Ke manaʻo nei ʻoe i kekahi manawa ke lawe nei ʻoe i ka lāʻau lapaʻau no ke kaumaha a aia kekahi ala ʻē aʻe? Ua lohe anei ʻoe i kahi lāʻau lapaʻau ʻaʻole pono ke ʻoki kino a i ʻole ka anesthesia, akā kōkua i ka hoʻihoʻi ʻana i ka hana o ka lolo? I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kupanaha i lawe mai i ka manaʻolana hou i nā poʻe he nui. Ua kapa ʻia kēia ʻo 'Transcranial Magnetic Stimulation' a i ʻole TMS.
He aha maoli ka TMS? Pehea ka hopena o ka magnet i ka lolo?
He mea paʻakikī paha ke kani ʻana o ka inoa, akā e wehewehe kākou. He lāʻau lapaʻau ʻaʻole invasive ka TMS e hoʻohana ana i kahi mea kūikawā e hoʻouna i nā pulse magnetic i nā ʻāpana kikoʻī o ka lolo.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea ka hopena o ka magnet i ka lolo?" He mea maʻalahi loa ia. Ua ʻike mākou a pau he pilina nui ma waena o ka uila a me ka magnetism. He wahi hana nui ko mākou lolo me nā miliona o nā hōʻailona uila liʻiliʻi e hele ana i mua a i hope. ʻO nā hunaola nerve i loko o ko mākou lolo, i kapa ʻia ʻo neurons, e kamaʻilio, e kamaʻilio kekahi i kekahi, ma o kēia mau leka uila liʻiliʻi.
Hana ka lāʻau lapaʻau TMS ma ka hoʻopili ʻana i kahi kahua magnetic ikaika i kahi ʻāpana kikoʻī o ka lolo, kahi e hoʻoulu ai i ka hana uila kūlohelohe o kēlā mau hunaola nerve. ʻO ke kikoʻī, i nā kūlana e like me ke kaumaha, ua nalowale paha kekahi mau ʻāpana o ka lolo i ka hana. Hana ka TMS ma ka 'hoʻoulu hou' ʻana i kēlā hana nalowale. Ua like ia me ka hoʻomaka hou ʻana i kahi pila kaʻa make. Hiki iā ia ke hoʻopilikia i nā ʻāpana o ka lolo e kaohi ana i ko mākou mau manaʻo, ka hoʻoholo ʻana, a me ka hauʻoli.
ʻO ka mea nui loa, ʻo ia ka hana ʻia ʻana o kēia lāʻau lapaʻau ma luna o ke poʻo. ʻO ia hoʻi, ʻaʻohe pono e ʻoki i ke poʻo ma kekahi ʻano a i ʻole e hoʻokomo i kekahi mea i loko.
Aia kekahi mau ʻano like ʻole o ka lāʻau lapaʻau TMS?
ʻAe, aia kekahi mau ʻano like ʻole e hana ai i ka lāʻau lapaʻau TMS. Aia ia i ka ikaika o ka magnet i hoʻohana ʻia, ke alapine (frequency) a me ke ʻano o nā nalu magnetic i hoʻouna ʻia. E nānā kākou i nā ʻano nui.
| ʻAno/hiʻohiʻona TMS | I ka ʻōlelo maʻalahi... |
|---|---|
| Ikaika Magnet | Ua ana ʻia kēia ma nā anakahi i kapa ʻia ʻo Tesla (Tesla - T). ʻO ka maʻamau, hoʻohana ʻia kahi magnet ikaika o 1.5T a i 2T. Ua like kēia me ka ikaika o ka magnet i loko o kahi scanner MRI. Eia nō naʻe, ma TMS, ua kālele ʻia kēia kahua magnetic ma kahi pahuhopu liʻiliʻi a kikoʻī loa. |
| Alapine (frequency) o ka pulse | ʻO ka helu o nā manawa i hoʻā ʻia ai a pio ʻia ai ka magnet i kēlā me kēia kekona. Ana ʻia kēia ma Hertz (Hz). I kekahi manawa hoʻouna ʻia nā nalu ma kahi haʻahaʻa (1 Hz), i kekahi manawa ma kahi kiʻekiʻe aʻe (5-10 Hz). Ua kapa ʻia kēia hoʻouna mau ʻana o nā nalu he TMS repetitive (rTMS). |
| Nā ʻano Pulse | Hoʻohana kekahi mau lāʻau lapaʻau i kahi ʻano kikoʻī o nā nalu. ʻO kahi laʻana ʻo `(Theta-Burst Stimulation - TBS)`. Hiki i kēia ʻano hana ke hōʻemi nui i ka manawa i hoʻolilo ʻia ma ka lāʻau lapaʻau. |
| TMS Hohonu (TMS Hohonu - dTMS) | Hoʻohana kēia i kahi mea hana kūikawā, e like me ka mahiole ʻano H. Hiki i kēia ke hoʻoulu i nā ʻāpana o ka lolo i ʻoi aku ka hohonu ma mua o ka ʻili. No ka laʻana, ua ʻike ʻia kēia ʻano hana he ʻoi aku ka maikaʻi no nā kūlana e like me `(Obsessive-Compulsive Disorder - OCD)`. |
He aha nā kūlana e hoʻohana ʻia ai ka lāʻau lapaʻau TMS?
