Koj puas muaj tej lub sij hawm koj xav tias koj twb noj tshuaj kho kev nyuaj siab lawm thiab puas muaj lwm txoj kev kho? Koj puas tau hnov txog kev kho mob uas tsis tas yuav phais lossis siv tshuaj loog, tab sis pab kho lub hlwb kom rov qab ua haujlwm tau? Hnub no peb yuav tham txog kev kho mob uas xav tsis thoob uas tau coj kev cia siab tshiab rau ntau tus neeg. Qhov no hu ua 'Transcranial Magnetic Stimulation' lossis TMS.
TMS yog dab tsi tiag? Lub hlau nplaum cuam tshuam li cas rau lub hlwb?
Lub npe yuav zoo li nyuaj me ntsis, tab sis cia peb piav qhia me ntsis. TMS yog kev kho mob uas tsis yog kev phais uas siv lub cuab yeej tshwj xeeb los xa cov suab paj nruag magnetic mus rau qee qhov ntawm lub hlwb.
Tam sim no tej zaum koj yuav xav paub tias, "Lub hlau nplaum cuam tshuam li cas rau lub hlwb?" Nws yooj yim heev. Peb txhua tus paub tias muaj kev sib txuas loj ntawm hluav taws xob thiab hlau nplaum. Peb lub hlwb yog ib qho chaw ua haujlwm heev nrog ntau lab lub teeb liab me me mus ncig thiab los. Cov hlwb hlab ntsha hauv peb lub hlwb, hu ua neurons, sib txuas lus, tham nrog ib leeg, los ntawm cov lus hluav taws xob me me no.
Kev kho mob TMS ua haujlwm los ntawm kev siv lub zog sib nqus muaj zog rau ib feem ntawm lub hlwb, uas ua rau cov hlwb ntawm cov hlwb ua haujlwm hluav taws xob. Tshwj xeeb, hauv cov xwm txheej zoo li kev nyuaj siab, qee qhov ntawm lub hlwb yuav tsis ua haujlwm lawm. TMS ua haujlwm los ntawm 'ua kom rov qab zoo' qhov kev ua haujlwm uas tsis ua haujlwm lawm. Nws zoo li rov pib dua lub roj teeb tsheb tuag. Nws tuaj yeem cuam tshuam rau cov feem ntawm lub hlwb uas tswj peb txoj kev xav, kev txiav txim siab, thiab kev zoo siab.
Qhov tseem ceeb tshaj plaws yog tias kev kho mob no tau ua tiav rau ntawm qhov chaw ntawm lub taub hau. Qhov no txhais tau tias tsis tas yuav txiav lub taub hau li cas los yog ntxig dab tsi rau hauv.
Puas muaj ntau hom kev kho mob TMS sib txawv?
Yog, muaj ntau txoj kev sib txawv los ua TMS kev kho mob. Nws nyob ntawm lub zog ntawm lub hlau nplaum siv, qhov zaus thiab tus qauv ntawm cov nthwv dej hlau nplaum xa mus. Cia peb saib cov hom tseem ceeb.
| TMS hom/nta | Hais yooj yim xwb... |
|---|---|
| Lub zog ntawm hlau nplaum | Qhov no ntsuas ua pawg hu ua Tesla (Tesla - T). Feem ntau, siv lub hlau nplaum muaj zog ntawm 1.5T txog 2T. Qhov no zoo ib yam li lub zog ntawm lub hlau nplaum hauv lub tshuab MRI scanner. Txawm li cas los xij, hauv TMS, lub zog hlau nplaum no tsom mus rau lub hom phiaj me me, tshwj xeeb . |
| Zaus ntawm lub zog | Tus naj npawb ntawm cov zaus uas lub hlau nplaum raug qhib thiab kaw ib ob. Qhov no ntsuas hauv Hertz (Hz). Qee zaum cov nthwv dej raug xa mus rau qhov nrawm qis (1 Hz), lwm lub sijhawm ntawm qhov nrawm siab dua (5-10 Hz). Qhov kev xa cov nthwv dej tas mus li no kuj hu ua repetitive TMS (rTMS). |
| Cov Qauv Pulse | Qee txoj kev kho mob siv ib qho qauv tshwj xeeb ntawm cov nthwv dej. Ib qho piv txwv yog `(Theta-Burst Stimulation - TBS)`. Txoj kev no tuaj yeem txo lub sijhawm siv rau kev kho mob. |
| TMS Sib Sib (TMS Sib Sib - dTMS) | Qhov no siv ib lub cuab yeej tshwj xeeb, zoo li lub kaus mom hlau zoo li H. Qhov no tuaj yeem ua rau qee qhov ntawm lub hlwb uas tob dua qhov saum npoo me ntsis. Piv txwv li, txoj kev no tau pom tias muaj txiaj ntsig zoo dua rau cov mob xws li '(Obsessive-Compulsive Disorder - OCD)'. |
Kev kho mob TMS siv rau cov mob twg?
