Kodi nthawi zina mumamva kuti mukumwa kale mankhwala a kuvutika maganizo ndipo pali njira ina? Kodi mudamvapo za chithandizo chomwe sichifuna opaleshoni kapena mankhwala oletsa ululu, koma chimathandiza kubwezeretsa ntchito ya ubongo? Lero tikambirana za chithandizo chodabwitsa chomwe chabweretsa chiyembekezo chatsopano kwa anthu ambiri. Ichi chimatchedwa 'Transcranial Magnetic Stimulation' kapena TMS.
Kodi TMS ndi chiyani kwenikweni? Kodi maginito amakhudza bwanji ubongo?
Dzinali lingamveke ngati lovuta pang'ono, koma tiyeni tikambirane mwachidule. TMS ndi mankhwala osavulaza omwe amagwiritsa ntchito chipangizo chapadera kutumiza maginito kumadera enaake a ubongo.
Tsopano mwina mukudabwa kuti, "Kodi maginito amakhudza bwanji ubongo?" Ndi zophweka kwambiri. Tonsefe tikudziwa kuti pali kulumikizana kwakukulu pakati pa magetsi ndi maginito. Ubongo wathu ndi malo ogwirira ntchito kwambiri okhala ndi mamiliyoni a zizindikiro zazing'ono zamagetsi zomwe zimayenda mozungulira. Maselo amitsempha muubongo wathu, otchedwa ma neuron, amalankhulana, amalankhulana, kudzera mu mauthenga ang'onoang'ono amagetsi awa.
Chithandizo cha TMS chimagwira ntchito poika mphamvu yamphamvu ya maginito ku gawo linalake la ubongo, zomwe zimapangitsa kuti maselo amitsempha azigwira ntchito mwachibadwa. Makamaka, m'mikhalidwe monga kuvutika maganizo, mbali zina za ubongo zitha kukhala zitataya ntchito. TMS imagwira ntchito 'pobwezeretsa' ntchito yomwe yatayikayo. Zili ngati kuyambitsanso batire yagalimoto yakufa. Zingakhudze mbali za ubongo zomwe zimalamulira malingaliro athu, kupanga zisankho, ndi chisangalalo.
Chofunika kwambiri ndichakuti chithandizochi chichitike pamwamba pa mutu. Izi zikutanthauza kuti palibe chifukwa chodula mutu mwanjira iliyonse kapena kulowetsa chilichonse mkati.
Kodi pali mitundu yosiyanasiyana ya chithandizo cha TMS?
Inde, pali njira zosiyanasiyana zochitira chithandizo cha TMS. Zimatengera mphamvu ya maginito yomwe imagwiritsidwa ntchito, kuchuluka kwa mafunde a maginito omwe amatumizidwa. Tiyeni tiwone mitundu ikuluikulu.
| Mtundu/chinthu cha TMS | Mwachidule... |
|---|---|
| Mphamvu ya Maginito | Izi zimayesedwa m'mayunitsi otchedwa Tesla (Tesla - T). Kawirikawiri, maginito amphamvu a 1.5T mpaka 2T amagwiritsidwa ntchito. Izi zikufanana ndi mphamvu ya maginito mu MRI scanner. Komabe, mu TMS, mphamvu ya maginito iyi imayang'ana pa cholinga chaching'ono kwambiri, chenicheni . |
| Kugunda kwa Mafupipafupi | Chiwerengero cha nthawi zomwe maginito amayatsidwa ndi kuzimitsidwa pa sekondi iliyonse. Izi zimayesedwa mu Hertz (Hz). Nthawi zina mafunde amatumizidwa pamlingo wotsika (1 Hz), nthawi zina pamlingo wapamwamba (5-10 Hz). Kutumiza kosalekeza kwa mafunde kumeneku kumatchedwanso repetitive TMS (rTMS). |
| Mapangidwe a Kugunda | Mankhwala ena amagwiritsa ntchito njira inayake ya mafunde. Chitsanzo ndi `(Theta-Burst Stimulation - TBS)`. Njirayi ingachepetse kwambiri nthawi yomwe imagwiritsidwa ntchito pochiza. |
| Deep TMS (Deep TMS - dTMS) | Izi zimagwiritsa ntchito chipangizo chapadera, monga chisoti chooneka ngati H. Izi zimatha kuyambitsa mbali zina za ubongo zomwe zili zozama pang'ono kuposa pamwamba. Mwachitsanzo, njira iyi yapezeka kuti ndi yothandiza kwambiri pa matenda monga `(Obsessive-Compulsive Disorder - OCD)`. |
Kodi chithandizo cha TMS chimagwiritsidwa ntchito pa matenda otani?
TMS nthawi zambiri si mankhwala oyamba. Madokotala nthawi zambiri amalangiza kuti igwiritsidwe ntchito ngati njira zina zothandizira, makamaka mankhwala, zalephera. Imagwiritsidwanso ntchito ngati njira ina yabwino kwa anthu omwe sangathe kulandira chithandizo monga Electroconvulsive Therapy (ECT).
