Kudzokorora TMS uye yakadzika TMS kunogona kubatsira kuderedza zviratidzo zveOCD
Kunyangwe pane ikozvino nhamba dzakawanda dzehutano hwehutano uye hwepfungwa dzekuvhara-kusagadzikana kwepfungwa (OCD), kana une OCD inogadzikana iwe unogona kunge uchitsvaga nzira itsva dzokurapa zviratidzo zvako.
Transcranial magnetic stimulation, kana TMS, yakagamuchirwa zvakanyanya sekugona kunogona kushandiswa kurapa kuderedza OCD zviratidzo .
Kunyange zvazvo pakutanga yakatanga makore anoda kusvika makumi matatu apfuura sechirwere chekurapa kuora mwoyo kukuru , TMS yakanyatsotsvakurudzwa kuti ibudirire mukurapa zvirwere zvakasiyana-siyana zvepfungwa. Iyo miviri miviri inowanzoshandiswa pakurwara kwepfungwa inodzokorora kudarika magnetic stimulation (rTMS) uye yakadzika transcranial magnetic stimulation (dTMS).
Kudzokorora Transcranial Magnetic Kugutsikana
Kudzokorora TMS ndiyo yakagadzirirwa kuDTMS uye inoratidzika isiri-invasive iyo inosanganisira kuisa chiduku chiduku zvakananga padhehenya. Iyi chigadziko chakavharwa chine coil yetambo inotakura magetsi kuburikidza nemaginiti inowanika. Inonzi kudzokorora nokuti inopisa panzvimbo yekugara yakasimba. Kuyerera kwemagetsi kuburikidza nechigadzirwa kunosimudzira masero muuropi anonzi neurons, achichinja mabasa avo. Basa rezviitiko zveeuroni rakabatanidzwa kune zviratidzo zvehutano hwepfungwa, seOCD.
Ndezvipi zvirongwa zveTTMS zvingada iwe zvichienderana nehutano hwehutano, uye hunokurukurwa iwe nechiremba wako usati watanga kurapa kwako.
Kunyange zvazvo pane dzimwe nhoroondo dzeRTMS dziri kubudirira pakugadzirisa zviratidzo zveOCD , ruzhinji rwekutsvakurudza ruwanikwa runoratidza kuti rTMS haisi kubudirira mukuderedza zviratidzo zveOCD chete kana pamwe chete nemishonga.
Pane, zvisinei, zvimwe zvinoratidza kuti rTMS inogona kusimbisa nenzira isina kukodzera hukama hwepfungwa hwevanhu vanorarama neOCD nekuderedza zviratidzo zvekuora mwoyo izvo zvinowanzoenda pamwe neOCD.
Deep Transcranial Magnetic Kusimudzira
Kungofanana neRTMS, yakadzika inonzi transcranial magnetic stimulation inoshandisawo coil yakaiswa zvakananga padhehenya, iyo inoita magnetic field inopinda muuropi. Kusiyana kukuru pakati pemhando mbiri ndechokuti coil inoshandiswa neDTMS, inonzi H-coil, inobvumira kupisa kupindira zvakanyanya muuropi. Pakadzika TMS iri kuratidza huwandu hunoita pamusoro peRTMS mukurapa chirwere chepfungwa. Zvokudya uye Drug Administration (FDA) zvakagamuchira zvose zvirongwa zveRTMS neDTMS mukurapa kwekunyanya kushungurudzika kwepfungwa uye zvidzidzo zviri kuitwa kubudirira kwavo kune OCD uye nedzimwe zvirwere zvepfungwa, sezvinonzi bipolar disorder, pamwe chete.
Izvo zvakadzama zvinokonzera magnetic stimulation zvingave zvakanyanya kupa vanhu vane OCD inogadziriswa. Chimwe chidzidzo chakaratidza kuti vanhu vane OCD vasingagadzirwe maitiro avo vakagamuchira DTM vaiva nekuvandudza kwakakura muzviratidzo zvavo uye zvigumisiro zvakagadzikana kwemwedzi mitatu.
Zvichida Zvimwe Zvikamu zveTMS
TMS inowanzoonekwa yakachengeteka kana yakashandiswa maererano nemitemo yakagadzwa.
Mushure mokunge musangana neTMS munogona kuva nemusoro, kunzwa muchirara, uye mune dzimwe zviratidzo zvishoma izvo zvinowanzo nguva pfupi. Kuora mwoyo kwepfungwa kunonyanya kuoma, kunyange zvazvo kusingawanzovi, kwechikamu chemuviri weTTMS.
Kunyange zvazvo TMS yeOCD yakatariswa mune zvidzidzo zvakasiyana-siyana, kushandiswa kwemiganhu inoshandiswa, nzvimbo dzehuropi dzinotarirwa, uye urefu hwekurapa hwakasiyana kubva pakudzidza kuti udzidze, zvichiita kuti zvive zvakaenzana kuenzanisa migumisiro. Kunyange zvazvo kutsvakurudza kuchienderera mberi kutarisa kuitika kweTMS pane OCD, purogiramu yakazara inobatsira vatsvakurudzi kuti vaone kubudirira kweTTMS yeOCD zvakanyatsokodzera.
Sources
- Ruffini, C., Locatelli, M., Lucca, A., Benedetti, F., Insacco, C., Smeraldi, E. "Kuwedzera kwemigumisiro yekudzokorora kudengenyeka kwemagnetic kukurudzira pamusoro pean orbitofrontal cortex mune zvinodhaka zvinogadziriswa-zvinokonzera kusuruvara zvirwere : Kuongororwa kwakaitwa. Primary Care Companion ku Journal of Clinical Psychiatry 2009 11: 226-230.
- Slotema, CW, Blom, JD, Hoek, HW, Sommer, IEC "Tinofanira kuwedzera bhokisi rekushandisa remishonga yekurapa kwepfungwa kuti iitezve Kudzokorora kwechirwere chemagnetic stimulation (rTMS) Meta-kuongororwa kwehutano hweRTMS mune zvinetso zvepfungwa. IEC "Tinofanira kuwedzera bhokisi rekushandisa remishonga yekurapa kwepfungwa kunosanganisira Kudzokorora kudhinda magnetic stimulation (rTMS)? Meta-kuongororwa kwehutano hweRTMS mune zvinetso zvepfungwa. Nyaya yeCliniki Psychiatry 2010 (e-yakabudiswa mberi kwekudhinda).