Kodi palibe mankhwala ochiritsira kuvutika maganizo pogwiritsa ntchito njira zachikhalidwe? Nazi njira zamakono zamakono zochiritsira kuvutika maganizo

Kodi mukuvutika ndi kuvutika maganizo? Mwina mwayesapo mankhwala omwe dokotala wanu wakupatsani, mwapita ku uphungu, koma simunamve bwino. Ndizachibadwa kumva kukhumudwa komanso kutaya mtima nthawi ngati izi. Koma kumbukirani, simuli nokha. Sayansi ya zamankhwala ikupita patsogolo tsiku ndi tsiku. Ndicho chifukwa chake pali mankhwala atsopano komanso apamwamba omwe angathandize anthu omwe salabadira bwino mankhwala ochiritsira. Ndicho chimene tikukamba lero.

Kodi 'kuvutika maganizo kosalandira chithandizo' n'chiyani?

Mwachidule, uwu ndi vuto lomwe takambirana pamwambapa. Izi zikutanthauza kuti, timatcha kuvutika maganizo kosachiritsika ndi mankhwala pamene zizindikiro sizikusintha ndi mankhwala ovomerezeka a kuvutika maganizo (mwachitsanzo, mitundu iwiri kapena kuposerapo ya mankhwala oletsa kuvutika maganizo, pa mlingo woyenera, kwa nthawi yokwanira).

Tangoganizirani, dokotala wanu akukupatsani mankhwala, ndipo patatha miyezi ingapo mukugwiritsa ntchito, sizikupangitsa kusiyana kwakukulu. Kenako amakusinthirani ku mankhwala ena. Ngati zimenezo sizikugwira ntchito, mungagwere m'gulu ili. Nthawi zina ngati izi ndi zomwe madokotala amaganizira za mankhwala apadera komanso apamwamba awa omwe tikambirane.

Chithandizo cha Electroconvulsive (ECT) - kodi muyenera kuchita mantha monga momwe mukuganizira?

Mukamva mawu akuti "Electroconvulsive therapy (ECT)," mungakumbukire zochitika kuchokera m'mafilimu akale a Sinhala ndi Hindi ndipo mumachita mantha. Koma zoona zake n'zakuti, ECT ndi mankhwala otetezeka komanso olamulidwa masiku ano.

Chomwe chimachitika pamenepa ndichakuti mumagonekedwa tulo tofa nato ndipo chithandizochi chachitika. Kotero simukumva chilichonse. Gulu la akatswiri (dokotala wa matenda amisala, katswiri wa mankhwala ogonetsa, ndi anamwino) alipo pa izi. Amatumiza ma pulse ang'onoang'ono kwambiri, olamulidwa ku ubongo wanu kudzera mu ma electrode omwe amaikidwa pamutu panu. Izi amakhulupirira kuti zimabwezeretsa kulumikizana pakati pa maselo amitsempha muubongo, ndipo zizindikiro za kuvutika maganizo zimachepa mwachangu.

Kawirikawiri , pamafunika maphunziro 6 mpaka 12, nthawi zambiri kawiri kapena katatu pa sabata. ECT ndi mankhwala othandiza kwambiri, makamaka kwa iwo omwe ali ndi vuto la kuvutika maganizo kwambiri lomwe silingathe kulandira chithandizo komanso omwe ali ndi malingaliro ofuna kudzipha.

Komabe, monga china chilichonse, pali zoopsa ndi zotsatirapo zake. Anthu ena amatha kukhala ndi mavuto okumbukira (makamaka panthawi ya chithandizo) kwa kanthawi kochepa mutatha kulandira chithandizo. Chifukwa chake, ndikofunikira kukambirana zonsezi ndi dokotala wanu musanayambe kulandira chithandizo.

Kuchiza ndi Magnetic Pulse Therapy (TMS ndi MST) - Kodi izi ndi ziti?

Njira zonsezi zimagwiritsa ntchito mphamvu zamaginito kuti zikhudze ubongo, koma njira ziwirizi ndizosiyana pang'ono.

1. Kulimbikitsa Magnetic kwa Transcranial (TMS)

Iyi ndi njira yosavuta kwambiri kuposa ECT. Simugonedwa. Mungakhale pampando. Dokotala kapena katswiri amaika chipangizo chapadera (chotchedwa `insulated wire coil`) pamutu panu ndipo amatumiza maginito kudzera m'menemo kupita kumadera enaake a ubongo omwe amaganiziridwa kuti akuchititsa kuvutika maganizo. Izi sizipweteka.

