Iziguli ezasinda ku-COVID-19 zingase zidibane nenye impi. Impi yokulwa ne-post-intensive ukunakekelwa kwe-syndrome (i-PICS) engazibonakalisa njengenhlanganisela yokulimazeka komzimba nangokomzimba. Abantu abahlushwa i-PICS bangathola ukukhathazeka, ubunzima bokulala, ukucindezelwa, noma i-post-traumatic stress disorder (PTSD).

Izifo Impilo yengqondo I-ramifications iyiqiniso ikakhulukazi kogulayo kakhulu owayedinga isikhathi ku-ICU kanye ne-intubation. Lezi ziguli zingase zibe ne-“post-intensive care syndrome” (PICS). I-post-intensive care syndrome ingaba nomthelela omkhulu kwikhwalithi yokuphila kokubili esikhathini esifushane nesikhathi eside. Noma kungase kuvele futhi isifo sokucindezeleka esilandelayo ngemva kokudabuka (PTSD). Yilokhu uSapna Kudchadkar, MD, PhD we Johns Hopkins Medicine eBaltimore kuchaziwe.

I-post-intensive ukunakekelwa kwe-syndrome (i-PICS) ayithinti nje kuphela isiguli kodwa nomndeni nabanakekeli. Kungaba futhi inkinga kwabasindile ezinganeni ezifweni ezibucayi. Ngakolunye uhlangothi, iziguli zabantu abadala zingase zibhekane nobunzima bokuphinda zenze imisebenzi yansuku zonke noma zilwele ukubuyela emsebenzini. Ngokucashile, laba bantu bangaba nenkinga yokugxilisa ingqondo nokukhumbula, futhi izingqinamba zokuqonda zingashiwo ikakhulukazi kubantu abanomlando wokuwohloka komqondo. Ngokweziguli, iziguli zingahle zibe nobuthakathaka bemisipha nobuhlungu obungamahlalakhona, kusho uSapna Kudchadkar.

Okukhathazayo ukuthi ngisho neziguli ezaziphilile ngaphambilini ngaphambi kokuhlala kwazo e-ICU, ngenxa ye-COVID-19 noma ezinye izifo ezinzima, zisengozini ye-PICS ngemuva kokukhululwa, kusho uKudchadkar.

I-PICS ne-PTSD ezigulini ze-COVID-19. Phakathi kwama-PPEs namakamelo wokuhlukanisa

Iziguli ze-COVID-19 zingaba sengozini ephezulu yengozi yokunakekelwa kwangemva kokulimala (i-PICS), ngokusho kochwepheshe. Kwabasindile ubuthakathaka benyama buyabonakala futhi bungaba bukhulu. Olunye uphawu lobunzima bokusobala kweziguli ukwanda okuphezulu kokudonsela phansi okuqhubekayo, ngisho nasezigulini ezitholwe zingena ngomshini kuphela noma e-ICU izinsuku ezimbalwa.

Isibonelo, into eyodwa engadala ubunzima ukubonwa okuqhubekayo kwabahlinzeki bezempilo nabahlengikazi abane-PPEs. Lokhu kubashiya besondele engenathemba futhi kungenza iziguli zisabe. Ukunciphisa lokhu, abanye abahlinzeki basidwebe isithombe sobuso babo esifubeni sabo ukwenza lula isiguli, kusho uJessi Gold, MD, waseWashington University eSt. Louis.

 

Udaba lokudonswa kwemali e-ICU. I-PICS ne-PTSD ezigulini ze-COVID-19

Ngokusho kokubukeza nokuhlaziywa kwe-meta-delatium kwenzeka cishe kuma-65% eziguli ezine-COVID-19 (26 kwezi-40 ze-ICU iziguli). Abangu-69% babhalise ukubhidlika kanti abangama-21% babeguqukile. Ucwaningo olulodwa lathola ukuthi iziguli ezingama-33% ezine-COVID-19 (15 kwezingu-45 zalolo cwaningo) zazine I-dysexec mfululizo syndrome uma ukhipha.

UKudchadkar wengeze ukuthi ukwenza ngcono inhlanzeko yokulala yalezi ziguli kungabuye kuqinise amandla abo okubamba iqhaza ekuvuseleleni isimo ekuqaleni. Futhi ukwelashwa okuqala, ukwelashwa, ukwelashwa, kanye nolimi lokukhuluma kungasiza ekwandiseni ithuba lesiguli lokuthola i-QoL enhle. Inhloso ukwenza okungcono kakhulu ukwenza isipiliyoni se-ICU sibe ngesakho, ngokunikeza iziguli izindlela zokuxhumana.

 

I-PICS ne-PTSD zingakhiwa kanjani ezigulini ze-COVID-19?

Ukubheka okungaphezu kokusinda e-ICU kubaluleke kakhulu, kusho uGold, ngoba abahlinzeki bezokunakekelwa kwempilo kufanele bazithathe lezi zinkinga zempilo yezengqondo ngemuva kokukhubazeka ngokungathi sína. Labo abathole esimweni esibucayi se-COVID-19 bangathola amaphupho amabi, ukusaba ngendlela eyethusayo, i-PTSD, ukulala kanzima, ukungazinzi ngokomzwelo, ukudangala, ukuguquka kwesifiso, kanye nokulahlekelwa yinzalo.

Lezo ziguli ze-COVID-19 ezazifakwe ngaphakathi zingathola ubunzima bokushaqeka, okuyiqiniso noma okucatshangwe. Isibonelo kungaba ukuthi isiguli e-ICU singazwela ingxoxo phakathi kwabahlinzeki bezempilo ngesinye isiguli esisembhedeni oseduze kwabo, futhi sifake engqondweni yakhe leyo mininingwane. Mhlawumbe ukuzenza zibe munye wazo.

Le mizwa nezimo mhlawumbe ngeke zishiye iziguli ngenkathi zibuyela ekhaya. Kunzima ukuphinde sibe'jwayelekile 'ngemuva komgwaqo omude nocindezelayo esibhedlela. Kungakho kungathathwa njenge-post-intensive ukunakekelwa kwe-syndrome (PICS) kanye ne-PTSD iziguli ze-COVID-19 ezingaphansi kwe-ICU.

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