Izigulana ezisindayo kwi-COVID-19 zinokujamelana nelinye idabi. Umlo ochasene ne-post-intensive care syndrome (PICS) enokuzibonakalisa njengendibaniselwano yokonakala komzimba nengqondo. Abantu abanengxaki ye-PICS banokufumana uxinzelelo, ubunzima bokulala, uxinzelelo, okanye uxinzelelo lwasemva kwengcinezelo (PTSD).

Izifo impilo Yengqondo I-ramifications iyinyani ngokukodwa kwabagulayo abafuna ixesha kwi-ICU kunye ne-intubation. Ezi zigulana zinokufumana "i-post-intensive care syndrome" (i-PICS). I-post-intensive care syndrome inokuchaphazela kakhulu umgangatho wobomi kwixesha elifutshane kunye nexesha elide. Okanye inokujika ibe ukuphazamiseka kwengxaki emva kokudandatheka (PTSD). Le yile nto uSapna Kudchadkar, MD, PhD we Johns Hopkins Medicine eBaltimore ndicacisiwe.

Isifo sokukhathalelwa kwe-post-intensive care (PICS) asichaphazeli isiguli kuphela kodwa nosapho kunye nabanonopheli. Ingangumba ngumbandela osinde ebantwaneni abagula sisifo esibucayi. Kwelinye icala, izigulana zabantu abadala zinokufumana ubunzima bokuphinda zenze imisebenzi yobomi bemihla ngemihla okanye umzabalazo wokubuyela emsebenzini. Ngokuqonda, aba bantu banokuba nengxaki yokugxininisa kunye nememori, kwaye imiba yokuqonda inokuchazwa ngakumbi kubantu abanembali yokuwohloka kwengqondo. Ngokwasemzimbeni, izigulana zinokubandezeleka kubuthathaka bemisipha kunye nentlungu engapheliyo, utshilo uSapna Kudchadkar.

Inkxalabo kukuba abaguli ababesempilweni ngaphambili ngaphambi kokuhlala kwabo kwi-ICU, ye-COVID-19 okanye ezinye izifo ezinobungozi, basemngciphekweni we-PICS emva kokukhululwa, uKudchadkar waphawula.

I-PICS kunye ne-PTSD kwizigulana ze-COVID-19. Phakathi kweePPEs kunye namagumbi abodwa

Izigulana ze-COVID-19 zisemngciphekweni ophezulu wesifo sokukhathalela emva kokukhathazeka (PICS), ngokweengcali. Kubantu abasindileyo ubuthathaka benyama buyabonakala kwaye bunokubaluleka. Olunye uphawu lobunzima obucacileyo kwizigulana kukukhathazeka okuphezulu kokunyanzeliswa, kunye nakwizigulana ezazifakelwe umoya okanye i-ICU ngeentsuku ezimbalwa.

Umzekelo, into enye enokubangela ubunzima kukubona okuqhubekayo kwababoneleli bezempilo kunye nabongikazi abanee-PPEs. Oku kubashiya kufutshane nabangenathemba kwaye kunokwenza abaguli boyike. Ukunciphisa oku, abanye ababoneleli batyhile umfanekiso wobuso babo esifubeni sabo ukubeka isigulana ngokukhululekileyo, uJessi Gold, MD, weYunivesithi yaseWashington eSt.

 

Umcimbi we-delirium e-ICU. I-PICS kunye ne-PTSD kwizigulana ze-COVID-19

Ngokophononongo kunye nohlalutyo lwe-meta olufunyenwe kwi-delirium yenzeka malunga ne-65% yezigulana ezine-COVID-19 (26 ye-40 yezigulana ze-ICU). Ama-69% abhalise ukubhadula kwaye ama-21% atshintshe ukwaziwa. Olunye uphando lwafumanisa ukuba iipesenti ezingama-33 zabaguli abane-COVID-19 (15 of 45 yolu phononongo) babene- I-dysexecutive syndrome kwi-discharge.

U-Kudchadkar wongeze ukuba ukuphucula impilo yokulala kwezi zigulana kunokuqinisa amandla abo okuthatha inxaxheba kulungiso lwakwangoko. Kwakhona ukunyanga kwangoko komzimba, umsebenzi, unyango, kunye nonyango lokuthetha ulwimi kunokunceda ekwandiseni ithuba lesigulana kwakhona i-QoL elungileyo. Injongo yokwenza okungcono ukwenza umntu abe namava e-ICU, ngokunika abaguli iindlela zonxibelelwano.

 

I-PICS kunye ne-PTSD inokuphuhliswa njani kwizigulana ze-COVID-19?

Ukujonga ngaphaya kokusinda kwi-ICU kubaluleke kakhulu, watsho uGolide, kuba ababoneleli bezempilo kufuneka bathathe le miba yezempilo yengqondo emva kokukhutshwa kakhulu. Abo babuyiselwe kwimeko enobunzima ye-COVID-19 banokuba nephupho elimandundu, ukusabela ngokothusayo, i-PTSD, ukulala ubunzima, ukungazinzi ngokweemvakalelo, uxinzelelo, utshintsho lwenzala kunye nokulahleka komdla.

Ezi zigulana zi-COVID-19 ezazifakwe ngaphakathi zinokufumana ubunzima obukhulu bokukhathazeka, okwenyani okanye okucingelwayo. Umzekelo unokuba isigulana kwi-ICU sinokuva incoko phakathi kwabanikezeli bezempilo malunga nesinye isigulana esisebhedini esikufutshane nabo, kwaye sifake engqondweni yakhe loo lwazi. Mhlawumbi ukubenza zibe zezabo.

Ezi mvakalelo kunye neemeko ngokuqinisekileyo aziyi kubashiya abaguli ngelixa begoduka. Kunzima ukuba 'yinto eqhelekileyo' kwakhona emva kwendlela ende noxinzelelo esibhedlele. Kungenxa yoko le nto kunokuthathwa njengonyango lwe-post-intensive care syndrome (PICS) kunye namatyala e-PTSD kwizigulana ze-COVID-19 eziphantsi kwe-ICU.

FUNDA KUNYE

Ingqondo yentsomi eluhlaza okwesibhakabhaka ngoMvulo: "luhlaza naluphi na usuku" kulungiselelwe abo batshisayo kunye ne-PTSD. Unganceda, ngoku!

I-PTSD: isitha esicacileyo. Indlela echaphazela ngayo impi yaseBrithani kunye namaqhawe.

I-PTSD: Abaphenduli bokuqala bazifumana beyimisebenzi yobugcisa kaDaniel

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