Yu de sɔfa wit siriɔs pwɛl at? Sɔntɛm wan pan yu padi de sɔfa wit dis sik. Yu de fil bad bad wan ɛn yu at pwɛl pan ɔl we yu de tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek ɛn tray fɔ tek difrɛn kayn mɛrɛsin? If na so, tide wi go tɔk bɔt ɔda tritmɛnt we rili fayn we go ɛp yu. Dat na ECT, ɔ Ilɛktrokɔnvulsiv Tɛrapi. Di nem de mek yu fred smɔl, nɔto so? Bɔt fɔ tru, i nɔ de mek pɔsin fred lɛk aw yu tink.
Wetin rili na ECT?
Fɔ tɔk am simpul wan, ECT na wan pan di tritmɛnt dɛm wae sef ɛn wae de woke fayn fayn wan wae de fɔ pɔrsin wae gɛt dis maynia sik lɛk mɛja pwɛl hat ɛn bipola muud disɔda.
Dis kin min fɔ put yu ɔnda jenɛral anestezi (we de mek yu slip), fɔ tay ilɛktrɔd dɛn na yu skel, ɛn fɔ mek yu bren gɛt ilɛktrik kɔrɛnt we dɛn kin kɔntrol ɛn we nɔ klia. Dis kɔrɛnt kin mek di bren sik we de te fɔ sɔm sɛkɔn. Dis tan lɛk se yu de ‘rɛset’ di bren.
Bɔku pipul dɛn kin tink se dis na sɔntin we kin mek pɔsin fil pen, lɛk wetin dɛn kin sho na fim, usay dɛn kin gi di pɔsin ilɛktrik shɔk we i nɔ no natin. Dat na tin we nɔ rayt atɔl. Tide, ECT na tritmɛnt we rili advans, we nɔ gɛt wan prɔblɛm, ɛn we nɔ de mek pɔsin fil pen.
Dis tritmɛnt kin mek pɔsin fil fayn kwik kwik wan , mɔ fɔ pɔsin we sik bad bad wan ɛn we de tink bɔt fɔ kil insɛf. I kin bi bak tritmɛnt wae de sev pɔrsin in layf pan kes dɛm wae e tu denja fɔ wet fɔ mek mɛrɛsin bigin fɔ woke.
Aw yu kin pripia fɔ ECT tritmɛnt?
Afta yu dɔn disayd if yu fit fɔ gɛt ECT tritmɛnt, yu dɔktɔ go du bɔku tɛst fɔ si if yu gɛt gud wɛlbɔdi. Dis na di tɛst dɛn we dɛn kin du ɔltɛm.
| Tɛst | Wetin yu si pan dat? |
|---|---|
| Ilɛktrokardiogram (EKG) . | Dɛn de chɛk aw yu at de yuz ilɛktrik. |
| Tɛst fɔ Blɔd | Dɛn kin chɛk tin dɛn lɛk fɔ kɔnt ɔl di blɔd (CBC), di tayroyd we de wok, ɛn di we aw di kidni de wok. |
| X-ray na di chɛst | Dɛn kin du dis if dɛn tink se pɔsin gɛt at sik. |
| CT Skan we dɛn kin du | Sɔntɛnde dɛn kin du dis fɔ si if yu sik na bikɔs ɔf wan abnɔmal tin na yu bren. |
Gri
Bifo ɔl dis, yu ɔ yu mɛdikal pawa fɔ atɔna go sayn fɔm fɔ gri fɔ dis tritmɛnt. Dis min se yu no bɔt dis tritmɛnt ɛn gi yu kɔnsɛnt fɔ am.
Aw dɛn kin du ECT tritmɛnt
Di de we dɛn go gi yu di tritmɛnt, yu nɔ go fil ɛni prɔblɛm ɔ pen. Bikɔs dɛn dɔn ful-ɔp yu anestez, we min se yu dɔn slip fayn. Na di step dɛm fɔ di tritmɛnt:
1. Put IV layn: Dɛn go put IV layn (kanula) insay wan vein na yu an. Dis na di say we dɛn kin gi anestetik ɛn mɔsul rilaksant.
2. ECG Lid dεm: ECG lid dεm go atak yu chεst fכ mכnitor yu at fכnshכn כl di tritmεnt.
3. fכ atak di EEG lid dεm: di EEG lid dεm de atak di sכl. Dis kin mek di dɔktɔ ebul fɔ wach di we aw di bren de wev.
4. Bayt Gad: Fɔ mek di tit dɛn nɔ pwɛl, dɛn kin put sɔft gad bitwin di tit dɛn.
5. di εlektrod ples: fכ finish, dεn de ataya di ECT εlektrod dεm na di rayt say dεm na di sכl.
We ɔltin dɔn rɛdi, wan ilɛktrik kɔrɛnt we dɛn rili kɔntrol kin go na di bren. Bikɔs dɛn dɔn gi di mɔsul dɛn we de mek di mɔsul rilaks, di sik we pɔsin kin gɛt kin jɔs si am as wan we we di an ɔ di leg de muv we nɔ klia.
Yu go gɛt kɔnshɛns bak insay sɔm minit dɛn. Bɔt yu nɔ go mɛmba di tritmɛnt ɔ ɛnitin we bin apin da tɛm de. Yu kin fil fɔ kɔnfyus smɔl fɔs, bɔt dis go dɔn afta sɔm tɛm.
