Ke hakakā nei ʻoe me ke kaumaha nui, a i ʻole ke nānā ʻana paha i kahi mea aloha e ʻeha nei ma o ia mea? Inā ua hoʻāʻo ʻoe i nā lāʻau lapaʻau like ʻole me ka loaʻa ʻole o ka hōʻoluʻolu, a inā paha ua paʻa ʻoe i loko o kahi pōʻaiapuni o ka manaʻolana ʻole, aia kahi koho lapaʻau kūpono loa e pono ai mākou e kūkākūkā: Electroconvulsive Therapy (ECT). He mea hoʻoweliweli paha ka inoa, akā e hoʻomaopopo kākou i nā moʻolelo wahaheʻe - ʻaʻole kēia ka mea āu e ʻike ai ma nā kiʻiʻoniʻoni; he hana lapaʻau palekana a hoʻoponopono maikaʻi ʻia.
He aha maoli ka ECT?
I ka ʻōlelo maʻalahi, he lāʻau palekana a maikaʻi hoʻi ʻo ECT no ke kaumaha nui, ka maʻi bipolar , a me nā kūlana olakino noʻonoʻo ʻē aʻe.
I ka wā o ke kaʻina hana, ua hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā. Hoʻokomo nā kauka i nā electrodes ma kou poʻo a hāʻawi i kahi au uila pōkole i kāohi pono ʻia i ka lolo. Hoʻoulu kēia i kahi hopu i kāohi ʻia no kekahi mau kekona wale nō, kahi e kōkua nui ai i kou lolo e 'hoʻonohonoho hou' i kāna hana.
Manaʻo ka poʻe he nui i nā kuhi hewa i ʻike ʻia ma nā kiʻiʻoniʻoni—ua ʻike ka mea maʻi a ʻike i ka ʻeha. He wahaheʻe loa kēia. I kēia lā, he hana lapaʻau akamai, ʻeha ʻole, a nānā pono ʻia ʻo ECT.
No nā kānaka i loko o ka pilikia, e like me ka poʻe e ʻike nei i nā manaʻo pepehi kanaka, hiki iā ECT ke hāʻawi i ka hōʻoluʻolu wikiwiki . Ke lōʻihi loa ka hana ʻana o ka lāʻau lapaʻau a i ʻole ʻaʻole pono, hiki i kēia ke lilo i mea e hoʻopakele ai i ke ola .
Pehea ʻoe i hoʻomākaukau ai no ka ECT?
Ke hoʻoholo kāu kauka he kūpono ʻo ECT iā ʻoe, e hana lākou i kahi loiloi piha e hōʻoia i kou olakino kūpono no ke kaʻina hana. ʻO nā loiloi maʻamau ma mua o ka mālama ʻana:
| Loiloi | Kumu |
|---|---|
| ʻElectrocardiogram (EKG) | No ka nānā ʻana i ka hana uila o kou puʻuwai. |
| Nā hoʻāʻo koko | Helu koko piha (CBC), nā hoʻokolohua hana thyroid a me nā puʻupaʻa. |
| X-ray umauma | Hoʻohana ʻia inā manaʻo ʻia he pilikia puʻuwai a māmā paha. |
| CT Scan | I kekahi manawa hoʻohana ʻia e kāpae i nā maʻi ʻē aʻe o ka lolo. |
ʻAe ʻia
Ma mua o ka lawe ʻia ʻana o kekahi mau hana, ʻo ʻoe—a i ʻole kāu mana loio lapaʻau i koho ʻia—e kau inoa i kahi palapala ʻae kūhelu, e hōʻoiaʻiʻo ana ua maopopo loa iā ʻoe ka lāʻau a me kona mau hopena.
He aha e manaʻo ai i ka wā o ke kaʻina hana
I ka lā o ka mālama ʻana, ʻaʻole ʻoe e ʻeha no ka mea ua hiamoe ʻoe ma lalo o ka anesthesia. Eia nā ʻanuʻu e hana ai ke kaʻina hana:
1. Hoʻokomo IV: Hoʻokomo ʻia kahi laina IV i loko o kou lima e hāʻawi i ka anesthesia a me nā mea hoʻomaha ʻiʻo .
2. Nānā ʻana i ka ECG : Hoʻokomo ʻia nā kaula ma kou umauma e nānā i kou puʻuwai ma ke kaʻina hana holoʻokoʻa.
3. Nānā ʻana i ka EEG : Hoʻokomo ʻia nā kaula ma kou poʻo e nānā i kou mau nalu lolo.
4. Pale Nahu: Hoʻokomo ʻia kahi pale palupalu i loko o kou waha e pale i kou mau niho.
5. Ke kau ʻana o ka Electrode: ʻO ka mea hope loa, ua kau ʻia nā electrodes ma kou poʻo.
Ke hāʻawi ʻia ka hoʻoulu uila pōkole, hōʻoia nā mea hoʻomaha ʻiʻo e hōʻike ʻia kekahi hana hopu ma ke ʻano he neʻe iki wale nō ma kou mau lima a i ʻole kou mau wāwae. E ala koke ʻoe ma hope, me ka ʻole o ka hoʻomanaʻo ʻana i ke kaʻina hana ponoʻī. Hiki paha iā ʻoe ke huikau iki, akā hala koke kēia.
