃a ƒe akpa siwo kpɔa ŋusẽ ɖe míaƒe seselelãmewo, nyametsotsowɔwɔ, kple dzidzɔkpɔkpɔ dzi la dzi.
Nu vevitɔe nye be wowɔa dɔ sia le ta ƒe gowo dzi. Esia fia be mehiã be woatso ta le mɔ aɖeke nu alo ade naneke eme o.
Ðe TMS-dɔdamɔnu vovovowo lia?
Ẽ, mɔ vovovo geɖe li siwo dzi woato awɔ TMS dɔdamɔnua. Enɔ te ɖe magnet si wozã ƒe ŋusẽ, magnet ƒutsotsoe siwo woɖo ɖa ƒe tsɔtsɔme kple woƒe nɔnɔme dzi. Mina míalé ŋku ɖe ƒomevi veviawo ŋu.
| TMS ƒomevi/nɔnɔme | Kpuie ko la,... |
|---|---|
| Magnet ƒe Ŋusẽ | Wodzidzea esia le xexlẽdzesi siwo woyɔna be Tesla (Tesla - T) me. Zi geɖe la, wozãa magnet sesẽ si ƒe didime nye 1.5T va ɖo 2T. Esia sɔ kple magnet si le MRI-mɔ̃ me ƒe ŋusẽ. Gake le TMS me la, magnet-ŋusẽ sia ƒe susu nɔa taɖodzinu sue aɖe ŋutɔ si le tẽ ŋu. |
| Pulse ƒe Ʋuʋu ƒe ɖiɖime | Zi nenie wodoa magnet la hetsia enu le sɛkɛnd ɖeka me. Wodzidzea esia le Hertz (Hz) me. Ɣeaɖewoɣi la, woɖoa ƒutsotsoeawo ɖe duƒuƒu si bɔbɔ (1 Hz), ɣebubuɣiwo le sesẽme si lolo wu (5-10 Hz). Wogayɔa ƒutsotsoewo ƒe tsɔtsɔ yi teƒe bubu sia atraɖii be TMS (rTMS) si wogbugbɔna yina. |
| Pulse ƒe Nɔnɔmewo | Dɔdamɔnu aɖewo zãa ƒutsotsoewo ƒe ɖoɖo aɖe koŋ. Kpɔɖeŋu aɖee nye `(Theta-Burst Stimulation - TBS)`. Mɔnu sia ate ŋu aɖe ɣeyiɣi si wozãna ɖe atikewɔwɔ ŋu dzi akpɔtɔ ŋutɔ. |
| TMS Goglo (TMS Goglo - dTMS) . | Esia zãa mɔ̃ tɔxɛ aɖe, abe gakuku si ƒe nɔnɔme le abe H ene. Esia ate ŋu aʋã ahɔhɔ̃a ƒe akpa siwo goglo vie wu eƒe gowo. Le kpɔɖeŋu me, wokpɔe be mɔnu sia wɔa dɔ wu na nɔnɔmewo abe `(Obsessive-Compulsive Disorder - OCD)`. |
Nɔnɔme kawoe wozãa TMS-dɔdamɔnu na?
Zi geɖe la, TMS menye atikewɔwɔ gbãtɔ o. Zi geɖe la, ɖɔktawo kafunɛ ne atike bubuwo, vevietɔ atikewo, do kpo nu. Wozãnɛ hã abe atike nyui aɖe si woate ŋu azã ɖe eteƒe na amesiwo mate ŋu awɔ atikewo abe Electroconvulsive Therapy (ECT) ene o.
Nɔnɔme geɖe li siwo dzi dɔwɔƒewo abe United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) da asi ɖo le se nu be woatsɔ ada TMS.
- Blanuiléle Gã (MDD): Vevietɔ blanuiléle si womete ŋu daa atike na o.
- Obsessive-Compulsive Disorder (OCD): Nɔnɔme si ƒe dzesi enye tamesusu siwo womedi o siwo nɔa anyi ɖaa kple ŋutetemanɔamesi be woaɖu nuwɔna siwo wowɔna dzi.
