Chithandizo chamagetsi

Electroconvulsive therapy (ECT) imagwiritsa ntchito mphamvu zamagetsi pochiza kukhumudwa ndi matenda ena amisala.

Pa ECT, mphamvu yamagetsi imayambitsa kugwidwa muubongo. Madokotala amakhulupirira kuti ntchito yolanda ikhoza kuthandizira ubongo "rewire" wokha, womwe umathandiza kuthetsa zizindikilo. ECT nthawi zambiri imakhala yotetezeka komanso yothandiza.

ECT imachitika nthawi zambiri kuchipatala muli mtulo komanso mukumva kuwawa (general anesthesia):

• Mumalandira mankhwala okutulutsani (osatsitsimula minofu). Mumalandiranso mankhwala ena (oletsa kumva kuwawa kwakanthawi kochepa) okugwiritsani mwachidule kuti mugone ndikukulepheretsani kumva kupweteka.
• Maelekitirodi amaikidwa pamutu panu. Maelekitirodi awiri amawunika momwe ubongo wanu umagwirira ntchito. Ma electrode ena awiri amagwiritsidwa ntchito popereka magetsi.
• Mukamagona, mphamvu yamagetsi yocheperako imaperekedwa pamutu panu kuti iwonongeke muubongo. Imakhala pafupifupi masekondi 40. Mumalandira mankhwala kuti kupewa khunyu kufalikire mthupi lanu lonse. Zotsatira zake, manja anu kapena mapazi anu amangoyenda pang'ono panthawi yochita izi.
• ECT nthawi zambiri imaperekedwa kamodzi masiku awiri kapena asanu pamitundu yonse ya 6 mpaka 12. Nthawi zina magawo ambiri amafunikira.
• Mphindi zingapo mutalandira chithandizo, mumadzuka. SIMUKUMBUKIRA chithandizo. Mumatengedwera kumalo ochira. Kumeneko, gulu lazachipatala limakuyang'anirani mosamala. Mukachira, mutha kupita kwanu.
• Muyenera kukhala ndi munthu wamkulu wopita kunyumba. Onetsetsani kuti mukonzekere izi pasadakhale.

ECT ndi mankhwala othandiza kwambiri pamavuto, makamaka kukhumudwa kwakukulu. Zingakhale zothandiza kwambiri pochiza kukhumudwa kwa anthu omwe:

• Ali ndi zinyengo kapena zizindikilo zina zama psychotic ndi kukhumudwa kwawo
• Ali ndi pakati komanso opsinjika kwambiri
• Amadzipha
• Simungamwe mankhwala opondereza
• Simunayankhebe kwathunthu ndi mankhwala ochepetsa nkhawa

Pafupipafupi, ECT imagwiritsidwa ntchito pazinthu monga mania, catatonia, ndi psychosis zomwe SIZIYENDA mokwanira ndimankhwala ena.

ECT ilandila atolankhani oyipa, mwa zina chifukwa chakutha kwake kuyambitsa zovuta zokumbukira. Popeza ECT idayambitsidwa mzaka za 1930, kuchuluka kwa magetsi omwe amagwiritsidwa ntchito pochita izi kwatsika kwambiri. Izi zachepetsa kwambiri zotsatirapo za njirayi, kuphatikiza kukumbukira kukumbukira.

Komabe, ECT ikhoza kuyambitsa zovuta zina, kuphatikizapo:

• Chisokonezo chomwe chimangokhala kwakanthawi kochepa
• Mutu
• Kuthamanga kwa magazi (hypotension) kapena kuthamanga kwa magazi (kuthamanga kwa magazi)
• Kuiwala kukumbukira (kukumbukira kosatha kwakumbuyo kupitilira nthawi ya njirayi ndi kofala kwambiri kuposa kale)
• Kupweteka kwa minofu
• Nseru
• Kugunda kwamtima mwachangu (tachycardia) kapena mavuto ena amtima

Matenda ena amaika anthu pachiwopsezo chachikulu chotenga zotsatira kuchokera ku ECT. Kambiranani za matenda anu ndi nkhawa zanu ndi dokotala mukamasankha ngati ECT ili yoyenera kwa inu.

Chifukwa chakuti anesthesia amagwiritsidwa ntchito pochita izi, mudzafunsidwa kuti musadye kapena kumwa pamaso pa ECT.

Funsani omwe akukuthandizani ngati mukuyenera kumwa mankhwala tsiku lililonse m'mawa pamaso pa ECT.

Mukachita bwino ku ECT, mudzalandira mankhwala kapena ECT yocheperako kuti muchepetse chiopsezo cha gawo lina lokhumudwa.

Anthu ena amafotokoza kusokonezeka pang'ono komanso kupweteka mutu pambuyo pa ECT. Zizindikirozi zimangokhala kwakanthawi.

Mankhwala Shock; Mankhwala Shock; ECT; Kukhumudwa - ECT; Bipolar - ECT

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Perugi G, Medda P, Barbuti M, Novi M, Tripodi B. Udindo wa mankhwala opangira magetsi pochiza matenda osokonezeka maganizo. Chipatala cha Psychiatr North Am. Chizindikiro. 2020; 43 (1): 187-197. PMID: 32008684 pubed.ncbi.nlm.nih.gov/32008684/.

Siu AL; US Preventive Services Task Force (USPSTF), Bibbins-Domingo K, ndi al. Kuunikira kukhumudwa kwa akulu: Ndemanga ya US Preventive Services Task Force. JAMA. 2016; 315 (4): 380-387. PMID: 26813211 pubed.ncbi.nlm.nih.gov/26813211/.

Welch, CA. Chithandizo chamagetsi. Mu: Stern TA, Fava M, Wilens TE, Rosenbaum JF, olemba. Chipatala cha Massachusetts General Hospital Comprehensive Clinical Psychiatry. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chap 45.