He aha ka Hoʻoulu ʻana i ka Magnetic Transcranial? Ke Kumu, ke Kaʻina Hana & nā Hōʻikeʻike

ʻO ka Hoʻoulu ʻana i ka Magnetic Transcranial (TMS) he lapaʻau hoʻoulu ʻana i ka lolo ʻaʻole invasive e hoʻohana ana i nā kahua magnetic e hoʻāla i nā wahi kikoʻī o kou lolo. E noʻonoʻo iā ia he ala mālie e "hoʻāla" i nā wahi lolo ʻaʻole e hana maikaʻi e like me ka mea pono, ʻoiai i nā kūlana e like me ke kaumaha kahi e emi ai ka hana ʻana o kekahi mau kaapuni lolo.

Ke kōkua nei kēia lapaʻau i ʻae ʻia e ka FDA i ka poʻe e loaʻa ka hōʻoluʻolu mai nā kūlana olakino noʻonoʻo like ʻole mai ka makahiki 2008. Hana ʻia ke kaʻina hana i loko o ke keʻena o ke kauka i kou wā e ala piha ana a me ka makaʻala, e lilo ana ia i mea ʻē aʻe i nā lapaʻau ʻoi aku ka ikaika.

He aha ka Hoʻoulu ʻana i ka Magnetic Transcranial?

Hana ʻo TMS ma ka waiho ʻana i kahi coil magnetic i kou poʻo e hāʻawi i nā pulses magnetic i nā wahi lolo kikoʻī. Ua like kēia mau pulses i ka ikaika me nā mea i hoʻohana ʻia i nā mīkini MRI, akā ua manaʻo ʻia lākou e hoʻoulu i nā neurons i nā wahi e kāohi ai i ke ʻano, ka noʻonoʻo, a me ke ʻano.

E hele ana nā kahua magnetic ma kou iwi poʻo me ka ʻeha ʻole a hana i nā au uila liʻiliʻi i loko o kou ʻiʻo lolo. Kōkua kēia mau au i ka "hoʻonohonoho hou" i nā ala neural i hiki ke hoʻopilikia ʻia ma muli o ke kaumaha, ka hopohopo, a i ʻole nā ​​kūlana ʻē aʻe.

Aia nā ʻano nui ʻelua āu e hālāwai ai. Hāʻawi ka Repetitive TMS (rTMS) i nā pulses maʻamau i ke ʻano rhythmic, ʻoiai ʻo ka theta burst stimulation e hāʻawi i nā pōkole, ʻoi aku ka ikaika o nā pulses. E koho kāu kauka i ke ala i kūpono loa i kou kūlana.

No ke aha e hana ʻia ai ka Hoʻoulu ʻana i ka Magnetic Transcranial?

Hoʻohana nui ʻia ʻo TMS i ka wā i hāʻawi ʻole ai nā lapaʻau kuʻuna i ka hōʻoluʻolu kūpono mai kāu mau hōʻailona. Hoʻonohonoho pinepine ʻia ia no ka lapaʻau ʻana i ke kaumaha kūʻē i ka lapaʻau, ʻo ia hoʻi ua hoʻāʻo ʻoe ma kahi o ʻelua mau lāʻau antidepressant like ʻole me ka holomua ʻole.

Ma waho aʻe o ke kaumaha, hiki i ka TMS ke kōkua i nā maʻi ʻē aʻe e pili ana i kou maikaʻi o ke ola. Hiki i kāu kauka ke ʻōlelo iā ia no ka maʻi obsessive-compulsive (OCD), ʻoiai ke hoʻomau nei nā manaʻo hoʻopilikia a me nā hana compulsive me ka nānā ʻole i nā lāʻau lapaʻau ʻē aʻe.

Ke hoʻohana ʻia nei ka lāʻau lapaʻau no ka pale ʻana i ka migraine, ʻoiai no ka poʻe e ʻike pinepine i nā poʻo poʻo e hoʻopau ai. Manaʻo kekahi poʻe maʻi he mea kōkua ka TMS no nā maʻi hopohopo, ka maʻi koʻikoʻi post-traumatic (PTSD), a me kekahi mau maʻi ʻeha.

