Yu ɔ pɔsin we yu sabi dɔn admit na di ICU? Lɛ wi tɔk bɔt dis! (Intɛnsiv Keya Yunit - ICU)

Nɔn pan wi nɔ lɛk fɔ de na ɔspitul. Bɔt sɔntɛnde wi kin nid dɔktɔ fɔ ɛp wi fɔ sev wi layf, ɔ fɔ wɛl frɔm wan rili siriɔs tin. Na dɛn kayn tɛm ya, yu go dɔn yɛri bɔt di "ICU". Bɔku pipul dɛn kin fred smɔl ɛn fred we dɛn yɛri di wɔd ICU. So tide, lɛ wi tɔk bɔt wetin na ICU, wetin kin apin de, ɛn wetin mek i impɔtant.

Wetin na ICU? Wetin mek i rili spɛshal?

Fɔ tɔk am simpul wan, di Intensiv Keya Yunit (ICU) na wan rili spɛshal yunit na ɔspitul. Fɔ tɔk di kɔrɛkt tin, na ples usay dɛn kin trit pipul dɛn we kin day ɔ we sik bad bad wan ɔ di wan dɛn we dɔn gɛt siriɔs aksidɛnt. Yɛs, fɔ de na ICU min se di tin siriɔs smɔl . Bikɔs di sik pipul dɛn we de ya nid spɛshal atɛnshɔn, monitarin ɛn tritmɛnt frɔm spɛshal dɔktɔ ɛn nɔs dɛn arawnd di klok.

Sɔntɛnde dɛn kin kɔl am ɔda nem dɛn, yu go dɔn yɛri:

• `Kritikal Keya Yunit`
• `Intensiv Tɛrapi Yunit`
• `Intɛnsiv Tritmɛnt Yunit`

Ilɛk aw yu tɔk am, di aidia na di sem. Dat min se, ples we de gi spɛshal kia fɔ di wan dɛn we sik bad bad wan .

Aw dɔktɔ dɛn kin disayd if a nid tritmɛnt fɔ ICU?

Naw yu kin de wɔnda, "Aw yu disayd fɔ put pɔsin na ICU ?" Dɔktɔ dɛn kin luk bɔku tin dɛn we dɛn de disayd fɔ du dat. Tink bɔt tin dɛn lɛk:

• Yu diagnosis : Dis min us mɛdikal kɔndishɔn yu gɛt.
• Aw yu kin biev to di tritmɛnt dɛm wae yu dɔn gɛt te naw? : Sɔntɛnde, di tritmɛnt we dɛn kin gi na rɛgyula wɔd nɔ kin du.
• Ɔda mɛdikal kɔndishɔn wae yu gɛt (`Comorbidities`) : Fɔ ɛgzampul, if yu gɛt ɔda sik dɛm lɛk dayabitis ɔr ay blɔd prɛshɔn , di men mɛrɛsin kin kɔmplikt mɔ.
• Aw di sik ɔr aksidɛnt kin tranga : Wi kin luk bak aw di tin kin siriɔs.

Dɔn bak, dɔktɔ dɛn go tink bɔt wetin yu lɛk. Sɔm pipul dɛn nɔ kin want fɔ gɛt sɔm tritmɛnt dɛn na di ICU if dɛn tink se dɛn go gɛt bad bad impak pan dɛn kwaliti fɔ layf ɔ if dɛn chans fɔ wɛl rili smɔl.

Wetin na di men rizin dɛn we mek dɛn admit am na di ICU?

Difrɛn kayn mɛrɛsin ɛn injuri dɛn de we nid fɔ gɛt tritmɛnt na ICU. Lɛ wi luk sɔm pan di rizin dɛn we kin mek wi no mɔ :

• Di tɛm fɔ wɛl afta dɛn dɔn du big ɔpreshɔn : Afta sɔm big ɔpreshɔn dɛn, dɛn kin transfa di pɔsin dairekt to di ICU ɛn dɛn kin wach am gud gud wan.
• Ruptured brain aneurysm: Dis na rili siriɔs imejensi.
• Sepsis : Dis na bad bad infεkshכn we de spre כlsay na di bכdi.
• Sivεr baktri כ vayral infεkshכn : sכmtεm dεn kayn infεkshכn ya kin mek yu layf de pan denja.
• Stroke : Na wan sik we kin kam bikɔs di blɔd kin blok na di bren .
• wan big כgan na di bכdi fεil wan wan : fכ egzampl, di at, kidni, liva, כ lכng (`(Respiratory failure)`) kin stכp fכ wok wan wan.
• Di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn .
• Siriɔs aksidɛnt : Tin dɛn lɛk gɔn shot wund, siriɔs motoka aksidɛnt.
• Siriɔs ed injuri (Traumatik bren injuri) .
• Shok : Dis na di sik we di bɔdi nɔ de gɛt bɛtɛ blɔd flɔ, we de mek di ɔgan dɛn nɔ gɛt ɔksijɛn ɛn tin dɛn we de mek i gɛt tin fɔ it.
• Sɔm siriɔs sik ɛn tritmɛnt dɛn we gɛt fɔ du wit kansa .

Insay tin dɛn lɛk dis, di spɛshal savis dɛn we dɛn kin gi na di ICU impɔtant fɔ sev di pɔsin in layf ɛn fɔ mek i wɛl kwik kwik wan.

Us kayn kia dɛn kin gi na di ICU? Udat de gi dis kia?

Insay wan yunit we dɛn kin kia fɔ pipul dɛn we sik bad bad wan , dɛn kin wach di sikman dɛn ɛn trit dɛn ɔlsay na di wɔl . Dɛn kin yuz bɔku spɛshal tin dɛn fɔ mɛn pipul dɛn fɔ dis.

Wan ICU de gi ``multidisiplinari kia`` . Dat min se, wan tim we gɛt dɔktɔ dɛn, nɔs dɛn, ɛn ɔda pipul dɛn we sabi bɔt wɛlbɔdi biznɛs ɛn we sabi difrɛn tin dɛn kin wok togɛda fɔ kia fɔ wan sikman. Imajin wan tim lɛk dis:

• Kritikal kia dɔktɔ dɛm / intensivist dɛm : Dɛn wan ya na di men dɔktɔ dɛm na di ICU.
• Trauma surgeons : Surgeons wae de trit pipul dɛm wae dɔn gɛt siriɔs injury.
• Nɔs ɔfisa dɛn we dɛn tren spɛshal wan ɛn mɛdikal ɛsista dɛn (`Advanced Practice Providers or APPs`) .
• Nɔs : Na di wan dɛn we de wok na di nɔs dɛn kin spɛn mɔ tɛm fɔ kia fɔ di pɔsin.
• Respiratory therapists : Dɛn wan wae de ɛp pipul dɛm wae gɛt prɔblɛm wit dɛn brith.
• Occupational therapists : Pipul dɛm wae de ɛp di sik pipul dɛm fɔ kam bak na dɛn wok.
• Dɔktɔ dɛn we de tren (`Residents`) : Di wan dɛn we dɔn kɔmplit dɛn mɛdikal digri ɛn we de du ɔda spɛshal trenin.
• Dɔktɔ dɛn we de du spɛshal trenin (`Fellows`): Dat min se, dɔktɔ dɛn we dɔn dɔn dɛn bɛsik trenin ɛn we de gɛt mɔ dip spɛshal trenin.
• Klinik fama : Pipul dɛm wae gɛt spɛshal no bɔt di mɛrɛsin dɛm wae dɛn kin gi di sik pipul dɛm.
• Fyzikal thεrapist dεm : Pipul dεm wae de εp fכ mek di bכdi in muvmεnt, mכsul dεm, εn כda tin dεm bak.
• Nutritionists : Di wan dɛn we de mek shɔ se di pɔsin de gɛt di rayt it we i nid.
• Soshal woka dɛm : Dɛn wan dɛm wae de gi saykilɔjik ɛn ɔda sɔpɔt to di sikman ɛn in famili.
• Kes manija : Di wan dɛn we de kɔdinɛt di kia fɔ di pɔsin we sik.

Luk aw bɔku pan wan tim de wok fɔ wan pasɛnt! Ɔlman in gol na fɔ mek di pɔsin wɛl kwik kwik wan.

Us ikwipmɛnt dɛn kin si na ICU?

If yu go na ICU, yu go si difrɛn mashin dɛn ɛn monita dɛn. Dɛn kin yuz dɛn tin ya fɔ wach di pɔsin in kɔndishɔn ɔltɛm ɛn fɔ gi di tritmɛnt we i nid. Lɛ wi luk sɔm pan di men tin dɛn we dɛn kin yuz:

• Anestesia mashin : Dɛn kin yuz dɛn tin ya fɔ gi mɛrɛsin we de mek pɔsin fil pen we dɛn de du ɔpreshɔn ɔ we dɛn de du ɔpreshɔn we de mek pɔsin fil pen.
• Sεntri εn pεrifεral IV : dεn kin yus dεm fכ gi mεdikeshכn, lεk salin, insay di bכdi. Dɛn kin yuse dɛn bak fɔ gi mɛrɛsin fɔ mek pɔsin fil pen ɛn wɔri.
• Defibrillators : If di at stɔp fɔ bit wantɛm wantɛm (Cardiac arrest), dɛn kin yuz dis mashin fɔ gi ilɛktrik shɔk fɔ mek i stat bak.
• Imaging equipment : Tin dεm lεk X-ray εn ultrasound nid fכ si insay di bכdi.
• Laif sɔpɔt mashin : Dɛn kin yuz dɛn fɔ sɔpɔt ɔgan dɛn we nɔ de wok fayn, ɔ fɔ du di wok dɛn we dɛn ɔgan dɛn de du fɔ sɔm tɛm.
• Mechanical ventilation : Dis mashin de ɛp di wan dɛn we nɔ ebul fɔ blo fɔ dɛnsɛf fɔ blo.
• ECMO (Extracorporeal membrane oxygenation) : Na spɛshal mashin we de sɔpɔt di at ɛn di lɔng dɛn.
• Kɔntinyu fɔ tek di rεnal riplesmɛnt tɛrapi : Dis na we fɔ du di wok we di kidni dɛn nɔ de wok fayn, we fiba di dayalaysis.
• Peripheral IVs : Dis na tin plastic tyub dεm we dεn kin yuz fכ gi salin, εntal nyutrishכn (sכmtεm dεn kin gi am tru tyub tru di nos), mεdikeshכn, εn blכd transfyushכn.
• Urinary catheters : Dɛn kin yuz dɛn tin ya fɔ pul urine na di blad.
• Vital signs monitors : Dɛn wan ya kin mɛzhɔ ɛn sho tin dɛn ɔltɛm lɛk bɔdi tɛmpracha, blɔd prɛshɔn, at rit, ɛn di rit we yu de blo .

Nɔ fred we yu si dis ikwipmɛnt. Ɔl dis na fɔ gi di pɔsin di bɛst kia.

Wetin na di mɛrɛsin dɛn we dɛn kin yuz mɔ na di ICU?

Insay di ICU, dɛn kin yuz difrɛn mɛrɛsin dɛn dipen pan di sikman in kɔndishɔn. Na sɔm ɛgzampul dɛn ya:

• Mɛrɛsin fɔ at ritm dizayd (`Antiarrhythmics`) .
• Antibayɔtik : Trit infɛkshɔn.
• Antisaykotik mɛrɛsin: Fɔ sɔm mental dizayd.
• Antiseizure mεdikeshכn fכ kכndyushכn lεk epilepsy כ seizure .
• Beta-blockers : Fכ sכm sirkulכtכri sistεm kכndishכn dεm.
• Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt ay blɔd .
• Calcium channel blockers : Fɔ kɔndishɔn lɛk at ritm dizayd, ay blɔd prɛshɔn, ɛn at bit kwik kwik wan (tachycardia).
• Diuretics : Drug dɛm wae de mek yu de pis pasmak fɔ kɔndishɔn dɛm lɛk at pwɛl ɛn ɛdima.
• Painkillers : Kɔntrol di mɔdaret to siriɔs pen.
• Nyurostimulant : I de ɛp wit bren injuri ɛn strok.
• Sedatives : Ridyus pen, diskɔmfɔt, ɛn kip di pɔsin we sik.
• Vasopressors : We yu gɛt lɔw blɔd prɛshɔn (haypotension).

