Kodi mukuvutika ndi kuvutika maganizo kwambiri? Mwina mnzanu wanu akuvutika ndi vutoli. Kodi mukumva kupsinjika maganizo kwambiri komanso kukhumudwa ngakhale mutamwa mankhwala omwe dokotala wanu wakupatsani komanso mukuyesera mitundu yosiyanasiyana ya mankhwala? Ngati ndi choncho, lero tikambirana za chithandizo china chothandiza kwambiri chomwe chingakuthandizeni. Ndicho ECT, kapena Electroconvulsive Therapy. Dzinalo likumveka ngati loopsa pang'ono, sichoncho? Koma kwenikweni siloopsa monga momwe mukuganizira.
Kodi ECT ndi chiyani kwenikweni?
Mwachidule, ECT ndi imodzi mwa njira zotetezeka komanso zothandiza kwambiri zochizira matenda amisala monga kuvutika maganizo kwakukulu ndi matenda a bipolar .
Izi zimaphatikizapo kukugonetsani pansi pa mankhwala oletsa ululu (kukugonetsani tulo), kumangirira ma electrode kumutu mwanu, ndikupereka mphamvu yamagetsi yolamulidwa bwino komanso yocheperako ku ubongo wanu. Mphamvu yamagetsi iyi imayambitsa khunyu muubongo yomwe imatenga masekondi angapo. Izi zili ngati 'kukonzanso' ubongo.
Anthu ambiri amaganiza kuti ichi ndi chinthu chopweteka, monga momwe zimasonyezedwera m'mafilimu, pomwe wodwalayo amapatsidwa shock yamagetsi ali chikumbumtima. Limenelo ndi lingaliro lolakwika kotheratu. Masiku ano, ECT ndi chithandizo chapamwamba kwambiri, chotetezeka, komanso chopanda ululu.
Chithandizochi chingathandize munthu amene akudwala kwambiri ndipo akuganiza zodzipha. Chingathandizenso munthu amene akudwala kwambiri ngati ali ndi vuto lalikulu kudikira kuti mankhwala ayambe kugwira ntchito.
Kodi mumakonzekera bwanji chithandizo cha ECT?
Pambuyo posankha ngati ndinu woyenera kulandira chithandizo cha ECT, dokotala wanu adzakuyesani kangapo kuti aone ngati muli ndi thanzi labwino. Izi ndi mayeso omwe nthawi zambiri amachitidwa.
| Mayeso | Mukuona chiyani pamenepa? |
|---|---|
| Electrocardiogram (EKG) | Kugwira ntchito kwa magetsi kwa mtima wanu kukuyesedwa. |
| Mayeso a Magazi | Zinthu monga kuwerengera magazi kwathunthu (CBC), ntchito ya chithokomiro, ndi ntchito ya impso zimayesedwa. |
| X-ray pachifuwa | Izi zitha kuchitika ngati pali kukayikiridwa kuti pali matenda a mtima. |
| Kujambula kwa CT | Izi nthawi zina zimachitika kuti zione ngati pali vuto muubongo lomwe limayambitsa zizindikiro zanu. |
Chilolezo
Musanayambe zonsezi, inu kapena loya wanu wa zachipatala mudzasaina fomu yovomereza chithandizochi. Izi zikutanthauza kuti mukudziwa za chithandizochi ndipo mwavomereza.
Momwe chithandizo cha ECT chimachitikira
Pa tsiku la chithandizo, simudzamva kupweteka kulikonse kapena kuvutika. Chifukwa chakuti mwapatsidwa mankhwala oletsa kugona mokwanira, zomwe zikutanthauza kuti muli m'tulo tofa nato. Nazi njira zochizira:
1. Kuyika mzere wa IV: Mzere wa IV (cannula) udzayikidwa mu mtsempha womwe uli m'dzanja lanu. Apa ndi pomwe mankhwala oletsa ululu ndi opumitsa minofu amaperekedwa.
2. Ma Lead a ECG : Ma Lead a ECG adzalumikizidwa pachifuwa chanu kuti aziyang'anira momwe mtima wanu umagwirira ntchito panthawi yonse ya chithandizo.
3. Kulumikiza ma lead a EEG : Ma lead a EEG amamangiriridwa kumutu. Izi zimathandiza dokotala kuyang'anira mafunde a ubongo.
4. Chitetezo cha Kuluma: Pofuna kupewa kuwonongeka kwa mano, chitetezo chofewa chimayikidwa pakati pa mano.
5. Kuyika kwa ma electrode: Pomaliza, ma electrode a ECT amamangiriridwa pamalo oyenera pamutu.
Zonse zikakonzeka, mphamvu yamagetsi yolamulidwa bwino imaperekedwa ku ubongo. Chifukwa chakuti minofu yopumula yaperekedwa, khunyu imangooneka ngati kuyenda pang'ono kwa mkono kapena mwendo.
