A Tarisa Pane Ichi Chirwere Chipfungwa NeKakavhiringidza Nhoroondo
Electroconvulsive therapy (kana ECT) chirwere chepfungwa chekare uye nharo. Kurapa kunosanganisira muchidimbu kupfuura ikozvino magetsi kuburikidza neuropi. Iyi nzira isiri kushandiswa kugadzirisa borderline personality disorder (BPD), asi inoshandiswa kurapa kuora mwoyo kwakanyanya kusina kupindura mishonga yakakwana yemishonga uye pasi pemamwe mamiriro ekurapa.
Sezvo vanhu vakawanda vane mhirizhonga yehutano hwemunhu uye vanotambura nekuora mwoyo, vamwe vanhu vanogamuchira kurapwa kwe electroconvulsive vane BPD.
Icho ECT Inobudirira yeBorderline Personality Disorder?
Kunyange zvazvo sarudzo ye electroconvulsive inoshandiswa kuporesa kuora mwoyo kwakanyanya kune vanhu vane borderline person disorder, pane tsvakurudzo inoratidza kuti ECT haisi yakakosha mukurapa kuora mwoyo kune vanhu vane BPD.
Chimwe chekudzidza, chakabudiswa muna 2004, chakacherechedza migumisiro yeECT muna 139 varwere, vose avo vaiva nekutambudzika kukuru uye makumi maviri avo vaivewo nemuganhu wehutano hwehutano. Chidzidzo chacho chakawana kuti mazuva masere mushure mekurapa, avo vane urwere hwemiganhu yehutachiona havana kuverengawo pane kuora mwoyo kwechiyero chechiyero sevaya vakange vasina hutano hweunhu kana avo vakange vane rudzi rwakasiyana rwehutano hwehutano.
Varwere vari kuongorora avo vaiva ne-borderline person disorder vainyanya kuva vakadzi, kuva vaduku, uye kuva nemishonga isingagoni kuora mwoyo, asi vanyori vekuongorora vakaona kuti izvi hazvina kukwanisa kupindura maitiro avo asina kunaka kune e-electroconvulsive therapy.
Vamwe vatsvakurudzi vakabvumirana kuti ECT haifaniri kushanda pamwe chete nevarwere vane borderline person disorder, kunyange zvikonzero zveizvi hazvisi pachena.
The Bottom Line
Zvinyorwa zvitsvakurudzo munharaunda ino zviduku uye zvisingaenderani, saka hazvirevi kuti vanhu vane zvose zvakadzama uye nemuganhu wehutano hwehutano havafaniri kugamuchira ECT.
Zvisinei, ichi chimwe chinhu chaunofanira kufunga paunenge uchitarisa ngozi nekubatsira.
Kunyange zvazvo ECT ine nguva yakareba uye yakakavhiringidza, inozivikanwa semushonga unobatsira wekuora mwoyo kwakanyanya neAmerican Psychiatric Association (APA). IAAPA yakabudisa mirayiridzo yekushandiswa kweECT inovimbisa kuti mitemo inoitwa nekuchengeteka kwako nekugara zvakanaka mupfungwa.
Vamwe vanhu vanoona zvisingadikanwi nemigumisiro kubva kune electroconvulsive therapy (somuenzaniso, kurasikirwa mupfungwa), saka unofanira kutaura pamusoro pezvipingamupinyi uye zvinobatsira neunopa wako kana uri kufunga nezveECT.
Sources:
American Psychiatric Association. "Itai Mazano Ekurapa Kwevarwere vane Borderline Personality Disorder." American Journal of Psychiatry , 1581-52, 2001.
Feske U et al. Clinical mugumisiro weECT mune varwere vane dambudziko guru uye comorbid borderline person disorder. American Journal of Psychiatry. 2004 Nov; 161 (11): 2073-80.
Rasmussen KG et al. Vanorwara vane hutano hwehutano vanopindura zvakasiyana-siyana kune magetsi ekugadzirisa here? Kuongororwa kwemabhuku uye kuongororwa kwepfungwa dzakananga. Journal of ECT. 2015 Mar; 31 (1): 6-12.
Weiner RD. Maitiro eElectroconvulsive Therapy: Mazano Okurapa, Kudzidziswa, uye Kupiwa Ropafadzo: A Task Force Report yeAmerica Psychiatric Association, (2nd ed.), American Psychiatric Publishing, 2001.