ʻAʻole maʻamau ka TMS he lāʻau lapaʻau laina mua. Paipai pinepine nā kauka iā ia ke hāʻule nā lāʻau ʻē aʻe, ʻoiai nā lāʻau lapaʻau. Hoʻohana ʻia hoʻi ia ma ke ʻano he koho maikaʻi no ka poʻe hiki ʻole ke hana i nā lāʻau lapaʻau e like me ka Electroconvulsive Therapy (ECT).
Aia kekahi mau kūlana i ʻāpono ʻia no ka mālama ʻana iā TMS e nā keʻena e like me ka US Food and Drug Administration (FDA).
- Maʻi Kaumaha Nui (MDD): ʻOi aku ka kaumaha kū ʻole i ka lāʻau lapaʻau.
- Ka maʻi hoʻopilikia-koʻikoʻi (OCD): He kūlana i hōʻike ʻia e nā manaʻo makemake ʻole mau a me ka hiki ʻole ke kaohi i nā hana a lākou e hana ai.
- Migraines: Kekahi mau ʻano poʻo migraine.
- Ka Hoʻōki ʻana i ka Puhipaka: Ma ke ʻano he kōkua i ka hoʻōki ʻana i ka puhipaka.
Ma waho aʻe o kēia mau kūlana i ʻae ʻia, ke hana ʻia nei ka noiʻi a puni ka honua e ʻike inā hiki i ka lāʻau lapaʻau TMS ke lilo i mea pono no kekahi mau kūlana ʻē aʻe. ʻO kekahi o kēia mau mea:
- Nā ʻano ʻona like ʻole
- ka maʻi o Alzheimer
- Maʻi bipolar
- ʻEha mau loa
- ka maʻi o Parkinson
- Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
- Nā pilikia ma muli o ka hahau ʻana
- Ke kani ʻana i nā pepeiao (Tinnitus)
He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana iā TMS?
Ma mua o kou hana ʻana i ka lāʻau TMS, e kuhikuhi aku kāu kauka iā ʻoe i kahi loea i aʻo kūikawā ʻia ma kēia kahua. E kamaʻilio kēia loea me ʻoe, e nānā i kāu mōʻaukala olakino, a e hoʻoholo inā kūpono kēia lāʻau iā ʻoe a palekana hoʻi.
I ka manawa hea e pono ʻole ai ke hana ʻia ka mālama ʻana iā TMS?
Aia kekahi mau hihia kahi e hiki ai i ka lāʻau lapaʻau TMS ke hoʻoweliweli .
- Inā he mau mea hao a mea uila paha kāu i hoʻokomo ʻia i loko o kou kino: No ka laʻana, inā he mau mea hoʻokomo cochlear kāu, nā papa hao i loko o kou iwi poʻo, a i ʻole nā ʻāpana aneurysm i loko o kou lolo, ʻaʻole hiki iā ʻoe ke loaʻa ka TMS. ʻO kēia no ka mea hiki i ka magnet ikaika i loko o TMS ke huki i kēia mau ʻāpana hao. Inā hana ʻia kēia, hiki ke loaʻa ka ʻeha a i ʻole ka ʻeha nui.
- Inā loaʻa iā ʻoe ka maʻi epilepsy a i ʻole ka mōʻaukala o nā hopu ʻana: Hiki i ka lāʻau TMS ke hana pinepine i nā hopu ʻana. No laila, inā loaʻa iā ʻoe kahi maʻi hopu ʻana a i ʻole ke lawe nei i nā lāʻau lapaʻau e hoʻonui ai i kou pilikia o nā hopu ʻana, e noʻonoʻo paha kāu kauka i kahi lāʻau ʻokoʻa.
