Unyango lwe-Electroconvulsive

Umxholo

• Yintoni unyango lwe-electroconvulsive?
• Imbali ye-ECT
• Kutheni i-ECT isetyenziswa?
• Ukuxhuzula
• Uxinzelelo olukhulu lokudakumba
• Ischizophrenia
• Iindidi ze-ECT
• Yintoni onokuyilindela
• Isebenza kangakanani i-ECT?
• Izibonelelo ze-ECT ngokuchasene nezinye iindlela zonyango
• Iziphumo ebezingalindelekanga ze-ECT

Yintoni unyango lwe-electroconvulsive?

Unyango lwe-Electroconvulsive (ECT) lunyango lwezifo ezithile zengqondo. Ngexesha lonyango, imisinga yombane ithunyelwa ngengqondo ukuze ibangele ukuxhuzula.

Inkqubo ibonakalisiwe ukunceda abantu abanexinzelelo lweklinikhi. Ihlala isetyenziselwa ukunyanga abantu abangaphenduliyo kunyango okanye unyango lwentetho.

Imbali ye-ECT

I-ECT inexesha elidlulileyo. Xa i-ECT yaqala ukwaziswa nge-1930s, yaziwa ngokuba yi "electroshock therapy." Ekusetyenzisweni kwayo kwangoko, abaguli bahlala befumana amathambo aphukileyo kunye nokulimala okunxulumene noko ngexesha lonyango.

Ukuphumla kwezihlunu bekungafumaneki ukulawula ukuxhuzula kobundlobongela okubangelwe yi-ECT. Ngenxa yoku, ithathwa njengenye yezona zinto ziphikisayo kunyango lwangoku lwezifo zengqondo.

Kwi-ECT yanamhlanje, imisinga yombane ilawulwa ngononophelo, ngendlela elawulwa ngakumbi. Isigulana sinikwa izihlaziyi zomzimba kunye nokuthomalalisa umngcipheko wokonzakala.

Namhlanje, uMbutho Wezonyango waseMelika kunye namaZiko kaZwelonke eMpilo yeNgqondo axhasa ukusetyenziswa kwe-ECT.

Kutheni i-ECT isetyenziswa?

I-ECT ihlala isetyenziswa njengonyango lwendlela yokugqibela kwezi ngxaki zilandelayo:

Ukuxhuzula

Ukuphazamiseka kwengqondo okuguquguqukayo kubonakaliswa ngamaxesha amandla amakhulu kunye ne-elation (mania) enokuthi okanye ingalandelwa luxinzelelo olukhulu.

Uxinzelelo olukhulu lokudakumba

Esi sisifo esiqhelekileyo sengqondo. Abantu abanesifo sokudakumba abanamava aphantsi. Basenokungakonwabeli ukwenza imisebenzi ababeyifumene iyonwabisa.

Ischizophrenia

Esi sifo sengqondo senza ukuba:

• paranoia
• nemibono
• ukukhohlisa

Iindidi ze-ECT

Zimbini iintlobo eziphambili ze-ECT:

• icala elinye
• yamazwe amabini

Kwi-ECT yamazwe amabini, ii-electrode zibekwe ngapha nangapha kwentloko yakho. Unyango luchaphazela ingqondo yakho iphela.

Kwi-ECT ye-unilateral, i-electrode enye ibekwe phezulu entlokweni yakho. Enye ibekwe kwitempile yakho yasekunene. Olu nyango luchaphazela kuphela icala lasekunene lengqondo yakho.

Ezinye izibhedlele zisebenzisa i-pulses "emfutshane" ngexesha le-ECT. Ezi zokugqibela zingaphantsi kwesiqingatha se-millisecond, xa kuthelekiswa nokubetha okuqhelekileyo kwemillisecond. Iifutshane ezimfutshane zikholelwa ukuba ziya kunceda ukukhusela ukulahleka kwememori.

Yintoni onokuyilindela

Ukulungiselela i-ECT, kuyakufuneka uyeke ukutya nokusela kangangexesha elithile. Kuya kufuneka ukuba utshintshe amayeza athile. Ugqirha wakho uya kukwazisa ukuba ucwangcise njani.

