Abantu abaningi emphakathini namuhla balwa nokucindezeleka, noma njengoba sonke sazi, isimo sengqondo esibizwa ngokuthi 'Ukucindezeleka'. Abanye abantu bathola impumuzo lapho bethatha imithi enikezwe udokotela noma beya kokwelulekwa. Kodwa-ke, abanye abantu abazizwa umehluko omkhulu noma intuthuko kungakhathaliseki ukuthi benzani. Uma ungomunye wabo, ungalilahli ithemba. Namuhla sikhuluma ngendlela yokwelapha ekhethekile engasiza labo abangatholi impumuzo ezindleleni zokwelapha ezivamile. Lokhu kubizwa ngokuthi i-rTMS .
Lokhu kwelashwa kwe-rTMS kusebenza kanjani?
Kalula nje, i-rTMS iyindlela yokwelapha engenabuhlungu esebenzisa ama-magnetic pulses ukunciphisa izimpawu zokucindezeleka. Ayidingi ukuhlala esibhedlela noma i-anesthesia.
Ake uzicabange wenza i-MRI scan. Amandla ensimu yamagnetic asetshenziswa kulokhu kwelashwa afana nalawo e-MRI scan. Lawa magagasi amagnetic avuselela amangqamuzana ezinzwa ezingxenyeni zobuchopho bakho ezilawula imizwa yakho. Kufana nokukhuluma nengxenye yobuchopho bakho elale kancane bese uyivusa futhi. Lapho lawo maseli ephinde asebenza, izimpawu zokucindezeleka ziqala ukuncipha kancane kancane.
Kwenzekani ngesikhathi sokwelashwa kwe-rTMS?
Lokhu kwelashwa kuvame ukuthatha cishe amasonto amane kuya kwayisithupha. Kuzodingeka uye ehhovisi likadokotela noma emtholampilo cishe izinsuku ezinhlanu ngesonto.
Ngaphambi kokuba ukwelashwa kuqale, kuzodingeka ususe noma yini engase ibe bucayi kuma-magnet, njengobucwebe bensimbi namakhadi esikweletu. Ngesikhathi sokwelashwa, umshini uzokwenza umsindo omkhulu othi "chofoza" "chofoza", ngakho uzonikezwa ama-earplugs okuvikela izindlebe zakho.
Uzohlala esihlalweni esikhululekile phakathi nesikhathi sokwelashwa.
Kwenzekani ngosuku lokuqala?
Iseshini yokuqala iyodwa ithatha cishe ihora. Phakathi nalesi sikhathi, udokotela noma uchwepheshe uzothatha izilinganiso ezithile zekhanda lakho ukuze anqume indawo engcono kakhulu yokubeka ikhoyili kagesi ekhipha ama-magnetic pulses. Ikhoyili ibe isibekwa ekhanda lakho.
Okulandelayo, ukuze athole umthamo ofanele wokwelashwa, okungukuthi, inani lamandla kazibuthe, kuwe, udokotela uzoqala aqondise i-motor cortex yobuchopho bakho. Lena yingxenye elawula ukunyakaza kwemisipha yethu. Uzokhipha ama-magnetic pulse amaningana uze uzizwe udikiza kancane esandleni sakho noma eminweni yakho. Lokhu kubizwa ngokuthi umkhawulo wakho we-motor . Kufana nokulungisa umsakazo esiteshini esifanele.
Ngemva kwalokhu kuhlolwa, udokotela uhambisa i-coil kancane bese eqondisa enye ingxenye yobuchopho. Leyo yindawo ebizwa ngokuthi 'i-dorsolateral prefrontal cortex'. Lena yindawo okutholakale ukuthi ihlobene ngqo nokucindezeleka. Kodwa lezi zilinganiso kanye nokuhlolwa kokuthola ububanzi bokunyakaza akwenziwa nsuku zonke, kodwa ngosuku lokuqala kuphela.
Kuzwakala kanjani lokhu?
Ukwelashwa kuthatha cishe imizuzu engama-30 kuya kwengama-40. Phakathi nalesi sikhathi, uzozwa umuzwa wokuthinta kancane ngaphansi kwesikhumba sekhanda lakho, lapho kukhona khona ikhoyili. Uzozwa nomsindo omkhulu "wokuchofoza", ofana nalowo we-MRI scan. Lona umsindo owenziwa lapho ikhoyili kamazibuthe ivula futhi ivala futhi ikhipha ama-pulse.
Ingabe ikhona imiphumela emibi yokwelashwa kwe-rTMS?
Iningi labantu alibi nemiphumela emibi emikhulu evela ku-rTMS. Kodwa-ke, abanye abantu bangase babe nemiphumela emibi emincane neyesikhashana. Lokhu kuvame ukuncipha kancane kancane njengoba ukwelashwa kuqhubeka.
