Iziphakamiso ezisebenzayo zokukunceda ukubonelela ngokukhuselekileyo namava okunethezeka
Ukunyamekela umntu obathandayo obhekene nesifo esingapheliyo okanye sokuphelisa ubomi okanye izifo kunokubonakalisa uxinzelelo kunye nokuxhalabisa, ngokukodwa njengoko inkqubo yokufa iqala, kodwa isenzo esiphezulu sothando. Ukuba uzibuza ukuba wenza ntoni, ukuthetha okanye ukucinga into efanelekileyo, le ngcebiso ingamnceda ukunyamekela umhlobo othandekayo ekhaya.
Ukhuseleko lweMonde kunye noKhathalelo lweZesikhumba
Njengoko isigulane siqala uhambo oluya ekufeni , uya kuba buthathaka kwaye ahlale elele. Oku kubonakala ngakumbi njengoko inkqubo yokufa iyaqhubeka, kwaye ukunyamekela kunokuba nzima kakhulu kwaye umsebenzi unzima kakhulu. Njengomnakekeli, kufuneka ugxininise kwizinto ezimbini njengoko umthandayo okhula buthathaka: ukhuseleko kunye nokunakekelwa kwesikhumba.
Ukuphucula ukhuseleko lwasekhaya kudla ngokuqala ngokulungisa kwakhona ifenitshala yakho kunye nezinye izinto ukuvumela umthandayo ukuba ahambe ngokulula. Le yithuba apho kufuneka uqikelele ukufumana izixhobo zonyango ezizinzileyo , ezifana nesibhedlele esibhedlele, uhambahamba, isitulo sabakhubazekile, okanye ulungelelaniso lwebhedi ukuba awuzange wenze njalo. Ukuba nezixhobo ezifanelekileyo zonyango, kunye neendawo ezaneleyo zokuzisebenzisa ngokufanelekileyo kunokukunceda ukukhusela ukuwa kunye nezinye izingozi.
Ukunyamekelwa kwesikhumba kubaluleke kakhulu ngeli xesha. Njengoko isigulane sakho sichitha ixesha lokulala okanye sihleli esihlalweni, ubhekana nomngcipheko omkhulu wokuphucula izilonda zomzimba wakhe.
Kwakhona kuthiwa njengezilonda ze- decubitus okanye i-bedsores, izilonda zogonyamelo zibangelwa ukunyuka kwegazi kummandla womzimba ngenxa yoxinzelelo oluqhubekayo kwesikhumba. Ukuhluma kwesikhumba ukususela kwisigxina, ukuwahambisa phantsi kombhede kunye / okanye ukungabikho kokutya okwaneleyo kunokuqulunqa ingxaki.
Ngaloo nto kubalulekile ukuba utshintshe isikhundla somntu othandayo kwindawo yokulala nganye iiyure ezimbini ngelixa uvukile ukuba akakwazi ukwenza oko yedwa (jonga indlela yokubuyisela umonde kwiBhede ). Eminye phakathi kokuwabeka emhlane wabo kwaye uwaphendulele kwicala lasekunene nekhohlo. Gcina imithwalo eninzi efanelekileyo ngoba kufuneka uyibeke ngaphantsi komntu wakho othandekayo, enye enye phakathi kwamadolo, mhlawumbi enye phantsi kweengalo zabo xa belele kwicala.
Hlola rhoqo isikhumba-ngokukodwa kwisiseko somgudu (umsila), izithende, iinqumlo, kunye nezikhwebu-kwaye ujonge nayiphi na indawo ye-pinkness okanye ebomvu. Ukucoca ngobumnandi iindawo ezikhanyayo kunye nelotion ukukhuthaza ukuhamba kwegazi. Unako ukuphakamisa izithende zabo ngokubeka umsila phantsi kweenyawo zakhe ukuze iinyawo zixhomeke. Unako ukunciphisa uxinzelelo kwiindlovu ngendlela efanayo, oko kukuthi, indawo yomthwalo phantsi kweengalo ezingaphezulu okanye ezantsi. Qinisekisa ukuba izigulane zesigulane azithinti umqulo okanye umbhede.
Ukuba umhlobo wakho usenokuba noxinzelelo olunzima okanye uhlakulela ixesha elilodwa xa uyabakhathalela, musa ukuzijezisa. Ngaphandle kokunyamekela ngenyameko, izigulane zisenokuzihlakulela. Qinisekisa ukuba uqaphele umboneleli wakho wezempilo malunga nesilonda ukuze bahlakulele isicwangciso sokunyamekela ngokufanelekileyo.
Banokuphinda bacebise umthamo womoya ukuze unikezele ukunyuswa okunye kunye nokukunceda ukunciphisa uxinzelelo.
