Anthu ambiri m'dera lathu masiku ano amavutika ndi kuvutika maganizo, kapena monga tonse tikudziwira, matenda amisala otchedwa `Depression`. Anthu ena amapeza mpumulo akamamwa mankhwala omwe dokotala wawapatsa kapena kupita ku uphungu. Komabe, anthu ena samamva kusiyana kwakukulu kapena kusintha kulikonse mosasamala kanthu za zomwe akuchita. Ngati ndinu m'modzi mwa iwo, musataye mtima. Lero tikulankhula za njira yapadera yothandizira yomwe ingathandize iwo omwe sapeza mpumulo kuchokera ku njira zochiritsira zachizolowezi. Izi zimatchedwa rTMS .
Kodi chithandizo cha rTMS ichi chimagwira ntchito bwanji?
Mwachidule, rTMS ndi mankhwala osapweteka omwe amagwiritsa ntchito maginito pulses kuti achepetse zizindikiro za kuvutika maganizo. Sizimafuna kukhala m'chipatala kapena mankhwala oletsa ululu.
Tangoganizirani kuti mukujambula MRI. Mphamvu ya mphamvu ya maginito yomwe imagwiritsidwa ntchito pochiza matendawa ndi yofanana ndi ya MRI scan. Mafunde a maginito amenewa amalimbitsa maselo amitsempha m'mbali za ubongo wanu zomwe zimalamulira momwe mukumvera. Zili ngati kulankhula ndi gawo la ubongo wanu lomwe lagona pang'ono ndikulidzutsanso. Pamene maselo amenewo ayambiranso kugwira ntchito, zizindikiro za kuvutika maganizo zimayamba kuchepa pang'onopang'ono.
Kodi chimachitika ndi chiyani panthawi ya chithandizo cha rTMS?
Chithandizochi nthawi zambiri chimatenga milungu inayi kapena isanu ndi umodzi. Muyenera kupita ku ofesi ya dokotala kapena ku chipatala masiku asanu pa sabata.
Musanayambe chithandizo, muyenera kuchotsa chilichonse chomwe chingakhudze maginito, monga zodzikongoletsera zachitsulo ndi makadi a ngongole. Pa nthawi ya chithandizo, makinawo adzapanga phokoso lalikulu la "click" "click", kotero mudzapatsidwa zotchingira makutu kuti muteteze makutu anu.
Mudzakhala pampando wabwino nthawi yonse ya chithandizo.
Kodi chimachitika n’chiyani pa tsiku loyamba?
Gawo loyamba lokha limatenga pafupifupi ola limodzi. Panthawiyi, dokotala kapena katswiri adzayesa mutu wanu kuti adziwe malo abwino oti muyike choyikira chamagetsi chomwe chimatulutsa maginito. Kenako choyikiracho chimayikidwa pamutu panu.
Kenako, kuti apeze mlingo woyenera wa chithandizo, ndiko kuti, kuchuluka kwa mphamvu ya maginito, kwa inu, dokotalayo adzayamba walunjika ku ubongo wanu wa motor cortex. Iyi ndi gawo lomwe limalamulira kayendedwe ka minofu yathu. Adzapereka ma pulse angapo a maginito mpaka mutamva kugwedezeka pang'ono m'dzanja lanu kapena zala zanu. Izi zimatchedwa motor threshold yanu. Zili ngati kusintha wailesi kupita ku njira yoyenera.
Pambuyo pa mayeso awa, dokotalayo amasuntha chozungulira pang'ono ndikuyang'ana gawo lina la ubongo. Limenelo ndi dera lotchedwa `dorsolateral prefrontal cortex`. Ili ndi dera lomwe lapezeka kuti likugwirizana mwachindunji ndi kuvutika maganizo. Koma kuyeza kumeneku ndi mayeso kuti apeze kuchuluka kwa mayendedwe sikumachitika tsiku lililonse, koma tsiku loyamba lokha.
Kodi izi zimamveka bwanji?
Chithandizochi chimatenga pafupifupi mphindi 30 mpaka 40. Panthawiyi, mudzamva kukhudza pang'ono pansi pa khungu la mutu wanu, komwe kuli chozungulira. Mudzamvanso phokoso lalikulu la "click", lofanana ndi la MRI scan. Ili ndi phokoso lomwe limapangidwa pamene chozungulira cha maginito chimayatsidwa ndi kuzimitsidwa ndikutulutsa ma pulses.
Kodi pali zotsatirapo zilizonse zoyipa za chithandizo cha rTMS?
Anthu ambiri sakumana ndi zotsatirapo zoyipa zazikulu kuchokera ku rTMS. Komabe, anthu ena amatha kukhala ndi zotsatirapo zazing'ono komanso zakanthawi kochepa. Izi nthawi zambiri zimachepa pang'onopang'ono pamene chithandizo chikupitirira.
