Chithandizo cha Electroconvulsive

Zamkati

• Kodi mankhwala a electroconvulsive therapy ndi ati?
• Mbiri ya ECT
• Chifukwa chiyani ECT imagwiritsidwa ntchito?
• Matenda osokoneza bongo
• Kusokonezeka kwakukulu
• Matenda achizungu
• Mitundu ya ECT
• Zomwe muyenera kuyembekezera
• Kodi ECT ndiyothandiza motani?
• Ubwino wa ECT ndi mankhwala ena
• Zotsatira zoyipa za ECT

Kodi mankhwala a electroconvulsive therapy ndi ati?

Electroconvulsive therapy (ECT) ndichithandizo cha matenda ena amisala. Munthawi yamankhwala iyi, mafunde amagetsi amatumizidwa kudzera muubongo kuti akope.

Njirayi yawonetsedwa kuti ikuthandiza anthu omwe ali ndi vuto lachipatala. Amagwiritsidwa ntchito kwambiri pochiza anthu omwe samvera mankhwala kapena mankhwala olankhula.

Mbiri ya ECT

ECT ili ndi zakale zosiyanasiyana. Pamene ECT idayambitsidwa koyamba m'ma 1930, idadziwika kuti "electroshock therapy." Pogwiritsidwa ntchito koyambirira, odwala nthawi zonse amakhala ndi mafupa osweka komanso kuvulala kofananira panthawi yachipatala.

Zotulutsa minofu sizinapezeke kuti ziwongolere zopweteketsa zomwe ECT imayambitsa. Chifukwa cha ichi, chimawerengedwa kuti ndi imodzi mwazinthu zotsutsana kwambiri zamankhwala amisala amakono.

Mu ECT yamakono, mafunde amagetsi amayendetsedwa mosamala, moyenera. Komanso, wodwalayo amapatsidwa zotupitsa minofu ndikukhala pansi kuti achepetse kuvulala.

Masiku ano, American Medical Association ndi National Institutes of Mental Health amathandizira kugwiritsa ntchito ECT.

Chifukwa chiyani ECT imagwiritsidwa ntchito?

ECT imagwiritsidwa ntchito kwambiri pochiza omaliza pamavuto otsatirawa:

Matenda osokoneza bongo

Matenda a bipolar amadziwika ndi nthawi yamphamvu kwambiri komanso kukondwerera (mania) komwe kumatha kutsatiridwa kapena kukhumudwa kwambiri.

Kusokonezeka kwakukulu

Izi ndizovuta zamisala. Anthu omwe ali ndi vuto lalikulu lachisoni amakhala osasangalala nthawi zambiri. Mwina sangasangalalenso ndi zinthu zomwe poyamba ankaziona zosangalatsa.

Matenda achizungu

Matenda amisala amayambitsa:

• paranoia
• kuyerekezera zinthu m'maganizo
• zonyenga

Mitundu ya ECT

Pali mitundu iwiri ikuluikulu ya ECT:

• chimodzi
• mayiko awiri

M'magulu awiri a ECT, ma elekitirodi amaikidwa mbali zonse ziwiri za mutu wanu. Mankhwalawa amakhudza ubongo wanu wonse.

Mu ECT yosagwirizana, elekitirodi imodzi imayikidwa pamwamba pamutu panu. Yina imayikidwa pakachisi wanu wakumanja. Mankhwalawa amakhudza mbali yakumanja ya ubongo wanu.

Zipatala zina zimagwiritsa ntchito mitunda "yachidule" pa ECT. Izi zimatha kupitirira theka la millisecond, poyerekeza ndi pulse standard millisecond imodzi. Mitengo yayifupi amakhulupirira kuti imathandizira kupewa kukumbukira kukumbukira.

Zomwe muyenera kuyembekezera

Kuti mukonzekere ECT, muyenera kusiya kudya ndikumwa kwa nthawi yayitali. Muyeneranso kusintha mankhwala ena. Dokotala wanu adzakudziwitsani momwe mungakonzekerere.

Patsiku la njirayi, dokotala wanu amakupatsani mankhwala oletsa ululu ndi opumula. Mankhwalawa amathandiza kupewa kusokonezeka komwe kumakhudzana ndi kugwidwa. Mudzagona musanachitike ndondomekoyi ndipo musakumbukire pambuyo pake.

Dokotala wanu adzaika ma elekitirodi awiri pamutu panu. Magetsi oyendetsedwa azidutsa pakati pamaelekitirodi. Zamakono zimayambitsa kugwidwa kwa ubongo, zomwe ndizosintha kwakanthawi pamagetsi amagetsi. Idutsa masekondi 30 mpaka 60.

Mukamachita izi, muyang'anitsitsa mtima wanu komanso kuthamanga kwa magazi. Monga njira ya kuchipatala, nthawi zambiri mumapita kunyumba tsiku lomwelo.

Anthu ambiri amapindula ndi ECT m'magawo ochepa mpaka 8 mpaka 12 pamasabata 3 mpaka 6. Odwala ena amafunikira chithandizo chokonzekera kamodzi pamwezi, ngakhale ena angafunike nthawi ina yosamalira.

Kodi ECT ndiyothandiza motani?

Malinga ndi Dr. Howard Weeks wa Treatment Resistant Mood Disorder Clinic ku UNI, chithandizo cha ECT chimapambana 70 mpaka 90% zikafika poti odwala akuchira. Izi zikuyerekeza kuyerekezera kwapakati pa 50 ndi 60 peresenti kwa omwe amamwa mankhwala.

Chifukwa chomwe ECT ndiyothandiza kwambiri sichikudziwika bwinobwino. Ofufuza ena amakhulupirira kuti zimathandiza kukonza kusakhazikika mu makina amagetsi am'magazi. Lingaliro linanso ndikuti kulanda mwanjira inayake kumabwezeretsanso ubongo.

Ubwino wa ECT ndi mankhwala ena

ECT imagwira ntchito kwa anthu ambiri pomwe mankhwala osokoneza bongo kapena psychotherapy sagwira ntchito. Pali zovuta zochepa kuposa mankhwala.

ECT imagwira ntchito mwachangu kuti ithetse matenda amisala. Matenda okhumudwa kapena kutaya mtima kungathetse pakatha chithandizo chimodzi kapena ziwiri.Mankhwala ambiri amafuna milungu kuti agwire ntchito. Chifukwa chake, ECT itha kukhala yopindulitsa makamaka kwa iwo omwe ali:

• kudzipha
• wamisala
• katatoni

Komabe, anthu ena angafunike kukonza ECT, kapena mankhwala, kuti athandizire zabwino za ECT. Dokotala wanu adzafunika kuyang'anitsitsa momwe mukuyendera kuti adziwe momwe mungasamalire bwino.

ECT itha kugwiritsidwa ntchito mosamala kwa amayi apakati komanso omwe ali ndi vuto la mtima.

Zotsatira zoyipa za ECT

Zotsatira zoyipa zomwe zimakhudzana ndi ECT sizachilendo ndipo nthawi zambiri zimakhala zofatsa. Zitha kuphatikiza:

• kupweteka kwa mutu kapena minofu m'maola otsatirawa
• kusokonezeka posakhalitsa chithandizo
• nseru, nthawi zambiri atangolandira chithandizo
• kuiwala kwakanthawi kochepa kapena kwakanthawi
• kugunda kwamtima mosasinthasintha, komwe kumachitika kawirikawiri

ECT ikhoza kupha, koma imfa ndizosowa kwambiri. Pafupifupi kufa kuchokera ku ECT. Izi ndizotsika poyerekeza ndi kudzipha kwa United States, komwe akuti ndi 12 mwa anthu 100,000.

Ngati inu kapena wokondedwa wanu muli ndi malingaliro ofuna kudzipha, itanani 911 kapena National Suicide Prevention Lifeline ku 1-800-273-8255 nthawi yomweyo.