Ukhuseleko, olungenayo ingavumelekanga iMigraine Treaty That May Be Worth Try
Ukuba i-migraines yakho ayiphenduli kwimithi yemigudu yemithi yokukhusela nokukhupha, inzululwazi yakho yekhanda ingacinga ngonyango oluthile olubizwa ngokuba yi-neurostimulation-isicwangciso esisebenzisa ukusetyenziswa kwamagesi ombane ukuvuselela iiseli zesisindo ukuze bayeke ukuhambisa izibonakaliso zentlungu.
Iintlobo ze-Neurostimulation zokuPhatha iMigraines
Ukuvuselelwa kombane kwezi zilandelayo zethambo sele zisetyenziselwa ukunyanga imigraines:
- i-vagal nerve
- umgca wesondlo
- nesifo se-occipital
- i-sphenopalatine ganglion
Ukukhuthazwa kwamagulane enesifo kuye kwafunyanwa kuyasebenza ekuphatheni ukuphazamiseka kwengxaki kunye nokudandatheka, kwaye uphando oluncinane luye lwahlola ukuphumelela kwalo ekuphatheni i-migraines.
Olunye uvavanyo luka-2014 eCephalagia luhlolisise i-30 migraineurs kwisithuba seveki ezintandathu. Abathathi-nxaxheba bafundiswe ukuba basebenzise i-device egcinwe ngesandla (ebizwa ngokuba yintsholongwane ye-vaginal nerve stimulation okanye gammaCore) kwindawo ethile entanyeni ehambelana negatsha elifanelekileyo lomlomo we-vagus nererve. Amashumi asixhenxe anesibhozo sabathathi-nxaxheba baqaphela uxolo emva kokusebenzisa isixhobo, kwaye i-21 ekhulwini yayingenabuhlungu emva kweeyure ezimbini emva kokusebenzisa isixhobo.
Olunye uvavanyo luka-2015 kwi- Journal of Headache and Pain yahlola aba-migraineurs abangama-50 abasebenzisa isixhobo esifanayo (i-gammaCore). Iziphumo zabonisa ukuba malunga nesiqingatha sabathathi-nxaxheba babevalelwa intlungu emva kweeyure ezimbini emva kokunyangwa kweso sixhobo, kwaye iipesenti ezingama-23 zazingenabuhlungu emva kweeyure ezimbini-ezifunyanisiweyo ezifanayo kwisifundo sokuqala.
Nangona ezi ziphumo zingekho ukuphazamiseka komhlaba, kwaye izifundo zincinci, idivayisi ye-gammaCore ifumaneka-gulane, iphephile, kwaye inikezela ngenye indlela efanelekileyo kwimithi ye-migraine. Konke kuzo, izifundo ezinkulu ziya kunceda ekuqaliseni ukusetyenziswa kwayo kwenene.
I-nerrabbital nerve inikeza inxalenye yentloko kunye ne-scalp, i-eyel ephezulu, kunye ne-sinus yangaphambili, kunye ne-transcutaneous supraorbital stimulation nerve (t-SNS) okwangoku i-FDA-yamkelwe ukukhusela i-migraine. Isixhobo esisetyenziselwa ukuvuselela imbilini ye-suproaorbital yi-battery-like powerband-like device. Iqukethe ipakethe ye-electrode edibanisa kwiziko lebunzi kwaye ibanjwe endaweni yebhokisi leplastiki.
Isixhobo singasetyenziselwa abantu abane-migraines okanye ngaphandle kwe- aura kwaye ivunyiwe kwiiseshoni zemihla ngemizuzu engama-20 e-United States, oku kuthetha ukuba uyayisebenzisa imihla ngemihla ukukhusela i-migraines, ungayiphathi i-migraine xa iyenzeka.
Iindaba ezilungileyo kukuba ifowuni ibuye isebenzise umsebenzisi kwaye ikhuselekile kunye nemiphumo emibini engxelo. Ukongezelela, kufunyenwe kwizifundo zokunciphisa inani leentsuku ze-migraine (malunga nekota), kodwa ayingasebenzi njengamachiza athile okukhusela i-migraine, njenge- Topamax (topiramate) .
Ngokwe-occipital stimulation nerve (i-nervipital nervous is located back head), izifundo azizange zithembele ekunciphiseni ukuphuma kwemigraine okanye intlungu. Ngaloo ndlela, ukuvuselelwa kwentsholongwane ye-occipital okwangoku ayivunyelwe i-FDA yokunyanga imigraines.
Ngokufanayo, i-sphenopalatine ganglion (SPG) yokuvuselela akuyiyo ngoku i-FDA-avunyelwe ukunyanga i-migraines, kodwa isizathu sokwenza okungakumbi ngokungabikho kwezifundo kunezifundo ezingathembisiyo.
Inkqubo yokufundelwa i-SPG ibandakanya ukufakelwa isixhobo ngokusebenzisa uphahla lomlomo emva kwesihlathi. Isigulane sibeka i sixhobo sefowuni kufuphi nesihlunu sazo ukukhulula umbane wamandla ukunciphisa intlungu - izandi ezifana nefilimu yecawa yefayili, kodwa ikhona ngokwenene (kwaye ivunyiwe kwiYurophu yintlungu yesifo esingapheliyo).
Ukukhushulwa kwe-Transcranial Magnetic yokuPhatha iMigraines
I- ranscranial stimulator magnetic (TMS) i-FDA-ivunyiwe ukuba unyango lwe-migraine ne-aura. Le divayisi ifumaneka kuphela ngumyalelo kubantu abadala kwaye isetyenziswe emva kokuba intlungu ye-migraine iqale. I-migraineur isebenzisa ngokusebenzisa ifowuni malunga nekhanda. Emva kokubeka ngokufanelekileyo ifowuni, umntu ucofa iqhosha elikhupha amandla ombane oshukumisayo kwingqondo ukuyeka okanye ukunciphisa intlungu ye-migraine. Iindaba ezilungileyo kukuba le fowuni ixhomekeke kakuhle ngemiphumo engavumelekiyo (abanye abantu bafumana utywala).
Ngaphantsi
Ukuqonda inzuzo eyinyani yokuvuselela imithi ye-migraines idinga uphando lwezenzululwazi ezinkulu. Oko kuthethwa, ukuvuselela iindlela zokwelapha kunye nezixhobo ezihambelana nazo akuzona ezingenasidlangalaleni, ezilula ukuyisebenzisa, kwaye zinikela ingozi emfutshane kwimigraineur.
Ukongezelela, ezi zixhobo zinikeza ezinye iingeniso ezinokwenzeka, njengokunceda izigulane ziphephe ukusetyenziswa kweengxaki zonyango kunye neempembelelo ezingathandekiyo ezinxulumene neminye imithi ye-migraine.
Umxhasi ngeli xesha (ngaphandle kobuhlwempu obuninzi beenkcukacha zesayensi) yindleko - yakho yinshurensi ayinakufihla ifowuni, oku kuthetha ukuphula i-checkbook yakho (ayikho into emnandi).
Imithombo:
Barbanti, P., Grazzi, L., Egeo, G., Padovan, AM, Liebler, E., & Bussone, G. (2015). Ukuvuselelwa kwe-vagus ye-vagus ye-vagus ye-vagus ephezulu. Umbhalo weNtloko neNtlungu , 16:61.
I-Goadsby, i-PJ, i-Grosberg, i-BM, i-Mauskop, i-Cady, i-R., ne-Simmons, KA (2014). Umphumo we-nonusvasive vagus stimulation of nerve kwi-migraine ephawulekayo: isifundo se-pilot evulekileyo. I-Cephalalgia, Oktobha; 34 (12): 986-93.
Lipton, RB, et al. (2010). Ukutshatyalaliswa kwamagqabini okubangela ukunyanga kwamagraine nge-aura: i-randra, i-double-blind, i-parallel-group trial-controlled control trial. I-Lancet Neurology, ngoMatshi; 9 (4): 373-80.
Schwedt, TJ & Vargas, B. (2015). I-neurostimulation kunyango lwe-migraine kunye neentloko zeentloko. I-Medicine Pain , Sep; 16 (9): 1827-34.
Tepper, D. i-American Headache Society. Ibhokisi leTekisi yeeNtloko : I- Supraorbital Neurostimulation (iTSNS) yeTranscanbital Neurostimulation .