Hoʻopiʻi hou i ka stimitive Transcranial Magnetic Stimulation

Anter

• No ke aha e hoʻohana ʻia ai ka rTMS?
• Pehea e holo ai rTMS?
• He aha nā hopena a me nā pilikia o rTMS i hiki?
• Pehea e hoʻohālikelike ai ʻo RTMS iā ECT?
• ʻO wai ka mea e hōʻalo iā rTMS?
• He aha nā kumukūʻai o rTMS?
• He aha ka lōʻihi o rTMS?
• He aha ka ʻōlelo a ka poʻe loea e pili ana i ka rTMS?

Ke holo ʻole nā ​​ala e pili ana i ka lāʻau i ka mālama ʻana i ke kaumaha, hiki i nā kauka ke kuhikuhi i nā koho lapaʻau ʻē aʻe, e like me ka stimetative transcranial magnetic stimulate (rTMS).

Pili kēia therapy i ka hoʻohana ʻana i nā pulses magnetika e māka i nā wahi kikoʻī o ka lolo. Ke hoʻohana nei ka poʻe iā ia mai 1985 e hoʻomaha i ke kaumaha nui a me nā manaʻo o ka manaʻolana ʻole e hiki ke hele mai me ke kaumaha.

Inā ʻo ʻoe a i ʻole kahi mea aloha i hoʻāʻo i nā ala he nui no ka mālama ʻana i ke kaumaha me ka kūleʻa ʻole, he koho paha ʻo rTMS.

No ke aha e hoʻohana ʻia ai ka rTMS?

Ua ʻae ʻo FDA i ka rTMS e mālama i ke kaumaha kaumaha ke ʻole i hoʻokō ʻia nā hopena ʻē aʻe (e like me nā lāʻau a me psychotherapy).

I kekahi manawa, hoʻohui paha nā kauka i ka rTMS me nā kuʻuna kuʻuna, me nā lāʻau antidepressants.

Hiki paha iā ʻoe ke pōmaikaʻi i ka nui loa mai rTMS inā kū ʻoe i nā pae aʻe:

• Ua hoʻāʻo ʻoe i nā ʻano hana hoʻōla kaumaha ʻē aʻe, e like me hoʻokahi antidepressant, me ka kūleʻa ʻole.
• ʻAʻole lawa ʻoe i ke olakino no nā kaʻina hana e like me ka electroconvulsive therapy (ECT). Heʻoiaʻiʻo kēia inā loaʻa iā ʻoe kahi moʻaukala o ka hopu a i ʻole hiki ʻole ke hoʻomanawanui i ka anesthesia no ke kaʻina hana.
• ʻAʻole ʻoe e hakakā nei i kēia manawa me nā pilikia hoʻohana lāʻau a ʻona paha.

Inā like kēia mau leo ​​me ʻoe, makemake paha ʻoe e kamaʻilio me kāu kauka e pili ana iā rTMS. He mea nui e hoʻomaopopo i ka rTMS ʻaʻole ia he lapaʻau laina mua, no laila pono ʻoe e hoʻāʻo mua i nā mea ʻē aʻe.

Pehea e holo ai rTMS?

He hana noninvasive kēia e hana maʻamau ma waena o 30 a 60 mau minuke e hana ai.

Eia ka mea hiki iā ʻoe ke manaʻo i kahi kau lapaʻau maʻamau rTMS:

• Noho ʻoe a moe paha ʻoiai kau kahi kauka i kahi wili uila electromagnetic kūikawā kokoke i kou poʻo, kikoʻī i kahi o ka lolo e hoʻoponopono i ka naʻau.
• Hana ka coil i nā pulses magnet i kou lolo. ʻAʻole ʻeha ka sensation, akā manaʻo paha e like me ke kīkēkē ʻana a i ʻole ke kī ʻana i ke poʻo.
• Hoʻokumu kēia mau pulses i nā kahe uila i loko o kāu mau ʻalolo nerve.
• Hiki iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau (me ka hoʻokele) ma hope o rTMS.

Manaʻo ʻia kēia mau uila uila e hoʻonāukiuki i nā hunaola o ka lolo i kahi ala paʻakikī e hiki ai ke hōʻemi i ke kaumaha. Hoʻonoho paha kekahi mau kauka i ka wili i nā wahi like ʻole o ka lolo.

He aha nā hopena a me nā pilikia o rTMS i hiki?

