Ngezinye izikhathi ungase uhlaselwe yi-Major Depression Disorder (MDD). Ngisho noma uphuza imithi oyinikezwe udokotela wakho noma uye kokwelulekwa (psychotherapy), ingqondo yakho ingase ingazizwa ingcono kakhulu. Ungase uzizwe ungcono isikhashana bese ubuyela esimweni sakho sakudala. Noma ungase uzizwe usizi olufanayo ngaphandle kokushintsha. Kwezokwelapha, sibiza lolu hlobo lokucindezeleka okunzima ukululawula ngemithi ngokuthi 'Ukucindezeleka Okumelana Nokwelashwa' . Kodwa, ungacabangi ukuthi lokhu ukuphela kwendaba yakho. Ungalilahli ithemba. Kunezindlela zokwelapha ezintsha nezithuthukisiwe zalezi zimo. Lokho Ukwelashwa Kokushukumisa Ubuchopho. Lokhu kuzama ukubuyisela ukusebenza kobuchopho kusetshenziswa ugesi, amaza kazibuthe, noma amadivayisi amancane afakwe emzimbeni. Namuhla, sizoxoxa ngezindlela ezintathu zokwelapha eziyinhloko.
Ukwelashwa Nge-Electroconvulsive (ECT)
Leli gama lingase lizwakale lithusa kancane, kodwa i-ECT iyindlela yokwelapha ebilokhu ikhona iminyaka engaphezu kwengu-80, iye yacwaningwa kabanzi, futhi iboniswe iphephile futhi isebenza kahle. Ivame ukusetshenziselwa ukwelapha izimo ezifana nokucindezeleka okukhulu kanye nesifo sokuphazamiseka kwengqondo esibipolar esingamelani nezinye izindlela zokwelapha .
Ukwenza kanjani lokhu?
Ngeke uzwe lutho phakathi nalolu hlobo lokwelashwa, ngoba uphelelwe yi-anesthesia ngokuphelele. Njengangaphambi kokuhlinzwa . Uzophinde unikezwe umuthi wokuvimba imisipha yakho ukuthi ingathuthumela. Udokotela uzofaka ama-stickers afana nezitikha ezingxenyeni ezithile zekhanda lakho. Lawa abizwa ngokuthi 'ama-electrode.' Ngemva kokulala, umfutho kagesi omncane olawulwa kakhulu ulethwa ebuchosheni bakho ngala 'ma-electrode.' Lokhu kubangela ukuquleka okulawulwayo ebuchosheni okuhlala ngaphansi kwemizuzwana engama-60. Kukholakala ukuthi lokhu kusetha kabusha ukusebenza kwama-neurons namakhemikhali ebuchosheni. Uma uvuka ngemizuzu embalwa, ngeke ukhumbule lutho ngokwelashwa noma lokho owakuzwa ngaleso sikhathi. Lapho imiphumela yokubulala izinzwa iphela, ungaya ekhaya.
Ngokuvamile, kwenziwa ukwelashwa okuphakathi kuka-6 no-12, ngokuvamile kabili noma kathathu ngesonto. Inani lezikhathi ozidingayo lizoncika ebunzimeni bezimpawu zakho nokuthi ululama ngokushesha kangakanani.
Into ebaluleke kakhulu ukuthi lokhu kwelashwa kwenziwe ungaqondi nhlobo, ngakho ngeke uzwe ubuhlungu noma ukungakhululeki.
| Imiphumela Engemihle Ye-ECT | |
|---|---|
| Ikhanda elibuhlungu | Isimo esivamile esenzeka ngemva kokwelashwa. Singalawulwa ngamaphilisi okudambisa izinhlungu. |
| Isicanucanu | Kungabangelwa yi-anesthesia futhi kuzophela ngemva kwesikhathi esithile. |
| Ukukhathala Nokudideka | Kungase kuhlale amahora amaningana ngemva kokwelashwa. |
| Ukulahlekelwa Inkumbulo | Lokhu kuyingozi enkulu. Ungase ulahlekelwe yinkumbulo ngaphambi nangemva kokwelashwa. Kodwa lokhu kuvame ukuba okwesikhashana. Odokotela basebenzisa izindlela ezahlukene zokunciphisa le ngozi (isibonelo, ukubeka ama-electrode ohlangothini olulodwa lwekhanda). |
Ukukhuthazwa Kwamagnetic Okuphindaphindayo Kwe-Transcranial (rTMS)
Le ndlela isebenzisa amaza kazibuthe. Lokhu kuvuselela ubuchopho. Ososayensi abakaqiniseki ukuthi lokhu kukwelapha kanjani ukucindezeleka. Kodwa bacabanga ukuthi lawa maza kazibuthe akhulisa umsebenzi wamaseli ezinzwa ezingxenyeni zobuchopho ezilawula isimo sengqondo.
Ukwenza kanjani lokhu?
Akudingeki ukuthi uvuke ukuze uthole ukwelashwa nge-rTMS. Uhleli esihlalweni. Kodwa kuzodingeka ufake ama-earplug ngoba umshini wenza umsindo omkhulu 'wokukhahlela'. Udokotela uzobeka i-electromagnetic coil ebunzini lakho nasekhanda lakho. Ama-magnetic pulses avela kule coil adala imisinga kagesi emincane ebuchosheni bakho. Uzozizwa sengathi ushayiswa yi-toucan encane. Ungaya ekhaya ngemva kokwelashwa. Ungashayela imoto uma ungakaphuphi.
