Intensive care unit (ICU)-a ni tam tak, kar tam tak pawh ni thei, indona rei tak, harsa tak hnua in lama lo haw hi hlawhtlinna tak tak a ni. Nang leh i chhungte chuan, "Oh my, tunah chuan engkim a tha tawh" tih hi in thlamuang mai thei. Mahse, a chang chuan, in i thlen hnuah chauh harsatna thar a lo chhuak tan thin. I muhil mai dawn niin i hria em, i hriatrengna chu a bo vek ang tih i hria em, i lungngai mai mai em ni, a nih loh leh i la tih ngai loh angin i hlau em? Chutiang a nih chuan nangmah chauh i ni lo. Hei hi tunlaia kan sawi tum chu a ni, PICS, emaw Post-Intensive Care Syndrome emaw.
PICS (Post-Intensive Care Syndrome) hi eng nge ni?
A awlsam zawngin, PICS hi intensive care unit (ICU)-a enkawl i nih hnua i in lama i haw hnu rei tak chhunga awm reng thei symptoms awmkhawm a ni. Heng symptoms te hian i rilru (emotionally), i thlarau (intellectually), leh i taksa (physically) te a nghawng thei a ni.
Mi pakhat chu natna khirh tak emaw, accident emaw avanga an nunna atana hlauhawm tak a nih avangin ICU-ah dah a nih thu han ngaihtuah teh. Tun hma chuan doctor-te ngaih pawimawh ber chu chutih lai chuan damlo chhanchhuah hi a ni. Chu chu a pawimawh ber a ni.
Mahse tunah chuan medical science a lo thang chak em em a, ICU atanga dam leh tawhte nun chu eng ang nge tih pawh kan ngaihtuah nasa hle bawk. Chumi awmzia chu:
- An taksa chakna hlui hmangin hna an thawk leh thei dawn em ni?
- An hriatrengna leh ngaihtuahna thiamna hian hna a thawk tha em?
- Nun hlim leh tha takin an nung thei ang em?
He thil hi an zirchian hnuah chauh doctor-te chuan ICU-a an damchhuah hnuah pawh mi tam tak chu an dam kim theih nan kar tam tak, thla tam tak, leh a chang chuan kum tam tak an hmang tih an hrechhuak ta a ni. Chumi hun chhung chuan rilru, taksa leh rilru lama harsatna thar an nei a. He harsatna khawlkhawm hi PICS (Post-Intensive Care Syndrome) tih a ni.
Hei hi i rilrua chak lohna a ni lo va, i suangtuah lai pawh a ni lo. Hei hi ICU-a enkawlna dawn avanga side effect anga lo awm, medical condition tak tak a ni.
Ngaihtuah teh, ICU atanga dam chhuak mi sawm zinga panga atanga pariat inkar hian eng emaw chen chu he PICS natna hi an tawk ang. Chuvangin hei hi a awm fo thin.
PICS-F: Hei hian chhungkaw member-te pawh a nghawng em?
Ni e, a dik tak zet. Chhungkaw pakhat tan chuan ICU-a an hmangaih tak, machinery tam takin a hual vel lai hmuh chu engtiang chiahin nge a buaithlak? Chu hlauhna, chu lungngaihna, chu mut theih lohna, chu rinhlelhna... heng zawng zawng hian chhungkua pawh a nghawng a ni.
Chhungkaw member emaw, ṭhian hnai tak takte emaw chuan ICU-a an hmangaih tak an hmuh hian rilru leh rilru lama an natna lan chhuah dan chu PICS-Family (PICS-F) kan ti a ni. Chuvangin, he thuziak hi i chhiar a, ICU-a awm tawh chhungte i nih chuan i rilru hriselna pawh i enkawl a pawimawh hle.
PICS natna lan chhuahna berte chu engte nge ni?
PICS hian symptom thar a thlen thei a, symptom awmsa a tizual thei bawk. Hengte hi chi thum ah then ila.
| Symptom chi hrang hrang | Thil hriat theih thilte |
|---|---|
| Emotional symptoms a awm thin |
|
| Rilru (intellectual) mizia |
|
| Taksa lama natna lan chhuah dan |
|
PICS-F natna lan chhuah dan (chhungkaw member) .
- Lungkhamna leh Stress
- Depression leh lungngaihna
- Mu thei lo
- Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.
Engvangin nge hetiang hi a lo awm? PICS neih chhan
ICU hi hmun lungkhamna leh lungkhamna hmun a ni. Machine thawm ri te, light eng reng reng te, mut theih lohna te, test reng reng te... heng zawng zawng hian i rilru leh taksa a tibuaitu a ni. PICS hmasawnna tur hian thil engemaw zat a awm a.
- Damdawi lam i neih dan: I damdawi lam dinhmun nasat dan (entir nan, sepsis ang chi natna khirh tak, thawk lama harsatna) hi hei hi a chhan lian ber a ni thei.
- Damdawi hman dan: ICU-a damdawi thenkhat, a bik takin sedatives pek hian rilru a nghawng thei a ni.
- Nunna chhanhimna hmanrua: Mechanical ventilator leh endotracheal tube ang chi thilte hian taksa leh rilruah harsatna leh hliam nasa tak a thlen thin.
Engtin nge doctor hian hei hi a hriat chian?
Doctor hmu tura i kal hunah heng thilte hi a zawt ang che.