ʻO ka maʻamau, lawelawe ʻia ka lāʻau lapaʻau 2-3 mau manawa i ka pule no 2-4 mau pule, ma muli o kāu pane pilikino.
ʻO wai nā pōmaikaʻi, a ʻo wai ka mea e pale aku iā ECT?
ʻAʻole no nā kānaka a pau ka ECT, akā no ka poʻe i kūpono, he mea ia e hoʻololi ai i ke ola.
| Nā Moho e Pōmaikaʻi Ana | Nā Contraindications (Nā Pōʻino) |
|---|---|
| Kaumaha kūʻē i ka lāʻau lapaʻau. | Ka hāʻule puʻuwai i hala koke nei. |
| Ka nui o ka pilikia o ka hōʻeha ponoʻī ʻana. | Ke kūlana cardiovascular paʻa ʻole. |
| ʻO ka ʻai ʻole nui ma muli o ka hōʻole ʻana i ka meaʻai. | Hoʻonui ʻia ke kaomi intracranial. |
| ʻO Katatonia. | ʻO ka hahau ʻana a i ʻole ka aneurysm i hala koke nei. |
| Kaumaha a i ʻole Bipolar me ka psychosis. | Maʻi hanu koʻikoʻi (e like me, COPD). |
| Hāpai (kahi e pilikia ai ka lāʻau lapaʻau). | ʻAʻole i hana ʻia no nā keiki ma lalo o 11 makahiki. |
Nā hopena ʻaoʻao hiki
E like me nā hana lapaʻau āpau, aia nā hopena ʻaoʻao , ʻoiai ʻo ka hapa nuimanawa pōkole:
- Huikau: Huikau ma hope o ka mālama ʻana, ka mea maʻamau e nalo i loko o kekahi mau hola.
- Poho Hoʻomanaʻo: Loaʻa i kekahi mau maʻi ka pilikia i ka hoʻomanaʻo ʻana i nā hanana mai mua koke a i ka wā o ka mālama ʻana (retrograde amnesia), kahi e hoʻomaikaʻi pinepine ai i ka hala ʻana o ka manawa.
- ʻOluʻolu ʻole o ke kino: ʻEha poʻo, ʻeha ʻāʻī, a ʻeha paha nā ʻiʻo.
- Nausea: Nausea iki ma hope o ka anesthesia.
- Nā pilikia anesthesia: Nā pilikia maʻamau e pili ana me ka anesthesia laulā.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me kāu mea mālama ola kino. Aia lākou ma laila e hoʻoponopono i kou mau hopohopo a hōʻoluʻolu i kou hopohopo.
Ke ola ma hope o ka ECT
Ma hope o kāu mau lāʻau lapaʻau, e ʻike paha ʻoe i ka emi nui ʻana o nā hōʻailona kaumaha. Eia naʻe, ʻaʻole i pau ka lāʻau lapaʻau ma laila. I mea e pale ai i ka hoʻi hou ʻana, e ʻōlelo paha kāu kauka i ka mālama ʻana i ka lāʻau lapaʻau , ʻo ia hoʻi ka lāʻau lapaʻau a i ʻole ka psychotherapy.
Ma hope o kāu kau ʻana, e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini kaumaha a hiki i ka wā e ʻae ʻia ai ʻoe e kāu kauka.
Leka Lawe-Home
- ʻAʻole ʻo ECT ke kaʻina hana weliweli mai nā kiʻiʻoniʻoni; he lāʻau lapaʻau palekana a maikaʻi hoʻi ia no ke kaumaha nui.
- Hana ʻia ke kaʻina hana ma lalo o ka anesthesia piha, no laila ʻaʻole ʻoe e ʻike i ka ʻeha.
- ʻO nā hopena ʻaoʻao e like me ka huikau a i ʻole nā hemahema hoʻomanaʻo manawa pōkole he manawa pōkole ia.
- ʻAʻole ia he 'hoʻoponopono wikiwiki'—he mea nui ka mālama ʻana (lāʻau lapaʻau a i ʻole therapy) e pale ai i ka hoʻi hou ʻana.
- E kūkākūkā mau me kāu kauka e ʻike inā kūpono kēia lāʻau iā ʻoe a i ʻole kāu mea aloha.
ECT, kaumaha, olakino noʻonoʻo, maʻi bipolar
