Ngaba nawe uneengxaki ezifanayo emva kokubuya ekhaya uvela kwi-ICU? Masithethe nge-PICS (Post-Intensive Care Syndrome)

Ukubuya ekhaya emva kwexesha elide, elinzima kwigumbi labagula kakhulu (ICU) kangangeentsuku, mhlawumbi iiveki, yimpumelelo yokwenene. Wena nosapho lwakho nisenokuziva nikhululekile xa nisithi, "Hayi bo, yonke into ilungile ngoku." Kodwa ngamanye amaxesha, kusemva kokuba ufikile ekhaya apho iingxaki ezintsha ziqala khona. Ngaba uziva ngathi uza kufa, inkumbulo yakho iyaphela, uziva nje ulusizi, okanye uziva usoyika ngendlela ongazange wenze ngayo ngaphambili? Ukuba kunjalo, awuwedwa. Oku sithetha ngako namhlanje, i-PICS, okanye i-Post-Intensive Care Syndrome.

Yintoni i-PICS (Post-Intensive Care Syndrome)?

Ngamafutshane, i-PICS yingqokelela yeempawu ezihlala ixesha elide emva kokuba unyangiwe kwigumbi lonyango oluphezulu (ICU) kwaye ubuyele ekhaya. Ezi mpawu zinokuchaphazela ingqondo yakho (ngokweemvakalelo), umoya wakho (ngokwengqondo), kunye nomzimba wakho (ngokomzimba).

Khawucinge nje, umntu ungeniswa kwi-ICU ngenxa yesifo esibi okanye ingozi ebeka ubomi bakhe emngciphekweni omkhulu. Ngaphambili, ingqwalasela ephambili yoogqirha yayikukusindisa isigulana ngelo xesha. Yayiyeyona nto ibalulekileyo leyo.

Kodwa ngoku ekubeni isayensi yezonyango ihambele phambili kangaka, sicinga kakhulu ngendlela ubomi obuza kuba yiyo kwabo bachachayo kwi-ICU. Oko kuthetha ukuba:

• Ngaba baya kukwazi ukusebenza ngamandla abo akudala omzimba kwakhona?
• Ingaba izakhono zabo zokukhumbula nokucinga zisebenza kakuhle?
• Ngaba banokuphila ubomi obonwabisayo nobulungileyo?

Kuphela emva kophando olu, oogqirha baqonda ukuba nangona besaphila kwi-ICU, abantu abaninzi bathatha iiveki, iinyanga, kwaye ngamanye amaxesha iminyaka ukuze baphile ngokupheleleyo. Ngeli xesha, baphuhlisa iingxaki ezintsha zengqondo, zomzimba, nezengqondo. Olu qoqo lweengxaki lubizwa ngokuba yi -PICS (Post-Intensive Care Syndrome) .

Khawucinge nje, phakathi kwabantu abahlanu nabasibhozo kwabalishumi abachachayo kwi-ICU baya kuba nale meko ye-PICS ngandlela ithile. Ngoko ke oku kuqhelekile kakhulu.

IMIFANEKISO-F: Ingaba oku kuyawachaphazela namalungu osapho?

Ewe, ngokuqinisekileyo. Kunzima kangakanani kusapho ukubona umntu olumthandayo ekwi-ICU, ejikelezwe ziimashini ezininzi? Olo loyiko, loo ntlungu, ubusuku bokungalali, loo ngxaki yokungaqiniseki... konke oku kuyayichaphazela nentsapho.

Sibiza iimpawu zengqondo nezeemvakalelo ezifunyanwa ngamalungu osapho okanye abahlobo abasondeleyo xa bebona umntu abamthandayo kwi-ICU PICS-Family (PICS-F) . Ke ngoko, ukuba ufunda eli nqaku kwaye ulilungu losapho lomntu obekwi-ICU, kubaluleke kakhulu ukuba ukhathalele impilo yakho yengqondo.

Ziziphi iimpawu eziphambili zePICS?

I-PICS inokubangela iimpawu ezintsha okanye ibenze zibe mandundu iimpawu ezikhoyo. Masizihlukanise zibe ziindidi ezintathu eziphambili.

Iimpawu zePICS-F (amalungu osapho)

• Ixhala kunye noxinzelelo
• Uxinzelelo kunye nosizi
• Ukungalali
• Ingxaki yoxinzelelo emva kwengozi (PTSD)

Kutheni oku kusenzeka? Izizathu zePICS

I-ICU yindawo exinezelekileyo nexhala kakhulu. Ingxolo yoomatshini, izibane ezihlala zivuliwe, ukungalali ngokwaneleyo, iimvavanyo ezihlala zihleli... konke oku kubangela uxinzelelo olukhulu engqondweni nasemzimbeni wakho. Kukho izinto ezininzi ezinegalelo ekuphuhlisweni kwe-PICS.

• Imeko yezonyango obunayo: Ubunzima bemeko yezonyango obunayo (umzekelo, usulelo olunzima olufana ne-sepsis, ukuphefumla okungapheliyo) lunokuba yimbangela enkulu yoku.
• Amayeza asetyenzisiweyo: Amanye amayeza anikwa kwi-ICU, ingakumbi amayeza okuthomalalisa, anokuchaphazela ingqondo.
• Izixhobo ezisindisa ubomi: Izinto ezifana nee-ventilators zoomatshini kunye neetyhubhu ze-endotracheal zibangela ukungonwabi okukhulu kunye nokulimala emzimbeni nasengqondweni.

Ugqirha uyifumanisa njani le nto?

Xa usiya kugqirha, uza kukubuza ngezi zinto.

