Uri kunetseka nedambudziko rekuora mwoyo here? Pamwe wakamboedza mishonga yawakapihwa nachiremba wako, wakaenda kunyanzvi dzekurapa, asi hausati wanzwa zviri nani. Zvakajairika kunzwa kuora mwoyo uye kusava netariro panguva dzakadai. Asi yeuka, hausi wega. Sainzi yekurapa iri kufambira mberi zuva nezuva. Ndosaka kune mishonga mitsva, yepamusoro inogona kubatsira vanhu vasingapindure zvakanaka pamishonga yechinyakare. Ndizvo zvatiri kutaura nezvazvo nhasi.
Chii chinonzi 'kuora mwoyo kusingarapike'?
Zvichitaurwa zviri nyore, iyi ndiyo mamiriro atataura nezvawo pamusoro apa. Kureva kuti, tinodana kuti kuora mwoyo kunoramba kurapwa kana zviratidzo zvisingavandudzike nekurapwa kunogamuchirwa kwekuora mwoyo (semuenzaniso, mhando mbiri kana kupfuura dzakasiyana dzemishonga yekuora mwoyo, pachiyero chakakodzera, kwenguva yakakwana).
Fungidzira, chiremba wako anokupa mushonga, uye mushure memwedzi mishoma uchiushandisa, hazvina mutsauko mukuru. Zvadaro anokuchinjira kune mumwe mushonga. Kana izvozvo zvikasashanda, unogona kuwira muchikamu ichi. Dzimwe nguva vanachiremba vanofunga nezvekurapa uku kwakasarudzika uye kwepamberi kwatichataura nezvako.
Chinhu chinonyanya kukosha ndechekuti, usarasa tariro. Kungoti kurapwa kamwe chete hakuna kushanda hazvirevi kuti hauzombofi wapora. Kune kurapwa kunoshanda kwauri.
Kurapa neElectroconvulsive (ECT) - unofanira kutya sezvaunofunga here?
Paunonzwa izwi rekuti "Electroconvulsive therapy (ECT)," unogona kuyeuchidzwa nezvezviitiko zvemafirimu ekare eSinhala neHindi wobva watya. Asi muchokwadi, ECT mushonga wakachengeteka uye unodzorwa nhasi.
Chinoitika pane izvi ndechekuti unorara zvachose uye kurapwa uku kwaitwa. Saka haunzwi chero chinhu. Chikwata chenyanzvi (chiremba wepfungwa, chiremba weanotindivadza, nevanamukoti) varipo pakuita izvi. Vanotumira mapulse emagetsi madiki, anodzorwa kuuropi hwako kuburikidza nemaelectrodes akaiswa pamusoro wako. Izvi zvinotendwa kuti zvinodzorera kutaurirana pakati pemasero etsinga muuropi, uye zviratidzo zvekuora mwoyo zvinodzikira nekukurumidza.
Kazhinji , kuvhiyiwa kweECT kunodiwa ka6 kusvika ku12, kazhinji kaviri kusvika katatu pasvondo. ECT mushonga unoshanda zvikuru, kunyanya kune avo vane kuora mwoyo kwakanyanya kusingarapike uye avo vane pfungwa dzekuzviuraya.
Zvisinei, sezvimwe zvinhu zvese, kune njodzi nemigumisiro. Vamwe vanhu vanogona kusangana nematambudziko ekurangarira (kunyanya panguva yekurapwa) kwenguva pfupi mushure mekurapwa. Saka, zvakakosha kukurukura zvese izvi nachiremba wako usati watanga kurapwa.
Magnetic Pulse Therapy (TMS neMST) - Ndezvipi izvi?
Nzira idzi dzese dzinoshandisa simba remagineti kuti rishande muuropi, asi nzira mbiri idzi dzakasiyana zvishoma.
1. Kukurudzira Magnetic muCranial (TMS)
Iyi nzira iri nyore kupfuura ECT. Haurare. Unogona kugara pachigaro. Chiremba kana nyanzvi inoisa mudziyo wakakosha ('insulated wire coil') pamusoro pemusoro wako uye inotumira magineti kuburikidza nawo kunzvimbo dzakati dzeuropi dzinofungidzirwa kuti dzinokonzera kuora mwoyo. Izvi hazvirwadzi.
Kurapwa kweTMS kunotora maminetsi angangoita makumi matatu, uye ungangoda kurapwa kwemazuva mashanu pasvondo kwemavhiki mana kusvika matanhatu. Chimwe chezvakanakira zvikuru zveTMS ndechekuti haina migumisiro yakawanda uye haidi kugara muchipatara. Vamwe vanhu vanogona kunzwa kunhuhwirira mumusoro mavo, kana kuti vanogona kunzwa musoro mudiki kana dzungu. Zvisinei, hazvina kutaurwa kuti zvinokanganisa ndangariro zvakanyanya seECT. Zvisinei, zvakakosha kuyeuka kuti TMS haibudisi mhedzisiro yakasimba seECT.
