Ukwelashwa kwe-Electroconvulsive

I-Electroconvulsive therapy (i-ECT) isebenzisa amandla kagesi ukwelapha ukudangala nezinye izifo zengqondo.

Ngesikhathi se-ECT, amandla kagesi abangela ukuquleka ebuchosheni. Odokotela bakholelwa ukuthi umsebenzi wokuquleka ungasiza ubuchopho "buzisebenzele" uqobo, okusiza ukuqeda izimpawu. I-ECT ngokuvamile iphephile futhi iyasebenza.

I-ECT ivame ukwenziwa esibhedlela ngenkathi ulele futhi ungenazinhlungu (i-anesthesia ejwayelekile):

• Uthola umuthi wokuphumuza (izicubu zomzimba). Ubuye uthole omunye umuthi (i-short-acting anesthetic) ukukubeka esifushane ukuze ulale nokukuvimbela ukuba ungabuzwa ubuhlungu.
• Ama-electrode abekwe ekhanda lakho. Ama-electrode amabili aqapha umsebenzi wobuchopho bakho. Amanye ama-electrode amabili asetshenziselwa ukuletha amandla kagesi.
• Uma ulele, inani elincane lamandla kagesi lilethwa ekhanda lakho ukudala umsebenzi wokubamba ebuchosheni. Ihlala cishe imizuzwana engama-40. Uthola umuthi wokuvimbela ukubanjwa ukuthi kungasakazeki emzimbeni wakho wonke. Ngenxa yalokho, izandla noma izinyawo zakho zihamba kancane kuphela ngesikhathi senqubo.
• I-ECT ivame ukunikezwa kanye ezinsukwini ezimbili kuya kwezi-5 sezizonke zezikhathi ezi-6 kuye kwezingu-12. Kwesinye isikhathi kuyadingeka izikhathi eziningi.
• Ngemuva kwemizuzu embalwa ukwelashwa, uyavuka. AWUKHUMBULI ukwelashwa. Uyiswa endaweni yokutakula. Lapho, iqembu lokunakekelwa kwezempilo likuqapha eduze. Lapho usululeme, ungaya ekhaya.
• Udinga ukuba nomuntu omdala akuhambise ekhaya. Qiniseka ukuthi uhlela lokhu ngaphambi kwesikhathi.

I-ECT iyindlela yokwelapha ephumelela kakhulu yokudangala, okuvame kakhulu ukuba nokudangala okukhulu. Kungasiza kakhulu ekwelapheni ukucindezeleka kubantu:

• Ukuba nokukhohlisa noma ezinye izimpawu zengqondo nokucindezeleka kwabo
• Bakhulelwe futhi bacindezeleke kakhulu
• Ingabe bayazibulala
• Ayikwazi ukuthatha imishanguzo elwa nokudangala
• Awukaphenduli ngokugcwele emithini elwa nokudangala

Ngokuvamile, i-ECT isetshenziselwa izimo ezinjenge-mania, i-catatonia, ne-psychosis ezingathuthukisi ngokwanele nezinye izindlela zokwelapha.

I-ECT ithole ukucindezelwa okubi, ngokwengxenye ngenxa yamandla ayo okudala izinkinga zememori. Kusukela kwethulwa i-ECT ngawo-1930, umthamo kagesi osetshenziswe kulenqubo wehliswe kakhulu. Lokhu kuyinciphise kakhulu imiphumela emibi yale nqubo, kufaka phakathi ukulahleka kwememori.

Kodwa-ke, i-ECT isengadala imiphumela emibi, kufaka phakathi:

• Ukudideka okuhlala isikhathi esifushane kuphela
• Ubuhlungu bekhanda
• Umfutho wegazi ophansi (hypotension) noma umfutho wegazi ophakeme (umfutho wegazi ophakeme)
• Ukulahleka kwememori (ukulahleka kwememori unomphela ngale kwesikhathi senqubo akujwayelekile kakhulu kunakuqala)
• Ubuhlungu bemisipha
• Isicanucanu
• Ukushaya kwenhliziyo okusheshayo (tachycardia) noma ezinye izinkinga zenhliziyo

Ezinye izimo zezokwelapha zibeka abantu engcupheni enkulu yemiphumela emibi evela ku-ECT. Xoxa ngezimo zakho zezokwelapha nanoma yikuphi ukukhathazeka nodokotela wakho lapho unquma ukuthi i-ECT ikulungele yini.

Ngoba i-anesthesia ejwayelekile isetshenziselwa le nqubo, uzocelwa ukuthi ungadli noma uphuze ngaphambi kwe-ECT.

Buza umhlinzeki wakho ukuthi kufanele yini uphuze noma yimiphi imithi yansuku zonke ekuseni ngaphambi kwe-ECT.

Ngemuva kwesifundo esiphumelelayo se-ECT, uzothola imishanguzo noma i-ECT engaphansi kakhulu ukunciphisa ubungozi besinye isiqephu sokudangala.

Abanye abantu babika ukudideka okuncane nokuphathwa ikhanda ngemuva kwe-ECT. Lezi zimpawu kufanele zihlale isikhashana.

Ukwelashwa Shock; Ukwelashwa kokushaqeka; ECT; Ukucindezeleka - ECT; IBipolar - ECT

IHermida AP, i-Glass OM, uShafi H, uMcDonald WM. Ukwelashwa kwe-Electroconvulsive ekucindezelekeni: umkhuba wamanje nesiqondiso esizayo. Umtholampilo Wezengqondo eNyakatho Am. I-2018; 41 (3): 341-353. I-PMID: 30098649 pubmed.ncbi.nlm.nih.gov/30098649/.

UPerugi G, uMedda P, uBarbuti M, uNovi M, uTripodi B. Indima yokwelashwa kwe-electroconvulsive ekwelapheni isimo esixubile se-bipolar. Umtholampilo Wezengqondo eNyakatho Am. 2020; 43 (1): 187-197. I-PMID: 32008684 pubmed.ncbi.nlm.nih.gov/32008684/.

Siu AL; I-US Preventive Services Task Force (USPSTF), ama-Bibbins-Domingo K, et al. Ukuhlolwa kwengcindezi kubantu abadala: Isitatimende sezincomo se-US Preventive Services Task Force. JAMA. 2016; 315 (4): 380-387. I-PMID: 26813211 pubmed.ncbi.nlm.nih.gov/26813211/.

I-Welch CA. Ukwelashwa kwe-Electroconvulsive. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ama-eds. IMassachusetts General Hospital Comprehensive Clinical Psychiatry. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: isahluko 45.