- Taɖuame: Taɖuame ƒomevi aɖewo.
- Atamanono Dzudzɔ: Abe kpekpeɖeŋu nana ame be wòadzudzɔ atamanono ene.
Tsɔ kpe ɖe nɔnɔme siawo siwo dzi woda asi ɖo ŋu la, wole numekuku wɔm le xexeame godoo be woakpɔe ɖa be TMS zazã ate ŋu aɖe vi na nɔnɔme bubu geɖe hã. Esiawo dometɔ aɖewoe nye:
- Numame vovovowo
- Alzheimer ƒe dɔlélea
- Nu eve ƒe susu ƒe dɔmawɔmawɔ nyuie
- Vevesese si nɔa anyi didi
- Parkinson ƒe dɔlélea
- Nuteɖeamedzi le Nuveviwɔame megbe (PTSD) .
- Kuxi siwo dona tso ʋusɔgbɔdɔ gbɔ
- Towo ƒe ɖiɖi (Tinnitus) .
Nukae dzɔna do ŋgɔ na TMS dɔdamɔnu kple le edada me?
Hafi woawɔ TMS dɔdamɔnu na wò la, wò ɖɔkta aɖo wò ɖe eŋutinunyala bibi aɖe si wona hehee etɔxɛe le go sia me. Eŋutinunyala sia aƒo nu kpli wò, alé ŋku ɖe wò atikewɔwɔ ŋutinya ŋu, eye wòatso nya me nenye be atikewɔwɔ sia sɔ na wò eye wòle dedie hã.
Ɣekaɣie mele be woawɔ TMS dɔdamɔnu o?
Nɔnɔme aɖewo li siwo me TMS zazã ate ŋu anye afɔku le .
- Ne wotsɔ ga alo elektrɔnikmɔ̃wo de wò ŋutilã me: Le kpɔɖeŋu me, ne wotsɔ tomeka de wò ŋutilã me, ga gbadzɛwo le wò tagbɔ, alo ʋuka siwo me ʋu sina tona le wò ahɔhɔ̃ me la, màte ŋu awɔ TMS o. Esia le alea elabena magnet sesẽ si le TMS me ate ŋu ahe ga ƒe akpa siawo. Ne edzɔ alea la, vevesese alo abi gã aɖe ate ŋu adzɔ.
- Ne asrãdɔ le ŋuwò alo èxɔ alɔ̃dɔdɔ ŋutinya: Ƒã ŋutɔ hafi TMS zazã ate ŋu ana nàxɔ alɔ̃madɔmadɔ. Eyata ne alɔ̃madɔmadɔ le ŋuwò alo nèle atike siwo ana wò alɔ̃dɔdɔ ƒe afɔkua dzina ɖe edzi zãm la, wò ɖɔkta ate ŋu abu atikewɔwɔ bubu ŋu.
Ne wò ɖɔkta tso nya me be atikewɔwɔ sia le dedie na wò ko la, woaɖe atikewɔwɔ ƒe ɖoɖowɔɖia me na wò. TMS menye atike si wozãna zi ɖeka ko o. Zi geɖe la, ahiã be nàde atikewɔwɔ ƒe ɣeyiɣiwo ŋkeke etɔ̃ va ɖo atɔ̃ le kwasiɖa me le kwasiɖa geɖe me. Le kpɔɖeŋu me, blanuiléle ƒe atikewɔwɔ si wozãna ɖaa enye kwasiɖa 6 ƒe atikewɔwɔ, ŋkeke 5 le kwasiɖa me.
Nukae dzɔna le atikewɔwɔ ƒe ɣeyiɣi aɖe me?
Tsɔe be èyi atikewɔƒe. Nusi nàwɔ koe nye be nàwɔ nane si le bɔbɔe ŋutɔ.
1. Gbã la, woanɔ zikpui si dzi nànɔ bɔbɔe ŋutɔ dzi.
2. Ne ga le wò ŋkumeɖobolo ŋu alo nèdo ga ƒe atsyɔ̃ɖonuwo la, woabia tso asiwò be nàɖe wo ɖa. Esia nye dedienɔnɔ ƒe afɔɖeɖe.
