Koj puas tau saib ib zaj yeeb yaj kiab uas ib tug neeg raug muab 'kev poob siab'? Nws yog ib qho xwm txheej txaus ntshai, puas yog? Feem ntau, cov xwm txheej zoo li ntawd yog qhov laj thawj uas ntau tus neeg ntshai thiab nkag siab yuam kev txog ECT, lossis Electroconvulsive Therapy. Tab sis puas yog nws yog ib yam dab tsi uas yuav tsum ntshai tiag tiag niaj hnub no? Hnub no, cia peb tham txog ECT yog dab tsi tiag tiag, nws ua li cas, thiab nws cov txiaj ntsig yog dab tsi.
Hauv lwm lo lus, ECT yog dab tsi?
ECT (Electroconvulsive Therapy) yog ib txoj kev kho mob zoo heev rau qee yam mob hlwb. Nws yog siv tshwj xeeb rau cov mob hlwb hnyav uas tsis teb zoo rau cov tshuaj ib txwm muaj lossis lwm yam kev kho mob.
Qhov tshwm sim ntawm no yog tias koj tau muab tshuaj loog tag nrho (General Anesthesia) , uas txhais tau tias koj tsaug zog tag nrho, thiab lub teeb liab hluav taws xob me me, tswj tau muab rau lub hlwb. Qhov no ua rau muaj kev qaug dab peg luv luv, tswj tau hauv lub hlwb. Tag nrho cov no tshwm sim yam tsis muaj koj paub dab tsi, thaum koj pw tsaug zog tob. Yog li tsis muaj mob lossis co zoo li hauv cov yeeb yaj kiab.
Xav txog nws li no, ib yam li qee zaum thaum peb lub khoos phis tawj 'daig', peb tuaj yeem 'rov pib dua' nws thiab nws pib ua haujlwm kom zoo dua, kev kho mob no qee yam 'resets' lossis rov ua dua kev sib txuas lus ntawm cov hlwb paj hlwb hauv lub hlwb. Cov kws tshawb fawb tseem tab tom tshawb nrhiav seb qhov no ua haujlwm li cas. Tab sis ib qho ntawm cov tswv yim tseem ceeb yog tias kev kho mob no pab cov hlwb paj hlwb tshiab hauv lub hlwb loj hlob thiab tsim kev sib txuas tshiab ntawm lawv. Peb hu ua cov txheej txheem no (neurogenesis) . Nws ntseeg tau tias qhov no pab thim rov qab cov kev hloov pauv tsis zoo hauv lub hlwb uas tshwm sim los ntawm cov kab mob xws li kev nyuaj siab loj.
Txawm hais tias txoj kev kho mob no tau siv txij li xyoo 1938 los, nws tau muaj kev nyab xeeb thiab nce qib heev nrog kev nce qib ntawm thev naus laus zis.
Rau cov mob twg thiab kev kho mob no haum rau leej twg?
ECT tsis yog kev kho mob rau txhua tus. Tsuas yog tus kws kho mob pom zoo kom ua tom qab kuaj xyuas tus neeg mob tus mob kom zoo thiab yog tias muaj kev xav tau tshwj xeeb rau nws. Koj tuaj yeem tau txais lub tswv yim zoo txog qhov no los ntawm lub rooj hauv qab no.
| Cov mob uas tau kho nrog kev kho mob | Cov neeg uas yuav tsim nyog rau txoj kev kho mob no |
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Qhov tseem ceeb tshaj plaws yog tus kws kho mob puas siab puas ntsws yuav txiav txim siab seb koj puas xav tau kev kho mob no lossis tsis xav tau. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tham txog qhov no nrog koj tus kws kho mob.
Koj npaj li cas ua ntej kev kho mob?
Thaum twg koj txiav txim siab kho ECT lawm, pab neeg kho mob yuav muab cov lus qhia rau koj ua raws li. Feem ntau cov no yuav muaj xws li:
- Kev yoo mov tsawg kawg yog yim teev: Nws yog qhov zoo tshaj plaws kom tsis txhob noj lossis haus dab tsi tsawg kawg yog 8 teev ua ntej kev kho mob. Qhov no yog vim tias koj yuav raug muab tshuaj loog, thiab nws yog qhov tseem ceeb rau kev nyab xeeb uas koj lub plab khoob.
- Cov Tshuaj Thaum Sawv Ntxov: Yog tias koj muaj cov tshuaj uas koj yuav tsum tau noj thaum sawv ntxov, noj nrog ob peb lub me me dej tom qab sab laj nrog koj tus kws kho mob thiab yog tias nws hais tias nws tsis ua li cas.
