Usenokuba ukhe wabona iziqendu kwiimuvi okanye kwiinkqubo zikamabonwakude apho umntu ebanjwe ebhedini, aze emva kokuba ebanjwe ngumbane, aqale ukungcangcazela ngamandla. Ezi mifanekiso zinokukwenza uzive usoyika i-ECT. Nangona kunjalo, inyani kukuba i-ECT yanamhlanje, eyenziwa phantsi kweliso elibukhali lezonyango ezibhedlele, ayifani kwaphela nezo ziqendu zimangalisayo nezingeyonyani. Apha eNirogi Lanka, sifuna ukucacisa ezi ngcamango ziphosakeleyo kwaye sikuncede uqonde ukuba yintoni kanye kanye i-ECT, ilungiselelwe ngubani, kwaye isebenza njani le nkqubo.
Yintoni i-ECT ngokulula?
I-ECT imele i-Electroconvulsive Therapy . Ngamafutshane, lunyango oluphumelele kakhulu olusetyenziselwa ezinye iimeko zempilo yengqondo, ingakumbi xa amanye amayeza engakunikanga ncedo olufunekayo.
Ngexesha lenkqubo, ufakwa phantsi kwe-anesthesia eqhelekileyo, ukuqinisekisa ukuba awuva nto. I-electrical impulse encinci, elawulwa ngononophelo, ithunyelwa engqondweni yakho, nto leyo ebangela ukuba uxhuzule okwethutyana, okulawulwayo. Ngenxa yokuba ulele ubuthongo obunzulu kuyo yonke le nkqubo, awuyi kuva ntlungu okanye ukungonwabi.
Nangona abaphandi besafunda ngokuchanekileyo indlela ephilisa ngayo ingqondo, ingcamango ephambili kukuba ikhuthaza ukukhula kweeseli ezintsha zengqondo kwaye ikhuthaza unxibelelwano olutsha lwe-neural (neurogenesis). Le nkqubo ikholelwa ukuba inceda ekuguquleni utshintsho olubi kwingqondo olubangelwa ziimeko ezifana nokudakumba okukhulu.
Nceda ukhumbule, i-ECT ayisosigwebo. Lunyango oluphucukileyo lwezonyango, oluxhaswa yisayensi olusetyenziselwa ukunceda abo banengxaki yempilo yengqondo enzima abasendleleni yokuchacha.
Zeziphi iimeko ezicetyiswayo ukuba olu nyango lusetyenziswe?
I-ECT ayilonyango lomntu wonke. Oogqirha bayicebisa kuphela kwiimeko ezithile zempilo ezinzima.
| Imeko | Ngoobani aba baguli? |
|---|---|
| Ingxaki Enkulu Yokudakumba | Izigulane ezinengxaki yokudakumba okukhulu ezingasabelanga kumayeza, ezibonisa iingcinga ezizilimazayo, okanye ezingavumi ukutya nokusela. |
| Ukuxhuzula | Ukulawula amanqanaba aqatha esi sifo, njenge-mania okanye ukudakumba. |
| ICatatonia | Kwizigulane eziye zayeka ukuthetha, okanye ezihlala zime ngendlela enye, zinokunceda ngokukhawuleza. |
| Isifo seSchizoaffective | Kwizigulane ezineempawu ezinzima ezingalawulwa ngamayeza. |
Ngubani omele afumane unyango lwe-ECT?
Ukuba olu nyango lufanelekile kuwe okanye kumntu omthandayo sisigqibo esenziwa yingcali yezifo zengqondo. Ngokubanzi, abaviwa baquka:
- Izigulane Ezinganyamezelaniyo Nonyango: Abo bangakhange bafumane ncedo emva kokuzama amayeza amaninzi okudakumba okanye amanye amayeza engqondo.
- Izigulana Ezisemngciphekweni Wokuzilimaza: Ukuba uneembono ezinzima zokuzibulala, olu nyango lungasetyenziselwa iziphumo ezikhawulezayo nezisindisa ubomi.
- Oomama abakhulelweyo okanye abancancisayo: Amanye amayeza anokuba yingozi kumntwana; kwiimeko ezinjalo, i-ECT elawulwa ngugqirha inokuba lolunye unyango olukhuselekileyo.
- Izigulana Ezingakwaziyo Ukwenza Imisebenzi Yemihla ngemihla: Abo baneempawu ezinzima kangangokuba abavumi ukutya okunesondlo okanye abangakwaziyo ukuzinyamekela, njengokuhlamba.
Oko kufuneka ukwazi ngaphambi nasemva kwenkqubo
Ukulungiselela ngaphambi kwenkqubo
Ugqirha wakho uza kunika imiyalelo ethile, enokuquka:
- Musa ukutya okanye ukusela nantoni na ubuncinane iiyure ezisi-8 ngaphambi kwenkqubo.
- Ukuba usebenzisa amayeza aqhelekileyo asekuseni, thatha kuphela ngethamo elincinci lamanzi, ukuba nje ufumene imvume ecacileyo evela kugqirha wakho.
- Ukuba unxiba amazinyo okufakelwa, yiza nebhokisi ukuze uwagcine ngokukhuselekileyo.