Kufuneka uqaphele ukuba ulondoloze ulusu lomthandayo lucocekile kwaye lome. Ukuba bembethe i-diapers yabantu abadala, khangela i-diaper ubuncinane nganye iiyure ezimbini ngelixa uvukile kwaye uyitshintsha xa ihlalwa.
Ukunciphisa i-Appetite kunye noThathu
Isigulane esele sinciphisa isifo sinokuphela ngokupheleleyo njengoko esondela ekupheleni kobomi. Nangona umhlobo wakho enokunyamezela ukutya okuncinci okanye ukutya kwe-liquid, ixesha lingase lifike xa engavumi ukutya okanye ukusela. Oku kunzima kakhulu kubantu abathandekayo abafayo ukuba babone ngenxa yokuba sisoloko silinganisa ukutya kunye nokondla abantu njengesenzo sothando.
Ukubukela umthandane wakho ukula ukutya kunye nokusetyenziswa kwamanzi kunokwenza ukuba ukufa kwabo kufikeleleke, kwaye ukungakwazi ukubonisa uthando lwakho ngokutya kunokukushiya uzive ungenakunceda.
Qiniseka ukuba ukungabikho kokutya nokusela kunokubangela ukuba uxinezele ngakumbi kunokuthandana nomntu othandekayo. Ukulamba nokunxanwa akusoloko kunengxaki ekupheleni kobomi, ngoko ke kufuneka uqhubeke nokubonelela ngeentlobo zokutya ezinomtsalane nje kuphela xa umthandayo eyaziwayo (kodwa avumele ukuba bayinqabele). Kwakhona, qhubekani unikela nge-sips yamanzi okanye ezinye iziphuzo ezikhethiweyo xa nje uyazi.
Nangona izigulane zikhawuleza zikhalaza ngokunyuka ekupheleni kobomi, umlomo owomileyo unokuba yingxaki. Yibhale ngomlomo wakho omthandayo ngomlinganiselo omncinci we-petroleum jelly okanye i-lip balm yokuthintela ukuphambuka. Ungakwazi ukuhambisa umlomo wabo ngamaconsi ambalwa emanzini kwi-straw okanye i-swab ye-toothpaste ehambileyo (i-spong encinci ekupheleni kwintonga) ingaba ivukile okanye ilahlekile.
Ukungabi Nciphiso
Ukungazinzi kwekota kuyindlela ye-delirium edlalwa rhoqo kwizigulane ezifa. Ezinye iingcamango zibonisa ukuba malunga nama-80 ekhulwini abantu abafa baya kuba nexhala okanye ukungazinzi kwiimilinganiselo ezahlukahlukeneyo. Izimpawu ukuba umthandi wakho angenasiphelo zingabandakanya ukungakwazi ukuphumla, ukukhetha kwiingubo okanye kumabhedi ebhedi, ukudideka, kunye nokuzamazama, okanye ukuzama ukunyuka ebhedeni.
Ezinye izimbangela zokungabikho kokugcina ukungapheli ziguqulwa, ezinjengeentlungu, i-bladder egcweleyo, ukuzitywa okanye iziphumo ezibangelwa ngamachiza. Ukuba isizathu asikwazi ukuchongwa okanye iimpawu ziyaqhubeka emva kokonyango, umhlobo wakho unokufumana inzuzo yokuxhalabisa, njenge-lorazepam.
Kwakhona kubalulekile ukwazisa umboneleli wakho wezempilo emva nje kokuba iimpawu zokungazinzi kokugcina ziqala. Ukuchonga imbangela yokungazinzi kokuphela kunye nokuyiphatha kwangaphambili kunokunika impembelelo enkulu kwixesha lakho lokugqibela, kunye namava akho ngelixa uzinakekele.
Utshintsho olushushu lweHlabathi
Kuyinto eqhelekileyo kumntu obathandayo ukufumana utshintsho olubalulekileyo lokushisa ngasekupheleni kobomi njengoko umzimba wakhe ulahlekelwa amandla akhe okulawula. Ukuba uqaphela ukuba umthandwa wakho unomkhuhlane kwaye uyaphupha kakhulu, okanye uziva epholile ekuthinteni kwakho kunye nokukhupha, kukho iindlela ezinokuthi ungayithatha ingxaki.
Ukuba wakho umthandayo unomkhuhlane kodwa unako ukugwinya izipilisi, ungamnika iipilisi ze- acetaminophen (iTylenol). Ukuba isigulane asiyazi, zama ukusebenzisa i-acetaminophen suppository. I-Acetaminophen yi-antipyretic esebenzayo (umciphisi we-fever), kunye ne-relief reliever.
