Ngaba ngamanye amaxesha ukhe uzive ngathi sele usela amayeza okudakumba kwaye kukho enye indlela? Ngaba ukhe weva ngonyango olungadingi utyando okanye i-anesthesia, kodwa olunceda ukubuyisela ukusebenza kwengqondo? Namhlanje siza kuthetha ngonyango olumangalisayo oluzise ithemba elitsha kubantu abaninzi. Oku kubizwa ngokuba yi-'Transcranial Magnetic Stimulation' okanye i-TMS.
Yintoni kanye kanye i-TMS? Imagnethi iyichaphazela njani ingqondo?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masilichaze. I-TMS lunyango olungangenisi ntsholongwane olusebenzisa isixhobo esikhethekileyo ukuthumela ii-magnetic pulses kwiindawo ezithile zobuchopho.
Ngoku usenokuba uzibuza, "Imagnethi iyichaphazela njani ingqondo?" Kulula kakhulu. Sonke siyazi ukuba kukho unxibelelwano olukhulu phakathi kombane kunye nemagnetism. Ingqondo yethu yindawo esebenzayo kakhulu enezigidi zemiqondiso yombane emincinci ehambahambayo. Iiseli zemithambo-luvo ezikwingqondo yethu, ezibizwa ngokuba zii-neurons, ziyanxibelelana, ziyathetha, ngale miyalezo mincinci yombane.
Unyango lwe-TMS lusebenza ngokusebenzisa amandla amakhulu emagnethi kwinxalenye ethile yengqondo, nto leyo evuselela umsebenzi wendalo wombane wezo seli zemithambo-luvo. Ngokukodwa, kwiimeko ezifana nokudakumba, ezinye iindawo zengqondo zisenokuba ziphulukene nomsebenzi. I-TMS isebenza 'ngokuvuselela' loo msebenzi uphulukene nawo. Kufana nokuqalisa kwakhona ibhetri yemoto efileyo. Ingachaphazela iindawo zengqondo ezilawula iimvakalelo zethu, ukwenza izigqibo, kunye nolonwabo.
Eyona nto ibalulekileyo kukuba olu nyango lwenziwe phezu kwentloko. Oku kuthetha ukuba akukho mfuneko yokusika intloko nangayiphi na indlela okanye ukufaka nantoni na ngaphakathi.
Ngaba kukho iintlobo ezahlukeneyo zonyango lwe-TMS?
Ewe, kukho iindlela ezahlukeneyo zokwenza unyango lwe-TMS. Kuxhomekeke kumandla emagnethi esetyenzisiweyo, imvamisa kunye nepatheni yamaza emagnethi athunyelwayo. Makhe sijonge iintlobo eziphambili.
| Uhlobo/uphawu lwe-TMS | Kalula nje... |
|---|---|
| Amandla eMagneti | Oku kulinganiswa ngeeyunithi ezibizwa ngokuba yiTesla (Tesla - T). Ngokwesiqhelo, kusetyenziswa imagnethi enamandla ukusuka kwi-1.5T ukuya kwi-2T. Oku kufana namandla emagnethi kwiskena se-MRI. Nangona kunjalo, kwi-TMS, le magnethi igxile kwithagethi encinci kakhulu, ethile . |
| Ukuphindaphinda kwePulse | Inani lamaxesha imagnethi evulwa necinywa ngawo ngomzuzwana. Oku kulinganiswa ngeHertz (Hz). Ngamanye amaxesha amaza athunyelwa ngesantya esiphantsi (1 Hz), ngamanye amaxesha ngesantya esiphezulu (5-10 Hz). Olu kuhanjiswa kwamaza okuqhubekayo kukwabizwa ngokuba yi-repetitive TMS (rTMS). |
| Iipateni zePulse | Ezinye iindlela zonyango zisebenzisa indlela ethile yamaza. Umzekelo ngu `(Theta-Burst Stimulation - TBS)`. Le ndlela inokunciphisa kakhulu ixesha elichithwa kunyango. |
| I-TMS enzulu (i-TMS enzulu - i-dTMS) | Oku kusebenzisa isixhobo esikhethekileyo, njengesigcina-ntloko esimile okwe-H. Oku kunokuvuselela iindawo zengqondo ezinzulu kancinci kunomphezulu. Umzekelo, le ndlela ifunyenwe isebenza ngakumbi kwiimeko ezifana ne-`(Obsessive-Compulsive Disorder - OCD)`. |
Ziziphi iimeko ezisetyenziselwa unyango lwe-TMS?
I-TMS ayisoloko ilunyango lokuqala. Oogqirha badla ngokuyicebisa xa ezinye iindlela zonyango, ingakumbi amayeza, zingaphumelelanga. Ikwasetyenziswa njengendlela elungileyo kubantu abangakwaziyo ukufumana unyango olufana ne-Electroconvulsive Therapy (ECT).
Kukho iimeko ezininzi ezivunyiweyo ngokusesikweni kunyango lwe-TMS ziiarhente ezifana ne-US Food and Drug Administration (FDA).
