Ngaba unengxaki yokudakumba okukhulu? Mhlawumbi umhlobo wakho unengxaki yokudakumba. Ngaba uziva udandathekile kakhulu kwaye udanile nangona uthatha amayeza achazwe ngugqirha wakho kwaye uzama iintlobo ezahlukeneyo zamayeza? Ukuba kunjalo, namhlanje siza kuthetha ngolunye unyango olusebenzayo kakhulu olunokukunceda. Yi-ECT, okanye i-Electroconvulsive Therapy. Eli gama livakala liyoyikisa kancinci, akunjalo? Kodwa eneneni aloyiki njengoko ucinga.
Yintoni kanye kanye i-ECT?
Ngamafutshane, i-ECT yenye yezona ndlela zonyango zikhuselekileyo nezisebenzayo ezikhoyo kwizifo zengqondo ezifana nokudakumba okukhulu kunye nesifo sengqondo esibizwa ngokuba yi-bipolar disorder.
Oku kuquka ukukufaka phantsi kwe- anesthesia (ukukulalisa), ukuncamathisela ii-electrode entlokweni yakho, kunye nokuhambisa umbane olawulwayo nongabonakaliyo engqondweni yakho. Lo mbane ubangela ukuxhuzula engqondweni okuhlala imizuzwana embalwa. Oku kufana 'nokubuyisela' ingqondo.
Abantu abaninzi bacinga ukuba oku kuyinto ebuhlungu, njengaleyo iboniswa kwiimuvi, apho isigulane sinikwa umbane xa sisezingqondweni. Loo ngcamango ayilunganga kwaphela. Namhlanje, i-ECT lunyango oluphambili kakhulu, olukhuselekileyo, nolungenantlungu.
Olu nyango lunokunceda ngokukhawuleza , ingakumbi kumntu ogula kakhulu kwaye ecinga ngokuzibulala. Lunokuba lunyango olusindisa ubomi kwiimeko apho kuyingozi kakhulu ukulinda ukuba amayeza aqale ukusebenza.
Ulungiselela njani unyango lwe-ECT?
Emva kokugqiba ukuba ufanelekile na kunyango lwe-ECT, ugqirha wakho uza kwenza uvavanyo oluninzi ukuze abone ukuba usempilweni entle na. Olu luvavanyo oluhlala lwenziwa.
| Uvavanyo | Ubona ntoni kuloo nto? |
|---|---|
| I-Electrocardiogram (EKG) | Umsebenzi wombane wentliziyo yakho uyajongwa. |
| Uvavanyo lwegazi | Izinto ezifana nokubalwa kwegazi okupheleleyo (i-CBC), umsebenzi we-thyroid, kunye nomsebenzi wezintso ziyajongwa. |
| I-X-reyi yesifuba | Oku kungenziwa ukuba kukho ukurhanelwa kwesifo sentliziyo. |
| Iskena se-CT | Oku ngamanye amaxesha kwenziwa ukuze kubonwe ukuba iimpawu zakho zibangelwa kukungaqheleki engqondweni. |
Imvume
Ngaphambi kokuba konke oku kwenzeke, wena okanye igunya lakho lezonyango liza kusayina ifomu yemvume yolu nyango. Oku kuthetha ukuba uyayazi le nyango kwaye uyayivuma.
Indlela unyango lwe-ECT olwenziwa ngayo
Ngomhla wonyango, awuyi kuva ntlungu okanye ukungonwabi. Kuba uthomalaliswe ngokupheleleyo yi-anesthesia, oko kuthetha ukuba ulele ngokugqibeleleyo. Nazi iindlela zonyango:
1. Ukufaka umgca we-IV: Umgca we-IV (i-cannula) uza kufakwa emthanjeni osengalweni yakho. Kulapho kunikwa khona amayeza okubulala iintlungu kunye neziphumzi zemisipha .
2. Iileyiti ze -ECG : Iileyiti ze-ECG ziya kuqhotyoshelwa esifubeni sakho ukuze zijonge ukusebenza kwentliziyo yakho kulo lonke unyango.
3. Ukuncamathisela iileyi ze -EEG : Iileyi ze-EEG zincamathiselwe entlokweni. Oku kuvumela ugqirha ukuba ajonge amaza obuchopho.
4. I-Bite Guard: Ukuthintela ukonakala kwamazinyo, kubekwa i-soft guard phakathi kwamazinyo.
5. Ukubekwa kwe-electrode: Okokugqibela, ii-electrode ze-ECT zincamathiselwe kwiindawo ezifanelekileyo entlokweni.
Xa yonke into ilungile, umbane olawulwa kakhulu uthunyelwa engqondweni. Ngenxa yokuba iziphumzi zemisipha zinikwe, ukuxhuzula kubonakala kuphela njengentshukumo encinci yengalo okanye umlenze.
