Pane mumwe munhu mumhuri mako, pamwe amai vako, baba vako, kana mudiwa wako, anga ari mukamuri rekutarisirwa zvakanyanya (ICU) mushure mekurwara kamwe kamwe kana kuvhiyiwa kukuru here? Wakaona here shanduko mumaitiro avo, ndangariro, kana matauriro avo kubva pavakadzoka kumba? Dzimwe nguva tinofunga kuti izvi zvinongova mhedzisiro yechirwere. Zvisinei, panogona kunge paine hukama pakati pekurapwa kwekutarisirwa zvakanyanya uye shanduko dzenguva refu mukushanda kweuropi. Nhasi tichataura nezvenyaya iyi iyo vanhu vazhinji vasingazive, asi inokosha zvikuru.
Yuniti Yevanotarisira Vakanyanya (ICU) nepfungwa dzako
Chikamu chevarwere vanorwara zvakanyanya, kana kuti ICU, inzvimbo iyo varwere vanoda kutarisirwa kwechiremba kwemaawa makumi maviri nemana vanochengetwa mushure mekurwara kunotyisa, tsaona yakakomba, kana kuvhiyiwa kukuru.
Varwere vari muICU vanowanzopihwa mishonga yakasimba kwazvo. Uyewo, chirwere chavo chinogona kuderedza huwandu hweokisijeni hunosvika kuuropi uye kuchinja maitiro emakemikari muuropi. Kana zvese izvi zvikabatana, nzira iyo uropi hunoshandisa ruzivo uye hunoramba hwakagadzikana hwepfungwa inotanga kuvhiringidzika. Mafungiro edu, matauriro edu, uye kunyange maonero atinoita zvakatipoteredza zvinogona kuchinja. Mukurapa, tinodana chirwere ichi kuti delirium.
Zvichitaurwa zviri nyore, iyi inguva pfupi yekuvhiringidzika kwepfungwa kwakanyanya. Kana murwere akabatwa nepfungwa dzakaipa, anogona kukanganwa kuti ari kupi. Kana kuti angafunga kuti ari kune imwe nzvimbo, kwete muchipatara. Anogona kuona nekunzwa zvinhu zvisipo. Avo vanouya kuzobatsira vangasakwanisa kutaura zvakajeka. Vamwe vanotsanangura chiitiko ichi sekunge kurasika muhope dzakaipa. Izvi zvinogona kuva chiitiko chinotyisa zvikuru kumurwere uye kumhuri iri kumirira.
| Zviratidzo zvakajairika zve delirium | |
|---|---|
| Kuvhiringidzika kwepfungwa | Kurasikirwa neruzivo rwakajeka rwezuva, nguva, kana nzvimbo. |
| Kuomerwa nekuisa pfungwa pachinhu chimwe chete | Kusakwanisa kuteerera chimwe chinhu nguva dzose. |
| Matambudziko ekurangarira | Kusakwanisa kurangarira zviitiko kana ruzivo rwechangobva kuitika. |
| Kuchinja kamwe kamwe mumanzwiro | Kamwe kamwe akatsamwa, anosuruvara, kana kuti anogumbuka. |
| Maitiro asina kugadzikana | Vachiedza kubuda muchipatara, vachifunga kuti vari panjodzi, kana kuedza kubvisa chubhu yemunyu kana catheter. |
Ndeipi migumisiro yenguva refu yechirwere ichi?
Kunyange hazvo kupenga kuri chirwere chenguva pfupi, zvinogona kutora mazuva, kunyange mavhiki, kuti upore zvizere. Uye tsvakurudzo inoratidza kuti migumisiro yacho inogona kuramba iripo mushure mekunge wabuda muchipatara. Vanhu vanopfuura chikamu chimwe muzvitatu vanopora kubva kuchirwere chakakomba vanonetseka nekufunga zvakajeka, kurangarira zvinhu, kuronga nguva yavo, uye kugadzirisa matambudziko.
Kunyange hazvo chirwere ichi chichivandudzika nekufamba kwenguva, hazviitiki kune wese munhu. Dzimwe ongororo dzinoratidza kuti kusvika ku75% yevarwere vakaburitswa mumakamuri ekuchengetwa kwakanyanya vanogona kuratidza zviratidzo zvechirwere chepfungwa .
Dementia chirwere chinokonzera kurasikirwa nepfungwa zvachose dzakadai sekurangarira, kutaurirana, uye kufunga zvine musoro.
