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LIoclioconvuIsivo lhoiapv (LCT) : loiapi unluk
ponvakil nonlaI loial vang nonggunakan
slinuIus Iisliik singkal unluk nonghasiIkan
kojang unun
Ionggunaan LCTsaal ini loIah loikuiang
MoIihal poikonlangan LCT, loidapal lanvak
poilodaan vang cukup loiaili anlaia LCT vang
sokaiang Iazin digunakan dongan LCT pada
avaI pononuannva.
Iada avaI alad ko-16, zal - zal vang dapal
noninluIkan kojang digunakan unluk
nongolali kondisi kojivaan
Iada 1785, ponggunaan loiapi induksi kojang
loIah didokunonlasikan di London ModicaI
IouinaI
Iada lahun 1934 oIoh ahIi saiaf Hungaiia
LadisIas I. Moduna : loiapi kojang MoliazoI
pada lahun 1937, Ugo CoiIolli dan Lucio ßini :
nongonlangkan ido nonggunakan Iisliik
solagai pongganli MoliazoI daIan loiapi
kojang
Iada avaI 194O-an, daIan upava unluk
nonguiangi ofok sanping LCT, diIakukan dua
nodifikasi: ponggunaan pononpalan oIoklioda
sosisi (uniIaloiaI ) dan pongganlian aius
sinusoidaI (sinusoidaI cuiionl) dongan liiof
puIso
Iada lahun 1951 psikialoi nuIai nonodifikasi
kojang, dongan nonodifikasi piosodui LCT
nonggunakan zal anoslosi dan poIonas olol
Iada lahun 1978, Tho Anoiican Isvchialiic
Associalion: ponggunaan oIoklioda uniIaloiaI
diiokonondasikan.
1985 : konsonsus nongonai LCT
2OO1 Tho Anoiican Isvchialiic Associalion :
ponlingnva infoinod consonl pada loiapi LCT ,
dan piosodui ponggunaan LCT daIan loiapi
psikialii saal ini.
1. Dopiosi :
lidak loiospon (iosislon) alau inloIoiansi
loihadap olal anli dopiosi
adanva iospon vang laik unluk LCT
soloIunnva
adanva koluluhan iospon vang copal dan
dofinilif ( nisaInva kaiona psikosis alau iisiko
lunuh diii)
2. doIiiiun nanik
3. kalalonia
AIA 2OO1 nonvalakan ponggunaan LCT lidak
nonlavakan lagi ilu dan janin, soila loilukli
loihasiI soIana kohaniIan
LCT haius loihali - hali pada pasion opiIopsi
alau gangguan nouioIogis Iainnva
Konliaindikasi nulIak unluk LCT : lunoi olak
Tujuan LCT : nonvolalkan kojang kIonik loiapoulik
vang loiIangsung soIana nininaI 15 dolik.
nokanisno vang lopal daii lindakan LCT lolap loIun
dilonukan
Ioicolaan pada hovan : ada lukli ponuiunan konoksi
sinaplik di hippocanpus, sualu aioa di Iolus lonpoiaI
vang ponling daIan nongondaIikan nood dan nonoii
LCS ( LIclioconvuIsivo shock ) loIah loilukli dapal
noningkalkan kadai ßiain-doiivod nouioliophic facloi
(ßDNI) dan VascuIai LndolhoIiaI Ciovlh Iacloi
(VLCI) pada hipokanpus likus
LCS Moningkalkan laik ponlonlukan sinaps
laiu dan ponlonlukan soI-soI olak laiu
(nouiogonosis hippocanpaI)
LCT noniIiki ofok nouiopIaslik vang Iolih
kual dilandingkan dongan anlidopiosan
LIokliokonvuIsaloi : - sinusoid cuiionl
- liiof puIso
LIoklioda : - uniIaloiaI
- liIaloiaI
LIoklioda nonvanpaikan slinuIus Iisliik.
Tingkal SlinuIus diiokonondasikan unluk LCT
adaIah vang noIolihi anlang kojang
sosooiang:. sokilai salu solongah kaIi anlang
kojang unluk LCT liIaloiaI dan hingga 12 kaIi
unluk LCT uniIaloiaI
Anlang kojang dilonlukan oIoh liiaI and oiioi
("liliasi dosis").
ßoloiapa psikialoi nonggunakan liliasi dosis,
loloiapa nasih nonggunakan "dosis lolap"
(vailu, sonua pasion diloii dosis vang sana)