Uza kubuyela ezingqondweni kwimizuzu embalwa. Kodwa awuyi kuba sakhumbula unyango okanye nantoni na eyenzekileyo ngelo xesha. Usenokuziva udidekile ekuqaleni, kodwa oku kuza kuphela emva kwexesha elithile.
Olu nyango ludla ngokwenziwa kabini okanye kathathu ngeveki kangangeeveki ezi-2-4. Inani lonyango olufunekayo liza kugqitywa ngugqirha wakho ngokusekelwe kwimeko yakho.
Ngubani ozuzayo kunyango lwe-ECT kwaye ngubani ongafanele azuze?
Olu nyango alufanelekanga kuye wonke umntu. Kwaye kwabanye abantu, iingenelo ziphezulu kakhulu. Makhe sijonge oko.
| Ngubani oxhamla kakhulu kwi-ECT? | Ngubani ongafanele afumane i-ECT (esengozini) |
|---|---|
| Abantu abanesifo soxinzelelo olukhulu abangasabeliyo kumayeza (uxinzelelo olunganyangekiyo kunyango). | Abantu abasandula ukuba nesifo sentliziyo. |
| Abo basengozini enkulu yokuzibulala. | Abantu abanesifo sentliziyo esingalawulekiyo. |
| Abantu abangafuniyo ukutya kwaye abondlekanga. | Abantu abanoxinzelelo oluphezulu engqondweni. |
| Abantu abanesifo se-catatonia. | Abantu abasandula ukuba nokopha ebuchotsheni (stroke, aneurysm). |
| Abantu abanesifo soxinzelelo olukhulu okanye isifo se-bipolar abaneempawu ze-psychotic. | Abantu abanezifo ezinzima zokuphefumla (umz. i-COPD). |
| Abo bafuna unyango olukhawulezileyo ngexesha lokukhulelwa. | Ayinikwa abantwana abangaphantsi kweminyaka eli-11 ubudala. |
Zithini iziphumo ebezingalindelekanga?
Njengakweminye imithi, i-ECT inemiphumo emibi abanye abantu abanokuyifumana. Uninzi lwayo lungolwexeshana.
- Ukudideka: Ungaziva udidekile kancinci emva kweeyure ezimbalwa emva konyango. Oku kuqhelekile ngakumbi kubantu abadala.
- Ukulahlekelwa yiMemori: Ukukhumbula emva kokubuyela umva kunokubakho ngexesha lonyango. Ngamanye amaxesha, kunokuba nzima ukukhumbula iziganeko kwiiveki zokuqala zonyango. Ezi ngxaki zememori zihlala ziphucuka ngokuhamba kwexesha.
- Ukungakhululeki emzimbeni: Intloko ebuhlungu, iintlungu zomhlathi, kunye neentlungu zemisipha zinokwenzeka.
- Isicaphucaphu: Abanye abantu banokuba nesicaphucaphu.
- Iingxaki ezibangelwa kukusebenzisa i-anesthesia: Iingozi ezinxulumene nayo nayiphi na i-anesthesia ziqhelekile apha.
Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo ngayo yonke le nto nogqirha wakho. Ngale ndlela, unokuphelisa naluphi na uloyiko kunye namathandabuzo onokuba nawo.
Ubomi emva kwe-ECT
Emva kokugqiba unyango, iimpawu zakho zokudakumba zisenokuba ziphucukile kakhulu. Kodwa ayilonto iphelayo loo nto. Ugqirha wakho unokucebisa ukuba uqhubeke nokusela amayeza okanye unyango lwengqondo njengonyango lokugcina uxinzelelo lwakho lungasebenzi.
Emva konyango, kufuneka uphephe ukuqhuba okanye ukusebenzisa oomatshini abanzima de ugqirha wakho akuxelele ukuba wenze njalo.
Umyalezo Wokuya Ekhaya
- I-ECT ayiyonto yoyikisayo njengakwiimuvi. Lunyango olukhuselekileyo nolusebenzayo lokudakumba okukhulu.
- Olu nyango lwenziwa phantsi kwe-anesthesia epheleleyo, ngoko awuyi kuva ntlungu.
- Iziphumo ebezingalindelekanga ezifana neengxaki zenkumbulo kunye nokudideka okunokwenzeka emva konyango zihlala zizinto zexeshana.
- Oku akusiyo 'isisombululo esikhawulezileyo'. Kwanasemva konyango, unyango lokugcina imeko injalo (amayeza okanye unyango lwengqondo) lubalulekile ukuthintela ukuphinda kubekho ukudakumba.
- Soloko uxoxa nogqirha wakho malunga nokuba olu nyango lufanelekile kuwe okanye kumntu omthandayo.
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