Masayendisiti haazive kuti sei, asi zvinoita sekunge kana mishonga yacho ikagara kwenguva refu, njodzi yacho inowedzera. Uyewo, vanhu vane sepsis ( muchetura weropa), itsvo dzakakundikana, chirwere cheuropi, kana kuvhiyiwa kwemoyo vari panjodzi huru yekurwara nepfungwa.
Unotaura sei nevashandi vechipatara?
Kana mudiwa wako ari muchipatara, kune vanachiremba, vanamukoti, nevamwe vashandi varipo kuti vamutarisire. Kana usinganzwisise izwi kana mushonga wavanoshandisa, usanyara kuvakumbira kuti vatsanangure. Kusataurirana zvakanaka pakati pemhuri nevashandi ndeimwe yematambudziko makuru panguva yekugara muchipatara.
Zvinhu izvi zvichakubatsirai kuchengetedza kutaurirana kwakanaka:
- Sarudza murongi anotungamira: Pane kubvunza munhu wese mumhuri panguva imwe chete, sarudza nhengo yemhuri imwe chete (iwe kana mumwe munhu) kuti utaure nevashandi.
- Ziva hurongwa hwako hwezuva nezuva: Taura nachiremba wako zuva rega rega nezvehurongwa hwako hwekurapa hwezuva nezuva uye zvekutarisira mumazuva mashoma anotevera.
- Ziva wekubvunza mibvunzo: Kana uine mubvunzo masikati, bvunza kuti mukoti kana mushandi wepachipatara ndiani wekutaura naye.
- Gadzirirai nguva iyo vanachiremba vanouya: Vanachiremba vazhinji vanouya kuzoona varwere mangwanani kana manheru. Gadzirirai nekunyora mibvunzo yenyu pachine nguva.
- Bvunza mibvunzo zvakatevedzana: Ungasawana mhinduro dzese dzaunoda panguva imwe chete. Saka sarudza kuti mibvunzo inonyanya kukosha ndeipi woibvunza kutanga.
- Nyora pasi zvaunotaura paunotaura nevashandi. Izvi zvichaita kuti zvive nyore kurangarira gare gare.
- Kumbira mapepa eruzivo: Kana uchida kuziva zvakawanda nezvekurapa kutsva, bvunza kana paine mabhurocha aripo nezvazvo.
- Tora nhamba yefoni yekutaurirana: Kumbira nhamba yefoni yaunogona kufonera kana uine dambudziko mushure mekunge wasvika kumba.
Nzira yekudzivirira nekurapa?
Nekuda kwekubatana uku pakati pe ICU delirium nematambudziko enguva refu, vanachiremba vava kushandisa nzira dzakakosha dzekudzivirira chirwere ichi kana kuchidzora nekukurumidza kana chikatanga. Izvi zvinonzi 'ABCDEF Bundle'.
Heano mamwe acho:
- Kuedza kuona kurwadziwa kana kusagadzikana kwevarwere vasingagoni kutaura.
- Kushandisa mishonga inoderedza marwadzo ine njodzi shoma yekukonzera kuvhiringidzika kwepfungwa.
- Kubvumira murwere kuzorora uye kurara zvakanaka pasina kukanganiswa kakawanda.
- Bvisa murwere kubva mumichina yekufema nekukurumidza sezvinobvira.
- Budisa murwere pamubhedha nekukurumidza uye famba-famba zvishoma.
- Batsira kuchengetedza kurara nekumuka kwemunhu nekuchengeta mwenje wakabatidzwa masikati uye uchidzima husiku.
- Kubatanidza nhengo dzemhuri mukutarisirwa kwevarwere.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiringidzika kwepfungwa, kuvhiringidzika kwepfungwa kwakanyanya kunoitika panguva yekurapwa mukamuri rekutarisirwa zvakanyanya, chirwere chinowanzoitika asi chakakomba.
- Dambudziko iri rinogona kukonzera matambudziko enguva refu ekurangarira, kufunga, uye maitiro kunyangwe mushure mekubuda muchipatara, uye rinogonawo kuwedzera njodzi yekuora mwoyo.
- Zvakakosha zvikuru kuramba uchitaurirana zvakanaka nevashandi vechipatara. Usatya kubvunza chero chausinganzwisisi.
- Mazuva ano, vanachiremba vanoshandisa nzira dzakakosha dzekudzivirira nekudzora delirium.
- Kana ukaona shanduko mundangariro, mafungiro, kana maitiro emumwe wemhuri yako mushure mekunge adzoka kumba kubva kuchipatara, usazviregeredza uye taura nachiremba wako nekukasika.
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