Fɔ kam bak na os afta wan lɔng, had fɛt na di intensiv kia yunit (ICU) fɔ sɔm dez, sɔntɛm wik, na rial ajɔstmɛnt. Yu ɛn yu famili kin fil fri fɔ se, "Oh my, ɔltin fayn naw." Bɔt sɔntɛnde, na afta yu rich na os, na in nyu prɔblɛm dɛn kin bigin fɔ kam. Yu fil lɛk se yu go fɔdɔm, yu mɛmori de dɔn, yu jɔs de fil sɔri, ɔ yu de fil lɛk se yu nɔ ɛva fred bifo? If na so, nɔto yu wangren de. Dis na wetin wi de tɔk bɔt tide, PICS, ɔr Post-Intensive Care Syndrome.
Wetin na PICS (Post-Intensive Care Syndrome) we pɔsin kin gɛt?
Fɔ tɔk am simpul wan, PICS na wan kɔlekɛshɔn fɔ di sik dɛn we kin de fɔ lɔng tɛm afta dɛn dɔn trit yu na di intensiv kia yunit (ICU) ɛn kam bak na os. Dɛn sayn ya kin afɛkt yu maynd (di filin), yu spirit (intɛlektual), ɛn yu bɔdi (di bɔdi).
Imajin, dɛn admit pɔsin na ICU fɔ wan siriɔs sik ɔ aksidɛnt we de put in layf pan denja bad bad wan. Trade, di men tin we dɔktɔ dɛn bin de pe atɛnshɔn pan na fɔ sev di pɔsin da tɛm de. Dat na bin di tin we impɔtant pas ɔl.
Bɔt naw we mɛdikal sayɛns dɔn go bifo so, wi de tink bak bɔku bɔt aw layf go tan lɛk fɔ di wan dɛn we de wɛl frɔm di ICU. Dat min se:
- Yu tink se dɛn go ebul fɔ wok wit dɛn ol bɔdi trɛnk bak?
- Yu tink se di we aw dɛn de mɛmba tin ɛn di we aw dɛn de tink de wok fayn?
- Dɛn go ebul fɔ liv gladi at ɛn gud layf?
Na afta we dɛn dɔn du risach bɔt dis, na in dɔktɔ dɛn kam fɔ no se ivin afta dɛn dɔn sev na di ICU, bɔku pipul dɛn kin tek sɔm wik, mɔnt, ɛn sɔntɛnde ia fɔ mek dɛn wɛl ɔl. Insay da tɛm de, dɛn kin gɛt nyu prɔblɛm dɛn na dɛn maynd, dɛn bɔdi, ɛn dɛn maynd. Dɛn kɔl dis kɔlekɛshɔn fɔ prɔblɛm dɛn PICS (Post-Intensive Care Syndrome) .
Dis nɔto wikɛd tin na yu maynd, ɛn nɔto sɔntin we yu de imajin. Dis na rial mεdikal kכndyushכn wae de apin as sayd ifekt wae de gεt tritmεnt na di ICU.
Imajin, bitwin fayv ɛn et pan tɛn pipul dɛm we de wɛl frɔm di ICU go gɛt dis PICS kɔndishɔn to sɔm mak. So dis kin rili kɔmɔn.
PICS-F: Dis de afɛkt famili mɛmba dɛn bak?
Yɛs, na fɔ tru. Aw i kin strɛs fɔ wan famili fɔ si di pɔsin we dɛn lɛk na di ICU, we bɔku mashin dɛn de rawnd am? Dat frayd, dat sɔri-at, dɛn nɛt we nɔ de slip, da nɔ shɔ... ɔl dis de afɛkt di famili bak.
Wi kin kɔl di mental ɛn imɔshɔnal simptom dɛm we famili mɛmba ɔ tayt padi kin gɛt we dɛn si dɛn pɔsin we dɛn lɛk na di ICU PICS-Family (PICS-F) . So, if yu de rid dis atikul ɛn yu na pɔsin in famili we dɔn de na di ICU, i rili impɔtant fɔ tek kia ɔf yu maynd wɛlbɔdi bak.
Wetin na di men sayn dɛm fɔ PICS?
PICS kin mek yu gɛt nyu sik ɔr kin mek di sik wae dɔn de, wɔs. Lɛ wi sheb dɛn tin ya to tri men kategori.
| Tayp fɔ di simptom | Tin dɛn we pɔsin kin fil |
|---|---|
| Di sayn dɛn we pɔsin kin fil we i de fil |
|
| Mental (intellectual) kwaliti dɛm |
|
| Di sayn dɛn we pɔsin kin gɛt na in bɔdi |
|
Di sayn dɛm fɔ PICS-F (famili mɛmba dɛm) .
