Sɔntɛnde, yu kin fil se yu dɔn ɔlrɛdi de tek mɛrɛsin fɔ pwɛl hat ɛn ɔda we de? Yu dɔn yɛri bɔt wan tritmɛnt we nɔ nid ɔpreshɔn ɔ anestezi, bɔt we de ɛp fɔ mek yu bren wok bak? Tide wi go tɔk bɔt wan sɔprayz tritmɛnt we dɔn briŋ nyu op to bɔku pipul dɛn. Dɛn kɔl dis ‘Transcranial Magnetic Stimulation’ ɔ TMS.
Wetin na TMS rili? Aw magnet kin afɛkt di bren?
Di nem kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi brok am. TMS na tritmɛnt we nɔ de ambɔg pɔsin we de yuz spɛshal tin fɔ sɛn magnɛtik puls to sɔm patikyula pat dɛn na di bren.
Naw yu kin de wɔnda, "Aw magnet kin afɛkt di bren?" I rili simpul. Wi ɔl no se big kɔnekshɔn de bitwin ilɛktrishɔn ɛn magnetizm. Wi bren na ples we rili de wok wit bɔku bɔku smɔl smɔl ilɛktrik signal dɛn we de travul go ɛn kam bak. di nεv sεl dεm na wi bren, we dεn kכl nyuron, de kכmכnik, tכk to dεn wan dεm, tru dεn sכm sכm sכm sכm ilektrikal mεsej dεm.
TMS tεrapi de wok bay we dεn de put wan strכng magnεtik fil pan wan patikyula pat na di bren, we de mek dεn nεv sεl dεm de du nכmal ilektrikal aktiviti. Spɛshal wan, pan tin dɛm lɛk pwɛl hat, sɔm pat dɛm na di bren kin dɔn lɔs aktiviti. TMS de wok bay we i de ‘rijuvenating’ da aktiviti we dɔn lɔs. I tan lɛk se yu de stat bak wit motoka bateri we dɔn day. I kin afɛkt di pat dɛn na wi bren we de kɔntrol aw wi de fil, aw wi de disayd fɔ du sɔntin, ɛn aw wi de gladi.
Di tin we impɔtant pas ɔl na dat dɛn kin du dis tritmɛnt na di say we di ed de. Dis min se nid nɔ de fɔ kɔt di ed ɛni we ɔ put ɛnitin insay.
Difrɛn kayn TMS tritmɛnt de?
Yɛs, sɔm difrɛn we dɛn de fɔ du TMS tritmɛnt. I dipen pan di trɛnk we di magnet we dɛn yuz gɛt, di frikshɔn ɛn di patɛn we di magnɛtik wev dɛn we dɛn de sɛn gɛt. Lɛ wi tek wan luk pan di men kayn dɛn.
| TMS tayp/ficha | Fɔ tɔk am simpul wan... |
|---|---|
| Magnet Strɔng | Dɛn kin mɛzhɔ dis insay yunit dɛn we dɛn kɔl Tesla (Tesla - T). Tipikli, dɛn kin yuz wan strɔng magnet we gɛt 1.5T to 2T. Dis tan lɛk di trɛnk we di magnet gɛt na MRI skan. Bɔt insay TMS, dis magnɛtik fil de pe atɛnshɔn pan wan rili smɔl, spɛshal target. |
| Pulse Frikyuɛnsi | Di nɔmba fɔ di tɛm dɛn we dɛn kin on ɛn ɔf di magnet insay wan sɛkɔn. Dis na tin we dɛn kin mɛzhɔ insay Hertz (Hz). Sɔntɛnde dɛn kin sɛn di wev dɛn wit lɔw rit (1 Hz), ɔda tɛm dɛn kin sɛn am wit ay rit (5-10 Hz). dis kכntinyu dεlivεri fכ wev dεm dεn kכl am bak rεpεtitiv TMS (rTMS). |
| Pulse Pɔtn dɛn | Sɔm tritmɛnt dɛn kin yuz wan patikyula patɛn fɔ wev. Wan ɛgzampul na `(Theta-Burst Stimulation - TBS)`. Dis we ya kin ridyus di tɛm we dɛn kin spɛn fɔ tritmɛnt bad bad wan. |
| Dip TMS (Dip TMS - dTMS) . | Dis kin yuz wan spɛshal tin, lɛk ɛlmɛt we shep lɛk H. Dis kin mek sɔm pat dɛn na di bren we dip smɔl pas di say we di bren de, wok. fכ egzampl, dεn fכnshכn se dis mεtכd de mכr ifektiv fכ kכndishכn dεm lεk `(Obsessive-Compulsive Disorder - OCD)`. |
Us kɔndishɔn dɛn kin yuz TMS tɛrapi fɔ?
