Mumwe munhu mumhuri yako, pamwe amai vako vaunoda, baba, ambuya kana tete, vangave vachirwara nechirwere cheAlzheimer. Kana kuti pamwe unofarira kudzidza zvakawanda nezvechirwere ichi. Chirwere cheAlzheimer ndicho chirwere chinowanzoonekwa chedementia, chirwere umo hunyanzvi hwekufunga hwakadai sekurangarira, hunyanzvi hwekugadzirisa matambudziko, uye mutauro hunorasika zvishoma nezvishoma. Izvi zvinogona kuita kuti zviomere kuita mabasa ezuva nezuva.
Chinhu chikuru chinokonzera chirwere cheAlzheimer kukwegura. Kunyange zvazvo mishonga iripo ichigona kudzora zviratidzo kusvika pamwero wakati, haigone kumisa chirwere zvachose. Ndosaka vaongorori vari kutsvaga mishonga mitsva inogona kunonotsa kufambira mberi kwechirwere. Nhasi, tichataura nezvemishonga miviri iyi inosimudzira uropi. Zvichitaurwa zviri nyore, mishonga iyi inoshandisa mafungu emagetsi kana emagineti "kuvhura" kana "kudzima" mashandiro ezvimwe zvikamu zveuropi.
Chii chinonzi rTMS (Repetitive Transcranial Magnetic Stimulation therapy)?
Iyi ndeimwe yemishonga mitsva iri kuyedzwa yevarwere vane Alzheimer's. Inosanganisira kushandisa magineti ekunze kuti ishande chikamu cheuropi, pasina kuvhiyiwa. Inonzi "inodzokororwa" nekuti kurapwa kunoitwa mazuva mashanu pasvondo, zuva rega rega kwemavhiki mana kusvika matanhatu.
Fungidzira wakagara pachigaro chenguva dzose. Chiremba anoisa coil yemagetsi pamusoro wako. Kana yashanda, unonzwa sekunge tukanawak diki iri kurova huma yako neruzha rwekuti "click" "click" runotora masekondi mashoma. Hazvidi anesthesia (inokuvadza musoro wako). Sezvo isiri kuvhiyiwa, inogona kuitwa muhofisi yachiremba kana kukiriniki.
Hazvisi pachena zvizere kuti rTMS inoshanda sei chaizvo muvarwere vane Alzheimer's. Vaongorori vanotenda kuti kukurudzira uropi nenzira iyi kunogona kukurumidzisa kana kuderedza mashandiro europi ane chekuita nekurangarira nekufunga.
Izvi zvinobudirira sei?
Kubudirira kwekurapwa kwerTMS kunoenderana nezvinhu zvakati wandei. Semuenzaniso, kukurudzira kushoma-frequency kwakaratidzwa kuderedza kushanda kweuropi, nepo kukurudzira kushoma-frequency kwakaratidzwa kuti kunowedzera. Zvakare, nzvimbo yeuropi inonangwa nekurapwa uye chero mimwe mishonga inotorwa nemurwere inogona kukanganisa mhedzisiro.
Kazhinji, kukurudzira kwakanyanya kwakaratidzwa kuti kunoshanda zvakanyanya kuvanhu vane dementia iri nyore kupfuura kune avo vane dementia yakanyanya. Dzimwe nguva, mhedzisiro yakanaka inoonekwa nekukurumidza mushure mekurapwa, asi kune vamwe vanhu, zvinogona kutora kusvika mavhiki matanhatu kuti vaone mhedzisiro. Mabhenefiti aya anogona kugara kwemwedzi mitatu kana kupfuura.
Dzimwe nguva kurapwa uku kwerTMS inzira yekudzidzisa pfungwa kuti dzishande.Zvinoitwa pamwe chete. Kureva, kupa mabasa akasiyana-siyana uye maekisesaizi ekuvandudza mashandiro ehuropi. Kana izvi zviviri zvikaitwa pamwe chete, mhedzisiro iri nani inowanikwa, kunyanya kune varwere vane Alzheimer's iri pakati nepakati.
Zvakakosha kuti, inenge hafu yevarwere vane chirwere cheAlzheimer vanotambura nekuora mwoyo. rTMS mushonga wekuderedza kushungurudzika unotenderwa neFDA. Saka, zvakaoma kusiyanisa kana kubatsira kwekurapa kwerTMS kune varwere vane chirwere cheAlzheimer kuri nekuda kwechirwere chaicho kana kuti kusuruvara kwakabatana nacho.
| Migumisiro nematambudziko ekurapwa kwerTMS | Tsananguro |
|---|---|
| Migumisiro yakajairika | Kusagadzikana panzvimbo ine magineti, kuvaviwa pashaya, ganda remusoro, kana kumeso, musoro, uye dzungu zvinogona kuitika. |
| Migumisiro yakaipa asi isingawanzoitiki | Kubatwa nepfari kunogona kuitika kashoma. Hazvisati zvazivikanwa zvakawanda nezvemigumisiro yenguva refu. |
| Matambudziko ane matambudziko | Sekureva kwevamwe vaongorori, pane kunetseka kuti kukurudzira kwakanyanya kunogona kuwedzera chirwere cheAlzheimer. Tsvagiridzo yakawanda inodiwa pane izvi. |
Chii chinonzi Deep Brain Stimulation (DBS)?
