He aha te Whakaoho Hiko Autō Transcranial? Te Whāinga, te Hātepe me ngā Hua

Ko te Whakaoho Hiko Autō Transcranial (TMS) he rongoā whakaoho roro kāore e pokanoa ana, e whakamahi ana i ngā pānga autō ki te whakahohe i ngā wāhi motuhake o tō roro. Whakaarohia he huarahi ngawari ki te "whakaoho" i ngā wāhi roro kāore i te pai te mahi, ina koa i ngā āhuatanga pēnei i te pouri, kei reira ngā ara iahiko roro e iti ana te kaha.

Kei te āwhina tēnei rongoā kua whakaaetia e te FDA i te hunga ki te kimi i te oranga mai i ngā momo āhuatanga hauora hinengaro mai i te tau 2008. Ka mahia te hātepe i roto i te tari tākuta i a koe e tūpato ana, e mataara ana, e waihanga ana i tētahi atu huarahi ngawari ki ngā rongoā kaha ake.

He aha te Whakaoho Hiko Autō Transcranial?

Ka mahi a TMS mā te whakatakoto i tētahi porowhita autō ki tō kiri mā te tuku i ngā ngaru autō ki ngā wāhi roro motuhake. He rite ēnei ngaru ki te kaha o ngā mea e whakamahia ana i roto i ngā mīhini MRI, engari e whāia ana ki te whakaoho i ngā neuron i ngā wāhi e whakahaere ana i te ngākau, te whakaaro, me te whanonga.

Ka haere ngā pānga autō mā tō angaanga kāore he mamae, ka waihanga i ngā ia hiko iti i roto i tō kiko roro. Ka āwhina ēnei ia ki te "tāutu anō" i ngā ara iahiko neural kua raru pea nā te pouri, te āwangawanga, ētahi atu āhuatanga rānei.

E rua ngā momo matua ka tūtaki pea koe. Ka tukuna e te Repetitive TMS (rTMS) ngā ngaru auau i roto i tētahi tauira irirangi, i te wā e tuku ana te whakaoho i te theta burst i ngā ngaru poto, kaha ake. Ka whiriwhiria e tō tākuta te huarahi e pai ana mō tō āhuatanga motuhake.

He aha te take e mahia ana te Whakaoho Hiko Autō Transcranial?

Ka whakamahia te TMS i te tuatahi i te wā kāore i te nui te oranga i ngā rongoā tuku iho mai i ō tohumate. Ko te nuinga o te wā ka tohua mō te rongoā-ā-rongoā-kore-whakaora, ko te tikanga kua whakamātau koe i te iti rawa e rua ngā rongoā anti-pouri rerekē kāore i angitu.

I tua atu i te pōuri, ka taea e te TMS te āwhina i ētahi atu āhuatanga e pā ana ki tō kounga o te oranga. Ka tohutohu pea tō tākuta i tēnei mō te mate whakahihiri-whakamau (OCD), ina koa ka mau tonu ngā whakaaro hōhā me ngā whanonga whakamau ahakoa ētahi atu rongoā.

Kei te whakamahia hoki te rongoā nei mō te ārai i te migraine, ina koa mō ngā tāngata e pā ana ki te mamae o te upoko e auau ana, e whakaiti ana i te kaha. E kitea ana e ētahi tūroro he āwhina te TMS mō ngā mate āwangawanga, te mate tūkinotanga i muri i te wharanga (PTSD), me ētahi āhuatanga mamae.

I ngā wā onge, ka whakaarohia pea te TMS mō ngā āhuatanga pēnei i te mate bipolar, te schizophrenia, te mate kai rānei, ahakoa kei te rangahaua tonu ēnei tono. Ka āta arotakehia e tō kaiwhakarato hauora mēnā e tika ana te TMS mō tō āhuatanga motuhake.

He aha te tikanga mō te Whakaoho Hiko Hiko Transcranial?