I nā hihia kakaʻikahi, hiki ke noʻonoʻo ʻia ka TMS no nā maʻi e like me ka maʻi bipolar, schizophrenia, a i ʻole nā maʻi ʻai, ʻoiai ke noiʻi ʻia nei kēia mau noi. E loiloi pono kāu mea mālama ola inā kūpono ka TMS no kou kūlana.

He aha ke kaʻina hana no ka Transcranial Magnetic Stimulation?

E lōʻihi ana kāu kau TMS mua ma mua o ka maʻamau no ka mea pono i kāu kauka e palapala i kou lolo a loaʻa i ka ikaika hoʻoulu kūpono. E noho ʻoe i loko o kahi noho ʻoluʻolu ʻoiai e kau ana kahi loea i ka coil magnetic i kou poʻo, maʻamau ma luna o ka cortex prefrontal hema.

Aia ke kaʻina hana palapala i ka loaʻa ʻana o kāu

Hana ʻia ka lapaʻau ma waho o ka haukapila, no laila hiki iā ʻoe ke kalaiwa iā ʻoe iho i nā manawa a me waho. ʻAʻole like me kekahi mau lapaʻau hoʻoulu lolo ʻē aʻe, ʻaʻole pono ka TMS i ka anesthesia a i ʻole ka sedation, e ʻae ana iā ʻoe e mālama i kāu mau hana i kēlā me kēia lā.

Pehea e hoʻomākaukau ai no kāu Transcranial Magnetic Stimulation?

He maʻalahi ka hoʻomākaukau ʻana no ka TMS, akā aia kekahi mau ʻanuʻu nui e hōʻoia i kou palekana a me ka pono o ka lapaʻau. E hana mua kāu kauka i kahi loiloi olakino piha, me nā nīnau e pili ana i nā mea hao, nā mea lapaʻau, a i ʻole nā lāʻau lapaʻau āu e lawe nei.

Pono ʻoe e wehe i nā mea hao mai kou poʻo a me kou ʻāʻī ma mua o kēlā me kēia kau. Pākuʻi ʻia kēia i nā mea nani, nā lauoho, nā mea kōkua lohe, a me nā hana niho hiki ke wehe. Hiki i kēia mau mea ke keakea i ke kahua magnetic a i ʻole e wela i ka wā o ka lapaʻau.

E hōʻike i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau āu e lawe nei, ʻoiai nā mea e hoʻohaʻahaʻa i kou paepae hopu. ʻOiai he kakaikahi loa nā hopu me TMS, hiki i kekahi mau lāʻau lapaʻau ke hoʻonui iki i kēia pilikia. Hiki i kāu kauka ke hoʻoponopono i kāu mau lāʻau lapaʻau no ka manawa inā pono.

I nā lā lapaʻau, e ʻai maʻamau a noho hydrated. Makemake paha ʻoe e lawe mai i nā headphone a i ʻole nā pepeiao, no ka mea, hiki ke kani nui nā kani kaomi, ʻoiai hāʻawi ka hapa nui o nā keʻena lapaʻau i ka pale pepeiao. Manaʻo kekahi poʻe he mea kōkua ke lawe mai i kahi puke a i ʻole mele e kōkua i ka hala ʻana o ka manawa i ka wā o nā kau.

Inā he hopohopo kāu e pili ana i ka claustrophobia a i ʻole ka hopohopo e pili ana i ke kaʻina hana, e kūkākūkā me kāu hui lapaʻau ma mua. Hiki iā lākou ke kōkua iā ʻoe e ʻoluʻolu a hiki ke hōʻike i nā ʻenehana hoʻomaha.

Pehea e heluhelu ai i kāu mau hopena Transcranial Magnetic Stimulation?

