Tunlai khawtlang nunah hian mi tam tak chuan lungngaihna emaw, kan hriat vek angin rilru lam natna `Depression` an tih chu an tawk nasa hle. Mi thenkhat chuan doctor-in damdawi a pek an ei emaw, counseling an pan emaw hian hahdamna an hmu thin. Mahse, mi ṭhenkhat chuan eng thil pawh ti se, danglamna lian tham emaw, hmasawnna emaw an nei lo. Chung zinga mi i nih chuan beiseina bansan suh. Vawiin hian enkawl dan pangngai atanga hahdamna hmu lote tanpui thei tur special treatment method kan sawi dawn a ni. Hei hi rTMS an ti a.
He rTMS enkawlna hian engtin nge hna a thawh?
A awlsam zawngin sawi ila, rTMS hi natna nei lo damdawi a ni a, magnetic pulses hmangin i depression symptoms te chu a tihziaawm a ni. Damdawi ina awm emaw, anesthesia emaw a ngai lo.
MRI scan i nei dawn tih han ngaihtuah teh. He enkawlna atana hman magnetic field chakna hi MRI scan chakna nen a inang a ni. Heng magnetic wave te hian i thluak hmun hrang hranga i mood control tu nerve cell te chu a tichak a ni. I thluak peng pakhat, tlem a muhil tawh chu i biak a, i tiharh leh ang mai a ni. Chu cell-te chu an thawh leh chuan, lungngaihna lan chhuahna chu zawi zawiin a reh ṭan ta a ni.
rTMS enkawlna neih chhung hian eng nge thleng?
He enkawlna hi kar li atanga kar ruk vel a ni tlangpui. Kar khatah ni nga vel doctor office emaw clinic emaw i pan a ngai dawn a ni.
Enkawlna i tan hmain magnet-a sensitive thei thil eng pawh, metal jewelry leh credit card te chu i paih chhuah a ngai ang. Treatment neih chhung hian machine hian "click" "click" ri nasa tak a siam ang a, chuvangin i beng venhimna tur earplug pek i ni ang.
Treatment session chhung zawng hian chair nuam takah i thu ang.
Ni khatnaah eng thil nge thleng?
Session hmasa ber ringawt pawh darkar khat vel a ni. Hetih lai hian doctor emaw technician emaw chuan i lu tehna engemaw zat a la ang a, chu chuan magnetic pulse pe chhuaktu electromagnetic coil dahna tur hmun tha ber a hre ang. Chumi hnuah chuan coil chu i lu chungah dah a ni.
A dawtah chuan i tan enkawlna dose dik tak, chu chu magnetic energy awm zat tur zawng turin doctor chuan i thluak motor cortex chu a target hmasa ang. Hei hi kan taksa peng hrang hrang (muscle movement) control tu part a ni. I kut emaw, i kut zungtang emaw a hrual tlem i hriat thlengin magnetic pulse engemaw zat a pe ang. Hei hi i motor threshold an ti a . Radio chu channel dik takah tuning ang mai a ni.
He test zawh hian doctor chuan coil chu tlem a sawn a, thluak hmun dang a target leh a. Chu chu `dorsolateral prefrontal cortex` an tih hmun chu a ni. Hei hi depression nena inzawm tlat nia hmuhchhuah a ni. Mahse heng tehna leh range of motion zawng tura test te hi nitin tih a ni lo va, ni hmasa berah chauh tih a ni.
Hei hi engtin nge a ngaih?
Enkawlna hi minute 30 atanga 40 vel a ni. Hetih lai hian i lu vun hnuaiah, coil awmna hmunah chuan tapping sensation nem tak i nei ang. Tin, "click" ri nasa tak i hre bawk ang a, MRI scan ang chiah a ni. Hei hi magnetic coil on leh off a, pulse a chhuah huna ri chhuak chu a ni.
rTMS enkawlna hian side effect a nei em?
Mi tam zawk chuan rTMS hian side effect lian tham an tawk lo. Mahse, mi thenkhat chuan side effect tenau leh rei lo te chhung atan an nei thei. Hengte hi enkawl chhunzawm zel a nih chuan a tlahniam zauh zauh tlangpui.