Pali zinthu zingapo zomwe zavomerezedwa mwalamulo kuti zigwiritsidwe ntchito pochiza matenda a TMS ndi mabungwe monga US Food and Drug Administration (FDA).
- Matenda Ovutika Maganizo Akuluakulu (MDD): Makamaka kuvutika maganizo kosachiritsika ndi mankhwala.
- Matenda Odziletsa Kwambiri (OCD): Matenda omwe amadziwika ndi maganizo osafunikira komanso kulephera kulamulira zochita zawo.
- Migraine: Mitundu ina ya mutu wa ...
- Kusiya Kusuta: Monga chithandizo chosiya kusuta.
Kuwonjezera pa zikhalidwe zovomerezekazi, kafukufuku akuchitika padziko lonse lapansi kuti awone ngati chithandizo cha TMS chingakhale chothandiza pa matenda ena angapo. Zina mwa izi ndi izi:
- Zovuta zosiyanasiyana
- Matenda a Alzheimer
- Matenda a bipolar
- Ululu wosatha
- Matenda a Parkinson
- Matenda Ovutika Maganizo Pambuyo pa Zoopsa (PTSD)
- Mavuto omwe amabwera chifukwa cha sitiroko
- Kulira m'makutu (tinnitus)
Kodi chimachitika ndi chiyani musanayambe komanso munthawi ya chithandizo cha TMS?
Musanayambe kulandira chithandizo cha TMS, dokotala wanu adzakutumizani kwa katswiri yemwe waphunzitsidwa bwino pankhaniyi. Katswiriyu adzakulankhulani, adzaunikanso mbiri yanu yachipatala, ndikusankha ngati chithandizochi chili choyenera kwa inu komanso chotetezeka.
Ngati chithandizo cha TMS sichiyenera kuchitika
Pali nthawi zina pomwe chithandizo cha TMS chingakhale choopsa .
- Ngati muli ndi zipangizo zamagetsi kapena zitsulo zomwe zaikidwa m'thupi lanu: Mwachitsanzo, ngati muli ndi ma implants a cochlear, mbale zachitsulo m'chigaza chanu, kapena aneurysm clips mu ubongo wanu, simungakhale ndi TMS. Izi zili choncho chifukwa maginito amphamvu mu TMS amatha kukoka ziwalo zachitsulozi. Ngati izi zitachitika, ululu kapena kuvulala kwakukulu kungachitike.
- Ngati muli ndi khunyu kapena mbiri ya khunyu: Chithandizo cha TMS sichingayambitse khunyu nthawi zambiri. Chifukwa chake, ngati muli ndi vuto la khunyu kapena mukumwa mankhwala omwe amawonjezera chiopsezo chanu cha khunyu, dokotala wanu angaganizire za chithandizo china.
Dokotala wanu akangoganiza kuti chithandizochi ndi chotetezeka kwa inu, adzakufotokozerani nthawi ya chithandizo. TMS si chithandizo cha kamodzi kokha. Nthawi zambiri muyenera kupezeka pamisonkhano ya chithandizo masiku atatu kapena asanu pa sabata kwa milungu ingapo. Mwachitsanzo, chithandizo chokhazikika cha kuvutika maganizo ndi milungu 6 ya chithandizo, masiku 5 pa sabata.
Kodi chimachitika ndi chiyani panthawi ya chithandizo chamankhwala?
Tangoganizani kuti mwapita kuchipatala. Chomwe muyenera kuchita ndikuchita chinthu chosavuta kwambiri.
1. Choyamba, mudzakhala pampando wabwino kwambiri.
2. Ngati magalasi anu ali ndi mafelemu achitsulo kapena mwavala zodzikongoletsera zachitsulo, adzakupemphani kuti muwachotse. Iyi ndi njira yodzitetezera.
3. Kenako, mudzapatsidwa maearplug awiri kuti muyike m'makutu anu kuti muchepetse phokoso. Izi zili choncho chifukwa makina a TMS amapanga phokoso lochepa akayatsidwa. Izi ndi zoteteza kuti phokoso lisawononge makutu anu.
4. Kenako, dokotala kapena katswiri amakonza koyilo yamaginito ya chipangizo cha TMS kuti ikhale pamalo oyenera pamutu panu.
5. Asanayambe chithandizo, adzapeza malo oyenera pamutu panu ndipo pang'onopang'ono amawonjezera mphamvu ya maginito, ndikutumiza ma pulses amodzi. Pa nthawiyi, mudzamva kugogoda pang'ono pamutu panu.
6. Mukawonjezera mphamvu ya maginito, mungaone dzanja lanu, makamaka chala chanu chachikulu, likugwedezeka mwadzidzidzi. Izi ndi zachilendo. Madokotala amayembekezera izi chifukwa ndi momwe amadziwira kuti afika pamlingo woyenera wa chithandizo.
7. Mukapeza malo oyenera komanso mphamvu, mafunde a maginito amayamba kulunjika momwe mukufunira. Chomwe muyenera kuchita ndikukhala bwino pampando.
