Abin farin ciki, jiyya na ECT sun canza da yawa tun lokacin da aka fara amfani da su a ƙarshen 30s. Nisa daga bacewa daga arsenal na warkewa, har yanzu ana amfani da su don magance tsananin baƙin ciki ko wasu lokuta na schizophrenia musamman.

Electroconvulsive far ko seismotherapy, wanda aka fi sani da electroconvulsive therapy (ECT) a yau, ya ƙunshi aika wutar lantarki zuwa kwakwalwa don haifar da tashin hankali (epilepsy). Sha'awar ta dogara ne akan wannan al'amari na ilimin lissafin jiki: ta hanyar tsaro da farfadowa na rayuwa, a lokacin rikici mai rikicewa kwakwalwa za ta ɓoye nau'o'in neurotransmitters da neurohormones (dopamine, norepinephrine, serotonin) da ke cikin rikice-rikice na yanayi. Wadannan abubuwa za su motsa neurons kuma su inganta ƙirƙirar sababbin hanyoyin haɗin gwiwa.

Za'a iya yin amfani da Electroconvulsive far (ECT) a lokacin asibiti ko kuma a asibiti. Yardar majiyyaci wajibi ne, kamar yadda yake tare da kowane aikin likita.

Ba kamar farkon seismotherapy ba, yanzu an sanya majiyyaci a ƙarƙashin gajeriyar maganin sa barci (minti 5 zuwa 10) da kuma curarization: an yi masa allurar curare, wani abu da ke haifar da gurɓataccen tsokoki, don hana ciwon tsoka da kuma hana 'bai'. t cutar da kansa.

Likitan tabin hankali zai sanya na'urorin lantarki daban-daban a kan majiyyaci, don samun damar lura da ayyukan kwakwalwa a duk lokacin aikin. Sa'an nan kuma maimaita motsa jiki na tsawon ɗan gajeren lokaci (kasa da daƙiƙa 8) na halin yanzu mai ƙarancin ƙarfi (0,8 amperes) ana isar da shi zuwa kwanyar don haifar da rikicewar rikicewa na kusan daƙiƙa talatin. Rashin raunin wannan wutar lantarki yana sa ya yiwu a guje wa mummunar illar da aka gani a baya bayan electroshock:

Za a iya maimaita zaman sau 2 ko 3 a mako, don samun waraka daga ƴan zaman zuwa kusan ashirin, ya danganta da yanayin yanayin lafiyar majiyyaci.

Dangane da shawarwarin kiwon lafiya, ana iya amfani da ECT azaman layin farko lokacin da akwai haɗarin haɗari mai haɗari (hadarin kashe kansa, mummunan lalacewa a cikin yanayin gabaɗaya) ko kuma lokacin da yanayin lafiyar mai haƙuri bai dace da amfani da "wani nau'i mai tasiri ba. far, ko azaman jiyya na layi na biyu bayan gazawar daidaitaccen magani na pharmacological, a cikin waɗannan cututtukan daban-daban:

• babban bakin ciki;
• bipolarity a cikin mummunan harin manic;
• wasu nau'ikan schizophrenia (cututtukan schizoaffective, m paranoid syndromes).

Koyaya, ba duk cibiyoyi ke yin ECT ba, kuma akwai rarrabuwar kawuna a cikin ƙasa don wannan tayin na warkewa.

Bayan zaman

Ya zama ruwan dare don lura da ciwon kai, tashin zuciya, asarar ƙwaƙwalwa na ɗan lokaci.

Sakamakon

An nuna ingancin magani na ɗan gajeren lokaci na ECT akan babban ɓacin rai a cikin 85 zuwa 90%, watau inganci mai kama da antidepressants. Ana buƙatar maganin ƙarfafawa bayan jiyya tare da ECT, saboda yawan kuɗi (35 da 80% bisa ga wallafe-wallafen) na sake dawowa a cikin shekara mai zuwa. Zai iya zama maganin miyagun ƙwayoyi ko ƙarfafa zaman ECT.

Game da bipolarity, nazarin ya nuna cewa ECT yana da tasiri kamar lithium a kan mummunan harin manic a cikin marasa lafiya da ke karɓar neuroleptics, kuma yana ba da damar yin aiki mai sauri a kan tashin hankali da jin dadi.

Hadarin

ECT baya haifar da haɗin kwakwalwa, amma wasu haɗari sun ci gaba. An kiyasta haɗarin mace-mace da ke da alaƙa da maganin sa barci na gabaɗaya a 2 a cikin 100 zaman ECT, da kuma yawan cututtuka a haɗarin 000 a kowane zaman 1 zuwa 1.