Binciken Tsaro da Kwarewar "Tsarin Farko"
An riga an yi amfani da farfadowa na Electroconvulsive (ECT) don magance mutanen da ke fama da matsalolin rashin tausayi yayin da basu inganta tare da magungunan antidepressant ba. Hakanan ana kiran wannan azabar bakin ciki. Yayin da ECT ya kasance mai rikici, a wani ɓangare saboda rashin fahimta, ana amfani da ita zuwa wasu yanayi.
Wannan ya hada da mummunar tashin hankali a cutar Alzheimer da sauran nau'in nakasa . Bari mu dubi ko wannan magani yana da inganci kuma mai lafiya a lalata.
Menene ECT? Yaya ake gudanarwa?
Tsarin lantarki na intanet ya haɗa da kula da kayan wutar lantarki zuwa kwakwalwa wanda ke haifar da kullun .
Kafin yin jituwa da ECT, an bada likita a ciwon rigakafi da magani don shayarwa tsokoki . Rikicin da ECT zai haifar zai kusan kimanin 30 seconds zuwa minti daya. Bayan kamala, mutumin yana farkawa a cikin 'yan mintoci kaɗan, kuma cikin sa'a yakan iya komawa al'amuran al'ada, kodayake wasu likitoci sun hana tuki na awa 24.
Adadin kulawa na ECT zai bambanta tare da ganewar asali, yanayinka na gaba, da kuma amsa ga jiyya.
Tarihin ECT
ECT yana da mummunan suna ga mutane da yawa waɗanda suka haɗa shi da tsohuwar jiyya na ECT wanda ya haifar da jikin mutum mai tsanani kuma ya bayyana cewa zai sa mutane su zama masu fahariya da kuma kusan kayan lambu.
Za a iya tabbatar maka cewa da yawa ya canza a cikin ECT.
Lokacin da aka fara da shi, an yi amfani da kariya sosai a wurin. Yanzu, idan kuna kula da kulawar ECT, za ku iya lura da kowane motsi na mutumin lokacin da suke karɓar wutar lantarki. Kuna iya ganin hannayensu ko yatsun hawaye yayin da suke karbar magani, amma ba za a iya samun damuwa da za ku iya ɗaukar hoto daga fina-finai na farko irin su, "Ɗaya daga cikin Kutuka Cuckcoo". Babu jin zafi a lokacin ECT saboda an ba mutumin da cutar.
Bugu da ƙari, ana gudanar da ECT tare da ma'aikatan kiwon lafiya da yawa don su tabbatar da aminci da kulawa ga masu haƙuri kafin, lokacin da bayan bayanan.
Wadanne Hanyoyin Aiki Za Su Ci Gaba?
Hanyoyi masu lalacewa sun hada da ciwon kai , tashin zuciya, ciwon tsoka, ƙwaƙwalwar ajiya, da rikicewa. Yawancin bincike sun ƙaddamar cewa asarar ƙwaƙwalwar ajiyar tana iyakancewa, sau da yawa ga wani ɗan gajeren lokaci kafin a gudanar da ECT kuma ba ta da yawa a cikin 'yan makonni ko watanni kafin jiyya, kuma da wuya ga abubuwan da suka faru ko bayani daga shekaru da suka gabata.
Sauran Amfani don ECT
Bugu da ƙari da baƙin ciki da ba'a amsa maganin maganin antidepressant, Ana amfani da ECT a wasu lokuta don magance cutar kwakwalwa da kuma schizophrenia. Wasu lokuta, ana amfani dashi idan mutum ya kasance mai karewa (ba amsa duk duniya) kewaye da ita, ko namiji ba, ko kuma iya karɓar maganin antidepressants saboda wasu dalili. Za a iya amfani da ECT ga wanda ke yin wariyar launin fata inda ake jin cewa jiran likita don taimakawa zai dauki dogon lokaci kuma hadarin wannan jira ya fi girma daga gwajin ECT.
Me ya sa za a gwada gaggawa don tayar da hankali da tashin hankali a cikin rikici?
An bincika ECT a matsayin magani don tayar da hankali a cikin rikice-rikice saboda rashin ciwo da damuwa wanda wasu mutane da Alzheimer da wasu sauran lalata suka nuna.
