Transcranial hluav taws xob stimulation: indications, contraindications, nws kho dab tsi? Transcranial hluav taws xob stimulation ntawm lub hlwb: xyuas

Cov txheej txheem:

Transcranial hluav taws xob stimulation: indications, contraindications, nws kho dab tsi? Transcranial hluav taws xob stimulation ntawm lub hlwb: xyuas
Transcranial hluav taws xob stimulation: indications, contraindications, nws kho dab tsi? Transcranial hluav taws xob stimulation ntawm lub hlwb: xyuas

Video: Transcranial hluav taws xob stimulation: indications, contraindications, nws kho dab tsi? Transcranial hluav taws xob stimulation ntawm lub hlwb: xyuas

Video: Transcranial hluav taws xob stimulation: indications, contraindications, nws kho dab tsi? Transcranial hluav taws xob stimulation ntawm lub hlwb: xyuas
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Anonim

Tsis ntev los no, muaj ntau thiab ntau txoj kev kho tshiab. Txhua tus ntawm lawv tso cai rau koj kho mob loj pathologies nrog cov teeb meem me me rau lub cev. Ib txoj hauv kev no yog transcranial hluav taws xob stimulation. Txoj kev no yog dab tsi, thaum twg nws siv thiab dab tsi yog nws contraindications?

Dab tsi yog transcranial hluav taws xob stimulation?

Nov yog cov txheej txheem tshiab rau kev xaiv ua haujlwm ntawm kev tiv thaiv lub hlwb siv cov duab plaub ntawm lub sijhawm luv luv, txog 4 ms, thiab qis zaus, ntawm 50 txog 200 Hz.

transcranial hluav taws xob stimulation
transcranial hluav taws xob stimulation

Pulse tam sim no ntawm tsawg zaus dhau los ntawm qhov chaw cawv thiab xaiv qhov khaus ntawm qhov endogenous opioid system ntawm lub paj hlwb, provoke tso tawm betta-endorphin thiab enkephalin los ntawm cov neurons ntawm lub hlwb. Lawv cov ntsiab lus dhau los ua ntau tshaj peb zaug. Opioid peptides tsis pub impulses yuav tsum tau nqa tawm los ntawm kev ua kom pom tseeb ntawm qhov mob ntawm theem ntawm dorsal horns ntawm qaum qaum. Tab sis transcranialelectrostimulation - nws kho dab tsi?

keeb kwm me ntsis

Txawm tias thaum pib ntawm lub xyoo pua 19th, thawj cov kev tshawb fawb ntawm cov teebmeem ntawm stimulating tam sim no ntawm lub hlwb pib. Thawj qhov kev tshawb fawb no tau ua los ntawm tus kws kho mob lub cev los ntawm Fabkis Leduc, thiab tom qab ntawd cov kws tshawb fawb Lavxias tau koom nrog. Alas, tsis muaj leej twg tswj kom ua tiav cov txiaj ntsig tseem ceeb hauv cov hnub ntawd.

Nyob rau hauv thaum ntxov 80s, ib tug Lavxias teb sab kws tshawb fawb Lebedev, ua nws cov kev tshawb fawb, me ntsis hloov cov tsis muaj tam sim no thiab xaiv qhov zoo tshaj plaws localization ntawm cov electrodes uas cuam tshuam rau lub hlwb. Nyob rau hauv cov chav kawm ntawm tag nrho cov kev tshawb fawb, nws muaj peev xwm kom tau txais cov ntaub ntawv raug thiab sau tseg hais tias nws muaj peev xwm muaj ib tug analgesic nyhuv nyob rau hauv tib neeg siv ib tug pulsed tam sim no zaus ntawm 77 Hz yog hais tias lub sensors raug ntsia nyob rau hauv lub fronto-occipital cheeb tsam. Yog tias tag nrho cov teeb tsa tsis raug pom, ces cov nyhuv analgesic tuaj yeem khaws cia rau yuav luag 12 teev tom qab qhov txheej txheem. Tam sim no, nws yog cov tam sim no uas tau siv thaum siv hluav taws xob transcranial stimulation.

Kev kho mob

Transcranial hluav taws xob stimulation tseem siv niaj hnub no nrog tib cov ntsuas uas tau tsim ntau dua 35 xyoo dhau los - qhov zaus ntawm cov dej ntws yog 77 Hz, lub sijhawm mem tes yog li 4 ms, thiab tam sim no lub zog yog 300 mA. Nws yog cov lej no uas tso cai rau koj los qhib cov qauv opioid ntawm lub hlwb thiab tso beta-endorphins. Cov nyhuv no ua rau nws tuaj yeem nres qhov mob, nrog rau txo cov koob tshuaj uas xav tau rau kev siv tshuaj loog thaum ua haujlwm.

