Dzimwe nguva unonzwa here kuti watove kutora mushonga wekuderedza kushungurudzika uye kuti pane imwe nzira? Wakambonzwa here nezvekurapa kusingade kuvhiyiwa kana anesthesia, asi kunobatsira kudzorera mashandiro ehuropi? Nhasi tichataura nezvekurapa kunoshamisa kwakaunza tariro itsva kuvanhu vazhinji. Izvi zvinonzi 'Transcranial Magnetic Stimulation' kana kuti TMS.
Chii chaizvo chinonzi TMS? Magineti inokanganisa sei uropi?
Zita racho ringanzwika serakaoma, asi ngationgororei. TMS mushonga usingapindi mishonga unoshandiswa uchishandisa mudziyo wakakosha kutumira magineti kuzvikamu zvakasiyana zveuropi.
Zvino ungave uchishamisika kuti, "Magineti inokanganisa sei uropi?" Zviri nyore kwazvo. Tose tinoziva kuti pane hukama hukuru pakati pemagetsi nemagnetism. Uropi hwedu inzvimbo inoshanda zvikuru ine mamiriyoni ezviratidzo zvidiki zvemagetsi zvinofamba-famba zvichienda mberi. Masero etsinga ari muuropi hwedu, anonzi ma neuron, anotaurirana, anotaura nemumwe nemumwe, kuburikidza nemashoko madiki aya emagetsi.
Kurapa neTMS kunoshanda nekushandisa simba remagineti rakasimba kune chimwe chikamu cheuropi, izvo zvinosimudzira mashandiro emagetsi emasero etsinga iwayo. Zvikuru, mumamiriro ezvinhu akadai sekuora mwoyo, zvimwe zvikamu zveuropi zvinogona kunge zvarasikirwa nebasa. TMS inoshanda ne'kuvandudza ' chiitiko chakarasika. Zvakafanana nekutangazve bhatiri remotokari rafa. Inogona kukanganisa zvikamu zveuropi zvinodzora manzwiro edu, kuita sarudzo, uye mufaro.
Chinhu chinonyanya kukosha ndechekuti kurapwa uku kuitwe pamusoro pemusoro. Izvi zvinoreva kuti hapana chikonzero chekucheka musoro chero nenzira ipi zvayo kana kuisa chero chinhu mukati.
Kune mhando dzakasiyana dzeTMS therapy here?
Ehe, kune nzira dzakasiyana-siyana dzekurapa neTMS. Zvinoenderana nesimba remagineti anoshandiswa, frequency uye pattern yemafungu emagineti anotumirwa. Ngatitarisei mhando huru.
| Rudzi/chinhu cheTMS | Zvichitaurwa zviri nyore... |
|---|---|
| Simba reMagineti | Izvi zvinoyerwa muzvikamu zvinonzi Tesla (Tesla - T). Kazhinji, magineti akasimba e1.5T kusvika 2T anoshandiswa. Izvi zvakafanana nesimba remagineti muMRI scanner. Zvisinei, muTMS, simba remagineti iri rinotarisa pane chinangwa chidiki kwazvo, chaicho . |
| Kufamba Kwemhepo Kakawanda | Nhamba yenguva iyo magineti inobatidzwa uye inodzimwa pasekondi. Izvi zvinoyerwa muHertz (Hz). Dzimwe nguva mafungu anotumirwa nechiyero chidiki (1 Hz), dzimwe nguva nechiyero chepamusoro (5-10 Hz). Kuendeswa kwemafungu uku kunoenderera mberi kunonziwo repetitive TMS (rTMS). |
| Mapatani ePulse | Mamwe marapirwo anoshandisa maitiro chaiwo emafungu. Muenzaniso ndewekuti `(Theta-Burst Stimulation - TBS)`. Nzira iyi inogona kuderedza zvakanyanya nguva inoshandiswa pakurapwa. |
| TMS Yakadzika (TMS Yakadzika - dTMS) | Izvi zvinoshandisa mudziyo wakakosha, sengowani ine chimiro cheH. Izvi zvinogona kukurudzira zvikamu zveuropi zvakadzika zvishoma kupfuura pamusoro. Semuenzaniso, nzira iyi yakawanikwa ichishanda zvakanyanya pazvirwere zvakaita se `(Obsessive-Compulsive Disorder - OCD)`. |
Kurapa kweTMS kunoshandiswa pamamiriro ezvinhu api?
TMS haisi mushonga wekutanga. Vanachiremba vanowanzoikurudzira kana mimwe mishonga, kunyanya mishonga, yakundikana. Inoshandiswawo senzira yakanaka kune vanhu vasingakwanise kurapwa seElectroconvulsive Therapy (ECT).
Kune mamiriro akati wandei akatenderwa zviri pamutemo kurapwa kweTMS nemasangano akadai seUS Food and Drug Administration (FDA).
