Dzimwe nguva ungave uchirwara neMajor Depression Disorder (MDD). Kunyangwe ukatora mushonga wawakanyorerwa nachiremba wako kana kuenda kuchipatara (psychotherapy), pfungwa dzako dzingasave dzichinzwa zviri nani. Unganzwa zviri nani kwenguva yakati wobva wadzokera kumamiriro ako ekare. Kana kuti unganzwa kusuruvara kumwe chete pasina shanduko. Mukurapa, tinodana rudzi urwu rwekuora mwoyo kwakaoma kudzora nemishonga 'Therapy-Resistant Depression' . Asi, usafunge kuti uku ndiko kuguma kwenyaya yako. Usarasa tariro. Kune mishonga mitsva, yepamusoro-soro yezviitiko zvakadaro. Iyoyo Brain Stimulation Therapy. Iyi inoedza kudzorera mashandiro europi uchishandisa magetsi, mafungu emagnetic, kana midziyo midiki yakaiswa mumuviri. Nhasi, tichataura nezvemishonga mitatu mikuru yakadaro.
Kurapa neElectroconvulsive Therapy (ECT)
Zita racho ringanzwika serinotyisa zvishoma, asi ECT mushonga wave uripo kwemakore anopfuura makumi masere, wakatsvakurudzwa zvakanyanya, uye wakaratidzwa kuti wakachengeteka uye unoshanda. Unowanzo shandiswa kurapa zvirwere zvakaita sekuora mwoyo kwakanyanya uye bipolar disorder isingarapike kune dzimwe nzira dzekurapa .
Unoita sei izvi?
Hauzonzwi chero chinhu panguva yekurapwa uku, nekuti unenge wava neanorexia zvachose. Sekunge usati wavhiyiwa . Uchapihwawo mushonga wekudzivirira tsandanyama dzako kuti dzisadedere. Ipapo chiremba anonamira mapadhi akaita sesticker pane dzimwe nzvimbo dzemusoro wako. Aya anonzi 'electrodes.' Mushure mekurara, simba remagetsi rinodzorwa zvakanyanya, diki rinoendeswa kuuropi hwako kuburikidza ne'electrodes' idzi. Izvi zvinokonzera kubatwa nepfungwa kunodzorwa muuropi kunotora masekondi asingasviki makumi matanhatu. Zvinotendwa kuti izvi zvinogadzirisa mashandiro ema neuron nemakemikari muuropi. Paunomuka mumaminitsi mashoma, hauzoyeuki chero chinhu nezvekurapa kana zvawakanzwa panguva iyoyo. Kana mhedzisiro yeanesthetic yapera, unogona kudzokera kumba.
Kazhinji, kurapwa kunoitwa pakati pe6 ne12, kazhinji kaviri kana katatu pasvondo. Huwandu hwezvidzidzo zvaunoda hunoenderana nekuoma kwezviratidzo zvako uye kuti unokurumidza sei kupora.
Chinhu chinonyanya kukosha ndechekuti kurapwa uku kuitwe usingazive, saka hauzonzwi kurwadziwa kana kusagadzikana.
| Migumisiro yeECT | |
|---|---|
| Musoro | Dambudziko rinowanzoitika mushure mekurapwa. Rinogona kudzorwa nemishonga inoderedza marwadzo. |
| Kusvotwa | Inogona kukonzerwa neanesthesia uye inozopera mushure mechinguva. |
| Kuneta uye Kuvhiringidzika | Inogona kugara kwemaawa akati wandei mushure mekurapwa. |
| Kurasikirwa Nendangariro | Iyi injodzi huru. Unogona kurasikirwa nendangariro usati warapwa uye mushure mekurapwa. Asi izvi zvinowanzova zvenguva pfupi. Vanachiremba vanoshandisa nzira dzakasiyana-siyana kuderedza njodzi iyi (semuenzaniso, kuisa maelectrode parutivi rumwe chete rwemusoro). |
Kudzokororwa kweMagineti yeTranscranial Magnetic (rTMS)
Nzira iyi inoshandisa mafungu emagnetic. Izvi zvinosimudzira uropi. Masayendisiti haasati anyatsoziva kuti izvi zvinorapa sei kuora mwoyo. Asi vanofunga kuti mafungu aya emagnetic anowedzera mashandiro emasero etsinga muzvikamu zveuropi zvinodzora manzwiro.
Unoita sei izvi?
Hamufanirwe kumuka kuti muwane kurapwa kwerTMS. Munogara pachigaro. Asi muchafanira kupfeka maearplugs nekuti muchina unoita ruzha rukuru rwekuti 'ticking'. Chiremba achaisa electromagnetic coil pahuma yenyu nemusoro. Mamagnetic pulses anobva mucoil iyi anogadzira magetsi madiki muuropi hwenyu. Muchanzwa sekunge muri kurohwa netoucan diki. Munogona kudzokera kumba mushure mekurapwa. Munogona kutyaira mota kana musina kurota.