Ntxiv rau qhov ua kom tsis haum, kev hloov pauv hluav taws xob hloov pauv (TES) kuj tseem muaj xws liCov teebmeem kho mob:

  • Beta-endorphin kuj muaj cov tshuaj tiv thaiv kev ntxhov siab, tshem tawm kev ntxhov siab, txhawb kev hloov pauv sai rau cov neeg nyob tshiab, txhim kho kev xav thiab txhim kho cov xwm txheej ntxhov siab.
  • normalizes ntshav siab, qhov no tshwm sim vim muaj kev cuam tshuam ntawm cov chaw ntawm medulla oblongata.
  • Txhawb lub cev tiv thaiv kab mob los ntawm kev ua kom cov lymphocytes nrog beta-endorphin.
  • transcranial hluav taws xob stimulation dab tsi nws kho
    transcranial hluav taws xob stimulation dab tsi nws kho

Tsis tas li ntawd, kev txhawb nqa hluav taws xob transcranial tau qhia nws cov txiaj ntsig hauv kev kho mob ntawm kev quav tshuaj: nws tshem tawm cov tsos mob, kev ntshaw rau cov tshuaj thiab dej cawv los ntawm kev ua kom lub zog opiate. Ua tsaug rau qhov no, lub cev tsis tas yuav siv tshuaj thiab cawv.

Transcranial hluav taws xob stimulation kuj qhia tau zoo heev nyob rau hauv lub rov qab los ntawm ib tug neeg mob tom qab kub hnyiab heev. Muaj cov nyhuv analgesic ntawm lub cev, nws tshem tawm vasospasm los ntawm kev ntxhov siab nyob rau hauv qhov chaw uas cov ntaub so ntswg cuam tshuam, thiab kuj ua rau cov ntshav khiav. Nyob rau hauv parallel, zus tau tej cov tshuaj hormones loj hlob yog stimulated nyob rau hauv lub hlwb, uas tsub kom lub synthesis ntawm endogenous protein, uas yuav pab kom ceev cov txheej txheem ntawm kho thiab cov ntaub so ntswg regeneration.

Nws kuj tau pom tias tom qab cov txheej txheem, cov menyuam yaus hnub nyoog kawm ntawv tau hloov mus rau kev kawm zoo dua, tshwj xeeb tshaj yog rau cov menyuam yaus uas muaj mob hnyav. Kev nco thiab kev nkag siab ntawm cov ntaub ntawv tau txais txiaj ntsig zoo dua.

qhov zoo ntawm TPP

Kev ua kom lub hlwb nrog cov pulses tam sim no muaj ntau yam zoo:

  • Nrog transcranial hluav taws xob stimulation (TES) ntawm lub paj hlwb, tsis muaj tshuaj, nws yog nqa tawm siv zog tam sim no pulses los ntawm electrodes muab tso rau ntawm tawv taub hau nyob rau hauv ib qho chaw.
  • TES-kev kho yog ib qho kev kho mob uas xaiv activates kev tiv thaiv mechanisms ntawm lub hlwb lub cev thiab ua rau lub zog tshaj tawm ntawm endorphin thiab serotonin. Nws yog ua tsaug rau qhov nce ntawm cov tshuaj no nyob rau hauv lub hlwb thiab nyob rau hauv lub circulatory system uas cov kev kho mob tshwm sim.
  • Txoj kev no tsis yog tib qho xwb, tab sis TES tau ua tib zoo tsim, yog li nws tau suav tias yog qhov zoo tshaj plaws thiab zoo tshaj plaws, tshwj xeeb tshaj yog thaum piv nrog electronarcosis, electrosleep lossis electroanalgesia.
  • txheej txheem no yog siv los kho cov neeg laus thiab menyuam yaus, nws pom tau tias muaj txiaj ntsig zoo tshwj xeeb hauv kev kho mob cerebral palsy hauv cov menyuam mos.
  • Txoj kev kho no tsis muaj kev phiv, thiab nws muaj ob peb contraindications.
  • Ua tsaug rau qhov kev txhim kho tshiab kawg, cov txheej txheem tam sim no tuaj yeem nqa ncaj qha hauv tsev siv cov khoom siv me me xws li Alfaria.
  • Tus neeg mob zam qhov txheej txheem zoo heev.
  • Nws tsis ua rau tsis xis nyob.
  • Mob thiab tsis xis nyob hauv pob qij txha thiab cov leeg tau sai sai.
  • Psycho-emotional balance tau rov qab los.
  • Zoo rau kev tiv thaiv rov qab.
  • pab tau zoontxuav lub siab thiab rov ua haujlwm ntawm cov khoom nruab nrog cev.