TMS nɔ kin bi fɔs layn tritmɛnt. Bɔku tɛm, dɔktɔ dɛn kin tɛl yu fɔ du am we ɔda tritmɛnt dɛn, mɔ di mɛrɛsin dɛn, nɔ wok. Dɛn kin yuz am bak as gud ɔda tin fɔ pipul dɛn we nɔ kin ebul fɔ du tritmɛnt lɛk Ilɛktrokɔnvulsiv Tɛrapi (ECT).
Bɔku kɔndishɔn dɛn de we di ɛjɛnshi dɛm lɛk di US Food and Drug Administration (FDA) dɔn ɔfishal wan gri fɔ trit TMS.
- Major Depressive Disorder (MDD): Ɛspɛshali diprɛshɔn wae nɔr kin gɛt tritmɛnt.
- Obsessive-Compulsive Disorder (OCD): Na wan sik wae de kam wae pɔrsin de tink bɔt tin wae nɔr want ɛn nɔr kin ebul fɔ kɔntrol di tin dɛm wae dɛn kin du.
- Maygren: Sɔm kayn maygren ed pen.
- Fɔ lɛf fɔ smok: As ɛp fɔ lɛf fɔ smok.
Apat frɔm dɛn kɔndishɔn ya we dɛn dɔn gri fɔ, dɛn de du risach ɔlsay na di wɔl fɔ si if TMS tritmɛnt kin bɛnifit fɔ bɔku ɔda sik dɛn. Sɔm pan dɛn tin ya na:
- Difrɛn adikshɔn dɛn
- Dis sik we dɛn kɔl Alzaima
- Bipola muud disɔda
- Pen we nɔ de dɔn
- Dis sik we dɛn kɔl Parkinson
- Pɔst-Traumatik Strɛs Disɔda (PTSD) .
- Kɔmplikɛshɔn dɛn we kin kam bikɔs ɔf strok
- Ring na di yes (Tinnitus) .
Wetin kin apin bifo ɛn di tɛm we dɛn de trit TMS?
Bifo yu gɛt TMS tritmɛnt, yu dɔktɔ go rifer yu to spɛshal pɔsin we dɛn dɔn tren spɛshal wan pan dis wok. Dis spɛshal dɔktɔ go tɔk to yu, rivyu yu mɛdikal histri, ɛn disayd if dis tritmɛnt fayn fɔ yu ɛn sef.
Ustɛm dɛn nɔ fɔ du TMS tritmɛnt?
Sɔm kes dɛn de we TMS tritmɛnt kin denja .
- If yu gɛt mɛtal ɔ ilɛktronik tin dɛn we dɛn put na yu bɔdi: Fɔ ɛgzampul, if yu gɛt kɔklia implant, mɛtal plet na yu skel, ɔ aneurism klip na yu bren, yu nɔ go ebul fɔ gɛt TMS. Dis na bikɔs di strɔng magnet we de na TMS kin atrak dɛn mɛtal pat ya. If dis apin, pen ɔr siriɔs injury kin kam.
- If yu gɛt epilepsy ɔ yu gɛt histri fɔ gɛt sik: TMS tritmɛnt nɔ kin rili mek yu gɛt sik. So, if yu gɛt sik we de mek yu sik ɔ yu de tek mɛrɛsin we go mek yu gɛt mɔ sik, yu dɔktɔ kin tink bɔt ɔda tritmɛnt.