Feem ntau TMS tsis yog kev kho mob thawj zaug. Cov kws kho mob feem ntau pom zoo kom siv thaum lwm yam kev kho mob, tshwj xeeb tshaj yog cov tshuaj, tsis ua haujlwm zoo. Nws kuj tseem siv tau ua lwm txoj hauv kev zoo rau cov neeg uas tsis tuaj yeem kho mob xws li Electroconvulsive Therapy (ECT).
Muaj ntau yam mob uas tau txais kev pom zoo los ntawm cov koom haum xws li US Food and Drug Administration (FDA) rau kev kho mob TMS.
- Kev Nyuaj Siab Loj (MDD): Tshwj xeeb tshaj yog kev nyuaj siab uas tsis kam kho.
- Kev Mob Obsessive-Compulsive (OCD): Ib qho mob uas muaj kev xav tsis xav tas li thiab tsis muaj peev xwm tswj tau lawv cov kev ua.
- Mob taub hau migraine: Qee hom mob taub hau migraine.
- Kev Tso Haus Luam Yeeb: Ua ib qho kev pab rau kev tso haus luam yeeb.
Ntxiv rau cov mob uas tau pom zoo no, kev tshawb fawb thoob plaws ntiaj teb tab tom ua los saib seb kev kho mob TMS puas tuaj yeem pab tau rau ntau yam mob. Qee qhov ntawm cov no suav nrog:
- Ntau yam kev quav yeeb quav tshuaj
- Kab mob Alzheimer
- Kev puas siab puas ntsws bipolar
- Mob ntev
- Kab mob Parkinson
- Kev Nyuaj Siab Tom Qab Kev Raug Mob (PTSD)
- Cov teeb meem vim yog mob stroke
- Suab nrov hauv pob ntseg (Tinnitus)
Muaj dab tsi tshwm sim ua ntej thiab thaum lub sijhawm kho TMS?
Ua ntej koj yuav kho TMS, koj tus kws kho mob yuav xa koj mus rau ib tus kws tshwj xeeb uas tau kawm tshwj xeeb hauv qhov no. Tus kws tshwj xeeb no yuav nrog koj tham, tshuaj xyuas koj keeb kwm kev kho mob, thiab txiav txim siab seb qhov kev kho mob no puas yog rau koj thiab muaj kev nyab xeeb.
Thaum twg yuav tsum tsis txhob kho TMS?
Muaj qee kis uas kev kho mob TMS tuaj yeem ua rau muaj kev phom sij .
- Yog tias koj muaj cov khoom siv hlau lossis khoom siv hluav taws xob cog rau hauv koj lub cev: Piv txwv li, yog tias koj muaj cov khoom cog rau hauv lub hlwb, cov phaj hlau hauv koj lub pob txha taub hau, lossis cov aneurysm clips hauv koj lub hlwb, koj yuav tsis muaj TMS. Qhov no yog vim tias cov hlau nplaum muaj zog hauv TMS tuaj yeem rub cov khoom hlau no. Yog tias qhov no tshwm sim, qhov mob lossis raug mob hnyav yuav tshwm sim.
- Yog tias koj muaj mob qaug dab peg lossis keeb kwm ntawm kev qaug dab peg: Kev kho mob TMS tsis tshua muaj peev xwm ua rau qaug dab peg. Yog li ntawd, yog tias koj muaj mob qaug dab peg lossis noj tshuaj uas ua rau koj muaj feem yuav qaug dab peg ntau ntxiv, koj tus kws kho mob yuav xav txog kev kho mob sib txawv.
