Ukuxhalabisa kuyimpawu eziqhelekileyo kwizigulana eziseduze nokufa. Ezinye izigulane zinokuxhalabisa, kodwa kwabanye, ukuhlaselwa ngokukrakra kunokwenzeka. Kungakhathaliseki ukuba yintoni imbangela, uxinzelelo kufuneka luphathwe ngokukhawuleza.
Iimpawu zokuxhalabisa kwexesha lokugqibela
Ukuphendula kwixhala kungahluka. Abanye banokwazi ukutshilozela oko bakuvakalelwayo kunye nezinye ezingenako. Kubalulekile ukwazi ukuba yikuphi ukukhathazeka kubonakala ngathi unokukuqonda ngokulula xa kwenzeka.
Ukuxhalabisa kuqhutyelwa yi-adrenaline, kwaye iimpawu zayo zibonisa ukuba ukuqaliswa komzimba "ukulwa okanye ukulwa" kuye kwaqaliswa.
Ukuxhalabisa kunengqiqo, imvakalelo, ukuziphatha, kunye nokubonakala komzimba ukususela kumncinci ukuya kunzima.
Iimpawu zokuqonda
- Uxhala olunzulu: Isigulane sinokuziphaphazela kwaye sisicacile.
- Ukuxhalabisa okuqhelekileyo: Unokuba nobunzima bokugxila kunye nokuphazamiseka lula.
- Ukuxhalabisa / ukwethuka okukhulu: Isigulane asinakukwazi ukugxila, nangona xa kunikwa izikhokelo ezicacileyo. Ukuxhalabisa okukhulu kunokukhokelela kwimeko enqanyuliweyo.
Iimpawu zoMoya nezokuziphatha
- Uxhala olunzulu: Isigulane sinokucaphuka okanye sithukuthele. Unokuba ngumfutshane okanye unomsindo.
- Ukuxhalabisa okuqhelekileyo: Isigulane sinokuphumla, sibonakale sisithukuthele, kwaye sinyuka. Unokukhalazela aze abonise iimvakalelo okanye ukungakhathazeki.
- Ukuxhalabisa okukhulu: Isigulana sinokukhala ngokungaqondakali, sibonakale sishukunyiswa kakhulu, size sakhawuleze sikhale. Unokubonisa iimvakalelo, ukwesaba, okanye ukwesabisa, okanye ubonise ukuziphatha okungenangqiqo okanye okuziphindaphindiweyo.
Iimpawu zoMzimba
Uninzi lwezinto ezibonakalayo zengxakini echazwe ngezantsi zifana nezo zibangelwa zizifo eziphambili kunye neyeza.
- Uxhala olunzulu: Isigulane sinokuba nokulala nokungabi nokuphumula.
- Ukuxhalabisa ngokukhawuleza: Unako ukunyuka kwezinga lentliziyo okanye ukuphala. Ukuphefumula kwakhe kusenokukhawuleza, kwaye unokukhalaza ngokuvalelwa ngumsindo okanye unomhudo .
- Ukuxhalabisa okukhulu: Isigulane sinokubonisa zonke iimpawu ezingentla apha, kodwa zinzima kakhulu. Unokuhlanza okanye umhlabathi ngokwakhe. Unokuthi ahlaziye okanye asebenzise iintlungu zesifuba. Abafundi bakhe baya kuphucula kwaye banokuzikhukhumeza kakhulu.
- Ezinye iimpawu zokukhathazeka zibandakanya umlomo owomileyo, ukuxubha umzimba okanye ukuthuthumela, kunye nentlungu yesisu.
Lawulo
Ukuba wakho umthandayo uqala ukubonisa iimpawu zokuxhalaba, into yokuqala omele uyenze, uzama ukumnciphisa. Ngamanye amaxesha ukuphazamiseka okulula kunokwanela ukunciphisa izinga lokuxhalabisa kwaye ligcine lizolile. Zama ukuxoxa ngezinye izinto ngaphandle kokugula okanye iimpawu - mhlawumbi umdlalo webhola wamva okanye udumo lwamaqhawe.
Ingakhathaliseki ukuba ukuxhalaba kudlulayo okanye kuyaqhubeka kwanda, kubalulekile ukubiza udokotela ophulukisayo ukunika ingxelo kunye neengcebiso zonyango. Ukuba wakho umthandayo usele nkathalo ye-hospice , qhagamshelana ne-ejensi yokubhedlele kwaye uxelele kumongikazi ukuba ubonisa iimpawu zokuxhalabisa. Umongikazi wolondolozi uya kukunika imiyalelo ethile kwaye angathumela umongikazi ukuba ahlole imeko.
I- arhente ezininzi ze- hospice zinika izigulane zabo zasekhaya ezinekiti ekhethekileyo yeyeza ukuba zisetyenziswe kwimeko yengxamiseko. Ezi kits, ngamanye amaxesha zibizwa ngokuba zizixhobo zokhuseleko okanye iinkonzo eziphuthumayo, zihlala ziqukethe ubuncinane imithi enye ukuphatha uxhalaba.
Umongikazi ogulayo angakunika imiyalelo ukuqala enye yeyeza kunye nokuyirekhoda kwiregi yamachiza.
Ukuba umntu obathandayo akayena kwi-hospice ukunakekelwa, uya kufuneka ukuba ufumane imiyalelo evela kumgqirha unyango okanye ugqirha kwi-call. Unako ukubiza umnqweno kwi-pharmacy okanye ucele ukufumana isigulane e-ofisini.
Mayeza
La mayeza aqhelekile ukuba aphathe ukuxhalaba:
- Ativan (Lorazepam)
- Serax (Oxazepam)
- Klonopin (Clonazepam)
- Xanax (Alprazolam)
- Valium (Diazepam)
Ukunyanga Izizathu Eziphantsi
Izibini ezibini eziqhelekileyo zokubandezeleka ziintlungu kunye nokuphefumula okufutshane ( dyspnea ). Ukuba wakho umthandayo ufumana enye yale mpawu, kubalulekile ukuba uphathwe kunye nexhala.
Imithombo
Ferrell, BR kunye noCoyle, N. Iincwadi zeNcwadi zoLondolozo lwePalliative , i-Oxford University Press, ngo-2006.
IKinzbrunner, i-BM; Weinreb, NJ; Policzer, JS. 20 Iingxaki eziqhelekileyo: Ukuphela koKhathalelo loBomi , uMqulu we-McGraw-Hill, 2002.