Ukuba wakho umthandayo unomkhuhlane kwaye unika unonophelo ekhaya ngokuncediswa ngononophelo / ukunikwa iinkonzo , usenokuba sele uxoxe ngesicwangciso senzoko ukuba umkhuhlane ukhula. Abaninzi bama-hospice basebenzisa iikiti eziphambili zokugulisa iimpawu zokugulisa iimpawu zokuphela (zobomi ngezinye iinkqubo zibizwa ngokuba yinkqubo yokuxakeka okanye i- kittery comfort kit ) kwaye iyalela ababeleki ukuba basebenzise kakuhle. Uninzi lwezi kits ziquka i-acetaminophen kwindlela ethile.
Enye into ongayenza ukunciphisa umkhuhlane kukuba ukusebenzisa i-compress ngokusebenzisa i-cool cool, ityhuthi yokuhlamba emgodini, entanyeni kunye / okanye kwi-armpits. Awufanele ubeke iqhwa okanye ipakethi yeqhankqalaza ngqo kwi-isikhumba esingenanto, nangona kunjalo, ngxiba i-ice okanye iipakethi ze-ice kwiitilesi ngaphambi kokuba uzisebenzise. Qinisekisa ukuba uhlolisisa indawo phantsi kwe-compress epholileyo kwaye uyisuse emva kwemizuzu eyi-15.
Ukuba isigulane sinomkhuhlane, unako ukuwagqoka kwi-T-shirt okanye kwikhonkco yokulala, okanye isambatho sesibhedlele ukuba umntu unako. Ukuba uvakalelwa kukuba ufuna ukuwagubungela, sebenzisa kuphela iphepha. Ukongezelela, ukuba umthandwa wakho uphupha kakhulu, khangela iibhedi rhoqo kwaye uyitshintshe ukuba kuyimfuneko.
Ukuba umntu obathandayo uyabhaqhazela, ukongeza ingubo okanye ezimbini zifanele ukwanele ukuphucula intuthuzelo yakhe. Unako ukongeza idilesi yeesokisi ezithambileyo, ezikhululekile.
Ekugqibeleni, ukuba uqaphela ukuba inzwane zomthandayo, iminwe, impumlo kunye / okanye imilomo ibonakala imvi okanye i-blue, yaqonda ukuba oku kuqhelekileyo njengoko ukujikeleza kwegazi kwegazi kuhla. Utshintsho kwi-circulation kaninzi lubonakala kakhulu kwienyawo kwaye xa ziba zixhasi kwaye zihlaza okwesibhakabhaka okanye zibomvu, ixesha lokufa ngokuqhelekileyo lisondela.
Ubuhlungu kunye nokuxhamla
Njengomnakekeli, unokufumanisa kunzima ukuxelela ukuba umhlobo wakho uyabuhlungu xa izinga lakhe lokuqonda lincipha. Ukuqaphela nokuvavanya intlungu yesigulane kubalulekile ekuqinisekiseni induduzo yabo, nangona kunjalo, kunye nokujonga kwakho ulwimi lomzimba kunye nezinye izikhokelo zomzimba ziya kukhula ngokubalulekayo njengoko umhlobo wakho engakwazi ukukuxelela ukuba ziva njani. Nazi ezinye zeempawu zentlungu kunye nokukhathazeka kufuneka ukhangele:
- Ukudideka
- Ipurrowed brow
- Grimacing
- Ukulinda indawo ebuhlungu
- Ukwandisa izinga lokuphefumula (ukuphefumula ngomzuzu)
- Ukongeza kwenani lentliziyo okanye i-pulse
- Ukugcoba
- Ukungenasiphelo okanye ukuphazamiseka
Unokuthi uqaphele le miqondiso yenzeka ngokunyakaza okanye imisebenzi ethile njengoko unika unonophelo, okanye kunokuthi kwenzeke ngokukhawuleza. Ukuba wakho umthandayo uye waba neshedyuli rhoqo yamachiza enhlungu , kubalulekile ukuyigcina nangona ulahlekelwa yintliziyo. Umncedi wakho wezempilo kufuneka aphuhlise isicwangciso sengonyango sonyango kuwe xa wakho umthandayo engaphenduli.
Ukuba wakho umthandayo engazange athathe imichiza yintlungu rhoqo, kusabalulekile ukuba umlenze ngempawu zokungahambi kakuhle kwaye abe neyeza kunyango xa kwenzeka intlungu ngokukhawuleza. I-Morphine ivame ukubandakanywa kwiikiti zokuncedisa i-hospice, kunye ne-acetaminophen suppositories ezikhankanywe ngasentla.