2. Kurapa Nekubatwa Nemagineti (MST)
Izvi zvichiri muchikamu chekutsvagisa, uye zvakafanana nekusanganiswa kweECT neTMS. Pano, simba remagineti rakasimba rinoshandiswa kukonzera kubatwa nechirwere muuropi. Kunyangwe chikonzero chaicho chisingazivikanwi, kubatwa nechirwere ichi kunokurumidza kuderedza zviratidzo zvekuora mwoyo. Zvinodawo anesthesia, sezvakaita ECT. Zvisinei, vanachiremba vanotarisira kuti sezvo ECT ichigona kunanga nzvimbo dzeuropi zvakanyatsonaka, haizove nemhedzisiro yakawanda pakurangarira.
| Nzira yekurapa | Kunzwa kurwadziwa kunodiwa here? | Mukana mukuru | Dambudziko guru/migumisiro yakaipa |
|---|---|---|---|
| Kurapa neElectroconvulsive ( ECT ) | Ehe, zvinosungirwa. | Mhedzisiro inokurumidza uye ine simba. | Ndangariro inogona kukanganiswa kwenguva pfupi. |
| Kukurudzira kwemagnetic kuburikidza nemusoro ( TMS ) | Kwete, hapana chikonzero. | Migumisiro yacho mishoma, uye hapana kugara muchipatara. | Zvingasaite kuti pave nemigumisiro inokurumidza/yakasimba seECT. |
| MST (Magnetic Shockwave) | Ehe, zvinodiwa. | Inogona kunge isina simba guru pakurangarira kupfuura ECT. | Ndichiri muchikamu chekutsvagisa. |
Mamwe marapirwo ane chekuita nekuvhiyiwa
Aya ndiwo marapirwo epamusoro-soro ekuvhiya. Anowanzo shandiswa muzviitiko zvakakomba apo mamwe marapirwo ese akakundikana.
1. Kukurudzira Uropi Zvakadzika (DBS)
Uyu mushonga uri kutoshandiswa pakurapa chirwere cheParkinson. Mukuita izvi, maelectrode anoiswa munzvimbo dzakadzika dzeuropi. Maelectrode aya anofambiswa nebhatiri rakaiswa pasi peganda rechipfuva kana dumbu. Maelectrode aya anotumira masaini emagetsi kumasero ari muuropi anodzora manzwiro, achidzora zviratidzo zvekuora mwoyo. Kunyangwe tsvakurudzo ichiri shoma, mhedzisiro yacho inovimbisa.
2. Kukurudzirwa kweNtsinga dzeVagus (VNS)
Ntsinga yemusana itsinga refu inomhanya kubva kuuropi kuenda kunhengo dzakasiyana dzemuviri. Ntsinga iyi yakabatanawo nenhengo dzeuropi dzinodzora manzwiro. Mukurapa uku, mudziyo mudiki, wakafanana nepacemaker, unoiswa pasi peganda rechipfuva. Mudziyo uyu unotumira ma impulses emagetsi kutsinga yemusana. Izvi zvinovandudza kutaurirana kwetsinga muuropi uye zvinoderedza kuora mwoyo. Zvisinei, zvinogona kutora mwedzi yakati wandei kuti zvionekwe mhedzisiro.
Ketamine - zororo ipapo ipapo?
Ketamine mushonga unonyaradza marwadzo. Asi tsvakiridzo yazvino yakawana kuti kana ikanwiwa muzvikamu zvishoma, inogona kubatsira nekukasika mukati memaawa mashoma kune vamwe varwere vakanyanya kuora mwoyo.
Mushonga wekupfapfaidza mumhino unonzi Ketoconazole wava kutenderwa kuvanhu vasingapindure mimwe mishonga yekuora mwoyo kana kuti vari kufunga kuzviuraya. Pamusoro pezvo, mushonga wekupfapfaidza mumhino (IV infusion) unoshandiswawo. Izvi zvinowanzoitwa muchipatara, pasi pekutarisirwa kwachiremba.
Mharidzo Yekuenda Nayo Kumba
- Usarasa tariro yekuti kusuruvara kwako hakuzoperi nemishonga yakajairika. Kune mishonga yepamusoro inogona kukubatsira.
- Kurapa kwakadai seECT neTMS kwakasiyana zvikuru, kwakachengeteka, uye kunoshanda kupfuura zvaunoona mumafirimu.
- Mazhinji emishonga iyi achiri kungoshandiswa chete mune zvimwe zviitiko. Imwe neimwe ine zvayakanakira nezvayakaipira.
- Chiremba wako chete ndiye anogona kusarudza kana rudzi urwu rwekurapa rwakakunakira. Saka, taura naye pachena nezvemanzwiro ako nezvawakasangana nazvo.
- Hutano hwepfungwa hwakakosha sehutano hwemuviri. Usambozeza kukumbira rubatsiro.
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