Depression na tak i tuar em? I thian pakhat hian he natna hi a vei a ni mai thei. I doctor-in a pek damdawi i ei lai leh damdawi chi hrang hrang i enchhin lai pawhin i lungngai em em a, i lungawi lo hle em? Chutiang a nih chuan vawiin hian i tanpui thei tur enkawlna tha tak dang kan sawi dawn a ni. Chu chu ECT, a nih loh leh Electroconvulsive Therapy a ni. A hming hi a hlauhawm deuhin a ri a ni lawm ni? Mahse a takah chuan i ngaihtuah angin a hlauhawm lo.
ECT hi eng nge ni tak tak?
A awlsam zawngin sawi ila, ECT hi rilru lam natna , major depression leh bipolar disorder te tan chuan enkawlna him ber leh tangkai ber pawl a ni.
Hei hian general anesthesia (muthilh tir che), i lu vunah electrode dah te, leh i thluaka electrical current controlled tak, fiah lo tak thlen te a huam a ni. He current hian thluaka seizure a siam a, second tlemte chhung a daih. Hei hi thluak ‘reset’ ang mai a ni.
Mi tam tak chuan hei hi thil hrehawm tak niin an ngai a, movie-a an entir ang chi, damlo chu a hriatna a awm laiin electric shock pek a ni. Chu chu ngaihdan dik lo tak a ni. Tunah chuan ECT hi enkawlna changkang tak, him leh hrehawm lo tak a ni.
This treatment can provide rapid relief , a bik takin damlo na tak leh mahni intihhlum tumna nei tan. Damdawi hnathawh tan nghah a hlauhawm lutuk a nih chuan nunna chhanhimna a ni thei bawk.
ECT enkawlna atan engtin nge i inbuatsaih?
ECT enkawlna atana i tlin leh tlin loh a rel hnuah i doctor chuan test eng emaw zat a ti ang a, i hriselna dinhmun a tha em tih a enfiah ang. Hengte hi test an tih tlangpui a ni.
| Fiahna | Chutah chuan eng nge i hmuh? |
|---|---|
| Electrocardiogram (EKG) hmanga tih a ni. | I thinlung electrical activity chu an check mek a ni. |
| Thisen Test neih a ni | Thisen chhiar kimchang (CBC), thyroid hnathawh, kal hnathawh ang chi thilte chu enfiah a ni. |
| Chest X-ray neih a ni | Hei hi thinlung natna rinhlelhna a awm chuan tih theih a ni. |
| CT Scan hmanga tih a ni | Hei hi a chang chuan i symptoms te hi thluaka thil danglam vang a ni em tih hriat nan an ti thin. |
Remtihna
Heng zawng zawng hma hian nangmah emaw, i medical power of attorney emaw chuan he enkawlna atana remtihna form-ah hian i sign ang. Chumi awmzia chu he enkawlna hi i hre chiang a, i remtihna i pe tihna a ni.
ECT enkawl dan tur
Enkawlna ni-ah chuan hrehawmna leh natna engmah i nei lovang. A chhan chu fully anesthetized i nih avangin, chu chu i muhil tha tihna a ni. Enkawlna atana step hrang hrangte chu hetiang hi a ni:
1. IV line dah: I kut chhunga vein pakhatah IV line (cannula) dah a ni ang. Hei hi anesthetics leh muscle relaxant pekna hmun a ni.
2. ECG Leads: ECG leads hi i rilruah bun a ni ang a, enkawlna chhung zawngin i thinlung hnathawh dan a enfiah ang.
3. EEG leads attaching: EEG leads hi lu vunah hian attached a ni. Hei hian doctor chuan thluak wave a enfiah thei a ni.
4. Bite Guard: Ha a chhiat loh nan ha inkarah soft guard dah a ni.
5. Electrode dahna: A tawp berah chuan ECT electrode te chu lu vuna hmun remchang takah an dah a.
Engkim a inpeih tawh chuan thluak lamah electrical current control tha tak a rawn thleng ta a ni. Muscle relaxants pek a nih tawh avangin seizure hi kut emaw ke emaw inthlak danglamna fiah lo tak angin chauh hmuh theih a ni.
