I fa hian ngaihtuahna seng reng turin harsatna a nei em? A fidget leh fidget reng em? Chûngte chu ADHD ( Attention-Deficit/Hyperactivity Disorder ) kan tih natna chhinchhiahna a ni thei. Hetiang naupang nu leh pa i nih angin thil pakhat i ngaihtuah fo thin chu, "Damdawi bakah hian he thil hi a chinfel dan tur a awm lo em ni?" Chuvangin vawiin hian damdawi hmang lovin ADHD symptoms control thei tur damdawi thar kan sawi dawn a ni.
Trigeminal nerve stimulation (TNS) tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi kan thluak hnathawh tlem tithatu enkawlna a ni. Kan lu chhungah hian thluak nena inzawm tlat nerve system a awm a. Hei hi trigeminal nerve kan ti a. Scientist-te chuan he nerve hi kan tihchak hian kan thluaka ngaihtuahna, nungchang, leh rilru put hmang thununtu peng hrang hrangte hnathawh chu kan tipung thei niin an ngai.
He enkawlnaah hian battery hmanga hman theih thil te tak te, External Trigeminal Nerve Stimulation, a tawi zawngin eTNS tih a ni. Hetiang enkawlna hi natna dang, lungngaihna leh lungkhamna te tan pawh hman a ni.
Pawimawh tak chu kum 2019 khan US Food and Drug Administration (FDA) chuan naupang kum 7 leh 12 inkar ADHD damdawi dang ei lote tan he enkawlna hi a pawm a ni. ADHD natna damdawi ni lo enkawlna pawm hmasak ber a ni bawk. Mahse, he device hi damdawi dawrah i lei thei lo. A dawng tur chuan doctor hnen atanga prescription i mamawh ngei ang. Naupang ADHD symptoms na lo leh natna nei tan chuan a tha tlangpui .
Engtin nge he enkawlna hi tih a nih?
Hei hi a takah chuan a awlsam hle. Hei hi nu leh pa emaw, naupang enkawltu tu emaw kutah a awm.
1. Zanah naupang a mut hmain , naupang hmaiah, mitmeng chungah chiah, patch te tak te dah tur a ni. He patch hian electrode te te a nei a.
2. He patch hi a hmaa kan sawi tawh eTNS device nen wire hmanga connect a ni. He device hi cell phone ang vel a ni.
3. Device hi activate a nih chuan electrical pulse hniam tak tak te chuan hmai chunga patch dah chu an paltlang a, trigeminal nerve chu a tichak a ni.
4. Hetih lai hian naute hian vun hnuaiah a tingling deuh deuh thei. Hei hi thil pangngai a ni.
5. He enkawlna hian naupang mut chhung darkar 8 chhung zawng a thawk chhuak vek a ni .
A tlangpuiin hetiang hian kar 4 chhung enkawl chhunzawm a nih hnuah doctor chuan naupang chu a enfiah leh ang a, hei hi engtiang chiahin nge a hlawhtling tih leh naupang natna lan chhuah danah danglamna a awm em tih a enfiah leh ang.
Hei hi a hlawhtling tak tak em? Eng finfiahna nge awm?
He thupui chungchanga zirchianna an neihah hian naupang kum 8 leh 12 inkar 62 an hmang a ni. Pawl hnih ah an inthen a.
- Group hmasa ber: chu eTNS device hnathawk tak tak pek an ni.
- Pawl hnihna: Dummy device pawh an pe bawk a, a hmel inang mahse engmah a tichak lo ( a placebo ). Hei hi ‘placebo’ an ti a. Hei hi enkawlnain a nghawng dik tak chu dik taka tehna atan tih a ni.
Kar li chhung zet chu nu leh pa leh zirchiangtute chuan heng naupangte nungchang leh ADHD symptoms te hi an enfiah a. A result pawh a hmuhnawm hle.
Naupang eTNS device tak tak hmangtute chuan ADHD symptoms chu a vaiin 31% in an tlahniam a ni. Hetihlai hian naupang placebo device hmangtute chuan an symptoms chu a vaiin 18% chauhin an tlahniam a ni.
Mahse hetah hian hriatthiam tur pawimawh tak a awm. ADHD tana stimulant damdawi thenkhat angin result nghal a nei lo. Chu damdawi te chuan darkar tlemte chhungin i fa chungah danglamna a thlen tan thei a ni. eTNS enkawlna hmanga result hmuh nan kar 4 vel a ngai thei. Tin, hmasawnna chu chutiang damdawi angin a nasa lo mai thei bawk. Researcher-te chuan an result hi non-stimulant ADHD damdawi nena inmil a nih thu an sawi.
