ʻO Botox no ka mālama ʻana i nā kūlana noʻonoʻo a noʻonoʻo

Ua ʻike ʻia kahi noiʻi hou e hiki i nā injections Botox ke kōkua i ka hōʻoluʻolu i nā hōʻailona o nā kūlana olakino e like me ke kaumaha a me ka hopohopo. ʻO ka BTX botulinum toxin injections, ka mea maʻamau i kapa ʻia ʻo "Botox", hoʻohana nui ʻia no nā kaʻina hana hoʻonaninani, no ka mea e hoʻomaha ai ka ʻiʻo, a i ka wā e hoʻohana ʻia ai i kekahi mau wahi o ka maka, hiki i ka Botox ke hōʻemi i nā laina a me nā wrinkles, e like me ka EuroNews. he haʻawina i paʻi ʻia i loko o ka puke pai Scientific Reports.

"ʻiʻo o ke kaumaha"

ʻO ka hoʻomaha ʻana o ka ʻiʻo o ka helehelena ke kumuhana o nā haʻawina he nui, ʻoiai e ʻimi ana nā ʻepekema e ʻike inā hiki ke hoʻohana ʻia e hoʻomaha i nā hōʻailona o nā kūlana olakino. ʻO ke kikoʻī, ʻo ka manaʻo hiki iā ʻoe ke kuhikuhi i ka mea i kapa ʻia e ka mea olaola evolutionary Charles Darwin "nā ʻiʻo kaumaha."

"ʻO kēia māhele holoʻokoʻa o ka noiʻi e hoʻohana ana i ka botulinum toxin ma ke ʻano he lapaʻau no nā maʻi noʻonoʻo e pili ana i ka hypothesis o ka manaʻo o ka maka," wahi a Kauka Axel Wollmer, he loea psychiatry a me ka mea noiʻi ma ke Kulanui ʻo Semmelweis ma Hamburg a me kekahi o nā mea kākau alakaʻi ma ka noiʻi. .

Ua hoʻohui ʻo ia, ʻo kēia kuhiakau i hoʻi mai iā Darwin lāua ʻo William James (i kapa ʻia ʻo ka "makua" o ka ʻepekema ʻAmelika) i ke kenekulia ʻumikūmāiwa, e kuhikuhi ana i ka ʻōlelo ʻana ʻaʻole i hōʻike wale nā ​​hiʻohiʻona o ke kanaka i kona ʻano naʻau i nā poʻe ʻē aʻe, akā e hōʻike pū kekahi. ia ia iho.

ʻO ke kumumanaʻo, ʻoiai ʻo kekahi mau hiʻohiʻona e like me ka haʻi ʻana o ka maka i hoʻokumu ʻia e nā manaʻo maikaʻi ʻole, ʻo nā hiʻohiʻona helehelena e hoʻoikaika maoli i kēlā mau manaʻo i loko o kahi pōʻai ʻino.

"Hoʻoikaika kekahi i kekahi a hiki ke piʻi i kahi kiʻekiʻe koʻikoʻi o ka hoʻoulu ʻana i ka manaʻo i hiki ke pilikia i nā kūlana olakino," wahi a Woolmer.

Me nā mea noiʻi mai ke Kula Lapaʻau ʻo Hannover ma Kelemānia, ua hoʻomaka ʻo Wollmer a me kāna hui e kūkulu i ka noiʻi mua i ka injecting Botox i loko o ka glabella region, kahi o ka maka ma luna o ka ihu a ma waena o nā kuʻemaka, e hōʻike pinepine ana i ke kaumaha o ke kanaka. i ka wā e ʻike ai i nā manaʻo maikaʻi ʻole.

"I ka manawa e ho'ālaʻia ai nāʻiʻo o ka maka e hōʻike i ka manaʻo, ua hanaʻia kahi hōʻailona hoʻoulu kino, e hoʻi mai ka maka i ka lolo o ka naʻau a hoʻoikaika a mālama i kēia kūlana manaʻo," i weheweheʻo Woolmer. ʻO ia wale nō ma ke ʻano o kēia mau manaʻo e manaʻo maoli ai kekahi iā lākou he mau manaʻo mehana a piha, a i ʻole ke kāohi ʻia kēia ʻano, ua emi nā manaʻo a ʻaʻole i ʻike ʻia e like me ia.

palena palena ʻino

Ma ka hoʻomaha ʻana i nā ʻiʻo o ke kaumaha, ua ʻimi ka poʻe noiʻi e hopu i ka mea i hana ʻia i loko o ka lolo i ka wā i haki ʻia ai ka puka manaʻo maikaʻi, no laila ua nānā lākou i nā maʻi 45 me ka maʻi maʻi borderline personality (BPD), kekahi o nā maʻi maʻamau maʻamau.

