Ngamanye amaxesha usenokuba unesifo seMajor Depression Disorder (MDD). Nokuba usela amayeza owanikwe ngugqirha wakho okanye uye kwingcebiso (psychotherapy), ingqondo yakho isenokungaziva ngcono kakhulu. Usenokuziva ungcono okwethutyana uze ubuyele kwimeko yakho yakudala. Okanye ungaziva usizi olufanayo ngaphandle kotshintsho. Kwizonyango, sibiza olu hlobo loxinzelelo olunzima ukululawula ngamayeza ngokuthi 'Uxinzelelo Olumelana Nonyango' . Kodwa, ungacingi ukuba esi sisiphelo sebali lakho. Musa ukuphelelwa lithemba. Kukho unyango olutsha noluphucukileyo kwiimeko ezinjalo. Olu luNyango Lokukhuthaza Ubuchopho. Olu luzama ukubuyisela ukusebenza kwengqondo kusetyenziswa umbane, amaza emagnethi, okanye izixhobo ezincinci ezifakwe emzimbeni. Namhlanje, siza kuthetha ngeendlela ezintathu eziphambili zonyango.
Unyango lwe-Electroconvulsive (ECT)
Eli gama lisenokuvakala liyoyikisa kancinci, kodwa i-ECT lunyango oluye lwabakho kangangeminyaka engaphezu kwama-80, luye lwaphandwa kakhulu, kwaye lubonakaliswe lukhuselekile kwaye lusebenza kakuhle. Ihlala isetyenziselwa ukunyanga iimeko ezifana nokudakumba okukhulu kunye nesifo se-bipolar esinganyangekiyo kwezinye iindlela zonyango .
Uyenza njani le nto?
Awuyi kuva nto ngeli xesha lonyango, kuba uphelelwe yi-anesthesia ngokupheleleyo. Njengangaphambi kotyando . Uya kunikwa neyeza lokuthintela izihlunu zakho ukuba zingangcangcazeli. Emva koko ugqirha uya kuncamathisela ii-sticker pads kwiindawo ezithile zentloko yakho. Ezi zibizwa ngokuba yi-'electrodes.' Emva kokuba ulele, i-electrical impulse encinci nelawulwayo kakhulu ithunyelwa engqondweni yakho ngezi 'electrodes.' Oku kubangela ukuxhuzula okulawulwayo engqondweni okuhlala ngaphantsi kwemizuzwana engama-60. Kukholelwa ukuba oku kubuyisela ukusebenza kwee-neurons kunye neekhemikhali engqondweni. Xa uvuka kwimizuzu embalwa, awuyi kukhumbula nto malunga nonyango okanye oko wakuvayo ngelo xesha. Xa iziphumo ze-anesthetic ziphela, ungagoduka.
Ngokwesiqhelo, kwenziwa unyango oluphakathi kwe-6 ne-12, ngesiqhelo kabini okanye kathathu ngeveki. Inani leeseshoni ozidingayo liya kuxhomekeka kubukhali beempawu zakho kunye nokuba uphila ngokukhawuleza kangakanani.
Eyona nto ibalulekileyo kukuba olu nyango lwenziwe ngaphandle kwengcinga, ukuze ungaziva ntlungu okanye ukungakhululeki.
| Iziphumo ebezingalindelekanga ze-ECT | |
|---|---|
| Intloko ebuhlungu | Ingxaki eqhelekileyo eyenzeka emva konyango. Ingalawulwa ngeepilisi zokuthomalalisa iintlungu. |
| Isicaphucaphu | Ingabangelwa yi-anesthesia kwaye iya kuphela emva kwexesha elithile. |
| Ukudinwa kunye nokudideka | Ingahlala iiyure ezininzi emva konyango. |
| Ukulahlekelwa yiMemori | Le yingozi enkulu. Usenokulahlekelwa yinkumbulo ngaphambi nasemva konyango. Kodwa oku kudla ngokuba yinto yexeshana. Oogqirha basebenzisa iindlela ezahlukeneyo zokunciphisa le ngozi (umzekelo, ukubeka ii-electrodes kwicala elinye lentloko). |
Ukukhuthazwa kweMagnetic okuPhindaphindayo kweTranscranial (rTMS)
Le ndlela isebenzisa amaza emagnethi. Oku kuvuselela ingqondo. Izazinzulu azikaqiniseki ukuba oku kunyanga njani ukudakumba. Kodwa zicinga ukuba la maza emagnethi andisa umsebenzi weeseli zemithambo-luvo kwiindawo zengqondo ezilawula imeko-bume.
Uyenza njani le nto?
Akufuneki uvuke ukuze ufumane unyango lwe-rTMS. Uhleli esitulweni. Kodwa kuya kufuneka unxibe ii-earplugs kuba umatshini wenza isandi esikhulu 'sokukhaba'. Ugqirha uza kubeka i-electromagnetic coil ebunzini lakho nasentlokweni yakho. Ii-magnetic pulses ezivela kule coil zenza imisinga yombane emincinci engqondweni yakho. Uya kuziva ngathi ubethelwa yi-toucan encinci. Ungaya ekhaya emva konyango. Ungaqhuba imoto ukuba awukaphuphi.