Thaum koj tus kws kho mob txiav txim siab tias qhov kev kho mob no muaj kev nyab xeeb rau koj, lawv yuav piav qhia txog lub sijhawm kho mob rau koj. TMS tsis yog kev kho mob ib zaug xwb. Feem ntau koj yuav tsum tau mus koom kev kho mob peb txog tsib hnub hauv ib lub lim tiam rau ntau lub lim tiam. Piv txwv li, kev kho mob rau kev nyuaj siab yog 6 lub lim tiam ntawm kev kho mob, 5 hnub hauv ib lub lim tiam.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Xav txog koj mus kho mob. Txhua yam koj yuav tsum ua yog ua ib yam dab tsi yooj yim heev.
1. Ua ntej, koj yuav zaum hauv ib lub rooj zaum xis nyob heev.
2. Yog koj cov tsom iav muaj cov thav hlau lossis koj hnav cov hniav nyiaj hniav kub hlau, lawv yuav hais kom koj tshem tawm. Qhov no yog kev ntsuas kev nyab xeeb.
3. Tom ntej no, koj yuav tau ob lub qhov ntsaws pob ntseg kom koj muab tso rau hauv koj lub pob ntseg kom txo tau suab nrov. Qhov no yog vim tias lub tshuab TMS ua suab me ntsis 'ticking' thaum nws qhib. Qhov no yog los tiv thaiv lub suab kom tsis txhob ua rau koj lub pob ntseg puas.
4. Tom qab ntawd, tus kws kho mob lossis tus kws kho mob kho lub kauj hlau nplaum ntawm lub cuab yeej TMS kom raug rau ntawm koj lub taub hau.
5. Ua ntej kev kho mob pib, lawv yuav nrhiav qhov chaw zoo rau ntawm koj lub taub hau thiab maj mam ua kom lub zog ntawm lub hlau nplaum nce ntxiv, xa tawm ib lub suab. Thaum lub sijhawm no, koj yuav hnov ib qho kov me ntsis rau ntawm koj lub taub hau.
6. Thaum koj ua kom lub zog ntawm lub hlau nplaum nce ntxiv, koj yuav pom koj txhais tes, tshwj xeeb tshaj yog koj tus ntiv tes xoo, co tsis tu ncua. Qhov no yog qhov ib txwm muaj. Cov kws kho mob xav tau qhov no vim tias nws yog li cas lawv paub tias lawv tau mus txog lub zog tsim nyog rau kev kho mob.
7. Thaum twg nrhiav tau qhov chaw thiab lub zog zoo lawm, cov nthwv dej sib nqus yuav pib raug coj mus rau hauv tus qauv uas koj xav tau. Txhua yam koj yuav tsum ua yog zaum xis nyob hauv lub rooj zaum.
Feem ntau kev kho mob yuav siv sijhawm li ob peb feeb mus txog ib nrab teev . Nws txawv nyob ntawm hom kev kho mob uas koj tau txais. Tom qab kev kho mob tas, koj tuaj yeem rov qab mus ua koj cov dej num ib txwm yam tsis muaj kev tsis xis nyob.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob TMS yog dab tsi?
Ib yam li lwm txoj kev kho mob, TMS muaj cov txiaj ntsig thiab qee qhov kev pheej hmoo.
