Iisiseko ze-electroconvulsive therapy, ezisetyenziswayo kunye nemiphumo emibi
I-ECT, okanye unyango lwe-electroconvulsive, yonyango oluthile lwezifo ezithile zeengqondo ezingaphenduliyo unyango lwemveli.
Makhe sifunde oku ngakumbi malunga nale nyango, kubandakanywa nemiphumo emibi, nokuba yintoni efana nokufumana i-ECT .
Yintoni i-ECT?
Ekuqaleni kuphuhliswe ngawo-1930 nguBini noLenletti, i-ECT iyaqhubeka indima ebalulekileyo kwonyango yeemeko zesifo sengqondo.
I-ECT isebenza ngokuthumela umbane wamandla ngombono. Okwangoku, okwangoku zombane, kucatshangelwa ukutshintsha iikhemikhali kwingqondo ehambelana nomoya.
Nangona aqondwanga kakubi luluntu, unyango lwe-electroconvulsive (ECT) lunokuba yinkqubo ekhuselekileyo kubantu abathile abanexinzelelo olukhulu oluchasene nemithi yokwelapha, njengezidandlululo kunye ne- psychotherapy .
Iphi na i-ECT eyenziwe njani?
Ii-ECT zinikezelwa kwiindawo ezikhuselekileyo-ngokuqhelekileyo amagumbi okuphucula kwizibhedlele apho kukho iingcali zonyango kunye nezixhobo ezikhoyo. I-anesthesiologist kunye nomfo wezifo zengqondo ziya kuba unyango, kunye nabahlengikazi abaqeqeshiwe be-ECT.
Umntu uhlelwe ngobumnene, ene-anesthetic, kwaye ekhululekile ngoko kungekho ntlungu. I-ECT ikhiqiza uhlobo lokubanjwa kwengqondo. Unyango luphela nje imizuzu embalwa nje. Ukuqwalaselwa kwonyango kunokubonakalisa ukuguqulwa kwezwane zomgulane.
Kungekudala emva kokonyango, isiguli siyavuka, sihlolwe ngokupheleleyo ngabasebenzi bezonyango, kwaye sivunyelwe ukubuyela ekhaya okanye esibhedlele.
Emva kwe-ECT, isigulane sinokuba nentloko encinci, ukulala, nokudideka kwexeshana, kodwa nayiphi na into ebaluleke kakhulu
Ngaba i-ECT yonyango ukuxinezeleka?
Kubalulekile ukuqaphela ukuba i-ECT ayilanga. Kunoko yindlela yokuthenga ixesha elixabisekileyo ukufumana unyango osebenzayo-kulabo bantu ababuhlungu okanye bangaphenduliyo kunyango kunye namachiza.
Yintoni eyenziwa ngu-ECT?
I-ECT isetyenziselwa ukuphatha ingxaki enkulu yokudandatheka, kodwa ingasetyenziselwa ukuphatha ezinye izifo zengqondo, njenge-mania okanye i-schizophrenia.
Ukuxinezeleka kwe-cataton (i-catatonia), ngokukodwa, i-ECT inokuphumela kwizinga lokuphendula njengoko liphezulu kuma-80 ukuya kuma-100 ekhulwini kwaye libonakala lisebenza ngakumbi kunanoma yintoni enye unyango olukhoyo ngoku.
Ngaba i-ECT ingasetyenziselwa ukuphatha uxhalaba?
Iziphazamiso ezixhalabisayo zizifo eziqhelekileyo zezifo kwaye ziquka:
- I-Obsessive Compulsive Disorder (OCD)
- Ukuphazamiseka Kwentlungu
- IPhobia yeNtlalo
- Ukuxhalabisa Okuqhelekileyo
I-ECT inokuba nenendima kubantu abanengxaki yokuxhalaba engaphenduliyo kunyango lwendabuko kwaye luyinkimbinkimbi yokudakumba okukhulu. Inkxalabo yabanye abagula ngengqondo kukuba ngelixa i-ECT inokunceda ngeempawu ezixinezelekileyo, kunokubangela ukonakalisa iimpawu ezixhalabisayo-njengokubangela ukugqithisa ukucinga okanye ukuhlaselwa ngumsindo.
ECT kunye neSchizophrenia
Njengokuba abantu abanexinzelelo abangaphenduliyo kunyango olufumanekayo banokuzuza kwi-ECT, abo abane- schizophrenia abangaphenduliyo kwi-antipsychotics bangenelwa kulolu unyango.
I-ECT kunye nePilinson's
Ukudandatheka kunye nezinye izifo zengqondo ziqhelekile kubantu abanesifo sika-Parkinson.
Kukho uphando oluninzi kwiminyaka yamuva nje ejonge indima kunye nenzuzo yokusebenzisa i-ECT okanye ukuxinezeleka okuhlobene ne-Parkinson.
Ngubani Umviwa?
I-ECT yenzelwa abantu abangaphenduliyo kumachiza kunye nezinye iindlela zokunyangwa kwengcinezelo. Umzekelo weklastiki ukusetyenziswa kwe-ECT kumntu onenkxalabo enkulu yokudandatheka ongaphenduliyo kwiimilinganiselo ezinkulu ze-anti-depressant and psychotherapy. I-ECT ngamanye amaxesha inikwe inxulumene nezinye iindlela zokwelapha inethemba lokuthi inhlanganisela iya kuphucula iimpawu zomntu ngaphezu kwe-ECT yedwa.
Imiphumela
Ngethuba lexeshana elifutshane, iziphumo eziphene ze-ECT zingabandakanya iintloko, isisonguluse, ama-acry muscle kunye nokudideka.
