ʻO Therapy Electroconvulsive
Anter
- He aha ka electroconvulsive therapy?
- Mōʻaukala o ECT
- No ke aha e hoʻohana ʻia ai ʻo ECT?
- Bipolar kāna hana
- ʻO ka maʻi depressive nui
- Schizophrenia
- Nā ʻano o ECT
- He aha e manaʻo ai
- Pehea ka maikaʻi o ECT?
- Nā pono o ka ECT vs. nā hoʻoponopono ʻē aʻe
- Nā hopena ʻaoʻao o ECT
He aha ka electroconvulsive therapy?
He lāʻau lapaʻau ʻo Electroconvulsive (ECT) no kekahi mau maʻi noʻonoʻo. I loko o kēia hoʻomaʻamaʻa, hoʻouna ʻia nā au uila i loko o ka lolo e hoʻohuli i ka hopu ʻana.
Ua hōʻike ʻia ke kaʻina hana e kōkua i ka poʻe me ke kaumaha kaumaha. Hoʻohana pinepine ʻia e mālama i ka poʻe pane ʻole i ka lāʻau a i ʻole ka therapy therapy.
Mōʻaukala o ECT
He ʻano like ʻole kā ECT i hala. I ka manawa i hoʻolauna mua ʻia ai ʻo ECT i ka makahiki 1930, ua ʻike ʻia ʻo ia ʻo "electroshock therapy." I ka hoʻohana mua ʻana, ua ʻeha mau ka poʻe maʻi i nā iwi haʻi a pili i nā ʻeha i ka wā o ka therapy.
ʻAʻole i loaʻa nā relant Muscle e kāohi i nā haunaele ikaika i hoʻokumu ʻia e ECT. Ma muli o kēia, ua manaʻo ʻia ʻo ia kekahi o nā hoʻoponopono kontroversial loa i ka psychiatry o kēia manawa.
I ka ECT o kēia manawa, lawelawe akahele ʻia nā kahe uila, i kahi ʻano kaohi. Hāʻawi ʻia ka mea maʻi i nā mea hoʻomaha musele a hoʻōla ʻia e hōʻemi i ka hopena o ka hōʻeha.
I kēia lā, kākoʻo ka ʻAhahui Lapaʻau ʻAmelika a me nā National Institutes of Mental Health i ka hoʻohana ʻana o ECT.
No ke aha e hoʻohana ʻia ai ʻo ECT?
Hoʻohana pinepine ʻia ʻo ECT ma ke ʻano he lapaʻau o ka hopena hope loa no nā maʻi aʻe:
Bipolar kāna hana
Hoʻohālikelike ʻia ka maʻi Bipolar e nā manawa o ka ikehu ikaika a me ka elation (mania) i ukali ʻia paha e ka kaumaha nui.
ʻO ka maʻi depressive nui
He maʻi noʻonoʻo maʻamau kēia. ʻO ka poʻe me ka maʻi depressive nui ka ʻike i nā ʻano haʻahaʻa haʻahaʻa. ʻAʻole paha lākou e hauʻoli hou i nā hana a lākou i ʻike ai i mua leʻaleʻa.
Schizophrenia
Kuhi pinepine kēia maʻi psychiatric:
- paranoia
- nā ʻōlelo hoʻohiwahiwa
- hoʻopunipuni
Nā ʻano o ECT
ʻElua ʻano nui o ECT:
- pālua
- bilateral
I ka bilct ECT, kau ʻia nā uila i kēlā me kēia ʻaoʻao o kou poʻo. Hoʻopili ka lāʻau i kou lolo holoʻokoʻa.
I ka ECT unilateral, kau ʻia hoʻokahi electrode ma luna o kou poʻo. Kau ʻia kekahi ma kāu luakini ʻākau. Hoʻopili kēia hana i ka ʻaoʻao ʻākau o kou lolo.
Hoʻohana kekahi mau haukapila i nā pulses "ultra-pōkole" i ka wā o ECT. ʻO kēia mau mea i emi iho ma mua o ka hapalua millisecond, hoʻohālikelike ʻia i ka pulse hoʻokahi-millisecond maʻamau. Manaʻo ʻia nā puʻupuʻu pōkole e kōkua i ka pale ʻana i ka nalo ʻana o ka hoʻomanaʻo.
He aha e manaʻo ai
E hoʻomākaukau ai no ECT, pono ʻoe e haʻalele i ka ʻai ʻana a me ka inu ʻana no kahi manawa i hōʻike ʻia. Pono paha ʻoe e hoʻololi i kekahi mau lāʻau. E hōʻike kāu kauka iā ʻoe pehea e hoʻolālā ai.