- Wɔri ɛn Strɛs
- Pwɛl hat ɛn pwɛl hat
- Nɔ ebul slip
- Pɔst-traumatik strɛs disɔda (PTSD) .
Wetin mek dis kin apin? Rizin dɛn fɔ PICS
ICU na ples we kin rili strɛs ɛn wɔri. Di nɔys we di mashin dɛn de mek, di layt dɛn we de ɔp ɔltɛm, di we aw yu nɔ de slip, di tɛst dɛn we yu de du ɔltɛm... ɔl dis na bɔku strɛs na yu maynd ɛn bɔdi. Bɔku tin dɛn de we de ɛp fɔ mek PICS divɛlɔp.
- De mεdikal kכndyushכn wae yu bin gεt: De kayn mεdikal kכndyushכn wae yu bin gεt (fכ egzampl, wan siriכs infεkshכn lεk sepsis, respiratory distress) kin bi wan big tin wae kin mek dis sik.
- Di mɛrɛsin dɛn we dɛn kin yuz: Sɔm mɛrɛsin dɛn we dɛn kin gi na di ICU, mɔ di mɛrɛsin dɛn we kin mek pɔsin fil fayn, kin afɛkt di maynd.
- Di tin dɛn we pɔsin kin yuz fɔ sev layf: Tin dɛn lɛk mɛkanikal ventilatɔ ɛn ɛndotrakial tyub kin mek di bɔdi ɛn maynd nɔ fil fayn ɛn i kin mek pɔsin fil bad.
Aw di dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ, i go aks yu bɔt dɛn tin ya.
1. Yu mεdikal histri: Tin dεm lεk wetin apin we yu bin de na ICU, us tritmεnt yu bin gεt.
2. Aks bɔt di sayn dɛm: Lisin gud gud wan fɔ ɔndastand us diskɔmfɔt yu de gɛt naw.
3. Fɔ chɛk yu bɔdi: Dɛn go chɛk yu bɔdi.
Apat frɔm dat, dɛn kin du dɛn tɛst ya fɔ kɔnfɔm PICS stetɔs:
- Kɔgnitiv tɛst: Simpul tɛst dɛm wae de mɛzhɔ tin dɛm lɛk aw yu de mɛmba, aw yu de pe atɛnshɔn, ɛn aw yu de tink.
- Kwɛshɔn: Kwɛshɔn wae dɛn mek fɔ si if yu gɛt tin dɛm lɛk strɛs, pwɛl hat, ɔr wɔri.
Wetin na di tritmɛnt dɛm fɔ PICS?
Di bɛst tin na dat, tritmɛnt dɛn de fɔ PICS. No wan mɛrɛsin nɔ de fɔ dis. Di tritmɛnt dipen pan di sayn dɛm we yu gɛt. Yu kin nid fɔ aks fɔ ɛp frɔm bɔku spɛshal pipul dɛn.
- Mεrεsin dεm: Yu dכkta kin gi yu mεdikeshכn dεm lεk dεn mεdikeshכn dεm wae de mek yu fil bad εn mεdikeshכn dεm wae de mek yu fil bad.
- Fisiotɛrapi: Dis tritmɛnt we ya rili impɔtant fɔ mek di mɔsul dɛn strɔng, fɔ waka fayn bak, ɛn fɔ mek di bɔdi balans bak.
- Occupational Therapy: Dis involv fɔ ɛp di pɔsin fɔ du ɛvride wok (e.g., fɔ drɛs, it, was) fɔ insɛf bak.
- Spich Therapy: Dis kin ɛp if yu gɛt prɔblɛm fɔ tɔk ɔ fɔ swɛla.
- Rihabiliteshɔn program: If nid de, dɛn kin sɛn yu to pulmonary rehab ɔ cardiac rehab program.
- Kɔnsul ɛn Saykotɛrapi: I rili impɔtant fɔ tɔk to saykayatrist ɔ kɔyl fɔ mek yu nɔr fil bad fɔ frayd, pwɛl hat, ɛn trauma.
Apat frɔm dɛn tritmɛnt ya, fɔ slip fayn, it tin dɛn we gɛt fayn fayn tin dɛn fɔ it, ɛn rayt wetin yu de tink na jɔnal kin ɛp bak fɔ mek i wɛl.
