Ese urwaye indwara yo kwiheba gukabije? Wenda hari inshuti yawe irimo kurwara iyi ndwara. Ese wumva wihebye cyane kandi ubabaye nubwo wafashe imiti wahawe na muganga wawe kandi ukagerageza ubwoko butandukanye bw'imiti? Niba ari uko bimeze, uyu munsi tugiye kuvuga ku bundi buryo bwiza cyane bwo kuvura bushobora kugufasha. Ubwo buryo ni ECT, cyangwa Electroconvulsive Therapy. Izina risa n'aho riteye ubwoba gato, si byo se? Ariko mu by'ukuri ntabwo biteye ubwoba nkuko ubitekereza.
ECT ni iki mu by'ukuri?
Muri make, ECT ni bumwe mu buryo bwizewe kandi bufite akamaro kurusha ubundi bwo kuvura indwara zo mu mutwe nka depression ikomeye na bipolar disorder.
Ibi bikubiyemo kugutera ikinya rusange (gusinzira), gushyira electrodes ku mutwe wawe, no gutanga umuriro w'amashanyarazi ugenzurwa cyane kandi udakomeye mu bwonko bwawe. Uyu muyaga utera indwara mu bwonko imara amasegonda make. Ibi ni nko 'gusubiza ubwonko mu buryo bushya'.
Abantu benshi batekereza ko iki ari ikintu kibabaza, nk'uko bigaragara muri filime, aho umurwayi aterwa amashanyarazi mu gihe ari muzima. Icyo ni igitekerezo kibi rwose. Muri iki gihe, ECT ni uburyo bugezweho cyane, bwizewe kandi butababaza.
Ubu buryo bwo kuvura bushobora gutanga ubutabazi bwihuse , cyane cyane ku muntu urwaye cyane kandi ufite ibitekerezo byo kwiyahura. Bushobora kandi kuba uburyo bwo kurokora ubuzima mu gihe byaba ari bibi cyane gutegereza ko imiti itangira gukora.
Witegura ute kuvurwa na ECT?
Nyuma yo gufata icyemezo niba ukwiriye kuvurwa na ECT, muganga wawe azakora ibizamini byinshi kugira ngo arebe niba umeze neza. Ibi ni byo bizamini bikunze gukorwa.
| Ikizamini | Ubona iki muri ibyo? |
|---|---|
| Electrocardiogram (EKG) | Imikorere y'amashanyarazi y'umutima wawe irimo kugenzurwa. |
| Ibipimo by'amaraso | Ibintu nko gusuzuma umubare wuzuye w'amaraso (CBC), imikorere ya tiroyide, n'imikorere y'impyiko biragenzurwa. |
| X-ray yo mu gituza | Ibi bishobora gukorwa iyo hari ukekwaho indwara z'umutima. |
| Gupima CT (CT Scan) | Ibi rimwe na rimwe bikorwa kugira ngo harebwe niba ibimenyetso byawe biterwa n'ikibazo kidasanzwe mu bwonko. |
Ubwemere
Mbere y'ibi byose, wowe cyangwa ubwishingizi bwawe bw'ubuvuzi muzasinya ku rupapuro rwo kwemera ubu buvuzi. Ibi bivuze ko uzi ubu buvuzi kandi ubyemera.
Uburyo ubuvuzi bwa ECT bukorwa
Ku munsi wo kuvurwa, ntuzumva ububabare cyangwa ngo ugire ububabare. Kubera ko uba warahawe ikinya burundu, bivuze ko usinziriye neza. Dore intambwe zo kuvurwa:
1. Gushyiramo umurongo wa IV: Umurongo wa IV (cannula) uzashyirwa mu mutsi uri mu kuboko kwawe. Aha niho hatangwa imiti igabanya ububabare n'imitsi iruhura.
2. Amasashe ya ECG : Amasashe ya ECG azashyirwa mu gituza cyawe kugira ngo akurikirane imikorere y'umutima wawe mu gihe cyose cy'ubuvuzi.
3. Gufata imisemburo ya EEG : Imisemburo ya EEG ifata ku mutwe. Ibi bituma muganga akurikirana imiraba y'ubwonko.
4. Ubwirinzi bwo Kuruma: Kugira ngo hirindwe kwangirika kw'amenyo, hashyirwa uburinzi bworoshye hagati y'amenyo.
5. Gushyira electrode: Amaherezo, electrode za ECT zifatanye n'ahantu hakwiye ku mutwe.
Iyo byose bimaze gutunganywa, umuriro w'amashanyarazi ugenzurwa cyane ugera mu bwonko. Kubera ko hatanzwe imiti igabanya imitsi, gucika intege bigaragarira gusa mu kuboko cyangwa ukuguru mu buryo butoroshye.
