Ukuphinda-phinda ukukhuthaza iMagnetic

Umxholo

• Kutheni i-rTMS isetyenziswa?
• Isebenza njani i-rTMS?
• Ziziphi iziphumo ebezingalindelekanga ezinokubakho kunye neengxaki ze-rTMS?
• I-rTMS ithelekiswa njani ne-ECT?
• Ngubani omele aphephe i-rTMS?
• Zithini iindleko ze-rTMS?
• Leliphi ixesha le-rTMS?
• Zithini iingcali malunga ne-rTMS?

Xa iindlela ezisekwe kunyango zingasebenzi ukunyanga uxinzelelo, oogqirha banokuyalela ezinye iindlela zonyango, ezinje ngokuphindaphinda ukukhuthaza amandla (rTMS).

Olu nyango lubandakanya ukusebenzisa iimpembelelo zemagnethi ukujolisa kwiindawo ezithile zobuchopho. Abantu bayisebenzisa ukusukela ngo-1985 ukukhulula usizi olunzulu kunye neemvakalelo zokuphelelwa lithemba ezinokuza noxinzelelo.

Ukuba wena okanye umntu omthandayo uzame iindlela ezininzi zonyango lonyango ngaphandle kwempumelelo, i-rTMS inokukhetha.

Kutheni i-rTMS isetyenziswa?

I-FDA ivume i-rTMS ukunyanga uxinzelelo olukhulu xa ezinye iindlela zonyango (ezinje ngamayeza kunye nonyango lwengqondo) zingakhange zifezekise ngokwaneleyo.

Ngamanye amaxesha, oogqirha banokudibanisa i-rTMS kunye nonyango lwendabuko, kubandakanya ne-anti-depressants.

Unokuxhamla kakhulu kwi-rTMS ukuba uhlangabezana nezi khrayitheriya zilandelayo:

• Uzamile ezinye iindlela zonyango zokudakumba, ezinje nge-antidepressant enye, ngaphandle kwempumelelo.
• Awunayo impilo eyaneleyo yeenkqubo ezifana ne-electroconvulsive therapy (ECT). Oku kuyinyani ukuba unembali yokubanjwa okanye awukwazi ukunyamezela i-anesthesia kakuhle kwinkqubo.
• Okwangoku awusokoli kwimicimbi yokusebenzisa iziyobisi okanye utywala.

Ukuba ezi zizandi njengawe, unganqwenela ukuthetha nogqirha wakho malunga ne-rTMS. Kubalulekile ukuba uqaphele ukuba i-rTMS ayilulo unyango lokuqala, ke kuya kufuneka uzame ezinye izinto kuqala.

Isebenza njani i-rTMS?

Le yinkqubo engafunekiyo edla ngokuthatha phakathi kwemizuzu engama-30 ukuya kuma-60 ukuyenza.

Nantsi into onokuyilindela kwiseshoni yonyango ye-rTMS:

• Uya kuhlala okanye uhlale phantsi ngelixa ugqirha ebeka ikhoyili ekhethekileyo ye-electromagnetic kufuphi nentloko yakho, ngokukodwa indawo yengqondo elawula imood.
• Ikhoyili ivelisa iimpembelelo zemagnethi kwingqondo yakho. Imvakalelo ayibuhlungu, kodwa inokuziva ngathi unkqonkqoza okanye ucofe intloko.
• Ezi pulses zivelisa imisinga yombane kwiiseli zakho zemithambo-luvo.
• Ungaqhubeka nemisebenzi yakho yesiqhelo (kubandakanya ukuqhuba) emva kwe-rTMS.

Kucingelwa ukuba le misinga yombane ivuselela iiseli zobuchopho ngendlela entsonkothileyo enokunciphisa uxinzelelo. Abanye oogqirha banokubeka iikhoyili kwiindawo ezahlukeneyo zobuchopho.

Ziziphi iziphumo ebezingalindelekanga ezinokubakho kunye neengxaki ze-rTMS?

