ʻO ke keʻena mālama koʻikoʻi kahi lawelawe lapaʻau kūikawā kahi e hoʻopaʻa ʻia ai nā maʻi koʻikoʻi a hiki i ka wā e hoʻoweliweli hou ʻia ai kā lākou mau hana koʻikoʻi.

Hoʻokaʻawale ʻia nā ʻāpana like ʻole o kahi ʻāpana mālama kino:

ʻO ka Unite Monitoring Continuous (ICU)

Manaʻo ia e mālama i nā poʻe maʻi i ka pilikia o ka hemahema koʻikoʻi e pono ai ka nānā pono ʻana. Pono lākou e hoʻopaʻa i ka hāʻule inā loaʻa ia a hoʻomākaukau i ka mea maʻi no kona neʻe wikiwiki ʻana i ka hale mālama koʻikoʻi.

ʻO ka hale mālama kino (ICU)

Hāʻawi ʻia ka mana e hoʻoponopono i kahi hemahema hoʻokahi no ka manawa palena.

Ka palekana

Ua manaʻo ʻia no ka hoʻokele lōʻihi o nā maʻi me nā hemahema he nui.

ʻAʻole loaʻa nā lawelawe āpau i nā halemai āpau: ʻo kēia ka hihia me ka hoʻōla hou ʻana. Ma ka ʻaoʻao ʻē aʻe, ʻo nā haukapila āpau, lehulehu a pilikino paha, he 24 mau hola e nānā mau ana.

Loaʻa i kēlā me kēia keʻena mālama koʻikoʻi ko lākou ʻano ponoʻī:

• ʻO ke kino kino;
• Nephrological;
• Ka hanu;
• ʻO ke kino o ke kino;
• Hematologic;
• Neonatal;
• Nā Pediatrics;
• Ka mālama ʻana i nā kuni nui;
• A he nui aku nā mea'ē aku

Hoʻokomo ʻia nā maʻi i ka mālama koʻikoʻi ke hāʻule hoʻokahi a ʻoi aku paha nā hana koʻikoʻi ma muli o:

• ʻO ka maʻi nui (septic shock);
• Dehydration ikaika;
• Mai kahi allergy;
• He pilikia puʻuwai;
• Ka lāʻau ʻawaʻawa;
• Mai ka polytrauma;
• No kahi koma;
• Acute renal hemahema;
• ʻO ka hāʻule ʻole ʻana o ka hanu;
• Paʻa naʻau;
• ʻO ka ʻoki nui ʻana e like me ka ʻoki ʻana i ka naʻau a i ʻole ke ʻoki digestive;
• A he nui aku nā mea'ē aku

I loko o kahi keʻena mālama koʻikoʻi, pono ke kūlana o nā maʻi a me nā lāʻau lapaʻau i hoʻokō ʻia i nā limahana kūikawā.

ʻO ka hana kūikawā o nā limahana lapaʻau ma ka pūnaewele e pili ana i ke ʻano o ka hana:

• Ma kahi hui ho'ōla, aia nā mea ho'ōla;
• I loko o kahi keʻena mālama koʻikoʻi ma ka cardiology (ICU), nā cardiologists;
• I loko o kahi ʻāpana kiaʻi mau, nā mea hoʻomaʻemaʻe;
• A he nui aku nā mea'ē aku

He poʻe loea nā kauka i ka mālama maʻi anesthesia a i ʻole ka mālama koʻikoʻi a hana pū me nā loea āpau o ka haukapila: physiotherapists, technicians in medical electroradiology, nurse in general care (IDE), hospital service agents ...

Hoʻomau ka hoʻomau ʻana o ka nānā ʻana a me ka mālama ʻana i nā hola 24 me ke kōkua o ka nui o nā paramedics a me ka noho mau ʻana o kahi hui lapaʻau ma ka pūnaewele, e pane koke i kekahi kūlana koʻikoʻi - ʻelua IDE no ʻelima mau maʻi i ka mālama koʻikoʻi, hoʻokahi IDE no ʻehā mau maʻi ma ICU a me USC.

Loaʻa i nā lawelawe resuscitation āpau nā lako e hōʻoia i ka nānā mau ʻana i nā hana nui o ke kino a me ke kūlana o nā maʻi.

ʻO nā mea hana hoʻomalu e pili ana:

• electrocardioscopes;
• Nānā koko;
• Nā oximeters colorimetric - hoʻokomo ʻia ke kelepona infrared i loko o ka pulp o ka manamana lima e ana i ka pākēneka o ka oxyhemoglobin i loko o ke koko;
• ʻO nā catheters venous waena (VVC).

A penei na mea mau i malamaia.