Uzongera kugarura ubwenge mu minota mike. Ariko ntuzongera kwibuka ubuvuzi cyangwa ikindi kintu cyose cyabaye icyo gihe. Ushobora kumva urimo urujijo mu ntangiriro, ariko ibi bizashira nyuma y'igihe runaka.
Ubu buvuzi busanzwe butangwa kabiri cyangwa gatatu mu cyumweru mu gihe cy'ibyumweru 2-4. Umubare w'ubuvuzi busabwa uzagenwa na muganga wawe bitewe n'uko urwaye.
Ni bande bungukira ku buvuzi bwa ECT kandi ni bande batagomba kubungukiramo?
Ubu buryo bwo kuvura ntibukwiriye buri wese. Kandi kuri bamwe, inyungu zabwo ni nyinshi cyane. Reka tubirebe.
| Ni nde wungukira cyane kuri ECT? | Ni bande batagomba guhabwa ECT (bari mu kaga) |
|---|---|
| Abantu bafite ikibazo gikomeye cyo kwiheba badakira imiti (ihungabana ridakira imiti). | Abantu baherutse kugira indwara y'umutima. |
| Abari mu kaga gakomeye ko kwiyahura. | Abantu bafite indwara z'umutima zidagenzurwa. |
| Abantu banga kurya kandi bafite imirire mibi. | Abantu bafite umuvuduko mwinshi mu bwonko. |
| Abantu barwaye indwara ya catatonia. | Abantu baherutse kuva amaraso mu bwonko (stroke, aneurysm). |
| Abantu bafite indwara yo kwiheba gukabije cyangwa indwara ya bipolar bafite ibimenyetso by'indwara zo mu mutwe. | Abantu bafite indwara zikomeye z'ubuhumekero (urugero: COPD). |
| Abakeneye kuvurwa byihutirwa mu gihe batwite. | Ntibihabwa abana bari munsi y'imyaka 11. |
Ingaruka mbi ni izihe?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, ECT ifite ingaruka zimwe na zimwe bamwe bashobora kugira. Inyinshi muri zo ni iz'igihe gito.
- Urujijo: Ushobora kumva urimo urujijo mu masaha make nyuma yo kuvurwa. Ibi bikunze kugaragara cyane ku bantu bakuze.
- Gutakaza ubushobozi bwo kwibuka: Gutakaza ubushobozi bwo kwibuka bishobora kubaho mu gihe cyo kuvurwa. Hari igihe bishobora kugorana kwibuka ibintu byabaye mu byumweru bike bya mbere by'ubuvuzi. Ibi bibazo byo kwibuka akenshi biragenda birushaho kwiyongera uko igihe kigenda gihita.
- Kubabara umubiri: Kuribwa umutwe, kubabara mu rwasaya, no kubabara imitsi.
- Isesemi: Hari abantu bashobora kugira isesemi.
- Ingorane ziterwa no gusinziriza: Ingaruka zijyanye n'agahinda kose ko gusinziriza nazo zirakunze kugaragara hano.
Igikuru ni ukuganira kuri ibi byose na muganga wawe mu buryo bweruye. Muri ubwo buryo, ushobora gukuraho ubwoba n'amakenga ushobora kuba ufite.
Ubuzima nyuma ya ECT
Nyuma yo kurangiza imiti, ibimenyetso byo kwiheba bishobora kuba byaragabanutse cyane. Ariko ibyo si byo birangiriraho. Muganga wawe ashobora kukugira inama yo gukomeza gufata imiti cyangwa imiti yo mu mutwe nk'ubuvuzi bwo kubungabunga kugira ngo wirinde ko kwiheba kwawe kugaruka.
Nyuma yo kuvurwa, ugomba kwirinda gutwara cyangwa gukoresha imashini ziremereye kugeza igihe muganga wawe abikubwiriye.
Ubutumwa bwo kujyana mu rugo
- ECT si ikintu giteye ubwoba nk'uko bigaragara muri filime. Ni uburyo bwiza kandi bwizewe bwo kuvura indwara yo kwiheba gukabije.
- Ubu buvuzi bukorwa hakoreshejwe ikinya cyuzuye cyo kugabanya ububabare, bityo ntuzumva ububabare ubwo aribwo bwose.
- Ingaruka mbi nko kugira ibibazo byo kwibuka no kwiheba bishobora kubaho nyuma yo kuvurwa akenshi biba iby'igihe gito.
- Iyi si 'umuti wihuse'. Ndetse na nyuma yo kuvurwa, ubuvuzi bwo kubungabunga (imiti cyangwa ubuvuzi bwo mu mutwe) ni ingenzi kugira ngo hirindwe ko ihungabana rigaruka.
- Buri gihe ganira na muganga wawe niba ubu buryo bw'ubuvuzi bukubereye cyangwa bukubereye uwo ukunda.
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