Ka roa ake tō wāhanga TMS tuatahi i te tikanga, nā te mea me mapi tō roro e tō tākuta me te kimi i te kaha whakaoho tika. Ka noho koe i roto i tētahi tūru pai i te wā e whakatakoto ana te tohunga i te porowhita aukume ki tō upoko, i te nuinga o te wā ki runga i te kiri o mua o te roro mauī.

Kei roto i te tukanga mapi te kimi i tō

Ka mahia te rongoā i runga i te tūāpapa manawanui, nā reira ka taea e koe te taraiwa i a koe ki ngā hui me te hoki mai. Kāore i rite ki ētahi atu rongoā whakahihiri roro, kāore te TMS e hiahia anaesthesia, sedation rānei, e āhei ana koe ki te pupuri i ō mahi o ia rā.

Me pēhea te whakarite mō tō Whakahihiri Āwhārangi Ā-Mātai?

He tino tika te whakarite mō te TMS, engari he mea nui hei whakarite i tō haumaru me te whai hua o te rongoā. Ka whakahaere tō tākuta i te aromatawai hauora whānui, tae atu ki ngā pātai mō ngā whakaurunga whakarewa, ngā taputapu rongoā, rānei, ngā rongoā e tango ana koe.

Me tango e koe ngā mea whakarewa katoa mai i tō upoko me te kaki i mua i ia wāhanga. Kei roto i tēnei ngā whakapaipai, ngā titi makawe, ngā taputapu whakarongo, me ngā mahi niho ka taea te tango. Ka taea e ēnei mea te pokanoa ki te āwhārangi mātai, ka wera rānei i te wā o te rongoā.

Whakamōhio atu ki tō rōpū hauora mō ngā rongoā e tango ana koe, ina koa ko ngā mea e whakaheke ana i tō paepae hopu. Ahakoa he tino onge ngā hopu ki te TMS, ka piki ake tēnei tūponotanga e ētahi rongoā. Ka whakatika pea tō tākuta i ō rongoā mō te wā poto ki te hiahiatia.

I ngā rā rongoā, kai noa me te noho wai. Ka hiahia pea koe ki te kawe i ngā taringa, i ngā mono taringa rānei, nā te mea he nui te haruru o ngā oro pāwhiri, ahakoa e whakarato ana te nuinga o ngā whare haumanu i te whakamarumaru taringa. E kite ana ētahi tāngata he pai ki te kawe i te pukapuka, i te waiata rānei hei āwhina i te wā i ngā wāhanga.

Mēnā he āwangawanga tō mō te claustrophobia, te āwangawanga rānei mō te tikanga, kōrerohia ēnei ki tō rōpū rongoā i mua. Ka taea e rātou te āwhina i a koe kia pai ake te noho, ā, ka whakaaro pea rātou i ngā tikanga whakangā.

Me pēhea te pānui i ō hua Whakahihiri Āwhārangi Ā-Mātai?

Kāore ngā hua TMS e inea ana mā ngā whakamātautau taiwhanga tuku iho, ngā rangahau whakaahua rānei. Engari, ka arotakehia tō ahunga whakamua mā ngā tauine whakatau tohu, ngā pātai ā-wairua, me ngā arowhai auau ki tō kaiwhakarato hauora mō te āhua o tō tū.

Ka tīmata pea koe ki te kite i ngā whakapainga i roto i tō āhua, i ō taumata pūngao, i ētahi atu tohumate rānei i muri i te rua ki te toru wiki o te rongoā. Ko ētahi tāngata ka pōturi te huri, ētahi atu ka kite i ngā whakapainga ohorere. He mea noa ngā tauira e rua, ā, kāore e tohu i tō hua whakamutunga.

Ka whakamahi pea tō tākuta i ngā tauine whakatau i te pouri, i te āwangawanga rānei hei whai i tō ahunga whakamua i runga i te kaupapa. Mā ēnei pātai e āwhina ki te ine i ngā huringa i roto i te moe, te hiahia kai, te arotahi, me te āhua whānui kāore pea koe e kite i ia rā, i ia rā.

