Kugwirizana Pakati pa Chipinda Chosamalira Anthu Ambiri (ICU) ndi Dementia: Zimene Muyenera Kudziwa

Kodi pali aliyense m'banja mwanu, mwina amayi anu, abambo anu, kapena wokondedwa wanu, amene wakhala ali mu chipinda chosamalira odwala kwambiri (ICU) atadwala mwadzidzidzi kapena opaleshoni yaikulu? Kodi mwaona kusintha kulikonse pa khalidwe lawo, kukumbukira kwawo, kapena kulankhula kwawo kuyambira pamene anabwerera kunyumba? Nthawi zina timaganiza kuti izi ndi zotsatirapo chabe za matendawa. Komabe, pakhoza kukhala kulumikizana pakati pa chithandizo cha odwala kwambiri ndi kusintha kwa nthawi yayitali kwa ntchito ya ubongo. Lero tikambirana za nkhaniyi yomwe anthu ambiri saidziwa, koma ndi yofunika kwambiri.

Chipinda Chosamalira Anthu Ambiri (ICU) ndi Ubongo Wanu

Chipinda chosamalira odwala kwambiri, kapena ICU, ndi malo omwe odwala omwe amafunikira kuyang'aniridwa ndi dokotala wapadera maola 24 amasamaliridwa pambuyo pa matenda oopsa, ngozi yayikulu, kapena opaleshoni yayikulu.

Odwala omwe ali mu ICU nthawi zambiri amapatsidwa mankhwala amphamvu kwambiri. Komanso, matenda awo amatha kuchepetsa kuchuluka kwa mpweya womwe umafika muubongo ndikusintha njira zamagetsi muubongo. Zonsezi zikachitika, momwe ubongo umagwirira ntchito chidziwitso ndikusunga bwino malingaliro amayamba kusokonezeka. Momwe timaganizira, momwe timalankhulira, komanso momwe timaonera malo otizungulira zimatha kusintha. M'mawu azachipatala, timatcha vutoli kukhala delirium.

Mwachidule, iyi ndi nthawi yochepa ya kusokonezeka maganizo. Pamene munthu wasokonezeka maganizo, wodwalayo angaiwale komwe ali. Kapena angaganize kuti ali kwina, osati kuchipatala. Angaone ndikumva zinthu zomwe sizili kumeneko. Anthu amene amabwera kudzathandiza sangalankhule bwino. Ena amanena kuti zomwe zinachitikazo ndi ngati watayika m'maloto oipa. Izi zitha kukhala zoopsa kwambiri kwa wodwalayo komanso kwa banja lomwe likuyembekezera.

Kodi zotsatira zake za nthawi yayitali ndi ziti?

Ngakhale kuti misala ndi vuto la kanthawi kochepa, zingatenge masiku, ngakhale milungu ingapo, kuti munthu achire bwino. Ndipo kafukufuku akusonyeza kuti zotsatira zake zimatha kupitirira mutatuluka kuchipatala. Anthu oposa gawo limodzi mwa magawo atatu omwe amachira matenda aakulu amavutika kuganiza bwino, kukumbukira zinthu, kukonza nthawi yawo, komanso kuthetsa mavuto.

Ngakhale kuti vutoli limakhala bwino pakapita nthawi, sizichitika kwa aliyense. Kafukufuku wina akusonyeza kuti odwala okwana 75% omwe atulutsidwa m'zipinda zosamalira odwala kwambiri angasonyeze zizindikiro za mtundu wina wa matenda a dementia .

Asayansi sakudziwa chifukwa chake, koma zikuwoneka kuti mankhwala ochepetsa ululu akaperekedwa kwa nthawi yayitali, chiopsezo chimakhala chachikulu. Komanso, anthu omwe ali ndi matenda a sepsis ( kuwonongeka kwa magazi), kulephera kwa impso, matenda a ubongo, kapena opaleshoni ya mtima ali pachiwopsezo chachikulu chotenga matenda a dementia.

Kodi mumalankhula bwanji ndi ogwira ntchito kuchipatala?

Wokondedwa wanu akakhala kuchipatala, pali madokotala, anamwino, ndi antchito ena omwe alipo kuti awasamalire. Ngati simukumvetsa liwu kapena chithandizo chomwe amagwiritsa ntchito, musachite manyazi kuwapempha kuti akufotokozereni. Kusalankhulana bwino pakati pa banja ndi antchito ndi chimodzi mwa zinthu zomwe zimawapweteka kwambiri mukadwala kuchipatala.

Zinthu izi zidzakuthandizani kuti mupitirize kulankhulana bwino:

• Sankhani wotsogolera: M'malo mofunsa aliyense m'banjamo tsatanetsatane nthawi imodzi, sankhani wachibale m'modzi (inu kapena wina) kuti alankhule ndi ogwira ntchito.
• Dziwani dongosolo lanu la tsiku ndi tsiku: Lankhulani ndi dokotala wanu tsiku lililonse za dongosolo lanu la chithandizo cha tsikulo ndi zomwe mungayembekezere m'masiku angapo otsatira.
• Dziwani amene mungafunse mafunso: Ngati muli ndi funso masana, funsani amene muyenera kulankhula naye namwino kapena wogwira ntchito.
• Khalani okonzeka nthawi imene madokotala akubwera: Madokotala ambiri amabwera kudzaona odwala m'mawa kapena madzulo. Khalani okonzeka polemba mafunso anu pasadakhale.
• Funsani mafunso motsatizana: Simungapeze mayankho onse omwe mukufuna nthawi imodzi. Choncho sankhani mafunso ofunikira kwambiri ndipo yafunseni kaye.
• Lembani mfundo: Lembani zomwe mukunena mukalankhula ndi ogwira ntchito. Izi zidzakuthandizani kukumbukira bwino mtsogolo.
• Pemphani kuti akupatseni timapepala todziwitsa zambiri: Ngati mukufuna kudziwa zambiri zokhudza chithandizo chatsopano, funsani ngati pali timabuku tomwe tilipo tokhudza chithandizocho.
• Pezani nambala ya foni yolumikizirana: Pemphani nambala ya foni yomwe mungaimbire ngati muli ndi vuto mukafika kunyumba.

Kodi mungapewe bwanji ndi kuchiza?

Chifukwa cha kugwirizana kumeneku pakati pa matenda a ICU delirium ndi mavuto a nthawi yayitali, madokotala tsopano akugwiritsa ntchito njira zapadera zopewera vutoli kapena kuliletsa mwachangu ngati litayamba. Izi zimatchedwa 'ABCDEF Bundle'.

Nazi zina mwa izo:

• Kuyesa kuzindikira ululu kapena kusasangalala kwa odwala omwe sangathe kulankhula.
• Kugwiritsa ntchito mankhwala ochepetsa ululu omwe ali ndi chiopsezo chochepa choyambitsa chisokonezo.
• Kulola wodwalayo kupuma ndi kugona bwino popanda kusokonezedwa pafupipafupi.
• Chotsani wodwalayo m'makina opumira mwamsanga momwe zingathere.
• Tulutsani wodwalayo pabedi mwamsanga ndipo yendani pang'ono.
• Thandizani kusunga kayendedwe kachilengedwe ka kugona ndi kudzuka mwa kusunga magetsi akuyaka masana ndi kuzimitsa usiku.
• Kuthandiza achibale awo kuti azitha kusamalira odwala.