1. I medical history: ICU-a i awm laiin eng thil nge thleng, eng enkawlna nge i dawn, etc.
2. Symptoms chungchang zawhna: Tuna i rilru hahna i tawn mek hi ngun takin ngaithla rawh.
3. Taksa endik: I taksa dinhmun enfiah a ni ang.
Tin, PICS dinhmun finfiah nan a hnuaia test te hi tih theih a ni bawk:
- Cognitive tests: I hriatrengna, ngaihtuahna leh ngaihtuahna te ang chi thil tehna test awlsam tak.
- Zawhna: I rilru hahna, lungngaihna, lungkhamna ang chi i neih leh neih loh enfiahna atana siam zawhna.
PICS hi eng enkawlna nge ni?
A tha ber chu PICS enkawlna tur a awm hi a ni. Hei hi damdawi pakhat mah a awm lo. Enkawlna chu i natna lan chhuah danah a innghat. Specialist tam tak hnen atangin tanpuina i dil a ngai mai thei.
- Damdawi: I doctor chuan antidepressant leh anti-anxiety damdawi te a pe thei ang.
- Physiotherapy: He enkawl dan hi taksa ruh tichaktu atan te, kal tha leh tur te, taksa inthlauhna siam that nan te a pawimawh hle.
- Occupational Therapy: Hei hian mi chu nitin hna (e.g., incheina, ei leh in, inbual) mahni chauha thawk leh tura tanpui a huam a ni.
- Speech Therapy: Hei hian thusawi emaw, ei harsa emaw i neih chuan a pui thei a ni.
- Rehabilitation programme: A tul chuan pulmonary rehab emaw cardiac rehab program emaw ah refer theih i ni.
- Counselling leh Psychotherapy: Hlauhna, lungngaihna leh trauma tihziaawmna turin rilru lam doctor emaw counselor emaw nena inbiakna neih a pawimawh hle.
Heng enkawlna bakah hian mut tam te, ei tur tha tak tak ei te, leh i ngaihtuahna te journal-a ziah te hian damna kawngah nasa takin a pui thei bawk.
Engtin nge i chhûngte i ṭanpui theih?
I hmangaih tak chu PICS atanga a dam chhoh zel chuan i thlawpna hi a hlu hle. I tih theih ṭhenkhat chu hetiang hi a ni:
- Dawhthei takin ngaithla rawh: A thusawi chu dawhthei takin ngaithla rawh. A rilru put hmang zah rawh. "Chutiang chu ngaihtuah suh," tih ang chi sawi ai chuan, "I rilru put hmang ka hrethiam" tih ang chi hi sawi ai chuan.
- Fuih rawh: Physics therapy exercise ti turin fuih la, doctor pan rawh. I theih chuan kal ve rawh.
- Thil tê têah ṭanpui rawh: A theihnghilh thilte chu hriat nawntîr rawh. Calendar-ah thil pawimawh tak tak chhinchhiah rawh.
- Environment muang tak siam rawh: In chhung boruak muang tak leh felfai takin vawng rawh. Ri nasa lutuk leh thil buaithlak lutuk tih tlem.
- Nangmah pawh ngaihtuah teh: PICS-F symptoms i neih chuan nangmah ngeiin tanpuina zawng rawh. I dam that phawt chuan i hmangaih tak chu i pui thei ang.
Dam leh hun tur leh doctor hmuh hun tur
Dam leh hun chhung hi mi hrang hrangah a inang lo. Mi thenkhat chu thla engemaw zat chhungin an dam vek. Midang tan chuan kum khat emaw a aia rei emaw pawh a la ngai thei. A pawimawh ber chu beidawng lova enkawl chhunzawm zel hi a ni.
ICU atanga i haw hnuah doctor nen inbiak reng a pawimawh. Nangmah emaw, i chhungte zingah emaw PICS symptoms nei nia i hriat chuan thup suh. Doctor pan ngei ngei tur a ni.
Doctor hnena zawhna zawh tur
- He natna hi hriat chian nan eng test nge ka tih theih ang?
- Symptom dang ka ngaihven tur a awm em?
- Eng enkawlna nge i rawt? Side effect a awm em?
- Heng symptoms te hi eng chen nge a awm ang tih i ngaihtuah?
- Heng symptoms te hi a hnuah a lo lang leh thei ang em?
PICS hi ven theih a ni em?
Tunah chuan khawvel hmun hrang hranga damdawi-in hrang hranga medical staff-te chuan damlo ICU-a an awm laiin PICS a thlen loh nan thil chi hrang hrang an ti mek a ni.
- Sedation tlem thei ang bera hman.
- Damlo ICU-a a awm laiin physical therapy exercise tan.
- Nunna chhanhimna hmanrua nena inzawm hun chu a theih ang anga tihtlem rawh.
- Damlo chu ni leh zan thliar hrang tura tanpui.
- Chhungte tan damlo tlawh leh biak theihna hun pek.
Heng zawng zawng hi ICU i chhuahsan hnua nun hrisel, hlim taka i neih theih nan tih a ni.
Take-Home Thuchah a ni
- PICS hi ICU-a enkawl hnuah a awm fo thin a ni. I taksa, rilru leh rilru put hmang a nghawng thei a ni.
- Hei hi i chak lohna a ni lo, damdawi lam dinhmun tak tak a ni.
- I chhungte (PICS-F) pawhin chutiang bawka lungkhamna chu an tawk thei bawk.
- Hemi atan hian enkawlna tha tak tak a awm a, chung zingah chuan physical therapy, counselling, leh damdawi te pawh a tel.
- Nangmah emaw i chhungte zinga tu emaw hian heng symptoms hi i neih chuan nangmah chauhin hrehawm ti suh la , i doctor nen inbia ngei ang che. Ṭanpuina dawng tura chakna chhinchhiahna a ni.
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