Kei te whakaaro koe i ētahi wā kei te tango rongoā koe mō te pouri, ā, he huarahi kē atu anō kei reira? Kua rongo koe i tētahi maimoatanga kāore e hiahiatia he pokanga, he rongoā whakamoe rānei, engari ka āwhina i te whakaora i te mahi a te roro? I tēnei rā ka kōrero tātou mō tētahi maimoatanga whakamiharo kua kawea mai he tumanako hou ki te tini o te tangata. Ko te ingoa o tēnei ko te 'Transcranial Magnetic Stimulation', ko te TMS rānei.
He aha rawa te TMS? He aha te pānga o te aukume ki te roro?
Ahakoa te ahua uaua o te ingoa, me wehewehe tātou. He maimoatanga kore-whakaeke te TMS e whakamahi ana i tētahi taputapu motuhake hei tuku i ngā pāorooro aukume ki ngā wāhanga motuhake o te roro.
Tērā pea kei te whakaaro koe, "He aha te pānga o te aukume ki te roro?" He tino māmā noa iho. E mōhio ana tātou katoa he hononga nui kei waenganui i te hiko me te aukume. He wāhi tino pukumahi tō tātou roro, me ngā miriona tohu hiko iti e haere ana ki mua, ki muri. Ko ngā pūtau io i roto i tō tātou roro, e kiia nei ko ngā neuron, ka kōrero, ka kōrero tetahi ki tetahi, mā roto i ēnei karere hiko iti.
Ko te mahi a te rongoā TMS mā te whakamahi i tētahi papa aukume kaha ki tētahi wāhanga motuhake o te roro, e whakaoho ana i te mahi hiko tūturu o aua pūtau io. Ina koa, i roto i ngā āhuatanga pēnei i te pouri, tera pea kua ngaro te mahi a ētahi wāhanga o te roro. Ko te mahi a te TMS mā te 'whakaora' i taua mahi ngaro. He rite ki te tīmata anō i tētahi pākahiko motuka kua mate. Ka pā pea ki ngā wāhanga o te roro e whakahaere ana i ō tātou kare ā-roto, te whakatau kaupapa, me te harikoa.
Ko te mea nui ko te mahi i tēnei maimoatanga ki te mata o te upoko. Ko te tikanga, kāore he take ki te tapahi i te upoko i tētahi ara, ki te whakauru rānei i tētahi mea ki roto.
He rerekē ngā momo rongoā TMS?
Ae, he maha ngā huarahi hei whakahaere i te rongoā TMS. Kei te kaha o te aukume e whakamahia ana, te auau me te tauira o ngā ngaru aukume e tukuna ana. Me titiro tātou ki ngā momo matua.
| Momo/āhuatanga TMS | Hei whakarāpopototanga... |
|---|---|
| Te Kaha o te Aukume | Ka inehia tēnei mā ngā waeine e kiia nei ko Tesla (Tesla - T). I te nuinga o te wā, ka whakamahia he aukume kaha o te 1.5T ki te 2T. He rite tēnei ki te kaha o te aukume i roto i te matawai MRI. Heoi, i roto i te TMS, ka arotahihia tēnei papa aukume ki tētahi ūnga iti rawa, motuhake . |
| Auautanga Pāpā | Ko te maha o ngā wā e whakakāhia ana, e whakawetohia ana te aukume i ia hekona. Ka inehia tēnei i roto i te Hertz (Hz). I ētahi wā ka tukuna ngā ngaru i te tere iti (1 Hz), i ētahi wā ka tukuna i te tere teitei ake (5-10 Hz). Ka kiia hoki tēnei tukunga ngaru tonu he TMS auau (rTMS). |
| Ngā Tauira Pāpā | Ko ētahi maimoatanga e whakamahi ana i tētahi tauira ngaru motuhake. Hei tauira ko te `(Theta-Burst Stimulation - TBS)`. Ka taea e tēnei tikanga te whakaiti i te wā e pau ana ki te maimoatanga. |
| TMS Hōhonu (TMS Hōhonu - dTMS) | Mā tēnei ka whakamahia he taputapu motuhake, pērā i te potae āhua-H. Ka taea e tēnei te whakaoho i ngā wāhanga o te roro he hohonu ake i te mata. Hei tauira, kua kitea he pai ake tēnei tikanga mō ngā āhuatanga pēnei i te `(Obsessive-Compulsive Disorder - OCD)`. |
He aha ngā āhuatanga e whakamahia ai te rongoā TMS?
Ehara te TMS i te rongoā tuatahi. He maha ngā tākuta e taunaki ana i tēnei rongoā ina kore e angitu ētahi atu maimoatanga, inā koa ngā rongoā. He pai hoki te whakamahi hei huarahi kē atu mā te hunga kāore e taea te whai maimoatanga pēnei i te Electroconvulsive Therapy (ECT).
He maha ngā āhuatanga kua whakaaetia mana mō te maimoatanga TMS e ngā tari pēnei i te US Food and Drug Administration (FDA).
