Kodi nanunso muli ndi mavuto omwewa mutabwerera kunyumba kuchokera ku ICU? Tiyeni tikambirane za PICS (Post-Intensive Care Syndrome)

Kubwerera kunyumba mutatha kuvutika kwambiri mu chipinda chosamalira odwala kwambiri (ICU) kwa masiku ambiri, mwina milungu ingapo, ndi kupambana kwakukulu. Inu ndi banja lanu mungamve bwino mukamva kuti, "O, zonse zili bwino tsopano." Koma nthawi zina, mukangofika kunyumba mavuto atsopano amayamba kubwera. Kodi mumamva ngati mukomoka, kukumbukira kwanu kukutha, mumangomva chisoni, kapena mumaopa kwambiri kuposa kale lonse? Ngati ndi choncho, simuli nokha. Izi ndi zomwe tikulankhula lero, PICS, kapena Post-Intensive Care Syndrome.

Kodi PICS (Post-Intensive Care Syndrome) ndi chiyani?

Mwachidule, PICS ndi mndandanda wa zizindikiro zomwe zimapitirira nthawi yayitali mutalandira chithandizo mu chipinda chosamalira odwala kwambiri (ICU) ndikubwerera kunyumba. Zizindikirozi zingakhudze maganizo anu (m'maganizo), mzimu wanu (mwanzeru), ndi thupi lanu (mwathupi).

Tangoganizirani, munthu walowetsedwa mu ICU chifukwa cha matenda aakulu kapena ngozi yomwe imaika moyo wake pachiswe. Kale, cholinga chachikulu cha madokotala chinali kupulumutsa wodwalayo panthawiyo. Ndicho chinali chinthu chofunika kwambiri.

Koma tsopano popeza sayansi ya zamankhwala yapita patsogolo kwambiri, timaganiziranso kwambiri za momwe moyo ulili kwa iwo omwe akuchira ku ICU. Izi zikutanthauza:

• Kodi adzatha kugwiranso ntchito ndi mphamvu zawo zakale zakuthupi?
• Kodi luso lawo lokumbukira ndi kuganiza likugwira ntchito bwino?
• Kodi angathe kukhala ndi moyo wabwino komanso wosangalala?

Pambuyo pofufuza izi, madokotala adazindikira kuti ngakhale atapulumuka ku ICU, anthu ambiri amatenga milungu, miyezi, ndipo nthawi zina zaka kuti achire mokwanira. Panthawi imeneyo, amakhala ndi mavuto atsopano amisala, akuthupi, komanso anzeru. Mavutowa amatchedwa PICS (Post-Intensive Care Syndrome) .

Tangoganizirani, anthu asanu kapena asanu ndi atatu mwa khumi omwe akuchira ku ICU adzakumana ndi vutoli la PICS pamlingo winawake. Chifukwa chake izi ndizofala kwambiri.

ZITHUNZI-F: Kodi izi zimakhudzanso achibale?

Inde, ndithudi. Kodi zimakhala zovuta bwanji kwa banja kuona wokondedwa wawo ali mu ICU, atazunguliridwa ndi makina ambiri? Mantha amenewo, chisoni chimenecho, usiku wopanda tulo, kusatsimikizika kumeneko ... zonsezi zimakhudzanso banja.

Timatcha zizindikiro zamaganizo ndi zamaganizo zomwe achibale kapena abwenzi apamtima amakumana nazo akaona wokondedwa wawo ali mu ICU PICS-Family (PICS-F) . Chifukwa chake, ngati mukuwerenga nkhaniyi ndipo ndinu wachibale wa munthu amene wakhala mu ICU, ndikofunikira kwambiri kusamalira thanzi lanu la maganizo.

Kodi zizindikiro zazikulu za PICS ndi ziti?

PICS ingayambitse zizindikiro zatsopano kapena kuipitsa zizindikiro zomwe zilipo kale. Tiyeni tigawane izi m'magulu atatu akuluakulu.

Zizindikiro za PICS-F (anthu a m'banja)

• Nkhawa ndi Kupsinjika Maganizo
• Kuvutika maganizo ndi chisoni
• Kusowa tulo
• Matenda ovutika maganizo pambuyo pa zoopsa (PTSD)

Nchifukwa chiyani izi zimachitika? Zifukwa za PICS

ICU ndi malo opsinjika maganizo komanso opsinjika maganizo kwambiri. Phokoso la makina, magetsi nthawi zonse amakhala oyatsa, kusowa tulo, mayeso okhazikika... zonsezi zimakuvutitsani maganizo ndi thupi. Pali zinthu zingapo zomwe zimapangitsa kuti PICS ikule.

• Matenda omwe munali nawo: Kuopsa kwa matenda omwe munali nawo (monga matenda oopsa monga sepsis, kupuma movutikira) kungakhale chifukwa chachikulu cha izi.
• Mankhwala Ogwiritsidwa Ntchito: Mankhwala ena operekedwa ku ICU, makamaka mankhwala ochepetsa ululu, amatha kukhudza ubongo.
• Zipangizo zopulumutsa moyo: Zinthu monga makina opumira mpweya ndi machubu a endotracheal zimayambitsa kusasangalala kwakukulu komanso kuvulala thupi ndi malingaliro.

Kodi dokotala amazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, adzakufunsani za zinthu izi.

