Ke makaʻu nei ʻoe i ka mālama ʻana iā ECT? E ʻike kākou i ka ʻoiaʻiʻo! (Electroconvulsive Therapy - ECT)

Ua ʻike anei ʻoe i kahi kiʻiʻoniʻoni kahi e hāʻawi ʻia ai kekahi i kahi 'hoʻohoka'? He hiʻohiʻona weliweli a weliweli hoʻi, ʻeā? ʻO ka pinepine, ʻo nā hiʻohiʻona e like me ia ke kumu e makaʻu nui ai ka poʻe he nui a me ka manaʻo kuhihewa e pili ana i ka ECT, a i ʻole Electroconvulsive Therapy. Akā he mea maoli anei ia e makaʻu ai i kēia mau lā? I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano maoli o ka ECT, pehea e hana ʻia ai, a me kona mau pono.

I ka ʻōlelo maʻalahi, he aha ka ECT?

He lāʻau lapaʻau kūpono loa ka ECT (Electroconvulsive Therapy) no kekahi mau maʻi noʻonoʻo. Hoʻohana kūikawā ʻia ia no nā maʻi noʻonoʻo koʻikoʻi i pane ʻole i nā lāʻau lapaʻau maʻamau a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

ʻO ka mea e hana ʻia ma ʻaneʻi, ua hoʻopau loa ʻia ʻoe (General Anesthesia) , ʻo ia hoʻi, ua hiamoe loa ʻoe, a ua hāʻawi ʻia kahi hōʻailona uila liʻiliʻi loa i kāohi ʻia i ka lolo. Hoʻoulu kēia i kahi hopu pōkole loa i kāohi ʻia i loko o ka lolo. Hana ʻia kēia mau mea a pau me ka ʻike ʻole ʻoe i kekahi mea, ʻoiai ʻoe e hiamoe nui ana. No laila, ʻaʻohe ʻeha a ʻūlū paha e like me nā kiʻiʻoniʻoni.

E noʻonoʻo i kēia ʻano, e like me kekahi manawa ke "kau" kā mākou kamepiula, hiki iā mākou ke "hoʻomaka hou" a hoʻomaka hou e hana pono, hoʻonohonoho hou kēia lāʻau lapaʻau a hoʻihoʻi hou paha i ke kamaʻilio ʻana ma waena o nā hunaola nerve i loko o ka lolo. Ke noiʻi nei nā kānaka ʻepekema i ke ʻano o kēia hana. Akā, ʻo kekahi o nā manaʻo nui, ʻo ia ke kōkua ʻana o kēia lāʻau lapaʻau i nā hunaola nerve hou i loko o ka lolo e ulu a hana i nā pilina hou ma waena o lākou. Kāhea mākou i kēia kaʻina hana (neurogenesis) . Ua manaʻoʻiʻo ʻia he kōkua kēia i ka hoʻohuli ʻana i nā loli maikaʻi ʻole i loko o ka lolo i hoʻokumu ʻia e nā maʻi e like me ke kaumaha nui.

ʻOiai ua hoʻohana ʻia kēia ʻano lapaʻau a hiki i ka makahiki 1938, ua lilo ia i mea palekana loa a holomua hoʻi me ka holomua o ka ʻenehana.

No nā kūlana hea a no wai e kūpono ai kēia lāʻau lapaʻau?

ʻAʻole no nā kānaka āpau ka ECT. Paipai wale ʻia e ke kauka ma hope o ka nānā pono ʻana i ke kūlana o ka mea maʻi a inā he pono kūikawā no ia. Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi o kēia mai ka papa ma lalo nei.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?

Ke hoʻoholo ʻia ʻoe e loaʻa i ka lāʻau ECT, e hāʻawi ke kime lapaʻau iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi e hahai ai. ʻO ka maʻamau, hiki i kēia mau mea ke komo pū me:

