Ese nawe ufite ibi bibazo nyuma yo gutaha uvuye kwa muganga uvura indwara ikomeye? Reka tuvuge kuri PICS (Post-Intensive Care Syndrome)

Gutaha nyuma y'intambara ndende kandi ikomeye mu cyumba cy'indembe (ICU) mu gihe cy'iminsi, wenda ibyumweru, ni ikintu cy'ingenzi cyane. Wowe n'umuryango wawe mushobora kumva muruhutse muvuze muti: "Yewe, ibintu byose bimeze neza ubu." Ariko rimwe na rimwe, ni nyuma yo kugera mu rugo gusa ibibazo bishya bitangira kuvuka. Ese wumva ugiye gucika intege, kwibuka kwawe kuragenda gushira, wumva ubabaye gusa, cyangwa wumva ufite ubwoba butari bwigere bubaho mbere? Niba ari uko bimeze, ntabwo uri wenyine. Ibi nibyo tuvuga uyu munsi, PICS, cyangwa indwara yo mu gihe cyo kurwara indwara zikabije.

PICS (Indwara yo Kwitabwaho Nyuma yo Kurwara Indwara Ikomeye) ni iki?

Muri make, PICS ni uruhurirane rw'ibimenyetso bikomeza igihe kirekire nyuma yo kuvurirwa mu cyumba cy'indembe (ICU) no gusubira mu rugo. Ibi bimenyetso bishobora kugira ingaruka ku bwonko bwawe (mu marangamutima), ku mwuka wawe (mu bwenge), no ku mubiri wawe (mu buryo bw'umubiri).

Tekereza, umuntu yinjijwe mu cyumba cy’indembe (ICU) kubera indwara ikomeye cyangwa impanuka ikomeye ishobora gushyira ubuzima bwe mu kaga gakomeye. Mu bihe byashize, abaganga bibandaga cyane ku kurokora umurwayi icyo gihe. Icyo nicyo cyari ikintu cy'ingenzi kurusha ibindi.

Ariko ubu ubumenyi bw'ubuvuzi bwateye imbere cyane, dutekereza cyane ku mibereho y'abakize indwara ikomeye. Ibyo bivuze ko:

• Ese bazongera gukorana imbaraga zabo za kera z'umubiri?
• Ese ubuhanga bwabo bwo kwibuka no gutekereza burakora neza?
• Ese bashobora kubaho ubuzima bwiza kandi burangwa n'ibyishimo?

Nyuma yo gukora ubushakashatsi kuri ibi, ni bwo abaganga babonye ko nubwo barokotse ICU, abantu benshi bifata ibyumweru, amezi, rimwe na rimwe imyaka kugira ngo bakire neza. Muri icyo gihe, bagira ibibazo bishya byo mu mutwe, umubiri, n'ubwenge. Iyi teraniro ry'ibibazo ryitwa PICS (Post-Intensive Care Syndrome) .

Tekereza, abantu bari hagati ya batanu n'umunani mu icumi bakize indwara ya ICU bazagira iyi ndwara ya PICS ku rugero runaka. Ibi rero ni ibisanzwe cyane.

AMAFOTO-F: Ese ibi bigira ingaruka no ku bagize umuryango?

Yego rwose. Ni gute bihangayikisha umuryango kubona umuntu ukunda ari mu cyumba cy’indembe, akikijwe n’imashini nyinshi? Ubwo bwoba, ako gahinda, amajoro yo kubura ibitotsi, ubwo buryo bwo kutizera ... ibi byose bigira ingaruka ku muryango.

Ibimenyetso byo mu mutwe no mu byiyumvo abagize umuryango cyangwa inshuti za hafi bagira iyo babonye umuntu wabo muri ICU PICS-Family (PICS-F) . Kubwibyo, niba urimo gusoma iyi nkuru kandi ukaba uri umwe mu bagize umuryango w'umuntu wagiye muri ICU, ni ngombwa cyane kwita ku buzima bwawe bwo mu mutwe.

Ni ibihe bimenyetso by'ingenzi bya PICS?

PICS zishobora gutera ibimenyetso bishya cyangwa zigatuma ibimenyetso bisanzwe birushaho kuba bibi. Reka tubicemo ibice bitatu by'ingenzi.

Ibimenyetso bya PICS-F (abagize umuryango)

• Imihangayiko n'ihungabana
• Ihungabana n'agahinda
• Gusinzira nabi
• Indwara yo guhangayika nyuma y'ihungabana (PTSD)

Kuki ibi bibaho? Impamvu z'amafoto

ICU ni ahantu hahangayikishije cyane kandi hahangayikisha abantu. Urusaku rw'imashini, amatara ahora yaka, kubura ibitotsi, ibizamini bihoraho... ibi byose bitera imihangayiko myinshi mu mutwe no ku mubiri wawe. Hari ibintu byinshi bigira uruhare mu iterambere rya PICS.

• Indwara wari ufite: Ubukana bw'indwara wari ufite (urugero, indwara ikomeye nka sepsis, ibibazo by'ubuhumekero) bishobora kuba impamvu ikomeye y'ibi.
• Imiti ikoreshwa: Imiti imwe n'imwe itangwa mu cyumba cy'indembe, cyane cyane imiti igabanya ububabare, ishobora kugira ingaruka ku bwonko.
• Ibikoresho bikiza ubuzima: Ibintu nk'ibyuma bifasha guhumeka mu buryo bw'ikoranabuhanga n'imiyoboro y'amaraso bitera kubabara cyane no gukomereka ku mubiri no mu mutwe.

