Ukuphindaphinda i-TMS kunye ne-TMS ejulileyo kunokuncedisa ukunciphisa iimpawu ze-OCD
Nangona ngoku kukho inani lezonyango ezisebenzayo zonyango kunye neengqondo zengxaki yokunyanzelekayo (OCD), ukuba unayo i-OCD engaxhomekiyo unyango ungafuna iindlela ezintsha zokunyanga iimpawu zakho.
I-Transcranial magnetic stimulation, okanye i-TMS, ifumene ingqwalasela enkulu njengendlela enokuthi yonyango ingabikho yokunciphisa iimpawu ze-OCD .
Nangona okokuqala kuphuhliswe phantse kwiminyaka engama-30 eyadlulayo njengesixhobo sokunyamezela ukudakumba okukhulu , i-TMS sele iphandwa ngokubanzi malunga nokuphucula izifo ezahlukeneyo zeengqondo. Iintlobo ezimbini ezisetyenziselwa ukugula kwengqondo ziphinda zivuselele ukuvuselela i-magnetic (rTMS) kunye nokunyusa okuphezulu kwe-magnetic stimulation (dTMS).
Ukuphindaphinda kwe-Transcranial Magnetic Stimulation
I-TMS ephindaphinda i-DTMS ihamba phambili kwaye yinkqubo engeyona ingenayo ebandakanya ukubeka idilesi encinci ngqo kwikrele. Isixhobo esitywinwe siqulethe ikhoyili yocingo ethwala umbane ngokusebenzisa intsimi yamagnetic eyenza. Ibizwa ngokuba iphinda iphindwe kuba iphosa kunokuba ihlale ihleli. Ukuhamba kombane ngokusebenzisa isixhobo kukhuthaza iiseli kwingqondo ebizwa ngokuthi i-neurons, iguqula amanqanaba omsebenzi. Izinga lomsebenzi we-neurons lidibaniswe neempawu zesifo sengqondo, njenge-OCD.
Zingaphi unyango lwe-TMS oluya kulufuna luxhomekeke kwiprothokholo yonyango, kwaye kuya kuxutyushwa nguwe kunye nodokotela wakho ngaphambi kokuqala unyango lwakho.
Nangona kubekho iingxelo ze-RTMS eziphumelelayo ekunciphiseni iimpawu ze-OCD , uninzi lweziphumo zophando lubonisa ukuba i-rTMS ayinakucingela ukunciphisa iimpawu ze-OCD zodwa okanye zidibene kunye namayeza.
Nangona kunjalo, kukho enye inkalo yokuba i-rTMS ingayithucula ngokuchanekileyo intlalo yengqondo yabantu abajongene ne-OCD ngokunciphisa iimpawu zokudakumba ezihlala zihamba kunye ne-OCD.
UkuThuthukiswa kweMagnetic Deep
Njenga-rTMS, ukunyuka kwe-magctical magnetic enzulu kusebenzisa i-coil ibekwa ngqo kwikhanda, eyenza i-magnetic field engena ebuchosheni. Ukwahluke kakhulu phakathi kweentlobo ezimbini kukuba i-coil esetyenziswe nge-DTMS, ebizwa ngokuba yi-H-coil, ivumela ukuba i-pulse ingene ngokungakumbi kwiingqondo. I-TMS ejulile ibonakalisa ubuninzi be-RTMS ekwenzeni ukugula kwengqondo. I-Food and Drug Administration (i-FDA) ivume i-RTMS kunye ne-DTMS ukwenzela unyango lweengxaki ezinkulu zokudandatheka kunye nezifundo zenziwa ngokusebenza kwazo kwi-OCD nezinye izifo zengqondo, njengengxaki yokuguquguquka kwengqondo.
Ukufudumala kwamagnetic emininzi kunokuba lunako ukunikela abantu abane-OCD enganyangekiyo. Olunye uphando lubonise ukuba abantu abane -OCD enganyangekiyo eyafumana i-DTM babenokuphucula okuphawulekayo kwimpawu zabo kwaye iziphumo zizinzileyo kwiinyanga ezintathu.
Iimpembelelo ezingasetyenziswa zeTMS
I-TMS ibonwa ngokukhuselekileyo xa isetyenziswe ngokuhambelana nezikhokelo ezimiselweyo.
Emva kokuya kwi-TMS unokuba nekhanda, uziva ulele, kwaye ufumane nezinye iimpawu ezinobuliso obuncinane. Ukuxhwaleka kwesifo sokuxhamla kubaluleke kakhulu, nangona kunqabile, umphumo we-rTMS.
Nangona i-TMS ye-OCD ibhekelwe kwizifundo eziliqela, iiparameters zokuvuselela ezisetyenzisiweyo, iingingqi zengqondo ezijoliswe kuyo, kwaye ubude bonyango buye kwahluka ukusuka kwisifundo ukufundisisa, okwenze kube nzima ukuthelekisa iziphumo. Nangona uphando luqhubeka lubheka umphumo we-TMS kwi-OCD, umgaqo-nkqubo oqhelekileyo uya kunceda abaphandi banqume ukusebenza kwe-RTMS ye-OCD ngokugqithiseleyo.
Imithombo
- Ruffini, C., i-Locatelli, M., Lucca, A., i-Benedetti, F., i-Insacco, i-C., i-Smeraldi, i-E. "Ukunyuswa kweempembelelo zokuphindaphinda ukuguqulwa kwamagnetic ngaphezu kwe-cortex ye-orbitofrontal kwizigulane ezingenakunyangekiyo : Uphando olulawulwayo. Umlingane wokuNyango oPhezulu kwiNcwadi ye-Clinical Psychiatry 2009 11: 226-230.
- I-Slotema, i-CW, i-Blom, i-JD, i-Hoek, i-HW, i-Sommer, i-IEC "Ngaba kufuneka sikwandise ibhokisi leethuluzi leendlela zokunyanga ngengqondo ukuba zibandakanye ukuphindaphinda kwakhona kwe-magnetic stimulation (rTMS) ukuhlaziywa kweemitha zokusebenza kwe-RTMS kwizifo zengqondo. IEC "Ngaba kufuneka sikwandise ibhokisi yeethuluzi yeendlela zokunyanga ngengqondo ukuba zibandakanye ukuphinda kwe-magnetic stimulation (rTMS) kwakhona? Uhlalutyo lweemeta lokusebenza kwe-RTMS kwizifo zengqondo. Journal of Clinical Psychiatry 2010 (e-papashwe ngaphambi kokushicilelwa).