Dɛn kin gi ɔl dɛn mɛrɛsin ya ɔnda di strikt sɔpɔtishɔn fɔ dɔktɔ dɛn, ɛn dɛn kin mek am fɔ di pɔsin in kɔndishɔn.

Wetin yu fɔ ɛkspɛkt if dɛn admit yu na di ICU?

Di say we dɛn kin kia fɔ pipul dɛn we sik bad bad wan na ples we pipul dɛn kin rili bizi . Bikɔs, yu fɔ pe atɛnshɔn to ɛvri pasɛnt we de de ɔltɛm. Di wan dɛn we de wok na di dɔktɔ kin tray ɔl wetin dɛn ebul fɔ mek di pɔsin fil fayn. Bɔt fɔ sɔm pipul dɛn, di bizi we de de, di nɔys we di mashin dɛn de mek, ɛn sɔm pan di smel dɛn kin at fɔ bia smɔl, ɛn dɛn kin fil strɛs smɔl.

Nɔ lɛk ɔda wɔd dɛn, na wan wan bed dɛn nɔmɔ de na ICU. Bɔku tɛm, na wan ɔ tu pasɛnt nɔmɔ nɔs kin kia fɔ. Dɔn bak, dɛn dɔn stɔp udat go ebul fɔ go fɛn di wan dɛn we sik . Di nɔmba fɔ pipul dɛn we kin kam fɛn dɛn nɔ bɔku, dɛn nɔ kin alaw dɛn fɔ yuz mobayl fon, ɛn dɛn kin aks dɛn fɔ nɔ kam wit it, drink, flawa, ɛn ɔda tin dɛn. Dɛn kin du ɔl dis fɔ mek di sik pipul dɛn sef.

If pɔsin gɛt sik we pɔsin kin pas, dɛn kin put am na say we dɛn nɔ go de nia ɔda pipul dɛn na di ICU fɔ mek di sik nɔ go to ɔda pipul dɛn. If na so i bi, di wan dɛn we de wok na di mɛrɛsin go nid bak fɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ protɛkt dɛnsɛf (PPE). Dis kin inklud:

• Sefty glas dɛn
• Fes shild dɛn
• Glɔv dɛn
• Speshal Gɔn dɛn
• Di tin dɛn we dɛn kin kɔba di ed
• Mask fɔ fes (`Mask`) .
• Di tin dɛn we dɛn kin yuz fɔ blo
• Shoe kɔva dɛn

If di pɔsin nɔ no natin ɔ i nɔ ebul fɔ tɔk wetin i want, na di famili fɔ disayd aw fɔ kia fɔ di pɔsin. If ɛnitin apin we nɔ izi fɔ am, dɔktɔ dɛn kin gɛt fɔ disayd bak fɔ di pɔsin we sik.

Ustɛm a kin kɔmɔt na di ICU?

Dis kin rili dipen pan aw di sikman in sik bad . Bɔrku pipul dɛm wae kin de na di ICU kin wɛl ɛn kɔmɔt na ɔspitul. Bɔt di kɔndishɔn dɛn we nid fɔ kia fɔ dɛn na ICU kin rili kɔmpleks ɛn sɔntɛnde dɛn kin chenj di we aw dɛn nɔ bin de ɛkspɛkt. Yu kin jɔs nid fɔ de na di ICU fɔ sɔm awa, ɔ yu kin nid fɔ de fɔ sɔm wik ɔ ivin mɔnt. Yu dɔktɔ go gi yu wan rough aidia bɔt dis.

Difrɛn kayn ICU dɛn de? Yu tink se ɛni ICU gɛt spɛshal wok?

