Usenokuba ukhe wabona umntu kwimuvi okanye kuthotho lweTV, ebambeke ebhedini, egobagoba kwaye egoba xa kubethelwa umbane. Usenokuba woyika kakhulu unyango lwe-ECT emva kokulubona. Kodwa eneneni, unyango lwe-ECT, olwenziwa ezibhedlele namhlanje phantsi kweliso elikhuselekileyo nelingonyango, alunanto yakwenza neziganeko ezoyikekayo eziboniswa kwezo movie. Ngoko ke, masicacise ezinye iingcamango eziphosakeleyo malunga noku size sifumanise ukuba yintoni kanye kanye i-ECT, inikwa bani, kwaye yenziwa njani.
Yintoni i-ECT ngokulula?
I-ECT sisishunqulelo segama elithi Electroconvulsive Therapy . Ngamafutshane, lunyango olusebenza kakhulu olusetyenziselwa ukunyanga ezinye izifo zengqondo, ingakumbi ezo zingaphenduli kakuhle kumayeza.
Oku kuquka ukukufaka phantsi kwe-anesthesia eqhelekileyo nokunika ingqondo yakho isignali yombane encinci kakhulu, elawulwayo ukuze ungeva nto. Oku kubangela ukuxhuzula okufutshane, okulawulwayo engqondweni. Ulele ubuthongo obunzulu kulo lonke eli nkqubo, ngoko awuva ntlungu okanye ukungakhululeki.
Izazinzulu zisaphanda ngqo indlela esebenza ngayo le nto ukuphilisa ubuchopho. Kodwa enye ingcamango enkulu kukuba unyango lunceda iiseli zobuchopho zikhule kwaye zenze unxibelelwano olutsha (i-neurogenesis). Oku kukholelwa ukuba kunokukwazi ukuguqula utshintsho olubi kwingqondo olubangelwa zizifo ezifana nokudakumba okukhulu.
Khumbula, i-ECT ayisosigwebo. Lunyango oluphuhliswe ngokwezonyango olusetyenziselwa ukunceda abantu abanesifo sengqondo esiqatha.
Ziziphi iimeko apho olu nyango ludla ngokucetyiswa khona?
I-ECT ayilonyango lomntu wonke. Oogqirha bayicebisa kuphela kwiimeko ezimbalwa ezithile nezinzima.
| Imeko | Ngoobani aba baguli? |
|---|---|
| Ingxaki Enkulu Yokudakumba | Abantu abanengxaki yokudakumba okukhulu abangasabeliyo kumayeza, baneengcinga zokuzilimaza, baze bangavumi nokutya okanye ukusela. |
| Ukuxhuzula | Ukulawula iziganeko ezinzima zesifo (uxinzelelo okanye ukudandatheka). |
| ICatatonia | Ukubonelela ngokuchacha ngokukhawuleza kwizigulana ezinemizimba engaphiliyo, engakwaziyo ukuthetha, engakwaziyo ukushukuma, nekwindawo efanayo. |
| I-Schizophrenia | Ezinye izigulana zineempawu ezinzima ezingalawulwa ngamayeza. |
Ngubani ofanelekileyo kunyango lwe-ECT?
Ugqirha wengqondo uza kugqiba ukuba olu nyango lufanelekile kuwe okanye kumntu omthandayo. Ngokwesiqhelo, ezi zilandelayo ziyafaneleka:
- Abo bangasabeliyo kumayeza: Ukuba baye bazama iintlobo ezahlukeneyo zemithi yokudakumba okanye amanye amayeza okugula ngengqondo kodwa abakwazanga ukufumana isiqabu.
- Abo basengozini yokuzilimaza okanye yokuzilimaza abanye: Ukuba uneengcinga ezinzulu zokuzibulala, oku kungasetyenziselwa ukufumana iziphumo ezikhawulezayo.
- Oomama abakhulelweyo okanye abancancisayo: Amanye amayeza anokuba yingozi kumntwana ngexesha lokukhulelwa. Kwimeko ezinjalo, unyango lwe-ECT phantsi kweliso likagqirha lunokuba lolona khetho lukhuselekileyo.
- Abantu abangakwaziyo ukwenza imisebenzi yemihla ngemihla ngenxa yeempawu: Abo bala ukutya okanye ukusela ngokupheleleyo, kwaye bagula kakhulu kangangokuba abakwazi nokwenza izinto ezisisiseko ezifana nokuzihlamba.
Izinto ekufuneka uzazi ngaphambi nasemva konyango
Ukulungiselela ngaphambi konyango
Ugqirha wakho uza kukunika iingcebiso ozifunayo, ezinokuquka:
- Musa ukutya okanye ukusela nantoni na ubuncinane iiyure ezisi-8 ngaphambi konyango.