Ko te urupare ki te TMS te tikanga he 50% neke atu rānei te whakapainga i te kaha o te tohumate, i te wā e kī ana te murunga kua heke ō tohumate ki ngā taumata iti rawa. Tata ki te 60% o te hunga e kite ana i te whakapainga nui, ā, tata ki te kotahi hautoru e eke ana ki te murunga.

Kia mahara, ka taea tonu te whakawhanake i ngā painga mō ētahi wiki i muri i te mutunga o tō akoranga rongoā. Ko ētahi tāngata e kite ana i ā rātou hua pai rawa atu i te kotahi ki te toru marama i muri i te rongoā, nō reira he mea nui te manawanui i te wā o tēnei tukanga.

Me pēhea te whakanui i ō hua Whakaoho Autō Roro?

Ko te whakanui i ō painga TMS e hāngai ana ki te pupuri i te rite tonu ki tō hōtaka rongoā me te tautoko i tō hauora hinengaro whānui. Ko te ngaro i ngā wāhanga ka whakaiti i te whai huatanga o te rongoā, nō reira ngana ki te haere ki ngā hui kua whakaritea ahakoa kāore koe e pōturi ana i ngā whakapainga.

Haere tonu ki te tango i ngā rongoā kua whakaritea mēnā kāore anō tō tākuta e tohutohu ana i ētahi atu. He maha ngā wā ka pai te mahi a te TMS i te wā e honoa ana ki ngā rongoā anti-pouri, ki ētahi atu rongoā rānei e tango ana koe. Kaua e mutu, e huri rānei i ngā rongoā me te kore e kōrero tuatahi ki tō kaiwhakarato hauora.

Ko te tautoko i tō rongoā ki ngā whiringa oranga hauora ka taea te whakanui i ō hua. Ko te korikori tinana i ngā wā katoa, te moe tika, me te kai pai e tautoko ana i te hauora o te roro, ā, ka āwhina pea i te TMS kia pai ake te mahi. Ahakoa ngā mahi māmā pēnei i te hikoi ka whai hua.

Whakaarohia te tāpiri i te rongoā hinengaro ki tō mahere maimoatanga mēnā kāore anō koe i te mahi tahi me tētahi kaimātai hinengaro. He tokomaha ngā tāngata e kite ana ka nui ake te whai wāhi o te TMS ki te rongoā, ā, ko te whakakotahitanga ka hua ake ngā hua pai ake i te maimoatanga kotahi.

Kia noho tūhono tonu ki tō pūnaha tautoko i te wā o te maimoatanga. Whakamōhiotia te whānau me ngā hoa mō tō haerenga TMS kia taea e rātou te whakahihiri me te āwhina i a koe ki te kite i ngā huringa pai ka ngaro pea i a koe.

He aha ngā āhuatanga tūpono mō ngā raruraru TMS?

He pai te pōhiri a te nuinga o te tāngata ki te TMS, engari ko ētahi āhuatanga ka piki ake te tūponotanga o ngā pānga taha, ka kore rānei koe e tika mō te maimoatanga. Ko te whai i ngā whakaurunga whakarewa i roto, tata rānei ki tō upoko te āhuatanga tūpono nui rawa atu, nā te mea ka wera, ka neke rānei ēnei i te wā o te maimoatanga.

Ngā mea whakarewa motuhake e kore ai e haumaru te TMS ko ngā whakaurunga cochlear, ngā whakaohooho roro hōhonu, ngā whakaohooho io vagus, me ētahi momo topenga aneurysm. Heoi, ko ngā whakakī niho, ngā karauna, me te nuinga o ngā taputapu orthodontic he haumaru tonu.

Ko te hītori whaiaro, te hītori whānau rānei o ngā hauhautanga ka piki ake tō tūponotanga, ahakoa he tino onge tonu ngā hauhautanga i te wā o te TMS (iti iho i te 0.1% o ngā tūroro). Ka āta arotake tō tākuta i tēnei tūponotanga, ā, ka tūtohu tonu pea i te maimoatanga me ngā whakatūpato tika.