A pawimawh ber chu harsatna i neih chuan doctor hnenah hrilh nghal mai tur a ni. Amah chuan coil awmna emaw, magnet chakna emaw chu a siamrem thei a, chu chuan hahdamna a pe thei che a ni.
| Side Effect a awm thei | Thuziak & Enkawl dan |
|---|---|
| Lu na | Mi 50% vel chuan session hmasa ber emaw, a hnuah emaw lu na an nei thei. Hengte hi a tenau deuh a ni tlangpui a, natna tidamtu damdawi hi doctor-in a tih angin ei theih a ni. Heng lu nate hi enkawl chhunzawm zel a nih chuan a reh zauh zauh ang. |
| Hmai lam hawi lo | A tlem berah chuan mi thenkhat chuan an hmai ruh (muscles)-ah tingling emaw, numbness emaw an nei thei. Mi dangte chuan an lu ruh leh an hmui hnuaiah natna an nei tih an sawi bawk. Hengte pawh hi enkawl chhunzawm zel a nih chuan a bo vek a ni. |
| Lung hring (lightheadedness) a awm | Mi thenkhat chuan enkawl lai emaw, enkawl hnuah emaw an muhil thei. Hei hi a reh nghal vat tlangpui a, session a pun zel chuan a tlahniam bawk. |
He enkawlna hian eng hlauhawmna nge a neih?
rTMS hi enkawlna him leh tangkai takah ngaih a ni a, side effect na tak a neih theihna a tlem hle. Mahse, hriat tur hlauhawm thenkhat a awm.
| Tum chhin | Point pawimawh tak tak |
|---|---|
| Hriatna lama harsatna nei | Earplugs vuah pawh nise, mi tlemte chuan enkawl hnuah hun eng emaw chen chu hriatna hloh an nei thei a ni. Mahse, earplugs bun loh chuan hun rei tak chhunga hriatna hloh theihna a awm. Chuvangin, earplug vuah hi tih ngei ngei tur a ni . |
| Bipolar disorder symptoms a zual zel | rTMS enkawlna hian bipolar disorder nei tawhte chu manic episode a thlen thei niin an sawi. Hei hi hyperactivity, risky behavior, ngaihtuahna rang tak, leh mut leh ei duh lohna te a ni. |
| Seizures a awm thin | Hei hi thil thleng tlem tak a ni. Mahse, epilepsy emaw, seizures history i neih chuan i doctor hnenah i hrilh ngei ang . Chutiang risk i neih chuan i doctor chuan rTMS hi a rawt lo mai thei. |
rTMS enkawlna atan tute nge tling a, tute nge tling lo?
Depression i neih chuan i doctor chuan antidepressant leh talk therapy ang chi thil a lo enchhin hmasa ang. Mi tam tak chuan heng enkawlna atang hian hahdamna an hmu thin.
Mahse mi thenkhat chu heng enkawlna hmang hian an dam lo. Hei hi condition kan ti a niTreatment-resistant depression an ti a ni. Chu chu rTMS therapy hi chutiang mite tanpui nan an hmang ber a ni.
Amaherawhchu, mi thenkhat chuan he enkawlna hi an nei thei lo a, a chhan chu an lu-ah hian thir peng, lakchhuah theih loh a awm avangin. Brace leh filling te hi a buaithlak lo. Mahse, a hnuaia natnate hi i neih chuan rTMS enkawlna hi a tha lo mai thei:
| rTMS enkawlna hi i tan a tha lo a, heng zinga pakhat tal i neih chuan: |
|---|
| - Aneurysm clip emaw coil emaw a awm thei |
| - I kawr emaw i thluak emaw ah stent dah a ni |
| - Thluak thuk tak tichaktu |
| - Electrode hmanga siam a ni |
| - Lu emaw kawng emaw vela bullet chi hrang hrang awm |
| - Lu vun emaw hmai emaw-ah metallic ink hmanga tattoo siam |
rTMS enkawlna hi engtiang chiahin nge a hlawhtlin?
Treatment-resistant depression vei te zirchiannaah chuan rTMS enkawlna hi 50% atanga 60% ah a hlawkpui tih hmuhchhuah a ni Chung zinga 30% vel chuan full remission an nei tawh a, chu chu symptoms a bo vek tihna a ni.
Depression enkawlna tam tak ang bawkin rTMS hian a nghawng hi a awm reng lo. Kum khat vel hnuah a natna lan chhuah dan hi a lo lang leh thei a, a tlangpuiin chutih lai chuan mi thenkhat chuan rTMS course dang neih leh an thlang thin.
Take-Home Thuchah a ni
- rTMS hi depression enkawlna him, surgery tel lo, a bik takin enkawlna dang la dawng lo tan chuan a him hle.
- Hei hian anesthesia emaw surgery emaw hman a ni lo va, magnetic pulse hmangin a ti zawk a ni.
- Side effects hi a tlangpuiin a tenau, lu na ang chi a ni a, rei lo te chhung atan a ni.
- Hei hi mi zawng zawng tan a tha lo hle a, a bik takin lu area-a thir part nei tan chuan a tha lo hle.
- He enkawlna hi i tan a tha em tih thutlukna i siam hmain i doctor nen sawiho fo thin ang che.
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