Aw yu go ɛp yu famili?
As yu pɔsin we yu lɛk de wɛl frɔm PICS, yu sɔpɔt rili impɔtant. Na sɔm tin dɛn we yu kin du:
- Lisin wit peshɛnt: Lisin wit peshɛnt to wetin i gɛt fɔ tɔk. Rɛspɛkt di we aw i de fil. Insted fo tok tins laik, "No tink dat," tok se, "A andastan hau yu de fil."
- Ɛnkɔrej am: Ɛnkɔrej am fɔ du ɛksesaiz dɛn we de mek i gɛt bɔdi ɛn go to dɔktɔ. If yu ebul, go wit am.
- Ɛp am wit smɔl smɔl tin dɛn: Mɛmba am bɔt tin dɛn we i fɔgɛt. Mak impɔtant tin dɛn na kalenda.
- Mek ples we kol: Kip di say we yu de na yu os kol ɛn ɔganayz. Nɔ mek di nɔys we pasmak ɛn di tin dɛn we nɔ de rɔtin nɔ bɔku.
- Tink bɔt yusɛf bak: If yu gɛt PICS-F simptom, go to ɛp yusɛf. Na if yu wɛl nɔmɔ yu go ebul fɔ ɛp di pɔsin we yu lɛk.
Fɔ wɛl ɛn ustɛm fɔ go to dɔktɔ
Di tɛm we i kin tek fɔ mek i wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin wɛl kpatakpata insay sɔm mɔnt. Fɔ ɔda pipul dɛn, i kin tek wan ia ɔ mɔ. De tin wae impɔtant pas ɔl na fɔ kɔntinyu wit tritmɛnt wae yu nɔr giv ɔp.
Afta yu kam bak na os frɔm di ICU, i impɔtant fɔ de tɔk to yu dɔktɔ. If yu tink se yu ɔ sɔmbɔdi na yu famili gɛt PICS simptom, nɔ ayd am. Mek shɔ se yu go to dɔktɔ.
Kwɛstyɔn dɛn we yu fɔ aks di dɔktɔ
- Us tɛst a kin du fɔ no dis sik?
- Ɛni ɔda sayn dɛn de we a fɔ de wach fɔ?
- Us tritmɛnt dɛn yu kin advays? Ɛni bad bad tin dɛn de we kin apin to am?
- Aw lɔng yu tink se dɛn sayn ya go las?
- Dɛn sayn ya kin kam bak leta?
Yu tink se dɛn kin mek dɛn nɔ gɛt PICS?
Naw, di mɛdikal wokman dɛm na ɔspitul dɛm ɔlsay na di wɔl de du difrɛn tin dɛm fɔ mek PICS nɔ apin we di sik pipul dɛn de na di ICU.
- Yuz smɔl sɛdɛshɔn as yu ebul.
- Fɔ stat fɔ du ɛksɛsayz fɔ du fizik tɛrapi we di pɔsin de na di ICU.
- Minim di tɛm we yu de kɔnɛkt to ikwipmɛnt dɛn we de sev layf as mɔ as yu ebul.
- Fɔ ɛp di pɔsin fɔ no difrɛns bitwin de ɛn nɛt.
- Gi di famili mɛmba dɛn di chans fɔ go fɛn di pɔsin ɛn tɔk to am.
Dɛn kin du ɔl dis fɔ ɛp yu fɔ liv wɛl, gladi layf afta yu dɔn kɔmɔt na di ICU.
Mɛsej we dɛn kin kɛr go na os
- PICS na wan kɔmɔn kɔndishɔn we kin apin afta dɛn dɔn trit am na di ICU. I kin afɛkt yu bɔdi, yu maynd, ɛn aw yu de fil.
- Dis nɔto yu wikɛd tin, na rial mɛdikal kɔndishɔn.
- Yu famili (PICS-F) kin gɛt dis kayn strɛs bak.
- Tritmɛnt dɛn de we rili fayn fɔ dis, lɛk fɔ trit yu bɔdi, fɔ advays yu, ɛn fɔ gi yu mɛrɛsin.
- If yu ɔ sɔmbɔdi na yu famili gɛt dɛn sik ya, nɔ sɔfa yu wan ɛn fɔ tru, tɔk to yu dɔktɔ. Na sayn fɔ gɛt trɛnk fɔ gɛt ɛp.
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