Ukuphindaphinda kwe-Transcranial Magnetic Stimulation (eyaziwa ngokuba yi-RTMS okanye i-TMS ephindaphindiweyo) inkqubo enokungahambi-intsha equka ukubeka idilesi encinane emagqabini ngokukhawuleza kwikrele. Isixhobo esitywinekileyo siqulethe ikhoyili yocingo ephethe umbane kwaye ivelise umbane omangalisayo ofana nesimo sokukhangela imifanekiso yamagnetic resonance (MRI).
Ukugeleza kombane okuphambanisa kwisixhobo kwiindawo ezijoliswe kuzo kubangela ukuba iseli kwingqondo ebizwa ngokuthi i- neurons ibe yinto engaphezulu okanye engaphantsi.
Indlela iRTMS isebenza ngayo
Umgangatho womsebenzi we-neurons uye wadibaniswa neempawu zesifo sengqondo, njenge-dispersive disorder disorder ( OCD ), enceda ukucacisa imbono emva kwe-RTMS. Ingingqi ekhethekileyo yengqondo ingashukunyiswa ngokuphindaphindiweyo ukudala utshintsho oluhlala ixesha elide kumsebenzi we-neurons. Kucingelwa ukuba olu tshintsho lunokukhokelela ekunciphiseni kweempawu , nangona unyango olutsha ngokwaneleyo ukuba izifundo ziqhubeka. Icala leengqondo kunye nommandla wengqondo ekujoliswe kuyo ngokuqhelekileyo kuxho mekeke kugulo oluphathwayo.
Imbali Yonyango
I-rTMS yaqaliswa ekuqaleni ngo-1985 njengoluhlobo olunobungozi obuninzi lwe-electroconvulsive therapy (ECT) eninzi kunye nangaphezulu. Ngomnyaka we-2008, i-FDA yavuma ukuba isebenzise eUnited States ngexinzelelo engaphephekanga kunye ubuncinane kunye neyeza.
Kuye kwavunywa eNew Zealand, eAustralia, eCanada, kwa-Israyeli kunye naseYurophu Union ukuba isebenziswe ngokudakumba okungaphenduliyo kwenye unyango. Ukusebenza kwe-RTMS kwezinye izifo ezinjenge-schizophrenia, ukulimala, ukulimala kwengqondo, ukuxhalaba, ukuthatha i-migraine, kunye nentlungu isacatshungulwa.
Ukhuseleko kunye nemiphumo emibi
I-RTMS ngokuqhelekileyo ibonwa njengekhuselekile xa isetyenziswe ngokuhambelana nezikhokelo ezisisiseko, nangona ezinye izigulane zibika ukuba ziba neentloko, ukungahambi kakuhle kwe-scalp, ukuhamba ngokukhanya okanye ukuqina kwesisu okanye ukubetha. Ukuqhwala kwesithuthwane kubaluleke ngakumbi, nangona kungabonakali, kwimiba engaphantsi kweTMS kwaye ngokuqhelekileyo kwenzeka kuphela ukuba isiguli sinembali yokubamba. I-RTMS ayikwazi ukusetyenziswa kwizigulane ezine-pacemaker okanye ezinye izifakelo zetsimbi okanye izixhobo.
Into onokuyilindela
Ukunyangwa kweTMS okuphindaphindiweyo kunokunikwa kanye ngosuku okanye ngamaxesha amaninzi ngosuku malunga neentsuku okanye iiveki ngexesha, kuxhomekeke kwinkqubo yokunyango. Ngokuqhelekileyo, iiseshoni zokugqibela zivela kwimini engama-20-60 kwaye zinikwe iintsuku ezintlanu ngeveki malunga neiveki ezintandathu. Ayikho i-anesthesia isetyenziswe, nto leyo ithetha ukuba uvukile, kodwa ayibuhlungu, nangona unokuziva ulula okanye udibanisa entloko. Unokukhetha ukugqoka iimfumba zangasese kuba unyango luba lomsindo.
Imiphumo yexesha elide ibonakala ibonakala ubuncinane ubuncinane kwiinyanga ezintandathu, nangona unyango lokulondoloza, olunjengeyeza okanye unyango lwe- psychotherapy , lungafuneka kwakhona. Ukunyanga okunye kunokuba kuyimfuneko kamva ukuba iimpawu ziya kubuya. Ugqirha wakho uya kuqhubeka ekujongeni emva kokuzalisa unyango.
Ngenxa yokuba ukuphumelela kwayo kuguquguqukayo kwaye akusekwa kakuhle, i-rTMS ayisebenzisi njengonyango lokuqala. Nangona kunjalo, ngenxa yokuba kungenjalo kungabonakaliyo kwaye kunemiphumo emibini emibi, ingaba yindlela efanelekileyo kubantu abafuna ezinye iindlela zokulwa nokugula kwengqondo okanye intlungu, ngakumbi ukuba ezinye iindlela zonyango ziye zahluleka. Thetha ngogqirha wakho malunga nokuba ingaba i-TTMS ingafanelekanga.
Imithombo:
Ruffini, C., i-Locatelli, M., Lucca, A., Benedetti, F., Insacco, C., Smeraldi, E. "Ukunyuka kweempembelelo zokuphindaphinda kwe-magnetic stimulation kwi-cortex ye-orbitofrontal kwizigulane ezixhatshazwayo ezibangelwa izidakamizwa ezibangelwa yimithi: Uphando olulawulwayo. Umlingani wokuNgcwaba oyiNtloko 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 yeethuluzi yeendlela zokwelapha ngengqondo ukuquka ukuphindaphinda kokuvuselela kwamagnetic (rTMS)? I-Clinical Psychiatry 2010 (e-papashwe ngaphambi kokushicilelwa).
http://www.nimh.nih.gov/health/topics/brain-stimulation-therapies/brain-stimulation-therapies.shtml
http://www.neuromodulation.com/TMS