Kei a koe anō ēnei raruraru i muri i tō hokinga mai i te ICU? Me kōrero tātou mō te PICS (Post-Intensive Care Syndrome)

He tino whakatutukitanga te hoki ki te kāinga i muri i te pakanga roa, uaua i roto i te wāhanga tiaki nui (ICU) mō ngā rā, pea wiki. Tērā pea ka marino koe me tō whānau ki te kī, "Āe, kua pai ngā mea katoa ināianei." Engari i ētahi wā, i muri i tō taenga ki te kāinga ka tīmata te puta ake o ngā raruraru hou. Kei te ahua ngoikore koe, kei te memeha haere tō mahara, kei te pouri noa koe, kei te mataku rānei koe i mua? Mēnā koinā, ehara i te mea ko koe anake. Koinei tā tātou e kōrero nei i tēnei rā, ko PICS, ko te Post-Intensive Care Syndrome rānei.

He aha te PICS (Post-Intensive Care Syndrome)?

He whakarāpopototanga noa iho, ko te PICS he kohinga tohu e mau tonu ana i muri i tō maimoatanga i te wāhanga tiaki nui (ICU) me tō hokinga ki te kāinga. Ka pā pea ēnei tohu ki tō hinengaro (ngā kare ā-roto), ki tō wairua (te hinengaro), me tō tinana (te tinana).

Whakaarohia, ka whakaurua tetahi ki te ICU mō tētahi mate kino, mō tētahi aituā rānei, ā, he nui te mōrearea ki tōna ora. I ngā wā o mua, ko te arotahi matua a ngā tākuta ko te whakaora i te tūroro i taua wā. Koinei te mea nui rawa atu.

Nā te mea kua tino whanake te pūtaiao hauora, ka nui hoki ō tātou whakaaro mō te āhua o te oranga mō te hunga e ora ake ana i te ICU. Ko te tikanga tēnei:

• Ka taea rānei e rātou te whakamahi anō i ō rātou kaha tinana o mua?
• Kei te pai te mahi a ō rātou pūkenga mahara me te whakaaro?
• E taea rānei e rātou te ora i te oranga harikoa, i te oranga pai?

I muri i te rangahau i tēnei, ka mōhio ngā tākuta ahakoa i ora mai i te ICU, he maha ngā tāngata e hia wiki, marama, ā, i ētahi wā tau ki te ora katoa. I taua wā, ka puta he raruraru hinengaro, tinana, me te hinengaro hou. Ko tēnei kohinga raruraru e kiia ana ko te PICS (Post-Intensive Care Syndrome) .

Whakaarohia, e rima ki te waru i roto i te tekau o ngā tāngata e ora ake ana i te ICU ka pāngia e tēnei āhuatanga PICS ki tētahi taumata. Nō reira, he mea tino noa tēnei.

PICS-F: Ka pāngia anō hoki ngā mema o te whānau e tēnei?

Āe, tino pono. He aha te taumahatanga o te kite i tā rātou e arohaina ana i roto i te ICU, e karapotia ana e te tini o ngā mīhini? Ko taua wehi, ko taua pōuri, ko aua pō kore moe, ko taua āwangawanga... ka pā katoa ēnei ki te whānau.

Ka karangatia e mātou ngā tohu hinengaro me ngā tohu kare ā-roto e pāngia ana e ngā mema o te whānau, e ngā hoa tata rānei, ina kite rātou i tā rātou e arohaina ana i roto i te ICU PICS-Whānau (PICS-F) . Nō reira, ki te mea kei te pānui koe i tēnei tuhinga, ā, he mema whānau koe nō tētahi kua noho ki te ICU, he mea tino nui kia tiakina tō hauora hinengaro anō hoki.

He aha ngā tohu matua o te PICS?

Ka taea e ngā PICS te whakaputa tohu hou, te whakararu rānei i ngā tohu o nāianei. Me wehewehe ēnei kia toru ngā wāhanga matua.

Ngā tohu o te PICS-F (ngā mema o te whānau)

• Manukanuka me te ahotea
• Te pouri me te pouri
• Te kore moe
• Te mate ahotea muri-whara (PTSD)

He aha tēnei ka tupu ai? Ngā take mō ngā PICS

He wāhi tino taumaha, he wāhi whakararuraru hoki te ICU. Ko te haruru o ngā mīhini, ko ngā rama e kā tonu ana, ko te kore moe, ko te whakamātautau tonu... he nui te taumahatanga o ēnei mea katoa ki tō hinengaro me tō tinana. He maha ngā āhuatanga e whai wāhi ana ki te whanaketanga o te PICS.

• Te āhua hauora i pā ki a koe: Ko te kaha o te āhua hauora i pā ki a koe (hei tauira, he mate kino pēnei i te sepsis, te uaua o te manawa) tētahi o ngā tino take o tēnei.
• Ngā rongoā e whakamahia ana: Ka pā pea ētahi rongoā e hoatu ana i roto i te ICU, inā koa ngā rongoā whakamoe, ki te hinengaro.
• Ngā taputapu whakaora ora: Ko ngā mea pēnei i ngā mīhini whakaea manawa me ngā ngongo endotracheal ka nui te mamae me te whara ki te tinana me te hinengaro.

Me pēhea te tātaritanga a te tākuta i tēnei?

Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ēnei mea.

