Ukuhlolwa kokuphepha nokusebenza kwe "Therapy Shock"
I-electroconvulsive therapy (i-ECT) sekuyisikhathi eside isetshenziselwa ukuphatha abantu ababhekene nokucindezeleka okukhulu kokucindezeleka lapho bengakathuthuki ngemithi yokucindezeleka. Lokhu kuvame ukubizwa ngokuthi ukucindezeleka okumelene nokwelapha. Ngenkathi i-ECT ihlala ingavumelani, ngenxa yokuthi ayiqondakali kahle, ukusetshenziswa kwayo kwanda kwezinye izimo.
Lokhu kuhlanganisa ukuhlukumeza okukhulu kwesifo se-Alzheimer kanye nezinye izinhlobo zokucindezeleka . Ake sibuke ukuthi ngabe lokhu ukwelashwa kuphumelele yini futhi kuphephile ekuphefumuleni komqondo.
Kuyini i-ECT? Iphathwa kanjani?
Ukwelashwa kwe-electroconvulsive kuhilela ukuphathwa kokugqugquzela kagesi ebuchosheni obangela ukuhlushwa okuncane.
Ngaphambi kokuthola i-ECT, isiguli sinikezwa i- anesthesia jikelele kanye nemithi yokuphumula imisipha . Ukuqothulwa okubangelwa yi-ECT kuzovame ukugcina imizuzwana engama-30 kuya ngomzuzu. Ngemuva kokuqothulwa komuntu, umuntu uyavuka esikhathini esincane, futhi kungakapheli ihora ngokuvamile abuyele emisebenzini evamile, nakuba abanye besifo sengqondo bavimbela ukushayela amahora angu-24.
Inani lezokwelapha ze-ECT lizohluka ngokuxilongwa kwakho, isimo sakho sonke, kanye nesiphendule sakho emithonjeni.
Umlando we-ECT
I-ECT ine idumela elibi labaningi abayifaka ngezokwelapha ezindala ze-ECT ezikhiqiza umzimba wezobudlova obonakalayo futhi kubonakala sengathi zenza abantu babe nemvelo ngokomzimba futhi ibe semvelo.
Ungaqinisekiswa ukuthi okuningi kuye kwashintsha ku-ECT.
Lapho iqalile ukuthuthukiswa, kwakukhona izivikelo ezimbalwa ezikude. Kodwa-ke, manje, uma ubuke ukwelashwa kwe-ECT, ngeke uqaphele noma yikuphi ukunyakaza komuntu ngenkathi bethola ukwethuka kagesi. Ungase ubone izandla noma izinzwani zithokozela ngenkathi zithola ukwelashwa, kodwa ngeke kube khona ukuphazamiseka okungase kubonwe kumabhayisikobho ezindala njengokuthi, "Owodwa Owehla Indlala KaCuckcoo." Akukho ubuhlungu phakathi kwe-ECT ngoba umuntu unikezwa i-anesthesia.
Ukwengeza, i-ECT ilawulwa ngabasebenzi abaningi bezokwelapha okwamanje ukuqinisekisa ukuphepha nokuqapha kwesiguli ngaphambi, ngesikhathi nangemva kwenqubo.
Yimiphi imiphumela emibi engayithuthukisa?
Imiphumela emibi ihlanganisa ikhanda , inselele, ubuhlungu besisindo, ukulahlekelwa inkumbulo nokudideka. Ucwaningo oluningi seluphelile ukuthi ukulahlekelwa inkumbulo kunciphise, ngokuvamile kuya esikhathini esifushane ngaphambi kokuba i-ECT isetshenziswe futhi ingavamile kumaviki ambalwa noma ezinyangeni ngaphambi kokunakekelwa, futhi kungavamile kwimicimbi noma ulwazi kusukela eminyakeni eyedlule.
Okunye ukusetshenziswa kwe-ECT
Ngaphezu kokucindezeleka okungaphenduli emithi yokwelapha, i-ECT isetshenziselwa ngezikhathi ezithile ukuphatha ukucindezeleka kwe-bipolar kanye ne-schizophrenia. Ngezinye izikhathi, isetshenziswe futhi uma umuntu engumuntu we-cataton (engaphenduli nhlobo ezweni elikuzungezile), omuntu, noma ongakwazi ukuthatha izidakamizwa zokucindezeleka ngesizathu esithile. I-ECT ingasetshenziselwa umuntu ozibulala lapho kunomuzwa wokuthi ukulinda imithi yokusiza kungathatha isikhathi eside futhi ingozi yalowo kulinda inkulu kunengozi yokuzama i-ECT.
Kungani uzama i-ECT yokugqugquzela nokuhlukunyezwa ku-Dementia?
