Ingabe ukhona emndenini wakho, mhlawumbe umama wakho, ubaba, noma othandekayo wakho, obesegunjini lokunakekelwa okujulile (ICU) ngemuva kokugula okungazelelwe noma ukuhlinzwa okukhulu? Ingabe uke waphawula noma yiziphi izinguquko ekuziphatheni kwakhe, enkumbulweni, noma enkulumweni selokhu ebuya ekhaya? Ngezinye izikhathi sicabanga ukuthi lokhu kumane nje kuyimiphumela emibi yalesi sifo. Kodwa-ke, kungase kube nokuxhumana phakathi kokwelashwa kokunakekelwa okujulile kanye nezinguquko zesikhathi eside ekusebenzeni kobuchopho. Namuhla sizokhuluma ngalesi sihloko abantu abaningi abangasazi, kodwa sibaluleke kakhulu.
Iyunithi Yokunakekelwa Okujulile (i-ICU) kanye nobuchopho bakho
Iyunithi yokunakekelwa okujulile, noma i-ICU, yindawo lapho iziguli ezidinga ukubhekwa okukhethekile kwezokwelapha amahora angama-24 zinakekelwa khona ngemva kokugula okusongela ukuphila, ingozi enkulu, noma ukuhlinzwa okukhulu.
Iziguli ezise-ICU zivame ukunikezwa imithi enamandla kakhulu. Futhi, ukugula kwazo kunganciphisa inani lomoya-mpilo ofinyelela ebuchosheni futhi kushintshe izinqubo zamakhemikhali ebuchosheni. Uma konke lokhu kuhlangana, indlela ubuchopho obucubungula ngayo ulwazi futhi bugcine ibhalansi yengqondo iqala ukudideka. Indlela esicabanga ngayo, indlela esikhuluma ngayo, ngisho nendlela esibona ngayo indawo esizungezile ingashintsha. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-delirium.
Kalula nje, lesi isimo sesikhashana sokudideka okukhulu kwengqondo. Lapho kuvela ukuphazamiseka kwengqondo, isiguli singase sikhohlwe ukuthi sikuphi. Noma singase sicabange ukuthi sikwenye indawo, hhayi esibhedlela. Singase sibone futhi sizwe izinto ezingekho. Labo abeza ukuzosiza bangase bangakwazi ukukhuluma kahle. Abanye bachaza lesi simo njengokungathi ulahlekile ephusheni elibi. Lokhu kungaba yinto eyesabekayo kakhulu esigulini nasemndenini olindile.
| Izimpawu ezivamile ze-delirium | |
|---|---|
| Ukudideka kwengqondo | Ukulahlekelwa ulwazi olucacile ngosuku, isikhathi, noma indawo. |
| Ubunzima bokugxila | Ukungakwazi ukunaka into ethile njalo. |
| Izinkinga zememori | Ukungakwazi ukukhumbula izenzakalo noma ulwazi lwamuva. |
| Izinguquko ezingazelelwe zesimo sengqondo | Kungazelelwe uthukuthele, udabukile, noma ucasukile. |
| Ukuziphatha okungaphumuli | Ukuzama ukuphuma esibhedlela, becabanga ukuthi basengozini, noma ukuzama ukususa ipayipi likasawoti noma i-catheter. |
Iyini imiphumela yesikhathi eside yalesi simo?
Nakuba ukusangana kuyisimo sesikhashana, kungathatha izinsuku, ngisho namasonto, ukuze ululame ngokugcwele. Futhi ucwaningo lubonisa ukuthi imiphumela yako ingahlala isikhathi eside ngemva kokuphuma esibhedlela. Abantu abangaphezu kwengxenye yesithathu abalulama ekuguleni okungathí sina banenkinga yokucabanga kahle, ukukhumbula izinto, ukuhlela isikhathi sabo, nokuxazulula izinkinga.
Nakuba lesi simo sithuthuka ngokuhamba kwesikhathi, akwenzeki kuwo wonke umuntu. Ezinye izifundo zibonisa ukuthi iziguli ezingafika ku-75% ezikhishwe ezigumbini zokunakekelwa okujulile zingase zibonise izimpawu zohlobo oluthile lwe -dementia .
I-dementia yisimo esibangela ukulahlekelwa unomphela kwamakhono engqondo njengenkumbulo, ukuxhumana, kanye nokucabanga okunengqondo.
Ososayensi abaqiniseki ukuthi kungani, kodwa kubonakala sengathi uma kunikezwa imithi yokudambisa isikhathi eside, kulapho ingozi iba nkulu khona. Futhi, abantu abane-sepsis ( ubuthi egazini), ukwehluleka kwezinso, isifo sobuchopho, noma ukuhlinzwa kwenhliziyo basengozini enkulu yokuthola i-dementia.