Thaum twg yog lub hlwb stimulation qhia?

Transcranial hluav taws xob stimulation muaj cov lus qhia hauv qab no:

  • Kev mob ntawm lub hauv nruab nrab lub paj hlwb, xws li kev ntshai, neurosis, qaug zog ntev, kev hloov pauv ntawm lub siab tsis zoo thiab lwm yam.
  • transcranial hluav taws xob stimulation ntawm lub hlwb
    transcranial hluav taws xob stimulation ntawm lub hlwb
  • Kev ua haujlwm tsis zoo ntawm lub plawv thiab cov hlab ntsha, piv txwv li, ntshav siab lossis rov qab los ntawm lub plawv nres.
  • Pathologies ntawm gastrointestinal ib ntsuj av: ulcers, gastritis, non- kis kab mob siab.
  • Mob mob nrog cov leeg nro, cardialgia, myalgia, mob taub hau.
  • Pathologies ntawm musculoskeletal system, xws li osteochondrosis.
  • Postoperative period.
  • Vegetative-vascular dystonia.
  • Sensoneural hnov tsis hnov qab.
  • kab mob qhov muag.
  • PMS thiab nyem ntawm menopause.
  • kab mob tawv nqaij.
  • Kho qhov kub hnyiab ntawm qhov sib txawv ntawm qhov siv.
  • Enuresis thiab encopresis.
  • Dental manifestations.

Dab tsi yog qhov kev txhawb nqa hluav taws xob transcranial, nws kho dab tsi, ntawm chav kawm, tab sis nws tsim nyog nco ntsoov tias txhua txoj kev kho tsis tau tsuas yog qhia, tab sis kuj muaj contraindications, cov txheej txheem no tsis muaj kev zam.

Thaum twg nws tsis pom zoo ua cov txheej txheem?

Transcranial hluav taws xob stimulation muaj cov hauv qab no contraindications:

  • kev raug mob ntawm daim tawv nqaij lossis kev raug mob hauv zostxuas electrodes.
  • qaug dab peg thiab qaug dab peg.
  • mob raum tsis ua haujlwm, kub siab kub ntxhov.
  • Hyperthyroidism.

  • Pacemaker neeg mob.

Tam sim no koj yuav tsum paub seb qhov txheej txheem no ua li cas.

TPP ua haujlwm li cas thiab ntawm lub tshuab dab tsi?

Ob peb xyoos dhau los, cov txheej txheem tsuas yog ua tau nyob rau hauv cov phab ntsa ntawm lub tsev kho mob nyob rau hauv kev saib xyuas ntawm kws kho mob, tab sis tam sim no, ua tsaug rau niaj hnub kev tsim kho, ib tug tshiab ntaus ntawv tau tshwm sim - lub Alfariya transcranial hluav taws xob stimulation apparatus.

Alfariya transcranial hluav taws xob stimulation ntaus ntawv
Alfariya transcranial hluav taws xob stimulation ntaus ntawv

Lub hauv paus ntsiab lus ntawm kev ua haujlwm ntawm cov cuab yeej no yog ua raws li kev txhawb nqa ntawm alpha hlwb rhythms, rov ua haujlwm ntawm lwm cov biorhythms, ua kom cov concentration ntawm serotonin, acetylcholine, met-enkephalin thiab beta-endorphins.

Cov cuab yeej ua raws li cov cuab yeej siv tau zoo, ua tsaug uas nws muaj peev xwm tsim kom muaj qhov sib txawv ntawm cov pulses tam sim no.

Lub tshuab hluav taws xob transcranial yog ib qho kev xaiv zoo tshaj rau cov tshuaj, tshwj xeeb tshaj yog nyob rau hauv cov xwm txheej uas yuav tsum tau kho mus ntev. Thaum lub sij hawm tus txheej txheem, tus neeg mob hnov qab ntxiag so, lightness thoob plaws hauv lub cev thiab clarity ntawm kev xav. Cov cuab yeej siv tau yooj yim, yog li nws raug pom zoo rau ob lub tsev kho mob thiab siv hauv tsev.

