Ngaba unengxaki yokudakumba okukhulu, okanye mhlawumbi ubukele umntu omthandayo ebandezeleka kuko? Ukuba uzame amayeza ahlukeneyo ngaphandle kokufumana isiqabu, okanye ukuba uziva uvaleleke kumjikelo wokuphelelwa lithemba, kukho indlela yonyango esebenzayo kakhulu ekufuneka sixoxe ngayo: Unyango lwe-Electroconvulsive (ECT). Eli gama lisenokuvakala lisoyikisa, kodwa masicacise iintsomi—ayisiyiyo le nto uyibonayo kwiimuvi; eneneni yinkqubo yezonyango ekhuselekileyo nelawulwa kakuhle.
Yintoni kanye kanye i-ECT?
Ngamafutshane, i-ECT lunyango olukhuselekileyo nolusebenzayo kakhulu kwingxaki yokudakumba okukhulu, isifo sengqondo esibizwa ngokuba yi-bipolar disorder , kunye nezinye iingxaki zempilo yengqondo .
Ngexesha lenkqubo, ufakwa phantsi kwe -anesthesia eqhelekileyo. Oogqirha babeka ii-electrodes entlokweni yakho baze bazise umbane olawulwa ngononophelo, omfutshane engqondweni. Oku kubangela ukuxhuzula okulawulwayo okuhlala imizuzwana embalwa kuphela, nto leyo enceda ingqondo yakho 'iphinde iqalise' ukusebenza kwayo.
Abaninzi bakholelwa kwiingcamango eziphosakeleyo ezibonwa kwiimuvi—ukuba isigulana siyazi kwaye siva iintlungu. Oku kuyinyani ngokupheleleyo. Namhlanje, i-ECT yinkqubo yezonyango ephucukileyo, engenabuhlungu, kwaye ijongiwe kakhulu.
Kwabo bakwingxaki, njengabo bacinga ngokuzibulala, i-ECT inokubonelela ngoncedo olukhawulezileyo . Xa amayeza ethatha ixesha elide ukusebenza okanye engasebenzi, oku kunokuba yindlela yokusindisa ubomi .
Ulungele Njani i-ECT?
Xa ugqirha wakho efumanise ukuba i-ECT ifanelekile kuwe, uya kwenza uvavanyo olupheleleyo ukuqinisekisa ukuba usempilweni ngokwaneleyo kwinkqubo. Uvavanyo oluqhelekileyo lwangaphambi konyango luquka:
| Uvavanyo | Injongo |
|---|---|
| I-Electrocardiogram (EKG) | Ukujonga ukusebenza kombane kwentliziyo yakho. |
| Uvavanyo lwegazi | Uvavanyo lwegazi olupheleleyo (CBC), uvavanyo lwe-thyroid kunye nokusebenza kwezintso. |
| I-X-reyi yesifuba | Isetyenziswa xa kukho ingxaki yentliziyo okanye yemiphunga ekrokrelwayo. |
| Iskena se-CT | Ngamanye amaxesha kusetyenziswa ukuthintela ezinye iingxaki zengqondo. |
Imvume
Ngaphambi kokuba kuthathwe amanyathelo, wena—okanye igunya lakho lezonyango elimiselweyo—uza kusayina ifomu yemvume esemthethweni, eqinisekisa ukuba uyayiqonda ngokupheleleyo indlela yonyango kunye nemiphumo yalo.
Oko Umele Ukulindele Ngexesha Lenkqubo
Ngomhla wonyango, awuyi kuva ntlungu kuba ulala phantsi kwe-anesthesia. Le nkqubo ilandela la manyathelo:
1. Ukufakwa kwe-IV: Umgca we-IV ubekwa engalweni yakho ukuze unike i-anesthesia kunye ne-muscle relaxants .
2. Ukubeka iliso kwi-ECG : Iileyiti zibekwe esifubeni sakho ukuze zibeke iliso kwintliziyo yakho kulo lonke ixesha lenkqubo.
