Ngaba kukho umntu kusapho lwakho, mhlawumbi umama wakho, utata wakho, okanye umntu omthandayo, obekwigumbi lokunyamekela abagula kakhulu (ICU) emva kokugula ngequbuliso okanye utyando olukhulu? Ngaba ukhe waphawula naluphi na utshintsho kwindlela yakhe yokuziphatha, inkumbulo, okanye intetho ukusukela oko ebuyele ekhaya? Ngamanye amaxesha sicinga ukuba oku kubangelwa nje kukugula. Nangona kunjalo, kunokubakho unxibelelwano phakathi konyango lokunyamekela abagula kakhulu kunye notshintsho oluhlala ixesha elide ekusebenzeni kwengqondo. Namhlanje siza kuthetha ngalo mba abantu abaninzi abangawaziyo, kodwa ubaluleke kakhulu.
IYunithi yoKhathalelo oluNzulu (i-ICU) kunye nengqondo yakho
Iyunithi yokhathalelo olunzulu, okanye i-ICU, yindawo apho izigulana ezifuna ulwalathiso olukhethekileyo lwezonyango olusebenza iiyure ezingama-24 zinyanyekelwa khona emva kokugula okusongela ubomi, ingozi enkulu, okanye utyando olukhulu.
Izigulana ezikwi-ICU zihlala zinikwa amayeza anamandla kakhulu. Kwakhona, ukugula kwazo kunokunciphisa ubungakanani beoksijini efikelela engqondweni kwaye kutshintshe iinkqubo zeekhemikhali engqondweni. Xa konke oku kudibana, indlela ingqondo ecubungula ngayo ulwazi kunye nokugcina ulungelelwano lwengqondo iqala ukudideka. Indlela esicinga ngayo, indlela esithetha ngayo, kwanendlela esibona ngayo indawo esingqongileyo inokutshintsha. Ngokwezonyango, le meko siyibiza ngokuba yi-delirium.
Ngamafutshane, le yimeko yexeshana yokudideka okukhulu kwengqondo. Xa umntu ephazamisekile engqondweni, isigulane sinokulibala ukuba siphi. Okanye sinokucinga ukuba sikwenye indawo, kungekhona esibhedlele. Sisenokubona size sive izinto ezingekhoyo. Abo beza kunceda basenokungakwazi ukuthetha ngokucacileyo. Abanye bachaza amava njengokungathi ulahlekile ephupheni elibi. Oku kunokuba ngamava othusayo kakhulu kwisigulana nakwintsapho elindileyo.
| Iimpawu eziqhelekileyo ze-delirium | |
|---|---|
| Ukudideka kwengqondo | Ukulahlekelwa lulwazi olucacileyo malunga nomhla, ixesha, okanye indawo. |
| Ubunzima bokugxila | Ukungakwazi ukunikela ingqalelo kwinto ethile rhoqo. |
| Iingxaki zememori | Ukungakwazi ukukhumbula iziganeko okanye ulwazi lwakutshanje. |
| Utshintsho olukhawulezileyo kwimo yengqondo | Ngequbuliso uba nomsindo, usizi, okanye ucaphuke. |
| Ukuziphatha okungonwabisiyo | Ukuzama ukuphuma esibhedlele, becinga ukuba basengozini, okanye bezama ukususa ityhubhu yetyuwa okanye i-catheter. |
Zithini iziphumo zexesha elide zale meko?
Nangona i-delirium yimeko yexeshana, kungathatha iintsuku, kwaneeveki, ukuba iphile ngokupheleleyo. Kwaye uphando lubonisa ukuba iziphumo zayo zinokuhlala ixesha elide emva kokuba uphumile esibhedlele. Abantu abangaphezu kwesithathu abachachayo kwisifo esinzima banengxaki yokucinga ngokucacileyo, ukukhumbula izinto, ukuhlela ixesha labo, kunye nokusombulula iingxaki.
Nangona le meko iphucuka ngokuhamba kwexesha, ayibalulekanga kuye wonke umntu. Ezinye izifundo zibonisa ukuba ukuya kuthi ga kwi-75% yezigulana ezikhutshwe kwiiyunithi zokhathalelo oluphezulu zinokubonisa iimpawu zohlobo oluthile lwe -dementia .
I-Dementia yimeko ebangela ukulahleka okungapheliyo kwezakhono zengqondo ezifana nenkumbulo, unxibelelwano, kunye nokucinga okunengqiqo.
Izazinzulu aziqinisekanga ukuba kutheni, kodwa kubonakala ngathi xa zinikwa ixesha elide, kokukhona umngcipheko uphezulu. Kwakhona, abantu abane-sepsis ( ityhefu egazini), ukungasebenzi kakuhle kwezintso, isifo sobuchopho, okanye utyando lwentliziyo basengozini enkulu yokuba ne-dementia.