- Ingxaki Yokudakumba Enkulu (MDD): Ingakumbi ukudakumba okunganyangekiyo kunyango.
- Ingxaki Yokuxhalaba Ngokugqithisileyo (OCD): Imeko ebonakaliswa ziingcinga ezingafunekiyo ezingapheliyo kunye nokungakwazi ukulawula izenzo abazithathayo.
- Iintloko ezibuhlungu: Ezinye iintlobo zentloko ebuhlungu ebangelwa yimigraine.
- Ukuyeka ukutshaya: Njengendlela yokunceda ukuyeka ukutshaya.
Ukongeza kwezi meko zivunyiweyo, uphando luyaqhubeka kwihlabathi liphela ukubona ukuba unyango lwe-TMS lunokuba luncedo na kwezinye iimeko ezininzi. Ezinye zezi ziquka:
- Umlutha owahlukeneyo
- Isifo sika-Alzheimer
- Ukuxhuzula
- Intlungu engapheliyo
- Isifo sikaParkinson
- Ingxaki Yoxinzelelo Emva Kwengozi (PTSD)
- Iingxaki ezibangelwa sistroke
- Ukukhala ezindlebeni (i-Tinnitus)
Kwenzeka ntoni ngaphambi nangexesha lonyango lwe-TMS?
Ngaphambi kokuba ufumane unyango lwe-TMS, ugqirha wakho uza kukuthumela kwingcali eqeqeshwe ngokukodwa kweli candelo. Le ngcali iza kuthetha nawe, ihlole imbali yakho yezonyango, ize igqibe kwelokuba olu nyango lukulungele kwaye lukhuselekile na.
Xa unyango lwe-TMS lungafanele lwenziwe
Kukho iimeko apho unyango lwe-TMS lunokuba yingozi .
- Ukuba unezixhobo zesinyithi okanye ze-elektroniki ezifakwe emzimbeni wakho: Umzekelo, ukuba une-cochlear implants, iipleyiti zesinyithi ekhayeni lakho, okanye ii-aneurysm clips engqondweni yakho, awunakuba ne-TMS. Oku kungenxa yokuba imagnethi enamandla kwi-TMS inokutsala ezi ndawo zesinyithi. Ukuba oku kuyenzeka, intlungu okanye ukwenzakala okukhulu kunokwenzeka.
- Ukuba unesifo sokuwa okanye imbali yokuwa: Unyango lwe-TMS alunakubangela ukuwa. Ke ngoko, ukuba unesifo sokuwa okanye uthatha amayeza anyusa umngcipheko wakho wokuwa, ugqirha wakho unokujonga unyango olwahlukileyo.
Nje ukuba ugqirha wakho agqibe kwelokuba olu nyango lukhuselekile kuwe, uza kukuchazela ishedyuli yonyango. I-TMS ayilonyango oluqhutywa kube kanye. Kuya kufuneka uye kwiiseshoni zonyango iintsuku ezintathu ukuya kwezintlanu ngeveki kangangexesha leeveki ezininzi. Umzekelo, unyango oluqhelekileyo lokudakumba ziiveki ezi-6 zonyango, iintsuku ezi-5 ngeveki.
Kwenzeka ntoni ngexesha leseshoni yonyango?
Khawucinge ukuba uye kwi-therapy. Okufuneka ukwenze kukwenza into elula kakhulu.
1. Okokuqala, uza kuhlala kwisitulo esikhululekileyo.
2. Ukuba iiglasi zakho zinefreyimu zesinyithi okanye unxibe ubucwebe besinyithi, baza kukucela ukuba uzisuse. Le yindlela yokhuseleko.
3. Okulandelayo, uza kunikwa ii-earplugs ezimbini oza kuzibeka ezindlebeni zakho ukunciphisa ingxolo. Oku kungenxa yokuba umatshini we-TMS wenza isandi 'esithintithayo' kancinci xa uvuliwe. Oku kwenzelwa ukuthintela isandi ukuba singalimazi iindlebe zakho.
4. Emva koko, ugqirha okanye ingcali ilungisa ikhoyili yemagnethi yesixhobo se-TMS kwindawo efanelekileyo entlokweni yakho.
5. Ngaphambi kokuba unyango luqale, baza kufumana indawo efanelekileyo entlokweni yakho baze bonyuse amandla emagnethi kancinci kancinci, bethumela iipulses ezimfutshane. Ngeli xesha, uza kuziva ucofa kancinci entlokweni yakho.
6. Njengoko unyusa amandla emagnethi, ungabona isandla sakho, ingakumbi ubhontsi wakho, sishukuma ngokungacwangciswanga. Oku kuqhelekile ngokupheleleyo. Oogqirha balindele oku kuba yindlela abazi ngayo ukuba bafikelele kumandla afanelekileyo onyango.
7. Nje ukuba indawo efanelekileyo kunye namandla afanelekileyo afunyenwe, amaza emagnethi aza kuqala ukujoliswa ngendlela oyifunayo. Okufuneka ukwenze kukuhlala kamnandi esitulweni.