- Dambudziko Guru reKushungurudzika (MDD): Kunyanya kuora mwoyo kusingarapike.
- Dambudziko reObsessive-Compulsive Disorder (OCD): Chirwere chinoratidzwa nepfungwa dzisingadiwi dzinogara dziripo uye kusakwanisa kudzora zviito zvavanoita.
- Migraine: Mamwe marudzi emusoro wemigraine.
- Kurega Kusvuta: Sekubatsira kurega kusvuta.
Kuwedzera kune izvi zvakatenderwa, tsvakiridzo iri kuitwa pasi rose kuona kana kurapwa neTMS kuchigona kubatsira kune mamwe mamiriro ezvinhu akawanda. Zvimwe zvacho zvinosanganisira:
- Kupindwa muropa kwakasiyana-siyana
- Chirwere cheAlzheimer
- Dambudziko reBipolar
- Kurwadziwa kusingaperi
- Chirwere cheParkinson
- Dambudziko rePost-Traumatic Stress Disorder (PTSD)
- Matambudziko anokonzerwa nesitiroko
- Kurira munzeve (Tinnitus)
Chii chinoitika usati watanga kurapwa neTMS uye panguva yekurapwa?
Usati watanga kurapwa neTMS, chiremba wako achakutumira kuna nyanzvi yakadzidziswa basa iri. Nyanzvi iyi ichataura newe, ichaongorora nhoroondo yako yezvekurapa, uye ichasarudza kana kurapwa uku kwakakunakira uye kwakachengeteka.
Kana kurapwa kweTMS kusingafaniri kuitwa
Kune dzimwe nguva apo kurapa neTMS kunogona kuva nengozi .
- Kana uine simbi kana midziyo yemagetsi yakaisirwa mumuviri wako: Semuenzaniso, kana uine cochlear implants, metal plates mudehenya rako, kana aneurysm clips muuropi hwako, haugone kuva neTMS. Izvi zvinodaro nekuti magineti akasimba ari muTMS anogona kukwezva zvikamu zvesimbi izvi. Kana izvi zvikaitika, kurwadziwa kana kukuvara kwakakomba kunogona kuitika.
- Kana uine pfari kana nhoroondo yepfari: Kurapwa neTMS hakuwanzo kukonzera pfari. Saka, kana uine chirwere chepfari kana uri kutora mishonga inowedzera njodzi yako yepfari, chiremba wako anogona kufunga nezveimwe nzira yekurapa.
Kana chiremba wako aona kuti kurapwa uku kwakachengeteka kwauri, achakutsanangurira purogiramu yekurapwa. TMS haisi kurapwa kamwe chete. Kazhinji uchafanirwa kupinda misangano yekurapwa kwemazuva matatu kusvika mashanu pasvondo kwemavhiki akati wandei. Semuenzaniso, kurapwa kwakajairika kwekuora mwoyo mavhiki matanhatu ekurapwa, mazuva mashanu pasvondo.
Chii chinoitika panguva yekurapwa?
Fungidzira waenda kunorapwa. Chinongodiwa chete kuita chimwe chinhu chiri nyore.
1. Kutanga, uchagara pachigaro chinonyaradza zvikuru.
2. Kana magirazi ako aine mafuremu esimbi kana kuti wakapfeka zvishongo zvesimbi, vachakukumbira kuti uabvise. Iyi inzira yekuchengetedza.
3. Tevere, muchapihwa maearplug maviri ekuisa munzeve dzenyu kuti muderedze ruzha. Izvi zvinodaro nekuti muchina weTMS unoita ruzha 'runorira' zvishoma kana wabatidzwa. Izvi zvinoitirwa kudzivirira ruzha kuti rusakuvadze nzeve dzenyu.
4. Zvadaro, chiremba kana nyanzvi inogadzirisa magnetic coil yechishandiso cheTMS kuti ive panzvimbo chaiyo pamusoro wako.
5. Vasati vatanga kurapwa, vachawana nzvimbo yakakodzera pamusoro wako uye vanowedzera simba remagineti zvishoma nezvishoma, vachitumira pulses imwe chete. Panguva ino, uchanzwa kugogodza zvishoma pamusoro wako.
6. Paunenge uchiwedzera simba remagineti, unogona kuona ruoko rwako, kunyanya chigunwe chako, chichigwinha-gwinha. Izvi zvakajairika. Vanachiremba vanotarisira izvi nekuti ndizvo zvavanoziva kuti vasvika padanho rakakodzera rekurapwa.
7. Kana nzvimbo chaiyo nesimba zvawanikwa, mafungu emagineti anotanga kutungamirirwa nenzira yaunoda. Chinongodiwa chete kugara zvakanaka pachigaro.