Iintlungu azihlali ziziphumo ebezingalindelekanga ze-rTMS, kodwa abanye abantu baxela ukungonwabi okuncinci ngenkqubo. Iimpompo ze-electromagnetic pulses zinokubangela ukuba izihlunu ebusweni ziqinise okanye zibambe.

Inkqubo inxulunyaniswa neziphumo ebezingalindelekanga ezinobulali ukuya kweziphakathi, kubandakanya:

• iimvakalelo zobunzima
• iingxaki zokuva okwethutyana ngenxa yengxolo yomazibuthe ephezulu ngamanye amaxesha
• intloko ebuhlungu
• ukubetheka ebusweni, emhlathini, okanye entlonzeni

Nangona kunqabile, i-rTMS iza nomngcipheko omncinci wokubanjwa.

I-rTMS ithelekiswa njani ne-ECT?

Oogqirha banokubonelela ngeendlela ezininzi zokunyanga ingqondo ezinokukunceda ukunyanga uxinzelelo. Ngelixa i-rTMS yenye, enye yonyango lwe-electroconvulsive (ECT).

I-ECT ibandakanya ukubeka i-electrode kwiindawo ezinobuchule bengqondo kunye nokuvelisa amandla ombane abangela ukubanjwa kwenzeke kwingqondo.

Oogqirha benza inkqubo phantsi kwe-anesthesia ngokubanzi, oko kuthetha ukuba ulele kwaye awazi indawo okujikelezileyo.Oogqirha bakunika isihlunu sokuphumla, esigcina ungangcangcazeli ngexesha lokukhuthaza unyango.

Oku kwahlukile kwi-rTMS kuba abantu abafumana i-rTMS akufuneki ukuba bafumane amayeza e-sedation, anokunciphisa umngcipheko weziphumo ebezingalindelekanga ezinokubakho.

Omnye umahluko ophambili phakathi kwezi zimbini kukukwazi ukujolisa kwiindawo ezithile zobuchopho.

Xa i-rTMS coil ibanjwe kwindawo ethile yobuchopho, iimpembelelo zihamba kuphela ukuya kuloo ndawo yengqondo. I-ECT ayijolisanga kwiindawo ezithile.

Ngelixa oogqirha basebenzisa i-rTMS kunye ne-ECT ukunyanga uxinzelelo, i-ECT ihlala igcinelwe ukunyanga uxinzelelo olunobuzaza nolusongela ubomi.

Ezinye iimeko kunye neempawu oogqirha banokusebenzisa i-ECT ukunyanga zibandakanya:

• ukuxhuzula
• schizophrenia
• Iingcinga zokuzibulala
• ikatatonia

Ngubani omele aphephe i-rTMS?

Ngelixa i-rTMS ingenazo iziphumo ebezingalindelekanga ezininzi, kusekho abanye abantu ekungafanelekanga ukuba bayifumane. Awunguye umgqatswa ukuba intsimbi ifakiwe okanye ibethelelwe kwindawo ethile entlokweni yakho okanye entanyeni.

Imizekelo yabantu ekungafanelekanga ukuba bafumane i-rTMS ibandakanya abo bane:

• imicu ye-aneurysm okanye iikhoyili
• iziqwengana zebhulethi okanye i-shrapnel ecaleni kwentloko
• ii-pacemaker zentliziyo okanye izinto ezinokufakwa kwi-cardioverter defibrillators (ICD)
• iitattoo zobuso ezine-inki kazibuthe okanye i-inki ethe-ethe kwiimagnethi
• Izinto ezikhuthazayo ezifakiweyo
• Ukufakwa kwesinyithi ezindlebeni okanye emehlweni
• stents entanyeni okanye kwingqondo

Ugqirha kufuneka enze uviwo olunzulu kwaye athathe imbali yonyango ngaphambi kokusebenzisa unyango. Kubaluleke kakhulu ukubhengeza nayiphi na kwezi zinto zinomngcipheko wokugcina ukhuselekile.

Zithini iindleko ze-rTMS?

