He aha te Electroconvulsive Therapy (ECT)? Te Whāinga, te Hātepe & ngā Hua

Ko te Electroconvulsive therapy (ECT) he hātepe rongoā e whakamahi ana i ngā ia hiko i āta whakahaeretia hei whakaoho i te hopu poto i tō roro i a koe e moe ana. Kua pai ake tēnei rongoā i roto i ngā tau tekau, ā, i tēnei wā e kiia ana ko tētahi o ngā rongoā tino whai hua mō te pōuri nui me ētahi āhuatanga hauora hinengaro. Ahakoa te ahua nei he nui i te tuatahi, he haumaru te ECT o nāianei, e tino mātakitakihia ana, ā, ka taea te tuku tūmanako ina kāore anō ētahi atu rongoā i whai hua.

He aha te electroconvulsive therapy?

Ko te ECT he rongoā whakahihiri roro e mahi ana mā te tuku i ngā ngaru hiko iti i roto i tō roro kia puta he hopu whakahaere. Ko te hopu anō ka roa anake te 30 ki te 60 hēkona, engari te ahua nei ka tautuhi anō i ētahi matū roro ka āwhina i ngā tohumate hauora hinengaro nui. Ka moe katoa koe i te wā o te hātepe, nā reira kāore koe e rongo i te mamae, e mahara rānei ki te rongoā ake.

Kua roa te haere o tēnei rongoā mai i ōna rā tuatahi. I tēnei rā, ka whakamahi te ECT i ngā inenga hiko tika, te rongoā moe matatau, me ngā whakangāwari uaua kia pai ai te wheako me te haumaru. Ka mahia te hātepe i roto i te hōhipera me te rōpū rongoā katoa e noho ana, tae atu ki te tohunga rongoā moe, te tākuta hinengaro, me ngā nēhi.

He aha te take e mahia ai te electroconvulsive therapy?

Ko te tikanga ka tūtohu te ECT ina he pōuri nui tōna kāore anō i aro ki ētahi atu rongoā pērā i ngā rongoā, i te rongoā rānei. He maha ngā wā ka whakaarohia ina he mōrearea tōna āhuatanga, ina hiahia rānei koe ki te whakapai ake i ō tohumate. Ka tūtohu pea tō tākuta i te ECT mēnā kua whakamātau koe i te maha o ngā rongoā anti-pōuri kāore i whai hua, mēnā rānei kei te pā koe i ngā tohumate nui pērā i ngā whakaaro whakamomori, te kore e kai, e inu rānei, te tino whakatā mai i ngā mahi o ia rā.

I tua atu i te pōuri, ka āwhina hoki te ECT i ētahi atu mate hauora hinengaro. Kei roto i tēnei ko te mate bipolar i ngā wā o te mania kaha, o te pōuri rānei, ētahi momo schizophrenia, me te catatonia (he āhuatanga ka noho tūpātai, ka kore rānei e whakautu). I ētahi wā ka whakamahia te ECT i te wā e hapū ana ka tūpono pea ngā rongoā ki te pēpi e tipu ana.

He aha te tikanga mō te ECT?

Ko te tikanga ECT te nuinga ka tū i roto i te rūma tikanga, i te ruma whakahaere rānei o te hōhipera. Ka tae mai koe i te haora kotahi i mua i tō maimoatanga kua whakaritea hei whakaoti i ngā whakaritenga i mua i te tikanga. Ka tirohia e te nēhi ō tohu nui, ka tīmata i te raina IV, ka mōhio kei te pai koe, kua rite hoki mō te tikanga.

I mua i te tīmatanga o te maimoatanga, ka hoatu e tō rōpū hauora te rongoā whānui mā tō IV, ko te tikanga ka moe katoa koe i roto i ngā hēkona. Ka hoatu hoki e rātou he rongoā whakangāwari uaua hei ārai i tō tinana kia kore e neke i te wā o te hopu. Kia moe koe, ka whakatakoto te tohunga hinengaro i ngā hiko iti ki ngā wāhi motuhake o tō kiri mahunga.

He hēkona noa iho te whakaohooho hiko. Ka pā te hopu poto ki tō roro, engari nā te rongoā whakangāwari uaua, kāore e neke tō tinana. Ka aroturukihia e te rōpū hauora tō mahi roro, te manawataki o te ngākau, me te hā i te wā katoa o te tukanga. Ko te tikanga katoa te nuinga ka 15 ki te 30 meneti mai i te tīmatanga ki te otinga.

