Izilonda zoxinzelelo ziyingxaki eqhelekileyo kwizigulane zokunyamekela . Ukuhamba kwehla, ukunyuka kwexesha elichithayo embhedeni, kunye nokuguqulwa kwesondlo kwenza izi gulane zibeke iithagethi zokuphulwa kwebala.
Izilonda zoxinzelelo zibuhlungu. Njengomnakekeli, enye yezinto ezibaluleke kakhulu ongayenza ukugcina isigulane sakho sikhululekile kukukhusela umntu ekuhlaleni.
Nciphisa uxinzelelo
Ukuguqula isigulane esilawulwe ngumbhede into ebaluleke kakhulu ongayenza ukukhusela i-ulcers ingcinezelo.
Ukutshintsha ngokuphindaphindiweyo indawo zengcinezelo kwimimandla ye-bony, efana ne-back back, i-hips, elbows, nezithende.
Kufuneka uceba ukuguqula umhlobo wakho rhoqo kwiiyure ezimbini, ujikeleze phakathi kwamacala angakwesobunxele kwaye ubeke kwisitrato emhlane wakhe. Zonke iiyure ezimbini zilungele kodwa akukho mfuneko yokusekela iwashi i-alamu ukuvusa zonke iiyure ezimbalwa ebusuku. Ukuba wena kunye nesigulane sakho ulala ngokukhululekile, shiya kakuhle ngokwaneleyo. Ukuba uya kukuvusa phakathi kobusuku, ke, thabatha elo thuba ukumguqula.
Kulula ukulahlekelwa umkhondo weliphi icala elifanele liphendulwe ukuba uye wahlala emva kwakhe kwithuba. Enye intsapho endidibana nayo yayisisombululo esilula kule nto. Basebenzisa i-crystal ephathekayo yesikhonkco ukubeka uphawu kwicala lokuba ugogo wabo kufuneka aphendulwe kuye. Ugogo wayeyithande le ngcamango ngenxa yokuba i-strawberry yayingu-pink - umbala wakhe owuthandayo!
Xa umbeka embhedeni, imithwalo ngumhlobo wakho omhle.
Sebenzisa enye ngaphantsi kwempuphu ukuze uqhubekele ecaleni lakhe; indawo enye phakathi kwamadolo xa ehlangothini lwakhe; sebenzisa elinye phantsi kweenyawo ukuba 'uhambise' izithende zakhe ebhedini. Iimithwalo zongeza induduzo kwaye zinokunciphisa uxinzelelo kwiindawo zebony.
Ukuba umthandayo uchitha ixesha elininzi kwi-chair setting, ukumisa kwakhona kusabalulekile.
Ukulungiswa okuncinci kwiindawo zokuhlala zihlala zisebenza ngokwaneleyo ekunciphiseni uxinzelelo. Ukugcina iphepha lokudweba ngaphantsi kwakhe ngelixa ehleliyo kuya kwenza lula lo msebenzi. Xa lixesha lokumbeka kwakhona, mane ubambe ishidi lokudweba (ngokukhethekileyo ngoncedo lomnye umntu onobuchule) kwaye utshintshe ubunzima bakhe. Ungaphinda uzame ukutshintsha iqondo lokuhlalisa ukuze uhlaziye isisindo somzimba.
Izixhobo ezikhethekileyo ezinokukunceda
Ukongezelela ukujika nokuphindaphinda rhoqo, ukusebenzisa indawo ekhethekileyo ukunciphisa okanye ukunciphisa uxinzelelo kunokunceda kakhulu. Eyona nto elula kakhulu yileyitiyiti yesikhatela seqanda. Uninzi lwezigulane ze- hospice kunye nee-arhente zempilo zasekhaya zibonelela ngokungahlawulwanga kodwa zixabiso elincinci kwivenkile yakho yesebe. Ukuba umthandayo uchithe ixesha elide esihlalweni, iipayiti zekhate ze-katekiti zifumaneka. Iqhekeza leqanda leqanda likunceda ukusabalalisa ingcinezelo ngokukodwa, kuncedisa ukunciphisa umlinganiselo wengcinezelo kwindawo enye.
Ukunyuka kwinqanaba le-crate mattress lugubungele umbane. Olu hlobo lomhlaba lubekwe phezulu phezulu kumatitha kwaye ngokuqhelekileyo luyekezela uxinzelelo lomoya kwiikholamu ezahlukeneyo. Xa usebenzisa i-mattress yamaqanda okanye i-mattress emoyeni, kubalulekile ukugcina ishedyuli yokujika.
