Ingabe ubhekene nokucindezeleka okukhulu, noma mhlawumbe ubukele othandekayo wakho ehlupheka ngakho? Uma uke wazama imithi ehlukahlukene ngaphandle kokuthola impumuzo, noma uma uzizwa ubhajwe emjikelezweni wokuphelelwa yithemba, kukhona indlela yokwelapha ephumelela kakhulu okudingeka sixoxe ngayo: Ukwelashwa Nge-Electroconvulsive (ECT). Igama lingase lizwakale lesabisa, kodwa ake sicacise izinganekwane—lokhu akusikho okubonayo kumamuvi; empeleni kuyinqubo yezokwelapha ephephile nelawulwa kahle.
Kuyini Ngempela i-ECT?
Kalula nje, i-ECT iyindlela yokwelapha ephephile kakhulu futhi ephumelelayo yokucindezeleka okukhulu, isifo sokuphazamiseka kwengqondo , kanye nezinye izimo zempilo yengqondo .
Ngesikhathi senqubo, ufakwa ngaphansi kwe-anesthesia ejwayelekile. Odokotela bafaka ama-electrode ekhanda lakho bese beletha ugesi olawulwa ngokucophelela, omfushane ebuchosheni. Lokhu kubangela ukuxhuzula okulawulwayo okuhlala imizuzwana embalwa kuphela, okusiza ubuchopho bakho 'buqalise kabusha' umsebenzi wabo.
Abaningi bakholelwa imibono eyiphutha ebonakala kumafilimu—ukuthi isiguli siyazi futhi sizwa ubuhlungu. Lokhu kungamanga nhlobo. Namuhla, i-ECT iyindlela yezokwelapha eyinkimbinkimbi, engenabuhlungu, futhi eqashwe kakhulu.
Kubantu abasenkingeni, njengalabo abacabanga ukuzibulala, i-ECT inganikeza impumuzo esheshayo . Uma imithi ithatha isikhathi eside kakhulu ukusebenza noma ingasebenzi, lokhu kungaba yindlela yokusiza esindisa impilo .
Ulungele Kanjani i-ECT?
Uma udokotela wakho enquma ukuthi i-ECT ikufanele, uzokwenza ukuhlolwa okuphelele ukuqinisekisa ukuthi uphilile ngokwanele ngenqubo. Ukuhlolwa okuvamile kwangaphambi kokwelashwa kufaka phakathi:
| Ukuhlolwa | Inhloso |
|---|---|
| I-Electrocardiogram (EKG) | Ukuhlola ukusebenza kukagesi kwenhliziyo yakho. |
| Ukuhlolwa Kwegazi | Ukuhlolwa kwegazi okuphelele (i-CBC), ukuhlolwa kokusebenza kwe-thyroid kanye nezinso. |
| I-X-ray yesifuba | Isetshenziswa uma kusolwa ukuthi kukhona inkinga yenhliziyo noma yamaphaphu. |
| I-CT Scan | Ngezinye izikhathi kusetshenziselwa ukuqeda ezinye izinkinga zobuchopho. |
Imvume
Ngaphambi kokuba kuthathwe noma yiziphi izinyathelo, wena—noma igunya lakho lezokwelapha eliqokiwe—uzosayina ifomu lemvume elisemthethweni, ukuqinisekisa ukuthi uyaqonda ngokugcwele ukwelashwa kanye nemiphumela yako.
Okufanele Ukulindele Ngesikhathi Senqubo
Ngosuku lokwelashwa, ngeke uzwe ubuhlungu ngoba ugcinwa ulele ngaphansi kwe-anesthesia. Inqubo ilandela lezi zinyathelo:
1. Ukufakwa kwe-IV: Umugqa we-IV ubekwa engalweni yakho ukuze ulethe umuthi wokubulala izinzwa kanye nokuphumula kwemisipha .
2. Ukuqapha i-ECG : Ama-lead abekwa esifubeni sakho ukuze aqaphe inhliziyo yakho kuyo yonke inqubo.
3. Ukuqapha i-EEG : Ama-lead abekwa ekhanda lakho ukuze kuqashwe amaza obuchopho bakho.
4. Isivikelo Sokuluma: Isivikelo esithambile sifakwa emlonyeni wakho ukuze sivikele amazinyo akho.
5. Ukubekwa Kwe-Electrode: Ekugcineni, ama-electrode abekwa ekhanda lakho.
Uma isikhuthazo sikagesi esifushane sesifikile, ama-muscle relaxants aqinisekisa ukuthi noma yimuphi umsebenzi wokuxhuzula ubonakala njengokunyakaza okuncane kakhulu ezandleni noma ezinyaweni zakho. Uzovuka ngokushesha ngemva kwalokho, ungakhumbuli inqubo ngokwayo. Ungase uzizwe udidekile kancane, kodwa lokhu kudlula ngokushesha.
Ukwelashwa kuvame ukunikezwa izikhathi ezingu-2-3 ngesonto amasonto angu-2-4, kuye ngokuthi usabela kanjani.
Ubani Ozuzayo, Futhi Ubani Okufanele Agweme I-ECT?
I-ECT ayiyona eyawo wonke umuntu, kodwa kulabo abafanelekayo, iyashintsha impilo.
| Abafakizicelo Abazuzayo | Izimo Zokungavumelani (Izingozi) |
|---|---|
| Ukucindezeleka okumelana nokwelashwa. | Ukuhlaselwa yinhliziyo kwakamuva. |
| Ingozi enkulu yokuzilimaza. | Isimo senhliziyo esingazinzile. |
| Ukungondleki kahle okukhulu ngenxa yokwenqaba ukudla. | Ukwanda kwengcindezi yangaphakathi kwekhanda. |
| I-Catatonia. | Isifo sohlangothi noma i-aneurysm yamuva. |
| Ukucindezeleka noma i-Bipolar ene-psychosis. | Isifo sokuphefumula esibi kakhulu (isb., i-COPD). |
| Ukukhulelwa (lapho imithi ibeka khona izingozi). | Akwenziwa ezinganeni ezingaphansi kweminyaka eyi-11. |
Imiphumela Engase Ibe Khona
Njenganoma yikuphi ukungenelela kwezokwelapha, kunemiphumela emibi engaba khona, yize iningi layo linjalo.okwesikhashana:
- Ukudideka: Ukudideka ngemva kokwelashwa, okuvame ukuphela emahoreni ambalwa.
- Ukulahlekelwa Yinkumbulo: Ezinye iziguli zibhekana nobunzima bokukhumbula izenzakalo zangaphambi noma ngesikhathi sokwelashwa (i-retrograde amnesia), okuvame ukuba ngcono ngokuhamba kwesikhathi.
- Ukungakhululeki ngokomzimba: Ikhanda elibuhlungu, ubuhlungu bomhlathi, noma ubuhlungu bemisipha.
- Isicanucanu: Isicanucanu esincane ngemva kokuhlinzwa.
- Izingozi zokubulala izinzwa: Izingozi ezijwayelekile ezihlobene nokubulala izinzwa okuvamile.
Into ebaluleke kakhulu ukuba nengxoxo evulekile nomhlinzeki wakho wezempilo. Bakhona ukuze baxazulule izinkinga zakho futhi banciphise ukukhathazeka kwakho.
Impilo Ngemva kwe-ECT
Ngemva kochungechunge lwakho lokwelashwa, cishe uzobona ukwehla okukhulu kwezimpawu zokucindezeleka. Kodwa-ke, ukwelashwa akugcini lapho. Ukuze uvimbele ukubuyela emuva, udokotela wakho cishe uzoncoma ukwelashwa kokunakekelwa , okuhlanganisa imithi eqhubekayo noma ukwelashwa kwengqondo.
Ngemva kweseshini yakho, gwema ukushayela noma ukusebenzisa imishini esindayo kuze kube yilapho udokotela wakho ekugunyaza.
Umlayezo Wokuya Nawe Ekhaya
- I-ECT akuyona inqubo eyesabekayo evela kuma-movie; iyindlela yokwelapha ephephile nephumelelayo yokucindezeleka okukhulu.
- Inqubo yenziwa ngaphansi kwe-anesthesia ephelele, ngakho ngeke uzwe ubuhlungu.
- Imiphumela emibi efana nokudideka noma ukukhohlwa okwesikhashana ngokuvamile kuba okwesikhashana.
- Akuyona 'ikhambi elisheshayo'—ukwelashwa kokunakekelwa (imithi noma ukwelashwa) kubalulekile ukuvimbela ukubuyela emuva kwesifo.
- Njalo thintana nodokotela wakho ukuze ubone ukuthi lokhu kwelashwa kufanelekile yini kuwe noma kothandekayo wakho.
I-ECT, ukucindezeleka, impilo yengqondo, ukuphazamiseka kwengqondo okuguquguqukayo