- Susa zonke izinto zokuhombisa (amacici, imisesane) kunye nezinto ezigqobhoze ubuso.
Amanyathelo okhuseleko emva kwenkqubo
Uza kuqala ukuvuka emva kwemizuzu emi-5 emva konyango. Ukuziva ulele okanye udidekile ekuqaleni kuyinto eqhelekileyo; oku kudla ngokuphela kwimizuzu engama-20-30. Uza kugcinwa ujongiwe imizuzu engama-30-45 ngaphambi kokuba uvunyelwe ukuba uhambe.
Amanyathelo abalulekileyo okuzikhusela emva kokubuyela ekhaya:
– Kuphephe Ukuqhuba: Ukuqhuba akuvumelekanga ngokupheleleyo kulo lonke ixesha lonyango lwakho lwe-ECT. Ungaqhubeka nokuqhuba kuphela xa ugqirha wakho ekuvavanyile waza wakunika imvume ecacileyo emva kweseshoni yakho yokugqibela.
– Ziphephe Izigqibo Ezinkulu: Musa ukwenza izigqibo ezibalulekileyo ebomini okanye usebenzise oomatshini abanzima ngomhla wonyango lwakho.
– Lungiselela uMphelekezi: Kufuneka ukhatshwe ngumntu omdala onoxanduva oza kukusa esibhedlele aze akuse ekhaya. Awuvumelekanga ukuhamba wedwa, nokuba ngeteksi.
–Musa Ukuhlala Wedwa: Kubalulekile ukuba umntu ahlale nawe iiyure ezingama-24 emva kwenkqubo.
Iziphumo ebezingalindelekanga kunye neenzuzo
Njengakweyiphi na inkqubo yezonyango, i-ECT ineziphumo ebezingalindelekanga ezincinci kunye neenzuzo ezibalulekileyo.
| Iziphumo Eziqhelekileyo Ezingalindelekanga | Iingozi Ezinkulu Ezingaqhelekanga |
|---|---|
Iqela lethu lezonyango liza kubonelela ngamayeza afanelekileyo okulawula ezi mpawu. |
|
Iingenelo eziphambili zoNyango lwe-ECT lwaseNirogi Lanka
- Iziphumo ezikhawulezayo: Ngenxa yokuba i-ECT isebenza ngokukhawuleza kunezinye iindlela zonyango, inokuba yindlela yokusindisa ubomi kwiimeko ezingxamisekileyo (umz., umngcipheko omkhulu wokuzibulala).
- Izinga leMpumelelo eliPhezulu: I-ECT inokuvelisa iziphumo ezibalaseleyo nangona ezinye iindlela zonyango zingaphumelelanga.
- Ukhuseleko: Phantsi kweliso elingqongqo lezonyango, inokuba lukhetho olukhuselekileyo, nakubafazi abakhulelweyo, oomama abancancisayo, kunye nabantu abadala.
Ufanele uqhagamshelane nini nogqirha wakho
Ukuba ufumana naziphi na iimpawu ezixhalabisayo emva konyango lwakho, qhagamshelana nogqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko elikufutshane (911/Iinkonzo zoNgxamiseko).
- Ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo ngendlela engaqhelekanga.
- Ukuba nentloko ebuhlungu okanye ebuhlungu kakhulu.
- Ukuziva udidekile, udidekile, okanye unenkxalabo ebalulekileyo malunga nesimo sakho sengqondo.
- Ukuba neengcinga zokuzilimaza okanye zokuzilimaza abanye (le yingxamiseko yezonyango) .
Izinto ezibalulekileyo ekufuneka uzithathe (Umyalezo oya nawo ekhaya)
- I-ECT ayisiyonkqubo eyoyikisayo okanye engenabuntu edla ngokuboniswa kwiimuvi. E-Nirogi Lanka, lunyango olukhuselekileyo, olusebenza kakhulu, nolusindisa ubomi oluqhutywa phantsi kweliso elingqongqo lezonyango.
- Le nkqubo yenziwa phantsi kwe-anesthesia jikelele, ukuqinisekisa ukuba awuva ntlungu okanye ukungakhululeki ngexesha lenkqubo.
- Nangona iziphumo ebezingalindelekanga, ezifana neengxaki zenkumbulo encinci, zinokwenzeka, zihlala zizezexeshana. Nceda uthethe ngokukhululekileyo nogqirha wakho ngazo naziphi na izinto ezikuxhalabisayo.
- I-ECT inika ukuchacha okukhawulezileyo nokubalulekileyo kwiimeko zempilo yengqondo ezinzima xa ezinye iindlela zonyango zingaphumelelanga.
- Ukulandela imiyalelo yakho yokhuseleko emva konyango—njengokuphepha ukuqhuba nokuqinisekisa ukuba awushiywa wedwa—kubalulekile ekuchacheni nasekuphileni kakuhle.
I-ECT, Unyango lwe-Electroconvulsive, Uxinzelelo, Isifo seBipolar, Impilo Yengqondo, Unyango lwe-ECT, Ingqondo Yezonyango, iNirogi Lanka, Ukhathalelo Lwengqondo, Ukwazisa Ngempilo Yengqondo