Tin, zirchianna neih hma leh zirchianna hnua naupangte thluak scan-ah pawh eTNS hmanga enkawl naupangte hian thluak ADHD-in a nghawngna hmunah te activity a tipung tih hmuhchhuah a ni bawk.
Thil zawn belh tur
Heng result te hi beisei awm tak ni mahse, he enkawlna chungchangah hian hmuhchhuah tur tam tak a la awm. A bik takin, .
- He enkawlna hian eng chen nge nghawng a neih?
- Hei hi damdawi dang leh psychotherapy nena khaikhin chuan engtin nge a awm?
- Hei hi naupang kum 8 hnuai lam leh kum 12 chunglam tan a tangkai em?
- Hei hian sikul hnathawh te, khawtlang inlaichinna te, leh nungchang te a tichangtlung tak zet em?
- Hei hian hun rei tak chhunga nghawng a neihte chu engte nge ni?
Heng zawhnate chhanna tur hian zirchianna zau zawk neih a ngai a ni.
Hei hian side effect a thlen thei em?
Ni e, enkawlna dang ang bawkin, side effect tenau tak tak a awm tih report a ni. Mahse, hengte hi ADHD damdawi thenkhat side effect angin a na lo hle. Hengte hi a hnuaia table-ah hian i khaikhin thei ang.
| eTNS enkawlna avanga side effects awm thei | Stimulant drugs te hian side effect a nei thei | Damdawi tichak lo (non-stimulant drugs) avanga side effect awm thei |
|---|---|---|
| Mutthilh theih lohna | Chaw chakna | Pum natna (nausea) . |
| Lu na | Mu thei lo | Lu na |
| Chau | Restlessness a awm | Mutthilh theih lohna |
| Mut harsatna | Rihna tihtlem | Mu thei lo |
| Ha hrual | - . | - . |
| Ei duhna a tipung | - . | - . |
He enkawlna hi ka fa tan a tha em?
Hei hi zawhna pawimawh ber a ni. ADHD enkawlna hian naupang tin tan hna a thawk dan a inang lo. Damdawi hian naupang thenkhat tan hna a thawk tha a, midang tan chuan behavioral therapy hian hna a thawk tha zawk bawk. Chuvangin i fa tana tha ber tur enkawlna zawn a pawimawh.
Hetiang ang case-ah hian eTNS therapy hi a tha hle mai thei:
- I fain ADHD damdawi atanga result tha a hmuh loh chuan.
- Chu damdawi te chuan side effect na tak a thlen chuan .
- Nang, nu leh pa angin , i fate damdawi pek i duh loh chuan.
Mahse hei hi mi zawng zawng tan a inhmeh lo.
Pawimawh: eTNS therapy hi heng naupangte tan hian a tha lo:
* Naupang thinlung hmanrua, pacemaker ang chi nei.
* Naupangte taksaa damdawi hmanraw dang dah, insulin pump ang chi hmang.
* Tin, he device hi i hman laiin mobile phone bulah dah suh , phone atanga signal lo lut hian enkawlna a tibuai thei a ni.
Thil dang pakhat chu he device hi tun thlengin treatment pakhat chauh test a ni. Chuvangin, i fa hian natna dang atan damdawi a ei a nih chuan, chu damdawi nen chuan he damdawi hi hman a him tih kan hre lo. Tin, ADHD damdawi hmante nena he damdawi hman hian nghawng a neih dan tur data pawh a la awm lo.
A tawp berah chuan hei hi technology thar a nih avangin i health insurance hian a senso a khum lo mai thei. He device man hi $1,000 vel (Sri Lanka cheng 300,000 vel) a ni.
Take-Home Thuchah a ni
- eTNS hi ADHD nei naupang kum 7-12 inkar tan damdawi thar, damdawi hmanga enkawl phalsak a ni.
- Hei hian result hmuh nan kar engemaw zat a la ngai thei a, a result pawh stimulant damdawi angin a chak lo thei bawk.
- Hei hian side effect tenau te, mutthilh leh lu na te a thlen thei a ni.
- He enkawlna hi naupang pacemaker ang chi hmanrua nei tan chuan a tha lo.
- A pawimawh ber: He enkawlna hi i fa tan a tha em tih chu i doctor nen uluk taka sawiho hnuah chauh i rel tur a ni. Damdawi lam thurawn tel lo chuan heng thilte hi ti ngai suh.
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