Nws yog siv rau ntau yam pathologies, suav nrog gynecology.

TES ntawm lub hlwb hauv obstetrics thiab gynecology

Tsis rau leej twgqhov tsis pub leejtwg paub yog tias qhov cuam tshuam ntawm tam sim no ntawm tib neeg lub hlwb tuaj yeem kho tau ntau yam kab mob. Transcranial hluav taws xob stimulation nyob rau hauv gynecology yog qhia rau kev kho mob ntawm pathologies ntawm reproductive system nyob rau hauv cov poj niam:

  • Rau qhov mob ntawm tus poj niam qhov chaw mos, xws li uterine los ntshav tsis zoo.
  • Cov txheej txheem mob ntev ntawm qhov chaw mos hauv cov poj niam, xws li subacute adnexitis thiab colpitis.
  • Nyob rau hauv urinary incontinence.
  • Thaum nchuav menyuam.
  • To txhim kho orgasm.
  • Kom txo txoj kab nruab nrab ntawm qhov chaw mos, uas tau ncab thaum lub sijhawm ua haujlwm.

Tab sis txoj kev kho no tau tso cai siv rau hauv kev kho mob tsis yog cov neeg laus xwb, tab sis kuj yog menyuam yaus. Yog li, transcranial hluav taws xob stimulation yog siv rau cov me nyuam uas hais lus tsis meej thiab lwm yam mob.

Kev siv hluav taws xob txhawb rau menyuam yaus

Tsis ntev los no, cov niam txiv uas yws yws txog kev hais lus ntawm lawv tus menyuam tau dhau los ntau zaus. Kev hais lus yog cov txheej txheem kev puas siab puas ntsws nyuaj tshaj plaws, ib hom kev ua haujlwm siab tshaj plaws. Qhov kev taw qhia thib ob hauv ib tus neeg txhim kho thoob plaws hauv nws lub neej thiab qhia txog nws txoj kev xav.

Kev hais lus muaj feem ntau ntawm lub hlwb, thaj chaw hais lus cortical: auditory, motor, visual. Nyob rau hauv sab laug hemisphere nyob rau hauv lub tuam tsev cheeb tsam, kev xaav thiab kev sib txawv ntawm auditory stimuli tshwm sim, nyob rau hauv lwm yam lus, tus txheej txheem ntawm kev paub hais lus yuav siv sij hawm qhov chaw. Thiab sab pem hauv ntej gyrus, nyob rau hauv sab laug hemisphere, plays lub luag hauj lwm ntawm ib tug hais lus hais lus, nyob rau hauv lub qhov muag cheeb tsam muaj ib tug paub txog cov duab.sau ntawv.

transcranial hluav taws xob stimulation rau cov me nyuam uas hais lus tsis meej
transcranial hluav taws xob stimulation rau cov me nyuam uas hais lus tsis meej

Transcranial hluav taws xob stimulation ntawm lub paj hlwb tso cai rau koj los cuam tshuam rau qhov zoo thiab daws teeb meem hais lus hauv tus menyuam. Raws li kev txheeb xyuas ntawm ntau tus niam txiv uas twb muaj peev xwm sim kho lawv tus menyuam, tom qab thawj chav kawm ntawm kev kho mob, uas yog 8-12 zaug, lawv pom tias tus menyuam hais lus tau zoo tuaj. Ob peb tus neeg tom qab kawm hoob thib ob, ob peb zaug nrog tus kws tshaj lij - thiab txhua yam tau zoo dua sai sai.

Transcranial hluav taws xob stimulation ntawm lub hlwb kuj muab tau zoo heev nyob rau hauv kev kho mob ntawm cov me nyuam uas muaj cerebral palsy. Ua tsaug rau cov txheej txheem no hauv cov menyuam yaus nrog qhov kev kuaj mob no:

  • Thaum raug cov electrodes ntawm thaj chaw parietal thiab frontal, cov leeg nqaij normalizes, qhov ntim ntawm kev ua haujlwm thiab kev txav txav nce ntxiv.
  • Kev cuam tshuam ntawm lub cev nqaij daim tawv thiab lub ntsej muag lub ntsej muag tso cai rau koj los ua kom muaj kev paub ntau dua thiab kev hais lus ua haujlwm.
  • Qhov cuam tshuam rau lub tuam tsev thiab lub nraub qaum ntawm lub taub hau txhim kho kev hnov lus thiab pom kev ua haujlwm.
  • Los ntawm kev ua yeeb yam ntawm lub tuam tsev thiab thaj chaw parietal, tus naj npawb ntawm qaug dab peg tuaj yeem txo qis.