I-ECT ihlolwe njengendlela yokwelapha ukucindezeleka ekudemeni komqondo ngenxa yokungazi lutho okuphawulekayo nokucindezeleka abanye abantu abane-Alzheimer's kanye nokunye ukuboniswa kwe-dementias.
Ukuhlukumezeka okwedlulele kungenza kube nzima kakhulu ukunakekela lo muntu ngoba kungenzeka ukuthi uzokulimaza yena noma labo abazungezile. Kulezi zimo, uma ezinye ukungenelela zingasebenzi, abanye odokotela bangase batusa ukwelashwa kwe-ECT.
Yini Okufanele Ihlolwe Ngaphambi kwe-ECT?
Ngenkathi umuntu ngamunye kanye nesimo sakhe sezokwelapha singavamile, ngokuvamile, kukhona indlela yokwelashwa uma kuziwa ekusizeni lowo muntu onesifo sengqondo somqondo ohlukumeza futhi othukuthele:
- Ukungenelela okungezona okwemithi
- Ukungenelela kokungekho kwemithi kanye nemithi
- Ukungenelela okungezona okwenziwe ngamakhemikhali kanye nezinhlanganisela eziningi zemithi
I-ECT akumele ivivinywa kuze kube yilapho ezinye izindlela zisetshenzisiwe. Kodwa-ke, kukhona okuhlukile kule mithetho, njengezimo lapho imithi engeke isetshenziswe khona noma isimo sinzima kangangokuthi abasebenzi bezokwelapha bacabanga ukuthi inzuzo engaba khona ingaphezu kwengozi yokuzama i-ECT.
I-Consent Informed
Ukunquma ukuthi i-ECT ilungile yini wena noma othandekayo wakho kufanele uqondiswe ngokugxila kumuntu oyitholayo. Nakuba abanakekeli behluleka kakhulu ukubhekana nezimo eziyinselele ekudemeni kwengqondo, isinqumo sokuzama i-ECT kufanele senziwe ngokususelwa emzamweni wokunciphisa ukucindezeleka komuntu okuhlongozwayo futhi okungenzuzo kuye, hhayi inzuzo engaba khona kumnakekeli .
Uma kunezinhlobo eziningi ezingezona izidakamizwa ezondelayo kanye nemithi eminingi evivinywa futhi umuntu usalokhu ecindezelekile kakhulu ngokomzwelo futhi engekho ngokomzimba, kungase kube yisikhathi sokuzama i-ECT yesifo sengqondo somqondo.
Ngaphambi kokuba uqhubeke ne-ECT, qiniseka ukuthi udokotela uchaza ngokucacile izingozi nezinzuzo zelashwa ohlongozwayo wena noma othandekayo wakho. Udinga ukuba nolwazi olwanele ukuze wenze lesi sinqumo, futhi lolo lwazi kufanele lucabangele ezinye izifo zokuhlola kanye nomlando wezokwelapha womuntu ukuze ubheke isimo ngasinye bese wenza isinqumo esivele esifundisiwe, esinqunyiwe mayelana nokuthola i-ECT.
Ingabe i-ECT iphumelela ekunciphiseni ku-dementia?
Ukusebenzisa i-ECT ukuphatha ukufutheka nokuhlukumezeka ekudemeni kwengqondo kuyindlela engacwaningwa kancane. Noma kunjalo, kuye kwaba nezifundo ezimbalwa eziye zaphetha ngokuthi i-ECT yayiphumelele ekunciphiseni ukukhathazeka ngaphandle kokukhiqiza imiphumela emibi kakhulu. Iningi labantu abathola i-ECT ekucwaningweni kocwaningo lokuhlukumezeka kwengqondo ekhombisa ukunciphisa izinga lokudabuka emva kokwelashwa; Nokho, kubalulekile ukuqaphela ukuthi izifundo eziye zaqhutshwa zibandakanye izinombolo ezincane zabahlanganyeli.
Ukwengeza, ezinye zezingxabano kanye nokuhlukunyezwa kwabahlanganyeli babuya ngemva kwesikhathi esilandelayo emva kokuphela kwemithi yokwelashwa kwe-ECT, ngakho abanye abacwaningi bancoma izindlela zokwelashwa ezibandakanya ukwelapha okuqhubekayo okuqhubekayo kodwa okuqhubekayo kwe-ECT.
Ingabe i-ECT ivikelekile?
I-ECT itholwe nokuthi iphephile kakhulu kubantu abane-dementia. Kodwa-ke, iphesenti elincane labahlanganyeli ocwaningweni olulodwa lwayeka i-ECT ngenxa yemiphumela emibi yokudideka okukhulu okungazange kuxazululwe emaminithi angu-30 kulandela ukwelashwa. Iningi labantu abathola i-ECT ukuze bahlukunyezwe ekudemeni kwengqondo akuzange kubonakale bebhekene nemiphumela emibi kakhulu.
Ingabe I-ECT Yandisa Ingozi Yokulahlekelwa Kwememori Ne-Dementia?
Kukhona ucwaningo oluphikisanayo mayelana nemiphumela ye-ECT ngokucubungula. Olunye ucwaningo luye lwathola ukuthi i-ECT kubantu abadala asebekhulile ngokumelene nabantu abadala abasebasha banengozi ephakeme yokudideka kanye nemiphumela emibi yokulahlekelwa, ikakhulu kulabo abanesifo sengqondo se-dementia noma abasesimweni esilandelayo somqondo wesifo somqondo. Noma kunjalo, kungaba nzima ukuthola ukuthi ingozi leyo ihlobene ne-ECT, ukucindezeleka komuntu okungaqondakali kahle, noma ukudala kwalabo ababambiqhaza. Olunye ucwaningo lwenqume ukuthi ukucutshungulwa kwahlala okufanayo emva kwezinsuku eziningi ze-ECT, kanti ezinye izifundo zazimisela ukuthi empeleni zithuthukisiwe ngemuva kwe-ECT.
Ngenxa yokuthi kunezici eziningi ezithandwayo, ezifana nokuxilongwa okuyisisekelo okubangela isidingo se-ECT, kanye neminyaka yobudala nempilo yonke, kunzima ukuhlukanisa noma yikuphi ukuguqulwa kwengqondo ku-ECT.
Izwi elivela
I-ECT ingaba yindlela ewusizo yokwelapha ukuhlukumezeka nokuhlukumezeka ekudemeni kwengqondo; Kodwa-ke, asikwazi ukucwaninga okwanele kanye nemiphumela yokuphetha ngalesi sikhathi. Ucwaningo olwengeziwe luyadingeka ukuze luqhubeke nokuhlola ukuthi i-ECT iyasebenza yini futhi iphephile ukusetshenziswa kubantu abahlukunyezwayo nokuhlukunyezwa komqondo.
Uma i-ECT ihlongozwa kumuntu othandekayo ohlala nomqondo okhungathekileko, qiniseka ukuthi kufanelekile ukubuza imibuzo yezokwelapha mayelana nanoma yikuphi ukukhathazeka onakho, kanye nokubonisana nabanye mayelana nalesi sinqumo sokwelashwa. Abasebenzi bezokwelapha abaphatha umthandi wakho banolwazi oluthe xaxa, kodwa ulwazi lwakho ngomlando wakhe wezokwelapha kanye nonke lukwenza ube yingxenye ebalulekile yethimba lokwelapha futhi kusiza ukuthuthukisa umphumela ongcono kakhulu.
> Imithombo:
> Acharya, D., Harper, D., Achtyes, E., et al. (2014). Ukuphepha nokusetshenziswa kwe-acrotherapy ebizwa ngokuthi i-electroconvulsive therapy yokuhlukunyezwa nokuhlukumezeka kwengqondo. I-International Journal ye-Geriatric Psychiatry , 30 (3), i-pp.265-273.
> I-Glass, O., Forester, B. noHermida, A. (2017). Ukwelashwa kwe-Electroconvulsive (ECT) yokwelapha ukucindezeleka ekudemeni kwengqondo (ukucindezeleka okukhulu kwegazi) - okukhethwa kukho okuthembisayo. I-Psychogeriatrics yamazwe ngamazwe , 29 (05), iphe. 717-726. i-doi: 10.1017 / S1041610216002258
> Burton, M., Koeller, S., Brekke, F., Afonya, A., Sutor, B. noLapid, M. (2017). Ukusebenzisa Ukwelashwa Kwe-Electroconvulsive ekuxhaseni Okuhlobene Ne-Dementia. I-Journal ye-ECT , p.1. i-doi: 10.1097 / YCT.0000000000000432.
> Sartorius, A., Aksay, S., Hausner, L. noFrölich, L. (2014). Ukuhlukunyezwa okukhulu kwesifo esibucayi se-Alzheimer's isifo se-ECT. Izifo Neuropsychiatric and Treatment , p.2147. i-doi: 10.2147 / NDT.S71008
> Ujkaj, M., Davidoff, D., Seiner, S., et al. (2012). Ukuphepha nokusebenza kwe-Electroconvulsive Therapy for Treatment of Agitation and Violence in Patients With Dementia. I-American Journal of Geriatric Psychiatry , 20 (1), iphe.61-72. doi: 10.1097 / JGP.0b013e3182051bbc.
> Van den Berg, J., Kruithof, H., Kok, R., et al. (2017). Ukwelashwa Kwe-Electroconvulsive for Agitation and Violence in Dementia - Ukubuyekezwa Okuhlelekile. I-American Journal of Geriatric Psychiatry . https://doi.org/10.1016/j.jagp.2017.09.023