Kurapwa kunogona kutora maminetsi mashoma kusvika hafu yeawa . Zvinosiyana zvichienderana nerudzi rwekurapwa kwaunowana. Kana kurapwa kwapera, unogona kudzokera kumabasa ako enguva dzose pasina kunetseka.
Ndezvipi zvakanakira uye njodzi dzeTMS therapy?
Kufanana nechero nzira yekurapa, TMS ine zvayakanakira uye dzimwe njodzi.
| Zvakanakira | Njodzi & Migumisiro Yezvimwe Zvinetso |
|---|---|
| Hapana kuvhiyiwa kunodiwa (Kusingapindi muropa): Hapana mushonga wekurwadziwa, wekucheka, kana chimwe chinhu chinofanira kuitwa. Unogona kudzokera kumba mushure mekurapwa. | Kubatwa nepfari: Iyi ndiyo njodzi yakakura kwazvo, asi haiwanzoitiki . Njodzi yacho iri pasi pe0.01% (izvi zvinoreva kuti imwe chete pakurapwa kwevanhu zviuru gumi). |
| Yakachengeteka: Migumisiro yacho haisi yakanyanya kuipa uye inowanzova yenguva pfupi. | Musoro: Vamwe vanhu vanogona kunzwa musoro mudiki mushure mekurapwa. |
| Inoshanda:Tsvagiridzo yakaratidza pachena kuti kurapwa uku kunoshanda kune zvirwere zvakakodzera. | Kurwadziwa/kusagadzikana mumusoro kana mumutsipa: Unganzwa kurwadziwa kana kusagadzikana pawakaiswa magineti. |
| Kunogona kuponesa hupenyu: Kune avo vane kuora mwoyo kwakanyanya uye pfungwa dzekuzviuraya, kurapwa uku kunogona kuderedza zviratidzo uye kupa tariro itsva yehupenyu. | Kunzwa dzungu. |
| Inogona kuitwa nemamwe marapirwo: Kurapa uku kunogona kuitwa panguva yekutora mishonga kana kuenda kunyanzvi dzekurapa. | Kunzwa kusanzwa zvakanaka mutsandanyama dzechiso kana dzemusoro. |
Zvakakosha: Migumisiro yakawanda iyi haina kunyanya kuipa uye inopera mukati memaminitsi mashoma mushure mekurapwa.
Unofanira kuona chiremba rini?
Kana wakanyorerwa TMS therapy, zvakakosha kuti upinde misangano yako yekurapwa nenguva, sezvinokurudzirwa nachiremba wako . Kusapinda misangano kunogona kuderedza kushanda kwemishonga.
Uyewo, kana migumisiro yakaipa yauri kusangana nayo ichiita seiri yakanyanya, kana kuti uchiri kunzwa kusagadzikana maawa mashoma mushure mekurapwa, iva nechokwadi chekuzivisa chiremba wako.
Chii chekuita kana paine emergency?
Vanhu vane zvirwere zvakaita sekuora mwoyo kana OCD dzimwe nguva vanogona kufunga nezvekuzvikuvadza kana kuzviuraya. Kana iwe kana mumwe munhu waunoziva aine pfungwa idzi, ndapota musatambura muri mega. Tsvaga rubatsiro nekukasika.
- Nhare yeNational Mental Health: Fonera 1926 .
- Sumithrayo: Fonera 011 2696666 uye unogona kutaura nezvemanzwiro ako nemunhu ane hushamwari uye akavanzika.
- Kana uchifunga kuti ungangove uri munjodzi pakarepo, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
TMS haisi mushonga unoshamisa wezvirwere zvese, asi yakakwanisa kupa vanhu vazhinji vasina kukwanisa kupora kubva kune dzimwe nzira dzekurapa mukana mutsva wekurarama. Saka, kana iwe kana mumwe munhu waunoziva ari kurwara nepfungwa, taura nachiremba wako nezvemishonga iyi yemazuva ano.
Mharidzo Yekuenda Nayo Kumba
- TMS mushonga wakachengeteka, usingashandiswi kuvhiya unoshandisa mafungu emagetsi kudzoreredza mashandiro emasero etsinga muuropi.
- Kurapa uku kunonyanya kushandiswa pazvirwere zvepfungwa zvakaita sekuora mwoyo uye OCD isingapindure kana yashandiswa mishonga.
- Usati warapwa, zvakakosha kuudza chiremba kana uine zvinhu zvakaiswa musimbi mumuviri wako kana kuti uine nhoroondo yepfari.
- Migumisiro yacho inowanzova midiki uye inopera mukati menguva pfupi mushure mekurapwa (senge musoro, dzungu). Njodzi dzakakomba hadziwanzowaniki.
- Chiremba wako chete ndiye anogona kusarudza kana kurapwa neTMS kwakakunakira, saka taura nachiremba wako nezvenyaya iyi kuti uwane rumwe ruzivo.
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