ʻAʻohe lāʻau lapaʻau no ke kaumaha me nā lāʻau lapaʻau kuʻuna? Eia nā lāʻau lapaʻau loea kiʻekiʻe hou loa no ke kaumaha

Ke hakakā nei ʻoe me ke kaumaha? Malia paha ua hoʻāʻo ʻoe i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, ua hele i ke aʻo ʻana, a ʻaʻole naʻe i ʻoi aku ka maikaʻi. He mea maʻamau ka manaʻo hoʻonāwaliwali a me ka manaʻolana ʻole i nā manawa e like me kēia. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Ke holomua nei ka ʻepekema lapaʻau i kēlā me kēia lā. ʻO ia ke kumu i loaʻa ai nā lāʻau lapaʻau hou a holomua e hiki ke kōkua i ka poʻe i pane ʻole i nā lāʻau lapaʻau maʻamau. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

He aha ke 'kaumaha kū'ē i ka lāʻau'?

I ka ʻōlelo maʻalahi, ʻo kēia ke kūlana a mākou i kamaʻilio ai ma luna. ʻO ia hoʻi, kapa mākou i ke kaumaha kūpaʻa i ka lāʻau lapaʻau ke ʻole e hoʻomaikaʻi nā hōʻailona me nā lāʻau lapaʻau i ʻae ʻia no ke kaumaha (no ka laʻana, ʻelua a ʻoi aku paha nā ʻano antidepressants like ʻole, ma ka nui kūpono, no kahi manawa kūpono).

E noʻonoʻo, hāʻawi kāu kauka iā ʻoe i kahi lāʻau lapaʻau, a ma hope o kekahi mau mahina o ka hoʻohana ʻana, ʻaʻole ia he ʻokoʻa nui. A laila hoʻololi ʻo ia iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe. Inā ʻaʻole holo pono kēlā, hiki iā ʻoe ke hāʻule i loko o kēia māhele. I nā manawa e like me kēia e noʻonoʻo ai nā kauka i kēia mau lāʻau lapaʻau kūikawā a holomua a mākou e kamaʻilio ai.

ʻO ka lāʻau lapaʻau Electroconvulsive (ECT) - pono anei ʻoe e makaʻu e like me kou manaʻo?

Ke lohe ʻoe i ka huaʻōlelo "Electroconvulsive therapy (ECT)," e hoʻomanaʻo paha ʻoe i nā hiʻohiʻona mai nā kiʻiʻoniʻoni Sinhala a me Hindi kahiko a makaʻu. Akā ʻo ka ʻoiaʻiʻo, he lāʻau palekana a kāohi ʻia ʻo ECT i kēia lā.

ʻO ka mea e hana ʻia ma kēia, ua hoʻomoe loa ʻia ʻoe (hoʻohiamoe ʻia) a ua pau kēia lāʻau lapaʻau. No laila, ʻaʻole ʻoe e manaʻo i kekahi mea. Aia kahi hui o nā loea (he kauka noʻonoʻo, he anesthesiologist, a me nā kahu maʻi) no kēia. Hoʻouna lākou i nā pulse uila liʻiliʻi loa i kāohi ʻia i kou lolo ma o nā electrodes i kau ʻia ma kou poʻo. Ua manaʻo ʻia kēia e hoʻihoʻi i ka kamaʻilio ma waena o nā cell nerve i loko o ka lolo, a ua emi koke nā hōʻailona o ke kaumaha.

ʻO ka maʻamau , pono ʻia he 6 a 12 mau hālāwai, ʻo ia hoʻi ʻelua a ʻekolu manawa i ka pule. He lāʻau lapaʻau maikaʻi loa ka ECT, ʻoiai no ka poʻe me ke kaumaha nui i kūʻē i ka lāʻau a me ka poʻe me nā manaʻo pepehi kanaka.

Eia nō naʻe, e like me nā mea ʻē aʻe a pau, aia nā pilikia a me nā hopena ʻaoʻao. Hiki i kekahi poʻe ke loaʻa nā pilikia hoʻomanaʻo (ʻoi aku hoʻi ma kahi o ka manawa o ka mālama ʻana) no kekahi manawa pōkole ma hope o ka mālama ʻana. No laila, he mea nui e kūkākūkā i kēia mau mea a pau me kāu kauka ma mua o ka hoʻomaka ʻana i ka mālama ʻana.

ʻO ka Magnetic Pulse Therapy (TMS a me MST) - He aha kēia mau mea?

Hoʻohana kēia mau ʻano ʻelua i nā kahua magnetic e hoʻohuli i ka lolo, akā ʻokoʻa iki nā ʻano ʻelua.