3. Eyome, woana tomeka eve wò be nàde wò to me be toɣliɖeɖe dzi naɖe akpɔtɔ. Esia le alea elabena TMS-mɔ̃a wɔa ‘ticking’ vie ne woʋui. Esia nye be gbeɖiɖia nagagblẽ nu le wò to ŋu o.
4. Emegbe, ɖɔkta alo mɔ̃ɖaŋudɔwɔla la trɔa asi le TMS-mɔ̃a ƒe magnetic coil ŋu wòsɔna ɖe teƒe si sɔ le wò ta dzi.
5. Hafi atikewɔwɔa nadze egɔme la, woakpɔ teƒe nyuitɔ le ta na wò eye vivivi la, magnet la ƒe ŋusẽ nadzi ɖe edzi, si ana ʋuʋudedi ɖekaɖekawo nado go. Le ɣeyiɣi sia me la, àse le ɖokuiwò me be yeƒo ta vie .
6. Ne èle magnet la ƒe ŋusẽ dzim ɖe edzi la, àte ŋu ade dzesii be wò asi, vevietɔ wò asibidɛ, le ʋuʋum le eɖokui si. Esia sɔ kura. Ðɔktawo kpɔa mɔ na esia elabena aleae wonya be yewoɖo ŋusẽ si sɔ gbɔ na atikewɔwɔa.
7. Ne wonya ke ɖe teƒe nyuitɔ kple ŋusẽ si sɔ ŋu ko la, magnet-ƒutsotsoeawo adze mɔfiafia gɔme le mɔ si wodi nu. Nusi nàwɔ koe nye be nànɔ zikpui la dzi bɔbɔe.
Zi geɖe la , atikewɔwɔ ƒe ɣeyiɣi aɖe ate ŋu axɔ tso miniti ʋɛ aɖewo va ɖo gaƒoƒo afã . Etoa vovo le atikewɔwɔ si ƒomevi nèxɔ nu. Ne atikewɔwɔa wu enu la, àte ŋu atrɔ ayi wò dɔwɔna siwo nèwɔna ɖaa dzi eye maɖe fu na wò o.
Viɖe kple afɔku kawoe le TMS-dɔdamɔnu ŋu?
Abe atikewɔwɔmɔnu ɖesiaɖe ene la, viɖewo le TMS ŋu eye afɔku aɖewo hã le eme.
| Viɖe siwo le eŋu | Afɔkuwo & Nusiwo dona tso eme |
|---|---|
| Mehiã be woawɔ dɔ nɛ o (Noninvasive): Womewɔa atike si naa alɔ̃dɔdɔ, lãɖeɖe, alo naneke si woawɔ o. Àte ŋu ayi aƒeme enumake le atikewɔwɔa vɔ megbe. | Alɔ̃madɔmadɔ: Esiae nye afɔku gãtɔ kekeake, gake ƒã ŋutɔ, ƒã ŋutɔ . Afɔkua mede 0.01% o (ema anɔ abe atikewɔwɔ ƒe ɣeyiɣi ɖeka le 10,000 ɖesiaɖe me ene). |
| Dedie: Zi geɖe la, eƒe nugbegblẽ le ame ŋu mesẽna o eye zi geɖe la, wonɔa anyi ɣeyiɣi kpui aɖe. | Taɖuame: Ame aɖewo ate ŋu ase taɖuame vie le atikewɔwɔ vɔ megbe. |
| Wɔa dɔ:Numekukuwo ɖo kpe edzi kɔte be atikewɔwɔ sia wɔa dɔ nyuie na nɔnɔme siwo sɔ. | Vevesese/masesẽ le ta alo kɔ me: Àte ŋu ase veve alo vevesese vi aɖe le afisi woda magnet la ɖo. |
| Ate ŋu axɔ agbe: Le amesiwo blanuiléle sesẽ kple wo ɖokui wuwu ƒe susu le gome la, atikewɔwɔ sia ate ŋu aɖe dɔlélea ƒe dzesiwo dzi akpɔtɔ eye wòana mɔkpɔkpɔ yeye nasu ame si ɖe agbe ŋu. | Sese le eɖokui me be taɖuame. |
| Woate ŋu awɔe kple atikewɔmɔnu bubuwo: Woate ŋu awɔ atike sia ne wole atikewo nom alo le aɖaŋuɖoɖoxɔƒe yim. | Mo alo ta ƒe lãmekawo ƒe ʋuʋu ƒe seselelãme. |
Vevietɔ: Nugbegblẽ le ame ŋu siawo ƒe akpa gãtɔ nu mesẽna kura o eye wo nu yina le aɖabaƒoƒo ʋɛ aɖewo me le atikewɔwɔa megbe.