Iseshoni yonyango idla ngokuthatha imizuzu embalwa ukuya kwisiqingatha seyure . Iyahluka ngokuxhomekeke kuhlobo lonyango olufumanayo. Emva kokuba unyango luphelile, ungabuyela kwimisebenzi yakho yesiqhelo ngaphandle kokungonwabi.
Ziziphi iingenelo kunye neengozi zonyango lwe-TMS?
Njengayo nayiphi na indlela yonyango, i-TMS ineenzuzo kunye neengozi ezithile.
| Iingenelo | Iingozi kunye nemiphumo emibi |
|---|---|
| Akukho mfuneko yotyando (Aluyiyo intsholongwane): Akukho mfuneko yokubulala iintlungu, ukunqunyulwa, okanye nantoni na enokwenziwa. Ungagoduka ngokukhawuleza emva konyango. | Ukuxhuzula: Le yeyona ngozi inkulu, kodwa ayiqhelekanga kakhulu . Ingozi ingaphantsi kwe-0.01% (oko kuthetha ukuba inye kwiiseshoni zonyango ezili-10,000). |
| Ikhuselekile: Iziphumo ebezingalindelekanga azibi kakhulu kwaye zihlala zizezexeshana. | Intloko ebuhlungu: Abanye abantu banokuba nentloko ebuhlungu kancinci emva konyango. |
| Isebenza kakuhle:Uphando luye lwabonisa ngokucacileyo ukuba olu nyango luyasebenza kwiimeko ezifanelekileyo. | Intlungu/ukungakhululeki entlokweni okanye entanyeni: Usenokuziva uneentlungu okanye ungonwabanga apho bekufakwe khona imagnethi. |
| Ingasindisa ubomi: Kwabo banesifo sokudakumba esinzulu kunye neengcinga zokuzibulala, olu nyango lunokunciphisa iimpawu kwaye lunike ithemba elitsha lobomi. | Ndiziva ndinesizungu. |
| Ingenziwa ngolunye unyango: Olu nyango lungenziwa xa usela amayeza okanye usiya kwingcebiso. | Ukuziva ngathi kukho ukungacaci kwezihlunu zobuso okanye zentloko. |
Kubalulekile: Uninzi lwezi ziphumo bezingalindelekanga zincinci kakhulu kwaye ziyaphela kwimizuzu embalwa emva kweseshoni yonyango.
Ufanele uye nini kugqirha?
Ukuba unikwe unyango lwe-TMS, kubaluleke kakhulu ukuya kwiiseshoni zakho zonyango ngexesha, njengoko ugqirha wakho ecebisa . Ukungafumani iiseshoni kunokunciphisa ukusebenza kakuhle konyango.
Kwakhona, ukuba iziphumo ebezingalindelekanga ozifumanayo zibonakala zinzima, okanye ukuba usaziva ubuhlungu emva kweeyure zonyango, qiniseka ukuba wazise ugqirha wakho.
Yintoni omawuyenze xa kukho imeko engxamisekileyo?
Abantu abaneengxaki ezifana nokudakumba okanye i-OCD ngamanye amaxesha banokuba neengcinga zokuzilimaza okanye ukuzibulala. Ukuba wena okanye umntu omaziyo unezi ngcinga, nceda ungabi wedwa. Funa uncedo ngokukhawuleza.
- Umnxeba woNcedo lwezeMpilo yeNgqondo yeSizwe: Fowunela ku -1926 .
- USumithrayo: Fowunela ku -011 2696666 uze uthethe ngeemvakalelo zakho nomntu onobuhlobo noyimfihlo.
- Ukuba uvakalelwa kukuba usengozini ekhawulezileyo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
I-TMS ayilonyango oluyimimangaliso kuzo zonke izifo, kodwa ikwazile ukunika abantu abaninzi abangakhange bakwazi ukuchacha kwezinye iindlela zonyango ithuba elitsha lobomi. Ngoko ke, ukuba wena okanye umntu omaziyo unesifo sengqondo, thetha nogqirha wakho malunga nonyango lwanamhlanje.
Umyalezo Wokuya Ekhaya
- I-TMS lunyango olukhuselekileyo, olungelulo utyando olusebenzisa amaza emagnethi ukubuyisela ukusebenza kweeseli zemithambo-luvo engqondweni.
- Olu nyango lusetyenziswa kakhulu kwiimeko zempilo yengqondo ezifana nokudakumba kunye ne-OCD engaphenduliyo kumayeza.
- Ngaphambi konyango, kubalulekile ukuxelela ugqirha ukuba une-metal implants emzimbeni wakho okanye imbali ye-surticulation.
- Iziphumo ebezingalindelekanga zihlala zincinci kwaye ziphela emva kwexesha elifutshane emva konyango (ezifana nentloko ebuhlungu, isiyezi). Iingozi ezinkulu azifumaneki lula.
- Ngugqirha wakho kuphela onokugqiba ukuba unyango lwe-TMS lufanelekile na kuwe, ngoko thetha nogqirha wakho ngale nto ukuze ufumane ulwazi oluthe kratya.
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