Kua mātakitaki koe i tētahi kiriata e pāngia ana tētahi e te 'ohorere'? He wāhanga whakamataku, he wāhanga whakamataku, kāore? He maha ngā wā, ko ngā wāhanga pēnei te take e nui ai te wehi me te whakaaro hē o te tini tāngata mō te ECT, te Whakaora Hikohiko rānei. Engari he mea tika kia wehi i ēnei rā? I tēnei rā, me kōrero tātou mō te ECT, me pēhea te mahi, me ōna painga.
He aha te ECT?
He rongoā tino whai hua te ECT (Te Whakaora Hiko) mō ētahi mate hinengaro. E whakamahia ana mō ngā mate hinengaro kino kāore e pai te urupare ki ngā rongoā tuku iho, ki ētahi atu maimoatanga rānei.
Ko te mea e tupu ana i konei, ka tino whakamoea koe (Whakamoea Whānui) , arā, kua moe rawa koe, ā, ka tukuna he tohu hiko iti rawa, he mea whakahaere ki te roro. Ka puta he hopu poto rawa, he mea whakahaere i roto i te roro. Ka puta katoa ēnei mea me te kore koe e mōhio ki tetahi mea, i a koe e moe hohonu ana. Nō reira, kāore he mamae, he wiri rānei pērā i ngā kiriata.
Whakaarohia pēnei, pērā i ētahi wā ina 'tārewa' tā tātou rorohiko, ka taea e tātou te 'tīmata anō' ā, ka tīmata anō te mahi tika, ka 'tautuhi anō' tēnei maimoatanga, ka hono anō rānei i te whakawhitiwhiti kōrero i waenga i ngā pūtau io i roto i te roro. Kei te rangahau tonu ngā kaipūtaiao i te āhua o tēnei mahi. Engari ko tētahi o ngā whakaaro matua ko te āwhina a tēnei maimoatanga i ngā pūtau io hou i roto i te roro kia tipu, kia hanga hononga hou i waenga i a rātou. Ka kiia tēnei tukanga ko (neurogenesis) . E whakaponohia ana ka āwhina tēnei ki te huri i ngā huringa kino i roto i te roro i puta mai i ngā mate pēnei i te pouri nui.
Ahakoa kua whakamahia tēnei tikanga maimoatanga mai anō i te tau 1938, kua tino haumaru, kua tino matatau hoki nā te whanaketanga o te hangarau.
Mō ēhea āhuatanga, ā, mō wai hoki e tika ana tēnei maimoatanga?
Ehara te ECT i te rongoā mō te katoa. Ka tūtohutia anake e te tākuta i muri i te tirotiro hohonu i te āhua o te tūroro, me te mea he hiahia motuhake mōna. Ka taea e koe te tiki whakaaro pai mō tēnei mai i te ripanga i raro nei.
| Ngā āhuatanga e rongoatia ana e te maimoatanga | Ngā tāngata e tika ana mō tēnei maimoatanga |
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Ko te mea nui ko te whakatau a te tohunga hinengaro mēnā e hiahiatia ana tēnei maimoatanga. Nō reira, he mea tino nui kia kōrero mārama koe mō tēnei mea ki tō tākuta.
Me pēhea te whakarite i mua i te maimoatanga?
Kia oti te whakatau kia whiwhi koe i te maimoatanga ECT, ka hoatu e te tīma hauora he huinga tohutohu hei whai māu. Ko ētahi o ēnei ko:
- Nohopuku mō te waru hāora neke atu rānei: He pai ake kia kaua e kai, e inu rānei i tetahi mea mō te waru hāora neke atu rānei i mua i te maimoatanga. Nā te mea ka hoatu he rongoā whakamoe ki a koe, ā, he mea nui kia noho kau tō puku mō te haumaru.
- Ngā rongoā o te ata: Ki te mea he rongoā āu me tango i te ata, me tango me te inu wai i muri i te kōrero ki tō tākuta, ā, ki te mea ia he pai.
- Niho rūpahu: Ki te mau niho rūpahu, niho horihori rānei koe, mauria mai he putea hei tango atu.