Tab sis nws tsim nyog nco ntsoov tias tus kws kho mob tuaj koom, uas tau soj ntsuam tus menyuam yaus uas muaj kab mob hnyav rau lub sijhawm ntev, yuav tsum tau sau cov txheej txheem. Tsuas yog nws tuaj yeem hais tias nyob rau hauv rooj plaub twg nws raug tso cai siv cov txheej txheem, thiab thaum twg nws tuaj yeem ua mob, vim tias nws muaj contraindications, uas tau piav qhia saum toj no, tab sis txhua tus menyuam yaus yuav muaj nws tus kheej tus yam ntxwv.

TES hauv kev kho mobKev quav cawv thiab quav yeeb tshuaj

Transcranial hluav taws xob stimulation ntawm lub hlwb, kev tshuaj xyuas ntawm ntau tus neeg mob paub meej tias qhov no, nws zoo kawg nkaus pab tiv thaiv cawv thiab tshuaj yeeb. Tab sis tsuas yog tus kws tshaj lij yuav tsum ua cov txheej txheem, siv cov khoom siv niaj hnub no.

Nyob rau hauv kev kho mob ntawm kev quav tshuaj, qhov tseem ceeb tshaj plaws yog kom txo qis qhov tshwm sim ntawm qhov tshwm sim tshwm sim thaum koj tsis txhob noj tshuaj thiab haus cawv. Kev rho tawm syndrome yog qhov txaus ntshai heev rau cov neeg mob, ntxiv rau, kev puas siab puas ntsws tsis xis nyob ntxiv. Tsis tas li ntawd, ntau tus neeg mob kev quav yeeb quav tshuaj kuj raug kuaj pom tias muaj lwm yam kab mob hauv lub paj hlwb.

TES-kev kho mob tso cai tsis yog tsuas yog tshem tawm cov tsos mob tshem tawm thiab ua haujlwm ntawm qee lub cev hauv nruab nrog cev, tab sis kuj txhawm rau txhim kho lub siab lub ntsws. Tsis tas li ntawd, tsis muaj kev siv rau cov txheej txheem. Cov txiaj ntsig zoo tuaj yeem pom tau tom qab thawj zaug kev sib tham, thiab dhau sijhawm nws tsuas yog nce.

transcranial hluav taws xob stimulation indications
transcranial hluav taws xob stimulation indications

Transcranial hluav taws xob stimulation ntawm lub hlwb, cov neeg mob tshuaj xyuas yog pov thawj ntawm qhov no, normalizes lub mechanisms ntawm vascular kev cai, tshem tawm tag nrho cov tsos mob ntawm kub siab thiab kev nyuaj siab. Tab sis cov kws tshaj lij ntseeg hais tias cov txiaj ntsig tseem ceeb ntawm kev kho yog qhov ua tiav ploj ntawm kev ntshaw rau tshuaj thiab cawv. Yog tias koj siv cov txheej txheem no hauv ib chav kawm, koj tuaj yeem ua kom muaj kev nplij siab ntawm kev kho mob, txo qhov kev pheej hmoo ntawm kev rov qab los thiab rov qab los rau kev quav tshuaj.

Tsis tas li ntawd, nws tau raug pov thawj los ntawm ntau tus neeg mob ua tsaug raukev kho mob, qhov txhab ntawm daim tawv nqaij thiab mucous daim nyias nyias ntawm lub hauv nruab nrog cev kho sai heev. Ntau tus neeg mob uas tau quav yeeb tshuaj lossis haus cawv rau lub sijhawm ntev muaj cov kab mob ulcerative hauv plab thiab duodenum. Ua tsaug rau cov teebmeem ntawm lub plawv, kev rov tsim dua tshiab sai heev, uas txhais tau hais tias lub neej zoo ntawm tus neeg mob txhim kho tau zoo, nws tuaj yeem zam qhov tshwm sim loj rau nws txoj kev noj qab haus huv yav tom ntej.