1. Mbiri yanu yachipatala: Nchiyani chinachitika pamene munali mu ICU, chithandizo chomwe munalandira, ndi zina zotero.

2. Kufunsa za zizindikiro: Mvetserani mosamala kuti mumvetse kusasangalala komwe mukukumana nako panopa.

3. Kuyezetsa thupi: Mkhalidwe wanu wa thupi udzawunikidwa.

Kuphatikiza apo, mayeso otsatirawa akhoza kuchitidwa kuti atsimikizire momwe PICS ilili:

• Mayeso ozindikira: Mayeso osavuta omwe amayesa zinthu monga kukumbukira kwanu, chidwi chanu, ndi luso lanu loganiza.
• Mafunso: Mafunso ofunsidwa kuti aone ngati muli ndi matenda monga kupsinjika maganizo, kuvutika maganizo, kapena nkhawa.

Kodi mankhwala a PICS ndi ati?

Chabwino kwambiri ndichakuti pali mankhwala a PICS. Palibe mankhwala amodzi okha a izi. Chithandizo chimadalira zizindikiro zanu. Mungafunike kufunafuna thandizo kwa akatswiri angapo.

• Mankhwala: Dokotala wanu angakupatseni mankhwala monga mankhwala oletsa kuvutika maganizo ndi mankhwala oletsa nkhawa.
• Physiotherapy: Njira yochiritsira iyi ndi yofunika kwambiri polimbitsa minofu, kuyenda bwino, komanso kubwezeretsa thanzi la thupi.
• Chithandizo cha Ntchito: Izi zimaphatikizapo kuthandiza munthuyo kuchita ntchito za tsiku ndi tsiku (monga kuvala, kudya, kusamba) payekha.
• Chithandizo cha Kulankhula: Izi zingakuthandizeni ngati mukuvutika kulankhula kapena kumeza.
• Mapulogalamu ochiritsira: Ngati kuli kofunikira, mungatumizidwe ku mapulogalamu ochiritsira matenda a m'mapapo kapena a mtima.
• Uphungu ndi Chithandizo cha Maganizo: Ndikofunikira kwambiri kulankhula ndi dokotala wa matenda amisala kapena mlangizi kuti muchepetse mantha, chisoni, ndi kupsinjika maganizo.

Kodi mungawathandize bwanji banja lanu?

Pamene wokondedwa wanu akuchira ku PICS, thandizo lanu ndi lofunika kwambiri. Nazi zina zomwe mungachite:

• Mvetserani moleza mtima: Mvetserani moleza mtima zomwe akunena. Lemekezani malingaliro ake. M'malo monena zinthu monga, "Musaganize choncho," nenani kuti, "Ndikumvetsa momwe mukumvera."
• Limbikitsani: Mulimbikitseni kuti achite masewera olimbitsa thupi ndikupita kwa dokotala. Ngati mungathe, pitani naye limodzi.
• Muthandizeni ndi zinthu zazing'ono: Mukumbutseni zinthu zomwe amaiwala. Lembani zinthu zofunika pa kalendala.
• Pangani malo odekha: Sungani malo anu okhala panyumba panu bata komanso mwadongosolo. Chepetsani phokoso lopitirira muyeso ndi zinthu zosafunikira.
• Ganiziraninso za inu nokha: Ngati muli ndi zizindikiro za PICS-F, funani thandizo nokha. Ngati muli bwino ndi pomwe mungathandizire wokondedwa wanu.

Kuchira ndi nthawi yoti mukaonane ndi dokotala

Nthawi yomwe imatenga kuti munthu achire imasiyana malinga ndi munthu. Anthu ena amachira kwathunthu pakatha miyezi ingapo. Kwa ena, zimatha kutenga chaka chimodzi kapena kuposerapo. Chofunika kwambiri ndikupitiriza kulandira chithandizo popanda kusiya.

Mukabwerera kunyumba kuchokera ku ICU, ndikofunikira kulankhulana ndi dokotala wanu. Ngati mukuganiza kuti inuyo kapena wina m'banja mwanu ali ndi zizindikiro za PICS, musabise. Onetsetsani kuti mwaonana ndi dokotala.

Mafunso oti mufunse dokotala

• Ndi mayeso otani omwe ndingachite kuti ndizindikire vutoli?
• Kodi pali zizindikiro zina zomwe ndiyenera kuziyang'anira?
• Kodi ndi mankhwala ati omwe mumalimbikitsa? Kodi pali zotsatirapo zake?
• Mukuganiza kuti zizindikirozi zitenga nthawi yayitali bwanji?
• Kodi zizindikirozi zingabwererenso pambuyo pake?

Kodi PICS ingapewedwe?

Tsopano, ogwira ntchito zachipatala m'zipatala padziko lonse lapansi akuchita zinthu zosiyanasiyana kuti apewe PICS kuchitika odwala ali mu ICU.

• Kugwiritsa ntchito mankhwala ochepetsa ululu pang'ono momwe mungathere.
• Kuyamba masewera olimbitsa thupi pamene wodwalayo ali mu ICU.
• Chepetsani nthawi yolumikizidwa ndi zida zopulumutsa moyo momwe mungathere.
• Kuthandiza wodwalayo kusiyanitsa pakati pa usana ndi usiku.
• Kupatsa achibale mwayi wokaona ndi kulankhula ndi wodwalayo.

Zonsezi zimachitika kuti zikuthandizeni kukhala ndi moyo wathanzi komanso wachimwemwe mukachoka ku ICU.