Minute tlemte chhungin i hriatna i nei leh ang. Mahse, chutih laia enkawl dan emaw, thil thleng emaw chu i hre reng dawn lo. A tir lamah chuan i buai deuh mai thei, mahse hei hi rei vak lo hnuah a reh mai ang.
He enkawlna hi kar khatah vawi hnih emaw vawi thum emaw kar 2-4 chhung pek thin a ni. Enkawlna mamawh zat chu i dinhmun a zirin i doctor-in a ruat ang.
ECT hmanga enkawl hian tute nge hlawkna hmu a, tute nge hlawkna nei lo tur?
He enkawlna hi mi zawng zawng tan a tha lo. Tin, mi thenkhat tan chuan a hlawkna a sang hle bawk. Chu chu han thlir ila.
| ECT hmang hian tute nge hlawkna hmu tam ber? | Tute nge ECT dawng lo tur (at risk) . |
|---|---|
| Damdawi ei lo (treatment-resistant depression) depression na tak nei te. | Tun hnaia heart attack nei tawhte. |
| Mahni intihhlum hlauhawmna sang tak nei te. | Lung natna thunun theih loh nei te. |
| Mi ei duh lo leh ei leh in lama harsatna nei te. | Mihring thluaka pressure sang zawk nei te. |
| Catatonia natna vei te. | Tun hnaia thluaka thisen chhuak (stroke, aneurysm) nei tawhte. |
| Depression na tak emaw bipolar disorder nei te, psychotic symptoms nei te. | Thluak lam natna khirh tak (e.g. COPD) nei te. |
| Naupai laia inenkawlna hmanhmawh ngai te. | Naupang kum 11 hnuai lam tan pek loh. |
A side effects te chu engte nge ni?
Damdawi dang ang bawkin ECT hian mi thenkhatin an tawn theih tur side effect thenkhat a nei a. Chung zinga a tam zawk chu hun eng emaw chen atan a ni.
- Buaina: Enkawl hnu darkar engemaw zat chhung chu i buai deuh mai thei. Hei hi kum upa lam tan chuan a tam hle.
- Hriatrengna hloh: Enkawl laiin retrograde amnesia a awm thei. A châng chuan, enkawlna kar hmasa berah thil thlengte hriat reng a harsa thei bawk. Heng hriatrengna lama harsatna te hi hun kal zelah a lo tha chho tlangpui.
- Taksa lama harsatna: Lu na, hmui na, leh taksa ruh na a awm thei.
- Nausea: Mi thenkhat chuan nausea an nei thei.
- Anesthesia avanga harsatna awm thei: Hetah pawh hian anesthesia eng pawh avanga hlauhawmna awm thei hi a awm fo.
A pawimawh ber chu heng zawng zawng hi doctor nen zalen taka sawiho hi a ni. Chutiang chuan hlauhna leh rinhlelhna i neih zawng zawng chu i tibo thei a ni.
ECT hnua nun
Treatment course i zawh hnuah i depression symptoms chu nasa takin a lo tha chho tawh mai thei. Mahse chu chu a tawpna a ni lo. I doctor chuan i lungngaihna a lo let leh tawh loh nan maintenance therapy atan damdawi emaw psychotherapy emaw ei chhunzawm zel turin a rawt mai thei.
Enkawl zawhah doctor-in a tih hma loh chuan lirthei khalh emaw, machine rit tak tak hman emaw i pumpelh tur a ni.
Take-Home Thuchah a ni
- ECT hi movie-a an hmuh angin thil hlauhawm tak a ni lo. Depression na tak enkawlna him leh tangkai tak a ni.
- He enkawlna hi full anesthesia hmanga tih a nih avangin natna engmah i nei lovang.
- Side effects, hriatrengna lama harsatna leh enkawlna hnua buaina lo awm thei te hi hun rei lote chhung atan a awm fo thin.
- Hei hi ‘quick fix’ a ni lo. Enkawl hnuah pawh depression a lo kir leh tawh loh nan maintenance treatment (damdawi emaw psychotherapy) a pawimawh hle.
- He enkawlna hi i tan emaw, i hmangaih tan emaw a tha em tih doctor nen sawiho fo ang che.
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