ʻAʻole ana ʻia nā hopena TMS ma o nā hoʻokolohua lab kuʻuna a i ʻole nā haʻawina kiʻi. Ma kahi o, loiloi ʻia kāu holomua ma o nā unahi helu helu hōʻailona, ​​nā nīnau nīnau ʻano, a me nā nānā maʻamau me kāu mea mālama ola e pili ana i kou manaʻo.

Hiki paha iā ʻoe ke hoʻomaka e ʻike i nā hoʻomaikaʻi ʻana i kou ʻano, nā pae ikehu, a i ʻole nā ​​hōʻailona ʻē aʻe ma hope o ʻelua a ʻekolu pule o ka mālama ʻana. ʻIke kekahi poʻe i nā loli mālie, a ʻike kekahi poʻe i nā hoʻomaikaʻi koke. He maʻamau nā ʻano ʻelua a ʻaʻole e wānana i kāu hopena hope loa.

E hoʻohana paha kāu kauka i nā unahi helu helu kaumaha a hopohopo paha e nānā i kāu holomua. Kōkua kēia mau nīnau e ana i nā loli i ka hiamoe, ka ʻai, ka noʻonoʻo, a me ke ʻano holoʻokoʻa ʻaʻole paha ʻoe e ʻike i kēlā me kēia lā.

Hoʻomaopopo ʻia ka pane ʻana i ka TMS ma ke ʻano he 50% a ʻoi aku paha ka maikaʻi o ka hōʻailona, ​​ʻoiai ʻo ka remission ke manaʻo nei ua emi kāu mau hōʻailona i nā pae liʻiliʻi. Ma kahi o 60% o nā kānaka e ʻike i ka hoʻomaikaʻi nui, a ma kahi o ka hapakolu e hoʻokō i ka remission.

E hoʻomanaʻo e hiki ke hoʻomau i ka hoʻomohala ʻana i nā pōmaikaʻi no kekahi mau pule ma hope o ka pau ʻana o kāu papa lapaʻau. ʻIke kekahi poʻe i kā lākou hopena maikaʻi loa i hoʻokahi a ʻekolu mahina ma hope o ka mālama ʻana, no laila he mea nui ka hoʻomanawanui i kēia kaʻina hana.

Pehea e hoʻomaikaʻi ai i kāu hopena Transcranial Magnetic Stimulation?

ʻO ka hoʻonui ʻana i kāu mau pōmaikaʻi TMS e pili ana i ka mālama ʻana i ke kūlike me kāu papa hana lapaʻau a me ke kākoʻo ʻana i kou olakino noʻonoʻo holoʻokoʻa. ʻO ka nalo ʻana i nā kau e hōʻemi i ka pono o ka mālama ʻana, no laila e hoʻāʻo e hele i nā manawa i hoʻonohonoho ʻia inā ʻaʻole ʻoe e ʻike i nā hoʻomaikaʻi koke.

E hoʻomau i ka lawe ʻana i nā lāʻau i kauoha ʻia ke ʻole e ʻōlelo ʻia e kāu kauka. ʻO ka pinepine, hana maikaʻi ka TMS ke hui pū ʻia me nā antidepressants a i ʻole nā ​​lāʻau ʻē aʻe āu e lawe nei. Mai hooki a hoʻololi paha i nā lāʻau lapaʻau me ka kūkākūkā ʻole ʻana me kāu mea mālama ola.

ʻO ke kākoʻo ʻana i kāu lapaʻau me nā koho ola olakino hiki ke hoʻonui i kāu mau hopena. ʻO ka hoʻoikaika kino maʻamau, ka hiamoe kūpono, a me ka meaʻai maikaʻi e kākoʻo i ke olakino o ka lolo a hiki ke kōkua i ka hana ʻoi aku ka maikaʻi o ka TMS. Hiki i nā hana māmā e like me ka hele wāwae ke kōkua.