We yu dɔktɔ dɔn disayd se dis tritmɛnt nɔ bad fɔ yu, dɛn go ɛksplen to yu aw fɔ trit yu. TMS nɔto wan tɛm tritmɛnt. Bɔku tɛm yu go gɛt fɔ atɛnd tritmɛnt sɛshɔn tri to fayv dez insay di wik fɔ sɔm wiks. Fɔ ɛgzampul, wan standad tritmɛnt fɔ pwɛl hat na fɔ 6 wik tritmɛnt, 5 dez insay di wik.
Wetin kin apin we dɛn de du tritmɛnt?
Imajin se yu bin go na tɛrapi. Na wetin yu fɔ du na fɔ du sɔntin we rili simpul.
1. Fɔs, yu go sidɔm na chia we rili fayn.
2. If yu glas get metal frame o yu de wear metal jewelry, dem go ask yu to tek am. Dis na we fɔ mek pɔsin nɔ gɛt prɔblɛm.
3. Neks, dem go giv yu tu iaplug fo put fo yu yes fo ridyus nois. Dis na bikɔs di TMS mashin de mek smɔl ‘tik’ sawnd we dɛn dɔn ɔp am. Dis na fɔ mek di sawnd nɔ pwɛl yu yes.
4. Dɔn, di dɔktɔ ɔ di tɛknishian kin ajɔst di magnɛtik kɔyl na di TMS divays to di kɔrɛkt pozishɔn na yu ed.
5. Bifo di tritmɛnt bigin, dɛn go fɛn di rayt say na yu ed ɛn smɔl smɔl dɛn go mek di magnet gɛt mɔ trɛnk, ɛn sɛn wan puls. Dis tɛm ya, yu go fil se dɛn tap yu ed smɔl .
6. As yu de mek di magnet gɛt mɔ trɛnk, yu go notis se yu an, mɔ yu big an, de shek shek insɛf. Dis na tin we nɔmal tin. Dɔktɔ dɛn kin ɛkspɛkt dis bikɔs na aw dɛn no se dɛn dɔn rich di rayt trɛnk fɔ di tritmɛnt.
7. We dɛn dɔn fɛn di rayt say ɛn di trɛnk, di magnɛtik wev dɛn go bigin fɔ dayrɛkt di we aw dɛn want. Na wetin yu fɔ du na fɔ sidɔm fayn fayn wan na di chia.
Bɔku tɛm di tritmɛnt kin tek frɔm sɔm minit to af awa . I kin difrɛn difrɛn wan bay di kayn tritmɛnt we yu de gɛt. Afta di tritmɛnt dɔn, yu kin go bak to yu nɔrmal tin dɛm wae yu nɔr kin du ɛn nɔr kin fil fayn.
Wetin na di bɛnifit ɛn risk dɛm wae de wit TMS tritmɛnt?
Lɛk ɛni tritmɛnt we, TMS gɛt bɛnifit ɛn sɔm prɔblɛm dɛn.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk & Sayd Ifɛkt dɛn |
|---|---|
| Nɔ ɔpreshɔn nɔ nid fɔ du (Noninvasive): Nɔ anesthesia, incision, ɔ ɛnitin fɔ du. Yu kin go na os wantɛm wantɛm afta di tritmɛnt. | Seizure: Dis na de risk wae de pasmak, bɔt e kin rili, rili rare . Di risk nɔr pas 0.01% (dat na lɛk wan pan 10,000 tritmɛnt sɛshɔn dɛm). |
| Sef: Bɔku tɛm, di sayd ɛfɛkt dɛn nɔ kin siriɔs ɛn bɔku tɛm na fɔ shɔt tɛm nɔmɔ. | Ɛd we de at: Sɔm pipul dɛn kin gɛt smɔl ed pen afta dɛn dɔn trit dɛn. |
| Gud gud:Risach dɔn pruv klia wan se dis tritmɛnt kin wok fɔ di sik dɛn we gɛt fɔ du wit am. | Pen/diskɔmfɔt na di skel ɔ nɛk: Yu kin fil smɔl pen ɔ nɔr kin fil fayn usay dɛn put di magnet. |
| I kin sev pipul dɛn layf: Fɔ di wan dɛn we gɛt siriɔs pwɛl at ɛn we de tink bɔt fɔ kil dɛnsɛf, dis tritmɛnt kin mek dɛn nɔ gɛt bɛtɛ sik ɛn gi nyu op fɔ layf. | Fɔ fil se yu gɛt diziz. |
| Dɛn kin du am wit ɔda tritmɛnt: Dɛn kin du dis tritmɛnt wae yu de tek mɛrɛsin ɔr yu de go na kɔyl. | Wan filin wae de fil fɔ de na di mɔsul dɛm na yu fes ɔr ed. |
Impɔtant: Bɔrku pan dɛn sayd ɛfɛkt ya kin rili smɔl ɛn kin go insay sɔm minit afta di tritmɛnt sɛshɔn.
