Ukuvavanywa koKhuseleko kunye nokuPhumelela kweTransystem "
I-Ethroconvulsive therapy (i-ECT) sele isetyenziselwa ukuphatha abantu abanenkinga yokudakumba okukhulu xa bengakhange baphuculwe kunye neyeza ezichasayo. Oku kudla ngokubhekiswa njengengcinezelo enganyangekiyo. Nangona i-ECT ihlala iphikisana, ngenxa yokuba ayiqondwa kakuhle, ukusebenzisa kwayo kwanda kwezinye iimeko.
Oku kubandakanya ukuphazamiseka okukhulu kwi- Alzheimer's disease kunye nezinye iintlobo zeengqondo . Makhe sijonge ukuba ingaba le nonyango iyasebenza kwaye ikhuselekile kwingqondo.
Yintoni i-ECT? Ilawulwa Njani?
Ukonyango lwe-Electroconvulsive kuquka ukulawulwa kokuvuselelwa kombane kwiingqondo ezibangelwa ukutshatyalaliswa okufutshane.
Ngaphambi kokungena kwi-ECT, isigulane sinikwa i- anesthesia jikelele kunye neyeza ukuphucula imisipha . Ukubanjwa okubangelwa yi-ECT kuya kubakho ukugqibela malunga nemizuzwana engama-30 ukuya ngomzuzu. Emva kokubanjwa, umntu uyavuka emva kwemizuzu embalwa, kwaye emva kweyure ngokuqhelekileyo uyakwazi ukuqhuba imisebenzi eqhelekileyo, nangona abanye abagula ngengqondo bayenqanda ukuqhuba iiyure ezingama-24.
Inani lezonyango ze-ECT ziya kuhluka ngokuxilongwa kwakho, imeko yakho yonke, kunye nempendulo yakho kwonyango.
Imbali ye-ECT
I-ECT inomdla omubi kubo abaninzi abayifumanayo kunye nezokwelapha ze-ECT ezindala ezenza umzimba onobundlobongela obonakalayo kwaye kubonakala kubangela ukuba abantu babe yindawo ephathekayo kunye neentlobo zemvelo.
Unokuqinisekiswa ukuba ezininzi zitshintshile kwi-ECT.
Xa kwakuqala ukuphuhliswa, kwakukho ukhuseleko oluthile olukhoyo. Ngoku, nangona kunjalo, ukuba ubuke ujonge unyango lwe-ECT, awuyi kuqaphela naluphi na ukunyakaza komntu ngelixa befumana ukutshatyalazwa kombane. Unokubona izandla okanye iinzwane ziguqulwa ngelixa zifumana unyango, kodwa akuyi kuba neengxubusho ongayifumana kumabhayisikobho amandulo anjengokuthi, "Omnye uhamba ngeNtshontsho yeCuckcoo." Akukho ntlungu ngexesha le-ECT kuba umntu unikezwa i-anesthesia.
Ukongezelela, i-ECT ilawulwa ngabasebenzi abaninzi bezonyango ukuqinisekisa ukuba ukhuseleko kunye nokubeka esweni isigulane ngaphambi, ngexesha nangemva kwenkqubo.
Ziziphi Iimpawu Zangase Zenze Uphuhliso?
Iziphumo ezichaphazelekayo zibandakanya intloko , isisulu, isisu, ukulahleka kwememori kunye nokudideka. Uninzi lwophando luye lwagqiba ukuba ukulahlekelwa kwememori kukukhawulelana, ngokuphindaphindiweyo kwithuba elifutshane ngaphambi kokuba i-ECT ilawulwe kwaye ingaqhelekanga kwiiveki ezimbalwa okanye kwiinyanga phambi kokunyanga, kwaye kunqabile kwiziganeko okanye ulwazi oludlulileyo.
Ezinye izinto zokusebenzisa i-ECT
Ukongeza kwixinzelelo engaphenduliyo kumachiza ogxininisekile, i-ECT isetyenziswe ngamanye amaxesha ukuphatha ingxaki ye-bipolar kunye ne-schizophrenia. Ngamanye amaxesha, isetyenziswe kwakhona xa umntu ephethe i-catatonic (engaphenduli konke kwihlabathi elikujikelezayo), umntu, okanye akakwazi ukuthatha i-anti-depressants ngesizathu esithile. I-ECT ingasetyenziselwa umntu ozibulalayo apho ivakalelwa ukuba ukulinda amayeza kunceda kuthathe ixesha elide kwaye umngcipheko wokulinda ukhulu kunomngcipheko wokuzama i-ECT.
Kutheni uzama i-ECT yokuguga nokunyanzelisa kwi-Dementia?