Wannan matsanancin tashin hankali zai iya zama da wuya a kula da mutumin tun da yake yana iya kasancewa a kan batun cutar da kansa ko waɗanda suke kewaye da shi. A cikin waɗannan lokuta, idan wasu maganganu ba su da amfani, wasu likitoci na iya bada shawara ga jiyya na ECT.
Mene ne ya kamata a yi ƙoƙari a gaban ECT?
Duk da yake kowane mutum da yanayin lafiyarsa na da mahimmanci, a gaba ɗaya, akwai tsari na maganin kulawa idan ya zo don taimaka wa mutumin da ke da lalata wanda yake da matukar damuwa kuma ya damu:
- Abubuwan da ba a ba da magani ba
- Ƙungiyar ba da magani ba tare da magani ba tare da magani
- Ƙididdigar da ba a samo asibiti ba tare da haɗuwa da magunguna
ECT ya kamata ba za a yi ƙoƙari ba har sai an yi amfani da wasu hanyoyi. Akwai, duk da haka, ban da wannan doka, irin su yanayi inda ba'a iya amfani da magunguna ko halin da ake ciki yana da kyau cewa ma'aikatan kiwon lafiya suna jin cewa amfaninsu ba zai wuce hadarin gwajin ECT ba.
Yarjejeniya mara izini
Yin hukunci idan ECT ya dace a gare ku ko ƙaunatattunku ya kamata a shiryu ta hanyar mayar da hankali ga mutumin da yake karɓar shi. Duk da yake masu kulawa suna fama da muhimmanci wajen magance matsalolin ƙalubalen da ke cikin rikici, yanke shawarar yin kokarin ECT ne bisa ga ƙoƙarin ƙoƙarin rage yawan wahalar mutumin da aka ba shi da kuma amfani da shi, ba don amfanin mai kula ba .
Idan an yi amfani da magungunan miyagun ƙwayoyi da magungunan magungunan da yawa kuma mutum yana ci gaba da zama mai tsananin damuwa da jiki ba tare da iko ba, yana iya zama lokaci don gwada ECT don lalata.
Kafin ka ci gaba da ECT, tabbatar da samun likita a fili ya bayyana hadarin da kuma amfanin da aka tsara don kai ko ƙaunataccenka. Kana buƙatar samun isasshen bayani don yin wannan shawara, kuma wannan bayanin ya kamata ya kula da sauran ƙwararrun likitoci da tarihin likita na mutum domin ku iya kallon halin mutum kuma ku yi shawara game da karɓar ECT.
Shin Yayi Kyau don Gyarawa a Cutar Dama?
Yin amfani da ECT don magance matsalolin tashin hankali da zalunci a cikin rikice-rikice shi ne hanyar da ba a yi bincike ba. Duk da haka, akwai ƙananan binciken da suka ƙaddamar cewa ECT yana da tasiri wajen rage tashin hankali ba tare da samar da babbar tasiri ba. Yawancin mutanen da suka karbi ECT a binciken bincike don tashin hankali a cikin rikice-rikicen nuna nuna rashin daidaituwa bayan bin magani; duk da haka, yana da muhimmanci a lura cewa binciken da aka gudanar ya ƙunshi ƙananan lambobin mahalarta.
Bugu da ƙari, wasu daga cikin mahalarta taron da kuma tashin hankali sun dawo bayan lokaci ya wuce bayan ƙarshen jiyya na ECT, don haka wasu masu bincike suna bada shawarar magance magancewa wanda ya haɗa da maganin kulawa na ECT mai sau da yawa.
Shin Safe Safe ECT?
An kuma gano ECT don zama mai aminci ga mutanen da ke da lalata. Duk da haka, ƙananan yawan mahalarta a binciken daya sun dakatar da ECT saboda sakamakon lalacewar rikicewar rikicewa wanda bai warware a cikin minti 30 bayan lura ba. Yawancin mutanen da suka karbi ECT don tayar da hankali a cikin rikici ba su bayyana cewa zasu sha wahala ba.