I muri i te maimoatanga, ka ara koe i roto i te wāhi whakaora e aroturukihia ai koe e ngā nēhi kia tino mārama koe. Ko te nuinga o te tangata ka pōuri, ā, he mamae paku pea te mahunga, he rite ki te ara ake i ngā tikanga hauora e pā ana ki te rongoā. Ka rite koe ki te hoki ki te kāinga i roto i te haora, e rua rānei.

Me pēhea te whakarite mō tō ECT?

E whakatika ana mō te ECT, he maha ngā mahi hei whakarite i tō haumaru me te hua pai rawa atu. Ka whakahaere tō tākuta i tētahi aromatawai hauora tino whānui, tae atu ki ngā whakamātautau toto, he electrocardiogram (ECG) hei tirotiro i tō ngākau, ā, i ētahi wā, he whakaahua roro. Ka arotake hoki rātou i ō rongoā katoa o nāianei, nā te mea me whakatika ētahi, me whakamutu rānei mō tētahi wā i mua i te maimoatanga.

Me nohopuku koe mō te 8 hāora i mua i tō tikanga, ko te tikanga kāore he kai, he inu rānei i muri i te pō waenganui pō i mua i tō maimoatanga i te ata. He mea nui tēnei nā te mea he mōrearea te anethesia ki te whai kai koe i tō puku. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake ki a koe mō ngā rongoā hei tango, hei karo rānei i te ata o tō maimoatanga.

He mea whai hua ki te whakarite i tētahi tangata hei taraiwa i a koe ki te kāinga i muri i ia wāhanga, nā te mea ka pōuri, ka rangirua rānei koe mō ētahi hāora. Kei te hiahia pea koe ki te whakamahere mō tētahi wā okiokinga i muri i tō maimoatanga. He maha ngā tāngata e kite ana he whakamarie ki te kawe i tētahi hoa, i tētahi mema whānau rānei ki te hōhipera mō te tautoko, ahakoa ka tatari rātou i tētahi wāhi whānau i te wā o te tikanga.

Me pēhea te pānui i ō hua ECT?

Kāore ngā hua ECT e inea ana mā ngā tau whakamātautau tuku iho, engari mā te whakapai ake i ō tohu me te hauora hinengaro whānui. Ka aroturuki tō tākuta hinengaro i tō ahunga whakamua mā te whakamahi i ngā tauine whakatau pouri paerewa me ngā kōrero auau mō tō āhua. He maha ngā tāngata ka tīmata ki te kite i ngā whakapainga i muri i te 2 ki te 4 maimoatanga, ahakoa ko te akoranga katoa e hāngai ana ki te 6 ki te 12 wāhanga i roto i ngā wiki maha.

Ka rapu tō tākuta i ētahi huringa pai i te wa e haere ana te maimoatanga. Kei roto pea i ēnei ko te whakapai ake i te āhua, ngā tauira moe pai ake, te piki ake o te hiahia kai, te kaha ake, me te hiahia hou ki ngā mahi i pai ai koe i mua. Ka aroturuki hoki rātou i ngā pānga taha, ina koa ngā huringa mahara, he wā poto noa iho engari he mea nui ki te aroturuki.

Ko te angitu o te ECT e inehia ana i te nuinga o te wa e pehea ana te pai o to hokinga ki o mahi o ia ra me o whanaungatanga. Ka mahi tahi to roopu maimoatanga me koe ki te whakatau i te wa i tutuki ai i a koe nga hua pai rawa atu, me te awhina i a koe ki te whakawhiti ki nga maimoatanga tiaki, ki etahi atu rongoa ranei hei pupuri i o tohu i raro i te mana.

Me pehea te pupuri i to hauora hinengaro i muri i te ECT?

I muri i te otinga o to akoranga ECT, ko te pupuri i to hauora hinengaro ka noho hei mahi tahi i waenga i a koe me to roopu hauora. Ko te nuinga o nga tangata ka hiahia ki etahi momo maimoatanga tonu hei aukati i te hokinga mai o nga tohu. Ka uru pea tenei ki nga huihuinga ECT tiaki ia wiki, ia marama ranei, nga rongoa antidepressant, nga huihuinga rongoa ranei.

He mahi nui o au tikanga o ia ra ki te pupuri i nga painga o te ECT. Ko nga mahinga moe i nga wa katoa, te korikori ngawari, te kai hauora, me nga tikanga whakahaere ahotea ka awhina katoa i te tautoko i to ahua hinengaro pai ake. He maha nga tangata e kite ana ko nga mahi penei i te hikoi, te yoga, te whakaaroaro ranei ka awhina i a ratou kia taurite me te ngawari.

