Uyakwesaba ukwelashwa nge-ECT? Ake sithole iqiniso! (Ukwelashwa nge-Electroconvulsive - ECT)

Wake wayibona ibhayisikobho lapho othile ephathwa 'ngokwethuka'? Kuyisigcawu esithusayo nesisabekayo, akunjalo? Ngokuvamile, izigcawu ezinjengalezo yizona ezenza abantu abaningi babe nokwesaba okukhulu kanye nokuqonda okungalungile nge-ECT, noma i-Electroconvulsive Therapy. Kodwa ingabe kuyinto okufanele uyesabe ngempela kulezi zinsuku? Namuhla, ake sixoxe ngokuthi i-ECT iyini ngempela, ukuthi yenziwa kanjani, nokuthi izinzuzo zayo ziyini.

Kalula nje, iyini i-ECT?

I-ECT (i-Electroconvulsive Therapy) iyindlela yokwelapha ephumelela kakhulu kwezinye izifo zengqondo. Isetshenziswa ikakhulukazi ezifweni zengqondo ezinzima ezingasabeli kahle emithini evamile noma kwezinye izindlela zokwelapha.

Okwenzekayo lapha ukuthi ulaliswe ngokuphelele (i-General Anesthesia) , okusho ukuthi ulele ngokuphelele, futhi kunikezwa isignali kagesi encane kakhulu, elawulwayo ebuchosheni. Lokhu kubangela ukuxhuzula okufushane kakhulu, okulawulwayo ebuchosheni. Konke lokhu kwenzeka ungazi lutho, ngenkathi usebuthongweni obujulile. Ngakho-ke akukho buhlungu noma ukukhukhumala njengakuma-movie.

Cabanga ngale ndlela, njengoba nje ngezinye izikhathi lapho ikhompyutha yethu 'ilenga', singayiqala kabusha futhi iqale ukusebenza kahle futhi, lokhu kwelashwa ngandlela thile 'kusetha kabusha' noma kuvuselele ukuxhumana phakathi kwamangqamuzana ezinzwa ebuchosheni. Ososayensi basacwaninga ukuthi lokhu kusebenza kanjani. Kodwa omunye wemibono eyinhloko ukuthi lokhu kwelashwa kusiza amangqamuzana amasha ezinzwa ebuchosheni ukuba akhule futhi akhe ukuxhumana okusha phakathi kwawo. Sibiza le nqubo ngokuthi (i-neurogenesis) . Kukholakala ukuthi lokhu kusiza ukuguqula izinguquko ezimbi ebuchosheni ezibangelwa izifo ezifana nokucindezeleka okukhulu.

Nakuba le ndlela yokwelapha ibilokhu isetshenziswa kusukela ngo-1938, isiphephe kakhulu futhi ithuthuke kakhulu ngokuthuthuka kobuchwepheshe.

Yiziphi izimo futhi lokhu kwelashwa kufanelekela bani?

I-ECT akuyona indlela yokwelapha wonke umuntu. Inconywa udokotela kuphela ngemva kokuhlolwa kahle kwesimo sesiguli kanye uma kunesidingo esikhethekile saso. Ungathola umbono omuhle ngalokhu kuthebula elingezansi.

Uzilungiselela kanjani ngaphambi kokwelashwa?

Uma isinqumo sesithathiwe sokuthi uthole ukwelashwa nge-ECT, ithimba lezokwelapha lizokunikeza isethi yemiyalelo okufanele uyilandele. Lokhu ngokuvamile kungafaka izinto ezifana nalezi:

• Ukuzila ukudla okungenani amahora ayisishiyagalombili: Kungcono ukungadli noma ukuphuza lutho okungenani amahora ayisishiyagalombili ngaphambi kokwelashwa. Lokhu kungenxa yokuthi uzonikezwa i-anesthesia, futhi kubalulekile ukuze isisu sakho siphephe.
• Imithi yasekuseni: Uma unemithi okudingeka uyiphuze ekuseni, yiphuze kanye nezipuni ezimbalwa zamanzi kuphela ngemva kokubonisana nodokotela wakho futhi uma ethi kulungile.
• Amazinyo okufakelwa: Uma ugqoka amazinyo okufakelwa noma amazinyo okwenziwa, letha ibhokisi lapho ungawasusa khona.
• Ubucwebe: Susa ubucwebe obuningi ngangokunokwenzeka, njengamacici kanye nokubhoboza ubuso.

Kwenzekani ngempela ngesikhathi sokwelashwa?

Ake sibheke ukuthi kwenzekani ngosuku lokwelashwa. Ukwazi lokhu kuzosiza ekunciphiseni ukwesaba kwakho.

1. Ukwamukelwa esibhedlela: Ngemva kokufika esibhedlela, uzoqondiswa egunjini lokwelashwa.

2. Ukufakwa kwe-IV cannula: Ithubhu elincane (i-IV cannula) lifakwa emthanjeni. Yilapho kunikezwa khona imithi yokubulala izinzwa nezinye izinto.

3. Ukuhlangana nethimba lezokwelapha:Ithimba, okuhlanganisa nodokotela wezifo zengqondo kanye nodokotela wezinzwa, bazohlangana nawe baxoxe. Ungabuza noma yimiphi imibuzo onayo ngalesi sikhathi.

4. I-Anesthesia: Uzonikezwa imithi nge-IV ukuze ulale ngokuphelele. Kanye nalokhu, uzonikezwa imithi yokukhulula imisipha yakho. Lokhu kuzovimbela noma yikuphi ukunyakaza ngesikhathi sokwelashwa.