Shin Ƙarin Rashin Ƙarƙashin Ƙasashen ECT na Lalacewar ƙwaƙwalwar ajiya da Dama?
Akwai rikice-rikice na rikice-rikice game da tasirin ECT akan cognition. Wasu bincike sun gano cewa ECT a cikin tsofaffi vs. ƙananan yara suna da haɗari da rikice-rikice na ƙwaƙwalwar ajiya , musamman ga waɗanda ke da nakasar jini ko kuma a cikin ƙananan matakai na lalata. Duk da haka, yana da wuya a ƙayyade ko wannan haɗari yana da dangantaka da ECT, ƙuntataccen mutum wanda zai iya ƙyamar cognition, ko kuma tsofaffi na waɗannan mahalarta. Sauran bincike sun ƙaddara cewa cognition ya kasance daidai bayan lokuta na ECT da yawa, kuma wasu karatun sun ƙaddara shi ingantaccen inganta bayan ECT.
Saboda akwai abubuwa masu yawa a cikin wasa, irin su ganewar asalin da ke haifar da bukatar ECT, da kuma shekaru da kuma lafiyar lafiyar, yana da wuya a ware duk wani canji na zuciya ga ECT.
Kalma Daga
ECT zai iya zama wani zaɓi mai taimako don magance tashin hankali da tashin hankali a cikin rikici; duk da haka, mun rasa bincike sosai da kuma sakamakon da za mu tabbatar da haka a wannan lokaci. Ana buƙatar ƙarin bincike don ci gaba da tantance ko ECT yana da tasiri kuma mai lafiya don amfani da mutane tare da tashin hankali da zalunci a cikin rikici.
Idan an bayar da ECT don ƙaunataccen wanda ke zaune tare da lalata, to, tabbatar da cewa yana da kyau ya tambayi likitocin su tambayoyi game da damuwa da ku, da kuma tuntubar wasu game da wannan shawarar. Ma'aikatan kiwon lafiya waɗanda ke kula da ƙaunataccenka suna da sani sosai, amma saninka na likita da tarihinsa ya sa ka zama muhimmin ɓangare na ƙungiyar kulawa kuma yana taimaka wajen inganta kyakkyawar sakamako.
> Sources:
> Acharya, D., Harper, D., Achtyes, E., et al. (2014). Tsaro da mai amfani da magungunan lantarki mai mahimmanci don tashin hankali da tashin hankali a cikin rikici. Littafin Labaran Duniya na Gidajen Harkokin Geriatric , 30 (3), pp.265-273.
> Glass, O., Forester, B. da Hermida, A. (2017). Mai amfani da Electroconvulsive (ECT) don magance tashin hankali a cikin rikice-rikice (babbar ƙwayar cutar neuro) - wani zaɓi mai gamsarwa. Ƙungiyoyin Ƙwararrun Ƙasa , 29 (05), pp.717-726. Doi: 10.1017 / S1041610216002258
> Burton, M., Koeller, S., Brekke, F., Afonya, A., Sutor, B. da Lapid, M. (2017). Amfanin Amfani da Electroconvulsive In A Dementia-Related Agitation. Jaridar ECT , shafi na 1. Doi: 10.1097 / YCT.0000000000000432.
> Sartorius, A., Aksay, S., Hausner, L. da Frölich, L. (2014). Girma mai tsanani a cikin mummunan farawa-farkon cututtukan Alzheimer ya magance shi tare da ECT. Cututtukan Neuropsychiatric and Treatment , p.2147. Doi: 10.2147 / NDT.S71008
> Ujkaj, M., Davidoff, D., Seiner, S., et al. (2012). Tsaro da Ingantaccen Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Guda da Hulɗar Zunubi A Magunguna Da Raba. Jaridar Amirka na Gidajen Geriatric , 20 (1), shafi na 661. Doi: 10.1097 / JGP.0b013e3182051bbc.
> Van den Berg, J., Kruithof, H., Kok, R., et al. (2017). Tsarin Electroconvulsive don Gyara da Zalunci a Yankewa - Rahoton Tsaro. Jaridar Amirka ta Geriatric Psychiatry . https://doi.org/10.1016/j.jagp.2017.09.023