Ustɛm yu fɔ go to dɔktɔ?
If dɛn dɔn gi yu TMS tritmɛnt, i rili impɔtant fɔ atɛnd yu tritmɛnt seshɔn dɛn di rayt tɛm, lɛk aw yu dɔktɔ se . If yu nɔ gɛt sɛshɔn, dat kin mek di tritmɛnt nɔ wok fayn.
Dɔn bak, if i tan lɛk se di sayd ɛfɛkt dɛn we yu de gɛt rili bad, ɔ if yu stil de fil bad fɔ sɔm awa afta di tritmɛnt, mek shɔ se yu tɛl yu dɔktɔ .
Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du?
Pipul wae gɛt dis sik lɛk pwɛl hat ɔr OCD kin gɛt maynd sɔmtɛm fɔ du bad to dɛnsɛf ɔr fɔ kil dɛnsɛf. If yu ɔ pɔsin we yu sabi de gɛt dɛn tin ya, duya nɔ sɔfa yu wan. Luk fɔ ɛp wantɛm wantɛm.
- Nashɔnal Mental Ɛlth Ɛplayn: Kɔl 1926 .
- Sumithrayo: Kɔl 011 2696666 ɛn yu kin tɔk bɔt aw yu de fil wit pɔsin we gɛt padi biznɛs wit pɔsin, we gɛt kɔnfidɛns.
- If yu fil se yu go de pan denja wantɛm wantɛm, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
TMS nɔto mirekul fɔ mɛn ɔl sik, bɔt i dɔn ebul fɔ gi bɔku pipul dɛn we nɔ ebul fɔ wɛl frɔm ɔda tritmɛnt dɛn, nyu layf. So, if yu ɔ pɔsin we yu sabi de sɔfa wit maynd sik, tɔk to yu dɔktɔ bɔt dɛn tritmɛnt ya tide.
Mɛsej we dɛn kin kɛr go na os
- TMS na tritmɛnt we sef, we nɔ gɛt ɔpreshɔn, we de yuz magnɛtik wev fɔ mek di nɛv sɛl dɛn na di bren wok bak.
- Dɛn kin yuse dis tritmɛnt fɔ mɛntɛl hεlth kכndyushכn lεk pwεl hat εn OCD wae nɔr de rεspכnd to mεdikeshכn.
- Bifo yu gɛt tritmɛnt, i impɔtant fɔ tɛl di dɔktɔ if yu gɛt mɛtal implant na yu bɔdi ɔ yu dɔn gɛt histri fɔ gɛt sik.
- Di sayd ɛfɛkt dɛn kin smɔl ɛn dɛn kin dɔn insay shɔt tɛm afta dɛn dɔn trit am (lɛk ed we de at, diziz). Siriɔs risk dɛn nɔ kin apin so ɔltɛm.
- Na yu dɔktɔ nɔmɔ go disayd if TMS tritmɛnt fayn fɔ yu, so tɔk to yu dɔktɔ bɔt dis fɔ no mɔ.
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