Kudzokorora Transcranial Magnetic Kusimudzira (inozivikanwawo seRTMS kana Kudzokorora TMS) inzira inenge isiri iyo inoparadza iyo inosanganisira kuisa chipinha chechigoni zvakananga padhehenya. Iyi chivharo chakavharidzirwa chine coil yepeya inotakura magetsi uye inogadzira magnetic field yakafanana nesimba kune magnetic resonance imaging (MRI) scan.
Kuyerera kwemagetsi kunopinda kuburikidza nechigadziro kune nzvimbo dzinotarirwa kunokonzera masero muuropi anonzi neurons kuti ave akawanda kana asingasviki.
Maitiro eTMS Anoshanda sei
Basa rezvioni zveeuroni rave richibatanidzwa kune zviratidzo zvehutano hwepfungwa, sekunyanyisa-kusagadzikana kwepfungwa ( OCD ), iyo inobatsira kutsanangura dzidziso yeTTMS. Utano hwakananga nzvimbo dzinogona kukurudzirwa kakawanda kuita kuti kuve nekugadzirisa kwenguva refu mune basa remapurisa. Zvinofungidzirwa kuti kuchinja uku kunogona kutungamirira kuderera kwezviratidzo , kunyange kurapwa kwave kwakakwana zvokuti zvidzidzo zvichiri kuitika. Rutivi rweuropi nehuropi nzvimbo inotarisirwa kazhinji inobva pane chirwere chinorapwa.
Nhoroondo yeArapa
rTMS yakatanga kuiswa muna 1985 sechimiro chakaipisisa chevakuru uye zvakanyanya kusvibisa electroconvulsive therapy (ECT). Muna 2008, FDA yakabvumira kuti ishandiswe muUnited States nekuora mwoyo kusina kurapwa nemutambo mumwe chete.
Yakagamuchirwawo muNew Zealand, Australia, Canada, Israel uye European Union kuti ishandiswe nekuora mwoyo kusingapindi kune mamwe maitiro. Kubudirira kweRTMS kune zvimwe zvinetso, zvakadai schizophrenia, stroke, kukuvadza kweuropi, kuzvidya mwoyo, migraine, uye kurwadziwa zvichiri kuongororwa.
Kuchengetedza uye Migumisiro Yakasara
rTMS inowanzoonekwa yakachengeteka kana inoshandiswa maererano nemitemo yakagadzwa, kunyange zvazvo vamwe varwere vanorondedzera kuva nemusoro, kuora mwoyo, kuchena-musoro kana kumira musimba kana kumira. Chirwere chinokonzera kuputika chinonyanya kuoma, kunyange chisingaiti, chikamu chechikamu cheTMS uye kazhinji chinowanzoitika kana murwere ane nhoroondo yekukundwa. rTMS haigoni kushandiswa kune varwere vane pacemaker kana zvimwe zvigadzirwa zvesimbi kana zvigadzirwa.
Zvaunotarisira
Kudzokorora TMS mishonga inogona kupiwa kamwe chete pazuva kana kazhinji kazuva kwemazuva kana vhiki panguva imwe, zvichienderana nehutano hwehutano. Kazhinji, zvirongwa zvinopera chero kubva pamaminitsi 20-60 uye dzinopiwa mazuva mashanu pavhiki kwemavhiki matanhatu. Hapana anesthesia inoshandiswa, zvinoreva kuti iwe wakamuka, asi haunzwisisiki, kunyange iwe unganzwa kuvhara kana kugogodza mumusoro. Iwe unogona kusarudza kupfeka mapegi emakutu kubvira apo kurapwa kunowanzoita ruzha.
Kurapa kwenguva yakareba kunogona kuonekwa kunogara kwemwedzi mitanhatu, kunyange zvazvo chirongwa chekuchengetedza, zvakadai semishonga kana kuti psychotherapy , inogona kudiwawo zvakare. Zvimwe zvirwere zvinogona kudiwa gare gare kana zviratidzo zvinodzoka. Chiremba wako acharamba achikucherechedza iwe mushure mekupedza kurapa.
Nemhaka yokuti kubudirira kwayo kunoshanduka uye hakusi kwakagadziriswa, rTMS haishandiswi sepakutanga kurapwa. Zvisinei, nokuti iyo isiri isina simba uye ine zvishoma migumisiro yakaipa, inogona kuva sarudzo yakanaka kune vanhu vari kutsvaga dzimwe nzira dzokurwisa chirwere chepfungwa kana marwadzo, kunyanya kana mamwe marapirwo akakundikana. Taura nechiremba wako nezvekuti kana kwete rTMS inogona kunge yakakunakira iwe.
Sources:
Ruffini, C., Locatelli, M., Lucca, A., Benedetti, F., Insacco, C., Smeraldi, E. "Kuwedzerwa kwemigumisiro yekudzokorora kuderedza magnetic stimulation pamusoro pean orbitofrontal cortex mune zvinodhaka zvinopesana-zvinokonzerwa nehutano zvirwere: Kuongorora kwakarongedzwa. 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 yekurapwa kwepfungwa kunosanganisira kudzokorora kuderedza magnetic magnetic stimulation (rTMS) Meta-kuongororwa kwehutano hweHTMS mune zvinetso zvepfungwa. Clinical Psychiatry 2010 (e-yakabudiswa mberi kwekudhinda).
http://www.nimh.nih.gov/health/topics/brain-stimulation-therapies/brain-stimulation-therapies.shtml
http://www.neuromodulation.com/TMS