Zvose zviviri zveTMS neECT zvinogona kushandiswa kurapa kushushikana kwakanyanya
Dr. Kira Stein weWest Coast TMS Institute anotaura nemunyori Andy Behrman nezve electroconvulsive therapy (ECT), chirwere chakadai chekuora mwoyo kwakanyanya uye transcranial magnetic stimulation (TMS), mumwe mushonga wekuora mwoyo kwakanyanya. Cherechedza kuti Dr. Stein ari kutaura nezvemhando mbiri idzi dzokurapa dzinogona kushandiswa mukurapa kusagadzikana kukuru kwekuora mwoyo. Zvisinei, ECT inoshandiswawo kurapa kuora mwoyo kweBipolar, mania , catatonia , uye schizophrenia , kushandisa TMS nekuda kwemamiriro aya aya inofungidzirwa kusina-mavara sezvo isina kubvumidzwa neDFA.
Chii ECT uye TMS?
Andy Behrman: TMS inoshanda zvakasiyana sei ne electroshock therapy ( ECT )? Ndezvipi zvinobatsira zveTMS pamusoro pemishonga uye ECT?
Dr. Kira Stein: ECT inoshanda nekushandisa zvakananga magetsi emagetsi kumusoro wemurwere pavanenge vakaderedzwa uye vasingakwanisi kubviswa, vachiita nechinangwa "kugadzirisa kurapa" kuitira kuti vadzorezve uropi. ECT inobatanidza nekugadzirisa kwenguva pfupi kugadzirisa migumisiro inowanzo, asi kwete nguva dzose, inodzivisa kurarama kuzvimiririra munguva yeECT inopiwa.
Zvimwe zvinogona kuve nemigumisiro yeECT inosanganisira misoro, misuli aches, nausea, kuchinja kwemazuva mumoyo wekuraira, kuwedzera kweropa, uye kurongeka kwemagetsi. Kukanganisa kwenguva refu kwekuyeuka, kunyange zvazvo kusingawanzoitiki, zvakare kunogona kukanganisa kweECT. Somugumisiro, ECT haigoni kuonekwa seyokutanga, yechipiri, kana kunyange yechitatu kurapwa kwemashoko, kunze kwekutsamwa kukuru uye kukurumidza kuora mwoyo kwekuora mwoyo, kana kuora kunobata zviratidzo zvepfungwa.
Izvo zvisingaiti uye zvipingamupinyi zveECT zvinowanzoita kuti varwere vatore nguva yenguva pfupi kubva kubasa uye psychotherapy uye vashandise vanochengeta kana kuti varapi.
Kusiyana neECT, zvisinei, TMS haina kushandiswa kushandiswa kwemhepo yakananga kumagetsi kumusoro wemurwere. TMS yakagadzirirwa kuita kuti huro hwekuporesa hugadziriswe zvinyoronyoro kuburikidza nemagnetikiti inokurudzira chikamu chakanyanyisa cheuropi apo ichidzivisa kuwira pasi kwepasi pose uye kusanganisa kusagadzikana.
TMS inosanganisira mashoma emigumisiro, zvichiita kuti varwere varambe vakasvinura uye vakasununguka munguva dzerapa. Magnetic stimulation inobatsirawo varwere kuti vararame vakasununguka, vanoramba vachienda kushanda zuva rega rega uye kubatanidzwa mumabasa ekuregererwa-kukurudzira zvakadai sepfungwa uye maitiro. Izvi zvinoenderera mberi zvinoita zvakaoma zvikuru kuita panguva yeECT, uye vanhu vazhinji vanonzwa ECT iri kunyanyisa pamatambudziko avo ekudzvinyirira .
Kusarudza Pakati peTMS neECT
Andy Behrman: ECT yakagara ichionekwa sechisarudzo chekupedzisira. Iwe unonzwa here kuti ndiyo yekupedzisira yekumira mukuedza kugadzirisa murwere ane kuora mwoyo?
Dhiyabhorosi Kira Stein: Zuva rimwe nerimwe tiri kudzidza nzira itsva uye dzakanakisisa dzokurapa kuora mwoyo. Pane nguva dzose tariro, uye handizombotauri kuti chero kurapwa ndiko "kuguma kokupedzisira" kwomurwere. Nhau dzepfungwa itsva, mishonga, uropi hunokurudzira maitiro uye kunyange kuwedzerwa kwezvokudya zvinovandudza nguva yose.
Zvinosuruvarisa, kunyanya kukanganisa uye kushorwa kweECT nemashupiti zvakatungamirira kurapa kusagadzikana uye zvakanyanya kuora mwoyo varwere kuti varambe, kunyange kana zvikomborero zveECT zvakasimba kwazvo kusvika kune makumi mapfumbamwe nemakumi mashanu kubva muzana zvinoshandiswa pakuita uye zvingaita kuti zviite nokukurumidza zvive zvakanyanya kupfuura zvengozi.
ECT ndiyo yakakosha uye yakakodzera sarudzo kune varwere vanotambura nematambudziko akakomba uye ane ngozi ekuora mwoyo izvo vasina kumbobvuma-kana kuti havana nguva yekupindura--mishonga, TMS, kana mamwe mazano.
Andy Behrman: Ko TMS inofanira kuonekwa here kune varwere vasina kupindura ECT?
Dhiyabhorosi Kira Stein: Hungu, vamwe vanhu vasina kupindura kuECT vakaratidzwa kuti vopindura TMS.
Iko ECT uye TMS Shingai Uhu Hwako
Andy Behrman: Chinangwa chemishonga ndechekuchinja huropi chemhemia. Zvakanaka here kutaura kuti magetsi kana magnetic stimulation anoita chinhu chimwe chete?
Dr. Kira Stein: Zvinoratidzika kuti mishonga, TMS, uye ECT zvose zvinokonzera kuchinja mumazinga eurotransmitter uye receptors, uyewo kuwedzerwa maitiro ekuporesa mapuroteni akafanana neuropi-yakagadzirirwa neurotrophic factor (BDNF).
I-prefrontal cortex inozivikanwa kuva chikamu cheropi nepamusoro-soro hwekusawirirana kusina kuitika mukuora mwoyo. Zvinofungidzirwa kuti TMS neECT vanosimudzira basa rekuona kwelobe uye kuwirirana nehupamhi hwehutano hwezvivako. Kunyange zvazvo ruzivo ruzivo pamusoro pemigumisiro yezvirwere zvepfungwa dzakakura mumakore achangobva kupfuura, pane zvakawanda zvakawanda zvatinofanira kudzidza.
Cherechedzai: Dhiabhorosi Stein's inopindura mibvunzo ndeyekuti vanhu vawane ruzivo rwehuwandu chete uye havakwanisi kuva vezvenyanzvi hwezvehupano, hwepfungwa, kana hwemitemo kune chero mamiriro ezvinhu kana munhu. Idzi ruzivo rwakaitirwa vanhu nemhuri dzavo kuti vashandise nekukurukurirana nemunhu ane unyanzvi hwehutano hwehutano. Dhiyabhorosi Stein haatenderani kana kuita chero zvirevo, uye anorega chero mhosva uye chero ipi zvayo, pamusoro pekurapa chero kupi zvayo kana munhu anenge aita zvisarudzo zvichienderana nemashoko kubva mubvunzurudzo iyi.