He mea nui ano te noho hono ki to punaha tautoko. Kei roto i tenei ko te pupuri i nga wa whakarite i nga wa katoa me to tohunga hinengaro, te pupuri i nga whanaungatanga me te whanau me nga hoa, me te uru pea ki nga roopu tautoko ka taea e koe te hono atu ki etahi atu e mohio ana ki to wheako. Kia mahara he haere tonu te whakaora, a he mea noa te whai ra pai me nga ra wero.

He aha nga mea morearea mo te hiahia ECT?

He maha nga mea ka piki ake te tupono ka hiahia koe ki te ECT hei whiringa maimoatanga. Ko te mea morearea nui ko te whai i te pouri nui, te pouri e kore e pai ki te rongoa, kaore ano i pai ake me nga rongoa maha me nga nganatanga rongoa. Mena kua whakamatau koe i etahi momo antidepressants rereke kaore he angitu, mena kua noho morearea to pouri ki te ora, ka noho te ECT hei taunakitanga.

He āhuatanga anō te pakeke, ahakoa kāore i te āhua e whakaaro ana koe. He maha ngā wā ka whakaarohia te ECT mō ngā pakeke kaumātua e kore pea e pai ki ngā rongoā hinengaro i te mea he mate hauora kē atu, he pānga rongoā rānei. I ētahi wā ka tūtohutia mō ngā tāngata taiohi he tino kaha te pōuri, ā, he mōrearea pea te tatari kia whai hua ngā rongoā.

Ko ētahi mate hauora ka nui ake te tūponotanga kia tūtohutia te ECT. Kei roto i tēnei ko te whai i te mate bipolar me ngā wāhanga kaha, te pōuri i te wā e hapū ana i te wā e mōrearea ai ngā rongoā ki te pēpi, te whai rānei i ngā mate hauora e mōrearea ai ngā rongoā hinengaro. Hei tāpiritanga, ki te whai hua koe i te ECT i mua, ka tūtohu pea tō tākuta i tērā anō ki te hoki mai ngā tohumate.

He pai ake te whai ECT, te whakamātau rānei i ētahi atu rongoā i te tuatahi?

Ko te tikanga, ehara te ECT i te rongoā tuatahi, te tikanga, ka whakamātau ngā tākuta i ētahi atu kōwhiringa i te tuatahi ki te kore koe i tētahi āhuatanga e mōrearea ana te ora. Mō te nuinga o ngā tāngata, ka tīmata te haerenga rongoā ki te hinengaro, ngā rongoā, te whakakotahitanga rānei o ngā mea e rua. He iti ake te hōkai o ēnei rongoā, ā, he tino whai hua mō te nuinga o ngā tāngata e pōuri ana, me ētahi atu mate hauora hinengaro.

Heoi, ka noho te ECT hei kōwhiringa pai ake i te wā kāore anō ētahi atu rongoā i whai hua, i te wā rānei e hiahia ana koe kia tere te whakapai ake. Ki te whai tohumate kaha koe pērā i te kore e taea te kai, te inu, te tiaki rānei i a koe anō, ka taea e te ECT te whakarato i te āwhina tere atu i te tatari wiki kia whai hua ngā rongoā. He maha ngā wā ka pai ake i te wā e tūpono ana koe ki te whara i a koe anō, ki te whakamomori rānei.

E tino whakawhirinaki ana te whakatau ki tō āhuatanga motuhake, te hītori hauora, me te pēhea i urupare ai koe ki ētahi atu rongoā. Ko ētahi tāngata e pai ana ki te ECT nā te mea he tere ake te mahi i ngā rongoā, ā, kāore e hiahia ana kia inu i ngā pire ia rā. Māu e āwhina tō tākuta hinengaro ki te whakatau i ngā painga me ngā tūponotanga i runga i ō āhuatanga takitahi me ngā whāinga rongoā.

He aha ngā raruraru ka puta mai i te ECT?

Pērā i ngā tikanga rongoā katoa, he pānga taha tō te ECT, ahakoa he onge ngā raruraru nui ka mahia e ngā rōpū rongoā mātanga. Ko ngā pānga taha e mōhiotia ana ko te rangirua i muri tonu i te oho ake, te ānini, te mamae uaua, me te whakapairuaki. Ko te tikanga ka ngaro ēnei i roto i ngā hāora ruarua, ā, ka taea te whakahaere mā ngā rongoā māmā.

