Phekolo ea motlakase

Phekolo ea motlakase (ECT) e sebelisa matla a motlakase ho phekola khatello ea maikutlo le mafu a mang a kelello.

Nakong ea ECT, matla a motlakase a baka ho ts'oaroa bokong. Lingaka li lumela hore ts'ebetso ea ho ts'oaroa e kanna ea thusa boko "rewire" ka boeona, e thusang ho kokobetsa matšoao. ECT ka kakaretso e bolokehile ebile e ea sebetsa.

ECT hangata e etsoa sepetlele ha u ntse u robetse 'me u se na bohloko (anesthesia e akaretsang):

• U fumana moriana oa ho o phomotsa (setlolo se thellisang mesifa). U boetse u fumana moriana o mong (moriana o thethefatsang o sebetsang nakoana) ho o robala hanyane le ho o thibela ho utloa bohloko.
• Li-electrode li behiloe hloohong ea hau. Li-electrode tse peli li lekola tšebetso ea boko ba hau. Li-electrode tse ling tse peli li sebelisoa ho tsamaisa motlakase.
• Ha o robetse, matla a fokolang a motlakase a isoa hloohong ea hau ho baka ts'ebetso ea ho ts'oaroa bokong. E nka metsotsoana e ka bang 40. U fumana moriana ho thibela ho ts'oaroa ho pharalla 'meleng oa hau. Ka lebaka leo, matsoho kapa maoto a hau a tsamaea hanyane feela nakong ea ts'ebetso.
• ECT hangata e fanoa hang hang matsatsing a 2 ho isa ho a 5 ka kakaretso ea linako tse 6 ho isa ho tse 12. Ka linako tse ling linako tse ling li hlokahala.
• U tsoha metsotso e 'maloa ka mor'a kalafo. HA U hopole kalafo. U isoa sebakeng sa ho hlaphoheloa. Ha u le moo, sehlopha sa tlhokomelo ea bophelo se u behile leihlo ka hloko. Ha u fola, u ka ea hae.
• U hloka hore motho e moholo a u khannele hae. Etsa bonnete ba hore o hlophisa sena pele ho nako.

ECT ke kalafo e sebetsang haholo bakeng sa khatello ea maikutlo, hangata e le khatello ea maikutlo e matla. Ho ka thusa haholo ho phekola khatello ea maikutlo ho batho ba:

• Ba na le lithetso kapa matšoao a mang a kelello a nang le khatello ea maikutlo
• Ba imme ebile ba sithabetse maikutlo
• Ba ipolaea
• Ha e khone ho sebelisa lithethefatsi tse loantšang khatello ea maikutlo
• Ha u so arabe ka botlalo meriana e loantšang khatello ea maikutlo

Nako le nako, ECT e sebelisetsoa maemo a kang mania, catatonia le psychosis tse sa ntlafatseng ho lekana ka kalafo tse ling.

ECT e amohetse khatiso e mpe, ka karolo e 'ngoe ka lebaka la bokhoni ba eona ba ho baka mathata a memori. Ho tloha ha ECT e hlahisoa lilemong tsa bo-1930, tekanyetso ea motlakase e sebelisitsoeng ts'ebetsong e fokotsehile haholo. Sena se fokolitse haholo litla-morao tsa ts'ebetso ena, ho kenyeletsoa le tahlehelo ea mohopolo.

Leha ho le joalo, ECT e ntse e ka baka litla-morao, ho kenyelletsa:

• Pherekano e atisang ho nka nako e khuts'oane feela
• Ho opeloa ke hlooho
• Khatello ea mali e tlase (hypotension) kapa khatello e phahameng ea mali (hypertension)
• Ho lahleheloa ke mohopolo (ho lahleheloa ke mohopolo ka ho sa feleng ho feta nako ea ts'ebetso ha ho bonolo ho feta nakong e fetileng)
• Bohloko ba mesifa
• Ho nyekeloa
• Ho otla ha pelo ka potlako (tachycardia) kapa mathata a mang a pelo

Maemo a mang a bongaka a beha batho kotsing e kholo ea litla-morao tse tsoang ho ECT. Buisana le ngaka ea hau ka maemo a hau a bongaka le lintho tse u tšoenyang ha u etsa qeto ea hore na ECT e u loketse.

Hobane anesthesia e tloaelehileng e sebelisetsoa ts'ebetso ena, o tla kopuoa hore o se ke oa ja kapa oa noa pele ho ECT.

Botsa mofani oa hau hore na u lokela ho noa meriana ea letsatsi le letsatsi hoseng pele ho ECT.

Kamora tsela e atlehileng ea ECT, o tla fumana meriana kapa ECT khafetsa ho fokotsa kotsi ea ketsahalo e 'ngoe ea khatello ea maikutlo.

Batho ba bang ba tlaleha pherekano e bobebe le hlooho ka mor'a ECT. Matšoao ana a lokela ho lula nakoana feela.

Phekolo e makatsang; Phekolo e makatsang; ECT; Ho tepella maikutlo - ECT; Bipolar - ECT

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Welch CA. Phekolo ea motlakase. Ka: Stern TA, Fava M, Wilens TE, Rosenbaum JF, bahlophisi. Sepetlele sa Massachusetts General Comprehensive Clinical Psychiatry. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2016: khaolo ea 45.