Electroconvulsive Therapy (ECT): chii icho, nguva yekuchiita uye kuti inoshanda sei

Zvemukati

• Kana zvaratidzwa
• Inoshanda sei
• Sezvo zvaiitwa kare
• Zvinogona kuitika
• Nguva yekusaita

Electroconvulsive Therapy, inozivikanwa se electroshock therapy kana iyo chete ECT, mhando yekurapa iyo inokonzeresa shanduko mune yemagetsi basa rehuropi, ichitarisa iwo mazinga eanourotransmitters serotonin, dopamine, norepinephrine uye glutamate. Nekugadzirisa aya maurotransmitter, iri kurapwa kunogona kushandiswa mune dzimwe dzakanyanya kuoma kesi dzekushushikana, schizophrenia uye kumwe kusagadzikana kwepfungwa.

ECT inzira inoshanda kwazvo uye yakachengeteka, nekuti kurudziro yehuropi inoitwa pamwe nemurwere pasi pechirwere, uye kugwinha kunogadzirwa munzira iyi kunongoonekwa mumidziyo, pasina njodzi kumunhu.

Kunyangwe iine mibairo yakanaka, electroconvulsive therapy haina kusimudzira kurapa kwechirwere, asi inoderedza zvakanyanya zviratidzo uye inofanirwa kuitwa nguva nenguva maererano nezvakakurudzirwa nachiremba wepfungwa.

Kana zvaratidzwa

ECT inonyanya kuratidzirwa pakurapa kwekushungurudzika uye kumwe kusagadzikana kwepfungwa, senge schizophrenia, semuenzaniso. Iyi mhando yekurapa inoitwa kana:

• Munhu wacho anoda kuzviuraya;
• Kurapa zvinodhaka hakubatsiri kana kunoguma nemhedzisiro yakawanda.
• Munhu wacho ane zviratidzo zvakakomba zvepfungwa.

Mukuwedzera, electroshock therapy inogonawo kuitwa apo kurapwa nemishonga isingakurudzirwi, iyo inonyanya kuitika kune vakadzi vane pamuviri, vanoyamwisa vakadzi kana vakwegura.

ECT inogona kuitwawo kune vanhu vanoonekwa kuti vane Parkinson's, pfari uye mania, senge bipolarity, semuenzaniso.

Inoshanda sei

ECT inoitwa munzvimbo yechipatara uye inogona kutora kusvika pamaminitsi makumi matatu uye haikonzeri kurwadziwa kana kusagadzikana kumurwere. Kuti aite maitiro, munhu anoda kutsanya kweanenge maawa manomwe, izvi imhaka yekuti general anesthesia inodiwa, mukuwedzera kune tsandanyama inozorodza uye nekushandisa kwemoyo, huropi uye kuwongorora kweropa.

Electroconvulsive Therapy inoitwa pasi pekutarisirwa kweanesthetist uye chiremba wepfungwa uye inoumbwa nekushandisa kwesimba remagetsi, uchishandisa maviri maelekitirodhi akaiswa kumberi kwemusoro, anokwanisa kukonzeresa kubatwa, kunoonekwa chete pachigadzirwa cheiyo encephalogram. Kubva pane inosimudzira yemagetsi, iwo mazinga emaurotransmitter mumuviri akagadziriswa, zvichiita kuti zvikwanise kudzikisa zviratidzo zvine hukama ne psychotic uye kushungurudzika kusagadzikana. Ziva chinonzi encephalogram.

Mushure mekuita, timu yevanamukoti inoona kuti murwere apora, kugona kunwa kofi uye kuenda kumba. ECT inzira inokurumidza, yakachengeteka uye inoshanda yekurapa, uye zvikamu zvenguva nenguva zvinofanirwa kuitwa zvichienderana nedanho repfungwa uye kurudziro yepfungwa, pamwe nezvikamu zvitanhatu kusvika gumi nemaviri zviri kuratidzwa. Mushure mechikamu chega chega, chiremba wepfungwa anoita ongororo yemurwere kuti aone mhedzisiro yekurapwa.

Sezvo zvaiitwa kare

Munguva yakapfuura, electroconvulsive therapy yaisashandiswa chete kurapa varwere vepfungwa, asiwo senzira yekutambudza. Izvi zvinodaro nekuti maitiro acho haana kuitiswa pasi peanesthesia uye pakanga pasina manejimendi ekuzorodza mhasuru, izvo zvakakonzera kusagadzikana panguva yekuita uye kutsemuka kwakawanda, nekuda kwekudzikira kwetsandanyama, kuwedzera pakurasikirwa ndangariro kwaiwanzoitika.

Nekufamba kwenguva, nzira yakagadziridzwa, zvekuti parizvino inoonekwa seyakachengeteka nzira, ine njodzi yakaderera yekutyoka uye kurasikirwa ndangariro, uye kubatwa kunoonekwa chete mumidziyo.

Zvinogona kuitika

ECT inzira yakachengeteka, zvisinei, mushure mekuita, murwere anogona kunzwa kuvhiringidzika, kurasikirwa kwenguva nendangariro kana kunzwa kusanzwikwa, izvo zvinowanzoitika mhedzisiro yeanesthesia. Uye zvakare, panogona kuve nekuonekwa kwezviratidzo zvakapfava, senge kutemwa nemusoro, kuda kurutsa kana kurwadziwa kwemhasuru, izvo zvinogona kurapwa nekukurumidza nemimwe mishonga inokwanisa kubvisa zviratidzo.

Nguva yekusaita

Electroconvulsive Therapy inogona kuitwa kune chero munhu, zvisinei vanhu vane kukuvara kwemukati, vakatambura chirwere chemwoyo kana sitiroko, kana vane chirwere chakakomba chemapapu, vanozokwanisa chete kuita ECT mushure mekufunga njodzi dzenzira.