- Mate Pouri Nui (MDD): Tērā te pouri ātete ki te rongoā.
- Mate Āwangawanga-Ārai (OCD): He āhuatanga e tohuhia ana e ngā whakaaro kāore e hiahiatia ana, me te kore e taea te whakahaere i ngā mahi e mahia ana e rātou.
- Ngā Migraine: Ētahi momo migraines.
- Te Whakamutu i te Momi hikareti: Hei āwhina i te whakamutu i te momi hikareti.
Haunga ēnei āhuatanga kua whakaaetia, kei te haere tonu ngā rangahau puta noa i te ao kia kitea ai mēnā ka whai hua te rongoā TMS mō ētahi atu āhuatanga. Ko ētahi o ēnei ko:
- Ngā momo waranga
- Te mate a Alzheimer
- Mate pūrua
- Mamae mau tonu
- Te mate a Parkinson
- Te Mate Auau i Muri i te Whara (PTSD)
- Ngā raruraru nā te whiu
- Te tangi i roto i ngā taringa (Tinnitus)
He aha ngā mea ka tupu i mua atu, ā, i te wā e rongoatia ana te TMS?
I mua i tō whiwhinga i te maimoatanga TMS, ka tukuna koe e tō tākuta ki tētahi tohunga kua whakangungua motuhake ki tēnei mara. Ka kōrero tēnei tohunga ki a koe, ka arotake i tō hītori hauora, ā, ka whakatau mēnā he tika tēnei maimoatanga māu, ā, he haumaru hoki.
Ina kore e tika kia mahia te maimoatanga TMS
Tērā ētahi wā ka mōrearea te rongoā TMS.
- Mena he mea whakarewa, he mea hiko rānei kua whakatōkia ki roto i tō tinana: Hei tauira, mena he mea whakatō cochlear, he pereti whakarewa kei roto i tō angaanga, he topenga aneurysm rānei kei roto i tō roro, kāore e taea e koe te whai TMS. Nā te mea ka taea e te aukume kaha i roto i te TMS te kukume i ēnei wāhanga whakarewa. Mena ka tupu tēnei, ka pāngia pea koe e te mamae, e te whara kino rānei.
- Mena he mate haurangi tōu, he hītori rānei o ngā mate hopuhopu: He tino onge te pānga o ngā mate hopuhopu i te maimoatanga TMS. Nō reira, ki te mea he mate hopuhopu tōu, kei te tango rongoā rānei koe e whakanui ana i te mōrearea o ngā mate hopuhopu, ka whakaarohia pea e tō tākuta tētahi atu maimoatanga.
Kia whakatau tō tākuta he haumaru tēnei maimoatanga māu, ka whakamāramahia e rātou te kaupapa maimoatanga ki a koe. Ehara te TMS i te maimoatanga kotahi-wā. Me haere koe ki ngā wā maimoatanga e toru ki te rima ngā rā i te wiki mō te wā o ētahi wiki. Hei tauira, ko te maimoatanga paerewa mō te pouri he 6 wiki te roa o te maimoatanga, e 5 ngā rā i te wiki.
He aha ngā mea ka tupu i te wā o te wā whakaora?
Whakaarohia kua haere koe ki te rongoā hinengaro. Ko tāu noa he mahi i tētahi mea tino māmā.
1. Tuatahi, ka whakanohoia koe ki tētahi tūru tino whakamarie.
2. Mena he anga whakarewa ō mōhiti, he mea whakarewa rānei ō whakapaipai, ka tono atu rātou kia tangohia e koe. He mahi haumaru tēnei.
3. Muri iho, ka hoatu ki a koe ētahi puru taringa e rua hei whakauru ki roto i ō taringa hei whakaiti i te haruru. Nā te mea ka puta he tangi pakupaku 'tiki' i te mīhini TMS ina tahurihia. Hei ārai i te haruru kei kino ō taringa.
4. Kātahi ka whakatikatikahia e te tākuta, e te tohunga hangarau rānei te koiri aukume o te taputapu TMS ki te tūranga tika i runga i tō mahunga.
5. I mua i te tīmatanga o te maimoatanga, ka kitea e rātou te wāhi tika i runga i tō mahunga, ā, ka āta whakanuia te kaha o te aukume, ka tukuna ngā pāoro takitahi. I tēnei wā, ka rongo koe i te pāorooro iti ki tō mahunga.
6. I a koe e whakanui ana i te kaha o te aukume, ka kite pea koe i tō ringaringa, inā koa tō koromatua, e wiriwiri ana. He mea noa tēnei. E tumanakohia ana tēnei e ngā tākuta nā te mea koinei te huarahi e mōhio ai rātou kua eke rātou ki te kaha tika mō te maimoatanga.
7. Kia kitea te wāhi tika me te kaha tika, ka tīmata ngā ngaru aukume ki te anga atu ki te tauira e hiahiatia ana. Ko tāu noa he noho pai ki runga i te tūru.
