Kei te raru koe i te pouri nui, kei te mātakitaki rānei koe i tētahi e arohaina ana e mamae ana i roto i taua pouri? Mena kua whakamātau koe i ngā rongoā maha, engari kāore i kitea he whakaoranga, kei te mauheretia rānei koe i roto i te huringa o te kore tumanako, he kōwhiringa maimoatanga tino whai hua hei matapaki mā tātou: Te Whakaora Hiko-ā-rangi (ECT). Tērā pea he whakamataku te ingoa, engari me whakamārama tātou i ngā kōrero pakiwaitara—ehara tēnei i te mea e kitea ana i roto i ngā kiriata; he tikanga hauora haumaru, he tikanga whakahaere pai hoki.
He aha rawa te ECT?
He māmā noa iho, he maimoatanga tino haumaru, he whai hua hoki te ECT mō te pouri nui, te mate hinengaro rua , me ētahi atu āhuatanga hauora hinengaro .
I te wā o te tikanga, ka tukuna koe ki raro i te mate whakamoe whānui. Ka whakanohoia e ngā tākuta ngā hiko ki tō tumuaki, ka tukuna he iahiko hiko poto, āta whakahaeretia ki te roro. Ka puta he mate hopuhopu kua whakahaeretia, he torutoru hēkona noa iho te roa, ā, ka āwhina i tō roro ki te 'tautuhi anō' i tana mahi.
He tokomaha e whakapono ana ki ngā whakaaro hē e kitea ana i roto i ngā kiriata—arā, kei te mōhio te tūroro, ā, ka pāngia e te mamae. He hē rawa tēnei. I ēnei rā, he tikanga hauora matatau, kāore he mamae, ā, he tino aroturukitia te ECT.
Mō ngā tāngata e pāngia ana e te raruraru, pērā i te hunga e whakaaro ana ki te whakamomori, ka taea e te ECT te whakarato i te whakaora tere . Mēnā ka roa rawa te mahi a te rongoā, kāore rānei e whai hua, he wawaotanga whakaora ora tēnei.
Kei te pēhea koe e whakarite ai mō te ECT?
Kia whakatauhia e tō tākuta he tika te ECT māu, ka whakahaerehia e rātou he aromatawai hōhonu kia mōhio ai kei te ora koe mō te tikanga. Ko ngā aromatawai i mua i te maimoatanga ko:
| Aromatawai | Kaupapa |
|---|---|
| Te hiko o te manawa (EKG) | Hei tirotiro i te mahi hiko o tō ngākau. |
| Ngā Whakamātautau Toto | Te tatau toto katoa (CBC), ngā whakamātautau mahi tairoi me ngā whakamātautau mahi tākihi. |
| X-ray o te uma | Ka whakamahia mēnā kei te whakapaetia he raruraru kei te ngākau, kei te pukahukahu rānei. |
| Matawai CT | I ētahi wā ka whakamahia hei whakakore i ētahi atu āhuatanga o te roro. |
Whakaaetanga
I mua i te mahi i tētahi mahi, ko koe—ko tō mana hauora rānei kua tohua—ka hainatia he puka whakaaetanga whaimana, kia tino mārama ai koe ki te maimoatanga me ōna pānga.
Ngā mea hei tumanakohia i te wā o te Tukanga
I te rā o te maimoatanga, kāore koe e rongo i te mamae nā te mea kei te moe tonu koe i raro i te rongoā whakamoe. Ko ngā mahi e whai ake nei ko te tukanga:
1. Tāurunga IV: Ka whakatakotoria he aho IV ki tō ringa hei tuku i te rongoā whakamoe me ngā rongoā whakangāwari uaua .
2. Aroturukitanga ECG : Ka whakatakotoria ngā taura ki tō uma hei aroturuki i tō ngākau puta noa i te tikanga.
3. Aroturukitanga EEG : Ka whakatakotoria ngā taura ki tō tumuaki hei aroturuki i ō ngaru roro.
4. Parenga Ngau: Ka whakanohoia he parenga ngohengohe ki roto i tō waha hei tiaki i ō niho.
5. Te Whakatakotoranga Hiko: Hei whakamutunga, ka whakatakotoria ngā hiko ki tō tumuaki.
Kia tukuna te whakaoho hiko poto, ka whakarite ngā rongoā whakangāwari uaua kia puta noa ngā mahi hopu i roto i ō ringaringa, i ō waewae rānei, he nekehanga iti noa iho. Ka ara ake koe i muri tata mai, kāore he mahara ki te tikanga tonu. Tērā pea ka pōhēhē koe, engari ka tere te memeha atu o tēnei.
