ICU-ICU ndi malo ogwira ntchito kwambiri omwe amasamalira odwala omwe ali ndi mavuto omwe angayambitse matendawa. Nyuuro-ICU inakhalapo pafupifupi zaka 25 zapitazo poyang'ana kufunikira kwa kudziwa zambiri zapamwamba pa njira zowonjezera kuzindikira ndi kuthana ndi matenda a ubongo.
Mavuto Otsatiridwa mu Neuro-ICU
Kawirikawiri, wodwala angaloledwe ku ICU-neuro-yeniyeni kuti izi zichitike:
- chotupa cha ubongo pambuyo
- sitiroko ya ischemic
- kuwonongeka kwa mpweya
- kuvulazidwa kwa ubongo
- kupweteka kwa magazi
- Matenda a Guillain-Barre
- subdural hematoma
- myasthenia gravis
- misampha ya msana
- matenda a khunyu
- encephalitis
- matenda a meningitis ndi machitidwe ena akuluakulu a matenda amanjenje
Ubwino Wina
Munda wa chisamaliro cha ubongo umafuna zambiri osati matenda osiyanasiyana. Kufunikanso kudziwa zapadera za mawonekedwe a thupi, monga mmene ubongo umayendera magazi ake komanso kuthamanga kwa thupi . Kufunikanso kudziwa zida zamagetsi monga electroencephalography , amawonjezeredwa kumvetsetsa kwa makina opanga mpweya, mtima wa telemetry komanso kuyang'ana kwambiri kwa magazi ndi njira zina zomwe ICU imachitira.
Odwala omwe ali ndi vuto la mitsempha yawo amasiyana mosiyana ndi odwala omwe amawonongeka ku mbali zina zofunika za thupi.
Mwachitsanzo, matenda a dongosolo lamanjenje angakhudze mphamvu ya wodwalayo kusuntha ndi kulankhulana. Ogwira ntchito ya ICU-ne-ICU ayenera aphunzitsidwe njira zamakono zofufuzira kuti apeze mfundo zofunikira.
Chikhalidwe cha matenda akuluakulu a ubongo nawonso sichitha kugwedezeka. Matenda a ubongo angasinthe momwe munthu amaonera okondedwa ndipo angathe kuwapangitsa kukhala ngati munthu wosiyana kwambiri.
Choipa kwambiri, matenda ena a ubongo angawoneke kuti akutichotsera chomwe chimatipanga ife omwe ife tiri, kapena chomwe chinatipanga ife umunthu. Zokhumudwitsa za kusintha kumeneku zingakhumudwitse abwenzi ndi achibale akufunikira chidwi chapadera. Izi zimakhala zofunika kwambiri pakukambirana nkhani monga ubongo wa ubongo.
History of the Neuro-ICU
Mwa njira zina, magulu oyambilira odwala kwambiri anali a neuro-ICUs. Kufunika kwa ICUs kunakhazikitsidwa m'ma 1950 chifukwa cha kuwonongeka kwa kachilombo ka poliyo. Anthu olumala ndi polio adataya mphamvu zawo zopuma, adayikidwa pa teknoloji yatsopano ya mpweya wabwino .
Kwa zaka makumi angapo, magulu akuluakulu odwala kwambiri ankagwira ntchito iliyonse yowopsya, makamaka imene inachititsa kuti pakhale mpweya wokwanira. Komabe, kufunika kwa chisamaliro chapadera kwambiri kunakhala koonekeratu kuti mankhwala adakhala ovuta kwambiri. Mu 1977, dziko lonse la North America linapangidwa ku Massachusetts General Hospital. Kuchokera kumeneko, iwo anayamba kutchuka kwambiri kudutsa mtundu ndi dziko.
Ambiri amtundu wa ICU amapezeka kuchipatala chachikulu, komwe amapeza odwala ambiri. Matenda ochepa aang'ono sangathe kupeza odwala okwanira kuti amveketse kampani ya neuro-ICU, ndipo angasamalire wodwalayo ku ICU kapena kutumiza wodwala kuchipatala china.
Amene Amagwira Ntchito mu Neuro-ICU
Neuro-ICUs zimakhala zosiyana kwambiri ndi chilengedwe. Akatswiri a sayansi ya zamoyo, akatswiri a sayansi ya ubongo, akatswiri odziwa zapamwamba komanso akatswiri a zachipatala nthawi zambiri amagwira ntchito kwambiri ndi magulu a anamwino ophunzitsidwa bwino, opaleshoni ya kupuma, akatswiri a zakudya, ndi zina zambiri.
Phindu lokhala ndi akatswiri ambiri ndilokuti luso losiyanasiyana limasamalidwa ndi wodwala aliyense. Chokhumudwitsa n'chakuti, pokhapokha ngati atayang'anitsitsa kwambiri amene akuyankhula, n'zosavuta kuti mabwenzi ndi mabanja asokonezeke ndi omwe akulankhula nawo ndi chifukwa chake. Kusokonezeka kumeneku kungawonongeke chifukwa chakuti ogwira ntchito kuchipatala amayenera kugwira ntchito, kotero amene mumayankhula mwachidwi zimadalira nthawi ya tsiku.
Kuti mupewe chisokonezo, onetsetsani kuti aliyense yemwe abwera kudzalankhula yekha ndikufotokoza udindo wawo.
Poyerekeza ndi magulu akuluakulu othandizira anthu ambiri, ma CRU amagwiritsidwa ntchito ndi anthu omwe amafa komanso kuchepa kwa chipatala chifukwa cha matenda monga stroke, kupweteka kwa m'mimba, komanso kuvulala kwa ubongo. Makampani oyang'anira kwambiri, ambiri, angakhale ochititsa mantha komanso malo osokoneza, koma mosamala kwambiri kulankhulana bwino, khungu la ICU lingakhale wopulumutsa moyo weniweni.
Zotsatira:
Allan H. Ropper, Daryl R. Gress, Michael. Diringer, Deborah M. Green, Stephan A. Mayer, Thomas P. Bleck, Neurological and Neurosurgical Care, Revised Four, Lippicott Williams & Wilkins, 2004
Pedro Kurtz, Vincent Fitts, Zeynep Sumer, Hillary Jalon ndi Joseph Cooke, ndi Al. Kodi Kusamalira Odwala Matenda Okhudza Matenda Ovomerezeka Amaloledwa Bwanji ku Chipatala Chogonana Mwachangu Potsutsana ndi General ICU? Care Care, 2011, Voliyumu 15, Nambala 3, masamba 477-480