- PMID: 31930785
- DOI: 10.4088 / PCC.19l02469
Halin jima'i na tilastawa (CSB) cuta ce mai rikitarwa, yana haifar da raunin psychosocial, matsalolin kuɗi da na iyali, da kuma hauhawar ɗimbin cutar cututtukan jima'i. Magunguna na yanzu don CSB basu da tushe mai karfi kuma don rikitarwa al'amura galibi suna da wuyar samun dama.1 Kodayake ba a bincika a cikin gwaje-gwaje masu girma ba, ƙwaƙwalwar ƙwayar magnetic transcranial (TMS) na iya samar da ingantaccen magani ga CSB. Haka kuma, ta hanyar zaɓi takamaiman da'irorin jijiyoyin jiki, TMS na iya samar da bayani mai mahimmanci game da yankuna masu kwakwalwa waɗanda ke tasiri cikin halayen halayen jima'i masu matsala. Yanzu muna gabatar da batun CSB wanda ya amsa TMS mai zurfi na cortex na ciki.
Ra'ayin rahoton
Mista A ya kasance dan shekaru 34 da haihuwa tare da CSB kuma yana fama da rikice-rikice-rikice-rikice-rikice-rikice-rikice (OCD). CSB ya kasance ta hanyar amfani da batsa da wuce gona da iri da kuma lalata al'aura, wanda hakan ke haifar da gagarumar nakasar aiki, gami da asarar aiki. An tabbatar da bayyanar cutar ta CSB ta amfani da Tattaunawar Rashin Harkokin Rikici na Minnesota.2 Kafin karɓar TMS, ma'aunin Mr A kan Yale-Brown Obsessive-Compulsive Scale wanda aka daidaita don CSB (CSB-YBOCS)3 ya kasance 23, m tare da matsakaici rashin lafiya tsananin. An yi masa magani tare da ingantaccen kashi na fluoxetine (40 MG kowace rana) don OCD tare da iyakancewa mai sauƙi daga ko CSB ko OCD. Maganin magungunansa bai canza ba lokacin maganin.
Bayan bayar da sanarwar da aka bayar, Mista A ya gudanar da cikakken zaman tattaunawa na 28 na TMS (sama da makwanni 6) wanda ke yin amfani da na'urar tantancewar ciki (ACC) ta amfani da na'urar Brainsway Deep TMS sanye da kayan H7 (Brainsway Ltd, Tel-Aviv, Israel) ). Mista A ya nuna raguwa 39% a cikin alamun CSB a cikin makonni 6 (sakamakon ci gabansa na CSB-YBOCS shine 14, wanda yayi daidai da rashin lafiya). Gabaɗaya alamunsa na OCD sun inganta daga tushe bayan TMS (pretendingment YBOCS score = 35, Yunkurin YBOCS ci = 13). Mista A da masu ba da shawarar ba sun makance ga ko yana karbar kulawa ko jin kunya ba. Ya ba da rahoton wani sakamako masu illa da suka shafi magani. Dukkanin matakai sun yarda da kwamitin sake duba tsarin hukuma.
tattaunawa
Wannan shari'ar tana nuna cewa TMS mai zurfi da aka yi niyya akan ACC na iya zama ingantaccen magani ga CSB. Wannan binciken ya yi daidai da binciken bincike na aiki wanda ya haifar da ACC a cikin CSB ta hanyar nuna cewa maza tare da CSB sun nuna himma sosai a cikin ACC don amsa halayen bayyanannu na jima'i (watau hotunan batsa) fiye da maza ba tare da CSB ba.4 Hakanan yana yiwuwa cewa TMS mai zurfi na ACC na iya haifar da canje-canje kai tsaye a cikin sauran yankuna na jijiyoyin da ke sadarwa tare da ACC. Kodayake matakan matakan-kewaye ba su zama cikakkun bayanai ba, waɗannan binciken sun nuna cewa TMS mai zurfi na iya wakiltar zaɓin magani na CSB. Haɓakawa da wannan haƙuri ya bayyana don daidaitawa tare da canje-canje a cikin tsananin cutar OCD. Ana buƙatar ƙarin bincike don tabbatar da waɗannan binciken kuma don bincika tushen asalinsu.
nassoshi
- Derbyshire KL, Grant JE. Halin jima'i mai tursasawa: bita na wallafe-wallafen. J Behav shan tabarba. 2015;4(2):37–43. PubMedCrossRef Nuna Abubuwa
- Grant JE. Rashin Tsarin Kula da Tasiri: Jagorar Ma'aikatar Fahimtarwa da Kula da Adduttukan haabi'a. New York, NY: WW Norton; 2008.
- Kraus SW, Potenza MN, Martino S, et al. Yin nazarin abubuwan da suka shafi tunanin mutum-mutum na Yale-Brown Obsessive-Compulsive Scale a cikin samfurin masu amfani da batsa na tilas. Compr Psychiatry. 2015; 59: 117-122. PubMedCrossRef Nuna Abubuwa
- Voon V, Mole TB, Banca P, et al. Kusoshin daidaitawa na ma'anar jima'i ma'amala a cikin mutane tare da kuma ba tare da halayen halayen jima'i ba. PLoS Daya. 2014; 9 (7): e102419. PubMedCrossRef Nuna Abubuwa
;