Ngokwesiqhelo, iseshoni enye ithatha malunga nemizuzu engama-30-40. Olu nyango kufuneka lwenziwe malunga neentsuku ezi-5 ngeveki kangangenyanga.
| Iziphumo ebezingalindelekanga zoNyango lwe-rTMS | |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo | |
| Intloko ebuhlungu | Inokwenzeka kancinci. |
| Ukungakhululeki apho ikhoyili yayikhona | Ungaziva ungakhululekanga kancinci eluswini. |
| Ukushukuma kwemisipha yobuso | Usenokuziva ungenazimvakalelo okanye imisipha ishukuma ebusweni bakho. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga | |
| Ukuxhuzula | Le yinto enokwenzeka rhoqo. |
| Ukuphazamiseka kokuva | Oku kunokwenzeka ukuba indlebe ayikhuselekanga kakuhle ngexesha lonyango. |
Ukukhuthazwa kweNerve yeVagus (VNS)
Kukho umthambo omde ohamba usuka ebuchotsheni bakho uye esiswini sakho kumacala omabini omzimba wakho. Oku kubizwa ngokuba yiVagus Nerve. Olu nyango lokukhuthaza imithambo-luvo (VNS) lwaqala ukusetyenziswa ukunyanga isifo sokuwa. Kodwa kamva kwafunyaniswa ukuba lukwanceda ekudandathekeni okunganyangekiyo kunyango.
Uyenza njani le nto?
Oku kubandakanya utyando oluncinci. Ugqirha uza kubeka isixhobo esincinci esisebenza ngebhetri phantsi kwesikhumba sesifuba sakho, ngokuqhelekileyo kwicala lasekhohlo. Oku kubizwa ngokuba yi-"pulse generator." Kufana ne-pacemaker. Emva koko, ucingo lombane oluvela kwesi sixhobo ludluliselwa entanyeni yakho luze luqhagamshelwe kwi-vagus nerve. Emva kotyando, xa amanxeba epholile, ugqirha uza kuvula esi sixhobo. Siza kuthumela ii-pulses zombane ezincinci kwi-nerve ngamaxesha athile (umzekelo, rhoqo emva kwemizuzu emi-5, imizuzwana engama-30).
| Iingozi kunye nemiphumo emibi yoNyango lwe-VNS | |
|---|---|
| Iingozi ezinxulumene notyando | |
| Intlungu kunye nosulelo | Intlungu okanye usulelo lunokwenzeka kwindawo efakwe kuyo isixhobo. |
| Ubunzima bokuginya | Inokwenzeka okwethutyana. |
| Ukukhubazeka kwentambo yelizwi | Nangona ihlala iyinto yexeshana, ayinakuba yinto ehlala ihleli. |
| Iziphumo ebezingalindelekanga ezinokubakho emva kokusebenzisa isixhobo | |
| Ukutshintsha kwelizwi, ukurhawuzelela | Ilizwi lisenokutshintsha njengoko ii-pulses zikhululwa. |
| Ukukhohlela kunye nobunzima bokuphefumla | Ingavakala ngakumbi xa usenza umthambo. |
| Intlungu yentamo | Kusenokubakho iintlungu emqaleni okanye entanyeni. |
Luphumelele kangakanani olu nyango?
Lo ngumbuzo obaluleke kakhulu. Enyanisweni, ayinguye wonke umntu ophendula kunyango ngendlela efanayo. Ke ngoko, akunakwenzeka ukuqikelela kwangaphambili ukuba loluphi unyango oluza kusebenza kuwe, okanye nokuba luza kusebenza kwaphela. Kungathatha iinyanga ezininzi ukubona iziphumo. Rhoqo, unyango lwengqondo okanye amayeza okudakumba ayafuneka ukulawula ukudakumba ngelixa ufumana olu nyango oluvuselela ingqondo. Emva konyango, unokufuna unyango lolondolozo kanye ngeveki okanye rhoqo kwiinyanga ezimbalwa ukuze ugcine umgangatho wakho wokuchacha. Nguwe nogqirha wakho kuphela abanokugqiba ukuba yintoni ekulungeleyo.
Umyalezo Wokuya Ekhaya
- Kwingxaki yokudakumba okukhulu engalawulwa ngamayeza aqhelekileyo (uxinzelelo olunganyangekiyo ngonyango), kukho ezinye iindlela zonyango ukongeza kumayeza kunye neengcebiso.
- Unyango Lokuvuselela Ubuchopho lolunye ukhetho olukhulu. I-ECT, i-rTMS, kunye ne-VNS zezinye nje zazo.
- Ngalunye lwezi ndlela zonyango luneengenelo zalo, iingxaki zalo, kunye nemiphumo yalo emibi. Azifanelekanga kuye wonke umntu.
- Ngaphambi kokuba ucinge ngonyango olunjalo, kubalulekile ukuba uxoxe ngalo mba ngokucokisekileyo nangobunzulu nogqirha wakho uze ukhethe eyona ifanele imeko yakho.
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