3. Ukubeka esweni i-EEG : Iileads zifakwa entlokweni yakho ukuze zijonge amaza obuchopho bakho.
4. I-Lute Guard: I-soft guard ifakwa emlonyeni wakho ukuze ikhusele amazinyo akho.
5. Ukubekwa kwe-Electrode: Okokugqibela, ii-electrode zifakwa entlokweni yakho.
Nje ukuba isikhuthazo sombane esifutshane sifike, iziphumzi zemisipha ziqinisekisa ukuba naluphi na uhlobo lomsebenzi wokuxhuzula lubonakala nje kuphela njengentshukumo encinci ezandleni okanye ezinyaweni zakho. Uza kuvuka kungekudala emva koko, ungenalo inkumbulo yenkqubo ngokwayo. Usenokuziva udidekile kancinci, kodwa oku kudlula ngokukhawuleza.
Unyango ludla ngokunikezelwa amaxesha ama-2-3 ngeveki kangangeeveki ezi-2-4, kuxhomekeke kwindlela umntu asabela ngayo.
Ngubani oNcedayo, kwaye ngubani omele ayiphephe i-ECT?
I-ECT ayilungelanga wonke umntu, kodwa kwabo bafanelekileyo, itshintsha ubomi.
| Abaviwa Abaxhamlayo | Izithintelo (Iingozi) |
|---|---|
| Uxinzelelo olunganyangekiyo kunyango. | Ukuhlaselwa yintliziyo kutshanje. |
| Umngcipheko omkhulu wokuzilimaza. | Imeko yentliziyo engazinzile. |
| Ukungondleki kakuhle ngenxa yokwala ukutya. | Uxinzelelo oluphezulu lwe-intracranial. |
| ICatatonia. | I-stroke yakutshanje okanye i-aneurysm. |
| Uxinzelelo okanye i-Bipolar ene-psychosis. | Isifo esinzima sokuphefumla (umz., i-COPD). |
| Ukukhulelwa (apho amayeza ebeka umngcipheko). | Akwenziwa kubantwana abangaphantsi kweminyaka eli-11. |
Iziphumo Ezingalindelekanga Ezinokwenzeka
Njengakwezinye iindlela zonyango, kukho iziphumo ebezingalindelekanga ezinokubakho, nangona uninzi lwazo lunjalo.okwethutyana:
- Ukudideka: Ukudideka emva konyango, okuhlala kuphela emva kweeyure ezimbalwa.
- Ukulahlekelwa yiMemori: Abanye abaguli bafumana ubunzima bokukhumbula iziganeko zangaphambi okanye ngexesha lonyango (i-retrograde amnesia), nto leyo edla ngokuba ngcono ngokuhamba kwexesha.
- Ukungakhululeki komzimba: Intloko ebuhlungu, iintlungu zomhlathi, okanye ukuqaqamba kwemisipha.
- Isicaphucaphu: Isicaphucaphu esincinci emva kokusetyenziswa kwe-anesthesia.
- Iingozi ze-anesthesia: Iingozi eziqhelekileyo ezinxulumene ne-anesthesia eqhelekileyo.
Eyona nto ibalulekileyo kukuba nencoko evulekileyo nomboneleli wakho wezempilo. Bakhona ukuze basombulule iingxaki zakho baze banciphise iingxaki zakho.
Ubomi Emva kwe-ECT
Emva kothotho lonyango lwakho, uya kubona ukwehla okukhulu kweempawu zokudakumba. Nangona kunjalo, unyango alupheleli apho. Ukuthintela ukubuyela umva, ugqirha wakho uya kucebisa unyango lokugcina unyango , oluquka amayeza aqhubekayo okanye unyango lwengqondo.
Emva kweseshoni yakho, kuphephe ukuqhuba okanye ukusebenzisa oomatshini abanzima de ugqirha wakho akunike imvume.
Umyalezo oya nawo ekhaya
- I-ECT ayisiyonkqubo eyoyikisayo evela kwiimuvi; lunyango olukhuselekileyo nolusebenzayo lwezonyango lokudakumba okukhulu.
- Le nkqubo yenziwa phantsi kwe-anesthesia epheleleyo, ngoko awuyi kuva ntlungu.
- Iziphumo ebezingalindelekanga ezifana nokudideka okanye ukulibala okwethutyana zihlala zizinto zexesha elifutshane.
- Asikuko 'ukulungisa ngokukhawuleza'—unyango lokulungisa (amayeza okanye unyango) lubalulekile ukuthintela ukubuyela umva kwesi sifo.
- Soloko uqhagamshelana nogqirha wakho ukuze ubone ukuba olu nyango lufanelekile na kuwe okanye kumntu omthandayo.
I-ECT, ukudakumba, impilo yengqondo, isifo se-bipolar
