Ngaba uyoyika unyango lwe-ECT? Masifumane inyaniso! (Unyango lwe-Electroconvulsive - ECT)

Ngaba wakha wayibona imuvi apho umntu enikwa 'umothuko'? Yimeko eyoyikisayo neyoyikisayo, akunjalo? Rhoqo, iimeko ezinjalo zezona zibangela ukuba abantu abaninzi babe noloyiko olukhulu kunye nombono ophosakeleyo malunga ne-ECT, okanye i-Electroconvulsive Therapy. Kodwa ngaba yinto yokoyika ngokwenene kule mihla? Namhlanje, masithethe ngokuba i-ECT iyintoni kanye kanye, yenziwa njani, kunye neenzuzo zayo.

Ngamafutshane, yintoni i-ECT?

I-ECT (uNyango lwe-Electroconvulsive) lunyango olusebenza kakhulu kwezinye izifo zengqondo. Isetyenziswa ngakumbi kwizifo zengqondo ezinzima ezingaphenduli kakuhle kumayeza aqhelekileyo okanye kwezinye iindlela zonyango.

Okwenzekayo apha kukuba uthomalaliswe ngokupheleleyo (i-General Anesthesia) , oko kuthetha ukuba ulele ngokupheleleyo, kwaye isandi sombane esincinci kakhulu, esilawulwayo sinikwa ingqondo. Oku kubangela ukuxhuzula okufutshane kakhulu, okulawulwayo engqondweni. Konke oku kwenzeka ungazi nto, ngelixa usebuthongweni obunzulu. Ngoko ke akukho ntlungu okanye ukuxhuzula njengakwiimuvi.

Cinga ngale ndlela, njengokuba ngamanye amaxesha xa ikhompyutha yethu 'ixhonyiwe', 'sinokuyiqalisa kwakhona' kwaye iqale ukusebenza kakuhle kwakhona, olu nyango ngandlela thile 'lubuyisela' okanye luvuselele unxibelelwano phakathi kweeseli zemithambo-luvo ebuchotsheni. Izazinzulu zisaphanda ngqo indlela esebenza ngayo le nto. Kodwa enye yeengcinga eziphambili kukuba olu nyango lunceda iiseli zemithambo-luvo ezintsha ebuchotsheni zikhule kwaye zenze unxibelelwano olutsha phakathi kwazo. Siyibiza le nkqubo ngokuthi yi-neurogenesis . Kukholelwa ukuba oku kunceda ukuguqula utshintsho olubi ebuchotsheni olubangelwa zizifo ezifana nokudakumba okukhulu.

Nangona le ndlela yonyango yayisetyenziswa ukususela ngo-1938, ikhuselekile kakhulu kwaye iphucuke kakhulu ngenxa yokuqhubela phambili kwetekhnoloji.

Zeziphi iimeko kwaye olu nyango lufanelekile koobani?

I-ECT ayilonyango lomntu wonke. Icetyiswa ngugqirha kuphela emva kokuhlolwa ngokucokisekileyo imeko yesigulana kwaye ukuba kukho imfuneko ekhethekileyo yoko. Ungafumana umbono olungileyo woku kwitheyibhile engasezantsi.

Ulungiselela njani ngaphambi konyango?

Nje ukuba kwenziwe isigqibo sokuba ufumane unyango lwe-ECT, iqela lezonyango liya kukunika imiyalelo ekufuneka uyilandele. Le miyalelo idla ngokuquka izinto ezifana nezi:

• Ukuzila ukutya ubuncinane iiyure ezisibhozo: Kungcono ungatyi okanye ungaseli nantoni na ubuncinane iiyure ezisi-8 ngaphambi konyango. Oku kungenxa yokuba uza kunikwa i-anesthesia, kwaye kubalulekile ukuze ukhuseleke ukuba isisu sakho singabi nanto.
• Amayeza asekuseni: Ukuba unamayeza ekufuneka uwasele kusasa, wasele kunye neengqayi ezimbalwa zamanzi kuphela emva kokubonisana nogqirha wakho kwaye ukuba uthi kulungile.
• Amazinyo okufakelwa: Ukuba unxiba amazinyo okufakelwa okanye amazinyo okwenziwa, yiza nebhokisi apho unokuwasusa khona.
• Ubucwebe: Susa ubucwebe obuninzi kangangoko, obufana namacici kunye nokugqobhoza ubuso.

Kwenzeka ntoni ngokwenene ngexesha lonyango?

Makhe sijonge ukuba kwenzeka ntoni ngomhla wolu nyango. Ukwazi oku kuya kunceda ekunciphiseni uloyiko lwakho.

1. Ukwamkelwa esibhedlele: Emva kokuba ufikile esibhedlele, uza kuthunyelwa kwicandelo lonyango.

2. Ukufakwa kwe-IV cannula: Ityhubhu encinci (IV cannula) ifakwa emthanjeni. Kulapho kunikwa khona amayeza okubulala iintlungu kunye nezinye izinto.

3. Ukudibana neqela lezonyango:Iqela, kuquka ugqirha wengqondo kunye nogqirha we-anesthesiologist, liza kudibana nawe lize lithethe. Ungabuza nayiphi na imibuzo onayo ngeli xesha.

4. I-Anesthesia: Uza kunikwa amayeza nge-IV ukuze ulale ngokupheleleyo. Kunye noku, uza kunikwa amayeza okuphumza izihlunu zakho. Oku kuya kuthintela nayiphi na intshukumo ngexesha lonyango.

