Therapy Electroconvulsive i roto i te mate hinengaro. Tuhinga, pānga

I teie mahana, e rave rahi kua rongo o tenei tikanga o te maimoatanga rite electroshock therapy electroconvulsive ranei. Tenei tukanga Ko e tika ana ki te kiriata kua he ingoa kino. Ko te ara te mea kei roto i te meka, ahakoa kahore ranei he mōrearea, me te pera ri'ari'a tenei momo o te therapy, rite mea ratou e pā ana ki a ia?

He aha te momo o te tukanga?

A, no te kawea therapy electroconvulsive, haere roro o te manawanui i roto i ngā nāianei kaha te - i 200 ki te 1600 milliamps. Ko tōna ngaohiko Ko 70 volts ki 400. Ko te roanga o te rongo e kore e nui ake i te hēkona ruarua, hautau o hēkona te maha iti. Ēnei ngātere tīmata hukihuki. Ko te mea ia tapao e te horopeta tukua o te ahotea he takitahi, i runga i te whakautu a te manawanui rānei. He angitu te wātū ki te ia te roanga Tuhinga o 25 hēkona. Hei kawe i tenei maimoatanga i roto i te mau hiero i runga i ngā taha e rua o nga electrodes e tāuta. I te tahi taime e eke ratou i te mua, me te hoki o te matenga. Kei te nuinga o whakaaetia nga ponana hiko i roto i anake tetahi taha o te roro. ka whakawhirinaki tauwāhi kawehiko i runga i te mate tangata, no te mea te huri i te hōkai o te roro i tātaritanga rerekē.

I mua i te tukanga, kia tomo te manawanui he tarukino e poto paralyzes te pūnaha uaua katoa. E tika ana ki te whakarite kia kore te te manawanui whawhati ratou wheua i te wa o te wahi o te hiko i roto i te roro enei mehua. Tenei tohu e ai ECT nui wiri-ake o te rauropi katoa. I tua atu, i te wātū whakamana tika i raro i rehunga whānui.

Otiia i roto i te tikanga ki te meinga i te ru taua, e kore e hiko anake nga tohunga. No te mau opuaraa whakaora, hau Aositelēlia whakamahia (hau hanganga kei roto i te kanohi), me te tikanga matū (subcutaneously whakahaere ki te ngira). Ko te pānga o enei taero ko te ātete hiko. Tohunga mea e te maimoatanga he e tika ana ki te āhua o te ru i te wa o hukihuki, a kahore he mea he aha tikanga e huaina ratou (i roto i te kanohi, ngira, ru ranei).

He aha te kawe atu i tenei therapy?

I te 1938 ka whakaekea ia therapy electroconvulsive rite te tikanga o te pae whakakahoretia o tuakoi. Ano hoki, whāinga tenei tukanga ki te āwhina i tūroro e mamae i etahi atu mate hinengaro. Otiia i runga i nga tau kua mārama e kore he whai hua i roto i te take o te wairua tuakoi tenei tikanga o te maimoatanga, engari homai te reira i hua pai i roto i te doldrums. Ētahi taote mea e tenei tikanga o te pae whakakahoretia o enei disorders hinengaro he whai hua te nuinga, no te mea riro āhua 75% o te tūroro i te ora mai i te tohu o to ratou mate.

Tuhinga mō te maimoatanga o te whakahaere

He maha āhua i ai ki te tuku mau te akoranga o te maimoatanga. Ko te mea i tuhituhia i roto i ngā momo katoa e wha o disorders hinengaro, i roto i nei whakaritea te tukanga e ki therapy electroconvulsive i runga i te kaupapa ohorere. Ko ētahi o ēnei:

• Depression, i roto i nei whakakitea hiahia ngata mo whakamomori me te hiahia ki te mahia whaiaro wharanga-.
• catatonia Febrile.
• He huru i roto i nei te manawanui pakeke kore ki te farii i te wai kai ranei.
• Neuroleptic syndrome mārere.

Ko reira e te tahi atu tohu hoki e kia tūtohutia ai therapy electroconvulsive, engari i roto i enei take ka kawea te tikanga i roto i roto i te tikanga i āta whakamaheretia. I tua atu, whakamahia tenei tikanga o te maimoatanga e i roto i te mate hinengaro e kore anake, engari ano hoki i roto i te tarukino me te mara neurological (hei tauira, haurangi, syndromes mamae).

maimoatanga whārua

Nuinga o ngā wā e whakamahia ana electroshock therapy mō te whārua. Kua whakapumautia te reira e meinga tenei mate e te utu kē pahara, i waenganui i ngā wāhi roro rerekē. Na reira, kia waiho te whakaaro o te taote te haere ki te whakapōrearea i enei whanaunga me ki whakahoki pākia noa. Kei te whakapono te reira e hukihuki meinga e ponana hiko, whakaiti i te maha o ngā hononga pahara, i waenganui i ngā wāhanga o te roro haepapa mō te huru, te kukū me te whakaaro.

Te faaineineraa no te maimoatanga

Hei puta ki tenei tikanga o te maimoatanga, e hiahia ana koe ki te mahi i te whai i ēnei:

1. He ako oti o te huru neurological me tinana o te manawanui.
2. Ko te whakamātautau toto me te mimi noa. I roto i ētahi wā, i mahi tātari toto matüora i roto i te taipitopito atu.
3. Aromatawai mahi hinengaro.
4. tirohia te reira i te pūnaha Cardiovascular ka ako te hiko-.
5. Tata mahi toitoi o te manawanui.

puritia hoki te maha o etahi atu ngā, pērā i te mutunga o te horomanga kai, me etahi rongoa e manako tūroro mō te maimoatanga.

