Ingabe ingane yakho inenkinga yokuhlala igxile? Ingabe ihlala izulazula futhi iyazulazula? Lokhu kungaba izimpawu zesimo esisibiza ngokuthi i-ADHD ( Attention-Deficit/Hyperactivity Disorder ). Njengomzali wengane enje, into eyodwa ovame ukuyicabanga ukuthi, "Ayikho yini ikhambi lalokhu ngaphandle kwemithi?" Ngakho-ke namuhla sizokhuluma ngokwelashwa okusha okungasiza ukulawula izimpawu ze-ADHD ngaphandle kokusebenzisa imithi.
Kuyini ukukhuthazwa kwemizwa ye-trigeminal (TNS)?
Kalula nje, lokhu kuyindlela yokwelapha ethuthukisa ukusebenza kobuchopho bethu kancane. Kukhona uhlelo lwezinzwa ekhanda lethu oluxhunywe ngqo ebuchosheni. Lokhu sikubiza ngokuthi i-trigeminal nerve. Ososayensi bakholelwa ukuthi ngokuvuselela lo mzwa, singakhulisa ukusebenza kwezingxenye zobuchopho ezilawula ukunaka, ukuziphatha, kanye nemizwa.
Lokhu kwelashwa kusebenzisa idivayisi encane, esebenza ngebhethri ebizwa ngokuthi i-External Trigeminal Nerve Stimulation, noma i-eTNS ngamafuphi. Ukwelashwa okufanayo kuyasetshenziswa nakwezinye izimo, njengokucindezeleka nokukhathazeka.
Okubalulekile, ngo-2019, i-US Food and Drug Administration (FDA) yavuma lokhu kwelashwa kwezingane eziphakathi kweminyaka engu-7 nengu-12 ezingathathi eminye imithi ye-ADHD. Futhi kuyindlela yokuqala yokwelapha engeyona eyemithi evunyelwe i-ADHD. Kodwa-ke, awukwazi ukuthenga le divayisi ekhemisi. Ukuze uyithole, udinga ngempela incwadi kadokotela evela kudokotela. Ngokuvamile inconywa ezinganeni ezinezimpawu ze-ADHD ezincane kuya kweziphakathi.
Kwenziwa kanjani lokhu kwelashwa?
Empeleni lokhu kulula kakhulu. Kusezandleni zabazali noma kothile onakekela ingane ukuthi enze lokhu.
1. Ngaphambi kokuba ingane ilale ebusuku , kufanele kubekwe isiqephu esincane ebunzini lengane, ngaphezu nje kwamashiya. Lesi siqephu sinama-electrode amancane kuso.
2. Le patch ixhunywe kudivayisi ye-eTNS esikhulume ngayo ekuqaleni ngentambo. Le divayisi icishe ibe usayizi weselula.
3. Uma idivayisi ivuliwe, ama-pulse kagesi aphansi kakhulu adlula epatshini elibekwe ebunzini futhi avuselele i-trigeminal nerve.
4. Ngalesi sikhathi, umntwana angase azizwe enomuzwa wokucasuka okuncane ngaphansi kwesikhumba. Lokhu kuvamile.
5. Lokhu kwelashwa kusebenza amahora angu-8 wonke ingane elele .
Ngokuvamile, ngemva kwamasonto ama-4 okwelashwa okuqhubekayo ngale ndlela, udokotela uzophinde ahlole ingane ukuze abone ukuthi lokhu kuphumelele kangakanani nokuthi ngabe kube noshintsho yini ezimpawini zengane.
Ingabe lokhu kuyasebenza ngempela? Yibuphi ubufakazi obukhona?
Esifundweni esenziwe ngalesi sihloko, kwasetshenziswa izingane ezingu-62 eziphakathi kweminyaka engu-8 nengu-12. Zahlukaniswa ngamaqembu amabili.
- Iqembu lokuqala: lanikezwa idivayisi ye-eTNS esebenza ngempela.
- Iqembu lesibili: Banikezwa nedivayisi yokulingisa eyayifana kodwa ingavuseleli lutho ( i-placebo ). Lokhu kubizwa ngokuthi 'i-placebo'. Lokhu kwenzelwa ukukala ngokunembile umphumela wangempela wokwelashwa.
Phakathi namasonto amane, abazali nabacwaningi baqaphe ukuziphatha kanye nezimpawu ze-ADHD zalezi zingane. Imiphumela yayithakazelisa kakhulu.
Izingane ezisebenzise idivayisi yangempela ye-eTNS ziye zancipha ngokwesilinganiso izimpawu ze-ADHD ngo-31% . Phakathi naleso sikhathi, izingane ezisebenzise idivayisi ye-placebo ziye zancipha ngokwesilinganiso izimpawu ngo-18% kuphela.
Kodwa nansi into ebalulekile okufanele uyiqonde. Ayinazo imiphumela esheshayo njengeminye imithi evuselelayo ye-ADHD. Leyo mithi ngezinye izikhathi ingaqala ukwenza umehluko enganeni yakho zingakapheli amahora ambalwa. Kungathatha amasonto afinyelela kwayi-4 ukubona imiphumela ngokwelashwa kwe-eTNS. Futhi, ukuthuthuka kungase kungabi kukhulu njengaleyo mithi. Abacwaningi bathi imiphumela ifana neyemithi ye-ADHD engavuseleli.