Kazhinji, nguva imwe chete inotora maminetsi angangoita 30-40. Kurapwa uku kunofanira kuitwa mazuva mashanu pasvondo kwemwedzi unosvika mumwe chete.
| Migumisiro Yekurapwa kweRTMS | |
|---|---|
| Migumisiro yakajairika | |
| Musoro | Zvinogona kuitika zvishoma. |
| Kusagadzikana paive nekoiri | Unganzwa kusagadzikana kudiki paganda. |
| Tsandanyama dzechiso dzichidedera | Unganzwa kusanzwa kana kugwinha kwetsandanyama kumeso kwako. |
| Kashoma migumisiro yakaipa | |
| Kubatwa nepfari | Ichi chinhu chinogona kuitika kashoma. |
| Kutadza kunzwa zvakanaka | Izvi zvinogona kuitika kana nzeve isina kuchengetedzwa zvakanaka panguva yekurapwa. |
Kukurudzirwa kweNtsinga dzeVagus (VNS)
Kune tsinga refu inomhanya kubva muuropi hwako ichienda mudumbu rako kumativi ese emuviri wako. Iyi inonzi Vagus Nerve. Kurapa uku kwekukurudzira tsinga (VNS) kwakatanga kushandiswa kurapa pfari. Asi zvakazoonekwa kuti kunopawo zororo kubva mukuora mwoyo kusingarapike.
Unoita sei izvi?
Izvi zvinosanganisira kuvhiyiwa kudiki. Chiremba achaisa mudziyo mudiki unoshandiswa nebhatiri pasi peganda rechipfuva chako, kazhinji kuruboshwe. Izvi zvinonzi "pulse generator." Zvakafanana nepacemaker. Zvadaro, waya yemagetsi inobva mumudziyo uyu inopfuudzwa nemumutsipa wako yobatanidzwa netsinga yemudumbu. Mushure mekuvhiyiwa, kana maronda apora, chiremba achavhura mudziyo uyu. Uchatumira tsinga diki dzemagetsi kutsinga nguva nenguva (semuenzaniso, maminetsi mashanu ega ega, kwemasekonzi makumi matatu).
| Njodzi & Migumisiro Yekurapa kweVNS | |
|---|---|
| Njodzi dzine chekuita nekuvhiyiwa | |
| Marwadzo nehutachiona | Marwadzo kana utachiona zvinogona kuitika panzvimbo yakaisirwa mudziyo. |
| Kuoma kumedza | Zvinogona kuitika kwenguva pfupi. |
| Kuoma kwetsinga yezwi | Kunyangwe kazhinji kacho kwenguva pfupi, hazvigone kuva zvechigarire. |
| Migumisiro inogona kuitika mushure mekushandisa mudziyo | |
| Kuchinja kwenzwi, kurira kwezwi | Izwi rinogona kuchinja sezvo kurova kwemoyo kunoburitswa. |
| Kukosora uye kuoma kufema | Zvinogona kunzwikwa kunyanya kana uchirovedza muviri. |
| Kurwadziwa kwemutsipa | Panogona kuva nekurwadziwa pahuro kana pamutsipa. |
Kurapa uku kunobudirira sei?
Uyu ndiwo mubvunzo unonyanya kukosha. Kutaura zvazviri, havasi vese vanopindura kurapwa nenzira imwechete. Saka, hazvigoneke kufanotaura pachine nguva kuti ndeipi mishonga ichakunakira, kana kuti ichakunakira zvachose. Zvinogona kutora mwedzi yakati wandei kuti uone mhedzisiro. Kazhinji, mishonga yekurapa kwepfungwa kana yekuora mwoyo inodiwa kuti ugadzirise kuora mwoyo paunenge uchigamuchira mishonga iyi inosimudzira uropi. Mushure mekurapwa, ungangoda kurapwa kamwe chete pasvondo kana mwedzi mishoma yega yega kuti urambe uchipora. Iwe nachiremba wako chete ndiwe unogona kusarudza zvakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Kune kuora mwoyo kwakanyanya kusingadzorwi nemishonga yakajairika (Treatment-Resistant Depression), kune dzimwe nzira dzekurapa pamusoro pemishonga nekupa mazano.
- Kurapa Kunokurudzira Uropi ndeimwe yenzira huru dzakadai. ECT, rTMS, uye VNS ndedzimwe dzedzimwe dzacho.
- Kurapa kwega kwega uku kune zvakwakanakira, zvakusingakodzeri, uye migumisiro yakwo. Hazvina kukodzera munhu wese.
- Usati wafunga nezvekurapa kwakadaro, zvakakosha kukurukura nyaya iyi zvizere nachiremba wako wosarudza iyo inonyatsokodzera chirwere chako.
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