Ko ētahi rongoā ka taea te whakaheke i tō paepae hauhautanga, ka piki ake pea te tūponotanga. Kei roto i ēnei ko ētahi rongoā anti-depressant, antipsychotics, me ngā rongoā e whakamahia ana mō te ADHD. Ka arotake tō tākuta i ō rongoā katoa, ā, ka whakatika pea i a rātou mēnā e tika ana.

Ko te hapū e kiia ana he contraindication mō te TMS, ehara i te mea e mōhiotia ana he kino, engari nā te mea kāore he rangahau nui hei whakapūmau i te haumaru. Mēnā kei te hapū koe, kei te whakamahere rānei koe ki te hapū, kōrerohia ngā maimoatanga kē me tō tākuta.

Ka pānga pea ngā āhuatanga e pā ana ki te pakeke ki tō rongoā. Ahakoa kua whakaaetia te TMS mō ngā pakeke, tērā pea ka rerekē ngā urupare, ngā tūponotanga rānei o ngā kaumātua. Tērā pea ka hiahia ngā tūroro tino kaumātua ki ngā tikanga rongoā kua whakarerekētia, ki te mātakitaki rānei.

He aha ngā raruraru ka puta mai i te Whakaoho Hiko Rākau Whakawhiti?

Ko ngā pānga taha tino noa o te TMS he ngawari, he wā poto noa iho, ā, ka ngaro i roto i ngā hāora ruarua i muri i te rongoā. Ka puta te ānini i roto i te 40% o ngā tūroro, ina koa i te wiki tuatahi o te rongoā, engari ka iti ake te auau o tēnei i te wā e urutau ana koe ki te rongoā.

Ka pā te mamae, te mamae rānei o te kiri o te mahunga ki te wāhi rongoā ki te maha o ngā tūroro i te tīmatanga. He rite tēnei ki te ngawari, te mamae rānei i te wāhi i whakatakotoria ai te porowhita aukume, he rite ki te āhua o tō kiri o te mahunga i muri i te mau i te pōtae kikī. Ka tino iti te mamae i muri i ngā wāhanga tuatahi.

Ka pā te wiri, te kōpiko rānei o ngā uaua o te kanohi ki ētahi tāngata i te wā o te rongoā, ina koa ki te whakaohooho te porowhita aukume i ngā io o te kanohi e tata ana. Ahakoa he mea ohorere tēnei, ehara i te mea mōrearea, ā, ka ngaro wawe i te wā e whakatikatikahia ana te tūnga o te porowhita.

Ka taea te rerekē o te rongo i te mea he nui te haruru o te pāwhiri i te wā o te rongoā, ahakoa he tino onge te kino o te rongo i te wā e whakamahia ana te whakamarumaru taringa tika. E kī ana ētahi tūroro he tangi wā poto i roto i ō rātou taringa (tinnitus) i muri i ngā wāhanga.

He tino onge ngā raruraru nui ake, engari he mea nui kia māramahia. Ka puta te hopu i roto i te iti iho i te 1 i roto i te 1,000 tūroro, ā, i te wā e puta ana, he poto noa iho, ā, ka ngaro me te kore pānga pumau. Kua whakangungua tō rōpū rongoā ki te whakahaere i tēnei ohorere onge.

I ngā wā tino onge, ka pā te rerekē o te āhua ki ētahi tūroro e rite ana ki te mea whakahē, pērā i te piki o te āwangawanga, te pōhēhē rānei. He wā poto noa iho ēnei pānga, engari he mea nui kia pūrongo tonu i ngā rerekētanga o te āhua e pā ana ki tō kaiwhakarato hauora.

Kei te rangahaua tonu ngā pānga wā-roa, engari e whakaatu ana te rangahau o nāianei kāore te TMS e pā ana ki te whara roro e mau tonu ana, ki ngā huringa hinengaro nui rānei. Ko te nuinga o ngā pānga taha ka ngaro katoa i roto i ngā rā ki ngā wiki i muri i te otinga o te maimoatanga.

Āhea au e kite ai i te tākuta mō te Whakaoho Hiko Hiko-ā-Roro?

Me whakapā atu koe ki tō kaiwhakarato hauora tonu mēnā ka pā ki a koe ētahi mahi pēnei i te hopu i te wā, i muri rānei i te maimoatanga TMS. Kei roto i tēnei ko te wiri kāore i te whakahaerehia, te ngaro o te māramatanga, te rangirua, tētahi wāhanga rānei ka ngaro tō mōhiotanga ki tō taiao.

Te pōkae nui, te huri i te whanonga, te āwangawanga, te rerekētanga o te ngākau, ngā whakaaro whakamomori, te raru ranei, me whakapā atu ki te rōpū hauora tonu. Ki te kore e taea e koe te toro atu ki te rōpū, me rapu wawe i te awhina.

Me arotake ngā mamae nui o te upoko e kore e aro ki ngā rongoā mamae, ngā mamae ranei e kaha haere ana i te wā. Ahakoa he mea noa ngā mamae iti o te upoko, ko te mamae tonu, te mamae nui rānei, ka tohu pea he hiahia ki te whakatika i ō tikanga maimoatanga.

Me pūrongo wawe ngā raruraru rongo, tae atu ki te tangi nui i ō taringa, te rongo pōroiroi, te ngaro rongo rānei. Me whakatika pea e tō tākuta tō maimoatanga, me hoatu rānei he whakamarumaru rongo atu.

Ki te kore koe e kite i te whakapai ake i muri i ngā hui 15-20, kōrerohia tēnei ki tō rōpū maimoatanga. Me whakatika pea e rātou ngā tikanga maimoatanga, me tāpiri atu rānei ētahi atu rongoā, me whakaaro rānei ki ētahi atu huarahi.

Whakapā atu ki tō tākuta ki te whakawhanake koe i ngā tohu o te mate i te wāhi maimoatanga, pēnei i te whero, te pūpū, te rerenga rānei. Ahakoa he mea tino onge, me arotake ngā riri kiri tonu.

Ngā pātai auau mō te Whakaoho Autō Whakawhiti-ā-Roro

Q.1 He pai te Whakaoho Autō Whakawhiti-ā-Roro mō te āwangawanga?

Ka whai hua te TMS mō ētahi momo raruraru āwangawanga, ina koa ka puta tahi me te pōuri. He maha ngā tūroro e kite ana i te whakapai ake i ngā tohu āwangawanga i te wā o te maimoatanga mō te pōuri, i te mea ka pā te rōpū roro e whai wāhi ana ki te whakahaere i te ngākau ki te āwangawanga.

Kei te tipu te rangahau e arotahi ana ki ngā raruraru āwangawanga, me ngā hua pai mō te raruraru āwangawanga whānui me te āwangawanga pāpori. Heoi, kāore anō te TMS i whakaaetia e te FDA mō ngā raruraru āwangawanga, nō reira ka whakaarohia he whakamahi i waho i te tapanga.

Ka arotake tō tākuta mēnā ka whai hua tō āwangawanga mai i te TMS i runga i ō tohu me tō hītori maimoatanga. Ki te kore koe i aro pai ki ngā maimoatanga āwangawanga tuku iho, he pai pea te kōrero mō te TMS hei kōwhiringa.

Q.2 Ka pā te TMS i ngā raruraru mahara?

Kāore te TMS e pā ana i ngā raruraru mahara, ā, ka pai ake pea te mahi hinengaro i ētahi tūroro. Kāore i rite ki te rongoā hiko (ECT), ka pā ana i ngā raruraru mahara rangitahi, he nui ake te whāinga me te ngawari o te TMS.

