ECT: Chimiro chekurapa kwekuora mwoyo
Electroconvulsive therapy (ECT) inzira yehutano hwekuora mwoyo kunosanganisira kushandiswa kwechidimbu chemagetsi kumakumbo kuitira kuti kubvumira kubatwa. Kazhinji, ruzhinji rwemishonga inopiwa kwemavhiki.
Ndiani Akasarudzirwa ECT?
ECT inofungidzirwa yakanyanya kukodzera kuora mwoyo kwakanyanya kana kudengenyeka , uyewo mania yakaoma uye dzimwe schizophrenic syndromes.
Kuti uone kana murwere ari mukana akanaka weECT, vanachiremba vanofanira kufunga zvinotevera:
- Pane kudiwa kwekukurumidza, kugadzirisa mhinduro, yakadai sekunge murwere ari pangozi yekuzviuraya kana kuti ane zviratidzo zvakaoma zvemania izvo zviri kuisa hupenyu hwavo pangozi?
- Ane murwere ane mishonga yehutano inoita kuti kurapwa kwemishonga kuwedzere ngozi, yakadai sekutanga kwemwedzi yekuzvitakura here?
- Murembere ane chirwere cheECT chinogona kuwedzera, zvakadai sekuwedzerwa kudzvinyirira mukati meganga nemhaka yezvipembenene zveuropi, nhoroondo yezvinoitika yekushaya kwemoyo kana kukura kukuru?
- Iva nemimwe mishonga yakundikana here?
- Ane murwere akabvuma ECT kare here?
Chii Chinoitika Isati yasvika ECT?
Mukugadzirira nzira yacho, varwere vanopiwa chirwere chekurapa. Chero mishonga inogona kukonzera matambudziko panguva yekurapa ingada kubviswa kana kunyatsoongororwa. Vanoshayiwa zvokudya varwere vanofanira kunge vaine ma electrolytes avo vakaongorora uye vachigadziriswa kana zvichidiwa.
Chero zvinetso nemeno emurwere zvinoda kutariswa nokuti musana unovhara panguva yekurapa uye mazino asina simba anogona kuparara.
Mishonga inowanzogadzirirwa mangwanani-ngwanani. Usiku hwakapfuura, vhudzi revarwere rinoshambidzwa zvakakwana uye hapana mishonga yebvudzi rakakosha kana ganda rinogona kushandiswa pashure.
Murwere haabvumirwi kudya kana kunwa mushure meusiku pakati peusiku kuti kuderedze njodzi panguva yeanesthesia.
Chii Chinoitika Mukati ECT?
Muimba yekurapa, murwere achava nemhepo inotenderera inogadziriswa kutarisa ropa yemajini. Electrodes ichabatanidzwa mumuviri kuti iite electrocardiogram (ECG) kuongorora basa remoyo uye electroencephalogram (EEG) kuongorora uropi hunoita. Ropa rekuvhara ropa rinoshandiswa pamurwere wechirwere chekucherechedza ropa. Kuwana rusununguko rwakawanikwa kunochengeterwa kushandiswa kwezvinodhaka.
Anesthesia inokonzerwa uye murwere anopiwa okisijeni muitiro wose. Mutsipa wakasununguka unopiwa intravenously uye, mushure mokunge watanga kushanda, bhanhire rinoruma rinowanikwa mumuromo wemurwere uye jaya rinonyatsovharwa rakapfigwa. Izvo zvinokonzerwa nemagetsi zvinoshandiswa kushandiswa zvakanyatsosarudzwa mamiririri kusvikira kubatwa kunoitika kunotora kwemaminitsi makumi matatu. Munguva yekubatwa, kukanganiswa kweropa uye kushaya mwoyo uye rhythm zvinoongororwa.
Chii Chinoitika Pashure peECT?
Kana mushure mekunge kufema kwave kuchidzokera kune zvakasikwa, murwere anocherechedzwa kwehafu yenguva. Kazhinji, kurutsa kuchaitika.
Ruzhinji rwevarwere ruchavhiringidzwa zvinyoronyoro nekutevera nzira, kwekanguva kubva pamaminitsi gumi nemashanu kusvika maawa akawanda.
Vashoma vevarwere vachakanganiswa.
Ngozi
Mazuva ano ECT inonyanya kufanana uye yakachengeteka kudarika yaimbova, asi kune dzimwe njodzi.
- Sezvo pane imwe nzira iyo iwe uri kuiswa pasi peanesthesia, kune chiitiko chiduku chekufa.
- Kazhinji, zvisina kuchena mwoyo yemitambo uye rhythm zvichaitika.
- Kurasikirwa kwenguva pfupi yekurasikirwa kunogona kupera kwemavhiki kunogona kuitika uye kunogona kusanganisira zviitiko zvakaitika mavhiki mashoma vasati vatapwa. Kunyange zvazvo varwere vazhinji vane huwandu hwenhepfenyuro yekurasika, kuora kwehupi hazvina kuonekwa kuti zvinoitika.
- Zvimwe zvinowanzovhiringidzika ndezvemasumbu aches, misoro yepamusoro uye kusuruvara pakarepo mushure mekuita.
Batsirwa
- Vanenge makumi mapfumbamwe kubva muzana vevarwere vanowana kurapwa kwakakwana neECT vanowana zororo rinokurumidza kubva kune zviratidzo zvavo.
- ECT inoshanda kuvarwere vasina kubudirira nemamwe marapirwo.
Chii Chinonzi Mumiririri Mhosva Yezvemitemo?
Zvose mutemo nemitemo yezvoutano zvinoda kuti varwere vanogamuchira ECT vanofanira kupa chibvumirano chavo. Izvi zvinoreva kuti nzira yacho inofanira kutsanangurwa zvakazara kumurwere uye murwere anofanira kuzvigamuchira nemwoyo wose. Varwere vane kodzero yekuramba kurapwa, kunyange kana vakambopa mvumo. Kana murwere asingakwanisi kupa ruzivo rwakananga, chisarudzo chinofanira kuitwa nedare redzimhosva asati agone kurapwa.
References:
Electroconvulsive Therapy. NIH Consensus Statement Online 1985 Jun 10-12 [yakanyorwa musi waApril 19, 2007]; 5 (11): 1-23.
Moore & Jefferson: Handbook of Medical Psychiatry, 2nd ed., Copyright 2004 Mosby, Inc.
Muitiro weAlectroconvulsive Therapy: Mazano ekurapa, Kudzidziswa, Kupiwa ropafadzo. A Task Force Bhuku reAmerican Psychiatric Association, 1990.