ʻAʻole maʻamau ka ʻeha i ka hopena o ka rTMS, akā hōʻike kekahi poʻe i ka hōʻoluʻolu haʻahaʻa me ke kaʻina hana. Hiki i nā pulses electromagnetic ke kumu i nā mākala i ka helehelena e hoʻopaʻa a wili paha.

Hoʻopili ʻia ke kaʻina hana me nā hopena ʻaoʻao mālie a me waena.

• manaʻo o ka ʻālohilohi
• pilikia pilikia hoʻolohe no ka manawa no ka walaʻau nui o ka magnet
• ʻeha poʻo poʻo
• ʻalalā i ka maka, ʻāʻī, a i ʻole poʻo poʻo

ʻOiai kākaʻikahi, hele mai rTMS me kahi makaʻu liʻiliʻi o ka hopu ʻana.

Pehea e hoʻohālikelike ai ʻo RTMS iā ECT?

Hiki i nā kauka ke hāʻawi i nā ʻano hana hoʻonāukiuki o ka lolo i hiki ke kōkua i ka mālama ʻana i ke kaumaha. ʻOiai ʻo rTMS hoʻokahi, ʻo kekahi he electroconvulsive therapy (ECT).

Hoʻopili ʻo ECT i ke kau ʻana i nā electrodes ma nā wahi kope o ka lolo a me ka hana ʻana i kahi au uila e hana i ka hopu ʻana i ka lolo.

Hana nā kauka i ke kaʻina hana ma lalo o ka anesthesia laulā, ʻo ia hoʻi ke hiamoe nei ʻoe a ʻike ʻole i kāu mau wahi.Hāʻawi nā kauka iā ʻoe i kahi hoʻomaha hoʻomaha o ka nāhelehele, kahi e mālama ai iā ʻoe mai ka haʻalulu i ka wā stimulate o ka lāʻau.

ʻOkoʻa kēia mai rTMS no ka mea ʻaʻole pono ka poʻe e loaʻa ana iā rTMS i nā lāʻau hoʻohiamoe, hiki ke hoʻemi i nā pilikia no nā hopena ʻē aʻe.

ʻO kekahi o nā ʻokoʻa kī ʻē aʻe ma waena o nā mea ʻelua ka hiki ke hoʻokele i kekahi mau wahi o ka lolo.

Ke mālama ʻia ka wili o rTMS ma luna o kekahi mahele o ka lolo, hele wale nā ​​mākua i kēlā ʻāpana o ka lolo. ʻAʻole hoʻokūkū ʻo ECT i nā wahi kikoʻī.

ʻOiai hoʻohana nā kauka i ka rTMS a me ka ECT e mālama i ke kaumaha, mālama ʻia ʻo ECT no ka mālama ʻana i ke kaumaha kaumaha a weliweli paha i ke ola.

Nā kūlana a me nā ʻōuli ʻē aʻe e hoʻohana paha nā kauka iā ECT e mālama pū ai:

• bipolar kāna hana
• schizophrenia
• manaʻo suicidal
• catatonia

ʻO wai ka mea e hōʻalo iā rTMS?

ʻOiai ʻaʻohe nui o nā hopena a rTMS, aia nō kekahi poʻe ʻaʻole pono e loaʻa. ʻAʻole ʻoe he moho inā he metala kāu i hoʻokomo ʻia a i ʻole hoʻokomo ʻia i kekahi wahi i kou poʻo a i ʻole ʻāʻī.

ʻO nā laʻana o ka poʻe pono ʻole ka loaʻa rTMS me nā mea me:

• nā aneurysm pakuhi a i ʻole nā ​​wili
• nā ʻāpana pōkā a i ʻole shrapnel kokoke i ke poʻo
• naʻau pacemakers a i ʻole implantable cardioverter defibrillators (ICD)
• nā peʻa maka i loaʻa i ka inika ʻumeʻume a i ʻole ka inika i maʻalahi i nā mākēneki
• hoʻoulu mea hoʻouluulu
• nā implants metala i nā pepeiao a i ʻole nā ​​maka
• stents i ka ʻāʻī a i ʻole ka lolo

Pono ke kauka e hoʻokolokolo pono a lawe i kahi mōʻaukala olakino ma mua o ka hoʻohana ʻana i ka lāʻau. He mea nui ia e hōʻike i kekahi o kēia mau kumuhana pilikia e mālama iā ʻoe i kahi palekana.

He aha nā kumukūʻai o rTMS?

