Ungave wakaona mumwe munhu mufirimu kana series yeTV, akabatirirwa zvakasimba pamubhedha, achikwenya uye achikwenya kana abatwa nemagetsi. Ungave waitya kurapwa neECT mushure mekuiona. Asi kutaura chokwadi, kurapwa neECT, uko kunoitwa muzvipatara nhasi pasi pekutarisirwa kwakachengeteka uye kwechiremba, hakuna chekuita nezviitiko zvinotyisa zvinoratidzwa mumafirimu iwayo. Saka, ngatibvisei mamwe mafungiro asina kunaka nezveizvi toona kuti ECT chii chaizvo, inopihwa kuna ani, uye kuti inoitiswa sei.
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Chii chinonzi ECT?
ECT ishoko rekuti Electroconvulsive Therapy . Muchidimbu, mushonga unoshanda zvikuru unoshandiswa kurapa mamwe matambudziko epfungwa, kunyanya ayo asingapindure zvakanaka nemishonga.
Izvi zvinosanganisira kukuisa pasi peanesthesia uye kupa uropi hwako chiratidzo chidiki, chinodzorwa nemagetsi kuitira kuti usanzwe chero chinhu. Izvi zvinokonzera pfari pfupi, inodzorwa neuropi. Unenge wakarara hope huru panguva yese iyi, saka haunzwi kurwadziwa kana kusagadzikana.
Masayendisiti achiri kutsvaga kuti izvi zvinoshanda sei pakurapa uropi. Asi imwe dzidziso huru ndeyekuti kurapwa uku kunobatsira masero europi kukura uye kugadzira hukama hutsva (neurogenesis). Izvi zvinotendwa kuti zvinokwanisa kugadzirisa shanduko dzisina kunaka muuropi dzinokonzerwa nezvirwere zvakaita sekuora mwoyo kukuru.
Yeukai, ECT haisi chirango. Inzira yekurapa yakagadzirwa nenyanzvi inoshandiswa kubatsira vanhu vane chirwere chepfungwa chakakomba.
Kurapwa uku kunowanzo kurudzirwa kuti kushandiswe mumamiriro api ezvinhu?
ECT haisi mushonga wemunhu wese. Vanachiremba vanongokurudzira chete kune mamwe mamiriro ezvinhu akaoma.
| Mamiriro | Varwere ava ndivanaani? |
|---|---|
| Dambudziko Guru reKushungurudzika | Vanhu vanotambura nekuora mwoyo kwakanyanya vasingapindure mishonga, vane pfungwa dzekuzvikuvadza, uye vanotoramba kudya kana kunwa. |
| Dambudziko reBipolar | Kudzora zvikamu zvakakomba zvechirwere (mania kana kuora mwoyo). |
| Catatonia | Kubatsira varwere vane miviri isina hupenyu, vasingagoni kutaura, vasingakwanisi kufamba, uye vari munzvimbo imwe chete kuti vaporeswe nekukurumidza. |
| Schizophrenia | Vamwe varwere vane zviratidzo zvakakomba zvisingadzoreki nemishonga. |
Ndiani akakodzera kurapwa neECT?
Chiremba wepfungwa achaona kana kurapwa uku kwakakodzera iwe kana mudiwa wako. Kazhinji, zvinotevera zvinofanirwa:
- Avo vasiri kupindura mishonga: Kana vakamboedza mhando dzakasiyana dzemishonga yekuora mwoyo kana mimwe mishonga yekurapa chirwere chepfungwa asi vasina kukwanisa kuwana zororo.
- Avo vari panjodzi yekuzvikuvadza ivo pachavo kana vamwe: Kana uine pfungwa dzakakomba dzekuzviuraya, izvi zvinogona kushandiswa kuti uwane mhedzisiro nekukurumidza.
- Amai vane pamuviri kana kuti vanoyamwisa: Mimwe mishonga inogona kukuvadza mwana panguva yekuzvitakura. Muzviitiko zvakadaro, kurapwa neECT pasi pekutarisirwa nachiremba kungave sarudzo yakachengeteka.
- Vanhu vasingakwanise kuita mabasa ezuva nezuva nekuda kwezviratidzo: Avo vari kuramba zvachose kudya kana kunwa, uye vari kurwara zvekuti havakwanise kutomboita zvinhu zvemazuva ese zvakaita sekuzvigeza.