Kuphunzirako kumatenga pafupifupi mphindi 30, ndipo mungafunike kulandira chithandizo masiku 5 pa sabata kwa milungu 4-6. Chimodzi mwa ubwino waukulu wa TMS ndichakuti ili ndi zotsatirapo zochepa ndipo siimafuna kukhala kuchipatala. Anthu ena angamve kupweteka m'mutu mwawo, kapena angamve mutu wochepa kapena chizungulire. Komabe, sizinanenedwe kuti zimakhudza kukumbukira kwambiri monga ECT. Komabe, ndikofunikira kukumbukira kuti TMS sipereka zotsatira zabwino ngati ECT.

2. Chithandizo cha Kugwidwa ndi Maginito (MST)

Izi zikadali mu gawo lofufuza, ndipo zili ngati kusakanikirana kwa ECT ndi TMS. Pano, mphamvu yamphamvu yamaginito imagwiritsidwa ntchito kuyambitsa khunyu lolamulidwa muubongo. Ngakhale kuti chifukwa chenicheni sichikudziwika, khunyu iyi imathetsa mwachangu zizindikiro za kuvutika maganizo. Imafunanso mankhwala oletsa ululu, monga momwe zilili ndi ECT. Komabe, madokotala akuyembekeza kuti popeza ECT ikhoza kukhudza madera a ubongo molondola, sidzakhala ndi zotsatirapo zambiri pa kukumbukira.

Mankhwala ena okhudzana ndi opaleshoni

Izi ndi njira zochizira opaleshoni zapamwamba kwambiri. Nthawi zambiri zimagwiritsidwa ntchito pazochitika zoopsa kwambiri pomwe njira zina zonse zalephera.

1. Kulimbikitsa Ubongo Kwambiri (DBS)

Uwu ndi mankhwala omwe akugwiritsidwa ntchito kale pa matenda a Parkinson. Pachifukwa ichi, ma electrode amaikidwa opaleshoni m'malo enieni, akuya kwambiri muubongo. Ma electrode awa amayendetsedwa ndi batire yomwe imayikidwa pansi pa khungu la pachifuwa kapena m'mimba. Ma electrode awa amatumiza zizindikiro zamagetsi ku ma circuits muubongo omwe amawongolera malingaliro, kuwongolera zizindikiro za kupsinjika maganizo. Ngakhale kuti kafukufuku akadali wochepa, zotsatira zake ndi zabwino.

2. Kulimbikitsa Mitsempha ya Vagus (VNS)

Mitsempha ya vagus ndi mitsempha yayitali yomwe imayenda kuchokera ku ubongo kupita ku ziwalo zosiyanasiyana za thupi. Mitsempha iyi imalumikizidwanso ndi ziwalo za ubongo zomwe zimalamulira momwe munthu akumvera. Pa chithandizochi, chipangizo chaching'ono, chofanana ndi pacemaker, chimayikidwa opaleshoni pansi pa khungu la chifuwa. Chipangizochi chimatumiza mphamvu zamagetsi ku mitsempha ya vagus. Izi zimathandizira kulumikizana kwa mitsempha muubongo ndikuchepetsa kuvutika maganizo. Komabe, zingatenge miyezi ingapo kuti muwone zotsatira zake.

Ketamine - mpumulo wachangu?

Ketamine ndi mankhwala oletsa ululu. Koma kafukufuku waposachedwapa wapeza kuti ikaperekedwa mu mlingo wochepa kwambiri, imatha kupereka mpumulo mwachangu mkati mwa maola ochepa mwa odwala ena omwe ali ndi vuto lalikulu la maganizo.

Mankhwala opopera m'mphuno otchedwa Ketoconazole tsopano avomerezedwa kwa anthu omwe sayankha mankhwala ena ochepetsa nkhawa kapena omwe akuganiza zodzipha. Kuphatikiza apo, kulowetsedwa m'mitsempha (IV infusion) kumagwiritsidwanso ntchito. Izi nthawi zambiri zimachitika kuchipatala, moyang'aniridwa ndi dokotala.