Ni gute muganga asuzuma ibi?

Nujya kwa muganga, azakubaza ibi bintu.

1. Amateka yawe y'ubuzima: Ni iki cyakubayeho igihe wari muri ICU, uburyo bwo kuvurwa wahawe, n'ibindi.

2. Kubaza ibimenyetso: Tega amatwi witonze kugira ngo wumve ububabare urimo kugira muri iki gihe.

3. Isuzuma ry'umubiri: Indwara yawe izasuzumwa.

Byongeye kandi, ibizamini bikurikira bishobora gukorwa kugira ngo byemezwe uko PICS ihagaze:

• Ibizamini byo mu mutwe: Ibizamini byoroshye bipima ibintu nko kwibuka kwawe, kwita ku bintu, n'ubushobozi bwo gutekereza.
• Ibibazo: Ibibazo byagenewe kureba niba ufite indwara nk'imihangayiko, kwiheba, cyangwa guhangayika.

Ni ubuhe buryo bwo kuvura PICS?

Icyiza ni uko hari uburyo bwo kuvura PICS. Nta muti umwe uhari kuri ibi. Ubuvuzi buterwa n'ibimenyetso byawe. Ushobora gukenera ubufasha bw'inzobere nyinshi.

• Imiti: Muganga wawe ashobora kukwandikira imiti nka imiti igabanya ubukana bw'imitsi n'imiti igabanya ubukana bw'imihangayiko.
• Ubu buryo bwo kuvura ni ingenzi cyane mu gukomeza imitsi, kongera kugenda neza, no kugarura uburinganire bw'umubiri.
• Ubuvuzi bw'akazi: Ibi bikubiyemo gufasha umuntu gukora imirimo ya buri munsi (urugero: kwambara, kurya, kwiyuhagira) ku giti cye.
• Ubuvuzi bwo kuvuga: Ibi bishobora kugufasha niba ufite ikibazo cyo kuvuga cyangwa kumira.
• Gahunda zo gusana: Niba bibaye ngombwa, ushobora koherezwa muri gahunda zo gusana ibihaha cyangwa gahunda zo gusana umutima.
• Ubujyanama n'ubuvuzi bw'imitekerereze: Ni ngombwa cyane kuvugana n'umuganga w'indwara zo mu mutwe cyangwa umujyanama kugira ngo ugabanye ubwoba, agahinda n'ihungabana.

Ni gute wafasha umuryango wawe?

Uko uwo ukunda akira PICS, inkunga yawe ni ingenzi cyane. Dore bimwe mu bintu ushobora gukora:

• Tega amatwi wihanganye: Tega amatwi wihanganye icyo avuga. Wubahe ibyiyumvo bye. Aho kuvuga ibintu nk'ibi ngo "Ntubitekerezeho," vuga uti "Ndumva uko wumva."
• Mutere inkunga: Mutere inkunga yo gukora imyitozo ngororamubiri no kujya kwa muganga. Niba bishoboka, jyana na we.
• Mufashe gato: umwibutse ibintu yibagirwa. Shyira akamenyetso ku bintu by'ingenzi kuri kalendari.
• Tegura ahantu hatuje: Komeza gutuza no gushyira ibintu mu rugo rwawe. Gabanya urusaku rwinshi n'akajagari.
• Tekereza nawe ubwawe: Niba ufite ibimenyetso bya PICS-F, shaka ubufasha ubwawe. Niwaba umeze neza gusa ni bwo ushobora gufasha uwo ukunda.

Gukira n'igihe cyo kubonana na muganga

Igihe bifata kugira ngo umuntu akire kiratandukanye bitewe n'umuntu. Hari abantu bakira burundu mu mezi make. Ku bandi, bishobora gufata umwaka cyangwa irenga. Icy'ingenzi ni ugukomeza kuvurwa udacitse intege.

Umaze gutaha uvuye muri ICU, ni ngombwa gukomeza kuvugana na muganga wawe. Niba ubona ko wowe cyangwa umuntu wo mu muryango wawe afite ibimenyetso bya PICS, ntubihishe. Menya neza ko ugiye kwa muganga.

Ibibazo byo kubaza muganga

• Ni ibihe bipimo nakora kugira ngo menye iyi ndwara?
• Ese hari ibindi bimenyetso nkwiye kwitondera?
• Ni ubuhe buryo bwo kuvura usaba? Ese hari ingaruka mbi?
• Utekereza ko ibi bimenyetso bizamara igihe kingana iki?
• Ese ibi bimenyetso bishobora kugaruka nyuma?

Ese PICS ishobora kwirindwa?

Ubu, abakozi b'abaganga mu bitaro hirya no hino ku isi barimo gukora ibintu bitandukanye kugira ngo hirindwe ko PICS yabaho mu gihe abarwayi bari mu cyumba cy’ubuvuzi bunini.

• Gukoresha umuti wo kuruhuka mu buryo buciriritse uko bishoboka kose.
• Gutangira imyitozo ngororamubiri mu gihe umurwayi ari mu cyumba cy’indembe.
• Gabanya igihe gishoboka cyo gukoresha ibikoresho bikiza ubuzima.
• Gufasha umurwayi gutandukanya umunsi n'ijoro.
• Guha abagize umuryango amahirwe yo gusura no kuganira n'umurwayi.

Ibi byose bikorwa kugira ngo bigufashe kubaho ubuzima bwiza kandi bushimishije nyuma yo kuva muri ICU.