Mudzachira pakapita mphindi zochepa. Koma simudzakumbukira chilichonse cha chithandizocho kapena chilichonse chomwe chinachitika panthawiyo. Mungamve kusokonezeka pang'ono poyamba, koma izi zidzatha pakapita nthawi.
Mankhwalawa nthawi zambiri amaperekedwa kawiri kapena katatu pa sabata kwa milungu iwiri kapena inayi. Chiwerengero cha mankhwala ofunikira chidzatsimikiziridwa ndi dokotala wanu kutengera momwe mulili.
Ndani amapindula ndi chithandizo cha ECT ndipo ndani sayenera kupindula nacho?
Mankhwalawa si oyenera aliyense. Ndipo kwa anthu ena, ubwino wake ndi waukulu kwambiri. Tiyeni tiwone zimenezo.
| Ndani amene amapindula kwambiri ndi ECT? | Ndani sayenera kulandira ECT (omwe ali pachiwopsezo) |
|---|---|
| Anthu omwe ali ndi vuto la kuvutika maganizo kwambiri omwe salandira mankhwala (kuvutika maganizo kosachiritsika ndi mankhwala). | Anthu omwe posachedwapa adadwala matenda a mtima. |
| Omwe ali pachiwopsezo chachikulu chodzipha. | Anthu omwe ali ndi matenda a mtima osalamulirika. |
| Anthu omwe amakana kudya ndipo alibe zakudya zokwanira. | Anthu omwe ali ndi kuthamanga kwa magazi mu ubongo. |
| Anthu omwe ali ndi catatonia. | Anthu omwe posachedwapa adataya magazi muubongo (stroke, aneurysm). |
| Anthu omwe ali ndi vuto la kuvutika maganizo kwambiri kapena matenda a bipolar omwe ali ndi zizindikiro za psychosis. | Anthu omwe ali ndi matenda aakulu a kupuma (monga COPD). |
| Amene amafunikira chithandizo chadzidzidzi panthawi ya mimba. | Siziperekedwa kwa ana osakwana zaka 11. |
Kodi zotsatira zake ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, ECT ili ndi zotsatirapo zina zomwe anthu ena angakumane nazo. Zambiri mwa izi ndi zakanthawi kochepa.
- Kusokonezeka: Mungasokonezeke pang'ono kwa maola angapo mutalandira chithandizo. Izi zimachitika makamaka kwa okalamba.
- Kutaya Kukumbukira: Kukumbukira zinthu zakale kumatha kuchitika panthawi ya chithandizo. Nthawi zina, zimakhala zovuta kukumbukira zochitika m'masabata oyamba a chithandizo. Mavuto okumbukira amenewa nthawi zambiri amatha pakapita nthawi.
- Kusasangalala ndi thupi: Kupweteka mutu, kupweteka nsagwada, ndi kupweteka kwa minofu kungachitike.
- Kusanza: Anthu ena amatha kuvutika ndi nseru.
- Mavuto omwe amabwera chifukwa cha mankhwala oletsa ululu: Mavuto omwe amabwera chifukwa cha mankhwala oletsa ululu ndi ofala kwambiri pano.
Chofunika kwambiri ndikulankhulana momasuka za zonsezi ndi dokotala wanu. Mwanjira imeneyi, mutha kuchotsa mantha ndi kukayikira kulikonse komwe mungakhale nako.
Moyo pambuyo pa ECT
Mukamaliza chithandizo, zizindikiro zanu za kuvutika maganizo mwina zinachepa kwambiri. Koma nkhaniyi siithera pamenepo. Dokotala wanu angakulangizeni kuti mupitirize kumwa mankhwala kapena mankhwala amisala ngati chithandizo chothandizira kuti kuvutika maganizo kwanu kusabwererenso.
Mukalandira chithandizo, muyenera kupewa kuyendetsa galimoto kapena kugwiritsa ntchito makina olemera mpaka dokotala atakuuzani kuti muchite zimenezo.
Uthenga Wopita Nawo Kunyumba
- ECT si chinthu choopsa monga momwe zimachitikira m'mafilimu. Ndi mankhwala otetezeka komanso othandiza kwambiri pa kuvutika maganizo kwakukulu.
- Chithandizochi chimachitika pansi pa anesthesia yonse, kotero simudzamva ululu uliwonse.
- Zotsatirapo monga mavuto okumbukira zinthu ndi kusokonezeka maganizo zomwe zingachitike mutalandira chithandizo nthawi zambiri zimakhala zakanthawi kochepa.
- Iyi si njira yothetsera vuto mwachangu. Ngakhale mutalandira chithandizo, chithandizo chosamalira (mankhwala kapena psychotherapy) n'chofunikira kuti mupewe kubwereranso kwa vuto la kuvutika maganizo.
- Nthawi zonse kambiranani ndi dokotala wanu ngati chithandizochi chili choyenera kwa inu kapena wokondedwa wanu.
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