Kusiyana nerTMS, DBS mushonga unorwisa uropi uye unoda kuvhiyiwa kweuropi. Iri idanho guru rekufambira mberi. Mukuvhiyiwa uku, maerekitironi maviri anoiswa muuropi hwako. Kufanana nepacemaker, majenareta maviri madiki anodzora maerekitironi aya anoiswa pasi peganda rechipfuva chako.
Usati wavhiyiwa, uchaongororwa musoro wako neMRI. Uchave wakamuka panguva yekuvhiyiwa. Usazvidya moyo, musoro wako uchave usina chinhu (local anesthetic) saka hauzonzwi kurwadziwa. Nekuti uropi haunzwi kurwadziwa, chiremba anogona kushandisa mifananidzo yeMRI kuisa maelectrode munzvimbo dzakakodzera. Zvadaro, uchaiswa pasi peanesthesia uye jenareta newaya dzinobatanidza maelectrode ari muuropi hwako zvichaiswa muchipfuva chako. Mushure mekuvhiyiwa, mudziyo uyu uchapa uropi hwako simba rinogara richikura.
Kurapa neDBS kwakatanga kushandiswa kurapa zviratidzo zvechirwere cheParkinson, zvakaita sekubvunda uye kuomarara. Zvakangoitika mushure mekunge mumwe murwere akapihwa kurapwa kweDBS nekuda kwekufutisa aratidza kuvandudzika mukuyeuka ndipo pavakatanga kuferefeta kana ichigona kushandiswawo pachirwere cheAlzheimer.
Izvi zvinobudirira sei?
Zvidzidzo zvepakutanga zvinoratidza kuti DBS mushonga unovimbisa. Zvisinei, kubudirira kwayo kunoenderana nedanho rechirwere uye hurongwa hwekurapa (nzvimbo yeuropi inonangwa, simba rekukurudzira).
Kazhinji, kurapwa kweDBS kunonyanya kushanda kana kuchishandiswa pakutanga kwechirwere (Alzheimer's yekutanga) . Vanhu vanoonekwa mushure memakore 65 (kunonoka kutanga) vanogona kubatsirwa, zvichireva kuti chirwere ichi chinogona kunonoka kufambira mberi kwacho. Asi zvinoshamisa kuti vanhu vanoonekwa vasati vasvitsa makore 65 (kutanga kwekutanga) havana kuona kubatsira kukuru kubva mukurapa uku.
| Migumisiro nematambudziko ekurapwa kweDBS | |
|---|---|
| Matambudziko ane chekuita nekuvhiyiwa | |
| Kuvhiyiwa kunogona kukonzera kubuda ropa, hutachiona, uye kutadza kushanda zvakanaka kwemidziyo iri muchipfuva. | |
| Migumisiro inokonzerwa nekukurudzirwa | |
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| Mimwe migumisiro inogona kuitika | |
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Mimwe migumisiro (musoro, manyoka, kurutsa) inozopera nekufamba kwenguva, asi zvakakosha kuyeuka kuti DBS mushonga une njodzi.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheAlzheimer chirwere chinoenderera mberi. Kunyange zvazvo mishonga iripo ichigona kudzora zviratidzo, haigone kurapa chirwere chacho.
- rTMS inzira isingashandisirwe pakuvhiya, ine njodzi shoma yekukurudzira uropi iyo inogona kubatsira vanhu vari muchikamu chekutanga chechirwere, asi ichiri muchikamu chekutsvagisa.
- DBS mushonga wakakomba uye une njodzi unoda kuvhiyiwa kweuropi. Unogonawo kubatsira kune vamwe vanhu vari muchikamu chekutanga chechirwere, asi hausati washandiswa zvakanyanya.
- Mishonga iyi yese ichiri kuyedzwa kuti ionekwe nechirwere cheAlzheimer uye haisi mishonga inowanzo nyorwa nachiremba.
- Chinhu chinonyanya kukosha ndechekuti kana mumwe munhu mumhuri yako aine chirwere cheAlzheimer, usati wasarudza chero kurapwa, taura nachiremba wako nokungwarira uye unzwisise kuti chii chakakodzera mamiriro emurwere.
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