| Cov txiaj ntsig | Kev Pheej Hmoo & Cov Kev Mob Tshwm Sim |
|---|---|
| Tsis tas yuav phais (Tsis yog phais): Tsis tas yuav siv tshuaj loog, phais qhov txhab, lossis lwm yam dab tsi ua. Koj tuaj yeem mus tsev tam sim ntawd tom qab kho tas. | Qaug dab peg: Qhov no yog qhov kev pheej hmoo loj tshaj plaws, tab sis nws tsis tshua muaj . Qhov kev pheej hmoo tsawg dua 0.01% (qhov ntawd yog li ib zaug hauv 10,000 zaug kev kho mob). |
| Muaj Kev Nyab Xeeb: Cov kev mob tshwm sim feem ntau tsis loj heev thiab feem ntau yog ib ntus xwb. | Mob taub hau: Qee tus neeg yuav mob taub hau me ntsis tom qab kho mob. |
| Siv Tau Zoo:Kev tshawb fawb tau ua pov thawj meej meej tias kev kho mob no zoo rau cov mob cuam tshuam. | Mob/tsis xis nyob rau hauv lub taub hau lossis caj dab: Koj yuav hnov mob me ntsis lossis tsis xis nyob qhov twg lub hlau nplaum tau muab tso rau. |
| Yuav cawm tau txoj sia: Rau cov neeg uas muaj kev nyuaj siab hnyav thiab xav tua tus kheej, kev kho mob no tuaj yeem txo cov tsos mob thiab muab kev cia siab tshiab rau lub neej. | Hnov kiv taub hau. |
| Ua tau nrog lwm yam kev kho mob: Kev kho mob no ua tau thaum noj tshuaj lossis mus ntsib kws kho mob. | Muaj kev xav tias cov leeg ntawm lub ntsej muag lossis lub taub hau tsis muaj zog. |
Tseem Ceeb: Feem ntau ntawm cov kev mob tshwm sim no tsis hnyav heev thiab ploj mus li ntawm ob peb feeb tom qab kev kho mob.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog tias koj tau txais kev kho mob TMS, nws yog ib qho tseem ceeb heev uas yuav tsum tuaj koom koj cov kev kho mob raws sijhawm, raws li koj tus kws kho mob pom zoo . Kev tsis tuaj koom cov kev kho mob yuav txo qhov ua tau zoo ntawm kev kho mob.
Tsis tas li ntawd, yog tias cov kev mob tshwm sim uas koj tab tom ntsib zoo li hnyav heev, lossis yog tias koj tseem muaj kev tsis xis nyob tom qab kev kho mob ntau teev, nco ntsoov qhia rau koj tus kws kho mob paub.
Yuav ua li cas thaum muaj xwm txheej ceev?
Cov neeg uas muaj mob xws li kev nyuaj siab lossis OCD tej zaum yuav muaj kev xav ua phem rau lawv tus kheej lossis tua tus kheej. Yog tias koj lossis ib tus neeg koj paub muaj cov kev xav no, thov tsis txhob raug kev txom nyem ib leeg. Nrhiav kev pab tam sim ntawd.
- Kab xov tooj pab txog kev noj qab haus huv ntawm lub hlwb hauv tebchaws: Hu rau 1926 .
- Sumithryo: Hu rau 011 2696666 thiab koj tuaj yeem tham txog koj txoj kev xav nrog ib tus neeg zoo thiab zais cia.
- Yog koj xav tias koj yuav muaj kev phom sij tam sim ntawd, mus rau Chav Kho Mob Xwm Ceev (ETU) ze tshaj plaws tam sim ntawd.
TMS tsis yog ib qho txuj ci tseem ceeb rau txhua yam kab mob, tab sis nws tau muab rau ntau tus neeg uas tsis tau rov zoo los ntawm lwm yam kev kho mob kom muaj lub neej tshiab. Yog li, yog tias koj lossis ib tus neeg koj paub raug kev txom nyem los ntawm kev mob hlwb, tham nrog koj tus kws kho mob txog cov kev kho mob niaj hnub no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- TMS yog ib qho kev kho mob uas muaj kev nyab xeeb, tsis tas phais uas siv cov nthwv dej sib nqus los kho cov hlab ntsha hauv lub hlwb kom rov qab ua haujlwm tau zoo.
- Kev kho mob no feem ntau yog siv rau cov mob hlwb xws li kev nyuaj siab thiab OCD uas tsis teb rau tshuaj.
- Ua ntej kev kho mob, nws yog ib qho tseem ceeb uas yuav tsum qhia rau tus kws kho mob yog tias koj muaj cov hlau cog rau hauv koj lub cev lossis keeb kwm ntawm kev qaug dab peg.
- Cov kev mob tshwm sim feem ntau tsis hnyav heev thiab yuav ploj mus sai sai tom qab kho mob (xws li mob taub hau, kiv taub hau). Cov kev pheej hmoo loj heev tsis tshua muaj.
- Tsuas yog koj tus kws kho mob thiaj li txiav txim siab tau seb kev kho mob TMS puas yog rau koj, yog li nrog koj tus kws kho mob tham txog qhov no kom paub ntau ntxiv.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus