Yakachengeteka, Isingaiti yakaoma Migraine Mishonga Inogona Kuva Yakakosha Kuedza
Kana wako migraine asiri kupindura kune tsika dzechirwere migraine zvinodzivirira uye kubvisa mishonga, nyanzvi yako nyanzvi inogona kufunga nezveimwe nzira iyo inonzi "neurostimulation -" nzira inosanganisira kushandisa magetsi emagetsi kumutsa masero emagetsi kuitira kuti varege kutumira zvirwere zvinorwadza.
Mhando dzeUnourostimulation for Treating Migraines
Kukurudzira magetsi kwemisungo inotevera yakashandiswa kurapa migraines:
- vagal nerve
- supraorbital nerve
- occipital nerve
- sphenopalatine ganglion
Nhengo dzenzara dzinokurudzirwa dzakawanikwa dzichishanda mukurapa kukanganiswa kwekugadzirisa uye kuora mwoyo, uye zvidzidzo zviduku zvakaratidza kubudirira kwayo mukurapa migraines.
Mumwe wekudzidza 2014 muna Cephalagia akaongorora makumi matatu nevashambadziri kwemavhiki matanhatu. Vatori vechikamu vakarayirwa kushandisa chigadziro chine ruoko (chinonzi chisingaiti chisimba chinokonzera mutsara kana gammaCore) kune imwe nzvimbo yemutsipa inopindirana nebazi rakanaka remubhedha revirus nerve. Vane makumi manomwe nevanomwe vevadzidzi vakatora ruzivo rwekurwadziwa mushure mekushandisa shanduro, uye 21 muzana vakanga vasina kurwadziwa maawa maviri mushure mekushandisa shanduro.
Chimwe chidzidzo chegore ra2015 mu Journal of Headache uye Pain rinotsvaga 50 migraineurs avo vakashandisa imwechete device (iyo gammaCore). Mhinduro yakaratidza kuti inenge hafu yevatori vechikamu yaive nemarwadzo ekurwadziwa maawa maviri mushure mekurapa nechokushandisa, uye 23 muzana vakanga vasina marwadzo mushure memaawa maviri - kufanana kwakafanana kune chidzidzo chekutanga.
Kunyange zvazvo zviitiko izvi zvisiri kuparadza-pasi, uye zvidzidzo zviduku, chikwata cheGammaCore chiri murwere-chakanaka, chakachengeteka, uye chinopa imwe nzira inonzwisisika yemishonga ine migraine. Zvose mune zvose, zvidzidzo zvakakura zvingabatsira pakugadzirisa zvazviri.
Mutsara wepamusoro unopa chikamu chehuma uye chekudzivirira, maziso epamusoro, uye sinus yakatarisana, uye transcutaneous supraorbital nerve stimulation (t-SNS) iri iye zvino FDA-inogamuchirwa kuti igadzire kudzivirira. Chigadzirwa chinoshandiswa kukurudzira chirwere che suproaorbital ibhetori-inowanikwa musoro-sechigadzirwa. Inosanganisira padhi ye electrode iyo inonamatira kusvika pakati pehuma uye inobatwa panzvimbo neipurasitiki musoro.
Chigadzirwa chacho chinogona kushandiswa kune vanhu vane migraines kana kuti vasina kanara uye inogamuchirwa kwemazuva ose emaminitsi makumi maviri muUnited States, zvinoreva kuti iwe unoshandisa zuva rega rega kudzivirira migraines, kwete kubata migraine kana yaitika.
Nhau dzakanaka ndeyekuti chigadzirwa chacho chinoshandisawo-chakanaka uye chakachengeteka uye zvishoma zvataurwa nemigumisiro. Mukuwedzera, yakawanikwa mune zvidzidzo kuderedza nhamba yemazuva emigraine (neenenge chinenge chechina), asi ichiri chisina kubudirira semamwe migraine mishonga yekudzivirira, seTramaama (topiramate) .
Mukutaura kwechipipital nerve stimulation (nervipital nerve iri mushure memusoro), zvidzidzo hazvina kumbovimbisa kuderedza migraine kutanga kana kurwadziwa. Nezvo, occipital nerve stimulation haisi ikozvino FDA-inogamuchirwa mukurapa migraines.