• Ka hoʻokē ʻai ʻana no ka liʻiliʻi o ʻewalu hola: ʻOi aku ka maikaʻi o ka ʻai ʻole ʻana a inu ʻole paha i kekahi mea no ka liʻiliʻi o 8 mau hola ma mua o ka mālama ʻana. ʻO kēia no ka mea e hāʻawi ʻia ʻoe i ka anesthesia, a he mea nui no ka palekana e hakahaka kou ʻōpū.
• Nā lāʻau lapaʻau kakahiaka: Inā loaʻa iā ʻoe nā lāʻau lapaʻau e pono ai ʻoe e lawe i ke kakahiaka, e lawe iā lākou me kekahi mau sips o ka wai ma hope o ke kūkākūkā ʻana me kāu kauka a inā ʻōlelo ʻo ia ua maikaʻi.
• Nā niho wahaheʻe: Inā ʻoe e kau ana i nā niho wahaheʻe a i ʻole nā ​​​​niho hana, e lawe mai i kahi hihia kahi e hiki ai iā ʻoe ke wehe iā lākou.
• Nā Mea Hoʻonani: E wehe i nā mea hoʻonani he nui e like me ka hiki, e like me nā apo pepeiao a me nā ʻō ʻana o ka maka.

He aha ka mea e hana maoli ana i ka wā o ka mālama ʻana?

E nānā kākou i nā mea e hana ʻia i ka lā o kēia lāʻau lapaʻau. ʻO ka ʻike ʻana i kēia e kōkua i ka hoʻēmi ʻana i kou makaʻu.

1. Ke komo ʻana i ka haukapila: Ma hope o kou hōʻea ʻana i ka haukapila, e kuhikuhi ʻia ʻoe i ka ʻāpana mālama.

2. Hoʻokomo ʻia ʻana o ka IV cannula: Hoʻokomo ʻia kahi ʻōmole liʻiliʻi (IV cannula) i loko o kahi aa. ʻO kēia kahi e hāʻawi ʻia ai nā lāʻau lapaʻau anesthesia a me nā lako ʻē aʻe.

3. Hālāwai me ka hui lapaʻau:E hālāwai ka hui, me ke kauka noʻonoʻo a me ke kauka anesthesiologist, me ʻoe a kamaʻilio. Hiki iā ʻoe ke nīnau i kāu mau nīnau i kēia manawa.

4. Anesthesia: E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau ma o kahi IV e hoʻohiamoe loa iā ʻoe. Me kēia, e hāʻawi pū ʻia ʻoe i ka lāʻau lapaʻau e hoʻomaha ai i kou mau ʻiʻo. E pale kēia i kekahi neʻe ʻana i ka wā o ka mālama ʻana.

5. Ka lawelawe ʻana i ka oxygen: ʻOiai ʻoe e hiamoe ana, e hāʻawi ʻia ʻoe i ka oxygen ma o kahi pale maka oxygen. E nānā pono ʻia nā mea āpau mai ka helu o kou puʻuwai a i kou koko.

6. Lapaʻau ECT: Ke hana ʻia nei ka lapaʻau ECT. Hoʻouna ʻia kahi au uila liʻiliʻi loa i kāohi ʻia i ka lolo ma o nā electrodes i kau ʻia ma ke poʻo. ʻO nā haʻalulu i kāohi ʻia i hoʻokumu ʻia e kēia maʻamau he 30 a 60 kekona wale nō ka lōʻihi.

Hana ʻia kēia kaʻina holoʻokoʻa me ka ʻike ʻole ʻoe i kekahi mea, ma kahi palekana loa, ma lalo o ka nānā piha ʻana a nā kauka.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Ma kahi o 5 mau minuke ma hope o ka pau ʻana o ka lāʻau lapaʻau, e hoʻomaka ʻoe e ala. He mea maʻamau loa ke manaʻo iki i ka hiamoe a me ka huikau iki e pili ana i kou wahi a puni i ka wā mua. Nalo pinepine kēia i loko o 20-30 mau minuke. E mālama ʻia ʻoe ma lalo o ka nānā ʻana o ke kauka ma ka ʻāpana lapaʻau no kahi o 30-45 mau minuke a hiki i kou hoʻōla piha ʻana.

Ma hope o kou hoʻi ʻana i ka home, he mea nui e hahai i kēia mau mea no kou palekana a me ka ho'ōla koke ʻana:

• Mai hoʻokele kaʻa: Mai hoʻokele no kekahi kumu i ka wā o kāu papa hana ECT (i hāʻawi ʻia i ʻelua a ʻekolu manawa i ka pule). Mai hoʻokele kaʻa ma hope o ka pau ʻana o ka papa hana, a mai hoʻokele a hiki i ka wā e ʻae ai kāu kauka iā ʻoe.
• Mai hana i nā hoʻoholo koʻikoʻi: Mai hoʻohana i nā mīkini kaumaha a me ke kau inoa ʻana i nā palapala koʻikoʻi i ka lā o ka mālama ʻana.
• E hele pū me kahi pākeke kuleana: E hele pū me kahi pākeke kuleana i nā lāʻau lapaʻau āpau a mai laila mai. ʻAʻole hiki iā ʻoe ke hoʻohana i kahi kaʻa kaʻa a i ʻole ka lawelawe kaʻana like e hoʻi ai i ka home.
• Mai noho hoʻokahi no 24 mau hola: Ma hope o kēlā me kēia lāʻau lapaʻau, he mea nui e noho kekahi me ʻoe no nā hola 24 e hiki mai ana.