Ukhuluma kanjani nabasebenzi besibhedlela?
Uma othandekayo wakho esesibhedlela, kunodokotela, abahlengikazi, kanye nabanye abasebenzi abakhona ukuze babanakekele. Uma ungaqondi igama noma ukwelashwa abakusebenzisayo, ungabi namahloni okubacela ukuthi bakuchazele. Ukuntuleka kokuxhumana okuhle phakathi komndeni nabasebenzi kungenye yezinkinga ezinkulu ngesikhathi sokuhlala esibhedlela.
Lezi zinto zizokusiza ukuthi ugcine ukuxhumana okuhle:
- Khetha umxhumanisi oholayo: Esikhundleni sokucela imininingwane kuwo wonke umuntu emndenini ngesikhathi esisodwa, khetha ilungu elilodwa lomndeni (wena noma omunye umuntu) ukuze ukhulume nabasebenzi.
- Yazi uhlelo lwakho lwansuku zonke: Khuluma nodokotela wakho nsuku zonke mayelana nohlelo lwakho lokwelashwa losuku nokuthi yini ongayilindela ezinsukwini ezimbalwa ezizayo.
- Yazi ukuthi ubuza bani imibuzo: Uma unombuzo emini, buza ukuthi umhlengikazi noma isisebenzi sikhuluma nobani.
- Lungela ukufika kodokotela: Odokotela abaningi beza ukuzobona iziguli ekuseni noma kusihlwa. Lungela ngokubhala phansi imibuzo yakho kusenesikhathi.
- Buza imibuzo ngokulandelana: Ungase ungatholi zonke izimpendulo ozidingayo ngesikhathi esisodwa. Ngakho-ke nquma ukuthi yimiphi imibuzo ebaluleke kakhulu bese uyibuza kuqala.
- Bhala phansi lokho okushoyo uma ukhuluma nabasebenzi. Lokhu kuzokwenza kube lula ukukhumbula kamuva.
- Cela amapheshana olwazi: Uma ufuna ukwazi okwengeziwe ngokwelashwa okusha, buza ukuthi kukhona yini izincwajana ezitholakalayo ngakho.
- Thola inombolo yocingo yokuxhumana: Cela inombolo yocingo ongayishayela uma unenkinga ngemva kokufika ekhaya.
Ungakuvimbela futhi welaphe kanjani?
Ngenxa yalokhu kuxhumana phakathi kokuphazamiseka kwengqondo kwe-ICU nezinkinga zesikhathi eside, odokotela manje basebenzisa amasu akhethekile ukuvimbela lesi simo noma ukusilawula ngokushesha uma siqala. Lokhu kubizwa ngokuthi 'i-ABCDEF Bundle'.
Nazi ezinye zazo:
- Ukuzama ukuthola ubuhlungu noma ukungakhululeki kweziguli ezingakwazi ukukhuluma.
- Ukusebenzisa imithi yokubulala izinhlungu enengozi encane yokubangela ukuphambana kwengqondo.
- Ukuvumela isiguli ukuthi siphumule futhi silale kahle ngaphandle kokuphazamiseka njalo.
- Susa isiguli emishinini yokuphefumula ngokushesha okukhulu.
- Khipha isiguli embhedeni ngokushesha okukhulu bese uhambahamba kancane.
- Siza ekulondolozeni umjikelezo wemvelo wokulala nokuvuka ngokugcina izibani zivuliwe emini futhi zicinywe ebusuku.
- Ukubandakanya amalungu omndeni enkambisweni yokunakekelwa kwesiguli.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphambana kwengqondo, ukudideka okukhulu kwengqondo okwenzeka ngesikhathi sokwelashwa egunjini lokunakekelwa okujulile, kuyisimo esivamile kodwa esibucayi.
- Lesi simo singadala izinkinga zesikhathi eside ngenkumbulo, ukucabanga, kanye nokuziphatha ngisho nangemva kokuphuma esibhedlela, futhi singandisa nengozi yokuba nesifo sokulahlekelwa yingqondo.
- Kubaluleke kakhulu ukugcina ukuxhumana okuhle nabasebenzi besibhedlela. Ungesabi ukubuza nganoma yini ongayiqondi.
- Kulezi zinsuku, odokotela balandela izindlela ezikhethekile zokuvimbela nokulawula ukuphambuka kwengqondo.
- Uma ubona izinguquko enkumbulweni, ekucabangeni, noma ekuziphatheni kwelungu lomndeni wakho ngemva kokubuya ekhaya livela ekunakekelweni okujulile, ungakushayi indiva lokho futhi ukhulume nodokotela wakho ngokushesha.
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