I- migraine ne-aura yisimo esibucayi, isimo sezinzwa ezingasithinta kabi izinga lomuntu lomsebenzi kanye nokusebenza kwansuku zonke. Ngeshwa, abaningi abahlukumezekayo basabhekana nalokhu kuhlaselwa okubuhlungu, naphezu kwezinto eziningi zokwelapha ngaphandle lapho. Uma uphazamiseka ukuphulukiswa kwakho okungahambi kahle kwe-migraine, ungathola induduzo kumuthi omusha osanda kuvunyelwa owawubonakala ohlukile kakhulu.
I-Novel Migraine Therapy
NgoDisemba 2013, i-US Food and Drug Administration (FDA) ivume i-Cerena eyodwa-pulse Transcranial Magnetic Stimulator (sTMS), idivayisi ephathekayo yezokwelapha esetshenziselwa ukunciphisa ubuhlungu obubangelwa i-migraine ne-aura.
Isizathu esiyinhloko sokuthi i-migraine aura ebonakalayo iyindlela yokubizwa ngokuthi i-cortical ukusakaza ukucindezeleka noma i-CSD. I-CSD ingumgudu womsebenzi wesifo ocindezelekile ebuchosheni obunqamula i-cortex ngenkathi i-migraine. Imithi yokuvimbela i-migraine njenge-Topiramate ( Topamax ) itholakale ukucindezela i-CSD ebuchosheni. Ngokufanayo, le divayisi izwa ukuphazamisa i-CSD ebuchosheni ngaleyo ndlela ihlukumeza ukuhlasela kwe-migraine.
Indlela Esebenza ngayo
Kungakapheli ihora elilodwa ngemuva kokuthola i-aura, ubamba idivaysi ngokuya kwekhanda lakho bese ucindezela inkinobho. Lokhu kukhishwa amandla okugaya amandla, okwenza lobe wes occipital ekhona ngemuva kwengqondo.
I-pulse of energy iguqula indlela yamangqamuzana emisipha emlilweni womcibisholo noma ithumele izimpawu, iphazamise leyo ngxube ye-CSD.
Isifundo EsikuDivaysi
Isizathu sokugunyazwa kwe-FDA yisifundo ku -Lancet Neurology . Kulolu cwaningo, abantu abangu-201 abahlukunyezwe nge-aura babenomsebenzi wokuba bathuthukiswe yi-sTMS ngokuhambisana nokuvuselela (idivaysi engafanele noma engekho emisebenzini eyayifana nokubonakala kudivayisi yangempela).
Laba bahlanganyeli kanye nabacwaningi abacwaningi / abahloli baphuphuthekiswe ekuzilandiseni, okusho ukuthi akekho owaziyo ukuthi yiliphi i-migraineur elinikeziwe. Ababambiqhaza bafundiswe ukuba basebenzise le divayisi kuze kuhlaselwe abathathu ngesikhathi sezinyanga ezintathu. Abahlanganyeli abangamashumi amathathu nesikhombisa abazange baqede ukusebenzisa idivayisi futhi bebekiwe.
Imiphumela yabonisa ukuthi amahora amabili emva kokwelashwa, ama-migraineurs asebenzisa i-sTMS (okusho idivayisi yangempela) ayenekhululekile kakhulu kunelabo abasebenzisa idivayisi ye-sham. Ukwengeza, ababambiqhaza babengase babe namahora angu-24 ngemuva kokusebenzisa i-sTMS kunelabo abaphethe idivayisi. Lokhu kwaphinde kwagcina amahora angu-48 ngemuva kokulashwa.
Ngaphezu kwalokho, abahlanganyeli babike ubuhlungu bekhanda ngemuva kokuba i-aura yabo ibe mnene, ihlolisise noma inzima. Ama-migraineurs abike ubuhlungu obukhulu obukhulu noma obukhulu bekhanda futhi asetshenziselwa idivayisi yangempela ayeneminye imizwa ye- migraine njenge-nausea, photophobia, ne-phonophobia kunabo abasebenzisa idivayisi efanayo.
Ukufingqa kwamaqiniso wedivayisi ye-STMS Ngokusekelwe kokugunyazwa kwe-FDA
- Iphathekayo, iphathekayo futhi isebenza ngomsebenzisi
- Itholakala ngodokotela kuphela
- Kuvunyelwe kuphela abantu abaneminyaka engu-18 noma ngaphezulu
- Kuvunyelwe kuphela labo abahlukunyezwa yi-migraines ne-aura
- Ukusetshenziswa kwedivayisi akufanele kudlulele kanye ngamahora angu-24
- Idivayisi inqatshelwe kubantu abanezinsimbi ezinhlokweni, entanyeni, noma emzimbeni ongaphezulu noma uma "banezici zokwelashwa ezithintekayo ezifana ne-pacemaker noma i-stimulator ejulile."
- U-FDA uphinde uxwayise ukuthi le divayisi akufanele isetshenziswe kubantu abanomlando womuntu siqu noma womndeni wokuwa.
Thatha umlayezo wasekhaya
Ngenkathi le divayisi ingezona wonke umuntu futhi ngokuqinisekile ayiyona isiqinisekiso, kungase kudingeke uzame uma itholakale futhi ingabizi. Into enhle ngalokhu ukuthi akuyona into engenasidingo futhi akuyona into okufanele uyenze. Kungakhathaliseki ukuthi, kwenziwa izifundo eziningi ukuze kuqondwe kangcono indlela esekelwe ngayo idivayisi, nokuthi ngabe ingathuthukiswa yini.
Khuluma nodokotela wakho futhi uthole umbono wabo. Njengalokhu njalo, hlala usebenza kahle ekhanda lakho futhi impilo yonke.
Imithombo:
U-Bolay H, u-Reuter U, i-Dunn AK, i-Huang Z, i-Boas DA, i-Moskowitz MA.
imodeli ye-migraine. Nat Med 2002; 8: 136-42.
Dalkara T, Nozari A, Moskowitz MA. I-Migraine aura pathophysiology: indima yemithwalo yegazi kanye ne-microembolization. I-Lancet Neurol. 2010 Mar; 9 (3): 309-17
Holland PR, Schembri CT, Fredrick JP, Goadsby PJ. Ukugqugquzelwa kwamagnetic ukudluliswa kwemithi yokwelashwa kwe-migraine aura. I-Neurology
2009; 72 (isithathu 3): A250
U-Lipton RB, u-Dodick DW, uSilberstein SD, uSaper JR, u-Aurora SK, uPearlman SH et al. Ukuvuselela okukodwa kwamagciwane okugudluza amagnetic okwelashwa okunzima kwe-migraine nge-aura: isilingo esilawuliwe, esingenakuphuphutheka, esingafani, esiluhlulekile. I-Lancet Neurology . 2010 Mga; 9 (4): 373-80.