Electroconvulsive Therapy (ECT): ndi chiyani, ndi liti pamene muyenera kuchita ndi momwe imagwirira ntchito

Zamkati

• Zikawonetsedwa
• Momwe imagwirira ntchito
• Monga zidachitidwira kale
• Zovuta zotheka
• Pamene sitiyenera kuchita

Mankhwala a electroconvulsive, omwe amadziwika kuti electroshock therapy kapena ECT yokha, ndi mtundu wamankhwala omwe amachititsa kusintha kwamagetsi kwamaubongo, kuwongolera kuchuluka kwa ma neurotransmitters serotonin, dopamine, norepinephrine ndi glutamate. Powongolera ma neurotransmitters awa, ndi mankhwala omwe amatha kugwiritsidwa ntchito pamavuto ena ovutika maganizo, schizophrenia ndi zovuta zina zamaganizidwe.

ECT ndi njira yothandiza kwambiri komanso yotetezeka, popeza kukondoweza kwa ubongo kumachitika ndi wodwalayo pansi pa anesthesia wamba, ndipo kugwidwa komwe kumachitika mchitidwewu kumangogwiritsidwa ntchito pazida, popanda chiopsezo kwa munthuyo.

Ngakhale kukhala ndi zotsatira zabwino, mankhwala a electroconvulsive Therapy samalimbikitsa kuchiza matendawa, koma amachepetsa kwambiri zizindikilo ndipo amayenera kuchitidwa nthawi ndi nthawi malinga ndi malingaliro a wazamisala.

Zikawonetsedwa

ECT imawonetsedwa makamaka pochiza kukhumudwa ndi zovuta zina zamaganizidwe, monga schizophrenia, mwachitsanzo. Mankhwalawa amachitika pamene:

• Munthuyo ali ndi chizolowezi chofuna kudzipha;
• Mankhwala osokoneza bongo sagwira ntchito kapena amabweretsa mavuto ambiri;
• Munthuyo ali ndi zizindikiro zoyipa zama psychotic.

Kuphatikiza apo, mankhwala a electroshock amathanso kuchitidwa ngati chithandizo cha mankhwala sichikulimbikitsidwa, makamaka kwa amayi apakati, oyamwitsa amayi kapena okalamba.

ECT itha kuchitidwanso kwa anthu omwe amapezeka ndi Parkinson's, khunyu ndi mania, monga bipolarity, mwachitsanzo.

Momwe imagwirira ntchito

ECT imachitika mchipatala ndipo imatha kukhala mpaka mphindi 30 ndipo sizimapweteka kapena kudwalitsa wodwalayo. Kuti achite izi, munthuyo ayenera kusala kudya kwa maola osachepera 7, ndichifukwa choti opaleshoni yofunikira imafunikira, kuwonjezera pa zopumulira za minofu ndikugwiritsa ntchito oyang'anira mtima, ubongo ndi kuthamanga kwa magazi.

Mankhwala opatsirana pogwiritsa ntchito magetsi amachitidwa moyang'aniridwa ndi dotolo wothandizira komanso wodwala matenda amisala ndipo amakhala ndi kugwiritsa ntchito mphamvu yamagetsi, pogwiritsa ntchito maelekitirodi awiri oyikidwa patsogolo pamutu, omwe amatha kupangitsa kulanda, komwe kumangowoneka pa chipangizo cha encephalogram. Kuchokera pamphamvu yamagetsi, kuchuluka kwa ma neurotransmitters mthupi kumayendetsedwa, zomwe zimapangitsa kuti muchepetse zizindikilo zokhudzana ndi matenda amisala komanso kukhumudwa. Dziwani kuti encephalogram ndi chiyani.

Pambuyo pochita izi, gulu launamwino limatsimikizira kuti wodwalayo ali bwino, amatha kumwa khofi ndikupita kwawo. ECT ndi njira yachangu, yotetezeka komanso yothandiza yochizira, ndipo magawo a nthawi ndi nthawi ayenera kuchitidwa molingana ndi kuchuluka kwa matenda amisala komanso malingaliro amisala, pomwe magawo 6 mpaka 12 akuwonetsedwa bwino. Pakutha gawo lililonse, wamankhwala amamuyesa wodwalayo kuti atsimikizire zotsatira zake.

Monga zidachitidwira kale

M'mbuyomu, mankhwala a electroconvulsive sanali kugwiritsiridwa ntchito kokha kuchiritsa odwala amisala, komanso ngati njira yozunza. Izi ndichifukwa choti ndondomekoyi sinayendetsedwe pansi pa anesthesia ndipo sipanakhale kuyendetsa kwa opumira minofu, zomwe zidapangitsa kuti pakhale kusokonekera panthawi ya njirayi ndi ma fracture angapo, chifukwa cha kupindika kwa minofu, kuphatikiza pakukumbukira zomwe zimachitika nthawi zambiri.

Popita nthawi, njirayi yasinthidwa, kotero kuti pano ikuwonedwa ngati njira yotetezeka, yokhala ndi chiopsezo chochepa chophwanyidwa komanso kukumbukira kukumbukira, ndipo kulanda kumangogwiritsidwa ntchito pazida zokha.

Zovuta zotheka

ECT ndi njira yotetezeka, komabe, pambuyo pochita izi, wodwalayo atha kumva kuti wasokonezeka, amatha kukumbukira kwakanthawi kapena samva bwino, zomwe nthawi zambiri zimakhala zotsatira za anesthesia. Kuphatikiza apo, pakhoza kukhala kuwoneka kwa zizindikilo zofatsa, monga kupweteka mutu, mseru kapena kupweteka kwaminyewa, zomwe zimatha kuchiritsidwa mwachangu ndi mankhwala ena omwe amatha kuthana ndi zizindikirazo.

Pamene sitiyenera kuchita

Mankhwala amagetsi amatha kuchitidwa kwa aliyense, komabe anthu omwe avulala m'mimba, adadwala matenda amtima kapena kupwetekedwa mtima, kapena ali ndi matenda am'mapapo, amangothana ndi ECT ataganizira zoopsa za njirayi.