Magungunan lantarki

Electroconvulsive therapy (ECT) yana amfani da wutan lantarki dan magance bakin ciki da wasu cututtukan ƙwaƙwalwa.

A lokacin ECT, wutar lantarki tana haifar da kamawa a cikin kwakwalwa. Doctors sunyi imanin cewa aikin kamawa na iya taimakawa kwakwalwa "sake sake" kanta, wanda ke taimakawa sauƙaƙe bayyanar cututtuka. ECT gaba ɗaya amintacce ne kuma mai tasiri.

ECT galibi ana yin sa ne a asibiti yayin da kuke bacci da rashin jin zafi (maganin rigakafi na gaba ɗaya):

• Kuna karɓar magani don shakatawa ku (mai narkar da tsoka). Hakanan kuna karɓar wani magani (mai ba da magani mai gajartawa) don sanya ku ɗan gajeren barci kuma ya hana ku jin zafi.
• Ana sanya wayoyi a fatar kan ku. Wayoyi biyu ne suke lura da aikin kwakwalwarka. Ana amfani da wasu wayoyi biyu don sadar da wutar lantarki.
• Lokacin da kake barci, ana kawo ƙananan currentarfin wutar lantarki zuwa kanka don haifar da aikin kamawa a cikin kwakwalwa. Yana ɗaukar kimanin dakika 40. Kuna karɓar magani don hana kamuwa daga yaduwa cikin jikin ku. A sakamakon haka, hannuwanku ko ƙafafunku suna motsa kaɗan kawai yayin aikin.
• ECT yawanci ana bayarwa sau ɗaya kowace rana 2 zuwa 5 don jimlar zama 6 zuwa 12. Wani lokaci ana buƙatar ƙarin zaman.
• Mintuna da yawa bayan jiyya, za ku farka. KADA KA tuna da magani. An kai ku yankin da ake murmurewa. A can, ƙungiyar masu kiwon lafiyar suna sa ido sosai. Bayan ka warke, zaka iya komawa gida.
• Kuna buƙatar samun baligi ya kora ku gida. Tabbatar shirya wannan kafin lokaci.

ECT magani ne mai matuƙar tasiri don ɓacin rai, yawanci tsananin damuwa. Zai iya zama da taimako ƙwarai don magance baƙin ciki a cikin mutanen da suka:

• Shin kuna da ruɗu ko wasu alamun alamun hauka tare da baƙin cikinsu
• Suna da ciki kuma suna da baƙin ciki sosai
• Shin suna kashe kansa
• Ba za a iya shan magunguna masu kwantar da hankali ba
• Ba a ba da amsa cikakke ga magungunan ƙwayoyin cuta ba

Kadan sau da yawa, ana amfani da ECT don yanayi irin su mania, catatonia, da psychosis waɗanda KADA ku inganta sosai tare da sauran jiyya.

ECT ta karɓi mummunan latsawa, a wani ɓangare saboda yuwuwar haifar da matsalolin ƙwaƙwalwa. Tun lokacin da aka gabatar da ECT a cikin 1930s, yawan wutar da ake amfani da ita a cikin aikin ya ragu sosai. Wannan ya rage tasirin tasirin wannan aikin, gami da ɓata ƙwaƙwalwar ajiya.

Koyaya, ECT na iya haifar da wasu lahani, gami da:

• Rikice-rikice wanda gaba daya yakan dauki wani karamin lokaci ne kawai
• Ciwon kai
• Pressureananan jini (hypotension) ko hawan jini (hauhawar jini)
• Rashin ƙwaƙwalwar ajiya (ƙwaƙwalwar ajiya ta dindindin fiye da lokacin aikin ba ta cika zama gama gari ba kamar yadda take a da)
• Ciwan tsoka
• Ciwan
• Saurin bugun zuciya (tachycardia) ko wasu matsalolin zuciya

Wasu yanayin kiwon lafiya suna sanya mutane cikin haɗarin haɗarin illa daga ECT. Tattauna yanayin lafiyar ku da duk wata damuwa tare da likitan ku yayin yanke shawara ko ECT ta dace da ku.

Saboda ana amfani da maganin sa kai tsaye don wannan aikin, za a umarce ku da kada ku ci ko sha kafin ECT.

Tambayi mai ba ku sabis ko ya kamata ku sha kowane irin magani da safe da safe kafin ECT.

Bayan ingantacciyar hanyar ECT, zaku karɓi magunguna ko ECT ƙasa da yawa don rage haɗarin wani abin baƙin ciki.

Wasu mutane suna ba da rahoton ɗan rikicewa da ciwon kai bayan ECT. Waɗannan alamun za su tsaya na ɗan lokaci kaɗan.

Shock jiyya; Shock far; ECT; Rashin ciki - ECT; Bipolar - ECT

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Siu AL; Servicesungiyar Ayyuka na Rigakafin Amurka (USPSTF), Bibbins-Domingo K, et al. Nunawa don ɓacin rai a cikin manya: Bayanin bayar da shawarar Tasungiyar kungiyar Ayyuka na Amurka. JAMA. 2016; 315 (4): 380-387. PMID: 26813211 pubmed.ncbi.nlm.nih.gov/26813211/.

Welch CA. Magungunan lantarki. A cikin: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Babban Asibitin Babban Asibitin Massachusetts. 2nd ed. Philadelphia, PA: Elsevier; 2016: babi na 45.