Ngaphezu kwalokho, ukuhlolwa kobuchopho bezingane ngaphambi nangemva kocwaningo kubonise ukuthi izingane ezithole ukwelashwa kwe-eTNS zazinomsebenzi owandisiwe ezindaweni zobuchopho ezithintwe yi-ADHD.
Izinto okufanele uzibheke phambili
Nakuba le miphumela ithembisa, kusekuningi okusazotholakala mayelana nalokhu kwelashwa. Ikakhulukazi,
- Umphumela walokhu kwelashwa uhlala isikhathi esingakanani?
- Lokhu kuqhathaniswa kanjani neminye imithi kanye nokwelashwa kwengqondo?
- Ingabe lokhu kuwusizo ezinganeni ezingaphansi kweminyaka engu-8 nangaphezulu kwengu-12?
- Ingabe lokhu kuyawuthuthukisa ngempela umsebenzi wesikole, ubudlelwano nabantu, kanye nokuziphatha?
- Iyini imiphumela yesikhathi eside yalokhu?
Kudingeka ucwaningo olubanzi ukuze kutholakale izimpendulo zale mibuzo.
Ingabe lokhu kungaba nemiphumela emibi?
Yebo, njenganoma yikuphi ukwelashwa, kunemiphumela emibi emincane ebikiwe. Kodwa-ke, lena ayimbi kangako njengemiphumela emibi yeminye imithi ye-ADHD. Ungayiqhathanisa kuthebula elingezansi.
| Imiphumela emibi yokwelashwa kwe-eTNS | Imiphumela emibi yemithi evuselelayo | Imiphumela emibi yemithi engeyona evuselelayo |
|---|---|---|
| Ukozela | Isifiso sokudla | Isisu esibuhlungu (isicanucanu) |
| Ikhanda elibuhlungu | Ukungalali | Ikhanda elibuhlungu |
| Ukukhathala | Ukungahlaliseki | Ukozela |
| Izinkinga zokulala | Ukwehlisa isisindo | Ukungalali |
| Amazinyo okugaya | - | - |
| Ukwanda kwesifiso sokudla | - | - |
Ingabe lokhu kwelashwa kufanele ingane yami?
Lona umbuzo obaluleke kakhulu. Ukwelashwa nge-ADHD akusebenzi ngendlela efanayo kubo bonke abantwana. Imithi isebenza kahle kwabanye abantwana, kanti ukwelashwa kokuziphatha kusebenza kangcono kwabanye. Ngakho-ke kubalulekile ukuthola ukwelashwa okusebenza kahle kakhulu enganeni yakho.
Ukwelashwa kwe-eTNS kungaba yindlela enhle ezimweni ezinjengalezi:
- Uma ingane yakho ingatholi imiphumela emihle ngemithi ye-ADHD.
- Uma leyo mithi ibangela imiphumela emibi kakhulu .
- Uma wena, njengomzali , ungafuni ukunikeza ingane yakho umuthi.
Kodwa lokhu akuhambisani nawo wonke umuntu.
Okubalulekile: ukwelashwa kwe-eTNS akufaneleki kulezi zingane:
* Izingane ezinemishini yenhliziyo efana ne-pacemaker.
* Izingane ezisebenzisa amanye amadivayisi ezokwelapha afakwe emzimbeni, njengamaphampu e-insulin.
* Futhi, ungabeki omakhalekhukhwini eduze kwale divayisi ngenkathi uyisebenzisa, ngoba izimpawu ezivela ocingweni zingase ziphazamise ukwelashwa.
Enye into ukuthi le divayisi ihlolwe njengokwelashwa okukodwa kuphela kuze kube manje. Ngakho-ke, uma ingane yakho ithatha imithi yezinye izimo, asazi ukuthi kuphephile kangakanani ukusebenzisa le mithi naleyo mithi. Futhi, akukho datha okwamanje ngemiphumela yokusebenzisa le mithi ngemithi esetshenziselwa i-ADHD.
Okokugcina, njengoba lobu ubuchwepheshe obusha, umshwalense wakho wezempilo ungase ungahlangabezani nezindleko. Izindleko zale divayisi zicishe zibe ngu-$1,000 (cishe ama-rupee angu-300,000 aseSri Lanka).
Umlayezo Wokuya Nawe Ekhaya
- I-eTNS iyindlela entsha yokwelapha engeyona eyezidakamizwa evunyelwe izingane ezineminyaka engu-7-12 ezine-ADHD.
- Lokhu kungathatha amasonto ambalwa ukubona imiphumela, futhi imiphumela ingase ingabi namandla njengemithi evuselelayo.
- Lokhu kungabangela imiphumela emibi emincane njengobuthongo kanye nekhanda elibuhlungu.
- Lokhu kwelashwa akufaneleki ezinganeni ezinemishini efana ne-pacemaker.
- Okubaluleke kakhulu: Kufanele unqume kuphela ukuthi lokhu kwelashwa kulungele ingane yakho ngemuva kokuxoxa ngokucophelela nodokotela wakho. Ungalokothi uzame lezi zinto ngaphandle kweseluleko sezokwelapha.
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