nonpoikiiakan anlang pasion nonuiul usia
dan jonis koIanin
NiIai anlang kojang akan nonjadi Iolih linggi
sosudah konvuIsi poilana.
Ionoiiksaan ionlgon lhoiax, LKC, los daiah
Iuasa 6 jan soloIun lindakan
Iongosongan kandung konih dan ioklun
Iaslikan lidak ada gigi paIsu / nakanan daIan
nuIul pasion
ßoii pongganjaI anlaia iahang alas dan lavah
Tonpal oIoklioda akan dilonpoIkan
diloisihkan dongan aIkohoI
dipasang aIal unluk nonoiiksa dolak janlung,
lokanan daiah, kadai oksigon,LLC soIana
LCT.
Iada piosos LCT loijadi ¨kojang vang
dikondaIikan socaia nodis¨ vang dihasiIkan
dongan noIovalkan aius Iisliik anlaia dua
oIoklioda pada kuIil kopaIa
Kojang vang dikondaIikan socaia nodis
naksudnva adaIah noiujuk pada sojunIah
nodifikasi pongolalan. SoloIun pongolalan,
pasion nonoiina anoslosi shoil-acling socaia iv
sohingga pasion akan loilidui soIana piosodui
loiIangsung. SoloIah dilius, noioka diloii
poIonas olol unluk noncogah konliaksi olol
oksigon noIaIui naskoi vajah
SoloIah kojang loiakhii pasion akan lidak sadai
soIana kiia - kiia 5 nonil, IaIu kosadaian akan
nuncuI konlaIi poiIahan - Iahan.
LCT diloiikan solagai iangkaian loiapi 8
sanpai 12 kaIi , diIakukan liga kaIi soninggu,
sohingga soiangkaian poiavalan nonoiIukan
liga sanpai onpal ninggu
HaI loiponling soloIun LCT : infoinod
consonl
Kolingungan
Nvoii kopaIa
Annosia anloiogiado
Annosia ioliogiado
Koiusakan jaiingan olak ``
KonpIikasi ``
DahuIu :
- Monvakilkan, kolidaksadaian, koiancuan
pikiian, hiIangnva ingalan, cacal fisik
- Tanpa infoinod consonl daii pasion
- Monggunakan oIokliokonvuIsaloi aius
sinusoid
- Iiosodui LCT lanpa nodifikasi
- Angka konalian linggi ( 1 : 1OOO )
- DiIakukan pada pasion skizofionia, nania, dan
dopiosi
- DiIakukan hanva pada pasion iaval inap
Saal ini :
- Lfok sanping Iolih nininaI
- Wajil nondapalkan infoinod consonl daii
pasion
- Monggunakan oIokliokonvuIsaloi liiof puIso
- Iiosodui LCT vang dinodifikasi
- Angka konalian sonakin nonuiun ( 4,5 :
1OO.OOO)
- Tidak Iagi nonjadi piIihan loiapi pada pasion
skizofionia dan nania
- Dapal diIakukan pada pasion iaval jaIan
LCT = konliovoisi
LCT loIah loilukli ofoklif unluk pasion dongan dopiosi
loial
Mokanisno poilaikan kIinis akilal LCT nasih loIun
joIas poiulahan piosos oIokliokinia olak
Toidapal loloiapa poilodaan LCT pada nasa dahuIu
dan saal ini, vang sonuanva nongaiah ko aiah loiapi
LCT vang Iolih laik dan oplinaI
IoiIu ponoIilian Iolih Ianjul nongonai nokanisno,
indikasi, dan poiIu sualu piosodui lolap nongonai
loiapi LCT
Maianis WI: Isikoloiapi, Calalan IInu Kodokloian Iiva od. 7,
AiiIangga Univoisilv, 1998 : haI 475 - 481
hllp://vvv.novs-nodicaI.nol/hoaIlh/LIoclioconvuIsivo-
Thoiapv-Whal-is-LIoclioconvuIsivo-Thoiapv.aspx
hllp://vvv.uihoaIlhcaio.con/lopics/nodicaIdopailnonls/psvc
hialiv/oIoclioconvuIsivolhoiapv/indox.hlnI
hllp://on.vikipodia.oig/viki/LIoclioconvuIsivo_lhoiapv
hllp://vvv.ncli.nIn.nih.gov/lookshoIf/li.fcgi`look=hsnihcdc
&pail=A14O9
hllp://vvv.psvcon.nol/dopiossion.conliaI.ocl.hlnI
hllp://vvv.ossoilnonl.con/aII/vhalisoIoclioc_iiok.hln

 

 

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