I-ECT: Indlela yokonyango yokudandatheka
Ukwelashwa kwe-Electroconvulsive (ECT) yindlela yokonyango yokudandatheka okubandakanya ukusetyenziswa kwesiganeko sombane esikhatywayo ukwenzela ukuvelisa ukuthunjwa. Ngokuqhelekileyo, uchungechunge lwezonyango lunikezelwa kwixesha leveki.
Ngubani Umviwa we-ECT?
I-ECT ithathwa njengeyona ndlela ifanelekileyo yokudakumba okukhulu okanye ukuphoxeka , kunye ne- mania ephawulekayo kunye namanye ama-schizophrenic syndromes.
Ukuchonga ukuba isigulane singumviwa ofanelekileyo we-ECT, oogqirha kufuneka baqikelele oku kulandelayo:
- Ngaba kukho isidingo sokuphendula ngokukhawuleza, ngokukhawuleza, njengokuba isigulane sisengozini yokuzibulala okanye sineempawu ezinzima zemania ezibeka ubungozi babo engozini?
- Ngaba isigulane sinemibandela yonyango eyenza unyango lweziyobisi lube yingozi kakhulu, njengowokuqala kwekota yokukhulelwa?
- Ingaba isigulane sinemeko yonyango e-ECT ingaba nzima, njengengcinezelo eyongeziweyo ngaphakathi kwekhayi ngenxa yezilonda zengqondo, imbali yandwendwe yesifo senhliziyo okanye i-aneurysms ezinkulu?
- Ngaba ezinye iindlela zonyango zahluleka?
- Ngaba isigulane siphendule kwi-ECT ngaphambili?
Yintoni eyenzeka Ngaphambi kwe-ECT?
Ekulungiseleleni inkqubo, izigulane zinikezelwa ngonyango. Nayiphina imishanguzo enokubangela iingxaki ngexesha lonyango kunokudinga ukucinywa okanye ukunyamekelwa ngenyameko. Izigulane ezingadliyo kufuneka zihlolwe i-electrolytes zazo kwaye zilungiswe ukuba ziyimfuneko.
Naluphi na iingxaki ezinamazinyo omguli kufuneka ziqwalaselwe ngenxa yokuba umhlathi uvale ngexesha lotyando kunye namazinyo aphelile.
Uphulo luvame ukulungiswa kusasa ekuseni. Ubusuku obuphambili, iinwele zesigulane zihlanjululwe kakuhle kwaye akukho mveliso yeenwele ezinomhlaza okanye i-skin lotion ingasetyenziswa emva koko.
Isigulane asivunyelwe ukuba sidle okanye siphuze emva kobusuku bobusuku ukunciphisa ingozi ngexesha le-anesthesia.
Yintoni eyenzekayo ngexesha le-ECT?
Kulo gumbi lonyango, isigulane siza kuba ne-pulsi oximeter eqhotyoshelweyo ukubeka iliso kwiqondo le-oxygen. I-electrodes iya kuqhotyoshelwa kumzimba ukwenza i-electrocardiogram (ECG) ukubeka esweni umsebenzi wenhliziyo kunye ne-electroencephalogram (i-EEG) ukujonga umsebenzi wengqondo. Uxinzelelo lwegazi lufakwe kwisandla somguli ukujonga uxinzelelo lwegazi. Ukufikeleleka kwe-intravenous kugcinwe ukulawulwa kweziyobisi.
I-Anesthesia ifakwe kwaye isigulane sinikwa i-oxygen kulo lonke inkqubo. I-muscle ephumayo inikwe i-intravenously kwaye, emva kokuba iphumelele, ibloko yokulinda ifakwe emlonyeni womguli kwaye umhlathi ugcinwe ngenyameko. I-stimulus yombane isetyenziselwa ukusebenzisa iiparameters ezikhethiweyo zize zenzeke ukutshatyalaliswa okugcina ubuncinane imizuzwana engama-30. Ngexesha lokutshatyalaliswa, uxinzelelo lwegazi kunye nesantya senhliziyo nesingqungquthela zihlolwa.
Yintoni eyenzeka emva kwe-ECT?
Xa ukuphefumula kwesiguli ubuyele kwisiganeko, isiguli sigcinwa ubuncinane kwisiqingatha seyure. Ngokuqhelekileyo, ukuhlanza kuya kwenzeka.
Uninzi lwezigulane luya kudideka ngolu hlobo emva kwenkqubo, ixesha elide ukususela kumzuzu-15 ukuya kwiiyure eziliqela.
Incinci yezigulane ziya kuphazamiseka.
Mngcipheko
I-ECT yanamhlanje iyindawo ephilileyo kunye nekhuselekileyo kunokuba yayiyikho, kodwa kukho iingozi.
- Njengoko nayiphi na inkqubo apho ubeka khona phantsi kwe-anesthesia, kukho incinane encinci yokufa.
- Ngokuqhelekileyo, izithintelo zentliziyo ezingavumelekanga kunye neziqunto ziya kwenzeka.
- Ukulahleka kweemfuno zeememori zexesha elifutshane ezinokuthi zenze iiveki zenzeke kwaye zibandakanya iziganeko ezenzeke kwiiveki ezimbalwa ngaphambi kokuba unyango. Nangona ezininzi izigulane zifumana ukulahleka kweememori ezithile, ukulimala kwengqondo akubonakalwanga ukuba kwenzeke.
- Iziphumo eziqhelekileyo ezichaphazelekayo zizicathulo zomsila, iintloko kunye nentlungu emva kwenkqubo.
Izinzuzo
- Phantse iipesenti ezingama-80 zezigulane ezithobela ikhosi epheleleyo ye-ECT zifumana ukuphucula ngokukhawuleza kwiimpawu zabo.
- I-ECT isebenza kwizigulane ezingazange ziphumelele kunye nezinye izibonelelo.
Ziziphi amalungelo oMguli?
Bobabini umthetho kunye nokuziphatha kwempilo kufuna ukuba izigulane ezifumana i-ECT kufuneka zinike imvume yazo. Oku kuthetha ukuba inkqubo kufuneka icaciswe ngokupheleleyo kwisigulane kwaye isiguli kufuneka simkele ngokuzithandela. Izigulane zinelungelo lokunqaba unyango, nokuba ngaba bekunikwe ngaphambili imvume. Ukuba isiguli asinakho amandla okunika imvume enolwazi, isigqibo kufuneka senziwe yinkantolo yomthetho ngaphambi kokunyangwa.
Iingxelo:
Unyango lwe-Electroconvulsive. I-Statement ye-Consensus Statement ye-NIH 1985 Juni 10-12 [ekhankanywe ngo-Ephreli 19, 2007]; 5 (11): 1-23.
UMorey & Jefferson: I-Handbook ye-Psychiatry, i-2nd ed., Copyright 2004 Mosby, Inc.
Isiqhelo Sonyango lwe-Electroconvulsive: Iingcebiso zoLonyango, uQeqesho, uLungelo lokuPhakamisa. Ingxelo Yomsebenzi We-American Psychiatric Association, ngo-1990.