Yɛs, sɔm ɔspitul dɛn gɛt spɛshal kayn ICU dɛn. Dat min se, intensiv kea yunit dɛm we spɛshal pan sɔm pasɛnt grup dɛm ɔ sɔm mɛdikal kɔndishɔn dɛm. Sɔm ɛgzampul dɛn na:

• Cardiac intensive care unit (CICU) : De trit pipul dɛm wae gɛt hat sik.
• Cardiothoracic intensive care unit (CTICU): Fɔ pipul dɛn we gɛt at ɛn lɔng sik.
• Neonatal intensive care unit (NICU): Fɔ pikin dɛn we dɛn jɔs bɔn , mɔ di pikin dɛn we dɛn bɔn bifo tɛm ɛn we sik.
• Medikal intensiv kia yunit (MICU) : Fɔ kɔmpleks mɛdikal prɔblɛm, siriɔs infɛkshɔn, ɛn prɔblɛm wit di we aw yu de blo.
• Pikin dɛn we de kia fɔ pikin dɛn (PICU) : Trit pikin dɛn.
• Surgical and Trauma Intensive Care Unit (STICU) : Fɔ di wan dɛn we sik afta dɛn dɔn du ɔpreshɔn ɛn siriɔs aksidɛnt.

If wi gɛt spɛshal ICU lɛk dis, dat go mek wi ebul fɔ gi di spɛshal savis dɛn we ɛni pasɛnt nid bɛtɛ.

ICU min se yu de pan layf sɔpɔt ɔltɛm?

Dis nɔ kin bi ɔltɛm. Bɔt bɔku pipul dɛn we de na di ICU nid mɛrɛsin fɔ ɛp fɔ mek dɛn ɔgan dɛn kɔntinyu fɔ wok. Fɔ ɛgzampul, tin dɛn lɛk mɛkanikal ventileshɔn, dayalaysis, ɛn difibrilator. Dɛn kin yuz dɛn tin ya fɔ ɛp di bɔdi fɔ du tin dɛn we i nɔ ebul fɔ du fɔ insɛf igen.

ICU na jɔs ɛnd-ɔf-layf kia?

Sɔntɛnde, dat kin bi, bɔt nɔto ɔltɛm. Dɛn mek ICU fɔ gi spɛshal mɛrɛsin to pipul dɛn we sik bad bad wan ɔ we dɔn wund. Bɔt sɔntɛnde, sɔm tɛm dɛn kin de we pɔsin we sik nɔ kin ebul fɔ wɛl frɔm wan mɛrɛsin ivin we i gɛt tritmɛnt na ICU .Da tɛm de, if yu, yu mɛdikal tim, ɛn/ɔ di wan dɛn we yu lɛk disayd se dɛn nɔ nid fɔ kia fɔ yu na ICU igen, dɛn kin transfa yu to wan rɛgyula wɔd na di ɔspitul. Ɔ, if i pɔsibul, dɛn kin sɛn yu na os, ɔ dɛn kin sɛn yu to wan ples usay dɛn de mɛn pipul dɛn we de mɛn pipul dɛn we gɛt pen ɛn kɔmfɔt we yu dɔn day.

Di tin we impɔtant pas ɔl na dat, di wan dɛn we de wok na di ICU ɔndastand aw yu de fil ɛn aw yu famili de fil. Dɛn kin tray ɔltɛm fɔ gi yu di bɛst tin ɛn kɔrej yu insay dis tranga tɛm.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

Okay, so wi don tok plenti boht ICU naw. Na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

• Intensiv kia yunit (ICU) na spɛshal ples usay dɛn kin trit rili siriɔs sik dɛn.
• We dɛn admit am na ICU, dat min se di pɔsin ɛn in famili kin fil fred, wɔri, ɛn strɛs. Dat na tin we rili natura.
• Di ɔl di wan dɛn we de wok, ivin di dɔktɔ ɛn nɔs dɛn, we de na di ICU, de fɔ ɛp di pɔsin, fɔ gi am di bɛst kia, ɛn fɔ gi kɔmfɔt insay dis tranga tɛm.

If yu ɔ pɔsin we yu sabi nid fɔ gɛt ICU tritmɛnt, nɔ fred. Lisin gud wan to wetin di dɔktɔ dɛn se, ɛn aks ɛni kwɛstyɔn we yu gɛt. Dɛn go ɛp yu.

` Intensiv Keya Yunit, ICU, Ospital, Imejɛnsi Keya, Layf Sɔpɔt, Spɛshal Dɔkta, Mɛdikal Ikwipmɛnt