Ngomhla wenkqubo, ugqirha wakho uya kukunika i-anesthesia jikelele kunye nezihlunu zemisipha. La mayeza aya kunceda ukuthintela ukuxhuzula okunxulunyaniswa nomsebenzi wokubamba. Uya kulala ngaphambi kwenkqubo kwaye ungakhumbuli emva koko.

Ugqirha wakho uya kubeka ii-electrode ezimbini entlokweni yakho. Umbane olawulwayo uya kudlula phakathi kwee-electrode. Okwangoku kubangela ukubanjwa kwengqondo, olutshintsho lwethutyana kwimisebenzi yombane wobuchopho. Izakuhlala phakathi kwemizuzwana engama-30 ukuya kuma-60.

Ngexesha lenkqubo, kuya kubekwa esweni isingqi sentliziyo kunye noxinzelelo lwegazi. Njengenkqubo yokugula, uya kugoduka kwangolo suku.

Uninzi lwabantu luxhamla kwi-ECT njengambalwa njengeeseshoni eziyi-8 ukuya kwezi-12 ngaphezulu kweeveki ezi-3 ukuya kwezi-6. Ezinye izigulana zifuna unyango lwenyanga enye, nangona ezinye zisenokufuna ishedyuli yolondolozo eyahlukileyo.

Isebenza kangakanani i-ECT?

NgokukaGqirha Howard Iiveki zeKlinikhi yokuNyanga iMood Mood Disorder Clinic e-UNI, unyango lwe-ECT lunezinga lempumelelo lama-70 ukuya kuma-90 eepesenti xa kufikwa kwizigulana ezibangcono. Oku kuthelekiswa neepesenti ezingama-50 ukuya kuma-60 zempumelelo kwabo bathatha amayeza.

Isizathu sokuba i-ECT isebenze kangaka ayikacaci. Abanye abaphandi bakholelwa ukuba kuyanceda ukulungisa ukungalingani kwinkqubo yemiyalezo yobuchopho. Enye inkolelo kukuba ukubanjwa ngandlela thile kuseta ingqondo.

Izibonelelo ze-ECT ngokuchasene nezinye iindlela zonyango

I-ECT isebenza kubantu abaninzi xa iziyobisi okanye unyango lwengqondo lungasebenzi. Kukho iziphumo ebezingalindelekanga ezimbalwa kunamayeza.

I-ECT isebenza ngokukhawuleza ukunciphisa iimpawu zengqondo. Uxinzelelo okanye i-mania inokusombulula emva konyango olunye okanye ezimbini.Amayeza amaninzi afuna iiveki ukuba zisebenze. Ke ngoko, i-ECT inokuba luncedo ngakumbi kwabo:

• ukuzibulala
• yengqondo
• ikhatoni

Nangona kunjalo, abanye abantu banokufuna ulondolozo lwe-ECT, okanye amayeza, ukugcina izibonelelo ze-ECT. Ugqirha wakho uya kudinga ukubeka iliso kwinkqubela phambili yakho ukumisela olona nyameko lulandelayo kuwe.

I-ECT inokusetyenziswa ngokukhuselekileyo kwabasetyhini abakhulelweyo nakwabo baneemeko zentliziyo.

Iziphumo ebezingalindelekanga ze-ECT

Iziphumo ezinxulumene ne-ECT aziqhelekanga kwaye ngokubanzi ziphakathi. Banokubandakanya:

• intloko ebuhlungu okanye ubuhlungu bemisipha kwiiyure ezilandelayo unyango
• ukudideka kwakamsinya emva konyango
• isicaphucaphu, ngesiqhelo emva konyango
• ukulahleka kwememori kwexesha elifutshane okanye ixesha elide
• ukubetha kwentliziyo ngendlela engaqhelekanga, nto leyo eneziphumo ebezingalindelekanga

I-ECT inokubulala, kodwa ukufa kunqabile kakhulu. Malunga nokufa kwi-ECT. Oku kungaphantsi kwenqanaba lokuzibulala lase-United States, eliqikelelwa ukuba li-12 kubantu abangama-100,000.

Ukuba wena okanye umntu omthandayo ujongana neengcinga zokuzibulala, tsalela umnxeba ku-911 okanye kwiNational Suicide Prevention Lifeline ku-1-800-273-8255 ngoko nangoko.