Unyango lwe-Electroconvulsive

Unyango lwe-Electroconvulsive (ECT) lusebenzisa amandla ombane ukunyanga uxinzelelo kunye nezinye izifo zengqondo.

Ngexesha le-ECT, amandla ombane abangela ukubanjwa kwengqondo. Oogqirha bakholelwa ukuba umsebenzi wokubamba unokunceda ingqondo "i-rewire" ngokwayo, enceda ekunciphiseni iimpawu. I-ECT ikhuselekile ngokubanzi kwaye iyasebenza.

I-ECT idla ngokwenziwa esibhedlele ngelixa ulele kwaye ungenazintlungu (ianesthesia ngokubanzi):

• Ufumana iyeza lokuphumla (izihlaziyisi zemisipha). Ukwafumana nelinye iyeza (elikukubamba iintlungu elifutshane) ukukubeka ngokufutshane ukuze ulale kwaye kuthintele ukuba ungaziva zintlungu.
• Ii-electrode zibekwe entlokweni yakho. Ii-electrode ezimbini zijonga umsebenzi wengqondo yakho. Ezinye ii-electrode ezimbini zisetyenziselwa ukuhambisa umbane.
• Xa ulele, isixa esincinci sombane sihanjiswa entlokweni yakho ukuze kubangele ukubanjwa kwengqondo. Ihlala malunga nemizuzwana engama-40. Ufumana iyeza ukunqanda ukuxhuzula kunwenwe emzimbeni wakho. Ngenxa yoko, izandla okanye iinyawo zakho zihamba kancinci ngexesha lenkqubo.
• I-ECT ihlala inikwa kube kanye kwiintsuku ezi-2 ukuya kwezi-5 zizonke zeeseshoni ezi-6 ukuya kwezi-12. Ngamanye amaxesha iiseshoni ezininzi ziyafuneka.
• Kwimizuzu eliqela emva konyango, uyavuka. AULIKHUMBI unyango. Usiwa kwindawo yokubuyisela kwimeko yesiqhelo. Kulapho, iqela lokhathalelo lwempilo likujonga ngokusondeleyo. Xa uchache, ungagoduka.
• Kufuneka ube nomntu omdala ekuqhubela ekhaya. Qiniseka ukuba uzilungiselela kwangaphambili.

I-ECT lunyango olusebenzayo kunyango, oludla ngokuba luxinzelelo olukhulu. Inokuba luncedo kakhulu kunyango lokudakumba kubantu:

• Ngaba bakhohlisiwe okanye ezinye iimpawu zengqondo ngoxinzelelo lwabo
• Ngaba ukhulelwe kwaye uxinezeleke kakhulu
• Ngaba bafuna ukuzibulala
• Ayikwazi ukuthatha iziyobisi ezichasayo
• Khange uphendule ngokupheleleyo kwiziyobisi ezichasayo

Ngaphantsi kaninzi, i-ECT isetyenziselwa iimeko ezinje nge-mania, i-catatonia, kunye ne-psychosis engazukuphucula ngokwaneleyo kunye nezinye iindlela zonyango.

I-ECT ifumene umatshini wokushicilela ombi, ngokuyinxenye ngenxa yokuba inokubangela iingxaki kwimemori. Ukusukela oko i-ECT yaziswa ngoo-1930, idosi yombane esetyenziswe kwinkqubo yehle kakhulu. Oku kunciphise kakhulu iziphumo ebezingalindelekanga zale nkqubo, kubandakanya ukulahleka kwememori.

Nangona kunjalo, i-ECT isenokubangela ezinye iziphumo ebezingalindelekanga, kubandakanya:

• Isiphithiphithi esidla ngokuhlala ixesha elincinci kuphela
• Intloko ebuhlungu
• Uxinzelelo lwegazi olusezantsi (hypotension) okanye uxinzelelo lwegazi (uxinzelelo lwegazi)
• Ukuphulukana nenkumbulo (ukulahleka kwememori ngokusisigxina ngaphaya kwexesha lenkqubo kunqabile kakhulu kunokuba kwakunjalo ngaphambili)
• Ukukhathazeka kwemisipha
• Isicaphucaphu
• Intliziyo ekhawulezileyo (tachycardia) okanye ezinye iingxaki zentliziyo

Ezinye iimeko zonyango zibeka abantu emngciphekweni omkhulu kwiziphumo ebezingalindelekanga ezivela kwi-ECT. Xoxa ngemeko zakho zonyango kunye nayiphi na inkxalabo nogqirha wakho xa usenza isigqibo sokuba i-ECT ikulungele.

Ngenxa yokuba i-anesthesia ngokubanzi isetyenziselwa le nkqubo, uya kucelwa ukuba ungatyi okanye usele phambi kwe-ECT.

Buza umboneleli wakho ukuba ngaba ufanele ukuthatha nawaphi na amayeza emihla ngemihla kusasa ngaphambi kwe-ECT.

Emva kwekhosi ephumeleleyo ye-ECT, uyakufumana amayeza okanye i-ECT engaphantsi rhoqo ukunciphisa umngcipheko wesinye isiqendu soxinzelelo.

Abanye abantu baxela ukudideka okuncinci kunye nentloko emva kwe-ECT. Ezi mpawu kufuneka zihlale ixesha elifutshane.

Unyango Shock; Unyango lokothuka; ECT; Uxinzelelo-ECT; Ibipolar-ECT

IHermida AP, iglasi ye-OM, uShafi H, uMcDonald WM. Unyango lwe-Electroconvulsive kuxinzelelo: ukuziqhelanisa ngoku kunye nolwalathiso lwexesha elizayo. Iklinikhi yengqondo eMantla Am. 2018; 41 (3): 341-353. IINKCUKACHA: 30098649 pubmed.ncbi.nlm.nih.gov/30098649/.

UPerugi G, uMedda P, uBarbuti M, uNovi M, uTripodi B. Indima yonyango lwe-electroconvulsive kunyango lwe-bipolar exubeneyo. Iklinikhi yengqondo eMantla Am. Ngo-2020; 43 (1): 187-197. IINKCUKACHA: 32008684 pubmed.ncbi.nlm.nih.gov/32008684/.

Siu AL; Umsebenzi we-US Preventive Services Task Force (USPSTF), ii-Bibbins-Domingo K, et al. Ukuvavanywa koxinzelelo kubantu abadala: I-US Preventive Services Task Force statement. JAMA. Ngo-2016; 315 (4): 380-387. IINKCUKACHA: 26813211 pubmed.ncbi.nlm.nih.gov/26813211/.

IWelch CA. Unyango lwe-Electroconvulsive. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2016: isahluko 45.