1. Hoʻoulu ʻana i ka Magnetic Transcranial (TMS)

He hana maʻalahi loa kēia ma mua o ka ECT. ʻAʻole ʻoe e hoʻohiamoe ʻia. Hiki iā ʻoe ke noho ma luna o kahi noho. Hoʻokomo ke kauka a loea paha i kahi mea hana kūikawā (kahi `insulated wire coil`) ma kou poʻo a hoʻouna i nā pulse magnetic ma o ia mea i nā wahi kikoʻī o ka lolo i manaʻo ʻia he pili i ke kaumaha. ʻAʻohe ʻeha o kēia.

ʻO ka lōʻihi o kahi kau ma kahi o 30 mau minuke, a pono paha ʻoe e loaʻa i ka lāʻau lapaʻau ma kahi o 5 mau lā o ka pule no 4-6 mau pule. ʻO kekahi o nā pono nui o ka TMS, ʻo ia ka liʻiliʻi o nā hopena ʻaoʻao a ʻaʻole pono e noho i ka haukapila. Manaʻo paha kekahi poʻe i kahi ʻano ʻūlū ma ko lākou poʻo, a i ʻole e loaʻa paha iā lākou kahi ʻeha poʻo iki a i ʻole ka dizziness. Eia naʻe, ʻaʻole i hōʻike ʻia e hoʻopilikia nui i ka hoʻomanaʻo e like me ECT. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole i hoʻopuka ka TMS i nā hopena ikaika e like me ECT.

2. Lapaʻau Hopu Magnetika (MST)

Aia nō kēia i ke kahua noiʻi, a ua like ia me ke keʻa ma waena o ECT a me TMS. Maanei, hoʻohana ʻia kahi kahua magnetic ikaika e hoʻoulu ai i kahi hopu i kāohi ʻia i loko o ka lolo. ʻOiai ʻaʻole ʻike ʻia ke kumu pololei, hoʻomaha koke kēia hopu i nā hōʻailona o ke kaumaha. Pono nō hoʻi ia i ka anesthesia, e like me ECT. Eia nō naʻe, ke manaʻolana nei nā kauka ʻoiai hiki i ka ECT ke kuhikuhi pololei i nā wahi o ka lolo, e emi ana ka hopena i ka hoʻomanaʻo.

Nā lāʻau lapaʻau ʻē aʻe e pili ana i ke ʻoki kino

He mau ʻokiʻoki holomua kēia. Hoʻohana pinepine ʻia lākou i nā hihia koʻikoʻi loa kahi i holo pono ʻole ai nā ʻano hana ʻē aʻe a pau.

1. Hoʻoulu ʻana i ka lolo hohonu (DBS)

He lāʻau lapaʻau kēia e hoʻohana mua ʻia nei no ka maʻi o Parkinson. Ma kēia, hoʻokomo ʻia nā electrodes ma ke ʻoki ʻana i loko o nā wahi kikoʻī loa o ka lolo. Hoʻohana ʻia kēia mau electrodes e kahi pākaukau i hoʻokomo ʻia ma lalo o ka ʻili o ka umauma a i ʻole ka ʻōpū. Hoʻouna kēia mau electrodes i nā hōʻailona uila i nā kaapuni i loko o ka lolo e kāohi ana i ke ʻano, e kāohi ana i nā hōʻailona o ke kaumaha. ʻOiai ua kaupalena ʻia ka noiʻi, ua hoʻohiki maikaʻi nā hopena.

2. Hoʻoulu ʻana o ke aʻalolo Vagus (VNS)

He aʻalolo lōʻihi ke aʻalolo vagus e holo ana mai ka lolo a i nā ʻāpana like ʻole o ke kino. Hoʻopili pū ʻia kēia aʻalolo i nā ʻāpana o ka lolo e kāohi ana i ke ʻano. Ma kēia lāʻau lapaʻau, ua hoʻokomo ʻia kahi mea liʻiliʻi, e like me ka pacemaker, ma lalo o ka ʻili o ka umauma. Hoʻouna ka mea hana i nā impulses uila i ke aʻalolo vagus. Hoʻomaikaʻi kēia i ke kamaʻilio ʻana o nā aʻalolo i loko o ka lolo a hōʻoluʻolu i ke kaumaha. Eia nō naʻe, hiki ke hala kekahi mau mahina e ʻike ai i nā hopena.

Ketamine - hoʻomaha koke?

He lāʻau hoʻomaha ka Ketamine. Akā ua ʻike ʻia ma nā noiʻi hou nei, i ka wā e hāʻawi ʻia ai i nā mahele haʻahaʻa loa, hiki iā ia ke hāʻawi koke i ka hōʻoluʻolu i loko o kekahi mau hola i kekahi mau maʻi kaumaha nui.

Ua ʻae ʻia kahi lāʻau lapaʻau ihu i kapa ʻia ʻo Ketoconazole no ka poʻe i pane ʻole i nā antidepressants ʻē aʻe a i ʻole ka poʻe e ʻike nei i nā manaʻo pepehi kanaka. Eia kekahi, hoʻohana ʻia kahi intravenous infusion (IV infusion). Hana pinepine ʻia kēia ma kahi haukapila, ma lalo o ka nānā ʻana o ke kauka.