Ke hoʻoholo kāu kauka he palekana kēia lāʻau lapaʻau nou, e wehewehe lākou i ka papa hana lapaʻau iā ʻoe. ʻAʻole ʻo TMS kahi lāʻau lapaʻau hoʻokahi manawa. Pono ʻoe e hele i nā hālāwai lapaʻau ʻekolu a ʻelima mau lā i ka pule ma luna o kekahi mau pule. No ka laʻana, ʻo ka lāʻau lapaʻau maʻamau no ke kaumaha he 6 pule o ka lāʻau lapaʻau, 5 lā o ka pule.
He aha ka mea e hana ʻia i ka wā o kahi kau hoʻōla?
E noʻonoʻo ʻoe ua hele ʻoe i ka lāʻau lapaʻau. ʻO kāu wale nō e hana ai, ʻo ia ke hana i kahi mea maʻalahi loa.
1. ʻO ka mea mua, e noho ʻia ʻoe ma kahi noho ʻoluʻolu loa.
2. Inā he mau mōlina hao kou mau maka aniani a i ʻole ʻoe e ʻaʻahu ana i nā mea hoʻonani hao, e noi lākou iā ʻoe e wehe iā lākou. He hana palekana kēia.
3. A laila, e hāʻawi ʻia ʻoe i ʻelua mau pani pepeiao e hoʻokomo i loko o kou mau pepeiao e hōʻemi i ka walaʻau. ʻO kēia no ka mea e hana ana ka mīkini TMS i kahi leo 'ticking' iki ke hoʻā ʻia. ʻO kēia ke pale aku i ke kani mai ka hōʻino ʻana i kou mau pepeiao.
4. A laila, hoʻoponopono ke kauka a loea paha i ka ʻōwili magnetic o ka hāmeʻa TMS i ke kūlana kūpono ma kou poʻo.
5. Ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e ʻike lākou i kahi kūpono ma kou poʻo a hoʻonui mālie i ka ikaika o ka magnet, e hoʻouna ana i nā pulse hoʻokahi. I kēia manawa, e ʻike ʻoe i kahi pā iki ma kou poʻo.
6. Ke hoʻonui ʻoe i ka ikaika o ka magnet, e ʻike paha ʻoe i kou lima, ʻoiai kou manamana nui, e ʻoniʻoni ana me ka manaʻo ʻole. He mea maʻamau loa kēia. Manaʻo nā kauka i kēia no ka mea ʻo ia ke ala e ʻike ai ua hiki lākou i ka ikaika kūpono no ka mālama ʻana.
7. Ke loaʻa ka wahi kūpono a me ka ikaika, e hoʻomaka nā nalu magnetic e kuhikuhi ʻia i ke ʻano i makemake ʻia. ʻO kāu wale nō e hana ai, ʻo ia ke noho ʻoluʻolu ma ka noho.
Hiki i kahi hālāwai lapaʻau ke mau mai kekahi mau minuke a i ka hapalua hola . ʻOkoʻa ia ma muli o ke ʻano o ka lapaʻau āu e loaʻa ai. Ma hope o ka pau ʻana o ka lapaʻau, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau me ka ʻole o ka ʻoluʻolu ʻole.
He aha nā pono a me nā pilikia o ka hoʻōla ʻana o TMS?
E like me kekahi ʻano lapaʻau, loaʻa iā TMS nā pono a me kekahi mau pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Hopena ʻAoʻao |
|---|---|
| ʻAʻohe hana ʻoki kino i koi ʻia (ʻAʻole invasive): ʻAʻohe anesthesia, ʻoki ʻia, a i ʻole kekahi mea e hana ʻia. Hiki iā ʻoe ke hoʻi pololei i ka home ma hope o ka mālama ʻana. | ʻO ka hopu ʻana: ʻO kēia ka pilikia koʻikoʻi loa, akā he mea kākaʻikahi loa ia. ʻOi aku ka liʻiliʻi o ka pilikia ma mua o 0.01% (ʻo ia hoʻi ma kahi o hoʻokahi i loko o 10,000 mau kau lapaʻau). |
| Palekana: ʻAʻole koʻikoʻi nā hopena ʻaoʻao a he manawa pōkole wale nō. | ʻEha poʻo: Hiki i kekahi poʻe ke loaʻa kahi ʻeha poʻo iki ma hope o ka mālama ʻana. |
| Kūpono:Ua hōʻoia maopopo ʻia e ka noiʻi he pono kēia lāʻau lapaʻau no nā kūlana pili. | ʻEha/ʻoluʻolu ʻole ma ke poʻo a i ʻole ka ʻāʻī: E manaʻo paha ʻoe i kahi ʻeha iki a ʻoluʻolu ʻole paha ma kahi i kau ʻia ai ka magnet. |
| Hiki ke hoʻōla i nā ola: No ka poʻe me ke kaumaha nui a me nā manaʻo pepehi kanaka, hiki i kēia lāʻau ke hōʻemi i nā hōʻailona a hāʻawi i ka manaʻolana hou no ke ola. | Manaʻo puni. |
| Hiki ke hana ʻia me nā lāʻau ʻē aʻe: Hiki ke hana ʻia kēia lāʻau i ka wā e lawe ana i ka lāʻau lapaʻau a i ʻole e hele ana i ke aʻo ʻana. | Ka manaʻo o ka mae ʻana o nā ʻiʻo o ka maka a i ʻole ke poʻo. |
Mea nui: ʻO ka hapa nui o kēia mau hopena ʻaoʻao he palupalu loa a nalo i loko o kekahi mau minuke o ka mālama ʻana.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ua kuhikuhi ʻia ʻoe i ka lāʻau lapaʻau TMS, he mea nui loa ia e hele i kāu mau kau lapaʻau i ka manawa kūpono, e like me ka ʻōlelo a kāu kauka . ʻO ka haʻalele ʻana i nā kau e hōʻemi paha i ka pono o ka lāʻau.
Eia kekahi, inā ʻike ʻia he koʻikoʻi nā hopena ʻaoʻao āu e ʻike nei, a inā ʻoe e ʻike nei i ka ʻoluʻolu ʻole i nā hola ma hope o ka lāʻau lapaʻau, e hoʻomaopopo pono i kāu kauka .
He aha ka mea e hana ai i ka wā pilikia?
Hiki i nā poʻe me nā kūlana e like me ke kaumaha a i ʻole OCD ke loaʻa i kekahi manawa nā manaʻo e hōʻeha iā lākou iho a pepehi paha iā lākou iho. Inā ʻoe a i ʻole kekahi āu i ʻike ai e loaʻa ana kēia mau manaʻo, e ʻoluʻolu, mai ʻeha hoʻokahi. E ʻimi koke i ke kōkua.
- Laina Kōkua Ola Kino Lahui: Kāhea iā 1926 .
- Sumithrayo: Kāhea iā 011 2696666 a hiki iā ʻoe ke kamaʻilio e pili ana i kou mau manaʻo me kahi kanaka aloha a pilikino hoʻi.
- Inā manaʻo ʻoe aia ʻoe i kahi pōʻino koke, e hele koke i ka haukapila Emergency Department (ETU) kokoke loa.
ʻAʻole ʻo TMS kahi lāʻau lapaʻau mana no nā maʻi āpau, akā ua hiki iā ia ke hāʻawi i nā poʻe he nui i hiki ʻole ke ho'ōla mai nā lāʻau lapaʻau ʻē aʻe i kahi ola hou. No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻeha nei i kahi maʻi noʻonoʻo, e kamaʻilio me kāu kauka e pili ana i kēia mau lāʻau lapaʻau hou.
Leka Lawe-Home
- He lāʻau palekana ka TMS, ʻaʻohe ʻokiʻoki e hoʻohana ana i nā nalu magnetic e hoʻihoʻi i ka hana o nā hunaola nerve i loko o ka lolo.
- Hoʻohana pinepine ʻia kēia lāʻau lapaʻau no nā kūlana olakino noʻonoʻo e like me ke kaumaha a me ka OCD i pane ʻole i ka lāʻau lapaʻau.
- Ma mua o ka mālama ʻana, he mea nui e haʻi i ke kauka inā he mau mea hoʻokomo metala i loko o kou kino a i ʻole he mōʻaukala o nā hopu ʻana.
- ʻO ka maʻamau, he palupalu nā hopena ʻaoʻao a hoʻopau i loko o ka manawa pōkole ma hope o ka mālama ʻana (e like me ke poʻo ʻeha, ka poniuniu). He mea kākaʻikahi loa nā pilikia koʻikoʻi.
- ʻO kāu kauka wale nō ke hoʻoholo inā kūpono ka lāʻau lapaʻau TMS iā ʻoe, no laila e kamaʻilio me kāu kauka e pili ana i kēia no ka ʻike hou aku.
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