We wi yɛri di wɔd ‘ICU’, wi kin fil smɔl fred ɛn wɔri, nɔto so? We dɛn admit pɔsin na di ICU, wi at kin flɔt. Wi ɔl no se dis na spɛshal ples, i nɔ tan lɛk ɔda wɔd dɛn na di ɔspitul. Bɔt wetin rili na ICU? Wetin mek dɛn kin admit pɔsin de? Wit di mashin dɛn we de de ɛn di nɔys we de ɔltɛm, yu tink se da envayrɔmɛnt de rili na ples fɔ fred? Lɛ wi tɔk bɔt dis witout ɛni fred, simpul wan.
Wetin na ICU rili?
Fɔ tɔk am simpul wan, ICU (Intensive Care Unit) na di ɔspitul in intensiv kea yunit . Dis na ples we rili spɛshal, we rili difrɛn frɔm ɔda wɔd dɛn na di ɔspitul. Dis na ples usay dɛn kin gi pɔsin we gɛt siriɔs sik ɔ siriɔs aksidɛnt we go mek i day , spɛshal dɔktɔ ɛn kia fɔ am, 24 awa ɛvride, ɛn dɛn nɔ kin mis wan sɛkɔn .
Imajin, if pɔsin na wi os sik bad bad wan, wi kin gi am wan sɛpret rum, gi am tin fɔ it, drink, ɛn mɛrɛsin di rayt tɛm, ɛn chɛk am ɔltɛm ɛn tek kia ɔf am spɛshal. Semweso, pan di sik pipul dɛn we de na ɔspitul, di ICU na di ples we dɛn kin kip fɔ di wan dɛn we nid di atɛnshɔn mɔ ɛn spɛshal tritmɛnt.
Sɔntɛnde dɛn kin kɔl dis wit ɔda nem dɛn, lɛk Kritikal Keya Yunit, Intɛnsiv Tɛrapi Yunit, ɛn ɔda wan dɛn Bɔt ilɛk us nem yu yuz, i de tɔk bɔt di sem ples.
Us kayn pɔsin dɛn kin admit na di ICU?
Di disayd fɔ admit pɔsin na di ICU na bikɔs ɔf sɔm tin dɛn. Dɔktɔ dɛn kin disayd fɔ du dis afta dɛn dɔn stɔdi di sikman in kɔndishɔn gud gud wan. Di men tin dɛn we kin afɛkt am na:
- Diagnosis: Wetin na di sikman in mɛrɛsin?
- Rispɔns to tritmɛnt: Aw di pɔsin in bɔdi de ansa to di tritmɛnt dɛm we dɛn de gi am da tɛm de.
- Kɔmɔbiditi: Dat min se ɔda mɛrɛsin dɛn we di pɔsin gɛt apat frɔm di men sik, lɛk dayabitis, ay blɔd prɛshɔn, ɛn at sik.
- Aw di sik ɔr aksidɛnt kin tranga: Aw de sik kin tranga.
Sɔntɛnde, di tin dɛn we di pɔsin want insɛf kin ɛp bak. Fɔ ɛgzampul, sɔm pipul dɛn nɔ kin want tritmɛnt fɔ di wan dɛn we de kia fɔ dɛn bad bad wan if i go afɛkt dɛn kwaliti fɔ liv ɔ if di chans fɔ mek dɛn wɛl nɔ bɔku.
Dis dɔŋ ya na sɔm kɔmɔn rizin dɛn fɔ admit pɔsin na di ICU.
| Kɔndishɔn ɔ kɔz | Wan simpul ɛksplen |
|---|---|
| Kia afta dɛn dɔn du big ɔpreshɔn | Afta big ɔpreshɔn, wach di pɔsin gud gud wan te di kɔndishɔn stebul. |
| Sivɛri Infɛkshɔn dɛn | We sik dɛn lɛk nyumonia ɛn dengi kin kam tranga, ɔ we infɛkshɔn kin skata ɔlsay na di bɔdi lɛk sepsis. |
| Strok | We blɔd flɔ to di bren stɔp, mɔ insay di fɔs awa dɛn. |
| Akyu Ɔgan Failure | We wan big ɔgan, lɛk di at, di kidni, di liva, ɔ di lɔng (we nɔ de blo fayn), kin stɔp fɔ wok wantɛm wantɛm. |
| Traumatik Injuri we pɔsin kin gɛt | Siriɔs injury na di ed ɔr bɔdi frɔm tin dɛm lɛk motoka aksidɛnt, gɔn shot wund, ɛn fɔdɔm frɔm ayt. |
| Shok kɔndishɔn we pɔsin kin gɛt | Wan tin we kin mek pɔsin in layf de pan denja usay di ɔgan dɛn na di bɔdi nɔ kin gɛt di blɔd we dɛn nid. |
Aw di kia tan lɛk insay di ICU?