E noʻonoʻo e hoʻohui i ka psychotherapy i kāu hoʻolālā lapaʻau inā ʻaʻole ʻoe e hana pū me kahi mea lapaʻau. Nui ka poʻe i ʻike e hana ʻo TMS iā lākou i mea e ʻae ai i ka therapy, a ʻo ka hui pū ʻana e hana pinepine i nā hopena maikaʻi aʻe ma mua o kekahi lapaʻau.

E noho pili me kāu ʻōnaehana kākoʻo i ka wā o ka lapaʻau. E hōʻike i ka ʻohana a me nā hoaaloha e pili ana i kāu huakaʻi TMS i hiki iā lākou ke hāʻawi i ka paipai a kōkua iā ʻoe e ʻike i nā loli maikaʻi ʻaʻole paha ʻoe e ʻike.

He aha nā mea pilikia no nā pilikia TMS?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi iā TMS, akā hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā hopena ʻaoʻao a i ʻole e hana iā ʻoe i mea kūpono ʻole no ka lapaʻau. ʻO ka loaʻa ʻana o nā mea hao i loko a i ʻole kokoke i kou poʻo ka mea pilikia nui loa, no ka mea, hiki i kēia mau mea ke wela a i ʻole e neʻe i ka wā o ka lapaʻau.

ʻO nā mea hao kikoʻī e hana ai iā TMS i palekana ʻole, ʻo ia nā mea kanu cochlear, nā mea hoʻoulu hohonu o ka lolo, nā mea hoʻoulu nerve vagus, a me kekahi mau ʻano o nā kiʻi aneurysm. Eia naʻe, palekana nā mea hoʻopiha niho, nā lei aliʻi, a me ka hapa nui o nā lako orthodontic.

ʻO ka mōʻaukala pilikino a i ʻole ka ʻohana o nā hopu ʻana e hoʻonui i kou pilikia, ʻoiai e noho ana nā hopu ʻana i ka wā o TMS (ma lalo o 0.1% o nā maʻi). E loiloi pono kāu kauka i kēia pilikia a hiki nō ke ʻōlelo i ka lapaʻau me nā hana palekana kūpono.

Hiki i kekahi mau lāʻau lapaʻau ke hoʻohaʻahaʻa i kou paepae hopu a hiki ke hoʻonui i ka pilikia. Aia kēia mau mea i kekahi mau antidepressants, antipsychotics, a me nā lāʻau lapaʻau i hoʻohana ʻia no ADHD. E nānā kāu kauka i kāu mau lāʻau lapaʻau a pau a hiki ke hoʻoponopono iā lākou inā pono.

Manaʻo ʻia ka hāpai ʻana he contraindication no TMS, ʻaʻole no ka mea ua ʻike ʻia he mea ʻino, akā no ka mea ʻaʻole lawa ka noiʻi e hōʻoia i ka palekana. Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e kūkākūkā i nā lapaʻau ʻē aʻe me kāu kauka.

Hiki nō i nā mea e pili ana i ka makahiki ke hoʻopilikia i kāu lapaʻau. ʻOiai ua ʻae ʻia ka TMS no nā mākua, hiki i nā mākua kahiko ke loaʻa nā pane a i ʻole nā ʻae like ʻole. Pono paha nā maʻi ʻelemakule loa i nā protocol lapaʻau i hoʻololi ʻia a i ʻole ka nānā ʻana.

He aha nā pilikia hiki ke loaʻa o ka Transcranial Magnetic Stimulation?

ʻO nā hopena ʻaoʻao maʻamau o ka TMS he maʻalahi a he manawa pōkole, e hoʻoponopono maʻamau i loko o kekahi mau hola o ka lapaʻau. Loaʻa nā ʻeha poʻo ma kahi o 40% o nā maʻi, ʻoi loa i ka pule mua o ka lapaʻau, akā e emi pinepine ana kēia mau mea ke hoʻoponopono ʻoe i ka lāʻau lapaʻau.