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Kugadzirira usati warapwa
Chiremba wako achakupa mazano aunoda, ayo angasanganisira:
- Usadye kana kunwa chero chinhu kwemaawa masere usati watanga kurapwa.
- Kana uine mushonga wekutora mangwanani, inwa nemvura chete kana chiremba wako achikubvumidza.
- Kana uchishandisa mazino ekugadzira, uya nebhokisi rekuisa mazino ekugadzira.
- Bvisa zvishongo zvakaita semhete, mhete, uye mavanga ekumeso kana uine.
Zvinhu zvekuita kuti uchengetedzeke mushure mekurapwa
Uchamuka zvishoma nezvishoma mushure memaminitsi mashanu ekurapwa. Zvakajairika kuti unzwe hope kana hope pakutanga. Izvi zvinopera mumaminitsi angangoita 20-30. Uchatariswa kwemaminitsi angangoita 30-45 usati waenda kumba.
Iva nechokwadi chekutarisira zvinhu izvi mushure mekusvika kumba:
- Dzivisa kutyaira: Kutyaira motokari hakubvumidzwe zvachose panguva yekurapwa kweECT. Unogona kutyaira zvakare mushure mekunge kurapwa kwese kwapera uye chiremba wako akuongorore uye akupa mvumo.
- Usaite zvisarudzo zvakakosha: Dzivisa kuita zvisarudzo zvikuru kana kushandisa michina inorema pazuva rekurapwa.
- Uya nemunhu ane mutoro: Unofanira kuva nemunhu ane mutoro anokuendesa kuchipatara wodzokera kumba. Haubvumirwi kuenda kumba uri wega, kunyangwe uri mutekisi.
- Usave wega: Zvakakosha kuti mumwe munhu agare newe kwemaawa makumi maviri nemana mushure mekurapwa.
Ndezvipi migumisiro uye zvakanakira?
Kufanana nedzimwe nzira dzekurapa, ECT ine migumisiro midiki uye mabhenefiti madiki.
| Migumisiro yakajairika | Zvirwere zvisingawanzoitiki zvakanyanya |
|---|---|
Chikwata chevanachiremba chichapa mishonga inodiwa yeizvi. |
|
Zvakanakira zvikuru zvekurapa neECT
- Mhedzisiro inokurumidza: Nekuti inopa mhedzisiro nekukurumidza kupfuura mamwe marapirwo, inogona kubatsira kuponesa hupenyu mumamiriro ezvinhu enjodzi (semuenzaniso, njodzi yakakura yekuzviuraya).
- Kubudirira kwakanyanya: ECT inogona kuwana mhedzisiro yakanaka kunyangwe mamwe marapirwo asina kubudirira.
- Kuchengetedzeka:Zvinogona kuitwa zvakachengeteka panguva yekuzvitakura, panguva yekuyamwisa, uye kunyange kune vakwegura pasi pekutarisirwa kwakasimba kwechiremba.
Nguva yekufonera chiremba
Kana ukaona zviratidzo zvinotevera mushure mekurapwa, zivisa chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kurova kwemoyo kunokurumidza kana kuti kusina kurongeka.
- Kurwadziwa nemusoro zvakanyanya.
- Kuva nedambudziko kana kutya nezvepfungwa dzako.
- Kuva nepfungwa dzekuzvikuvadza iwe pachako kana vamwe (iyi inyaya yekukurumidzira) .
Mharidzo Yekuenda Nayo Kumba
- ECT haisi chinhu chinotyisa, chisina hunhu chinoratidzwa mumafirimu. Inzira yekurapa yakachengeteka uye inoshanda uye inoitwa pasi pekutarisirwa kwakasimba kwechiremba.
- Kurapa uku kunoitwa pasi peanesthesia, saka hauzonzwi kurwadziwa kana kusagadzikana.
- Migumisiro inogona kuitika, kunyanya matambudziko ekurangarira. Asi mazhinji acho ndeenguva pfupi. Taura pachena nezveizvi nachiremba wako uye gadzirisa chero zvinokunetsa.
- ECT inopa mushonga unoshanda nekukurumidza uye unoshanda wezvirwere zvepfungwa zvakakomba apo mamwe marapirwo akakundikana.
- Iva nechokwadi chekutevedzera mirairo yekuchengetedza yakapihwa mushure mekurapwa (yakadai sekusatyaira mota, kusave wega) kuti uzvichengetedze.
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