Chofunika kwambiri ndi kuuza dokotala wanu nthawi yomweyo ngati mukumva kusasangalala. Iye akhoza kusintha malo a coil kapena mphamvu ya maginito kuti akupatseni mpumulo.
| Zotsatira Zam'mbali | Kufotokozera ndi Kuyang'anira |
|---|---|
| Mutu | Pafupifupi 50% ya anthu amatha kudwala mutu panthawi yoyambira kapena atangomaliza kumwa mankhwala ochepa. Nthawi zambiri awa amakhala ochepa, ndipo mankhwala opha ululu amatha kumwedwa monga momwe dokotala wanu wanenera. Mutuwu umachepa pang'onopang'ono pamene chithandizo chikupitirira. |
| Kusasangalala ndi nkhope | Nthawi zina, anthu ena amamva kupweteka kapena dzanzi m'minofu yawo ya nkhope. Ena amanena kuti ululu uli m'mutu mwawo ndi pansi pa nsagwada zawo. Izi zimathanso pamene chithandizo chikupitirira. |
| Kusadzikuza | Anthu ena amatha kukomoka akalandira chithandizo kapena atatha. Izi nthawi zambiri zimachepa msanga ndipo zimachepa pamene chiwerengero cha maphunziro chikukwera. |
Kodi zoopsa za chithandizochi ndi ziti?
rTMS imaonedwa kuti ndi mankhwala otetezeka komanso ogwira mtima, ndipo ili ndi chiopsezo chochepa cha zotsatirapo zoyipa. Komabe, pali zoopsa zina zomwe muyenera kuzidziwa.
| Chiwopsezo | Mfundo Zofunika |
|---|---|
| Mavuto akumva | Ngakhale ma plug a makutu atavalidwa, anthu ochepa amatha kutaya kumva kwakanthawi atalandira chithandizo. Komabe, ngati ma plug a makutu sanavalidwe, pali chiopsezo cha kutaya kumva kwa nthawi yayitali. Chifukwa chake, kuvala ma plug a makutu ndikofunikira . |
| Kuwonjezeka kwa zizindikiro za matenda a bipolar | Zanenedwa kuti chithandizo cha rTMS chingayambitse munthu amene ali kale ndi matenda a bipolar. Izi zimadziwika ndi kuchita zinthu mopitirira muyeso, khalidwe loopsa, kuganiza mofulumira, komanso kuchepa kwa tulo ndi chilakolako chofuna kudya. |
| Kugwidwa ndi khunyu | Izi zimachitika kawirikawiri. Komabe, ngati muli ndi khunyu kapena muli ndi mbiri ya khunyu , muyenera kuuza dokotala wanu . Ngati muli ndi chiopsezo chotere, dokotala wanu sangakulangizeni kugwiritsa ntchito rTMS. |
Ndani ali woyenera kulandira chithandizo cha rTMS ndipo ndani ali woyenera kulandira chithandizo cha rTMS?
Ngati muli ndi vuto la kuvutika maganizo, dokotala wanu adzayesa kaye zinthu monga mankhwala oletsa kuvutika maganizo ndi mankhwala olankhula. Anthu ambiri amapeza mpumulo kuchokera ku mankhwala amenewa.
Koma anthu ena sapeza mpumulo uliwonse kuchokera ku mankhwala amenewa. Tikutcha vutoli kutiImatchedwa kuvutika maganizo kosachiritsika ndi mankhwala . Ndicho chimene chithandizo cha rTMS chimagwiritsidwa ntchito makamaka pothandiza anthu otere.
Komabe, anthu ena sangathe kulandira chithandizochi chifukwa ali ndi ziwalo zachitsulo m'mutu mwawo zomwe sizingachotsedwe. Ma braces ndi zodzaza si vuto. Komabe, ngati muli ndi vuto lililonse mwa izi, chithandizo cha rTMS sichingakhale choyenera:
| Chithandizo cha rTMS sichili choyenera kwa inu ngati muli ndi chilichonse mwa izi: |
|---|
| - Ma clip kapena ma coil a Aneurysm |
| - Ma stents m'khosi kapena muubongo mwanu |
| - Zolimbikitsa ubongo kwambiri |
| - Ma electrode |
| - Zidutswa za zipolopolo m'mutu kapena m'khosi |
| - Ma tattoo okhala ndi inki yachitsulo pamutu kapena pankhope |
Kodi chithandizo cha rTMS chikuyenda bwino bwanji?
Mu kafukufuku wa anthu omwe ali ndi vuto la kuvutika maganizo lomwe silingathe kulandira chithandizo, chithandizo cha rTMS chawonetsedwa kuti n'chothandiza pa 50% mpaka 60% ya milandu . Mwa awa, pafupifupi 30% apeza mpumulo wathunthu, zomwe zikutanthauza kuti zizindikiro zatha kwathunthu.
Monga mankhwala ambiri ochizira kuvutika maganizo, zotsatira za rTMS sizikhalitsa. Zizindikiro zimatha kubwereranso patatha chaka chimodzi, nthawi zambiri anthu ena amasankha kumwa mankhwala ena a rTMS.
Uthenga Wopita Nawo Kunyumba
- rTMS ndi njira yotetezeka, yopanda opaleshoni yochiritsira kuvutika maganizo, makamaka kwa iwo omwe sanalandire chithandizo china.
- Izi sizigwiritsa ntchito mankhwala oletsa ululu kapena opaleshoni, koma maginito pulses.
- Zotsatirapo zake nthawi zambiri zimakhala zazing'ono, monga mutu, ndipo zimakhala zakanthawi kochepa.
- Izi sizoyenera aliyense, makamaka omwe ali ndi ziwalo zachitsulo pamutu.
- Nthawi zonse kambiranani za chithandizochi ndi dokotala wanu kuti mudziwe ngati chili choyenera kwa inu.
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