Hoʻopilikia ka hōʻoluʻolu o ke poʻo a i ʻole ka ʻeha ma ke kahua lapaʻau i nā maʻi he nui i ka wā mua. Ua like kēia me ka palupalu a i ʻole ka ʻeha ma kahi i waiho ʻia ai ka coil magnetic, e like me ke ʻano o kou poʻo ma hope o ka ʻaʻahu ʻana i ka pāpale paʻa. E emi nui ka hōʻoluʻolu ma hope o nā kau mua.

Loaʻa i kekahi poʻe ka ʻuʻuku a i ʻole nā spasms o nā ʻiʻo o ka maka i ka wā lapaʻau, ʻoiai inā e hoʻoulu ka coil magnetic i nā aʻalolo o ka maka kokoke. ʻOiai he mea hoʻomaka kēia, ʻaʻole ia he mea weliweli a maʻamau e hoʻoponopono koke ʻia ke hoʻoponopono ʻia ke kūlana coil.

Hiki ke hoʻololi i ka lohe ma muli o nā leo kaomi nui i ka wā lapaʻau, ʻoiai he kakaikahi loa ka pōʻino o ka lohe nui ke hoʻohana ʻia ka pale pepeiao kūpono. Hōʻike kekahi mau maʻi i ke kani ʻana o ka pepeiao (tinnitus) ma hope o nā kau.

He mea maʻamau loa nā pilikia koʻikoʻi, akā he mea nui e hoʻomaopopo. Loaʻa nā hopu ʻana i ka liʻiliʻi ma mua o 1 i 1,000 mau maʻi, a i ka wā e hana ai, he pōkole a hoʻoponopono me ka ʻole o nā hopena mau. Ua aʻo ʻia kāu hui lapaʻau e mālama i kēia pilikia kakaikahi.

I nā hihia kakaikahi loa, loaʻa i kekahi mau maʻi nā loli o ke ʻano e like me ka paradoxical, e like me ka hopohopo nui a i ʻole ka huhū. He manawa pōkole kēia mau hopena, akā he mea nui e hōʻike i nā loli o ke ʻano e pili ana i kāu mea mālama ola kino.

Ke hana ʻia nei nā hopena lōʻihi, akā hōʻike ka noiʻi i kēia manawa ʻaʻole i hana ʻo TMS i ka pōʻino lolo mau loa a i ʻole nā loli cognitive nui. Hoʻoponopono maʻamau ka hapa nui o nā hopena ʻaoʻao i loko o nā lā a i ʻole nā pule ma hope o ka pau ʻana o ka lapaʻau.

I ka manawa hea e ʻike ai au i ke kauka e pili ana i ka Transcranial Magnetic Stimulation?

Pono ʻoe e hoʻokaʻaʻike koke i kāu mea mālama ola inā ʻike ʻoe i kekahi hana e like me ka hopu ʻana i ka wā a i ʻole ma hope o ka lapaʻau TMS. Aia kēia me ka haʻalulu ʻole, ka nalowale o ka ʻike, ka huikau, a i ʻole kekahi hanana kahi e nalowale ai kou ʻike i kou puni.

Inā he mau loli ʻano, nā manaʻo suicidal, a i ʻole nā manaʻo e hōʻeha iā ʻoe iho, e ʻimi koke i ke kōkua lapaʻau. Inā he mau loli ʻano hou a i ʻole nā manaʻo e hopohopo ai, e launa koke me kāu hui lapaʻau.

Pono e loiloi ʻia nā ʻehaʻeha nui ʻaʻole e pane i nā mea hōʻeha ʻeha i kūʻai ʻia a i ʻole nā ʻehaʻeha e hoʻonui ana i ka manawa. ʻOiai he mea maʻamau nā ʻehaʻeha maʻalahi, hiki i ka ʻeha mau a koʻikoʻi paha ke hōʻike i ka pono e hoʻoponopono i kāu mau palena lapaʻau.

Pono e hōʻike koke ʻia nā pilikia lohe, me ke kani nui ʻana i kou mau pepeiao, ka lohe ʻana i ka leo, a i ʻole ka nalowale ʻana o ka lohe. Pono paha kāu kauka e hoʻololi i kāu lapaʻau a i ʻole e hāʻawi i ka pale lohe hou.