Ko te tikanga ka tukuna te maimoatanga 2–3 ngā wā i te wiki mō ngā wiki 2–4, kei runga i te urupare a te tangata takitahi.
Ko wai ka whai hua, ā, ko wai me karo i te ECT?
Ehara te ECT i te mea mā te katoa, engari mō te hunga e tika ana, ka rerekē te ao.
| Ngā Kaitono e Whai Hua Ana | Ngā Ārai (Ngā Tūponotanga) |
|---|---|
| Te pouri ātete ki te rongoā. | Te whakaeke ngakau tata nei. |
| Te mōrearea nui o te whara i a koe anō. | Te āhua o te ngākau me te ngākau kāore i te pumau. |
| Te matekai nui nā te kore kai e hiahiatia. | Te pikinga o te pēhanga intracranial. |
| Katatonia. | I pāngia tata nei e te whiu, te aneurysm rānei. |
| Te pouri, te bipolar rānei me te psychosis. | Ngā mate manawa kino (hei tauira, COPD). |
| Te haputanga (inā he mōrearea te rongoā). | Kāore e whakamahia ki ngā tamariki kei raro iho i te 11 tau te pakeke. |
Ngā Pānga Taha Pea
Pērā i ngā wawaotanga hauora katoa, tera pea ētahi pānga taha , ahakoa he maha ngā pānga taha.rangitahi:
- Pōhēhētanga: He pōhēhētanga i muri i te maimoatanga, ka memeha haere i roto i ētahi haora.
- Ngaronga Mahara: Ka raru ētahi tūroro ki te maumahara ki ngā mahi i mua tata atu, i te wā rānei e rongoatia ana (retrograde amnesia), ā, ka pai haere tēnei i te roanga o te wā.
- Te mamae o te tinana: Te ānini, te mamae o te kauae, te ngau rānei o te uaua.
- Whakapairuaki: Whakapairuaki ngawari i muri i te rongoā whakamoe.
- Ngā mōrearea o te rongoā whakamoe: Ngā mōrearea paerewa e pā ana ki te rongoā whakamoe whānui.
Ko te mea nui ko te kōrero tuwhera ki tō kaiwhakarato hauora. Kei reira rātou hei aro atu ki ō āwangawanga me te whakamama i ō manukanuka.
Te Oranga i Muri i te ECT
I muri i tō raupapa maimoatanga, tera pea ka kite koe i te hekenga nui o ngā tohu pouri. Heoi, kāore te maimoatanga e mutu i reira. Hei ārai i te hokinga mai o te mate, tera pea ka tūtohu tō tākuta i te rongoā pupuri , tae atu ki te rongoā hinengaro tonu, te hinengaro hinengaro rānei.
I muri i tō wā whakangungu, kaua e taraiwa, kaua hoki e whakahaere i ngā mīhini taumaha kia whakaaetia rā anō koe e tō tākuta.
Karere Tangohia ki te Kāinga
- Ehara te ECT i te tikanga whakamataku e whakaaturia ana i ngā kiriata; he maimoatanga haumanu haumaru, whai hua hoki mō te pouri nui.
- Ka whakahaerehia te tikanga i raro i te mate whakamoe katoa, nō reira kāore koe e rongo i te mamae.
- Ko ngā pānga taha pēnei i te pōhēhē, te ngaro rānei o te mahara mō te wā poto, he wā poto noa iho te nuinga.
- Ehara i te 'whakatikatika tere'—he mea nui te maimoatanga tonu (rongoā, whakaora rānei) hei ārai i te hokinga mai o te mate.
- Me kōrero tonu ki tō tākuta kia kite ai mēnā he tika tēnei maimoatanga māu, mā tō whanaunga rānei.
ECT, pouri, hauora hinengaro, mate hinengaro rua