Pehea ka lōʻihi o kēia lāʻau lapaʻau?

ʻAʻole ʻo ECT he lāʻau lapaʻau hoʻokahi manawa. He ʻano lāʻau lapaʻau ia. Ua like ia me ka lawe ʻana i kahi papa lāʻau lapaʻau. Ma muli o kou kūlana a me ka pane ʻana i ka lāʻau lapaʻau, pono paha ʻoe e loaʻa i kekahi mau lāʻau lapaʻau, ʻelua a ʻekolu paha manawa i ka pule. ʻOkoʻa ka huina o nā lāʻau lapaʻau mai kēlā kanaka a i kēia kanaka.

Aia kekahi mau hopena ʻaoʻao o ka mālama ʻana iā ECT?

E like me nā lāʻau lapaʻau āpau, hiki i ka ECT ke loaʻa kekahi mau hopena ʻaoʻao. Eia nō naʻe, ʻo ka hapa nui o kēia mau mea he manawa pōkole. He mea nui e maopopo e pili ana i kēia mau mea.

He aha nā pōmaikaʻi o ka mālama ʻana i ka ECT?

Aia kekahi mau pono nui i ke koho ʻana i kēia lāʻau lapaʻau:

• Nā hopena wikiwiki: Hoʻopuka pinepine ka ECT i nā hopena wikiwiki ma mua o nā lāʻau lapaʻau ʻē aʻe (ʻoi aku hoʻi nā lāʻau lapaʻau). I kahi pilikia, no ka laʻana, inā e hoʻāʻo ana kekahi e hōʻeha iā lākou iho, hiki i kēia ke lilo i lāʻau lapaʻau e hoʻōla ola.
• Ka nui o ka holomua: He lāʻau lapaʻau holomua loa kēia no nā kūlana e like me ke kaumaha nui i pane ʻole i ka lāʻau lapaʻau.
• Koho Palekana: Hiki ke hoʻohana ʻia kēia ma ke ʻano he koho palekana no ka poʻe hiki ʻole ke lawe i kekahi mau lāʻau lapaʻau, e like me nā makuahine hāpai.
• Me nā lāʻau lapaʻau ʻē aʻe: Hāʻawi pinepine ʻia ʻo ECT me ka lāʻau lapaʻau. Hiki iā ia ke hoʻonui i ka pono o ka lāʻau lapaʻau.

Āhea wau e kāhea aku ai i ke kauka?

E wehewehe kāu kauka iā ʻoe i nā hōʻailona āu e makaʻala ai ma hope o ka mālama ʻana. Inā ʻike ʻoe i kekahi o kēia mau mea, e kāhea koke aku i kāu kauka a i ʻole e hele i ka lumi pilikia o ka haukapila kokoke loa (ETU) .

• Ka puʻuwai wikiwiki a kūpono ʻole paha.
• Inā ʻoe e kaumaha ana e pili ana i kou kūlana noʻonoʻo.
• Inā loaʻa iā ʻoe kahi ʻeha poʻo koʻikoʻi loa.
• Inā ʻaʻohe hoʻomaikaʻi ʻana o nā hōʻailona ma hope o ʻelua a ʻekolu paha mau lā, a inā e ʻoi aʻe ka ʻino o ke kūlana.

ʻO ka mea hope loa, mai makaʻu i ka ECT ma muli o kāu mea e ʻike ai i nā kiʻiʻoniʻoni. Hōʻike pinepine lākou i nā ʻano hana i hoʻohana ʻia i ka wā ma mua a i ʻole ua hoʻonui ʻia. I kēia lā, he lāʻau palekana a maikaʻi loa ka ECT, i hana ʻia ma lalo o ka anesthesia a ma lalo o ka nānā pono ʻana o ke kauka. ʻO kou palekana a me ka ʻoluʻolu ke kumu nui o ka hui lapaʻau. Inā he mau nīnau hou kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka.