Basics of the electroconvulsive therapy, uses, and side effects
ECT, kana kuti electroconvulsive therapy, ndiyo imwe nzira yehutachiona hwehumwe zvirwere zvepfungwa dzinenge dzisingabvumi kurapwa kwetsika.
Ngationei zvakawanda pamusoro pekurapa uku, kusanganisira zvingava nemigumisiro, uye zvinenge zvakaita sei kuona ECT .
Chii chinonzi ECT?
Chokutanga chakagadzirwa muma1930 naBini naLenletti, ECT inoramba ichiita basa rinokosha mukurapa kwekusagadzikana kwepfungwa dzepfungwa.
ECT inoshanda nekutumira magetsi magetsi kuburikidza neuropi. Ikozvino magetsi, zvakare, inofungidzirwa kuchinja makemikari ari muuropi ane chokuita nemafungiro.
Kunyange zvazvo zvisinganzwisiswi nevanhu, electroconvulsive therapy (ECT) inogona kuva yakachengeteka nzira yevamwe vanhu vane kuora mwoyo kwakanyanya kusinganzwisisiki nemishonga inorapa, sekurwisa kwepfungwa uye psychotherapy .
Ndeipi uye Sei ECT Yakagadzirwa?
ECTs inopiwa munzvimbo dzakachengeteka-kazhinji makamuri ekudzivirira muzvipatara apo vashandi vezvokurapa nemichina iripo. Anesthesiologist uye anopinda mishonga yepfungwa anopa zvirwere, pamwe chete nevana vanodzidziswa neECT.
Munhu anonyoreswa nounyoro, ane anesthetic, uye akasununguka saka hapana marwadzo. IECT inounza rudzi rwekutora muuropi. Mushonga unopedza maminetsi mashomanana chete. Kucherechedza kwekurapa kunogona kuratidza kumira kwezvigunwe zvevarwere.
Nguva pfupi mushure mekurapa, murwere anosimuka, anotariswa zvakakwana nevashandi vezvokurapa, uye anobvumirwa kudzokera kumusha kana kuchipatara.
Mushure meECT, murwere angangodaro ane zvinyorwa zvishomanana, kumwe kukotsira, uye kukanganisika kwenguva pfupi, asi chimwe chinhu chakakomba chisingawanzoitiki
ECT Cure Kuora mwoyo?
Zvakakosha kuziva kuti ECT haisi mushonga. Asi ndiyo nzira yekutenga nguva yakakosha kuwana mishonga inobata-kune avo vari kuwedzera kana kusapindura kutarisa ikozvino uye / kana mishonga.
ECT Inobata Chii?
ECT inowanzoshandiswa kurapa chirwere chikuru chekuora mwoyo, asi inogona kushandiswawo kubata dzimwe zvirwere zvepfungwa, semania kana schizophrenia.
Nokuda kwekutambudzika kwekatiaton (catatonia), kunyanya, ECT inogona kukonzera mhinduro yepamusorosoro yakareba kusvika 80 kusvika ku100 muzana uye inoratidzika iri yakakosha kupfuura imwe mimwe mishonga inowanikwa ikozvino.
IECT inogona Kushandiswa Kuchengetedza Kufunganya Here?
Kuzvidya mwoyo nehutano zvirwere zvinowanzopfungwa zvepfungwa uye zvinosanganisira:
- Obsessive Compulsive Disorder (OCD)
- Panic Dambudziko
- Social Phobia
- Generalized Anxiety Disorder
ECT inogona kuva nebasa kune vanhu vane dambudziko rekushungurudzika risingararamiri kurapwa kwetsika uye iro rakaoma nechisimba chikuru chekuora mwoyo. Kunetseka kwevamwe masayendisiti ndezvekuti nepo ECT inogona kubatsira nekunetseka kwezviratidzo, inogona kukuvadza zviratidzo zvekuzvidya mwoyo-sekuwedzera kuipa kwekufunga kwevanhu kana kutyisa.
ECT uye Schizophrenia
Sezvo vanhu vane dambudziko rekusava nekutarisana nemishonga inogona kuwanikwa vanogona kubatsirwa kubva kuECT, avo vane schizophrenia vasingateereri ma antipsychotics vanogona kubatsirwa nemutachiona uyu.
ECT uye zvirwere zvePasinson
Kuora mwoyo uye zvimwe zvinetso zvepfungwa zvinowanzoonekwa nevanhu vane chirwere chePasinson.
Pakave nekutsvakurudza kwakawanda mumakore achangopfuura kutarisa basa uye kubatsirwa kwekushandisa ECT kana kupesana kwaPasinson kwakabatana.
Ndiani Akasarudzwa?
ECTs ndeyevanhu vasina kupindura mishonga uye dzimwe nzira dzokurapa dzekuora mwoyo. Muenzaniso wekare ndiyo kushandiswa kweECT kune munhu ane chirwere chikuru chekuora mwoyo chinotadza kupindura maitiro makuru ekurwisana nea psychotherapy. ECT dzimwe nguva inopiwa pamwe chete nedzimwe nzira dzokurapa mukutarisira kuti kubatana kuchavandudza zviratidzo zvomunhu kupfuura ECT chete.
Migumisiro Yechiri
Pamusoro penguva pfupi, migumisiro yeECT inogona kusanganisira misoro, kusuruvara, musasa aches, nekuvhiringidzika.
Zviratidzo izvi kazhinji kuzvizvidavirira uye kugadzirisa mune imwe nyaya yemazuva. Kudzorera amnesia kunogona kuramba kwenguva yakareba kupfuura idzi dzimwe zviratidzo asi hazviwanzopfuuri.
Kuchinja kwenguva refu kwenguva refu kunogona kuve nemigumisiro yechirongwa cheECT, nekutadza kurasika - kunyanya kurasikirwa kwechirangaridzo pamusoro pezviitiko zvechangobva kuitika - zvakajairika. Chiremba achawanzobvunza mibvunzo yepamusoro kana yekutungamira mushure mekunge munhu ari pasi peECT kuti aongorore ruzivo rwavo rwekushaya kurasikirwa kana pane.
Zvimwe zvinokonzerwa nemigumisiro yakaipa zvinosanganisira mapiritsi emwoyo uye zvinokonzerwa neuropi. Iko kune ngozi yakawanda yekurwisa mwoyo uye kushungurudzika kwepfungwa mukati mevaya vane chirwere chetachiona, uye chiremba wenyu anogona kukurudzira kubvunzurudza nemunhu anonzi cardiologist asati aine ECT.
Zvakakosha kuti varwere vanoziva njodzi iyi uye zvimwe zvimwe zvinokonzera njodzi uye zvinobatsira zveECTs vasati vabvuma kurapwa.
Overall Safety
Pasinei nehuwandu hwevanhu vakawanda kuti ECT ine ngozi uye isina nguva iyo inoshandiswa kubva pakusarudza kusarura, inogona kuva nzira yakachengeteka yekuwana kuora mwoyo kwakanyanya pasi pesimba. Zvechokwadi, njodzi yeECT inofanira kuongororwa zvakaringana pamusoro pengozi yekuora mwoyo kwakanyanya kusingapinduri kurapwa, sekuzviisa panjodzi nekuzviuraya.
Chii chisina kuitwa ECT Chinowanikwa Kazhinji?
Iwe unogona kunge uchishamisika, "Kana ECT inowanzoremeswa zvakanaka, sei isina kuitwa kakawanda?" Chikamu chechikonzero chikonzero chisingaoneki chevanhu kana kuti kushorwa kweECT. Mukuwedzera, pane zvose kusakwanisa kuziva pakati pevashandi vokutanga vanoita basa reECT vanogona kutamba uye kushaikwa kwevashandi vanoita izvi. Zvakakosha kuziva zvakare, zvisinei, kuti ECT inzira inoshandiswa apo zvirwere zvakadai semishonga uye psychotherapy hazvina kubudirira pakubvisa kuora mwoyo kwakanyanya kana zvimwe zvirwere zvepfungwa zvakadai schizophrenia. Kana izvi zvikaitika, hutano hwehupenyu hwomunhu hwakakosha zvikuru kuchengeta mupfungwa kana uchifunga nezvekurapa.
Zvimwe zvinotsigira ECT
Usati watanga kuongorora ECT, zvakakosha kuongorora dzimwe nzira dzingabvira.
Chiremba wako wepfungwa angave wakanga waita kuti iwe uedze zvirwere zvakasiyana-siyana zvakasiyana-siyana kubva kumapoka akasiyana-siyana . Isu tisingazivi kuti nei vamwe vanhu vangaita zviri nani kune rimwe kirasi kupfuura rimwe, asi zvichida rinoratidzika neyero yevana neurotransmitter muuropi iyo inogona kutungamirira mukuora mwoyo.
Psychotherapy inowanikwawo uye inofanira kuedzwa musati maona ECT.
Imwe nzira inoshandiswa kuECT yakashandiswa kakawanda mumakore achangobva kupfuura inonzi transcranial magnetic stimulation . Dzidza zvakawanda pamusoro pehutano uye hutano hweECT vs TMS .
Ndoita sei?
ECT inofanirwa kuva kupindira kwakachengeteka muvanhu vakasarudzwa vakasarudzwa izvo zvinogona kuva zvakakosha mukuderedza zvirwere zvinotambudza zvepfungwa. Sezvo nekupindira kupi zvako, nzira, kana mishonga, tapota taura nachiremba wako pamusoro pezvinetso zvako zvaunotanga kupinda ECT.
Sources:
Andrade, E., Arumugham, S., uye J. Thirthalli. Zvakaipa Migumisiro yeAlectroconvulsive Therapy. Psychiatry Makliniki eNorth America . 2016. 39 (3): 513-30.
Luchini, F., Medda, P., Mariani, M., Mauri, M., Toni, C., naG. Perugi. Electroconvulsive Therapy in Catatonic Patients: Efficacy uye Predictors of Response. World Journal of Psychiatry . 2015. 5 (2): 182-92.
Pourafkari, N., Pourafkari, L., naN. Nader. Electroconvulsive Therapy for Depression Kubva kuAlex Coronary Syndromes: Kutarisira Anesthesiologist. Zvinyorwa zveKliniki Anesthesia . 2016. 31: 223-8.
Sicher, S., uye J.Gedzior. Electroconvulsive Therapy: Kukurudzira Kuziva Pakati Pezvidzidzo Zvepamusoro Physicians. International Journal of Psychiatry in Medicine . 2016. 51 (3): 278-83.