5. Ukunikezelwa kweoksijini: Ngelixa ulele, uza kunikwa ioksijini ngemaski yeoksijini. Yonke into ukususela kwisantya sentliziyo yakho ukuya kuxinzelelo lwegazi lakho iya kuhlolwa ngononophelo olukhulu.

6. Unyango lwe-ECT: Unyango lwe-ECT luyenziwa ngoku. Umbane omncinci kakhulu, olawulwayo uthunyelwa engqondweni ngee-electrodes ezibekwe entlokweni. Ukuxhuzula okulawulwayo okubangelwa koku kudla ngokuthatha imizuzwana engama-30 ukuya kwengama-60 kuphela.

Lonke eli xesha lenzeka ngaphandle kokuba wazi nto, kwindawo ekhuselekileyo, phantsi kweliso elipheleleyo loogqirha.

Kwenzeka ntoni emva konyango?

Emva kwemizuzu emi-5 emva kokuba unyango luphelile, uza kuqala ukuvuka. Kuqhelekile ukuba uzive ulele kancinci kwaye udidekile malunga nendawo okuyo ekuqaleni. Oku kudla ngokuphela kwimizuzu engama-20-30. Uza kugcinwa phantsi kweliso likagqirha kwicandelo lonyango malunga nemizuzu engama-30-45 ude uphile ngokupheleleyo.

Emva kokuba ubuyele ekhaya, kubalulekile ukulandela ezi zinto ukuze ukhuseleke kwaye uphile ngokukhawuleza:

• Kuphephe ukuqhuba: Musa ukuqhuba ngesizathu esithile ngexesha lekhosi yakho yonyango lwe-ECT (enikwa kabini ukuya kathathu ngeveki). Musa ukuqhuba emva kokuba ikhosi yakho yonyango iphelile, okanye de ugqirha wakho akunike imvume.
• Kuphephe ukwenza izigqibo ezibalulekileyo: Kuphephe ukusebenzisa oomatshini abanzima nokusayina amaxwebhu abalulekileyo ngomhla wonyango.
• Khatshwa ngumntu omdala onoxanduva: Khatshwa ngumntu omdala onoxanduva xa usiya naxa ubuya kuzo zonke iindlela zonyango. Awunakusebenzisa iteksi okanye inkonzo yokwabelana ngenqwelo-mafutha ukuze ufike ekhaya.
• Musa ukuba wedwa iiyure ezingama-24: Emva konyango ngalunye, kubalulekile ukuba kubekho umntu ohlala nawe iiyure ezingama-24 ezilandelayo.

Ithatha ixesha elingakanani le nyango?

I-ECT ayilonyango oluqhutywa kube kanye. Luluhlu lweendlela zonyango. Kufana nokuthatha amayeza. Ngokuxhomekeke kwimeko yakho kunye nendlela osabela ngayo kunyango, unokufuna unyango oluninzi, kabini okanye kathathu ngeveki. Inani lilonke lonyango liyahluka kumntu nomntu.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango lwe-ECT?

Njengakweminye imithi, i-ECT inokuba nemiphumo emibi. Nangona kunjalo, uninzi lwayo lungolwexeshana. Kubalulekile ukucacisa ngale miphumo.

Zithini iingenelo zonyango lwe-ECT?

Kukho iingenelo ezibalulekileyo zokukhetha olu nyango:

• Iziphumo ezikhawulezayo: I-ECT idla ngokuvelisa iziphumo ngokukhawuleza kunezinye iindlela zonyango (ingakumbi amayeza). Umzekelo, kwimeko engxamisekileyo, ukuba umntu uzama ukuzenzakalisa, olu lunyango olusindisa ubomi.
• Izinga eliphezulu lempumelelo: Olu lunyango oluphumelele kakhulu kwiimeko ezinje ngokudakumba okukhulu ezingaphenduliyo kumayeza.
• Enye indlela ekhuselekileyo: Le ingasetyenziswa njengendlela ekhuselekileyo kwabo bangakwaziyo ukuthatha amayeza athile, njengoomama abakhulelweyo.
• Kunye nolunye unyango: I-ECT idla ngokunikezelwa kunye namayeza. Inganyusa nokusebenza kakuhle kwamayeza.

Ndifanele ndimtsalele umnxeba nini ugqirha?

Ugqirha wakho uza kukuchazela ukuba zeziphi iimpawu ekufuneka uzazi emva konyango. Ukuba ufumana nayiphi na kwezi zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwigumbi likaxakeka lesibhedlele elikufutshane (ETU) .

• Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga.
• Ukuba uziva ulusizi ngemeko yakho yengqondo.
• Ukuba uphathwa yintloko ebuhlungu kakhulu.
• Ukuba akukho phuculo kwiimpawu emva kweentsuku ezimbini okanye ezintathu, okanye ukuba imeko iba mandundu.

Okokugqibela, musa ukoyika i-ECT ngenxa yezinto ozibonayo kwiimuvi. Zihlala zibonisa iindlela ezazisetyenziswa ngaphambili okanye ezigqithisiweyo. Namhlanje, i-ECT lunyango olukhuselekileyo nolusebenzayo, olwenziwa phantsi kwe-anesthesia kwaye luphantsi kweliso elingqongqo lezonyango. Ukhuseleko lwakho kunye nentuthuzelo yakho zezona zinto ziphambili kwiqela lezonyango. Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho.