Nthawi zina mungakhale mukudwala matenda a Major Depression Disorder (MDD). Ngakhale mutamwa mankhwala omwe dokotala wanu wakupatsani kapena kupita ku uphungu (psychotherapy), maganizo anu sangamve bwino kwambiri. Mungamve bwino kwa kanthawi kenako n’kubwerera ku mkhalidwe wanu wakale. Kapena mungamve chisoni chomwecho popanda kusintha. Mu zamankhwala, timatcha mtundu uwu wa kuvutika maganizo komwe kumakhala kovuta kuuletsa ndi mankhwala 'Therapy-Resistant Depression' . Koma, musaganize kuti apa ndiye mapeto a nkhani yanu. Musataye mtima. Pali njira zatsopano, zamakono zothandizira milandu yotereyi. Imeneyo ndi Brain Stimulation Therapy. Izi zimayesa kubwezeretsa ntchito ya ubongo pogwiritsa ntchito magetsi, mafunde a maginito, kapena zipangizo zazing'ono zomwe zimayikidwa m'thupi. Lero, tikambirana za njira zitatu zazikuluzikuluzi.
Chithandizo cha Kutsekeka kwa Magazi (ECT)
Dzinali lingamveke ngati loopsa pang'ono, koma ECT ndi mankhwala omwe akhalapo kwa zaka zoposa 80, afufuzidwa kwambiri, ndipo awonetsedwa kuti ndi otetezeka komanso ogwira mtima. Nthawi zambiri amagwiritsidwa ntchito pochiza matenda monga kuvutika maganizo kwambiri ndi matenda a bipolar omwe sagwirizana ndi mankhwala ena .
Kodi mumachita bwanji izi?
Simudzamva chilichonse panthawi ya chithandizochi, chifukwa mwakhala mukupumula mokwanira. Monga momwe musanayambe opaleshoni . Mudzapatsidwanso mankhwala oletsa minofu yanu kugwedezeka. Kenako dokotala adzaika mapepala ofanana ndi sticker m'mbali zina za mutu wanu. Izi zimatchedwa `electrodes.' Mukagona, mphamvu yamagetsi yolamulidwa kwambiri, yaying'ono imaperekedwa ku ubongo wanu kudzera mu 'electrodes' izi. Izi zimayambitsa khunyu lolamulidwa mu ubongo lomwe limatenga masekondi osakwana 60. Amakhulupirira kuti izi zimabwezeretsa ntchito ya ma neuron ndi mankhwala mu ubongo. Mukadzuka patatha mphindi zochepa, simudzakumbukira chilichonse chokhudza chithandizocho kapena zomwe mudamva panthawiyo. Pamene zotsatira za mankhwala oletsa ululu zichepa, mutha kupita kunyumba.
Kawirikawiri, chithandizo chimachitidwa pakati pa 6 ndi 12, nthawi zambiri kawiri kapena katatu pa sabata. Chiwerengero cha nthawi zomwe mungafunike chidzadalira kuopsa kwa zizindikiro zanu komanso momwe mumachira msanga.
Chofunika kwambiri ndichakuti chithandizochi chichitike mosadziwa, kuti musamve kupweteka kapena kusasangalala.
| Zotsatirapo za ECT | |
|---|---|
| Mutu | Vuto lofala lomwe limachitika munthu akalandira chithandizo. Lingathe kuthetsedwa ndi mankhwala ochepetsa ululu. |
| Kusanza | Zingayambitsidwe ndi mankhwala oletsa ululu ndipo zimatha pakapita nthawi. |
| Kutopa ndi Kusokonezeka | Zitha kukhala kwa maola angapo mutalandira chithandizo. |
| Kutaya Kukumbukira | Ichi ndi chiopsezo chachikulu. Mutha kuiwala zinthu musanalandire chithandizo komanso mutalandira chithandizo. Koma nthawi zambiri izi zimakhala zakanthawi kochepa. Madokotala amagwiritsa ntchito njira zosiyanasiyana kuti achepetse chiopsezochi (monga kuyika ma electrode mbali imodzi yokha ya mutu). |
Kubwerezabwereza kwa Kulimbikitsa Magnetic ya Transcranial (rTMS)
Njira iyi imagwiritsa ntchito mafunde a maginito. Izi zimalimbitsa ubongo. Asayansi sakudziwabe momwe izi zimachiritsira kuvutika maganizo. Koma akuganiza kuti maginito amenewa amawonjezera ntchito ya maselo amitsempha m'mbali za ubongo zomwe zimalamulira maganizo.
Kodi mumachita bwanji izi?
Simukuyenera kukhala maso kuti mulandire chithandizo cha rTMS. Mukukhala pampando. Koma muyenera kuvala zotchingira makutu chifukwa makinawo amapanga phokoso lalikulu la 'kugunda'. Dokotala adzayika chotchingira chamagetsi pamphumi panu ndi pamutu panu. Ma pulse a maginito ochokera ku chotchingira ichi amapanga mafunde ang'onoang'ono amagetsi muubongo wanu. Mudzamva ngati mukugundidwa ndi toucan yaying'ono. Mutha kupita kunyumba mukatha chithandizo. Mutha kuyendetsa galimoto ngati simunalote.
