Ese urimo urwana n'indwara yo kwiheba? Wenda wagerageje imiti wahawe na muganga wawe, ujya kwa muganga, ariko ntukumva umeze neza. Ni ibisanzwe kumva ucitse intege kandi wihebye mu bihe nk'ibi. Ariko ibuka ko utari wenyine. Siyansi y'ubuvuzi iratera imbere umunsi ku wundi. Niyo mpamvu hari uburyo bushya bwo kuvura bushobora gufasha abantu batemera uburyo busanzwe bwo kuvura. Ni byo tuvuga uyu munsi.
"Ihungabana ridashobora kuvurwa" ni iki?
Mu magambo make, iyi ni yo ndwara twavuze haruguru. Ni ukuvuga ko twita indwara yo kwiheba idakira iyo ibimenyetso bitagenze neza hamwe n’imiti yemewe yo kuvura indwara yo kwiheba (urugero, ubwoko bubiri cyangwa bwinshi bw’imiti igabanya ubukana bw’indwara, ku gipimo gikwiye, mu gihe gihagije).
Tekereza, muganga wawe aguhaye umuti, hanyuma nyuma y'amezi make uwukoresha, ntacyo bitwaye cyane. Hanyuma akaguhindurira undi muti. Iyo bitagenze neza, ushobora kugwa muri iki cyiciro. Hari igihe nk'iki abaganga batekereza kuri ubu buryo bwihariye kandi bugezweho bwo kuvura tugiye kuvugaho.
Igikuru ni uko, ntucike intege. Kuba umuti umwe utagenze neza ntibivuze ko utazigera ukira. Hari uburyo bwo kuvura bugufasha.
Ubuvuzi bukoresha amashanyarazi (ECT) - ese wagombye kugira ubwoba nk'uko ubyibwira?
Iyo wumvise ijambo "Ubuvuzi bwo kuvura indwara zo mu mutwe hakoreshejwe amashanyarazi (ECT)," ushobora kwibutswa amashusho yo muri filime za kera za Sinhala na Hindi maze ukumva ufite ubwoba. Ariko mu by'ukuri, ECT ni uburyo bwo kuvura bwizewe kandi bugenzurwa muri iki gihe.
Ikiba muri ibi ni uko usinzirizwa burundu (ugasinzira) kandi ubu buvuzi bugakorwa. Bityo ntugira icyo wumva. Itsinda ry'inzobere (umuganga w'indwara zo mu mutwe, umuganga w'indwara zo mu mutwe, n'abaforomo) barahari kugira ngo babikore. Bohereza imitsi mito cyane y'amashanyarazi igenzurwa mu bwonko bwawe binyuze mu byuma bishyirwa ku mutwe wawe. Bikekwa ko ibi bigarura itumanaho hagati y'uturemangingo tw'imitsi mu bwonko, kandi ibimenyetso by'agahinda gakabije bigabanuka vuba.
Ubusanzwe , hasabwa imyitozo 6 kugeza kuri 12, akenshi kabiri kugeza gatatu mu cyumweru. ECT ni uburyo bwiza cyane bwo kuvura, cyane cyane ku bafite ikibazo gikomeye cyo kwiheba kidakira kuvurwa ndetse n'abafite ibitekerezo byo kwiyahura.
Ariko, kimwe n'ibindi byose, hari ingaruka mbi n'ingaruka mbi. Hari abantu bashobora kugira ibibazo byo kwibuka (cyane cyane mu gihe cyo kuvurwa) mu gihe gito nyuma yo kuvurwa. Kubwibyo, ni ngombwa kubiganiraho na muganga wawe mbere yo gutangira kuvurwa.
Ubuvuzi bwa Magnetic Pulse (TMS na MST) - Ibi ni ibihe?
Ubu buryo bwombi bukoresha imbaraga za rukuruzi kugira ngo bugire ingaruka ku bwonko, ariko uburyo bwombi butandukanye gato.
1. Gukangura Magnetic mu bwonko (TMS)
Ubu buryo bworoshye cyane kurusha ECT. Ntabwo usinziriye. Ushobora kwicara mu ntebe. Muganga cyangwa umuhanga mu by'imiti ashyira igikoresho cyihariye (`insinga zishyushye`) ku mutwe wawe maze akohereza imitsi ya magnetic pulses ikayinyuza mu bice bimwe na bimwe by'ubwonko bikekwaho kugira uruhare mu kwiheba. Ibi ntibibabaza.
Imyitozo imara iminota 30, kandi ushobora gukenera kuvurwa iminsi 5 mu cyumweru mu gihe cy'ibyumweru 4-6. Kimwe mu byiza bikomeye bya TMS ni uko igira ingaruka nke cyane kandi ntisaba kujya mu bitaro. Hari abantu bashobora kumva bafite ububabare mu mutwe, cyangwa bakagira umutwe muto cyangwa isereri. Ariko, ntabwo byatangajwe ko bigira ingaruka ku kwibuka nk'uko ECT ibivuga. Ariko, ni ngombwa kwibuka ko TMS idatanga umusaruro ukomeye nk'uwa ECT.