- Whakapaipai: Tangohia te nui o ngā whakapaipai e taea ana, pērā i ngā whakakai taringa me ngā wero kanohi.
He aha te mea e tupu ana i te wā e rongoatia ana?
Kia tirohia tātou ngā mea ka puta i te rā o tēnei maimoatanga. Mā te mōhio ki tēnei ka āwhina i te whakaiti i tō mataku.
1. Whakaurunga ki te hōhipera: Whai muri i tō taenga ki te hōhipera, ka arahina koe ki te wāhanga maimoatanga.
2. Whakaurunga o te ipu IV: Ka whakauruhia he ngongo iti (IV cannula) ki roto i te uaua. Koinei te wāhi e hoatu ai ngā rongoā whakamoe me ētahi atu taputapu.
3. Te tūtaki ki te tīma hauora:Ka tūtaki te tīma, tae atu ki te tohunga hinengaro me te tohunga whakamoe, ki a koe, ka kōrero. Ka taea e koe te pātai i ō pātai i tēnei wā.
4. Whakamoe: Ka hoatu he rongoā ki a koe mā te werohanga IV hei whakamoe i a koe. Haunga tēnei, ka hoatu hoki he rongoā hei whakangāwari i ō uaua. Mā tēnei ka ārai i tētahi nekehanga i te wā e rongoatia ana.
5. Te hoatutanga o te hāora: I a koe e moe ana, ka hoatu he hāora ki a koe mā te kopare hāora. Ka aro turukihia ngā mea katoa mai i te tere o tō ngakau ki tō toto toto.
6. Maimoatanga ECT: Kei te whakahaerehia te maimoatanga ECT ināianei. Ka tukuna he iahiko iti rawa, he iti nei te mana whakahaere ki te roro mā roto i ngā irahiko kua whakatakotoria ki te tumuaki. Ko ngā wiriwiri whakahaeretia i puta mai i tēnei ka roa noa iho i te 30 ki te 60 hēkona .
Ka tū tēnei tukanga katoa, kāore koe e mōhio ki tetahi mea, i roto i tētahi taiao tino haumaru, i raro i te tirotiro katoa a ngā tākuta.
He aha te mea ka tupu i muri i te maimoatanga?
Tata ki te 5 meneti i muri i te mutunga o te maimoatanga, ka tīmata koe ki te ara ake. He mea noa te ahua hiamoe me te pōhēhē mō tō taiao i te tīmatanga. I te nuinga o te wā ka memeha haere tēnei i roto i te 20-30 meneti. Ka puritia koe i raro i te tirotiro a te rata i roto i te wāhanga maimoatanga mō te 30-45 meneti tae noa ki te wā e ora katoa ai koe.
I muri i tō hokinga ki te kāinga, he mea nui kia whai i ēnei mea hei oranga mōu, hei whakaora wawe hoki i a koe:
- Kaua e taraiwa: Kaua e taraiwa mō tetahi take i te wā e rongoatia ana koe i te ECT (e rua, e toru rānei ngā wā e hoatu ana i te wiki). Kaua e taraiwa i muri i te otinga o te rongoa, kia whakaaetia rā anō koe e tō tākuta.
- Kaua e whakatau i ngā whakataunga nui: Kaua e whakahaere i ngā mīhini taumaha, kaua hoki e haina i ngā tuhinga nui i te rā o te maimoatanga.
- Me haere tahi me te pakeke whai kawenga: Me haere tahi me te pakeke whai kawenga ki ngā maimoatanga katoa, me te hoki mai i reira. Kāore e taea e koe te whakamahi i te tekesi, i te ratonga tiritiri waka rānei hei hoki ki te kāinga.
- Kaua e noho mokemoke mō ngā haora 24: I muri i ia maimoatanga, he mea nui kia noho tetahi ki a koe mō ngā haora 24 e whai ake nei.
Kia pēhea te roa o tēnei maimoatanga?
Ehara te ECT i te maimoatanga kotahi-wā. He raupapa maimoatanga. He rite ki te tango i tētahi akoranga rongoā. I runga i tō āhua me tō urupare ki te maimoatanga, me whiwhi pea koe i ētahi maimoatanga, e rua, e toru rānei ngā wā i te wiki. He rerekē te maha o ngā maimoatanga i ia tangata, i ia tangata.