Ezi zixhobo azifaki ukuphindaphinda ngokuphindaphindiweyo.
Izibhamu ezinkulu zokuxinwa kwezixhobo zi-mattress air fluidized. Ezi mathathane ezikhethekileyo ziqulethe iiplastiki ezigcobile nge-silicone eziba ziqhekeza xa umoya uphonywa ngazo. Ezi mathathane zenza umsebenzi omhle wokunciphisa uxinzelelo kodwa zithinteka. Isakhelo se-mattress senza ukudlulela kwi-bed and from the bed. Kwaye ukuba umntu ufuna ukuhlala esihlalweni, mhlawumbi i-foam idinga ukuba isetyenziswe ekuncedeni inkxaso yabo. Eli gumbi liyakulungeleka kakhulu izigulane zokunyamekela izilwanyana ezinokulala ngokupheleleyo, zineengcinezelo ezinzima , kwaye zintlungu eninzi .
Ukunciphisa iFriction neShear
I-Friction kukuxubha kwesikhumba kwindawo yangaphandle, ngokuqhelekileyo iibhedi zokulala. Ukuhlutha kwiindawo eziqhelekileyo ezichaphazelekayo kuncitshiswa ngezixhobo zokukhusela. Isithende kunye neendwangu zemiqolo ziqhelekileyo zenziwe nge-egg-crate impahla kunye neVelcro. Ukukhusela izikhumba, ezinjengamafilimu (iTegaderm) kunye namabhanki amancinci e-hydrocolloid (iDuuderm) inokukhusela ulusu kwi-friction ephindaphindiweyo kodwa aluyi kunceda ukunciphisa uxinzelelo.
Into ebaluleke kakhulu ongayenza ukukhusela ukulimala kwintlambo kukuqinisekisa ukuba awuyi kudala nayiphi na enye xa ubeka kwakhona umhlobo wakho. Sebenzisa iphepha lokudweba ukukunceda ukuphakamisa wakho umthandayo ebhedeni xa uphakamisa uphinde ubeke kwakhona.
I-shear idalwe xa izicubu ezinamafutha ezinzulu kunye nemithambo yegazi zonakaliswe ngokudibanisa nokuxhatshazwa. Indlela efanelekileyo yokuphepha le ndlela yokulimala kukukhusela i-Fowler encinci kunye nesimo esithe tye kwindawo yokulala. Isikhundla seSemi-Fowler yilapho intloko iphakanyiswa ngaphantsi kwama-degrees angama-30 kunye nezikhundla ezichanekileyo ezingaphezu kwama-30 degrees. Ngoku, ngokucacileyo awukwazi ukuphepha ezi zikhundla lonke ixesha. Izigulane ezininzi kufuneka zibe yi-Fowler encinci yokunceda ukuphefumula ukuphefumula okanye ukukhusela i-reflux yegastric kwaye zonke izigulane kufuneka zibe kwindawo efanelekileyo yokutya ngokukhuselekileyo.
Ukunciphisa umngcipheko wokulimala kwekhweba kwi-Fowler encinci okanye kwindawo egciniweyo, thatha amanyathelo okukhusela umthandi wakho ukuba angabikho phantsi embhedeni. Unokwenza oku ngokuphakamisa unyawo lombhede uze uguqa ngamadolo.
Ukulimala kweShear kunokwenzeka nakwiihlalo. Ukugcina isigulane sakho ukuba sishiye esihlalweni sakhe, sebenzisa izithuba zeenyawo okanye ii-ottomans ukuqhuba iinyawo zakhe kunye nemithwalo okanye izixhobo ezikhethekileyo ukugcina iinqumlo zakhe kwi-angle-degree.
Zama Ukugcina Isondlo
Kukho ulungelelwano oluqinileyo phakathi kokunciphisa ukutya okunomsoco kunye neengcinezelo zesilonda esiswini . Ukuba wakho umthandayo unesidlo, zama ukulondoloza ukutya okwaneleyo kunye nokutya okunomsoco (cinga iiprotheni ezinomsoco, iziqhamo ezipheleleyo, iziqhamo kunye nemifuno). Ukuba isondlo sakhe siyancipha, nikeza izibonelelo ezifana nokuqinisekisa okanye ukukhuthaza ukuqinisa ukutya okunondlo.
Isondlo sihlala sisengxaki kwizigulane zokunyamekela kwaye kubalulekile ukuba uqaphele apha ukuba akufanele uzame "ukuphoqa" umntu obathandayo ukuba adle.
Lawula iMoji
Ukuthuthwa kwesisu, umchamo, okanye iifesi kungonakalisa ulusu. Kubalulekile ukugcina ingqibelelo yesikhumba ngokulawula umswakama. Ukuba isigulane siqokelela ubuninzi bomswakama ngokukhukhuma, uya kuyidinga impahla yakhe kwaye mhlawumbi iishishiti zakhe zitshintsha rhoqo. Unokwenza oku lula kuwe ngokwendlela yokusebenzisa izambatho zesibhedlele okanye ezinye izambatho ezithintelayo kwaye zicime kalula. Ukusebenzisa amacwecwe amakhredithi kunokukwenza lula lo msebenzi. Enye intsapho endiyinyamekeleyo yaqalisa usuku ngokubeka umbhede ngamaphepha amathonti amathathu kwaye ishenxisa enye xa ithe yaba yimanzi.
Ukuba wakho umthandayo akahlali emthini, uya kufuneka aguqulwe ngokuphindaphindiweyo kwabafundi bakhe abadala okanye abathintekayo. Ukuhlola i-diaper yakhe ubuncinci kwiiyure ezimbini kwaye ukuguqula ngokukhawuleza xa kucocekile kubalulekile. Ukusebenzisa izikhuni zesikhumba kunokunceda ukukhusela umonakalo emvini. Yimimiselo efanayo ukukhusela i-diaper ukugqithisa kwiintsana. Sebenzisa i-Desitin, i-A & D namafutha, okanye omnye umkhiqizo ofanayo ukukhusela ulusu kumswakama kunye no-acidity kumchamo.
Ukuba isilonda esisinyanisekile sikhona okanye ukuba kukho umngcipheko omkhulu wokuphuhlisa, kungenceda ukuba ufake indawo yendawo yokuhlala. Oku kunokwenziwa kuphela ngumongikazi odokotela. I-catheter ye-foley yincinci encinci leyo ifakwe kwi-urethra kunye ne-vestile apho ihlala khona ngoncedo lwebhaluni ehluthe. Emva kokuba kufakwe, umchamo ugxotha ngaphandle kwiphubhu kunye nengxowa yokuqokelela, ukugcina isikhumba sikhululekile kumchamo.
Ukuba naye akanakuncibilika kwisitulo, unobungozi obunokwanda kwesikhumba kwiibhaktheriya kunye ne- enzymes yokutya okufunyenwe kwimizimba yokuhamba. Uya kufuneka ahlambuluke kwaye ashintshwe ngokukhawuleza emva kokuhamba kwentsholongwane. Oku kunokuba ngumngeni omkhulu ukuba isigulane sakho sinesifo sohudo okanye sihamba rhoqo. Kodwa kuya kulungeleka ukusebenza kanzima ukuba kuthintela ukuphuka kwesikhumba esibuhlungu.
Ukusebenza nzima kuHlala
Ukukhusela izilonda zengcinezelo kunokuba ngumsebenzi onzima. Kukhwelisa ngokwenene ukuphakamisa, ukujika, ukuma, ukucoceka, nokutshintsha omnye umntu emva kweeyure ezimbalwa. Nje ngezinto ezininzi ezifuna umsebenzi onzima, inzuzo enkulu. Ukugcina umthandayo ongenakho izilonda zengcinezelo ezibuhlungu kuya kwenza ukuba yonke imisebenzi yabasebenzi ibonakale ifanelekile. Ukuba ufumana ubunzima bokugcina umsebenzi, ungadinga ukufumana inkxaso eyongezelelweyo.
> Imithombo:
> Ferrell BR, uCoyle N. Iincwadi zeNcwadana yoLondolozo lwePalliative, Edition 2. Oxford Press, ngo-2006.
> Kinzbrunner BM, Weinreb NJ, i-Policzer JS. 20 Iingxaki eziqhelekileyo: Ukuphela koKhathalelo loBomi. McGraw-Hill, 2002.
> Kayser-Jones J, et al. Izilonda zogonyamelo phakathi kwabemi abagulayo abagulayo. Uphando kwi-Nursing Gerontological 2008; 1 (1): 14-24.