Kev Ua Phev (Transkrial Magnetic Stimulation ) (Repetitive TMS) yog ib txoj kev ua tsis raws kev cai uas yog tso ib qho khoom me me ncaj qha rau ntawm pob txha taub hau. Qhov khoom ntim no muaj cov kauj hlau uas muaj hluav taws xob uas ua rau hluav taws xob thiab ua rau lub teb chaw magnetic zoo ib yam li hauv lub zog mus rau ib qho kev ntsuam xyuas magnetic resonance imaging (MRI).
Qhov nchuav ntawm hluav taws xob uas siv los ntawm cov cuab yeej los ua kom qhov chaw ua rau hlwb hauv lub hlwb hu ua neurons los ua ob los sis tsawg dua.
Cas rTMS Ua Haujlwm
Cov theem pib ntawm neurons tau txuas rau cov kev mob tshwm sim ntawm kev puas siab puas ntsws, xws li obsessive-compulsive disorder ( OCD ), uas pab piav tswv yim tom qab rTMS. Tej lub nruab paj hlwb tshwj xeeb yuav ua rau kom rov ua kom ntev hloov ntawm qhov kev ua ntawm cov neurons. Nws xav tias cov kev hloov no tej zaum yuav ua rau cov kev mob tshwm sim tsawg zuj zus, tab sis qhov kev kho mob tshiab yog tias cov kev tshawb fawb tseem ua tiav. Lub sab ntawm lub hlwb thiab lub hlwb qhov tsom feem ntau nyob ntawm seb tus mob raug kho.
Keeb Kwm Ntawm Kev Kho Mob
RTMS tau pib thaum xyoo 1985 los ua ib qho kev puas tsuaj ntawm cov laus thiab ntau dua kev kho electroconvulsive therapy (ECT). Xyoo 2008, FDA tau pom zoo siv rau hauv Tebchaws Meskas nrog kev nyuaj siab uas tsis tau txais kev kho mob nrog tsawg kawg ib qho tshuaj.
Nws tau raug pom zoo nyob rau hauv New Zealand, Australia, Canada, Ixayees thiab European Union siv nrog kev nyuaj siab uas tsis tuaj yeem ua lwm yam kev kho mob. RTMS rau lwm yam mob, xws li schizophrenia, mob ntshav qab zib, raug mob hlwb, ntxhov siab vim, mob ntsws, thiab mob yog tseem raug tshawb fawb.
Kev Nyab Xeeb thiab Tej Teebmeem
RTMS feem ntau pom tias muaj kev ruaj ntseg thaum siv raws li cov txheej txheem tau tsim tseg, txawm tias qee tus neeg mob qhia txog kev mob taub hau, tsis siab ntsws, mob lub taub hau los yog cov leeg nruj los yog tingling. Qaub qaug dab peg yog ib qho mob loj dua, txawm tias tsawg kawg nkaus, qhov tshwm sim ntawm TMS thiab feem ntau tsuas yog tshwm sim yog tias tus neeg mob muaj keeb kwm ntawm qaug dab peg. RTMS tuaj yeem siv tsis tau rau cov neeg mob uas muaj pacemaker lossis lwm yam khoom siv hlau lossis khoom siv.
Yam Koj Xav Tau
Kev kho cov tshuaj TMS tom qab tuaj yeem muab ib hnub lossis ntau zaus ib hnub rau ib hnub lossis ib lub lim tiam ib zaug, nyob ntawm qhov kev kho mob. Feem ntau, zaug kawg ntawm txhua qhov chaw los ntawm 20-60 feeb thiab raug muab tsib hnub hauv ib lub lim tiam rau li ntawm 6 lub lis piam. Tsis siv tshuaj loog, tsis muaj mob, tab sis koj yuav hnov lub teeb nrawm los yog khob hauv taub hau. Koj tuaj yeem xaiv tau hnav cov menyuam yaus vim tias qhov kev kho mob zoo li yuav nrov nrov.
Cov kev kho mob lub sij hawm ntev yuav zoo li kav ntev txog rau lub hlis, tab sis yog kev kho tus mob, xws li tshuaj los yog kev kho hlwb , yuav tsum muaj thiab. Ntxiv cov kev kho mob tej zaum yuav tsim nyog tom qab yog tias cov tsos mob rov qab. Koj tus kws kho mob yuav saib xyuas koj tom qab ua tiav kev kho mob.
Vim tias nws txoj kev ua haujlwm zoo sib xws thiab tsis tsim kom muaj, rTMS tsis raug siv los ua thawj txoj kev kho mob. Txawm li cas los xij, vim nws tsis yog thiab tsis muaj teeb meem, nws yuav yog qhov zoo rau cov neeg nrhiav lwm txoj hauv kev los tiv thaiv kev puas hlwb lossis kev mob, tshwj xeeb yog tias lwm txoj kev kho mob tau ua tsis tiav. Nrog koj tus kws kho mob tham txog seb puas los yog tsis rTMS tej zaum yuav zoo rau koj.
Qhov chaw:
Ruffini, C., Locatelli, M., Lucca, A., Benedetti, F., Insacco, C., Smeraldi, E. "Kev ua kom muaj zog ntawm kev ua kom rov ua tau zoo dua ntawm cov kab mob hauv orbitofrontal hauv cov neeg mob cov neeg mob obsessive-comulsive teeb meem: Kev ntsuam xyuas kev tswjhwm hauv kev tswjhwm Tus Thawj Saibxyuas Kev Noj Qab Haus Huv Rau Lub Chaw Kho Mob Kws Khomob (Psychiatry) 2009 11: 226-230.
"Peb yuav tsum nthuav cov cuab yeej ntawm txoj kev kho kev puas siab puas ntsws kom muaj xws li rov qab ua ke ntawm kev sib hloov ntawm kev sib hloov (rTMS)? Ib qho kev ntsuas ntawm kev ua hauj lwm ntawm rTMS hauv kev puas siab puas ntsws. Cov Kws Kho Mob Psychiatry 2010 (e-luam tawm ua ntej luam).
http://www.nimh.nih.gov/health/topics/brain-stimulation-therapies/brain-stimulation-therapies.shtml
http://www.neuromodulation.com/TMS