Electroconvulsive Therapy

Zvemukati

• Chii chinonzi electroconvulsive therapy?
• Nhoroondo yeECT
• Nei ECT ichishandiswa?
• Bipolar kusagadzikana
• Huru kushungurudzika kusagadzikana
• Schizophrenia
• Mhando dzeECT
• Zvaunotarisira
• ECT inoshanda zvakadii?
• Zvakanakira ECT maringe nemamwe marapirwo
• Zvikanganiso zveECT

Chii chinonzi electroconvulsive therapy?

Electroconvulsive Therapy (ECT) kurapwa kwehumwe hutano hwepfungwa. Munguva yekurapa uku, magetsi emagetsi anotumirwa kuburikidza nehuropi kukurudzira kubatwa.

Maitiro akaratidzirwa kubatsira vanhu vane kiriniki yekuora mwoyo. Inonyanya kushandiswa kurapa vanhu vasingapindure kumushonga kana kutaura kurapwa.

Nhoroondo yeECT

ECT ine zvakapfuura zvakapfuura. Apo ECT yakatanga kubudiswa muma1930, yaizivikanwa se "electroshock therapy." Mukushandisa kwayo kwekutanga, varwere vaigara vachitambura mapfupa akavhunika uye kukuvara kwakabatana panguva yekurapwa.

Misuru inozorodza yanga isingawanikwe yekudzora mhirizhonga yeECT yakakonzerwa. Nekuda kweizvi, inoonekwa seimwe yemakakatanwa ekurapa mune yazvino psychiatry.

MuECT yemazuva ano, magetsi emagetsi anoendeswa zvakanyatsonaka, nenzira inodzorwa zvakanyanya. Zvakare, murwere anopiwa tsandanyama zvinozorodza uye kugadzikana kuti kuderedze njodzi yekukuvara.

Nhasi, vese American Medical Association uye maNational Institutes eMental Health anotsigira kushandiswa kweECT.

Nei ECT ichishandiswa?

ECT inowanzo shandiswa sekurapa kwekupedzisira sarudzo yezvinetso zvinotevera:

Bipolar kusagadzikana

Bipolar kusagadzikana kunoonekwa nenguva dzesimba rakakura uye kufadza (mania) iyo inogona kana isingateedzerwe nekushushikana kwakanyanya.

Huru kushungurudzika kusagadzikana

Ichi chirwere chakajairika chepfungwa. Vanhu vane kushushikana kukuru kwekushushikana vane ruzivo rwekudzikama kazhinji. Vanogona zvakare kusanakidzwa nezviitiko zvavaimboona zvichifadza.

Schizophrenia

Ichi chirwere chepfungwa chinowanzo kukonzera:

• paranoia
• kuona zvisipo
• kunyengera

Mhando dzeECT

Kune maviri makuru marudzi eECT:

• unilateral
• nyika mbiri

Mune ECT mbiri, ma electrode anoiswa kune ese mativi emusoro wako. Mushonga unobata huropi hwako hwese.

Mune unilateral ECT, imwe electrode inoiswa pamusoro pemusoro wako. Imwe yacho inoiswa patembere yako yekurudyi. Uku kurapwa kunokanganisa chete kurudyi uropi hwako.

Zvimwe zvipatara zvinoshandisa "ultra-pfupi" pulses panguva yeECT. Aya ekupedzisira asingasviki hafu millisecond, zvichienzaniswa neyakajairwa imwe-millisecond kupomba. Iwo mapfupi mapuru anotendwa anobatsira kudzivirira ndangariro kurasikirwa.

Zvaunotarisira

Kugadzirira ECT, iwe uchafanirwa kurega kudya uye kunwa kwenguva yakatarwa yenguva. Iwe unogona zvakare kuda kuchinja mimwe mishonga. Chiremba wako anokuzivisa iwe kuronga.

