Ngaba unengxaki yokudakumba? Mhlawumbi ukhe wazama amayeza owanikwe ngugqirha wakho, waya kwingcebiso, kodwa awukaziva ngcono kangako. Kuqhelekile ukuziva udanile kwaye ungenathemba ngamaxesha anje. Kodwa khumbula, awuwedwa. Isayensi yezonyango iqhubela phambili imihla ngemihla. Yiyo loo nto kukho unyango olutsha noluphucukileyo olunokunceda abantu abangasabeli kakuhle kunyango oluqhelekileyo. Yiyo loo nto sithetha ngayo namhlanje.
Yintoni 'uxinzelelo olunganyangekiyo ngonyango'?
Ngamafutshane, le yimeko esithethe ngayo apha ngasentla. Oko kukuthi, sibiza uxinezeleko olunganyangekiyo kunyango xa iimpawu zingaphucuki ngonyango olwamkelekileyo lokudakumba (umzekelo, iintlobo ezimbini okanye ngaphezulu ezahlukeneyo zemithi yokudakumba, ngedosi efanelekileyo, ixesha elaneleyo).
Khawucinge nje, ugqirha wakho ukunika iyeza, kwaye emva kweenyanga ezimbalwa ulisebenzisa, akwenzi mahluko mkhulu. Emva koko ukutshintshela kwelinye iyeza. Ukuba oko akusebenzi, ungawela kolu didi. Ngamaxesha anje apho oogqirha bacinga ngezi ndlela zonyango ezikhethekileyo neziphambili esiza kuthetha ngazo.
Eyona nto ibalulekileyo kukuba, ungalahli ithemba. Ukuba unyango olunye aluzange lusebenze akuthethi ukuba awusoze uphile. Kukho unyango olusebenzayo kuwe.
Unyango lwe-Electroconvulsive (ECT) - ngaba kufuneka woyike njengoko ucinga?
Xa usiva igama elithi "Electroconvulsive therapy (ECT)," unokukhunjuzwa ngemiboniso bhanyabhanya yakudala yesiSinhala nesiHindi uze uzive usoyika. Kodwa eneneni, i-ECT lunyango olukhuselekileyo nolulawulwayo namhlanje.
Okwenzekayo koku kukuba ulaliswe ngokupheleleyo (ulala) kwaye olu nyango lugqityiwe. Ngoko awuziva nto. Iqela leengcali (ingcali yezifo zengqondo, ingcali yezifo ezibulala iintlungu, kunye nabahlengikazi) bakhona ngenxa yoku. Bathumela ii-pulses zombane ezincinci kakhulu, ezilawulwayo engqondweni yakho ngee-electrodes ezibekwe entlokweni yakho. Oku kukholelwa ukuba kubuyisela unxibelelwano phakathi kweeseli zemithambo-luvo engqondweni, kwaye iimpawu zokudakumba ziyancipha ngokukhawuleza.
Ngokwesiqhelo , kufuneka iiseshoni ezi-6 ukuya kwezili-12, ngesiqhelo izihlandlo ezibini ukuya kwezithathu ngeveki. I-ECT lunyango olusebenzayo kakhulu, ingakumbi kwabo banesifo sokudakumba esinzima esinganyangekiyo kunyango kunye nabo bacinga ngokuzibulala.
Nangona kunjalo, njengayo yonke enye into, kukho iingozi kunye nemiphumo emibi. Abanye abantu banokufumana iingxaki zokukhumbula (ingakumbi ngexesha lonyango) okwethutyana emva konyango. Ke ngoko, kubalulekile ukuxoxa ngako konke oku nogqirha wakho ngaphambi kokuba uqale unyango.
Unyango lweMagnetic Pulse (TMS kunye neMST) - Zithini ezi?
Zombini ezi ndlela zisebenzisa amandla emagnethi ukuze zichaphazele ubuchopho, kodwa ezi ndlela zimbini zahlukile kancinci.
1. Ukukhuthazwa kweMagnetic yeTranscranial (TMS)
Le yindlela elula kakhulu kune-ECT. Awulaliswa. Ungahlala esitulweni. Ugqirha okanye ingcali ibeka isixhobo esikhethekileyo ('i-insulated wire coil') entlokweni yakho aze athumele ii-magnetic pulses ngayo kwiindawo ezithile zobuchopho ezicingelwa ukuba zibandakanyeka kuxinzelelo. Oku akubuhlungu.
Iseshoni ithatha malunga nemizuzu engama-30, kwaye unokufuna unyango malunga neentsuku ezi-5 ngeveki kangangeeveki ezi-4-6. Enye yezona nzuzo zinkulu ze-TMS kukuba ayinazo iziphumo ebezingalindelekanga kwaye ayifuni ukuhlala esibhedlele. Abanye abantu banokuziva benomsindo entlokweni yabo, okanye banokuba nentloko ebuhlungu okanye isiyezi. Nangona kunjalo, akukabikwa ukuba ichaphazela inkumbulo njenge-ECT. Nangona kunjalo, kubalulekile ukukhumbula ukuba i-TMS ayivelisi ziphumo zinamandla njenge-ECT.