Into ebaluleke kakhulu ukutshela udokotela wakho ngokushesha uma uzizwa ungakhululekile. Angalungisa indawo yekhoyili noma amandla kazibuthe ukuze akunike impumuzo.
| Umphumela Ongemuhle | Incazelo Nokuphathwa |
|---|---|
| Ikhanda elibuhlungu | Abantu abangaba ngu-50% bangase babe nekhanda elibuhlungu ngesikhathi noma ngemva kwezikhathi ezimbalwa zokuqala. Lokhu kuvame ukuba yinto encane, futhi amaphilisi obuhlungu angathathwa njengoba udokotela wakho eqondisile. Lawa makhanda azophela kancane kancane njengoba ukwelashwa kuqhubeka. |
| Ukungakhululeki ebusweni | Akuvamile ukuthi abanye abantu babe nokuqaqamba noma ukuba ndikindiki emisipheni yobuso babo. Abanye babika ubuhlungu ekhanda labo nangaphansi komhlathi wabo. Lokhu kuyanyamalala njengoba ukwelashwa kuqhubeka. |
| Ubuhlanya | Abanye abantu bangase bazizwe bephelelwa amandla ngesikhathi sokwelashwa noma ngemva kwalokho. Lokhu kuvame ukuphela ngokushesha futhi kunciphe njengoba inani lezikhathi landa. |
Ziyini izingozi zalokhu kwelashwa?
I-rTMS ibhekwa njengokwelashwa okuphephile kakhulu futhi okusebenzayo, enengozi ephansi kakhulu yemiphumela emibi engathi sína. Kodwa-ke, kunezingozi ezithile okufanele uziqaphele.
| Ingozi | Amaphuzu Abalulekile |
|---|---|
| Izinkinga zokuzwa | Ngisho noma ama-earplug egqokiwe, inani elincane labantu lingase libhekane nokulahlekelwa ukuzwa okwesikhashana ngemva kokwelashwa. Kodwa-ke, uma ama-earplug engagqokiwe, kunengozi yokulahlekelwa ukuzwa isikhathi eside. Ngakho-ke, ukugqoka ama-earplug kuyimpoqo . |
| Ukwanda kwezimpawu zesifo se-bipolar | Kubikwe ukuthi ukwelashwa kwe-rTMS kungabangela isiwombe sokuhlanya kumuntu osevele enesifo sokuphazamiseka kwengqondo okuguquguqukayo. Lokhu kubonakala ngokusebenza ngokweqile, ukuziphatha okuyingozi, ukucabanga okusheshayo, kanye nokuncipha kokulala kanye nesifiso sokudla. |
| Ukuquleka | Lokhu kuyinto engavamile kakhulu. Kodwa-ke, uma unesifo sokuwa noma umlando wokuwa , kufanele utshele udokotela wakho nakanjani . Uma unengozi enjalo, udokotela wakho angase angancomi i-rTMS. |
Ubani ofanele ukwelashwa kwe-rTMS futhi ubani ongafaneleki?
Uma unesifo sokucindezeleka, udokotela wakho uzoqala azame izinto ezifana nemithi yokucindezeleka kanye nokwelashwa ngokukhuluma. Abantu abaningi bathola impumuzo kulezi zindlela zokwelapha.
Kodwa abanye abantu abatholi impumuzo kulezi zindlela zokwelapha. Lesi simo sisibiza ngokuthi yi-Kubizwa ngokuthi ukucindezeleka okumelana nokwelashwa . Yilokho ukwelashwa kwe-rTMS okusetshenziselwa kakhulu ukusiza abantu abanjalo.
Kodwa-ke, abanye abantu abakwazi ukuthola lokhu kwelashwa ngoba banezingxenye zensimbi ekhanda labo ezingenakukwazi ukususwa. Ama-braces kanye nokugcwalisa akuyona inkinga. Kodwa-ke, uma unezinye zezimo ezilandelayo, ukwelashwa kwe-rTMS kungase kungafaneleki:
| Ukwelashwa kwe-rTMS akukufanele uma unanoma yikuphi kwalokhu: |
|---|
| - Iziqeshana ze-Aneurysm noma ama-coil |
| - Ama-stents entanyeni noma ebuchosheni bakho |
| - Izikhuthazi zobuchopho ezijulile |
| - Ama-electrode |
| - Izingcezu zezinhlamvu endaweni yekhanda noma entanyeni |
| - Ama-tattoo anoyinki wensimbi ekhanda noma ebusweni |
Iphumelela kangakanani ukwelashwa kwe-rTMS?
Ezifundweni zabantu abanokucindezeleka okungamelani nokwelashwa, ukwelashwa kwe-rTMS kuboniswe ukuthi kuyazuzisa ezimweni ezingama-50% kuya ku-60% . Kulezi, cishe ama-30% athole ukuphulukiswa okugcwele, okusho ukuthi izimpawu sezinyamalele ngokuphelele.
Njengezindlela eziningi zokwelapha ukucindezeleka, imiphumela ye-rTMS ayihlali njalo. Izimpawu zingaphinde zibuye ngemva konyaka, ngokuvamile lapho abanye abantu bekhetha khona enye indlela ye-rTMS.
Umlayezo Wokuya Nawe Ekhaya
- I-rTMS iyindlela yokwelapha ukucindezeleka ephephile, engadingi ukuhlinzwa, ikakhulukazi kulabo abangazange basabele kwezinye izindlela zokwelapha.
- Lokhu akusebenzisi i-anesthesia noma ukuhlinzwa, kodwa kusebenzisa ama-magnetic pulses.
- Imiphumela emibi ivame ukuba mincane, njengekhanda elibuhlungu, futhi ingeyesikhashana.
- Lokhu akufanele wonke umuntu, ikakhulukazi labo abanezingxenye zensimbi ekhanda.
- Xoxa njalo ngalokhu kwelashwa nodokotela wakho ukuze unqume ukuthi kulungile yini kuwe.
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