Ano, anga ke ki te whakapono rongonui e whakaūtia therapy electroconvulsive i roto i psychiatry ko, puta te tukanga anake ki te whakaae o te rōpū te haere. Me fakatāutaha tango i te manawanui he whakatau taua ka haina te puka tuku. Ko ētahi wā ko tino uaua te āhua hinengaro, a kihai i taea ki te homai toku whakahoki ia. I roto i tenei take, kia whakaae i te tata kaitiaki whanaunga ranei ki te tukanga. Otiia i tika taua whakatau, haere ki te runanga o taote e hoatu te mutunga.

Ko te auau o maimoatanga

Kei te mohiotia te reira e kawea therapy electroconvulsive i roto i te mate hinengaro e te akoranga e ngā wā maha. He rerekē ratou auau i runga i te whenua, me te whare hauora, i roto i nei te maimoatanga rānei. Ko te tikanga kawea te wiki te manawanui kei roto i rua ranei e toru ngā wā. Ko roanga o te akoranga i runga i ngā wiki e whā toharite. I roto i te tahi mau tūroro, puta nui mua whakapai ake, a te tahi mau taime te reira nui e rua noa wiki. I te tahi taime e kore te whakapai ake i puta noa i muri i te 20 nga wa o te therapy. Otiia i kite ki te kore i tangoro te wā 12 tuatahi āhua atu te whenua ka atu maimoatanga i tenei tikanga, kore.

pānga

Tenei tikanga o te maimoatanga he he faariro i, a ka ia, o te akoranga, i reira he pānga taha e te hunga wawe a te mutunga. I roto i te raruraru take tuatahi puta tonu i muri i te mutunga o te wātū i roto i te reira ranei. Ko ētahi o ēnei pai te ngau ke e tautohetia ana, e titau arumanga tonu o te tukanga i te whakataki o raau taero motuhake. Ano kia puta tachycardia i roto i te wātū. I tua atu, kia waiho te tauhohenga ki te rehunga atu tarukino whakamahia mo te maimoatanga ranei. Kei te whakakitea te reira i roto i te puka o te apnea (paipa o manawa).

I tua atu ki te tīmatanga o nga pānga ngā pāhoahoa i muri i te tukanga, e taea te whakakorea ki te awhina o painkillers marama. I muri i te ärai o kia puta te oaoa, whakapairuaki, huringa i roto i te pēhanga, he āhua mate, me te whakama, e āta iti. Ko taea te rahi roa'tu, ratou ki ia wātū noa. Ko te mau hopearaa tino whakamataku ngā whakaeke ngakau, me te mate.

puta pānga taha Late i muri i te i, i muri i te maha o ngā tukanga. Ka taea e ratou tupu puta noa i te tau, i kawea therapy electroconvulsive te roto. Nga mau hopearaa, rite kua whakahuatia, e taea te whakakitea i roto i te puka o te whakama wā roa-. Kia hoki kia te reira i mate wareware wāhanga raruraru ki te whakaaro ranei.

whakararuraru, mahara

Hoki te wa roa i reira ko te whakaaro e tenei tukanga ka tūkino i te taniwha, te roro. Na reira, kua whakahaeretia rangahau ki te kitea i roto i te mea murua mahara te ka electroconvulsive therapy, me tetahi mate i te wahi kotahi. I kitea te reira e timata te maumaui ki puta i muri e pā ana ki te ono o te wātū. I roto i tenei take, kia waiho mate wareware o te pūāhua rerekē. I te tahi taime te manawanui tika kihai i mahara i i tukinotia ia e tenei tikanga, me i te tahi atu te wā purepure te tauira i te taha o te ngaronga mahara. Hei tauira, e kore i taea e ki te haamana'o i te ingoa ranei tahi atu taipitopito te tangata. Otiia puta enei maumaui katoa anake ki te hunga tūroro e te aroaro o te therapy i runga i MRI i tuhia i roto i te ma pāpaka mea kaha nui subcortical. Ko te tikanga, he wiki i muri mai, te mahara o enei tūroro ora ake tino, ahakoa etahi tonu tuhia e kua wahi o ngā ratou ora kua murua ake ake.

He reira tetahi contraindications

kia whakatika i te pātai e tika ana ki te maha o ngā pānga taha e, i roto i ētahi wā, he Kāore therapy electroconvulsive. Oddly nui, engari te contraindications tūturu mō tenei tikanga o te maimoatanga, e kore e kaiwhakaako karanga. I i te wa ano, e tamata maha tākuta ki kia tupato, no te mea i reira he huru o te manawanui i raro nei kia hua enei ngā tukanga i roto i te mate o te manawanui. Ko ētahi o ēnei:

• Whakawhitia te infarction myocardial (Me haere toru nga marama).
• takawhita Intracranial.
• toto gastrointestinal.
• Pheochromocytoma.
• Ko te aroaro o te pukupuku roro (puninga tuhia o take).
• I roto i te take o ngā raruraru e pā ana ki te ātete ki te rehunga.

Ko, haunga tenei katoa, i reira he he huru i roto i nei i roto i te tukanga, me tango e koe mehua atu ki te whakaiti i te tūponotanga o pōauautanga nui.