Tritmɛnt na ICU nɔto sɔntin we na wan pɔsin nɔmɔ kin du. Lɛk kriket tim we sabi du dɛn wok, na ples usay dɔktɔ dɛn, nɔs dɛn, ɛn ɔda wɛlbɔdi wokman dɛn we gɛt sɛns pan ɛni tɔpik kin kam togɛda ɛn wok fɔ gɛt wan gol. Wi kɔl dis kia we gɛt bɔku difrɛn difrɛn wok dɛn .
Bɔku tɛm, dis grup kin gɛt:
- Intensivists: Na di lida dɔktɔ dɛn na di ICU. Na dɛn kin de manej di sikman in ɔl tritmɛnt plan.
- Spɛshal nɔs wokman dɛn:Na dɛn pipul ya kin spɛn mɔ tɛm wit di pɔsin we sik. Frɔm we dɛn de gi di pɔsin mɛrɛsin to we dɛn de wach ivin di smɔl smɔl chenj dɛn we de apin to di pɔsin ɛn fɔ tɛl di dɔktɔ dɛn, dɛn kin rili ɛp. Na dɛn de kia fɔ di pɔsin we sik pas ɔlman.
- Respiratory Therapists: Dɛn wan wae de ɛp pipul dɛm wae gɛt prɔblɛm wit dɛn brith, mɔr di wan dɛm wae gɛt kɔnekshɔn to ventilator.
- Fizik Tɛrapist dɛm: Dɛn kin gi simpul ɛgzampul dɛm wae yu kin du na bed fɔ ɛp fɔ mek yu nɔr gɛt mɔsul wikɛd ɛn stif we yu de na bed fɔ sɔm dez.
- Ɔda spɛshal pipul dɛn: Ɔda spɛshal pipul dɛn we gɛt fɔ du wit di pɔsin in men sik, lɛk at sik, kidni sik, ɛn nyurolɔjik sik, dɛnsɛf kin go ɛn chɛk di pɔsin in kɔndishɔn ɔltɛm.
Di wangren gol fɔ dɛn ɔl na fɔ ɛp di pɔsin fɔ wɛl kwik kwik wan ɛn fɔ go bak to nɔmal layf.
yu de fred we yu si di mashin dem na ICU? Mek wi no bɔt dɛn.
We yu go na ICU, yu si bɔku waya dɛn we dɛn kɔnɛkt wantɛm wantɛm, monita dɛn we de mek "bip... bip..." sawnd ɔltɛm, ɛn ɔl kayn mashin dɛn. Na nɔmal tin fɔ mek ɛnibɔdi fil fɔ fred smɔl we i si dɛn tin ya. Bɔt ɔl dis ikwipmɛnt de fɔ ɛp di pɔsin we sik. Lɛ wi lan bɔt sɔm pan di men wan dɛn.
| Tul | Wetin yu de du wit am? |
|---|---|
| Monitɔ fɔ di sayn dɛn we impɔtant | Dis na di say we di "beep bip" sawnd de kɔmɔt. Dɛn kin kɔntinyu fɔ mɛzhɔ di pɔsin in at rit, in blɔd prɛshɔn, ɔksijɛn lɛvɛl na in bɔdi, ɛn di rit we i de blo ɛn sho am na big skrin. If ɛni chenj de, i kin mek sawnd ɛn wɔn di wan dɛn we de wok de. |
| Mekanikal Ventilator | We i nɔ izi fɔ pɔsin we sik fɔ blo fɔ insɛf, dɛn kin yuz mashin we de ɛp am fɔ blo ɛn gi ɔksijɛn to di lɔng dɛn insted. Dis na di divays we wi kin kɔl mɔ ‘Layf Sɔpɔt’. |
| IV Layn ɛn Pɔmp dɛn | Dɛn kin yuz dɛn fɔ kɛr mɛrɛsin, salin, ɛn sɔntɛnde wata it dɛn insay di bɔdi tru wan vein. IV pɔmp de ɛp fɔ gi di rayt mɛrɛsin to di bɔdi di rayt tɛm. |
| Mashin fɔ Dayalaysis | Dis mashin de ɛp di wan dɛn we gɛt kidni we nɔ de wok fayn fɔ filta di dɔti ɛn wata we pasmak frɔm di blɔd, we min se i de tek di wok we di kidni dɛn de du fɔ sɔm tɛm. |
| Difibrilator we dɛn kin yuz | If di at stɔp wantɛm wantɛm (Cardiac Arrest), na tin we de tray fɔ stat di at bak bay we i de gi ilɛktrik shɔk. |
Mi pikin de na ICU. Wetin a fɔ ɛkspɛkt?
We di pɔsin we yu lɛk de na di ICU, fɔ go to dɛn kin bi nyu tin fɔ yu.
- Bizi ɛnvayrɔmɛnt: Di ICU na ples we bizi. Wit di nois from di monita dem en di staf dem we de muv around, e kin fil likli hectic.
- Di tin dɛn we dɛn kin du fɔ mek pipul dɛn nɔ ebul fɔ go fɛn dɛn: Bɔku tɛm, na wan wɔd we dɛn kin go ɔltɛm, dɛn kin alaw bɔku pipul dɛn wan tɛm, ɛn bɔku tɛm dɛn nɔ kin alaw fɔ it, drink, ɔ flawa. Tu men rizin dɛn de fɔ dis. Wan pan dɛn na fɔ mek di wan dɛn we gɛt siriɔs sik nɔ skata di jem dɛn frɔm ɔdasay . Di ɔda wan na fɔ alaw di wan dɛn we de wok fɔ di dɔktɔ dɛn fɔ du dɛn wok we dɛn nɔ go ambɔg dɛn .
- Protective Clothing (PPE): Sɔm sik pipul dɛn we gɛt sik dɛn we kin pas kin nid fɔ de na say dɛn we dɛn nɔ de nia dɛnsɛf. If dɛn kayn tin ya apin, nɔto dɔktɔ ɛn nɔs dɛn nɔmɔ, bɔt di wan dɛn we kin kam fɛn dɛn kin nid fɔ wɛr spɛshal fes mask, gɔn, ɛn glɔv.
- Fɔ disayd fɔ du sɔntin: If di pɔsin nɔ no natin ɔ i nɔ ebul fɔ tɔk, di famili go gɛt fɔ disayd fɔ du impɔtant tin dɛn bɔt aw fɔ trit am. Dɛn kayn tɛm dɛn de, di dɔktɔ go tɔk to yu ɛn ɛksplen to yu ɔltin bifo i disayd fɔ du dɛn tin dɛn de.
Ɛni kayn ICU de?
Yɛs. Sɔm big ɔspitul dɛn gɛt ICU dɛn we dɛn kin yuz fɔ sɔm patikyula pipul dɛn. Dis min se wokman dɛn de de we gɛt di ay levul fɔ ɛkspɛriɛns pan dɛn pasɛnt grup dɛn de.
- NICU (Nɔnatal Intɛnsiv Keya Yunit):Wan intensiv kea yunit we de trit nyu bɔn pikin dɛn, mɔ di wan dɛn we dɛn bɔn bifo tɛm, we dɛn bɔn smɔl, ɔ we gɛt ɔda prɔblɛm dɛn.
- PICU (Pediatric Intensive Care Unit): Na pikin dɛn we de kia fɔ pikin dɛn we de mɛn bebi ɛn yɔŋ pikin dɛn.
- CICU (Cardiac Intensive Care Unit): Na spɛshal intensiv kia yunit fɔ pipul dɛn we gɛt at sik. Dɛn kin admit di sik pipul dɛn ya if dɛn gɛt at atak.
- STICU (Surgical Trauma Intensive Care Unit): Na intensiv kea yunit we dɛn kin gi fɔ kia fɔ di wan dɛn we sik afta dɛn dɔn du big ɔpreshɔn ɔ siriɔs aksidɛnt.
Yu tink se di ICU min se layf dɔn dɔn?
Dis na big big fred ɛn mistek we bɔku pipul dɛn gɛt. Bɔt di ansa na, “Nɔ.”
Di wangren ɛn di men tin we ICU de du na fɔ sev pipul dɛn layf . Bɔku pan di pasɛnt dɛn we bin de pan rili krichɔ kɔndishɔn kin wɛl bak afta dɛn dɔn trit dɛn na ICU ɛn kin kam bak fɔ liv nɔmal layf wit dɛn famili.
Na tru se sɔntɛnde, ilɛksɛf dɔktɔ dɛn tray tranga wan, di sikman in sik nɔ go ebul fɔ mɛn. Dat na tin we rili sɔri. Bɔt nɔto ɔltɛm ICU na ples usay dɛn kin disayd di ɛnd fɔ layf. Na ples usay dɛn kin tray dɛn bɛst fɔ gi sɛkɔn chans na layf.
Mɛsej we dɛn kin kɛr go na os
- Di ICU (Intensive Care Unit) nɔto ples fɔ fred, bɔt na spɛshal ples usay dɛn de gi pɔsin we de mek i day di bɛst kia ɛn ɛp fɔ sev in layf.
- Di mashin ɛn ikwipmɛnt dɛn we de rawnd di pɔsin de fɔ ɛp di pɔsin, nɔto fɔ mek i fred. Dɛn kin yuz dɛn ɔl fɔ wach di pɔsin in kɔndishɔn sɛkɔn bay sɛkɔn.
- Wan big tim we gɛt spɛshal dɔktɔ ɛn nɔs dɛn de wok tranga wan fɔ di pɔsin.
- If pɔsin we yu sabi de na di ICU, fala di awa fɔ visit ɛn di lɔ dɛn we di ɔspitul dɔn gi. Dis na impɔtant tin fɔ di sikman ɛn ɔda sikman dɛn sef.
- Nɔ fred fɔ aks yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn go ɛksplen ɔltin to yu.
- Nɔto ɔlman we dɛn admit na di ICU de day. Bɔrku pipul dɛn kin wɛl bak ɛn kam bak to nɔmal layf. So tink gud wan ɔltɛm.
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