- Ukuba unamayeza omawuwasele kusasa, thatha kuphela nesiselo samanzi ukuba ugqirha wakho uyakuvumela.
- Ukuba usebenzisa amazinyo okufakelwa, yiza nebhokisi ukuze uwagcine ngaphakathi.
- Susa izinto zokuhombisa ezifana namacici, imisesane, kunye nezinto ezigqobhoza ubuso ukuba unazo.
Izinto onokuzenza ukuze ukhuseleke emva konyango
Uza kuvuka kancinci emva kwemizuzu emi-5 emva konyango. Kuqhelekile ukuba uzive ulele kancinci okanye ulele ekuqaleni. Oku kuya kuphela emva kwemizuzu engama-20-30. Uza kuhlolwa malunga nemizuzu engama-30-45 ngaphambi kokuba ugoduke.
Qiniseka ukuba uyazinyamekela ezi zinto emva kokuba ufikile ekhaya:
- Kuphephe ukuqhuba: Ukuqhuba akuvumelekanga ngokupheleleyo ngexesha lekhosi yonyango lwe-ECT. Ungaqhuba kwakhona emva kokuba zonke iindlela zonyango zigqityiwe kwaye ugqirha wakho ekuhlolile waza wakunika imvume.
- Musa ukwenza izigqibo ezibalulekileyo: Kuphephe ukwenza izigqibo ezinkulu okanye ukusebenzisa oomatshini abanzima ngomhla wonyango.
- Yiza nomntu onoxanduva: Kufuneka ube nomntu onoxanduva lokukusa esibhedlele uze ubuyele ekhaya. Akuvumelekanga ukuya ekhaya wedwa, nokuba ukhwele iteksi.
- Musa ukuba wedwa: Kubalulekile ukuba umntu ahlale nawe iiyure ezingama-24 emva konyango.
Zithini iziphumo ebezingalindelekanga kunye neenzuzo?
Njengalo naluphi na unyango lwezonyango, i-ECT ineziphumo ebezingalindelekanga ezincinci kunye neenzuzo.
| Iziphumo ebezingalindelekanga eziqhelekileyo | Iimeko ezingaqhelekanga ezinzulu |
|---|---|
Iqela lezonyango liza kubonelela ngamayeza afunekayo kwezi zinto. |
|
Iingenelo eziphambili zonyango lwe-ECT
- Iziphumo ezikhawulezayo: Ngenxa yokuba inika iziphumo ngokukhawuleza kunezinye iindlela zonyango, inokunceda ekusindiseni ubomi kwiimeko ezingxamisekileyo (umz., umngcipheko omkhulu wokuzibulala).
- Izinga lempumelelo eliphezulu: I-ECT inokufikelela kwiziphumo ezilungileyo kakhulu nokuba ezinye iindlela zonyango ziye zasilela.
- Ukhuseleko:Ingenziwa ngokukhuselekileyo ngexesha lokukhulelwa, ngexesha lokuncancisa, kwanakwabantu abadala phantsi kweliso elingqongqo lezonyango.
Uzakufowunela nini ugqirha
Ukuba ufumana ezi mpawu zilandelayo emva konyango, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukubetha kwentliziyo okukhawulezayo kakhulu okanye okungahambelaniyo.
- Ukuba nentloko ebuhlungu kakhulu.
- Ukuba nengxaki okanye uloyiko malunga nesimo sakho sengqondo.
- Ukuba neengcinga zokuzilimaza okanye zokuzilimaza abanye (le yimeko engxamisekileyo) .
Umyalezo Wokuya Ekhaya
- I-ECT ayisiyonto yoyikekayo nengenabuntu eboniswa kwiimuvi. Yindlela yonyango ekhuselekileyo nesebenzayo eyenziwa phantsi kweliso elibukhali lezonyango.
- Olu nyango lwenziwa phantsi kwe-anesthesia eqhelekileyo, ngoko awuyi kuva ntlungu okanye ukungakhululeki.
- Iziphumo ebezingalindelekanga zinokwenzeka, ingakumbi iingxaki zokukhumbula. Kodwa uninzi lwazo zezokwexeshana. Xoxa nogqirha wakho ngale nto uze ulungise naziphi na iingxaki.
- I-ECT inika unyango olukhawulezayo nolusebenzayo lwezifo zengqondo ezinzima apho ezinye iindlela zonyango ziye zasilela.
- Qiniseka ukuba ulandela imiyalelo yokhuseleko enikiweyo emva konyango (njengokungaqhubi, ukungabi wedwa) ukuze ukhuseleke.
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