Zomwe Zingakhale Zothandiza Kwambiri Mayendedwe a Migraine Osatetezeka
Ngati migraine yanu isayankhe mankhwala achizoloŵezi obwera ndi ochotsa mimba, katswiri wanu wamtima angaganizire njira ina yomwe imatchedwa "neurostimulation" - njira yomwe imaphatikizapo kugwiritsa ntchito magetsi amphamvu kuti apangitse maselo a mitsempha kuti asiye kusonyeza zizindikiro za ululu.
Mitundu Yogwiritsira Ntchito Matenda Omwe Amagwiritsira Ntchito Kuteteza Migraines
Kukonzekera kwa magetsi kwa mitsempha yotsatira ikugwiritsidwa ntchito pochiza migraines:
- vagal mitsempha
- supraorbital mitsempha
- mitsempha ya occipital
- sphenopalatine ganglion
Zotsitsimula za mitsempha zakhala zikugwira ntchito pochiza matenda opatsirana ndi kuvutika maganizo, ndipo kafukufuku wochepa afufuza momwe ntchito yake ikugwiritsira ntchito popanga migraines.
Phunziro lina la 2014 ku Cephalagia anafufuza anthu 30 ogwira ntchito m'magulu pazaka zisanu ndi chimodzi. Ophunzirawo adalangizidwa kuti agwiritse ntchito chipangizo chogwira dzanja (chomwe chimatchedwa kugwidwa ndi ubongo kapena gammaCore) chosagwira ntchito kumalo a khosi lomwe limagwirizana ndi nthambi yoyenera ya chiberekero cha vagus nerve. Anthu makumi asanu ndi awiri mphambu asanu ndi awiri mwa anthu 100 aliwonse omwe adagwira ntchitoyi adamva kupweteka kwapweteka atagwiritsa ntchito chipangizocho, ndipo 21 peresenti anali opanda ululu maola awiri atagwiritsa ntchito chipangizocho.
Phunziro lina la 2015 mu Journal of Headache ndi Pain anafufuza 50 migraineurs amene amagwiritsa ntchito chipangizo chimodzi (gammaCore). Zotsatira zinawonetsa kuti pafupi theka la ophunzira adamva kupweteka kwa maola awiri atatha mankhwala ndi chipangizo, ndipo 23 peresenti analibe ululu pambuyo pa maola awiri - zofanana zofanana pa phunziro loyamba.
Ngakhale zotsatirazi sizikusokoneza dziko lapansi, ndipo maphunzirowa ndi ochepa, chipangizo cha gammaCore chili wothandizira, chokhala ndi chitetezo, ndipo chimapereka mankhwala osakaniza ndi mankhwala a migraine. Zonse mwazo, maphunziro akuluakulu angakhale othandiza pakuzindikira zomwe zimagwiritsidwa ntchito.
Mitsempha ya supraorbital imapereka mbali ya pamphumi ndi khungu, chikopa chapamwamba, ndi sinus, ndi transcutaneous supraorbital stimulative nerve (t-SNS) pakalipano FDA -vomerezedwa kuti migraine kupewa. Chipangizo chomwe chimagwiritsidwa ntchito pofuna kulimbitsa mitsempha ya suproaorbital ndi chipangizo chopangidwa ndi batri. Icho chimapangidwa ndi pedi ya electrode yomwe imamangiriza pakati pa mphumi ndipo imayikidwa mmalo ndi pulasitiki pamutu.
Chipangizocho chingagwiritsidwe ntchito kwa anthu omwe ali ndi migraines kapena opanda aura ndipo amavomereza magawo 20 a mphindi 20 ku United States, kutanthauza kuti mumagwiritsa ntchito tsiku lililonse kuti muteteze migraines, musagwiritse ntchito migraine kamodzi.
Uthenga wabwino ndi wakuti chipangizochi chimagwiritsanso ntchito makasitomala ndi otetezeka ndi zotsatira zochepa zomwe zimachitika. Kuonjezera apo, zapezeka mu maphunziro kuti achepetse masiku a migraine (pafupifupi kotala), koma akadalibe othandiza monga mankhwala ena othandizira, monga Topamax (topiramate) .
