Njengoko abantu abanesifo sengqondo sokunciphisa umqondo behla ukuya kwizigaba ezidlulileyo, baxhomekeke kwizifo. Enye intsholongwane rhoqo isifo somphefumlo . Ukuba umthandwa wakho ukhunjulwa ukuba ube ne-pneumonia, unokucelwa umbuzo ukuba ufuna i-antibiotics elawulwayo. Lo mbuzo unokumangalisa ezinye iintsapho kuba zinokucinga ukuba ii-antibiotics zisoloko zisetyenziselwa ukuba usulelekile.
Nangona kunjalo, kukho amaxesha apho oogqirha abanakho ukucebisa unyango lwe-antibiotics.
Ziyintoni na iiAn Antibiotics ezinikezelwa ngabantu?
Amanye ama-antibiotic anikezelwa njengeepilisi ngomlomo, ngelixa ezinye zifom ye-injection (shot). Uhlobo oluqineleyo lwee-antibiotics lulawulwa nge-intravenously (IV). Ezinye ze-antibiotics ze-IV zifuna iimvavanyo zegazi rhoqo kunye nokulaliswa kwezibhedlele, nangona amanye amakhaya anamahlengikazi (kubandakanywa nezixhobo zokunakekelwa kwempilo kunye nexesha elide) anakho ukubonelela nge-antibiotics ye-IV.
Ngenxa yokudideka ekupheleni kwesifo sengqondo, abantu abane-IVs banokuthi banqandeke (mhlawumbi ngokwenyama okanye ngamayeza anelisayo) kuba bengayiqondi isizathu se-IV kwaye bazame ukuyikhupha.
Ngaba ii-Antibiotics kwi-Stage Stage Dementia Eyona nto iyasebenza?
Ukuphononongwa kophando malunga namayeza anqanda ukuba i-antibiotics ingasetyenziswa ngokugqithiseleyo kwi-dementia ephezulu. Olunye uphando lwalathatha abahlali basekhaya labahlengikazi abanengxaki yokugula kwengqondo emva kwexesha kwaye bafumanisa ukuba phakathi kwabo bafa, abangaphezu kwama-40 ekhulwini bafumene iintsholongwane zee-antibiotiki kwiiveki ezimbini zokugqibela zobomi, abaninzi babo babecala.
Uphando lubonisa ukuba izigqibo malunga nokunyanga i-pneumonia ne-antibiotics kufuneka zithembele kwiinjongo zokunyamekela. Uphando olulinganisa abahlali basekhaya labahlengikazi abane-dementia ephezulu befumene ukuba i-antibiotics iphuculise amazinga okusinda kodwa iyanciphisa izinga lokuthuthuzela. Ngaloo ndlela, bacetyiswa ukuba kwabo banenjongo yokunyamekela, i-antibiotic imele ikhutshwe okanye ivulelwe ngomlomo kuphela, kwaye kulabo abanenjongo yokuphucula ubomi, i-antibiotics kufuneka ilawulwe ngonya.
Kodwa, ngaba bayasebenza? Ngokwezifundo ezininzi, uphumelelo lwee-antibiotics kwiimilinganiselo ezidlulileyo zokudemeka kwengqondo ngenxa yempumoniya. I-Journal ye-American Medical Directors yashicilele isifundo esifumene ukuba i-antibiotics, xa isetyenziselwa abantu abane-dementia kunye nezifo zokuphefumula ezifana ne-pneumonia, ubomi obongezelelweyo, kodwa ngokulinganiselwe kuphela iintsuku eziliqela. Aba baphandi babonisa ukuba inkxalabo yokuba ama-antibiotiki ekupheleni kwesifo sengqondo aphelisa ukuphela kwengxaki yokufa, kunokuba baphathwe ngokufanelekileyo ngentsholongwane.
Khetha
Ukuba umthandwa wakho usekhaya elikhusela abantwana , unokukwazi ukufumana ii-antibiotiki ze-IV ezilawulwa yi-IV ngqo kwindawo. Inzuzo yile yinto yokuba umthandayo akanakuze enze utshintsho kwisimo esibhedlele esingaqhelekanga. Amanye amaziko anakho oku, ngelixa abanye bengenzi. Ilungu lentsapho lenu liyakwazi ukuthatha ngomlomo (ngomlomo) i-antibiotic, kodwa ngokuqhelekileyo imithi ye-antibiotiki yomlomo ayinamandla kakhulu ekulwa nempneumonia kwi-dementia ephezulu.
Abanye abantu, xa bejongene nesigqibo sokusebenzisa okanye ukulahla i-antibiotics, banokukhetha ukunakekelwa kwenkathalo okanye ukunakekelwa kwe-hospice ukuze bancedise inkqubo yokwenza isigqibo, kunye nokudibana nenjongo yokunyamekela abo bathandekayo.
I-Benefit ye- Advance Medical Guidelines
Kungaba luncedo ukubuza imibuzo yakho ethandekayo malunga nezinto ezikhethiweyo zezokwelapha ngaphambi kokunciphisa umzimba kunye nengqondo ukuze ube noxolo lwengqondo, ukwazi ukuba uyaqinisekisa ukuba izifiso zabo zenziwa.
MSEBENZI
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Imithombo:
IiNcwadi zoLondolozo lwangaphakathi. 2008 ngoFebruwari 25; 168 (4): 357-362. Iipatheni zokusetyenziswa kwe-Antimicrobial Phakathi kwabahlali basekhaya abahlengikazi abane-Dementia ephezulu. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670184/
I-New England Journal of Medicine, Oktobha 15, 2009. I-Clinical Course of Dementia Advanced. http://www.nejm.org/doi/full/10.1056/NEJMoa0902234#t=articleUxubusho
IiNcwadi zoLondolozo lwangaphakathi. 2010 Julayi 12; 170 (13): 1102-7. Ukusinda nokuthuthuzela emva kokunyanga kwe-pneumonia kwi-dementia ephezulu. http://www.ncbi.nlm.nih.gov/pubmed/20625013
Umbhalo we-American Geriatrics Society. Umqulu 54, Issue 2, 290-295, ngoFebruwari 2006. Isiganeko kunye nokuPhathwa kwe-Pneumonia ekuKhuseleni kwexesha elide abahlali beDing Dementia. http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2005.00524.x/abstract
Umbhalo we-American Medical Directors Association. 2012 Feb; 13 (2): 156-61. Amayeza omzimba kunye nokufa kwabantu kwizigulane ezineentsholongwane ezithintekayo zokuphefumula kunye nengqondo ephezulu. http://www.ncbi.nlm.nih.gov/pubmed/21450193