Inā ʻaʻole ʻoe e ʻike i kekahi hoʻomaikaʻi ma hope o 15-20 mau kau, e kūkākūkā i kēia me kāu hui lapaʻau. Pono paha lākou e hoʻoponopono i nā palena lapaʻau, hoʻohui i nā lāʻau lapaʻau ʻē aʻe, a i ʻole e noʻonoʻo i nā ala ʻē aʻe.

E hoʻokaʻaʻike i kāu kauka inā e hoʻomohala ʻoe i nā hōʻailona o ka maʻi ma ke kahua lapaʻau, e like me ka ʻulaʻula ʻole, ka pehu, a i ʻole ka hoʻokuʻu ʻana. ʻOiai he mea kakaʻikahi loa, pono e loiloi ʻia kekahi huhū ʻili mau.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Transcranial Magnetic Stimulation

Q.1 He maikaʻi anei ka Transcranial Magnetic Stimulation no ka hopohopo?

Hiki ke maikaʻi ʻo TMS no kekahi mau ʻano maʻi hopohopo, ʻoi aku ka nui ke hana pū lākou me ke kaumaha. Nui nā maʻi e ʻike i nā hoʻomaikaʻi ʻana i kā lākou mau hōʻailona hopohopo i ka wā e mālama ʻia ai ke kaumaha, no ka mea, pili pū nā wahi lolo i ka hoʻoponopono ʻana i ke ʻano i ka hopohopo.

Ke ulu nei ka noiʻi e kālele ana i nā maʻi hopohopo, me nā hopena maikaʻi no ka maʻi hopohopo maʻamau a me ka hopohopo pilikanaka. Eia naʻe, ʻaʻole i ʻae ʻia ʻo TMS e ka FDA no nā maʻi hopohopo, no laila e manaʻo ʻia he hoʻohana ʻole.

E loiloi kāu kauka inā hiki i kāu hopohopo ke pōmaikaʻi mai TMS ma muli o kāu mau hōʻailona kikoʻī a me ka mōʻaukala lapaʻau. Inā ʻaʻole ʻoe i pane maikaʻi i nā lāʻau lapaʻau hopohopo kuʻuna, pono paha e kūkākūkā ʻia ʻo TMS ma ke ʻano he koho.

Q.2 Hoʻokumu ʻo TMS i nā pilikia hoʻomanaʻo?

ʻAʻole maʻamau ka hana ʻana o TMS i nā pilikia hoʻomanaʻo a hiki ke hoʻomaikaʻi i ka hana cognitive i kekahi mau maʻi. ʻAʻole like me ka electroconvulsive therapy (ECT), hiki ke hoʻoulu i nā pilikia hoʻomanaʻo manawa, ʻoi aku ka nui o ka TMS a me ka mālie.

Nui nā maʻi e hōʻike i nā hoʻomaikaʻi ʻana i ka noʻonoʻo, ka nānā ʻana, a me ka maopopo o ka noʻonoʻo i ka wā e hoʻomaikaʻi ai kā lākou mau hōʻailona kaumaha me TMS. Hōʻike paha kēia i ka hana maikaʻi ʻana o ka lolo ma mua o nā hopena pololei i nā kikowaena hoʻomanaʻo.

Inā hopohopo ʻoe e pili ana i nā loli hoʻomanaʻo i ka wā e mālama ʻia ai, e mālama i kahi puke pai i kēlā me kēia lā o kāu hana cognitive a kūkākūkā i nā hopohopo me kāu hui lapaʻau. Hiki iā lākou ke kōkua i ka hoʻoholo inā pili nā loli i ka TMS a i ʻole kāu maʻi maʻi.

Q.3 Pehea ka lōʻihi o nā hopena TMS?