Nangona i-rTMS ijikeleze ngaphezulu kweminyaka engama-30, iseyinto entsha kwimeko yonyango yoxinzelelo. Ngenxa yoko, akukho mzimba mkhulu wophando njengolunye unyango lonyango. Oku kuthetha ukuba iinkampani zeinshurensi azinakugubungela unyango lwe-rTMS.

Uninzi loogqirha luyakucebisa ukuba unxibelelane nenkampani yakho yeinshurensi ukufumanisa ukuba bayayigubungela na unyango lwe-rTMS. Impendulo ixhomekeke kwimpilo yakho nakwi-inshurensi. Ngamanye amaxesha, inkampani yakho yeinshurensi ayinakho ukuhlawula zonke iindleko, kodwa ubuncinci ihlawule isahlulo.

Ngelixa iindleko zonyango zinokwahluka ngokuxhomekeka kwindawo, amaxabiso aphakathi ahluka ukusuka kwiseshoni nganye yonyango.

I-Medicare ihlala ibuyisela i-rTMS kwi-avareji ye-. Umntu unokufumana naphi na ukusuka kwi-20 ukuya kwi-30 okanye iiseshoni zonyango ngonyaka.

Olunye uphononongo lubonisa ukuba umntu angahlawula phakathi kwe- $ 6,000 kunye ne- $ 12,000 ngonyaka kunyango lwe-rTMS. Ngelixa eli xabiso lentengo linokubonakala liphezulu xa kuthathelwa ingqalelo unyaka ngexesha, unyango lunokuba neendleko ezifanelekileyo xa kuthelekiswa nokusebenzisa ezinye iindlela zonyango ezingasebenzi kakuhle.

Ezinye izibhedlele, iiofisi zoogqirha, kunye namaziko ezempilo anikezela ngezicwangciso zokuhlawula okanye iinkqubo zesaphulelo kwabo bangakwaziyo ukuhlawula yonke imali.

Leliphi ixesha le-rTMS?

Oogqirha baya kuyila iphepha lomntu ngamnye xa kuziwa kunyango. Nangona kunjalo, uninzi lwabantu luya kwiiseshoni zonyango ezihlala naphi na ukusuka kwimizuzu engama-30 ukuya kwengama-60 malunga namaxesha ama-5 ngeveki.

Ixesha lonyango lihlala phakathi kweeveki ezi-4 ukuya kwezi-6. Eli nani leeveki linokuba mfutshane okanye lide ngokuxhomekeke kwimpendulo yomntu.

Zithini iingcali malunga ne-rTMS?

Inani lezilingo zophando kunye novavanyo lweklinikhi lubhaliwe kwi-rTMS. Ezinye zeziphumo zibandakanya:

• Isifundo se-2018 sifumanise ukuba abantu abaphendule kwi-rTMS ngokwandisa i-theta kunye ne-alpha ye-brainwave yomsebenzi banamathuba okuphucula imeko yabo. Olu phononongo lincinci lomntu lunokunceda ukuqikelela ukuba ngubani onokuphendula kakhulu kwi-rTMS.
• Ufumene ukuba unyango lufanelekile kwabo banokudandatheka okunganyangekiyo ngamayeza kwaye nabo banexhala elibalulekileyo.
• I-rTMS efunyenwe ngokudityaniswa ne-ECT inokunciphisa inani leeseshoni ze-ECT ezifunekayo kwaye ivumele umntu ukuba afumane unyango lwesondlo nge-rTMS emva komjikelo wokuqala wonyango lwe-ECT. Le ndlela yokudibanisa inokunceda ukunciphisa iziphumo ezibi ze-ECT.
• Uphengululo loncwadi lwango-2019 lufumene i-rTMS iyasebenza kunyango emva kokuba kuvavanyo olunye lonyango lusebenze kakuhle ekunyangeni isifo esikhulu soxinzelelo.

Izifundo ezininzi ngoku eziqhubekayo zinabaphandi abavavanya iziphumo zexesha elide ze-rTMS kunye nokufumanisa ukuba zeziphi iintlobo zeempawu ezisabela kakuhle kunyango.