Neuro-ICU wani kulawa ne mai kulawa mai kulawa da kulawa da marasa lafiya tare da matsalolin matsalolin rayuwa. Neuro-ICUs sun kasance a cikin kimanin shekaru 25 da suka gabata saboda amsawar da ake buƙata don ƙarin ilimin kimiyya na musamman a cikin hanyoyin da ke ci gaba da ganewa da kuma magance matsalar rashin lafiya.
Matsalar da aka sarrafa a cikin Neuro-ICU
Gaba ɗaya, mai yiwuwa a yarda da mai haƙuri zuwa neuro-ICU don yanayin da ya biyo baya:
- kwakwalwa bayan kwakwalwa
- burbushin ischemic
- yaduwar cutar subarachnoid
- traumatic kwakwalwa rauni
- ciwon jini na intracranial
- Guillain-Barre ciwo
- subdural hematoma
- myasthenia gravis
- ciwon jini
- matsayin epilepticus
- encephalitis
- meningitis da sauran cututtuka masu ciwon zuciya
Sauran Amfanin
Jirgin kulawa mai kulawa yana rufe fiye da kawai cututtukan cututtuka. Har ila yau yana buƙatar sananne na musamman game da wasu magunguna na jiki, irin su yadda kwakwalwa yake sarrafa jini da ƙin jini. Har ila yau, yana buƙatar sanin kayan aikin nerological irin su electroencephalography , an kara da su ga fahimtar hankulan masu kwantar da hankali, magungunan kwakwalwa na zuciya da kuma karfin jini da kuma wasu hanyoyin da suka fi dacewa da ICU.
Magunguna masu lalacewar tsarin su sun bambanta a hanyoyi masu mahimmanci daga marasa lafiya da lalacewa ga sauran sassan jiki.
Alal misali, cututtuka na tsarin juyayi na iya rinjayar ikon mai yiwuwa don motsawa da sadarwa. Dole ne ma'aikatan neuro-ICU dole su horar da su a cikin fasaha na musamman don tattara bayanai masu muhimmanci.
Sakamakon yanayin cutar cututtuka mai tsanani kuma ba za'a iya shawo kan shi ba. Maganin rashin lafiya na iya canja yadda mutum ya san masoyansa kuma zai iya sa su zama mutum dabam dabam.
Ko da mawuyacin hali, wasu cututtuka marasa lafiya suna iya kama mu daga abin da ya sanya mu mu kasance, ko kuma abin da ya sanya mu mutum. Ƙarfin ƙauna waɗannan canje-canje na iya jawowa cikin abokai da 'yan uwa suna buƙatar kulawa na musamman. Wannan ya zama mafi mahimmanci a lokacin tattauna batutuwa irin su kwakwalwa mutuwa.
Tarihin Neuro-ICU
A wasu hanyoyi, sassan kulawa na farko sune neuro-ICUs. An buƙatar bukatun ICUs a cikin shekarun 1950 saboda sakamakon cutar polio. Kamar yadda marasa lafiya da cutar shan inna sun rasa ikon yin numfashi, an sanya su a kan sabon fasahar zamani na samun iska .
Shekaru da dama, ɗakunan kulawa mai kulawa sun kula da kowane nau'i na rashin lafiyar rayuwa, musamman ma wadanda suka haifar da buƙatar samun iska. Duk da haka, buƙatar ƙarin kulawa ta musamman ya zama ƙara bayyana yayin da magani ya zama ƙari. A shekara ta 1977, an fara neuro-ICU na farko a babban jami'ar janar na Amurka a Massachusetts General Hospital. Daga can, sun kasance suna karuwa a fadin kasar da kuma duniya.
Yawancin ƙananan neuro-ICUs suna samuwa a manyan asibitocin kimiyya, inda suke samun kwandon marasa lafiya. Ƙananan asibitoci bazai iya samun marasa lafiya marasa lafiya don tabbatar da gina wani neuro-ICU, kuma za su kula da marasa lafiya a ICU ko kuma canja wurin mai haƙuri zuwa asibiti daban-daban.
Wanda ke aiki a cikin Neuro-ICU
Neuro-ICUs suna da yawa a cikin jiki. Masanan binciken daji, masu neurosurgeons, masu kula da kwarewa masu kula da hankali da kuma masu shan magani sunyi aiki sosai tare da ƙungiyar likitocin da suka dace, masu kwantar da hankulan jiki, masu masana'antu, da sauransu.
Amfanin samun kwararrun likitoci shi ne cewa akwai kwarewa mai yawa na kulawa da kowane likita. Abinda ke ciki shi ne, sai dai idan an biya hankali sosai ga wanda yake magana, yana da sauƙi ga abokai da iyalansu su damu game da wanda suke magana da kuma me yasa. Wannan rikicewar rikicewar ta kara tsanantawa ta hanyar cewa ma'aikatan asibiti dole suyi aiki a canje-canje, saboda haka wanda kuke magana da shi yana iya dogara da lokacin da rana.
Don kaucewa rikicewa, tabbatar da cewa duk wanda ya zo ya gabatar da kansa kuma ya bayyana matsayinsu.
Idan aka kwatanta da raɗaɗɗiyar kulawa da magunguna, neuro-ICUs sun haɗu da ƙananan mace-mace kuma ƙananan asibiti suna ci gaba da cutar kamar cututtuka, ciwon jini, da cututtukan kwakwalwa. Tsarin kulawa mai mahimmanci, a gaba ɗaya, yana iya zama tsoratarwa da wurare masu rikitarwa, amma tare da kulawa sosai ga sadarwa mai kyau, mai yiwuwa neuro-ICU zai zama mai ceton rai.
Sources:
Allan H. Ropper, Daryl R. Gress, Michael. Diringer, Deborah M. Green, Stephan A. Mayer, Thomas P. Bleck, Tsaro Neurological da Neurosurgical, Darasi na huɗu, Lippicott Williams & Wilkins, 2004
Pedro Kurtz, Vincent Fitts, Zeynep Sumer, Hillary Jalon da Yusufu Cooke, da kuma al.Yaya Yayinda kulawa ya fi bambanta ga marasa lafiya na marasa lafiya da aka shigar da shi zuwa Ƙungiyar Kula da Ƙananan Ƙwararrakin Kasuwancin Kasuwanci? Tsare-gyaren Neurocritical, 2011, Volume 15, Lamba 3, Shafuka 477-480