Ko te roa o te wā maimoatanga he torutoru meneti ki te hawhe haora . Ka rerekē i runga i te momo maimoatanga ka whiwhi koe. Kia oti te maimoatanga, ka taea e koe te hoki ki ō mahi o ia rā, me te kore he mamae.
He aha ngā painga me ngā mōrearea o te rongoā TMS?
Pērā i ngā tikanga maimoatanga katoa, he painga, he mōrearea hoki tō te TMS.
| Ngā Painga | Ngā Tūponotanga me ngā Pānga Taha |
|---|---|
| Kāore he pokanga e hiahiatia ana (Kore-whakaeke): Kāore he rongoā whakamoe, he tapahi, he aha atu rānei hei mahi. Ka taea e koe te hoki ki te kāinga i muri tonu i te maimoatanga. | Te hopuhopu: Koinei te mōrearea tino kino, engari he tino onge . He iti iho i te 0.01% te mōrearea (tata ki te kotahi i roto i te 10,000 wā maimoatanga). |
| Haumaru: Kāore i te kino ngā pānga taha, ā, he wā poto noa iho. | Te ānini o te upoko: Tērā pea ka pāngia ētahi tāngata e te ānini iti i muri i te maimoatanga. |
| Whai hua:Kua mārama te whakamātau a ngā rangahau he whai hua tēnei maimoatanga mō ngā āhuatanga e pā ana. | Mamae/koretake ki te tumuaki, ki te kaki rānei: Tērā pea ka paku mamae, ka paku koretake rānei te wāhi i whakatakotoria ai te aukume. |
| Ka taea te whakaora i ngā oranga: Mō te hunga e pāngia ana e te pouri nui me ngā whakaaro whakamomori, ka taea e tēnei maimoatanga te whakaiti i ngā tohu me te homai i te tumanako hou mō te ora. | Te pōuriuri. |
| Ka taea te mahi me ētahi atu maimoatanga: Ka taea te mahi i tēnei maimoatanga i a koe e tango ana i te rongoā, i te wā rānei e haere ana koe ki te wāhi whakawā. | He kare ā-roto o te ngoikore o ngā uaua o te mata, o te upoko rānei. |
He mea nui: He tino ngawari te nuinga o ēnei pānga taha, ā, ka memeha haere i roto i ētahi meneti i muri i te wā maimoatanga.
Āhea koe me toro atu ki te tākuta?
Mena kua tohua he rongoā TMS ki a koe, he mea nui kia tae atu koe ki ō wā maimoatanga i te wā tika, e ai ki tā tō tākuta . Mēnā ka ngaro atu ngā wā maimoatanga, ka whakaitihia pea te whai huatanga o te maimoatanga.
Waihoki, ki te mea he kino rawa ngā pānga taha e pā ana ki a koe, ki te mea rānei kei te pāngia tonu koe e te mamae i muri i ngā haora o te maimoatanga, me whakamōhio atu koe ki tō tākuta .
Me aha i roto i tētahi āhuatanga ohorere?
Ko te hunga e pāngia ana e te pouri, te OCD rānei, ka whakaaro pea rātou ki te whara i a rātou anō, ki te whakamomori rānei. Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, kaua e mamae ko koe anake. Rapua he āwhina tonu.
- Rārangi Āwhina Hauora Hinengaro ā-Motu: Waea atu ki te 1926 .
- Sumithrayo: Waea atu ki te 011 2696666 , ā, ka taea e koe te kōrero mō ō kare ā-roto ki tētahi tangata atawhai, matatapu hoki.
- Ki te mea kei roto koe i te mōrearea, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
Ehara te TMS i te rongoā merekara mō ngā mate katoa, engari kua taea e ia te hoatu he oranga hou ki te tini o te hunga kāore anō kia ora mai i ētahi atu maimoatanga. Nō reira, ki te mea kei te pāngia koe, kei tētahi rānei e mōhio ana koe e te mate hinengaro, kōrero ki tō tākuta mō ēnei maimoatanga hou.
Karere Tangohia ki te Kāinga
- He maimoatanga haumaru te TMS, kāore he pokanga, e whakamahi ana i ngā ngaru aukume hei whakaora i te mahi a ngā pūtau io i roto i te roro.
- Ko tēnei maimoatanga te mea e whakamahia whānuitia ana mō ngā āhuatanga hauora hinengaro pēnei i te pouri me te OCD kāore e pai ki te rongoā.
- I mua i te maimoatanga, he mea nui kia kōrero ki te tākuta mēnā he mea tāpiri whakarewa kei roto i tō tinana, he hītori rānei o ngā haurangi.
- He ngawari noa iho ngā pānga taha, ā, ka memeha haere i roto i te wā poto i muri i te maimoatanga (pēnei i te ānini, te whanoke). He tino onge ngā mōrearea nui.
- Ko tō tākuta anake te hunga e whakatau ana mēnā he tika te rongoā TMS māu, nō reira kōrero ki tō tākuta mō tēnei mea mō ētahi atu kōrero.
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