He maha ngā tūroro e pūrongo ana i te whakapai ake i te arotahi, te arotahi, me te mārama hinengaro i te wā e pai ake ana ā rātou tohu pōuri me te TMS. E whakaatu ana tēnei i te pai ake o te mahi o te roro, kaua i ngā pānga tika ki ngā pokapū mahara.

Ki te āwangawanga koe mō ngā huringa mahara i te wā o te maimoatanga, puritia he rārangi o ia rā o tō mahi hinengaro, me te kōrero mō ō āwangawanga ki tō rōpū maimoatanga. Ka taea e rātou te āwhina ki te whakatau mēnā e pā ana ngā huringa ki te TMS, ki tō āhuatanga taketake rānei.

Q.3 Kia pēhea te roa o ngā hua TMS?

Ka roa ngā hua TMS i te ono marama ki te neke atu i te tau, me te maha o ngā tūroro e mau ana i te whakapai ake nui mō ngā wā roa. He rerekē te roa o ngā painga i waenga i ngā tāngata, ā, e whakawhirinaki ana ki ngā āhuatanga pēnei i tō āhuatanga me tō hauora whānui.

Ka whai hua ētahi tāngata mai i ngā hui TMS tiaki i ia marama torutoru hei pupuri i ā rātou whakapai ake. He iti ake te auau o ēnei maimoatanga tiaki i te akoranga tuatahi, ā, ka āwhina i te aukati i te hokinga mai o ngā tohu.

Ki te hoki mai ō tohu i muri i te maimoatanga TMS angitu, ka taea e koe te whakahoki i te akoranga maimoatanga me te whai hua rite. He maha ngā tūroro e kite ana he pai, he pai ake rānei te mahi o ngā akoranga TMS i muri mai i tō rātou maimoatanga tuatahi.

Q.4 Ka hipokina te TMS e te inihua?

Ko te nuinga o ngā mahere inihua nui, tae atu ki a Medicare, e hipoki ana i te TMS mō te pōuri e ātete ana ki te maimoatanga ina tutuki ngā paearu motuhake.

Me whakamātau koe, me te kore i angitu, i te iti rawa e rua ngā rongoā rerekē mō te pouri kia tika ai koe mō te inihua.

Ka āwhina te tari o tō tākuta ki te whakaae i mua i te inihua, ā, ka taea e rātou te whakarato tuhinga mō tō hītori rongoā. Ka roa pea te tukanga whakaae i ngā wiki, nō reira he mea nui kia tīmata wawe i tēnei i roto i tō whakamahere rongoā.

Mō ngā āhuatanga kē atu i te pouri, he rerekē te inihua. Ka kapi pea ētahi mahere i te TMS mō te OCD, ētahi atu āhuatanga rānei kua whakaaetia, engari kāore pea ētahi atu. Me tirotiro tonu ki tō kaiwhakarato inihua mō ngā kōrero motuhake mō te kapi.

Q.5 Ka taea e au te taraiwa i muri i te rongoā TMS?

Āe, ka taea e koe te taraiwa tonu i muri i ngā wāhanga rongoā TMS. Kāore i rite ki ētahi atu rongoā whakahihiri roro, kāore te TMS e pā ana ki tō māramatanga, tō ruruku, tō whakawā rānei, nō reira ka taea e koe te hoki ki ngā mahi noa tonu.

Ko te nuinga o ngā tūroro e taraiwa ana i a rātou anō ki ngā hui TMS, me te hoki mai, kāore he raruraru. Kāore te rongoā e pā ana ki te moe, te rangirua rānei, e āhei ana koe ki te pupuri i tō hōtaka o ia rā.

Heoi, ki te pā mai te mamae o te upoko i muri i te rongoā, me tatari pea koe kia ngaro rawa i mua i te taraiwa. E pai ana ētahi tūroro kia taraiwahia rātou e tētahi atu tangata ki te kāinga i muri i ā rātou wāhanga tuatahi kia mōhio rātou ki te pēhea te urupare ki te rongoā.