Good mood platform: electric convulsions to treat mental illness, you must know 5 things

As soon as many people mention the treatment of electrical convulsions, they are afraid and resistance. They smell the color change of "electricity", and the origin of fear is mostly due to the news of "Internet addiction teenagers".

So, is the electro -convulsion therapy the electric shock? Is it safe or not?

Can this really cure mental illness? Is it effective?

Will it be stupid? Will it erase the memory?

Do you need to take medicine if you use it?

01

What is the treatment of electric convulsions?

In fact, the improvement of electric shock therapy (MECT), also known as improved electric convulsions, is a "evolutionary high -end version" of traditional electric shock therapy (ECT).

To put it simply, before the treatment of electrical stimulation, use varicose anesthetics and muscle relaxations. After the patient sleeps and the muscles are completely relaxed, the brain is stimulated by a short -term amount of pulse current, which causes the cerebral cortex discharge and causes a brain cells to occur one by one The series changes to restore the normal function of the brain and achieve the purpose of treating mental illness.

Some people describe that MECT is like pressing the start -up key to the brain and restarting the normal thinking and emotions of the patient's brain.

Of course, evolution is not a white evolution!

Improved electric shock treatment is more in line with the current medical needs and more humane.

During the whole treatment, patients had little pain experience, and the most important thing was very safe. You are worried that you will be stupid, mad, and electricity, you will not exist. The world's most known patients in the world are 103 years old and are 93 years old in China.

Since the Italian psychiatrist Cerletti and Bini discovered the good effect of electric shock therapy for mental illness in 1938, the application of this technology has been precipitated for almost 90 years in psychiatric clinical application. At present, improved electric shock treatment has become a means of rapid and reliable treatment of mental illness.

Studies have shown that the efficiency of improved electric shock treatment is more than 80%, and those with depression are more efficient. After receiving the first treatment, many patients can significantly improve the symptoms of depression.

Some patients who are not effective for antidepressants can reach 50%to 60%.

Patients' clinical symptoms can alleviate with treatment. In general, after treatment, most patients can improve the core symptoms of depression and eliminate the concept of suicide.

02

Under what circumstances is more suitable for MECT?

Under normal circumstances, the effect of drug treatment is not obvious, and various types of difficulty in cure, such as difficulty cure depression, inductive obsessive -compulsive disorder, schizophrenia, and tensional symptoms (wood stiff/sub -stiff) and severe serious Some heart and body diseases of anxiety can try MECT. For patients with severe depression, especially patients with mental illness or depression, MECT can be used as the preferred treatment method.

In addition, the side effects of the poor effect or tolerance of the drug, as well as the elderly, pregnant women, and women who prepare for pregnancy, when necessary (such as severe depression disorders in women during pregnancy), after full evaluation, you can also choose MECT.

However, not all patients with mental illness are suitable for MECT.

Although MECT does not have absolute contraindications at present, there are severe cardiovascular diseases, such as primary hypertension, hypertension heart disease, aortic vein, severe arrhythmia, and inadequate cardiology. Patients with severe physical diseases such as brain occupation diseases should consider carefully.

03

Will MECT affect cognitive functions?

Of course, like any treatment method, there are some risks in MECT, which cannot be avoided.

Impact on MECT cognitive functions:

First, MECT -related cognitive damage is mainly within 3 days after treatment, manifested as possible that memory loss may occur, different degrees of understanding and decline in judgment ability. For example, forgotten during treatment, and it is difficult for patients to remember incidents a few weeks or earlier before treatment. But this is just an excessive, reversible and recovered. Most people recover after 2 weeks of treatment, which will not have a long -term continuous impact on learning, memory and other functions.

Some sufferings may have lack of visual and visual space memory, which occurs within 1 week and recovers within 1 month. Of course, the probability of this situation is very low. However, some people say "silly people", "wipe out bad memories, leave good memories", at present, there is no exact evidence to indicate.

Moreover, it is impossible to accurately estimate what the MECT affects cognitive functions, because the performance and impact of each patient are different.

Second, the impact of mental illness on cognitive functions must also be considered.

For example, the state of severe depression itself has an impact on cognitive functions.

After some patients with depression recovered, the memory recovered for a long period of time or could not be restored to the pre -disease level. Memory loss could not be completely attributed to the side effects of MECT treatment.

04

What are the problems of MECT treatment?

Pay attention to the following matters before treatment:

Before the treatment of electric convulsions, the doctor needs to inform the doctor's current condition, which diseases have been obtained, which treatments have been obtained, and which treatments have been received. Essence

There are also some routine examinations, such as ECG, blood routine, blood biochemistry, etc., doctors will make risk assessments for each patient to reduce complications.

How long does MECT be effective? How long does it take to treat it?

A course of treatment usually takes 8-12 times in total

During depression

6 ~ 8 times

During the occasion

8-10 times

Schizophrenia

8-12 times

The frequency is generally once the next day;

If the patient needs to take effect quickly, he can once a few times a few times a day;

If the patient has delirium or severe cognitive damage, 1 to 2 times a week.

The increase or decrease of the number of treatment depends on the severity of the symptoms and the response speed to the treatment.

If there is improvement, the second course of treatment can be implemented after a month;

If it is not improved, it is not recommended to continue MECT.

05

What should I do if ICT recurrence after treatment?

Although MECT is valid, any treatment method will have the problem of recurrence after disease treatment.

For patients with severe depression, although the symptoms after MECT are relieved, if they do not continue to be treated in the future, there will be 80%of the chances of recurrence in half a year.

Therefore, it is not used by MECT to take no medicine at all. The effect of electronic convulsions can not be maintained for a long time, and drugs need to be given to the effect. If you can consolidate drugs as soon as possible, you can reduce the recurrence of the disease.

In addition, for patients with high recurrence of mental illness, it is not that MECT stopped several times. If the effect is not bad, the time interval between treatment needs to be continuously increased to consolidate the efficacy, and it can also reduce the recurrence of the disease.

references:

[1] Improved electric shock treatment expert consensus (2019 edition) [J]. Transformation medical magazine, 2019,8 (03): 129-134.

[2] Zhu Liangjun, Lin Guihong, Xie Zhenqiang. Improved electric shock treatment of 500 patients with severe psychiatric treatment [J]. Neurological disease and mental hygiene, 2004 (05): 350-352.

[3] Xue Feng, Li Yunzhen, Li Yintao. Clinical study of patients with severe depression in patients with severe depression [J]. Internal medicine, 2021,16 (05): 596-598+607.

(Article source: Photo.com)

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