Saizvozvowo, sphenopalatine ganglion (SPG) kukurudzira haisiwo ikozvino FDA-inogamuchirwa mukurapa migraines, asi chikonzero chinoita zvakawanda nekushayikwa kwezvidzidzo kupfuura zvidzidzo zvisiri izvo.
Imwe nzira yakadzidziswa SPG inosanganisira kuisa chigadzirwa kuburikidza nedenga remuhuro mushure mecheki. Murwere anoisa foni-sechiridzwa pedyo nedama ravo kuti asunungure magetsi ekugadzirisa marwadzo - anonzwika semusayenzi wenhema firimu, asi iripo chaizvo (uye inogamuchirwa muEurope nokuda kwemazuva mashoma mashungu).
Transcranial Magnetic Kushushikana Kwekubata Migraines
I t ranscranial magnetic stimulator (TMS) ndiyo FDA-inogamuchirwa kurapa migraine ne aura. Ichi chigadzirwa chinowanikwa chete nemishonga yevanhu vakuru uye inoshandiswa mushure mokurwadziwa kwemigraine inotanga. Kushandisa migwadzi kunoshandisa iyo nekushandisa chigadziro pamusoro pemashure emusoro wavo. Mushure mokugadzirisa zvakanaka chigadzirwa chacho, munhu wacho anoshandisa bhatani rinobudisa simba rinoita kuti magnetic energy apinde muuropi kuti amire kana kuderedza kurwadziwa kwemigraine. Nhau dzakanaka ndeyokuti chigadzirwa ichi chinonyatsobvumirwa nezvisingaoneki migumisiro (vamwe vanhu vanonzwa ruzivo).
The Bottom Line
Kunyatsonzwisisa kubatsirwa kwechokwadi kwekusimudzira kurapwa kwemigraine kunoda zvidzidzo zvakakura zvezesayenzi. Izvo zvinotaurwa, kukurudzira kurapwa uye maitiro avo akabatanidzwa hazvisi zvisingasviki, zviri nyore kushandisa, uye zvinopa zvikanganiso zvishoma kune migraineur.
Mukuwedzera, izvi zvigadzirwa zvinopa zvimwe zvingabatsirika, sekubatsira varwere kudzivisa mishonga kuderedza misoro uye kusagadzikana nemigumisiro inosanganiswa nemamwe emishonga inonzi migraine.
Kuora mwoyo panguva ino (kunze kwekusava nehuwandu hwemasayenzi ezvesayenzi) ndiyo mari - inishuwarenzi yako haifaniri kuvhara chigadzirwa, izvo zvinoreva kuputsa bhokisi rako (hazvisi basa rakanaka).
Sources:
Barbanti, P., Grazzi, L., Egeo, G., Padovan, AM, Liebler, E., & Bussone, G. (2015). Izvo zvisingaiti zvinokonzera vagus nerving stimulation nokuda kwekurapa kwakanyanya kwe-high-frequency uye kusingaperi migraine: chidzidzo chekuzarura. Journal of Headache uye Pain , 16:61.
Goadsby, PJ, Grosberg, BM, Mauskop, A., Cady, R., & Simmons, KA (2014). Migumisiro yevasingaoneki vagus nerve stimulation pamusana pekudzidzira migraine: chidzidzo chekutsvaga chekuongorora. Cephalalgia, Oct; 34 (12): 986-93.
Lipton, RB, et al. (2010). Pasi-kupisa mutachiona magnetic stimulation nokuda kwekurapa kwakanyanya kwemigraine ne aura: randomized, double-blind, parallel-group, sham-controlled control. The Lancet Neurology, Apr; 9 (4): 373-80.
Schwedt, TJ & Vargas, B. (2015). Neurostimulation yekurapa migraine uye masumbu emusoro. Pain Medicine , Sep; 16 (9): 1827-34.
Tepper, D. American Headache Society. Headache Toolbox: Transcutaneous Supraorbital Neurostimulation (tSNS) .