He pānga taha kei te puta mai i te maimoatanga ECT?
Pērā i ngā maimoatanga hauora katoa, ka pā mai ētahi pānga taha o te ECT. Heoi, he wā poto noa iho te nuinga o ēnei. He mea nui kia mārama koe ki ēnei.
| Ngā pānga taha noa (he rangitahi noa iho) | Ngā pānga taha onge (kino) |
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Mō ngā mea pēnei, ka hoatu e tō tīma hauora ngā rongoā pēnei i ngā rongoā whakamamae mamae. |
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He aha ngā painga o te maimoatanga ECT?
He maha ngā painga matua o te whiriwhiri i tēnei maimoatanga:
- Ngā hua tere: He tere ake te hua o te ECT i ētahi atu maimoatanga (ina koa ko ngā rongoā). Hei tauira, i roto i tētahi āhuatanga ohorere, ki te ngana tetahi ki te whara i a ia anō, he maimoatanga whakaora ora tēnei.
- Te auau angitu teitei: He maimoatanga tino angitu tēnei mō ngā āhuatanga pēnei i te pouri nui kāore e pai ki te rongoā.
- He Huarahi Haumaru: Ka taea te whakamahi i tēnei hei huarahi haumaru mā te hunga kāore e taea te tango i ētahi rongoā, pērā i ngā whaea hāpu.
- Me ētahi atu maimoatanga: He maha ngā wā ka hoatu tahitia te ECT me te rongoā. Ka taea hoki e ia te whakanui ake i te whai huatanga o ngā rongoā.
Āhea ahau me waea atu ki te tākuta?
Mā tō tākuta koe e whakamārama ki ngā tohumate me mōhio koe i muri i te maimoatanga. Mēnā ka pāngia koe e tētahi o ēnei e whai ake nei, waea atu ki tō tākuta tonu atu, haere rānei ki te rūma ohorere o te hōhipera tata (ETU) .
- Te tere o te manawa, te koretake rānei o te manawa.
- Mena kei te pouri koe mō tō āhua hinengaro.
- Ki te tino pāngia koe e te mamae o te upoko.
- Mena kāore he whakapainga o ngā tohu i muri i ngā rā e rua, e toru rānei, ki te kino haere rānei te āhua.
Mena kei te whakaaro koe ki te whara i a koe anō, he āhuatanga ohorere tēnei. Tena koa rapua he āwhina tonu. Ka taea e koe te waea atu ki te Sri Lankan National Mental Health Helpline i te 1926. Kei te rite hoki ngā whakahaere pēnei i a Sumithrayo ki te āwhina i a koe.
Hei whakamutunga, kaua e wehi i te ECT nā te mea e kitea ana e koe i roto i ngā kiriata. He maha ngā wā e whakaatu ana i ngā tikanga i whakamahia i mua, i whakanuia rānei. I ēnei rā, he maimoatanga tino haumaru, whai hua hoki te ECT, e mahia ana i raro i te mate whakamoe, ā, i raro i te tirotiro hauora tino kaha. Ko tō haumaru me tō whakamarie te kaupapa matua o te tīma hauora. Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- Kāore te ECT (Electroconvulsive Therapy) i te whakamataku, i te mamae rānei pērā i ngā kiriata. He maimoatanga hauora haumaru tēnei e mahia ana i raro i te whakamoe katoa, ā, kāore koe e rongo i tetahi mea.
- E whakamahia ana tēnei mō ngā mate hinengaro kino pērā i te pouri nui me te mate hinengaro rua kāore e pai ki te rongoā.
- Ko te nuinga o ngā pānga taha, pērā i ngā raruraru mahara, e puta ana i muri i te maimoatanga he rangitahi, ā, ka memeha haere i roto i te wā.
- Mā te tohunga e whakatau mēnā he tika tēnei maimoatanga māu, nō reira he mea nui kia kōrero mārama, kia pono hoki ki tō tākuta mō tēnei.











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