Hauv cov ntsiab lus yooj yim, TES txoj kev kho tsis yog tsuas yog tshem tawm kev quav tshuaj xwb, tab sis kuj kho txhua qhov txhab uas raug mob los ntawm nws. Siv rau hauv kev kho mob ntawm cov neeg mob uas tau siv tshuaj yeeb lossis cawv rau lub sijhawm ntev, nws muab ntau yam txiaj ntsig:

  • Tshwj xeeb txhim kho kev sib raug zoo.
  • Txhim kho cov tsos mob tshem tawm.
  • Txhob qhov mob ntawm "kev tshem tawm", uas yog tshwm sim los ntawm lub cev tsis tau txais cov tshuaj los yog cawv.
  • Restores hlwb hlwb.
  • Txuag ntshav siab.
  • Txhawb nqa cov ntaub so ntswg sai sai.
  • Tsua qhov khaus ntawm daim tawv nqaij ntawm txhua qhov hauv paus.
  • muaj cov nyhuv antiallergic.
  • Tshem tawm qhov mob.
  • muaj cov nyhuv immunostimulating.
  • Tawm tag nrho cov cim ntawm kev nyuaj siab thiab txo kev ntxhov siab.

txheej txheem ua li cas?

Ua kom muaj hluav taws xob hauv qhov chaw zoo rau tus neeg mob, nws tuaj yeem zaum lossis pw. Hauv thawj zaug, tus neeg mob tau qhia txog kev kho mob li cas, thiabnws adapts rau nws. Tus kws kho mob xaiv cov nqi tam sim no rau txhua qhov, lub sijhawm tuav tsis pub dhau 20 feeb. Thaum lub sijhawm ua haujlwm, tus kws kho mob saib xyuas tus neeg mob kom pom tias nws zam kev kho li cas. Nws xav tau qhov no txhawm rau ntsuas cov txiaj ntsig kho mob thiab yav tom ntej los xaiv qhov zoo tshaj plaws rau kev ua haujlwm ntawm cov cuab yeej.

Twb yog los ntawm kev sib tham thib ob, lub sijhawm ntawm cov txheej txheem txuas ntxiv 2 zaug, nws tau ua txhua hnub lossis txhua hnub. Yog tias tus neeg mob muaj qhov mob hnyav heev, ces qhov no tus kws kho mob yuav pom zoo kho ob zaug hauv ib hnub, tab sis ib txwm nrog lub sijhawm tsawg kawg 10 teev.

transcranial hluav taws xob stimulation ntawm lub hlwb
transcranial hluav taws xob stimulation ntawm lub hlwb

Tom qab kev sib kho, tus neeg mob yuav tsum tau so li ib nrab teev. Txhawm rau kom ua tiav cov txiaj ntsig siab tshaj plaws, koj yuav tsum mus dhau tsawg kawg 12 ntu. Koj tuaj yeem rov hais dua tom qab 2-3 lub lis piam.

Zoo kawg

Summing los ntawm cov saum toj no, peb tuaj yeem hais kom paub tseeb tias cov txiaj ntsig ntawm transcranial hluav taws xob stimulation, kev tshuaj xyuas ntawm ntau tus neeg mob paub tseeb tias qhov no yog qhov siab tshaj plaws. Cov neeg uas twb sim cov txheej txheem ntawm lawv tus kheej hais tias nws yog aimed ntawm ib yam, thiab thaum kawg nws tso cai rau koj mus kho lwm yam kab mob ntxiv. Yog li, siv cov piv txwv ntawm tus neeg mob haus cawv, ib tus tuaj yeem hais kom paub tseeb tias ua tsaug rau TES-kev kho mob, tus neeg tsis tsuas yog tshem tawm kev quav yeeb quav tshuaj, tab sis kuj kho nws lub cev tom qab hnyav binge. Tsis muaj kev rov qab los tom qab kev kho mob, lub neej hloov pauv tag nrho rau qhov zoo dua, tib yam tshwm sim nrog cov neeg quav yeeb tshuaj.

Kuj hluav taws xob stimulation nrog me me tam sim nontawm qee qhov ntawm lub hlwb hauv tus menyuam tuaj yeem txhim kho kev hais lus thiab txawm tias txo qis cov tsos mob ntawm lub paj hlwb. Tab sis nws tsim nyog nco ntsoov tias tsuas yog kev kho mob raug cai tuaj yeem muab cov txiaj ntsig xav tau, yog li nws yog qhov zoo dua los ua kev kho mob raws li kev saib xyuas ntawm tus kws kho mob. Txawm hais tias tam sim no muaj cov cuab yeej zoo li no uas tso cai rau koj los ua cov rooj sib tham hauv tsev, nws yog qhov zoo dua los ua thawj cov txheej txheem ua ke nrog tus kws tshaj lij uas yuav piav qhia tag nrho cov subtleties ntawm cov txheej txheem.

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