Ukwelashwa kwe-Electroconvulsive (ECT): kuyini, ukukwenza nini nokuthi kusebenza kanjani

-Delile

• Uma kukhonjisiwe
• Isebenza kanjani
• Njengoba bekwenziwa phambilini
• Izinkinga ezingenzeka
• Lapho kungenziwa

I-Electroconvulsive therapy, edume kakhulu ngokuthi i-electroshock therapy noma i-ECT nje, uhlobo lwezokwelapha oludala ushintsho emsebenzini kagesi wobuchopho, elawula amazinga we-neurotransmitters serotonin, dopamine, norepinephrine kanye ne-glutamate. Ngokulawula la ma-neurotransmitters, kuyindlela yokwelapha engasetshenziswa kwezinye izimo ezinzima zokucindezeleka, i-schizophrenia nezinye izifo zengqondo.

I-ECT iyindlela ephumelela kakhulu nephephile, ngoba ukuvuselelwa kobuchopho kwenziwa nesiguli ngaphansi kwe-anesthesia ejwayelekile, futhi ukubanjwa okwenziwe kule nqubo kutholakala kuphela kwimishini, ngaphandle kwengozi yomuntu.

Yize inemiphumela emihle, i-electroconvulsive therapy ayikukhuthazi ukwelashwa kwalesi sifo, kepha yehlisa kakhulu izimpawu futhi kufanele yenziwe ngezikhathi ezithile ngokwesincomo sodokotela wezifo zengqondo.

Uma kukhonjisiwe

I-ECT ikhonjiswa kakhulu ekwelapheni ukucindezeleka nokunye ukuphazamiseka kwengqondo, njenge-schizophrenia, isibonelo. Lolu hlobo lokwelashwa lwenziwa lapho:

• Umuntu unenkambiso yokuzibulala;
• Ukwelashwa kwezidakamizwa akusebenzi noma kuholela emiphumeleni emibi eminingi;
• Umuntu unezimpawu ezinzima zengqondo.

Ngaphezu kwalokho, ukwelashwa nge-electroshock kungenziwa futhi lapho kunganconywa ukwelashwa ngemithi, okuyinto eyenzeka ikakhulukazi kwabesifazane abakhulelwe, abancelisayo noma asebekhulile.

I-ECT ingenziwa futhi kubantu okutholakala ukuthi bane-Parkinson's, isithuthwane kanye ne-mania, njenge-bipolarity, isibonelo.

Isebenza kanjani

I-ECT yenziwa endaweni yesibhedlela futhi ingahlala imizuzu engama-30 futhi ayibangeli ubuhlungu noma ukungaphatheki kahle esigulini. Ukwenza inqubo, umuntu udinga ukuzila ukudla okungenani amahora ayi-7, lokhu kungenxa yokuthi i-anesthesia ejwayelekile iyadingeka, ngaphezu kwama-relaxant muscle nokusetshenziswa kwabaqaphi benhliziyo, ubuchopho nomfutho wegazi.

Ukwelashwa kwe-Electroconvulsive kwenziwa ngaphansi kweso le-anesthetist kanye ne-psychiatrist futhi kuqukethe ukusetshenziswa kwesikhuthazo sikagesi, kusetshenziswa ama-electrode amabili abekwe ngaphambili kwekhanda, okwazi ukubamba ukubanjwa, okubonakala kuphela kudivayisi ye-encephalogram. Kusukela ekuvuseleleni ugesi, amazinga ama-neurotransmitters emzimbeni alawulwa, okwenza kube lula ukunciphisa izimpawu ezihambisana nokuphazamiseka kwengqondo nokucindezeleka. Yazi ukuthi yini i-encephalogram.

Ngemuva kwenqubo, ithimba labahlengikazi liqinisekisa ukuthi isiguli siphilile, sikwazi ukuphuza ikhofi nokuya ekhaya. I-ECT iyindlela yokwelapha esheshayo, ephephile futhi esebenzayo, futhi izikhathi ezithile kufanele zenziwe ngokuya ngezinga lokuphazamiseka kwengqondo kanye nencomo kadokotela wezifo zengqondo, ngezikhathi ezi-6 kuye kwezingu-12 eziboniswa ngokujwayelekile. Ngemuva kweseshini ngayinye, udokotela wezifo zengqondo wenza ukuhlolwa kwesiguli ukuqinisekisa imiphumela yokwelashwa.

Njengoba bekwenziwa phambilini

Esikhathini esedlule, ukwelashwa kwe-electroconvulsive kwakungasetshenziswanga ukwelapha iziguli zengqondo, kepha futhi njengendlela yokuhlukumeza. Lokhu kungenxa yokuthi inqubo ayenzwanga ngaphansi kwe-anesthesia ejwayelekile futhi bekungekho ukuphathwa kwemisipha yokuphumula, okuholele ekuphambaneni ngenkathi kwenziwa inqubo kanye nokuqhekeka okuningi, ngenxa yokuncipha kwemisipha, ngaphezu kokulahleka kwenkumbulo okwenzeka kaningi.

Ngokuhamba kwesikhathi, le ndlela yathuthukiswa, ngakho-ke njengamanje ibhekwa njengenqubo ephephile, enengozi ephansi yokuqhekeka nokulahleka kwememori, kanti ukubanjwa kuthathwa kuphela kwimishini.

Izinkinga ezingenzeka

I-ECT iyindlela ephephile, noma kunjalo, ngemuva kwenqubo, isiguli singazizwa sididekile, sinokulahleka kwesikhashana kwememori noma sizizwe singaphathekile kahle, okuvamise ukuba umphumela we-anesthesia. Ngaphezu kwalokho, kungahle kube nokuvela kwezimpawu ezimnene, ezinjengekhanda, isicanucanu noma ubuhlungu bemisipha, obungelashwa ngokushesha ngemithi ethile ekwazi ukuqeda izimpawu.

Lapho kungenziwa

Ukwelashwa nge-Electroconvulsive kungenziwa kunoma ngubani, kepha abantu abalimele ngaphakathi, abahlaselwe yisifo senhliziyo noma isifo sohlangothi, noma abanezifo ezinzima zamaphaphu, bazokwazi ukwenza i-ECT kuphela ngemuva kokubheka ubungozi benqubo.