1. Tō hītori hauora: Ngā mea i tupu i a koe i te ICU, ngā maimoatanga i whiwhi koe, me ētahi atu.

2. Te pātai mō ngā tohu: Whakarongo mai kia mārama ai koe ki te mamae e pāngia ana e koe i tēnei wā.

3. Whakamātautau tinana: Ka tirohia tō āhua tinana.

Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau e whai ake nei hei whakaū i te tūnga PICS:

• Ngā whakamātautau hinengaro: Ngā whakamātautau māmā e ine ana i ngā mea pēnei i tō mahara, tō aro, me tō pūkenga whakaaro.
• Ngā Pātai: He pātai kua hangaia hei tirotiro mēnā kei a koe ngā āhuatanga pēnei i te ahotea, te pouri, te manukanuka rānei.

He aha ngā maimoatanga mō te PICS?

Ko te mea pai rawa atu, kei reira ngā maimoatanga mō te PICS. Kāore he rongoā kotahi mō tēnei. Kei runga i ō tohu te maimoatanga. Me rapu āwhina pea koe i ngā tohunga maha.

• Ngā Rongoā: Ka tohua pea e tō tākuta he rongoā pēnei i ngā rongoā ārai-manukanuka me ngā rongoā ārai-manukanuka.
• Whakaora tinana: He mea tino nui tēnei tikanga maimoatanga mō te whakapakari i ngā uaua, te hikoi pai anō, me te whakahoki mai i te taurite o te tinana.
• Whakaora Mahi: Kei roto i tēnei ko te āwhina i te tangata ki te mahi anō i ngā mahi o ia rā (hei tauira, te whakakakahu, te kai, te kaukau) me te kore e hiahia ki te mahi takitahi.
• Whakaora Kōrero: Ka āwhina tēnei mēnā he uaua ki a koe te kōrero, te horomi rānei.
• Ngā kaupapa whakaora: Mena e tika ana, ka tukuna pea koe ki ngā kaupapa whakaora pūkahukahu, ki ngā kaupapa whakaora ngākau rānei.
• Te Tohutohu me te Hinengaro Hauora: He mea tino nui te kōrero ki tētahi tohunga hinengaro, ki tētahi kaiwhakatakoto whakaaro rānei, hei whakamama i ngā kare ā-roto o te wehi, te pōuri, me te mamae.

Me pēhea e taea ai e koe te āwhina i tō whānau?

I a tō hoa aroha e ora ake ana i te PICS, he mea tino nui tō tautoko. Anei ētahi mea ka taea e koe te mahi:

• Whakarongo mārie: Whakarongo mārie ki tāna e kī ana. Whakautehia ōna kare ā-roto. Engari kaua e kī pēnei, "Kaua e whakaaro pēnā," me kī atu, "E mārama ana ahau ki ō kare ā-roto."
• Whakatenatena: Whakatenatenahia ia kia mahi i ngā mahi whakakori tinana, kia haere hoki ki te tākuta. Ki te taea, haere tahi me ia.
• Āwhina i a ia ki ngā mea iti: Whakamaumaharatia ia ki ngā mea kua warewarehia e ia. Tohua ngā mea nui ki te maramataka.
• Waihangahia he taiao marino: Kia marino, kia tika hoki te āhua o tō kāinga. Whakaitihia te haruru me te raruraru nui.
• Whakaarohia hoki koe: Ki te pāngia koe e ngā tohu PICS-F, rapua he āwhina māu. Ki te ora koe, ka taea e koe te āwhina i tō hoa aroha.

Te whakaoranga me te wā e tika ai kia kite i te tākuta

He rerekē te roa o te wā e ora ai i ia tangata, i ia tangata. Ka ora katoa ētahi i roto i ētahi marama. Mō ētahi atu, ka roa pea mō te tau, neke atu rānei. Ko te mea nui ko te haere tonu me te maimoatanga me te kore e mutu.

I muri i tō hokinga mai i te ICU, he mea nui kia noho tonu tō whakapā atu ki tō tākuta. Ki te whakaaro koe kei te pāngia koe, kei tētahi rānei o tō whānau e ngā tohumate PICS, kaua e huna. Kia mahara ki te toro atu ki tētahi tākuta.

Ngā pātai hei pātai atu ki te tākuta

• He aha ngā whakamātautau ka taea e au te mahi hei tautuhi i tēnei mate?
• He tohu kē atu anō kei te tika kia tirohia e au?
• He aha ngā maimoatanga e taunaki ana koe? He pānga taha kei reira?
• Kia pēhea te roa o te mau o ēnei tohu?
• Ka taea e ēnei tohu te hoki mai anō i muri mai?

Ka taea te ārai i ngā PICS?

Ināianei, kei te mahi ngā kaimahi hauora i ngā hōhipera huri noa i te ao i ngā mahi maha hei ārai i te puta o te PICS i te wā e noho ana ngā tūroro i te ICU.

• Te whakamahi i te iti rawa o te rongoā whakamoe.
• Te tīmata i ngā mahi whakapakari tinana i te wā e noho ana te tūroro i roto i te ICU.
• Whakaitihia te wā e hono ana ki ngā taputapu whakaora ora i ngā wā katoa e taea ana.
• Te āwhina i te tūroro ki te wehewehe i waenganui i te ao me te pō.
• Te hoatu i te whai wāhitanga ki ngā mema o te whānau ki te toro atu me te kōrero ki te tūroro.

Ka mahia ēnei mea katoa hei āwhina i a koe kia ora hauora, kia harikoa hoki i muri i tō putanga mai i te ICU.