ʻOiai ʻo rTMS ma kahi o kahi ʻoi aku ma mua o 30 mau makahiki, he mea hou hou ia i ka hanana mālama kaumaha. ʻO ka hopena, ʻaʻohe nui o ke kino o ka noiʻi e like me kekahi ʻano ʻehaʻeha kaumaha ʻē aʻe. ʻO kēia ʻaʻole hiki i nā ʻoihana ʻinikua ke uhi i nā ʻano rTMS.

E paipai ka hapanui o nā kauka e hoʻokaʻaʻike iā ʻoe i kāu ʻoihana inikua e ʻike ai inā uhi lākou i nā ʻano rTMS. Pili paha ka pane i kāu olakino a me kāu kulekele ʻinikua. I kekahi manawa, ʻaʻole hiki i kāu ʻoihana inikua ke uhi i nā koina āpau, akā ma ka liʻiliʻi e uku i kahi ʻāpana.

ʻOiai ke ʻokoʻa nā kumukūʻai lapaʻau ma muli o ka wahi, hiki ke kau ʻia nā kumukūʻai maʻamau mai kēlā me kēia kau mālama.

Hoʻomaopopo pinepine ʻo Medicare i ka rTMS ma ka awelika o. Loaʻa paha i kahi kanaka ma kahi o 20 a 30 a ʻoi aʻe mau kau lapaʻau i kēlā me kēia makahiki.

Hōʻike kekahi haʻawina ʻē aʻe e uku paha kekahi kanaka ma waena o $ 6,000 a me $ 12,000 i kēlā me kēia makahiki no nā mālama rTMS. ʻOiai paha ke kiʻekiʻe o kēia kumukūʻai i ka noʻonoʻo ʻana i hoʻokahi makahiki i ka manawa, he kumu kūʻai maikaʻi paha ka lāʻau ke hoʻohālikelike ʻia me ka hoʻohana ʻana i nā lāʻau ʻehaʻeha ʻē aʻe e holo pono ʻole.

Hāʻawi kekahi mau haukapila, nā keʻena o nā kauka, a me nā wahi lawelawe olakino i nā hoʻolālā uku a i ʻole nā ​​papahana hōʻemi no nā mea hiki ʻole ke uku i ka nui holoʻokoʻa.

He aha ka lōʻihi o rTMS?

E hana nā kauka i hoʻokahi kuhikuhi no kekahi kanaka ke hiki mai i ka lāʻau. Eia nō naʻe, e hele ka hapa nui o nā poʻe i nā kau lapaʻau e kū mau ana ma kahi o 30 a 60 mau minuke e pili ana i 5 mau manawa i ka pule.

ʻO ka lōʻihi o ka mālama ʻana ma waena o 4 a me 6 mau pule. ʻOi aku ka lōʻihi a lōʻihi paha o kēia helu o nā pule ma muli o ka pane o kēlā me kēia.

He aha ka ʻōlelo a ka poʻe loea e pili ana i ka rTMS?

Ua kākau ʻia kekahi mau hoʻokolohua noiʻi a me nā loiloi hoʻokolohua ma rTMS. Aia kekahi o nā hopena:

• Ua loaʻa kahi noiʻi ma 2018 i ka poʻe i pane i ka rTMS ma o ka hoʻonui ʻana i kā lākou theta a me ka alpha brainwave e ʻoi aku ka maikaʻi e hoʻomaikaʻi i ko lākou ʻano. Hiki i kēia haʻawina kanaka liʻiliʻi ke kōkua e wānana i ka mea e pane nui i ka rTMS.
• A loaʻa ka lāʻau lapaʻau kūpono no nā poʻe nona ka manaʻo kaumaha i pale i ka lāʻau a me ka hopohopo nui hoʻi.
• Loaʻa i kahi rTMS i hui pū ʻia me ECT hiki ke hōʻemi i ka helu o nā kau ECT e pono ai a ʻae i kahi kanaka e loaʻa i nā mālama mālama me rTMS ma hope o ka hana mua o ka hoʻoponopono ECT. Hiki i kēia ala like ke kōkua i ka hōʻemi i nā hopena maikaʻi ʻole o ka ECT.
• Ua ʻike ʻia kahi hōʻike moʻokalaleo 2019 he maikaʻi ka rTMS no ka mālama ʻana ma hope o ka hoʻomaʻamaʻa ʻana o kahi lāʻau lapaʻau i hana maikaʻi ʻia i ka mālama ʻana i kahi maʻi kaumaha nui.

ʻO ka nui o nā noiʻi i kēia manawa e holomua nei e nānā ana nā mea noiʻi i nā hopena lōʻihi o ka rTMS a ʻike i nā ʻano o nā hōʻailona e pane maikaʻi i ka lāʻau.