Hiki ke lōʻihi nā hopena TMS mai ʻeono mahina a ʻoi aku i hoʻokahi makahiki, me ka nui o nā maʻi e mālama ana i nā hoʻomaikaʻi nui no nā manawa lōʻihi. ʻOkoʻa ka lōʻihi o nā pōmaikaʻi ma waena o nā kānaka a pili i nā mea e like me kāu maʻi kikoʻī a me ke olakino holoʻokoʻa.

Pōmaikaʻi kekahi poʻe mai nā kau TMS mālama i kēlā me kēia mau mahina e hoʻomau i kā lākou hoʻomaikaʻi. ʻO kēia mau lāʻau lapaʻau mālama ʻaʻole i emi pinepine ma mua o ke kaʻina mua a hiki ke kōkua i ka pale ʻana i ka hoʻihoʻi ʻana o ka hōʻailona.

Inā hoʻi mai kāu mau hōʻailona ma hope o ka mālama ʻana iā TMS, hiki iā ʻoe ke hana hou i ke kaʻina lapaʻau me ka maikaʻi like. Nui nā maʻi e ʻike i nā papa TMS e hana maikaʻi e like me a i ʻole ʻoi aku ka maikaʻi ma mua o kā lākou lapaʻau mua.

Q.4 Uhi ʻia ʻo TMS e ka ʻinikua?

ʻO ka hapa nui o nā hoʻolālā ʻinikua nui, me Medicare, e uhi i ka TMS no ka mālama ʻana i ke kaumaha kūʻē i ka lāʻau lapaʻau ke hoʻokō ʻia nā pae hoʻohālike.

Pono ʻoe e hoʻāʻo a hāʻule ma ka liʻiliʻi ʻelua mau lāʻau lapaʻau antidepressant like ʻole e kūpono ai i ka uhi ʻana.

E kōkua maʻamau ke keʻena o kāu kauka i ka ʻae mua ʻana o ka ʻinikua a hiki ke hāʻawi i nā palapala o kāu mōʻaukala lapaʻau. Hiki i ke kaʻina hana ʻae ke lawe i kekahi mau pule, no laila he mea nui e hoʻomaka i kēia i ka wā mua o kāu hoʻolālā lapaʻau.

No nā maʻi ʻē aʻe ma mua o ke kaumaha, ʻokoʻa loa ka uhi ʻinikua. Hiki i kekahi mau hoʻolālā ke uhi i ka TMS no OCD a i ʻole nā ​​maʻi i ʻae ʻia, ʻoiai ʻaʻole paha nā mea ʻē aʻe. E nānā mau me kāu mea hoʻolako ʻinikua e pili ana i nā kikoʻī uhi.

Q.5 Hiki iaʻu ke kalaiwa ma hope o ka lapaʻau TMS?

ʻAe, hiki iā ʻoe ke kalaiwa koke ma hope o nā kau lapaʻau TMS. ʻAʻole like me kekahi mau lapaʻau hoʻoulu lolo ʻē aʻe, ʻaʻole e hoʻopilikia ka TMS i kou ʻike, ka hoʻonohonoho ʻana, a i ʻole ka hoʻokolokolo ʻana, no laila hiki iā ʻoe ke hoʻomau i nā hana maʻamau.

ʻO ka hapa nui o nā maʻi e kalaiwa iā lākou iho i a mai nā manawa TMS me ka ʻole o nā pilikia. ʻAʻole hoʻokumu ka lapaʻau i ka sedation a i ʻole ka huikau, e ʻae iā ʻoe e mālama i kāu papa hana i kēlā me kēia lā.

Eia naʻe, inā ʻoe e ʻike i ke poʻo ma hope o ka lapaʻau, makemake paha ʻoe e kali a hiki i ka pau ʻana ma mua o ke kalaiwa ʻana. Makemake kekahi poʻe maʻi e loaʻa i kekahi e kalaiwa iā lākou i ka home ma hope o kā lākou mau kau mua a hiki i ka wā e ʻike ai lākou i ka pane ʻana i ka lapaʻau.