Utshintsho lokuPhepha
I-Dyspnea , okanye ukuphefumula okufutshane, ngokuqhelekileyo kuyimpawu ephazamisayo kungekhona nje kumntu ofayo kodwa nakumalungu entsapho kunye nabahlobo bakhe. Ukuba umhlobo wakho uphefumlela ngokukhawuleza (ngaphezulu kwe-24 iphefumula ngomzuzu) kwaye ubonakala engahlaziyi, i-morphine ingabonisa ukuba unyango olukhethiweyo. I-Morphine ayinikezeli kuphela iipropati ezikhupha ubuhlungu kodwa zenza umsebenzi omuhle ekuphatheni i-dyspnea. Iyancipha ukuphefumula, okuvumela umzimba wesigulane ukuba uthathe umoya ophefumlelweyo xa uyanciphisa ukuvakalelwa kwengqondo ebuchosheni. Ukuba wakho umthandayo unobungozi okanye awunamonde kwi-morphine, amanye amayeza opioid anganceda ukulawula i-dyspnea.
Ezinye iindlela zonyango ezinganceda ukunciphisa i-dyspnea ziquka:
- Ukulawula i-oksijini
- Ukuqondisa umqhubi kwisantya esiphantsi ebusweni bomntu obathandayo
- Ukubonelela ngomoya omtsha ngokuvula iwindi
Olunye uhlobo oluqhelekileyo nolunokubangela ukukhawuleza olukufutshane nokuphela kobomi lubizwa ngokuba " ukufa ." Oku kubaluleke kakhulu ukuba kuphefumle ngokukhenkcezayo okukwenzekayo xa i-saliva kunye nezinye izikhalazo zakhiwe emagqatsheni omlomo kunye neengqwelo zomoya. Xa usempilweni, ininzi yethu inokukhwehlela, icime umlomo wethu, okanye ugxume okanye uchithele ezi mpahla eziqhelekileyo, kodwa umntu ofayo ulahlekelwa amandla okuwacoca ngokucacileyo. Nangona isandi esiphumela sivame ukubonakalisa ukhathazeka ngakumbi kubantu abathandekayo kunomntu ofayo, amayeza anokwenza umfutho ogqithiseleyo ngokuqhelekileyo ayasebenza ekuphatheni ukuphefumula okukhulu okunxulumene nokufa.
Ekugqibeleni, njengoko isiphelo sobomi sisondela, unokwazi ukuba umthandayo uyaphumelela ngokungaqhelekanga, okubizwa ngokuba yi- Cheyne-Stokes respirations . Ukuba oko kwenzeka, wakho umthandayo unokuphefumula ngokukhawuleza ngexesha elithile, ngokukhawuleza ngokuzayo, okanye ukuyeka ukuphefumla (okwaziwa njenge-apnea). Ukuphefumula kwe-Cheyne-Stokes kusenokungafuneki nayiphi na unyango kodwa ukuba umthandayo wakho ubonakala engaphefumli, iindlela zokwelapha i-dyspnea (ngasentla) zinokuba luncedo.
Umzuzu woKufa nokuPhezulu
Xa ukufa kwesigulane kusondele, ukuphefumula kwakhe kudla ngokucotha (okanye kuqhubeka nokuphefumula kwe-Cheyne-Stokes) de kube sekugqityiwe. Ukufa kwenzeka xa ukuphefumula kuyekile kwaye intliziyo yesigulane iyayeka ukubetha.
Kule ngongoma, umzimba womntu uqala ezininzi iinkqubo zendalo emva kokufa , kodwa zilapha ezinye zezibonakaliso ofuna ukuzijonga:
- Abafundi bahlala bexhomekeke kwaye bahluthwa (ezinkulu)
- Ikhumba liluhlaza okanye liluhlaza
- Iqumrhu liba lipholile
- Iigwele zihlala zivulekile
- Umhlathi ulahla kwaye uhla
Kukho izinto ezininzi omele uyenze ngokukhawuleza emva kokuba umntu obathandayo efa , kubandakanya ukubiza 911 okanye i-arhente yomthetho wendawo ukuba isigulane singabhaliswa kwi-hospice. (Ukuba ufumana ulondolozo lwe-hospice, kufuneka udibanise nabasebenzi bee - hospice okanye umongikazi wokubelelisa kuqala).
Ngaphandle kokuba ulungele ukulungiselela iinkonzo zakho zokuphela kokuphila, kuya kufuneka ukuba ucebise umngcwabo, isikhumbuzo kunye / okanye iinkonzo zentsimbi kwiintsuku ezizayo.
Okubaluleke kakhulu, kufuneka uzinyame kwiiyure, iintsuku kunye neveki ezizayo. Njengomnakekeli wakho othandekayo, mhlawumbi uye wabona uxinzelelo lokunyamekela, unokubangela intlungu oya kuyivakalela ngayo ngeli xesha elinzima.