Ko ngā huringa mahara te pānga taha e pā ana ki te nuinga o ngā tāngata e whakaaro ana ki te ECT. Ka pāngia pea e koe te ngaro o te mahara i te wā o ō rongoā, ā, ka kite ētahi tāngata i ngā wāhi wātea i roto i ō rātou mahara mō ngā kaupapa i pā mai i ngā wiki, i ngā marama rānei i mua i te rongoā. Ko te rongo pai ko te nuinga o ngā take mahara ka pai ake i te wā, ā, ko ngā mahara e whai pānga nui ana ki a koe ka hoki mai.

He onge ngā raruraru nui ake, engari ka uru pea ki ngā raruraru o te manawa, te uaua ki te manawa, te rangirua rānei mō te wā roa. Koinei te take ka mahia tonu te ECT i roto i te hōhipera me te aroturuki rongoā katoa me ngā taputapu ohorere e wātea ana. Ka āta arotakehia e tō rōpū rongoā tō hauora whānui i mua i te tūtohu i te ECT hei whakaiti i ēnei tūponotanga.

I te wā onge, ka pāngia pea e ētahi tāngata ngā raruraru mahara e roa ana, ka uaua rānei ki te hanga mahara hou i muri i te rongoā. Ka kōrerohia e tō tākuta ēnei tūponotanga ki a koe i roto i te taipitopito, ā, ka āwhina i a koe ki te mārama ki te pēhea te whakataurite ki ngā tūponotanga o te waiho i tō āhua hauora hinengaro kāore i rongoatia.

Āhea au e kite ai i te tākuta mō te ECT?

Me kōrero koe i te ECT ki tō tākuta mēnā kei te pāngia koe e te pōuri nui kāore anō i pai ake mā ētahi atu rongoā. Ko te tikanga pea kua whakamātau koe i ngā rongoā anti-pōuri maha kāore i angitu, kua noho rānei koe i roto i te rongoā mō ngā marama kāore i pai ake. Mēnā kei te whakararu ō tohumate i tō kaha ki te mahi, ki te pupuri i ngā whanaungatanga, ki te tiaki rānei i ngā hiahia taketake pēnei i te kai me te moe, kua tae ki te wā ki te tūhura i ngā kōwhiringa rongoā katoa e wātea ana.

Me whai wawe koe i te āwhina hauora mēnā kei te whakaaro koe ki te whara i a koe anō, ki te whakamomori rānei, mēnā rānei kāore e taea e koe te kai, te inu, te tiaki rānei i a koe anō nā te pōuri. He maha ngā wā e hiahia ana ēnei āhuatanga ki te wawaotanga tere, ā, ka taea e te ECT te whai wāhi ki te whakaiti tere atu i te tatari kia mahi ētahi atu rongoā. Kaua e whakaroa ki te haere ki te rūma ohorere, ki te waea rānei i te rārangi raruraru mēnā kei te tūpono koe ki te kino tonu.

Me whakaaro hoki koe ki te kōrero mō te ECT mēnā kei te hapū koe, ā, kei te pōuri nui, nā te mea he maha ngā rongoā hinengaro ka tūpono ki ngā pēpi e tipu ana. Hei tāpiri, mēnā he kaumātua koe, ā, he uaua ki te aro ki ngā rongoā hinengaro nā te pānga taha, te pānga rānei ki ētahi atu rongoā, tērā pea he pai ake te ECT.

Hei whakamutunga, mēnā i angitu te ECT i mua, ā, ka kite koe i ngā tohu e hoki mai ana, kaua e tatari ki te whakapā atu ki tō tākuta. He maha ngā wā ka taea e te wawaotanga wawe te ārai i te hokinga mai katoa, ā, tērā pea me iti ake ngā rongoā kia pai ai koe.

Ngā pātai e pātai pinepine ana mō te ECT

Q.1 He haumaru te ECT mō ngā tūroro kaumātua?

Āe, he maha ngā wā ka whakaarohia te ECT he tino haumaru, he whai hua hoki mō ngā tūroro kaumātua. Inaha, i ētahi wā ka pai ake te urupare a ngā pakeke ki te ECT i ngā tāngata tamariki, ā, tērā pea ka iti ake ngā pānga taha mai i te ECT i te maha o ngā rongoā hinengaro. Ehara i te arai te tau anake ki te whiwhi ECT, ā, he maha ngā tāngata i ngā tau 70, 80, tae noa ki te 90 kua angitu te rongoā.

