Ingabe uhlushwa ukucindezeleka okukhulu? Mhlawumbe umngane wakho uhlushwa yilesi simo. Ingabe uzizwa ucindezelekile kakhulu futhi ukhungathekile naphezu kokuthatha imithi oyinikezwe udokotela wakho futhi uzama izinhlobo ezahlukene zemithi? Uma kunjalo, namuhla sizokhuluma ngolunye ukwelashwa okuphumelelayo kakhulu okungakusiza. Lokho yi-ECT, noma i-Electroconvulsive Therapy. Igama lizwakala liyesabeka kancane, akunjalo? Kodwa empeleni alisabisi njengoba ucabanga.
Iyini ngempela i-ECT?
Kalula nje, i-ECT ingenye yezindlela zokwelapha eziphephile nezisebenza kahle kakhulu ezitholakalayo zezifo zengqondo ezifana nokucindezeleka okukhulu kanye nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder.
Lokhu kuhilela ukukufaka ngaphansi kwe-anesthesia ejwayelekile (ukukulalisa), ukunamathisela ama-electrode ekhanda lakho, kanye nokuletha ugesi olawulwa kakhulu nolula ebuchosheni bakho. Lo mbane ubangela ukuxhuzula ebuchosheni okuhlala imizuzwana embalwa. Lokhu kufana 'nokusetha kabusha' ubuchopho.
Abantu abaningi bacabanga ukuthi lokhu kuyinto ebuhlungu, njengalokho okuboniswa kumamuvi, lapho isiguli sinikezwa khona ukushaqeka ngogesi ngenkathi siphapheme. Lowo ngumbono ongalungile nhlobo. Namuhla, i-ECT iyindlela yokwelapha ethuthukisiwe kakhulu, ephephile, futhi engenabuhlungu.
Lokhu kwelashwa kunganikeza impumuzo esheshayo , ikakhulukazi kumuntu ogula kakhulu futhi onemicabango yokuzibulala. Kungaba futhi ukwelashwa okusindisa impilo ezimweni lapho kuyingozi kakhulu ukulinda imithi ukuthi isebenze.
Ulungiselela kanjani ukwelashwa nge-ECT?
Ngemva kokunquma ukuthi uyakufanelekela yini ukwelashwa nge-ECT, udokotela wakho uzokwenza izivivinyo eziningana ukuze abone ukuthi usesimweni esihle sempilo. Lezi yizivivinyo ezivame ukwenziwa.
| Ukuhlolwa | Ubonani kulokho? |
|---|---|
| I-Electrocardiogram (EKG) | Umsebenzi kagesi wenhliziyo yakho uyahlolwa. |
| Ukuhlolwa Kwegazi | Izinto ezifana nokubalwa kwegazi okuphelele (i-CBC), umsebenzi we-thyroid, kanye nomsebenzi wezinso ziyahlolwa. |
| I-X-ray yesifuba | Lokhu kungenziwa uma kukhona izinsolo zesifo senhliziyo. |
| I-CT Scan | Lokhu ngezinye izikhathi kwenziwa ukuze kubonakale ukuthi kukhona yini ukungajwayelekile ebuchosheni okubangela izimpawu zakho. |
Imvume
Ngaphambi kwakho konke lokhu, wena noma ummeli wakho wezokwelapha uzosayina ifomu lemvume yalokhu kwelashwa. Lokhu kusho ukuthi uyazi ngalokhu kwelashwa futhi uyakuvuma.
Indlela yokwelashwa kwe-ECT eyenziwa ngayo
Ngosuku lokwelashwa, ngeke uzizwe ungakhululekile noma ubuhlungu. Ngoba ulaliswe ngokuphelele, okusho ukuthi ulele kahle. Nazi izinyathelo zokwelashwa:
1. Ukufaka umugqa we-IV: Umugqa we-IV (i-cannula) uzofakwa emthanjeni ongalweni yakho. Yilapho kunikezwa khona imithi yokubulala izinzwa kanye nemithi yokuphumula imisipha .
2. Ama-lead e-ECG : Ama-lead e-ECG azonamathiselwa esifubeni sakho ukuze aqaphe ukusebenza kwenhliziyo yakho kulo lonke ukwelashwa.
3. Ukunamathisela ama-lead e-EEG : Ama-lead e-EEG anamathiselwa ekhanda. Lokhu kuvumela udokotela ukuthi aqaphe amaza obuchopho.
4. Isivikelo Sokuluma: Ukuze kuvinjelwe ukulimala kwamazinyo, kufakwa isivikelo esithambile phakathi kwamazinyo.
5. Ukubekwa kwama-electrode: Okokugcina, ama-electrode e-ECT anamathiselwe ezindaweni ezifanele ekhanda.
Uma konke sekulungile, ugesi olawulwa kakhulu ulethwa ebuchosheni. Ngenxa yokuthi sekunikezwe iziphumuli zemisipha, ukuxhuzula kubonakala kuphela njengokunyakaza okuncane kakhulu kwengalo noma umlenze.
Uzophinde uqaphe ngemizuzu embalwa. Kodwa ngeke ube nankumbulo yokwelashwa noma yini eyenzeka ngaleso sikhathi. Ungase uzizwe udidekile ekuqaleni, kodwa lokhu kuzophela ngemva kwesikhashana.
Lokhu kwelashwa kuvame ukunikezwa kabili noma kathathu ngesonto amasonto amabili kuya kwamane. Inani lokwelashwa elidingekayo lizonqunywa udokotela wakho ngokusekelwe esimweni sakho.
Obani abazuzayo ekwelashweni nge-ECT futhi obani okungafanele bazuze?
Lokhu kwelashwa akufanele wonke umuntu. Futhi kwabanye abantu, izinzuzo ziphezulu kakhulu. Ake sibheke lokho.
| Ubani ozuza kakhulu kwi-ECT? | Obani okungafanele bathole i-ECT (abasengozini) |
|---|---|
| Abantu abanokucindezeleka okukhulu abangasabeli emithini (ukucindezeleka okumelana nokwelashwa). | Abantu abasanda kuba nokuhlaselwa yinhliziyo. |
| Labo abasengozini enkulu yokuzibulala. | Abantu abanesifo senhliziyo esingalawuleki. |
| Abantu abenqaba ukudla futhi abangondlekile kahle. | Abantu abanengcindezi eyengeziwe ebuchosheni. |
| Abantu abahlushwa yi-catatonia. | Abantu abasanda kuba nokopha ebuchosheni (isifo sohlangothi, i-aneurysm). |
| Abantu abanesifo sokucindezeleka okukhulu noma isifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder abanezimpawu zokuphazamiseka kwengqondo. | Abantu abanezifo ezinzima zokuphefumula (isib. i-COPD). |
| Labo abadinga ukwelashwa okuphuthumayo ngesikhathi sokukhulelwa. | Ayinikezwa izingane ezingaphansi kweminyaka eyi-11 ubudala. |
Yiziphi imiphumela emibi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, i-ECT inemiphumela emibi abanye abantu abangase bayizwe. Iningi layo lingokwesikhashana.
- Ukudideka: Ungase uzizwe udidekile kancane amahora ambalwa ngemva kokwelashwa. Lokhu kuvame kakhulu kubantu abadala.
- Ukulahlekelwa Yinkumbulo: Ukukhohlwa kokubuyela emuva kungase kwenzeke ngesikhathi sokwelashwa. Ngezinye izikhathi, kungaba nzima ukukhumbula izehlakalo zamasonto ambalwa okuqala okwelashwa. Lezi zinkinga zenkumbulo zivame ukuba ngcono ngokuhamba kwesikhathi.
- Ukungakhululeki ngokomzimba: Kungase kube nobuhlungu bekhanda, ubuhlungu bomhlathi, kanye nobuhlungu bemisipha.
- Isicanucanu: Abanye abantu bangase babe nesicanucanu.
- Izinkinga ezibangelwa ukubulala izinzwa: Izingozi ezihambisana nanoma iyiphi i-anesthesia zivamile lapha futhi.
Into ebaluleke kakhulu ukukhuluma ngokukhululekile ngakho konke lokhu nodokotela wakho. Ngaleyo ndlela, ungasusa noma yikuphi ukwesaba nokungabaza ongase ube nakho.
Impilo ngemva kwe-ECT
Ngemva kokuqeda inkambo yokwelashwa, izimpawu zakho zokucindezeleka kungenzeka ukuthi sezithuthuke kakhulu. Kodwa lokho akupheleli endabeni. Udokotela wakho angase akuncome ukuthi uqhubeke uthatha imithi noma ukwelashwa kwengqondo njengokwelashwa kokugcina ukucindezeleka kwakho kungakabuyi.
Ngemva kokwelashwa, kufanele ugweme ukushayela noma ukusebenzisa imishini esindayo kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.
Umlayezo Wokuya Nawe Ekhaya
- I-ECT ayiyona into eyesabekayo njengakumamuvi. Iyindlela yokwelapha ephephile kakhulu futhi ephumelelayo yokucindezeleka okukhulu.
- Lokhu kwelashwa kwenziwa ngaphansi kwe-anesthesia ephelele, ngakho ngeke uzwe ubuhlungu.
- Imiphumela emibi efana nezinkinga zokukhumbula nokudideka okungenzeka ngemva kokwelashwa ivame ukuba yesikhashana.
- Lokhu akulona 'ikhambi elisheshayo'. Ngisho nangemva kokwelashwa, ukwelashwa kokunakekela (imithi noma ukwelashwa kwengqondo) kubalulekile ukuvimbela ukucindezeleka ukuthi kubuye.
- Xoxa njalo nodokotela wakho ukuthi ngabe lokhu kwelashwa kulungile yini kuwe noma kothandekayo wakho.
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