- Cov hniav cuav: Yog tias koj hnav cov hniav cuav lossis cov hniav cuav, nqa ib lub thawv uas koj tuaj yeem tshem lawv tawm.
- Cov Khoom Siv Hnav: Tshem tawm ntau cov khoom siv hnav li sai tau, xws li cov pob ntseg thiab cov khoom tho qhov ncauj.
Muaj dab tsi tshwm sim tiag tiag thaum lub sijhawm kho mob?
Cia peb saib seb muaj dab tsi tshwm sim rau hnub kho mob no. Kev paub qhov no yuav pab txo koj qhov kev ntshai.
1. Kev nkag mus rau hauv tsev kho mob: Tom qab koj tuaj txog hauv tsev kho mob, koj yuav raug coj mus rau chav kho mob.
2. Kev ntxig IV cannula: Ib lub raj me me (IV cannula) raug ntxig rau hauv cov leeg ntshav. Qhov no yog qhov chaw muab cov tshuaj loog thiab lwm yam khoom siv.
3. Kev sib ntsib nrog pab pawg kho mob:Cov neeg ua haujlwm, suav nrog tus kws kho mob hlwb thiab tus kws kho mob siv tshuaj loog, yuav ntsib koj thiab tham. Koj tuaj yeem nug txhua yam lus nug uas koj muaj lub sijhawm no.
4. Tshuaj loog: Koj yuav tau txais tshuaj los ntawm kev txhaj tshuaj IV kom koj tsaug zog tag nrho. Nrog rau qhov no, koj kuj tseem yuav tau txais tshuaj kom koj cov leeg so. Qhov no yuav tiv thaiv kev txav mus los thaum lub sijhawm kho mob.
5. Kev muab pa oxygen: Thaum koj tsaug zog, koj yuav tau txais pa oxygen los ntawm lub npog ntsej muag pa oxygen. Txhua yam los ntawm koj lub plawv dhia mus rau koj cov ntshav siab yuav raug saib xyuas ze heev.
6. Kev kho mob ECT: Kev kho mob ECT tam sim no tab tom ua. Ib qho hluav taws xob me me, tswj tau raug xa mus rau lub hlwb los ntawm cov electrodes uas muab tso rau ntawm lub taub hau. Cov kev qaug dab peg uas tswj tau los ntawm qhov no feem ntau tsuas kav li 30 txog 60 vib nas this xwb.
Tag nrho cov txheej txheem no tshwm sim yam tsis muaj koj paub dab tsi, nyob rau hauv ib qho chaw nyab xeeb heev, nyob rau hauv kev saib xyuas tag nrho ntawm cov kws kho mob.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Kwv yees li 5 feeb tom qab kev kho mob xaus, koj yuav pib sawv. Nws yog ib qho ib txwm muaj uas yuav xav tias tsaug zog me ntsis thiab tsis meej pem me ntsis txog koj ib puag ncig thaum xub thawj. Qhov no feem ntau yuav ploj mus hauv 20-30 feeb. Koj yuav raug saib xyuas los ntawm kws kho mob hauv chav kho mob li 30-45 feeb kom txog thaum koj zoo tag nrho.
Tom qab koj mus tsev lawm, nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov no rau koj txoj kev nyab xeeb thiab kev rov zoo sai:
- Tsis txhob tsav tsheb: Tsis txhob tsav tsheb rau txhua yam laj thawj thaum koj kho ECT (uas muab ob mus rau peb zaug hauv ib lub lim tiam). Tsis txhob tsav tsheb tom qab kho tas, thiab tsis txhob tsav tsheb kom txog thaum koj tus kws kho mob tso cai rau koj.
- Tsis txhob txiav txim siab tseem ceeb: Tsis txhob siv cov tshuab hnyav thiab kos npe rau cov ntaub ntawv tseem ceeb rau hnub kho mob.
- Yuav tsum muaj ib tug neeg laus uas muaj lub luag haujlwm nrog: Yuav tsum muaj ib tug neeg laus uas muaj lub luag haujlwm nrog mus thiab los ntawm txhua qhov kev kho mob. Koj siv tsis tau lub tsheb tavxij lossis kev pabcuam caij tsheb sib koom mus tsev.
- Tsis txhob nyob ib leeg rau 24 teev: Tom qab txhua qhov kev kho mob, nws yog ib qho tseem ceeb uas yuav tsum muaj ib tus neeg nyob nrog koj rau 24 teev tom ntej.
Kev kho mob no yuav siv sijhawm ntev npaum li cas?