Kawirikawiri, nthawi imodzi imatenga mphindi 30-40. Chithandizochi chiyenera kuchitika masiku asanu pa sabata kwa mwezi umodzi.
| Zotsatirapo za Chithandizo cha rTMS | |
|---|---|
| Zotsatira zoyipa zofala | |
| Mutu | Zitha kuchitika pang'ono. |
| Kusasangalala komwe kunali koyilo | Mungamve kusasangalala pang'ono pakhungu. |
| Kugwedezeka kwa minofu ya nkhope | Mungamve dzanzi kapena minofu ikugwedezeka pankhope panu. |
| Zotsatira zoyipa zomwe sizichitika kawirikawiri | |
| Kugwidwa ndi khunyu | Ichi ndi chinthu chomwe chingachitike kawirikawiri. |
| Mavuto akumva | Izi zitha kuchitika ngati khutu silinatetezedwe bwino panthawi ya chithandizo. |
Kulimbikitsa Mitsempha ya Vagus (VNS)
Pali mitsempha yayitali yomwe imayenda kuchokera muubongo kupita m'mimba mbali zonse ziwiri za thupi lanu. Iyi imatchedwa Vagus Nerve. Chithandizo cha mitsempha ichi (VNS) chinagwiritsidwa ntchito koyamba pochiza khunyu. Koma pambuyo pake zinapezeka kuti chimaperekanso mpumulo ku kuvutika maganizo komwe sikulandira chithandizo.
Kodi mumachita bwanji izi?
Izi zimaphatikizapo opaleshoni yaying'ono. Dokotala adzayika chipangizo chaching'ono choyendetsedwa ndi batire pansi pa khungu la chifuwa chanu, nthawi zambiri kumanzere. Ichi chimatchedwa "chopangira ma pulse." Chimakhala ngati chopangira ma pacemaker. Kenako, waya wamagetsi wochokera ku chipangizochi umadutsa m'khosi mwanu ndikulumikizidwa ku mitsempha ya vagus. Pambuyo pa opaleshoni, mabala akachira, dokotalayo adzayatsa chipangizochi. Chidzatumiza ma pulse ang'onoang'ono amagetsi ku mitsempha nthawi ndi nthawi (mwachitsanzo, mphindi 5 zilizonse, kwa masekondi 30).
| Zoopsa ndi Zotsatirapo za Chithandizo cha VNS | |
|---|---|
| Zoopsa zokhudzana ndi opaleshoni | |
| Ululu ndi matenda opatsirana | Ululu kapena matenda angachitike pamalo pomwe chipangizocho chayikidwa. |
| Kuvuta kumeza | Zitha kuchitika kwa kanthawi. |
| Kufooka kwa mawu | Ngakhale kuti nthawi zambiri zimakhala zakanthawi kochepa, nthawi zambiri sizingakhale zamuyaya. |
| Zotsatirapo zomwe zingachitike mutagwiritsa ntchito chipangizochi | |
| Kusintha kwa mawu, kumveka kwa mawu | Mawu angasinthe pamene kugunda kwa mtima kukutulutsidwa. |
| Kutsokomola ndi kupuma movutikira | Zingamveke makamaka mukamachita masewera olimbitsa thupi. |
| Kupweteka kwa khosi | Pakhoza kukhala kupweteka pakhosi kapena pakhosi. |
Kodi chithandizochi chikuyenda bwino bwanji?
Funso lofunika kwambiri ndi ili. Ndipotu, si aliyense amene amayankha chithandizo mofanana. Chifukwa chake, n'zosatheka kuneneratu pasadakhale kuti chithandizo chiti chidzagwireni ntchito, kapena ngati chidzagwira ntchito konse. Zingatenge miyezi ingapo kuti muwone zotsatira zake. Nthawi zambiri, mankhwala amisala kapena oletsa kuvutika maganizo amafunika kuti muchepetse kuvutika maganizo pamene mukulandira chithandizo cholimbikitsa ubongo. Pambuyo pa chithandizo, mungafunike kulandira chithandizo chosamalira kamodzi pa sabata kapena miyezi ingapo iliyonse kuti mupitirize kuchira. Inu ndi dokotala wanu nokha ndi omwe mungasankhe chomwe chili chabwino kwa inu.
Uthenga Wopita Nawo Kunyumba
- Pa matenda a kuvutika maganizo kwambiri omwe sangalamuliridwe ndi mankhwala wamba (Chiwopsezo Chosachiritsika ndi Chithandizo), pali njira zina zochiritsira kuwonjezera pa mankhwala ndi uphungu.
- Machiritso Olimbikitsa Ubongo ndi njira imodzi yofunika kwambiri. ECT, rTMS, ndi VNS ndi ena mwa iwo.
- Chithandizo chilichonse mwa izi chili ndi ubwino wake, kuipa kwake, komanso zotsatira zake zoyipa. Sizoyenera aliyense.
- Musanaganizire za chithandizo choterocho, ndikofunikira kukambirana nkhaniyi mokwanira komanso mwatsatanetsatane ndi dokotala wanu ndikusankha chomwe chikugwirizana ndi vuto lanu.
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