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne woŋlɔ TMS-dɔdamɔnu na wò la, ele vevie ŋutɔ be nàde wò atikewɔwɔ ƒe ɣeyiɣiwo ɖe game dzi, abe alesi wò ɖɔkta kafui ene . Ɣeyiɣi siwo me womewɔa dɔ le o ate ŋu aɖe atikewɔwɔa ƒe dɔwɔwɔ dzi akpɔtɔ.
Azɔ hã, ne edze abe nugbegblẽ le ame ŋu siwo me tom nèle la nu sẽ ene, alo ne ègakpɔtɔ le fu ɖem na wò gaƒoƒo geɖe le atikewɔwɔa megbe la, kpɔ egbɔ be yena wò ɖɔkta nanya.
Nukae woawɔ ne nɔnɔme kpata aɖe dzɔ?
Ame siwo ŋu nɔnɔmewo abe blanuiléle alo OCD ene le ate ŋu asusu ɣeaɖewoɣi be yewoawɔ nuvevi yewo ɖokui alo yewoawu yewo ɖokui. Ne wò ŋutɔ alo ame aɖe si nènya le susu siawo me tom la, taflatse mègakpe fu wò ɖeka o. Di kpekpeɖeŋu enumake.
- Dukɔa ƒe Tagbɔdɔléle Ŋuti Kpekpeɖeŋunaƒe: Ƒo ka na 1926 .
- Sumithrayo: Ƒo ka na 011 2696666 eye àte ŋu aƒo nu tso wò seselelãmewo ŋu na xɔlɔ̃wɔwɔtɔ, nya ɣaɣla.
- Ne èse le ɖokuiwò me be yeate ŋu aɖo afɔku me enumake la, yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) si te ɖe ŋuwò enumake.
TMS menye nukunu si woatsɔ ada dɔlélewo katã o, gake ete ŋu na ame geɖe siwo mete ŋu haya tso atikewɔwɔ bubuwo me o la va zu agbe yeye. Eya ta, ne tagbɔdɔléle aɖe le fu ɖem na wò alo ame aɖe si nènya la, ƒo nu tso egbegbe atikewɔmɔnu siawo ŋu na wò ɖɔkta.
Gbedasi si Wotsɔ Yi Aƒeme
- TMS nye atike si le dedie, si me amekoko mele o, si zãa magnet-ƒutsotsoewo tsɔ gbugbɔa lãmeka siwo le ahɔhɔ̃a me wɔa dɔe.
- Wozãa atikewɔwɔ sia wu na susumedɔlélewo abe blanuiléle kple OCD siwo mewɔa nu ɖe atikewo ŋu o.
- Hafi woawɔ atike na wò la, ele vevie ŋutɔ be nàgblɔe na ɖɔkta ne ga de wò ŋutilã me alo ne èxɔ alɔ̃madɔmadɔ ŋutinya.
- Zi geɖe la, eƒe nugbegblẽ le ame ŋu mesẽna o eye wo nu tsona le ɣeyiɣi kpui aɖe me le atikewɔwɔ vɔ megbe (abe taɖuame, taɖuame ene). Afɔku sesẽwo mebɔ kura o.
- Wò ɖɔkta koe ate ŋu atso nya me nenye be TMS-dɔdamɔnu sɔ na wò, eyata ƒo nu kple wò ɖɔkta tso esia ŋu hena nyatakaka bubuwo.











💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee