I- migraine ne-aura yimeko ebuthathakayo, enesifo somzimba esingachaphazela kakubi umgangatho wobomi kunye nokusebenza kwansuku zonke. Ngelishwa, abaninzi abaxhamli be-migraineurs bahlala bexhatshazwa yizo zihlaselo ezibuhlungu, nangona i-plethora yeyonyango ngaphandle. Ukuba ukhungathekile ngenxa yokunyanga kwakho kwe-migraine engapheliyo, unokufumana induduzo kwindlela yokwelapha ye-migraine esandul 'ivunyiwe.
I-Novel Migraine Therapy
NgoDisemba 2013, i-US Food and Drug Administration (i-FDA) ivume i-Cerena eyodwa-pulse Transmranial Magnetic Stimulator (i-STMS), isicatshulwa esibonakalayo esasetyenziswayo ekunciphiseni ubuhlungu obubangelwa yi-migraine ne-aura.
Isizathu esiyinhloko se-migraine aura esicatshulwayo kucingelwa ukuba yindlela ebizwa ngokuba yi-cortical depression depression okanye i-CSD. I-CSD ingumtsalane womsebenzi wesifo esicindezelekileyo kwingqondo ekhwela kwi-cortex ngexesha le-migraine. Kuye kwafunyanwa imishanguzo yokukhusela i- Topiramate ( Topamax ) yokukhusela i- CSD ebuchosheni. Ngokufanayo, esi sixhobo sivakalelwa ukuphazamisa i-CSD ebuchosheni ngaleyo ndlela ichithe ukuhlaselwa kwe-migraine.
Ingaba isebenza kanjani
Ngehora elilodwa emva kokufumana i-aura, ubamba ifowuni emva kwekhanda lakho kwaye cinezela iqhosha. Oku kukhulula i-pulse yamandla magnetic, okukhuthaza i-lobe yama-occipital ekhoyo emva kwengqondo.
I-pulse yamandla iguqula iisensi zesisombululo emlilweni womlilo okanye ukuthumela iimpawu, ukuphazamisa loo ntshukumo ye-CSD.
Isifundo esiphambili kwiDivaysi
Isiqinisekiso sokwamkelwa kwe-FDA sisifundo kwiLancet Neurology . Kulolu cwaningo, abantu abangama-201 abaye bahlushwa i-migraine ne-aura babengenakulinganiswa ukuba bathuthukiswe yi-STMS ngokubhekiselele ekuvuseleleni (into epakile okanye engafanelekanga eyenziwa ngokubonakalayo kwisixhobo sangempela).
Aba bathathi-nxaxheba kunye nabafundeli / abahloli bafunyaniswe impazamo, ngokungathi akukho mntu wayesazi ukuba yiyiphi idivaysi yesigidi. Abathathi-nxaxheba baxelelwe ukuba basebenzise i sixhobo ezintathu ukuya kweenyanga ezintathu. Abathathi-nxaxheba abangamashumi amathathu anesixhenxe abazange baphele basebenzise idivaysi kwaye bengabandakanywa.
Iziphumo zabonisa ukuba iiyure ezimbini emva kokunyanga, i-migraineurs esebenzisa i-sTMS (okt i-device yangempela) inokukhululeka kakhulu kunabo abasebenzisa isixhobo sakwa-sham. Ukongezelela, abathathi-nxaxheba babekho amathuba okuba bangabi neentlungu ezingama-24 emva kokusetyenziswa kwe-STMS kunezo zixhobo zomphathi. Oku kwagcinwa neeyure ezingama-48 emva kokuba unyango.
Ukongeza, abathathi-nxaxheba baxela intlungu yabo emva kokuba i-aura enomnene, ephakathi okanye enzima. Ama-migraineurs abalisa iintlungu zentlungu okanye zintlungu ezinzulu kwaye basebenzise isisombululo sangempela sineempawu ezininzi zokunceda imithi ye- migraine njenge-nausea, photophobia, kunye ne-phonophobia kunabo babesebenzisa isixhobo esifanayo.
Isishwankathelo seSTMS IiNkcukacha zeDivayisi ngokusekelwe kwi-FDA imvume
- I-Portable, ephathekayo kunye nobungqina bomsebenzisi
- Ifumaneka ngumyalelo kuphela
- Kuvunyelwe kuphela abantu abaneminyaka eli-18 ubudala okanye ngaphezulu
- Kuvunyelwe kuphela kulabo abaneengxaki ze-migraines ne-aura
- Ukusetyenziswa kwesixhobo akufanele kudlule emva kweeyure ezingama-24
- Isixhobo sichasene nabantu abanezinyithi entloko, entanyeni, okanye emzimbeni ongaphezulu okanye ukuba "banezixhobo zonyango ezithintekayo ezifana ne-pacemaker okanye i-stimulator engqondweni."
- I-FDA ikwaxwayisa ukuba ifowuni ayifanele isetyenziswe kubantu abaneenkcukacha zomntu okanye yentsapho yokubanjelwa.
Thatha Umyalezo Wasekhaya
Nangona le fowuni ayinayo yonke into kwaye ngokuqinisekileyo ayiyiyo isiqinisekiso, kunokufaneleka ukuzama xa ikhona kwaye ifikeleleka. Into enhle ngakuyo kukuba ayiyona ingeniso kwaye ayikho into ekufuneka uyidle. Kungakhathaliseki ukuba, kwenziwe uphando olongezelelweyo ukuze kuqondwe kangcono indlela esebenzayo kwisixhobo, kwaye ingaba ingaphuculiswa ngakumbi.
Thetha nogqirha uze ufumane uluvo lwabo. Njengamaxesha onke, hlala usebenza kwiintloko zakho kunye nempilo yonke.
Imithombo:
Bolay H, Reuter U, Dunn AK, Huang Z, Boas DA, Moskowitz MA.Intrinsic yobuchopho umsebenzi kubangela trigeminal meningeal afferents in
imodeli ye-migraine. Nat Med 2002; 8: 136-42.
Dalkara T, Nozari A, Moskowitz MA. I-Migraine aura pathophysiology: indima yemithambo yegazi kunye ne-microembolization. Lancet Neurol. 2010 Mar; 9 (3): 309-17
I-Holland PR, i-Schembri CT, u-Fredrick JP, i-Goadsby PJ. Ukuvuselela i-Transcranial magnetic ukwenzela unyango lwe-migraine aura. Neurology
2009; 72 (i-suppl 3): A250
I-Lipton RB, i-Dodick DW, iSilberstein SD, i-Saper JR, i-Aurora SK, i-Pearlman SH et al. Ukutshatyalaliswa kwamagqabini okubangela ukunyanga kwamagraine nge-aura: i-randra, i-double-blind, i-parallel-group trial-controlled control trial. I-Lancet Neurology . Ngo-2010 uMb; 9 (4): 373-80.