Ngokuvamile, iseshini eyodwa ithatha cishe imizuzu engama-30-40. Lokhu kwelashwa kufanele kwenziwe cishe izinsuku ezi-5 ngesonto cishe inyanga yonke.
| Imiphumela Engemihle Yokwelashwa kwe-rTMS | |
|---|---|
| Imiphumela emibi evamile | |
| Ikhanda elibuhlungu | Kungase kwenzeke kancane. |
| Ukungakhululeki lapho ikhoyili yayikhona | Ungase uzizwe ungakhululekile esikhumbeni. |
| Ukuqhaqhazela kwemisipha yobuso | Ungase uzizwe ungenamizwa noma imisipha inyakaza ebusweni bakho. |
| Imiphumela emibi engavamile ukuba mibi kakhulu | |
| Ukuquleka | Lokhu kuyinto engenzeka kaningi kakhulu. |
| Ukukhubazeka kokuzwa | Lokhu kungenzeka uma indlebe ingavikelwe kahle ngesikhathi sokwelashwa. |
Ukukhuthazwa Kwemizwa Yesitho Sangasese Sowesifazane (VNS)
Kukhona inzwa ende egijima isuka ebuchosheni bakho iye esiswini sakho ezinhlangothini zombili zomzimba wakho. Lokhu kubizwa ngokuthi i-Vagus Nerve. Lokhu kwelashwa kokuvuselela imizwa (VNS) kwaqala ukusetshenziswa ekwelapheni isithuthwane. Kodwa kamuva kwatholakala ukuthi kunikeza impumuzo ekucindezelekeni okungamelani nokwelashwa.
Ukwenza kanjani lokhu?
Lokhu kuhilela ukuhlinzwa okuncane. Udokotela uzobeka idivayisi encane esebenza ngebhethri ngaphansi kwesikhumba sesifuba sakho, ngokuvamile ohlangothini lwesobunxele. Lokhu kubizwa ngokuthi "i-pulse generator." Kufana ne-pacemaker. Ngemuva kwalokho, ucingo lukagesi oluvela kule divayisi ludluliselwa entanyeni yakho bese luxhunywe kumthambo we-vagus. Ngemva kokuhlinzwa, lapho amanxeba esepholile, udokotela uzovula le divayisi. Izothumela ama-pulse amancane kagesi emthambo ngezikhathi ezijwayelekile (isibonelo, njalo ngemizuzu emi-5, imizuzwana engama-30).
| Izingozi kanye nemiphumela emibi yokwelashwa kwe-VNS | |
|---|---|
| Izingozi ezihlobene nokuhlinzwa | |
| Ubuhlungu kanye nezifo | Ubuhlungu noma ukutheleleka kungase kwenzeke endaweni lapho kufakwa khona idivayisi. |
| Ubunzima bokugwinya | Kungenzeka okwesikhashana. |
| Ukukhubazeka kwe-Vocal Cord | Nakuba ngokuvamile kungokwesikhashana, akuvamile ukuba phakade. |
| Imiphumela emibi engaba khona ngemva kokusebenzisa idivayisi | |
| Ukushintsha kwezwi, ukuhosha | Izwi lingashintsha njengoba ukushaya kwenhliziyo kukhishwa. |
| Ukukhwehlela nobunzima bokuphefumula | Kungazwakala ikakhulukazi lapho uzivocavoca. |
| Ubuhlungu bentamo | Kungase kube nobuhlungu emphinjeni noma entanyeni. |
Kuphumelela kangakanani lokhu kwelashwa?
Lona ngumbuzo obaluleke kakhulu. Eqinisweni, akuwona wonke umuntu osabela ekwelashweni ngendlela efanayo. Ngakho-ke, akunakwenzeka ukubikezela kusengaphambili ukuthi yikuphi ukwelashwa okuzokusebenzela, noma ukuthi kuzosebenza nhlobo. Kungathatha izinyanga eziningana ukubona imiphumela. Ngokuvamile, ukwelashwa kwengqondo noma imithi yokucindezeleka kuyadingeka ukulawula ukucindezeleka ngenkathi uthola lokhu kwelashwa okuvuselela ubuchopho. Ngemva kokwelashwa, kungadingeka ukuthi ube nokwelashwa kokunakekelwa kanye ngesonto noma njalo ezinyangeni ezimbalwa ukuze ulondoloze izinga lakho lokululama. Nguwe nodokotela wakho kuphela abanganquma ukuthi yini engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ngokucindezeleka okukhulu okungalawulwa yimithi ejwayelekile (Ukucindezeleka Okumelana Nokwelashwa), kunezinye izindlela zokwelapha ngaphezu kwemithi kanye nokwelulekwa.
- Ukwelashwa Kokushukumisa Ubuchopho kungenye yezindlela ezinkulu. I-ECT, i-rTMS, kanye ne-VNS kumane nje kungenye yazo.
- Ngayinye yalezi zindlela zokwelapha inezinzuzo zayo, ukungalungi, kanye nemiphumela emibi. Azifanele wonke umuntu.
- Ngaphambi kokucabangela ukwelashwa okunjalo, kubalulekile ukuxoxa ngale ndaba ngokugcwele nangokwanele nodokotela wakho bese ukhetha ukuthi yikuphi okufanelekela kangcono isimo sakho.
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