Uthetha njani nabasebenzi besibhedlele?
Xa umntu omthandayo esesibhedlele, kukho oogqirha, abahlengikazi, kunye nabanye abasebenzi abakhoyo ukuze bamnyamekele. Ukuba awuqondi igama okanye unyango abalusebenzisayo, ungabi namahloni okubacela ukuba bakuchazele. Ukungabikho konxibelelwano oluhle phakathi kosapho nabasebenzi yenye yezona zinto zibangela iintlungu xa ulele esibhedlele.
Ezi zinto ziya kukunceda ugcine unxibelelwano oluhle:
- Khetha umququzeleli okhokelayo: Endaweni yokucela iinkcukacha kuwo wonke umntu kusapho ngaxeshanye, khetha ilungu elinye losapho (wena okanye omnye umntu) ukuba lithethe nabasebenzi.
- Yazi isicwangciso sakho semihla ngemihla: Thetha nogqirha wakho yonke imihla malunga nesicwangciso sakho sonyango losuku kunye nento onokuyilindela kwiintsuku ezimbalwa ezizayo.
- Yazi ukuba ubuza bani imibuzo: Ukuba unombuzo emini, buza ukuba ngubani umongikazi okanye ilungu labasebenzi oza kuthetha naye.
- Lungela ixesha lokufika koogqirha: Uninzi loogqirha luza kubona izigulane kusasa okanye ngokuhlwa. Lungela ngokubhala imibuzo yakho kwangaphambili.
- Buza imibuzo ngokulandelelana kwayo: Usenokungazifumani zonke iimpendulo ozifunayo ngaxeshanye. Ngoko ke khetha ukuba yeyiphi imibuzo ebalulekileyo uze uyibuze kuqala.
- Bhala amanqaku: Bhala phantsi oko ukuthethayo xa uthetha nabasebenzi. Oku kuya kwenza kube lula ukukhumbula kamva.
- Cela amaphecana olwazi: Ukuba ufuna ukwazi okungakumbi ngonyango olutsha, buza ukuba kukho naziphi na iincwadana ezifumanekayo ngalo.
- Fumana inombolo yefowuni yoqhagamshelwano: Cela inombolo yefowuni onokuyifowunela ukuba unengxaki emva kokuba ufikile ekhaya.
Ungayithintela kwaye uyinyange njani?
Ngenxa yolu nxibelelwano phakathi kwe-ICU delirium kunye neengxaki zexesha elide, oogqirha ngoku basebenzisa amaqhinga akhethekileyo ukuthintela le meko okanye ukuyilawula ngokukhawuleza ukuba iqala. Oku kubizwa ngokuba yi-'ABCDEF Bundle'.
Nazi ezinye zazo:
- Ukuzama ukufumanisa iintlungu okanye ukungakhululeki kwezigulane ezingakwaziyo ukuthetha.
- Ukusebenzisa amayeza okudambisa iintlungu anobungozi obuncinci bokubangela ukuphazamiseka kwengqondo.
- Ukuvumela isigulane ukuba siphumle kwaye silale kakuhle ngaphandle kokuphazamiseka rhoqo.
- Susa isigulana kumatshini wokuphefumla ngokukhawuleza.
- Khupha isigulane ebhedini ngokukhawuleza kwaye uhambehamba kancinci.
- Nceda ugcine umjikelo wendalo wokulala nokuvuka ngokugcina izibane zivuliwe emini kwaye zicinywe ebusuku.
- Ukubandakanya amalungu osapho kwinkqubo yokhathalelo lwezigulane.
Umyalezo Wokuya Ekhaya
- I-Delirium, ukudideka kwengqondo okukhulu okwenzeka ngexesha lonyango kwigumbi lonyango oluphezulu, yimeko eqhelekileyo kodwa enzulu.
- Le meko inokubangela iingxaki zexesha elide ngenkumbulo, ukucinga, kunye nokuziphatha kwanasemva kokuphuma esibhedlele, kwaye inokunyusa umngcipheko we-dementia.
- Kubaluleke kakhulu ukugcina unxibelelwano oluhle nabasebenzi besibhedlele. Musa ukoyika ukubuza nantoni na ongayiqondiyo.
- Kule mihla, oogqirha balandela iindlela ezikhethekileyo zokuthintela nokulawula ukuphazamiseka kwengqondo.
- Ukuba ubona utshintsho kwinkumbulo yelungu losapho lwakho, indlela elicinga ngayo, okanye indlela eliziphatha ngayo emva kokuba libuyile ekhaya livela kunyango oluphezulu, musa ukulutyeshela kwaye thetha nogqirha wakho ngoko nangoko.
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