Nthawi zambiri chithandizo chimatenga mphindi zochepa mpaka theka la ola . Chimasiyana malinga ndi mtundu wa chithandizo chomwe mumalandira. Chithandizo chikatha, mutha kubwerera ku zochita zanu zachizolowezi popanda kuvutika.
Kodi ubwino ndi zoopsa za chithandizo cha TMS ndi ziti?
Monga njira ina iliyonse yothandizira, TMS ili ndi ubwino ndi zoopsa zina.
| Ubwino | Zoopsa ndi Zotsatirapo |
|---|---|
| Palibe opaleshoni yofunikira (Yosapha anthu): Palibe mankhwala oletsa ululu, kudula, kapena chilichonse choti chichitike. Mutha kupita kunyumba nthawi yomweyo mukangomaliza kulandira chithandizo. | Kugwidwa ndi khunyu: Ichi ndi chiopsezo chachikulu kwambiri, koma sichimachitika kawirikawiri . Chiwopsezo chake ndi chochepera 0.01% (ndicho pafupifupi chimodzi mwa magawo 10,000 a chithandizo). |
| Zotetezeka: Zotsatira zoyipa nthawi zambiri sizikhala zoopsa ndipo nthawi zambiri zimakhala zakanthawi kochepa. | Mutu: Anthu ena amatha kumva mutu pang'ono atatha kulandira chithandizo. |
| Zogwira ntchito:Kafukufuku wasonyeza momveka bwino kuti chithandizochi n'chothandiza pa matenda oyenera. | Ululu/kusasangalala m'mutu kapena m'khosi: Mungamve kupweteka pang'ono kapena kusasangalala komwe kunayikidwa maginito. |
| Kungapulumutse miyoyo: Kwa iwo omwe ali ndi vuto la kuvutika maganizo kwambiri komanso malingaliro ofuna kudzipha, chithandizochi chingachepetse zizindikiro ndikupatsa chiyembekezo chatsopano cha moyo. | Kumva chizungulire. |
| Zingachitike ndi mankhwala ena: Mankhwalawa angachitike pamene mukumwa mankhwala kapena mukupita kwa uphungu. | Kumva dzanzi m'minofu ya nkhope kapena mutu. |
Chofunika: Zotsatirapo zambirizi zimakhala zochepa kwambiri ndipo zimatha mkati mwa mphindi zochepa kuchokera pamene chithandizo chachitika.
Kodi muyenera kupita kwa dokotala liti?
Ngati mwapatsidwa chithandizo cha TMS, ndikofunikira kwambiri kupezeka pa nthawi yake, monga momwe dokotala wanu akulangizira . Kusowa pa nthawi kungachepetse mphamvu ya chithandizocho.
Komanso, ngati zotsatirapo zoyipa zomwe mukukumana nazo zikuwoneka zoopsa, kapena ngati mukuvutikabe maola ambiri mutatha kulandira chithandizo, onetsetsani kuti mwadziwitsa dokotala wanu.
Chochita pakakhala ngozi?
Anthu omwe ali ndi matenda monga kuvutika maganizo kapena OCD nthawi zina amakhala ndi maganizo odzivulaza kapena kudzipha. Ngati inu kapena munthu amene mumamudziwa ali ndi maganizo amenewa, chonde musavutike nokha. Funani thandizo nthawi yomweyo.
- Nambala Yothandizira Anthu Odwala Matenda a Maganizo Padziko Lonse: Imbani 1926 .
- Sumithrayo: Imbani 011 2696666 ndipo mutha kukambirana za momwe mukumvera ndi munthu wochezeka komanso wachinsinsi.
- Ngati mukuona kuti muli pachiwopsezo chachikulu, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo.
TMS si mankhwala odabwitsa a matenda onse, koma yathandiza anthu ambiri omwe sanathe kuchira ku mankhwala ena kukhala ndi moyo watsopano. Chifukwa chake, ngati inu kapena munthu amene mumamudziwa akudwala matenda amisala, lankhulani ndi dokotala wanu za mankhwala amakono awa.
Uthenga Wopita Nawo Kunyumba
- TMS ndi njira yotetezeka, yopanda opaleshoni yomwe imagwiritsa ntchito mafunde a maginito kuti ibwezeretse ntchito ya maselo amitsempha muubongo.
- Mankhwalawa amagwiritsidwa ntchito kwambiri pa matenda amisala monga kuvutika maganizo ndi OCD omwe sayankha mankhwala.
- Musanalandire chithandizo, ndikofunikira kuuza dokotala ngati muli ndi zitsulo m'thupi lanu kapena muli ndi mbiri ya khunyu.
- Zotsatirapo zake nthawi zambiri zimakhala zochepa ndipo zimatha pakapita nthawi yochepa mutalandira chithandizo (monga mutu, chizungulire). Zoopsa zazikulu sizimachitika kawirikawiri.
- Dokotala wanu yekha ndi amene angasankhe ngati chithandizo cha TMS chili choyenera kwa inu, choncho lankhulani ndi dokotala wanu za izi kuti mudziwe zambiri.
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