Malingana ndi mphamvu ya occipital yogwira mtima (mitsempha ya occipital ili kumbuyo kwa mutu), maphunziro sakhala otsimikiza kuti kuchepetsa kupweteka kwa migraine kapena kupweteka. Ndichomwe, mphamvu ya occipital yotsitsimutsa sichikuthandizidwa tsopano ndi FDA pofuna kuchiza migraines.
Mofananamo, kupopera kwa sphenopalatine ganglion (SPG) sikunaperekedwe tsopano kwa FDA pofuna kuchiza migraines, koma chifukwa chake chiyenera kuchita zambiri ndi kusowa maphunziro kusiyana ndi maphunziro osalonjeza.
Njira yophunzirira SPG imaphatikizapo kuyika chipangizo kudzera padenga la pakamwa pambuyo pa tsaya. Wodwala ndiye amaika chida chofanana ndi foni pafupi ndi tsaya lawo kuti atulutse mphamvu yamagetsi kuti achepetse ululu - zimveka ngati filimu yongopeka, koma imakhalapo (ndipo imavomerezedwa ku Ulaya chifukwa cha mutu wa masana).
Kutsindika Magnetic Magnetic Kukonza Migraines
T ranscranial magnetic stimulator (TMS) ndi FDA -vomerezedwa kuti chithandizo cha migraine ndi aura. Chipangizochi chimapezeka ndi mankhwala kwa akuluakulu ndipo amagwiritsidwa ntchito pambuyo pa ululu wa migraine. Kugwiritsira ntchito mankhwalawa kumagwiritsa ntchito kugwiritsa ntchito chipangizo kumbuyo kwa mutu wawo. Pambuyo poika bwino chipangizocho, munthuyo amatsindikiza batani yomwe imatulutsa mphamvu zamaginito mu ubongo kuti asiye kapena kuchepetsa ululu wa migraine. Nkhani yabwino ndi yakuti chipangizochi chimalimbikitsidwa ndi zotsatira zosayembekezereka (anthu ena amamva chizungulire).
Mfundo Yofunika Kwambiri
Kumvetsetsa phindu lenileni la mankhwala opangitsa kuti migraine ikhale ndi chidwi kumafuna maphunziro apamwamba a sayansi. Izi zikunenedwa, zolimbikitsa mankhwala ndi zida zawo ndizosavuta, zosavuta kugwiritsira ntchito, ndipo zimapereka zovuta zochepa kwa migraineur.
Kuphatikiza apo, zipangizozi zimapereka ubwino wina, monga kuthandiza odwala kupeŵa kumwa mankhwala mopweteka kwambiri ndi zotsatira zovuta zogwirizana ndi mankhwala ena a migraine.
Zowonongeka panthawiyi (kuphatikizapo zochepa zenizeni za deta) ndizowonongera - inshuwalansi yanu siyingaphimbitse chipangizocho, kutanthauza kutaya buku lanu (osati ntchito yosangalatsa).
Zotsatira:
Barbanti, P., Grazzi, L., Egeo, G., Padovan, AM, Liebler, E., & Bussone, G. (2015). Zosakanikirana ndi mitsempha yachisokonezo ya mitsempha yowopsa kwambiri ya mankhwala opatsirana kwambiri omwe amatha kupweteka kwambiri. The Journal of Headache and Pain , 16:61.
Goadsby, PJ, Grosberg, BM, Mauskop, A., Cady, R., & Simmons, KA (2014). Zotsatira za kusokonezeka kwa mitsempha yosasunthika yokhudzana ndi mitsempha yowopsya pamtundu wovuta. Cephalalgia, Oct; 34 (12): 986-93.
Lipton, RB, et al. (2010). Kutentha kwapadera kwa maginito opangitsa mphamvu ya migraine ndi aura: mayesero osakanikirana, omwe ali awiri, opunduka, omwe amachititsa manyazi. The Lancet Neurology, Apr; 9 (4): 373-80.
Schwedt, TJ & Vargas, B. (2015). Kusagwiritsa ntchito mankhwala ochizira matenda a migraine ndi mutu wa masango. Pain Medicine , Sep; 16 (9): 1827-34.
Tepper, D. American Headache Society. Bokosi la Mutu: Transcutaneous Supraorbital Neurostimulation (tSNS) .