Ka tino āta tiaki te rōpū hauora i te rongoā i ngā tūroro kaumātua, me te āta aroturuki i te mahi o te ngākau me ētahi atu āhuatanga hauora i te wā o te tikanga. Mō ngā tūroro kaumātua he āhuatanga hauora e tūpono ana ki ngā rongoā hinengaro, he maha ngā wā ka whai wāhi te ECT ki te pai ake me te iti ake o ngā pānga rongoā me ngā pānga taha.

Q.2 Ka pā te ECT ki te whara pūmau o te roro?

Kāore, kāore te ECT e pā ana ki te whara roro tūturu. He maha ngā tau o te rangahau i whakaatu he haumaru te ECT, ā, kāore e pā ana ki te hanganga, te mahi rānei o te roro. Ahakoa ka pā te huringa mahara rangitahi ki ētahi tāngata, ehara ēnei i te mea kotahi ki te whara roro, ā, ka pai ake i te wā. Ko ngā tikanga ECT hou i hangaia hei whakaiti i ngā pānga taha o te hinengaro i te wā e whakanui ana i ngā painga rongoā.

Ko ngā rangahau whakaahua roro o ngā tāngata kua whiwhi ECT kāore he tohu o te whara hanganga, o ngā huringa kino rānei i te wā roa. Inā, e kī ana ētahi rangahau ka āwhina te ECT ki te whakatairanga i te tipu o ngā pūtau roro hou, me te whakapai ake i te hononga roro i ngā wāhi e pā ana ki te pōuri.

Q.3 E hia ngā maimoatanga ECT e hiahia ana au?

Ko te nuinga o ngā tāngata e hiahia ana i waenga i te 6 ki te 12 ngā maimoatanga ECT kia whai hua ai ngā hua pai, ahakoa ka rerekē tēnei i runga i tō urupare takitahi me te kaha o tō āhuatanga. Ko ngā maimoatanga ka hoatu i te 2 ki te 3 ngā wā i te wiki i roto i ngā wiki maha. Ka mātakitaki tō tākuta i tō ahunga whakamua, ā, ka whakatika pea i te mahere maimoatanga i runga i te urupare.

Ka tīmata ētahi tāngata ki te pai ake i muri i te 2 ki te 4 ngā maimoatanga, i te wā e hiahia ana ētahi ki te akoranga katoa i mua i te wheako i te whakapai ake nui. I muri i te whakaoti i te raupapa tuatahi, he maha ngā tāngata e whai hua ana mai i ngā wāhanga ECT tiaki i ngā wiki, i ngā marama rānei hei aukati i ngā tohu kia hoki mai.

Q.4 Ka mahara au ki te tikanga ECT?

Kāore, kāore koe e mahara ki te tikanga ECT tonu nā te mea ka noho koe i raro i te rongoā whānui i te wā o te maimoatanga. Ko te nuinga o ngā tāngata kāore e mahara ki tētahi mea mai i te 30 meneti i mua i te tikanga kia ara rā anō rātou i te wāhi whakaora. He mea noa tēnei, ā, e tūmanakohia ana.

Ka pōrangi pea koe, ka pōuri rānei i te wā tuatahi ka oho ake koe, pērā i te āhua ka pēnei koe i muri i ngā tikanga rongoā e hāngai ana ki te rongoā. Ko te nuinga o te wā ka mārama tēnei pōrangi i roto i te haora, e rua rānei, ā, ka aroturukihia koe e ngā kaimahi rongoā kia tino mārama rawa koe, kia rite hoki ki te hoki ki te kāinga.

Q.5 Ka taea te mahi ECT i runga i te pūtake tūroro waho?

Āe, he mea noa te mahi ECT i runga i te pūtake tūroro waho, te tikanga ka taea e koe te hoki ki te kāinga i te rā kotahi. Ko te nuinga o te tangata ka tae mai ki te hōhipera, ki te whare rongoā rānei i te haora torutoru i mua i tā rātou tikanga kua whakaritea, ā, ka taea e rātou te wehe i roto i te haora torutoru i muri i te rongoā. Nō reira he pai ake te ECT i tērā i mua, i te wā i noho ai te tangata ki te hōhipera.

Heoi, me whai tangata koe hei taraiwa i a koe ki te kāinga i muri i ia rongoā, nā te mea ka pōuri, ka pōrangi rānei koe mō te haora torutoru. Ko ētahi tangata e pai ana ki te tango i te toenga o te rā mai i te mahi, i ētahi atu mahi rānei kia okioki, kia ora, ahakoa he maha ka taea te hoki ki ngā mahi noa i te rā e whai ake nei.