ECT tsis yog kev kho mob ib zaug xwb. Nws yog kev kho mob ntau zaus. Zoo li noj tshuaj ib zaug xwb. Nyob ntawm koj tus mob thiab kev teb rau kev kho mob, tej zaum koj yuav tsum tau kho ntau zaus, ob lossis peb zaug hauv ib lub lim tiam. Tag nrho cov kev kho mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg.
Puas muaj tej yam tshwm sim ntawm kev kho mob ECT?
Ib yam li kev kho mob twg los xij, ECT muaj qee yam kev mob tshwm sim. Txawm li cas los xij, feem ntau ntawm cov no tsuas yog ib ntus xwb. Nws yog ib qho tseem ceeb uas yuav tsum paub meej txog cov no.
| Cov kev mob tshwm sim feem ntau (feem ntau yog ib ntus xwb) | Cov kev mob tshwm sim tsis tshua muaj (loj heev) |
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Rau tej yam zoo li no, koj pab neeg kho mob yuav muab cov tshuaj rau koj xws li tshuaj tua kab mob. |
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Cov txiaj ntsig ntawm kev kho mob ECT yog dab tsi?
Muaj ntau qhov txiaj ntsig tseem ceeb rau kev xaiv txoj kev kho mob no:
- Cov txiaj ntsig sai: ECT feem ntau ua rau cov txiaj ntsig sai dua li lwm yam kev kho mob (tshwj xeeb yog cov tshuaj). Thaum muaj xwm txheej ceev, piv txwv li, yog tias ib tug neeg tab tom sim ua phem rau lawv tus kheej, qhov no tuaj yeem yog kev kho mob cawm txoj sia.
- Kev vam meej siab: Qhov no yog kev kho mob zoo heev rau cov mob xws li kev nyuaj siab hnyav uas tsis teb rau tshuaj.
- Lwm Txoj Kev Nyab Xeeb: Qhov no siv tau ua lwm txoj kev nyab xeeb rau cov neeg uas tsis tuaj yeem noj qee yam tshuaj, xws li cov niam cev xeeb tub.
- Nrog rau lwm yam kev kho mob: ECT feem ntau muab ua ke nrog tshuaj. Nws kuj tseem tuaj yeem ua rau cov tshuaj ua haujlwm tau zoo dua.
Kuv yuav tsum hu rau kws kho mob thaum twg?
Koj tus kws kho mob yuav piav qhia rau koj seb koj yuav tsum paub txog cov tsos mob twg tom qab kho mob. Yog tias koj muaj ib qho ntawm cov hauv qab no, hu rau koj tus kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws (ETU) .
- Lub plawv dhia ceev lossis tsis xwm yeem.
- Yog koj muaj kev tu siab txog koj lub siab lub ntsws.
- Yog koj mob taub hau heev.
- Yog tias tsis muaj kev txhim kho hauv cov tsos mob tom qab ob lossis peb hnub, lossis yog tias qhov mob hnyav zuj zus.
Yog tias koj xav ua phem rau koj tus kheej, qhov no yog xwm txheej ceev. Thov nrhiav kev pab tam sim ntawd. Koj tuaj yeem hu rau Sri Lankan National Mental Health Helpline ntawm 1926. Cov koom haum zoo li Sumithrayo kuj npaj txhij los pab koj.
Thaum kawg, tsis txhob ntshai ECT vim yog yam koj pom hauv cov yeeb yaj kiab. Lawv feem ntau qhia cov txheej txheem uas tau siv yav dhau los lossis ua kom dhau los. Niaj hnub no, ECT yog kev kho mob zoo thiab muaj kev nyab xeeb, ua tiav hauv qab tshuaj loog thiab nyob rau hauv kev saib xyuas kev kho mob nruj. Koj txoj kev nyab xeeb thiab kev nplij siab yog qhov tseem ceeb tshaj plaws ntawm pab pawg kho mob. Yog tias koj muaj lus nug ntxiv txog qhov no, tsis txhob yig los tham nrog koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ECT (Electroconvulsive Therapy) tsis txaus ntshai lossis mob npaum li pom hauv cov yeeb yaj kiab. Nws yog kev kho mob uas muaj kev nyab xeeb uas ua tiav hauv qab tshuaj loog tag nrho thiab tsis muaj koj hnov dab tsi.
- Qhov no yog siv rau cov kab mob hlwb hnyav xws li kev nyuaj siab loj thiab kev puas siab puas ntsws bipolar uas tsis teb rau tshuaj.
- Feem ntau cov kev mob tshwm sim, xws li teeb meem nco qab, uas tshwm sim tom qab kev kho mob yog ib ntus xwb thiab daws tau raws sijhawm.
- Ib tug kws kho mob tshwj xeeb yuav txiav txim siab seb qhov kev kho mob no puas yog rau koj, yog li nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog qhov no.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus