Kufufuza kwa chitetezo ndi ntchito ya "Shock Therapy"
Matenda a Electroconvulsive therapy (ECT) akhala akugwiritsidwa ntchito pochiza anthu omwe ali ndi vuto lalikulu la matenda ovutika maganizo pamene sakulimbana ndi mankhwala opatsirana pogonana. Izi nthawi zambiri zimatchedwanso kusokonezeka kwa mankhwala. Ngakhale kuti ECT imakhalabe yotsutsana, mbali ina chifukwa silingamvetsetse bwino, ntchito yake ikupita kuzinthu zina.
Izi zimaphatikizapo kupsinjika kwakukulu mu matenda a Alzheimer ndi matenda ena a dementia . Tiyeni tiwone ngati mankhwalawa ndi othandiza komanso otetezeka m'maganizo.
Kodi ECT ndi chiyani? Zimayendetsedwa Bwanji?
Thandizo la electroconvulsive limaphatikizapo kayendetsedwe ka magetsi ku ubongo omwe amachititsa kugwedeza mwachidule.
Asanamwalire ECT, wodwalayo amapatsidwa anesthesia ndi mankhwala kuti athetse minofu . Kuchotsedwa kumene kumayambitsidwa ndi ECT kudzatha pafupifupi masekondi 30 mpaka miniti. Pambuyo pa kulanda, munthuyo amadzuka mkati mwa mphindi zingapo, ndipo mkati mwa ora nthawi zambiri amatha kubwezeretsa ntchito zachizolowezi, ngakhale amwenye ena amaletsa kuyendetsa maola 24.
Chiwerengero cha mankhwala a ECT chidzasiyana ndi momwe mumadziwira, mkhalidwe wanu wonse, ndi momwe mumamvera pa mankhwala.
Mbiri ya ECT
ECT ili ndi mbiri yoipa kwa anthu ambiri omwe amawagwirizanitsa ndi mankhwala akale a ECT omwe amachititsa kuti thupi likhale loopsa ndipo likuwonekera kuti anthu azikhala otetezeka komanso ozungulira zomera.
Mukhoza kutsimikiziridwa kuti zambiri zasintha mu ECT.
Pamene idapangidwa kale, panali malo otetezeka kwambiri. Tsopano, komabe, ngati mutayang'ana chithandizo cha ECT, simungazindikire kusunthika kwa munthuyo pamene akulandira magetsi. Mukhoza kuwona manja awo kapena zala zazing'ono zikugwedezeka pamene mukulandira chithandizo, koma sipadzakhalanso kukhumudwa komwe mungaganizire kuchokera m'mafilimu akale monga, "Mmodzi Wodziwa Chisa cha Cuckcoo." Palibe kupweteka pa nthawi ya ECT chifukwa munthuyo amapatsidwa mankhwala ochepetsa matendawa.
Kuonjezerapo, ECT imayendetsedwa ndi anthu ambiri omwe akugwira ntchito zachipatala kuti athetse chitetezo ndi kuyang'anira wodwalayo, nthawi ndi pambuyo pake.
Kodi Ndi Zotsatira Ziti Zingathe Kukula?
Zotsatirapo zimaphatikizapo kupweteka kwa mutu , kunyowa, kupweteka kwa minofu, kukumbukira kukumbukira, ndi chisokonezo. Kafukufuku wambiri wapeza kuti kukumbukira kukumbukira kuli kochepa, kawirikawiri kwa kanthawi kochepa kuti ECT isaperekedwe ndipo nthawi zambiri sichitha masabata kapena miyezi ingapo asanayambe kuchiritsidwa, komanso kawirikawiri ku zochitika kapena mbiri yakale.
Ntchito zina za ECT
Kuwonjezera pa kupsinjika maganizo komwe sikukuyankha mankhwala opatsirana pogonana, ECT imagwiritsidwanso ntchito nthawi zina pochiza matenda a bipolar ndi schizophrenia. Nthawi zina, zimagwiritsidwanso ntchito ngati munthu ali ndi catatonic (osayankha konse ku dziko lozungulira), manic, kapena sangathe kutenga anti-depressants pazifukwa zina. ECT ikhoza kugwiritsidwa ntchito kwa munthu amene akufuna kudzipha kumene zimamveka kuti kuyembekezera mankhwala kuti athandize kungatenge nthawi yayitali ndipo chiopsezo cha kuyembekezera ndi chachikulu kuposa chiopsezo choyesera ECT.
Nchifukwa chiyani mukuyesera ECT kuti Mudandaule ndi Chiwawa mu Dementia?
ECT yafufuzidwa ngati chithandizo cha kusokonezeka kwaumtima chifukwa cha kuchepa kwakukulu ndi vuto lomwe anthu ena ali ndi Alzheimer's komanso dementias ena amasonyeza.
Kusokonezeka kotereku kungachititse kuti zikhale zovuta kwambiri kusamalira munthuyo chifukwa mwina akhoza kudzisokoneza yekha kapena ena omwe amamuzungulira. Pazochitikazi, ngati njira zina siziwathandiza, madokotala ena angapereke mankhwala othandiza.
Kodi Muyenela Kuyesedwa Pambuyo pa ECT?
Pamene munthu aliyense ndi matenda ake ali apadera, kawirikawiri, pali njira yothetsera njira zothandizira munthu yemwe ali ndi matenda a 'dementia' amene ali ndi ukali komanso wosokonezeka:
- Osagwiritsa ntchito mankhwala
- Osagwira ntchito zamagetsi kuphatikizapo mankhwala
- Osagwira ntchito zamagetsi komanso mankhwala osiyanasiyana
ECT siyenera kuyesedwa kufikira njira zina zitagwiritsidwa ntchito. Komabe, pali zosiyana ndi lamuloli, monga momwe ma ARV sangagwiritsidwe ntchito kapena zovuta kwambiri kuti achipatala amaona kuti phindu lopambana likhoza kupambana pangozi ya kuyesa ECT.
Kudziwa Kuvomerezeka
Kusankha ngati ECT ndi yoyenera kwa inu kapena wokondedwa wanu muyenera kutsogoleredwa mwa kuganizira munthu amene akulandira. Ngakhale osamalira ovutika akulimbana kwambiri ndi khalidwe lovuta kuvutika maganizo, chigamulo choyesa ECT chiyenera kukhazikitsidwa pogwiritsa ntchito kuyesa kuchepetsa mavuto a munthu yemwe akufunsidwayo ndi zomwe angapindule nazo, osati zomwe angapindule nazo .
Ngati mankhwala ena osagwiritsa ntchito mankhwala akuyandikira komanso mankhwala ambiri akhala akuyesedwa ndipo munthuyo adakali wovutika kwambiri maganizo komanso mwathupi, sangakhale ndi nthawi yoyesera ECT kuti adwale matenda a maganizo.
Musanayambe ndi ECT, onetsetsani kuti dokotalayo afotokoze momveka bwino za ngozi ndi zopindulitsa za mankhwala omwe akukupatseni inu kapena wokondedwa wanu. Muyenera kukhala ndi chidziwitso chokwanira kuti mutenge chisankho ichi, ndipo mfundoyi iyeneranso kuganizira zochitika zina komanso mbiri yachipatala ya munthuyo kuti muyang'ane payekha ndikupanga chisankho chophunzitsidwa bwino chokhudza kulandira ECT.
Kodi ECT ikugwira ntchito yolimbikira mu Dementia?
Kugwiritsira ntchito ECT kuti athetse chisokonezo ndi nkhanza muumtima waumphawi ndi njira yopanda kufufuzidwa. Komabe, pakhala pali zochepa zofufuza zimene zatsimikizira kuti ECT inathandiza kuchepetsa kusokonezeka popanda kupanga zotsatira zoopsa. Anthu ambiri omwe analandira ECT mu maphunziro a kafukufuku wa kusokonezeka kwaumphaŵi wawonetsa kuchepa kwa msinkhu wotsatira chithandizo; Komabe, ndizofunika kuzindikira kuti maphunziro omwe apitilirawa akuphatikizapo ochepa omwe akugwira nawo ntchito.
Kuonjezerapo, ena mwa anthu omwe adasokonezeka ndi ovutitsidwawo adabweranso patapita nthawi kumapeto kwa zochitika za ECT, kotero ochita kafukufuku ena akuyamikira njira zochiritsira zomwe zimaphatikizapo mankhwala opatsirana ochepa koma omwe amapezeka nthawi zonse.
Kodi Edzi Ndi yotetezeka?
ECT inapezedwanso kukhala yotetezeka kwa anthu omwe ali ndi matenda a maganizo. Komabe, peresenti ya ophunzira mu phunziro limodzi inasiya Mgwirizano wa ECT chifukwa cha zotsatira za chisokonezo chachikulu chomwe sichinathetsere pakatha mphindi 30 chithandizochi. Anthu ambiri omwe analandira ECT chifukwa cha kusokonezeka kwaumphawi sanawoneke ndi zotsatira zoyipa.
Kodi ECT Ikulitsa Vuto la Kukhumudwa Kwambiri ndi Dementia?
Pali zofukufuku zosiyana zokhudzana ndi zotsatira za ECT pa cognition. Kafukufuku wina apeza kuti ECT ku akuluakulu ndi akuluakulu ali ndi chiopsezo chachikulu cha chisokonezo ndi zotsatira za kuwonongeka kwa chikumbukiro , makamaka kwa omwe ali ndi maganizo ovutika maganizo aumtima kapena omwe ali m'kupita kwa nthawi. Komabe, zingakhale zovuta kudziwa ngati chiopsezochi chikugwirizana ndi ECT, kupanikizika kwa munthu yemwe angamvetsetse bwino, kapena kuti wamkulu wa iwo omwe ali nawo. Kafukufuku wina adatsimikiza kuti kusamalidwa sikukhala kofanana pambuyo pa magawo ambiri a ECT, ndipo maphunziro ena adatsimikizira kuti zakhala bwino pambuyo pa ECT.
Chifukwa chakuti pali zifukwa zambiri zomwe zimagwiritsidwa ntchito, monga matenda omwe amachititsa kufunika kwa ECT, komanso msinkhu komanso thanzi labwino, zimakhala zovuta kupatula kusintha kwa chidziwitso ku ECT.
Mawu Ochokera
ECT ikhoza kukhala chithandizo chothandizira kuthetsa kusokonezeka ndi chiwawa muumtima waumtima; Komabe, timasowa zofukufuku zokwanira ndi zotsatira kuti titsimikizire motere. Kafukufuku wowonjezera amafunika kuti apitirize kufufuza ngati ECT ndi yothandiza komanso yotetezeka kuti igwiritsidwe ntchito kwa anthu omwe ali ndi chisokonezo ndi chiwawa chakumtima.
Ngati ECT ikuperekedwa kwa wokondedwa yemwe akudwala matenda a maganizo, tsimikizirani kuti ndi bwino kufunsa odwala mafunso pazovuta zilizonse zomwe muli nazo, komanso kufunsa ena za chisankhochi. Achipatala omwe amachiza wokondedwa wanu amadziwa bwino zambiri, koma kudziwa kwanu za mbiri yachipatala komanso mbiri yake kumakupangitsani mbali yofunikira ya gulu lachipatala ndikuthandizira zotsatira zabwino kwambiri.
> Zotsatira:
> Acharya, D., Harper, D., Achtyes, E., et al. (2014). Kutetezeka komanso kugwiritsa ntchito mankhwala opanga magetsi osokoneza bongo chifukwa cha kusokonezeka komanso kuvutika maganizo. International Journal of Geriatric Psychiatry , 30 (3), pp.265-273.
> Galasi, O., Forester, B. ndi Hermida, A. (2017). Electroconvulsive therapy (ECT) pofuna kuthetsa kusokonezeka muumphaŵi (vuto lalikulu la matenda osokoneza ubongo) - njira yabwino. Psychogeriatric International , 29 (05), pp.717-726. lembani: 10.1017 / S1041610216002258
> Burton, M., Koeller, S., Brekke, F., Afonya, A., Sutor, B. ndi Lapid, M. (2017). Kugwiritsa Ntchito Matenda a Electroconvulsive mu Kusokonezeka Kwambiri kwa Dememia. The Journal of ECT , p.1. lembani: 10.1097 / YCT.0000000000000432.
> Sartorius, A., Aksay, S., Hausner, L. ndi Frölich, L. (2014). Kusokonezeka kwakukulu mu matenda oyambitsa matenda a Alzheimer's disease akuyambiranso ndi ECT. Matenda a Neuropsychiatric ndi Chithandizo , p.2147. lembani: 10.2147 / NDT.S71008
> Ujkaj, M., Davidoff, D., Seiner, S., et al. (2012). Chitetezo ndi Mphamvu za Thandizo la Electroconvulsive Treatment of Agitation and Violence in Patients With Dementia. The American Journal of Geriatric Psychiatry , 20 (1), pp.61-72. lembani: 10.1097 / JGP.0b013e3182051bbc.
> Van den Berg, J., Kruithof, H., Kok, R., et al. (2017). Thandizo la Electroconvulsive for Agitation and Violence in Dementia - Kusanthula Mwadongosolo. The American Journal of Geriatric Psychiatry . https://doi.org/10.1016/j.jagp.2017.09.023