Ukongenelela kweDyspnea ukunceda izigulane kunye nokunyamekela izigulane
Izigulane ezigulayo kwi-hospice okanye izicwangciso zokunyamekela i-palliative zinokufumana ukuphefumula ubunzima njengoko zisondele ekupheleni kobomi babo. Eli nqaku lichaza ukuba yiyiphi i-dyspnea, yintoni ebangela ukuba ihlinzeke ngamanyathelo angonyango kunye noncedo lwezonyango ezinokunceda izigulane ziphefumle lula.
Yintoni iDyspnea?
UDyspnea ukuphefumla okufutshane okanye ukuphefumula okunzima okanye okusebenza nzima, ngamanye amaxesha kudla ngokungazelelwe.
Abantu abafumana i-dyspnea bavame ukuchaza njengokuphefumula, ukuqina kwisifuba sabo, ukulwa nomoya, okanye ukuziva uvakalelwa; okanye basenokuthi, "andinakuphefumula."
Kwezinye iimeko, izinga lokuphefumula ngesigulane (ukuba uphefumlela ngokukhawuleza kangakanani nangaphandle) liya kwanda kwaye isifuba sayo sinokunyamezela njengoko isigulane sizama ukufumana umoya owaneleyo xa siphefumula. Ukuba amazinga oksijini womuntu akhatyiswa kakhulu, i-discoloration ingenzeka kwimibhede yakhe yepiki kunye / okanye yomlomo.
Yintoni eyenza iDyspnea?
Kukho izimbangela ezininzi ze-dyspnea ekupheleni kweemeko zobomi . Ngokuqhelekileyo, imbangela ihambelana ngqo nesifo sengxaki yesigulane - ngakumbi ukuba ukuxilongwa kuquka inkqubo yakhe yokuphefumula, njengomdlavuza wamaphaphu okanye isifo esingapheliyo se-pulmonary disease (COPD). I-Dyspnea nayo ingenzeka ngenxa yezizathu ezibini, ezifana ne-pneumonia okanye i-chemotherapy. Ngokuqhelekileyo, izinto ezininzi zinokubangela ukuba isigulane esigula i-dyspnea.
Ngenxa yokuba ukuphefumla yinto esiyithatha ngokuqhelekileyo, abantu abafumana i-dyspnea bahlala bexhalabile . Uqikelelo olungama-55 ukuya kuma-70% lokugulisa izigulane kunye nezigulane zokunyamekela ezinomdla ngasekupheleni kobomi be-dyspnea, kwaye ezinye izigulane zifumana ubunzima bokuphefumula / ukuphefumla ubunzima obugqithiseleyo kunokukhathazeka ngokwenyama.
Ukuxhalabisa kungabangela ukubonakaliswa kwengqondo, imvakalelo, ukuziphatha nokubonakalayo okwandisa i-dyspnea, ngoko kubalulekile ukulawula uxhalaba lomguli .
Uncedo lwezoNyango lweDyspnea
Ngenxa yokuba unomdla wokunyamekela nokunyamekela ukugulisa izigulane ezigulayo, kufuneka ukuba ungabizi 911. Kwiimeko ezinjalo, ukuba umthandayo okanye isigulane siphethwe yi-dyspnea, kufuneka uthintane nodokotela wakhe unyango ngokukhawuleza. Ugqirha okanye umongikazi uya kukukhokela kwindlela yokunyanga engcono yokubonelela. Ukuba isigulane sakho singaphantsi kolondolozo lwe-hospice, kufuneka ubize i- arhente yesibhedlele kwaye unesi-hospice uza kukunika imiyalelo phezu kwefowuni ngaphambi kokuthumela umongikazi ukuba ahlole iimpawu zesigulane.
Ngaphandle koko, unyango lwezonyango / ukungenelela kwi-dyspnea kwi-hospice kunye neendlela zokunyamekela ngokugqithiseleyo ngokubanzi kugxininise ekunciphiseni umvakalelo wesifo sengqondo sokuphefumla , njengale:
- I-oksijeni : Ukulawula i-oksijithi ngokuqhelekileyo kuyona mgca wokuqala unyango.
- Imithi : Ukuba isifo se-dyspnea sisifo esingapheliyo, njengeCOPD, imichiza ekusebenziseni eso sifo sinokuphinda ihlaziywe kwaye ilungiswe, ukuba kuyimfuneko. I-Morphine isetyenziselwa ukukhulula ukuphefumula kuba iyancipha imithwalo yegazi kwimiphunga, inciphisa izinga lokuphefumula, kwaye yandisa ukuphefumula-konke oku kunokunciphisa izinga lokukhathazeka kwesigulane. Nangona amayeza anxamnye noxinzelelo anganciphisa isigidimi sengxaki yokukhathazeka kwaye akhulise izinga lakhe lokuthuthuzela, angenza i-dyspnea ibe yimbi ngakumbi.
Amanyathelo angenelelo lweDyspnea
Ukungenelelo olungekho phantsi kwezonyango kubaluleke kakhulu ekuphatheni i-dyspnea kwaye kungenziwa ukusetyenziswa ngonyango okanye xa ulinda uncedo lwezokwelapha ukufika. Ezinye izinto onokuzenza ziquka :
- Khangela ekamelweni uze uqinisekise ukuba isigulane sigqoke iimpahla ezinqabileyo.
- Ukwandisa izinga lokunyusa kumgangatho.
- Sebenzisa umqhubi ukuvuthela umoya ngokuthe ngqo kwimeko yesigulane, ukuba unako ukunyamezela le ntliziyo.
- Vula iwindi elisondeleyo ukubonelela umoya kunye / okanye umoya omtsha.
- Ngaba isigulana sihlale silala embhedeni kwaye senze ukuzivocavoca.
- Zama ubuchule bokuphumula, njengokudlala umculo ophumayo, ukufaka i-massage okanye enye into ephumayo yokukhetha isiguli. Unokucinga kwakhona usebenzisa imifanekiso ekhokelweyo okanye ukucamngca , ezi zixhobo ezimbini ezinokukunceda.
- Ukubonelela ngenkxaso yesigulane ngokuphulaphula ngokukhawuleza oko akuthethayo aze anikezele ukuqinisekiswa.
Ehlelwe kwaye ihlaziywe nguChris Raymond, ngo-Ephreli 14, 2016 .
> Imithombo :
"I-Dyspnea ekuDeni izigulane" nguDavid Hsu, MSC, MD. 39, ngoJulayi 1993. Ibuyiswe ngo-Aprili 13, 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2379564/pdf/canfamphys00113-0099.pdf
> Kinzbrunner, BM; Weinreb, NJ; > Ipolisi >, JS; 20 Iingxaki eziqhelekileyo: Ukuphela koKhathalelo loBomi , uMqulu we-McGraw-Hill, 2002.
> Ferrell, BR, > kunye > Coyle, N .; Incwadi ye-Nursing Palliative , i-Oxford University Press, ngo-2006.