1. Imbali yakho yezonyango: Kwenzeka ntoni ngelixa use-ICU, loluphi unyango olufumeneyo, njl.

2. Ukubuza ngeempawu: Mamela ngononophelo ukuze uqonde ukuba loluphi uhlobo lokungonwabi olufumanayo ngoku.

3. Uvavanyo lomzimba: Imeko yakho yomzimba iya kuhlolwa.

Ukongeza, ezi mvavanyo zilandelayo zingenziwa ukuqinisekisa imeko ye-PICS:

• Uvavanyo lokuqonda: Uvavanyo olulula olulinganisa izinto ezifana nenkumbulo yakho, ingqalelo, kunye nobuchule bokucinga.
• Iimibuzo: Iimibuzo ezenzelwe ukubona ukuba uneemeko ezinje ngoxinzelelo, ukudakumba, okanye ixhala.

Ziziphi iindlela zonyango ze-PICS?

Eyona nto ingcono kukuba kukho unyango lwe-PICS. Akukho nyango lunye loku. Unyango luxhomekeke kwiimpawu zakho. Kusenokufuneka ufune uncedo kwiingcali ezininzi.

• Amayeza: Ugqirha wakho angakunika amayeza afana nemithi yokudakumba kunye namayeza okulwa nokuxhalaba.
• Unyango lweFiziotherapy: Le ndlela yonyango ibaluleke kakhulu ekuqiniseni izihlunu, ukuhamba kakuhle kwakhona, kunye nokubuyisela ulungelelwano lomzimba.
• Unyango Lomsebenzi: Oku kuquka ukunceda umntu ukuba enze imisebenzi yemihla ngemihla (umz., ukunxiba, ukutya, ukuhlamba) eyedwa kwakhona.
• Unyango lokuthetha: Oku kunokukunceda ukuba unengxaki yokuthetha okanye yokuginya.
• Iinkqubo zokubuyisela imeko esiqhelweni: Ukuba kuyimfuneko, ungathunyelwa kwiinkqubo zokubuyisela imeko esiqhelweni semiphunga okanye zokubuyisela imeko esiqhelweni sentliziyo.
• Ingcebiso kunye noNyango lwezeNgqondo: Kubaluleke kakhulu ukuthetha nogqirha wengqondo okanye umcebisi ukuze unciphise iimvakalelo zoloyiko, usizi, kunye noxinzelelo.

Ungayinceda njani intsapho yakho?

Njengoko umntu omthandayo echacha kwi-PICS, inkxaso yakho ibaluleke kakhulu. Nazi ezinye zezinto onokuzenza:

• Phulaphula ngomonde: Phulaphula ngomonde oko akutshoyo. Hlonipha iimvakalelo zakhe. Endaweni yokuthi, "Musa ukucinga ngaloo nto," yithi, "Ndiyayiqonda indlela ovakalelwa ngayo."
• Mkhuthaze: Mkhuthaze ukuba enze umthambo wonyango aze aye kugqirha. Ukuba unako, hamba naye.
• Mncede ngezinto ezincinci: Mkhumbuze ngezinto azilibalayo. Maka izinto ezibalulekileyo kwikhalenda.
• Yenza imeko-bume ezolileyo: Gcina imeko-bume yekhaya lakho izolile kwaye ihlelekile. Nciphisa ingxolo egqithisileyo kunye nokuxinana kwezinto.
• Cinga ngawe nawe: Ukuba uneempawu zePICS-F, funa uncedo ngokwakho. Kuphela xa uphilile apho unganceda umntu omthandayo.

Ukuchacha kunye nexesha lokubona ugqirha

Ixesha elithathwayo ukuze umntu aphile liyahluka kumntu nomntu. Abanye abantu baphila ngokupheleleyo kwiinyanga ezimbalwa. Kwabanye, kungathatha unyaka nangaphezulu. Eyona nto ibalulekileyo kukuqhuba unyango ngaphandle kokuyeka.

Emva kokuba ubuye ekhaya uvela kwi-ICU, kubalulekile ukuhlala unxibelelana nogqirha wakho. Ukuba ucinga ukuba wena okanye umntu kusapho lwakho uneempawu zePICS, musa ukuzifihla. Qiniseka ukuba ubona ugqirha.

Imibuzo yokubuza ugqirha

• Zeziphi iimvavanyo endinokuzenza ukuze ndifumanise le meko?
• Ngaba kukho ezinye iimpawu ekufuneka ndiziqaphele?
• Loluphi unyango olucebisayo? Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
• Ucinga ukuba ezi mpawu ziya kuhlala ixesha elingakanani?
• Ngaba ezi mpawu zingabuya kamva?

Ngaba iiPICS zingathintelwa?

Ngoku, abasebenzi bezonyango kwizibhedlele kwihlabathi liphela benza izinto ezahlukeneyo ukuthintela ukuba ii-PICS zingabikho ngelixa izigulana zikwi-ICU.

• Sebenzisa isithomalalisi esincinci kangangoko kunokwenzeka.
• Ukuqalisa imithambo yonyango lomzimba ngelixa isigulana sikwi-ICU.
• Nciphisa ixesha elidityaniswe nezixhobo ezisindisa ubomi kangangoko kunokwenzeka.
• Ukunceda isigulana ukuba sahlule phakathi kwemini nobusuku.
• Ukunika amalungu osapho ithuba lokutyelela nokuthetha nesigulana.

Konke oku kwenzelwa ukukunceda uphile ubomi obusempilweni nobonwabisayo emva kokuba uphumile kwi-ICU.