Ukuphepha, okungenayo imithi ye-Migraine engase ibe yinzuzo uzame
Uma i-migraines yakho ingaphenduli emithini yemithi yokuvimbela nokuvimbela imithi yendabuko, ingcweti yakho yekhanda ingacabangela ukwelashwa okunye okubizwa ngokuthi i-neurostimulation - inqubo efaka ukusebenzisa amagesi kagesi ukuvuselela amangqamuzana wegciwane ukuze ayeke ukudlulisela izibonakaliso zobuhlungu.
Izinhlobo ze-Neurostimulation zokuphatha ama-Migraines
Ukuvuselela kagesi kwalezi zinzwa ezilandelayo kuye kwasetshenziselwa ukuphatha imishanguzo:
- i-vagal nerve
- i-supraorbital nerve
- i-nerve occipital
- i-sphenopalatine ganglion
I-stimulus ye-nagus ishukumisekile ukuthi iphumelele ekwelapheni ukuphazamiseka kwengcindezi nokucindezeleka, kanti izifundo ezincane ziye zahlola ukusebenza kwayo ekunakekeleni i-migraines.
Ucwaningo olulodwa luka-2014 eCephalagia luhlolisise abahamba phambili abangu- 30 esikhathini esingamaviki ayisithupha. Abahlanganyeli babeyalwe ukuba basebenzise idivayisi egcinwe ngesandla (ebizwa ngokuthi i-non-invasive vagal nerve stimulation noma gammaCore) endaweni ethile entanyeni ehambisana negatsha elifanele lomlomo wesibeletho se-vagus nerve. Amaphesenti angamashumi amane nesikhombisa alabo abahlanganyele babone ukukhululeka kobuhlungu ngemva kokusebenzisa le divayisi, kanti amaphesenti angu-21 ayengenamahloni amahora amabili ngemva kokusebenzisa idivayisi.
Enye isifundo se-2015 ku- Journal of Headache and Pain yahlola abahamba phambili abangu-50 abasebenzisa idivayisi efanayo (i-gammaCore). Imiphumela yabonisa ukuthi ingxenye engaba yingxenye yabahlanganyeli yayinesihlungu sokuphumula amahora amabili ngemuva kokwelapha ngedivaysi, kanti amaphesenti angu-23 ayengekho ubuhlungu ngemva kwamahora amabili - okutholakele okufanayo esifundweni sokuqala.
Ngenkathi le miphumela ingekho ukuphazamiseka komhlaba, futhi izifundo ziyingcosana, idivaysi ye-gammaCore isineke-mgulane, iphephile, futhi inikeza okunye okunengqondo emithini yemithi ye-migraine. Konke kuzo zonke, izifundo ezinkulu zizosiza ekunqumeni ukusebenza kwayo kweqiniso.
I-nerve supraorbital inikeza ingxenye ebunzini nekhanda, isikhumba sejwabu esiphezulu, nesinasi yangaphambili, kanye nesishukela se-transraxin supraorbital stimulation (t-SNS) okwamanje i-FDA-ivunyelwe ukuvimbela i-migraine. Idivayisi esetshenziselwa ukuvuselela inzwa ye-suproaorbital iyinhlangano efana ne-batteryband-like device. Iqukethe idijithali le-electrode elibambelela enkabeni ebunzini futhi ligcinwe endaweni yesikhwama seplastiki.
Idivayisi ingasetshenziselwa abantu abane-migraine noma ngaphandle kwe- aura futhi ivunyelwe imihlangano yamaminithi angu-20 e-United States, okusho ukuthi uyayisebenzisa nsuku zonke ukuvimbela imithi, hhayi ukuphatha i-migraine uma kwenzeka.
Izindaba ezinhle ukuthi idivayisi nayo iyasebenzisa futhi iphephile ngemiphumela emibi embalwa ebikiwe. Ngaphezu kwalokho, itholakala kwizifundo zokunciphisa inani lezinsuku ze-migraine (cishe ngekota), kodwa namanje akuphumelelanga nemithi ethile yokuvimbela imithi, njenge- Topamax (topiramate) .
Ngokwe-stimulus ye-occipital (inzwa ye-occipital ikhona ngemuva kwekhanda), izifundo azizange zithembele ekunciphiseni ukuqala kwe-migraine noma ubuhlungu. Ngalokho, ukugqugquzelwa kwesisindo se-occipital okwamanje akuvunyelwe i-FDA ukuphatha imithi ye-migraines.
Ngokufanayo, ukugqugquzelwa kwe-sphenopalatine ganglion (SPG) akukona okwamanje okwamukelwe i-FDA yokwelapha imishanguzo, kodwa isizathu sokwenza okuningi ngokuntuleka kwezifundo kunezifundo ezingathembisi.
Inqubo efundelwe i-SPG ihlanganisa ukufaka idivayisi ngokusebenzisa uphahla lomlomo ngemuva kwesigama. Isiguli bese sibeka ithuluzi elithinta ifoni eduze nesihlathi salo ukukhulula umbane kagesi ukuze unciphise ubuhlungu - buzwakala njengefilimu yomsayensi wesayensi, kodwa ikhona ngempela (futhi ivunyelwe eYurophu ngekhanda lezinhlanzi ezingapheli).
Ukukhuthazwa Okumangalisayo Kwe-Transcranial Magnetic for Treating Migraines
I- ranscranial stimulator magnetic (TMS) i-FDA-evunyelwe ukwelashwa kwe-migraine nge-aura. Le divayisi itholakale kuphela ngomshwalense kubantu abadala futhi isetshenziselwa ubuhlungu be-migraine kuqala. I-migraineur isebenzisa ngokusebenzisa idivaysi ngemuva kwekhanda labo. Ngemuva kokubeka kahle idivayisi, lo muntu ucindezela inkinobho ekhishwa amandla okuvuselela amandla emaginjini ukuyeka noma ukunciphisa ubuhlungu be-migraine. Izindaba ezinhle ukuthi le divayisi ibekezelela kahle imiphumela emibi engavamile (abanye abantu bahlangabezana nosizi).
Okubalulekile
Ukuqonda inzuzo yangempela yokuvuselela imithi ye-migraines idinga izifundo ezinkulu zesayensi. Lokho kuthiwa, ukuvuselela ukwelashwa namadivayisi abo okusebenzisana akuyona into engavamile, kulula ukuyisebenzisa, futhi inikeze izingozi ezingezansi ku-migraineur.
Ngaphezu kwalokho, la madivaysi anikeza ezinye izinzuzo, njengokusiza iziguli ukugwema imithi ngokweqile ikhanda kanye nemiphumela emibi engahlosiwe ehlobene neminye imithi ye-migraine.
Ukuphazamiseka okwamanje (ngaphandle kobukhulu obuthile besitatimende sesayensi) yizindleko - umshuwalense wakho awukwazi ukumboza idivayisi, okusho ukuphula ibhokisi lakho lokuhlola (ungalokothi umsebenzi omnandi).
Imithombo:
UBartiti, P., Grazzi, L., Egeo, G., Padovan, AM, Liebler, E., & Bussone, G. (2015). Ukugqugquzelwa kwamagciwane okungavumelekile okwelashwa okunamandla kwe-high-frequency ne-chronic migraine: isifundo sokuvuleka kwelebula. I Journal of Headache and Pain , 16:61.
Goadsby, PJ, Grosberg, BM, Mauskop, A., Cady, R., & Simmons, KA (2014). Umphumela we-vagus ne-stimulus ne-stimulus ne-stimulus ye-aggraine. I-Cephalalgia, Oct; 34 (12): 986-93.
Lipton, RB, et al. (2010). Ukuvuselela okukodwa kwamagciwane okugudluza amagnetic okwelashwa okunzima kwe-migraine nge-aura: isilingo esilawuliwe, esingenakuphuphutheka, esingafani, esiluhlulekile. I-Lancet Neurology, ngoMashi; 9 (4): 373-80.
Schwedt, TJ & Vargas, B. (2015). I-neurostimulation yokwelashwa kwe-migraine ne-cluster headache. Ubuhlungu Bokugula , Sep; 16 (9): 1827-34.
I-Tepper, i-D. American Headache Society. Ibhokisi lamathuluzi ekhanda : I- Supraorbital Neurostimulation ye-Transcutaneous (tSNS) .