2. Unyango lokuQhekezwa yiMagnetic (MST)
Oku kusesekwinqanaba lophando, kwaye kufana nomxube we-ECT kunye ne-TMS. Apha, kusetyenziswa amandla amakhulu emagnethi ukukhuthaza ukuxhuzula okulawulwayo engqondweni. Nangona unobangela ochanekileyo ungaziwa, oku kuxhuzula kunciphisa ngokukhawuleza iimpawu zokudakumba. Kukwafuna i-anesthesia, njengakwi-ECT. Nangona kunjalo, oogqirha banethemba lokuba ekubeni i-ECT inokujolisa kwiindawo zobuchopho ngokuchanekileyo, ayizukuba nefuthe lingako kwimemori.
| Indlela yonyango | Ngaba kuyimfuneko ukusebenzisa i-anesthesia? | Inzuzo ephambili | Eyona ngxaki/iziphumo ebezingalindelekanga |
|---|---|---|---|
| I-ECT (Unyango lwe-Electroconvulsive) | Ewe, kuyimfuneko. | Iziphumo ezikhawulezayo nezinamandla kakhulu. | Inkumbulo ingachaphazeleka okwethutyana. |
| I-TMS (ukuvuselelwa kwemagnethi ye-transcranial) | Hayi, akukho mfuneko. | Iziphumo ebezingalindelekanga zincinci kakhulu, kwaye akukho kulaliswa esibhedlele. | Isenokungavelisi ziphumo zikhawulezayo/eziqinileyo njenge-ECT. |
| I-MST (i-Magnetic Shockwave) | Ewe, kuyimfuneko. | Isenokuba nefuthe elincinci kwimemori kune-ECT. | Ndisesekwinqanaba lophando. |
Ezinye iindlela zonyango ezinxulumene notyando
Ezi ziindlela zonyango zotyando eziphucukileyo. Zihlala zisetyenziswa kwiimeko ezinzima kakhulu apho zonke ezinye iindlela zonyango ziye zasilela.
1. Ukukhuthaza Ubuchopho Obunzulu (i-DBS)
Olu lunyango olusele lusetyenziswa kwisifo sikaParkinson. Kule meko, ii-electrode zifakwa ngotyando kwiindawo ezithile ezinzulu zobuchopho. Ezi electrode zisebenza ngebhetri efakwe phantsi kwesikhumba sesifuba okanye isisu. Ezi electrode zithumela imiqondiso yombane kwiisekethe ezikwingqondo ezilawula imeko yeemvakalelo, zilawula iimpawu zokudakumba. Nangona uphando lusalinganiselwe, iziphumo ziyathembisa.
2. Ukukhuthazwa kweNerve yeVagus (VNS)
I-vagus nerve yi-nerve ende ephuma kwingqondo iye kwiindawo ezahlukeneyo zomzimba. Le nerve ikwaqhagamshelwe kwiindawo zengqondo ezilawula imood. Kolu nyango, isixhobo esincinci, esifana ne-pacemaker, sifakwa ngotyando phantsi kwesikhumba sesifuba. Esi sixhobo sithumela ii-electrical impulses kwi-vagus nerve. Oku kuphucula unxibelelwano lwe-nerve kwingqondo kwaye kunciphisa ukudakumba. Nangona kunjalo, kungathatha iinyanga ezininzi ukubona iziphumo.
I-Ketamine - isiqabu esikhawulezileyo?
I-Ketamine liyeza lokubulala iintlungu. Kodwa uphando lwakutshanje lufumanise ukuba xa inikwa ngeedosi eziphantsi kakhulu, inokubonelela ngoncedo olukhawulezileyo kwiiyure ezimbalwa kwabanye abaguli abaxinezelekileyo kakhulu.
Unyango lwe-spray yempumlo olubizwa ngokuba yiKetoconazole ngoku luvunyiwe kubantu abangaphenduliyo kwezinye izidambisi-ntlungu okanye abacinga ukuzibulala. Ukongeza, kusetyenziswa ne-intravenous infusion (IV infusion). Oku kudla ngokwenziwa esibhedlele, phantsi kweliso likagqirha.
Umyalezo Wokuya Ekhaya
- Musa ukuphelelwa lithemba lokuba ukudakumba kwakho akuyi kuphela ngamayeza aqhelekileyo. Kukho unyango oluphambili olunokukunceda.
- Unyango olufana ne-ECT kunye ne-TMS lwahlukile kakhulu, lukhuselekile, kwaye lusebenza ngakumbi kunolo ulubonayo kwiimuvi.
- Uninzi lwezi ndlela zonyango zisasetyenziswa kuphela kwiimeko ezithile. Nganye ineengenelo kunye neengxaki zayo.
- Ngugqirha wakho kuphela onokugqiba ukuba olu hlobo lonyango lukulungele na. Ngoko ke, thetha naye ngokukhululekileyo malunga neemvakalelo zakho kunye namava akho.
- Impilo yengqondo ibaluleke njengempilo yomzimba. Ungaze unqikaze ukucela uncedo.
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