Ua wehewehe ka hui o ka poʻe noiʻi i ka poʻe maʻi me ka BPD e loaʻa i nā "manaʻo maikaʻi ʻole", me ka huhū a me ka makaʻu. Ua ʻōlelo ʻo Wollmer, ʻo nā maʻi maʻi BPD "ma ke ʻano, he prototype o ka hoʻoluhi pinepine ʻia me ka pūʻulu o nā manaʻo maikaʻi ʻole i hiki ʻole iā lākou ke hoʻomalu." A laila ua loaʻa i kekahi o nā mea noiʻi nā injections Botox, aʻo ka pūʻulu mana i loaʻa i ka acupuncture.

ʻO ke kiʻi hoʻonaʻauao magnetic o ka lolo

Ma mua o ka hoʻomaʻamaʻa ʻana a me ʻehā pule ma hope, ua hāʻawi ʻia ka poʻe hui i kahi hana i kapa ʻia ʻo "go / no-go" hana, kahi e pono ai lākou e hoʻomalu i kā lākou hopena i kekahi mau cues i ka ʻike ʻana i nā kiʻi o nā helehelena me nā manaʻo like ʻole, ʻoiai nā mea noiʻi. nānā i ko lākou lolo me ka hoʻohana ʻana i ke kiʻi resonance magnetic hana. . Ua loaʻa i ka hoʻokolokolo nā hopena like ʻole, me nā maʻi Botox a me ka acupuncture e hōʻike ana i ka hoʻomaikaʻi like ʻana ma hope o ka mālama ʻana, akā ua hoʻoikaika ʻia ka hui o nā mea noiʻi e nā hopena ʻelua.

Ma o ka MRI scans, ua ʻike ʻia no ka manawa mua i ka hoʻololi ʻana o nā injections Botox i nā ʻano neurobiological o BPD. Ua hōʻike nā kiʻi MRI i ka emi ʻana o ka hana ma ka amygdala o ka lolo i ka pane ʻana i ka hoʻoulu ʻana i ka manaʻo.

"Ua ʻike mākou i kahi hopena ʻoluʻolu ma ka amygdala, kahi mea koʻikoʻi i ka hoʻoponopono ʻana i nā manaʻo maikaʻi ʻole a he overactive i nā maʻi BDD," i ʻōlelo ai ʻo Wollmer, me ka ʻōlelo ʻana ʻaʻole i ʻike ʻia ka hopena like i ka pūʻulu mana i mālama ʻia me ka acupuncture.

Ua ʻike pū ka poʻe noiʻi ua hoʻemi ʻo Botox injections i ka ʻano impulsive o ka poʻe maʻi i ka hana "go/no-go", a pili pū me ka hoʻāla ʻana o nā ʻāpana lobe frontal o ka lolo e pili ana i ka mana inhibitory.

ʻO ka lāʻau Botox no ke kaumaha

Ua nānā ka noiʻi mua pehea e hiki ai i nā injections Botox ke wāwahi i nā puka manaʻo ma nā wahi ʻē aʻe o ka maka a me ke kino.

ʻO ka 2021 meta-analysis e nānā ana i ka ʻikepili mai 40 Botox-injected database i ka US Food and Drug Administration database i ʻike ʻia he 22 a 72 ka nui o nā maʻi hopohopo ma mua o nā mea maʻi i loaʻa i nā lāʻau lapaʻau ʻē aʻe no nā kūlana like. Ua mālama ʻia ka noiʻi like ʻana ma 2020 e pili ana i nā hopena koʻikoʻi o nā injections Botox, i hōʻike ʻia hiki ke hoʻohana ʻia e mālama i ke kaumaha a me ka pale ʻana.

Ua ʻōlelo ʻo Wollmer, ʻaʻole hana maikaʻi nā lāʻau lapaʻau e like me psychotherapy a i ʻole antidepressants no kahi hapakolu o nā maʻi me ke kaumaha, "no laila, pono e hoʻomohala i nā koho lapaʻau hou, a ma aneʻi hiki ke loaʻa i nā injections Botox ke kuleana," wahi a Wollmer. ʻO kona manaʻolana a me kāna hui noiʻi e ʻike i nā hopena. , i noiʻi hou ʻia i kahi hoʻokolohua lapaʻau Phase XNUMX nui, kahi e ʻike ai nā mea noiʻi inā hiki ke mālama ʻia kekahi maʻi olakino noʻonoʻo me ka hoʻokele Botox injection.