I ka lā o ke kaʻina hana, e hāʻawi aku kāu kauka iā ʻoe i ka anesthesia ākea a me nā mea hoʻomaha hoʻomaha nā mākala. E kōkua kēia mau lāʻau i ka pale ʻana i nā haunaele e pili ana i ka hana hopu. E hiamoe ʻoe ma mua o ke kaʻina hana a hoʻomanaʻo ʻole ia ma hope.
Kau kau kauka i ʻelua mau uila i kou poʻo. E hoʻoili ʻia kahi mana uila i waena o nā uila. Hoʻokumu ka mea i kēia manawa i ka hopu ʻana o ka lolo, kahi hoʻololi iki i ka hana uila o ka lolo. E hala ia ma waena o 30 a 60 kekona.
I ka wā o ke kaʻina hana, e nānā ʻia kou puʻuwai puʻuwai a me ke kahe o ke koko. Ma ke ʻano he hana ma waho, hoʻi pinepine ʻoe i ka hale i ka lā like.
Loaʻa ka hapa nui o ka poʻe i ka ECT ma kahi o 8 a 12 mau kau ma luna o 3 a 6 mau pule. Koi aku kekahi mau mea maʻi i ka mālama mālama mālama ʻana hoʻokahi mahina, ʻoiai e koi paha kekahi i kahi papa hana mālama ʻokoʻa.
Pehea ka maikaʻi o ECT?
Wahi a Dr. Howard Weeks o ka Clinic Resistant Mood Disorder Clinic ma UNI, he 70 a 90 pākēneka ke kūlana kūleʻa o ka ECT ke hiki mai i nā maʻi e hoʻomaikaʻi ana. Hoʻohālikelike kēia i kahi helu 50 a 60 pākēneka holomua no ka poʻe lawe lāʻau.
ʻAʻole maopopo ke kumu o ka maikaʻi o ka ECT. Manaʻo kekahi poʻe noiʻi kōkua ia e hoʻoponopono i kahi kaulike ʻole i loko o ka ʻōnaehana ʻelele kemika o ka lolo. ʻO kekahi kumumanaʻo ʻē aʻe e hopu hou ka hopu ʻana i ka lolo.
Nā pono o ka ECT vs. nā hoʻoponopono ʻē aʻe
Hana ʻo ECT no nā poʻe he nui inā he hopena ʻole nā lāʻau a i ʻole psychotherapy. ʻOi aku ka liʻiliʻi o nā hopena ma mua o nā lāʻau.
Hana wikiwiki ʻo ECT e hōʻoluʻolu i nā hōʻailona psychiatric. Hiki i ke kaumaha a i ʻole mania ke hoʻonā ma hope o hoʻokahi a ʻelua mau lāʻau lapaʻau paha.Pono nā lāʻau he nui he mau pule e hana. No laila, hiki i ka ECT ke lilo i waiwai nui loa no kēlā mau mea:
- suicidal
- psychotic
- catatonic
Eia nō naʻe, koi paha kekahi poʻe i ka mālama ECT, a i ʻole nā lāʻau, e mālama i nā pono o ka ECT. Pono kāu kauka e nānā pono i kāu holomua e hoʻoholo i ka mālama maikaʻi ʻana iā ʻoe.
Hoʻohana palekana ʻia ʻo ECT ma nā wahine hāpai ʻelua a me nā mea me nā ʻano puʻuwai.
Nā hopena ʻaoʻao o ECT
ʻO nā hopena ʻē aʻe e pili ana me ECT he mea maʻamau a akahai. Hiki iā lākou ke hoʻopili:
- ʻeha ka ʻeha a ʻeha hoʻi nā mākala i nā hola ma hope o ka mālama ʻana
- huikau ma hope koke iho o ka lapaʻau ʻana
- nausea, maʻamau ma hope koke iho o kahi lapaʻau
- wā pōkole hoʻomanaʻo wā pōkole paha
- kōmi puʻuwai kūlike ʻole, he hopena ʻokoʻa ia
Hiki i ka ECT ke make, akā he laha loa ka make. E make e pili ana iā ECT. ʻOi aku ka haʻahaʻa o kēia ma mua o ko ʻAmelika Hui Pū ʻIa pepehi kanaka, i manaʻo ʻia he 12 i 100,000 mau kānaka.
Inā ʻoe a i ʻole kahi mea aloha e pili ana i nā manaʻo suicidal, e kāhea iā 911 a i ʻole ka National Suicide Prevent Lifeline ma 1-800-273-8255 koke.