5. Ukunikezwa komoya-mpilo: Ngesikhathi ulele, uzonikezwa umoya-mpilo ngemaski yomoya-mpilo. Konke kusukela ekushayeni kwenhliziyo yakho kuya ekucindezelekeni kwegazi lakho kuzoqashwa ngokucophelela.

6. Ukwelashwa nge-ECT: Ukwelashwa nge-ECT manje kuyenziwa. Ugesi omncane kakhulu olawulwayo ulethwa ebuchosheni ngama-electrode abekwe ekhanda. Ukuxhuzula okulawulwayo okubangelwa yilokhu kuvame ukuthatha imizuzwana engama-30 kuya kwengama-60 kuphela.

Lonke lolu hlelo lwenzeka ngaphandle kokuthi wazi lutho, endaweni ephephile kakhulu, ngaphansi kokuqondisa okugcwele kodokotela.

Kwenzekani ngemva kokwelashwa?

Cishe ngemva kwemizuzu emi-5 ukwelashwa kuphelile, uzoqala ukuvuka. Kujwayelekile ngokuphelele ukuzizwa ulele kancane futhi udidekile kancane ngendawo okuyo ekuqaleni. Lokhu kuvame ukuphela zingakapheli imizuzu engama-20-30. Uzogcinwa ngaphansi kokuqashwa kwezokwelapha egunjini lokwelashwa cishe imizuzu engama-30-45 uze ululame ngokuphelele.

Ngemva kokubuyela ekhaya, kubalulekile ukulandela lezi zinto ukuze uphephe futhi ululame ngokushesha:

• Gwema ukushayela: Ungashayeli nganoma yisiphi isizathu ngesikhathi senkambo yakho yokwelashwa kwe-ECT (enikezwa kabili noma kathathu ngesonto). Ungashayeli ngemva kokuba inkambo yokwelashwa isiphelile, futhi ungashayeli kuze kube yilapho udokotela wakho ekunike imvume.
• Gwema ukwenza izinqumo ezibalulekile: Gwema ukusebenzisa imishini esindayo nokusayina amadokhumenti abalulekile ngosuku lokwelashwa.
• Hamba nomuntu omdala onomthwalo wemfanelo: Hamba nomuntu omdala onomthwalo wemfanelo ukuya nokubuya kuzo zonke izinqubo zokwelapha. Awukwazi ukusebenzisa isevisi yetekisi noma yokwabelana ngezimoto ukuze ufike ekhaya.
• Ungabi wedwa amahora angama-24: Ngemva kokwelashwa ngakunye, kubalulekile ukuthi othile ahlale nawe amahora angama-24 alandelayo.

Kuthatha isikhathi esingakanani lokhu kwelashwa?

I-ECT akuyona ukwelashwa okwenziwa kanye kuphela. Kuwuchungechunge lwezindlela zokwelapha. Kufana nokuthatha inkambo yemithi. Kuye ngesimo sakho kanye nendlela osabela ngayo ekwelashweni, kungadingeka ukuthi uthole izindlela zokwelapha eziningana, kabili noma kathathu ngesonto. Inani eliphelele lezindlela zokwelapha liyahlukahluka kumuntu nomuntu.

Ingabe ikhona imiphumela emibi yokwelashwa nge-ECT?

Njenganoma yikuphi ukwelashwa kwezokwelapha, i-ECT ingaba nemiphumela emibi ethile. Kodwa-ke, eminingi yale miphumela ingeyesikhashana. Kubalulekile ukucaca ngalezi zimpawu.

Yiziphi izinzuzo zokwelashwa nge-ECT?

Kunezinzuzo eziningana ezibalulekile zokukhetha lolu hlobo lokwelashwa:

• Imiphumela esheshayo: I-ECT ivame ukukhiqiza imiphumela ngokushesha kunezinye izindlela zokwelapha (ikakhulukazi imithi). Esimweni esiphuthumayo, isibonelo, uma othile ezama ukuzilimaza, lokhu kungaba ukwelashwa okusindisa impilo.
• Izinga lempumelelo eliphezulu: Lokhu kuyindlela yokwelapha ephumelela kakhulu yezimo ezinjengokucindezeleka okukhulu okungaphenduli emithini.
• Okunye Okuphephile: Lokhu kungasetshenziswa njengendlela ephephile kulabo abangakwazi ukuthatha imithi ethile, njengomama abakhulelwe.
• Ngezinye izindlela zokwelapha: I-ECT ivame ukunikezwa kanye nemithi. Ingaphinde yandise ukusebenza kahle kwemithi.

Kufanele ngimshayele nini udokotela?

Udokotela wakho uzokuchazela ukuthi yiziphi izimpawu okufanele uziqaphele ngemva kokwelashwa. Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, shayela udokotela wakho ngokushesha noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) .

• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
• Uma uzizwa udabukile ngesimo sakho sengqondo.
• Uma uphathwa yikhanda elibuhlungu kakhulu.
• Uma kungekho ukuthuthuka kwezimpawu ngemva kwezinsuku ezimbili noma ezintathu, noma uma isimo siba sibi kakhulu.

Okokugcina, ungesabi i-ECT ngenxa yalokho okubonayo kumamuvi. Ngokuvamile zibonisa izindlela ezazisetshenziswa esikhathini esidlule noma eziqisiwe. Namuhla, i-ECT iyindlela yokwelapha ephephile kakhulu futhi esebenza kahle, eyenziwa ngaphansi kwe-anesthesia futhi ngaphansi kokuqashwa okuqinile kwezokwelapha. Ukuphepha kwakho nenduduzo yakho yizinto eziza kuqala eqenjini lezokwelapha. Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho.