Ingabe ubhekene nokucindezeleka? Mhlawumbe uke wazama imithi oyinikezwe udokotela wakho, waya kodokotela abalulekayo, kodwa awukazizwa ungcono kakhulu. Kuvamile ukuzizwa udikibele futhi ungenathemba ngezikhathi ezinjengalezi. Kodwa khumbula, awuwedwa. Isayensi yezokwelapha ithuthuka usuku nosuku. Yingakho kunezindlela zokwelapha ezintsha nezithuthukisiwe ezingasiza abantu abangasabeli kahle ekwelashweni okuvamile. Yilokho esikhuluma ngakho namuhla.
Kuyini 'ukucindezeleka okumelana nokwelashwa'?
Kalula nje, lesi yisimo esikhulume ngaso ngenhla. Okusho ukuthi, sibiza ukucindezeleka okumelana nokwelashwa lapho izimpawu zingathuthuki ngokwelashwa okwamukelwayo kokucindezeleka (isibonelo, izinhlobo ezimbili noma ngaphezulu ezahlukene zemithi yokucindezeleka, ngesilinganiso esifanele, isikhathi esanele).
Cabanga nje, udokotela wakho ukunika umuthi, futhi ngemva kwezinyanga ezimbalwa uwusebenzisa, akwenzi mehluko omkhulu. Bese ekushintshela komunye umuthi. Uma lokho kungasebenzi, ungawela kulesi sigaba. Ngezinye izikhathi ezinjengalezi odokotela bacabangela lezi zindlela zokwelapha ezikhethekile nezithuthukisiwe esizokhuluma ngazo.
Into ebaluleke kakhulu ukuthi, ungalilahli ithemba. Ukuthi ukwelashwa okukodwa akusebenzanga akusho ukuthi awusoze waba ngcono. Kukhona ukwelashwa okukusebenzelayo.
Ukwelashwa nge-electroconvulsive (ECT) - ingabe kufanele wesabe njengoba ucabanga?
Uma uzwa igama elithi "Ukwelashwa nge-electroconvulsive (ECT)," ungase ukhunjuzwe ngezigcawu ezivela kumamuvi amadala esiSinhala nesiHindi bese uzizwa wesaba. Kodwa empeleni, i-ECT iyindlela yokwelapha ephephile kakhulu futhi elawulwayo namuhla.
Okwenzekayo kulokhu ukuthi ulaliswa ngokuphelele (ulala) bese lokhu kwelashwa kwenziwa. Ngakho awuzwa lutho. Ithimba lochwepheshe (udokotela wezifo zengqondo, udokotela wezinzwa, nabahlengikazi) bakhona kulokhu. Bathumela ama-pulse kagesi amancane kakhulu, alawulwayo ebuchosheni bakho ngama-electrode abekwe ekhanda lakho. Lokhu kukholakala ukuthi kubuyisela ukuxhumana phakathi kwamangqamuzana ezinzwa ebuchosheni, futhi izimpawu zokucindezeleka ziyancipha ngokushesha.
Ngokuvamile , kudingeka izikhathi ezingu-6 kuya kwezingu-12, ngokuvamile izikhathi ezimbili kuya kwezintathu ngesonto. I-ECT iyindlela yokwelapha ephumelela kakhulu, ikakhulukazi kulabo abanokucindezeleka okukhulu okungamelani nokwelashwa kanye nalabo abanemicabango yokuzibulala.
Kodwa-ke, njengakho konke okunye, kunezingozi nemiphumela emibi. Abanye abantu bangase babe nezinkinga zokukhumbula (ikakhulukazi ngesikhathi sokwelashwa) isikhathi esifushane ngemva kokwelashwa. Ngakho-ke, kubalulekile ukuxoxa ngakho konke lokhu nodokotela wakho ngaphambi kokuqala ukwelashwa.
Ukwelashwa Nge-Magnetic Pulse (TMS kanye ne-MST) - Ziyini lezi?
Zombili lezi zindlela zisebenzisa amasimu kazibuthe ukuze zithonye ubuchopho, kodwa lezi zindlela ezimbili zihlukile kancane.
1. Ukukhuthazwa Kwamagnetic Kwe-Transcranial (TMS)
Lena inqubo elula kakhulu kune-ECT. Awulaliswa. Ungahlala esihlalweni. Udokotela noma uchwepheshe ubeka idivayisi ekhethekile ('i-insulated wire coil') ekhanda lakho bese ethumela ama-magnetic pulses ngayo ezindaweni ezithile zobuchopho okucatshangwa ukuthi zihilelekile ekucindezelekeni. Lokhu akubuhlungu.
Isikhathi sokwelashwa sithatha cishe imizuzu engama-30, futhi kungadingeka ukuthi uthole ukwelashwa cishe izinsuku ezi-5 ngesonto amasonto ama-4-6. Enye yezinzuzo ezinkulu ze-TMS ukuthi inemiphumela emibi embalwa kakhulu futhi ayidingi ukuhlala esibhedlela. Abanye abantu bangase bezwe umuzwa wokucasuka ekhanda labo, noma bangase babe nekhanda elibuhlungu noma isiyezi esincane. Kodwa-ke, akubikwanga ukuthi lokhu kuthinta inkumbulo njenge-ECT. Kodwa-ke, kubalulekile ukukhumbula ukuthi i-TMS ayivezi imiphumela enamandla njenge-ECT.
2. Ukwelashwa Kokubanjwa Kwama-Magnetic (MST)
Lokhu kusesesigabeni socwaningo, futhi kufana nokuhlanganiswa kwe-ECT ne-TMS. Lapha, kusetshenziswa insimu enamandla yamagnetic ukudala ukuxhuzula okulawulwayo ebuchosheni. Nakuba imbangela eqondile ingaziwa, lokhu kuxhuzula kuqeda ngokushesha izimpawu zokucindezeleka. Kudinga futhi i-anesthesia, njengaku-ECT. Kodwa-ke, odokotela banethemba lokuthi njengoba i-ECT ingahlasela izindawo zobuchopho ngokunembile, izoba nomthelela omncane enkumbulo.
| Indlela yokwelapha | Ingabe kuyadingeka ukuhlinzwa kwe-anesthesia? | Inzuzo eyinhloko | Ububi obukhulu/imiphumela emibi |
|---|---|---|---|
| I-ECT (Ukwelashwa Nge-Electroconvulsive) | Yebo, kuyimpoqo. | Imiphumela esheshayo kakhulu futhi enamandla. | Inkumbulo ingase ithinteke okwesikhashana. |
| Ukukhuthazwa kwamagnetic kwe-transcranial ( i-TMS ) | Cha, asikho isidingo. | Imiphumela emibi mincane kakhulu, futhi akukho ukulaliswa esibhedlela. | Kungase kungabi nemiphumela esheshayo/eqinile njenge-ECT. |
| I-MST (i-Magnetic Shockwave) | Yebo, kuyadingeka. | Kungaba nomthelela omncane kwinkumbulo kune-ECT. | Kusesesigabeni sokucwaninga. |
Ezinye izindlela zokwelapha ezihlobene nokuhlinzwa
Lezi izindlela zokwelapha ezithuthukisiwe kakhulu, zokuhlinzwa. Ngokuvamile zisetshenziswa ezimweni ezinzima kakhulu lapho zonke ezinye izindlela zokwelapha zehlulekile.
1. Ukukhuthazwa Kobuchopho Obujulile (i-DBS)
Lokhu kuyindlela yokwelapha esivele isetshenziswa isifo sikaParkinson. Kulokhu, ama-electrode afakwa ngokuhlinzwa ezindaweni ezithile ezijulile zobuchopho. Lawa ma-electrode asebenza ngebhethri elifakwe ngaphansi kwesikhumba sesifuba noma isisu. Lawa ma-electrode athumela izimpawu zikagesi ezisekelweni zobuchopho ezilawula isimo sengqondo, ezilawula izimpawu zokucindezeleka. Nakuba ucwaningo lusalinganiselwe, imiphumela iyathembisa.
2. Ukukhuthazwa Kwemizwa Yesitho Sangasese Sowesifazane (i-VNS)
I-vagus nerve iyi-nerve ende egijima isuka ebuchosheni iye ezingxenyeni ezahlukene zomzimba. Le nerve ixhunywe nezingxenye zobuchopho ezilawula isimo sengqondo. Kulokhu kwelashwa, idivayisi encane, efana ne-pacemaker, ifakwa ngokuhlinzwa ngaphansi kwesikhumba sesifuba. Le divayisi ithumela ama-pulse kagesi ku-vagus nerve. Lokhu kuthuthukisa ukuxhumana kwezinzwa ebuchosheni futhi kunciphisa ukucindezeleka. Kodwa-ke, kungathatha izinyanga eziningana ukubona imiphumela.
I-Ketamine - impumuzo esheshayo?
I-Ketamine iyisidakamizwa esiqeda izinhlungu. Kodwa ucwaningo lwamuva nje luthole ukuthi uma inikezwa ngemithamo ephansi kakhulu, inganikeza impumuzo ngokushesha emahoreni ambalwa kwabanye abantu abacindezeleke kakhulu.
Ukwelashwa nge-spray yamakhala okubizwa ngokuthi i-Ketoconazole sekuvunyelwe manje kubantu abangasabeli kweminye imithi yokucindezeleka noma abacabanga ukuzibulala. Ngaphezu kwalokho, kusetshenziswa nokufakwa kwe-intravenous (IV infusion). Lokhu kuvame ukwenziwa esibhedlela, ngaphansi kokuqashwa kwezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- Ungalilahli ithemba lokuthi ukucindezeleka kwakho ngeke kuphele ngemithi ejwayelekile. Kunezindlela zokwelapha ezithuthukisiwe ezingakusiza.
- Izindlela zokwelapha ezifana ne-ECT kanye ne-TMS zihlukile kakhulu, ziphephile, futhi zisebenza kahle kakhulu kunalokho okubonayo kumamuvi.
- Eziningi zalezi zindlela zokwelapha zisasetshenziswa kuphela ezimweni ezithile. Ngayinye inezinzuzo nezinkinga zayo.
- Udokotela wakho kuphela onganquma ukuthi lolu hlobo lokwelashwa lukulungele yini. Ngakho-ke, vuleleka kuye ngemizwa yakho kanye nokuhlangenwe nakho kwakho.
- Impilo yengqondo ibaluleke njengempilo yomzimba. Ungalokothi unqikaze ukucela usizo.
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