Pazuva rekuita, chiremba wako achakupa anesthesia uye mhombwe. Iyi mishonga inobatsira kudzivirira kusagadzikana kwakabatana nebasa rekubata. Iwe uchakotsira usati waitwa uye usazozvirangarira mushure.

Chiremba wako anoisa maelektrode maviri pamusoro wako musoro. Magetsi anodzorwa anozo pfuura pakati pemagetsi. Izvozvi zvinokonzeresa kubatwa kwehuropi, inova shanduko yenguva pfupi mune yemagetsi mashandiro emagetsi. Ichagara pakati pemasekondi makumi matatu nemakumi matanhatu.

Munguva yekuita, moyo wako mutinhimira uye kuwedzerwa kweropa kunozoongororwa. Sechirongwa chekurapa varwere, iwe unowanzo enda kumba zuva rimwe chetero.

Vanhu vazhinji vanobatsirwa kubva kuECT mune mashoma seasere kusvika gumi nemaviri zvikamu pane matatu kusvika kumavhiki matanhatu. Vamwe varwere vanoda kurapwa kamwe chete pamwedzi, kunyangwe vamwe vangangoda imwe chirongwa chekuchengetedza.

ECT inoshanda zvakadii?

Sekureva kwaDoctor Howard Mavhiki eTreatment Resistant Mood Disorder Clinic kuUNI, ECT kurapwa ine 70 kusvika 90 muzana yekubudirira kana zvasvika kune varwere vari kuita nani. Izvi zvinofananidzwa ne50 kusvika 60 muzana yekubudirira kweavo vanotora mishonga.

Chikonzero icho ECT inoshanda zvakadaro chinoramba chisina kujeka. Vamwe vaongorori vanotenda kuti zvinobatsira kugadzirisa kusaenzana muhuropi chemakemikari messenger system. Imwe dzidziso ndeyekuti kubatwa neimwe nzira kunogadziridza huropi.

Zvakanakira ECT maringe nemamwe marapirwo

ECT inoshanda kune vanhu vazhinji kana zvinodhaka kana kurapwa kwepfungwa kusingashande. Iko kune akawandisa mashoma mhedzisiro pane nemishonga.

ECT inoshanda nekukurumidza kugadzirisa zviratidzo zvepfungwa. Kushungurudzika kana mania zvinogona kugadzirisa mushure mekurapwa kumwe chete kana maviri.Mishonga yakawanda inoda vhiki kuti itange kushanda. Naizvozvo, ECT inogona kubatsira zvakanyanya kune avo vari:

• kuzviuraya
• psychotic
• catatonic

Zvisinei, vamwe vanhu vangangoda kuchengetedza ECT, kana mishonga, kuchengetedza mabhenefiti eECT. Chiremba wako anozoda kuongorora kufambira mberi kwako zvakanyanya kuti aone yakanakisa yekutevera-yekutarisira iwe.

ECT inogona kushandiswa zvakachengeteka pane vese vakadzi vane nhumbu uye avo vane moyo wemamiriro.

Zvikanganiso zveECT

Mhedzisiro inosangana neECT haina kujairika uye inowanzo nyoro. Zvinogona kusanganisira:

• kurwadziwa nemusoro kana mhasuru kurwadza mumaawa anotevera kurapwa
• kuvhiringidzika nguva pfupi mushure mekurapwa
• kushungurudza, kazhinji nguva pfupi mushure mekurapa
• -nguva pfupi-kana refu-refu ndangariro kurasikirwa
• zvisina kukodzera kurova kwemoyo, inova isingawanzoitika mhedzisiro

ECT inogona kuuraya, asi kufa hakuwanzoitika. About kufa kubva kuECT. Izvi zvakaderera kupfuura mwero wekuzviuraya weUnited States, uyo unofungidzirwa kuva gumi nevaviri muvanhu zviuru zana.

Kana iwe kana munhu waunoda ari kusangana nepfungwa dzekuzviuraya, fonera 911 kana iyo National Suicide Prevention Lifeline pa1-800-273-8255 ipapo ipapo.