Isikhokelo Sokunyathela Ngezinyathelo Zokukunceda Ukulungiselela
Ukwelashwa kwe-Electroconvulsive (ECT) yonyango olukhuselekileyo kunye olulawulwayo lwezifo ezithile zengqondo ezifana nokudandatheka okukhulu , isifo sengqondo , okanye iimeko ezinzima ze- bipolar mania .
Ngethuba leNkqubo ye-ECT, ixabiso elincinci lombane kagesi liyadluliselwa ngqondweni xa umntu ebeka phantsi kwe-anesthesia jikelele. Oku kubangela ukutshatyalaliswa okuchaphazela ukusebenza kombono, ukuphazamisa iimpembelelo, ukuziphatha, okanye iimvakalelo ezibangela ukuba umntu awonakalise.
Nangona i-ECT yinto eyikrakra kubantu abaninzi, ngokuqonda inkqubo kunye noko kukulindela, unokwenza ulwazi oluchanekileyo ukuba unyango luyacetyiswa.
Ngaphambi kweNkqubo
Inkqubo ye-ECT ithatha imizuzu emihlanu ukuya kweyimi-10 ukwenza, kungabandakanyi ixesha lokulungiselela nokuphucula. Usuku olungaphambi kwenkqubo, uza kufakwa kwizithintelo zokutya, ngokungekho ukutya okanye isiselo esivunyelwe emva kobusuku bobusuku kwaye kuphela amanzi alamandla avunyelwe kusasa ukuba athathe amayeza.
Xa sifika esibhedlele:
- Uya kudibana nomongikazi oza kuthatha iimpawu zakho ezibalulekileyo aze abuze malunga naziphi na izimo zempilo onokuzenza okanye unyango onokuthatha.
- Unokudibana kunye ne-anesthesiologist oza kubuza ukuba unayo i-aneshesia esikhathini esidlulileyo kwaye ukuba kukho nayiphi na impendulo.
- Ngesinye igumbi lokunyanga, umgca we-intravenous (IV) uza kufakwa kwi-vein apho i-anesthesia, i-fluids kunye namanye amayeza aya kuhanjiswa.
- Umongikazi wakho uza kufaka i-electrode ipads ekhanda lakho, elowo lilingana nobukhulu be dollar yesiliva. Ngokuxhomekeke kwisicwangciso sonyango, i-electrodes ingafakwa kwicala elinye lentloko (i-unilateral) okanye zombini (ngokubanzi).
- Emva koko uza kutyunjwa kumashishini ahlukeneyo ukujonga uxinzelelo lwegazi, ukuphefumula, intliziyo yesantya, kunye nomsebenzi wengqondo.
Ngexesha leNkqubo
Emva kokuba usuphelile, ugqirha wakho kunye ne-anesthesiologist uza kuqala inkqubo, okokuqala ngokukubeka phantsi kwe-anesthesia jikelele kwaye emva kokuhambisa amashishini kagesi ngokusebenzisa ubuchopho ngamanyathelo alandelayo:
- I-anesthesiologist ihambisa izidakamizi ezimbini nge-IV line: i-anesthesia ukubeka ulele kwaye uhlaziye umsizi ukuze unciphise ukukhawuleza ngexesha lemiqathango ngokwayo.
- Uxinzelelo lwegazi lwe-blood pressure lugxotha kwi-ankle yakho ukukhusela umxube ophumayo ukungena kwienyawo. Oku kuvumela ugqirha ukuba aqaphele umsebenzi wokubamba ngokujonga "unyawo" olungenaluncedo.
- I-mask ye-oxygen ifakwa phezu kobuso bakho. Unokuphinda unikwe umlindi womlomo ukukhusela amazinyo nolwimi lwakho.
- Emva kokuba ulele, ugqirha ukhulula okwangoku kagesi ngokucinezela iqhosha kumatshini we-ECT. Oku kuya kubangela ukutshatyalaliswa okuqhelekileyo kuthatha ubuncinane ngaphezu kwemizuzwana engama-60 okanye njalo. Ugqirha uya kukwazi ukubona oku kumgangatho wakho wamahhala kunye nakwi-monitor ye-electroencephalogram (EEG) ngomatshini.
Emva kweNkqubo
Emva kokuba inkqubo iphelile, imiphumo ye-antiesthetic and muscle relaxant will shortly begin to wear off. Uya kuthathwa kwindawo yokubuyisela apho uya kuhlolwa khona naziphi na iingxaki.
Xa uvuka, unokuba nexesha lokuphazamiseka oluhlala ixesha elide ukusuka kwiiyure ezimbalwa ukuya kwiiyure eziliqela. Ukulahleka kwememori yesikhashana kuqhelekileyo.
Abantu abafumana i-ECT ngokokuqala ngqa bacebiswa ukuba bangaqhubi okanye babuyele emsebenzini beveki okanye ezimbini. Njengoko i-ECT idla ngokubhekiselwe kwiinkqubo ezininzi zonyango, iziphumo zempembelelo zivame ukunyuka njengoko unyango luqhubeka. Ekupheleni kwekhosi, unokufuna kuphela ukuphepha umsebenzi okanye ukuqhuba ngeentsuku ezimbalwa.
> Umthombo:
> I-American Psychiatric Association. "Yintoni i-ECT?" Arlington, eVirginia; hlaziywa ngoJanuwari 2016.