Dɛn kin gi dis tritmɛnt tu ɔ tri tɛm insay di wik fɔ 2-4 wik. Na yu dɔktɔ go disayd di nɔmba fɔ di tritmɛnt dɛn we yu fɔ tek bay di sik we yu gɛt.
Udat de bɛnifit frɔm ECT tritmɛnt ɛn udat nɔ fɔ bɛnifit?
Dis tritmɛnt nɔ fayn fɔ ɔlman. Ɛn fɔ sɔm pipul dɛn, di bɛnifit dɛn we dɛn kin gɛt kin rili bɔku. Mek wi tek wan luk pan dat.
| Udat kin bɛnifit mɔ frɔm ECT? | Udat nɔ fɔ gɛt ECT (at risk) . |
|---|---|
| Pipul wae gɛt siriɔs pwɛl hat sik wae nɔr de ansa to mɛrɛsin (diprɛshɔn wae nɔr kin gɛt tritmɛnt). | Pipul dɛn we jɔs dɔn gɛt at atak. |
| Di wan dɛn we de pan big risk fɔ kil dɛnsɛf. | Pipul dɛn we gɛt at sik we dɛn nɔ ebul fɔ kɔntrol. |
| Pipul dɛn we nɔ gri fɔ it ɛn we nɔ gɛt bɛtɛ it. | Pipul dɛn we gɛt prɛshɔn we de go ɔp na dɛn bren. |
| Pipul dɛn we de sɔfa wit katatonia. | Pipul dɛm wae nɔr tu te yet dɔn gɛt blɔd na dɛn bren (strok, aneurysm). |
| Pipul wae gɛt siriɔs pwɛl hat ɔr bipolar disorder wit saykotik simptom dɛm. | Pipul wae gɛt siriɔs sik wae de kam pan pɔrsin wae de blo (e.g. COPD). |
| Di wan dɛn we nid tritmɛnt kwik kwik wan we dɛn gɛt bɛlɛ. | Dɛn nɔ kin gi am to pikin dɛn we nɔ rich 11 ia yet. |
Wetin na di bad tin dɛn we kin apin to pɔsin?
Jɔs lɛk ɛni ɔda mɛrɛsin, ECT gɛt sɔm sayd ɛfɛkt dɛn we sɔm pipul dɛn kin gɛt. Bɔku pan dɛn tin ya na fɔ shɔt tɛm nɔmɔ.
- Kɔnfyushɔn: Yu kin fil kɔnfyus smɔl fɔ sɔm awa afta yu dɔn gɛt tritmɛnt. Dis kin apin mɔ pan pipul dɛn we dɔn ol.
- Memory Loss: Retrograde amnesia kin apin we yu de trit yu. Sɔmtɛm, e kin tranga fɔ mɛmba tin wae kin apun fɔ di fɔs wik dɛm wae yu gɛt tritmɛnt. Bɔku tɛm, dɛn prɔblɛm ya we kin mek pɔsin mɛmba tin kin bɛtɛ as tɛm de go.
- I nɔ kin izi fɔ yu bɔdi: I kin gɛt ed we kin at, yu jaw kin pen, ɛn yu mɔsul dɛn kin at.
- Nɔs: Sɔm pipul dɛn kin gɛt nɔys.
- Kɔmplikɛshɔn dɛn we kin kam wit anestezi: Di prɔblɛm dɛn we kin kam wit ɛni anestezi kin kɔmɔn ya bak.
Di tin we impɔtant pas ɔl na fɔ tɔk opin wan bɔt ɔl dis to yu dɔktɔ. Da we de, yu go ebul fɔ pul ɛni fred ɛn dawt we yu gɛt.
Layf afta ECT
Afta yu dɔn dɔn wan kɔs fɔ tritmɛnt, yu pwɛl hat sik kin dɔn bɛtɛ pasmak. Bɔt nɔto dat di stori dɔn. Yu dɔktɔ kin se yu fɔ kɔntinyu fɔ tek mɛrɛsin ɔr saykotɛrapi as mentenɛns tritmɛnt fɔ mek yu pwɛl hat nɔ kam bak.
Afta yu dɔn gɛt tritmɛnt, yu nɔ fɔ drayv ɔ yuz ebi ebi mashin te yu dɔktɔ tɛl yu fɔ du dat.
Mɛsej we dɛn kin kɛr go na os
- ECT nɔto sɔntin we de mek pɔsin fred lɛk na di fim dɛn. Na tritmɛnt wae rili sef ɛn wae de woke fayn fɔ pɔrsin wae gɛt siriɔs pwɛl hat sik.
- Dɛn kin du dis tritmɛnt ɔnda ful anestezi, so yu nɔ go fil ɛni pen.
- Bɔku tɛm, di sayd ɛfɛkt dɛm lɛk fɔ mɛmba prɔblɛm ɛn kɔnfyushɔn we kin apin afta tritmɛnt kin bi fɔ sɔm tɛm.
- Dis nɔto ‘kwik fix’. Ivin afta tritmɛnt, mentenɛns tritmɛnt (mɛrɛsin ɔr saykotɛrapi) impɔtant fɔ mek di pwɛl hat nɔ kam bak.
- Ɔltɛm tɔk to yu dɔktɔ if dis tritmɛnt fayn fɔ yu ɔ pɔsin we yu lɛk.
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