Electroconvulsive kurapa

Electroconvulsive therapy (ECT) inoshandisa magetsi ekurapa kushungurudzika uye zvimwe zvirwere zvepfungwa.

Munguva yeECT, magetsi emagetsi anokonzeresa kubata muuropi. Vanachiremba vanotenda kuti kubata basa kunogona kubatsira huropi "rewire" pachayo, iyo inobatsira kubvisa zviratidzo. ECT inowanzo chengeteka uye inoshanda.

ECT inowanzoitwa muchipatara iwe paunenge wakarara uye uchirwadziwa pasina (general anesthesia):

• Iwe unogashira mushonga wekukuzorodza iwe (mhasuru inozorodza). Iwe zvakare unogashira mumwe mushonga (mupfupi-unobata zveshuwa) kukuisa iwe mupfupi pakurara uye kukutadzisa iwe kunzwa kurwadziwa.
• Electrodes anoiswa pamusoro wako musoro. Ma electrode maviri anotarisisa chiitiko cheuropi. Imwe ma electrode maviri anoshandiswa kuendesa magetsi emagetsi.
• Paunenge wakarara, shoma shoma yemagetsi inoendeswa kumusoro wako kuti ikonzere kubatwa kwehuropi muuropi. Inotora kwemasekondi makumi mana. Iwe unogamuchira mushonga wekudzivirira kubatwa kuti kusapararire mumuviri wako wese. Nekuda kweizvozvo, maoko ako kana tsoka zvinofamba zvishoma panguva yekuita.
• ECT inowanzo kupihwa kamwe chete mazuva maviri kusvika mashanu ezvese zvikamu zve6 kusvika ku12. Dzimwe nguva zvimwe zvikamu zvinodiwa.
• Maminetsi akati wandei mushure mekurapwa, unomuka. HAUSAI kurangarira kurapwa. Unoendeswa kunzvimbo yekudzorera. Ikoko, timu yehutano inokutarisa zvakanyanya. Kana wapora, unogona kuenda kumba.
• Unofanirwa kunge uine munhu mukuru anokuendesa kumba. Ive neshuwa yekuronga izvi pamberi penguva.

ECT mushonga unoshanda zvakanyanya wekushushikana, kazhinji kushushikana kwakanyanya. Zvinogona kubatsira zvakanyanya pakurapa kushushikana mune vanhu vano:

• Vari kunyengera kana zvimwe zviratidzo zvepfungwa nekushushikana kwavo
• Vane pamuviri uye vakashungurudzika zvakanyanya
• Kuzviuraya
• Haikwanise kutora mishonga inodzvinyirira
• Hausati wapindura zvakazara kune antidepressant zvinodhaka

Zvishoma kazhinji, ECT inoshandiswa kune akadai mamania, catatonia, uye psychosis izvo ZVISINA kuvandudza zvakakwana nemamwe marapirwo.

ECT yakagashira yakaipa kudhinda, muchidimbu nekuda kwekugona kwayo kukonzera matambudziko ekurangarira Sezvo ECT yakaunzwa muma1930, muyero wemagetsi wakashandiswa munzira iyi wakadzikira zvakanyanya. Izvi zvakadzora zvakanyanya mhedzisiro yeiyi maitiro, kusanganisira kurasikirwa ndangariro.

Zvisinei, ECT inogona kukonzera mimwe migumisiro, kusanganisira:

• Kuvhiringidzika kunowanzoitika kwenguva pfupi chete
• Kutemwa nemusoro
• Kuderera kweropa (hypotension) kana kukwira kweropa (hypertension)
• Kurasikirwa kwekurangarira (zvachose kurangarira kurasikirwa kupfuura iyo nguva yeiyo maitiro ishoma zvakanyanya kupfuura zvayaimboita kare)
• Tsvina kusuruvara
• Nausea
• Rapid heartbeat (tachycardia) kana mamwe matambudziko emoyo

Zvimwe zvehutano zvinoisa vanhu panjodzi huru yemhedzisiro kubva kuECT. Kurukurai nezvehutano hwako uye chero zvinokunetsa nachiremba wako kana uchisarudza kana ECT yakakunakira iwe.

Nekuti general anesthesia inoshandiswa kuita iyi, iwe unozobvunzwa kuti usadye kana kunwa pamberi peECT.

Kumbira mupi wako kana iwe uchifanira kutora chero mishonga yezuva nezuva mangwanani pamberi peECT.

Mushure mekubudirira kosi yeECT, iwe unozogamuchira mishonga kana kushomeka kazhinji ECT yekudzora njodzi yeimwe yekuora mwoyo episode.

Vamwe vanhu vanotaura kuvhiringidzika kuderera uye kutemwa nemusoro mushure meECT. Zviratidzo izvi zvinofanirwa kungogara kwenguva pfupi.

Shock kurapwa; Shock kurapa; ECT; Kushungurudzika - ECT; Bipolar - ECT

Hermida AP, Girazi OM, Shafi H, McDonald WM. Electroconvulsive kurapwa mukutambudzika: ikozvino maitiro uye ramangwana rairo. Psychiatr Kliniki North Am. 2018; 41 (3): 341-353. PMID: 30098649 pubed.ncbi.nlm.nih.gov/30098649/.

Perugi G, Medda P, Barbuti M, Novi M, Tripodi B. Basa re electroconvulsive Therap mukurapa kweakanyanya bipolar yakavhenganiswa nyika. Psychiatr Kliniki North Am. 2020; 43 (1): 187-197. PMID: 32008684 pubmed.ncbi.nlm.nih.gov/32008684/.

Siu AL; US Preventive Services Task Force (USPSTF), Bibbins-Domingo K, et al. Kuongorora kushushikana muvakuru: US Preventive Services Task Force kurudziro chirevo. JAMA. 2016; 315 (4): 380-387. PMID: 26813211 pubmed.ncbi.nlm.nih.gov/26813211/.

Welch CA. Electroconvulsive kurapa. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits.