Kuongororwa Kwekuchengetedzwa uye Kubudirira kwe "Shock Therapy"
Electroconvulsive therapy (ECT) yakagara ishandiswa kurapa vanhu vari kurwisana nehutano hwekuora mwoyo kana vasati vashandurwa nemishonga inorwisa antidipressant. Izvi zvinowanzotumidzwa sehutano husingagoni kuora mwoyo. Kunyange zvazvo ECT inoramba ichikakavhiringidza, muchidimbu nokuti haina kunzwisiswa, kushandiswa kwayo kuri kuwedzera kune mamwe mamiriro ezvinhu.
Izvi zvinosanganisira kushungurudzika kwakanyanya mune chirwere cheAlzheimer uye mamwe marudzi ehutano hwemangara . Ngatitarisei kuti kana kwete here kurapwa kunobudirira uye kwakachengeteka mukutemwa kwemweya.
Chii chinonzi ECT? Inoshandiswa Sei?
Electroconvulsive therapy inosanganisira kushandiswa kwemagetsi ekusimudzira uropi hunokonzera kukurumidza kwenguva pfupi.
Asati apinda muECT, murwere anopiwa mukuru anesthesia uye mishonga yekuzorodza misumbu . Kutora kunokonzerwa neECT kunowanzopedza anenge masekondi makumi matatu kusvika paminiti. Pashure pokutora, munhu anomuka mukati memaminitsi mashomanana, uye mukati meawa inowanzokwanisa kudzokerazve kuita mabasa akaenzana, kunyange zvazvo vamwe varapi vepfungwa vanorega kutyaira kwemaawa makumi maviri nemaviri.
Nhamba yezvipatara zveECT ichasiyana nekuongorora kwako, yako yose mamiriro, uye kupindura kwako kune mishonga.
The History of ECT
ECT ine mukurumbira wakaipa kune vakawanda vanozvibatanidza nehutano hwekare hweECT dzakabereka hutsinye huzhinji huchiita uye hunoratidzika kuti huite kuti vanhu vave nemafungiro epfungwa uye zvinenge zvirimwa zvinomera.
Unogona kuvimbiswa kuti zvakawanda zvakashandurwa muECT.
Apo yakatanga kugadzirwa, pakanga pane zvishoma zvidziviriro zvishoma munzvimbo. Iye zvino, zvakadaro, kana iwe ukatarisa kurapa kweECT, iwe haungatombocherechedzi kufamba kwomunhu apo vari kugamuchira kushamiswa kwegetsi. Iwe unogona kuona maoko kana zvigunwe zvichinyenyeredza pavanenge vachigamuchira kurapwa, asi hapazovi nekuvhiringidzika kwaunogona kufungidzira kubva kumafirimu ekare akadai, "Mumwe Anopfuurira Nechiricoo Nest." Iko hakuna marwadzo panguva yeECT nokuti munhu anopiwa anesthesia.
Uyezve, ECT inoshandiswa nevakawanda vezvechiremba varipo kuti vave nechokwadi chekuchengeteka uye kutarisa kwevarwere kare, panguva uye shure kwekuita.
Ndezvipi Migumisiro Inogona Kuwedzera?
Zvimwe zvinosanganisa zvinosanganisira misoro , kusuruvara, kusuruvara kwepfungwa, kurasikirwa kwepfungwa, uye kuvhiringidzika. Kazhinji tsvakurudzo yakagumisa kuti kurasikirwa nekuyeuka kwakakosha, kazhinji kwenguva pfupi ECT isati yashandiswa uye isingawanzoitiki kune vhiki shomanana kana mwedzi isati yatanga kurapwa, uye kashoma kune zviitiko kana ruzivo kubva mumakore akapfuura.
Zvimwe Zvishandiso zveECT
Mukuwedzera kune kuora mwoyo kusingapinduri nemishonga inodzvinyirira, ECT inoshandiswa dzimwe nguva kubata bipolar disorder uye schizophrenia. Dzimwe nguva, inoshandiswa zvakare kana munhu ari catatonic (asingapinduri zvachose kune nyika yakamupoteredza), manic, kana kuti asingakwanisi kutora antidipressants pane chimwe chikonzero. ECT inogona kushandiswa kune mumwe munhu anozviuraya apo zvinonzwa sokuti kumirira mushonga kunobatsira kunotora nguva yakareba uye njodzi yekumirira iyo yakakura kudarika ngozi yekuedza ECT.
Sei Uchiedza ECT yeKunyunyuta Nokuderera muDhementia?
ECT yave ichiongororwa semushonga wekushungurudzika muhutano hwemararamiro nekuda kwekukosha kwekushaya simba uye kushungurudzwa kwakaitwa vamwe vanhu vane Alzheimer uye mamwe dementias.
Uku kushungurudzika kwakanyanya kunogona kuita kuti zvive zvakaoma zvikuru kutarisira munhu sezvo angave ari pakupedzisira kuzvikuvadza iye pachake kana kune avo vakamupoteredza. Muzviitiko izvi, kana mamwe maitiro asingabatsiri, vamwe vanachiremba vanogona kurumbidza maitiro eECT.
Chii Chinofanira Kuedzwa Kuda kweECT?
Kunyange zvazvo munhu wese nemararamiro ake akaenzana, kazhinji, pane urongwa hwekurapa nzira kana zvichiuya pakubatsira munhu ane dhementia ane utsinye uye anotambudzika:
- Kwete-kupindira kwepamutemo
- Zvisiri-pharmacological intervention pamwe nemishonga
- Zvisiri-zvepamusoro pemaprogiramu pamwe nekubatanidzwa kwakawanda kwemishonga
ECT haifaniri kuedza kuedzwa kusvikira dzimwe nzira dzave dzichishandiswa. Kune, zvisinei, kunze kwemutemo uyu, wakadai semamiriro ezvinhu apo mishonga haigone kushandiswa kana mamiriro ezvinhu akaoma zvokuti vashandi vanonzwa kuti kubatsirwa kunogona kupfurikidza nedambudziko rekuedza ECT.
Informed Consent
Kusarudza kana ECT yakakodzera iwe kana mudiwa wako inofanira kutungamirirwa nekuisa pfungwa kune munhu anogamuchira. Kunyange zvazvo vachengeti vanorwisana zvakanyanya kuti vaite zvinetso zvakaoma mukuora mwoyo, chisarudzo chekuedza ECT chinofanira kuitwa kubva pakuedza kuderedza kushungurudzika kwomunhu waanorongedzerwa uye zvaanogona kubatsirwa kwaari, kwete zvingabatsire kumubatsiri .
Kana dzimwe dzakawanda dzisingasviki zvinosvika uye mishonga yakawanda yakaedzwa uye munhu wacho achiri kushungurudzika mupfungwa uye mumuviri asingakwanisi kutonga, inogona kuva nguva yekuedza ECT nokuda kwehutano hwemararamiro.
Usati waenderera mberi neECT, iva nechokwadi chokuti chiremba anotsanangura zvakajeka njodzi uye zvinobatsira zvekurapa kunoratidzirwa iwe kana mudiwa wako. Iwe unofanirwa kuwana ruzivo rwakakwana kuitira kuti uite chisarudzo ichi, uye ruzivo urwu runofanira kufunga nezvehumwe huongorori uye nhoroondo yezvehutano hwemunhu kuitira kuti unogona kutarisa mamiriro ega ega uye kuita sarudzo yakadzidziswa, yakagadziriswa pamusoro pekugamuchira ECT.
Iko ECT Inobudirira Yekutengesa muDementia?
Kushandisa ECT kutarisa kushungurudzika uye kushungurudzika muhutano hwemagumisiro inzira isina kuongororwa. Kunyange zvakadaro, pane zvidzidzo zvishomanana zvakagumisa kuti ECT yakanga iri kubudirira mukuderedza kusagadzikana pasina kuunza maitiro makuru. Vanhu vazhinji vakagamuchira ECT mune zvidzidzo zvekutsvaga kwekutsvaira muhutano hwemararamiro zvakaratidza kuderera kwehutsinye hwekutsvaga mushure mekurapa; zvisinei, zvakakosha kuziva kuti zvidzidzo zvakaitwa zvinosanganisira nhamba shoma dzevatori vechikamu.
Uyezve, vamwe vevatori vechikamu vakagumburwa nechisimba vakadzoka mushure mekunge nguva yakapfuura mushure mekuguma kwemishonga yeECT, saka vamwe vatsvakurudzi vari kukurudzira kurapwa kwekuchengetedza kunosanganisira zvirwere zvishoma asi zvinoramba zvichiitwa kurapa kweECT.
Iko ECT Yakachengeteka here?
ECT yakawanikwa zvakare kuti yakachengeteka kune vanhu vane demoentia. Zvisinei, chikamu chiduku chevatori vechikamu mune imwe chidzidzo chakarega ECT nekuda kwemigumisiro yakawanda yekuvhiringidza kukuru kusina kugadzirisa mumaminitsi makumi matatu mushure mekurapa. Vanhu vazhinji vakagamuchira ECT nokuda kwekurwadziwa mukutenda kwepfungwa havana kuonekwa vachitambura nemigumisiro yakakomba.
ECT inowedzera Dambudziko rekurasikirwa kwechirangaridzo uye dementia here?
Pane hutsva hunopesana pamusoro pemigumisiro yeECT pane cognition. Imwe tsvakurudzo yakawana kuti ECT muvakuru vakwegura vanorwisana nevanhu vaduku vane dambudziko rakakura rekuvhiringidzika uye kukanganwa kurasikirwa nemigumisiro, kunyanya kune avo vane chirwere chemaitiro chemasimba kana vari mumatanho ekupedzisira ekudengenyeka kwemweya. Zvisinei, zvinogona kuva zvakaoma kuziva kana dambudziko iroro rakabatana neECT, kuora mwoyo kwomumwe munhu kunogona kukanganisa kugamuchira, kana kukwegura kwevaya vanotora. Imwe tsvakurudzo yakaratidza kuti cognition yakaramba iine yakafanana mushure menguva dzakawanda dzeECT zvidzidzo, uye zvimwe zvidzidzo zvakasarudza kuti yakanyatsovandudzwa mushure meECT.
Nemhaka yekuti pane zvinhu zvakawanda zviri mukutamba, zvakadai sechikonzero chekuongorora chinokonzera kukosha kweECT, pamwe nezera uye hutano hwehutano, zvakaoma kuparadzanisa chero shanduko yekufunga kweECT.
Shoko Rinobva
ECT inogona kuva yakakosha yekugadzirisa kushungurudzika uye kushungurudzika muhutano hwekuora mwoyo; zvisinei, tinoshaya zvakakwana kutsvakurudza uye zvigumisiro kuti tive nekugumisa saizvozvo panguva ino. Ongororo yakawedzerwa inodiwa kuti ienderere mberi kuongorora kana ECT ichibudirira uye yakachengeteka kuti ishandiswe kune vanhu vane kushungurudzika uye kushungurudzika muhutano hwemararamiro.
Kana ECT inorongedzerwa kune wadikanwa uyo anorarama nehutano hwemararamiro, iva nechokwadi chokuti zvakakodzera kubvunza vanachiremba mibvunzo pamusoro pezvimwe zvinetso zvaunazvo, pamwe nekukurukura nevamwe pamusoro pechisarudzo ichi chekurapa. Vanachiremba vanobata munhu waunoda vane ruzivo rwakakura, asi ruzivo rwako rwezvechiremba uye nhoroondo yakawanda inokuita chikamu chinokosha cheboka rekurapa uye rinobatsira kukurudzira zvakanakisisa zvinoitika.
> Sources:
> Acharya, D., Harper, D., Achtyes, E., et al. (2014). Kuchengetedza uye kushandiswa kwehutachiona hwemagetsi ekugadzirisa uye kushungurudzika muhutano hwehutano. International Journal of Geriatric Psychiatry , 30 (3), pp.265-273.
> Glass, O., Forester, B. naHermida, A. (2017). Electroconvulsive therapy (ECT) yekurapa kushungurudzika muhutano hwematambudziko (hukuru hwehutano hwehutano) - chisarudzo chakanaka. International Psychogeriatrics , 29 (05), pp.717-726. doi: 10.1017 / S1041610216002258
> Burton, M., Koeller, S., Brekke, F., Afonya, A., Sutor, B. na Lapid, M. (2017). Kushandiswa kweElectroconvulsive Therapy muDementia-Inosangana Kusagadzikana. Journal of ECT , p.1. doi: 10.1097 / YCT.0000000000000432.
> Sartorius, A., Aksay, S., Hausner, L. uye Frölich, L. (2014). Kushungurudzika kwakanyanya mumatambudziko makuru-kutanga kweAlzheimer's disease inogadzirisa neECT. Neuropsychiatric Disease uye Treatment , p. doi: 10.2147 / NDT.S71008
> Ujkaj, M., Davidoff, D., Seiner, S., et al. (2012). Kuchengetedza uye Kubudirira kweTyroxonvulsive Therapy for Treatment of Agitation and Violence in Patient With Dementia. The American Journal of Geriatric Psychiatry , 20 (1), pp. 61-72. doi: 10.1097 / JGP.0b013e3182051bbc.
> Van den Berg, J., Kruithof, H., Kok, R., et al. (2017). Electroconvulsive Therapy for Agitation and Violence in Dementia - A Review System. The American Journal of Geriatric Psychiatry . https://doi.org/10.1016/j.jagp.2017.09.023