2. Ubuvuzi bwo Gufata Amaginito (MST)
Ibi biracyari mu cyiciro cy’ubushakashatsi, kandi ni nk’aho ECT na TMS bihurira. Aha, imbaraga zikomeye za rukuruzi zikoreshwa mu gutera indwara yo mu bwonko igenzurwa. Nubwo impamvu nyayo itazwi, iyi ndwara igabanya vuba ibimenyetso by’ihungabana. Isaba kandi ikinya, nk’uko bigenda kuri ECT. Ariko, abaganga bizeye ko kubera ko ECT ishobora kwibasira ibice by’ubwonko neza, izagira ingaruka nke ku kwibuka.
| Uburyo bwo kuvura | Ese ni ngombwa gukoresha ikinya? | Inyungu nyamukuru | Ingaruka mbi/ingaruka mbi nyamukuru |
|---|---|---|---|
| ECT (Ubuvuzi bw'indwara zo mu mutwe zikoresha amashanyarazi) | Yego, ni itegeko. | Ibisubizo byihuse cyane kandi bikomeye. | Kwibuka bishobora kugira ingaruka z'igihe gito. |
| TMS (gukangura ingufu za magnetic mu mutwe) | Oya, nta mpamvu. | Ingaruka mbi ni nke cyane, kandi nta kujyanwa mu bitaro. | Bishobora kudatanga umusaruro wihuse/ukomeye nk'uwa ECT. |
| MST (Umuvuduko w'amashanyarazi wa Magnetic) | Yego, ni ngombwa. | Bishobora kugira ingaruka nke ku kwibuka kurusha ECT. | Nkiri mu cyiciro cy'ubushakashatsi. |
Ubundi buryo bwo kuvura bujyanye no kubaga
Ubu buryo ni uburyo bwo kuvura buteye imbere kandi bwo kubaga. Ubusanzwe bukoreshwa mu bihe bikomeye cyane aho ubundi buryo bwose bwo kuvura bwananiwe.
1. Gukangura Ubwonko Bwimbitse (DBS)
Ubu ni uburyo bwo kuvura indwara ya Parkinson. Muri ubu buryo, electrode zishyirwa mu bice byihariye kandi byimbitse by'ubwonko. Izi electrode zikoreshwa na bateri ishyizwe munsi y'uruhu rw'igituza cyangwa inda. Izi electrode zohereza ibimenyetso by'amashanyarazi ku miyoboro yo mu bwonko igenzura ibyiyumvo, ikagenzura ibimenyetso by'ihungabana. Nubwo ubushakashatsi bukiri buke, ibisubizo biratanga icyizere.
2. Gukangura imitsi yo mu nda y'umura (VNS)
Umutsi w’amaraso uva mu bwonko ni umutsi muremure uva mu bwonko ujya mu bice bitandukanye by’umubiri. Uyu mutsi unafitanye isano n’ibice by’ubwonko bigenzura uko umuntu yumva ameze. Muri ubu buvuzi, igikoresho gito, kimeze nk’icyuma gifasha umuntu kumva neza, kibagwa munsi y’uruhu rw’igituza. Icyo gikoresho cyohereza amashanyarazi ku mutsi w’amaraso uva mu bwonko. Ibi binoza itumanaho ry’imitsi mu bwonko kandi bigabanya kwiheba. Ariko, bishobora gufata amezi menshi kugira ngo haboneke umusaruro.
Ketamine - ihumure ryihuse?
Ketamine ni umuti ugabanya ububabare. Ariko ubushakashatsi buherutse gukorwa bwagaragaje ko iyo itanzwe ku rugero ruto cyane, ishobora gutanga ubutabazi bwihuse mu masaha make ku barwayi bamwe na bamwe bafite agahinda gakomeye.
Uburyo bwo kuvura mu mazuru bwitwa Ketoconazole ubu bwemewe ku bantu batitabira indi miti igabanya ubukana bw’indwara cyangwa bafite ibitekerezo byo kwiyahura. Byongeye kandi, hakoreshwa uburyo bwo gutera imiti mu mitsi (IV infusion). Ibi bikunze gukorwa mu bitaro, biyobowe na muganga.
Ubutumwa bwo kujyana mu rugo
- Ntugacike intege ko indwara yo kwiheba itazashira hamwe n'imiti isanzwe. Hari uburyo bwo kuvura bugezweho bushobora kugufasha.
- Uburyo bwo kuvura nka ECT na TMS butandukanye cyane, bufite umutekano kandi bufite akamaro kurusha ubwo ubona muri filime.
- Ubu buryo bwinshi bwo kuvura buracyakoreshwa gusa mu bihe runaka. Buri bumwe bufite ibyiza n'ibibi byabwo.
- Muganga wawe ni we wenyine ushobora guhitamo niba ubwo bwoko bw'ubuvuzi bukubereye. Rero, mubwire neza uko wumva umerewe n'ibyo wanyuzemo.
- Ubuzima bwo mu mutwe ni ingenzi kimwe n'ubuzima bw'umubiri. Ntugatinye gusaba ubufasha.











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