Ezi zibonakaliso zivame ukuzikhawulela kwaye zixazulule kwimiba yeentsuku. Ukuhlaziya i-amnesia ingadlulela ixesha elide kunezinye iimpawu kodwa ngokungaqhelekanga iqhubeka.
Ukutshintsha kwexesha elide kunokuthi kube nomphumo ochaphazelekayo we-ECT, kunye nokulahlekelwa kwememori-ngokukodwa ukulahleka kwememori malunga neemeko zangoku-eziqhelekileyo. Ugqirha uya kucela imibuzo enxulumene nememori okanye i-orientation emva kokuba umntu aphumelele kwi-ECT ukuvavanya iqondo lokulahlekelwa kwengqondo xa kukho.
Iziphumo ezibi kakhulu ezinokuthi ziquka imiphumo yesifo sengqondo kunye neziphumo zengqondo. Kukho ingozi yokwanda kwentliziyo kunye nokuphazamiseka kwentliziyo kwisifo se-coronary disease, kwaye ugqirha wakho unokuncoma ukubonisana ne-cardiologist ngaphambi kokuba abe ne-ECT.
Kubalulekile ukuba izigulane ziyazi ingozi kunye nazo zonke ezinye izingozi kunye neenzuzo ze-ECT ngaphambi kokuvuma unyango.
U khu seleko
Nangona kubanzi jikelele ukuba i-ECT inobungozi kwaye iphelelwe yisikhathi xa isetyenziswe ngokubhekiselele kwinkqubo yokukhetha ngokucophelela, ingaba yindlela ekhuselekileyo yokufumana uxinzelelo oluphantsi kolawulo. Ngokuqinisekileyo, umngcipheko we-ECT kufuneka uhlolwe ngokucokisekileyo ngengozi yokudakumba okukhulu okungaphenduliyo kunyango, njengengozi yokuzibulala nokunye.
Yintoni engekho i-ECT eyenziwe ngokuthe rhoqo?
Usenokuzibuza, "Ukuba i-ECT ivame ukunyamezela, kutheni kungenziwa rhoqo?" Ingxenye yesizathu kukuba imbono yomphakathi engabonakaliyo okanye i-stigma ye-ECT. Ukongezelela, kukho ukungabikho kokwazisa phakathi kwamagqirha enyango oluphambili kwendima ye-ECT inokudlala kunye nokungabikho kwabanikezeli abenza le nkqubo. Kubalulekile ukuphawula kwakhona, nangona kunjalo, ukuba i-ECT yinkqubo eyenziwa xa unyango olunjengamachiza kunye ne-psychotherapy alunakucala ekunciphiseni ukudakumba okukhulu okanye ezinye izifo zengqondo ezifana nesifo schizophrenia. Xa kunjalo, umgangatho wobomi bomntu kubaluleke kakhulu ukugcina engqondweni xa ucinga unyango.
Eminye i-ECT
Ngaphambi kokuqwalasela i-ECT, kubalulekile ukuqwalasela ezinye iindlela ezikhoyo.
Ingqondo yakho yeengqondo mhlawumbi uye wazama iindlela ezahlukeneyo zokuxhatshazwa kweengxaki ezivela kwiiklasi ezahlukeneyo . Asisazi ukuba kutheni abanye abantu bengasabela kakuhle kwelinye iklasi kunomnye, kodwa mhlawumbi lihambelana nokulinganisela kweeurotransmitter kwingqondo engakhokelela ekudakaleni.
I-Psychotherapy yinto ephambili kwaye kufuneka ihlolwe ngaphambi kokuqwalasela i-ECT.
Enye indlela eya kwi-ECT eye isetyenziswe ngokuphindaphindiweyo kwiminyaka yamuva i- transcranial stimulation magnetic . Funda kabanzi malunga neenzuzo kunye neengxaki ze-ECT vs TMS .
Ndingenza ntoni?
I-ECT ikholelwa ukuba yongenelelo olukhuselekileyo kubantu abakhethiweyo ngokuchanekileyo abangakwazi ukuphumelela kakhulu ekunciphiseni iimpawu ezibangelwa zizifo zengqondo. Njengoko naluphi na ukungenelela, inkqubo, okanye amayeza, nceda uthethe nogqirha wakho malunga nayiphi na ingxakeko onayo ngaphambi kokuba ufumane i-ECT.
Imithombo:
Andrade, E., Arumugham, S., noJ. Thirthalli. Iimiphumo ezimbi zonyango lwe-Electroconvulsive. Iiklinikhi zeeNgqondo zaseNyakatho Melika . 2016. 39 (3): 513-30.
Luchini, F., Medda, P., Mariani, M., Mauri, M., Toni, C., noG. Perugi. Unyango lwe-Electroconvulsive Treatment in Catatoic Patients: Ukusebenza kunye noPhambi kweMpendulo. I-World Journal ye-Psychiatry . 2015. 5 (2): 182-92.
Pourafkari, N., Pourafkari, L., kunye N. Nader. Unyango lwe-Electroconvulsive Treatment Depression Emva kwee-Coronary Syndromes eziqhelekileyo: Ukuxhalabisa i-Anesthesiologist. Umbhalo we-Clinical Anesthesia . 2016. 31: 223-8.
USicher, S., noJ. Gedzior. Ulwaphulo lwe-Electroconvulsive: Ukukhuthaza ukuLwazi phakathi kwabaPhandi beNtloko. I-International Journal ye-Psychiatry kwiMithi . 2016. 51 (3): 278-83.