• Ka pinepine puʻuwai ;
• Ka nui o ka hanu ;
• ʻO ke kaomi ʻana o ke aʻa (systolic, diastolic a me ka mean): hiki ke hoʻopau ʻia, mahalo i ka puʻupuʻu e hoʻonui i nā manawa maʻamau, a i ʻole e hoʻomau ʻia, ma o ka catheter i hoʻokomo ʻia i loko o ke aʻa radial a femoral;
• Pumi venous waena (PVC);
• Saturation o ka oxygen;
• Ka wela: hiki ke ho'opau 'ia - ana me ka thermometer - a i 'ole ka ho'ohana 'ana i ka probe;
• A me nā mea ʻē aʻe e like me nā pono: intracranial pressure, cardiac output, hohonu o ka hiamoe, etc.

Hōʻike ʻia nā ʻikepili o kēlā me kēia maʻi - nā lumi pākahi - i ka manawa maoli i kēlā me kēia lumi a me ka like ma ka pale i loaʻa i ke keʻena kikowaena o ka lawelawe i hiki i nā limahana ke nānā i nā maʻi āpau i ka manawa like. Inā hoʻololi koke ʻia kekahi o nā ʻāpana, e hoʻāla koke ʻia kahi ala kani.

ʻO ka Resuscitation kahi ʻenehana loea nui kahi e hiki ai ke hoʻonohonoho i nā ʻōnaehana kōkua he nui:

• Kōkua hanu: nā aniani oxygen, oxygen mask, tracheal intubation, tracheostomy and respiratory physiotherapy sessions;
• ʻO ke kōkua ʻana o ka naʻau a me ka hanu: nā lāʻau e hoʻihoʻi i ke kaomi ʻana o ke ʻano maʻamau, ka mīkini kōkua hanu e hoʻomaikaʻi ai i ka hāʻawi ʻana i ka oxygen i nā kino, ka mīkini kōkua extracorporeal circulatory;
• Kōkua i ka renal: hoʻomau a i ʻole ka maʻi dialysis;
• Meaʻai meaʻai: meaʻai enteral ma ka paipu i loko o ka ʻōpū a i ʻole ka meaʻai makua ma ka infusion;
• Hoʻomaʻamaʻa: hoʻomaʻamaʻa māmā - ua ʻike ka mea maʻi - me ka maʻi maʻi maʻi - aia ka mea maʻi i kahi coma i hoʻoulu ʻia;
• A he nui aku nā mea'ē aku

ʻO ka mea hope loa, hāʻawi ʻia ka mālama maʻemaʻe a me ka hōʻoluʻolu, i kapa ʻia he kahu hānai, i kēlā me kēia lā e nā kahu hānai, nā kahu hānai a me nā physiotherapist.

Wehe ʻia nā lawelawe hoʻōla i nā ʻohana a me nā mea aloha nona ka noho a me ke kākoʻo he ʻāpana nui o ka hoʻōla. Loaʻa nā psychologists, social workers, administrative agents a me nā ʻelele haipule e kākoʻo i nā maʻi a me ko lākou ʻohana.

ʻO kahi noiʻi a ke Keʻena ʻo Research, Studies, Evaluation and Statistics (DREES) e kuhi ana i ka nui o nā moena - nā mākua a me nā keiki, lehulehu a pilikino - ma Farani i 2018:

• Ma ka 5 i ka mālama koʻikoʻi;
• I ka 5 i loko o ka hale mālama koʻikoʻi;
• Ma ka 8 i loko o ka hoʻomau ka nānā 'ana.

ʻO kahi noiʻi i mālama ʻia ma Nowemapa 2020 e ka Société de Pneumologie de Langue Française (SPLF) a me ka National Professional Council of Pneumology i ʻike i nā hale mālama mālama lōʻihi, nā ʻāpana mālama kino, nā ʻāpana mālama hanu (USIR) a me ka nānā ʻana i ka pneumological mau. USC) ma ka ʻāina aupuni:

• ʻO nā USIR, i kākoʻo ʻia e nā keʻena pneumology, aia wale nō ma CHU: 104 mau moena ma 7 mau ʻāina;
• Kākoʻo ʻia nā USC pulmonary e nā keʻena pulmonology: 101 mau moena, a i ʻole 81 mau moena USC + 20 mau moena i loko o nā hale e hui pū ana me USIR a me USC.

He paʻakikī loa ka wānana i ka wānana o nā maʻi i hoʻokomo ʻia i ka mālama koʻikoʻi. ʻO ka hoʻololi - ka hoʻomaikaʻi ʻana a i ʻole ka hōʻino ʻana - o ke kūlana maʻi o ka mea maʻi e hoʻoholo, i kēlā me kēia hihia, i kona kūlana ola a me ka hoʻōla maikaʻi.

Paʻi ʻia ma ʻOkakopa 2020, ʻo ka noiʻi Covid-ICU - ʻo Covid-19 ka maʻi i loko o ka Intensive Care Unit, "unit mālama mālama kino" - ua hoʻokomo ʻia he 4 Palani, Belgian a me Swiss makua me ka maʻi ʻeha hanu acute i pili i ka maʻi me SARS-CoV-244. He kanaiwa mau lā ma hope o ko lākou komo ʻana i ka mālama koʻikoʻi, ʻo 2% ka make.