Ukukhangela le Ngonyango ye-Psychiatric nge-History History
Ukwelashwa kwe-Electroconvulsive (okanye i-ECT) yonyango lwengqondo kunye nembali ende kunye nengxabano. Unyango lubandakanya ngokukhawuleza ukudlula okwangoku zombane ngqondweni. Le nkqubo ayisetyenziswanga ukuphatha ingxaki yomntu ongenamdaka (BPD), kodwa isetyenziselwa ukuphatha uxinzelelo olubi olungaphenduliyo kwiimvavanyo zonyango ezaneleyo kunye nezinye iimeko zeklinikhi.
Ekubeni abantu abaninzi abaneengxaki zomntu ongekho emngceleni banokuxinezeleka, abanye abantu abafumana unyango lwe-electroconvulsive BPD.
Ngaba i-ECT iphumelele kwiNgcaciso yoMntu weMida?
Nangona unyango lwe-electroconvulsive lisetyenziselwa ukunyamezela ukuxinezeleka okukhulu kubantu abanomngcipheko wobuntu bodwa, kukho uphando olubonisa ukuba i-ECT ayisebenzisi kakuhle ekuphatheni uxinzelelo kubantu abano-BPD.
Uphononongo olulodwa, olwanyatheliswa ngo-2004, lubhekisele kwimiphumo ye-ECT kwizigulane ezingama-139, bonke ababenenkxalabo enkulu kunye nabo abangama-20 kubo babenenkinga yokuguquka komntu. Uphononongo lufumene ukuba iintsuku ezisibhozo emva kokonyango, abo abaneengxaki zomntu ongekho emgangathweni abazange baphathe amanqaku kwinqanaba lokulinganiswa kwesifo sokudandatheka njengabo babengenalo ukukhubazeka komntu okanye abo babenenkinga ehlukile yobuntu.
Izigulane zolu cwaningo olunobungozi bomntu ongenamkhawulo lwabantu bekungaba ngamabhinqa, ukuba babe ngabancinci, kwaye babe neengxaki zokuxinezeleka zonyango, kodwa abaphengululi beengxelo bathi le miba ayizange iphendule ngempendulo yabo embi kwindlela yokwenza i-electroconvulsive therapy.
Abanye abaphandi bavumile ukuba i-ECT ayibonakali isebenza kakuhle kwizigulane ezineengxaki zomntu, kodwa nangona izizathu ezi zicacileyo.
Ngaphantsi
Uncwadi oluphandle kulo mhlaba luncinci kwaye aluhambelani, ngoko akuthethi ukuba abantu abaneengxaki zokudakumba kunye neengxaki zomntu ongekho emgangathweni akufanele bafumane i-ECT.
Nangona kunjalo, kuyinto ekufuneka uyiqwalasele xa ubeka ingozi kunye neenzuzo.
Nangona i-ECT inomlando omude kunye neengxabano, ibonwa njengonyango olusebenzayo lokudakumba okukhulu yi-American Psychiatric Association (APA). I-APA ikhuphe izikhokelo zokusetyenziswa kwe-ECT ukuqinisekisa ukuba iinkqubo zenziwa ngokukhuseleko lwakho kunye nenhlalakahle engqondweni.
Abanye abantu bafumana iimpembelelo ezingathandekiyo ezivela kwi-electroconvulsive therapy (umzekelo, ukulahlekelwa kwememori), ngoko kufuneka uxoxe ngeengozi kunye neenzuzo kunye nomnikezeli wakho ukuba ucinga nge-ECT.
Imithombo:
Umbutho wezeMpilo waseMerika. "Yenza Isikhokelo Sokunyangwa Kwezilwelisi Nge-Disorder Personality Disorder." I- American Journal ye-Psychiatry , 1581-52, 2001.
UFeske U et al. Isiphumo sezonyango ze-ECT kwizigulane ezinokudakumba okukhulu kunye neengxaki zomntu ongenamkhawulo. I-American Journal ye-Psychiatry. 2004 Nov; 161 (11): 2073-80.
Rasmussen KG et al. Ngaba izigulane ezineengxaki zobuntu ziphendula ngokwahlukileyo kwindlela yokonyusa i-electroconvulsive? Ukuphononongwa kweencwadi kunye nokuqwalaselwa kwemiba yengqiqo. Umbhalo we-ECT. Ngo-2015 uMar; 31 (1): 6-12.
Weiner RD. Uqeqesho lweNyango ye-Electroconvulsive Treatment: Iingcebiso zoLonyango, uQeqesho, kunye noNcedo: INgxelo yeQela leMisebenzi ye-American Psychiatric Association (i-2nd ed.), I-American Psychiatric Publishing, ngo-2001.