I-Terminal yokungazinzi, eyaziwa nangokuthi i-terminal agitation, yiyona ndlela ixakeka kakhulu ye-delirium eyenziwa ngamanye amaxesha kwizigulane ezifa. Ubonakalisa ukungazinzi kokomoya, ukukhathazeka, okanye ukungazinzi kunye nokukhathazeka , ukuphazamiseka, nokungaphumeleli kwengqondo.
Xa umntu egule, utshintsho lweemeko luyafana. Ukutshatyalaliswa, ukukhathazeka, ukukhungatheka, kunye nokuvutha kwentloko.
Xa umntu enesifo esigqityiweyo, ezi ntlobo zokutshintsha kwemizwelo zinokuba nzima; xa esondela ekupheleni kobomi bakhe, ezo zitshintshi zinokunyuka kwixesha kunye nokubaluleka. Le ngxaki ingaba nzima ngakumbi kubaxhasi kunye nabathandekayo ukujongana nabo.
Ukungazinzi kwekota kuxakeke gqitha kuba kunempembelelo ngqo kunye nefuthe kwinkqubo yokufa . Sonke sifuna ukufa kuba ngamava ocolileyo kwaye onokuthula kodwa, ukuba isiguli sisweleka ukungazinzi, ukufa kwakhe kubonakala kuhlutywa.
Ukungazinzi kwekota kukwazi ukudideka " ngokusondela kokuqwashisa ukufa ," okuchazwa njengolwazi lomntu osweleyo lokuba ukufa kusondele. Kubalulekile kubathandekayo bezigulane ezifa, kunye nabaqeqeshi bezempilo, ukuqonda into yokuba kufumaneka ukuqonda ukufa ukuze bakwazi ukuxhotyiswa ukuxhasa izidingo ezikhethekileyo zezigulane.
Iimbangela zokungabi Nciphisa
Kukho izizathu ezininzi ezahlukahlukeneyo zokungabikho kokuzithengisa. Ezinye izizathu ziguqulwa kalula, kanti ezinye azikho.
Ezinye zezona zizathu eziqhelekileyo ze-delirium ziquka:
- Amachiza: i- opioids , izidakamizwa zokulwa ne-anti-seizure, i-steroids, kunye ne- anxiolytics zimbalwa nje zonyango ezingabangela i-delirium. Ukusetyenziswa ngokugqithisileyo kwemithi ekhokelela kwisifo sotywala kunye nokusetyenziswa kwangaphantsi kuphakamisa intlungu kunye nokuphazamiseka, oku kungenza kube nzima nakakhulu ukudlula.
- Intlungu engabonakaliyo okanye ukuphazamiseka
- Ukuditywa kwamanzi
- Ukunciphisa i-oksijini kwigazi / ingqondo
- I-anemia (ukuncipha kweeseli ezibomvu zegazi)
- Izifo kunye nezifo
- Izicubu zobomi okanye ukukhukhuza kwengqondo
- Ukugcinwa kwe-Urinary (ukungakwazi ukuchitha umchamo kungabangelwa zizifo, i-cinkter ye-urinary okanye i-bladder spasms)
- Ukutyunjwa okanye ukuthintela
- Uloyiko, uxhalabe , uxinzelelo lwengqondo
- Unyango lweCarcer
- Ukuphazamiseka kwemetaboli (okuqhelekileyo ekupheleni kobomi njengoko izitho ezibalulekileyo ziqala ukuvala)
Yintoni endiyenzayo ukuba ndiyenze Ngomsebenzi wokungapheli kwekota?
Ukuba isizathu sibonakala lula, i-delirium ivame ukuphathwa ngokulula. Nangona kunjalo, ekupheleni kobomi , kunokuba kunzima ukufumanisa isizathu esisodwa, ngoko ke ukwenza unyango lwe-delirium kunye nokungazinzi ukugcina ukungapheli.
Ukuchonga ngokufanelekileyo imbangela ye-delirium nokuyiphatha ngempumelelo kunokuthatha iintsuku eziliqela, kodwa ngenkxaso yeqela lokubhedlele , abahlobo abasondeleyo kunye namanye amalungu entsapho, uya kuyenza ngeli xesha elinzima.
I-Delirium ayifanani nayo yonke into, kwaye iyakwazi ukulinganisa ezinye izifo kunye ne-syndromes, ukwenza ukuqonda nokunyanga nzima. Ukuba uqaphela ukuba umthandwa wakho usebenza ngaphandle kweentlobo, unokulahlekelwa kwememori entsha okanye ufumana utshintsho kwipatheni yakhe yokulala, qhagamshelana nomboneleli wakho wonyango ukuze uphonononge.
Imithombo
IKinzbrunner, i-BM; Weinreb, NJ; Ipolisi, iJS; 20 Iingxaki eziqhelekileyo: Ukuphela koKhathalelo loBomi, uMqulu we-McGraw-Hill, 2002.
Ferrell, BR kunye noCoyle, N; Incwadi ye-Nursing Palliative, i-Oxford University Press, ngo-2006.