I-ECT iye yahlolisiswa njengonyango lokuphazamiseka kwengqondo ngenxa yentsholongwane ebalulekileyo kunye noxinzelelo abanye abantu abane-Alzheimer kunye nezinye iimpawu ze-dementias.
Ukuphazamiseka okunzima kunokukwenza kube nzima kakhulu ukunakekela loo mntu kuba uhlala kwindawo yokuzilimaza yena okanye abo bajikelezile. Kule meko, ukuba amanye amanyathelo angeneli, amanye amagqirha angancomela unyango lwe-ECT.
Yintoni ekufuneka ihlolwe phambi kwe-ECT?
Nangona umntu ngamnye kunye nesimo sakhe sezokwelapha esiyingqayizivele, ngokuqhelekileyo, kukho umyalelo wonyango xa kufikelela ekuncedeni umntu onomdemokhrasi onobudlova kwaye ephazamisekile:
- Ukungenelela kwamanyango
- Ukungenelela kokungekho kwempilo kunye neyeza
- Ukungenelela kokungekho kwamachiza kunye nokuhlanganiswa ezininzi kweyeza
I-ECT ayifanele isetyenziswe kude kube ezinye iindlela ezisebenzisiweyo. Kukho, nangona kunjalo, ngaphandle kwemigaqo, njengemiqathango apho amayeza angenakusetyenziswa okanye imeko leyo yinto enzima kukuba abasebenzi bezonyango banokufumana inzuzo engaphezulu kwengozi yokuzama i-ECT.
Mvume
Ukugqiba ukuba i-ECT ilungile wena okanye wakho othandekayo kufuneka ukhokelwe ngokugxila kumntu oyifumanayo. Ngoxa abantu abanonophelo banzima kakhulu ukuphendula iimpawu ezicelomngeni kwi-dementia, isigqibo sokuzama i-ECT kufuneka senziwe ngokusekelwe kwinqanaba lokunciphisa uxinzelelo lomntu okucetywayo kuye kunye nokufumana inzuzo kuye, kungekhona inzuzo kumntu onomondli .
Ukuba uninzi lweziyobisi lusetyenziswa kwaye amayeza amaninzi aye azama kwaye umntu uhlala ecinezelekile ngokomzwelo nangokwenyama ngaphandle kokulawula, kusenokuba lixesha lokuzama i-ECT yesifo sengqondo.
Ngaphambi kokuba uqhubeke ne-ECT, qi niseka ukuba ugqirha uchaze ngokucacileyo ingozi kunye neenzuzo zonyango olucetywayo kuwe okanye wakho othandekayo. Kufuneka ube nolwazi olwaneleyo ukwenzela ukuba wenze isigqibo, kwaye olo lwazi kufuneka luqwalasele ezinye iimvavanyo kunye nembali yonyango yomntu ukuze ukhangele imeko ethile kwaye wenze isinqumo esifanelekileyo sokuvuma malunga nokufumana i-ECT.
Ngaba i-ECT iphumelele ukuxhalaza kwi-Dementia?
Ukusebenzisa i-ECT ukuphatha uxinzelelo kunye nobudlova kwi-dementia yindlela yokuphanda ngaphantsi. Nangona kunjalo, kukho iiphononongo ezimbalwa eziye zagqiba ukuba i-ECT yayiphumelele ekunciphiseni ukutshatyalaliswa ngaphandle kokuvelisa iziphumo ezingundoqo. Uninzi lwabantu abafumene i-ECT kwizifundo zophando malunga nokuphazamiseka kwengqondo kubonisa ukuhla kwezinga lokudakumba emva kokonyango; Nangona kunjalo, kubalulekile ukuqaphela ukuba izifundo eziye zaqhutywa zibandakanye inani elincinci labathathi-nxaxheba.
Ukongezelela, ezinye zeengxaki zabathathi-nxaxheba kunye nobudlova babuya emva kwexesha elidlulileyo emva kokuphela kwezonyango ze-ECT, ngoko abanye abaphandi bancomela unyango lwezondlo olubandakanya unyango olungapheliyo kodwa oluqhubekayo lwe-ECT.
Ngaba i-ECT ikhuselekile?
I-ECT yafunyanwa ukuba ikhuselekile kubantu abanomdla wokugula komzimba. Nangona kunjalo, ipesenti encinci yabathathi-nxaxheba kwisifundo esinye sayeka i-ECT ngenxa yemiphumo emibi yokudideka okukhulu engazange isombulule kwiimviwo ezingama-30 emva kokunyanga. Uninzi lwabantu abafumene i-ECT ngenxa yokuphazamiseka kwengqondo ekungabikho kwengqondo akuzange kubonakale bejongene nemiphumo emibi.
Ingaba i-ECT yandisa ingozi yeMemori yokulahleka kunye ne-Dementia?
Kukho uphando oluphikisanayo malunga nemiphumo ye-ECT kwi-cognition. Olunye uphando lufumene ukuba i-ECT kubantu abadala abadala nabadala abasemncinci banomngcipheko ophezulu wokudideka kunye nokulahlekelwa kwememori yecala, ngokukodwa kwabo banesifo sengqondo se-dementia okanye basemagqabeni emva. Nangona kunjalo, kunokuba nzima ukufumanisa ukuba loo mngcipheko uhambelana ne-ECT, ukuxinezeleka komntu onokungaziqondi kakuhle, okanye ubudala baloo nxaxheba. Olunye uphando lucacise ukuba ukugcinwa kwengcamango kwahlala kwinto efanayo emva kweeseshoni ze-ECT ezininzi, kwaye ezinye iinjongo zizimisele ukuba ziphuculwe emva kwe-ECT.
Ngenxa yokuba kukho izinto ezininzi ezithandwayo, njenge-diagnostic engundoqo eyenza i-ECT, kunye nobudala kunye nempilo yonke, kunzima ukuhlukanisa nayiphi na inguqu yocoknitive kwi-ECT.
ILizwi
I-ECT inokuba yinto efanelekileyo yokunyanga ukugandatheka kunye nobudlova ekudemeni kwengqondo; Nangona kunjalo, asinako ukuphanda okwaneleyo kunye neziphumo ekugqibeleni ngoku kugqiba ngelo xesha. Uphando olongezelelweyo lufunekayo ukuze uqhubeke nokuhlola ukuba i-ECT iyasebenza kwaye ikhuselekile ekusebenziseni abantu abanokudandatheka kunye nobudlova kwi-dementia.
Ukuba i-ECT icetywayo kumntu othandayo ohlala nomdemokhrasi, qiniseka ukuba kulungile ukubuza imibuzo yabasebenzi bezonyango malunga naluphi na ukukhathazeka onayo, kunye nokubonisana nabanye malunga nale sigqibo sonyango. Abasebenzi bezonyango baphatha umthandi wakho unolwazi oluninzi, kodwa ulwazi lwakho lwezonyango kunye neembali zembali zenze ukuba ube yingxenye ebalulekileyo yecandelo lokonyango kwaye unceda ukuphucula umphumo onokwenzeka kakhulu.
> Imithombo:
> Acharya, D., Harper, D., Achtyes, E., et al. (2014). Ukukhuselwa kunye nokusetyenziswa kwonyango oluthile lwe-electroconvulsive for agitation and aggression in dementia. I-International Journal ye-Geriatric Psychiatry , 30 (3), iphep.265-273.
> I-Glass, O., Forester, B. kunye noHermida, A. (2017). Ukwelashwa kwe-Electroconvulsive (ECT) yokuphatha ukuphazamiseka kwengqondo (ingxaki enkulu ye-neurocognitive) - inketho ethembisayo. I-Psychogeriatrics yamazwe ngamazwe , 29 (05), iphe.717-726. i-doi: 10.1017 / S1041610216002258
> Burton, M., Koeller, S., Brekke, F., Afonya, A., Sutor, B. kunye nePapid, M. (2017). Ukusetyenziswa kweNyango ye-Electroconvulsive Treatment in Dementia-Related Agitation. Umbhalo we-ECT , p.1. i-doi: 10.1097 / YCT.0000000000000432.
> Sartorius, A., Aksay, S., Hausner, L. noFrölich, L. (2014). Ukuphazamiseka okukhulu kwixesha eliphambili le-Alzheimer's disease isigqibo nge-ECT. Izifo ze-Neuropsychiatric kunye neNyango , p.2147. i-doi: 10.2147 / NDT.S71008
> Ujkaj, M., Davidoff, D., Seiner, S., et al. (2012). Ukhuseleko kunye noPhulo lweNyango ye-Electroconvulsive Treatment of Agitation and Violence in Patients With Dementia. I-American Journal ye-Geriatric Psychiatry , 20 (1), iphe.61-72. i-doi: 10.1097 / JGP.0b013e3182051bbc.
> Van den Berg, J., Kruithof, H., Kok, R., et al. (2017). Unyango lwe-Electroconvulsive Treatment and Violence in Dementia - Uhlolo lokuHlola. I-American Journal ye-Geriatric Psychiatry . https://doi.org/10.1016/j.jagp.2017.09.023